He Kupu Whakataki ki ngā Ārai Whakawhanau Hormonal
He tikanga ārai hapūtanga te ārai hapūtanga hei ārai i te hapūtanga. I roto i ngā momo ārai hapūtanga maha e wātea ana, ko te ārai hapūtanga homoni tētahi o ngā mea tino rongonui me te whai hua. Ka matapakihia e tēnei tuhinga ngā momo ārai hapūtanga homoni rerekē, me pēhea te mahi, ō rātou painga me ngā pānga taha, me ngā whakaaro hei whakaaroaro i mua i te whiriwhiri i tētahi.
He aha te ārai hapūtanga homoni?
Ko te ārai whānau homoni he tikanga ārai whānau e whakamahi ana i ngā homoni hangai hei whakahaere i te huringa paheketanga me te aukati i te whakaputanga o te hua manu (te tukunga o te hua manu mai i te ovary). Ko ngā homoni e whakamahia whānuitia ana i roto i tēnei momo ārai whānau ko te estrogen me te progesterone, he huinga rānei o ngā mea e rua.
Ngā momo ārai hapūtanga homoni
1. Ngā pire ārai whānau (ngā pire ārai whānau ā-waha me ngā pire progestin anake)
– Pire Whakakotahi: Kei roto ngā homoni e rua, te estrogen me te progesterone. Me tango tēnei pire i ia rā i te wā kotahi kia tino whai hua ai.
– Pire Progestin-Anake (POP): Kei roto ko te homoni progestin anake, he mea pai mō ngā wāhine kāore e taea te tango i te estrogen. Me tango te POP i te wā tino rite i ia rā.
2. Ngā Whakatō Ārai Hapūtanga
He tokotoko iti te mea i whakatōngia ka whakatakotoria ki raro i te kiri o te ringa o runga. Ka tukuna mārire e tēnei tokotoko te homoni progestin hei ārai i te haputanga mō te 3-5 tau.
3. Werohanga Ārai Whānau
Ka werohia he homoni progestin i ia toru marama. He pai tēnei tikanga mō ngā wāhine e uaua ana ki te maumahara ki te tango i tā rātou pire o ia rā.
4. Pākete (Pākete Ārai Hapūtanga)
He tapanga iti te pākete e tāpirihia ana ki te kiri, ā, ka tukuna te estrogen me te progestin mā te kiri ki roto i te toto. Me whakawhiti te pākete ia wiki mō ngā wiki e toru, ā, muri iho ka whakawhitia te pākete kia kotahi wiki te roa.
5. Mowhiti Tarau
He mowhiti iti, ngāwari e whakanohoia ana ki roto i te tenetene. Ka tukuna te estrogen me te progestin. E toru wiki te whakamahinga, ā, muri iho ka kotahi wiki te kore e whakamahia te mowhiti.
6. IUD Hormonal (Pūrere Intrauterine)
He taputapu iti te IUD homoni, he āhua-T ka whakaurua ki roto i te kōpū e te rata. Ka tukuna te homoni progestin hei ārai i te hāputanga mō te 3-7 tau, i runga i te momo IUD.
Te Mahi a te Ārai Whakawhanau Hormonal
Mā te ārai hapūtanga homoni ka ārai i te haputanga mā roto i ētahi tikanga:
1. Te Whakamutu i te Whakaputa Hua: Ka ārai ngā homoni hangai i te tukunga o te hua manu e ngā ovaries i ia marama.
2. Te Whakamātotoru i te Hupe o te Kākano: Ka meinga e ngā homoni te matotoru ake o te hupe i roto i te kākano, ka uaua ai te kauhoe a te parāoa ki te hua manu.
3. Ka Huri i te Arai o te Kōpū: Ka hurihia e ngā homoni te arai o te endometrium kia kore ai e pai mō te whakatōnga o te hua manu kua whakatōkia.
Ngā Hua o te Ārai Whakawhanau Hormonal
– Te Whai Huatanga Nui: Ina whakamahia tika, he tino whai hua te ārai hapūtanga homoni ki te aukati i te hāputanga.
– Te Whakamahinga Kore-Whakaekenga: Ko te nuinga o ngā tikanga pēnei i ngā pire, ngā pāti, me ngā mowhiti, kāore e hiahiatia he maimoatanga hauora whakaekenga.
– Te Whakahaere i te Huringa Paheketanga: He maha ngā wāhine e kite ana kua pai ake te auau me te māmā ake o ā rātou huringa paheketanga.
– Ka whakaiti i ngā tohu o te PMS: Ko ētahi atu painga ko te whakaiti i te mamae o te paheketanga me ngā tohu o te mate i mua i te paheketanga (PMS).
Ngā Pānga me ngā Whakaaroaro ki te Taha
Ahakoa ōna painga maha, ka pā mai anō hoki ngā pānga taha pea o te ārai hapūtanga homoni:
– Ngā Pānga Taha Ngāwari: Kei roto ko te whakapairuaki, te taumaha, te ānini, me te hurihuri o te kare ā-roto.
– Ngā Mōrearea Hauora: Me whai whakaaro ki ētahi atu mōrearea nui atu pēnei i te toto toto tiketike, te pikinga o te mōrearea o te thrombosis (te hanganga toto totoka), me te whiu, inā koa mō ngā wāhine e momi hikareti ana, he hītori toto toto tiketike rānei tō rātou.
– Me whai māia: Ko ētahi tikanga me whakapau kaha ki te whakamahi tonu, pērā i ngā pire me tango i ia rā i te wā kotahi.
Ko wai ka taea te whakamahi i ngā ārai hapūtanga homoni?
He pai te ārai hapūtanga homoni mō te nuinga o ngā wāhine, engari he rerekētanga anō hoki. Me rapu tohutohu hauora ngā wāhine whai mate hauora. Ko ētahi mate kāore pea e pai mō te ārai hapūtanga homoni ko:
– He hītori o ngā toto totoka, o ngā toto totohu rānei.
– Te mate manawa, te whiu rānei.
– He hītori o te mate pukupuku o te ū.
– Te mate ate, te mate ate rānei.
– Te migraine me te aura.
Ngā Whakaaroaro i mua i te Kōwhiringa i te Ārai Hapūtanga Hormonal
I mua i te whakatau ki te whakamahi i ngā ārai hapūtanga homoni, he mea pai kia whakaarohia ētahi mea:
– Whakawhitiwhiti Kōrero Hauora: Kōrerohia tō hītori hauora me tētahi tohunga hauora hei whakatau i te tikanga pai rawa atu.
– Te Āhua Noho: Whakaarohia mēnā ka taea e koe te piri ki tētahi tikanga whakamahinga, pērā i te mahara ki te tango i tētahi pire i ia rā, te whakawhiti rānei i tētahi papaki i ia wiki.
– Ngā Mahere Hapūtanga ā Muri Ake Nei: Ka taea e ētahi tikanga pēnei i ngā IUD me ngā implants te whakahoki mai i te momonatanga i muri tonu i te whakamutua o te whakamoe, engari ko ngā tikanga pēnei i ngā werohanga ārai hapūtanga ka roa pea mō ētahi marama.
Whakamutunga
He kōwhiringa haumaru, he kōwhiringa whai hua hoki te ārai hapūtanga homoni mō te tini o ngā wāhine hei ārai i te hapūtanga. He maha ngā kōwhiringa e wātea ana, ā, ka taea e ngā wāhine te whiriwhiri i te tikanga e pai ana mō ō rātou momo noho me ō rātou hiahia hauora. Heoi, he mea nui kia kōrero tonu ki tētahi tohunga hauora i mua i te whakatau ko tēhea tikanga ārai hapūtanga hei whakamahi kia pai ai te kōwhiringa haumaru me te whai hua.
Mā te whakaaroaro marie me te ārahi tika a te rata, ka tino whai hua te ārai hapūtanga homoni i roto i te whakamahere whānau me te pupuri i te hauora uri o ngā wāhine.
