Norethindrone ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Norethindrone ni umusemburo w'ubukorano wiganisha progesterone, umwe mu misemburo kamere y'abagore mu mubiri wawe. Uyu muti ufasha kugenga imihango yawe kandi ushobora kuvura indwara zitandukanye zifitanye isano n'imisemburo. Bitekerezeho nk'inzira yoroshye yo kongerera ibyo umubiri wawe ushobora kuba utabasha gukora bihagije mu buryo kamere.

Norethindrone ni iki?

Norethindrone ni verisiyo yakozwe n'abantu ya progesterone, umusemburo intanga ngore zawe zikora mu buryo kamere. Ihereranye mu itsinda ry'imiti yitwa progestins, ikora ikora ikora ibyo progesterone y'umubiri wawe ikora.

Uyu muti uza mu buryo bw'ibinini kandi ufashwe unywa. Muganga wawe ashobora kukwandikira kugira ngo afashe kuringaniza imisemburo yawe igihe umubiri wawe utari gukora progesterone ihagije ku giti cyawo. Bimaze imyaka myinshi bikoreshwa mu buryo bwizewe mu kuvura indwara zitandukanye z'ubuzima bw'abagore.

Uzabona norethindrone iboneka mu mbaraga zitandukanye, akenshi ziri hagati ya 0.35 mg na 5 mg mu binini. Imbaraga muganga wawe yandika ziterwa n'indwara urimo kuvura n'uko umubiri wawe witwara ku muti.

Norethindrone ikoreshwa mu iki?

Norethindrone ivura indwara nyinshi zifitanye isano n'imisemburo, imihango idasanzwe ikaba ari imwe mu mpamvu zisanzwe abaganga bayandikira. Uyu muti ushobora gufasha gusubiza imihango isanzwe igihe imihango yawe itangiye kutagaragara cyangwa ihagaze burundu.

Muganga wawe ashobora kugusaba norethindrone niba urimo guhura no kuva amaraso menshi cyangwa maremare mu gihe cy'imihango. Uyu muti ushobora gufasha kugabanya umubare n'igihe cyo kuva amaraso mu gihe cy'imihango binyuze mu kugenga urwego rw'imisemburo yawe. Abagore benshi basanga imihango yabo iba yoroshye nyuma y'inzego nke zo gutangira kuvurwa.

Uburyo bwo kuboneza urubyaro ni ikindi kintu cy'ingenzi norethindrone ikoreshwa, cyane cyane mu buryo bwa mini-pill. Ubu bwoko bufite urugero ruto rutanga uburyo bwo kuboneza urubyaro nta estrogen, bigatuma bikwiriye abagore batabasha gufata imiti ivanze yo kuboneza urubyaro. Bifasha cyane ababyeyi bonka cyangwa abafite indwara zimwe na zimwe.

Endometriosis, indwara aho imitsi isa n'iy'umurongo w'igitsina gore ikura hanze y'igitsina gore cyawe, nayo irashobora kuvurwa na norethindrone. Uyu muti ufasha kugabanya imikurire y'iyi mitsi kandi irashobora kugabanya cyane ububabare no kuva amaraso menshi bifitanye isano na endometriosis.

Mu buryo butajegajega, abaganga bandika norethindrone kuri amenorrhea (kutagira imihango) iyo iterwa n'uburinganire butaringaniye bwa hormone. Uyu muti urashobora gufasha gutangiza uruziga rwawe rw'imihango utanga progesterone umubiri wawe ukeneye kugirango urangize umuvuduko wayo wa kamere.

Norethindrone ikora ite?

Norethindrone ikora yigana progesterone ya kamere y'umubiri wawe, ifite uruhare rukomeye mu gihe cy'imihango yawe. Mu gihe cy'imihango isanzwe, urugero rwa progesterone rurazamuka nyuma yo gutanga intanga kugirango ritegure igitsina gore cyawe kubera gushoboka kw'inda.

Iyo ufata norethindrone, ifatana n'ibice bimwe na bimwe by'umubiri wawe progesterone ya kamere yakoresha. Ibi bifasha kugenzura imikurire no gushirira kw'umurongo w'igitsina gore cyawe, bishobora kugenzura kuva amaraso bidahwitse no gusubiza uburyo busanzwe bwo mu gihe cy'imihango.

Kubw'impamvu zo kuboneza urubyaro, norethindrone ikora cyane cyane mugukomeza ururenda ruri mu gitsina cyawe. Ibi bituma bitorohera cyane intanga kugera no gufumbiza igi. Uyu muti urashobora kandi kubuza gutanga intanga mu bagore bamwe, nubwo atari uburyo bwayo bwambere bwo kuboneza urubyaro.

Nka hormone medication, norethindrone ifatwa nk'ikomeye ku rugero ruciriritse. Iragira neza kurusha zimwe muri progestins zikozwe ariko ikaba ikomeye kurusha supplements ya progesterone ya kamere. Ubu bunganzanye butuma bikora neza mugukiza mugihe muri rusange byihanganirwa neza nabagore benshi.

Nkwiriye Gufata Norethindrone Nte?

Fata norethindrone uko muganga wawe abikwandikiye, akenshi rimwe ku munsi ku gihe kimwe buri munsi. Kugira ubudahangarwa ni ingenzi kuri uyu muti, bityo gerageza kuwufata ku gihe kimwe buri munsi kugira ngo ugumane urugero rwa hormone mu mubiri wawe.

Ushobora gufata norethindrone urya cyangwa utarya, ariko kuwufata urya birashobora kugufasha kugabanya kubabara mu gifu niba ubifite. Niba uhisemo kuwufata urya, gerageza kubigira akamenyero kugira ngo ugumane imbaraga zikomeye zo kumwumva.

Ku bijyanye n'umuti muto ukoreshwa mu kuboneza urubyaro, igihe ni ingenzi cyane. Ufata ku gihe kimwe buri munsi, byaba byiza mu isaha eshatu. Gushyiraho alarme ya buri munsi irashobora kugufasha kwibuka no kugumana imbaraga z'uburyo bwo kuboneza urubyaro.

Mimina urupapuro rwose hamwe n'ikirahure kinini cy'amazi. Ntugasenya, ntukore, cyangwa ucagagure urupapuro, kuko ibi bishobora kugira ingaruka ku buryo umuti winjiramo kandi bishobora kugabanya imbaraga zawo.

Niba ufata norethindrone kubera imihango idasanzwe cyangwa izindi ngorane z'imihango, muganga wawe ashobora kuyikwandikira mu minsi runaka y'imihango yawe. Kurikiza amabwiriza yabo neza, kuko igihe gishobora kuba ingenzi kugira ngo umuti ukore neza.

Nkwiriye Gufata Norethindrone Igihe Kingana Gite?

Igihe cyo kuvura norethindrone gitandukanye cyane bitewe n'impamvu uyifata n'uko umubiri wawe witwara. Ku mihango idasanzwe, ushobora kuyifata mu mezi make kugeza igihe imihango yawe isanzwe, mugihe gukoresha uburyo bwo kuboneza urubyaro bishobora gukomeza imyaka myinshi niba ubishaka.

Niba uvura endometriosis, muganga wawe ashobora kukwandikira norethindrone amezi atandatu kugeza umwaka mbere na mbere. Abagore benshi bagira impinduka zikomeye mu bimenyetso byabo muri iki gihe, kandi muganga wawe azakurikiza iterambere ryawe kugira ngo amenye niba kuvurwa igihe kirekire bifite akamaro.

Mu rwego rwo kuboneza urubyaro, urashobora gufata norethindrone mu gihe ushaka kwirinda gusama kandi ntugire ingaruka zikomeye. Kugenzura kwa muganga buri gihe bizagufasha kumenya niba umuti ukomeje kuba wo kugukwiriye.

Ntuzigere uhagarika gufata norethindrone ako kanya utabanje kuvugana na muganga wawe. Guhagarika umuti ako kanya bishobora gutera kuva amaraso bidahagarara cyangwa izindi mpinduka za hormone. Muganga wawe ashobora kugabanya urugero rwawo buhoro buhoro cyangwa akaguha amabwiriza yihariye yo guhagarika umuti mu buryo bwizewe.

Ni izihe ngaruka ziterwa na Norethindrone?

Abagore benshi bafata norethindrone neza, ariko nk'undi muti uwo ari wo wose, ushobora gutera ingaruka. Inkuru nziza ni uko ingaruka nyinshi zoroheje kandi akenshi zikagenda zikemuka uko umubiri wawe wimenyereza umuti mu mezi make ya mbere.

Ingaruka zisanzwe ushobora guhura nazo zirimo kuva amaraso bidahagarara cyangwa kubona amaraso, cyane cyane mu mezi make ya mbere yo kuvurwa. Ibi ni uko umubiri wawe wimenyereza urugero rushya rwa hormone kandi akenshi bigenda bigabanuka uko igihe kigenda.

Dore ingaruka zikunze kuvugwa cyane abagore benshi bahura nazo:

• Kuva amaraso bidahagarara cyangwa kubona amaraso
• Urubavu rwo mu gituza cyangwa kubyimba
• Umutwe
• Isesemi cyangwa kuribwa mu nda
• Impinduka z'amarangamutima cyangwa umujinya
• Impinduka z'ibiro (akenshi bito)
• Kubyimba cyangwa kubika amazi
• Kugira umunaniro

Izi ngaruka zisanzwe muri rusange ziragendeka kandi akenshi zigabanuka uko umubiri wawe wimenyereza umuti. Abagore benshi basanga ko kutumva neza kwose bifite agaciro kubera inyungu babona mu kuvurwa.

Abagore bamwe bashobora guhura n'ingaruka zitamenyerewe ariko zikomeye zisaba ubufasha bwa muganga. Nubwo ibi bibaho kenshi, ni ngombwa kubimenya kugirango ushake ubufasha niba bibaye ngombwa.

Ingaruka zitamenyerewe zisaba kuvugana na muganga wawe zirimo:

• Umutwe ukabije cyangwa imigraine
• Impinduka mu mbono cyangwa ibibazo by'amaso
• Urubavu rukabije
• Gusohoka amaraso mu gitsina mu buryo budasanzwe cyangwa ibindi bidasanzwe
• Ibimenyetso byo kwiheba cyangwa impinduka zikabije mu myumvire
• Urugimbu rudashira cyangwa kuruka
• Umuhondo w'uruhu cyangwa amaso (umuhondo)
• Urubavu rukabije cyangwa kubyimba

Ibi bimenyetso, nubwo bitajyenda bibaho, bishobora kwerekana igisubizo gikomeye gikeneye isuzuma ryihuse ry'abaganga. Muganga wawe ashobora gufasha kumenya niba ibi bimenyetso bifitanye isano n'umuti kandi agahindura uburyo uvurwa niba bibaye ngombwa.

Ingaruka zidakunze kubaho ariko zikomeye zirashobora kubaho, nubwo zikora ku bagore bake cyane bafata norethindrone. Izi zikubiyemo amaraso, ibibazo by'umwijima, cyangwa ibimenyetso bikabije byo kwivumbura ku bintu. Nubwo ibyago ari bike, cyane cyane ugereranije n'imiti ihuriweho y'imisemburo, ni ngombwa kumenya ibimenyetso byo kwitondera.

Shaka ubufasha bw'ubuvuzi bwihuse niba wumva ububabare mu gituza, guhumeka bigoranye, urubavu rukabije, umutwe ukabije utunguranye, cyangwa ibimenyetso byo kwivumbura ku bintu bikabije. Ibi bimenyetso ni bike cyane ariko bisaba ubuvuzi bwihutirwa niba bibaye.

Ninde utagomba gufata Norethindrone?

Uburwayi bumwe na bumwe butuma norethindrone idatekanye cyangwa idakwiriye ku bagore bamwe. Muganga wawe azasuzuma amateka yawe y'ubuzima neza mbere yo kwandika uyu muti kugirango yemeze ko ari mutekanye kuri wewe.

Ntabwo ugomba gufata norethindrone niba ufite amateka y'amaraso, harimo thrombosis yimitsi yimbitse cyangwa embolism y'ibihaha. Uyu muti ushobora kongera gato ibyago byo gukora amaraso, bituma biba byinshi ku bagore bamaze guhura n'ibi bibazo bikomeye.

Abagore bafite indwara y'umwijima ikora cyangwa ibibyimba by'umwijima bagomba kwirinda norethindrone, kuko uyu muti ukoreshwa binyuze mu mwijima. Niba umwijima wawe udakora neza, uyu muti ushobora kwegerana ku rwego rwangiza cyangwa bikongera ibibazo by'umwijima bihari.

Kanseri y'ibere, cyane cyane ubwoko bwumvikana ku misemburo, ni indi ndwara ituma norethindrone idakwiriye. Kubera ko umuti ukora nk'imisemburo, ushobora gutera imikurire y'uturemangingo twa kanseri twumva imisemburo.

Dore indwara zikomeye zisanzwe zibuza gukoresha norethindrone:

• Amateka y'amaraso (DVT, PE, cyangwa sitiroko)
• Indwara yawe mu mwijima cyangwa ibibyimba byo mu mwijima
• Kanseri y'ibere cyangwa gukeka kanseri y'ibere
• Gusohoka amaraso mu gitsina bitagaragazwa
• Gusama (bizwi cyangwa bikekwa)
• Indwara ikomeye y'imitsi y'amaraso
• Porphyria (indwara idasanzwe yo mu bwoko)

Izi ndwara zisaba kwitonderwa cyane kandi bisanzwe bivuze ko norethindrone atari wo mwanzuro mwiza kuri wewe. Muganga wawe ashobora kuganira ku miti isimbura ishobora kuba ifite umutekano kurushaho kandi ikwiriye neza imiterere yawe.

Zimwe mu ndwara zisaba kwitonda cyane ariko ntizibuza burundu gukoresha norethindrone. Muganga wawe azagereranya inyungu n'ibibazo kandi azakugenzura neza niba ufite izi ndwara.

Indwara zisaba kugenzurwa neza zirimo:

• Diyabete
• Umubyibuho ukabije w'amaraso
• Umutwe w'imigraine
• Kwiganyirwa cyangwa indwara zo mu mutwe
• Indwara y'impyiko
• Asima
• Uburwayi bwo gufatwa n'urugimbu
• Amateka yo gusama hanze y'inda

Kugira imwe muri izi ndwara ntibigutera guhita utemerewe gufata norethindrone, ariko bivuze ko uzakeneye kugenzurwa kenshi kandi neza kugirango wemeze ko umuti ukomeza kuba mwiza kandi ukora neza kuri wewe.

Amazina y'ubwoko bwa Norethindrone

Norethindrone iboneka mu mazina menshi y'ubwoko, buri rimwe rifite uburyo butandukanye cyangwa imbaraga zitandukanye. Amazina y'ubwoko asanzwe arimo Aygestin, Camila, Errin, na Micronor, n'ibindi.

Aygestin irimo 5 mg ya norethindrone kandi isanzwe itangwa mu kuvura kuva amaraso atari ibisanzwe mu rwungano rw'imyororokere, endometriosis, na amenorrhea. Ubu bwoko bufite urugero rwo hejuru rwa dose busanzwe bufatwa mu gihe gito aho gufata buri munsi.

Camila, Errin, Micronor, n'izindi nshuti zisa nazo zirimo 0.35 mg ya norethindrone kandi zikoreshwa cyane nk'ibinini byo kuboneza urubyaro byitwa mini-pill. Ubu bwoko bufite urugero rwo hasi rwa dose bufatwa buri munsi nta kiruhuko kandi akenshi bikundwa n'abagore batabasha gufata imiti irimo estrogen.

Ubwo bwoko bwa norethindrone busanzwe buboneka kandi burimo ibintu bikora kimwe n'imiti yitwa amazina y'ubwoko. Farumasi yawe ishobora guhita ishyiraho ubwo bwoko busanzwe keretse muganga wawe asabye by'umwihariko izina ry'ubwoko.

Uburyo bwo gusimbuza Norethindrone

Hariho uburyo bwinshi bwo gusimbuza norethindrone, bitewe n'icyo urimo kuvura n'ubuzima bwawe bwite. Muganga wawe ashobora kugufasha gushakisha izi nzira niba norethindrone itagukwiriye cyangwa idakora neza kuri wowe.

Mu kuboneza urubyaro, ibinini bivanga birimo estrogen na progestin bishobora kuba uburyo bwiza niba ushobora gufata estrogen mu buryo bwizewe. Ibi binini akenshi bikora neza mu gukumira inda kandi bishobora gutanga ibindi byiza nk'imihango yoroheje n'uruhu rworoshye.

Izindi nzira zifite progestin gusa zirimo urukingo rwa Depo-Provera, rutanga uburyo bwo kuboneza urubyaro mu mezi atatu, cyangwa IUD ifite imisemburo, ishobora gukumira inda mu myaka myinshi. Ubu buryo bushobora kuba bworoshye niba ugira ikibazo cyo kwibuka ibinini bya buri munsi.

Mu kuvura imihango idasanzwe cyangwa endometriosis, imiti yongera progesterone karemano ishobora kuba uburyo bworoshye bwo gusimbuza. Nubwo bishobora kutagira imbaraga nk'ubwoko bwa synthetic, abagore bamwe barabikunda kubera uburyo bwa karemano bwo kuvura imisemburo.

Hari ubundi buryo butari ubw'imisemburo bushobora gukoreshwa mu kuvura indwara nyinshi norethindrone ivura. Kuva amaraso menshi, imiti nka aside ya tranexamic ishobora gufasha kugabanya imivurungano y'imihango itagize icyo ihindura ku misemburo yawe. Ku ndwara ya endometriosis, imiti ya NSAIDs n'izindi ngamba zo kugabanya ububabare bishobora gutanga ubufasha.

Ese Norethindrone iruta Medroxyprogesterone?

Norethindrone na medroxyprogesterone ni imisemburo ya progestin ikorwa mu buryo bwa gihanga, ariko ifite imbaraga zitandukanye kandi zikoreshwa mu ntego zitandukanye. Kubigereranya mu buryo butaziguye biterwa n'indwara urimo kuvura n'uburyo umubiri wawe wabyakiriyeho.

Norethindrone muri rusange ifatwa nk'iyoroheje kandi isa cyane na progesterone karemano mu ngaruka zayo. Akenshi ikoreshwa igihe kirekire, nko kuboneza urubyaro buri munsi, kuko ikunda gutera ingaruka nke kandi ntigire icyo ihindura ku myumvire yawe cyangwa uburemere bwawe cyane.

Medroxyprogesterone, cyane cyane mu buryo bwa Depo-Provera shot, ifite imbaraga nyinshi kandi iramba. Ibi bituma ikoreshwa cyane mu kuboneza urubyaro ariko bishobora gutera ingaruka zikomeye, harimo kongera ibiro, guhinduka kw'imyumvire, no gutakaza ubwinshi bw'amagufa iyo ikoreshejwe igihe kirekire.

Mu kuvura imihango idahoraho, norethindrone akenshi ni yo ihitwamo kuko ishobora gufatwa mu doze nto kandi mu gihe gito. Medroxyprogesterone akenshi ikoreshwa mu bihe bisaba imisemburo ikomeye cyangwa iyo kuboneza urubyaro igihe kirekire ari cyo kintu cy'ibanze.

Gu hitamo hagati y'iyi miti biterwa n'ibyo ukeneye, amateka yawe y'ubuzima, n'uburyo umubiri wawe uyakira. Muganga wawe ashobora kugufasha gupima inyungu n'ibibazo bya buri kimwe kugira ngo amenye icyiza kuri wowe.

Ibibazo Bikunze Kubazwa Kuri Norethindrone

Ese Norethindrone irakwiriye abantu barwaye diyabete?

Norethindrone irashobora gukoreshwa n'abagore benshi barwaye diyabete, ariko bisaba gukurikiranwa neza kuko progestins zishobora kugira ingaruka ku isukari yo mu maraso. Uyu muti ushobora gutera izamuka rito ry'isukari mu maraso, bivuze ko ushobora gukenera guhindura imiti yawe ya diyabete cyangwa gukurikirana isukari yo mu maraso yawe kenshi.

Ugomba gukora iki iyo ufata norethindrone bwa mbere kugirango wemeze ko diyabete yawe ikomeza kugenzurwa neza. Abagore benshi barwaye diyabete barashobora gufata norethindrone neza hamwe no gukurikiranwa neza, ariko ikipe yawe y'ubuzima izakorana kugirango yemeze ko imisemburo yawe n'imicungire ya diyabete bikomeza kuba byiza.

Nkwiriye gukora iki niba mfashwe na norethindrone nyinshi?

Niba ufashwe na norethindrone nyinshi kuruta uko byategetswe, ntugahungabane, ariko uvugishe muganga wawe cyangwa umufarumasiti kugirango baguhe ubuyobozi. Guhora ufata doze ebyiri ntibishoboka ko byateza ingaruka zikomeye, ariko bishobora kongera ibyago byawe byo kugira ingaruka nk'isuka, kubabara amabere, cyangwa kuva amaraso bidahagarara.

Kubera dosi nyinshi zikomeye, shakisha ubufasha bw'ubuvuzi vuba. Mugihe dosi nyinshi ya norethindrone idateje ubuzima akaga, ingano nini irashobora gutera ibimenyetso bikomeye bisaba isuzuma ry'ubuvuzi. Bika icupa ry'umuti hamwe nawe kugirango abaganga bamenye neza icyo wafashe n'ingano yacyo.

Nkwiriye gukora iki niba nirengagije doze ya norethindrone?

Niba wibagiwe doze ya norethindrone, yifate vuba uko wibuka, keretse igihe cyegereye doze yawe ikurikira. Niba uyifata kugirango ugabanye ubwiyongere bw'abana kandi utinze amasaha arenga atatu, koresha uburyo bwo kuboneza urubyaro mu masaha 48 akurikira kugirango wirinde gutwita.

Ntuzigere ufata doze ebyiri icyarimwe kugirango ushyire mu gaciro doze yibagiwe, kuko ibi bishobora kongera ibyago byawe byo kugira ingaruka. Niba ukunda kwibagirwa doze, tekereza gushyiraho alarume ya buri munsi cyangwa gukoresha umuteguro w'ibinyobwa kugirango ugufashe kwibuka. Igihe gihamye ni ingenzi cyane kubikorwa byo kuboneza urubyaro.

Nshobora guhagarika ryari gufata norethindrone?

Ushobora kureka gufata norethindrone igihe wowe na muganga wawe mwembi mwumvikanye ko bitagikenewe cyangwa bitagirira akamaro. Iyi myanzuro ishingiye ku mpamvu wayifatiraga n'uburyo igenda igukorera. Mu bijyanye no kuboneza urubyaro, urashobora kureka kuyifata igihe utakigomba kuboneza urubyaro cyangwa ushaka kugerageza uburyo butandukanye.

Ku bibazo by'ubuzima nk'endometriose cyangwa imihango idasanzwe, muganga wawe azasuzuma imiterere yawe nyuma y'amezi menshi uvurwa. Niba ibimenyetso byawe byarushijeho gukira cyane, ashobora kugusaba kugabanya buhoro buhoro urugero rwa imiti cyangwa guhagarika imiti mu gihe akurikirana niba hari ibimenyetso byagaruka.

Nshobora gufata Norethindrone nkamara konsa?

Yego, norethindrone muri rusange ifatwa nk'umutekano mu gihe cyo konsa kandi akenshi ni yo miti ikunda gukoreshwa mu kuboneza urubyaro ku bagore bonsa. Bitandukanye n'ibinini byo kuboneza urubyaro bifatanye, norethindrone ntirimo estrojeni, ishobora kugabanya amata ku bagore bamwe.

Uduce duto twa norethindrone tujya mu mata y'ibere, ariko ubushakashatsi ntibwerekanye ingaruka mbi ku bana bonswa. Uyu muti akenshi ntugira ingaruka ku mikorere y'amata cyangwa ubuziranenge bwayo, bigatuma iba uburyo bwiza ku babyeyi bifuza kuboneza urubyaro bakonsa. Muganga wawe ashobora kwemeza ko iyi ari yo nzira ikwiriye ku miterere yawe yihariye.