Abantu benshi bavubuka mu minsi itatu kugeza irindwi nyuma y'ikinaruge cya nyuma cya norethindrone, kandi uburumbuke bushobora kugaruka ako kanya. Nta kunanura birakenewe. Ibyo biba iyo uhagaritse gufata norethindrone bitewe n'impamvu wabifashaga: urugero rw'igihe gito rw'iminsi mbarwa ruhagarara mu kuvubuka kw'ihutirwa, mu gihe iminsi myinshi yo gukoresha byimazeyo ishobora kutagira icyo itanga.

Mwirengagize: Ibintu by'ingenzi

  • Tegereza kuvubuka kw'ihutirwa mu minsi 3 kugeza 7 nyuma y'ikinaruge cya nyuma, bimara iminsi isaga 3 kugeza 8.
  • Kwirinda gutwita birarangira n'ikinaruge cya nyuma. Nta gihe cyo gutinda kirimo.
  • Nyuma y'amezi menshi yo gukoresha mini-pill byimazeyo, kuvubuka koroheje cyane cyangwa kutagira na gato birasanzwe.
  • Nta kuvubuka ku munsi wa 10 kandi ufite imibonano mpuzabitsina? Fata igizamini cy'isuzuma ryo mu rugo mbere.
  • Imisegera ishobora kuguma idahinduka mu mezi agera kuri atatu mbere yuko igaruka.

Biba iki iyo uhagaritse gufata norethindrone: nta kintu kirimo kurandurwa, guhagarika biragaragara

Nta kintu kirimo gusohoka mu mubiri wawe. Norethindrone ikora mu guhagarika igice cyo mu nyababa kandi, mu buryo budahinduka, kwiyubaka, rero ibiba iyo uhagaritse gufata norethindrone ni uko guhagarika biravaho. Uruhu rwo mu nyababa rurasuka, akenshi nk'ukuvubuka kw'ihutirwa nyuma y'iminsi itatu kugeza irindwi, kandi kwiyubaka bishobora kugaruka ako kanya. Icyo urumbarwa byahagaritse cyose kigaruka ku gihe cyacyo.

Iyo minsi itatu kugeza irindwi ikomoka ku rupapuro rwemejwe n'FDA rwa norethindrone acetate (DailyMed, 2024), rwasobanura ko urugero rwa 5 mg rwakoreshejwe mu kuvura endometriosis n'ibibazo by'inyababa, atari mini-pill yo kwirinda inda ya 0.35 mg. Impamvu yo gutandukana iruta izina iryo ari ryo ryose. Niba uruhu rwawe rwaraye rucye mu mezi menshi, kuvubuka kwawe bishobora kuba koroheje, gutinda, cyangwa kutabaho.

MedlinePlus (2024) iravuga ko norethindrone (norethisterone hanze y'Amerika) ivura endometriosis n'ibibazo by'inyababa bidapfuye kubirwanya, bityo ntuzahagarike urugendo rwategetswe utabanje kuganira n'umuganga wawe. Kandi niba byari mu rwego rwo kwirinda inda, gusama birashoboka ako kanya.

Igihe cyawe cy'imihango kigomba kugaruka mu cyumweru, atari mu mezi

Igisubizo cya ukuri ku gihe imyuhagiro izagarukira ni akenshi mu cyumweru kimwe nyuma y'ikinaruge cyawe cya nyuma. Urubanza rwa FDA ni iminsi itatu kugeza irindwi, kandi abantu basanzwe batangaza ko bakunda kubona akantu gato ku munsi wa 2.

Urugero rusanzwe: akantu gato k'umukara ku minsi 2-3, imvubuka nziza y'umutuku ku minsi 4-5, hanyuma ikagenda igabanuka ku minsi 7-8. Kuvubuka kw'ihutirwa bimara igihe kingana iki? Akenshi iminsi 3-8.

Kumenya ibizabaho bifata igihe kuruta kuvubuka ubwako. Cleveland Clinic ivuga ko imisegera ishobora kuguma idahinduka kugeza mu mezi atatu nyuma yo guhagarika imisemburo yo kwirinda inda mbere yo kugaruka mu rwego ruhindagurika.

Kuvubuka kwa mbere ni ukw'ihutirwa, atari imisegera yatangiye

Kuvubuka kw'ihutirwa nyuma ya norethindrone ni uruhu rwawe rugamije kwitaba urugero rwa hormone, atari kwirangiza kw'imisegera yo mu gihe cyo kwiyubaka. Progestin iragabanuka, uruhu rwo mu nyababa rutakigifite inkunga, rukaba rusuka. Ni iby'uruhugura rwa hormone.

Dore ibyo impapuro nyinshi zizakubwira: kuvubuka kwerekana byinshi kurenza uko abasomyi batekereza. ACOG (2023) ivuga ko imisemburo ya norethindrone gusa idahagarika kwiyubaka mu buryo budahinduka, aho abakoresha hafi 4 kuri 10 bakomeza kwiyubaka, bityo kuvubuka ntacyo kumenyesha niba wiyubutse. Nta n'icyo kugirango utwite.

Igihe cyo kwikoresha kigira uruhare mu kwigana. Nyuma y'urugendo rw'iminsi 5 kugeza 10 rwo gutinda imihango, kuvubuka akenshi guhuta kandi nk'imihango. Nyuma y'amezi menshi yo gukoresha byimazeyo, tegereza koroheje, gutinda, cyangwa ntacyo. Gukubagurika birasanzwe, kandi niba ukoresha ibuprofen kubwabyo, uyifate n'ibiryo aho kwihagira ububabare bwo mu gifu bwakomotse kuri ibuprofen hejuru yo gukubagurika.

Niba norethindrone yari mu kwirinda inda, kurengera birarangira n'ikinaruge cya nyuma

Tekereza ku rwego rwo hasi mugihe ukibifata. CDC U.S. Amasomo yo Kwirinda Ibyifuzwa (2024) yandika ko urugero rwa norethindrone rwahabwa ikiname igihe amasaha atatu arenze, kandi bagashishikariza kwirinda cyangwa gukoresha ikindi kiringo kugeza ikinaruge cyafashwe neza mu minsi ibiri yikurikirana. Kurengera kwimwamo mu masaha atatu ntikuramba icyumweru.

CDC ishishikariza kandi gutekereza ku kwirinda inda mu gihe cy'ihutirwa nyuma yo gukora imibonano mpuzabitsina udakingiwe ukurikije urugero rutinze cyangwa rwabuze, wirinda cyane ulipristal acetate, kuko itagomba guhurwa na progestin. Ni uko, nk'uko ACOG ibivuga, mini-pill ikoresha cyane gutwiniza umukozi w'imboro no kugenzura isaha ku isaha.

Rero, kora ibyo byoroshye: tangira inzira yawe isimbura ku munsi wa nyuma wa norethindrone. Nta kiruhuko, nta gusobanura.

Ibibazo byinshi byo guhagarika ni ishingiro ryawe ryari rishobora kugaruka

Ibibazo byinshi byo guhagarika norethindrone ntacyo biba bihuriro na bibazo byo kuvamo. Impinduka z'imyitwarire, gutinda kw'amabere, kubabara umutwe, guhagarara, n'imisegera idahinduka ni ibyinshi, kandi akenshi bigaruka mu myisegera 1-2 mu gihe kugabana kwa progesterone bihagaritse gutinza imitekerereze y'ubwonko. Niba imitekerereze mibi igana ku gusubiramo gutekereza ku bibazo, uko kwigana ni gusubiramo, kandi bigaragaza ko ibindi bikoresho bihindura kuruta gutegereza impinduka ya hormone.

Ikibazo gikomeye ni ikibazo kiri munsi. MedlinePlus ivuga ko norethindrone igenzura aho kuba ivura, bityo ububabare bwa endometriosis n'imvubuka nyinshi birashobora kugaruka. Zana ko kuvubuka mu gihe cy'ivurwa ntabwo bwonyine ari impamvu yo kwihagarika: mu ihuriro rya 2012 PMC, ryagize 44.4% by'abarwayi ba endometriosis kuri norethindrone acetate kandi byakoreshejwe guhindura urugero. Urubanza rutanga iminsi 6 kugeza 9 yo gukoresha, cyangwa kugeza kuvubuka mu gihe cy'ivurwa bidatangiye gutera ikibazo.

Nta kuvubuka ku munsi wa 10 bisaba igizamini cy'isuzuma ryo mu rugo, atari ugutegereza

Niba imyuhagiro yawe itagarutse nyuma yo guhagarika norethindrone kandi ukaba ufite imibonano mpuzabitsina, umunsi wa 10 ni urwego rwawe. Fata igizamini cy'isuzuma ryo mu rugo mbere yo gutekereza ko gutinda kwaba guherekejwe na hormone, kandi ugisubire inshuro 7 niba ari negativi kandi nta cyagarutse.

Nyuma y'amezi menshi yo gukoresha imisemburo gusa, nta kuvubuka kw'ihutirwa na gato birasanzwe kandi ntacyo byerekana ko utwite. Niba utaragiraga imyuhagiro nyuma y'amezi atatu yo guhagarika, gusura umuganga. Norethindrone ntikora uburumbuke buhoraho.

Niba ushaka ko ikiganiro kiba vuba, urugendo rwa August rw'amasaha 39 mu masaha akuze rwakuganisha ku muganga wemewe na Leta Zunze Ubumwe za Amerika ushobora kureba ibimenyetso byawe kandi ugahitamo niba gusuzuma cyangwa kuvura byakwiye. Ntabwo ishobora gukora imitsi yo mu gitsina, ultrasound, cyangwa ibigeragezo byo mu mbaraga, kandi nta rugendo rwemera ko urwandiko ruremewe.

Iyo guhagarika norethindrone biba byihutirwa

MedlinePlus (2024) yanditse ibimenyetso by'ikibazo cy'ikibunda, stroke, cyangwa ikibazo cy'umwijima kuri buri wese uriho cyangwa wari umaze gufata norethindrone.

Wahamagare 911 cyangwa ujye ku bitaro byihutirwa ubu niba:

  • Kwahirira amaso kubakubise, kwibwira ko bidafite ishingiro, cyangwa imico itagaragara
  • Umuganga mukuru utandukanye n'ububabare bwo mu mutwe utigeze ugira mbere
  • Kuvuga bidafite ishingiro, cyangwa intege nke cyangwa kwibagira ku ruhande rumwe rw'umubiri
  • Kubabara ku gatuza, guhumeka kugoranye, cyangwa kwitsamura amaraso
  • Kubabara, kwishima, kw'umuriro, cyangwa umutuku mu kagari kamwe
  • Kw'umuhondo kw'uruhu cyangwa amaso, cyangwa kubabara cyane ku gatuza hejuru iburyo
  • Kuvubuka guhagarika ikimpe cyangwa tampon buri saha mu masaha 2 cyangwa arenze, ibibunda binini kuruta kwicara, cyangwa umutwe no kwiyubaka

Wemere ko gusura mu cyumweru gitaha niba:

  • Kuvubuka bimara iminsi irenga 8
  • Nta kuvubuka ku munsi wa 10 kandi gusama birashoboka
  • Ububabare bwa endometriosis cyangwa imyuhagiro nyinshi biragaruka
  • Imisegera ikomeje kuba idahinduka amezi atatu nyuma y'ikinaruge cyawe cya nyuma

Bimwe muri ibi birushijeho gutunganywa mbere y'ikinaruge cyawe cya nyuma kuruta nyuma yacyo. Guganira n'umuganga mbere yo gutangira niba:

  • Ufata norethindrone mu kuvura endometriosis cyangwa ibibazo by'inyababa
  • Ni wowe wenyine ukoresha kwirinda inda kandi utashaka gusama
  • Ufite amateka yo kwisuka cyangwa umuganga ufite aura, bigabanya amahitamo yawe yo gusimbura
  • Ugerageza gusama nyuma yo gukoresha igihe kirekire

Ibaza kenshi

Mbafite cyangwa nta ntege yo guhagarika norethindrone, cyangwa nkomeze burundu?

Oya. Nta mpamvu ya physiologique yo guhagarika, kandi ibiba iyo uhagaritse gufata norethindrone burundu birasa no guhagarika buhoro buhoro: hormone iragabana kandi uruhu rugasuka. Kwirinda kw'ukuri ntacyo kiva ku miti ahubwo ni ukw'ibibazo. MedlinePlus ivuga ko kwirinda guhagarika urugendo rwategetswe utabanje kuganira n'umuntu wagutegetse, kuko ikibazo cy'ibanze gikiriho.

Nshobora guhagarika norethindrone hagati mu gupakira?

Yego. Paketi za progestin gusa nta cyumweru cya placebo cyo kurangiza, bityo nta cyo kurangiza. Kurengera kwawe birarangira uwo munsi, atari ku iherezo ry'ipaki, bityo tangira ikindi kiringo cyawe ako kanya. Ntube ubikiza ibinini bisigaye kugirango wivure nyuma kugirango utinde imihango cyangwa ibimenyetso bikomeye, kuko urugero n'igihe bifitanye isano n'icyo ubitereye.

Kuhagarika norethindrone bizatera ibishishwa?

Ntabwo akenshi. Gusubira mu bushyuhe abantu bavuga nyuma y'ibinyobwa bibice bibiri biterwa no kubura estrogene, yari ihagaritse imirimo ya androgene mu ruhu. Imisemburo ya norethindrone gusa ntabwo yigeze itanga estrogene, bityo abantu benshi babona impinduka nke mu ruhu rwabo. Niba ibishishwa byari byarahoho mbere yo gutangira, tegereza ko bikomeza mu rwego rwa mbere.

Nzahana uburemere nyuma yo guhagarika norethindrone?

Rimwe na rimwe, kandi bishobora kuba bito kuruta uko wabyizeye. Icyo gihe cyose kigabanuka mu cyumweru cya mbere ni ibiro ibihumbi bibiri by'amazi yarangiye n'amabere yuzuye, atari amavuta. Kwiyubaka kurushijeho ni impinduka nyayo kandi zirashimishije, ariko ni amazi. Niba uburemere bwawe bwahinduka cyane mu mezi akurikirana, shakisha ibisobanuro bya kabiri aho kwishingira ikibazo ku kinyobwa.

Ibyingenzi

Icyo biba iyo uhagaritse gufata norethindrone kiroroshye mu gushushanya kandi gikomeye mu gice: kuvubuka kw'ihutirwa mu minsi itatu kugeza irindwi bimara iminsi itatu kugeza umunani, uburumbuke bugasubira inyuma ako kanya, imisegera idashobora kumenywa kugeza mu mezi atatu, n'ikibazo cy'umwimerere gikomeza kugaragara. Itariki ebyiri iragabana. Tangira kwirinda kwawe isimbura ku munsi w'ikinaruge cyawe cya nyuma, kandi usuzume gusama niba nta cyagaragaye ku munsi wa 10.

Kwirinda: Inguni iyi ni ukugira ngo wumve ibisobanuro gusa kandi ntabwo ibigereranywa na nama y'abaganga. Komeza kuganira n'umuganga ufite uburenganzira kugira ngo uhitemo ibisuzuma n'ivurwa. Niba ufite ikibazo cy'ubuzima, hamagara 911 cyangwa ujye ku bitaro byihutirwa byegereye.