He aha te Ara Intrauterine Levonorgestrel: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te ara intrauterine levonorgestrel e pā ana ki tētahi pūrere iti, āhua-T ka whakatakotoria ki roto i tō kōpū e tuku ana i te homoni levonorgestrel ki te wāhi e hiahiatia ana. Ko tēnei tikanga e whakakotahi ana i te mana whakawhānau tino whai hua me te āwhina pea mai i ngā wā nui, e waihanga ana i tētahi kōwhiringa rongonui mō te tini o ngā wāhine e rapu ana i te aukati hapū wā-roa.

Ka mahi te pūrere mā te tuku i ngā rahinga iti o te progesterone waihanga (levonorgestrel) ki roto i tō uhi kōpū i roto i ngā tau maha. Ko tēnei tuku homoni ā-rohe te tikanga ka whiwhi koe i ngā painga me te iti o te whānuitanga o te homoni ka whakatauritea ki ngā pire whakawhānau, i te wā e pārekareka ana ki te wātea o te kore e mahara ki te rongoā ia rā.

He aha te Ara Intrauterine Levonorgestrel?

Ko te ara intrauterine levonorgestrel he pūrere intrauterine (IUD) e tuku ana i te homoni e whakarato ana i te aukati hapū huri-kē wā-roa. Ko te rahi o te pūrere e pā ana ki te rahi o te hauwhā, ā, kei roto i tētahi pūrua o te levonorgestrel, he momo waihanga o te homoni progesterone.

Kia whakaurua e tō kaiwhakarato hauora, ka noho pai te pūrere i roto i tō kōpū, ā, ka tuku pōturi i ngā rahinga iti o te levonorgestrel ki roto i te uhi kōpū. Ko tēnei huarahi whāinga te tikanga ka mahi te homoni i te tuatahi i te wāhi e hiahiatia ana, me te iti o ngā rahinga e uru ana ki tō toto ka whakatauritea ki ngā rongoā whakawhānau waha.

Ka taea e te pūrere te noho whai hua mō te 3 ki te 8 tau i runga i te waitohu motuhake, i muri i tērā me whakakapi mehemea kei te hiahia koe ki te haere tonu i tēnei momo aukati hapū. Ka taea e koe te tango i tēnei i ngā wā katoa mehemea ka whakatau koe e hiahia ana koe ki te whakamātau ki te hapū, ki te huri rānei ki tētahi tikanga whakawhānau rerekē.

He aha te Ara Intrauterine Levonorgestrel e whakamahia ana mō?

Ko te whakamahinga tuatahi o ngā pūrere o roto i te kōpū levonorgestrel he aukati i te hapū, me te reiti whai hua neke atu i te 99%. Heoi, he maha ngā painga anō o ēnei pūrere e whai hua ana mō ētahi wāhine.

He maha ngā wāhine e pā ana ki ngā wā o te marama māmā ake i muri i te whakaurunga, ā, ka mutu pea ētahi te wā. Nō reira he kōwhiringa pai te pūrere mō ngā wāhine e pā ana ki te nui o te toto i te wā (menorrhagia) rānei, ngā wā mamae.

Ka tūtohu pea tō tākuta i tēnei pūrere mēnā he endometriosis tōu, nā te mea ka āwhina te tuku homoni i te rohe ki te whakaiti i te tipu o te kiko endometrial i waho o te kōpū. I tua atu, ka taea te whakamahi hei wāhanga o te rongoā whakakapi homoni i roto i ngā wāhine i muri i te menopause hei tiaki i te uhi o te kōpū i te wā e tango ana i te estrogen.

E whakamahi ana ētahi kaiwhakarato hauora i ēnei pūrere hei āwhina i te whakahaere i ētahi momo toto kōpū rereke, hei kōwhiringa rongoā rānei mō ngā wāhine e pā ana ki te fibroids e hiahia ana ki te karo i te pokanga.

Me pēhea te mahi a te Ara o Roto i te Kōpū Levonorgestrel?

E mahi ana tēnei tikanga aukati i te hapū mā ngā tikanga maha hei aukati i te hapū. Ka matotoru te homoni levonorgestrel i tō hūpē pūhihi, ka uaua ake te tae atu o te pūtau tane ki te whakatō i te hua manu.

Ka angiangi hoki te homoni i te uhi o tō kōpū (endometrium), e whakaiti ana i te tūponotanga o te whakatō o te hua manu. I roto i ētahi wāhine, ka pēhi pea te pūrere i te ovulation, ahakoa ehara tēnei i tana tikanga mahi tuatahi.

Hei tikanga aukati i te hapū, e kiia ana he tino whai hua ngā IUD levonorgestrel engari kāore i te kaha rite ki ngā tikanga whakawhānau mō ake tonu atu. He nui ake te whai hua i ngā pire whakawhānau, ngā papaki, ngā mowhiti rānei nā te mea kāore he tūponotanga o te hē o te kaiwhakamahi pēnei i te wareware ki te tango i te pire.

Ko te pūnaha tuku taiaki ā-rohe te tikanga ka whiwhi koe i te whakamarumaru aukati hapūtanga i ngā wā katoa, kāore he hiahia ki te mahara ki te rongoā i ia rā. Ka tīmata te pūrere ki te mahi tonu i muri i te whakaurunga, ā, ka haere tonu te whakarato i te aukati hapūtanga pono mō ngā tau.

Me pēhea taku tango i te Levonorgestrel Intrauterine Route?

Kāore i rite ki ngā rongoā waha, kāore koe e "tango" i tēnei tikanga aukati hapūtanga i te tikanga tuku iho. Engari, ka whakaurua e tētahi kaiwhakarato hauora whakangungu te pūrere ki tō kōpū i te wā o tētahi tikanga tari tere.

I mua i te whakaurunga, kāore koe e hiahia ki te nohopuku, ki te karo rānei i te kai, ahakoa e tūtohu ana ētahi kaiwhakarato kia tango i tētahi rongoā mamae i runga i te kaute pēnei i te ibuprofen tata ki te 30-60 meneti i mua i tō whakaritenga. Mā tēnei e āwhina ki te whakaiti i te kōpū i te wā o te tikanga me muri mai.

Ko te tikanga whakaurunga te nuinga o te wā he meneti noa iho. Ka whakamahi tō kaiwhakarato i tētahi speculum kia kite i tō pūwaha, kia horoi i te wāhi, ā, ka whakamahi i tētahi whakauru motuhake hei whakanoho i te pūrere mā tō pūwaha ki tō kōpū. Ka pōturi pea koe i te kōpū e rite ana ki te kōpū paheketanga i te wā o te whakaurunga.

I muri i te whakaurunga, kāore koe e hiahia ki te mahi i tētahi mea motuhake hei pupuri i te pūrere. Ka mahi tonu i te kore he mahi e hiahiatia ana i a koe. Ka tapahia e tō kaiwhakarato ngā aho tango kia toro atu rātou ki tō tara, e āhei ana koe ki te tirotiro kei te noho tonu te pūrere.

Kia Pēhea te Roa o taku tango i te Levonorgestrel Intrauterine Route?

Ka whakawhirinaki te roa ki te levonorgestrel IUD motuhake kei a koe, i te mea e whakaaetia ana ngā waitohu rerekē mō ngā wā rerekē. Ko te nuinga o ngā pūrere he whai hua mō te 3 ki te 8 tau, me ētahi putanga hou e roa ana ki te 8 tau.

Ka taea e koe te pupuri i te pūrere mō tōna roa kua whakaaetia mēnā e harikoa ana koe ki a ia, ā, kāore koe e pā ki ētahi raruraru. He maha ngā wāhine e whiriwhiri ana kia whakakapia tō rātou pūrere ki tētahi mea hou i te wā e pau ana kia haere tonu te pārekareka ki ngā painga ōrite.

Heoi anō, kāore koe i te here ki te pupuri i te pūrere mō tōna wā ora katoa. Ka taea e koe te tango i te wā e hiahia ana koe ki te whakamātau ki te hapū, ki te pā mai ngā pānga taha e kore e taea e koe te aro atu, ki te pai rānei koe ki te huri ki tētahi atu tikanga aukati hapū.

Mēnā kei te whakamahi koe i te pūrere mō te nui o te toto, kaua mō te aukati hapū, ka mahi tō tākuta ki a koe ki te whakatau i te wā pai rawa atu i runga i te pai o te whakapai ake o ō tohumate me ō hiahia hauora katoa.

He aha ngā Pānga Taha o te Levonorgestrel Intrauterine Route?

He pai te aro o te nuinga o ngā wāhine ki ngā IUD levonorgestrel, engari pērā i ngā rongoā katoa, ka taea e rātou te pā mai ngā pānga taha. Ko te rongo pai ko te nuinga o ngā pānga taha he wā poto noa iho, ka pai ake i te wā e urutau ana tō tinana ki te pūrere i ngā marama tuatahi.

Koinei ngā pānga taha tino noa ka pā ki a koe, me te mōhio e hiahia ana tō tinana ki te wā ki te urutau ki te tuku homoni ā-rohe:

• Te toto koretake, te toto rānei, ina koa i ngā marama 3-6 tuatahi
• Ngā wā iti, te kore rānei o ngā wā i te wā
• Ngā mamae paku, te kore rānei o te whakamarie i te puku, ina koa i ngā wiki tuatahi
• Te ngawari o te u, te huringa rānei o te ngākau
• Ngā mamae upoko, te whakapairuaki rānei
• Te hakihaki, te huringa rānei o te kiri
• Ngā huringa taumaha (ahakoa he onge te pikinga taumaha nui)

Ko ēnei pānga noa ka tau i te wā e urutau ana tō tinana ki te pūrere. Ka kite te nuinga o ngā wāhine ka pai ake ngā tauira toto koretake i muri i ngā marama tuatahi.

Ahakoa he onge, ka pā mai ētahi pānga taha nui ake e hiahia ana ki te āwhina hauora tonu. Ko ēnei raruraru onge engari nui ko:

• Te mate puku mumura (PID), ina koa i ngā rā 20 tuatahi i muri i te whakaurunga
• Te peia atu o te pūrere, ka taka te IUD i te wāhanga, i te katoa rānei
• Te poka o te pakitara kōpū i te wā o te whakaurunga (he tino onge)
• Ngā puku taioma, e ngaro ana i te nuinga o te wā
• Ngā tauhohenga mate pāwera nui ki ngā rauemi o te pūrere

Mēnā ka pā koe i te mamae nui o te puku, te nui o te toto, te kirika, kāore rānei e taea te rongo i ngā aho o te pūrere i te wā o tō tirohanga ia marama, whakapā atu ki tō kaiwhakarato hauora kia arotakea tonu.

Ko wai kāore e tika kia whakamahi i te Levonorgestrel Intrauterine Route?

Ahakoa he haumaru ngā IUD levonorgestrel mō te nuinga o ngā wāhine, ko ētahi āhuatanga hauora, ā, ko ētahi tūāhuatanga ka kore e pai tēnei tikanga aukati hapū. Ka āta arotakehia e tō kaiwhakarato hauora tō hītori hauora kia mōhio ai he tika tēnei pūrere mōu.

Kāore koe e whakamahi i te IUD levonorgestrel mēnā kei a koe ētahi o ēnei āhuatanga, nā te mea ka piki ake tō tūponotanga ki ngā raruraru:

• Te hapū o nāianei, te whakapae rānei
• Te mate puku mumura e kaha ana, te mate puku tata rānei
• Te toto mai i te tara kāore i whakamāramahia
• Te mate pukupuku o te kaki kōpū, o te kōpū rānei
• Te mate pukupuku uma, te hītori rānei o te mate pukupuku uma
• Ngā puku ate, te mate ate nui rānei
• Ngā āhuatanga kōpū e kore ai e tika te whakatakoto i te pūrere

Ko ēnei aukati tino nui te tikanga he nui rawa te tūponotanga o te pūrere, kāore hoki e tika kia whakamahia i raro i ēnei āhuatanga.

I tua atu, ko ētahi āhuatanga e hiahia ana kia tūpato, kia whakaarohia, ahakoa kāore e whakakore aunoa i te pūrere. Ka whakatau tō tākuta i ngā painga me ngā tūponotanga mēnā kei a koe:

• Te hītori o te hapū ectopic
• Ngā mate toto, te tango rānei i ngā whakaiti toto
• Ngā raruraru o te paera ngākau e piki ake ai te tūponotanga o te mate
• Ngā migraine nui me te aura
• Ngā mate i tukuna mai i te moepuku tata nei
• He maha ngā hoa moepuku (te tūponotanga nui ake o te STI)

Ka kōrero tō kaiwhakarato hauora i ēnei whakaaro ki a koe, ā, ka tūtohu pea i ētahi atu whakatūpato, i ētahi atu tikanga aukati hapū rānei, ki te hiahiatia.

Ngā Ingoa Waitohu o te Ara Intrauterine Levonorgestrel

He maha ngā kamupene rongoā e hanga ana i ngā IUD tuku levonorgestrel, he rerekē ngā whakaritenga me te roa o te whai huatanga o ia mea. Ko ngā waitohu e wātea ana ko Mirena, Skyla, Liletta, me Kyleena.

Ko Mirena te IUD levonorgestrel tuatahi i whakaaetia, ā, e tuku ana i te 20 micrograms o te homoni ia rā i te tīmatanga, e whai hua ana mō te 8 tau. He iti ake a Skyla, ā, e tuku ana i te 14 micrograms ia rā, i hangaia mō te 3 tau te whakamahi, he kōwhiringa pai mō ngā wāhine kāore anō i whānau tamariki.

E tuku ana a Liletta i te 18.6 micrograms ia rā, ā, kua whakaaetia mō te 8 tau, i te mea e tuku ana a Kyleena i te 17.5 micrograms ia rā, ā, e 5 tau te roa. Mā tō kaiwhakarato hauora koe e āwhina ki te whiriwhiri i te kōwhiringa e tika ana i runga i ō hiahia, ō āhua, me ō pai.

He rite te mahi a ēnei waitohu katoa, engari he rerekētanga iti pea i te rahi, te reiti tuku homoni, me te roa o te whai huatanga. Ka rerekē pea te inihua i waenga i ngā waitohu, nō reira he pai ki te kōrero i ngā whakaaro utu ki tō kaiwhakarato.

Ngā Kōwhiringa kē o te Ara Intrauterine Levonorgestrel

Mēnā kāore te IUD levonorgestrel i te tika mōu, he maha atu ngā kōwhiringa aukati hapū e whai hua ana ka taea te whakarato i te aukati hapū wā roa. Ko te IUD parahi (ParaGard) e whakarato ana i te aukati hapū kore homoni mō te 10 tau, ahakoa ka piki pea te toto i te wā o te hāora.

Ko ngā kōwhiringa kē homoni ko te whakato aukati (Nexplanon), e tuku ana i tētahi atu homoni progestin i raro i tō kiri mō te 3 tau. E whakarato ana ngā werohanga whakahaere whānau (Depo-Provera) i te 3 marama o te whakamarumaru mō ia werohanga, i te mea e whakarato ana ngā pire whakahaere whānau, ngā papaki, me ngā mowhiti i te aukati hapū homoni wā poto.

Mō ngā wāhine e rapu ana i te whakaiti i te nui o te toto, kaua ki te aukati i te hapūtanga, ko ētahi atu kōwhiringa ko ngā papa waikawa tranexamic, ngā pire whakahaere whānau hormonal, ngā tikanga rānei pēnei i te whakakorenga endometrial. Ka whakaaro pea tō tākuta ki te rongoā i ngā āhuatanga o raro pēnei i te fibroids, te endometriosis rānei.

Ko ngā kōwhiringa whakamutu pūmau pēnei i te here ngongo ka whakarato i te aukati hapūtanga mō te katoa mēnā kei te mōhio koe kāore koe e hiahia ana ki ngā hapūtanga anō. Ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te whakataurite i ēnei kōwhiringa katoa i runga i tō hauora, tō oranga, me ō whāinga whakaputa uri.

He pai ake te ara o roto o te Levonorgestrel i ngā pire whakahaere whānau?

He maha ngā painga o ngā IUD Levonorgestrel i ngā pire whakahaere whānau, ahakoa ko te kōwhiringa

He pai ake te whakataurite utu ki nga IUD i roto i te waa, na te mea kotahi te taputapu e mau ana mo nga tau maha ka whakatauritea ki nga whakahaunga pire ia marama. Ka taea e to kaiwhakarato hauora te awhina i a koe ki te pauna i enei mea i runga i to hitori hauora, te oranga, me nga hiahia whaiaro.

Nga Patai e Pātai pinepine ana mo te Levonorgestrel Intrauterine Route

He haumaru te levonorgestrel intrauterine route mo nga wahine e mate huka ana?

Ae, ko te levonorgestrel IUD te nuinga he haumaru mo nga wahine e mate huka ana, a tera pea ka pai ake i etahi atu momo rongoa whakawhanau. Ko te tuku homoni i te rohe ko te tikanga he iti ake te paanga ki nga taumata huka toto ka whakatauritea ki nga pire whakawhanau.

Heoi, ka hiahia to taakuta ki te aro turuki i to huka toto i muri i te whakaurunga, na te mea ka pa ki etahi wahine nga huringa iti i roto i te whakawhitiwhiti glucose. Ko nga painga o te whakawhanau tino whai hua ka nui ake i enei raru iti, ina koa ka taea e te haputanga kaore i whakamaherehia te uaua ki te whakahaere i te mate huka.

Me aha ahau ki te whakamahi pohehe ahau i te nui rawa o te levonorgestrel intrauterine route?

Kaore e taea e koe te

Heoi anō, me tirotiro ia marama e taea tonu ana e koe te rongo i ngā aho tango i roto i tō tara, e tohu ana kei te noho tonu te pūrere. Ki te kore e taea e koe te rongo i ngā aho, ki te mea rānei he roa ake, he poto ake rānei i te tikanga, whakapā atu ki tō kaiwhakarato hauora kia mōhio kei te kore te pūrere i neke, i peia rānei.

Āhea e taea ai e au te whakamutu i te tango i te ara o roto o te levonorgestrel?

Ka taea e koe te tango i tō IUD levonorgestrel i ngā wā katoa e tētahi kaiwhakarato hauora whakangungu, ahakoa te roa o tō whai. Ko te tukanga tango he tere ake, he iti ake te kore o te whakamarie i te whakauru.

Ko te tikanga ka hoki wawe mai tō hua, i roto i ngā marama torutoru. Ki te mea kei te tango koe i te pūrere nā te mea e hiahia ana koe kia hapū, ka hapū pea koe i muri tata i te tango, no reira kia rite mō tēnei tūponotanga.

Ko ētahi wāhine e whiriwhiri ana kia tangohia tō rātou pūrere, ka whakakapi tonu ki tētahi mea hou i te wā e pau ana, i ētahi atu rānei ka huri ki ētahi atu tikanga aukati, ka okioki rānei i te aukati hormonal katoa.

Ka taea e au te hapū i muri tonu i te tango i te IUD levonorgestrel?

Āe, ka taea te hapū i muri tata i te tango i te IUD, ahakoa he rerekē te hokinga mai o te hua i waenga i ngā tāngata. Ko te nuinga o ngā wāhine ka whai hua i roto i ngā wiki torutoru ki ngā marama i muri i te tango, ā, ka puta te hapūtanga i te wā o tō huringa tuatahi.

Ki te mea kei te whakamahere koe ki te ngana ki te hapū, whakaarohia te tīmata i ngā huaora prenatal i mua i te tango me te pupuri i ngā tikanga noho hauora. Ki te kore koe i te rite mō te hapūtanga, kōrerohia ngā tikanga aukati kē atu ki tō kaiwhakarato hauora i mua i te tango kia mōhio ai kei te haere tonu te whakamarumaru.

Ko te whakamahinga o mua o te IUD levonorgestrel e kore e pā ki te hua ā muri ake nei, ki ngā putanga hapūtanga rānei, nō reira ka taea e koe te mōhio ka kore tēnei kōwhiringa aukati e pā ki tō kaha ki te hapū i te wā e rite ana koe.