Ni iki Gukoresha Levonorgestrel mu Gitsina: Ibikoreshwa, Uburyo Bwo Gukoresha, Ingaruka Ziterwa n'ibindi

Gukoresha Levonorgestrel mu gitsina bivuga igikoresho gito, gifite ishusho ya T gishyirwa mu gitsina cyawe kigahora kirekurura imisemburo ya levonorgestrel aho ikenewe. Ubu buryo buhuza uburyo bwo kuboneza urubyaro bukora cyane no kugabanya imihango iremereye, bigatuma abagore benshi bahitamo kuboneza urubyaro igihe kirekire.

Iki gikoresho gikora kirekurura imisemburo mito ya progesterone (levonorgestrel) mu gitsina cyawe mu myaka myinshi. Ibi bituma imisemburo ikora ahantu hakenewe gusa, bivuze ko ubona inyungu n’imisemburo mike ugereranije n’ibinini byo kuboneza urubyaro, kandi ukishimira koroherezwa no kutibuka gufata imiti buri munsi.

Ni iki Gukoresha Levonorgestrel mu Gitsina?

Gukoresha Levonorgestrel mu gitsina ni igikoresho gishyirwa mu gitsina kirekurura imisemburo (IUD) gitanga uburyo bwo kuboneza urubyaro bwihuse. Iki gikoresho kingana n'ikiceri kandi kirimo levonorgestrel, imisemburo ya progesterone ikorwa mu buryo bwa gihanga.

Iyo gishyirwamo n'umuganga wawe, iki gikoresho kiba neza mu gitsina cyawe kandi kigahora kirekurura levonorgestrel nto mu gitsina. Ubu buryo bugamije gukora imisemburo cyane cyane aho ikenewe, n’imisemburo mike cyane yinjira mu maraso ugereranije n’imiti yo kuboneza urubyaro ifatirwa mu kanwa.

Iki gikoresho gishobora gukora neza mu myaka 3 kugeza kuri 8 bitewe n'ubwoko bwacyo, nyuma yaho kigomba gusimburwa niba ushaka gukomeza ubu buryo bwo kuboneza urubyaro. Urashobora kugikuramo igihe icyo aricyo cyose niba wiyemeje gushaka gutwita cyangwa guhindura uburyo bwo kuboneza urubyaro.

Ni iki Gukoresha Levonorgestrel mu Gitsina Gikoreshwa?

Igikoresho cy'ibanze cyo gukoresha ibikoresho byo mu nda bya levonorgestrel ni ukwirinda gutwita, gifite urwego rwo gukora rurenze 99%. Ariko, ibi bikoresho bitanga inyungu nyinshi zongera agaciro kabo ku bagore bamwe.

Abagore benshi bahura n'imihango yoroheje cyane nyuma yo gushyirwaho, kandi bamwe bashobora guhagarika imihango burundu. Ibi bituma igikoresho kiba uburyo bwiza ku bagore bafite amaraso menshi y'imihango (menorrhagia) cyangwa imihango ibabaza.

Muganga wawe ashobora no kugusaba iki gikoresho niba ufite indwara ya endometriosis, kuko imisemburo ikoreshwa mu gice kimwe ishobora gufasha kugabanya imikurire y'imyanya y'inda hanze y'igitsina. Byongeye kandi, irashobora gukoreshwa nk'igice cyo kuvura imisemburo mu bagore bageze mu gihe cyo gucura kugira ngo barinde urukuta rw'inda iyo bafata imisemburo ya estrogen.

Abaganga bamwe bakoresha ibi bikoresho mu gufasha gucunga ubwoko bumwe bw'amaraso atari yo asanzwe y'inda cyangwa nk'uburyo bwo kuvura abagore bafite fibroids bifuza kwirinda kubagwa.

Ibyo levonorgestrel Intrauterine Route ikora gute?

Ubu buryo bwo kuboneza urubyaro bukora binyuze mu buryo bwinshi bwo kwirinda gutwita neza. Imisemburo ya levonorgestrel ikomeza ururenda rwawe rw'umura, bigatuma intanga zitorohewe kugera no gufumbiza igi.

Imisemburo kandi ituma urukuta rw'inda yawe (endometrium) rucika intege, ibi bikagabanya amahirwe yo ko igi ryarimo intanga ryashyirwa mu nda. Mu bagore bamwe, igikoresho gishobora no guhagarika ovulation, nubwo atari uburyo bwayo bw'ibanze bwo gukora.

Nk'uburyo bwo kuboneza urubyaro, levonorgestrel IUDs zifatwa nk'izikora cyane ariko ntizikomeye nko kubaga burundu. Zikora cyane kurusha ibinini byo kuboneza urubyaro, ibishishwa, cyangwa impeta kuko nta kaga ko kwibeshya nk'uko kwibagirwa gufata ikinini.

Uburyo bwo gukoresha imisemburo y'ibanze bisobanura ko ubona uburyo bwo kuboneza urubyaro budahindagurika utagomba kwibuka gufata imiti ya buri munsi. Iki gikoresho gitangira gukora ako kanya gishyirwamo kandi gikomeza gutanga uburyo bwizewe bwo kuboneza urubyaro mu myaka myinshi.

Nagomba Gufata Nte Levonorgestrel Intrauterine Route?

Bitandukanye n'imiti yo kunywa, ntugomba "gufata" ubu buryo bwo kuboneza urubyaro mu buryo busanzwe. Ahubwo, umuganga wizeye ashyira iki gikoresho mu mura wawe mu gihe gito cyo kwa muganga.

Mbere yo gushyirwamo, ntugomba kwiyiriza cyangwa kwirinda kurya, nubwo abaganga bamwe basaba gufata umuti wo kurwanya ububabare nk'ibuprofen iminota 30-60 mbere yo kujya kwa muganga. Ibi bishobora kugabanya kuribwa mu gihe cyo gushyirwamo no nyuma yaho.

Uburyo bwo gushyirwamo busanzwe bufata iminota mike gusa. Umuganga wawe azakoresha igikoresho cyitwa speculum kugirango arebe umura wawe, asukure ahantu, hanyuma akoreshe igikoresho cyihariye kugirango ashyire igikoresho mu mura wawe. Ushobora kumva uribwa nk'uko uribwa mu gihe cy'imihango igihe gishyirwamo.

Nyuma yo gushyirwamo, ntugomba gukora ikintu icyo aricyo cyose cyihariye kugirango urinde igikoresho. Kizakora buri gihe nta gikorwa na kimwe gisabwa kuri wowe. Umuganga wawe azatema imigozi yo gukuramo kugirango yongere gato mu gitsina cyawe, bikwemerera kureba niba igikoresho kigihari.

Nagomba Gufata Igihe Kingana Gite Levonorgestrel Intrauterine Route?

Igihe biterwa n'ubwoko bw'icyo gikoresho cya levonorgestrel IUD ufite, kuko ubwoko butandukanye bwemerejwe igihe gitandukanye. Ibikoresho byinshi bikora neza mu myaka 3 kugeza kuri 8, naho ubwoko bushya bumara imyaka 8.

Urashobora kugumana igikoresho igihe cyose cyemerejwe niba wishimiye kandi ntugire ikibazo icyo aricyo cyose. Abagore benshi bahitamo gusimbuza igikoresho cyabo gishya igihe kirangiye kugirango bakomeze kwishimira inyungu zimwe.

Ariko, ntabwo ugomba kugumana igikoresho mu gihe cyose cy'ubuzima bwacyo. Urashobora kugikuraho igihe icyo aricyo cyose niba ushaka kugerageza gusama, ukagira ingaruka zitakwemerera, cyangwa ukaba wifuza guhindura uburyo bwo kuboneza urubyaro.

Niba ukoresha igikoresho ahanini kugirango ugabanye amaraso menshi aho kuboneza urubyaro, muganga wawe azakorana nawe kugirango amenye igihe cyiza gishingiye ku buryo ibimenyetso byawe bikira neza n'ibyo umubiri wawe ukeneye muri rusange.

Ni Iyihe Ngaruka Ziterwa no Gukoresha Levonorgestrel Intrauterine?

Abagore benshi bakoresha neza levonorgestrel IUD, ariko nk'uko biba ku miti yose, bishobora gutera ingaruka. Inkuru nziza ni uko ingaruka nyinshi ziba igihe gito kandi zikagenda zikira uko umubiri wawe wimenyereza igikoresho mu mezi make ya mbere.

Dore ingaruka zisanzwe ushobora guhura nazo, uzi ko umubiri wawe ukeneye igihe kugirango wimenyereze imisemburo ikoreshwa:

• Gusama bidasanzwe cyangwa gusa amaraso make, cyane cyane mu mezi 3-6 ya mbere
• Imisemburo mike cyangwa kutagira imisemburo na gato nyuma y'igihe
• Kubabara bike cyangwa kutumva neza mu gatuza, cyane cyane mu byumweru bike bya mbere
• Urubavu rwo mu gituza cyangwa guhinduka kw'amarangamutima
• Umutwe cyangwa isesemi
• Ibimeme cyangwa guhinduka kw'uruhu
• Guhinduka kw'ibiro (nubwo kongera ibiro cyane bidakunze kubaho)

Izi ngaruka zisanzwe zikunda kugabanuka uko umubiri wawe wimenyereza igikoresho. Abagore benshi basanga ko uburyo bwo gusama butari busanzwe bwagabanutse cyane nyuma y'amezi make ya mbere.

Nubwo bidasanzwe, hariho izindi ngaruka zikomeye zishobora kubaho zikeneye ubufasha bwihuse bw'abaganga. Izi ngorane zitakunze kubaho ariko z'ingenzi zirimo:

• Indwara yo mu kibuno (PID), cyane cyane mu minsi 20 ya mbere nyuma yo gushyirwamo
• Icyuma cyirukanwa, aho IUD igabanuka cyangwa igasohoka rwose
• Urubavu rw'igitsina cy'umugore rucengera igihe gishyirwamo (ntarengwa)
• Utubyimba tw'intanga ngore, akenshi bikemuka byonyine
• Urugero rwo kwibasirwa n'ibintu byangiza umubiri cyane ku bikoresho by'icyuma

Niba wumva ububabare bukomeye mu kibuno, kuva amaraso menshi, umuriro, cyangwa ntushobore kumva imigozi y'icyuma mugihe cyo kwisuzuma kwawe kwa buri kwezi, vugana n'umuganga wawe vuba na bwangu kugirango asuzume.

Ninde Utagomba Gukoresha Uburyo bwo Gushyira Levonorgestrel mu Gitsina?

Nubwo levonorgestrel IUD zifitiye umutekano abagore benshi, ibibazo by'ubuzima runaka cyangwa ibihe bituma ubu buryo bwo kuboneza urubyaro butagira akamaro. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima kugirango yemeze ko iki cyuma gikwiriye kuri wewe.

Ntabwo ukwiye gukoresha levonorgestrel IUD niba ufite kimwe muri ibi bibazo, kuko bishobora kongera ibyago byo kugira ibibazo:

• Gusama cyangwa gukeka ko utwite
• Indwara yo mu kibuno ikora cyangwa indwara iheruka mu kibuno
• Kuva amaraso mu gitsina kidafite ibisobanuro
• Ubukana bw'umura cyangwa igitsina cy'umugore
• Ubukana bw'ibere cyangwa amateka y'ubwana bw'ibere
• Ibisebe byo mu mwijima cyangwa indwara ikomeye y'umwijima
• Ubugwari bw'igitsina cy'umugore butuma icyuma kidashobora gushyirwa neza

Ibi biranga ko bidashoboka rwose bisobanura ko icyuma gishyira mu kaga gakomeye kandi ntigikwiye gukoreshwa muri ibi bihe.

Muri rusange, ibibazo bimwe na bimwe bisaba kwitonda cyane no kubitekerezaho neza, nubwo bitavana icyuma mu buryo bwikora. Muganga wawe azagereranya inyungu n'ibibazo niba ufite:

• Amateka yo gusama hanze y'igitsina cy'umugore
• Indwara zo kuva amaraso cyangwa gufata imiti ituma amaraso ativura
• Ibibazo by'umutima byongera ibyago byo kwandura
• Migraines ikomeye hamwe na aura
• Indwara zandurira mu mibonano mpuzabitsina ziheruka
• Abafatanyabikorwa benshi bo mu mibonano mpuzabitsina (ibibazo byinshi bya STI)

Umuvuzi wawe w’ubuzima azaganira nawe kuri ibi bitekerezo kandi ashobora kugusaba kwitwararika cyangwa gukoresha ubundi buryo bwo kuboneza urubyaro niba bibaye ngombwa.

Amazina y’Ubwoko bwa Levonorgestrel Intrauterine Route

Ibigo bitandukanye bikora imiti ya levonorgestrel-releasing IUD, buri kimwe gifite ibisobanuro bitandukanye gato n’igihe bikora. Ubwoko bukunze kuboneka cyane burimo Mirena, Skyla, Liletta, na Kyleena.

Mirena ni yo IUD ya mbere ya levonorgestrel yemerejwe kandi ikora mikrogramu 20 za hormone buri munsi, ikora neza imyaka 8. Skyla ni ntoya kandi ikora mikrogramu 14 buri munsi, igenewe gukoreshwa imyaka 3, bituma iba uburyo bwiza ku bagore batarabyara.

Liletta ikora mikrogramu 18.6 buri munsi kandi yemerejwe imyaka 8, naho Kyleena ikora mikrogramu 17.5 buri munsi kandi ikora imyaka 5. Umuvuzi wawe w’ubuzima azagufasha guhitamo uburyo bukwiye cyane bushingiye ku byo ukeneye, imiterere yawe, n’ibyo ukunda.

Ubu bwoko bwose bukorera kimwe ariko bushobora gutandukana gato mu bunini, urugero rwa hormone ikora, n’igihe ikora. Ubwishingizi bushobora no gutandukana hagati y’ubwoko, bityo birakwiye ko uganira n’umuvuzi wawe ku bijyanye n’ibiciro.

Uburyo Bindi Bw’Ubwoko bwa Levonorgestrel Intrauterine Route

Niba IUD ya levonorgestrel itagukwiriye, hari ubundi buryo bwinshi bwo kuboneza urubyaro bukora neza cyane bushobora gutanga uburyo bwo kwirinda gutwita igihe kirekire. IUD y’umuringa (ParaGard) itanga uburyo bwo kuboneza urubyaro butagira hormone imyaka 10, nubwo bishobora kongera kuva mu gihe cy’imihango.

Uburyo bwa hormone burimo igituba cyo kuboneza urubyaro (Nexplanon), gikora hormone ya progestin itandukanye munsi y’uruhu rwawe imyaka 3. Inshinge zo kuboneza urubyaro (Depo-Provera) zitanga amezi 3 yo kurinda ku nshinge imwe, naho ibinini byo kuboneza urubyaro, ibishishwa, n’impeta bitanga uburyo bwo kuboneza urubyaro bwa hormone bw’igihe gito.

Ku bagore bashaka cyane kugabanya amaraso menshi aho gukoresha uburyo bwo kuboneza urubyaro, hari ubundi buryo burimo ibinini bya tranexamic acid, ibinini byo kuboneza urubyaro bikoresha imisemburo, cyangwa uburyo nk'ubwo gukora endometrial ablation. Muganga wawe ashobora kandi gutekereza kuvura indwara zishingiye ku bindi bintu nk'imitsi y'inda cyangwa endometriosis.

Uburyo bwo kuboneza urubyaro burambye nk'ubwo gukora tubal ligation butanga uburyo bwo kuboneza urubyaro burundu niba wizeye ko utakwifuza kuzabyara mu gihe kizaza. Umuganga wawe ashobora kugufasha kugereranya ubwo buryo bwose bushingiye ku buzima bwawe, imibereho yawe, n'intego zawe zo kubyara.

Ese Levonorgestrel Intrauterine Route iruta ibinini byo kuboneza urubyaro?

Levonorgestrel IUDs itanga inyungu nyinshi kurusha ibinini byo kuboneza urubyaro, nubwo guhitamo

Ugereranije n'ibiciro, IUD iruta ibindi mu gihe, kuko igikoresho kimwe kimara imyaka myinshi ugereranije n'imiti yo kunywa buri kwezi. Muganga wawe ashobora kugufasha gupima ibi bintu bitewe n'amateka yawe y'ubuzima, imibereho yawe, n'ibyo ukunda.

Ibibazo Bikunze Kubazwa ku bijyanye na Levonorgestrel Intrauterine Route

Ese levonorgestrel intrauterine route iratekanye ku bagore barwaye diyabete?

Yego, levonorgestrel IUDs muri rusange ziratekanye ku bagore barwaye diyabete kandi zishobora no gukundwa kurusha izindi nzira zo kuboneza urubyaro zikoresha imisemburo. Imisemburo itangwa ahantu hamwe bisobanura ko bigira ingaruka nkeya ku rwego rw'isukari mu maraso ugereranije n'ibinini byo kuboneza urubyaro.

Ariko, muganga wawe azashaka gukurikirana urwego rw'isukari mu maraso yawe nyuma yo gushyirwaho, kuko abagore bamwe bashobora guhura n'impinduka ntoya mu mikorere ya glucose. Inyungu zo kuboneza urubyaro neza zikunze kurenga ibi byago bito, cyane cyane ko gutwita kutateguwe bishobora gutuma gucunga diyabete bigorana cyane.

Nigira iki niba nkoresheje levonorgestrel intrauterine route nyinshi mu buryo butunganye?

Ntushobora

Ariko, ugomba kugenzura buri kwezi niba ushobora kumva imigozi yo gukuraho muri nyababyeyi yawe, ibyo bikerekana ko igikoresho kigihari. Niba utabasha kumva iyo migozi cyangwa isa naho yiyongereye cyangwa yagabanutse ugereranyije nuko byari bimeze, bana na muganga wawe kugirango wemeze ko igikoresho kitimukiye ahandi cyangwa kitajyanywe.

Nshobora kureka gukoresha levonorgestrel mu nzira ya nyababyeyi ryari?

Ushobora gukuraho levonorgestrel IUD yawe igihe icyo aricyo cyose na muganga wabihuguwemo, hatitawe ku gihe umaze uyikoresha. Uburyo bwo gukuraho buba bwihuse kandi butavuna ugereranyije no kuyishyiramo.

Ubusanzwe ububasha bwawe bwo kubyara busubira vuba nyuma yo gukuraho, akenshi mu mezi make. Niba uri gukuraho igikoresho kuko ushaka gutwita, ushobora gutwita vuba nyuma yo gukuraho, bityo witegure iyo shobokera.

Abagore bamwe bahitamo gukuraho igikoresho cyabo bagahita basimbuza ikindi gishya igihe cyarangiye, mu gihe abandi bahindura uburyo bwo kuboneza urubyaro butandukanye cyangwa bakaruhuka gukoresha uburyo bwo kuboneza urubyaro bufite imisemburo.

Nshobora gutwita ako kanya nyuma yo gukuraho levonorgestrel IUD?

Yego, gutwita birashoboka vuba nyuma yo gukuraho IUD, nubwo gusubirana kw'ububasha bwo kubyara bitandukanye ku bantu. Abagore benshi babona imisemburo yo kubyara mu byumweru bike cyangwa mu mezi make nyuma yo gukuraho, kandi gutwita bishobora kubaho mu gihe cy'imihango yawe ya mbere.

Niba uteganya kugerageza gutwita, tekereza gutangira gufata vitamine mbere yo gukuraho no gukomeza imyitwarire myiza y'ubuzima. Niba utiteguye gutwita, ganira n'umuganga wawe ku buryo bwo kuboneza urubyaro butandukanye mbere yo gukuraho kugirango wemeze ko urinda buri gihe.

Gukoresha mbere levonorgestrel IUD ntigusa nkaho bigira ingaruka ku bubasha bwo kubyara cyangwa ku ngaruka zo gutwita mu gihe kizaza, bityo ushobora kumva ufite icyizere ko iyi nzira yo kuboneza urubyaro itazagira ingaruka ku bushobozi bwawe bwo gutwita igihe witeguye.