Oya. Mu bushakashatsi bwakorewe kuri placebo mu cyiciro cyagenewe kugenzura, imiti ihuriza hamwe nk'iyi Sprintec ntigira ingaruka ku rubyiruko, kandi raporo za FDA za Sprintec zerekana kuzamuka kw'ibiro nk'impamvu yo kureka mu 1.1% gusa by'abantu 1.647 babashije kugeragezwa. Gusimburwa kw'ibipimo umuntu abona ukwezi kwa mbere kw'ibizunguruka, atari amavuta.

IBY'INGENZI: Ibikomeye

  • Ese Sprintec itera kuzamuka k'umubyibuho? Ubushakashatsi buvuga ko oya.
  • Inyandiko irimo kuzamuka kw'ibiro, ariko 1.1% gusa by'abagaragaye bagomba kugenda kubera. Ingorane n'umutwe byagize 32.9%.
  • Inkingo zizwiho kuzamuka kw'ibiro ni Depo-Provera, atari imiti ihuriza hamwe.
  • Icyo gihe cyo gutangira ni amazi n'ububyimba, bigenda mu mezi 1-3.
  • Bategereze amezi atatu yose. Kuzamuka kw'ibiro hejuru y'ibiro 5 kwakenera inama y'umuganga.

Ese Sprintec itera kuzamuka k'umubyibuho? Ntabwo mu byagaragaye

Ibyemezo bya FDA byemejwe ku byerekeranye na Sprintec (norgestimate na ethinyl estradiol), byavugururwe muri Mata 2022, birimo gutakara k'umubyibuho nk'ikibazo cyagaragaye mu bushakashatsi bw'abaganga. Ariko kuzamuka k'umubyibuho kwari impamvu yo kureka imiti mu 1.1% gusa by'abagize 1.647 bagaragaye, ugereranije na 32.9% bagomba kugenda kubera umutwe cyangwa migraine. Uburemere bw'umubiri bwari hafi inshuro mirongo itatu byinshi byateye guhagarika kuvura.

Hano niho ibyababayeho bibura. Ikintu cyagaragaye mugihe cyo gukoreshwa ntabwo kimwe n'ikintu cyatewe n'imiti. Bidasabitswe no kugeraho ku itsinda rya placebo, ubushakashatsi bishobora gushyiraho ibyabaye ku bantu bafata imiti, atari ibyari gutera nubundi. Umubiri uhinduka mumwaka. Kubw'ibyo, urutonde rwa Sprintec rugaragaza ko abigaragaje bashyiramo ibyo bavugaga, ahubwo ko nta kwemeza ko byatewe n'imiti.

Isano y'umubyibuho inyuma y'inkingo, atari imiti

Ibimenyetso ku bijyanye n'inkingo zo kuboneza urubyaro n'umubyibuho birakomeye kuruta uko interineti ibigaragaza. Ubushakashatsi bwa Cochrane bwakorewe mu 2014 ku miti ihuriza hamwe yo kuboneza urubyaro, nk'uko byagaragaye mu bushakashatsi bwa Mody na Han mu rubuga rwa Clinical Obstetrics and Gynecology, ntacyo bwagaragaje ko imiti ihuriza hamwe yo kuboneza urubyaro, cyangwa urupapuro ruhuriza hamwe, bifitanye isano no kuzamuka kw'umubyibuho mu bushakashatsi bwakorewe ku itsinda rya placebo. Ubwo bushakashatsi kandi buvuga ko abaganga bagomba kuvugira abarwayi ko kuzamuka kw'umubyibuho ku buryo bwinshi bishobora gutandukana n'uburyo busanzwe bw'umubyibuho uhinduka ku myaka, "ku buryo bucye.".

Iki kintu kirimo gukora byinshi. Impamvu ni DMPA (Depo-Provera), imiti ishingiye kuri progestin, atari imiti ihuriza hamwe. Mu bushakashatsi bw'abakoresha DMPA mu 2019, 12.1% bagaragaye kuzamuka k'umubyibuho, byasobanuwe nk'ikigereranyo cyarenze 5% ku bw'umubiri w'umuntu mbere yo kwifashisha, mu mezi atandatu. Hafi ya kimwe cya kabiri cy'abo bamaze kuzamuka bagaragaye barenga 10% ku bw'umubiri wabo mbere yo kwifashisha mu mezi cumi n'abiri.

Niba uhangayikishijwe na Sprintec, urahagayikishijwe n'ingaruka z'indi miti. Ibyo birareba, kuko ubwoba bwo kuzamuka k'umubyibuho bifitanye isano n'ama hormone bitera bamwe mu bagore, harimo n'abafite umubyibuho ukabije, kwirinda imiti myiza yo kuboneza urubyaro.

Ibyo bipimo byambere byo mu kwezi ni amazi, atari amavuta

Ububyimba ku miti birahari, kandi biboneza byinshi mubyo abantu babona ku bipimo mu cyumweru cyambere. Amazi ashobora kugaruka kandi agaragara mu minsi mike. Amavuta asaba ko habaho ingano nyinshi y'ibiryo mu mezi menshi, ariyo mpamvu kwiyongera k'ibiro bitatu mu minsi ine ntibishobora kuba amavuta, uko uko ibipimo bibivuga kose. Ibintu abantu bavuga ko bifitanye isano n'imiti yo kuboneza urubyaro bifitanye isano n'ingaruka za estrogen ku guhindura imyunyu ngugu no kugabana amazi, kandi bisanzwe bigera mu mezi ya mbere 1 kugeza 3 mbere yuko bihererekanywa umubiri ugishaka.

Norgestimate, progestin ya Sprintec, ni imwe mu ma progestins afite ibikorwa bike bya androjen, ni yo mpamvu ibibazo by'inzara n'ububyimba bigenda bizanana n'indi miti imwe n'imwe. Kuri ibyo, imiti itera impinduka z'umubyibuho zigenwa, aho ingaruka zigera ku mavuta kandi zikizamuka mu mezi menshi.

Ugereranyirize neza. Wawe wese ku gihe kimwe cy'umunsi ku munsi mu gihe kimwe cy'umubiri, witege ibiro bigera kuri bibiri by'impinduka zisanzwe kandi ntutange urubanza kuri imiti kugeza igihe cyose cy'amezi atatu.

Ibipimo bya "17% byagaragaye" kuri interineti ntibigaragaza icyo utekereza

Ingaruka za Sprintec zigirwa amahirwe mu byiciro byerekana ko ari byinshi kandi bibi. Drugs.com ifata amakuru yavuye kuri 1.310, muri yo hafi 222 (cyangwa 17%) bagaragaje kuzamuka kw'umubyibuho. Nta muntu ugira icyo avugana n'imiti itagize icyo ikora.

Dore ibyo amapaji menshi atazakubwira: amakuru yavuye kuri Sprintec, Tri-Sprintec na Tri-Lo-Sprintec ni uburyo butandukanye abasomyi bashobora gukoresha mu gushakisha, kandi urubuga rwa WebMD rushyira hamwe Sprintec n'izindi nkingo icumi cyangwa zirenze zifite ibyo zihuje (Estarylla, Mili, Previfem), bityo nta kintu cyihariye kuri Sprintec. Shyiramo ibipimo by'17% bivuye ku bantu n'ibipimo by'1.1% byo kureka mu nyandiko kandi utegereze ko kimwe muri byo kigomba kuba cyaraboneye itsinda rigenzura. Uburemere kandi bw'umubiri bugomba kuba bugereho hamwe n'ububyimba, ububabare bw'ibitsina, no kwinanirwa n'umutwe mu biganiro byavugaga kuri Sprintec, naho umutwe ukaba ariwo uzana impinduka zikomeye ku buryo bwo kuvura.

Igihe impinduka y'umubyibuho ikeneye umuganga, n'igihe ari ibyihutirwa

HAMAGARA 911 cyangwa JYA KUMBUGA ZIHUTIRA GUKORA NKAHO:

  • Ububabare bw'umubabaro mu kuguru, kubyimba, kubyara cyangwa gutukura (bashobora kuba bafite thrombosis yo mu gifu)
  • Ububabare mu gitsina, kwibura umwuka cyangwa kugororoka amaraso (bashobora kuba bafite embolism mu bifu)
  • Umutwe ukomeye, guhura n'ubwoba, kwanga kuvuga, intege nke cyangwa kurambirwa kw'uruhande rumwe, cyangwa kwanga kureba (bashobora kuba bafite stroke)
  • Ihinduka ry'ubwoba cyangwa ry'umubabaro, cyangwa kureba inshuro ebyiri
  • Kugerura umuhondo kw'uruhu cyangwa amaso (jaundice)
  • Ububabare bukomeye mu gifu

Inyandiko ya Sprintec isaba abarwayi guhagarika imiti no gushakisha ubuvuzi bwihuse ku bimenyetso byo gufunga imitsi cyangwa guturika kwa arterial, gutakaza ubwoba cyangwa impinduka mu bwoba, imitego mishya ikomeye, igaruka cyangwa ikomeye, kuzamuka kw'ibibazo bya migraine, cyangwa jaundice. Uburemere ntiburi kuri urwo rutonde.

GUSABA INAMA MU CYUMWERU CYO GUKURIKIRA NIBA:

  • Kuzamuka kw'ibiro kurenza ibiro 5 by'umubiri bidahindutse nyuma y'amezi atatu yose.
  • Kubyimba kutakira hagati y'igihe cyo kuboneza urubyaro.
  • Migraine nshya, cyangwa kuzamuka cyane mu gihe cyangwa ubukomezi bwa migraine.
  • Kudahinduka kw'imyumvire.
  • Kuvugurura kutagize impamvu.

Kuri iyo ntambwe yo hagati, gusura kwa August ku mafaranga 39 kuri interineti bishobora gufasha umuganga wemewe n'amategeko gukemura ibibazo byawe, kandi uwo muganga ashobora kwemeza niba ari ngombwa kwandikirwa imiti cyangwa guhindura imiti. Ntabwo ishobora gukemura ibibazo bikomeye byo hejuru, kandi ntishobora kugusuzuma mu buryo buhuriyeho cyangwa gufata amaraso.

Impamvu imwe ishobora gutandukanywa n'umubyibuho burundu, kuko abarwayi bahuza bombi buri gihe.

GUSABA INAMA MBERE YO GUTANGIRA NIBA:

  • Uwanduze cyane kandi uri hejuru y'imyaka 35. Inyandiko y'umuhuro ivuga ko umwotsi w'itabi wongera ingorane z'ibibazo bikomeye ku bafata imiti ihuriza hamwe yo kuboneza urubyaro, kandi Sprintec irabujijwe ku bagore barenga 35 bafumura. Ibi ni ingorane z'imitsi, atari iz'imitsi yo mu mubiri.
  • Ufite amateka yo gufunga imitsi, migraine n'ikimenyetso, cyangwa indwara yo hejuru.

Ikibazo gisanzwe

Ese nzatakaza ibiro nitagikoresha Sprintec?

Mubisanzwe ntabwo. Ihinduka ry'amaziki risanzwe rihita mu gihe cyangwa bibiri, bityo ibiro bigera kuri bibiri bishobora gutakara vuba. Niba imiti itongeye amavuta, guhagarara ntibishobora kuyakuraho, kandi gutegereza ibindi bintu bikuzana gusuzugurwa. Gutegura ibintu: ovulation n'uburumbuke bigaruka vuba nyuma y'imiti yawe ya nyuma, bitandukanye n'inkingo za Depo, bityo ubutare imiti ikoreshwa uwundi muti uwundi uteganya gusama ntabwo wifuza gusama.

Ese Sprintec iguteza inzara?

Rimwe na rimwe. Inzara ni uburyo bucishije bugana ku kibazo Sprintec itera kuzamuka k'umubyibuho, ariko ibimenyetso ntibihinduka kandi byinshi bivugwa n'abakoresha. Inzara kandi ihinduka mu gihe cyo gusinzira, stress no kugabana mu gihe cyo kuboneza urubyaro. Mbere yo kwemera imiti, banza wiyandikire ibyo wariye mu gihe cy'amezi abiri yose. Niba ibyo wariye ntibyigeze bihinduka kandi ibipimo bikomeza kuzamuka, ibyo birakeneye kubazwa.

Ese uburemere bw'umubiri bugira ingaruka ku buryo Sprintec ikora neza?

Mubisanzwe ntabwo. Imiti ihuriza hamwe iguma ikora mu gukoresha uburemere bw'umubiri burambye, kandi impamvu nyamukuru yo kunanirwa ni ugukoresha imiti yatinze cyangwa ibyo wibagiwe kuruta uko uburemere bwawe. Amakuru ku bipimo byo hejuru cyane ni make kuruta uko umuntu ashobora kwifuza. Niba ibyo ari wowe, uzajye kwa muganga kugira ngo umubaze niba imiti itagizweho impinduka na gahunda yo kwibuka buri munsi byakugirira akamaro.

Nafashe ibiro ku nkingo za Depo. Kwihindurira kuri Sprintec bizabyirukana?

Oya. Ibishushanyo byafashwe ku nkingo za DMPA ni amavuta ahubwo ntabwo ari amazi, bityo ntibihuta byihuta mugihe uhinduye imiti. Mu bushakashatsi bwo mu 2019 ku rubyiruko n'abakiri bato, 12.1% byagaragaye kuzamuka k'umubyibuho kurenza 5% ku bw'umubiri mbere yo kwifashisha mu mezi atandatu. Kwihindurira bikuraho impamvu. Kwirukana ibyo byari bifite bikenera akazi kimwe n'andi mavuta.

Iby'ingenzi ku bijyanye na Sprintec n'umubyibuho

Sprintec kuzamuka k'umubyibuho ni isano yakoreshejwe n'indi miti itandukanye. Imiti ihuriza hamwe igomba kuba ihagije mu bushakashatsi bwakorewe ku itsinda rigenzura, kandi DMPA ni yo ihagije. Wawe wese ku gihe kimwe cy'umunsi, tegereza amezi atatu yose, kandi uzirinde kuguma hejuru y'ibiro 5 nk'ikimenyetso cyo kwitaba. Ibi bimenyetso bikomeye ni ikindi kintu kandi bikenera kwitabwaho uwo munsi.

Kumenyesha: In Article iyi ni iy'amakuru gusa kandi ntabwo ifatwa nk'inama za muganga. Hahirwa umuganga ufite ubuhanga kugirango ugire ibyo wamenya na gahunda zo kwivuza. Niba ufite ibyago byihutirwa, hamagara 911 cyangwa ujye mu bitaro byihutirwa byegereye.