Icyo Ethinyl Estradiol na Norgestimate ari cyo: Ibikoreshwa, Uburyo Bifatwa, Ingaruka Zishobora Kugaragara n'ibindi

Ethinyl estradiol na norgestimate ni umuti uvura kuboneza urubyaro uvura ibintu bibiri bya hormone. Uyu muti ukora mu gukumira imbyaro (kurekura amagi mu ngingo zikora amagi) no gukora ko intanga zitorohera kugera ku gi, cyangwa igi ryarimo intanga ntirifate ku mura w'umugore. Ni umwe mu miti ikoreshwa cyane kandi ifite akamaro mu kuboneza urubyaro rukoresha hormone, ifite akamaro ka 99% iyo ifashwe neza.

Ethinyl Estradiol na Norgestimate ni iki?

Uyu muti uvura ibintu bibiri bya hormone bya gihanga bikora nk'imisemburo kamere ya estrogen na progesterone mu mubiri wawe. Ethinyl estradiol ni uburyo bwa estrogen bwa gihanga, naho norgestimate ni progestin ya gihanga (uburyo bwa progesterone). Izi hormone zifatanyije zikora kugirango zikumire inda zitifuzwa zihagarika ingingo zikora amagi kurekura amagi buri kwezi.

Uyu muti uza mu buryo bw'ibinini kandi ufashwa buri munsi. Imiti myinshi irimo ibinini 21 bikora hormone n'ibinini 7 bitagira akamaro (placebos) kugirango bigufashe gukurikiza gahunda yawe ya buri munsi. Mu gihe cy'icyumweru ufata ibinini bitagira akamaro, mubisanzwe uzagira amaraso asa nkayo mu gihe cy'imihango.

Ethinyl Estradiol na Norgestimate bikoreshwa kubera iki?

Igikoreshwa cy'ingenzi cy'uyu muti ni ugukumira inda zitifuzwa ku bagore bahitamo kuboneza urubyaro rukoresha hormone. Ariko, abaganga bashobora no kuwandikira kubera izindi ndwara zifashwa no gukoresha hormone.

Usibye kuboneza urubyaro, uyu muti ufasha mu gukemura imihango idahoraho binyuze mu gutanga urugero rwa hormone buri kwezi. Abagore benshi basanga imihango yabo ihinduka ihoraho kandi akenshi ikaba mito iyo bafata uyu muti.

Muganga wawe ashobora no kugusaba gukoresha ubu buryo mu kuvura ibiheri byinshi ku bagore bafite imyaka irenga 15. Imisemburo ishobora gufasha kugabanya amavuta akorwa mu ruhu rwawe no kugabanya ibiheri. Byongeye kandi, bishobora gufasha gukemura ibimenyetso bya polycystic ovary syndrome (PCOS), harimo imihango idahoraho no gukura kwinshi kw'umusatsi.

Abagore bamwe bakoresha uyu muti kugira ngo bagabanye ibimenyetso bya premenstrual syndrome (PMS) cyangwa premenstrual dysphoric disorder (PMDD). Urwego rwa hormone ruhamye rushobora gufasha kugabanya impinduka z'amarangamutima, kubyimba, no kuribwa kw'amabere abagore benshi bahura nabyo mbere y'imihango yabo.

Ethinyl Estradiol na Norgestimate bikora gute?

Ubu buryo bukorera mu buryo bwinshi kugira ngo birinde inda neza. Imisemburo ahanini ibuza intanga z'abagore gusohoka mu gihe cy'imihango yawe ya buri kwezi, bituma gusama bitashoboka.

Uyu muti kandi ukomeza ururenda rwo mu kizunguruko, ukora inzitizi ituma intanga z'abagabo zigenda bigoranye cyane kugera ku ntanga z'abagore. Ubu buryo bwo kwirinda bwongera urundi rwego rwo gukumira inda neza.

Byongeye kandi, imisemburo ihindura umurongo w'inkondo y'umura (endometrium), bituma bishoboka gake ko igi ryarongowe rishobora kwimurwa no gukura. Ibi bikorwa bitatu bituma uyu muti ukora neza cyane iyo ufashwe buri gihe.

Nk'imbaraga yo gukumira inda, ubu buryo bufatwa nk'ubukomeye buciriritse. Bikora neza bihagije kugira ngo birinde inda byizerwa ariko bikorohera abagore benshi kwihanganira neza hamwe n'ingaruka zishobora gucungwa.

Nkwiriye gufata gute Ethinyl Estradiol na Norgestimate?

Fata ikinini kimwe ku gihe kimwe buri munsi, haba urimo gufata ibinini bifite hormone zikora cyangwa ibinini bitagira akamaro. Guhora ukoresha ni ngombwa kugira ngo ugumane urwego rwa hormone ruhamye n'imikorere yuzuye.

Ushobora gufata uyu muti urya cyangwa utarya, ariko kuwufata urya birashobora kugufasha kugabanya isesemi niba urwaye inda. Abagore benshi basanga kuwufata bariye nimugoroba cyangwa mbere yo kuryama bifasha kugabanya ibibazo byose.

Tangira agapaki kawe ka mbere ku cyumweru cya mbere nyuma yo gutangira imihango yawe, cyangwa ku munsi wa mbere w'imihango yawe niba muganga wawe abikugiriye inama. Niba utangiriye hagati mu gihe cy'imihango, koresha uburyo bwo kuboneza urubyaro bwunganira nk'agakingirizo mu minsi irindwi ya mbere.

Mimina ibinini byose hamwe n'amazi. Ntugasenya, utahe cyangwa ucagagure ibinini, kuko ibi bishobora kugira ingaruka ku buryo imisemburo irekurwa mu mubiri wawe. Niba ugira ikibazo cyo kumira ibinini, ganira na muganga wawe ku buryo bundi.

Gushyiraho alarme ya buri munsi kuri terefone yawe birashobora kugufasha kwibuka gufata ibinini byawe buri gihe. Abagore benshi basanga kubihuza n'ibikorwa bya buri munsi, nk'ukoza amenyo, bituma byoroha kwibuka.

Nzagomba kumara igihe kingana iki mfata Ethinyl Estradiol na Norgestimate?

Ushobora gufata uyu muti mu buryo bwizewe igihe cyose ukeneye kuboneza urubyaro kandi udafite impamvu z'ubuvuzi zo guhagarara. Abagore benshi bakoresha uburyo bwo kuboneza urubyaro bufite imisemburo imyaka myinshi nta kibazo.

Muganga wawe azashaka kukubona buri gihe, akenshi buri mezi 6 kugeza kuri 12, kugira ngo akurikirane ubuzima bwawe kandi aganire ku bibazo byose. Ibi bizamini bifasha kumenya niba umuti ukomeje kuba mwiza kandi ukwiriye kuri wowe.

Niba ukoresha uyu muti kubera ibiheri cyangwa izindi mpamvu zitari izo kuboneza urubyaro, muganga wawe azaganira nawe igihe cyose ubuvuzi bukwiye gukomeza. Abagore bamwe babona impinduka mu biheri mu mezi 3 kugeza kuri 6, mu gihe abandi bashobora gukenera ubuvuzi burebure.

Igihe witeguye guhagarika gufata umuti, urashobora kubikora igihe icyo aricyo cyose. Uburumbuke bwawe busanzwe busubira mu mezi make, nubwo abagore bamwe bashobora gusama ako kanya nyuma yo guhagarara.

Ni izihe ngaruka ziterwa na Ethinyl Estradiol na Norgestimate?

Abenshi mu bagore banyurwa n'uyu muti, ariko nk'uko bimeze ku miti yose ikoresha imisemburo, ushobora gutera ingaruka ziterwa nawo. Ingaruka nyinshi ziba nto kandi akenshi zigenda zikemuka uko umubiri wawe wimenyereza imisemburo mu mezi make ya mbere.

Dore ingaruka zikunze kugaragara ushobora guhura nazo uko umubiri wawe wimenyereza umuti:

• Kuruka cyangwa kubabara mu nda, cyane cyane mu byumweru bya mbere
• Kubabara cyangwa kubyimba amabere
• Kubabara umutwe cyangwa guhindagurika koroheje kw'amarangamutima
• Guhagarara imihango cyangwa gusa imihango hagati y'igihe cyayo
• Guhinduka kw'ibiro, akenshi biba bike
• Guhinduka kw'imihango yawe

Izi ngaruka zisanzwe zikunze kugabanuka cyane nyuma y'amezi 2 kugeza kuri 3 ukoresha umuti buri gihe. Umubiri wawe ukeneye igihe kugira ngo wimenyere urwego rushya rw'imisemburo.

Abagore bamwe bahura n'ingaruka zitagaragara cyane ariko zishobora gucungwa zikeneye kwitabwaho:

• Kugabanuka k'urukundo rwo gukora imibonano mpuzabitsina
• Kubyimba cyangwa kubika amazi mu mubiri
• Guhinduka kw'uruhu, harimo kwijimisha ahantu runaka
• Guhinduka kw'amazi asohoka mu gitsina
• Kugira ubworoherane bwinshi ku zuba
• Kutoroherwa n'amaso y'imitako

Nubwo bidasanzwe, ingaruka zimwe zikomeye zisaba ubufasha bw'ubuvuzi bwihuse kandi zigaragara kuri munsi ya 1% by'abawukoresha:

• Amaraso yipfundika mu maguru cyangwa mu muhaha (ibimenyetso birimo kubabara mu kuguru mu buryo butunguranye, kubabara mu gituza, cyangwa guhumeka nabi)
• Ibimenyetso bya sitiroke (kubabara umutwe bikabije mu buryo butunguranye, guhinduka kw'imibonano, cyangwa intege nke)
• Ibimenyetso by'umutima (kubabara mu gituza, kubabara mu ruhanga, cyangwa kubabara mu kuboko)
• Kubabara mu nda bikabije bishobora kwerekana ibibazo byo mu gifu
• Kugira agahinda gakabije cyangwa guhinduka kw'amarangamutima
• Uruhu cyangwa amaso y'umuhondo (byerekana ibibazo by'umwijima)

Niba uhuye n'ikimenyetso icyo aricyo cyose muri ibi bikomeye, jya kwa muganga ako kanya. Izi ngorane ni gake ariko zisaba kuvurwa vuba.

Ninde utagomba gufata Ethinyl Estradiol na Norgestimate?

Indwara zimwe na zimwe zituma uyu muti utemewe, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kuwugusaba. Imisemburo iri mu binini byo kuboneza urubyaro ishobora kongera ibyago ku bagore bamwe.

Ntabwo ukwiye gufata uyu muti niba ufite izi ndwara zikomeye:

• Amateka y'amaraso, sitiroko, cyangwa umutima wateye
• Indwara zizwi zo gupfuka cyangwa ibibazo byo gupfuka amaraso byarazwe
• Indwara y'umwijima ikora cyangwa ibibyimba by'umwijima
• Gusohoka amaraso mu gitsina bitasobanuwe
• Kumenya cyangwa gukeka ko utwite
• Amateka y'indwara zifitanye isano n'imisemburo (ibere, nyababyeyi, cyangwa umura)
• Umubyigano ukabije w'amaraso
• Umutwe w'imitsi ufite aura

Izi ndwara zongera cyane ibyago byo guhura n'ingorane zikomeye, bigatuma izindi nzira zo kuboneza urubyaro ziba amahitamo meza kuri wowe.

Muganga wawe azanatekereza neza ku gusaba uyu muti niba ufite izi ndwara zongera ibyago:

• Umunyonga, cyane cyane niba urengeje imyaka 35
• Diyabete ifite ingorane z'imitsi y'amaraso
• Cholesterol nyinshi cyangwa triglycerides
• Amateka yo kwiheba
• Indwara y'umwijima
• Indwara y'impyiko cyangwa umutima

Kugira izi ndwara ntibigutera guhita utemerwa, ariko muganga wawe azagereranya inyungu n'ibyago byo gufata uyu muti ku miterere yawe.

Amazina y'ubwoko bwa Ethinyl Estradiol na Norgestimate

Uku guhuza imisemburo kuboneka mu mazina menshi y'ubwoko muri Leta Zunze Ubumwe z'Amerika. Amazina y'ubwoko asanzwe arimo Ortho Tri-Cyclen, Ortho Tri-Cyclen Lo, na TriNessa.

Andi mazina y'ubwoko ushobora kubona arimo Tri-Sprintec, Trinessa, na Tri-Previfem. Ubu bwoko butandukanye burimo ibintu bikora kimwe ariko bishobora kugira ibintu bitagira akamaro bitandukanye cyangwa doze y'imisemburo itandukanye gato.

Imiti ya rusange nayo iraboneka cyane kandi ikubiyemo imisemburo ikora kimwe n'iyo mu miti y'amazina. Uburyo bwa rusange bushobora kuba butagura amafaranga menshi kandi bugatanga umuti ufite ubushobozi n'umutekano bimwe.

Gahunda yawe y'ubwishingizi bushobora gukunda ubwoko bumwe cyangwa uburyo bwa rusange, bityo kuganira ku buryo bwo gufata imiti n'abaganga bawe n'abafarmasi bishobora kugufasha kubona uburyo buhendutse.

Izindi miti isimbura Ethinyl Estradiol na Norgestimate

Niba uyu muti atari wo ugukwiriye, hari ubundi buryo bwinshi bwo kuboneza urubyaro bufite akamaro. Muganga wawe ashobora kugufasha kubona undi muti ukwiriye neza ibyo umubiri wawe ukeneye n'imibereho yawe.

Ibindi binini byo kuboneza urubyaro bikoresha imisemburo itandukanye ishobora gukora neza kuri wowe. Ibinini birimo ubwoko butandukanye bwa progestins, nka drospirenone cyangwa levonorgestrel, bishobora gutera ingaruka nke ku bagore bamwe.

Ibinini birimo gusa progestin (mini-pills) birinzwe ku bagore batashobora gufata estrogen kubera ibibazo by'ubuzima. Ibi binini birimo gusa progesterone ya sintetike kandi ntibongera ibyago byo gupfuka kw'amaraso.

Uburyo butari ubw'imisemburo burimo ibishishwa byo kuboneza urubyaro, impeta yo mu gitsina, cyangwa IUDs zifite imisemburo. Ubu buryo butanga imisemburo mu buryo butandukanye kandi bushobora korohereza abagore bagorwa no kwibuka ibinini bya buri munsi.

Uburyo butari ubw'imisemburo burimo IUDs ya copper, uburyo bwo gukumira nka diaphragms cyangwa agakingirizo, n'uburyo bwo kumenya ububasha bwo kubyara. Ubu buryo ntibugira ingaruka ku rwego rwawe rw'imisemburo karemano.

Ese Ethinyl Estradiol na Norgestimate biruta izindi binini byo kuboneza urubyaro?

Ubu buryo bukora neza nk'ibindi binini byo kuboneza urubyaro iyo bifashwe neza. Ibinini

Ugereranije n'ibinini birimo imisemburo ya kera ya progestin, norgestimate ishobora gutera ingaruka nke nk'imihindagurikire y'amarangamutima cyangwa kongera ibiro. Abagore bamwe basanga itera ibiheri bike cyangwa ifasha kunoza uruhu rwabo.

Ariko, ibinini birimo imisemburo mishya ya progestin nka drospirenone bishobora kuba byiza ku bagore bahura no kubyimba cyangwa imihindagurikire y'amarangamutima. Ubu bwoko bushya bwateguwe by'umwihariko kugabanya ingaruka zimwe na zimwe.

Uburyo bwa triphasic bwa binini byinshi bya norgestimate (aho urugero rw'imisemburo ruhinduka mu gihe cy'ukwezi) rushobora kumvikana nk'ibisanzwe ku bagore bamwe. Abandi bakunda ibinini bya monophasic bitanga urugero rumwe rw'imisemburo buri munsi.

Muganga wawe azatekereza ku mateka yawe y'ubuzima, imiti ukoresha ubu, n'ibyo ukunda kugira ngo agushakire uburyo bwiza. Ibyo bikora neza ku mugore umwe ntibishobora kuba byiza ku wundi.

Ibibazo Bikunze Kubazwa Kuri Ethinyl Estradiol na Norgestimate

Q1. Ese Ethinyl Estradiol na Norgestimate birakwiriye ku bagore barwaye diyabete?

Uyu muti ushobora kuba mwiza ku bagore barwaye diyabete ifashwe neza, ariko bisaba gukurikiranwa neza. Imisemburo irashobora guhindura urugero rw'isukari mu maraso, bityo muganga wawe azashaka gukurikirana imikorere yawe ya glucose neza.

Abagore barwaye diyabete bafite ibibazo by'imitsi y'amaraso (nka diabetic retinopathy cyangwa nephropathy) bahura n'ibibazo byinshi kandi bashobora gukenera uburyo bwo kuboneza urubyaro butandukanye. Muganga wawe azagereranya imikorere yawe ya diyabete n'ibibazo byayo n'inyungu zo kuboneza urubyaro bifite imisemburo.

Niba urwaye diyabete kandi ukoresha uyu muti, genzura isukari yawe mu maraso kenshi, cyane cyane igihe utangiye. Abagore bamwe bakeneye guhindura imiti yabo ya diyabete igihe batangira kuboneza urubyaro bifite imisemburo.

Q2. Nkwiriye gukora iki niba mfashe cyane Ethinyl Estradiol na Norgestimate?

Gufata ibinini byinshi bisanzwe bitera isesemi, kuruka, cyangwa kuva amaraso atari ngombwa, ariko gukabya cyane ntibishoboka. Niba ufata ibinini byinshi utabigambiriye, ushobora kumva urwaye mu nda cyangwa ukabona amaraso atari ngombwa.

Vugana na muganga wawe cyangwa umufarumasiti kugira inama niba wafashe ibinini byinshi. Bashobora kugusaba niba ukeneye ubufasha bwa muganga cyangwa ugakomeza gahunda yawe isanzwe.

Ntugerageze "gukosora" ibinini byinshi usiba doze nyuma. Ibi birashobora kugabanya imikorere no gutera kuva amaraso atari ngombwa. Ahubwo, komeza gufata ibinini byawe nkuko byateganyijwe kandi ukoreshe uburyo bwo kuboneza urubyaro niba ubisabwe.

Q3. Nkwiriye gukora iki niba nsimbukiye doze ya Ethinyl Estradiol na Norgestimate?

Niba usimbukiye ikinini kimwe gikora, gifate uko wibuka, niyo byasaba gufata ibinini bibiri kumunsi umwe. Ntukenera uburyo bwo kuboneza urubyaro niba usimbukiye ikinini kimwe gusa.

Kusimbuka ibinini bibiri bikurikirana bisaba gufata ibinini bibiri muminsi ibiri kugirango ukosore. Koresha uburyo bwo kuboneza urubyaro nk'agakingirizo muminsi irindwi nyuma yo gusimbuka ibinini kugirango wirinde.

Niba usimbukiye ibinini bitatu cyangwa byinshi bikora, jugunya urupapuro hanyuma utangire urundi rushya. Koresha uburyo bwo kuboneza urubyaro muminsi irindwi yambere yurupapuro rushya. Ushobora kutagira amaraso y'ukwezi muri uko kwezi, ibyo bisanzwe.

Kusimbuka ibinini bitagira akamaro (placebo) ntibigira ingaruka kumikorere, ariko gukomeza gahunda yawe ya buri munsi bifasha kwirinda kwibagirwa ibinini bikora mugihe wongera gutangira.

Q4. Nshobora guhagarika ryari gufata Ethinyl Estradiol na Norgestimate?

Ushobora guhagarika gufata uyu muti igihe icyo aricyo cyose, ariko ni byiza kurangiza urupapuro rwawe ruriho kugirango wirinde kuva amaraso atari ngombwa. Guhagarika hagati murupapuro birashobora gutera kuva amaraso atari ngombwa cyangwa amaraso make.

Ubushobozi bwawe bwo kubyara busanzwe busubira muminsi 1 kugeza kuri 3 nyuma yo guhagarika, nubwo abagore bamwe bashobora gusama ako kanya. Koresha uburyo bwo kuboneza urubyaro ako kanya niba utiteguye gutwita.

Abagore bamwe bahura n'imihindukire y'igihe gito mu gihe cy'imihango nyuma yo guhagarika. Imihango yawe irashobora kutagenda neza mu mezi make kuko imisemburo yawe isanzwe itangira gukora.

Niba uhagarika kubera ingaruka ziterwa n'imiti, ganira na muganga wawe ku bijyanye n'ubundi buryo bwo kuboneza urubyaro. Bashobora kugufasha kwimukira mu buryo bundi bushobora kugukorera neza.

Q5. Nshobora gufata Ethinyl Estradiol na Norgestimate nkamara konjesha?

Ubu buryo ntibugirwa inama mugihe cyo konjesha kuko estrogen ishobora kugabanya umukamo. Imisemburo irashobora kandi kujya mu mata, bikaba byagira ingaruka ku mwana wawe.

Ibinini bya progestin gusa (mini-pills) ni uburyo bwiza ku bagore bonsa. Ibi ntibirimo estrogen kandi birashoboka ko bitagira ingaruka ku mikamo cyangwa ubuziranenge bw'amata.

Abaganga benshi basaba gutegereza byibuze ibyumweru 6 nyuma yo kubyara mbere yo gutangira uburyo ubwo aribwo bwose bwo kuboneza urubyaro bukoresha imisemburo. Ibi bituma umubiri wawe ukira kandi ugashyiraho konjesha niba uhisemo konjesha.

Niba ukeneye kuboneza urubyaro mugihe cyo konjesha, ganira na muganga wawe ku buryo bwiza. Uburyo bwo gukingira, ibinini bya progestin gusa, cyangwa IUD zimwe na zimwe bishobora gutanga uburinzi bwiza hatagize icyo bitwara konjesha.