Ni iki cyo kuboneza urubyaro gikoresha Progestin: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Uburyo bwo kuboneza urubyaro bukoresha Progestin ni uburyo bwo kuboneza urubyaro bushingiye ku misemburo bukoresha imisemburo ya progesterone ikozwe mu buryo bwa gihanga kugira ngo birinde gutwita. Iyi miti ikora ihindura imiterere y'imisemburo y'umubiri wawe kugira ngo ihagarike imikorere y'intanga ngore kandi bitume intanga ngabo zitagera ku ntanga ngore.

Ushobora kumenya ubu buryo bwo kuboneza urubyaro ku mazina nka "mini-pill" ku buryo bwo kunywa imiti cyangwa Depo-Provera ku byo guterwa inshinge. Bifasha cyane abagore batabasha gufata imiti yo kuboneza urubyaro ikoresha estrogen kubera ibibazo by'ubuzima cyangwa ibyo bakunda.

Ni iki cyo kuboneza urubyaro gikoresha Progestin?

Uburyo bwo kuboneza urubyaro bukoresha Progestin burimo gusa progesterone ikozwe mu buryo bwa gihanga, bitandukanye n'ibinini byo kuboneza urubyaro bifatanya bigizwe na estrogen na progestin. Ibi bituma biba uburyo bworoshye ku bagore benshi, cyane cyane abonsa cyangwa bafite ibibazo by'ubuzima runaka.

Ubu buryo bwo kuboneza urubyaro buza mu buryo bubiri bukuru: ibinini unywa buri munsi n'inshinge zitangwa buri mezi make. Byombi bikora bigana imisemburo ya progesterone y'umubiri wawe, ariko ku rwego rubuza gutwita.

Progesterone ikozwe mu buryo bwa gihanga muri iyi miti isa n'iyo imitsi yawe y'intanga ngore ikora mu buryo busanzwe mu gihe cy'imihango yawe. Ibi bimenyereye imikorere y'umubiri wawe niyo mpamvu abagore benshi bakira neza uburyo bukoresha progestin gusa.

Ni iki cyo kuboneza urubyaro gikoresha Progestin gikoreshwa?

Igikoreshwa cyane cyane cyo kuboneza urubyaro gikoresha progestin ni ukwirinda gutwita kutifuzwa, kandi bifite akamaro kanini iyo bikoreshejwe neza. Iyi miti itanga uburyo bwo kuboneza urubyaro burenga 99% iyo bukoreshejwe neza, bigatuma buba bumwe mu buryo bwo kuboneza urubyaro bwizewe cyane.

Usibye kuboneza urubyaro, abaganga rimwe na rimwe bandikira ibinini bikoresha progestin gusa kugira ngo bifashe mu kugenzura imihango idahoraho cyangwa kugabanya amaraso menshi. Abagore bagira imihango ibabaza bashobora no kubona ubufasha muri iyi miti.

Ubu buryo bwo kuboneza urubyaro bufitiye akamaro kanini abagore batemerewe gukoresha imiti ikoresha imisemburo ya estrogen. Ibi bikubiyemo abagore barengeje imyaka 35 batari banywa itabi, abagore bafite amateka y'amaraso avurirana, cyangwa abagore bafite indwara zimwe na zimwe z'umutima.

Ababyeyi bonsa akenshi bahitamo uburyo bukoresha gusa imisemburo ya progestin kuko ntibugira ingaruka ku mikorere y'amata nk'uko imiti ikoresha estrogen ishobora kubigiraho ingaruka. Uyu musemburo wimukira mu mata y'ibere mu bwinshi buto cyane bufatwa nk'ubutagira ingaruka ku bana.

Ni gute imiti ikoresha progestin ikora?

Imiti ikoresha progestin ikora hakoreshejwe uburyo bwinshi bwo gukumira inda, bituma bikora neza nk'uburyo bwo kuboneza urubyaro bufite imbaraga ziringaniye. Uburyo bw'ibanze bakoresha ni uguhagarika intanga ngore mu gihe cyo kubyara.

Progesterone y'ubukorano nayo ituma ururenda rwo mu gitsina cy'umugore ruziba, rugatuma bigorana cyane ko intanga ngabo zoga zikagera ku ntanga ngore yaba yarekuwe. Bitekereze nk'uko birema urukuta rurinda ku muryango w'inkondo y'umura.

Byongeye kandi, progestin ihindura umurongo w'inkondo y'umura (witwa endometrium) kugira ngo bitagira akamaro ku ntanga yatewe kugira ngo yimuke. Ibi bitanga urundi rwego rwo kurinda inda.

Ubwoko bwa progestin buterwa bumera kimwe ariko butanga urwego rurerure rw'imisemburo mu mubiri wawe. Ibi bisobanura ko utagomba kwibuka kunywa imiti ya buri munsi, nubwo ingaruka zishobora gutinda gukira iyo ushaka gutwita.

Nkwiriye gufata gute imiti ikoresha progestin?

Ku miti ikoresha progestin yo kunywa, ugomba gufata urugero rumwe ku gihe kimwe buri munsi nta kiruhuko hagati y'udupaki. Bitandukanye n'ibinini bivanzemo, nta cyumweru cyo guhagarika imihango, ibi bituma igihe kiba ingenzi cyane kugira ngo bikore neza.

Fata umuti wawe ukoresheje ikirahure cyuzuye amazi, kandi urashobora kuwufata urya cyangwa utarya bitewe n'icyo ukunda. Niba ukunda kumva uruka, kuwufata ufatanije n'agafunguro gato cyangwa ifunguro rishobora kugufasha kugabanya kubabara mu nda.

Gushyiraho alarme ya buri munsi kuri terefone yawe birashobora kugufasha kugumana igihe gihamye cy'ingenzi kuri pilule zifite progestine gusa. Gutinda amasaha arenga atatu ku doze yawe birashobora kugabanya imikorere, bityo guhora ukoresha ni ingenzi.

Ku bijyanye n'imiti yo guterwa y'uburyo bwo kuboneza urubyaro bwa progestine, uzasura umuganga wawe buri byumweru 12 kugira ngo aterwe urushinge. Urukingo ruterwa mu kaboko kawe ka hejuru cyangwa mu kibuno, kandi ntugomba gukora ikintu icyo aricyo cyose cyihariye kugira ngo witegure iyo gahunda.

Niba uhindura uburyo bundi bwo kuboneza urubyaro, muganga wawe azakugira inama ku gihe cyiza cyo gutangira imiti ya progestine. Ibi mubisanzwe bikubiyemo gutangira mu gihe cy'imihango yawe cyangwa gukoresha uburyo bwo kuboneza urubyaro bwunganira mu masaha 48 ya mbere.

Nzagenda nte imiti ya progestine yo kuboneza urubyaro igihe kingana iki?

Urashobora gukoresha neza imiti ya progestine yo kuboneza urubyaro igihe cyose ukeneye kuboneza urubyaro kandi ntugire ingaruka zikomeye. Abagore benshi bakoresha ubu buryo imyaka myinshi batagize ikibazo cy'ubuzima.

Ku bijyanye na pilule za progestine zo kunywa, nta mpamvu yo mu buvuzi yo guhagarika imiti nk'uko abantu bamwe bemera ko ari ngombwa hamwe na pilule zivanga. Guhagarika mu by'ukuri byongera ibyago byo gutwita utabiteguye hatagize inyungu z'ubuzima zitangwa.

Imiti yo guterwa ya progestine yo kuboneza urubyaro muri rusange irasabwa kumara imyaka itarenze ibiri icyarimwe bitewe n'ingaruka zishobora kugira ku gukomera kw'amagufa. Ariko, niba wowe na muganga wawe mwemeza ko inyungu ziruta ibyago, urashobora gukomeza igihe kirekire hamwe no gukurikiranwa buri gihe.

Muganga wawe azashaka kuganira nawe buri gihe, mubisanzwe buri mezi atandatu kugeza ku mwaka, kugira ngo arebe ko uburyo bukora neza kuri wowe. Uru ruzinduko ni amahirwe meza yo kuganira ku bibazo icyo aricyo cyose cyangwa impinduka mu buzima bwawe.

Igihe witeguye kureka gukoresha imiti igabanya urubyaro ikoresha progestin, urashobora guhagarika kunywa imiti cyangwa ukareka guterwa urushinge rukurikira. Ubusanzwe ubushobozi bwawe bwo kubyara bugaruka vuba, akenshi mu mezi make.

Ni Ibihe Bikorwa Bigaragara ku Miti Igabanya Urubyaro Ikoresha Progestin?

Abagore benshi boroherwa no gukoresha imiti igabanya urubyaro ikoresha progestin, ariko nk'imiti yose, ishobora gutera ibikorwa bigaragara. Inkuru nziza ni uko ibikorwa byinshi bigaragara biba byoroheje kandi akenshi bikagenda neza nyuma y'uko umubiri wawe umenyereye imisemburo, ubusanzwe mu mezi make ya mbere.

Dore ibikorwa bisanzwe bigaragara ushobora guhura nabyo:

• Gusohoka amaraso bidahoraho cyangwa kubona amaraso hagati y'imihango
• Impinduka mu gihe cy'imihango yawe, harimo imihango yoroheje cyangwa iremereye
• Urubavu rw'amabere cyangwa kubyimba
• Umutwe woroshye
• Impinduka z'amarangamutima cyangwa kumva urakaye cyane
• Kuzamuka gato mu gihe (ubusanzwe ibiro 1-2)
• Uduheri cyangwa impinduka z'uruhu
• Kugabanuka kw'irari ry'imibonano mpuzabitsina

Ibi bikorwa bisanzwe akenshi biragabanuka uko umubiri wawe umenyera imisemburo ya gihanga. Abagore benshi basanga ko kutoroherwa kwose kw'ibanze bifite agaciro kubera uburinzi bwizewe bwo kugabanya urubyaro.

Hariho kandi ibikorwa bimwe bitamenyerewe ariko bikomeye bisaba ubufasha bwa muganga. Nubwo bidasanzwe, ni ngombwa kumenya ibi bishoboka:

• Uburibwe bukomeye mu nda butajya bucika
• Gusohoka amaraso menshi yuzura ipadi cyangwa tampon buri saha
• Umutwe ukaze hamwe n'impinduka mu mbono
• Ibimenyetso byo kwandura ahaterwa inshinge (kuburyo bwo guterwa inshinge)
• Impinduka zikomeye z'amarangamutima cyangwa agahinda gakabije
• Uruhu cyangwa amaso y'umuhondo (umwijima)

Niba uhuye n'ikimenyetso icyo aricyo cyose muri ibi bikomeye, vugana n'umuganga wawe ako kanya. Nubwo izi ngorane zitamenyerewe, ubufasha bwa muganga bwihuse bushobora gukumira ibibazo bikomeye.

Ninde Utagomba Gukoresha Imiti Igabanya Urubyaro Ikoresha Progestin?

Mugihe imiti yo kuboneza urubyaro ikoresha progestin ifite umutekano kurusha uburyo bwo kuboneza urubyaro bukorana imisemburo ku bagore benshi, hariho ibintu bimwe na bimwe bishobora kutaba uburyo bwiza. Muganga wawe azasuzuma amateka yawe y'ubuzima neza mbere yo kugusaba iyi miti.

Ntabwo ukwiye gukoresha imiti yo kuboneza urubyaro ikoresha progestin niba ufite indwara zimwe na zimwe zishobora kwiyongera n'imisemburo ya gihanga. Aha hari ibintu by'ingenzi iyi miti itagomba gukoreshwa:

• Ubu cyangwa amateka ya kanseri y'ibere
• Gusohoka amaraso mu gitsina bitasobanutse
• Indwara yawe y'umwijima cyangwa ibibyimba byo mu mwijima
• Uko bimenyekanye cyangwa gukeka ko utwite
• Indwara ikomeye y'imitsi y'amaraso
• Allergie ku bintu byose bikubiye muri iyi miti

Ibi bintu bituma ingaruka zo kuboneza urubyaro bikoreshwa imisemburo zirenga inyungu. Muganga wawe ashobora kugufasha gushakisha ubundi buryo bwo kuboneza urubyaro bukora neza niba imiti yo kuboneza urubyaro ikoresha progestin itagukwiriye.

Indwara zimwe na zimwe zisaba kwitonda cyane no gukurikiranwa neza niba ukoresha imiti yo kuboneza urubyaro ikoresha progestin. Abagore barwaye diyabete, umuvuduko ukabije w'amaraso, cyangwa amateka yo kwiheba barashobora gukoresha ubu buryo ariko bagomba kujya kwa muganga kenshi.

Niba ufata imiti imwe na imwe, ishobora guhura n'imiti yo kuboneza urubyaro ikoresha progestin kandi ikagira ingaruka ku mikorere yayo. Buri gihe bwire muganga wawe ku miti yose, ibyongerera imbaraga, n'imiti ikoreshwa mu byatsi ufata.

Amazina y'ubwoko bw'imiti yo kuboneza urubyaro ikoresha progestin

Imiti yo kuboneza urubyaro ikoresha progestin iboneka mu mazina menshi y'ubwoko, buri rimwe rikaba rikoresha uburyo butandukanye bwa progesterone ya gihanga. Ibipimo byinshi byo kunywa progestin-gusa birimo Micronor, Nor-QD, na Camila.

Ku miti yo kuboneza urubyaro ikoresha progestin iterwa mu nshinge, Depo-Provera ni izina ry'ubwoko rizwi cyane. Uru rukingo rukubiyemo medroxyprogesterone acetate kandi rutanga amezi atatu yo kurinda urubyaro hamwe n'urukingo ruriho.

Hari kandi Depo-subQ Provera, ni verisiyo ifite urugero ruto rw'urukingo ushobora kwigira wowe ubwawe mu rugo. Iyi nzira itanga ingaruka zimwe zo kuboneza urubyaro hamwe n'urushinge ruto n'imiti mike.

Verisiyo rusange z'ibinini bya progestin gusa ziraboneka kandi zikora neza nk'izina ry'ubwoko. Farumasi yawe irashobora kugufasha gusobanukirwa n'inzira rusange zishobora kuboneka kandi zishobora kuba zihendutse.

Izindi nzira zo kuboneza urubyaro zikoresha progestin

Niba imiti ikoresha progestin itagukwiriye, hariho izindi nzira nyinshi zikora neza zo kuboneza urubyaro zo gutekereza. Inzira zitagira imisemburo zirimo IUDs y'umuringa, inzira zikoresha inzitizi nk'agakingirizo na diyafaragime, n'inzira zo kumenya ububasha bwo kubyara.

IUD y'umuringa itanga uburyo bwo kuboneza urubyaro bw'igihe kirekire nta misemburo kandi irashobora kumara imyaka 10. Ihinduka ako kanya kandi ntisaba kwitabwaho buri munsi nk'ibinini.

Niba ushobora gukoresha estrogen, ibinini byo kuboneza urubyaro bifatanya bitanga inyungu zinyongera nk'imihango iteganywa kandi akenshi uruhu rworoshye. Ibi binini kandi bikunda gutera amaraso adasanzwe kurusha inzira zikoresha progestin gusa.

Izindi nzira zikoresha imisemburo zirimo ikiraro cyo kuboneza urubyaro, impeta ya vujinali, cyangwa IUDs ikoresha imisemburo. Buri nzira ifite inyungu zayo n'ibitekerezo, bityo kuganira ku mibereho yawe n'ibyo ukunda na muganga wawe birashobora kugufasha guhitamo inzira nziza.

Kutabyara burundu ni indi nzira ku bagore bafite icyizere cy'uko batifuza gutwita mu gihe kizaza. Ibi birimo gufunga imiyoboro y'abagore cyangwa vasectomy ku bafatanyabikorwa b'abagabo.

Ese imiti ikoresha progestin iruta ibinini bifatanya byo kuboneza urubyaro?

Niba imiti ikoresha progestin iruta ibinini bifatanya biterwa n'ubuzima bwawe bwite n'ibyo ukunda. Zombi zikora neza cyane mu gukumira gutwita iyo zikoreshejwe neza.

Uburyo bwo gukoresha imisemburo ya progestin gusa bufite ibyiza byihariye, cyane cyane ku bagore batemerewe gufata imisemburo ya estrogen. Birasobanutse ku bagore barengeje imyaka 35 batunza itabi, abafite umuvuduko ukabije w'amaraso, cyangwa abagore bafite amateka y'amaraso avura.

Imiti ivanze akenshi itanga imihango iteganywa kandi ishobora gufasha kurwanya ibiheri kurusha uburyo bwa progestin gusa. Nanone bigaragara ko bitera amaraso make iyo umubiri wawe ubimenyereye.

Ku bagore bonsa, uburyo bwa progestin gusa nibwo buryo bwiza kuko ntibugira ingaruka ku mikorere y'amata. Imiti ivanze ishobora kugabanya umubare w'amata, niyo mpamvu itagomba gukoreshwa mugihe cyo konsa.

Guhitamo hagati y'ubu buryo biterwa n'ubuzima bwawe bwihariye, imibereho yawe, n'ibyo ukunda. Umuganga wawe ashobora kugufasha gupima ibyiza n'ibibi bya buri kimwe.

Ibibazo bikunze kubazwa ku bijyanye n'imiti ikoresha progestin

Ese imiti ikoresha progestin iratekanye ku bagore barwaye diyabete?

Imiti ikoresha progestin irashobora kuba itekanye ku bagore barwaye diyabete, ariko bisaba gukurikiranwa cyane kurusha abagore badafite diyabete. Progesterone ikorwa na sintetike irashobora kugira ingaruka nto ku isukari yo mu maraso, nubwo iyi ngaruka ikunze kuba nto.

Muganga wawe azashaka kureba uko isukari yo mu maraso yawe yifashe kenshi iyo utangiye iyi miti. Abagore benshi bafite diyabete ifashwe neza bashobora gukoresha uburyo bwa progestin nta bibazo bikomeye.

Abagore bafite ibibazo byatewe na diyabete nk'indwara y'impyiko cyangwa retinopathy ya diyabete bakeneye isuzuma ryitondewe. Umuganga wawe w'inzobere mu ndwara z'imisemburo n'umuganga w'abagore bagomba gukorana kugirango bamenye niba imiti ikoresha imisemburo ikwiriye kubera imiterere yawe.

Nigute nzakora niba nkoresheje imiti ikoresha progestin nyinshi?

Niba wanyoye urundi rugemwe rwa progestin utabigambiriye, ntugahagarike umutima - ibi ntibitera ibibazo bikomeye. Ushobora kugira isesemi, kubabara amabere, cyangwa kuva amaraso mu buryo butunganye, ariko ibi bimenyetso bikunda gukira byonyine.

Komeza kunywa urugemwe rwawe rwa buri munsi ku gihe gisanzwe, kabone niyo waba waranyoye urundi rugemwe mbere. Kunywa utugemwe tubiri ku munsi ntibizatanga uburinzi bwiyongereye bwo kuboneza urubyaro, bityo nta nyungu yo kwibeshya.

Niba wanyoye utugemwe twinshi cyangwa wumva utameze neza cyane, vugana n'umuganga wawe kugira ngo akugire inama. Barashobora kukugira inama niba hari uburyo bwo gukurikirana cyangwa kuvurwa bisabwa.

Kubijyanye n'ubwoko bw'urukingo, gukabya urugemwe ntibishoboka kuko umuganga niwe utanga inshinge. Ariko, niba wakiriye urukingo mbere y'igihe cyateganyijwe, menyesha umuganga wawe kugira ngo ashobore guhindura igihe cyo guhura kwawe mu gihe kizaza.

Nkwiriye gukora iki niba nirengagije urugemwe rwa progestin rwo kuboneza urubyaro?

Niba wirengagije urugemwe rwa progestin gusa, rinywe vuba uko wibuka, kabone niyo byasaba kunywa utugemwe tubiri ku munsi. Igihe ni ingenzi cyane ku rugemwe rwa progestin gusa kurusha urugemwe rurimo ibintu byinshi.

Niba utinzeho amasaha arenga atatu kunywa urugemwe rwawe, koresha uburyo bwo kuboneza urubyaro bwunganira nk'agakingirizo mu masaha 48 akurikira. Ubu burinzi bwiyongereye bufasha kumenya neza ko ugifite uburinzi bwo gutwita.

Kwirengagiza utugemwe twinshi byongera cyane ibyago byo gutwita hamwe n'uburyo bwa progestin gusa. Niba wirengagije utugemwe tubiri cyangwa byinshi, vugana n'umuganga wawe kugira ngo akugire inama yihariye yo kugaruka ku mikorere isanzwe.

Kubijyanye na progestin y'urukingo, niba utinze ku rukingo rwawe rwateganyijwe, ushobora gukenera gukoresha uburyo bwo kuboneza urubyaro bwunganira kugeza umuganga wawe aguhaye urukingo kandi akemeza ko urinzwe.

Nshobora kureka kunywa urugemwe rwa progestin rwo kuboneza urubyaro ryari?

Urashobora guhagarika gufata imiti yo kuboneza urubyaro ya progestin igihe icyo aricyo cyose, nubwo ari byiza kubiganiraho na muganga wawe mbere yuko ubikora. Bitandukanye na imiti imwe, ntugomba kugabanya urugero rwawo buhoro buhoro - urashobora guhagarika gufata ibinini.

Ubushobozi bwawe bwo kubyara mubisanzwe busubira vuba nyuma yo guhagarika ibinini bya progestin gusa, akenshi mu byumweru bike. Abagore bamwe bafungura amagi mu gihembwe cyabo cya mbere nyuma yo guhagarika, bityo koresha uburyo bwo kuboneza urubyaro butandukanye ako kanya niba udashaka gusama.

Progestin y'urushinge irashobora gutwara igihe kirekire kugirango ive mu mubiri wawe, kandi ubushobozi bwo kubyara bushobora gutwara amezi menshi kugeza ku mwaka kugirango busubire mu buryo busanzwe. Iyi mikorere yatinze gusubira mu kubyara ni ibisanzwe kandi ntigaragaza ingaruka zirambye.

Niba uhagaritse kubera ingaruka ziterwa n'iyo miti, ganira na muganga wawe kubyerekeye uburyo bwo kuboneza urubyaro butandukanye. Hariho uburyo bwinshi buhari, kandi kubona icyo gihuye n'umubiri wawe n'imibereho ni ingenzi.

Nshobora Gusama Ako kanya Nyuma yo Guhagarika Imiti yo Kuboneza Urubyaro ya Progestin?

Yego, birashoboka ko ushobora gusama vuba cyane nyuma yo guhagarika ibinini bya progestin gusa, rimwe na rimwe mu kwezi kwa mbere. Iyi mikorere yihuse yo gusubira mu kubyara ni ikimenyetso cyiza ko umuti utateje ingaruka zirambye ku myanya yawe y'imyororokere.

Progestin y'urushinge ikora mu buryo butandukanye, kandi ubushobozi bwo kubyara mubisanzwe butwara igihe kirekire kugirango busubire - mubisanzwe ahantu hose kuva ku mezi 3 kugeza ku 18 nyuma yo guterwa urushinge rwawe rwa nyuma. Iyi mikorere yatinze ni ibisanzwe kandi byitezwe, ntabwo ari ikimenyetso cy'ibibazo.

Niba uteganya gusama, tekereza gutangira vitamine zo mbere yo kuvuka zirimo aside ya folike mbere yo guhagarika imiti yo kuboneza urubyaro. Ibi biha umubiri wawe intungamubiri ukeneye kugirango ushyigikire inda nziza kuva mu ntangiriro.

Imisemburo iva mu miti yo kuboneza urubyaro ya progestin ntiteranya ibibazo byo kuvuka, bityo niba usamye vuba nyuma yo guhagarika, nta kaga kongerewe ku mwana wawe. Ariko, kwemeza inda hakiri kare bifasha kumenya neza ko ubona ubuvuzi bukwiriye mbere yo kuvuka.