Ibiyobyabwenge bya estrogen na progestin binyobwa (inzira yo mu kanwa)
Amoko ahari
Ibyerekeye uyu muti
Ibiyobyabwenge binyobwa (Oral contraceptives) bizwi kandi nka “The Pill”, OCs, BCs, inkingi za BC, cyangwa imiti ibuza gutwita. Uyu muti ubusanzwe ugizwe n’imiti ibiri itandukanye, estrogen na progestin, kandi iyo ukoreshejwe neza, ibuza gutwita. Ikora mu kuburiza intanga y’umugore gutera imbere neza buri kwezi. Intanga ntishobora kwakira intanga ngabo, bityo gutwita bikumirwa. Nubwo imiti ibuza gutwita ifite izindi ngaruka zifasha mu kwirinda gutwita, iyi ni yo ngaruka nyamukuru. Rimwe na rimwe intanga y’umugore ishobora gutera imbere nubwo umuti unyobwa buri munsi, cyane cyane iyo hashize amasaha arenga 24 hagati y’umunsi umwe n’undi. Mu gihe hafi cyose umuti wafashwe neza kandi intanga itera imbere, gutwita bishobora guhagarikwa n’imiti ibuza gutwita. Ibi biterwa n’uko imiti ibuza gutwita kandi ikora ku mubyimba w’inkondo y’umura, ikaba ikomeza. Ibi bituma bigorana ko intanga ngabo z’umugabo zigera ku ntanga. Byongeye kandi, imiti ibuza gutwita ihindura akayunguruzo k’umura ku buryo intanga itahagarara mu mura ngo itere imbere. Izi ngaruka zose zituma bigorana gutwita iyo ukoresha imiti ibuza gutwita neza. Nta buryo bwo kwirinda gutwita bufite ingaruka 100%. Ubushakashatsi bwerekana ko abagore bake cyane muri 100 bakoresha imiti ibuza gutwita neza batwita mu mwaka wa mbere bayikoresha. Uburyo bwo kwirinda gutwita nko kubagwa kugira ngo utabona abana cyangwa kudakora imibonano mpuzabitsina ni bwo bugira ingaruka kurushaho. Gukoresha agakingirizo, diafragme, imiti ibuza gutwita igizwe na progestin gusa, cyangwa spermicides ntibyagira ingaruka nk’iz’imiti ibuza gutwita irimo estrogen na progestin. Muganire n’abaganga bawe ku bijyanye no kwirinda gutwita. Umukoreshezi wa triphasic cycle wa norgestimate na ethinyl estradiol (izina ry’ubucuruzi Ortho Tri-Cyclen) na norethindrone acetate na ethinyl estradiol (izina ry’ubucuruzi Estrostep) bishobora gukoreshwa mu kuvura uburwayi bwo mu maso bworoshye gusa niba umurwayi afite nibura imyaka 15, afite uburwayi bwo mu maso butaravuwe neza n’imiti yo kwisiga, yemerewe na muganga we, yatangiye kugira imihango, ashaka imiti ibuza gutwita yo kwirinda gutwita, kandi ateganya kuyikoresha nibura amezi 6. Rimwe na rimwe iyi miti ishobora gukoreshwa mu bindi bibazo nk’uko muganga wawe abyemeje. Imiti ibuza gutwita iboneka gusa ku rupapuro rw’umuganga. Menya neza ko umuganga wawe azi niba uri ku mirire yihariye, nko kurya ibiryo bike by’umunyu cyangwa isukari.
Mbere yo gukoresha uyu muti
Mubwire muganga wawe niba wigeze ugira uburwayi butasanzwe cyangwa imitego mibi ku miti iri muri uyu muryango cyangwa indi miti. Nanone, mubwire umuganga wawe niba ufite izindi mico y'uburwayi, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa na muganga, soma neza ibyanditse ku kinyabiziga cyangwa ibintu birimo. Iyi miti ikoreshwa cyane mu gukumira gutwita mu bakobwa bakiri bato kandi ntabwo byagaragaye ko itera ingaruka mbi cyangwa ibibazo bitandukanye n'ibyo itera mu bakuru. Bamwe mu bangavu bashobora kuba bakeneye amakuru yongeyeho ku kamaro ko gufata iyi miti uko yategetswe. Imiti igabanya imbyaro ikoreshwa mu kanwa ntiyemewe gukoreshwa mu gihe cyo gutwita kandi igomba guhagarikwa niba utwite cyangwa utekereza ko utwite. Iyo imiti igabanya imbyaro ikoreshwa mu kanwa yafashwe nabi mu ntangiriro y'inda, ibibazo mu gihe cyo gutwita ntibyabayeho. Abagore batanywa amata y'ibere bashobora gutangira gufata imiti igabanya imbyaro nyuma y'ibyumweru bibiri babyaye. Imiti igabanya imbyaro ikoreshwa mu kanwa ijya mu mata y'ibere kandi ishobora guhindura ibintu cyangwa kugabanya umubare w'amata y'ibere. Nanone, ishobora kugabanya ubushobozi bw'umugore bwo konsa igihe kingana n'ukwezi kumwe, cyane cyane iyo nyina atanywa amata y'ibere. Kubera ko umubare wa hormone ari muke cyane mu miti igabanya imbyaro ifite doze nke, muganga wawe ashobora kugutuma utangira gukoresha imiti igabanya imbyaro nyuma yo konsa igihe runaka. Ariko rero, bishobora kuba ngombwa gukoresha ubundi buryo bwo gukumira gutwita cyangwa guhagarika konsa mugihe ufata imiti igabanya imbyaro. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho ishobora kubaho. Muri ubwo buryo, muganga wawe ashobora gushaka guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Mubwire umuganga wawe niba ufashe indi miti yanditswe na muganga cyangwa itanditswe na muganga (over-the-counter [OTC]). Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya imirire imwe n'imwe kuko ishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe nabyo bishobora gutera ishobora kubaho. Muganire n'umuganga wawe ku gukoresha imiti yawe hamwe n'ibiribwa, inzoga, cyangwa itabi. Kubaho kw'ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'imiti muri uyu muryango. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane:
Uburyo bwo gukoresha uyu muti
Kugira ngo ikoreshwa ry'imiti igabanya imbyaro ifatwa mu kanwa rikore neza kandi ryizerwe, ugomba gusobanukirwa uko uyifata nigihe uyifata ndetse n'ingaruka zishobora kubaho. Inyandiko iriho amakuru y'umurwayi izakugererwa hamwe n'imiti yawe yuzuye, kandi izatanga amakuru menshi yerekeye ikoreshwa ry'imiti igabanya imbyaro. Soma iyi nyandiko witonze kandi ubaze umuganga wawe niba ukeneye amakuru y'inyongera cyangwa ibisobanuro. Fata iyi miti ufite ibiryo kugira ngo wirinde isereri ishobora kubaho mu byumweru bike byambere. Iseseri isanzwe irahita ihagarara iyo ukomeje kuyifata cyangwa iyo iyi miti ifatwa nijoro. Iyo utangiye gukoresha imiti igabanya imbyaro, umubiri wawe ukeneye iminsi nibura irindwi kugira ngo wiyitegure mbere y'uko gutwita birindwa. Ugomba gukoresha ubundi buryo bwo kuboneza urubyaro byibuze iminsi irindwi. Bamwe mu baganga bagira inama yo gukoresha ubundi buryo bwo kuboneza urubyaro mu gihe cy'ukwezi kwa mbere (cyangwa ibyumweru 3) kugira ngo habeho uburinzi buhagije. Kurikiza inama y'umuganga wawe cyangwa undi wita ku buzima. Gerageza gufata imiti idasaga amasaha 24 kugira ngo ugabanye ibyago by'ingaruka mbi no gukumira gutwita. Kubera ko kimwe mu bintu by'ingenzi mu ikoreshwa ryiza ry'imiti igabanya imbyaro ari ugufata buri doze ukurikije gahunda, ntugomba na rimwe kureka imiti yawe ikarangira. Iyo bishoboka, gerageza kugira imiti yo mu kwezi kurushaho, hanyuma uyisimbuze buri kwezi. Ni ngombwa cyane ko ubitse imiti mu gikombe cyayo cyambere kandi ufate imiti ukurikije uko igaragara muri icyo gikombe. Ibyo bikombe bigufasha gukurikirana imiti ugomba gufata ikurikira. Imiti itandukanye ibara rimwe mu gikombe kimwe irimo ubwinshi butandukanye bw'imisemburo cyangwa ni placebo (imiti idafite imisemburo). Ingaruka y'imiti igabanuka iyo imiti ifatwa nabi. Niba ufata imwe mu miti y'amazina y'ubucuruzi, Estrostep Fe cyangwa Loestrin Fe, buri kimwe mu bibumbano birindwi byanyuma uzafata ku minsi ya 21 kugeza ku ya 28 y'ukwezi kwawe kirimo ibyuma. Ibi bibumbano bifite ibara ritandukanye n'ibindi bibumbano biri mu gikombe cyawe. Bifasha gusubiza bimwe mu byuma utakaza iyo ufite imihango. Igipimo cy'imiti muri iyi bwoko kizaba kitandukanye ku barwayi batandukanye. Kurikiza amabwiriza y'umuganga wawe cyangwa amabwiriza ari ku kinywano. Amakuru akurikira arimo gusa ibipimo by'imiti. Niba igipimo cyawe kitandukanye, ntukigireho impinduka keretse umuganga wawe akubwiye kubikora. Ubwinshi bw'imiti ufata biterwa n'imbaraga z'imiti. Nanone, umubare w'ibipimo ufata buri munsi, igihe gihabwa hagati y'ibipimo, n'igihe ufata imiti biterwa n'ikibazo cy'ubuzima urimo gukoresha imiti. Hamagara umuganga wawe cyangwa umuganga w'imiti kugira ngo abiguhe amabwiriza. Kurikiza amabwiriza y'umuganga wawe cyangwa amabwiriza ari ku kinywano niba ubuze igipimo cy'iyi miti. Amakuru akurikira arimo uburyo bumwe gusa bwo gufata imiti yabuze. Umuganga wawe ashobora gushaka ko uhagarika gufata imiti kandi ukore ubundi buryo bwo kuboneza urubyaro mu kwezi kose kugeza ubwo ufite imihango. Hanyuma umuganga wawe azakubwira uko utangira gufata imiti yawe ukundi. Ku bijyanye n'imihango ya monophasic, biphasic, triphasic, cyangwa quadriphasic: Niba ubuze imwe mu bibumbano birindwi byanyuma (bidakora) by'ukwezi kw'iminsi makumyabiri n'umunani, nta kaga ko gutwita. Ariko, igipimo cya mbere (gikora) cy'ukwezi gutaha kigomba gufatwa ku munsi usanzwe, nubwo hari ibindi bipimo byabuze, niba gutwita bigomba kwirindwa. Ibibumbano bikora n'ibidakora bifite ibara ritandukanye kugira ngo birorohe. Bitazagera ku bana. Ubike imiti mu gikombe gifunze ahantu hashyushye, kure y'ubushyuhe, ubushuhe, n'izuba ry'izuba. Burinda gukonjesha. Ntukibike imiti ishaje cyangwa imiti idakenewe ukundi.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.