He aha te IUD parahi (Paragard)? Te Whāinga, te Hātepe me ngā Hua

Ko te IUD parahi, e mōhiotia ana ko Paragard, he pūrere iti ā-āhua-T e whakanohohia ana ki tō kōpū hei ārai i te hapū. He mea takai ki te waea parahi angiangi e waihanga ana i tētahi taiao e kore ai e ora te pūtau taihemahema, e kore ai e tae ki te hua manu. Nō reira ko tētahi o ngā tikanga whakahaere whānau whai hua mō te wā roa e wātea ana, e tiaki ana i a koe i te hapū mō te 10 tau me te kotahi noa te whakauru.

He aha te IUD parahi (Paragard)?

Ko te IUD parahi he pūrere ā-kōpū kore-homoni e whakarato ana i te aukati hapū mō te wā roa. Ko te pūrere tonu te rahi o te hauwhā, he mea hanga ki te kirihou ngawari ā-āhua-T. Ko te mea motuhake ko te waea parahi e takai ana i te kakau me ngā rīpene parahi iti i ia ringa.

Ka tukuna e te parahi ngā rahinga iti o ngā katote parahi ki tō kōpū. Ko ēnei katote e waihanga ana i tētahi taiao e paitini ana ki te pūtau taihemahema, e ārai ana i a rātou kia kore e tae atu, kia kore e whakatō te hua manu. Kāore i rite ki te whakahaere whānau homoni, kāore te IUD parahi e huri i ō taumata homoni tūturu, nō reira ka noho tonu tō huringa paheketanga.

Ko Paragard te IUD parahi anake e wātea ana i te United States. Kua whakamahia marie e miriona ngā wāhine puta noa i te ao mō ngā tau tekau, ā, e kiia ana ko tētahi o ngā momo whakahaere whānau whai mana e wātea ana i tēnei rā.

He aha i mahia ai te IUD parahi (Paragard)?

Ko te take tuatahi mō te whiriwhiri i te IUD parahi ko te aukati hapū whai hua, mō te wā roa, kāore he homoni. Neke atu i te 99% te whai hua ki te ārai i te hapū, e whai mana ana i ngā pire whakahaere whānau, ngā pātahi, ngā mowhiti rānei. He maha ngā wāhine e whiriwhiri ana i tēnei mea nā te mea e hiahia ana rātou ki te whakahaere whānau kāore e hiahia ana ki te aro i ia rā, ki ngā haerenga tākuta auau rānei.

Ka whakaaro pea koe ki te whakamahi i te IUD parahi mēnā kāore e taea e koe, e kore rānei e hiahia ki te whakamahi i te mana whakahaere whānau hormonal. Ko ētahi wahine ka pā mai ngā pānga taha mai i ngā homoni pēnei i te huringa o te ngākau, te pikinga o te taumaha, te whakaheke rānei i te hiahia moepuku. E whai wāhi ana te IUD parahi ki te aukati i te hapūtanga, i te wā e tuku ana i tō tinana ki te pupuri i tōna tauritenga hormonal tūturu.

He kōwhiringa pai hoki mēnā e hiahia ana koe ki te aukati i te hapūtanga ka taea te huri tere. Kāore i rite ki ngā tikanga whakawhānau, ka taea te tango i te IUD parahi i ngā wā katoa, ā, ka hoki mai tō hua ki te noa i roto i ngā marama e rua.

Ko ētahi wahine e kōwhiri ana i te IUD parahi mō te aukati i te hapūtanga ohorere. Ki te whakaurua i roto i ngā rā e rima o te moe tāwāhi, ka taea e ia te ārai i te hapūtanga, ā, ka haere tonu te whakarato i te whakamarumaru wā-roa. Ko te mea tenei ka whai hua ake i ngā pire aukati i te hapūtanga ohorere mō tēnei kaupapa.

He aha te tikanga mō te whakauru i te IUD parahi?

Ko te tikanga whakauru te tikanga e pā ana ki te 10-15 meneti, ā, ka mahia i roto i te tari o tō tākuta. Ka tūhura tō kaiwhakarato hauora i te tuatahi i te whakamātautau pelvic hei tirotiro i te tūnga me te rahi o tō kōpū. Ka whakamātau hoki rātou mō ngā mate e pā ana ki te moepuku mēnā kāore anō koe i whakamātau i tēnei wā.

I te wā o te whakauru, ka takoto koe i runga i te tēpu whakamātau me ō waewae i roto i ngā tūru, he rite ki te Pap smear. Ka whakauru tō tākuta i te speculum kia kite marama i tō kaki kōpū. Ka horoi rātou i tō kaki kōpū me tō tara ki te otinga antiseptic hei ārai i te mate.

Muri iho, ka ine tō kaiwhakarato i te hōhonu o tō kōpū mā te whakamahi i tētahi taputapu angiangi e kiia ana he tangi. Mā tēnei e whakarite kia tika te tūnga o te IUD. Ka whakamahi rātou i tētahi ngongo whakauru motuhake hei ārahi i te IUD kua takai i roto i tō kaki kōpū me roto i tō kōpū, i te wā e tuwhera ana ki tōna āhua T.

Ka pā te kōwhaowhao me te mamae i te wā e whakaurua ana, he rite ki te kōwhaowhao kaha i te wā e paheke ana. Ka pā hoki te whāwhā, te whakapairuaki, te ngaro rānei ki ētahi wāhine i te wā o te tikanga. He mea noa ēnei tohumate, ā, ka ngaro i roto i ngā meneti ruarua i muri i te otinga o te whakaurunga.

I muri i te whakaurunga, ka tapahi tō tākuta i ngā aho e iri ana i te IUD ki roto i tō tara. Mā ēnei aho e māmā ai te tango i muri mai, ā, ka āwhina i a koe ki te tirotiro kei te noho tonu te IUD. Tērā pea ka okioki koe mō ētahi meneti i mua i te hokinga ki te kāinga.

Me pēhea te whakarite mō te whakaurunga o tō Copper IUD?

Mā te whakarite i tō whakaurunga i te wā o tō paheketanga, i muri tata rānei i tō paheketanga, ka pai ake te tikanga. He ngawari ake tō kaki kōpū i te wā e paheke ana, ā, ka māmā ake te whakaurunga. Ka whakapūmau hoki kāore koe i te hapū i te wā o te whakaurunga.

Tangohia he rongoā mamae e hokona ana i te tātahi i te 30-60 meneti i mua i tō whakarite. He pai te mahi a te ibuprofen, te naproxen rānei, nā te mea ka whakaiti rāua i te mamae me te mumura. Tērā pea ka tūtohu tō tākuta kia tangohia he horopeta tuarua i muri i te tikanga hei whakahaere i te kōwhaowhao.

Whakaarohia kia tono i tētahi ki te taraiwa i a koe ki te whakarite, me te hoki mai. Ahakoa ka taea e te nuinga o ngā wāhine te taraiwa i a rātou anō ki te kāinga, ka pā te whāwhā, te kōwhaowhao kaha rānei ki ētahi, ā, ka kore e pai te taraiwa. Mā te tautoko ka āwhina i a koe kia marino ake mō te tikanga.

Kai i tētahi kai māmā i mua i tō whakarite kia kore ai e whakapairuaki, e ngaro rānei. Kaua e whakarite i te whakaurunga i te wā e pōhēhē ana koe, kāore rānei koe i te kai, nā te mea ka nui ake te tūponotanga ka ngaro koe i te wā o te tikanga.

Whakawhitiwhiti kōrero mō ō āwangawanga ki tō tākuta i mua. Ki te tino āwangawanga koe mō te mamae, pātai mō ngā kōwhiringa mō te whakamātau i te kaki kōpū, ētahi atu tikanga whakamarie rānei. E tuku ana ētahi kaiwhakarato i ngā rongoā āwangawanga, i te whakahaere mamae atu anō rānei mō ngā tūroro e mātaku ana.

Me pēhea te pānui i ngā hua o tō Copper IUD?

Ko te angitu ki te IUD parahi e kore e inehia e nga hua whakamatautau tuku iho engari na te whakatakoto tika me te aukati whanau whai hua. Ka whakapumautia e tō tākuta te whakatakoto tika i muri tonu i te whakaurunga ma te whakamahi i te ultrasound, ma te tirotiro ranei kei te kitea nga aho me te whakatakoto tika.

Ka whai koe i tētahi tūhono whai muri i te 4-6 wiki i muri i te whakaurunga kia mōhio kei te tū tonu te IUD i te tūnga tika. Ka tirohia e tō tākuta te roa o te aho, ā, ka mahi pea i te ultrasound hei whakaū i te whakatakoto. He mea nui tēnei tūhono nā te mea ka neke pea ngā IUD, ka panaia rānei, ina koa i ngā marama tuatahi.

I te kāinga, ka taea e koe te tirotiro i tō IUD ia marama mā te rongo i ngā aho. I muri i tō wā, whakaurua he maihao mā ki roto i tō tara, ā, rongo i ngā aho angiangi e rua e puta mai ana i tō kaki kōpū. Me ngawari, me te ngawari ngā aho, kaua e mārō, e koi rānei.

Ki te kore e taea e koe te rongo i ngā aho, ki te roa ake, ki te poto ake rānei i te tikanga, ki te rongo rānei koe i te kirihou mārō o te IUD tonu, whakapā atu ki tō tākuta tonu. Ko ēnei pea ngā tohu kua neke te IUD i tōna tūnga, kua panaia rānei.

Me pēhea te whakahaere i tō wheako IUD parahi?

Ko te whakahaere i tō wheako IUD parahi e arotahi ana ki te māramatanga ki ngā huringa noa me te mōhio ki te wā ki te rapu awhina. Ko te nuinga o ngā wāhine e pā ana ki ngā wā taumaha ake me te kaha o te kōpū, ina koa i ngā marama 3-6 i muri i te whakaurunga. Koinei te urupare noa o tō tinana ki te pūrere.

Ka taea e koe te whakahaere i ngā wā taumaha ake mā te whakamahi i ngā tampon nui ake te mimiti, i ngā kapu rānei, mā te whakakotahi rānei i ngā hua rerekē. E kitea ana e ētahi wāhine ka ngawari ake ā rātou wā i muri i ngā marama tuatahi i te urutau o tō rātou tinana ki te IUD.

Mō te kōpū, he pai te mahi a ngā rongoā mamae i runga i te kaute. Ka taea hoki e te rongoā wera, te whakakori tinana ngawari, me ngā tikanga whakangāwari te āwhina. Ki te kaha rawa te kōpū, ki te whakararu rānei i ngā mahi o ia rā, whakapā atu ki tō kaiwhakarato hauora.

Kia mau ki ō wā wā me ngā tohu e pā ana ki a koe. Ahakoa he mea noa te toto i te tīmatanga, me tirotiro wawe e tō tākuta te toto nui tonu, te mamae nui, ngā tohu rānei o te mate.

He aha te wheako pai rawa atu mō te Copper IUD?

Ka puta te wheako pai rawa atu mō te Copper IUD i te wā e tika ana te whakanoho i te taputapu, ā, ka pai tō tinana ki tōna noho. Ko te nuinga o ngā wāhine ka kite i muri i te wā whakatikatika tuatahi o te 3-6 marama, ka tata kore e kitea te IUD i te oranga o ia rā.

Ko ngā kaitono pai mō ngā Copper IUD he wāhine e hiahia ana ki te aukati i te hapū mō te wā roa, kāore he homoni, ā, kāore e aro ana ki te wā e nui ake ana te toto. Ko ngā wāhine kua whānau tamariki kē, he maha ngā wā ka urutau ngāwari ake, ahakoa e pai ana te IUD mō ngā wāhine kāore anō i whānau tamariki.

Ka puta ngā hua pai rawa atu i te wā e whai ana ngā wāhine i ngā tūmanako tūturu mō te wā whakatikatika me te pupuri i te tiaki whai muri i ngā wā katoa. Ko te māramatanga he mea noa ētahi huringa i roto i tō huringa ka āwhina i a koe ki te wehe i waenga i ngā pānga e tūmanakohia ana me ngā raruraru e hiahia ana ki te aro mai o te tākuta.

Ko ngā wāhine e pai ana ki te Copper IUD, he maha ngā wā ka maioha ki te āhua

Ka taea e te kōpū e tino titaha ana, e ngā kōpuku kōpū rānei te uaua ake te whakauru, me te whakanui ake i te tūponotanga o te whakatakoto hē. Ka arotake tō tākuta i tō āhua i te wā o te whakamātautau tuatahi hei whakatau mēnā ka pā ēnei āhuatanga ki tō wheako IUD.

Ko te mate a Wilson, he mate ira onge e pā ana ki te pākia o te parahi, he aukati mō ngā IUD parahi. Ko te parahi anō mai i te pūrere ka kino ake tēnei āhuatanga, nō reira me whiriwhiri e ngā wāhine e whai ana i tēnei tātaritanga ētahi atu tikanga aukati hapū.

Kāore te pakeke i te mea he āhuatanga tūpono, engari ko ngā wāhine taitamariki kāore anō kia whānau tamariki pea ka nui ake te mamae i te wā o te whakaurunga, ā, he paku teitei ake te reiti o te pana IUD i te tau tuatahi i muri i te whakatakotoranga.

He pai ake te whai IUD parahi, te aukati hapū rānei e pā ana ki te homoni?

Ko te whiriwhiri i waenga i te IUD parahi me te aukati hapū e pā ana ki te homoni e whakawhirinaki ana ki ō hiahia hauora takitahi, te noho, me ngā manakohanga. He pai ake ngā IUD parahi mēnā e hiahia ana koe ki te karo i ngā homoni katoa i te wā e whai ana koe i te aukati hapū tino whai hua e mau ana mō ngā tau.

He pai ake pea ngā tikanga homoni mēnā he tino taumaha, he mamae rānei ō wā, i te mea ka taea e te maha o ngā aukati hapū homoni te mamae me te mamae o ngā wā. Ko te tikanga ka nui ake te taumaha o ngā IUD parahi, ka kino ake pea ngā raru o te wā.

Whakaarohia he IUD parahi mēnā e hiahia ana koe i te aukati hapū kāore e hiahiatia he aro i ia rā, he whakakī rānei i te rongoā. He whiringa pai hoki mēnā kua pā ki a koe ngā pānga taha mai i te mana whakahaere whānau homoni pēnei i te huringa o te ngākau, te pikinga o te taumaha, te whakaheke rānei i te hiahia ki te moe.

He pai ake pea te aukati hapū homoni mēnā e māharahara ana koe mō te tikanga whakauru, kāore rānei e hiahia ki te mahi ki ngā wā taumaha pea. He māmā ake hoki te whakamutu i ngā pire, ngā papaki, me ngā mowhiti mēnā ka whakatau koe kāore koe e pai ki a rātou.

He tino whai hua ngā kōwhiringa e rua ina whakamahia tika ana, engari he painga ngā IUD nā te mea kāore he hapa o te kaiwhakamahi. Kia whakaurua, ka whakarato te IUD parahi i te whakamarumaru rite tonu me te kore e mahara ki te tango i te pire, ki te whakakapi rānei i te papaki.

He aha ngā raruraru ka puta mai i te IUD parahi?

Ahakoa te nuinga o te wā he haumaru ngā IUD parahi, he mea nui kia mōhio ki ngā raruraru ka puta mai kia mōhio ai koe ki ngā tohu whakatūpato. Ko te nuinga o ngā wāhine ka pā ki ngā pānga iti, kaua ki ngā raruraru nui, engari mā te mōhio ki ngā mea hei mātakitaki ka āwhina i te rongoā tere ina hiahiatia.

Ko ngā pānga noa, ka taea te whakahaere, ko te wā nui ake te toto me te mamae nui ake o te wā. Ko te tikanga ka pai ake ēnei i muri i ngā marama tuatahi i te wa e urutau ana tō tinana. Ka pā hoki ki ētahi wāhine te toto i waenga i ngā wā, ina koa i ngā marama tuatahi i muri i te whakaurunga.

Ka puta mai ngā raruraru nui ake engari he iti noa iho, ā, me whai wāhi tonu te rongoā:

• Ka puta te werohanga ina werohia e te IUD te pakitara o te kōpū i te wā o te whakaurunga, ka puta i te 1 i roto i te 1,000 whakaurunga
• Ka puta te peinga ina panaia e tō kōpū te IUD ki waho, he mea noa ake tēnei i ngā marama tuatahi i muri i te whakaurunga
• Ka taea e te mate mumura o te pūkahukahu te whakawhanake mena ka uru ngā huakita i te wā o te whakaurunga, ahakoa he mea onge tēnei me te tikanga horoi tika
• He tino onge te hapū me te IUD kei te wāhi, engari ka nui te raruraru, tae atu ki te piki ake o te tūponotanga o te hapū ectopic

He mea onge ēnei raruraru, engari mā te mōhio ki ngā tohu pēnei i te mamae nui, te nui o te toto, te kirika, te rere rānei o te wai rereke ka āwhina i a koe kia tere te manaaki tika.

I te wā onge, ka taea e te IUD parahi te whakaputa i te tauhohenga pānga ki ngā wāhine e pā ana ki te pānga o te parahi. Ka puta pea tēnei hei pānga kiri, he rereke te wai, he mamae tonu rānei o te pūkahukahu kāore e pai ake i te wā.

Āhea au e kite ai i te tākuta mō taku IUD parahi?

Me whakapā atu koe ki tō kaiwhakarato hauora i te wā tonu mēnā ka pā ki a koe te mamae nui i te puku, ina koa ka haere tahi me te kirika, te wiri, te rere ke rānei. Ko ēnei pea ngā tohu o te mate, ētahi atu raruraru rānei e hiahia ana kia tere te rongoā.

Ko te nui o te toto e mākū ana i te papa, i te tampon rānei i ia hāora mō ngā hāora maha, te toto rānei e haere tonu ana mō te wiki neke atu rānei, me whai whakaaro hauora. Ahakoa he piki ake o te toto he mea noa ki ngā IUD parahi, ko te nui rawa o te toto ka tohu pea i tētahi raruraru.

Mēnā kāore e taea e koe te rongo i ō aho IUD i te wā o tō tirotiro i ia marama, mēnā rānei he roa ake, he poto ake rānei ngā aho i te tikanga, me kite i tō tākuta. Ko te tikanga tēnei kua neke te IUD i tōna tūnga, kua pana rānei, ka waiho koe kia kore e tiakina i te hapūtanga.

Ko ngā tohu o te hapūtanga i a koe e mau ana i te IUD me whai aromatawai hauora tonu. Ahakoa he mea pāwhara, ka puta te hapūtanga i te wā e mau ana te IUD, ā, me āta whakahaere tēnei āhuatanga. Ko ngā tohu ko te ngaro o ngā wā, te whakapairuaki, te ngawari o te u, te pai rānei o ngā whakamātautau hapūtanga.

Whakaritea ngā pōti whai-whai i te wā e tūtohutia ana e tō kaiwhakarato hauora. Ko te tikanga ka puta ēnei i te 4-6 wiki i muri i te whakauru, ā, ia tau, i te wā e hiahiatia ana rānei. Mā te tirotiro i ngā wā katoa e āwhina kia noho tika tonu tō IUD, ā, kāore koe e whanake i ngā raruraru.

Ngā pātai e pātai pinepine ana mō te IUD parahi

Q.1 He pai te whakamātautau IUD parahi mō te aukati hapūtanga wā roa?

Āe, he pai te IUD parahi mō te aukati hapūtanga wā roa, ā, neke atu i te 99% te whai hua ki te aukati i te hapūtanga. Kia whakaurua, ka whakarato a Paragard i te tiaki tonu mō te 10 tau, kāore e hiahia ana kia aro mai i ia rā, kia maha rānei ngā haerenga hauora. Ko tētahi o ngā momo aukati hapūtanga tino pono e wātea ana.

Kāore i rite ki ngā pire whakawhānau e hiahia ana kia piri tonu ia rā, ka whakakorehia e te IUD parahi te hē o te kaiwhakamahi hei take mō te rahunga whakawhānau. He pai rawa tēnei mō ngā wāhine e hiahia ana ki te whakawhānau tino whai hua me te kore e whai kawenga ki te mahara ki ngā rongoā ia rā.

Q.2 Ka pūremu ake te IUD parahi i ngā wā o te marama?

Āe, ko te tikanga ka pūremu ake ngā IUD parahi i te toto o te wā o te marama me ngā pūremu kaha ake, ina koa i ngā marama tuatahi 3-6 i muri i te whakauru. Ka pēnei tēnei nā te mea ka huri te parahi i tō uhi kōpū ka taea te whakanui i te rere o te wā o te marama me te pūremu kaha ake.

E kitea ana e te nuinga o ngā wāhine ka ngāwari ake ā rātou wā o te marama i muri i te wā whakatikatika tuatahi, ahakoa ka nui ake pea i mua i te IUD. Mēnā ka kore e taea te whakahaere i te toto, ka pūremu rānei koe, ka taea e tō tākuta te āwhina i a koe ki te tūhura i ngā whiringa maimoatanga, ki te whakaaro rānei ki te tango i te IUD.

Q.3 Ka taea te tango i te IUD parahi i ngā wā katoa?

Āe, ka taea te tango i ngā IUD parahi i ngā wā katoa e te kaiwhakarato hauora i roto i te tikanga tari ngāwari. Ko te tikanga he tere ake te tango, he iti ake te kore whakamarie i te whakauru, e pā ana ki te meneti ruarua. Ko te tikanga ka hoki mai tō whai hua ki te noa i roto i ngā marama ruarua i muri i te tango.

Kāore koe e hiahia ki te pupuri i te IUD mō te 10 tau katoa mēnā ka huri ō hiahia whakawhānau. Ahakoa e hiahia ana koe ki te hapū, ki te whakamātau i tētahi atu tikanga whakawhānau, ki te pā rānei koe i ngā pānga taha, he whiringa tonu te tango.

Q.4 Ka pā te IUD parahi ki ngā homoni?

Kāore, kāore ngā IUD parahi e pā ki ō taumata homoni tūturu. Kāore i rite ki ngā tikanga whakawhānau homoni, ka mahi te IUD parahi i tō kōpū me te kore e tuku homoni ki tō toto. Ka noho tonu tō huringa wā o te marama me te hanga homoni.

He pai te kōwhiri i ngā IUD parahi mō ngā wāhine e hiahia ana ki te karo i ngā pānga o te homoni pēnei i te huringa o te ngākau, te pikinga o te taumaha, te whakaheke rānei i te hiahia. Ka haere tonu koe ki te whai hua i ia wā, ā, ka pā ki a koe ō huringa homoni māori puta noa i tō huringa.

Q.5 He haumaru te IUD parahi mō te whāngai ū?

Āe, he tino haumaru ngā IUD parahi mō ngā whaea e whāngai ū ana. I te mea kāore te pūrere e tuku homoni, kāore e pā ki tō rātou waiu, ki te kounga rānei. Ka taea te whakauru i te IUD parahi i te wā e 4-6 wiki i muri i te whānautanga, he kōwhiringa aukati hapū pai mō ngā whaea hou.

He maha ngā kaiwhakarato hauora e tūtohu ana i ngā IUD parahi mō ngā wāhine e whāngai ū ana nā te mea e whakarato ana i te aukati hapū tino whai hua me te kore e pokanoa ki te whāngai ū. E whakarato ana hoki te pūrere i te whakamarumaru wā-roa, he mea whai hua i te wā pukumahi i muri i te whānautanga i te wā e uaua ana te mahara ki te aukati hapū i ia rā.