Created at:1/13/2025
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Ko te pātuhi whakahaere whānautanga he pātuhi piri angiangi, tapawhā e tuku ana i ngā homoni mā tō kiri hei ārai i te hapū. He rite te rahi ki te pukapuka tūtaki, ā, he rite te mahi ki ngā pire whakahaere whānautanga, engari kotahi anake te wā e huri ai koe i te wiki, kaua ki te tango i te pire i ia rā.
E whakakotahi ana tēnei tikanga ārai hapū i te watea me te whai hua, e whai ana koe i te ārai hapū pono me te kore e hiahia ki te mahi i ia rā. Me tūhura me pēhea te uru o tēnei pātuhi ngāwari ki tō oranga me te āwhina i a koe ki te whakatau whakatau mō tō hauora whakaputa uri.
Ko te pātuhi whakahaere whānautanga he tapawhā iti, tae beige e piri ana ki tō kiri me te tuku homoni tika ki roto i tō toto. Ko te waitohu tino noa ko Xulane, ahakoa ka rongo pea koe i te ingoa ko "te pātuhi", i tōna ingoa waitohu o mua, Ortho Evra.
Kei roto i te pātuhi e rua ngā homoni waihanga: te estrogen me te progestin. Koinei ngā momo homoni e kitea ana i roto i ngā pire whakahaere whānautanga whakakotahi. I te wā e mimiti ana mā tō kiri, ka mahi tahi ēnei homoni hei ārai i ō ovaries mai i te tuku hua i ia marama.
Ka mau koe i ia pātuhi mō te wiki kotahi, katahi ka whakakapi ki tētahi hou. Whai muri i ngā wiki e toru o te mau pātuhi, ka tango koe i tētahi wiki kore pātuhi, i te wā e whai ana koe i tō wā. Ka waihanga tēnei i tētahi huringa wiki e whā e rite ana ki tō rītima paheketanga tūturu.
Ko te whāinga tuatahi o te pātuhi whakahaere whānautanga ko te ārai i te hapū kore i whakaaroa mā te tuku homoni pono. Ki te whakamahia tika, neke atu i te 99% te whai hua, e waihanga ana i tētahi o ngā tikanga ārai hapū tino pono e wātea ana.
He maha ngā tāngata e whiriwhiri ana i te papaki nā te mea e whai hua ana te rongoā aukati whānau me te kore e hiahia kia aro ia rā. Ki te mea kua wareware koe ki te tango i te pire, kua uaua rānei koe ki ngā rongoā o ia rā, ka māmā ake pea te mahere papaki ia wiki.
I tua atu i te aukati i te hapū, ka āwhina pea te papaki i ētahi atu āwangawanga e pā ana ki tō kounga o te ora:
Ko ēnei painga atu ka waiho te papaki hei kōwhiringa ātaahua ahakoa mō ngā tāngata kāore i te whāinga tuatahi te aukati whānau. Heoi, he mea nui kia kōrero koe i tō kōrero hauora takitahi ki tō kaiwhakarato hauora kia whakatau mēnā he tika te papaki mōu.
Ko te tīmatanga ki te papaki aukati whānau e hāngai ana ki te kōrero tika ki tō kaiwhakarato hauora me te ako i ngā tikanga tono tika. Kua hangaia te tukanga kia mōhio ai te papaki e mahi ana i te whai hua me te haumaru mō tō āhuatanga motuhake.
Ka arotake tuatahi tō kaiwhakarato hauora i tō hītori hauora me te tūnga hauora o nāianei. Ka pātai rātou mō ngā rongoā e tango ana koe, ngā wheako o mua ki te aukati whānau hormonal, me te hītori whānau o ngā toto toto, ētahi mate pukupuku rānei. Mā ēnei kōrero e āwhina ana i a rātou ki te whakatau mēnā he kōwhiringa haumaru te papaki mōu.
I te wā o tō hui, ka tirohia pea e tō kaiwhakarato tō pēhanga toto me te kōrero i ō āhuatanga noho. Ka whakamāramahia hoki e rātou me pēhea te whakamahi tika i te papaki me te aha e tūmanako ana i ngā huringa tuatahi. Koinei te wā pai ki te pātai i ngā pātai mō te whai hua, ngā pānga taha, me te pēhea pea te pānga o te papaki ki ō mahi o ia rā.
Inā kua whiwhi koe i tō rongoā, ka tīmata koe i te pātara i te rā tuatahi o tō wā, i te Rātapu tuatahi rānei i muri i te tīmatanga o tō wā. Ka hoatu e tō tākuta ngā tohutohu motuhake ki a koe i runga i tō āhuatanga me ō hiahia.
Ko te whakarite mō te whakamahi i te pātara whakawhānau ko te kohikohi i ngā pārongo me te whakarite i a koe mō te angitu mā te tono tika me te aroturuki. Ko te whai i ētahi mahi ngāwari i mua ka āwhina i a koe ki te whai hua nui mai i tēnei tikanga aukati hapū.
Tuatahi, whiriwhiria he rā o te wiki e rite ana mō te huri i tō pātara. He maha ngā tāngata e kite ana he āwhina ki te whiriwhiri i tētahi rā kei a rātou he mahinga auau, pērā i te ata Rātapu, i te ahiahi Wenerei rānei. Tuhia ēnei rā ki tō maramataka, ki te tautuhinga rānei i runga i tō waea hei āwhina i a koe kia noho i runga i te ara.
Whakaarohia te wāhi o tō tinana e tono ai koe i te pātara. Ko ngā wāhi tino whai hua ko tō ringa o runga, tō tuara, tō puku o raro, i ō papa rānei. Kaua e waiho ki runga i ō u, me te whakarite kia mā, kia maroke te kiri, kia kore he hinu, he hinu rānei e pā ana ki te piri.
I mua i tō tono tuatahi, kohikohia ēnei taonga hei whakamaene i te tukanga:
He mea whakaaro nui hoki kia whai tikanga aukati hapū, pērā i te kāreti, ina koa i te marama tuatahi o te whakamahi i te pātara. Ka taea e tēnei whakamarumaru anō te whakarato i te rangimārie i te wā e urutau ana tō tinana ki ngā taumata homoni hou.
Ko te māramatanga ki te pai o te mahi a tō rāpoi whakawhānau e hāngai ana ki te aroturuki i tōna āhua tinana me te urupare o tō tinana ki ngā homoni. Kāore i rite ki ngā whakamātautau me ngā hua tau, ka inea ngā "hua" rāpoi mā ngā tohu whai hua me tō wheako whānui.
Ko te tohu nui e mahi tika ana tō rāpoi ko te noho piri tonu ki tō kiri puta noa i te wiki katoa. Ko te rāpoi e piri tika ana me ōna taha e piri ana me pūmau i ngā mahi noa, tae atu ki te kaukau, te kauhoe, me te whakakori tinana. Mēnā ka tīmata ngā taha ki te hiki, ka taka rānei te rāpoi, ka raru pea tōna whai huatanga.
Ka taea hoki e ngā huringa o tō huringa paheketanga te tohu i te urupare o tō tinana ki te rāpoi. Ko te nuinga o te tangata ka pā te iti o te toto, ā, ko ētahi kāore pea he toto i te wiki kore rāpoi. Ahakoa ka mōrearea pea i te tuatahi, he urupare noa tēnei ki ngā homoni.
Anei ngā tohu nui e pai ana te mahi a tō rāpoi:
Mēnā ka pā tō tohu rerekē pēnei i te mamae nui o te upoko, te mamae o te waewae, te huringa rānei o te tirohanga, whakapā atu ki tō kaiwhakarato hauora tonu. Ka taea e ēnei te tohu i ngā raruraru onge engari nui e hiahia ana ki te āwhina hauora tonu.
Ko te whakanui i te whai huatanga o tō rāpoi whakawhānau e hāngai ana ki te whakamahi tonu, ngā tikanga tono tika, me te mōhio ki ngā āhuatanga ka raru pea i te urunga o te homoni. Ko ngā whakatikatika iti ki tō mahi ka tino pai ake te pono o te rāpoi.
Ko te mea nui rawa atu ko te huri i tō papaki i te rā kotahi tonu i ia wiki. Ahakoa he torutoru haora te roa ka taea te whakaiti i ngā taumata homoni kia nui ai te ovulātion. Whakaritea ngā whakamaharatanga maha ki tō waea, ui atu rānei ki tētahi hoa, hoa rānei e mōhiotia ana kia āwhina i a koe ki te mahara ki ngā rā huri papaki.
Ko te tikanga tono tika ka whakarite i te tuku homoni pai mā tō kiri. Horoi i te wāhi tono ki te hopi me te wai, ka whakamaroke rawa i mua i te tono i te papaki hou. Pēhia kaha mō te 10-15 hēkona, me te aro nui ki ngā tapa i te wā e tīmata ana te hiki.
He maha ngā mea ka taea te whakaiti i te whai huatanga o te papaki, nō reira he mea nui kia mōhio ki ngā raruraru ka puta:
Mēnā me tango koe i ngā rongoā pea ka raruraru i te papaki, kōrerohia ngā kōwhiringa aukati hapū me tō kaiwhakarato hauora. Ka taea e rātou te āwhina i a koe ki te whakatere i ngā āhuatanga rangitahi i te wā e mau tonu ana te whakamarumaru hapū.
Ko te mahere papaki whakahaere whānau pai rawa atu e whai ana i te huringa whā-wiki e rite ana ki ngā wiki e toru o te whakamahi papaki e whai ana i te wiki kotahi kāore he papaki. Ko tēnei wā ka rite ki ngā rereketanga homoni tūturu i te wā e whakarato ana i te whakamarumaru aukati hapū pono.
I ngā wiki tuatahi, tuarua, me te tuatoru, ka mau koe i tētahi papaki tonu, ka huri i te rā kotahi i ia wiki. Hei tauira, mēnā ka tīmata koe i te Rātapu, ka huri koe i ngā papaki i ia Rātapu mō ngā wiki e toru. E mahi ana te papaki i te wā katoa, nō reira kāore koe e hiahia ki te whakaaro mō te aukati hapū i ēnei wiki.
Ko te wiki whā tō wā kore-tāpa, i tēnei wā ka pā mai te toto tōtō, he rite ki te wā o te huringa pae. He māmā ake te toto tōtō, he poto ake i ngā huringa pae tūturu. Ko ētahi tāngata e pai ana ki te whakarite i tēnei wiki ki ngā kaupapa nui, ngā hararei, ngā hiahia whaiaro rānei.
Ka tohutohu pea tō tākuta i ētahi rerekētanga ki tēnei hōtaka paerewa i runga i ō hiahia motuhake:
He haumaru, he whai hua hoki ēnei hōtaka kē mō te tokomaha, engari me kōrero tonu ki tō tākuta, me whakaae mai i a ia i mua i te whakamahi.
Ko ētahi āhuatanga hauora me ngā āhuatanga o te noho ka piki ake te tūponotanga ki te pā mai ngā raruraru i te wā e whakamahi ana i te tāpa whakawhānau. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te whakatau i ngā whakataunga mō te haumaru o te tāpa mōu.
Ko te āhuatanga tūpono nui rawa atu ko te hītori whaiaro, te hītori whānau rānei o te pūpū toto, nā te mea ka paku piki ake te tūponotanga o te pūpū toto i te estrogen i roto i te tāpa. Ko te tūponotanga nui rawa atu i te tau tuatahi o te whakamahi, i waenga i ngā tāngata e kai paipa ana, otirā ko te hunga neke atu i te 35 tau te pakeke.
He mea nui te pakeke i roto i te haumaru o te tāpa, ka piki ake te tūponotanga i muri i te 35 tau. Ko ngā wāhine neke atu i te 35 tau e kai paipa ana, ka tohutohutia kia kaua e whakamahi i ngā rongoā whakawhānau kei roto te estrogen pērā i te tāpa, nā te mea ka piki ake te tūponotanga o te mate ngākau.
He maha ngā āhuatanga hauora ka kore e pai te tāpa, ka hiahiatia rānei te aroturuki tupato:
Ka taea hoki e ngā āhuatanga o te noho, pēnei i te momomo, te okiokinga roa i te moenga, te pokanga nui rānei, te whakanui i te tūponotanga o ngā raruraru. Ka tātai tō tākuta i ēnei āhuatanga ki ngā painga o te tāpa hei whakatau i te kōwhiringa aukati hapū haumaru mō tō āhuatanga.
Ko te wā tika tonu mō te tāpa te mea pai ake mō te whai huatanga me te watea, ahakoa ka taea te whakauru i ētahi ngāwari me te arataki tika. Ko te mea nui ko te kimi i te taurite e mahi ana me tō oranga i te wā e mau ana i ngā taumata homoni pono.
Ko te huri i tō tāpa i te rā me te wā kotahi i ia wiki ka whakarato i ngā taumata homoni e tino matapaehia ana me te whai huatanga aukati hapū teitei. Ka āwhina tēnei tūponotanga i tō tinana ki te whakatū i tētahi tikanga me te whakaiti i te tūponotanga o te whakaheke toto i waenga i ngā wā, te ovulation kāore i te tūmanakohia rānei.
Heoi, kāore i te mahi ngātahi te ora i ngā wā katoa me ngā hōtaka mārō, ā, he pai te ngāwari. E whakaae ana te nuinga o ngā tākuta ko te huri i tō tāpa i roto i ētahi hāora o tō wā tika kāore e pā nui ki te whai huatanga. Ko te mea nui kia kaua e neke atu i te whitu ngā rā ki tētahi tāpa.
Anei me pēhea te whakahaere i ngā wero wā tika noa i te wā e mau ana i te whai huatanga:
Mēnā he maha ngā wā e uaua ana koe ki te riterite o te wā, kōrerohia ngā tikanga aukati hapū kē ki tō kaiwhakarato hauora. Ko ngā kōwhiringa pēnei i ngā taputapu i roto i te kōpū (IUDs) me ngā whakato ka pai ake pea ki ō hiahia oranga.
Ko te whakamahi papaki rerekē ka puta he maha ngā raruraru mai i te toto rere ki te hapū kore i whakaarohia. Ko te māramatanga ki ēnei take ka āwhina i a koe ki te mōhio ki te wā ki te rapu tohutohu hauora me te mahi whakatika.
Ko te raruraru tino nui o te whakamahi papaki rerekē ko te korenga o te aukati hapū e arahi ana ki te hapū kore i whakaarohia. I te wā e whakamahia ana ngā papaki i te mutunga, ka taka atu, ka warewaretia rānei, ka heke te taumata o te homoni kia nui ai te ovulē. Ka piki ake tēnei tūponotanga mēnā ka puta te rerekētanga i te wiki tuatahi o te huringa hou.
Ko te toto rere he take noa i te wā ka noho rerekē te whakamahi papaki. Ka puta tēnei toto e kore e taea te matapae i ngā wā katoa i te wā o tō huringa, ā, he nui ake, he iti iho rānei i te mea e tūmanakohia ana. Ahakoa kāore i te mōrearea, ka raru pea, ka māharahara.
Ko ētahi atu raruraru mai i te whakamahi rerekē ka uru:
Ki te kite koe i a koe e raru pinepine ana ki te rite o te papaki, kaua e wareware ki te raruraru. Whakapā atu ki tō tākuta kia kōrero mō ngā rautaki hei whakapai ake i te piri, i ngā tikanga rānei hei aukati i te hapū ka pai ake pea mō tō oranga.
Ahakoa te whakamahi papaki tika, ka pā pea ētahi tāngata i ngā pānga taha, i ngā raruraru rānei e pā ana ki ngā homoni. Kāore ēnei take i te hē o te kaiwhakamahi, engari nā te urupare o ngā tinana takitahi ki te estrogen me te progestin.
Ko te raruraru tino nui engari he onge te hanga o te toto, ka puta pea ahakoa te whakamahi papaki tika. He iti noa te tūponotanga engari he pono, e pā ana ki te 1 i roto i te 1,000 ki te 1 i roto i te 10,000 ngā kaiwhakamahi ia tau. Ka taea e ngā toto te hanga i roto i ngā waewae, ngā pūkahukahu, i ētahi atu okana rānei, me te hiahia kia āta tirotirohia e te tākuta.
Ko ngā raruraru noa engari kāore i te nui ko ngā huringa o te ngākau, te taumaha, te taumata pūngao rānei. He rerekē rawa ēnei pānga homoni i waenga i ngā tāngata takitahi, ā, ka pai ake pea i muri i ngā marama tuatahi i te wa e whakatika ana tō tinana ki ngā taumata homoni hou.
Ko ētahi atu raruraru ka puta mō te whakamahi papaki tika ko:
Ko te nuinga o ngā pānga taha he ngawari, he rangitahi, engari me huri pea ki tētahi atu tikanga aukati i te hapū. Ko ngā arotake auau ki tō tākuta ka āwhina i te aroturuki i ngā huringa e pā ana, me te whakarite kia noho haumaru te papaki mō koe.
Me whakapā atu koe ki tō tākuta hauora i te wā tonu mena ka kite koe i ngā tohu o ngā raruraru nui, ahakoa kāore koe i te tino mōhio he hononga tō rātou ki te papaki. Mā te āta rongoā i ngā tohu e pā ana ka ārai i ngā raruraru hauora nui, ka whakarite hoki i tō haumaru tonu.
E hiahiatia ana te āwhina hauora ohorere mēnā ka puta mai ngā tohu e tohu ana i te pūpū toto. Ka puta ohorere mai ēnei tohu, ā, me āta arotake tonu, nā te mea ka mōrearea te rongoā i te wā roa.
Rapua te āwhina hauora tonu mō ēnei tohu whakatūpato:
Me whakarite hoki e koe tētahi tūhono auau ki tō tākuta hauora mēnā ka pā mai ngā pānga taha e mau tonu ana e pā ana ki tō kounga o te ora, pērā i ngā rerekētanga o te wairua e haere tonu ana, te mamae upoko nui, ngā tauhohenga kiri rānei kāore e pai ake.
He mea nui ngā tūhono whai muri auau ahakoa kāore koe i te raru. E tohutohu ana te nuinga o ngā kaiwhakarato kia tirotirohia ia toru ki te ono marama i te wā o tō tau tuatahi ki te whakamahi i te papaki, ā, ia tau i muri mai mēnā kei te pai ngā mea katoa.
Āe, ka āwhina te papaki whakahaere whānau ki te whakapai ake i te hakihaki mō te nuinga o ngā tāngata, ahakoa he rerekē ngā hua i te tangata. Ko te huinga o te estrogen me te progestin i roto i te papaki e mahi ana ki te whakaiti i ngā androgens (ngā homoni tāne) e whai wāhi ana ki te whanaketanga o te hakihaki.
Ka kite te nuinga o te tangata i te whakapai ake o te hakihaki i muri i te toru ki te wha marama o te whakamahi i te papaki. Ka awhina nga homoni ki te whakahaere i te hanga hinu i roto i to kiri, ka taea hoki te whakaiti i te auau me te kaha o nga pakarutanga. Heoi, ka pa ki etahi tangata nga mura o te hakihaki i te wa o nga wiki tuatahi i te wa e urutau ana to ratou tinana.
He pai pea te papaki mena ka kino ake to hakihaki i te wa o to huringa paheketanga, na te mea ka whakarato i nga taumata homoni pumau puta noa i te marama. Heoi, kaore i hangaia hei rongoa mo te hakihaki, a ko etahi atu mea penei i te ira, te kai, me te tikanga tiaki kiri he mea nui ano ki te hauora o te kiri.
He uaua te hononga i waenga i te whakamahi i te papaki whakahaere whanau me te pikinga o te taumaha, a he maha nga wa ka pohehe. E whakaatu ana nga rangahau kaore te nuinga o nga tangata e pa ana ki te pikinga o te taumaha nui na te papaki, ahakoa ka rereke nga wheako takitahi.
Ko te mea e whakamaoritia ana e te nuinga o nga tangata he pikinga taumaha he pupuri wai rangitahi, ina koa i nga marama tuatahi o te whakamahi i te papaki. Ko tenei pupuri wai ka pumau i te wa e urutau ana to tinana ki nga taumata homoni hou. He mea noa te pikinga taumaha pono mai i te kohinga ngako, a he maha nga wa e pa ana ki etahi atu mea oranga.
Mena ka pa ki a koe nga huringa taumaha i te wa e whakamahi ana koe i te papaki, whakaarohia etahi atu mea ka uru pea, penei i nga huringa o te hiahia, nga tikanga korikori tinana, nga taumata ahotea, etahi atu rongoa ranei. Mena kei te awangawanga koe mo te pikinga o te taumaha, korero ki to kaiwhakarato hauora kaua ki te whakamutu ohorere i te papaki.
Ae, ka taea e koe te hapu wawe tonu i muri i te whakamutu i te papaki whakahaere whanau, i etahi wa i roto i te huringa tuatahi. Kaore i rite ki etahi atu tikanga aukati, kaore te papaki e puta he huringa mo te wa roa ki te whanau, a ko te hanga homoni maori ka hoki ano i roto i nga wiki.
Ko te nuinga o nga tangata ka whai hua i roto i te kotahi ki te toru marama i muri i to ratou papaki whakamutunga, he maha ka whai hua i te marama tuatahi. Ko te tikanga ka taea te hapū i te wa e mutu ana te whakamahi i te papaki, no reira ki te kore koe i te rite ki te hapū, me timata koe ki te whakamahi i tetahi atu tikanga aukati hapū tonu.
Mena kei te whakamahere koe ki te hapū, ko te whakamutu i te papaki te mahi tuatahi, engari he mea tika kia timata koe ki te tango i nga huaora i mua i te whanautanga me te matapaki i te hauora i mua i te hapūtanga me to kaiwhakarato hauora. Ka taea e ratou te awhina i a koe kia pai te hauora mo te hapūtanga hauora.
Mena ka taka to papaki, ko te mahi e hiahia ana koe ki te mahi ka whakawhirinaki ki te roa o te wa i ngaro ai, me te wa i roto i to huringa ka puta. Ko te whakakapi tere te tikanga matua ki te pupuri i te whai huatanga o te aukati hapū.
Mena ka kite koe kua taka te papaki i roto i nga haora 24, horoia te waahi ka tono tonu i tetahi papaki hou. Ka taea e koe te haere tonu me to waarangi huri papaki, a karekau he tikanga aukati hapū taapiri e hiahiatia ana. Heoi, ki te mea kua ngaro te papaki mo te neke atu i te 24 haora, kaore ranei koe i te tino mohio ki te roa o te wa i ngaro ai, tonoa he papaki hou ka whakamahi i te aukati hapū taapiri mo nga ra e whitu.
Kaua e ngana ki te whakahoki ano i te papaki kua taka, na te mea kare pea e piri tika, kare pea e tuku i nga homoni. Me whakamahi tonu i te papaki hou ina hiahiatia te whakakapi. Mena ka taka tonu nga papaki, matapakihia nga tikanga tono, etahi atu tikanga aukati hapū ranei me to kaiwhakarato hauora.
Ae, ka taea e koe te kauhoe, te korikori tinana, me te whai waahi ki te nuinga o nga mahi tinana i te wa e mau ana te papaki whakahaere whanau. Kua hangaia te papaki kia mau tonu i nga mahi noa, tae atu ki te pa ki te wai me te werawera.
He wai-kore te whakapiri o te papaki, me noho tonu i te wā e kauhoe ana, e kaukau ana, e horoi ana, me te werawera mai i te whakakori tinana. He tokomaha ngā tāngata e kite ana e piri tonu ana te papaki ahakoa i te wā o te whakakori tinana kaha, o ngā hākinakina wai rānei. Heoi, karo i te ruku i roto i te wai tino wera mō ngā wā roa, nā te mea ka pā tēnei ki te whakapiri.
I muri i te kauhoe, i te whakakori tinana rānei, horoia mārire te wāhi o te papaki, kaua e mirimiri kaha. Tirohia mehemea kei te piri tonu ngā tapa, ā, ki te kite koe i tētahi mea e ngāueue ana, pēhia mārire. Ki te ngaro pinepine te papaki i te wā o āu mahi, kōrerohia ngā wāhi whakatakoto, ngā kōwhiringa kē rānei ki tō tākuta.