Ko te nuinga o ngā paanga taha o te patene whakawhānau he ngāwari, he wā poto hoki. Ko te mate upoko (tata ki te 21% o ngā kaiwhakamahi), te ruaki (tata ki te 17%), te kiri irihanga i te wāhi o te patene (tata ki te 17%), te ngāwari o te u, me te whakaheke toto i waenganui i ngā paheketanga te mea noa, ā, ka memeha te nuinga i roto i te rua ki te toru marama. Ko tētahi rārangi poto o ngā tohu, tae atu ki te pupūra o te waewae me te mamae ohorere o te uma, me whai manaaki i taua rā anō.

TL;DR: Ngā Kōrero Matua

  • Ko te mate upoko, te ruaki, te ngāwari o te u, te kiri irihanga i te wāhi o te patene, me te whakaheke toto te hunga e tatarihia ana, ā, ka tau te nuinga i roto i te rua ki te toru marama.
  • Ko ngā paanga taha o te patene whakawhānau i te wiki tuatahi e tino kitea ana e ngā kaiwhakamahi (te whakaheke toto, te ruaki, te hauhau, te tapa o te patene e piki ana) ka tohu pea ki tētahi patene kāore i tino piri, kaua ki te homoni.
  • Ki te timata koe i tētahi rā i tua atu i te rā tuatahi o tō paheketanga, me whai koe i ngā ra e whitu o te rongoā whakawhānau kāore he homoni hei rongoā taapiri.
  • Ko te mamae o te waewae, te pupūra rānei, te mamae o te uma, te mate upoko ohorere, te ngaro rānei o te kitenga he take kia tere te tiki atu i te manaaki, ehara i te tatari kia kite.
  • Ko te BMI, te taumaha tinana, me te ahua hikareti ka whakarerekē i te painga me te tūponotanga, kaua i te ahua uaua o te wiki tuatahi.

Ko ngā paanga taha o te patene whakawhānau te mea tino kitea, me te nuinga he ngāwari

Ko ngā paanga taha tino kitea o te patene whakawhānau ko te mate upoko, te ruaki, te ngāwari o te u, te kiri irihanga kei reira te patene e noho ana, me te whakaheke toto i waenganui i ngā paheketanga. I roto i ngā whakamātautau a Xulane, tata ki te 21% o ngā kaiwhakamahi i kī he mate upoko to ratou, tata ki te 17% te ruaki, me te 17% ngā raruraru i te wāhi o te tono. Ka memeha te nuinga o ēnei i roto i te rua ki te toru marama.

Ko aua tatauranga i ahu mai i te whakaaetanga a te FDA mo te Xulane (arotake 3/2022), e whakaatu ana i ngā urupare i ripoatahia e te 5% o ngā kaiwhakamahi: ngā raruraru o te u, te ruaki, te mate upoko, me te mate o te wāhi tono. Ko te whakaheke toto, te toto rānei i waenganui i ngā paheketanga ka uru ki roto i taua kātene, ā, ko te mea tino kitea i roto i te toru marama tuatahi o te whakamahi. Ko te Cleveland Clinic hoki e kii ana ko te whakarerekē o te ngākau me te hauhau te hunga e tino kitea ana, engari he iti ake te auau i te hunga tuatahi e whā.

Ko te mea noa ehara i te mea ko te mea kāore he kino. Ko tētahi rārangi poto o ngā tohu, kei raro nei, ko te tango i te patene me te tirohia i taua rā anō, kaua ki te tatari kia kite mehemea ka tau ngā mea.

Ko te pātai nui ehara i te ruaki. Ko tō BMI, tō taumaha, me tō ahua hikareti

Ko te nuinga o ngā tāngata ka whakatau i tētahi tikanga hou i runga i te ahua o ngā wiki e rua tuatahi. He mārama taua hiahia, ā, kāore he tino awhina, nā te mea ko ngā take e whakarerekē ai i te pai o te patene mōu kua oti kē i mua i tō tono tuatahi.

Kua rāhuitia a Xulane ki te BMI o te 30 kg/m2 neke atu rānei, nā te nui haere o te tūponotanga o te uaua toto. I tua atu, ā, he kōrero kē tēnei mai i taua momo tapanga anō, ka iti ake te whai hua o te patene ki te aukati i te hapūtanga i roto i ngā wāhine e 198 lbs (90 kg) neke atu rānei. Kua rāhuitia hoki ki ngā wāhine i runga i te 35 e hikareti ana, nā te mea ko te hikareti me te rongoā whakawhānau ngā homoni ka whakapiki i te tūponotanga o te mate ngakau, te whiu, me te uaua toto.

Ko te mea kāore pea e korero atu te nuinga o ngā whārangi ki a koe: ehara te patene i te putanga ngāwari ake o te pire. Ka tukuna e ia tata ki te 60% atu te nui o te ethinyl estradiol i roto i te wā (AUC) i te pire ngāwari noa te 35-mcg, ahakoa ko te teitei o te kaha (Cmax) kei te 25% iti iho. He rereke te ahua o te tukunga, ehara i te iti o te horopeta.

Na, ko te kaha ki te ruaki i te wiki tuarua ehara i te tohu kei te kore e whai hua te patene, kei te he rānei mōu. Ko te BMI, te taumaha tinana, me te ahua hikareti ko ngā mea me whakatau, i mua i te tīmatanga, ā, ka mutu rānei. Ehara ēnei i te mea ka taea e koe te whakatau ki a koe anō i te kāinga. Ko ngā pātai enei kia pātaia ki tētahi rata nāna e taea te whakataurite ki te toenga o tō hītori.

He torutoru ngā tohu o te patene ka mutu ka tiki āwhina i taua rā anō

Ko te nuinga o ngā mea i roto i te marama tuatahi ka taea te tatari kia tae noa ki te huihuinga noa. Ko ēnei kāore e taea.

Waea atu ki te 911, haere rānei ki te rūma ohorere ināianei ki te:

  • He whero, he pupūra, he mahana, he mamae rānei tō waewae kotahi.
  • He mamae ohorere koe o te uma, he uaua te manawa, he toto rānei tō i te mare.
  • He mate upoko ohorere, tino kaha rānei, he raruraru ki te kōrero, he ngoikore rānei, he mate rānei tō taha kotahi o te tinana.
  • He ngaro ohorere o te kitenga, he matapōuri, he karu pūhō, he mamae rānei te karu.
  • Ka kowhai tō kiri, tō karu rānei, he mamae nui rānei tō puku.
  • Ka pupūra tō kanohi, tō korokoro rānei, ka uaua koe ki te manawa, ka horapa rānei he kiriwhetu puta noa i tō tinana.

Ko te tūponotanga o te uaua toto te take i puta ai taua rārangi. Ko ngā rongoā whakawhānau ngā homoni ka mau i te tatauranga o te 3 ki te 12 take o te uaua toto mo te 10,000 wahine-tau, me te nui o te tūponotanga i te tau tuatahi o te whakamahi, ahakoa ko te tapanga ano a te FDA e kii ana ko te hapūtanga tonu he tūponotanga rite, nui ake rānei. E tino mārama ana hoki te tapanga me mutu tonu te whakamahi i te patene i muri tonu i te tupu o te uaua toto, ā, kāore he tirohanga, he kanohi pūhō, he matapōuri, he pupūra o te nerve optic, he mate rānei te kopa whatu.

Whakarite hui i roto i te wiki e whai ake nei ki te:

  • Ka mau tonu te kiri irihanga i te wāhi o te patene, ka kino rānei.
  • Ka kaha tonu te whakaheke toto i muri i te toru marama.
  • He hou te mate upoko, ka kino rānei, engari ehara i te mea ohorere, tino kaha rānei.
  • Ka pā te whakarerekē o te ngākau ki tō oranga o ia rā.
  • Ka kore tonu e piri te patene.

Ehara ēnei i te ohorere. Ehara hoki ēnei i te mea ka pai ki te tatari mo etahi atu marama e rua.

Kōrero ki tētahi rata i mua i te tīmatanga ki te:

  • Ko tō BMI he 30 kg/m2 neke atu rānei.
  • Ko tō taumaha he 198 lbs (90 kg) neke atu rānei.
  • E 35 koe neke atu rānei, ā, kei te hikareti koe.
  • He hītori whaiaro, whānau rānei koe mo te uaua toto, te whiu, te mate ngakau rānei.

Ko Xulane te patene pea kei a koe

Ko ngā paanga taha o Xulane, mo ngā kaupapa whai take, ko ngā paanga taha o te patene whakawhānau kua whakahuatia i runga i tēnei whārangi. Kua mutu te whakaputa o Ortho Evra, te patene taketake, i te US, ā, ko Xulane me āna whakaputanga rite (norelgestromin me te ethinyl estradiol) te mea e tukuna ana e te nuinga o ngā whare rongoā o Amerika.

He kotahi te rereke e nui ana. Ko Twirla (levonorgestrel me te ethinyl estradiol) he patene motuhake, he iti ake te estrogen, kua whakaaetia e te FDA i te Hui-tanguru 2020. Kua rāhuitia hoki ki te BMI o te 30 kg/m2 neke atu rānei, ā, he whakatūpato kaha tōna mo te tūponotanga o te ngakau ki ngā kaipaipa 35 neke atu rānei me te BMI neke atu i te 30, e kii ana ki a koe ko te taumaha me te tūponotanga o te uaua toto ka pā ki te katoa, ehara i te Xulane anake. Tirohia te pouaka, te tapanga rānei o tō whare rongoā mo te hua i tino tukuna ki a koe. Kāore ēnei e rua e taea te whakakapi, ā, ko ngā ōrau o te whakamātautau i runga ake nei ko ā Xulane.

Ko te wiki tuatahi ka puta mai e rua ngā raruraru kāore i te toru wiki e whai ake nei

Mena ka rapu koe i te "birth control patch side effects first week" ka kite koe i te rārangi kotahi o ngā tohu pēnei i ngā wiki katoa, kāore hoki e whakauru ana i ngā mea e rua e rerekē ai te wiki tuatahi.

Ko te tuatahi ko te tiaki hapūtanga. Mena ka tono koe i tō patene tuatahi i te rā tuatahi o tō paheketanga, kāore koe e mate ki te rongoā taapiri. Ko tētahi tīmatanga i muri mai me whai rongoā taapiri kāore he homoni, pēnei i ngā kōni, mo ngā ra e whitu tuatahi.

Ko te tuarua ko te he o te tono. Ko te whakaheke toto me te ruaki ka puta mai i te tīmatanga, ā, ka tataria, me te whakaheke toto i waenganui i ngā paheketanga ko te mea tino kitea i roto i te toru marama tuatahi. Engari ko te hauhau, ko te tapa o te patene e piki ana, ko te toenga o te piripiri, ko tētahi kokonga kua pīkihi rānei e tohu ana ki tētahi raruraru piri, ehara i te mea homoni, ā, ko te rongoā he tikanga tinana. Tirohia ngā kokonga e whā ia rā, ina koa i muri i te kaukau, te kauhoe, te werawera rānei. Koia te rerekētanga e whakatau ana mena ko te mahi tika i te wiki tuatahi ko te tatari, ko te mahi rānei.

Mō te mahi: ka taea te whakahoki anō te patene kua tangohia mo te iti iho i te 24 haora, ā, ka taea hoki te whakakapi ki tētahi patene hou, me te pupuri i tō Rā Huri Patene me te kore e mate ki te rongoā taapiri. Mena kua tangohia mo te roa atu i te 24 haora, ā, kāore i te mōhio te roa, ko te tikanga ko te tīmata anō i tētahi huringa me tētahi patene hou, tētahi Rā Huri Patene hou, ā, me whai rongoā taapiri mo te whitu ra.

Ka taea e tētahi taupānga hoa hauora pēnei i a August AI te āwhina i a koe ki te tuhi ko tēhea te rā i tīmata ai ia tohu, ā, mena i piri tonu te patene, koia tonu te pātai tuatahi a tētahi rata ki a koe.

Ko te kiriwhetu o te patene he raruraru noa ki te wāhi, kaua ki te homoni

Ko te kiriwhetu o te patene whakawhānau he raruraru noa ki te wāhi e noho ai te patene, kaua ki te mea kei roto. Ko te mate o te wāhi tono i kitea i roto i te tata ki te 17% o ngā kaiwhakamahi i ngā whakamātautau a Xulane, nā reira ko tētahi o ngā toru tino amuamu kei runga i te tapanga.

Kua tuhia te aukati ki roto i ngā tohutohu hua, ā, ehara i te mea ataahua. Huriia ngā wāhi tono kua whakaaetia (te pokohiwi, te puku, te tuara o runga, me te tuara o runga, kaua rawa te u), ā, kaua e whakamahi anō i te wāhi kotahi i roto i te huringa. Kaua e tono kirīmi, hinu, parakore, paura rānei ki te kiri kei reira te patene ka tū, ā, kāore hoki i raro i te patene kua oti kē te tū.

Mena ka puta mai te kiriwhetu o te patene whakawhānau i waenganui o te wiki, tūia te patene whakakapi ki tētahi wāhi ma, maroke, rerekē, pupuritia tō Rā Huri Patene noa, ā, ka mau tonu te tiaki i tō rongoā whakawhānau hei mea katoa mena i raro iho i te 24 haora te tangohanga o te patene. Mena ka mau tonu te kiri irihanga, ka kino rānei, whakapa atu ki tētahi rata, nā te mea ka hiahiatia pea he tikanga whakawhānau kē. Ko tētahi tapawhā motuhake o te kiri riri he raruraru wāhi. Ko te kiriwhetu e horapa ana puta noa i tō tinana me te pupūra o te kanohi, te korokoro rānei, me te uaua ki te manawa he ohorere, ā, kei te rārangi tuatahi kei runga ake.

Mō tētahi kiriwhetu kāore e tau, ko te haere ki te rata ohorere ipurangi $39 a August ka taea e tētahi rata whai raihana o Amerika te tirotiro i te wāhi ka kōrero ai mehemea he pai kē atu tētahi tikanga kē. Ko te rata te whakatau mo ngā rongoā katoa, ā, kāore he haerenga ka taurangi i tētahi. Kāore hoki he haerenga telehealth e taea te aromatawai i te uaua toto e whakapaehia ana; ko te pupūra o te waewae, ko te mamae rānei o te uma me kitea i te tangata, i tēnei rā. Mena kei te whakaaro koe ki hea haere ai, he pai te mārama mehemea ka taea e te rata ohorere te whakahaere rongoā whakawhānau i mua i tō whakarite.

Mena kei te noho tonu ngā paanga taha i muri i te toru marama, ehara kē i te whakatikatika

Kia pehea te roa o ngā paanga taha o te patene whakawhānau? Mo te nuinga o ngā tāngata, tata ki te rua ki te toru marama. E ai ki a Cleveland Clinic ko te mate upoko te mea tino kitea i ngā wiki tuatahi, ā, ka pai ake, ā, ko te nuinga o ngā paanga taha (mate upoko, ruaki, toto kāore i te wā, ngā u mamae, te whakarerekē o te ngākau, te kiri irihanga) he wā poto noa, ā, ka pai ake i muri i te rua marama o te whakamahi tonu. Ka whai te whakaheke toto i te ahua kotahi, ka tino kitea i roto i te toru marama tuatahi.

Whakaarohia taua wā hei te mutunga, kaua hei whakaari. Ko ngā tohu e mau tonu ana, e kino ana rānei, i muri i te toru o ngā marama ehara kē i te whakatikatika, ā, he take ki te kōrero mo te huri. Ko te whakarerekē o te ngākau te mea tino kitea me te take tika ka huri ngā tāngata, ā, kei reira ngā rongoā whakawhānau he iti ake te pāinga ki te ngākau.

Ko te huri he hua noa, ehara i te hinganga. Ko ngā mahi tika e whai ake nei ko te pire iti ake te estrogen, tētahi tikanga progestin anake, ā, he IUD homoni pēnei i a Kyleena, ka whiriwhiria me tētahi rata e mōhio ana ki tō hītori. Ka taea e tētahi taupānga hoa hauora pēnei i a August AI te āwhina i a koe ki te tuhi i ngā tohu i ia marama, kia ka mutu te tirohanga i muri i te toru marama i runga i te tuhi, kaua i te mahara.

Ngā Pātai Auau

Ka puta te paheketanga o te taumaha i te patene whakawhānau?

Kāore i te nuinga. Kāore he taunakitanga mārō e puta ai te paheketanga o te taumaha na te rongoā whakawhānau ngā homoni, ā, kāore hoki i tuhia i roto i ngā urupare auau i ngā whakamātautau a Xulane. Ko te mea ka kitea e ngā tāngata ko te pupūra o te wai me te ki tonu o te u i ngā marama tuatahi, ā, ka whakarerekē te ahua o ngā kakahu me te kore e whakarerekē te ngako tinana. Mena ka piki haere tonu te tauine i roto i ngā marama maha, kōrero atu ki tētahi rata, kaua hoki e kii ko te patene te take.

Ka tiaki te patene whakawhānau i te STIs?

Kāore. Ka aukati noa te patene i te hapūtanga. Kāore hoki e tiaki i te chlamydia, gonorrhea, HIV, herpes, syphilis, ā, HPV rānei. Mena ka hiahia koe ki te tiaki mai i ngā mate tuku tuku mai, ka hiahiatia hoki e koe he tikanga arai, ā, ko ngā kōni te tikanga mahi. E pā ana hoki tēnei i roto i ngā ra e whitu tuatahi o te patene, ka hiahiatia e koe he rongoā taapiri mo te aukati hapūtanga.

He haumaru te patene whakawhānau i te wa e ngote ana?

Kāore i te nuinga, ā, kāore i te iti rawa i ngā marama tuatahi. Ko ngā tikanga kei roto te estrogen ka karo i te nuinga o te wā i muri tonu i te whānautanga nā te pānga ki te nui o te miraka, ā, nā te mea kua piki ake te tūponotanga o te uaua toto i muri i te whānautanga. Ko ngā whiringa progestin anake te nuinga o te whakamahi i roto i taua wā. Ka whakawhirinaki te wā ki te ahua o tō whānautanga, te ahua o te ngote, me ngā take tūponotanga o te uaua toto, nā reira ko tēnei he whakatau ma tō rata, kaua hei ture whānui.

Ka memeha ngā paanga taha i muri i te whakamahinga o te patene?

Āe. Ko ngā paanga taha homoni pēnei i te ruaki, te ngāwari o te u, me te mate upoko ka tau te ora i roto i te rua wiki i muri i te tango o te patene whakamutunga, ā, ka tere te hoki mai o te whai hua, ko te tikanga me whai koe i tētahi tikanga kē tonu mena kāore koe e ngana ki te hapū. Ko te kiri irihanga i te wāhi ka ora te nuinga i roto i ngā rā. Ko ngā mea katoa e mau tonu ana i muri i te rua wiki ka hiahia kia tirotirohia wehewehea, nā te mea kāore pea i te patene te take.

Ka taea e au te peke i te wiki kāore he patene kia kore ai he paheketanga?

Tētehi wā. Ka mahia te whakamahi tonu, te roa rānei i roto i te mahi, engari kei waho kē tēnei i te tapanga mo te patene, ā, me whai whakaaetanga a tētahi rata, ā, ko tētahi wāhanga nā te mea ka nui ake te tukunga o te estrogen puta noa i te tau. Ka nui ake te whakaheke toto i waenganui i ngā paheketanga ka peke koe i te wiki kāore he patene, ina koa i roto i ngā marama tuatahi. Kaua e mahi tāu anō i te marama tuatahi, kaore ano hoki tō tauira whakaheke toto kia oti.

Te Rangi o raro

Hoatu ki ngā amuamu noa, mate upoko, ruaki, ngā u mamae, te kiri irihanga o te patene me te whakaheke toto, kia rua ki te toru marama kia tau, ā, ko ngā mea katoa e mau tonu ana i muri i te toru o ngā marama ka waiho hei take ki te kōrero mo te huri. Ko te mamae o te waewae, te pupūra rānei, te mamae o te uma, te mate upoko nui ohorere, te ngoikore o tētahi taha, te ngaro o te kitenga, te kowhai rānei ka hiahiatia he manaaki ohorere i taua rā, kāore he tatari. Ā, kaua hoki e whakataua te patene i runga i te ahua o te wiki tuatahi, whakataua ngā pātai e tino nui ana ki tētahi rata: tō BMI, tō taumaha, ā, mehemea kei te hikareti koe.

Whakakahoretanga: Ko tēnei tuhinga he mōhiohio noa, ā, kāore e kiia hei tohutohu hauora. Korero tonu ki tētahi tohunga hauora whai tohu mo ngā whakatau tātaritanga me ngā rongoā. Mena kei te wheako koe i tētahi mate hauora ohorere, waea atu ki te 911, haere rānei ki te rūma ohorere tata tonu.