Inā loaʻa ʻoe i ka maʻi diabetes, ʻaʻole kēia ke kumu e halihali iā ʻoe iho e like me ke aniani kristal a hāʻawi i nā hauʻoli a pau o ke ola. Ma kahi'ē aʻe, ʻo ka wahine, ka laʻana, ma ke ʻano he hana kino, e loaʻa ka hopena maikaʻi loa i kou olakino. He mea koʻikoʻi wale ia e koho i ka Contraception kūpono, ʻoiai he mau wahine maʻi me ka maʻi maʻi maʻi e hōʻike wale ʻia i kahi hapai hoʻolālā. Aia a nui nā ʻano pono no ka pale ʻana i ka wahine makemake ʻole. Pehea e koho ai i ke koho kūpono no ka maʻi diabetes?
He aha nā ʻano o contraception i loaʻa
ʻAʻole kū e ka hoʻomohala o ka ʻoihana lapaʻau a me nā ʻenehana olakino, no laila he wahine ka nui o nā koho koho like ʻole no ka pale mai nā kuhi hewa ʻole.
"Aloha Kanaka"
ʻO ke koho maʻalahi a me ke koho pono ʻole ʻia. Pono ka wahine e hilinaʻi a pau i kāna hoa kāne, no ka mea, ʻaʻohe mea i hilinaʻi iā ia. Akā ma ka hihia a hana ka mea aloha i nā mea a pau i ka manawa, aia ke kūpono i ka leakage o ka seminal fluid me nā pilikia ʻē aʻe mai ka kelepona prostate. A ʻo ka hopena, i ka hauʻoli o ka moekolohe, hiki i ka meli ke paʻa ʻole i ke ʻano ʻoi wahine. He kiʻekiʻe ka nui o ka ʻāʻī ʻana, a me nā hoʻopiʻi e pili pū ana me ka wahine hoʻomāinoino e hōʻoia i ka hoʻohana ʻana i ke ʻano pono ʻole o ke ʻano hana i hoʻopau ʻia.
Kinoono
I ka pau ʻole o kahi alerine i ka latex, i nā makahiki i hala ke lilo nei i mea maʻamau, ke ala maikaʻi e pale aku ai i ka hānau ʻana. Hoʻomaopopo loa nā pōmaikaʻi nui - ua hoʻemi ʻia ka paʻakikī o nā pilina, hiki ke hoʻokomo pono i kahi condom, ʻo ke kumukūʻai kiʻekiʻe o nā huahana kūpono. Akā, me ka hoʻohana pono, he koho kūpono no nā wahine me ka maʻi diabetes e alakaʻi i kahi maʻamau, akā ʻaʻole pinepine ka hana moekolohe.
Pānaehana intrauterine
No nā wahine nulliparous, ʻaʻole kēia he koho i ka wā like, ʻoiai i nā kūlana o kahi ʻano o ke ʻano o ke ʻano maʻi o ka maʻi nui e ka maʻi maʻi o ka maʻi, a me ka ʻuʻuku i loko. ʻO ka hapa nui o nā hāmeʻa intrauterine e loaʻa i nā gestagens - nā maʻi e hoʻōki i ka neʻe o ka sperm. Ke hoʻokomo nei i ka hana ʻana i nā mea hoʻohālikelike e kipa ʻaʻole wale i kipa i ka gynecologist, akā ke nānā hou ʻana i nā maʻi o ka genital tract. ʻO nā wahine e hānau nei me ka maʻi diabetes he koho maikaʻi inā ʻaʻole hoʻolālā ʻia ka hapai i ka manawa pōkole.
ʻO nā Spermicides
ʻO kēia mau kumuhana i ke ʻano o kahi aila a i ʻole ke kala i hoʻopili ʻia i loko o ka pūpū ma mua o ka moʻo. Hoʻopili i kahi pale e pale aku ai i ka hapai, e kōkua nā mea kūlike ʻole i ka maʻi maʻi. Aia kekahi mau kekee - ʻaʻole kūpono ia no nā pilina maʻamau, ʻoi aku hoʻi i kēlā me kēia lā, no ka mea ma mua o kēlā me kēia moekolohe kūpono e pono ai e hoʻopuka i kahi wai hou o ka spermicides. ʻO ka pinepine ke ʻano o nā maʻi kūlohelohe, a me ka hōʻeha ʻana o ke kūloko i ke ʻano o ka ʻeha, ka puhi ʻana a me ka ʻeha.
He hoʻohālikelike ʻokoʻa
Hōʻuluʻulu pū kēia hui i nā papa a me ke apo pepeiao. ʻO kahi koho kūpono no ka hānai i ka maʻi maʻi maʻi, akā me ka kāohi glycemic ikaika. Ke hoʻolako ʻia kahi lā hana i kēlā me kēia lā i nā kinumona liʻiliʻi loa. Pono ke hoʻonohonoho ʻia me ke ʻano me ke kauka komo ʻana, no ka mea he hiki ke hoʻopiʻi ʻia, ʻoi aku hoʻi i nā wahine momona momona. ʻOi aku ka makemake o nā papa i nā apo, no ka mea he liʻiliʻi lākou i ka emi o nā hormones.
Operacaction hana
Ua pili ia e pili ana i ka hoʻokaʻawale ʻana i kahi wahine ma kāna noi ma ke kāpae ʻana i nā puna fallopian. Hoʻohana ʻia ka hana no nā kumu olakino a ma hope o kekahi mau hānau hānau inā ʻaʻole ʻoe e loaʻa keiki. ʻO ka maʻi mellitus he maʻi ʻole no ka hoʻohālikelike ʻano, akā, ma muli o ka hōʻoluʻolu o ka lawena, pono ke hana wale ʻia no nā kumu olakino.
ʻO kēlā me kēia ʻano contraception kona mau hemahema a me nā pono. ʻO ka mea wale nō ke hoʻopau ʻia ka moekolohe wahine, ke ʻāpono ʻole ʻia ka hopena ʻole no ka wahine e loaʻa ana i ka maʻi maʻi.
Pehea e koho ai i ke ala kūpono o ka contraception
ʻO kahi ʻano o ke ʻano o ka mellitus o ka maʻi mellitus, ua manaʻo ʻia nā wāhine a pau e hoʻohana i nā ʻenehana kūlohelohe - condoms. ʻAʻole lākou e pili i ke ala o ka maʻi, pale i ka noʻonoʻo ʻana, akā e makaʻala a me kekahi mau hoa hana i koi ʻia i ka wā e hoʻohana ai. ʻO kahi koho maikaʻi nā spermicides. I ka ʻike ʻole ʻana i nā maʻi like i nā mea i mālama ʻia i kēia mau lāʻau, ua ʻae ʻia ko lākou hoʻohana ʻana i nā wahine e hana i nā hana moekolohe ʻoi aku ʻo 2 mau manawa i kahi pule.
Me nā pilina maʻamau, makemake ʻia nā Contracept i kēlā me kēia lā. No nā wahine i hānau ʻia me nā haʻahaʻa haʻahaʻa o ka glycemia (ke koko koko), kūpono ke koho ʻana o kahi hāmeʻa intrauterine hou. Ma mua o kou kau ʻana iā ia, e loaʻa iā ʻoe ma kahi ʻano o nā hoʻokolohua no nā maʻi huna, a laila e mālama iā lākou inā ʻike. Ke lawe ʻia nei ka hoʻokomo ʻana i ka hoʻolālā contraceptive i loko o ke keʻena gynecological, kahi e mālama pono ʻia ai ka noho aliʻi. Pono e hoʻomanaʻo ʻia no nā wahine me ka maʻi maʻi o kēlā me kēia ʻano, ke hoʻololi ʻia nei o ka hana intrauterine i kēlā me kēia makahiki.
Nawai e ʻole e hoʻohana i ka pono o ka intrauterine:
- nā wahine nulliparous āpau me nā maʻi o kekahi ʻano;
- me ka pale ʻana o ka insulin, kahi kūlana kahi iʻoi aku ai ka nui o ka inikua 120 mau pūʻulu i ka lā;
- i ka mua o ka maʻi o ka ʻōpū a me nā pilau - ua nui ke kūlana o ka ʻalā;
- me nā kiʻekiʻe o ka hemoglobin a me nā platelets - e kū'ē ana i ke kua o ka maʻi diabetes, ka nui o ka hoʻopiʻi ʻana o ka hoʻopiʻi thromboembolic;
- ka ʻaʻole hiki ʻole ke kipa pinepine i ka gynecologist.
Pono nā wahine Nulliparous e koho i waena o ka condom a me nā lāʻau hormonal. I ka hihia mua, me nā pilina maʻamau, ʻoi aku hoʻi i ka mare, hiki ke lilo i nā kaʻina loiloi he mea pale i ka wehe ʻana ma waena o nā hoa. Pōmaikaʻi nā kūlana, akā ʻo ka hoʻowalewale ʻole e hōʻole aku iā lākou, ʻoi aku ia he nui loa no nā wahine a pau. Hiki i kēia ke alakaʻi i kahi wahine makemake ʻole.
ʻAʻole contraindicated ʻo nā pā peniima ma kekahi ʻano o ka maʻi mellitus, me ke ʻano o ka pae o ka glycemia. Aia he 4 ʻano hoʻohālikelike o ia mau ʻano:
- monophasic - loaʻa i ka like o ia mau lāʻau like i loko o ke ana holoʻokoʻa;
- lua;
- ʻekolu laʻehā - ka mea i makemake nui ʻia, no ka mea e hoʻēmi ana i ka hoʻoliʻiliʻi hormonal o nā wahine me ka maʻi maʻi;
- postcoital - i hoʻohana ʻia ma hope o ka moe kolohe ʻole, ka nui o ka progestogens kiʻekiʻe, hiki ke hoʻohana ʻia i hoʻokahi manawa hou i kēlā me kēia mahina.
Hōʻike ʻia ka contraception hormonal hoʻolālā i nā wahine a pau i loaʻa i kekahi ʻano maʻi maʻi, koe wale nō no nā kūlana aʻe:
- hōʻinoʻino o vascular;
- hana aho pili ole;
- ʻaʻohe papa paʻa o ka maʻi me ka glycemia kiʻekiʻe;
- kū'ē ka insulin;
- ʻoi aku ka nui o ka pohō a me ke ʻano nū iwi (BMI) ma mua o ka 28 - ka nui o ke kaumaha ma ke kāʻei o nā papa.
Pono e ʻike ʻia nā mea hana hormonal ma lalo o ka nānā ʻana o kekahi ʻano lapaʻau mālama. ʻO ka mālama akahele loa i ka wā e hoʻohana ai i nā papa hormonal e hōʻike ʻia i nā wahine e maʻi ana i ka maʻi pākēnē 1, no ka mea ua nui ka pathology i kahi papa hana ʻole ʻia. Kahi pono ʻole ka hoʻohana ʻana o nā mea hoʻohālikelike hormonal i kēia mau kūlana:
- ulaula
- ka hana maʻamau i ka waiʻona - e kūʻē i ke kua o ka maʻi maʻi, he kiʻekiʻe ka pā o ke ketoacidosis;
- ka heleʻana o nā vena varicose o nā ʻāpana haʻahaʻa loa;
- he manawa e emi iho ma lalo o ʻeono mahina ma hope o nā hana;
- paʻa ka maʻi diabetes mellitus me nā hoʻopiʻi mai ka ʻōnaehana piopio, pili koko a i ʻole nā maka.
ʻO ke apo kuapo, i hoʻopuka ʻia e ka wahine no kahi manawa o 21 mau lā i loko o ka pūpū, ʻaʻole ʻoluʻolu e hoʻohana i ka maʻi maʻamau. Ma muli o ka nui o ka nui o nā hormone i loaʻa i loko o laila (aia ka 146 mau manawa he nui ka progestogens ma mua o nā papa maʻamau, hoʻonui ʻia ka estrogens e 90-ʻiki), ke kue nei ka pale ʻana i ka pale kino. Ke alakaʻi wale nei kēia ʻaʻole i kahi exacerbation o nā kaʻina āpau i loko o ka pūpū a me ka ʻōpū, akā kekahi i ka emi ʻana o nā hana contraceptive. Hoʻomoe ʻia kekahi ʻano hoʻohālikelike nui o nā hormone ma o ka membrane mucous, ka mea e hiki ai ke alakaʻi i nā hoʻopiʻi thromboembolic koʻikoʻi ma ka mellitus maʻi mellitus.
Hoʻohālikelike
No laila, ʻo ke ʻano o ke ʻano o ka maʻi maʻi, e hōʻike ʻia nā wahine i ka pale ʻana o ka male ʻole makemake. ʻO nā koho maikaʻi he condom, kahi hana intrauterine a me nā pā lāʻau hormonal. E koho pono ʻia ʻo ke ʻano o ka ʻikepili i kēlā me kēia manawa i hui pū ʻia me ka loea lapaʻau.
Hoʻi kiʻi
