Ni iki cyitwa urukingo rwa Depo-Provera rwo kuboneza urubyaro? Impamvu, uburyo bikorwamo & ibisubizo

Depo-Provera ni urukingo rwo kuboneza urubyaro rumara igihe kirekire, rukabuza gutwita mu mezi atatu hakoreshejwe urukingo rumwe gusa. Uru rukingo rukoresha imisemburo y'ubukorano yitwa medroxyprogesterone acetate, ikora kimwe na progesterone kamere umubiri wawe ukora. Ni bumwe mu buryo bwo kuboneza urubyaro bwizewe cyane, butanga uburinzi burenze 99% bwo kutwita igihe bukoreshejwe neza.

Depo-Provera ni iki?

Depo-Provera ni urukingo rwo kuboneza urubyaro rushingiye ku misemburo rutanga uburinzi bwo kutwita mu byumweru 12 kugeza kuri 14. Uru rukingo rukoresha miligarama 150 za medroxyprogesterone acetate, urugero rwakozwe muri laboratori rwa progesterone rukora nk'imisemburo kamere y'umubiri wawe.

Uru rukingo rukora mu kubuza intanga z'umugore gusohoka buri kwezi. Runyuranisha kandi ururenda ruri mu kizungera, bigatuma intanga ngabo zitagera ku ntanga y'umugore yaba yasohotse. Byongeye kandi, ruhindura umurongo w'igitsina cy'umugore, rugabanya amahirwe yo gutera inda y'intanga y'umugore yatewe.

Uyu muti utangwa nk'urukingo rwinjira mu misitsi yimbitse, akenshi mu kaboko kawe k'igice cyo hejuru cyangwa mu kibuno. Abaganga bamaze imyaka myinshi bakoresha ubu buryo mu buryo bwizewe, kandi bwemewe na FDA gukoreshwa mu kuboneza urubyaro.

Kuki Depo-Provera ikorwa?

Depo-Provera ikoreshwa cyane cyane mu gukumira gutwita kutifuzwa ku bantu bifuza kuboneza urubyaro neza kandi rumara igihe kirekire. Benshi bahitamo ubu buryo kuko butasaba kwitabwaho buri munsi nk'ibinini byo kuboneza urubyaro cyangwa uburyo bwo gushyiramo nk'IUDs.

Usibye gukumira gutwita, abaganga rimwe na rimwe basaba Depo-Provera kubera izindi mpamvu z'ubuvuzi. Ishobora gufasha mu gucunga imihango iremereye cyangwa ibabaza, kugabanya ibimenyetso bya endometriosis, no gutanga ubufasha ku bwoko bumwe na bumwe bw'ububabare bwo mu gatuza. Abantu bamwe bafite indwara zo kuva amaraso nabo bungukirwa n'ubu buvuzi.

Urukingo rufasha cyane abagira ingorane zo kwibuka imiti ya buri munsi cyangwa bakaba batifuza gukoresha uburyo bwo kwirinda inda zitifuzwa mu gihe cy'imibonano mpuzabitsina. Ni n'uburyo bwiza niba udashobora gukoresha uburyo bwo kuboneza urubyaro burimo imisemburo ya estrogen kubera impungenge z'ubuzima nk'amaraso avura cyangwa migraine.

Ni iki gikorwa mu gutera urukingo rwa Depo-Provera?

Guterwa urukingo rwa Depo-Provera ni uburyo bworoshye bufata iminota mike gusa ku biro by'umuganga wawe. Umuvuzi wawe azabanza kuganira ku mateka yawe y'ubuzima kandi yemeze ko ubu buryo bukugirira neza.

Urukingo ubwarwo rugizwe no gutera urushinge rwihuse mu mutsi munini. Umuvuzi wawe azasukura ahantu batera urukingo akoresheje umuti wica mikorobe hanyuma akoreshe urushinge ruzira mikorobe kugirango atange umuti mu gice cy'umubiri cy'imitsi. Abantu benshi bavuga ko kumva bimeze nk'uko baterwa urukingo.

Ibi nibyo bikunda kuba mu gihe cyo guhura kwawe:

• Isesengura ry'ubuzima rigufi n'ibiganiro ku mpungenge zose
• Gusukura ahantu batera urukingo (muri rusange mu kaboko k'igice cyo hejuru cyangwa mu kibuno)
• Urukingo rwihuse rw'umuti
• Guteganya gahunda yo guhura kwawe gukurikira mu byumweru 11-13
• Ibiganiro by'icyo witegura n'igihe cyo guhamagara niba impungenge zigaragaye

Nyuma yo guterwa urukingo, ushobora kumva ububabare ahantu batera urukingo mu gihe cy'umunsi umwe cyangwa ibiri. Ibi ni ibisanzwe kandi birashobora gucungwa n'imiti igurishwa ku isoko niba bikenewe.

Ni gute witegura guterwa urukingo rwa Depo-Provera?

Kwitegura guterwa urukingo rwa Depo-Provera biroroshye kandi ntibisaba intambwe zidasanzwe. Ikintu cy'ingenzi ni ukugena igihe cy'urukingo rwawe rwa mbere neza kugirango wemeze ko urinda inda zitifuzwa ako kanya.

Niba utangira Depo-Provera ku nshuro ya mbere, ugomba guhabwa urukingo mu minsi itanu ya mbere y'imihango yawe. Iki gihe cyemeza ko utwite kandi gitanga uburinzi bwihuse bwo kuboneza urubyaro. Niba uhabwa urukingo mu wundi mwanya uwo ari wo wose, uzakenera gukoresha uburyo bwo kuboneza urubyaro bwunganira mu cyumweru cya mbere.

Mbere yo kujya mu gihe cyo guhura n'abaganga, tekereza ku ntambwe zitegura zifasha:

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• Andika umunsi wa mbere w'imihango yawe ya nyuma
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• Andika imiti cyangwa ibiyobyabwenge urimo gufata ubu
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• Tegura ibibazo bijyanye n'ingaruka cyangwa impungenge
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• Tegura uburyo bwo gutwara niba ufite impungenge z'ububabare bw'ukuboko
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• Wambare imyenda yoroshya kugera ku kaboko kawe ka hejuru
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Ntabwo ukeneye kwiyiriza ubusa cyangwa kwirinda ibikorwa byose mbere yo guterwa urukingo. Ariko, menyesha umuganga wawe niba ufata imiti ituma amaraso ataguma, kuko ibi bishobora kugira ingaruka ku buryo urukingo rutangwa.

Ni gute usoma ibisubizo byawe bya Depo-Provera?

Bitandukanye n'ibizamini byo muri laboratori, Depo-Provera ntigira

Umuvuzi wawe w’ubuzima azakurikirana uko ubuzima bwawe buhagaze binyuze mu gusuzuma buri gihe kandi ashobora gukurikirana impinduka ziri mu kuremera kwawe, umuvuduko w'amaraso, n'ubuzima bw'amagufa uko igihe kigenda. Ibi bipimo bifasha kumenya neza ko imiti ikomeza kuba myiza kandi ikwiriye kuri wowe.

Ni gute wakwitwara mu gihe ukoresha Depo-Provera?

Kwitwara neza mu gihe ukoresha Depo-Provera bikubiyemo kuguma ku gihe cy'inkingo kandi ukamenya uko umubiri wawe witwara. Ikintu cy'ingenzi ni ukubona inkingo zawe buri byumweru 11-13 nta gutinda.

Niba ubonye ingaruka ziterwa n'iyo miti, nyinshi muri zo zishobora gucungwa n'uburyo bworoshye. Impinduka z'uburemere, zikora ku gice cy'abakoresha, akenshi zishobora kugabanuka binyuze mu gukora imyitozo ngororamubiri buri gihe no kurya neza. Impinduka z'amarangamutima, nubwo zitajya zibaho kenshi, zigomba kuganirwaho n'umuvuzi wawe w’ubuzima vuba.

Dore uburyo bufatika bwo kunoza uburambe bwawe bwa Depo-Provera:

• Shyiraho ibyibutsa byo guhura nawe kugira ngo ukingirwe inkingo zikurikira
• Kurikirana impinduka zose zigaragara mu gihe cy'imihango yawe
• Gufata indyo nziza irimo kalisiyumu na vitamine D
• Gukora imyitozo ngororamubiri kugira ngo ushyigikire ubuzima bw'amagufa
• Gukora agapapuro kerekana ibimenyetso byose kugira ngo uganire n'umuvuzi wawe

Wibuke ko bishobora gufata amezi 12-18 nyuma yo guhagarika Depo-Provera kugira ngo ubushobozi bwawe bwo kubyara busubire uko bwari busanzwe. Niba uteganya gutwita mu gihe cya vuba, ganira n'umuvuzi wawe w’ubuzima ku bijyanye n'ubundi buryo bwo kuboneza urubyaro.

Ni iyihe gahunda nziza ya Depo-Provera?

Gahunda nziza ya Depo-Provera ikubiyemo guhabwa urukingo buri byumweru 12, hamwe n'igihe cyo gutinda kigera ku byumweru 13 ntarengwa. Kuguma muri iki gihe cyagenwe bituma urinda inda idahagarara nta gihombo cyo gutakaza ubwirinzi.

Umuvuzi wawe w’ubuzima akenshi azategura gahunda y'ibiganiro byawe buri byumweru 11-12 kugira ngo atange umwanya wo kwirinda amakimbirane yo gutegura gahunda. Ubu buryo bufasha gukomeza urugero rumwe rw'imisemburo mu mubiri wawe kandi birinda impungenge zo gushobora gucikanwa n'igihe cyo gufata urukingo.

Abenshi mu baganga bagusaba gushyira ku ngengabihe yawe ako kanya nyuma yo guterwa urushinge, kandi ugashyiraho ubutumwa bwinshi bukwibutsa. Abantu bamwe babona ko bifasha gutegura gahunda y'urushinge rukurikira mbere yo kuva mu biro, kugira ngo babe bafite gahunda yo kwirinda.

Niba urarengeje ibyumweru 13 utaraterwa urushinge, uzakenera gukoresha uburyo bwo kwirinda butari ubwa mbere byibuze icyumweru kimwe nyuma yo guterwa urushinge. Muganga wawe ashobora no kugusaba gupimwa inda mbere yo kugutera urushinge rwatinze.

Ni ibihe bintu byongera ibyago byo kugira ibibazo byatewe na Depo-Provera?

Indwara zimwe na zimwe n'imibereho bishobora kongera ibyago byo kugira ibibazo byatewe na Depo-Provera. Kumva neza ibyo bintu byongera ibyago bifasha wowe n'umuganga wawe gufata ibyemezo bifitiye akamaro niba ubu buryo bukugirira akamaro.

Ikintu cyongera ibyago cyane ni amateka ya osteoporosis cyangwa indwara zigira ingaruka ku mikorere y'amagufa. Kubera ko Depo-Provera ishobora kugabanya by'agateganyo ubwinshi bw'imyunyu ngugu mu magufa, abantu bafite ibibazo by'amagufa bashobora guhura n'ibindi bibazo. Iyi ngaruka ikunda gukira nyuma yo guhagarika imiti.

Indwara nyinshi zishobora kongera ibyago byo kugira ibibazo:

• Amateka y'amaraso yiziba cyangwa situroki
• Gusohoka amaraso mu gitsina bitasobanutse
• Indwara y'umwijima cyangwa ibibyimba byo mu mwijima
• Kanseri y'ibere cyangwa amateka y'umuryango ya kanseri y'ibere
• Umutima mubi ukabije cyangwa ibibazo by'ubuzima bwo mu mutwe
• Diyabete ifite ibibazo

Imyaka nayo ishobora kugira uruhare, kuko abantu barengeje imyaka 35 batari banywa itabi bashobora kugira ibyago byiyongereye. Byongeye kandi, niba uteganya gusama mu myaka ibiri iri imbere, gusubira inyuma kw'ubushobozi bwo kubyara bishobora kuba ikintu cyo kwitondera aho kuba ikibazo.

Ese ni byiza kugira imihango isanzwe cyangwa idasanzwe kuri Depo-Provera?

Impinduka mu gihe cy'imihango yawe mugihe ukoresha Depo-Provera ni ibisanzwe kandi byitezwe. Nta 'nzira nziza' ihari - icy'ingenzi ni uko impinduka zisanzwe kuri ubu bwoko bwo kuboneza urubyaro bukoresha imisemburo.

Abantu benshi basanga kugira imihango yoroheje cyangwa kutagira imihango na gato ari inyungu yakirwa neza. Iyi ngabanyamihango ishobora gufasha kurwanya anemia, kugabanya kuribwa, no gukuraho imbogamizi z'imihango buri kwezi. Mu rwego rw'ubuvuzi, kugira imihango mike mugihe ukoresha uburyo bwo kuboneza urubyaro bukoresha imisemburo ni byiza rwose.

Abantu bamwe bahura no kuva amaraso bidahoraho, cyane cyane mumwaka wa mbere wo gukoresha. Nubwo ibi bishobora kurakaza, ntibigira ingaruka kandi akenshi biragenda neza uko igihe kigenda gihita. Nka 50% by'abantu bakoresha Depo-Provera mumwaka umwe ntibazagira imihango na gato, kandi iki gipimo kiyongera mugihe bakoresheje igihe kirekire.

Icy'ingenzi ni ukumenya ko impinduka z'imihango ntizerekana ibibazo by'imikorere y'umuti. Uburinzi bwawe bwo kuboneza urubyaro buguma bukomeye hatitawe niba ufite imihango isanzwe, kuva amaraso bidahoraho, cyangwa kutagira imihango na gato.

Ni izihe ngorane zishobora guterwa na Depo-Provera?

Nubwo Depo-Provera muri rusange ifitiye abantu benshi umutekano, ni ngombwa gusobanukirwa ingorane zishobora kubaho kugirango ushobore gufata ibyemezo bifitiye umumaro kandi umenye igihe cyo kwitabaza abaganga.

Ingorane zisanzwe zirimo impinduka zigira ingaruka kubuzima bwawe bwa buri munsi ariko ntizigomba kuba ziteje akaga. Kongera ibiro bibaho kuri kimwe cya kabiri cy'abakoresha, akenshi ni ibiro 3-5 mumwaka wa mbere. Abantu bamwe kandi bahura n'impinduka z'amarangamutima, kugabanuka kw'irari ry'imibonano mpuzabitsina, cyangwa kubabara umutwe.

Ingorane zikomeye ariko zitabaho kenshi zirimo:

• Igabanuka rikomeye ry'ubucucike bw'amagufa (muri rusange risubira nyuma yo guhagarika)
• Agahinda gakabije cyangwa indwara z'amarangamutima
• Kuva amaraso menshi cyangwa maremare bisaba ubufasha bw'abaganga
• Ubwivumbagatanyo bwo mu mubiri ku ruterwa
• Amabara y'amaraso (ntaboneka cyane ugereranije n'ubundi buryo bukoresha imisemburo)

Gukoresha igihe kirekire bishobora guhurirana no kwiyongera guto kw'ibibazo bya kanseri y'ibere, nubwo ibi bikiri impaka kandi bisaba ubushakashatsi burambuye. Umuganga wawe ashobora kugufasha gupima ibi bibazo bishoboka ugereranije n'inyungu zishingiye ku buzima bwawe bwite.

Ibikomere byinshi birashobora gucungwa cyangwa bigakira nyuma yo guhagarika imiti. Ikintu cy'ingenzi ni ugukomeza kuganira n'umuganga wawe ku mpinduka zose ubona.

Ni ryari nkwiriye kubona umuganga kubera impungenge za Depo-Provera?

Ugomba kuvugana n'umuganga wawe niba ubonye ibimenyetso bibangamiye cyangwa impinduka zikomeye nyuma yo guterwa urushinge rwa Depo-Provera. Nubwo ingaruka nyinshi zisanzwe, ibimenyetso bimwe na bimwe bisaba ubufasha bw'abaganga.

Hamagara umuganga wawe ako kanya niba ubonye uburibwe bukomeye mu nda, kuko ibi bishobora gukunda kugaragaza ibibazo bikomeye. Mu buryo nk'ubwo, niba ugaragaje ibimenyetso by'amaraso yiziritse nk'uburibwe mu kuguru, kubyimba, uburibwe mu gituza, cyangwa guhumeka bigoranye, shakisha ubufasha bw'abaganga ako kanya.

Dore ibihe byihariye bisaba ubufasha bw'abaganga:

• Gukora imyenda cyane kumara iminsi irindwi irenga
• Kugira agahinda gakabije cyangwa gutekereza kwikomeretsa
• Umutwe udashira cyangwa impinduka mu iyerekwa
• Ibimenyetso by'ubwandu ahaterwa urushinge
• Ibimenyetso bishoboka byo gutwita niba wararengeje urushinge
• Uko kwitwara bikabije kwa allergie nk'uguhumeka bigoranye cyangwa kubyimba

Muri iki gihe, teganiriza gahunda yo gusuzumwa nk'uko byategetswe n'umuganga wawe. Uku gusura bituma gukurikiranwa kw'ubuzima bwawe muri rusange, ubucucike bw'amagufa niba ukoresha igihe kirekire, no kuganira ku mpungenge zose zijyanye no gukomeza ubu buryo.

Ntugatinye guhamagara niba ufite ibibazo bijyanye n'ingaruka zisanzwe. Itsinda ryawe ry'ubuvuzi rirahari kugufasha no kuguha icyizere cyo guhitamo uburyo bwo kuboneza urubyaro.

Ibikunze kubazwa kuri Depo-Provera

Ikibazo cya 1: Ese Depo-Provera ikora ako kanya nyuma yo guterwa urushinge rwa mbere?

Depo-Provera itanga uburinzi bwihuse ku nda niba wahawe urushinge rwawe rwa mbere mu minsi itanu ya mbere y'imihango yawe. Iki gihe cyemeza ko utwite kandi bigatuma imisemburo itangira gukora ako kanya.

Niba wahawe urushinge rwawe rwa mbere mu gihe icyo aricyo cyose mu gihe cy'imihango yawe, uzakenera gukoresha uburyo bwo kuboneza urubyaro bwunganira mu minsi irindwi ya mbere. Iyi ngamba y'ubwirinzi yemeza ko urinzwe neza mugihe imisemburo yiyongera kugirango igere ku rwego rwo gukora neza mu mubiri wawe.

Ikibazo cya 2: Ese Depo-Provera itera ubugumba burambye?

Oya, Depo-Provera ntiter ubugumba burambye. Ariko, birashobora gutwara igihe kirekire kugirango ubushobozi bwawe bwo kubyara busubireho ugereranije n'ubundi buryo bwo kuboneza urubyaro. Abantu benshi bashobora gutwita mu gihe cy'amezi 12-18 nyuma yo guterwa urushinge rwa nyuma.

Gutinda gusubira mu buryo bwo kubyara bitandukanye ku muntu ku muntu. Bamwe bashobora gukora ovulation mu mezi make, mugihe abandi bashobora gutwara imyaka ibiri. Iki gitinda ni akanya gato, kandi ubushobozi bwawe bwo gutwita buzagaruka ku murongo wawe usanzwe.

Ikibazo cya 3: Ese nshobora gukoresha Depo-Provera mugihe ndimo konka?

Yego, Depo-Provera ni umutekano gukoresha mugihe uri konka kandi ntizagira icyo itwara umwana wawe. Progestin iri mu rushinge ntigira ingaruka zigaragara ku mikorere y'amata cyangwa ubuziranenge bwayo, bituma iba uburyo bukundwa nababyeyi bonka.

Urashobora gutangira Depo-Provera mbere y'ibyumweru bitandatu nyuma yo kubyara niba uri konka. Abaganga bamwe bashobora gushishikariza gutegereza kugeza igihe amata yawe yuzuye neza, akenshi hagati y'ibyumweru 6-8 nyuma yo kubyara.

Ikibazo cya 4: Ni iki kibaho niba ntasibye gahunda yanjye ya Depo-Provera?

Niba utinze guterwa urushinge rwawe, vugana n'umuganga wawe ako kanya kugirango usubize gahunda. Niba umaze ibyumweru birenga 13 utarahabwa urushinge rwawe rwa nyuma, uzakenera gukoresha uburyo bwo kuboneza urubyaro bwunganira byibuze icyumweru kimwe nyuma yo guterwa urushinge rwawe.

Umuvuzi wawe ashobora kugusaba gukora isuzuma ryo kumenya niba utwite mbere yo kuguha urukingo rwararengeje igihe. Ntugahagarike umutima niba utinze iminsi mike – umuti uracyakomeza gutanga uburinzi mu gihe gito nyuma y'ibyumweru 12.

Q5: Depo-Provera yafasha mu gihe cy'imihango iremereye?

Yego, Depo-Provera akenshi igabanya cyane kuva amaraso mu gihe cy'imihango kandi ishobora kuba umuti mwiza wo kuvura imihango iremereye. Abantu benshi bagira imihango yoroheje cyangwa imihango yabo ikaba yahagarara burundu mugihe bakoresha ubu buryo bwo kuboneza urubyaro.

Iri gabanuka ry'amaraso rishobora gufasha mu kurwanya amaraso make, kugabanya ububabare mu gihe cy'imihango, no kunoza imibereho y'abantu bahura n'imihango iremereye. Ariko, abantu bamwe bashobora kugira amaraso make atari ya ngombwa, cyane cyane mu mwaka wa mbere wo kuyikoresha.