Ni iki Ibinini byo Kuboneza Urubyaro byitwa Combination? Intego, Uburyo & Ibisubizo

Ibinini byo kuboneza urubyaro byitwa combination ni imiti yo kunywa ikubiyemo ubwoko bubiri bwa hormone: estrogen na progestin. Izi hormone zikozwe zikora zifatanyije kugira ngo zibuze gutwita zihagarika intanga ngore ziva mu ngingo z'abagore kandi bigatuma intanga ngabo zitagera ku ntanga ngore yaba yagiye hanze.

Tekereza kuri ibi binini nk'umuti wa buri munsi uha umubiri wawe urugero rwa hormone ruhamye kugira ngo wirinde gutwita. Ibinini bya combination akenshi biza mu dupaketi twa buri kwezi turimo ibinini 21 bikora hormone n'ibinini 7 bitagira akamaro, nubwo hariho uburyo butandukanye.

Ni iki ibinini byo kuboneza urubyaro byitwa combination?

Ibinini byo kuboneza urubyaro byitwa combination ni imiti ikubiyemo hormone zombi za estrogen na progestin. Izi hormone ni verisiyo zikozwe za hormone zisanzwe umubiri wawe ukora mu gihe cy'imihango.

Igice cya estrogen akenshi ni ethinyl estradiol, naho progestin ishobora kuba imwe mu bwoko butandukanye nka norethindrone, levonorgestrel, cyangwa drospirenone. Ubwoko butandukanye bukoresha imibare itandukanye y'izi hormone.

Ibi binini bikora mu kubuza ovulation, bivuze ko intanga ngore zawe zitajya hanze buri kwezi. Zongera kandi ubusharire bwo mu kizunguruko kugira ngo bigore intanga ngabo koga, kandi zicisha umurongo w'inkondo y'umura kugira ngo bitume gutera bitashoboka.

Kuki ibinini byo kuboneza urubyaro byitwa combination bikorwa?

Intego y'ibanze y'ibinini byo kuboneza urubyaro byitwa combination ni ukwirinda gutwita. Iyo bifashwe neza, bifite imbaraga zirenga 99% zo kwirinda gutwita, bikaba rimwe mu buryo bwizewe bwo kuboneza urubyaro bushobora guhinduka.

Usibye kwirinda gutwita, ibi binini bitanga izindi nyungu nyinshi ku buzima. Abagore benshi babikoresha kugira ngo bagenzure imihango idahoraho, bagabanye amaraso menshi mu gihe cy'imihango, kandi bagenzure imihango irimo ububabare bukabije butuma batabasha gukora imirimo ya buri munsi.

Abaganga b’ubuzima kandi bandika imiti ivanze kugira ngo bavure indwara nka polycystic ovary syndrome (PCOS), ububabare bujyanye na endometriosis, na acne iterwa n’imisemburo. Abagore bamwe basanga iyi miti ifasha kugabanya ibimenyetso bya premenstrual syndrome kandi itanga imihango iteganywa neza.

Ni iki gikurikizwa mu gufata imiti ivanze yo kuboneza urubyaro?

Gufata imiti ivanze yo kuboneza urubyaro bikurikiza gahunda ya buri munsi yoroshye. Uzafata umuti umwe ku gihe kimwe buri munsi, cyane cyane ufatanije n’ibiryo kugira ngo ugabanye ibibazo byo mu nda.

Imiti ivanze myinshi iza mu bipaki by’iminsi 28. Uku niko uruziga rusanzwe rukora:

• Iminsi 1-21: Fata imiti ikora imisemburo buri munsi
• Iminsi 22-28: Fata imiti idakora cyangwa ntufate imiti
• Muri icyo cyumweru kidakora: Birashoboka ko uzagira amaraso asa n’ay’imihango
• Tangira ipaki yawe ikurikira ako kanya umaze kurangiza iyariho

Uburyo bushya bumwe bufite imiti ikora 24 n’imiti 4 idakora, cyangwa no gufata imiti idahagarara nta miti idakora. Umuganga wawe azasobanura gahunda yihariye y’ubwoko bw’umuti wandikiwe.

Ni gute witegura imiti yawe ivanze yo kuboneza urubyaro?

Mbere yo gutangira imiti ivanze yo kuboneza urubyaro, uzakenera kuganira n’umuganga wawe. Bazareba amateka yawe y’ubuzima, imiti urimo gufata, n’indwara zose zishobora kugira ingaruka ku mutekano w’umuti.

Kwitegura kwawe bikubiyemo kuganira ukuri ku byerekeye ubuzima bwawe. Wibuke kuvuga niba ufite amateka y’amaraso, sitiroki, indwara z’umutima, ibibazo by’umwijima, cyangwa kanseri zimwe na zimwe, kuko izi ndwara zishobora kugira ingaruka niba imiti ivanze ikwiriye kuri wowe.

Umuganga wawe azakubaza kandi ku ngeso yawe yo kunywa itabi, umuvuduko w’amaraso, n’amateka y’ubuzima bw’umuryango. Abagore barengeje imyaka 35 banywa itabi bashobora gukenera uburyo bundi bwo kuboneza urubyaro kubera ibyago byiyongera by’amaraso n’ibibazo by’umutima n’imitsi.

Ushobora gukenera isuzuma ry'umubiri harimo no gupima umuvuduko w'amaraso ndetse n'ibizamini by'amaraso. Abaganga bamwe kandi bakora isuzuma ry'igice cy'umubiri cy'abagore, nubwo bitaba ngombwa buri gihe mbere yo gutangira kunywa imiti yo kuboneza urubyaro.

Uburyo usoma imiti yo kuboneza urubyaro ivanze?

Gusoma imiti yo kuboneza urubyaro ivanze bikubiyemo gusobanukirwa urugero rw'imisemburo n'igihe. Ikinini cyose gikora kirimo ingano zihariye za estrogen na progestin, zipimwa muri mikirogaramu.

Ibinini bya monophasic birimo urugero rumwe rw'imisemburo muri buri kinini gikora mu gihe cyose cy'uruziga. Ibinini bya multiphasic bitandukanye urugero rw'imisemburo mu byumweru bitandukanye, hamwe n'ibinini bimwe birimo ingano nyinshi cyangwa nkeya z'imisemburo.

Agapaki k'ibinini kazakwereka ibinini ugomba gufata buri munsi, akenshi byerekana iminsi y'icyumweru. Ibinini bikora mubisanzwe bifite ibara, mugihe ibinini bitagira akamaro mubisanzwe byera cyangwa bifite irindi bara kugirango bigufashe kubitandukanya.

Uburyo ibinini byawe bikora biterwa no kubifata buri gihe. Guta ibinini cyangwa kubifata mu bihe bitandukanye cyane buri munsi birashobora kugabanya imikorere yabyo yo kuboneza urubyaro kandi bishobora gutera kuva amaraso.

Uburyo wakosora urugero rw'ibinini byawe byo kuboneza urubyaro?

Niba urimo guhura n'ingaruka ziterwa n'ibinini byawe bya none, umuganga wawe ashobora guhindura urugero rw'imisemburo yawe. Ibi bishobora gukubiyemo guhindura ku kundi bwoko bufite ubwoko butandukanye bw'imisemburo cyangwa urugero rwayo.

Ku bagore bahura no kuva amaraso, umuganga wawe ashobora gushimangira ikinini gifite urugero rwo hejuru rwa estrogen cyangwa ubundi bwoko bwa progestin. Niba ufite impinduka z'amarangamutima cyangwa kongera ibiro, guhindura ku kinini gifite progestin itandukanye birashobora gufasha.

Rimwe na rimwe igisubizo gikubiyemo guhindura kuva ku kinini cya multiphasic kugera ku kinini cya monophasic, cyangwa ibinyuranye. Umuganga wawe azatekereza ibimenyetso byawe byihariye n'amateka y'ubuzima mugihe akora izi mpinduka.

Ni ngombwa guha buri muti mushya byibuze amezi atatu kugira ngo urebe uko umubiri wawe witwara. Ingaruka zimwe na zimwe zishobora kugabanuka uko umubiri wawe wimenyereza imisemburo.

Ni iyihe miti ivanga neza yo kuboneza urubyaro?

Umuti uvanga neza wo kuboneza urubyaro utandukana cyane ku muntu ku muntu. Ibyo bikora neza ku mugore umwe bishobora gutera ingaruka ku wundi, bityo nta kintu kimwe cyiza cyane.

Imiti ifite urugero ruto rwa 20-35 micrograms ya estrogen ikunze gukundwa kuko igabanya ibyago byo kugira ingaruka mugihe ikora neza. Iyi miti ikora neza ku bagore benshi kandi ifite ibyago bike byo gupfuka kw'amaraso n'izindi ngorane.

Ku bagore bagira imihango iremereye cyangwa ibimenyetso bikomeye bya PMS, imiti ifite progestins zihariye nka drospirenone ishobora kuba ifitiye akamaro kurushaho. Abagore bafite ibiheri bakunze gukora neza hamwe n'imiti irimo progestins ifite ingaruka zirwanya androgenic.

Umuvuzi wawe azatekereza ku myaka yawe, amateka y'ubuzima, imibereho, n'ibyo ukeneye byihariye mugihe agushakira umuti uvanga neza ugukwiriye.

Ni izihe mpamvu zishobora gutuma imiti yo kuboneza urubyaro idakora neza?

Ibintu bitandukanye bishobora kugabanya imikorere y'imiti ivanga yo kuboneza urubyaro. Impamvu isanzwe ituma imikorere igabanuka ni ukutanyurwa no kunywa imiti, harimo no kubura imiti cyangwa kuyifata mu bihe bitandukanye cyane buri munsi.

Imiti imwe n'imwe ishobora kubangamira imiti yo kuboneza urubyaro, igatuma idakora neza. Ibi birimo imiti imwe ya antibiyotike, imiti irwanya ibibazo byo mu mutwe, n'ibyongerera imbaraga nk'icyatsi cya St. John.

Dore ibintu by'ingenzi bishobora kugabanya imikorere y'imiti:

• Kutabona imiti cyangwa kuyifata mu buryo butajegajega
• Kuruka mu masaha 2-3 nyuma yo kunywa umuti
• Impiswi zikomeye zimara amasaha arenga 24
• Kunywa imiti imwe n'imwe ivangira imisemburo
• Kuremererwa cyane (nubwo imiti igikomeza gutanga uburinzi)
• Umunuko, ushobora kugira ingaruka ku mikorere y'imisemburo

Niba kimwe muri ibi bibaye, ugomba gukoresha uburyo bwo kuboneza urubyaro bwunganira kandi ukabaza umuganga wawe niba ukeneye uburyo bwo kuboneza urubyaro bwihutirwa.

Ese ni byiza kugira imisemburo myinshi cyangwa mike mu miti ivanga yo kuboneza urubyaro?

Ubusanzwe, imiti ifite imisemburo mike irahabwa agaciro iyo itanga uburinzi buhagije bwo kuboneza urubyaro no kugenzura ibimenyetso. Imiti myinshi ya none ivanga ikoresha imisemburo mike ikora neza kugira ngo igabanye ingaruka mbi mu gihe ikomeza gukora neza.

Imiti ifite imisemburo mike igabanya ibyago by'ingaruka zikomeye nk'amaraso avura, umuvuduko w'amaraso uri hejuru, na sitiroko. Nanone ntibakunze gutera isesemi, kubabara amabere, no guhindagurika kw'amarangamutima abagore bamwe bahura nabyo iyo bafashe imiti ifite imisemburo myinshi.

Ariko, abagore bamwe bakeneye imisemburo myinshi kubera impamvu z'ubuvuzi zihariye. Abagore bavira amaraso hagati y'imihango iyo bafashe imiti ifite imisemburo mike bashobora gukenera urwego rwo hejuru rw'imisemburo ya estrogen kugira ngo bagire imihango igenda neza.

Umuvuzi wawe azagutangiza ku rugero ruto rukwiriye ibyo ukeneye hanyuma akabihindura niba bibaye ngombwa bitewe n'uko witwara ku muti.

Ni izihe ngaruka zishobora guterwa n'imisemburo mike mu miti ivanga yo kuboneza urubyaro?

Imiti ivanga yo kuboneza urubyaro ifite imisemburo mike rimwe na rimwe ishobora gutera kuva amaraso hagati y'imihango. Ibi mubisanzwe birakosoka nyuma y'uko umubiri wawe umenyereye imisemburo, akenshi mu mezi atatu ya mbere.

Abagore bamwe bahura n'imihango ikunda kuza cyangwa idahoraho iyo bafashe imiti ifite imisemburo mike cyane. Nubwo ibi bitari biteje akaga, bishobora kuba bibangamiye kandi bishobora gusaba guhindura ku rugero rwo hejuru gato.

Ibindi bibazo bishobora guterwa n'ibinini bifite urugero ruto rw'imiti birimo:

• Gushyirwa amaraso cyangwa kubona amaraso hagati y'imihango
• Iminsi mike cyangwa imihango yoroheje abagore bamwe babona ko bibahangayikisha
• Kutagira akamaro iyo ibinini byibagiranye cyangwa bifashwe mu buryo butajegajega
• Kutagira icyo bihindura ku ruhu rw'impyiko cyangwa ibimenyetso bya PMS ugereranije n'ibinini bifite urugero rwo hejuru
• Guhinduka kw'amarangamutima igihe umubiri wawe wimenyereza urugero ruto rw'imisemburo

Ibibazo byinshi muri ibi ni iby'igihe gito kandi bikemuka igihe umubiri wawe wimenyereza imisemburo. Niba ibibazo bikomeje kurenza amezi atatu, umuganga wawe ashobora guhindura umuti waguze.

Ni izihe ngaruka zishobora guterwa n'imisemburo yo mu binini byo kuboneza urubyaro bifite urugero rwo hejuru?

Ibinini byo kuboneza urubyaro bifite urugero rwo hejuru bifite ibyago byinshi byo kugira ingaruka zikomeye, cyane cyane amaraso, indwara y'umutima, n'umutima. Ibi byago biracyari bito ariko byiyongera hamwe n'urugero rwo hejuru rwa estrogen.

Abagore bafata ibinini bifite urugero rwo hejuru bashobora kurushaho guhura n'ingaruka zibangamye nk'isuka, kubabara amabere, guhinduka kw'amarangamutima, no kuribwa umutwe. Abagore bamwe kandi bavuga ko babona ibiro, nubwo ubushakashatsi bwerekana ko ibi bitajyana n'ibinini byo kuboneza urubyaro.

Ingaruka zikomeye z'ibinini bifite urugero rwo hejuru birimo:

• Amaraso mu maguru, mu muhogo, cyangwa mu bwonko
• Indwara y'umutima, cyane cyane ku bagore banywa itabi cyangwa bafite umuvuduko ukabije w'amaraso
• Ibyago byo kurwara umutima, cyane cyane ku bagore bafite izindi mpamvu zishobora gutera indwara z'umutima
• Umuvuduko ukabije w'amaraso uterwa no gufata ibinini
• Ibibazo by'umwijima, harimo n'ibibyimba by'umwijima bidasanzwe
• Indwara y'igifu

Abagore benshi bafata neza ibinini bifite urugero rwo hejuru, ariko ibi byago bisobanura impamvu abaganga bakunda kwandika urugero ruto rw'umuti ukora ku mugore wese.

Ni ryari nkwiriye kubona umuganga ku bijyanye n'ibinini byo kuboneza urubyaro?

Ugomba guhita uvugana n'umuganga wawe niba ubonye ibimenyetso by'ingorane zikomeye mugihe ukoresha imiti ivanze yo kuboneza urubyaro. Ibi bimenyetso by'uburwayi bisaba ubufasha bwihutirwa kandi ntibigomba kwirengagizwa.

Hamagara umuganga wawe ako kanya niba ufite ububabare bukomeye mu kuguru cyangwa kubyimba, guhumeka bigoranye, kubabara mu gituza, kubabara umutwe cyane, guhinduka kw'ibyo ubona, cyangwa kubabara cyane mu nda. Ibi bimenyetso bishobora kwerekana amaraso yazamutse cyangwa izindi ngorane zikomeye.

Dore ibihe bisaba ubufasha bwihutirwa bw'abaganga:

• Umutwe ukaze utunguranye cyangwa guhinduka kw'ibyo ubona
• Kubabara mu gituza cyangwa guhumeka bigoranye
• Ububabare bukomeye mu kuguru, kubyimba, cyangwa gushyuha
• Ububabare bukomeye mu nda
• Uruhu cyangwa amaso by'umuhondo
• Guhererekana kw'amarangamutima cyangwa kwiheba bikabije

Ugomba kandi guteganya gahunda yo gusuzumwa buri gihe kugirango ukurikirane umuvuduko w'amaraso yawe n'ubuzima muri rusange mugihe ukoresha imiti ivanze. Abaganga benshi basaba ko wisuzumisha buri mezi 6-12.

Ibikunze kubazwa ku miti ivanze yo kuboneza urubyaro?

Q.1 Ese imiti ivanze yo kuboneza urubyaro ni myiza ku ruhu rurwaye ibiheri?

Yego, imiti imwe n'imwe ivanze yo kuboneza urubyaro ishobora kuvura neza ibiheri, cyane cyane ibiheri byatewe n'imisemburo bikiyongera mugihe cy'imihango. Ibinini birimo progestins bifite imitungo irwanya androgénes bikora neza mugukiza ibiheri.

FDA yemeye imiti imwe n'imwe ivanze yo kuvura ibiheri, harimo n'irimo drospirenone, norgestimate, cyangwa norethindrone acetate. Iyi miti igabanya imisemburo y'abagabo itera ibiheri.

Muri rusange uzabona impinduka nziza ku ruhu rwawe nyuma y'amezi 3-6 ukoresha imiti buri gihe. Ariko, ibiheri bishobora kugaruka niba uhagaritse kunywa imiti, bityo ubu buvuzi bukora neza nk'igisubizo kirambye.

Q.2 Ese imiti ivanze yo kuboneza urubyaro ituma umuntu abyibuha?

Ubushakashatsi bwerekana ko imiti yo kuboneza urubyaro ikoreshwa ku gipimo gito idateza abagore benshi kongera ibiro byinshi. Ubushakashatsi bunini bugereranya abagore bakoresha iyo miti n'abatayikoresha ntibwasanze itandukaniro rifatika mu mpinduka z'ibiro uko igihe kigenda.

Abagore bamwe bagira ibibazo byo kubika amazi igihe batangira gukoresha imiti yo kuboneza urubyaro, ibyo bishobora kugaragara nk'ibiro bike byiyongereye. Ibi bikunda gukemuka mu mezi make igihe umubiri wawe wimenyereza imisemburo.

Niba ubonye impinduka z'ibiro nyuma yo gutangira gukoresha imiti yo kuboneza urubyaro, tekereza ku bindi bintu nk'imirire, imyitozo ngororamubiri, umunaniro, cyangwa impinduka zisanzwe z'ibiro zishobora kuba zigira uruhare mu mpinduka.

Q.3 Ese imiti yo kuboneza urubyaro ishobora gutera umubabaro?

Abagore bamwe bagira impinduka z'amarangamutima igihe bakoresha imiti yo kuboneza urubyaro, nubwo umubabaro ukabije udakunze kubaho. Imisemburo iri muri iyo miti ishobora kugira ingaruka ku bice by'ubwonko bigira uruhare mu marangamutima.

Niba ufite amateka y'umubabaro cyangwa guhangayika, biganireho n'umuganga wawe mbere yo gutangira gukoresha iyo miti. Bashobora kugusaba gukurikiranwa cyane cyangwa gukoresha ubundi buryo bwo kuboneza urubyaro niba uri mu kaga gakomeye ko guhindura amarangamutima.

Reka gufata iyo miti kandi uvugishe umuganga wawe ako kanya niba ubonye impinduka zikabije z'amarangamutima, umubabaro, cyangwa ibitekerezo byo kwangiza umubiri wawe igihe ukoresha imiti yo kuboneza urubyaro.

Q.4 Bifata igihe kingana iki kugira ngo imiti yo kuboneza urubyaro ikore?

Imiti yo kuboneza urubyaro itangira gukora mu kurinda inda mu minsi 7 niba utangiye kuyifata mu minsi 5 ya mbere y'imihango yawe. Niba utangiriye ku wundi munsi uwo ari wo wose, uzakenera gukoresha uburyo bwo kuboneza urubyaro bwunganira mu minsi 7 ya mbere.

Ku zindi nyungu nk'imikorere y'impyisi cyangwa kugenga imihango, ubusanzwe uzakenera gutegereza amezi 3-6 kugira ngo ubone ingaruka zose. Umubiri wawe ukeneye igihe cyo kumenyera urwego rwa buri gihe rw'imisemburo.

Abagore bamwe babona impinduka mu gihe cyabo cyangwa ibimenyetso bya PMS mu kwezi kwa mbere, ariko ni ngombwa guha imiti byibuze ibizunguruka bitatu byuzuye kugirango usuzume uko ikora ku byo ukeneye.

Q.5 Mbese, ni iki kibaho ninsiba urubuto rwo kuboneza urubyaro rwavanzwe?

Niba usibye urubuto rumwe rukora, urufate uko wibuka vuba, kabone niyo byasaba gufata imiti ibiri ku munsi umwe. Ntabwo ukeneye uburyo bwo kuboneza urubyaro niba usibye urubuto rumwe gusa.

Kusiba imiti ibiri cyangwa irenga irimo kongera ibyago byo gutwita kandi bisaba uburyo bwo kuboneza urubyaro. Fata urubuto rwa vuba wasibye ako kanya ukomeze gahunda yawe isanzwe, ariko ukoreshe agakingirizo cyangwa wirinde imibonano mpuzabitsina mu minsi 7.

Niba usibye imiti mu cyumweru cya mbere cyo mu ipaki yawe kandi wakoze imibonano mpuzabitsina idakingiye, tekereza ku kuboneza urubyaro byihutirwa. Vugana n'umuganga wawe kugirango akuyobore icyo wakora bitewe n'imiti yose wasibye n'igihe wayisibiye.