Ulipristal ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Ulipristal ni umuti wo kuboneza urubyaro wihutirwa ushobora gukumira inda nyuma yo gukora imibonano mpuzabitsina idakingiye cyangwa kubura kw'uburyo bwo kuboneza urubyaro. Akenshi witwa “umuti wo mu gitondo nyuma y'imibonano”, nubwo ukora neza mu gihe kingana n'amasaha 120 (iminsi 5) nyuma y'imibonano mpuzabitsina. Uyu muti uguha igihe kirekire cyo kwirinda ugereranije n'izindi nzira zo kuboneza urubyaro zihutirwa, bigatuma uba uburyo bw'agaciro iyo ukeneye cyane.

Ulipristal ni iki?

Ulipristal ni umuti uhindura imikorere y'imisemburo ya progesterone ukoreshwa nk'uburyo bwo kuboneza urubyaro bwihutirwa. Ni umuti umwe ufata unywa mu kanwa kugira ngo wirinde gusama nyuma yo gukora imibonano mpuzabitsina idakingiye. Uyu muti wagenewe by'umwihariko ibihe byihutirwa kandi ntabwo ugenewe gukoreshwa buri gihe mu kuboneza urubyaro.

Uyu muti ukora utinza cyangwa ukabuza ovulation, bivuze ko uhagarika intanga ngore ziva mu mitsi y'intanga. Niba nta ntanga ngore ihari yo guhura n'intanga ngabo, inda ntishobora kubaho. Ulipristal ikora neza cyane iyo ifashwe vuba na bwangu nyuma yo gukora imibonano mpuzabitsina idakingiye, ariko ikomeza gukora neza mu gihe kingana n'iminsi 5.

Ulipristal ikoreshwa mu iki?

Ulipristal ikoreshwa by'umwihariko mu kuboneza urubyaro byihutirwa iyo ukeneye kwirinda gusama nyuma yo gukora imibonano mpuzabitsina idakingiye. Ibi birimo ibihe nk'uburyo bwo kuboneza urubyaro butagize icyo bugeraho, kwibagirwa gufata imiti yo kuboneza urubyaro, cyangwa imibonano mpuzabitsina idakingiye. Ni gahunda yawe ya kabiri iyo uburyo bwawe busanzwe bwo kuboneza urubyaro butagize icyo bugeraho cyangwa butarakoreshwa.

Uyu muti ufasha cyane iyo urenze amasaha 72 asanzwe akoreshwa mu kuboneza urubyaro bwihutirwa. Kubera ko ulipristal ikora neza mu gihe kingana n'amasaha 120, iguha igihe cyinshi cyo kubona uburyo bwo kuboneza urubyaro bwihutirwa. Iki gihe cyongerewe gishobora kuba ingenzi niba utashobora kugera muri farumasi cyangwa kwa muganga ako kanya.

Ulipristal ikora ite?

Ulipristal ikora ibyo ibuza imisemburo ya progesterone mu mubiri wawe, ibyo bikadindiza cyangwa bikabuza ububobere. Ifatwa nk'uburyo bukomeye kandi bwiza bwo kuboneza urubyaro bwihutirwa kuko bushobora gukora no hafi y'igihe cy'ububobere. Uyu muti mu by'ukuri uhagarika by'agateganyo uruziga rwawe rw'imyororokere kugira ngo wirinde gutwita.

Bitandukanye n'izindi nzira zimwe zo kuboneza urubyaro byihutirwa, ulipristal ishobora gukora neza kabone n'iyo ifashwe mu gihe cy'uruziga rwa luteal rw'imihango yawe. Ibi bivuze ko ikora mu byiciro bitandukanye by'uruziga rwawe, ikaguha uburinzi bwizewe igihe ukeneye cyane. Uyu muti ntugira ingaruka ku gutwita kwabayeho kandi ntuzagira icyo utwara uruhinja rukiri mu nda niba umaze gutwita.

Nkwiriye gufata ute ulipristal?

Fata ulipristal nk'ikibahasha kimwe cya 30mg unywa mu kanwa n'amazi vuba na bwangu nyuma yo gukora imibonano mpuzabitsina idakingiye. Urashobora kuyifata hamwe n'ibiryo cyangwa utabifite, nubwo kuyifata igihe wicishije inzara bishobora gufasha mu kuyinjiza. Ntugasenye, utahe cyangwa ucagagure ikibahasha - kimire cyose kugira ngo ubashe kubona ibisubizo byiza.

Niba warutse mu masaha 3 nyuma yo gufata umuti, uzakenera gufata indi doze kuko umubiri wawe ushobora kuba utarinjije umuti wose. Vugana n'umuganga wawe cyangwa umufarumasiti niba ibi bibaye, kuko uzakenera indi doze. Gufata umuti hamwe n'akaboga gato bishobora kugabanya isesemi niba ukunda kurwara mu nda.

Nkwiriye gufata ulipristal igihe kingana iki?

Ulipristal ni umuti ufata rimwe gusa ukoresha rimwe gusa ku gihe cy'imibonano mpuzabitsina idakingiye. Ntiwawufata iminsi myinshi cyangwa nk'ubuvuzi burambye. Ikibahasha kimwe gitanga doze yuzuye ikenewe mu kuboneza urubyaro byihutirwa.

Niba wongeye gukora imibonano mpuzabitsina idakingiye nyuma yo gufata ulipristal, uzakenera undi muti kubera icyo gihe cyihariye. Ariko, ntugomba gukoresha ulipristal kenshi mu gihe kimwe cy'imihango, kuko ibyo bishobora guhungabanya imihango yawe no kugabanya imikorere yayo. Ku bijyanye no gukoresha uburyo bwo kuboneza urubyaro buri gihe, ganira n'umuganga wawe ku bijyanye n'uburyo bwo kuboneza urubyaro buhoraho.

Mbese ni izihe ngaruka za ulipristal?

Abantu benshi bafata neza ulipristal, ariko hariho ingaruka zimwe zishobora kubaho igihe umubiri wawe usubiza ku muti. Izi ngaruka akenshi ziba zoroshye kandi zikamaraho igihe gito, zikivana zonyine mu minsi mike.

Dore ingaruka zisanzwe zishobora kukubaho:

• Kuruka no kutumva neza mu nda
• Umutwe no kuribwa
• Kubabara amabere
• Kugira umunaniro no guhindagurika kw'amarangamutima
• Guhinduka kw'imihango yawe ikurikira
• Kubabara mu nda hasi cyangwa kuribwa

Imihango yawe ishobora guhinduka nyuma yo gufata ulipristal, ibyo bikaba bisanzwe rwose. Imihango yawe ikurikira ishobora kuza mbere cyangwa nyuma y'uko byari byitezwe, kandi ishobora kuba iremereye cyangwa yoroheje kurusha uko bisanzwe.

Abantu bamwe bahura n'ingaruka zitazwi cyane ariko zikaba zisanzwe, zirimo:

• Kubabara imitsi no kubabara umugongo
• Gushyuha mu mubiri
• Guhinduka kw'amazi ava mu gitsina
• Kurwara ibiheri
• Umunwa wumye

Ingaruka zikomeye ni gake ariko zishobora kuba zirimo ibimenyetso bikomeye byo kwivumbura ku miti, kuva cyane kudahagarara, cyangwa kubabara mu nda bikabije. Vugana n'umuganga wawe niba ubonye ibimenyetso nk'ibyo guhumeka bigoranye, uruhu rurwara cyane, cyangwa kubabara kutagabanuka ukoresheje imiti igurishwa idakeneye uruhushya rw'umuganga.

Ni bande batagomba gufata ulipristal?

Ulipristal ntibereye buri wese, kandi ibintu bimwe na bimwe bituma bitaba byiza kuwukoresha. Ntugomba gufata uyu muti niba usanzwe utwite, kuko ntuzarangiza inda isanzweho kandi ntukenewe niba gusama byarabaye.

Abantu bafite ibibazo bikomeye by'umwijima bagomba kwirinda ulipristal kuko uyu muti ukoreshwa unyuze mu mwijima. Niba urwaye indwara y'umwijima cyangwa ufata imiti igira ingaruka ku mikorere y'umwijima, ganira n'umuganga wawe kuri izindi nzira zishobora kugufasha. Umwijima wawe ugomba kuba muzima kugira ngo ukoreshe neza uyu muti.

Wagombye kandi kwirinda ulipristal niba ufata imiti imwe n'imwe ishobora kugira ingaruka ku mikorere yayo:

• Rifampin n'indi miti ivura igituntu
• Phenytoin n'indi miti ivura indwara zo gufatwa n'urugimbu
• Carbamazepine n'imiti igabanya umujinya
• Ifu ya St. John's Wort
• Imiti imwe n'imwe ya SIDA

Niba uri konka, urashobora gufata ulipristal, ariko ugomba kuvoma amata ukayajugunya mu masaha 36 nyuma yo gufata uyu muti. Ibi birinda ko uyu muti wagera ku mwana wawe unyuze mu mata.

Amazina y'ubwoko bwa Ulipristal

Ulipristal iboneka ku izina ry'ubwoko rya ella muri Leta Zunze Ubumwe z'Amerika. Iri ni ryo zina ry'ubwoko risanzwe rikunze kugaragara iyo ushakisha uyu muti wo kuboneza urubyaro byihutirwa. Ibindi bihugu bishobora kugira amazina y'ubwoko atandukanye, ariko ikintu gikora kiguma kimwe.

Iyo usaba ulipristal muri farumasi, urashobora gusaba "ella" cyangwa "ulipristal acetate." Amazina yombi yerekeza ku muti umwe. Izina ry'ubwoko rya ella rizwi cyane n'abafarmasi n'abaganga.

Izindi nzira zishobora gusimbura Ulipristal

Niba ulipristal itaboneka cyangwa idakwiriye kuri wowe, hariho izindi nzira zo kuboneza urubyaro byihutirwa. Levonorgestrel (Plan B One-Step) ni yo nzira isanzwe ikoreshwa, nubwo ikora neza mu masaha 72 nyuma yo gutera akabariro katagifite ubwirinzi. Ibi bituma ugira igihe gito ugereranije n'amasaha 120 ya ulipristal.

IUD y'umuringa ni ubundi buryo bwiza bwo kuboneza urubyaro bwihutirwa bushobora gushyirwamo kugeza ku minsi 5 nyuma y'imibonano mpuzabitsina idakingiye. Ifite ubushobozi bwo gukumira inda burenga 99% kandi ishobora gutanga uburyo bwo kuboneza urubyaro bw'igihe kirekire nyuma yaho. Ariko, bisaba gusura umuganga no gukora uburyo buto bwo kuyishyiramo.

Ku bantu batabasha gukoresha imiti y'ububoneza urubyaro bwihutirwa ikoresha imisemburo, IUD y'umuringa iba ariyo nziza. Ikora mu gukumira ifumbatiza n'imikurire y'urugingo rw'umwana rutari mu nda ikoresha imisemburo. Umuganga wawe ashobora kugufasha guhitamo uburyo bukora neza ku miterere yawe.

Ese Ulipristal iruta Plan B?

Ulipristal itanga inyungu nyinshi kurusha Plan B (levonorgestrel), cyane cyane mu gihe no mu gukora neza. Inyungu nyamukuru ni igihe kirekire cyo gukora neza kwa ulipristal - ikora kugeza ku masaha 120 ugereranije n'amasaha 72 ya Plan B. Ibi biguha igihe kinini cyo kubona uburyo bwo kuboneza urubyaro bwihutirwa igihe ubikeneye.

Ubushakashatsi bwerekana ko ulipristal ikomeza gukora neza kurusha Plan B. Nubwo imiti yombi ikora neza iyo ifashwe vuba bishoboka, ulipristal ntigabanya imikorere yayo uko amasaha yicuma. Ibi bituma iba uburyo bwizewe niba udashobora gufata uburyo bwo kuboneza urubyaro bwihutirwa ako kanya.

Ariko, Plan B iboneka cyane kandi irashobora kugurwa ku isoko nta uruhushya mu turere twinshi. Ulipristal isaba uruhushya mu bihugu byinshi, ibyo bishobora guteza imbogamizi zo kuyibona. Guhitamo hagati yabyo akenshi biterwa n'uko wihutirwa kubona buri muti kandi igihe kingana iki gishize nyuma y'imibonano mpuzabitsina idakingiye.

Ibikunze Kubazwa Kuri Ulipristal

Ese Ulipristal irakwiriye ku bantu barwaye diyabete?

Ulipristal muri rusange ni umuti utagira ingaruka ku bantu barwaye diyabete, kuko ntacyo ihindura ku rugero rw'isukari mu maraso. Uyu muti ukora ku misemburo irebana n'ubuzima bw'imyororokere aho gukora ku buryo umubiri ukoresha insuline cyangwa isukari. Ariko, ugomba gukurikiranira hafi urugero rw'isukari mu maraso yawe nk'uko bisanzwe, kandi ukavugana n'umuganga wawe niba ubonye impinduka idasanzwe.

Niba ufata imiti ya diyabete, nta ngaruka zizwi ziri hagati ya ulipristal n'iyo miti zishobora kugira ingaruka ku kugenzura isukari mu maraso yawe. Urashobora gukomeza gufata imiti yawe ya diyabete nk'uko yategetswe mu gihe ukoresha uburyo bwo kuboneza urubyaro bwihutirwa.

Nkwiriye gukora iki niba nanyoye ulipristal nyinshi ku buryo butunguranye?

Kunywa ibinini bya ulipristal birenze kimwe ntizongera imikorere yayo kandi bishobora kongera ingaruka zirimo isesemi no kuribwa mu nda. Niba unyweye ibinini byinshi ku buryo butunguranye, vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya uburozi kugira ngo bagufashe. Bashobora kugufasha guhangana n'ingaruka zikomeye.

Muri rusange, iyo umuntu yanyoye ulipristal nyinshi, ingaruka ziba zikomeye ariko zikaba iz'igihe gito aho kuba ibibazo bikomeye. Ariko, ni ngombwa kubaza inama z'abaganga kugira ngo wemeze ko ukurikiranwa neza kandi ukabona ubufasha bukwiriye niba bibaye ngombwa.

Nkwiriye gukora iki niba ntasubijeho ulipristal mu gihe cyagenwe?

Niba urengeje amasaha 120 yo gufata ulipristal, ibinini byo kuboneza urubyaro byihutirwa bitakigira akamaro. Vugana n'umuganga wawe ako kanya kugira ngo muganire ku byo wakora, harimo no gushyiramo agakingirizo k'umuringa niba ukiri mu minsi 5 nyuma yo gukora imibonano mpuzabitsina idakingiye.

Umuvuzi wawe ashobora kugufasha gusobanukirwa ibyago byo gutwita no kuganira ku ntambwe zikurikira. Bashobora kugusaba gukora isuzuma ry'uko utwite mu byumweru bike cyangwa bagashaka izindi nzira zishingiye ku miterere yawe n'ibyo wifuza.

Nshobora kureka guhangayika ku bijyanye no gutwita nyuma yo gufata ulipristal ryari?

Ushobora kumva ufite icyizere cyinshi cyo kwirinda gusama igihe imihango yawe ikurikira izagera ku gihe. Niba imihango yawe yatinzeho icyumweru kirenga kimwe, kora isuzuma ryo kumenya niba utwite kugira ngo wemeze ko imiti yo kwirinda gusama yagize icyo igeraho. Abantu benshi babona imihango yabo mu minsi mike nyuma y'igihe basanzwe bayibonera.

Wibuke ko ulipristal ishobora gutinda imihango yaweho iminsi mike, bityo ntugire ubwoba niba yatindagaho gato. Ariko, niba wumva ibimenyetso byo gutwita cyangwa imihango yawe yatindanye cyane, gukora isuzuma ryo kumenya niba utwite bizaguha amahoro mu mutima.

Nshobora gukoresha uburyo busanzwe bwo kuboneza urubyaro nyuma yo gufata Ulipristal?

Ugomba gutegereza nibura iminsi 5 nyuma yo gufata ulipristal mbere yo gutangira cyangwa gusubukura uburyo bwo kuboneza urubyaro bukoresha imisemburo nk'ibinini, ibishishwa, cyangwa impeta. Gutangira kuboneza urubyaro bukoresha imisemburo hakiri kare nyuma ya ulipristal bishobora kugabanya imikorere y'umuti wo kwirinda gusama. Koresha uburyo bwo kwirinda nk'agakingirizo muri iki gihe cyo gutegereza.

Nyuma y'iminsi 5 yo gutegereza, urashobora gutangira uburyo bwawe busanzwe bwo kuboneza urubyaro. Ariko, uzakenera gukoresha uburyo bwo kwirinda bwunganira mu minsi 7 ya mbere yo kuboneza urubyaro bukoresha imisemburo kugira ngo wemeze ko urinzwe neza. Umuganga wawe ashobora kuguha ubujyanama bwihariye bushingiye ku buryo bwo kuboneza urubyaro wahisemo.