Ni iki cyitwa gukuramo inda hakoreshejwe imiti? Impamvu, Uburyo bikorwamo & Ibyavuyemo

Gukuramo inda hakoreshejwe imiti ni uburyo bwizewe, butagomba kubagwa bwo gukuramo inda hakiri kare hakoreshejwe imiti yandikiwe na muganga. Ubu buryo bukubiyemo gufata ibinini byihariye bikorera hamwe kugira ngo bahagarike inda kandi bifashe umubiri wawe gusohora imvugo y'inda mu buryo busanzwe.

Bitandukanye rwose no gukoresha imiti yo gukumira inda itateganyijwe cyangwa "ibinini byo nyuma y'amasaha 24". Gukuramo inda hakoreshejwe imiti bikoreshwa nyuma y'uko inda imaze kwemezwa, akenshi mu byumweru 10 bya mbere byo gutwita. Abantu benshi bahitamo ubu buryo kuko bushobora gukorerwa mu ibanga mu rugo kandi bumvikana nk'ibisanzwe kurusha kubagwa.

Ni iki cyitwa gukuramo inda hakoreshejwe imiti?

Gukuramo inda hakoreshejwe imiti hakoreshwa imiti y'ubwoko bubiri kugira ngo hakurwemo inda hakiri kare mu buryo bwizewe. Ubu buryo bwiganisha ibibaho mu gihe umuntu akuyemo inda mu buryo busanzwe, ariko bikorwa mu buryo bugenzurwa kandi bugakurikiranwa n'abaganga.

Umuti wa mbere, mifepristone, uhagarika imisemburo ya progesterone ikenewe kugira ngo inda ikomeze. Hatabayeho uyu musemburo, inda ntishobora gukomeza gukura. Umuti wa kabiri, misoprostol, utuma igituntu gishishana kandi kigasohora imvugo y'inda.

Ubu buryo bukora neza cyane kandi bufasha hafi 95-98% by'abantu babukoresha neza. Bukoreshwa mu buryo bwizewe ku isi hose mu myaka myinshi kandi busabwa n'imiryango minini y'ubuvuzi nk'uburyo bwo kuvura busanzwe.

Kuki gukuramo inda hakoreshejwe imiti bikorwa?

Gukuramo inda hakoreshejwe imiti bihitwamo kubera impamvu zitandukanye zishingiye ku muntu ku giti cye, izishingiye ku buvuzi, n'izishingiye ku miterere. Imiterere ya buri muntu irihariye, kandi icyemezo gifatwa ku giti cye.

Zimwe mu mpamvu zisanzwe zirimo inda itateganyijwe, kunanirwa kw'uburyo bwo kuboneza urubyaro, cyangwa impinduka mu mibereho. Abandi bashobora guhitamo gukuramo inda hakoreshejwe imiti kubera ibitagenda neza byagaragajwe ku mwana uri mu nda mu gihe cyo gupima mbere yo kuvuka cyangwa ibyago bikomeye by'ubuzima ku mugore utwite.

Imbogamizi z'amafaranga, kubura ubufasha, cyangwa ibibazo by'igihe nabyo bigira uruhare mu gufata icyemezo. Abantu bamwe bumva ko batariteguye kuba ababyeyi cyangwa bamaze kurangiza imiryango yabo. Impamvu yaba iyo ari yo yose, ni ngombwa kumenya ko gushaka gukuramo inda mu buryo bw'ubuvuzi ari icyemezo cyemewe mu kwivuza.

Ni iki gikorerwa gukuramo inda mu buryo bw'ubuvuzi?

Uburyo bwo gukuramo inda mu buryo bw'ubuvuzi busanzwe bukubiyemo gahunda eshatu kandi bikamara iminsi myinshi. Umuganga wawe azakuyobora mu ntambwe zose kugira ngo yemeze umutekano n'ubushobozi.

Mu gihe cyo gusura kwawe kwa mbere, uzakorwa isuzuma rya ultrasound kugira ngo bemeze aho inda iherereye n'imyaka y'inda. Umuganga wawe azongera asuzume amateka yawe y'ubuvuzi kandi aganire icyo witegura mu gihe cy'inzira.

Ibi nibyo bibaho mu gihe cy'inzira:

1. Uzatwara umuti wa mbere (mifepristone) ku ivuriro cyangwa mu biro by'abaganga
2. Uzatinda amasaha 24-48 mbere yo gufata umuti wa kabiri (misoprostol)
3. Misoprostol akenshi ifatirwa mu rugo, haba mu kanwa cyangwa ishyirwa mu gitsina
4. Kugira ibibazo byo mu nda no kuva amaraso bizatangira mu masaha make nyuma yo gufata misoprostol
5. Ibyo mu nda bizirukanwa mu masaha make cyangwa iminsi mike iri imbere

Abantu benshi bahura no kuva amaraso menshi no kugira ibibazo byo mu nda mu masaha ya mbere 3-5 nyuma yo gufata misoprostol. Iyi nzira irashobora kumara amasaha 24 kugira ngo irangire, nubwo akenshi irangira mbere y'igihe.

Ni gute witegura gukuramo inda mu buryo bw'ubuvuzi?

Kwitegura gukuramo inda mu buryo bw'ubuvuzi bikubiyemo ibitekerezo bifatika n'amarangamutima. Umuganga wawe azaguha amabwiriza yihariye, ariko aha hari intambwe zimwe zo kwitegura.

Teganya kugira umuntu uhari kugira ngo agushyigikire mu gihe cy'inzira, n'iyo byaba ari kuri terefone gusa. Uzashaka kuba ahantu heza, wihariye aho ushobora kuruhukira kandi ukagira uburyo bworoshye bwo kugera ku bwiherero.

Uku niko ushobora kwitegura:

• Gura ibikoresho byo mu gihe cy'imihango bikomeye (irinda gukoresha tampon mu gihe cy'inzira)
• Gura imiti igabanya ububabare itangwa nta uruhushya rwa muganga nka ibuprofen cyangwa acetaminophen
• Tegura imyenda yoroshye n'ibikoresho bishyushya kugirango ugabanye kubabara
• Gira ibiryo byoroshye mu igogora n'amazi ahagije
• Tegura igihe cyo kuruhuka ku kazi cyangwa kwita ku bana niba bikenewe
• Menya neza ko ufite uburyo bwo kugera ku buvuzi niba bikenewe

Ushobora kandi gusabwa kwirinda inzoga, aspirine, n'indi miti imwe n'imwe mbere y'iki gikorwa. Kurikiza amabwiriza yabo neza kugirango ugire umusaruro mwiza.

Ni gute usoma ibisubizo byawe byo gukuramo inda mu buryo bw'ubuvuzi?

Kumenya icyo witegura bifasha gusobanukirwa niba gukuramo inda mu buryo bw'ubuvuzi bikora neza. Ibimenyetso byo gukuramo inda neza mu buryo bw'ubuvuzi bisa n'ibyo mu gihe cy'imihango ikomeye cyangwa gukuramo inda mu buryo busanzwe.

Uzamenya ko umuti ukora iyo ufite kubabara no kuva amaraso. Kubabara birashobora kuba bikomeye kurusha kubabara bisanzwe mu gihe cy'imihango, kandi kuva amaraso bizaba bikomeye kurusha imihango isanzwe.

Ibimenyetso byerekana ko inzira ikora neza birimo:

• Kababara kaza kandi kagenda mu buryo bw'umuraba
• Kuva amaraso menshi kurusha imihango isanzwe
• Kunyura ibibumbe by'amaraso cyangwa imitsi
• Isesemi, kuruka, cyangwa impiswi (ibi ni ingaruka zisanzwe)
• Kumva unaniwe cyangwa ufite intege nke

Kuva amaraso mubisanzwe bikomeza mu gihe cy'icyumweru 1-2 nyuma y'iki gikorwa, buhoro buhoro bigahinduka bike. Uzagira gahunda yo gusuzumwa kugirango wemeze ko gukuramo inda byarangiye, mubisanzwe mu gihe cy'icyumweru 1-2.

Ni iki gisubizo cyiza cyo gukuramo inda mu buryo bw'ubuvuzi?

Igisubizo cyiza ni gukuramo inda neza nta ngorane nyinshi no gukira neza. Abantu benshi bahura n'iki gisubizo cyiza iyo bakurikiza amabwiriza ya muganga wabo neza.

Kubona ko gukuramo inda kwagenze neza bisobanura ko ibice byose by'inda byakuwe mu mura. Ibimenyetso byo gutwita bizagenda bigabanuka buhoro buhoro, kandi imisemburo yawe izasubira mu buryo busanzwe mu byumweru bike.

Gukira neza byiza bikubiyemo kubabara no kuva amaraso bishoboka bigenda bigabanuka mu gihe cy'icyumweru kimwe cyangwa bibiri. Abantu benshi bashobora gusubira mu bikorwa bisanzwe mu minsi mike, nubwo ugomba kwirinda kuzamura ibintu biremereye no gukora imyitozo ikomeye mu ntangiriro.

Gukira mu byiyumvo byawe ni ingenzi cyane. Bisanzwe kumva ibyiyumvo bitandukanye nyuma yaho, kuva ku kunezerwa kugeza ku kababaro. Kugira inkunga y'inshuti wizera, umuryango, cyangwa abajyanama birashobora kugufasha gukemura ibyo byiyumvo.

Ni ibihe bintu byongera ibyago byo kugira ibibazo byo gukuramo inda?

Nubwo gukuramo inda bikorwa neza muri rusange, ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ibibazo. Kumva ibyo bintu byongera ibyago bifasha wowe n'umuganga wawe gufata icyemezo cyiza ku miterere yawe.

Ikintu cyongera ibyago cyane ni imyaka yo gutwita irenze ibyumweru 10. Gukuramo inda biragabanuka kandi bishobora gutera ibibazo uko gutwita kugenda gukura.

Ibintu bisanzwe byongera ibyago birimo:

• Kubagwa mu nda mbere cyangwa kubagwa mu mura
• Indwara zo kuva amaraso cyangwa gufata imiti igabanya amaraso
• Anemiya ikabije cyangwa izindi ndwara z'amaraso
• Indwara zimwe na zimwe z'umutima, impyiko, cyangwa umwijima
• Indwara y'amara ikabije
• Allergie ku miti ikoreshwa

Ibintu bidasanzwe byongera ibyago birimo kugira inda yo hanze y'umura (inda hanze y'umura) cyangwa igikoresho cyo mu mura (IUD) gishyirwaho. Umuganga wawe azasuzuma ibyo bintu mbere yo kugusaba gukuramo inda.

Ni ibihe bibazo bishoboka byo gukuramo inda?

Gukuramo inda kenshi bigenda neza, ariko ni ngombwa kumenya ibibazo bishoboka kugirango usabe ubufasha niba bibaye ngombwa. Ibibazo bikomeye ni bike, bibaho ku gipimo kiri munsi ya 1% by'imanza.

Ikibazo gikunze kubaho ni ugukuramo inda bituzuye, aho utuntu twavuye mu nda tuba dusigaye mu mura. Ibi bibaho ku kigereranyo cya 2-5% by'abantu kandi akenshi bisaba imiti yiyongera cyangwa kubagwa gato kugira ngo bikemuke.

Ibyo bishobora kuvukamo harimo:

• Gukuramo inda bituzuye bisaba kuvurwa byiyongera
• Gushukwamo amaraso menshi bisaba ubufasha bw'abaganga
• Uburwayi bw'umura cyangwa ibindi bice by'umubiri by'inkengero
• Uburwayi bwo kwanga imiti
• Urugimbu, kuruka, cyangwa guhitwa bikabije cyangwa bikomeza
• Imiti itagize icyo ikora (ntibibaho cyane)

Ibyo bishobora kuvukamo cyane harimo amaraso menshi cyane asaba guterwa amaraso cyangwa kubagwa byihutirwa. Ibi bibazo bikomeye bibaho ku kigereranyo cya munsi ya 0.1% by'abantu iyo gukuramo inda bikozwe neza.

Ni ryari nkwiriye kujya kwa muganga nyuma yo gukuramo inda hakoreshejwe imiti?

Ugomba guhita uvugana n'umuganga wawe niba ubonye ibimenyetso byerekana ko hari ibibazo byavutse. Ntuzuyaze guhamagara niba ufite impungenge ku bimenyetso byose.

Abantu benshi bakira nyuma yo gukuramo inda hakoreshejwe imiti nta kibazo, ariko ni ngombwa kumenya igihe ubufasha bw'abaganga bukenewe. Umuganga wawe azaguha amabwiriza yihariye yerekeye igihe ugomba gushaka ubufasha.

Vugana n'umuganga wawe ako kanya niba ubonye:

• Amaraso avirirana akuzura agapapuro kabiri byibura mu isaha imwe mu masaha abiri yikurikiranya
• Uburibwe bukomeye mu nda butagabanuka n'imiti igabanya uburibwe
• Urubore rurenze 100.4°F (38°C) rumara amasaha arenga 24
• Amavangingo y'umubiri yumva nabi
• Kutagira amaraso mu masaha 24 nyuma yo gufata misoprostol
• Ibimenyetso byo gukomeza gutwita nk'urugimbu rukomeza cyangwa kubabara amabere

Ugomba kandi gushaka ubufasha bw'abaganga ako kanya niba wumva urushye, ufite intege nke, cyangwa uguye igihumure, cyane cyane niba biherekejwe no kuva amaraso menshi. Ibi bishobora kuba ibimenyetso byo gutakaza amaraso menshi bisaba kuvurwa vuba.

Ibibazo bikunze kubazwa ku gukuramo inda hakoreshejwe imiti

Q1: Gukuramo inda hakoreshejwe imiti bifite umutekano ku nda zizaza?

Yego, gukuramo inda hakoreshejwe imiti ntigira ingaruka ku bushobozi bwawe bwo gusama mu gihe kizaza. Ubushakashatsi bwerekana ko abantu bagiye bakuramo inda hakoreshejwe imiti bafite urugero rumwe rwo kubyara nk'abatarabikoze.

Imiti ikoreshwa ntigira impinduka zihoraho ku myanya yawe y'imyororokere. Igihe cy'imihango yawe gisanzwe gisubira mu buryo busanzwe mu byumweru 4-6, kandi ushobora kongera gusama vuba niba utakoresha uburyo bwo kuboneza urubyaro.

Q2: Gukuramo inda hakoreshejwe imiti bitera ibibazo by'ubuzima birambye?

Oya, gukuramo inda hakoreshejwe imiti bikozwe neza ntibitera ibibazo by'ubuzima birambye. Iyo miti iva mu mubiri wawe burundu mu minsi mike, kandi umubiri wawe usubira mu gihe cyari mbere yo gusama.

Ubushakashatsi bumaze imyaka myinshi bwerekana ko nta kaga kongerewe ka kanseri y'ibere, kutabyara, cyangwa ibibazo byo gusama mu nda zizaza. Ubu buryo bugenewe kuba bwizewe uko bishoboka kose ku buzima bwawe burambye.

Q3: Gukuramo inda hakoreshejwe imiti bigira akamaro kingana iki?

Gukuramo inda hakoreshejwe imiti bifite akamaro kanini, bikora neza mu 95-98% by'ibihe iyo bikozwe mu byumweru 10 bya mbere byo gusama. Urugero rwo gutsinda ruri hejuru iyo imiti ifashwe uko yategetswe.

Niba uruzingo rwa mbere rw'imiti rutagize icyo rutanga, umuganga wawe ashobora kugusaba urundi rugero rwa misoprostol cyangwa uburyo bwo kubaga buto kugirango urangize gukuramo inda.

Q4: Nshobora gufata imiti igabanya ububabare mu gihe cyo gukuramo inda hakoreshejwe imiti?

Yego, urashobora kandi ugomba gufata imiti igabanya ububabare kugirango ucunge ibicurane mu gihe cyo gukuramo inda hakoreshejwe imiti. Ibuprofen akenshi irasabwa kuko ifasha no kugabanya umuvumo kandi ishobora gutuma ubu buryo bworoha.

Umuvuzi wawe azaguha amabwiriza yihariye yerekeye imiti igabanya ububabare ifite umutekano wo gukoresha n'urugero rwo gufata. Irinda aspirine, kuko ishobora kongera ibyago byo kuva amaraso.

Q5: Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo gukuramo inda hakoreshejwe imiti?

Abantu benshi bumva bakize mu buryo bw'umubiri nyuma y'iminsi mike cyangwa icyumweru kimwe nyuma yo gukuramo inda hakoreshejwe imiti. Gucururuka amaraso akenshi bifata icyumweru kimwe cyangwa bibiri ariko bigenda bigabanuka uko igihe kigenda.

Muri rusange ushobora gusubira mu bikorwa bisanzwe nyuma y'iminsi mike, nubwo ugomba kwirinda gukora imirimo ivunanye, imyitozo ikomeye, no gukora imibonano mpuzabitsina mu gihe cy'icyumweru kimwe cyangwa uko umuganga abikugira inama. Gukira mu buryo bw'amarangamutima bitandukana ku muntu ku muntu.