Icyo Drospirenone na Ethinyl Estradiol ari byo: Ibikoreshwa, Uburyo Bwo Gufata, Ingaruka Ziterwa n'Ibindi

Drospirenone na ethinyl estradiol ni umuti uvura kuboneza urubyaro uvanga ubwoko bubiri bwa hormone z'ubukorano. Uyu muti ukora mu kubuza urugimbu (kurekurwa kw'intanga ngore mu ngingo zikora intanga) no koroshya intanga gushyikira urugimbu cyangwa urugimbu rwatunganyijwe rukabasha kwifatira mu mura.

Uyu muti uvanga ni umwe mu miti ikoreshwa cyane ku isi yose mu kuboneza urubyaro. Abagore benshi bawufata nk'umuti uvura neza atari ukuboneza urubyaro gusa, ahubwo no kuvura indwara ziterwa na hormone zishobora kugira ingaruka ku buzima bwabo bwa buri munsi.

Drospirenone na Ethinyl Estradiol ni iki?

Uyu muti uvanga hormone ebyiri z'ubukorano zikora nk'uko umubiri wawe ukora estrogen na progesterone. Ethinyl estradiol ni ubwoko bwa estrogen, naho drospirenone ni progestin y'ubukorano (ubwoko bwa progesterone) ifite imitungo idasanzwe ugereranyije n'indi miti yo kuboneza urubyaro.

Igituma drospirenone idasanzwe ni uko ikora kimwe na spironolactone, umuti uvura indwara zifitanye isano n'amazi. Ibi bivuze ko bishobora gufasha kugabanya amazi mu mubiri kandi bishobora kugira ingaruka za anti-androgen, zishobora kugirira akamaro indwara zimwe na zimwe z'uruhu no kubyimba.

Uyu muti uvanga uza mu buryo bw'ibinini kandi ufashwe mu kanwa rimwe ku munsi. Imiti myinshi ikurikiza igihe cy'iminsi 28, ifite ibinini 21 bikora hormone n'ibinini 7 bitagira akamaro, nubwo ubundi bwoko bufite ibinini 24 bikora hormone n'ibindi 4 bitagira akamaro.

Drospirenone na Ethinyl Estradiol bikoreshwa mu kuvura iki?

Igikoreshwa cy'ibanze cy'uyu muti ni ukuboneza urubyaro, kandi gifite ubushobozi bwo hejuru ya 99% iyo gifashwe neza. Ariko, abaganga bakunze kuwandika mu kuvura izindi ndwara zifitanye isano na hormone zishobora kugira ingaruka zikomeye ku mibereho yawe.

Abagore benshi babona ubufasha ku gihe cy'imihango kibabaza cyangwa idahoraho iyo bafashe uru ruhererekane. Imisemburo ifasha kugenga imihango yawe, akenshi igatuma imihango iba mito, igufi, kandi iteganywa. Ibi bishobora gufasha cyane niba warahuye no kuva amaraso menshi cyangwa igihe kitazwi.

Kubantu bahanganye n'ibibazo by'impyiko, cyane cyane impyiko ziterwa n'imisemburo zigaragara mu gihe cy'imihango yawe, uyu muti ushobora gutanga impinduka zigaragara. Imikorere ya anti-androgen ya drospirenone ifasha kugabanya umusaruro w'amavuta kandi bishobora gutuma uruhu rworoha nyuma y'amezi menshi rukoreshwa.

Abagore bamwe baruhuka ku bibazo bya premenstrual dysphoric disorder (PMDD), uburyo bukomeye bwa PMS bushobora gutera impinduka z'amarangamutima, agahinda, no guhangayika. Kugenga imisemburo bishobora gufasha guhagarika ibi bimenyetso by'amarangamutima bibaho mbere y'imihango yawe.

Byongeye kandi, uru ruhererekane rushobora gufasha mu kubungabunga amazi no kubyimba abagore bamwe bahura nabyo buri gihe. Imikorere isa n'iy'imiti ikoreshwa mu kuvura amazi ya drospirenone ishobora kugabanya kubyimba kutaryoha no guhindagurika kw'ibiro biterwa n'impinduka z'imisemburo.

Drospirenone na Ethinyl Estradiol bikora gute?

Uyu muti ukora binyuze mu buryo bwinshi bwo gukumira inda neza. Igikorwa cyibanze kirimo guhagarika ovulation binyuze mu kugira ingaruka ku bimenyetso by'imisemburo hagati y'ubwonko bwawe n'intanga, mu buryo bworoshye gushyira sisitemu yawe y'imyororokere mu gihe gito, kigenzurwa.

Igice cya estrogen (ethinyl estradiol) gifasha kubungabunga urwego rw'imisemburo ihamye mu gihe cy'imihango yawe. Ikora hamwe na sisitemu yawe y'umubiri isanzwe kugirango ikumire kuzamuka kwa luteinizing hormone isanzwe itera ovulation buri kwezi.

Drospirenone, igice cya progestin, ikomeza ururenda rwawe rw'umura, bigatuma bigorana cyane ko intanga zigenda mu mura wawe zigera ku gi. Ibi bituma habaho inzitizi yiyongera ku guhuza niba ovulation yaba ibaye.

Ubu buryo buhindura kandi uruhu rw'igitereko cy'umura (endometrium), bigatuma ritabasha kwakira igi ryarongorewe. Ibi bitanga uburyo bwa gatatu bwo kwirinda gusama.

Nka uburyo bwo kuboneza urubyaro, ubu buryo bufatwa nk'ubufite imbaraga ziringaniye kandi bukora neza cyane. Imiterere yihariye ya drospirenone ituma ifitiye akamaro abagore bagira ikibazo cyo kubika amazi cyangwa ibiheri biterwa n'imisemburo iyo bakoresha ubundi buryo bwo kuboneza urubyaro.

Nagomba Gufata Nte Drospirenone na Ethinyl Estradiol?

Fata uyu muti uko wategetswe na muganga wawe, cyane cyane ku isaha imwe buri munsi. Kugira gahunda ihamye mu gufata imiti bifasha kugumisha urugero rw'imisemburo ruringaniye kandi bikongerera imiti imbaraga mu kuboneza urubyaro no mu bindi byiza.

Ushobora gufata ibi binini urya cyangwa utarya, ariko kubifata urya birashobora kugufasha kugabanya ibibazo byo mu nda ushobora kugira mu ntangiriro. Abagore bamwe basanga gufata ibinini barya cyangwa bafata agafunguro mbere yo kuryama bikora neza mu buzima bwabo.

Tangira ipaki yawe ya mbere ku munsi wa mbere w'imihango yawe cyangwa ku cyumweru cya mbere nyuma y'uko imihango yawe itangiye, bitewe n'uko muganga wawe abitegeka. Niba utangiriye ku munsi utari uwa mbere w'imihango yawe, uzakenera gukoresha uburyo bwo kuboneza urubyaro bwunganira mu minsi irindwi ya mbere.

Kurikiza urutonde rw'ibinini biri muri iyo paki neza. Amapaki menshi agira imyambi cyangwa imibare yerekana urukurikirane. Fata ikinini kimwe gikora buri munsi mu gihe cy'iminsi 21 cyangwa 24 (bitewe n'uburyo bwawe bwihariye), hanyuma ufate ibinini bitagira akamaro mu gihe ushobora kugira imivurungano isa n'imihango.

Niba uhinduye uburyo bwo kuboneza urubyaro bukoresha imisemburo, muganga wawe azaguha amabwiriza yihariye yerekeye igihe kugira ngo wemeze ko urinzwe buri gihe. Ntuzahagarike uburyo bwawe bwa none mbere yo gutangira ubushya keretse ubitegetswe gutyo.

Nagomba Kumara Igihe Kingana Iki Nyafata Drospirenone na Ethinyl Estradiol?

Ushobora gufata uyu muti mu buryo bwizewe igihe cyose ukeneye uburyo bwo kuboneza urubyaro cyangwa kuvurwa indwara zifitanye isano n'imisemburo, mugihe utagize ingaruka ziteye inkeke cyangwa ibituma utawufata. Abagore benshi bakoresha imiti iboneza urubyaro ikorwa mu misemburo imyaka myinshi nta kibazo.

Umuvuzi wawe ashobora kwifuza kukubona kenshi, akenshi buri mezi 6 kugeza kuri 12, kugirango akurikirane uko witwara ku muti kandi arebe niba hari ibibazo by'ubuzima bigaragara. Izo ngenzura ni ngombwa kugirango wemeze ko umuti ukomeza kuba mwiza kandi ukwiriye kuri wowe.

Niba ukoresha uyu muti ahanini mu kuvura ibiheri, ushobora kubona impinduka mu mezi 3 kugeza kuri 6, inyungu nyinshi zikagaragara nyuma y'amezi 6 kugeza kuri 12 ukoresha umuti buri gihe. Ku birebana no gukoresha imiti igenga imihango, inyungu zigaragara mu byumweru bike bya mbere.

Nta gihe ntarengwa cyo gufata uyu muti, ariko muganga wawe ashobora kugusaba guhagarika umuti mu gihe runaka cyangwa gusuzuma niba umaze kuwufata imyaka myinshi. Ibintu nk'imyaka, umuco wo kunywa itabi, no kugaragaza ibibazo bishya by'ubuzima bishobora kugira uruhare mu gihe bikwiriye kuri wowe.

Igihe witeguye guhagarika, haba kugirango ugerageze gusama cyangwa kubera izindi mpamvu, ushobora guhagarika igihe icyo aricyo cyose. Imizunguko yawe isanzwe isanzwe igaruka mu mezi make, nubwo abagore bamwe bashobora guhura n'ibitagenda neza by'agateganyo uko imibiri yabo yongera kwisanisha.

Ni izihe ngaruka ziterwa na Drospirenone na Ethinyl Estradiol?

Abagore benshi bakira neza uyu muti, ariko nk'uko bimeze ku miti yose iboneza urubyaro ikorwa mu misemburo, ishobora gutera ingaruka. Kumva ibyo byitezwe bishobora kugufasha kumva witeguye kandi ukamenya igihe wahamagara umuvuzi wawe.

Ingaruka zisanzwe zikunze kuba zoroshye kandi akenshi zigenda neza nyuma y'amezi make ya mbere uko umubiri wawe wimenyereza imisemburo. Ibi akenshi ntibisaba guhagarika umuti kandi bishobora gucungwa n'ingamba zoroheje.

Ingaruka zisanzwe ushobora guhura nazo zirimo:

• Uburwayi bwo kuruka, cyane cyane mu byumweru bya mbere utangiye gufata umuti
• Urubavu rw'amabere cyangwa kubyimba guto
• Umutwe, cyane cyane niba usanzwe ubana nawo
• Imyitwarire ihinduka, harimo kumva urushijeho kugira amarangamutima cyangwa kurakara
• Guhagarara imihango idasanzwe cyangwa gusa amaraso hagati y'imihango, cyane cyane mu mezi ya mbere
• Guhinduka kw'ibiro, nubwo kongera ibiro cyane bidakunze kubaho nk'uko abantu benshi babitekereza
• Guhinduka kw'irari ry'imibonano mpuzabitsina, rishobora kujya impande zombi

Ibi bikorwa bisanzwe bikunze kugabanuka uko umubiri wawe ukimenyereza impinduka za hormone. Abagore benshi basanga ibyiza nk'uruhu rwiza n'imihango isanzwe biruta izi mpinduka z'agateganyo.

Ingaruka zikomeye ni gake ariko zisaba ubuvuzi bwihutirwa. Kubera ko drospirenone ifite imitungo isa n'iy'umuti w'inkari, rimwe na rimwe irashobora kugira ingaruka ku rwego rwa potasiyumu yawe, nubwo ibi bidakunze kubaho ku bagore bafite ubuzima bwiza.

Shaka ubuvuzi bwihutirwa niba ubonye:

• Urubavu rukabije rw'ukuguru cyangwa kubyimba, bishobora kwerekana uruvu rw'amaraso
• Guhema nabi cyangwa kuribwa mu gituza
• Umutwe ukabije, cyane cyane niba utandukanye n'imitwe yawe isanzwe
• Guhinduka kw'imboni cyangwa kuribwa cyane mu maso
• Urubavu rukabije mu nda
• Ibimenyetso byo hejuru ya potasiyumu, nk'intege nke z'imitsi cyangwa umutima utera nabi

Izi ngaruka zikomeye ntizisanzwe, ariko kuzimenya bifasha gushaka ubuvuzi bukwiye vuba niba bibaye ngombwa. Umuganga wawe azaganira ku bintu by'umwihariko bigushyira mu kaga n'icyo ugomba kwitaho hashingiwe ku mateka yawe y'ubuzima.

Ninde utagomba gufata Drospirenone na Ethinyl Estradiol?

Uburwayi runaka n'ibintu bigushyira mu kaga bituma uyu muti utekanye cyangwa utabereye abagore bamwe. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima n'ubuzima bwawe ubu mbere yo kwandika uyu muti uvanga.

Ntabwo ugomba gufata uyu muti niba warigeze kugira amaraso yiziba, sitiroko, cyangwa umutima. Igice cya estrogen gishobora kongera ibyago byo guteza amaraso akomeye, cyane cyane mu mitsi yimbitse mu maguru yawe cyangwa mu muhaha.

Abagore bafite ubwoko runaka bwa kanseri bagomba kwirinda uyu muti. Niba ufite cyangwa waragize kanseri y'ibere, kanseri y'uruhu rw'inda, cyangwa izindi kanseri zifite aho zihurira n'imisemburo, imisemburo iri muri uyu muti ishobora gutera kanseri gukura.

Ibibazo by'umwijima nabyo bituma uyu muti utabereye. Umwijima wawe utunganya iyi misemburo, rero niba ufite indwara y'umwijima, cirrose, cyangwa ibibyimba by'umwijima, umubiri wawe ntushobora gukoresha umuti mu buryo bwizewe.

Ibindi bibazo bisanzwe bibuza ikoreshwa ryizewe birimo:

• Umubyibuho udakontrolwa
• Diyabete ifite ibibazo by'impyiko, amaso, cyangwa imitsi
• Indwara ikomeye y'impyiko cyangwa kunanirwa kw'impyiko
• Gusohoka amaraso mu gitsina bitumvikana
• Ubwo bwoko bw'umutwe w'umutwe, cyane cyane buri kumwe na aura
• Gutwita cyangwa guteganya gutwita

Imyaka n'imibereho nabyo bifite akamaro gakomeye. Niba urengeje imyaka 35 kandi unywa itabi, iyi mvange ntishobora kuba yizewe kuri wewe kubera ibyago byiyongera by'umutima. Muganga wawe azaganira ku zindi nzira zishobora kuba zikwiriye.

Imiti imwe n'imwe irashobora guhura n'iyi mvange, harimo imiti imwe ya antibiyotike, imiti irwanya imyungu, n'imiti ivura ibibazo byo gufatwa. Buri gihe menyesha umuganga wawe imiti yose, ibyongerera imbaraga, n'ibicuruzwa by'ibyatsi urimo gufata.

Amazina y'ubwoko bwa Drospirenone na Ethinyl Estradiol

Iyi mvange y'imisemburo iboneka munsi y'amazina menshi y'ubwoko, buri imwe ifite uburyo butandukanye cyangwa ibintu bitagira akamaro. Ubwoko buzwi cyane ni Yaz, ikubiyemo 3 mg ya drospirenone na 0.02 mg ya ethinyl estradiol.

Yasmin ni izina rindi rikoreshwa cyane rikoresha urugero ruto rwa estrogen (0.03 mg) hamwe na 3 mg ya drospirenone. Ubu buryo bukunda gukoreshwa ku bagore bakeneye ingaruka zikomeye za estrogen cyangwa bagira amaraso menshi hagati y'imihango bakoresheje ubundi buryo bufite urugero ruto.

Andi mazina y'ubucuruzi arimo Beyaz, yongeraho umuti wa folate ku buryo bwa mbere bwa Yaz, na Safyral, ihuza uburyo bwa Yasmin na folate. Ubu bwoko bugenewe abagore bashobora gutwita kandi bakungukirwa na aside ya folike yongerewe.

Ubwoko bwa rusange buraboneka kandi burimo ibintu bikora kimwe n'ubwoko bw'amazina y'ubucuruzi. Ibi mubisanzwe birahendutse kandi bikora neza cyane, nubwo abagore bamwe babona itandukaniro mu ngaruka ziterwa n'ibintu bitandukanye bitagira akamaro.

Ubwishingizi bwawe n'uburyo wabyakiriye ku buryo butandukanye bushobora kugira uruhare mu bwoko muganga wawe agushyiriraho. Ubwoko bwose bukora binyuze muri gahunda imwe kandi butanga imikorere isa yo kuboneza urubyaro.

Uburyo bwo gusimbura Drospirenone na Ethinyl Estradiol

Niba iyi mvange itagukwiriye, hari ubundi buryo bwinshi bwo kuboneza urubyaro bukora neza. Umuganga wawe ashobora kugufasha kubona ubundi buryo bukwiriye neza ubuzima bwawe, imibereho yawe, n'ibyo ukunda.

Ibindi binini byo kuboneza urubyaro bikoresha ubwoko butandukanye bwa progestin, nka norgestimate, levonorgestrel, cyangwa desogestrel. Ibi bishobora kuba uburyo bwiza niba ugira ingaruka ziterwa na drospirenone cyangwa ufite ibintu bigushyira mu kaga bituma iyi mvange idakwiriye.

Ibinini bya progestin gusa (akenshi byitwa mini-binini) ntibigira estrogen kandi bishobora gukwira niba udashobora gufata estrogen kubera ibyago byo gupfuka kw'amaraso, migraine, cyangwa ibindi bituma bitakwemerwa. Ibi bisaba igihe gihamye ariko bishobora gukora neza ku bagore benshi.

Uburyo bwo kuboneza urubyaro bw'igihe kirekire butagaruka butanga ubundi buryo bwiza butagomba gukurikiranwa buri munsi. IUD ikoresha imisemburo irekura imisemburo mito ya progestin mu mura wawe, naho IUD ikoresha umuringa itanga uburyo bwo kuboneza urubyaro butakoresha imisemburo mu gihe kingana n'imyaka 10.

Uburyo bundi bukoresha imisemburo burimo agapfuka gakoreshwa mu kuboneza urubyaro, impeta ikoreshwa mu gitsina cyangwa inshinge. Buri kimwe gifite inyungu n'ibibi bitandukanye bijyanye n'uburyo bworoshye, ingaruka ziterwa n'imiti, n'ubushobozi bwo gukora.

Uburyo butakoresha imisemburo nk'agakingirizo, diaphragm cyangwa agapfuka gakoreshwa ku ijosi ry'igitsina gore nabyo ni uburyo bushoboka, nubwo akenshi budakora neza nk'uburyo bukoresha imisemburo kandi bugomba gukoreshwa buri gihe cyose umuntu akoze imibonano mpuzabitsina.

Ese Drospirenone na Ethinyl Estradiol biruta ibindi binini bikoreshwa mu kuboneza urubyaro?

Niba uru ruhurirane "ruruta" biterwa rwose n'ibyo ukeneye, uko ubuzima bwawe bumeze, n'uko umubiri wawe witwara ku misemburo itandukanye. Nta buryo bumwe bwo kuboneza urubyaro buruta ubundi kuri buri wese.

Uru ruhurirane rufite inyungu zidasanzwe ugereranije n'ibindi binini. Imikorere ya anti-androgen ya drospirenone ituma ifitiye akamaro abagore bahanganye n'ibibazo by'imitsi iterwa n'imisemburo cyangwa imisatsi myinshi. Abagore benshi babona impinduka zigaragara ku ruhu zitabonwa n'izindi formulations.

Ingaruka zisa n'izikoreshwa mu kuvura indwara zifata imyanya y'ubuhumekero zirashobora gufasha niba ufite ibibazo byo kubyimba cyangwa kubika amazi bikabije ukoresheje ubundi buryo bwo kuboneza urubyaro. Abagore bamwe basanga bumva batabyimba kandi bameze neza bakoresheje uru ruhurirane rwa kabiri.

Ariko, izo ngaruka zishobora no kuba imbogamizi ku bagore bamwe. Ingaruka ku rwego rwa potasiyumu, nubwo bidakunze kubaho, bisaba gukurikiranwa neza kurusha ibindi binini bikoreshwa mu kuboneza urubyaro. Abagore bamwe kandi bahura n'impinduka nyinshi z'amarangamutima bakoresheje uru ruhurirane.

Mu bijyanye no gukumira inda, ubu buryo bukorana neza nk'ibindi binini bigezweho byo kuboneza urubyaro iyo bifashwe neza. Guhitamo hagati y'uburyo butandukanye biterwa n'uko wihanganira ingaruka zabyo ndetse n'uko ubona inyungu zindi ku zindi ndwara.

Ushobora gufashwa n'umuganga wawe mu gupima ibyiza n'ibibi bitewe n'amateka yawe y'ubuzima, ibimenyetso ufite ubu, n'ibyo ukunda. Ibyo bikorera inshuti yawe cyangwa umuryango wawe ntibishobora kuba ari byo byiza kuri wowe.

Ibibazo Bikunze Kubazwa Kuri Drospirenone na Ethinyl Estradiol

Ese Drospirenone na Ethinyl Estradiol birakwiriye ku bagore bafite PCOS?

Ubu buryo bushobora kuba bwiza ku bagore benshi bafite PCOS (polycystic ovary syndrome). Imikorere ya anti-androgen ya drospirenone ifasha guhangana n'imisemburo y'abagabo yiyongera cyane isanzwe muri PCOS, ishobora kunoza ibimenyetso nk'imivumbi, imisatsi yiyongera cyane, n'imihango idahoraho.

Ariko, abagore bafite PCOS bakunze kugira izindi ndwara nko kurwanya insuline cyangwa umuvuduko ukabije w'amaraso bigomba kwitabwaho. Muganga wawe azasuzuma ishusho yose y'ubuzima bwawe, harimo uburemere bwawe, umuvuduko w'amaraso, n'ibibazo bya diyabete, mbere yo kumenya niba uyu muti ukwiriye kuri wowe.

Nigira iki niba mfashe Drospirenone na Ethinyl Estradiol nyinshi ku buryo butunganye?

Niba ufata ibinini byinshi kuruta kimwe ku munsi ku buryo butunganye, ntugire ubwoba. Gufata ikinini kimwe cyangwa bibiri byongereyeho ntibishobora gutera ingaruka zikomeye, nubwo ushobora kugira isesemi, kuruka, cyangwa kuva amaraso bidahoraho.

Vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya uburozi kugira ngo bagufashe, cyane cyane niba wafashe ibinini byinshi byongereyeho. Bashobora kukugira inama ku byo witegura kandi niba ukeneye ubufasha bw'ubuvuzi. Komeza gufata ibinini byawe bisanzwe nk'uko byateganyijwe keretse niba byategetswe ukundi.

Nigira iki niba nirengagije urugero rwa Drospirenone na Ethinyl Estradiol?

Niba wibagiwe urugemwe rumwe rukora, rufate ako kanya wibukiye, kabone n'iyo byasaba gufata utugemwe tubiri ku munsi umwe. Ntabwo ukeneye uburyo bwo kuboneza urubyaro bwunganira niba utinze amasaha atarenze 24.

Niba wibagiwe utugemwe tubiri dukurikirana dukora, fata utugemwe tubiri uyu munsi n'utugemwe tubiri ejo, hanyuma ukomeze gahunda yawe isanzwe. Koresha uburyo bwo kuboneza urubyaro bwunganira mu minsi irindwi iri imbere. Niba wibagiwe utugemwe dutatu cyangwa byinshi, tekereza gutangira ipaki nshya kandi ukoreshe uburyo bwo kuboneza urubyaro bwunganira mu cyumweru cya mbere.

Ni ryari nshobora kureka gufata Drospirenone na Ethinyl Estradiol?

Ushobora kureka gufata uyu muti igihe icyo aricyo cyose, ariko ni byiza kurangiza ipaki yawe iriho kugira ngo wirinde kuva amaraso mu buryo butunganye. Niba ureka kugira ngo ugerageze gusama, ushobora gutangira kugerageza ako kanya, kuko ubushobozi bwo kubyara busanzwe busubira vuba nyuma yo guhagarika.

Niba ureka kubera ingaruka ziterwa n'uyu muti cyangwa izindi mpamvu, ganira n'umuganga wawe. Bashobora kwifuza kugukurikirana mu gihe cy'inzibacyuho cyangwa kugufasha gutangira uburyo bundi mbere yo guhagarika ubu.

Nshobora gufata Drospirenone na Ethinyl Estradiol nkamara konsa?

Ubu buryo bukunze kutagirwa inama mu gihe cyo konsa, cyane cyane mu mezi atandatu ya mbere. Igice cya estrogen gishobora kugabanya umusaruro w'amata kandi gishobora kujya mu mata mu bwinshi buto.

Niba uri konsa kandi ukeneye uburyo bwo kuboneza urubyaro, muganga wawe ashobora gushyira mu gaciro uburyo bwa progestin gusa butekanye mu gihe cyo konsa. Iyo utakiri konsa cyangwa umusaruro w'amata yawe wamaze gushimangirwa, ushobora kuganira niba ubu buryo bushobora kuba bukwiye kuri wowe.