Ni iki Minipill (Umuti wo kuboneza urubyaro ukoresha gusa Progestin)? Intego, Uburyo & Ibivamo

Minipill ni umuti wo kuboneza urubyaro ukoresha gusa progestin, urugero rwa hormone ya progesterone. Bitandukanye n'imiti ivanze ikoresha estrogen na progestin, minipill itanga uburyo bushingiye kuri hormone bwo kwirinda gutwita hatabayeho estrogen.

Ubu buryo bwo kuboneza urubyaro bukora bukozwa no gukomeza ururenda rwo mu kiziba cy'inda no gucisha umurongo w'inkondo y'umura, bigatuma intanga z'abagabo zitagera ku igi. Ku bagore benshi, cyane cyane abatafata estrogen, minipill itanga uburyo bwo kwirinda gutwita neza hamwe na hormone yoroheje.

Ni iki minipill ari cyo?

Minipill ni umuti wo kuboneza urubyaro wa buri munsi ukoresha gusa hormone ya progestin. Ufata umuti umwe muto buri munsi ku gihe kimwe, nta minsi idakoreshwa hormone cyangwa imiti ya placebo nk'uko ushobora kubisanga mu miti ivanze yo kuboneza urubyaro.

Ubu bwoko bwo kuboneza urubyaro bukora mu buryo butandukanye n'imiti ivanze kuko ntibuhagarika ovulation kuri buri wese. Ahubwo, iteza imbogamizi nyinshi zo gutwita ihindura ururenda rwawe rwo mu kiziba cy'inda n'umurongo w'inkondo y'umura. Progestin ituma ururenda rwawe rwo mu kiziba cy'inda rukomera kandi rugakomera, ibyo bikabuza intanga z'abagabo koga ngo zihure n'igi.

Minipill kandi ituma umurongo w'inkondo y'umura ucika intege, bigatuma bitashoboka ko igi ryarongowe rishyirwa mu nda. Ku bagore bamwe, birashobora no gukumira ovulation, nubwo atari uburyo bwayo bwambere. Ubu buryo bufite ibice byinshi butuma minipill igira ubushobozi bwo gukora neza ku kigero cya 91-99% iyo ikoreshejwe neza.

Kuki minipill ikorwa?

Minipill itangwa cyane cyane kugirango ikoreshwe mu kuboneza urubyaro, cyane cyane ku bagore batafata imiti ikoresha estrogen. Abaganga benshi bagira inama abagore bahura n'ingaruka ziterwa na estrogen cyangwa bafite indwara zituma estrogen itaba nziza.

Ushobora kuba ukwiriye gufata minipill niba uri konka, kuko estrogen ishobora kugabanya amata. Imiti ikoresha gusa progestin ntigira icyo itwara ku konka kandi ifatwa nk'iteguye ku bagore bonsa. Ibi bituma iba uburyo bwiza mu gihe cyo nyuma yo kubyara igihe ushaka uburyo bwo kuboneza urubyaro bwizewe.

Abagore bafite indwara zimwe na zimwe bakunze gusanga minipill ibakwiriye iyo imiti ivanze itari nziza. Izi ndwara zirimo amateka y'amaraso, sitiroko, indwara z'umutima, cyangwa migrenes ikaze hamwe na aura. Minipill ikora neza kandi ku bagore barengeje imyaka 35 batumura itabi, kuko guhuza imyaka, itabi, na estrogen byongera ibyago by'umutima.

Abagore bamwe bahitamo minipill kuko bakunda uburyo bukoresha hormone nkeya cyangwa bashaka kwirinda ingaruka ziterwa na estrogen. Izi zirimo impinduka z'amarangamutima, kubabara amabere, cyangwa isesemi abagore bamwe bahura nayo hamwe n'imiti ivanze.

Ni iki gikurikizwa mugihe ufata minipill?

Gufata minipill bikubiyemo gahunda yoroshye ya buri munsi, ariko igihe ni ingenzi kurusha imiti ivanze. Ufata urugemwe rumwe buri munsi ku gihe kimwe, byaba byiza mu isaha 3. Iyi myitwarire ifasha kugumisha urugero rwa hormone mu mubiri wawe.

Umuvuzi wawe azaguha amabwiriza yihariye yerekeye igihe watangirira ishashi yawe ya mbere. Ushobora gutangira ku munsi wa mbere w'imihango yawe, cyangwa ushobora gutangira umunsi uwo ariwo wose hamwe n'uburyo bwo kuboneza urubyaro mu masaha 48 ya mbere. Bitandukanye n'imiti ivanze, nta minsi ya placebo ihari, rero ukomeza gufata imiti ikora buri munsi.

Dore uko gahunda yawe ya buri munsi isa:

1. Fata urugemwe rumwe ku gihe kimwe buri munsi
2. Komeza mu ishashi yose nta kiruhuko
3. Tangira ishashi yawe ikurikira ako kanya umaze kurangiza iyariho
4. Shyiraho alarme ya buri munsi kugirango ikwibutse
5. Gira uburyo bwo kuboneza urubyaro bwiteguye mugihe utafashe imiti

Niba wibagiwe kunywa urupapuro rurenze amasaha 3, uzakenera gukoresha uburyo bwo kuboneza urubyaro bwunganira mu masaha 48 akurikira. Iki gihe cyo gukurikiza cyane ni ingenzi kuko ibinini bya progestin gusa bifite igihe gito cyo gukora kurusha ibinini bivanzemo.

Ni gute wakwitegura gufata minipill?

Kwitegura minipill bitangirana n'ikiganiro cy'ukuri na muganga wawe ku mateka yawe y'ubuzima n'intego zo kuboneza urubyaro. Muzaganira ku miti yose urimo gufata, kuko imwe ishobora kubangamira imikorere ya minipill.

Mbere yo gutangira minipill, muganga wawe azasuzuma amateka yawe y'ubuzima kugirango yemeze ko ari umutekano kuri wewe. Bazakubaza ku bijyanye n'amaraso yabanje, ibibazo by'umwijima, kuva mu gitsina kidafite ibisobanuro, cyangwa amateka ya kanseri y'ibere. Ibi bibazo bishobora kugira ingaruka niba minipill ikwiriye kuri wewe.

Uzakenera gushyiraho gahunda ya buri munsi ihamye mbere yo gutangira kunywa ibinini. Hitamo igihe gikora neza n'igihe cyawe cya buri munsi, nko nyuma yo kumesa amenyo cyangwa hamwe na kawa yawe ya mugitondo. Abagore benshi basanga bifasha gushyiraho alarme ya terefone ya buri munsi nk'urwibutso.

Shyiraho uburyo bwo kuboneza urubyaro bwunganira nka kondomu mbere yo gutangira minipill. Uzazikenera mu masaha 48 ya mbere kandi igihe cyose wibagiwe kunywa urupapuro rurenze amasaha 3. Kuzigira ziteguye bikuraho umunabi wose ku bijyanye n'icyuho cyo kurinda.

Ni gute usoma ibisubizo byawe bya minipill?

Imikorere ya minipill igaragarira mu bushobozi bwawe bwo kwirinda gutwita iyo ifashwe neza. Bitandukanye n'imiti imwe isaba ibizamini by'amaraso kugirango bikurikirane,

Ibizunguruka byawe byo mu gihe cy'imihango bishobora guhinduka ku minipill, kandi izi mpinduka ni ibimenyetso bisanzwe byerekana uko umubiri wawe witwara. Ushobora guhura n'imihango yoroheje, kuva amaraso adasanzwe, cyangwa kutagira imihango na gato. Abagore bamwe bagira amaraso make hagati y'imihango, cyane cyane mu mezi make ya mbere.

Kora urutonde rw'uko uva amaraso ukoresheje kalendari cyangwa porogaramu kugira ngo usobanukirwe n'uko umubiri wawe witwara. Kuva amaraso adasanzwe akenshi birakosoka nyuma y'amezi 3-6 umubiri wawe umaze kumenyera imisemburo. Niba kuva amaraso birushijeho cyangwa bikabangamye, vugana n'umuganga wawe.

Ni gute wakwirinda ingaruka ziterwa na minipill?

Ingaruka nyinshi ziterwa na minipill ni nto kandi akenshi zirakosoka umubiri wawe umaze kumenyera imisemburo. Ingaruka zisanzwe zirimo kuva amaraso adasanzwe, kubabara amabere, kuribwa umutwe, no guhinduka kw'amarangamutima. Ibi akenshi bigabanuka nyuma y'amezi make ya mbere yo kuyikoresha.

Niba uhuye no kuva amaraso adasanzwe, ariyo ngaruka isanzwe, gerageza kwihangana mu gihe cyo kumenyera. Umubiri wawe ukeneye igihe cyo kumenyera urugero rwa progestin. Gukora agapapuro k'imihango bishobora kugufasha na muganga wawe gukurikirana imiterere no kumenya niba kuva amaraso bisanzwe.

Kubijyanye no kubabara amabere cyangwa kuribwa umutwe, imiti igurishwa idakeneye uruhushya irashobora gutanga ubufasha. Menya neza ko isutiya yawe ikwira neza, kuko impinduka ziterwa n'imisemburo zishobora kugira ingaruka ku bunini bwawe. Niba kuribwa umutwe bikomeje cyangwa bikiyongera, ganira kubyerekeye ibi n'umuganga wawe.

Abagore bamwe babona impinduka z'amarangamutima cyangwa kugabanuka k'irari ryo gukora imibonano mpuzabitsina kuri minipill. Izi ngaruka zitandukanye cyane hagati y'abantu, kandi icyo gikora ku muntu umwe gishobora kutagira icyo gikora ku wundi. Niba impinduka z'amarangamutima zigaragara cyangwa zikabangamye, ntugatinye kuvugana n'umuganga wawe ku bindi bisubizo.

Ni iyihe minipill nziza?

Minipill nziza kuri wowe biterwa n'ubuzima bwawe bwite, imibereho yawe, n'uko umubiri wawe witwara kuri progestin. Ubwoko butandukanye buraboneka, kandi nubwo zose zikubiyemo progestin, ubwoko bwihariye n'urugero bishobora gutandukana gato.

Umuvuzi wawe w’ubuzima azatekereza ku bintu nk'amateka yawe y'ubuvuzi, imiti urimo gufata ubu, n'uko wonsa igihe agushakira ubwoko bwihariye. Abagore bamwe babana neza n'imiti imwe, nubwo utazamenya neza iyikora neza kugeza ubwo uyigerageje.

Imiti mito isanzwe itangwa harimo ubwoko nka Camila, Errin, na Nora-BE. Iyi ikubiyemo norethindrone, progestin yize neza yakoreshejwe neza mu myaka mirongo. Ibishya nka Slynd bikubiyemo drospirenone kandi bitanga igihe gito cyo gufata imiti yibagiranye.

Igiciro n'ubwishingizi bushobora kugira uruhare mu guhitamo neza kuri wowe. Imiti rusange akenshi iragurwa ku giciro gito kandi ikora neza nk'imiti y'amazina. Umufarimasi wanyu ashobora kugufasha gusobanukirwa amahitamo yawe n'itandukaniro ry'ibiciro.

Ni ibihe bintu byongera ibyago byo guhura n'ibibazo byatewe n'imiti mito?

Nubwo imiti mito ikunze kuba myiza, ibintu bimwe bishobora kongera ibyago byo guhura n'ibibazo cyangwa bikagutera kutayikwiriye. Gusobanukirwa n'ibi bintu byongera ibyago bifasha wowe n'umuvuzi wawe gufata icyemezo cyiza ku buzima bwawe.

Kugira kanseri y'ibere ubu cyangwa mu gihe cyashize ni ikintu cyongera ibyago cyane, kuko progestin ishobora gutera ubwoko bumwe bwa selile za kanseri y'ibere. Niba ufite amateka y'ubuzima bwite bwa kanseri y'ibere, umuganga wawe w'indwara z'abagore n'umuganga w'indwara z'abagore bazagomba gupima neza ibyago n'inyungu.

Dore ibintu byongera ibyago by'ingenzi byo kuganira n'umuvuzi wawe:

• Amateka y'ubuzima bwite bwa kanseri y'ibere cyangwa ibibyimba bishidikanywaho
• Gusohoka amaraso mu gitsina bitasobanuwe bitaragenzurwa
• Indwara y'umwijima ikora cyangwa ibibyimba byo mu mwijima
• Gufata imiti igira ingaruka ku rwego rw'imisemburo
• Kugorana gukurikiza gahunda ya buri munsi ihamye

Imiti imwe n'imwe irashobora gutuma minipill itagira akamaro, harimo imiti imwe yo kuvura ibibazo byo gufatwa n'indwara, imiti ivura igituntu, na imiti imwe ya SIDA. Buri gihe bwire umuganga wawe ibijyanye n'imiti yose n'ibiyobyabwenge urimo gufata.

Mbese ni byiza gufata minipill cyangwa ikinini kivanze?

Gu hitamo hagati ya minipill n'ikinini kivanze biterwa n'ubuzima bwawe bwite, imibereho yawe, n'uko umubiri wawe witwara ku misemburo. Nta na kimwe muri byo cyitwa ko "cyiza" - buri kimwe gifite inyungu n'ibitekerezo.

Minipill irashobora kuba nziza kuri wowe niba udashobora gufata estrogen, uri konjesha, cyangwa ukunda uburyo bwo kugabanya imisemburo. Birakwiriye kandi niba urengeje imyaka 35 kandi unywa itabi, ufite amateka y'amaraso, cyangwa ufite ingaruka ziterwa na estrogen nk'imihindagurikire ikabije y'amarangamutima cyangwa migraine.

Ibinini bivanzwe bishobora gukora neza niba ushaka imihango iteganywa, ufite ikibazo cyo kwibuka gufata ibinini ku gihe kimwe buri munsi, cyangwa ushaka izindi nyungu zitangwa na estrogen. Ibinini bivanzwe akenshi bituma imihango iba mito kandi igenda neza.

Minipill isaba igihe gihamye - ugomba kuyifata mu isaha 3 buri munsi. Ibinini bivanzwe bitanga umwanya wo koroshya, hamwe n'amasaha 12 yo koroshya kuri formula nyinshi. Tekereza ku mibereho yawe n'ubushobozi bwo gukurikiza gahunda ikarishye mugihe ukora iyi hitamo.

Ni izihe ngorane zishoboka za minipill?

Ingorane zikomeye ziva kuri minipill ni gake, ariko ni ngombwa kumenya icyo ugomba kwitaho. Impungenge zisanzwe zifitanye isano n'imikorere idasanzwe yo kuva amaraso n'ubushobozi buke bwo gutwita niba ibinini byibagiranye cyangwa bifashwe nabi.

Kuva amaraso bidahwitse ni ikibazo gikunze kugaragara, kigira ingaruka ku bagore bagera kuri 70% bakoresha minipill. Nubwo bitari bibi, birashobora kuba bidakwiriye kandi biteye impungenge. Abagore benshi babona impinduka nyuma y'amezi 3-6, ariko bamwe bakomeza guhura no kuva amaraso bitunguranye mugihe bakoresha.

Gusama inda ukoresha minipill ntibisanzwe ariko birashoboka, cyane cyane niba wibagiwe kunywa imiti cyangwa ukayinywa mu buryo butajegajega. Niba ucyeka ko utwite, kora isuzuma kandi uvugishe umuganga wawe. Minipill ntongera ibyago byo kuvuka kw'abana bafite ubumuga niba inda ibayeho.

Ingorane zitabaho cyane zirimo ibibyimba byo mu mitsi y'intanga, bishobora kuvuka kuko gutanga intanga ntibihagarara buri gihe. Ibi mubisanzwe ni ibibyimba bikora neza bikivana. Ingorane zikomeye nk'amaraso yiziba ntizibaho cyane hamwe na pilule zonyine za progestin, bitandukanye na pilule zivanzemo.

Abagore bamwe bahura n'imihindagurikire y'amarangamutima idahinduka cyangwa agahinda mu gihe bakoresha minipill. Niba ubona impinduka zikomeye mu buzima bwawe bwo mu mutwe, ganira ibi n'umuganga wawe vuba. Imibereho yawe y'amarangamutima ni ingenzi kimwe no kwirinda gusama inda.

Ni ryari nkwiriye kubona umuganga ku bijyanye na minipill?

Ugomba kuvugisha umuganga wawe niba uhuye n'ibimenyetso biteye impungenge cyangwa ufite ibibazo ku mikoreshereze yawe ya minipill. Ibibazo byinshi ni bito kandi byoroshye gukemura, ariko ibibazo bimwe bisaba ubufasha bwihuse bw'ubuvuzi.

Hamagara umuganga wawe niba wibagiwe kunywa pilule ebyiri cyangwa zirenga zikurikirana, kuko ibi bigabanya cyane imikorere yayo. Uzakenera ubuyobozi ku bijyanye no gukoresha uburyo bwo kuboneza urubyaro bwunganira niba ugomba gukomeza gukoresha ipaki yawe y'ubu cyangwa ugatangira ipaki nshya.

Dore ibibazo bikwiriye kuvugisha umuganga wawe:

• Gusohoka amaraso menshi yuzura ipadi cyangwa tampon buri saha mu masaha menshi
• Urubavu rukabije rushobora kugaragaza igishyitsi cyo mu mitsi y'intanga
• Ibimenyetso byo gutwita nk'imihango itaza, isesemi, cyangwa kubabara amabere
• Imyitwarire idahinduka cyangwa agahinda
• Umutwe ukabije cyangwa impinduka mu iyerekwa
• Gusohoka mu gitsina bidasanzwe cyangwa kubabara mu gatuza

Gena gahunda yo kujya kwa muganga buri gihe kugira ngo umenye uko ubuzima bwawe buhagaze ukoresha minipill. Abaganga benshi basaba ko wasurwa buri mwaka, ariko ushobora gukenera kujya kwa muganga kenshi mu ntangiriro kugira ngo uvuge ku bibazo byose cyangwa ingaruka ziterwa n'iyo miti.

Ibibazo bikunze kubazwa kuri minipill

I.1 Ese minipill ifitiye akamaro abarwayi ba PCOS?

Minipill ishobora kugira akamaro ku bagore bamwe barwaye PCOS, ariko ntisanzwe ikoreshwa nk'umuti wa mbere. Ishobora gufasha mu gutuma imihango igenda neza no kugabanya ibimenyetso bimwe na bimwe bya PCOS, nubwo itavura ubudahangarwa bwa insuline cyangwa urugero rwinshi rwa androgène nk'uko imiti ivanze ibikora.

Abagore barwaye PCOS akenshi bungukirwa cyane n'imiti ivanze irimo estrogène na progestin, kuko iyi miti ishobora gufasha kugabanya imisemburo y'abagabo yiyongereye. Ariko, niba udashobora gufata estrogène cyangwa ukaba ukunda uburyo bwa progestin gusa, minipill irashobora gutanga akamaro gato ku mihango idahoraho.

I.2 Ese minipill itera kongera ibiro?

Abagore benshi ntibongera ibiro bakoresha minipill, nubwo uko umuntu abyakira bitandukana. Ubushakashatsi bunini bwerekana ko kongera ibiro ku rugero rusanzwe bisa n'ibyo abagore bahura nabyo mu buryo busanzwe uko imyaka igenda, aho guterwa n'umuti ubwawo.

Abagore bamwe barabona impinduka mu rwego rw'icyifuzo cyo kurya cyangwa kubika amazi, cyane cyane mu mezi make ya mbere. Niba ufite impungenge ku bijyanye n'impinduka z'ibiro, jya wibanda ku kugira imirire myiza no gukora imyitozo ngororamubiri buri gihe. Kora raporo ku mpinduka zose kandi ubiganireho n'umuganga wawe niba zigaragara.

I.3 Ese nshobora gusama ako kanya nyuma yo guhagarika minipill?

Yego, ubushobozi bwo kubyara busanzwe busubira vuba nyuma yo guhagarika minipill, akenshi mu byumweru bike. Bitandukanye n'izindi nzira zo kuboneza urubyaro zikoresha imisemburo, minipill ntigira gutinda kugaruka ku bushobozi bwo kubyara.

Niba uteganya gusama, urashobora gutangira kugerageza ako kanya nyuma yo guhagarika minipill. Ariko, bishobora gufata amezi make kugira ngo imihango yawe isanzwe igende neza, ibyo bishobora gutuma bigorana kumenya igihe uzabyarira mu ntangiriro.

Q.4 Mbese birinzwe gufata minipill mugihe ugaburira?

Minipill ifatwa nk'ikintu cyiza kandi gikora neza mugihe cyo konsa. Bitandukanye na pilule zivanga, pilule zonyine za progestin ntizigabanya amata kandi ntizigira ingaruka kumitungo y'amata.

Ushobora gutangira gufata minipill mbere y'ibyumweru 6 umaze kubyara, ndetse no mugihe wonsa gusa. Umubare muto wa progestin unyura mumata ufatwa nk'umutekano kubana kandi ntugira ingaruka kumikurire yabo cyangwa iterambere ryabo.

Q.5 Mbese ni iki kibaho niba nciwe minipill?

Niba wibagiwe gufata minipill mumasaha arenga 3, fata pilule wibagiwe vuba na bwangu uko wibuka, hanyuma ukomeze gahunda yawe isanzwe. Koresha uburyo bwo kuboneza urubyaro bwunganira mumasaha 48 akurikira kugirango wirinde.

Igihe cyo gufata pilule kigomba kubahirizwa cyane kuri minipill kurusha pilule zivanga kuko urwego rwa progestin rugabanuka vuba mumubiri wawe. Niba ukunda kugira ibibazo byo gufata pilule ku gihe, ganira n'umuganga wawe kubindi buryo bwo kuboneza urubyaro bushobora gukora neza kubuzima bwawe.