Ni iki Ibinini byo Kuboneza Urubyaro bikoresha Estrogen na Progestin: Ibikoreshwa, Uburyo Bifatwa, Ingaruka Ziterwa n'ibindi

Ibinini byo kuboneza urubyaro bikoresha Estrogen na progestin ni ibinini byo kuboneza urubyaro bikubiyemo imisemburo ibiri ya gihanga yagenewe gukumira inda. Ibi binini bifatanya bikora bigana imisemburo kamere y'umubiri wawe kugira ngo bihagarike imbyaro kandi bikore inzitizi zinyongera zo gutwita. Ni bumwe mu buryo bukoreshwa cyane kandi bugira akamaro bwo kuboneza urubyaro bugaruka, bwizewe n'abagore babarirwa muri za miriyoni ku isi hose mu myaka myinshi.

Ni iki Ibinini byo Kuboneza Urubyaro bikoresha Estrogen na Progestin?

Ibi ni ibinini bifatwa buri munsi bihuza ubwoko bwa estrogen na progestin, ubwoko bwa progesterone bukorerwa muri laboratwari. Igice cya estrogen akenshi ni ethinyl estradiol, mugihe progestin ishobora kuba imwe mu bwoko butandukanye nka norethindrone, levonorgestrel, cyangwa drospirenone.

Ibinini byinshi bifatanya biza mu bipaki byiminsi 21 cyangwa iminsi 28. Ibyo bipaki byiminsi 21 bikubiyemo ibinini bifite imisemburo ikora, bikurikirwa n'ikiruhuko cyiminsi 7 aho utafata ibinini. Ibyo bipaki byiminsi 28 bikubiyemo ibinini 21 bikora hamwe n'ibinini 7 bitagira akamaro byo "kwibutsa", bityo ufata ikinini kimwe buri munsi nta kiruhuko.

Ibi binini bitandukanye n'ibinini bikoresha progestin gusa kuko bikubiyemo imisemburo yombi. Ubu buryo bwo guhuza bukunze kugira akamaro mu gukumira inda kandi akenshi butanga imihango iteganywa.

Ibinini byo Kuboneza Urubyaro bikoresha Estrogen na Progestin bikoreshwa kubera iki?

Igikoreshwa cyambere ni ugukumira inda, kandi bigira akamaro nka 91% mugihe bikoreshwa bisanzwe, cyangwa birenga 99% mugihe bikoreshwa neza. Usibye kuboneza urubyaro, abaganga bakunze kwandika ibi binini kubera izindi nyungu nyinshi z'ubuzima.

Bishobora gufasha gukosora imihango idasanzwe, bigatuma imihango iteganywa kandi akenshi ikaba mito. Abagore benshi basanga kuribwa mu gihe cy'imihango bigabanuka, kandi bamwe bagira imihango migufi muri rusange.

Izi pilisi zandikwa kandi mu kuvura ibibazo by'uruhu, cyane cyane ku bagore bafite ibibazo by'uruhu bifitanye isano n'imihindagurikire y'imisemburo. Igice cya estrogen gishobora gufasha kugabanya umubumbe w'amavuta y'uruhu, bigatuma uruhu rugaragara neza uko igihe kigenda.

Abagore bamwe bazikoresha mu gucunga ibimenyetso bya polycystic ovary syndrome (PCOS), harimo imihango idasanzwe no gukura umusatsi cyane. Izi pilisi zishobora kandi kugabanya ibyago byo kurwara kanseri y'intanga ngore na kanseri y'uruhu rw'igitsina cy'umugore iyo zikoreshwa igihe kirekire.

Ni gute imiti yo kuboneza urubyaro ikora ikoresha estrogen na progestin?

Izi pilisi zikora zikoresheje uburyo butatu bwo gukumira inda. Uburyo bw'ibanze ni uguhagarika urugimbu, bivuze ko intanga ngore zawe zitarekura igi buri kwezi.

Imisemburo ya sintetike itegeka ubwonko bwawe guhagarika gukora imisemburo karemano itera urugimbu. Hatabayeho kurekurwa kw'igi, ifumbatiza ntishobora kubaho, ibi bikaba ari uburyo bw'ingenzi bwo gukumira inda.

Nk'uburyo bwo kwifashisha, izi pilisi zongera ubukana bw'igikororwa cyo mu kiziba cy'inda, bigatuma intanga ngabo zigira ingorane zo kunyura mu kiziba cy'inda kugira ngo zigere ku gi icyo aricyo cyose gishobora kurekurwa. Ibi bituma habaho inzitizi yiyongera ku ifumbatiza.

Uburyo bwa gatatu bukubiyemo kunanura uruhu rw'inda, bishobora gutuma bidashoboka ko igi ryatewe ifumbire ryashobora kwimuka. Ariko, ibi bifatwa nk'ingaruka ya kabiri kuko intego y'ibanze ari ugukumira urugimbu mbere na mbere.

Nkwiriye gufata gute imiti yo kuboneza urubyaro ikoresha estrogen na progestin?

Ugomba gufata pilisi imwe ku gihe kimwe buri munsi, bitewe niba uri gukora imibonano mpuzabitsina cyangwa utabikora. Guhora ufata ku gihe kimwe bifasha gukomeza urwego rw'imisemburo kandi bikongera imikorere.

Urashobora gufata izi pilisi hamwe n'ibiryo cyangwa utabifite, nubwo kuzifata hamwe n'ibiryo cyangwa mbere yo kuryama bishobora gufasha niba wumva uruka. Abagore bamwe basanga kuzifata nimugoroba bigabanya ibibazo byose byo mu nda bashobora kumva.

Niba utangiye ipaki nshya, tangira ku munsi wa mbere w'imihango yawe kugira ngo wirinde ako kanya, cyangwa tangira ku cyumweru cya mbere nyuma y'uko imihango yawe itangiye. Niba utangira ku cyumweru, uzakenera uburyo bwo kwirinda bwunganira mu minsi 7 ya mbere.

Shyiraho urwibutso rwa buri munsi kuri terefone yawe cyangwa ubike imiti yawe ahantu uzayibona buri munsi. Gucikanwa n'imiti, cyane cyane mu cyumweru cya mbere cy'ipaki nshya, bishobora kugabanya imikorere no kongera ibyago byo gutwita.

Nzagomba kumara igihe kingana iki mfata imiti yo kuboneza urubyaro irimo estrogen na progestin?

Urashobora gufata imiti yo kuboneza urubyaro irimo estrogen na progestin mu gihe cyose ukeneye kuboneza urubyaro kandi udafite impamvu z'ubuvuzi zo guhagarara. Abagore benshi bayikoresha imyaka myinshi cyangwa ndetse n'imyaka mirongo itagira ibibazo.

Muganga wawe azasaba isuzuma rya buri mwaka kugira ngo akurikirane ubuzima bwawe kandi yemeze ko imiti igikwiriye kuri wowe. Bazagenzura umuvuduko w'amaraso yawe, baganire ku ngaruka zose, kandi basuzume uko ubuzima bwawe muri rusange buhagaze.

Niba uteganya gutwita, urashobora guhagarika gufata imiti igihe icyo aricyo cyose. Ubusanzwe ubushobozi bwawe bwo kubyara busubira mu buryo busanzwe mu mezi 1-3 nyuma yo guhagarika, nubwo abagore bamwe batwita ako kanya nyuma yo guhagarika imiti.

Uko ushaje, cyane cyane nyuma y'imyaka 35, muganga wawe ashobora kuganira niba imiti ihuriweho ikigukwiriye, cyane cyane niba ufite ibintu byongera ibyago nk'itabi cyangwa umuvuduko w'amaraso uri hejuru.

Ni izihe ngaruka ziterwa n'imiti yo kuboneza urubyaro irimo estrogen na progestin?

Abagore benshi bafata neza imiti yo kuboneza urubyaro irimo estrogen na progestin, ariko bamwe bahura n'ingaruka, cyane cyane mu mezi make ya mbere umubiri wawe ukimenyereza imisemburo.

Dore ingaruka zisanzwe ushobora guhura nazo uko umubiri wawe wimenyereza urwego rushya rw'imisemburo:

• Uburibwe cyangwa kubyimba kw'amabere
• Urugimbu ruto, cyane cyane mu byumweru bya mbere
• Umutwe cyangwa guhinduka kw'imiterere y'umutwe
• Guhinduka kw'amarangamutima cyangwa kumva urushijeho kwigunga
• Gusama hagati y'imihango, cyane cyane mu mezi 3 ya mbere
• Guhinduka kw'ibiro, nubwo kongera ibiro cyane bidakunze kubaho
• Kugabanuka kw'irari ry'imibonano mpuzabitsina ku bagore bamwe

Ibi bimenyetso akenshi biragenda bikemuka nyuma y'amezi 2-3 yo kubikoresha uko umubiri wawe wimenyereza. Niba bikomeje cyangwa bikiyongera, ganira n'umuganga wawe ku bijyanye no guhindura imiti.

Nubwo bidakunze kubaho, abagore bamwe bahura n'ingaruka zikomeye zisaba ubufasha bw'abaganga. Izi ngaruka zitabaho kenshi ariko z'ingenzi zirimo amaraso avunda, sitiroki, umutima ufata, ibibazo by'umwijima, n'indwara y'urwagashya.

Vugana n'umuganga wawe ako kanya niba wumva uburibwe bukomeye mu nda, uburibwe mu gituza, umutwe ukabije, guhinduka kw'imibonano, cyangwa uburibwe bukomeye mu kuguru no kubyimba. Ibi bishobora kuba ibimenyetso by'ibibazo bikomeye bisaba isuzuma ryihutirwa ry'abaganga.

Ninde utagomba gufata imiti yo kuboneza urubyaro irimo estrogen na progestin?

Uburwayi runaka butuma ibinini byo kuboneza urubyaro bitaba byiza, ahanini bitewe n'uko byongera ibyago byo kuvunda kw'amaraso n'ibibazo by'umutima n'imitsi.

Ntabwo ukwiye gukoresha ibi binini niba ufite amateka y'amaraso avunda, sitiroki, umutima ufata, cyangwa indwara zimwe na zimwe z'umutima. Abagore bafite umuvuduko w'amaraso udakira cyangwa umutwe w'umutwe ufite aura nabo bahura n'ibyago byiyongereye.

Niba urengeje imyaka 35 kandi unywa itabi, ibinini bifatanye bikongera cyane ibyago byo guhura n'ibibazo bikomeye by'umutima n'imitsi. Umuganga wawe ashobora gusaba uburyo bwo kuboneza urubyaro butarimo estrogen.

Abagore bafite indwara zimwe na zimwe z'umwijima, kuva amaraso mu gitsina kitazwi, cyangwa kanseri y'ibere izwi cyangwa ikekwaho bagomba kwirinda ibinini bifatanye. Niba ufite diyabete ifite ibibazo bigira ingaruka ku miyoboro y'amaraso yawe, ibi binini ntibishobora kuba bikwiriye.

Ikindi kandi, niba uri konsa kandi utarageza ibyumweru 6 umaze kubyara, estrojeni ishobora kugira ingaruka ku mikorere y'amata. Muganga wawe ashobora kugusaba gutegereza cyangwa guhitamo umuti urimo porogestini gusa.

Amazina y'ubwoko bw'imiti yo mu kanwa irimo estrojeni na porogestini

Ubwoko bwinshi butandukanye bw'ibinini byo kuboneza urubyaro biraboneka, buri kimwe gifite imisemburo itandukanye gato n'inzira zo kuyifata.

Ubwoko buzwi cyane burimo Ortho Tri-Cyclen, Yaz, Yasmin, Lo/Ovral, Seasonale, na Alesse. Bimwe ni monophasic, bisobanura ko buri kinini gikora kigizwe n'imisemburo imwe, mu gihe ibindi ari multiphasic bifite urwego rutandukanye rw'imisemburo mu gihe cyose cy'imihango.

Ubwoko rusange buraboneka cyane kandi bukora neza nk'ibinini by'amazina y'ubwoko. Ubuvuzi bwawe bushobora kwishyura ibisubizo rusange ku giciro gito, bikabigira amahitamo akwiriye ku bagore benshi.

Umuvuzi wawe azagufasha guhitamo uburyo bwiza bushingiye ku mateka yawe y'ubuzima, ingaruka zose ubona, n'ibyo ukunda ku bijyanye n'uburebure bw'imihango n'urwego rw'imisemburo.

Uburyo bwo kuboneza urubyaro bwa estrojeni na porogestini

Niba ibinini bifatanye bitagukwiriye, uburyo butandukanye bwo kuboneza urubyaro butanga uburyo bwo kwirinda inda neza hamwe n'inyungu zitandukanye n'ibitekerezo.

Ibinini birimo porogestini gusa, byitwa kandi mini-ibinini, birimo gusa porogesterone ya sintetike nta estrojeni. Ibi bikunze gukwira abagore batashobora gufata estrojeni kubera indwara cyangwa konsa.

Uburyo bwo kuboneza urubyaro burambye burimo ibikoresho byo mu nda (IUDs) n'ibihingwa. Ubu buryo butanga umutekano w'imyaka myinshi hamwe n'imikorere mito ya buri munsi kandi birashobora kuba byiza cyane ku bagore bahanganye no gufata ibinini buri munsi.

Uburyo bwo kwirinda nk'agakingirizo, diyagarame, na cap ya serivike bitanga amahitamo adafite imisemburo, nubwo bisaba gukoreshwa buri gihe mu gihe cyose cy'imibonano mpuzabitsina. Ubu buryo kandi butanga umutekano ku ndwara zandurira mu mibonano mpuzabitsina.

Utuntu twa hormone, impeta, n'inkingo bitanga imiti ya hormone isa ariko mu buryo butandukanye bwo kuyitanga, abagore bamwe basanga byoroshye kurusha ibinini bya buri munsi.

Ese imiti yo kuboneza urubyaro irimo estrogen na progestin iruta ibinini birimo progestin gusa?

Ubwoko bwombi bw'ibinini bufite akamaro kanini mu gukumira inda, ariko ibinini bivanzemo bitanga inyungu zimwe na zimwe mu bijyanye no kugenzura imihango no kunguka ku buzima.

Ibinini bivanzemo akenshi bitanga imihango iteganywa neza hamwe n'imihango yoroheje kandi ngufi. Zifite kandi akamaro mu kuvura ibiheri kandi zishobora gutanga ubufasha kuva amaraso menshi mu gihe cy'imihango.

Ariko, ibinini birimo progestin gusa bifitiye umutekano abagore bafite indwara zimwe na zimwe, harimo n'abatafata estrogen. Zikoreshwa cyane kandi ku bagore bonsa kuko zitagira ingaruka ku mikorere y'amata.

Ibinini birimo progestin gusa bisaba igihe giteganywa neza, bikaba ngombwa ko bifatwa mu isaha imwe mu masaha atatu buri munsi. Ibinini bivanzemo bitanga umwanya wo gufata neza mu masaha 12 kuri formula nyinshi.

Umuvuzi wawe azagufasha gupima ibi bintu bitewe n'amateka yawe y'ubuzima, imibereho yawe, n'ibyo ukunda kugira ngo umenye uburyo bukugirira akamaro.

Ibikunze kubazwa ku miti yo kuboneza urubyaro irimo estrogen na progestin

Ese imiti yo kuboneza urubyaro irimo estrogen na progestin ifitiye umutekano abagore barwaye diyabete?

Abagore barwaye diyabete igenda neza nta ngorane bashobora gukoresha ibinini bivanzemo byo kuboneza urubyaro. Ariko, muganga wawe azagomba kugukurikiranira hafi kuko izi hormone zishobora kugira ingaruka nto ku isukari yo mu maraso.

Niba ufite ingorane zatewe na diyabete zigira ingaruka ku miyoboro yawe y'amaraso, umutima, impyiko, cyangwa amaso, ibinini bivanzemo bishobora kongera ibyago byawe by'ibibazo by'umutima. Muri ibyo bihe, muganga wawe ashobora kugusaba uburyo burimo progestin gusa cyangwa ubundi buryo butarimo hormone.

Kugenzura buri gihe isukari yo mu maraso yawe, umuvuduko w'amaraso, n'ubuzima bwawe muri rusange ni ingenzi iyo ukoresha uburyo ubwo aribwo bwose bwo kuboneza urubyaro bufite imisemburo hamwe na diyabete. Itsinda ry'abaganga bakuvura rishobora kugufasha gucunga ibibazo byombi neza.

Nkwiriye gukora iki niba nanyweye imiti myinshi ya estrogen na progestin yo kuboneza urubyaro?

Kunywa imiti myinshi mu buryo butunganye ntibishoboka ko byateza ibibazo bikomeye, ariko ushobora kugira isesemi nyinshi, kubabara amabere, cyangwa kuva amaraso bidahagarara. Ntukagerageze kwisuka, kuko ibyo ntibizafasha kandi bishobora gutera ibindi bibazo.

Vugana n'umuganga wawe cyangwa ikigo gishinzwe gukumira uburozi kugira ngo baguhe ubujyanama, cyane cyane niba wanyoye imiti myinshi. Bashobora kukugira inama y'ibyo witegura kandi niba ukeneye ubufasha bw'ubuvuzi.

Komeza kunywa imiti yawe isanzwe nk'uko byateganyijwe keretse muganga wawe akubwiye ibitandukanye. Kunywa imiti myinshi ntibitanga uburinzi bwiyongera ku nda kandi bishobora kongera ingaruka ziterwa n'iyo miti.

Nkwiriye gukora iki niba nirengagije kunywa umuti wa estrogen na progestin wo kuboneza urubyaro?

Niba wibagiwe kunywa umuti umwe, nywa ako kanya wibukiye, kabone niyo byasaba kunywa imiti ibiri ku munsi umwe. Ntukenera uburyo bwo kuboneza urubyaro bwunganira, kandi uburinzi bwawe burakora.

Niba wibagiwe kunywa imiti ibiri ikurikirana mu byumweru bibiri bya mbere, nywa imiti ibiri mu minsi ibiri ikurikira, hanyuma ukomeze gahunda yawe isanzwe. Koresha uburyo bwo kuboneza urubyaro bwunganira mu minsi 7 ikurikira kuko uburinzi bwawe bushobora kugabanuka.

Kwibagirwa kunywa imiti ibiri mu cyumweru cya gatatu cyangwa kwibagirwa kunywa imiti itatu cyangwa irenga igihe icyo aricyo cyose bisaba gucunga neza. Vugana n'umuganga wawe kugira ngo aguhe ubujyanama bwihariye, kuko ushobora gukenera gutangira ipaki nshya kandi ugakoresha uburyo bwo kuboneza urubyaro bwunganira.

Nshobora kureka kunywa imiti ya estrogen na progestin yo kuboneza urubyaro ryari?

Urashobora guhagarika gufata ibinini bigabanya urubyaro igihe icyo aricyo cyose, ariko ni byiza kurangiza urupapuro rwawe rwa none kugirango wirinde kuva amaraso bidahagarara. Ntabwo ukeneye kugabanya urugero buhoro buhoro kuko umubiri wawe uzahinduka mu buryo busanzwe ku mpinduka za hormone.

Niba uhagarika kugirango utwite, urashobora gutangira kugerageza gusama ako kanya. Uburumbuke bwawe busanzwe bugaruka mu mezi 1-3, nubwo abagore bamwe basama ako kanya.

Niba uhindurira ku bundi buryo bwo kuboneza urubyaro, ganira n'umuganga wawe kugirango umenye igihe cyo kubikora kugirango wirinde gutwita. Uburyo bumwe busaba gukoresha ibintu byinshi icyarimwe kugirango bigende neza.

Nshobora gufata imiti igizwe na Estrogen na Progestin mu gihe ndimo konsa?

Ibinini bigabanya urubyaro bikoreshwa mu buryo buhuriweho muri rusange ntibigirwa inama mu mezi 6 ya mbere yo konsa kuko estrogen ishobora kugabanya umukamo. Ibi bishobora kugira ingaruka ku mirire y'umwana wawe no ku buryo konsa kwawe kugenda neza.

Nyuma y'amezi 6, iyo umukamo wawe umaze gushyirwaho neza kandi umwana wawe arimo kurya ibiryo bikomeye, ibinini bihuriza hamwe bishobora kuba igisubizo. Ariko, abaganga benshi bakunda uburyo bwa progestin gusa mu gihe cyo konsa.

Ganira na muganga wawe ku bijyanye n'uburyo bwiza bwo kuboneza urubyaro mu gihe urimo konsa. Bashobora kugufasha guhitamo uburyo burinda gutwita hatabangamiye ubushobozi bwawe bwo konsa umwana wawe.