Icyo Medroxyprogesterone Arimwe: Ibyo Ikoreshwa, Uburyo Bwo Kuyifata, Ingaruka Zayo, n'ibindi

Medroxyprogesterone ni umusemburo w'ubukorano wiganisha kuri progesterone, umusemburo umubiri wawe ukora mu buryo busanzwe. Uyu muti uza mu buryo bw'urukingo rutangwa mu mikaya yawe cyangwa munsi y'uruhu rwawe n'umuganga. Akenshi ukoreshwa mu kugenzura urubyaro no kuvura indwara zimwe na zimwe z'abagore binyuze mu kugenzura imihango yawe n'imisemburo.

Medroxyprogesterone ni iki?

Medroxyprogesterone ni verisiyo yakozwe n'abantu ya progesterone, umwe mu misemburo y'ingenzi mu mikorere y'ubuzima bw'imyororokere yawe. Tekereza nk'umusimbura w'imisemburo winjira igihe umubiri wawe ukeneye ubufasha bwiyongera mu kugenzura imihango yawe cyangwa gukumira inda.

Uyu muti ubarirwa mu itsinda ryitwa progestins, ari zo verisiyo z'ubukorano za progesterone isanzwe. Iyo wakiriye medroxyprogesterone nk'urukingo, irarekurwa buhoro buhoro mu maraso yawe mu byumweru byinshi cyangwa amezi menshi, itanga urwego rwa misemburo ruhamye.

Uburyo bw'urukingo bufite akamaro cyane kuko bukuraho gukenerwa kwibuka ibinini bya buri munsi. Umuganga wawe azaguha urukingo rwaba mu mikaya yawe (intramuscular) cyangwa munsi y'uruhu rwawe (subcutaneous), bitewe n'uburyo bwihariye n'uburyo uvurwa.

Medroxyprogesterone ikoreshwa mu iki?

Urukingo rwa Medroxyprogesterone rufite impamvu nyinshi z'ingenzi mu buvuzi bw'abagore. Igikoresho gikunze gukoreshwa ni uburyo bwo kugenzura urubyaro burambye bushobora gukumira inda mu mezi atatu hamwe n'urukingo rumwe.

Usibye gukumira inda, uyu muti ufasha mu gucunga indwara zitandukanye z'imihango. Niba ugira imihango iremereye, idahoraho, cyangwa ibabaza, medroxyprogesterone ishobora gufasha kugenzura imihango yawe no kugabanya ibimenyetso. Ikora mu guhamya umurongo w'igitsina gore cyawe no kugenzura imihindagurikire y'imisemburo.

Abaganga b’ubuzima kandi bandika uyu muti ku ndwara ya endometriosis, indwara aho imitsi isa n’iy’urukuta rw’igitsina gore ikura hanze y’igitsina gore. Uyu mumaro ufasha kugabanya imikurire y’iyi mitsi kandi ushobora kugabanya cyane ububabare n’uburwayi.

Mu bindi bihe, medroxyprogesterone ikoreshwa nk’igice cyo kuvura indwara ziterwa n’imisemburo ku bagore banyura mu gihe cyo gucura. Irashobora kandi gufasha kuvura ubwoko bumwe bw’umutima, cyane cyane kanseri y’igitsina gore, mu kugabanya imikurire y’uturemangingo twa kanseri.

Medroxyprogesterone ikora ite?

Medroxyprogesterone ifatwa nk’umuti w’imisemburo ukomeye, ukora mu kwigana progesterone y’umubiri wawe. Iyo uhabwa urukingo, itangira kurekura umusemburo mu mubiri wawe buhoro buhoro mu byumweru byinshi cyangwa amezi.

Mu kugenzura imbyaro, uyu muti wirinda gutwita mu buryo butatu bukuru. Icya mbere, ibuza intanga z’amaso gusohoka buri kwezi. Icya kabiri, ikomeza ururenda ruri mu gitsina gore, bigatuma intanga zitoroherwa no kugera ku ntanga. Icya gatatu, ihindura urukuta rw’igitsina gore kugira ngo bitagora intanga yatewe gushyirwa mu mwanya.

Mu kuvura indwara z’imihango, medroxyprogesterone ifasha kuringaniza urwego rw’imisemburo mu gihe cyose cy’imihango yawe. Irashobora kugabanya ubukana bw’urukuta rw’igitsina gore, ibi bifasha kugenzura amaraso menshi kandi bigatuma imihango yoroha.

Ku ndwara nka endometriosis, uyu muti utuma habaho imiterere isa n’iyo gucura mu guhagarika imikorere ya estrogen. Ibi bifasha kugabanya imitsi ya endometrial kandi bigatuma ububabare bugabanuka, bitanga ubufasha ku bubabare n’ibindi bimenyetso.

Nkwiriye gufata medroxyprogesterone nte?

Urukingo rwa medroxyprogesterone rugomba gutangwa n’umuganga mu gihe cy’ubuvuzi. Ntabwo ushobora kwifata uyu muti wenyine mu rugo. Urukingo rukunze gutangwa buri byumweru 12 kugeza kuri 13 mu kugenzura imbyaro, nubwo igihe gishobora gutandukana bitewe n’uburyo bwawe bwihariye bwo kuvurwa.

Mbere yo guterwa urushinge, ntugomba gukurikiza amabwiriza yihariye yerekeye imirire. Urashobora kurya uko bisanzwe kandi ntugomba gufata umuti hamwe n'ibiryo kuko utangwa nk'urushinge aho gutangwa nk'ikibazo. Ariko, ni byiza kuguma ufite amazi ahagije kandi ugakurikiza imirire yuzuye kugira ngo ushyigikire ubuzima bwawe muri rusange.

Umuvuzi wawe azagena ahantu heza ho guterwa urushinge hashingiwe ku buryo bwihariye urimo guhabwa. Inshinge ziterwa mu mikaya zikunze guterwa mu kaboko kawe k'inyuma, mu itako, cyangwa mu kibuno. Inshinge ziterwa munsi y'uruhu zijya mu gice cy'ibinure munsi y'uruhu rwawe, akenshi mu itako cyangwa mu nda.

Ni ngombwa kumenya igihe ugomba guterwa urushinge rukurikira. Umuvuzi wawe azategura gahunda yo gusuzuma, ariko gushyira ikimenyetso ku kalendari yawe birashobora gufasha kwirinda gucikanwa n'imiti, cyane cyane niba uyikoresha mu kugenzura imbyaro.

Nzagomba Gufata Medroxyprogesterone Igihe Kingana Gite?

Igihe cyo kuvura na medroxyprogesterone giterwa rwose n'impamvu uyifataho n'uko umubiri wawe witwara. Mu kugenzura imbyaro, urashobora gukomeza guhabwa inshinge igihe cyose ushaka kwirinda gutwita kandi ntugire ingaruka ziteye inkeke.

Niba ukoresha medroxyprogesterone kubera ibibazo byo mu gihe cy'imihango, umuvuzi wawe azasaba uburyo bwo kuvura bwihariye. Ibi birashobora guhera ku mezi make kugeza ku mwaka cyangwa kurenza, bitewe n'ibimenyetso byawe n'uburyo witwara ku miti.

Kubera ibibazo nka endometriosis, igihe cyo kuvura kiratandukanye cyane. Abagore bamwe babona ubufasha nyuma y'amezi atandatu, mu gihe abandi bashobora gukenera igihe kirekire cyo kuvurwa. Muganga wawe azagenzura iterambere ryawe kandi ahindure gahunda yo kuvura uko bikwiye.

Birakwiye kumenya ko niba ukoresha medroxyprogesterone kubera impamvu z'ubuzima bw'amagufa, umuvuzi wawe ashobora gusaba kugabanya imikoreshereze y'igihe kirekire. Imikoreshereze y'igihe kirekire irashobora kugira ingaruka ku gipimo cy'amagufa, bityo gusuzuma buri gihe no guhagarika kuvurwa bishobora kuba ngombwa.

Ni Ibihe Bikorwa Bigaragara Byatewe na Medroxyprogesterone?

Kimwe n'imiti yose, medroxyprogesterone ishobora gutera ibikorwa bigaragara, nubwo atari buri wese ubyumva. Kumenya ibyo witegura bishobora kugufasha kwitegura neza kandi ukamenya igihe cyo kuvugana n'umuganga wawe.

Ibikorwa bigaragara cyane ushobora guhura nabyo birimo impinduka mu gihe cyawe cy'imihango, akenshi byitezwe hamwe n'uyu muti wa hormone:

• Gusohoka amaraso atari yo cyangwa kubona amaraso hagati y'imihango
• Iminsi y'imihango iremereye cyangwa yoroheje kuruta uko bisanzwe
• Kutagira imihango nyuma yo guterwa inshinge nyinshi
• Igihe kirekire cyangwa gito cy'imihango

Izi mpinduka z'imihango akenshi ziba iz'igihe gito kandi zikunze gukira uko umubiri wawe wimenyereza umuti.

Ushobora kandi kubona impinduka zimwe na zimwe z'umubiri zisanzwe zishobora gucungwa:

• Kongera ibiro (muri rusange ibiro 1-2 mu mwaka wa mbere)
• Urubavu rwo mu gituza cyangwa kubyimba
• Umutwe cyangwa kuribwa gake
• Impinduka z'amarangamutima, harimo kumva urakaye cyangwa ushaka gushwana
• Kugira umunaniro cyangwa kugabanya imbaraga
• Kuzana umwuka mubi cyangwa kutumva neza mu nda

Ibyinshi muri ibi bikorwa bigaragara ni bike kandi bikunda gukira uko umubiri wawe wimenyereza urugero rwa hormone.

Ibikorwa bimwe na bimwe bitagaragara cyane ariko bikomeye bisaba ubufasha bwihutirwa bw'abaganga. Nubwo bitagaragara kenshi, ni ngombwa kumenya ibi bishoboka:

• Uburibwe bukomeye mu gituza cyangwa guhumeka nabi
• Umutwe ukomeye utunguranye cyangwa impinduka mu burebure
• Uburibwe bukomeye mu kuguru cyangwa kubyimba
• Gusohoka amaraso atari yo cyangwa gusohoka mu gitsina
• Ibimenyetso byo kwiheba cyangwa impinduka zikomeye z'amarangamutima
• Uburibwe bukomeye mu nda

Niba ubonye kimwe muri ibi bimenyetso, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bw'ubuvuzi bwihutirwa.

Gukoresha medroxyprogesterone igihe kirekire bishobora no kugira ingaruka ku mikorere y'amagufa yawe. Ibi nibyo bituma umuganga wawe agukurikiranira hafi kandi ashobora kugusaba gufata imiti irimo kalisiyumu na vitamine D kugira ngo byongere ubuzima bw'amagufa.

Ninde utagomba gufata Medroxyprogesterone?

Medroxyprogesterone ntibereye buri wese, kandi indwara zimwe na zimwe zituma bidatekanye kuyikoresha. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugusaba uyu muti.

Ntabwo ugomba guhabwa medroxyprogesterone niba utwite cyangwa utekereza ko ushobora kuba utwite. Uyu muti ushobora gukomeretsa umwana ukiri mu nda, bityo isuzuma ry'inda risanzwe risabwa mbere yo gutangira kuvurwa.

Indwara nyinshi zituma medroxyprogesterone idatekanye cyangwa ikaba isaba gukurikiranwa by'umwihariko. Izi zirimo indwara zigira ingaruka ku mikorere y'imitsi yawe:

• Amateka y'amaraso mu maguru yawe, mu bihaha, cyangwa ahandi hantu hose mu mubiri wawe
• Uburwayi bw'umutima bwa none cyangwa bwabayeho
• Umubyigano w'amaraso udakira
• Uburwayi bumwe na bumwe bwo gutera kw'umutima

Indwara zifitanye isano na kanseri nazo zigira ingaruka ku niba ushobora gukoresha uyu muti mu buryo butekanye, kuko imisemburo ishobora kugira uruhare mu mikurire y'ubwoko bumwe na bumwe bwa kanseri.

Ibibazo by'umwijima bitera ikindi kibazo, kuko umwijima wawe ukoresha imisemburo. Niba ufite indwara y'umwijima ikora cyangwa amateka y'ibibyimba by'umwijima, medroxyprogesterone ntishobora kuba ikwiriye kuri wowe.

Izindi ndwara zisaba kuzirikana neza zirimo:

• Gusohoka kw'amaraso mu gitsina kutumvikana
• Indwara ya diyabete ikaze ifite ingaruka
• Uburwayi bukomeye bwo kwiheba cyangwa uburwayi bwo mu mutwe
• Ubwo bwoko bumwe na bumwe bwo kurwara umutwe w'imitsi hamwe n'ikimenyetso
• Indwara y'urwagashya

Imyaka nayo ishobora kuba impamvu, kuko abagore barengeje imyaka 35 batumura itabi bashobora guhura n'ibibazo byiyongera hamwe n'imiti ikoresha imisemburo.

Amazina y'ubwoko bwa Medroxyprogesterone

Umuti wa medroxyprogesterone uterwa mu rushinge uboneka mu mazina menshi y'ubucuruzi, Depo-Provera ikaba ari ryo zina rizwi cyane. Iri zina ry'ubucuruzi ryahindutse nk'irivuga umuti ubwawo mu buryo bwo kwita ku buzima.

Depo-SubQ Provera 104 ni irindi zina rizwi, ryateguriwe cyane guterwa mu rushinge munsi y'uruhu. Ubu buryo bukoresha gahunda yo gutanga imiti itandukanye gato n'uburyo bwo guterwa mu rushinge ugereranije n'uburyo bwa kera bwo guterwa mu misitsi.

Farumasi yawe cyangwa umuganga wawe ashobora no kugutangira imiti ya medroxyprogesterone acetate iterwa mu rushinge. Iyi miti ikubiyemo ibintu bikora kimwe kandi ikora neza kimwe n'imiti y'amazina y'ubucuruzi, akenshi ku giciro gito.

Izina ry'ubucuruzi cyangwa uburyo ubonamo umuti bishobora guterwa n'ubwishingizi bwawe, icyo umuganga wawe akunda, n'indwara irimo kuvurwa. Uburyo bwose bwemewe bujyana n'amabwiriza yo gukoresha neza no kugira akamaro.

Uburyo bwo gusimbuza Medroxyprogesterone

Niba medroxyprogesterone itagukwiriye, hari uburyo bwinshi bwo gusimbuza bushobora gukemura ibibazo by'ubuzima bisa. Umuganga wawe ashobora kugufasha gushakisha izi nzira zo gusimbuza zishingiye ku byo ukeneye byihariye n'amateka yawe y'ubuvuzi.

Mugukoresha uburyo bwo kuboneza urubyaro, ufite uburyo bwinshi butandukanye kuva ku bundi buryo bwo gukoresha imisemburo kugeza ku buryo butagira imisemburo. Uburyo bukora igihe kirekire burimo ibikoresho byo mu nda (IUDs), haba ubwo bukoresha imisemburo n'ubwo bukoresha umuringa, bishobora gukumira gutwita mu myaka myinshi.

Ubundiburyo bwo kuboneza urubyaro bukoresha imisemburo burimo ibinini byo kuboneza urubyaro, ibishishwa, cyangwa impeta zo mu gitsina. Ibi bisaba gutanga imiti kenshi ariko bitanga inyungu yo kuba byahindurwa vuba niba ushaka gutwita.

Mu kuvura indwara zifitanye isano n'imihango, izindi nzira zishobora gukoreshwa zirimo ubundi bwoko bwa hormone therapy, nk'ibinini byo kuboneza urubyaro bifatanyije cyangwa hormonal IUDs. Ibishobora gukoreshwa bitarimo hormone nk'imiti imwe n'imwe igabanya ububabare cyangwa uburyo bwo kubaga nabyo bishobora gukoreshwa bitewe n'uburwayi bwawe bwihariye.

Niba urwaye indwara ya endometriosis, izindi nzira zo kuvura zirimo ubundi buryo bwa hormone therapy kugeza ku buryo bwo kubaga. Umuganga wawe azatekereza ku bukana bw'ibimenyetso byawe, imyaka yawe, n'intego zawe zo gutegura umuryango wawe mu gihe agena izindi nzira zishobora gukoreshwa.

Ese Medroxyprogesterone iruta izindi nzira zo kuboneza urubyaro?

Medroxyprogesterone itanga inyungu zidasanzwe zituma iba uburyo bwiza ku bagore benshi, ariko niba ari "nziza" biterwa n'ibyo ukeneye n'ibyo ukunda. Buri buryo bwo kuboneza urubyaro bufite inyungu zabwo n'ibyo bigomba kwitonderwa.

Inyungu nyamukuru ya medroxyprogesterone ni ukuba byoroshye kandi bikora neza. Hamwe n'ubushobozi bwo gukumira inda burenze 99%, ni bumwe mu buryo bwo kuboneza urubyaro bwizewe cyane buriho. Ukeneye kwibuka gusa gahunda buri mezi atatu aho gufata ibinini buri munsi.

Ugereranije n'ibinini byo kuboneza urubyaro, medroxyprogesterone ikuraho ibyago byo kwibagirwa doze ya buri munsi, bishobora kugabanya imikorere. Ntabwo kandi ikorana n'indi miti ishobora kugira ingaruka ku mikorere y'ibinini.

Ariko, medroxyprogesterone ifite ibyo igomba kwitonderwa bitandukanye n'izindi nzira. Bitandukanye n'ibinini, ibishishwa, cyangwa impeta, ntushobora guhagarika umuti ako kanya niba ubonye ingaruka ziterwa nawo. Ingufu za hormone zikomeza mu mezi menshi nyuma yo guterwa urushinge rwawe rwa nyuma.

Ugereranije na IUDs, medroxyprogesterone ntisaba uburyo bwo gushyirwaho cyangwa gukurwaho. Ariko, IUDs zirashobora kumara imyaka myinshi kandi ntizisaba guterwa inshinge buri gihe. Abagore bamwe bakunda uburyo bwo "kubishyiraho bakabibagirwa" bwa IUDs.

Ku bagore batabasha gukoresha imiti yo kuboneza urubyaro irimo estrogen kubera uburwayi, medroxyprogesterone itanga ubundi buryo bwiza kuko irimo progestin gusa. Ibi bituma bikwiriye abagore bafite ibyago by'umutima runaka cyangwa izindi ndwara zibuza gukoresha estrogen.

Ibikunze Kubazwa Kuri Medroxyprogesterone

Ese Medroxyprogesterone irakoreshwa igihe kirekire?

Medroxyprogesterone irashobora gukoreshwa mu buryo bwizewe igihe kirekire, ariko kuyikoresha igihe kirekire bisaba gukurikiranwa na muganga wawe. Ikintu cy'ingenzi cyo gukoresha igihe kirekire ni ingaruka zishobora kugira ku mikorere y'amagufa, ishobora kwiyongera uko igihe kigenda.

Muganga wawe ashobora gusaba ko ukorerwa isuzuma ry'amagufa buri gihe niba ukoresha medroxyprogesterone mu gihe kirenze imyaka ibiri. Ashobora kandi gutanga inama zo gufata imiti yongera calcium na vitamine D kugira ngo ashyigikire ubuzima bw'amagufa mu gihe uvurwa.

Ku bagore benshi, inyungu za medroxyprogesterone ziruta ibyago, cyane cyane iyo gukurikiranwa neza. Muganga wawe azagenzura buri gihe niba gukomeza kuyikoresha bikwiriye kuri wowe.

Nigira iki niba mbonye medroxyprogesterone nyinshi mu buryo butunganye?

Kubera ko medroxyprogesterone itangwa na muganga mu buryo bugenzurwa, gukoresha doze nyinshi mu buryo butunganye ni gake cyane. Ariko, niba ufite impungenge zo kubona doze itari yo, vugana na muganga wawe ako kanya kugira ngo muganire ku mpungenge zawe.

Niba ucyeka ko wakoresheje imiti myinshi, wikurikirane niba hari ingaruka zikomeye zirimo isesemi ikabije, kuva amaraso cyane, cyangwa ibimenyetso bidasanzwe. Ntuzuyaze gushaka ubufasha bwa muganga niba ubonye ibimenyetso bibangamiye.

Muganga wawe ashobora kureba amateka yawe y'ubuzima kugira ngo yemeze ko doze ikwiriye yatanzwe kandi atange ubuyobozi bukwiye niba hari ikibazo kivutse.

Nigira iki niba nsimbukiye doze ya medroxyprogesterone?

Niba wararengeje igihe cyo guterwa urushinge, vugana n'umuganga wawe vuba bishoboka kugira ngo usubize gahunda. Igihe cyo guterwa urushinge rukurikira ni ingenzi kugira ngo urugero rwa rwo rukomeze, cyane cyane niba urukoresha mu kuboneza urubyaro.

Niba wararengeje icyumweru kimwe ku rushinge rwawe kandi ukoresha medroxyprogesterone mu kuboneza urubyaro, bishobora kuba ngombwa ko ukoresha uburyo bwo kuboneza urubyaro bwunganira kugeza igihe uzaterwa urushinge kandi rugatangira gukora neza.

Umuganga wawe ashobora kugusaba gupimwa inda mbere yo gutanga urushinge rwatinze kugira ngo yemeze ko utatwite mu gihe cyo kutagira urukingo.

Ni ryari nshobora kureka gufata Medroxyprogesterone?

Ushobora kureka guterwa inshinge za medroxyprogesterone igihe icyo aricyo cyose utagize gahunda yo guterwa urushinge rukurikira. Ariko, ni ingenzi ko uvugana n'umuganga wawe kuri iki cyemezo, cyane cyane niba urukoresha kubera indwara aho kuboneza urubyaro.

Wibuke ko ingaruka za medroxyprogesterone zikomeza mu mezi menshi nyuma yo guterwa urushinge rwawe rwa nyuma. Niba urukoresha mu kuboneza urubyaro kandi ushaka gutwita, bishobora gufata amezi 6-12 cyangwa arenga kugira ngo ubushobozi bwawe bwo kubyara busubire uko bwari busanzwe.

Umuganga wawe ashobora kugufasha gutegura igihe cyo kureka medroxyprogesterone ukurikije intego zawe kandi ashobora gutanga imiti isimbura niba ureka kuyifata kubera izindi mpamvu zitari ukugira ngo utwite.

Ese Medroxyprogesterone izagira ingaruka ku bushobozi bwanjye bwo gutwita mu gihe kizaza?

Medroxyprogesterone ntishobora gutera ibibazo bihoraho byo kubyara, ariko bishobora gufata igihe kugira ngo imihango yawe isanzwe n'ubushobozi bwawe bwo kubyara bisubire nyuma yo kureka umuti. Iyi mikorere itinda ni iy'agateganyo kandi ntigaragaza ingaruka zirambye ku myanya yawe y'imyororokere.

Abagore benshi babona imihango yabo isubira mu mezi 6-12 nyuma yo guterwa urushinge rwabo rwa nyuma, nubwo bamwe bashobora guhura no gutinda kugeza ku mezi 18. Iyi mikorere itandukanye ni ibisanzwe kandi ntigaragaza ibibazo byo kubyara mu gihe kizaza.

Niba uteganya gutwita mu gihe kiri vuba, ganira n'umuganga wawe ku gihe cyo gutwita. Bazagufasha gutegura igihe cyo guhagarika imiti ya medroxyprogesterone kugira ngo bihuze n'intego zawe zo gutegura umuryango.