Levonorgestrel na Ethinyl Estradiol ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Levonorgestrel na ethinyl estradiol ni umuti uvura kuboneza urubyaro uvura ukoresha ubwoko bubiri bwa hormone. Uyu muti uvanga progestin ya gihanga (levonorgestrel) na estrogen ya gihanga (ethinyl estradiol) kugira ngo wirinde inda zitateganyijwe neza. Ushobora kumenya uyu muti ku mazina y'ubucuruzi nka Seasonique, Aviane, cyangwa Alesse, kandi ni bumwe mu buryo bukunze kwandikwa bwo kuboneza urubyaro rukoresha imisemburo ku isi hose.

Levonorgestrel na Ethinyl Estradiol ni iki?

Uyu muti ni umuti uvura kuboneza urubyaro ukoresha imisemburo ibiri ya gihanga kugira ngo wirinde inda zitateganyijwe. Levonorgestrel ni verisiyo ya gihanga ya progesterone, mu gihe ethinyl estradiol ari uburyo bwa gihanga bwa estrogen. Iyo zifatanyije, iyi misemburo ikora nk'ikipe kugira ngo ihagarike umubiri wawe kurekura amagi kandi bitume intanga zitorohera kugera ku gihe cyose gishobora kurekurwa.

Uyu muti uza mu buryo bw'ibinini kandi ufata buri munsi ku gihe kimwe buri munsi. Inyinshi muri izi miti zifite ibinini 21 bikora bikurikirwa n'ibinini 7 bitagira akamaro, nubwo ubundi buryo bushya butanga imisemburo ikora igihe kirekire. Ibi bituma habaho uruziga rwa buri kwezi rwigana imiterere yawe isanzwe yo mu gihe cy'imihango mugihe itanga uburyo bwizewe bwo kuboneza urubyaro.

Levonorgestrel na Ethinyl Estradiol bikoreshwa kubera iki?

Igikoreshwa cy'ibanze cy'iyi miti ni ukwirinda inda zitateganyijwe ku bagore bakora imibonano mpuzabitsina. Ifite ubushobozi bwo hejuru ya 99% iyo ifashwe neza, bituma iba imwe mu buryo bwizewe bwo kuboneza urubyaro bushobora guhindurwa. Abagore benshi bahitamo ubu buryo kuko bworoshye, bushobora guhindurwa, kandi ntisaba igikorwa icyo aricyo cyose mbere y'imibonano mpuzabitsina.

Uretse gukoresha uburyo bwo kuboneza urubyaro, muganga wawe ashobora kukwandikira uyu muti kugira ngo ufashwe mu gucunga ibibazo bimwe na bimwe by'imihango. Ushobora gukoreshwa mu kugenga imihango idahoraho, kugabanya imivurungano ikabije y'imihango, no kugabanya kubabara kw'imihango. Abagore bamwe kandi bawufashwa mu gucunga ibimenyetso bya syndrome ya premenstrual (PMS) cyangwa premenstrual dysphoric disorder (PMDD).

Byongeye kandi, ubu buryo bushobora gufasha mu kurwanya ibiheri bya hormone mu bagore bamwe. Igice cya estrogen gishobora kugabanya umusaruro wa androgens (hormone z'abagabo) zitera ibiheri. Ariko, iyi nyungu ikunze gutwara amezi menshi kugira ngo igaragarire, kandi si buri wese uzabona impinduka mu ruhu rwe.

Levonorgestrel na Ethinyl Estradiol bikora bite?

Uyu muti ukora ukoresheje uburyo butatu nyamukuru bwo gukumira inda neza. Icya mbere, ibuza intanga ngore kurekurwa buri kwezi, bivuze ko nta ntanga ngore ihari ngo ifatanye n'intanga ngabo. Ubu ni bwo buryo bw'ibanze umuti ukoresha mu gukumira inda, kandi bikora neza cyane iyo umuti ufashwe buri gihe.

Icya kabiri, hormone zituma umusonga wo mu kiziba cy'inda uba wuzuye kandi wumutse. Ibi bituma habaho inzitizi ituma intanga ngabo zigorwa cyane no kunyura mu kiziba cy'inda no kugera mu miyoboro y'intanga. Tekereza nk'uko wahindura imiterere y'inzira kuva mu mazi ukajya mu buki - ibintu byose bigenda buhoro cyane kandi bigoranye cyane.

Icya gatatu, umuti uhindura umurongo w'igitsina cy'umugore (endometrium) kugira ngo bitume bitakwemerera intanga yafatiwe gushyirwa mu mwanya. Ibi bifatwa nk'uburyo bwo gufasha, kuko intego y'ibanze ari ukubuza ovulation na fertilization kubaho mbere na mbere.

Ubu buryo bufatwa nk'uburyo bwo kuboneza urubyaro bwa hormone bufite imbaraga ziringaniye. Bufite imbaraga zihagije zo gukora neza cyane ariko bukoresha urugero rwa hormone abagore benshi boroherwa narwo. Imipimo yihariye iringaniye neza kugira ngo itange imikorere myiza kandi igabanye ingaruka ziterwa nawo.

Nkwiriye Gufata Nte Levonorgestrel na Ethinyl Estradiol?

Ugomba gufata uyu muti ku gihe kimwe buri munsi kugira ngo urugero rw'imisemburo mu mubiri wawe rugume rutajegajega. Abantu benshi babona ko byoroshye gufata ibinini byabo mu gitondo cyangwa mbere yo kuryama. Gushyiraho alarme ya buri munsi kuri terefone yawe birashobora kugufasha kwibuka, cyane cyane iyo ugitangira.

Urashobora gufata uyu muti ufite cyangwa udafite ibiryo, nubwo kuwufata ufite ibiryo bishobora kugabanya isesemi niba ubonye iyo ngaruka. Niba ukunda kugira inda itameze neza, gerageza gufata ibinini byawe ufite agafunguro gato cyangwa ifunguro. Kunywa ikirahure cyuzuye cy'amazi hamwe n'ibinini byawe nabyo bishobora gufasha mu gukurura umuti no kugabanya uburibwe bw'inda.

Agasanduku k'ibinini kenshi karimo ibinini 28 - ibinini 21 bikora birimo imisemburo n'ibinini 7 bitagira akamaro byibutsa. Ufata ikinini kimwe gikora buri munsi mu gihe cy'iminsi 21, hanyuma ugafata ibinini bitagira akamaro mu gihe cy'iminsi 7 muri icyo gihe uzasanzwe ugira imihango. Uburyo bumwe bufite gahunda zitandukanye, nk'ibinini 24 bikora n'ibinini 4 bitagira akamaro, bityo burigihe ukurikize amabwiriza yihariye y'ubwoko bwawe bwihariye.

Niba utangira uyu muti ku nshuro ya mbere, muganga wawe ashobora gusaba gutangira ku munsi wa mbere w'imihango yawe cyangwa ku cyumweru cya mbere nyuma y'uko imihango yawe itangiye. Ibi bifasha kumenya neza ko urinzwe kuva mu buryo bwo gutwita ako kanya. Niba utangiriye mu bindi bihe, ushobora gukenera gukoresha uburyo bwo kuboneza urubyaro nk'agakingirizo mu minsi irindwi ya mbere.

Nkwiriye Kumara Igihe Kingana Iki Ndafata Levonorgestrel na Ethinyl Estradiol?

Urashobora gufata uyu muti mu buryo bwizewe igihe cyose ukeneye kuboneza urubyaro kandi nta kibazo cy'ubuzima ufite gituma bitaba byiza. Abagore benshi bafata ibinini byo kuboneza urubyaro by'uruvange imyaka myinshi cyangwa ndetse n'imyaka mirongo nta kibazo. Bitandukanye n'imiti imwe, ntibisaba guhagarika rimwe na rimwe kuboneza urubyaro rwa hormone niba bikora neza kuri wewe.

Muganga wawe azashaka kukubona buri gihe - akenshi buri mezi 6 kugeza kuri 12 - kugira ngo akurikirane ubuzima bwawe kandi yemeze ko imiti ikigukwiriye. Muri izo nshuro, bazagenzura umuvuduko w'amaraso yawe, baganire ku ngaruka zose waba ufite, kandi basuzume ubuzima bwawe muri rusange. Uku kurikiranwa guhoraho bifasha kumenya ko umuti ukomeza kuba mwiza kandi ukora neza ku miterere yawe bwite.

Niba uteganya gutwita, urashobora guhagarika gufata ibinini igihe icyo aricyo cyose. Uburumbuke bwawe akenshi busubira mu buryo busanzwe nyuma y'amezi make uhagaritse, nubwo abagore bamwe batangira kubyara mbere y'ibyumweru bibiri nyuma y'ibinini bya nyuma bafashe. Nta gihamya ko gufata ibinini bigabanya urubyaro igihe kirekire bigira ingaruka ku burumbuke bwawe bw'igihe kirekire.

Abagore bamwe bashobora gukenera guhagarika cyangwa guhindura imiti kubera ingaruka cyangwa impinduka mu buzima bwabo. Indwara nko kurwara umuvuduko w'amaraso mwinshi, ubwoko bumwe na bumwe bw'umutwe, cyangwa indwara zo gupfuka kw'amaraso bishobora gusaba ko uhagarika iyi miti. Muganga wawe azagufasha kwimukira ku bundi buryo bwo kuboneza urubyaro niba bibaye ngombwa.

Ni izihe ngaruka ziterwa na Levonorgestrel na Ethinyl Estradiol?

Abagore benshi bakira neza iyi miti, ariko nk'imiti yose, ishobora gutera ingaruka. Inkuru nziza ni uko ingaruka nyinshi zoroheje kandi akenshi zikongera nyuma yuko umubiri wawe wimenyereje imisemburo, akenshi mu mezi atatu ya mbere yo kuyikoresha.

Ingaruka zisanzwe abagore benshi bahura nazo zirimo isesemi, kubabara amabere, n'umutwe. Ibi bimenyetso akenshi biba byoroheje kandi bikagabanuka uko umubiri wawe umenyera imisemburo. Ushobora kandi kubona amaraso make cyangwa kuva amaraso hagati y'imihango, cyane cyane mu mezi ya mbere yo kuyikoresha.

Dore ingaruka zivugwa cyane ugomba kumenya:

• Uburwayi bwo kuruka no kuribwa mu nda
• Urubavu rwo mu mabere cyangwa kubyimba
• Umutwe cyangwa impinduka nto mu myifatire
• Guhagarara imihango cyangwa gusa n'iyiza hagati y'imihango
• Impinduka mu gihe (akenshi 1-5 pounds)
• Kugabanuka k'urukundo mu bagore bamwe
• Impinduka ku ruhu, harimo n'itegurwa cyangwa irushaho ry'ibibara byo ku ruhu

Ibi bimenyetso bisanzwe ntibigira akaga kandi akenshi birikiza. Ariko, niba bikomeje cyangwa bikaba bibangamiye, ganira na muganga wawe ku bisubizo bishoboka cyangwa imiti yindi.

Ingaruka zikomeye ni gake ariko zisaba ubufasha bwihutirwa. Izi zirimo umutwe ukabije utandukanye n'umutwe usanzwe ugira, kuribwa mu gituza, guhumeka nabi, cyangwa kuribwa cyane mu kuguru. Ibi bimenyetso bishobora kwerekana amaraso yiziritse, ibintu bidakunze kubaho ariko bikomeye.

Ibimenyetso bisaba ubufasha bwihutirwa bw'ubuvuzi birimo umutwe ukabije utunguranye, impinduka mu iyerekwa, kuribwa mu gituza, guhumeka nabi, cyangwa kuribwa cyane mu nda. Byongeye kandi, niba ubona ibimenyetso byo kwiheba bikumariye imbaraga cyangwa ibitekerezo byo kwangiza, vugana n'umuganga wawe cyangwa serivisi z'ubutabazi ako kanya.

Ninde utagomba gufata Levonorgestrel na Ethinyl Estradiol?

Uyu muti ntugira umutekano kuri buri wese, kandi ibibazo by'ubuzima bimwe na bimwe bituma bitagira inama yo gukoresha ibinini bigabanya urubyaro. Muganga wawe azasuzuma amateka yawe y'ubuzima neza mbere yo kugusaba uyu muti kugirango yemeze ko ufite umutekano kuri wewe.

Abagore bafite amateka y'amaraso yiziritse, sitiroki, cyangwa umutima utera ntibagomba gufata uyu muti. Igice cya estrogen gishobora kongera ibyago by'amaraso yiziritse, cyane cyane mu bagore basanzwe bafite ibyago. Ibi birimo ibibazo nka thrombosis y'imitsi yimbitse, pulmonary embolism, cyangwa indwara zidakira zo kwizirika kw'amaraso.

Umunwa w'itabi wongera cyane ibyago bijyana n'uyu muti, cyane cyane ku bagore barengeje imyaka 35. Niba unywa itabi kandi urengeje imyaka 35, muganga wawe ashobora kugusaba uburyo bwo kuboneza urubyaro butandukanye. Uko kunywa itabi, imyaka, na estrogen bikora ibyago byinshi byo guhura n'ibibazo by'umutima n'imitsi.

Izindi ndwara nyinshi zituma uyu muti utabereye, kandi muganga wawe azagomba kuzimenya mbere yo kugutangira uyu muti:

• Kugira kanseri y'ibere cyangwa izindi kanseri zifata ku misemburo cyangwa kuba warazigize
• Indwara y'umwijima cyangwa ibibyimba byo mu mwijima
• Guhumeka mu gitsina kutumvikana impamvu
• Umubyigano ukabije w'amaraso
• Indwara ya diyabete ifite ibibazo by'imitsi y'amaraso
• Umutwe w'uruhererekane ufite aura
• Gusama cyangwa gukeka ko utwite

Niba ufite izi ndwara, ntugire impungenge - hari ubundi buryo bwinshi bwo kuboneza urubyaro. Muganga wawe ashobora kugufasha kubona uburyo bwizewe kandi bukora neza ku miterere yawe.

Amazina y'ubwoko bwa Levonorgestrel na Ethinyl Estradiol

Uku guhuza imisemburo biboneka mu mazina menshi y'ubwoko butandukanye, buri rimwe rifite doze zitandukanye z'imisemburo cyangwa gahunda yo kunywa imiti. Amwe mu mazina y'ubwoko asanzwe harimo Seasonique, Aviane, Alesse, na Nordette. Farumasi yawe ishobora no kugira ubwoko bwa generic, burimo ibintu bikora kimwe ariko bihendutse.

Ubwoko butandukanye bushobora kugira ibintu bitagira akamaro bitandukanye cyangwa amabara y'ibinini, ariko byose bikora kimwe. Ubwoko bumwe na bumwe bugenewe ibihe birebire, bivuze ko ugira imihango mike mu mwaka, mu gihe abandi bakurikiza gahunda ya gakondo y'iminsi 28. Muganga wawe azahitamo ubwoko n'imiti byihariye bikwiriye ibyo ukeneye n'ibyo ukunda.

Niba farumasi ikugurishije ubwoko butandukanye cyangwa umuti w'isumbuye, ntugire impungenge - ibi ni ibisanzwe kandi birizewe. Ariko, niba ubonye impinduka mu ngaruka ziterwa n'umuti cyangwa uko ukora nyuma yo guhindura ubwoko, bimenyeshe muganga wawe. Rimwe na rimwe, itandukaniro rito mu bintu bitagira akamaro rishobora kugira ingaruka ku buryo abantu bitwara ku muti.

Uburyo bwo gusimbura Levonorgestrel na Ethinyl Estradiol

Niba uyu muti utakugendekeye neza, hari ubundi buryo bwinshi bwo kuboneza urubyaro. Imiti ikoresha gusa progestin (mini-pills) ishobora kuba ikwiriye niba udashobora gufata estrogen kubera impungenge z'ubuzima. Iyi miti ikubiyemo gusa progesterone ya sintetike kandi irizewe ku bagore banywa itabi cyangwa bafite indwara zimwe na zimwe.

Uburyo bwo kuboneza urubyaro bw'igihe kirekire nk'IUD cyangwa ibihingwa bitanga uburinzi bwiza cyane hatabayeho imiti ya buri munsi. IUD ikoresha imisemburo isohora progestin ntoya mu gitsina cyawe, mugihe IUD ikoresha umuringa itanga uburyo bwo kuboneza urubyaro butagira imisemburo mu gihe kingana n'imyaka 10. Igihingwa cyo kuboneza urubyaro gishyirwa mu kuboko kwawe kandi gitanga uburinzi mu gihe cy'imyaka itatu.

Uburyo bwo gukingira nk'agakingirizo, diaphragms, cyangwa ibikombe byo mu gitsina bitanga uburyo butagira imisemburo hamwe n'inyungu yiyongera yo kurinda indwara zandurira mu mibonano mpuzabitsina. Imiti y'urukingo nk'urukingo rwa Depo-Provera itanga uburinzi bw'amezi atatu kuri buri rukingo, nubwo bishobora kugira ingaruka zitandukanye kurusha imiti.

Muganga wawe ashobora kugufasha gupima ibyiza n'ibibi bya buri buryo hashingiwe ku mibereho yawe, amateka y'ubuzima, n'ibyo ukunda. Wibuke ko uburyo bwiza bwo kuboneza urubyaro ari bumwe uzakoresha buri gihe kandi neza.

Ese Levonorgestrel na Ethinyl Estradiol biruta izindi miti yo kuboneza urubyaro?

Ubu buryo ntibiba byiza cyangwa bibi kurusha izindi pilule zo kuboneza urubyaro - ni uburyo bumwe gusa mu buryo bwinshi bwiza. Pilule zose zo kuboneza urubyaro zikora kimwe kandi zifite urugero rumwe rw'ubushobozi iyo zikoreshejwe neza. Pilule nziza kuri wowe biterwa n'uko umubiri wawe witwara ku mvange zitandukanye za hormone n'imibare yazo.

Abagore bamwe babona ko bimeze neza bafite imibare myinshi cyangwa mike ya estrogen, mu gihe abandi bakeneye ubwoko butandukanye bwa progestin. Muganga wawe ashobora kugerageza imvange zitandukanye kugirango abone icyo gikora neza kuri wowe. Ubu buryo bwo gushaka icyo gihuye neza ni ibisanzwe kandi byerekana ko umuganga wawe ariwe wita ku buzima bwawe.

Ugereranije na pilule za progestin gusa, pilule zivanzemo nk'iyi zikunda gutanga imihango iteganywa kandi igakontorora neza. Ariko, pilule za progestin gusa zirinda abagore bafite ibibazo by'ubuzima runaka. Guhitamo hagati y'ibi biterwa n'ubuzima bwawe bwite n'ibyo ukunda.

Ibibazo Bikunze Kubazwa Kuri Levonorgestrel na Ethinyl Estradiol

Ese Levonorgestrel na Ethinyl Estradiol birinzwe ku bagore barwaye diyabete?

Abagore barwaye diyabete akenshi bashobora gukoresha uyu muti neza, ariko bisaba gukurikiranwa neza n'umuganga wawe. Hormone zirashobora guhindura urugero rw'isukari mu maraso, bityo muganga wawe azashaka kureba uburyo diyabete yawe ikora kenshi iyo utangiye umuti. Niba ufite diyabete ifite ingaruka ku miyoboro y'amaraso yawe, amaso, impyiko, cyangwa imitsi, uyu muti ntushobora gukoreshwa.

Muganga wawe azatekereza uburyo diyabete yawe ikora neza, igihe umaze uyirwaye, niba ufite ingaruka. Abagore benshi barwaye diyabete ikora neza bakoresha pilule zo kuboneza urubyaro nta kibazo. Ariko, uzakenera gahunda yo gukurikiranwa buri gihe kugirango wemeze ko isukari yawe mu maraso iguma ihagaze.

Nigute nakora niba nanyweye Levonorgestrel na Ethinyl Estradiol nyinshi ku buryo butunguranye?

Niba wanyoye imiti irenze umwe ku buryo butunguranye, ntugire ubwoba - ibi mubisanzwe ntibigira akaga. Ushobora kugira isesemi, kuruka, cyangwa kuva amaraso utari witeze, ariko ibi bimenyetso mubisanzwe biroroshye kandi ntibiramba. Fata umuti wawe ukurikira ku gihe gisanzwe ukomeze gahunda yawe isanzwe.

Niba wanyoye imiti myinshi y'inyongera cyangwa wumva utameze neza cyane, vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya ubumara kugira ngo bagufashe. Bashobora kukugira inama y'ibyo witegura kandi niba ukeneye ubufasha bw'ubuvuzi. Mu bihe byinshi, kunywa imiti mike y'inyongera ntizatera ingaruka zikomeye, ariko buri gihe ni byiza kubona inama z'umwuga.

Nkwiriye gukora iki niba ntasomye urugero rwa Levonorgestrel na Ethinyl Estradiol?

Niba wasomye urugero rumwe rukora, rufate ako kanya wibuka, niyo byasaba kunywa imiti ibiri ku munsi umwe. Uburinzi bwawe bw'uburyo bwo kuboneza urubyaro bugomba gukomeza gukora neza, kandi ntukeneye uburyo bwo kuboneza urubyaro bwunganira. Komeza kunywa imiti yawe isigaye ku gihe gisanzwe.

Niba wasomye imiti ibiri cyangwa irenga, fata umuti wasomye vuba aha ako kanya wibuka kandi ujugunye indi miti wasomye. Koresha uburyo bwo kuboneza urubyaro bwunganira nk'agakingirizo mu minsi irindwi iri imbere. Niba wasomye imiti mu cyumweru cya mbere cy'ipaki yawe kandi wakoze imibonano mpuzabitsina idakingiye, tekereza ku kuboneza urubyaro bwihutirwa.

Kusoma imiti mu cyumweru cya gatatu cy'ipaki yawe bisaba kwitonderwa by'umwihariko. Ugomba kureka imiti itagira akamaro kandi ugatangira ipaki nshya ako kanya urangije imiti ikora muri paki yawe y'ubu. Ibi birinda ko igihe kitagira imisemburo kiba kirekire cyane kandi kigahungabanya uburinzi bwawe.

Nshobora kureka kunywa Levonorgestrel na Ethinyl Estradiol ryari?

Urashobora guhagarika gufata uyu muti igihe icyo aricyo cyose, ariko ni byiza kurangiza urugero rwawe rwa none kugirango wirinde kuva amaraso bidahagarara. Niba uhagarika kuko ushaka gusama, urashobora kugerageza gusama ako kanya uhagaritse. Ubusanzwe ubushobozi bwawe bwo kubyara busubira mu mezi make, nubwo abagore bamwe baboneka mu byumweru.

Niba uhagarika kubera ingaruka ziterwa n'umuti, banza uvugane na muganga wawe kubijyanye n'ubundi buryo. Bashobora gutanga igitekerezo cyo kugerageza uburyo butandukanye cyangwa guhindurira uburyo butandukanye bwo kuboneza urubyaro. Ntukahagarike ako kanya utagize undi mugambi wo kuboneza urubyaro niba ushaka kwirinda gusama.

Igihe uhagaritse gufata ibinini, ushobora guhura n'impinduka zimwe z'agateganyo igihe umubiri wawe wiyongera ku mpinduka z'imisemburo yawo isanzwe. Izi zirimo imihango idahagarara mu mezi make, impinduka mu myumvire, cyangwa impinduka z'uruhu. Izi mpinduka ni ibisanzwe kandi akenshi zikemuka zonyine.

Nshobora gufata Levonorgestrel na Ethinyl Estradiol nkamara konjesha?

Uyu muti muri rusange ntusabwa ku bagore bonjesha, cyane cyane mu mezi atandatu ya mbere nyuma yo kubyara. Igice cya estrogen gishobora kugabanya umusaruro w'amata kandi gishobora kujya mu mata mu bwinshi buto. Abaganga benshi basaba gutegereza kugeza igihe konjesha kwashyizweho neza mbere yo gutekereza ku binini byo kuboneza urubyaro.

Niba uri konjesha kandi ukeneye kuboneza urubyaro, ibinini bya progestin gusa (ibinini bito) akenshi ni amahitamo meza. Ibi ntibigira ingaruka ku musaruro w'amata kandi bifatwa nkibifite umutekano mugihe konjesha. Izindi nzira zirimo IUDs, ibihingwa, cyangwa uburyo bwo gukumira butabangamira konjesha na gato.

Igihe witeguye gucutsa cyangwa wagabanyije cyane konjesha, urashobora kuganira no guhindurira ku binini byo guhuza n'umuganga wawe. Bazagufasha guhitamo igihe cyiza n'uburyo bw'imibereho yawe.