Implant ya contraceptif ni iki? Intego, Uburyo & Ibivamo

Implant ya contraceptif ni agashumi gato, gakora neza nk'agakoresho kangana n'umwanya wo gukinanira gashyirwa munsi y'uruhu rw'ukuboko kwawe kugira ngo wirinde gusama. Iki gikoresho gito kirekura imisemburo buhoro buhoro mu mubiri wawe mu gihe kingana n'imyaka itatu, bigatuma kiba kimwe mu buryo bwiza bwo kuboneza urubyaro buriho ubu.

Tekereza nk'igisubizo cy'igihe kirekire gikora mu buryo butavugwa. Iyo kimaze gushyirwaho, ntugomba kwibuka ibinini bya buri munsi cyangwa ngo wite ku kuboneza urubyaro mu myaka myinshi. Implant ifite ubushobozi bwo gukumira gusama burenze 99%, bivuze ko abagore batarenga 1 kuri 100 bazasama bakoresha.

Implant ya contraceptif ni iki?

Implant ya contraceptif ni agashumi kamwe gakora neza gakozwe mu gice cyibanze kirimo imisemburo ya etonogestrel, kazengurutswe n'igishushanyo cyihariye kigenzura uburyo uwo musemburo urekurwa. Ubwoko busanzwe ni Nexplanon, ipima santimetero zigera kuri 4 z'uburebure na milimetero 2 z'ubugari.

Iki gikoresho gito gikora gishyira mu maraso yawe urugero ruto rwa progestin ya sintetike. Uwo musemburo wirinda kubyara, ukomeza ururenda rwo mu gitsina gore kugira ngo ubuze intanga, kandi ugabanya umurongo w'inkondo y'umura wawe. Ibi byose bikorera hamwe kugira ngo birinde gusama neza cyane.

Implant yateguwe kugira ngo ihinduke rwose. Niba ushaka gusama cyangwa udashaka implant, muganga wawe ashobora kuyikuraho igihe icyo aricyo cyose, kandi ubushobozi bwawe bwo kubyara busanzwe busubira mu buryo busanzwe mu byumweru bike.

Kuki hakorwa implant ya contraceptif?

Abagore bahitamo implant ya contraceptif ahanini kugira ngo birinde gusama mu gihe kirekire kandi byizerwa batagombye kubikora buri munsi. Birashimisha cyane niba ushaka kuboneza urubyaro neza ariko ukagira ingorane zo kwibuka gufata ibinini bya buri munsi cyangwa ukanga gukoresha uburyo bwo kuboneza urubyaro.

Iki giti gitanga inyungu nyinshi gituma gikwiriye mu bihe byinshi by'ubuzima. Ushobora kugitekereza niba uteganya gutegereza mbere yo gutwita, gutinda kubyara abana, cyangwa urangije umuryango wawe ariko nturi tayari gukoresha uburyo bwo kuboneza urubyaro burambye. Ni n'uburyo bwiza ku bagore badashobora gukoresha imiti ikubiyemo estrogen kubera ibibazo by'ubuzima.

Abaganga bakunda gushyira mu bikorwa ibi biti ku bagore bifuza kuboneza urubyaro bitabangamiye imibonano mpuzabitsina idateganyijwe. Bitandukanye na kondomu cyangwa diyagarame, nta kintu na kimwe cyo gushyiramo cyangwa kwibuka mu gihe, ibyo bishobora kugabanya impungenge no kunoza uburambe bwawe.

Ni iki gikorerwa gushyira mu giti gishinzwe kuboneza urubyaro?

Kubona igiti gishinzwe kuboneza urubyaro ni uburyo bwihuse, bukorerwa mu biro busanzwe bufata iminota itarenze 10. Umuganga wawe azabanza kuganira ku mateka yawe y'ubuzima kandi yemeze ko utatwite mbere yo gukomeza gushyiramo igiti.

Ibi nibyo bibaho mugihe cyo gushyiramo igiti:

1. Umuganga wawe azasukura ukuboko kwawe kw'igice cyo hejuru hanyuma atere urushinge rwa anesthetic kugirango rutume ahantu bashyiramo igiti hatagira ububabare
2. Akoresheje igikoresho cyihariye, bazashyira igiti munsi y'uruhu rwawe ku ruhande rw'imbere rw'ukuboko kwawe utarimo gukoresha cyane
3. Uzashobora kumva igiti munsi y'uruhu rwawe, ariko ntizigaragara ku bandi
4. Umuganga wawe azashyiraho bandeji ishyirwaho umuvuduko kandi aguhe amabwiriza yo kwita ku mubiri nyuma yaho
5. Uburyo bwose bukorwa mugihe uri maso kandi wumva umeze neza

Abagore benshi basobanura ko gushyiramo igiti bimeze nk'uko baterwa urukingo. Anesthetic yaho ituma uburyo butagira ububabare, nubwo ushobora kumva umuvuduko cyangwa kutumva neza. Uzashobora gusubira mu bikorwa bisanzwe ako kanya, nubwo umuganga wawe ashobora kugusaba kwirinda kuzamura ibintu biremereye muminsi mike.

Ni gute witegura uburyo bwo gushyiramo igiti gishinzwe kuboneza urubyaro?

Kitegura kwishyirwa mu mubiri kw'imiti ntibigoye kandi ntibisaba impinduka zikomeye mu mibereho yawe. Icy'ingenzi ni ugutegura gahunda yo kujya kwa muganga ku gihe cyiza mu gihe cy'imihango yawe kugira ngo wemeze ko utwite.

Ushobora gusabwa na muganga wawe gukurikiza izi ntambwe zoroheje zo kwitegura:

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• Gushyiraho gahunda yo gukorerwa ubuvuzi mu minsi itanu ya mbere y'imihango yawe niba bishoboka
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• Irinde gufata imiti ituma amaraso atinda gupfa nk'aspirine mu minsi mike mbere yo gushyirwamo imiti
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• Wambare ishati yagutse yoroshya kugera ku kaboko kawe ka hejuru
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• Fata ifunguro risanzwe mbere yo kujya kwa muganga kugira ngo wirinde kumva uribwa umutwe
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• Zana urutonde rw'imiti yose n'ibindi byongerera imbaraga ufata muri iki gihe
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Ntabwo bisaba kwiyiriza cyangwa gutegura byihariye ibijyanye n'ubwikorezi kuko uzaba uri maso neza nyuma yo gukorerwa ubuvuzi. Ariko, ni byiza kugira umuntu ukujyana niba ufite impungenge zidasanzwe ku bijyanye n'ubuvuzi, kuko ibi bishobora kugufasha kumva uryohewe kandi ushyigikiwe.

Ni gute usoma ibisubizo by'imiti yo kuboneza urubyaro?

Bitandukanye n'ibizamini by'amaraso cyangwa izindi nzira z'ubuvuzi,

Uburyo nyabwo bwo gupima intsinzi buza mu mezi n'imyaka ikurikira. Abagore benshi basanga imihango yabo iba mito, idahoraho, cyangwa igahagarara burundu, ibyo bikaba bisanzwe kandi ntacyo bitwaye. Abagore bagera kuri 1 kuri 3 bahagarika burundu imihango bakoresha urukingo, mu gihe abandi bashobora kugira amaraso adahoraho cyangwa kuva amaraso.

Ni gute wakwitwara mu gihe ukoresha urukingo rwo kuboneza urubyaro?

Kubaho ukoresha urukingo rwo kuboneza urubyaro muri rusange biroroshye kuko rukora rwihuse umaze kurushyirwamo. Ariko, kumenya ibyo witegura no kumenya uko wakwitwara ku ngaruka zabyo bishobora kugufasha kumva ufite icyizere kandi wishimira icyo wahisemo.

Icyo abantu benshi bahindura cyane ni impinduka mu gihe cy'imihango yawe. Abagore bamwe bagira kuva amaraso adahoraho, cyane cyane mu mezi make ya mbere. Ibi mubisanzwe biragabanuka, ariko urashobora gukurikirana uko uva amaraso kugira ngo urusheho gusobanukirwa n'uko umubiri wawe witwara kandi uganire ku bibazo byose n'umuganga wawe.

Niba ugize ingaruka nk'imihindagurikire y'amarangamutima, kuribwa umutwe, cyangwa kubabara amabere, ibi akenshi biragenda nyuma y'amezi make ya mbere umubiri wawe umaze kumenyera imisemburo. Ariko, ntuzuyaze kuvugana na muganga wawe niba izo ngaruka zikubangamiye cyangwa zisa nk'izikabije.

Ni izihe nyungu nziza zituruka ku rukingo rwo kuboneza urubyaro?

Ibyiza byiza byo gukoresha urukingo rwo kuboneza urubyaro ni ukwirinda inda zitateguwe hamwe n'ingaruka nke zitabangamira ubuzima bwawe bwa buri munsi. Abagore benshi bagira ibi, urukingo rukora rwihishe mu gihe bakora ibikorwa byabo bisanzwe.

Abagore benshi kandi bashimira izindi nyungu zinyongera uretse kwirinda inda. Bamwe basanga imihango yabo iba mito kandi itababaza, ibyo bikaba byongera imibereho yabo myiza. Abandi bishimira umudendezo wo kutagira gahunda ya buri munsi yo kuboneza urubyaro, imibonanompuzabitsina idateguwe nta mpungenge, n'umutuzo uza hamwe no kuboneza urubyaro neza cyane.

Implant igaragara ko yagenze neza cyane iyo wumva umeze neza ku bijyanye n'imihindagurikire y'imihango, ntugire ibibazo bikomeye, kandi wumva wishimiye uburyo bwo kuboneza urubyaro wahisemo. Kugenzura buri gihe kwa muganga wawe bifasha kumenya niba urimo kubona uburambe bwiza bushoboka kuva kuri implant yawe.

Ni ibihe bintu bishobora gutera ingaruka mbi ku bijyanye na implant yo kuboneza urubyaro?

Nubwo implant yo kuboneza urubyaro muri rusange itekanye cyane, indwara zimwe na zimwe n'ibintu byawe bwite bishobora kongera ibyago byo kugira ingaruka mbi cyangwa bigatuma implant itakugirira akamaro. Kumva ibyo bintu bishobora gutera ingaruka mbi bifasha wowe na muganga wawe gufata icyemezo cyiza ku bijyanye n'uko ubuzima bwawe bumeze.

Indwara nyinshi zishobora kongera ibyago byo kugira ingaruka mbi kuri implant:

• Ubu cyangwa amateka y'amaraso mu maguru, mu muhogo, cyangwa mu maso
• Indwara y'umwijima cyangwa ibibyimba by'umwijima
• Gusohoka amaraso mu gitsina bitumvikana
• Ubu cyangwa amateka ya kanseri y'ibere
• Umutima mubi cyane cyangwa indwara zo mu mutwe
• Gufata imiti imwe na rimwe igira ingaruka ku rwego rw'imisemburo

Imibereho yawe n'amateka y'ubuzima bwawe bwite nabyo bigira uruhare mu kumenya niba implant ikwiriye. Abagore banywa itabi, bafite umubyibuho ukabije, cyangwa bafite amateka y'umuryango y'amaraso ashobora gukenera gukurikiranwa by'umwihariko cyangwa bakungukirwa n'ubundi buryo bwo kuboneza urubyaro.

Ese ni byiza gukoresha implant yo kuboneza urubyaro cyangwa ubundi buryo bwo kuboneza urubyaro?

Niba implant yo kuboneza urubyaro iruta ubundi buryo bwo kuboneza urubyaro biterwa rwose n'ibyo ukeneye, imibereho yawe, n'uko ubuzima bwawe bumeze. Implant irusha ubundi buryo gukora neza no koroha, ariko ubundi buryo bushobora kugukwira bitewe n'ibyo ushyize imbere.

Ubu buryo bwo kuboneza urubyaro ni bwiza cyane niba ushaka uburyo bwo kuboneza urubyaro butagusaba kwibuka buri munsi kandi bufite ubushobozi bwo hejuru. Ni uburyo bwiza cyane ku bagore bagorwa no gufata imiti ya buri munsi, bifuza kuboneza urubyaro igihe kirekire, cyangwa bakanga gukoresha uburyo bwo kuboneza urubyaro butuma bahagarika imibonano mpuzabitsina. Igihe cy'imyaka itatu bumara gituma gifite akamaro mu gihe kirekire.

Ariko, ubundi buryo bushobora kuba bwiza niba ushaka kugira imihango yawe isanzwe, ukaba ukunda uburyo butagizweho ingaruka n'imisemburo, cyangwa ukeneye kubihagarika ako kanya. Imiti yo kuboneza urubyaro ituma ugira uburyo bwo kugenzura imihango yawe neza, naho uburyo bwo kuboneza urubyaro bukoreshwa mu gihe cy'imibonano mpuzabitsina nk'agakingirizo, butanga uburinzi ku ndwara zandurira mu mibonano mpuzabitsina, ibyo ubu buryo butabasha gutanga.

Ni izihe ngaruka zishobora guterwa n'uburyo bwo kuboneza urubyaro bukoreshwa mu gukingira inda?

Ingaruka zikomeye ziterwa n'uburyo bwo kuboneza urubyaro bukoreshwa mu gukingira inda ni gake, ariko ni ngombwa kumenya ibimenyetso byo kwitondera n'igihe cyo kwegera umuganga. Abagore benshi bakoresha ubu buryo batagize ibibazo bikomeye, ariko kumenya ibyo byose bifasha kumva ufite icyizere ku cyemezo cyawe.

Ingaruka zisanzwe, zitari izikomeye abagore benshi bahura nazo zirimo:

• Guhindagurika kw'imihango cyangwa gusa amaraso
• Gukomereka by'agateganyo cyangwa kubabara aho bashyizeho ubu buryo
• Kubabara umutwe gake cyangwa guhinduka kw'imitekerereze
• Kubabara amabere
• Kongera ibiro gake (nubwo ibi bitaragaragazwa ko biterwa n'ubu buryo)

Ibi bikunda gukira igihe umubiri wawe umaze kumenyera imisemburo, akenshi mu mezi make ya mbere. Ariko, niba ari ibibazo bikomeye cyangwa ntibigenda neza, umuganga wawe ashobora kugufasha gufata icyemezo cyo gukomeza gukoresha ubu buryo cyangwa ukaba watekereza kubukuraho.

Ingaruka zikomeye ariko zikaba zidakunze kubaho zisaba kwitabaza umuganga ako kanya zirimo:

• Ibimenyetso byo kwandura ahantu bashyizeho urushinge (ukwera kwiyongera, ubushyuhe, amashyira, cyangwa imirongo itukura)
• Urushinge rwimuka aho rwari ruri cyangwa bigatuma bigorana kurufata
• Urubavu rukabije rushobora kwerekana ko utwenda twabaye hanze y'inda
• Ibimenyetso byo kuvura amaraso (kuribwa kw'ukuguru, kuribwa mu gituza, guhumeka bigoranye)
• Umuvumo ukabije cyangwa impinduka z'amarangamutima

Niba ubonye kimwe muri ibi bimenyetso, vugana n'umuganga wawe ako kanya. Nubwo izi ngorane zitaba kenshi, kwitabwaho n'abaganga vuba bishobora gukumira ibibazo bikomeye kandi bigatuma umutekano wawe wizerwa.

Ni ryari nkwiriye kubona umuganga kubera impungenge z'urushinge rwo kuboneza urubyaro?

Ugomba kuvugana n'umuganga wawe niba ubonye ibimenyetso byose bikugora cyangwa bisa nk'ibidahwanye, kabone niyo bitagaragara ku rutonde rusanzwe rw'"ibimenyetso byo kwitondera". Wizere uko umubiri wawe wumva, kandi ntugatinye gushaka ubujyanama igihe ikintu kitagenda neza.

Teganya gahunda ako kanya niba ubonye kimwe muri ibi bimenyetso bikomeye:

• Gusohoka amaraso menshi yuzura ipadi cyangwa itampone isaha ku isaha mu masaha menshi
• Urubavu rukabije cyangwa rurushaho kuba rubi ahantu bashyizeho urushinge
• Ibimenyetso byo kwandura nk'umuriro, guhinda umushyitsi, cyangwa ukwera kwiyongera hirya no hino y'urushinge
• Ntuzongera kumva urushinge munsi y'uruhu rwawe
• Ibimenyetso bishoboka byo gutwita nk'isuka, kubabara amabere, cyangwa kutabona imihango (niba usanzwe uyibona)

Ugomba kandi kuvugana niba ufite ingaruka zikomeye zigira ingaruka ku buzima bwawe bwa buri munsi, nk'impinduka zikomeye z'amarangamutima, kuribwa mumutwe bidahoraho, cyangwa uburyo bwo kuva amaraso bugutera impungenge. Umuganga wawe ashobora gufasha kumenya niba ibi ari ibisanzwe cyangwa ibimenyetso byerekana ko urushinge atari rwo rwiza kuri wowe.

Wibuke ko gahunda yo gusuzuma buri gihe na yo ari ingenzi. Muganga wawe akenshi azifuza kukubona nyuma y'ibyumweru bike ushyizemo igikoresho kugira ngo arebe uko urimo wimenyereza, hanyuma buri mwaka kugira ngo akurikirane ubuzima bwawe muri rusange kandi aganire ku bibazo byose ushobora kuba ufite.

Ibibazo bikunze kubazwa ku bijyanye n'imiti yo kuboneza urubyaro ishyirwa mu mubiri

Q1: Ese igikoresho cyo kuboneza urubyaro gipima neza niba utwite?

Icyo gikoresho cyo kuboneza urubyaro ubwacyo si igipimo cyo kumenya niba utwite, ahubwo ni igikoresho kibuza gutwita. Niba ucyeka ko ushobora kuba utwite ukoresha icyo gikoresho, uzakenera gukora ikindi gipimo cyo kumenya niba utwite ukoresheje inkari cyangwa amaraso.

Nubwo gutwita bidakunze kubaho cyane ukoresha icyo gikoresho (abantu batarenze 1 kuri 100), birashoboka. Niba utagira imihango nkuko bisanzwe, ukagira isesemi, amabere akagutera ububabare, cyangwa ibindi bimenyetso byo gutwita, kora igipimo cyo kumenya niba utwite maze uvugane na muganga wawe. Icyo gikoresho ntigihungabanya umwana uri mu nda, ariko kigomba gukurwaho niba utwite.

Q2: Ese igikoresho cyo kuboneza urubyaro gitera kongera ibiro?

Ubushakashatsi bwerekana ko igikoresho cyo kuboneza urubyaro kitatera mu buryo butaziguye kongera ibiro ku bagore benshi. Ubushakashatsi bwakozwe bwagaragaje ko abagore bakoresha icyo gikoresho bongereye ibiro bingana n'abakoresha uburyo butagira imisemburo, bigaragaza ko impinduka zose z'ibiro zishobora guterwa n'ibintu bisanzwe mu buzima aho guterwa n'icyo gikoresho ubwacyo.

Ariko, abagore bamwe bavuga ko bumva bafite ibiro byiyongereye bakoresha icyo gikoresho. Ibi bishobora guterwa n'impinduka mu rwego rwo kurya, kubika amazi, cyangwa ibindi bintu. Niba ufite impungenge ku bijyanye n'impinduka z'ibiro nyuma yo gushyirwamo icyo gikoresho, ganira na muganga wawe ushobora kugufasha gusobanukirwa icyo gisanzwe kandi agashyiraho uburyo bwo kugumana ibiro byiza.

Q3: Ese igikoresho cyo kuboneza urubyaro gishobora kwimuka mu mubiri wanjye?

Implant ya gukingira inda igomba kuguma aho yashyizwe neza, ariko mu bihe bidasanzwe, irashobora kwimuka gato kuva aho yari iri. Ibi bikunda kuba iyo implant itashyizwe ahantu harehare cyangwa habayeho ikibazo gikomeye kuri ako gace.

Ugomba kuba ushobora kumva implant yawe nk'agakoni gato gakomeye munsi y'uruhu rwawe. Niba utagishobora kuyumva, niba isa nk'aho yimukiye cyane, cyangwa niba ubonye udusimba tudasanzwe cyangwa ibibyimba muri ako gace, vugana n'umuganga wawe ako kanya. Bashobora gushakisha implant bakoresheje ultrasound niba bibaye ngombwa kandi bagafata icyemezo niba igomba kongera gushyirwa ahantu heza cyangwa gukurwaho.

Q4: Bifata igihe kingana iki kugira ngo utwite nyuma yo gukuraho implant?

Abagore benshi basubira mu buryo bwabo busanzwe bwo kubyara nyuma y'ibyumweru bike nyuma yo gukuraho implant yo gukingira inda. Urwego rw'imisemburo rugabanuka vuba iyo implant ikuweho, kandi gusohora amagi bikunda gusubira mu gihe cy'ukwezi kumwe cyangwa abiri.

Ariko, igihe cyo gutwita gitandukana cyane hagati y'abantu, nk'uko biba ku bagore batarakoresheje uburyo bwo kuboneza urubyaro bukoresha imisemburo. Abagore bamwe batwita ako kanya nyuma yo gukurwaho, mu gihe abandi bashobora gufata amezi menshi kugira ngo batwite. Imyaka yawe, ubuzima bwawe muri rusange, n'ibindi bintu bifite uruhare runini mu gihe cyo gutwita kurusha imikoreshereze yawe ya mbere ya implant.

Q5: Nshobora gukora MRI mfite implant yo gukingira inda?

Yego, urashobora gukora isesengura rya MRI neza ufite implant yo gukingira inda. Implant ya Nexplanon ntirimo ibice by'icyuma byabangamira ishusho ya MRI cyangwa guteza impungenge z'umutekano mu gihe cy'igikorwa.

Ariko, ugomba buri gihe kumenyesha umuganga wawe n'umukanishi wa MRI ko ufite implant yo gukingira inda mbere yo gukora isesengura. Bashobora gushaka kwandika uko ihari n'aho iherereye, kandi mu bihe bimwe na bimwe, implant irashobora kugaragara ku mashusho ya MRI, ibyo bishobora gufasha mu kwemeza uko yashyizwe neza.