Icyo Etonogestrel Intradermal Route Arimicyo: Ibikoreshwa, Uburyo Bwo Gukoresha, Ingaruka Ziterwa n'ibindi

Etonogestrel intradermal route bivuga igikoresho gishyizwa munsi y'uruhu rwo mu kaboko kawe. Uru ruhu ruto, rworoheje rurekura imisemburo buhoro buhoro mu gihe cy'imyaka itatu kugira ngo birinde gutwita.

Iki gikoresho gikora gishyira imisemburo ya gihanga yitwa etonogestrel, isa na progesterone umubiri wawe ukora. Ni bumwe mu buryo bukora cyane bwo kuboneza urubyaro bushobora gukoreshwa uyu munsi, bufite imikorere irenga 99% mu kwirinda gutwita.

Etonogestrel ni iki?

Etonogestrel ni umusemburo wa gihanga wigana progesterone, umwe mu misemburo y'ingenzi mu gihe cy'imihango yawe. Iyo itanzwe binyuze mu gikoresho gishyirwa munsi y'uruhu rwawe, itanga urwego rwo hejuru rw'imisemburo idakeneye kwibuka ibinini bya buri munsi.

Iki gikoresho ubwacyo gifite ubunini nk'urushinge kandi kirimo miligarama 68 za etonogestrel. Gikozwe mu gice cya plastike yoroshye gikikijwe n'uruhu rugenzura uburyo umusemburo ushyirwa mu mubiri wawe uko igihe kigenda.

Etonogestrel ikoreshwa mu iki?

Ibyo bikoresho bya Etonogestrel bikoreshwa cyane cyane mu kuboneza urubyaro rwa mugihe kirekire ku bagore bifuza kuboneza urubyaro neza batagomba kubikora buri munsi. Iki gikoresho gitanga uburyo bwo kwirinda gutwita mu gihe cy'imyaka itatu.

Abaganga bamwe bashobora no gushyira mu majwi iki gikoresho ku bagore bagira ibibazo byo kwibuka gufata ibinini byo kuboneza urubyaro buri munsi cyangwa bagahura n'ingaruka ziterwa n'imiti irimo estrogen. Iki gikoresho kirimo gusa progestin, bigatuma bikwiriye ku bagore batashobora gufata estrogen.

Mu bindi bihe, abaganga bashobora gutanga iyi nzira ku bagore bagira amaraso menshi mu gihe cy'imihango, kuko abakoresha benshi bagira imihango mito cyangwa ntibagire imihango na gato bakoresha iki gikoresho.

Etonogestrel ikora ite?

Etonogestrel ikora hakoreshejwe uburyo bwinshi bwo gukumira inda, bituma iba uburyo bukomeye kandi bwizewe bwo kuboneza urubyaro. Uyu musemburo ahanini uhagarika intanga ngore ziva mu ngingo zikora imyanya y'ubuzima bw'umugore buri kwezi.

Urukingi kandi rutuma ururenda rwo mu gitsina cy'umugore ruzibuka, rugakora inzitizi ituma intanga ngabo zitagera ku ntanga ngore zishobora kuba zasohotse. Byongeye kandi, ihindura imiterere y'umura, bigatuma bitashoboka ko intanga yateranye ikora ku murima.

Kubera ko uyu musemburo usohokera mu maraso yawe unyuze mu ruhu rwawe, ntunyura mu nzira yo mu gifu. Ibi bivuze ko ikora kabone n'iyo urwaye ugira umuriro cyangwa impiswi, bitandukanye n'ibinini byo kuboneza urubyaro.

Nkwiriye Gukoresha Nte Etonogestrel?

Mu by'ukuri ntabwo "ufata" etonogestrel mu buryo busanzwe kuko ari urukingo rwashyizwe mu ruhu na muganga. Uburyo bwo kurushyira mu mubiri burihuta kandi bukorerwa mu biro bya muganga hakoreshejwe imiti yoroheje.

Muganga wawe azashyira urukingo mu ruhande rw'imbere rw'ukuboko kwawe, akenshi mu kuboko utajya ukoresha cyane. Kurushyira mu mubiri bifata iminota mike, kandi uzashobora gutaha uwo munsi.

Mbere yo kurushyira mu mubiri, muganga wawe azareba ko utwite kandi azaganira nawe ku gihe cyiza gishingiye ku buryo bwawe bwo kuboneza urubyaro. Niba uhinduye uburyo bwo kuboneza urubyaro ukava ku binini, urukingo rushobora gushyirwamo mu gihe cy'icyumweru utafata ibinini cyangwa mu gihe urimo gufata ibinini bikora.

Nyuma yo kurushyira mu mubiri, uzakenera kumisha ahantu urukingo rwashyizwe mu mubiri mu gihe cy'amasaha 24 kandi wirinde kuzamura ibintu biremereye ukoresheje urwo kuboko mu minsi mike. Muganga wawe azaguha amabwiriza yihariye yo kwita ku gice cyashyizwemo urukingo kugira ngo gikire neza.

Nkwiriye Gukoresha Etonogestrel Igihe Kingana Gite?

Urukingi rwa etonogestrel rwashyizweho kugira ngo rukore imyaka itatu kuva igihe rwashyiriwe mu mubiri. Nyuma y'imyaka itatu, urugero rw'imisemburo rugabanuka cyane ku buryo rutashobora gukumira inda neza, bityo urukingo rugomba gukurwaho.

Ushobora gukuraho urushinge igihe icyo aricyo cyose mbere y’uko imyaka itatu irangira niba ushaka gutwita cyangwa niba ufite ingaruka zitishoboka. Ubugumba busanzwe busubira vuba nyuma yo gukuraho, akenshi mu byumweru bike.

Niba ushaka gukomeza gukoresha ubu buryo bwo kuboneza urubyaro nyuma y’imyaka itatu, muganga wawe ashobora gukuraho urushinge rwa kera hanyuma agashyiraho urushya rushya mu gihe kimwe. Abagore benshi bahitamo gukora ibi kuko banyuzwe n’uko urushinge rukora neza.

Ni izihe ngaruka ziterwa na Etonogestrel?

Kimwe n’uburyo bwose bwo kuboneza urubyaro bukoresha imisemburo, urushinge rwa etonogestrel rushobora gutera ingaruka, nubwo abagore benshi barwihanganira neza. Ingaruka zisanzwe ni impinduka mu buryo uva mu miyoboro.

Dore ingaruka zikunze kuvugwaho zishobora kukubaho:

• Kuva amaraso atajegajega cyangwa gusa hagati y’imihango
• Iminsi y’imihango iremereye cyangwa yoroheje kuruta uko bisanzwe
• Kutagira imihango rwose (amenorrhea)
• Umutwe cyangwa migraine
• Kwiyongera ibiro (muri rusange ibiro 1-2)
• Impinduka z’amarangamutima cyangwa agahinda gakabije
• Ibimeme cyangwa impinduka z’uruhu
• Urubavu rwo mu gituza
• Isesemi

Inyinshi muri izi ngaruka zoroheje kandi akenshi zirushaho nyuma y’amezi make ya mbere umubiri wawe umaze kumenyera umusemburo. Ariko, impinduka zo kuva amaraso zirashobora gukomeza mu gihe cy’imyaka itatu yo gukoresha.

Nubwo bidasanzwe, abagore bamwe bashobora kugira ingaruka zikomeye zisaba ubufasha bwa muganga:

• Agahinda gakabije cyangwa impinduka z’amarangamutima
• Uburibwe bukomeye mu nda
• Kuva amaraso menshi bimara ibyumweru
• Ibimenyetso byo kwandura ahantu hashyizweho urushinge
• Urugero rukabije rw’uburwayi bwo mu mubiri
• Amabara y’amaraso (bidasanzwe cyane hamwe n’uburyo bukoresha gusa progestin)

Niba ubonye kimwe muri ibi bimenyetso bikomeye, vugana n’umuganga wawe ako kanya. Bashobora kugufasha kumenya niba urushinge rukwiriye cyangwa niba ukeneye gutekereza ku gukuraho.

Ninde Utagomba Gukoresha Etonogestrel?

Nubwo gukoresha urushinge rwa etonogestrel bifitiye abagore benshi umutekano, indwara zimwe na zimwe n'ibihe bituma bitakwemerwa cyangwa bigasaba ko bikurikiranwa byihariye. Muganga wawe azasuzuma amateka yawe y'ubuzima neza mbere yo kugusaba gukoresha ubu buryo.

Ntugomba gukoresha urushinge rwa etonogestrel niba ufite kimwe muri ibi bikurikira:

• Umutima w'uburwayi cyangwa ukekwa ko utwite
• Indwara yawe y'umwijima cyangwa ibibyimba byo mu mwijima
• Amateka y'indwara ya kanseri y'ibere cyangwa izindi kanseri zifitanye isano n'imisemburo
• Guhumeka mu gitsina kutumvikana
• Allergie kuri etonogestrel cyangwa ibindi bice by'urushinge
• Amaraso y'ubu cyangwa amateka y'indwara yo gupfuka kw'amaraso

Muganga wawe azitonda kandi niba ufite diyabete, umuvuduko ukabije w'amaraso, cyangwa amateka yo kwiheba, kuko ibi bibazo bishobora kugirwaho ingaruka n'imihindagurikire y'imisemburo.

Imiti imwe n'imwe irashobora no gukorana na etonogestrel, bishobora gutuma itagira akamaro. Ibi bikubiyemo imiti imwe yo kuvura ibibazo byo gufatwa n'urugimbu, imiti ya SIDA, n'ibiyobyabwenge by'ibyatsi nk'icyatsi cya Mutagatifu Yohani. Buri gihe bwire muganga wawe ku miti yose n'ibiyobyabwenge urimo gufata.

Amazina y'ubwoko bwa Etonogestrel

Urushinge rwa etonogestrel rugurishwa ku izina rya Nexplanon muri Leta Zunze Ubumwe z'Amerika. Ubu ni rwo rusinge rwa etonogestrel rwemewe na FDA ruriho muri Amerika.

Mbere, urushinge rumeze nk'urwo rwitwa Implanon rwari ruriho, ariko rwasimbuwe na Nexplanon mu mwaka wa 2011. Nexplanon ifite ibintu byatejwe imbere, harimo korohereza kubona kuri X-ray no kugira igikoresho cyongerewe gushyirwamo.

Mu bindi bihugu, urushinge rwa etonogestrel rushobora kuboneka ku mazina y'ubwoko butandukanye, ariko imiti n'ingaruka zayo biracyasa.

Uburyo bwo gusimbuza Etonogestrel

Niba urushinge rwa etonogestrel rudakwiriye kuri wowe, hari ubundi buryo bwo kuboneza urubyaro bw'igihe kirekire n'igihe gito buriho. Buri kimwe gifite inyungu zacyo n'ibitekerezo byacyo.

Uburyo bwo gusimbuza igihe kirekire burimo:

• IUD y'umuringa (ParaGard) - imara imyaka igera kuri 10, nta misemburo irimo
• IUD zifite imisemburo (Mirena, Skyla, Kyleena) - zimara imyaka 3-7 bitewe n'ubwoko bwazo
• Urukingo rwa Depo-Provera - rutangwa buri mezi 3

Uburyo bwo kuboneza urubyaro bwihuse burimo ibinini, ibishishwa, impeta zo mu gitsina, agakingirizo, na diyagarame. Ibi bisaba kwitabwaho kenshi ariko biguha ubushobozi bwo gutangira no guhagarika.

Umuvuzi wawe ashobora kugufasha kugereranya izi nzira bitewe n'imibereho yawe, amateka yawe y'ubuvuzi, n'ibyo ukunda kugira ngo umenye icyo gikwiriye.

Etonogestrel iruta Mirena IUD?

Zose zombi, igitambaro cya etonogestrel na Mirena IUD, ni uburyo bukomeye bwo kuboneza urubyaro bwimbitse, ariko bikora mu buryo butandukanye kandi bishobora gukwira ibyo ukunda bitandukanye. Guhitamo hagati yabyo biterwa n'ibyo ukeneye ku giti cyawe n'uko umubiri wawe witwara ku misemburo itandukanye.

Igitambaro cya etonogestrel gitanga inyungu zimwe: biroroshye gushyiramo no gukuramo, ntisaba ikizamini cyo mu ngingo y'imbere kugira ngo gishyirwemo, kandi abagore bamwe bakunda kugira uburyo bwo kuboneza urubyaro mu kaboko kabo aho mu nyababyeyi zabo. Ikoresha kandi ubwoko butandukanye bwa progestin, abagore bamwe bakwihanganira neza.

Mirena IUD ifite inyungu zayo: imara igihe kirekire (imara imyaka igera kuri 7 ugereranije n'imyaka 3), akenshi ituma imihango iba mito cyane cyangwa ikayikuraho burundu, kandi ishobora gufasha mu kuvira amaraso menshi mu gihe cy'imihango. Nanone ishyirwa mu gihe cyo gusura ibiro bisanzwe ariko bisaba ikizamini cyo mu ngingo y'imbere.

Ubu buryo bwombi bufite uburyo bwo kuboneza urubyaro burenze 99%. Itandukaniro rikomeye riza ku byo ukunda, uko umubiri wawe witwara ku misemburo yihariye, n'ibitekerezo bifatika nk'igihe ushaka ko uburyo bwo kuboneza urubyaro bumara.

Ibikunze Kubazwa Ku Bya Etonogestrel

Q1. Ese Etonogestrel irakwiriye ku bagore barwaye diyabete?

Etonogestrel irashobora gukoreshwa n'abagore barwaye diyabete, ariko bisaba gukurikiranwa neza n'umuganga wawe. Imisemburo irashobora kugira ingaruka nto ku isukari yo mu maraso, nubwo iyi ngaruka isanzwe iba nto cyane hamwe n'uburyo bwo gukoresha progestin gusa nk'iyo bashyira mu mubiri.

Umuvuzi wawe azashaka gukurikirana isukari yo mu maraso yawe cyane, cyane cyane mu mezi make ya mbere nyuma yo gushyirwamo. Niba ufite diyabete igenda neza nta ngorane, iyo bashyira mu mubiri muri rusange ifatwa nk'itekaniye kandi ifite akamaro.

Abagore barwaye diyabete bafite ingorane nko kurwara impyiko, ibibazo by'amaso, cyangwa kwangirika kw'imitsi bashobora gukenera gutekereza ku zindi nzira zo kuboneza urubyaro, kuko uburyo bwa hormone bushobora gushimangira izi ngorane.

Q2. Nkwiriye gukora iki niba nshobora kwangiza impyisi yanjye ya Etonogestrel?

Niba utekereza ko impyisi yawe yangiritse, vugana n'umuganga wawe ako kanya. Nubwo impyisi yagenewe kuba yoroshye kandi iramba, gukomeretsa umubiri muri ako gace bishobora kugira ingaruka ku buryo irekura imisemburo.

Ibimenyetso byerekana ko impyisi yawe ishobora kuba yangiritse birimo: ntushobora kuyumva munsi y'uruhu rwawe aho yashyizwe, ako gace kagenda gakomera cyane cyangwa karababara, cyangwa urashobora kumva ibice by'impyisi bisa nkibishwanyaguritse. Ntugerageze kwisuzuma cyangwa gukoresha impyisi wenyine.

Umuvuzi wawe ashobora gusuzuma ahantu hashyizwe impyisi kandi ashobora gutanga ibizamini byo gushushanya nka X-ray kugirango arebe niba impyisi ikora neza kandi iri ahantu hakwiye. Niba kwangirika byemejwe, bazaganira ku gukuraho no gusimbuza ibisubizo nawe.

Q3. Nkwiriye gukora iki niba nshaka gukuraho impyisi yanjye ya Etonogestrel hakiri kare?

Urashobora gukuraho impyisi yawe ya etonogestrel igihe icyo aricyo cyose mu gihe cy'imyaka itatu niba ushaka gutwita cyangwa niba ufite ingaruka. Vugana n'umuganga wawe kugirango utegure gahunda yo gukuraho.

Uburyo bwo gukuraho ubusanzwe burihuta kandi bukorerwa mu buvuzi bwaho, nk'uko byagenze mu gushyiraho. Muganga wawe azakora agace gato hanyuma akureho neza icyo gihingwa. Abagore benshi bashobora gusubira mu bikorwa bisanzwe mu munsi umwe cyangwa ibiri.

Niba ushaka gukomeza gukoresha uburyo bwo kuboneza urubyaro bufite imisemburo nyuma yo gukuraho, muganga wawe ashobora gushyiraho igihingwa gishya ako kanya cyangwa akagufasha guhindukira ukoresha ubundi buryo. Wibuke ko urubyaro rukunze kugaruka vuba nyuma yo gukuraho, bityo ukoreshe uburyo bwo kuboneza urubyaro bwunganira niba udashaka gutwita.

Q4. Nshobora guhagarika ryari gukoresha uburyo bwo kuboneza urubyaro bwunganira nyuma yo gushyirwaho igihingwa cya Etonogestrel?

Igihe biterwa n'igihe igihingwa cyashyizweho mu gihe cy'imihango yawe. Niba cyashyizweho mu minsi 5 ya mbere y'imihango yawe, igihingwa gitanga uburinzi bwihuse kandi ntihakenewe uburyo bwo kuboneza urubyaro bwunganira.

Niba cyashyizweho mu kindi gihe icyo aricyo cyose mu gihe cy'imihango yawe, uzakenera gukoresha uburyo bwo kuboneza urubyaro bwunganira (nk'udukingirizo) mu minsi 7 ya mbere nyuma yo gushyirwaho. Ibi bituma igihingwa kigira umwanya wo kurekura imisemburo ihagije kugira ngo birinde neza imbyaro.

Niba uhinduka ukava ku binini byo kuboneza urubyaro, igihe gishobora kuba gitandukanye. Umuganga wawe azaguha amabwiriza yihariye ashingiye ku miterere yawe kugira ngo wemeze uburinzi buhoraho bwo gutwita.

Q5. Nshobora gukora imyitozo isanzwe hamwe n'igihingwa cya Etonogestrel?

Yego, urashobora kwitabira ibikorwa byose bisanzwe bya fisikali n'imyitozo igihe ahantu hashyizweho hakize, ubusanzwe mu minsi mike kugeza ku cyumweru. Igihingwa cyateguwe kugira ngo kigume ahantu hose mu gihe cy'ibikorwa byose bya fisikali.

Mu minsi mike ya mbere nyuma yo gushyirwaho, irinda kuzamura ibintu biremereye cyangwa gukora imyitozo ikomeye n'ukuboko aho igihingwa cyashyizweho. Ibi bifasha kwirinda ingorane kandi bigatuma ahantu hashyizweho hakira neza.

Iyo imbere yuzuye, icyuma ntizabangamira imikino, koga, kuzamura ibiremereye, cyangwa izindi ngendo zose. Abakinnyi benshi bakoresha icyuma by'umwihariko kuko ntisaba kwitabwaho buri munsi kandi ntizahungabanywa n'igihe cyabo cyo kwitoza.