He aha te Minipill (Pill Whanau-a-Progestin-Anake)? Te Whāinga, te Hātepe & ngā Hua

Ko te minipill he pire whakawhānau kei roto anake te progestin, he putanga waihanga o te homoni progesterone. Kāore i rite ki ngā pire whakakotahi kei roto te estrogen me te progestin, ka tukuna e te minipill he huarahi e arotahi ana ki te homoni hei aukati i te hapū me te kore estrogen.

E mahi ana tēnei tikanga whakawhānau mā te whakakaha i te hūpē o te kōpū me te whakaiti i te rārangi o te kōpū, e uaua ai te uru o te parāoa ki te hua manu. Mō te maha o ngā wāhine, ina koa rātou kāore e taea te tango estrogen, ka whakawhiwhia e te minipill te aukati hapū whai hua me te kōtaha homoni ngawari ake.

He aha te minipill?

Ko te minipill he rongoā whakawhānau-a-waha ia rā kei roto anake te homoni progestin. Ka tango koe i tētahi pire iti i ia rā i te wā kotahi, kāore he rā kore homoni, he pire placebo rānei pēnei i te mea ka kitea e koe me te whakakotahitanga o te whakawhānau.

E mahi ana tēnei momo whakawhānau i te rerekē mai i ngā pire whakakotahi nā te mea kāore e aukati i te ovulation i roto i te katoa. Engari, ka waihanga i ngā arai maha ki te hapū mā te huri i tō hūpē kōpū me te rārangi kōpū. Ka whakapakeke te progestin i tō hūpē kōpū, ka piri ake, e aukati ana i te parāoa kia kauhoe ki runga ki te tūtaki i te hua manu.

Ka whakaiti hoki te minipill i tō rārangi kōpū, e iti ake ai te tūponotanga o te hua manu kua whakatōkia. I roto i ētahi wāhine, ka aukati pea i te ovulation, ahakoa ehara tēnei i tōna tikanga tuatahi. Ko tēnei huarahi maha-ā-papa ka whai hua te minipill tata ki te 91-99% ina whakamahia tika.

He aha te take i mahia ai te minipill?

Ka tohua te minipill i te tuatahi mō te whakawhānau, ina koa mō ngā wāhine kāore e taea te tango i ngā rongoā whakawhānau kei roto te estrogen. He maha ngā kaiwhakarato hauora e tūtohu ana mō ngā wāhine e pā ana ki ngā pānga taha mai i te estrogen, he mate hauora rānei e kore ai te estrogen e haumaru.

He pai pea koe mō te minipill mēnā kei te whāngai ū koe, nā te mea ka taea e te estrogen te whakaiti i te waiu. Kāore te tātai progestin-anake e pokanoa ki te whāngai ū, ā, e kiia ana he haumaru mō ngā whaea e ngote ana. Nō reira he kōwhiringa pai i te wā o muri i te whānautanga ina hiahia ana koe ki te aukati hapū pono.

He maha ngā wā ka kitea e ngā wāhine e whai ana i ētahi āhuatanga hauora te minipill e tika ana ina kāore i te haumaru ngā pire whakakotahi. Kei roto i ēnei āhuatanga te hītori o te toto toto, te whiu, te mate ngākau, te migraine nui rānei me te aura. He pai hoki te mahi a te minipill mō ngā wāhine neke atu i te 35 tau e kai paipa ana, nā te mea ko te whakakotahitanga o te pakeke, te kai paipa, me te estrogen ka piki ake ngā tūponotanga o te ngākau.

Ko ētahi wāhine e whiriwhiri ana i te minipill nā te mea e pai ana rātou ki te kōwhiringa iti-hormone, e hiahia ana rānei ki te karo i ngā pānga taha e pā ana ki te estrogen. Kei roto pea i ēnei ko ngā huringa o te ngākau, te ngawari o te ū, te whakapairuaki rānei e pā ana ki ētahi wāhine me ngā pire whakakotahi.

He aha te tikanga mō te tango i te minipill?

Ko te tango i te minipill e hāngai ana ki te rārangi o ia rā, engari he mea nui ake te wā i ngā pire whakakotahi. Kotahi te pire ka tangohia e koe i ia rā i te wā kotahi, i roto i te matapihi 3-haora. Ka āwhina tēnei riterite ki te pupuri i ngā taumata hormone i roto i tō tinana.

Ka hoatu e tō kaiwhakarato hauora ki a koe ngā tohutohu motuhake mō te wā hei tīmata i tō pākete tuatahi. Ka tīmata pea koe i te rā tuatahi o tō wā, ka tīmata pea koe i tētahi rā me te aukati hapū mō ngā haora 48 tuatahi. Kāore i rite ki ngā pire whakakotahi, kāore he rā placebo, nō reira ka haere tonu koe ki te tango i ngā pire kaha i ia rā.

Koinei te ahua o tō rārangi o ia rā:

1. Tangohia tētahi pire i te wā kotahi i ia rā
2. Haere tonu i roto i te pākete katoa kāore he wehenga
3. Tīmata i tō pākete e whai ake nei i muri tonu i te whakaoti i te mea o nāianei
4. Whakaritea he whakaoho o ia rā hei āwhina i a koe ki te mahara
5. Kia wātea te aukati hapū i te wā e ngaro ana koe i ngā pire

Mēnā ka ngaro koe i te pire neke atu i te 3 hāora, me whakamahi koe i te aukati i te hapū mō ngā 48 hāora e whai ake nei. He mea nui tēnei whakaritenga wā tika, nā te mea he wā mahi poto ake ngā pire progestin-anake i ngā pire whakakotahi.

Me pēhea te whakarite mō te tango i te minipill?

Ka tīmata te whakarite mō te minipill mā te kōrero pono ki tō kaiwhakarato hauora mō tō hītori hauora me ngā whāinga aukati i te hapū. Ka kōrero koe mō ngā rongoā e tango ana koe, nā te mea ka raru ētahi i te whai huatanga o te minipill.

I mua i te tīmatanga o te minipill, ka arotake tō kaiwhakarato i tō hītori hauora kia mōhio kei te haumaru mōu. Ka pātai rātou mō ngā pūpū toto o mua, ngā raruraru ate, te whakaheke toto kore whakamārama, te hītori mate pukupuku uma rānei. Ka pā ētahi o ēnei āhuatanga ki te tika o te minipill mōu.

Me whakatū koe i tētahi rārangi o ia rā i mua i te tīmatanga o te tango i ngā pire. Whiriwhiria tētahi wā e pai ana ki tō rārangi mahi i ia rā, pērā i muri tonu i te parai i ō niho, i te wā rānei e inu ana koe i tō kawhe o te ata. He maha ngā wāhine e kite ana he āwhina ki te whakatū i tētahi whakaoho waea o ia rā hei whakamahara.

Whakakiia ngā taonga aukati i te hapū pērā i ngā kāpene i mua i te tīmatanga o te minipill. Ka hiahia koe i ēnei mō ngā 48 hāora tuatahi me ngā wā katoa ka ngaro koe i tētahi pire neke atu i te 3 hāora. Mā te whai i a rātou i te wāhi e tango ana i ngā raruraru mō ngā āputa whakamarumaru.

Me pēhea te pānui i ō hua minipill?

Ka puta te whai huatanga o te minipill i tō kaha ki te ārai i te hapū ina tangohia tika ana. Kāore i rite ki ētahi rongoā e hiahia ana ki ngā whakamātautau toto hei aroturuki, ka inea ngā

Ka huri pea tō huringa paheketanga i runga i te minipill, ā, he tohu noa ēnei huringa mō te urupare o tō tinana. Ka māmā ake pea ō paheketanga, ka puta te toto i ngā wā rerekē, karekau rānei he paheketanga. Ko ētahi wahine ka kite i te toto i waenga i ngā paheketanga, ina koa i ngā marama tuatahi.

Aroturukihia ō tauira toto i roto i te maramataka, i te taupānga rānei kia mārama ki te urupare o tō tinana. Ko te toto rerekē te tikanga ka pai ake i muri i te 3-6 marama i te urutau o tō tinana ki te homoni. Mēnā ka nui te toto, ka mōrearea rānei, whakapā atu ki tō kaiwhakarato hauora.

Me pēhea te whakahaere i ngā pānga taha o te minipill?

Ko te nuinga o ngā pānga taha o te minipill he ngawari, ā, he maha ngā wā ka pai ake i te urutau o tō tinana ki te homoni. Ko ngā pānga taha tino noa ko te toto rerekē, te ngawari o te u, te mamae o te upoko, me ngā huringa o te ngākau. Ka iti ake ēnei i muri i ngā marama tuatahi o te whakamahi.

Mēnā ka pā te toto rerekē ki a koe, koinei te pānga taha tino noa, ngana ki te manawanui i te wā urutau. E hiahia ana tō tinana ki te wā ki te urutau ki ngā taumata progestin pumau. Mā te pupuri i te rārangi paheketanga ka āwhina i a koe me tō kaiwhakarato ki te aroturuki i ngā tauira me te whakatau mēnā kei te noho noa te toto.

Mō te ngawari o te u, te mamae o te upoko rānei, ka taea e ngā rongoā mamae i runga i te kaute te āwhina. Me mōhio kei te pai te uru o tō parae, i te mea ka pā te huringa o te u mai i ngā homoni ki tō rahi. Mēnā ka mau tonu, ka kino ake rānei te mamae o te upoko, kōrerohia tēnei ki tō kaiwhakarato hauora.

Ka kite ētahi wahine i ngā huringa o te ngākau, i te whakaheke rānei i te hiahia moepuku i runga i te minipill. He rerekē rawa ēnei pānga i waenga i ngā tāngata, ā, ko te mea e mahi ana mō tētahi tangata kāore pea e mahi mō tētahi atu. Mēnā he nui, he mōrearea rānei ngā huringa o te ngākau, kaua e whakaroa ki te kōrero ki tō kaiwhakarato mō ētahi atu kōwhiringa.

Ko tehea te kōwhiringa minipill pai rawa atu?

Ko te minipill pai rawa atu mōu ka whakawhirinaki ki tō kōtaha hauora takitahi, te oranga, me te urupare o tō tinana ki te progestin. He maha ngā waitohu e wātea ana, ā, ahakoa kei roto katoa te progestin, ka rerekē pea te momo me te horopeta.

Ka whai whakaaro tō tākuta hauora ki ngā āhuatanga pēnei i tō hītori hauora, ngā rongoā e inu ana koe i tēnei wā, me tō tūnga whāngai ū, i te wā e tūtohu ana i tētahi momo rongoā. He pai ake ētahi wāhine ki ētahi momo rongoā, ahakoa kāore koe e mōhio ko tēhea te mea pai rawa atu kia whakamātau koe.

Ko ngā minipills e tino whakahauhia ana ko ngā momo pēnei i a Camila, Errin, me Nora-BE. Kei roto i ēnei te norethindrone, he progestin kua tino rangahaua, kua whakamahia marie mō ngā tekau tau. Ko ngā kōwhiringa hou pēnei i a Slynd kei roto te drospirenone, ā, he wā roa ake mō ngā pire kua ngaro.

Ka pā te utu me te inihua ki te kōwhiringa pai mō tō āhuatanga. Ko ngā momo rongoā whānui te nuinga he iti ake te utu, ā, he pai tonu te mahi rite ki ngā pire waitohu. Ka taea e tō kai rongoā te āwhina i a koe ki te mārama ki ō kōwhiringa me ngā rerekētanga o te utu.

He aha ngā āhuatanga tūpono mō ngā raruraru minipill?

Ahakoa te nuinga he haumaru te minipill, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru, te kore rānei e tika ana mōu. Mā te mārama ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te whakatau i te whakatau pai mō tō hauora.

Ko te mate pukupuku ū o nāianei, o mua rānei, te āhuatanga tūpono nui rawa atu, nā te mea ka whakahihiri pea te progestin i ētahi momo pūtau mate pukupuku ū. Mēnā he hītori tō whaiaro mō te mate pukupuku ū, me whakatau tō tākuta mate pukupuku me tō tākuta wahine i ngā tūponotanga me ngā painga.

Koinei ngā āhuatanga tūpono matua hei kōrero ki tō tākuta:

• Hītori whaiaro mō te mate pukupuku ū, ngā puku rānei e mōrearea ana i te ū
• Te toto i roto i te tara kāore anō kia arotakengia
• Te mate ate kaha, ngā puku ate rānei
• Te inu rongoā e pā ana ki ngā taumata homoni
• Te uaua ki te pupuri i tētahi hōtaka rā tika

Ko ētahi rongoā ka kore e whai hua te minipill, tae atu ki ētahi rongoā mō te hopu, ngā rongoā mō te mate kohi, me ētahi rongoā mō te HIV. Me kōrero tonu ki tō tākuta mō ngā rongoā katoa me ngā tāpiringa e inu ana koe.

He pai ake te minipill, te pire whakakotahi rānei?

Ko te whiriwhiri i waenga i te minipill me te pire whakakotahi e whakawhirinaki ana ki ō hiahia hauora takitahi, te kāhua o te oranga, me te pēhea te urupare a tō tinana ki ngā homoni. Kāore tētahi kōwhiringa e pai ake ana – he painga me ngā whakaaro ō rāua.

He pai ake pea te minipill mōu ki te kore e taea e koe te tango i te estrogen, kei te whāngai ū ana, kei te pai rānei koe ki tētahi kōwhiringa iti-homoni. He pai hoki mō te hunga neke atu i te 35 tau te pakeke me te kai paipa, he hītori o te toto toto, te pānga rānei o ngā pānga taha e pā ana ki te estrogen pēnei i te huringa nui o te wairua, te migraine rānei.

Ka pai ake pea ngā pire whakakotahi ki te hiahia koe i ngā wā o te marama e mōhiotia ana, he uaua ki te mahara ki te tango i ngā pire i te wā tika i ia rā, e hiahia ana rānei koe i ngā painga atu e whakaratohia ana e te estrogen. He maha ngā wā ka māmā ake, ka rite tonu ngā wā o te marama.

Me nui ake te wā tika o te minipill – me tango e koe i roto i te matapihi 3-haora i ia rā. He nui ake te ngāwari o ngā pire whakakotahi, tae atu ki te 12 haora o te wā mō te nuinga o ngā hanganga. Whakaarohia tō kāhua oranga me te kaha ki te pupuri i tētahi hōtaka tino tika i te wā e whiriwhiri ana koe.

He aha ngā raruraru ka pā ki te minipill?

He onge ngā raruraru nui mai i te minipill, engari he mea nui kia mōhio ki ngā mea hei mātakitaki. Ko ngā āwangawanga tino noa e pā ana ki ngā tauira toto kore rite me te mea ka hapū ki te ngaro, ki te tango rānei i ngā pire i te hē.

Ko te toto kore rite te take tino auau, e pā ana ki te 70% o ngā kaiwhakamahi minipill i te tīmatanga. Ahakoa kāore i te mōrearea, ka raru pea, ka āwangawanga. Ka kite te nuinga o ngā wāhine i te whakapai ake i muri i te 3-6 marama, engari ka haere tonu ētahi ki te pā ki te toto kore e mōhiotia ana i te wā e whakamahi ana.

He mea noa te hapū i te wā e whakamahi ana i te minipill engari ka taea, ina koa ki te ngaro koe i ngā pire, ki te tango rānei i ngā pire i te wā e tika ana. Ki te whakaaro koe kei te hapū koe, mahia he whakamātautau, whakapā atu ki tō tākuta. Kāore te minipill e whakanui i te tūponotanga o ngā hē whānau ki te hapū koe.

Ko ngā raruraru tino onge ko ngā puku ovarian, ka puta mai nā te mea kāore i te pēhia tonutia te ovulation. Ko te tikanga he puku mahi tēnei ka ngaro noa iho. Ko ngā raruraru nui pēnei i te toto toto he mea tino onge ki ngā pire progestin-anake, kāore i rite ki ngā pire whakakotahi.

Ka pā ki ētahi wāhine ngā huringa ā-wairua tonu, te pōuri rānei i te wā e whakamahi ana i te minipill. Ki te kite koe i ngā huringa nui i tō hauora hinengaro, kōrerohia tēnei ki tō tākuta i te wā tonu. He mea nui tō oranga ā-whatumanawa pērā i te aukati i te hapū.

Āhea au e kite ai i te tākuta mō te minipill?

Me whakapā atu koe ki tō tākuta ki te pā ki a koe ngā tohumate e pā ana, ki te pātai rānei mō tō whakamahi i te minipill. Ko te nuinga o ngā take he mea iti noa iho, he māmā te whakatika, engari me whai āwhina hauora i te wā tonu i ētahi wā.

Waea atu ki tō tākuta ki te ngaro koe i ngā pire e rua, neke atu rānei i te rarangi, nā te mea ka whakaiti nui tēnei i te whai huatanga. Me whai tohutohu koe mō te aukati hapū tūāpapa, me te mea rānei me haere tonu koe i tō pākete o nāianei, me tīmata rānei i tētahi mea hou.

Ko ēnei ngā āhuatanga e tika ana kia whakapā atu koe ki tō tākuta:

• Te nui o te toto e mimiti ana i te papa, i te tampon rānei i ia hāora mō ētahi hāora
• Te mamae nui o te puku e tohu ana i te puku ovarian
• Ngā tohu o te hapū pēnei i te ngaro o ngā wā, te whakapairuaki, te ngawari o te u
• Ngā huringa ā-wairua tonu, te pōuri rānei
• Ngā mamae nui o te upoko, ngā huringa rānei o te tirohanga
• Te rereke o te wai mai i te tara, te mamae rānei o te pūpū

Whakaritea ngā tūhura wā ki tō tākuta kia mātakitaki i tō hauora i runga i te minipill. E taunaki ana te nuinga o ngā tākuta i ngā haerenga ā-tau, engari tērā pea ka hiahia koe i ngā tūhura auau i te tīmatanga ki te whakatika i ngā āwangawanga, i ngā pānga taha rānei.

Ngā pātai auau mō te minipill

Q.1 He pai te minipill mō te PCOS?

Ka whai hua te minipill mō ētahi wāhine e PCOS ana, engari ehara i te rongoā tuatahi. Ka āwhina pea ki te whakarite i ngā wā, me te whakaiti i ētahi tohumate PCOS, ahakoa kāore e whakatika i te aukati i te insulin, i ngā taumata androgen nui rānei pērā i ngā pire whakakotahi.

He nui ake te painga o ngā wāhine e PCOS ana mai i ngā pire whakakotahi kei roto nei te estrogen me te progestin, nā te mea ka āwhina ēnei ki te whakaiti i ngā homoni tāne nui. Heoi, ki te kore e taea e koe te tango estrogen, ki te pai rānei koe ki te kōwhiringa progestin-anake, ka whai hua tonu pea te minipill mō ngā wā kōaro.

Q.2 Ka pūhi te minipill i te taumaha?

Kāore te nuinga o ngā wāhine e pūhi i te taumaha i runga i te minipill, ahakoa rerekē ngā urupare takitahi. E whakaatu ana ngā rangahau nui he rite te pūhi taumaha toharite ki te mea e pā ana ki ngā wāhine i te wā, kaua i te mea i puta mai i te pire tonu.

E kite ana ētahi wāhine i ngā huringa i te hiahia kai, i te pupuri wai rānei, inā rā i ngā marama tuatahi. Ki te āwangawanga koe mō ngā huringa taumaha, arotahi ki te pupuri i ngā tikanga kai hauora me te whakakori tinana auau. Aroturukihia ngā huringa katoa, me te kōrero ki tō tākuta mēnā he nui.

Q.3 Ka hapū au i muri tonu i te whakamutu i te minipill?

Āe, ka hoki tere te whānautanga i muri i te whakamutu i te minipill, i roto i ngā wiki ruarua. Kāore i rite ki ētahi atu rongoā aukati homoni, kāore te minipill e pōturi nui i te hokinga mai o te whānautanga.

Ki te whakamahere koe ki te hapū, ka taea e koe te tīmata ki te whakamātau i muri tonu i te whakamutu i te minipill. Heoi, tērā pea ka roa ētahi marama kia whakatika tō huringa paheketanga tūturu, ka uaua pea te matapae i te ovulation i te tīmatanga.

Q.4 He pai te tango i te minipill i te wa e whāngai ana?

E kiia ana he haumaru, he whai hua hoki te minipill i te wa e whāngai ana. Kāore i rite ki ngā pire whakakotahi, kāore ngā pire progestin-anake e whakaiti i te waiu, e pā ana rānei ki te kounga o te waiu u.

Ka taea e koe te tīmata i te minipill i te 6 wiki i muri i te whānautanga, ahakoa kei te whāngai anake koe. Ko te iti o te progestin e uru ana ki te waiu u e kiia ana he haumaru mō ngā pēpi, kāore hoki e pā ana ki tō rātou tipu, whanaketanga rānei.

Q.5 He aha te mea ka pā mai ki te ngaro i ahau tētahi minipill?

Mēnā ka ngaro i a koe tētahi minipill neke atu i te 3 hāora, tangohia te pire i ngaro i te wā e mahara ana koe, ka haere tonu ki tō hōtaka auau. Whakamahia te whakamarumaru tāpiri mō ngā hāora 48 e whai ake nei hei whakarite i te whakamarumaru.

He kaha ake te wā i te minipill i te pire whakakotahi nā te mea ka tere te heke o ngā taumata progestin i roto i tō pūnaha. Mēnā he raruraru auau tō te wā, kōrero ki tō tākuta mō ētahi atu kōwhiringa aukati e pai ake ana mō tō oranga.