Amapilule y'ubuzima busanzwe (contraceptive pills)
Ibyerekeye iki kizamini
Amapiluli y'ubuzima bushobora gutera imbyaro, azwi kandi nka pilule, ni imiti ifatwa mu kanwa ikubiyemo estrogen na progestin. Imiti ifatwa mu kanwa ikoreshwa mu gukumira gutwita. Ishobora kugira n'ibindi byiza. Amapiluli y'ubuzima bushobora gutera imbyaro arabuza ovulation. Ibi bivuze ko ayo mapiluli abuza amagi kuva mu gihagararo. Nanone atuma habaho impinduka mu muco uri mu muryango w'umura, witwa cervix, no ku rukuta rw'umura, witwa endometrium. Izi mpinduka zirabuza intanga kugera ku gi.
Impamvu bikorwa
Amapilule y'ubuzima busanzwe afasha mu kuboneza urubyaro ni uburyo bwizewe kandi bworoshye gusubira inyuma. Ubushobozi bwo kubyara bushobora gusubira vuba cyane umaze guhagarika gufata amapilule. Kimwe no gukumira gutwita, ibindi byiza by'aya mapilule birimo: Kugabanya ibyago bya kanseri y'ovari n'imikaya y'umura, gutwita hanze y'umura, imikaya ya ovule, n'indwara zidakomeretsa z'amabere. Kwivura acne no kwiyongera kw'ububobere ku maso no ku mubiri Kugabanya ububabare bukabije bw'imihango, bita dysmenorrhea Kugabanya umusaruro wa androgen uterwa na syndrome ya polycystic ovary Kugabanya kuva amaraso menshi mu mihango biturutse kuri fibroids z'umura n'izindi mpamvu, ndetse no kugabanya ikibazo cyo kubura amaraso kubera kuva amaraso menshi Mu kuvura syndrome ya premenstrual (PMS) Ibihe bigufi, byoroheje ku gihe cyitezwe cyangwa, kuri zimwe mu bwoko bw'ama pilule ahuriweho, igihe gito cy'imihango buri mwaka Gukurikirana neza imihango no kugabanya ubushyuhe bwinshi mu gihe umubiri uba uri mu nzira yo guhindukira mu gihe cyo gucura, bita perimenopause Amapilule y'ubuzima busanzwe afasha mu kuboneza urubyaro aza mu buryo butandukanye bw'imiti ikora n'itakora, harimo: Umuzingo usanzwe. Ubwoko bumwe busanzwe burimo amapilule 21 akora n'ama pilule arindwi atakora. Amapilule adakora ntabwo arimo imiti. Ibinyabutabire birimo amapilule 24 akora n'ama pilule ane adakora, bizwi nka gupima igihe gito cy'imihango, na byo biriho. Amwe mu mapilule mashya ashobora kuba afite amapilule abiri gusa adakora. Ufata pilule buri munsi kandi utangira umuzingo mushya umaze kurangiza uwa kera. Umuzingo ubusanzwe ugizwe n'iminsi 28 y'ama pilule. Kuva amaraso bishobora kuba buri kwezi mu gihe ufata amapilule adakora ari ku mpera ya buri muzingo. Umuzingo w'igihe kirekire. Aya maziko asanzwe agizwe n'ama pilule 84 akora n'ama pilule arindwi adakora. Kuva amaraso bibaho incuro enye gusa mu mwaka mu minsi irindwi ufata amapilule adakora. Umuzingo uhora ufata. Hariho kandi pilule y'iminsi 365. Ufata iyi pilule buri munsi ku isaha imwe. Kuri bamwe, imihango ihagarara burundu. Kuri abandi, imihango iba yoroheje cyane. Nta mapilule adakora ufata. Kugabanya cyangwa guhagarika imihango, amapilule akora igihe kirekire n'aya maziko ashobora kugira ibindi byiza. Ibi bishobora kuba birimo: Gukumira no kuvura kuva amaraso menshi bifitanye isano na fibroids z'umura. Gukumira migraine y'imihango. Kugabanya ingaruka mbi imihango ishobora kugira ku ndwara zimwe na zimwe, harimo no gutakaza ubwenge. Kugabanya ububabare bufite isano na endometriosis. Amapilule y'ubuzima busanzwe afasha mu kuboneza urubyaro si amahitamo meza kuri buri wese. Umuganga wawe ashobora kugusaba gukoresha ubundi buryo bwo kuboneza urubyaro niba: Uri mu kwezi kwa mbere wonsa cyangwa mu byumweru bike umaze kubyara. Uri hejuru y'imyaka 35 kandi ukanywa itabi. Ufite umuvuduko w'amaraso udasanzwe. Ufite amateka y'amaraso cyangwa amaraso ari mu mubiri wawe, harimo mu birenge - bita deep vein thrombosis - cyangwa mu mpyiko - bita pulmonary embolism. Ufite amateka y'indwara z'ubwonko cyangwa iz'umutima. Ufite amateka ya kanseri y'amabere. Ufite migraine ifite aura. Ufite ibibazo by'indwara ya diyabete, nko kurwara impyiko, indwara z'amaso cyangwa ibibazo by'imikorere y'imitsi. Ufite indwara zimwe na zimwe z'umwijima n'umwijima. Ufite kuva amaraso mu mura bitazwi. Uzaba uri mu buriri igihe kirekire nyuma y'ubuganga cyangwa imvune cyangwa mu gihe cy'indwara ikomeye.
Uko witegura
Uzakeneye gusaba umuganga wawe imiti ifasha mu kuboneza urubyaro ifatanye. Umuganga azapima igitutu cyawe cy'amaraso, azarebe ibiro byawe, kandi aganire nawe ku buzima bwawe n'imiti iyo ari yo yose ukoresha. Umuganga azakubaza kandi impungenge zawe n'icyo wifuza ku miti igabanya urubyaro kugira ngo afashe kumenya imiti ifasha mu kuboneza urubyaro ikubereye. Abaganga bakunze kugira inama imiti ifite urugero ruto rwa hormone izakurinda gutwita, iguhe inyungu z'ingenzi zitari ukuboneza urubyaro kandi zigatuma uba ufite ingaruka nke. Nubwo umunywane wa estrogen mu miti ifatanye ushobora kuba hasi ya micrograms 10 (mcg) za ethinyl estradiol, imiti myinshi irimo micrograms 20 kugeza kuri 35. Imiti ifite urugero ruto ishobora gutera kuva amaraso kenshi kurusha imiti ifite estrogen nyinshi. Imiti imwe ifatanye ifasha mu kuboneza urubyaro irimo ubwoko bundi bwa estrogen. Imiti ifatanye irangwa hashingiwe ku kuba urugero rwa hormone ruguma kimwe cyangwa ruhinduka: Monophasic. Buri kimwe mu bibyimba bikora kirimo umunywane ungana wa estrogen na progestin. Biphasic. Ibibyimba bikora birimo imiti ibiri ifatanye ya estrogen na progestin. Triphasic. Ibibyimba bikora birimo imiti itatu ifatanye ya estrogen na progestin. Mu bwoko bumwe, umunywane wa progestin wiyongera; mu bindi, umunywane wa progestin usigara uhagaze kandi umunywane wa estrogen wiyongera.
Icyo kwitega
Kugira ngo utangire gukoresha imiti y’ubuzima bw’abagore isanganira, vugana n’umuganga wawe w’ubuzima kuri itariki yo gutangira: Uburyo bwo gutangira vuba. Urashobora gufata indwara ya mbere mu gipimo vuba. Uburyo bwo gutangira ku wa Mungu. Ufata indwara yawe ya mbere ku wa Mungu wa mbere nyuma y’uko umunsi wawe w’amavuko utangira. Uburyo bwo gutangira ku munsi wa mbere. Ufata indwara yawe ya mbere ku munsi wa mbere w’amavuko akurikira. Hamwe n’uburyo bwo gutangira vuba cyangwa ku wa Mungu, koresha uburyo bwo kwirinda ubwishingizi, nka kondomu, kumunsi wa mbere cyane cyane uko ukoresha imiti y’ubuzima bw’abagore isanganira. Kuri uburyo bwo gutangira ku munsi wa mbere, nta buryo bwo kwirinda ubwishingizi budakenerwa. Kugira ngo ukoreshe imiti y’ubuzima bw’abagore isanganira: Hitamo igihe cyo gufata indwara buri munsi. Ibiti by’ubuzima bw’abagore bisanganira bikenerwa gufata buri munsi kugira ngo bikore neza. Gukurikira umurongo w’imikorere bishobora kugufasha kutagira indwara kandi bikagufasha gufata indwara igihe kimwe buri munsi. Urugero, tekereza gufata indwara yawe igihe ushira ameno mu gitondo. Kurikiza amabwiriza ya muganga wawe w’ubuzima neza. Ibiti by’ubuzima bw’abagore bikora gusa niba ubikoresha neza, rero menya neza amabwiriza. Kuko hari amoko menshi y’imiti y’ubuzima bw’abagore isanganira, kora n’umuganga wawe w’ubuzima kuri amabwiriza yihariye kuri indwara zawe. Niba ukoresha ubwoko bwa gakondo bw’imiti y’ubuzima bw’abagore isanganira kandi ushaka kugira amavuko y’umunsi wose, uzafata ibiti byose mu gipimo cyawe — ibiriho n’ibitagira — hanyuma utangire gipimo gishya ku munsi ukurikiraho uko wamaze iyawe. Niba ushaka kwirinda amavuko y’umunsi wose, amahitamo yo gufata imiti buri gihe cyangwa amahitamo yo gufata imiti byinshi bigabanya umubare w’amavuko mu mwaka. Baza umuganga wawe w’ubuzima kuri uko wakoresha ibiti no kuri umubare w’ibiti by’ubuzima bw’abagore bisanganira uzafata hamwe. Menya icyo gukora igihe wibagiwe gufata ibiti. Niba wibagiwe gufata indwara imwe irimo, uyifate vuba uko wibuka — nubwo bishobora kuba bifite ibiti bibiri by’ubuzima bw’abagore bisanganira ku munsi umwe. Fata ibisigaye mu gipimo nk’uko bisanzwe. Koresha uburyo bwo kwirinda ubwishingizi kumunsi wa mbere cyane cyane niba wibagiwe gufata indwara yawe byarenze amasaha 12. Niba wibagiwe gufata ibiti byinshi by’ubuzima bw’abagore bisanganira, fata indwara ya nyuma wibagiwe vuba. Fata ibisigaye mu gipimo nk’uko bisanzwe. Koresha uburyo bwo kwirinda ubwishingizi kumunsi wa mbere cyane cyane. Niba wigeze gukora imibonano mpuzabitsina idafite ubwishingizi, urashobora gutekereza gukoresha imiti y’ubuzima bw’abagore isanganira y’umwihariko. Menya icyo gukora niba warashe cyangwa wibagiwe gufata ibiti bitewe n’uko wararaye. Niba wararaye mu masaha abiri nyuma y’uko wafashe indwara y’ubuzima bw’abagore isanganira cyangwa ufite kurura no guhinda byinshi kumunsi wa mbere cyane cyane kandi utashobora gufata ibiti, kurikiza amabwiriza nk’uko wari ukora niba wibagiwe gufata indwara imwe cyangwa byinshi. Ntugire amahanga hagati y’ibipimo. Buri gihe ube ufite gipimo gikurikira mbere y’uko wamaze iyawe. Vugana n’umuganga wawe w’ubuzima kugira ngo umenye niba ibiti by’ubuzima bw’abagore bisanganira ari byo byiza kuri wowe. Kandi vugana n’umuganga wawe niba ufite ibibazo cyangwa niba ushaka guhindura uburyo bwo kwirinda ubwishingizi.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.