Kuvugurura cyangwa kutumvikana kw'amaraso ni imisigizi ya norethindrone isanzwe cyane: kubona amamesa adasanzwe hagati y'iminsi y'imihango, imihango igera kare cyangwa izasubira inyuma, cyangwa kudahabwa imihango na gato. Kubabara umutwe, ugukomera kw'ibere, kubyimbira, ububabare bwo mu mutwe, ibiheri n'impinduka ku mubyibuhiro bikurikiraho. Ibyinshi bishira mu minsi umwe kugeza kuri itatu. Kubabara bikabije mu karere k'inda cyangwa kubabara umutwe bikabije ni ikibazo gikomeye.
- Kutubahiriza iminsi y'imihango ni ikintu gikunze kuvugwa, ntabwo cyerekana ko imiti idakora.
- Norethindrone isanzwe ifite isaha 3 yo gufata imiti; imiti yazize igihe ivuze iminsi 48 yo kwirinda gutwita hakoreshejwe uburyo bwa kabiri.
- Kuziza cyangwa kwibagirwa gufata imiti bitera amaraso adasanzwe bikunze kwitirirwa imiti.
- Uburyo bwa mg 5 bw'acétate ntibuboneza gutwita kandi bufitanye na gahunda ivuguruzanya yo kuvugurura amaraso.
- Ibihumuto bikigaragara nyuma y'ukwezi kwa kane bisaba impinduka, ntibitwaza gutegereza.
Ibisigaye byinshi bya norethindrone ni ibibazo byoroheje, ntabwo ari ibimenyetso byo kwirinda
Ibisigoye bya norethindrone bisanzwe bifitanye isano n'imihango: imihango igera kare cyangwa izasubira inyuma, kubona amamesa adasanzwe hagati y'iminsi y'imihango, n'igihe kitateganyijwe, ibyo FDA yemeje ku DailyMed yerekana nk'ikibazo gikunze kuvugwa. Kubabara umutwe, ugukomera kw'ibere, kubyimbira, ububabare bwo mu mutwe, ibiheri, kwiyongera kw'ibiro n'ugukura k'umubiri bikurikiraho. Ibisigaye byinshi bya norethindrone biragenda mu minsi umwe kugeza kuri itatu uko umubiri wawe uhinduka.
Uru rutonde rw'ibimenyetso ruturuka kuri MedlinePlus (NIH) kandi rukoreshwa ku miti ngufi ya mg 0.35 yo kwirinda gutwita. Ibisigaye bya norethindrone acetate (Aygestin cyangwa Norlutate ya mg 5) bifitanye isano n'ibibazo by'umubiri ariko bitandukana cyane ku kuvugurura amaraso, ibyo igice cy'ibintu byateganijwe hepfo gikomeza.
Ibyo byose bikurikira bisubiza ibibazo bitatu bihuriranye. Byaba byitezwe? Igihe bizamara? Kandi ni ibimenyetso ki bivuga guhagarika imiti uyu munsi?
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Yego. Ibinini byo kuboneza urubyaro bikozwe muri 'progestin' gusa nibyo akenshi bikoreshwa iyo umubyeyi akonsa, kuko bitabamo 'estrogen', ariyo ituma amashereka agabanuka. Igihe cyo gutangirira gufata ibi binini nyuma yo kubyara biterwa n’uko umubiri w’umuntu umeze, bityo rero mbere yo gufata icyemezo, banza ugishe inama umuganga cyangwa uwo mukorana bya hafi ku buzima bwawe nyuma yo kubyara, aho guhita ufata ifoto y'ibinini wibwira ko bikwiriye.
Oya. Ikigo MedlinePlus (NIH) kirabigaragaza neza ko ibinini bikozwe muri 'progestin' gusa bitarinda agakoko gatera SIDA cyangwa izindi ndwara zandurira mu mibonano mpuzabitsina. Udukingirizo niyo nzira yonyine ikurinda izo ndwara, kandi kuzikoresha wizihuje na norethindrone ni byiza, kabone n'iyo waba utarimo gushaka gukumira inda. Gupimisha izo ndwara buri gihe ni ikintu kigomba kuganirwaho ukwacyo n'umuganga wawe, bitandukanye no kuboneza urubyaro.
Isaha 3 yatumye norethindrone itandukana n'indi miti
Kuvura norethindrone nk'"imiti yo gutwita" ni ikosa rikomeye rikorerwa n'abantu benshi. Imiti ifata estrogene na progestine irihanganira imiti yazize amasaha 12 kugeza 24. Iyo miti mishya ya progestine gusa yemera isaha 24.
Niba wibagirwa iyi saha, ntutinda gusa, ahubwo uraba utiringaniye. MedlinePlus ivuga kwirinda gutwita hakoreshejwe uburyo bwa kabiri, amacupa cyangwa kwirinda, mu gihe amasaha 48 nyuma yo gufata imiti yazize isaha 3. CDC U.S. Selected Practice Recommendations irakomeza: gufata imiti yazize vuba uko bishoboka, kwirinda ko idafata umwanya wayo, gukoresha uburyo bwo kwirinda kugeza wavuze imiti ku gihe ku minsi ibiri yikurikiranya, kandi ugateganya imiti yo kwihutira gutwita niba warakoranye imibonano mpuzabitsina utarinzwe mu gihe cyo kuziza.
Dore ibyo imiti myinshi itazakubwira: igice kinini cy'ibibazo bivuga "iyi miti irimo kintera amaraso" ni ibibazo byo gufata imiti bivuguruza imiti. Norethindrone irashira vuba, gahunda idahinduka itera imitsi ikomeye, kandi imitsi ikomeye itera amaraso adasanzwe. Reba isaha mbere yo kwitirira imiti.
Hitamo igihe cyo gufata imiti uzashobora gukoresha ku wa gatandatu no mu gihe cy'ijoro, ntabwo ari ku wa kabiri gusa.
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Hari igihe umuti utinjira mu mubiri uko bikwiye. Niba urutse cyangwa ugize impiswi ikabije mu gihe kitarenze amasaha atatu ufata ikinini, fata icyo kinini nk'icyo wibagiwe gufata: kimeze nk'ikindi kigiye kuza, kimeze nk'ikindi kigiye kuza, ukomeze uburyo busanzwe, kandi ukurikize amabwiriza ya CDC yo gukoresha uburyo bwo kwirinda nk'udukingirizo kugeza igihe umaze iminsi ibiri yikurikiranya ufata ibinini ku gihe.
Rimwe na rimwe bishoboka. Ibinini bivanze akenshi bigabanya imirundi kuko estrogen igabanya imisemburo ituma uruhu rwagwa nabi, mu gihe ibinini bya progestin gusa bidafite icyo buringaniza, bityo bikaba bishobora gutuma uruhu rw'abantu bamwe rurushaho kugira imirundi. Niba imirundi ikomeje kukubaho, ni ngombwa kubibwira umuganga kugira ngo ubashe guhindura ubwoko bw'ibinini aho gukomeza kubyihanganira. Hagati aho, ushobora gukoresha imiti yo kwisiga ikijyanye n'uwo mwanya.
Kubona amamesa adasanzwe kuri norethindrone byitezwe; kwitura pad buri saha ntabwo byitezwe
Amara kuri norethindrone yagabanyijemo ibice bibiri bikwiye ibisubizo bitandukanye rwose. Byitezwe: kubona amamesa adasanzwe hagati y'iminsi y'imihango, imihango igera kare cyangwa izasubira inyuma, imihango ngufi cyangwa yibagiwe, n'igihe kitateganyijwe mu mezi atangira. Ibigo bya DailyMed bibifata nk'ibisanzwe, ntabwo ari reaction mbi.
Genzwa kuri ibi:
- Kwitura pad cyangwa tampon buri saha
- Amara akarenza iminsi irindwi
- Amara mashya menshi nyuma y'amezi atatu cyangwa arenga adafite imihango
- Amara hafi yo kubabara ubwonko cyangwa kugerura umwuka, ibishobora kugaragaza anemia
Kuvugurura imiti hano bikunze kubaho mbere. Carbamazepine na rifampin bitera ibintu mu mara bikuraho norethindrone, na St. John's wort bikora kimwe; MedlinePlus ivuga ko igabanya ubushobozi. Kugabanyuka kw'imiti bivuga ko uburyo bwo kwirinda gutwita buke kandi amaraso adasanzwe menshi, bityo amamesa adasanzwe yatangiye mu cyumweru kimwe nyuma yo kwandikwa bushya bisaba gusubiramo imiti aho kwihanganira.
Impinduka imwe yo kuvugurura amaraso ntabwo yigeze ihagarara kandi ikarengerwa. Kwibagirwa imihango bisaba ko basuzuma gutwita. Kandi niba amara kuri norethindrone ari yo ikubuza gutangira, uburyo bwa progestine buratandukanye, nk'uko urugero rwacu ku bikomere bya Kyleena IUD rwerekana.
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Oya. Ibinini bya minipill bisanzwe bigira ibinini 28 byose bikora, nta na kimwe kiba cyoroshye cyangwa nta gihe kiba kiretse gukora, niyo mpamvu nta cyo wasiba. Urimarangiza ipaki imwe, ukahita utangira iyindi bukeye bwaho. Gutangira ipaki nshya utinze bimeze nko kuba wibagiwe gufata ikinini, bityo bikaba bisaba gukoresha uburyo bwo kwirinda (nko gukoresha agakingirizo) mu gihe cy'amasaha 48.
5 mg norethindrone acetate na 0.35 mg minipill ntibifitanye ikomeye imwe
Abashaka ibitekerezo kuri norethindrone 5mg bashobora kuba basoma ibikoresho byanditswe ku kintu cyitandukanye n'icyo bariho. Tablet ya mg 5 ni norethindrone acetate (Aygestin, Norlutate), yanditse kubera endometriosis, amaraso adasanzwe mu nyababa, cyangwa kwirinda iminsi y'imihango. Tablet isanzwe ya mg 0.35 ni minipill yo kwirinda gutwita. Ikintu kimwe, urugero rutandukanye, umurimo utandukanye.
Ibyavuyemo kuvugurura amaraso birahindurwa rwose. Aho minipill itera amamesa adasanzwe, imihango yo kwiga ku mibare yerekana ko abakoresha bangana na 86% bahagarika imihango burundu (amenorrhea) mu gihe 14% bakibona amaraso adasanzwe. Uru rutonde ruturuka mu bikoresho byo kwiga, aho guturuka mu mibare y'ubuyobozi bwa FDA. Bityo, ibisigaye bya norethindrone acetate bifitanye isano no kutagira amara na gato, hamwe n'ibibazo bisanzwe bya progestine: kubabara umutwe, ugukomera kw'ibere, kubyimbira, impinduka mu kwishira mu mwanya.
Amategeko abiri akurikira. Kuvugurura amaraso nyuma yo kurangiza igihe cyo gufata tablet ya mg 5 byateganyijwe, ntabwo ari imisigizi. Kandi uburyo bwa mg 5 ntibugomba kwemezwa ko buboneza gutwita. Urwego ntirukwigana, kandi ntuzihindura kugira ngo bihure.
Ibihumuto bike bya norethindrone bivuga guhagarika imiti no kwihutira kwivuza
Ubwoko bwerekana urwego, ntabwo ari izina ry'ikimenyetso. Kubabara mu karere k'inda kworoheje ni ibisanzwe. Kubabara bikabije, ku ruhande rumwe mu karere k'inda hasi ntabwo ari ibisanzwe. FDA label ivuga ko abantu bahagarika imiti kandi bagakoresha muganga vuba igihe bababara cyangwa bagize umutwe bikabije.
Hamagara 911 cyangwa jya ku cyumba cy'ibitaro byihutirwa ubu niba:
- Kubabara bikabije cyangwa bikomeye mu karere k'inda hasi cyangwa mu nda
- Umutwe mushya, bikabije, udahoraho cyangwa uzamuka, cyangwa impinduka mu bwoko bwa migraine
- Impinduka zikabije mu kubona, kwumirwa, kubona inshuro ebyiri, cyangwa amaso yarose
- Kubabara, kwiyongera kw'ibiro cyangwa ubukonje mu kuguru hamwe n'ububabare mu gatuza cyangwa kugerura umwuka
- Kubabara mu gitsintsi, kwirara, kwibeshya, kugorana kuvuga, cyangwa kwumirwa kubera ibyangombwa
- Kubabara mu karere ko hejuru y'inda iburyo hamwe n'uruhu cyangwa amaso yijimye, inkari z'umwijima, cyangwa kugabana ubushake bwo kurya
- Amara menshi cyane cyangwa akomeye kurusha ibisanzwe
Ibintu bibiri byo ku rupapuro rwerekana impamvu kubabara mu nda gufatwa nk'ikintu gikomeye. Gutwita hanze y'ubugumba bibaho ku bantu 5 kuri 1.000 buri mwaka muri abakoresha imiti ya norethindrone, kandi kugeza kuri 10% byo gutwita bibaho ni gutwita hanze y'ubugumba. Norethindrone ishobora kandi kwirinda gusenya folikula bisanzwe no gutera imyanya myinshi y'amazi mu mabya. Inyinshi iragenda yihindura, ariko rimwe na rimwe ishobora kwikora cyangwa kwisenyuka kandi ikisaba gusimburwa.
Fata gahunda yo gusura mu cyumweru gitaha niba:
- Amamesa adasanzwe aracyariho nyuma y'ukwezi kwa gatatu
- Ubone igituza gishya
- Kubyimbira ni kose kugutuma utarya
- Uwiteka arimo kugabanyuka cyangwa ibimenyetso bishya by'agahinda byagaragaye
- Ibiheri cyangwa impinduka mu kwikora bitakubangamira
- Wibagiwe imihango kandi ko ikizamini cyo gutwita cyari kinini cyari cyarananiranye
Bimwe muri ibi bikwiye kuganirwa mbere yo gufata tablet ya mbere.
Vugana na muganga mbere yo gutangira niba:
- Ushora
- Ufite indwara y'umwijima cyangwa amateka y'uburwayi bw'ibere
- Ufite amaraso adasanzwe mu gitsina utazi impamvu
- Ufata carbamazepine, rifampin, cyangwa St. John's wort
Ibisigaye bya norethindrone birushijeho amezi atatu birasaba guhindura, ntabwo byasaba gutegereza
Igihe ibyo bisigaye bya norethindrone bimara ni ikibazo buri rupapuro rw'imiti rwigana na "amezi umwe kugeza kuri atatu" hanyuma rukagenda. Urubuga ruhagije: kubyimbira, ugukomera kw'ibere, kubabara umutwe n'ububabare bwo mu mutwe bisanzwe bigenda mu mezi umwe kugeza kuri atatu atangira. Impinduka mu kuvugurura amaraso zirambana. Ariko ukwezi kwa gatatu ni igihe cyo gufata icyemezo, ntabwo cyo gutanga icyizere.
Ku kwezi kwa kane, muganga yakagombye kwemeza ko utatwite, gusuzuma igihe cyo gufata imiti yawe, gusubiramo imiti igufasha, gusuzuma hemoglobin niba amaraso yari menshi, no kuganira ku guhindurira kuri pilule ya drospirenone gusa, pilule ihuriro, cyangwa IUD ya progestine. Impamvu yanjye, igihe ikibazo ari imiti yo gutwita itari igihe ku muntu udashobora kugera ku isaha 3, ni uguhera ku mitsi ya drospirenone gusa cyangwa IUD aho kwihanganira kurushaho.
Ntubwire ko uhagaritse hagati mu gupakira mugihe utegereje iyo gahunda uretse niba ufite uburyo bwa kabiri. Iyo tegeko rya masaha 48 rirema mu gihe uhagaritse.
Niba amamesa adasanzwe, kubyimbira cyangwa kubabara umutwe bikiriho ku kwezi kwa kane, gusura kuri murandasi kwa August kuri $39 ni intambwe yizewe: umuganga wemewe muri Amerika asuzuma ibimenyetso byawe nibyo wahisemo kandi agafata icyemezo niba ibyo kwandikwa, guhinduranya, cyangwa gusuzuma byihutirwa bikwiye. Kwemeza kubireba uko bibishobora. Gusura kwa videwo ntishobora gukora imyanya ndangagitsina, ultrasound, cyangwa imiti yo mu bipimo, kandi ntishobora kwemeza ko utatwite hanze y'ubugumba. Uwo murimo ugomba gukorwa mu buryo bwa nyaho.
Guhagarika norethindrone: iminsi y'imihango yawe iragaruka, ariko ubushobozi bwo gutwita bugusubira mbere
Ibisigaye bya norethindrone mugihe uhagaritse kubikoresha ni cyane cyane ibyo wagize bikaba bihangange. Nta gahunda yo kwirinda ni ngombwa. Nta bwoko bwo kwirinda gutanga.
Tegereza kubona amaraso nyuma yo kurangiza igihe cyo gufata imiti ya acetate ya mg 5, hanyuma ibihe bitazubahirije bisubira mu ishusho yawe bwite. Ugukomera kw'ibere, kubyimbira, amamesa adasanzwe n'ibibazo byo kwishira mu mwanya bifitanye isano na hormone by'ibisanzwe bigenda uko bivuyemo igihe gikuraho. Ibiheri n'impinduka mu kwikora byikurikirana, rimwe na rimwe mu cyumweru.
Igice gikomeye ni igice gisa n'icyizewe. Gusya imitsi irashobora kugaruka vuba cyane, bityo ibyumweru bibiri nyuma yo guhagarika ni igihe cyo gutwita kutateganyijwe kandi ku gikomeye, kuko ibisigaye by'imiti birimo kuboneka kandi bikaba byerekana ko bikwiye kuguma. Ntabwo bikora. Tangira uburyo bushya ku munsi wohagaritse.
Hamagara niba imihango itagarutse mu gihe cy'amezi atatu yo guhagarika, cyangwa niba amara agarutse menshi kurusha uko byari bimeze mbere yo gufata imiti.
Ibibazo byinshi bibazwa
Nshobora gufata norethindrone nk'umubyeyi ufite impinja?
Yego. Imiti ya progestine gusa ni yo yihitamo y'imiti yo gutwita igihe ufite impinja kuko nta estrogene irimo, ari yo igice cyegereye kugabanya ubunini bw'amata. Igice cyo gutangira nyuma yo kubyara kiracyatandukana hashingiwe ku byihutirwa by'umuntu ku giti cye, bityo wemeze igihe cyo gutangira na muganga cyangwa muganga uyobora ubuvuzi bwawe nyuma yo kubyara aho kwemeza ko imiti iriho ariyo.
Norethindrone irinda HIV cyangwa izindi STI?
Oya. MedlinePlus (NIH) iragaragaza ko imiti ya progestine gusa ntaho ituruka ku kurinda HIV cyangwa indwara zandura zitsindwa mu gitsina. Macupa ni yo yonyine ifite uburyo bwo kwirinda, kandi kuyikoresha hamwe na norethindrone birakwiye haba kubera kwirinda gutwita. Kugaragaza buri gihe STI bikomeza kuba ikindi kiganiro cy'uburyo bwo kwirinda na muganga wawe.
Nshobora gukora iki niba nkora cyangwa nshushubya vuba nyuma yo gufata norethindrone?
Rimwe na rimwe umubare ntubone ubwo bwashiramo. Niba uburwayi cyangwa kugorana kwinshi bibaho mu gihe cyamasaha atatu yo gufata tablet, traktura umubare nk'uwibagiwe: gufata undi vuba uko ushoboye, kwirinda ko idafata umwanya wayo, kandi ukurikire tegeko rya CDC ryo kwirinda hakoreshejwe uburyo bwo kwirinda kugeza imiti yari ku gihe ku minsi ibiri yikurikiranya.
Norethindrone ituma ibiheri byiyongera kuruta imiti ihuriro yo gutwita?
Rimwe na rimwe. Imiti ihuriro ikunze kugabanya ibiheri kuko estrogene igabanya estrogene, mu gihe imiti ya progestine gusa nta kwishura kandi ishobora gutuma uruhu rwa bamwe rugera ku gikomere. Ibiheri ni kimwe mu bisigaye bya norethindrone bikwiye kuvugwa nk'impamvu yo guhinduranya aho kwihanganira. Hagati aho, urugero nka benzoyl peroxide ni ingirakamaro.
Hari imiti ya placebo mu gupakira norethindrone, kandi nshobora kwirinda icyumweru?
Oya. Impakiro zisanzwe za minipill zifite tablet 28 zikora nta rugero rwa placebo kandi nta gihe gisa n'igikoreshwa, ni yo mpamvu nta kintu cyo kwirinda. Fungura igipaki kimwe kandi utangire ikindi ku munsi ukurikiyeho. Gutangira igipaki gishya byihutirwa bifite impamvu isa n'iyibagirwa, hamwe n'itegeko rya masaha 48 ryo kwirinda risanzwe.
Iby'ingenzi
Kuvugurura amaraso guharanira ibyo bisigaye bya norethindrone kandi akenshi byitezwe, ariko kwitura pad buri saha, amara akarenza iminsi irindwi, cyangwa kubabara bikabije mu nda ntibyo. Isaha 3 y'igihe cyo gufata imiti isobanura amamesa adasanzwe kuruta uko abantu benshi bakwibaza. Ibibazo byoroheje bimara amezi atatu ni impamvu yo guhindura imiti, ntabwo yo kwihanganira ukundi kwezi.
Inyandiko: Ingingo iyi ni iy'amakuru gusa kandi ntisobanura inama z'ubuvuzi. Komeza kuvugana na muganga ufite ubushobozi kugira ngo ufate icyemezo cyo gusuzuma no kwivuza. Niba uri mu bihe bikomeye by'ubuvuzi, hamagara 911 cyangwa jya ku bitaro byihutirwa hafi yawe.
