Opill ni pusi ya mbere yo kwirinda gutwita yemererwa kugurishwa nta nyemerezo yanditse, yo mu bwoko bwa progestin gusa, ushobora kugura utagombye kubona impapuro zanditse na muganga. Mu gihe imiti yemejwe na muganga harimo uburyo bwinshi butandukanye (pusi zihuriza hamwe estrogene na progestin, umwenda wambara ku mubiri, impeta, IUDs, igiti cyo mu mubiri, n'uruhinje). Inyungu ikomeye ya Opill ni ukuntu iboneka nta nyemerezo yanditse kandi nta ngaruka zishamikiye kuri estrogene; uburyo bworoshywa na muganga buha amahitamo menshi kandi bufashwa na inama z'umuhanga mu by'ubuzima. Nta nimwe muri yo ishobora kuvugwa ko ari “nziza kuruta iyindi” mu buryo busanzwe, ahubwo ikiza kigendana n'ibyo ukeneye, kandi uru rugero rugufasha kubyishakira.

IBY'INGENZI CYANE

  • Opill ni pusi ya progestin gusa isanzwe igurishwa, nta nyemerezo yanditse, nta estrogene, itwarwa buri munsi.
  • Inyungu zayo: iraboneka ku buryo bworoshye, kandi yirinda ingaruka za estrogene (byiza niba utashobora gufata estrogene).
  • Pusi za progestin gusa zishobora gukora neza iyo zifashwe ku gihe cyagenwe buri munsi.
  • Amahitamo yanditse na muganga atanga uburyo bwinshi (uburyo bwa estrogene, IUDs, igiti cyo mu mubiri, ruhinje) hamwe n'inama z'umuhanga mu by'ubuzima.
  • Ihitamo ryiza rikorana n'ubuzima bwawe, ibyo ukunda, n'uburyo ushaka ubufasha.

Icyo Opill ari cyo

Gusobanura vuba kuri uburyo bushya. Opill (norgestrel) ni pusi yo kwirinda gutwita irimo progestin gusa, rimwe na rimwe yitwa “mini-pill”, yemererwa na FDA kugurishwa nta nyemerezo yanditse, bikaba bikozwe ko ari imiti ya mbere yo mu kanwa yo kwirinda gutwita buri munsi iboneka muri Amerika nta nyemerezo yanditse, nk’uko bigaragara kuri ACOG. Ushobora kuyigura mu mbuga zicururizamo imiti no mu maduka (ndetse no kuri interineti) kandi ugahita ufata pusi imwe buri munsi kugira ngo wirinde gutwita. Kubera ko irimo progestin gusa kandi nta estrogene, yirinda ingaruka zih specific za estrogene, ibi bikaba ari inyungu ikomeye ku bantu benshi (urubuga rwacu rwerekeye ingaruka za Opill rirerekana ibyo wakwirindira). Ikora cyane cyane cyane ku gufunga impano y’umuhogo w’umuhuro no guhindura imikorere y’uburyo umuntu ashobora gutwita. Ikintu gikurura cyane ni ububoneke: nta gahunda, nta nyemerezo yanditse, nta kibazo cyo kwisuzumisha, ibi bikaba bikuraho imbogamizi ikomeye ku bantu benshi bashaka kwirinda gutwita. Ariko ububoneke ni kimwe mu bintu, niyo mpamvu kugereranya n’uburyo busabwa na muganga bifite icyo byumvikanaho.

Inyungu za Opill

Aho Opill ibonerana neza, mu by'ukuri. Icya mbere, ububoneke: nta nyemerezo yanditse, nta gahunda, nta mafaranga yo kujya kwa muganga, ushobora gutangira kwirinda gutwita ku munsi wahisemo, ibi bikaba bifite agaciro kanini ku bantu batabona serivisi z'ubuvuzi ku buryo bworoshye. Icya kabiri, nta estrogene: uburyo buhuza estrogene (bukungahayeho estrogene) ntibubere abantu bose, kandi ibintu bibibuza, nk'uko kunywa itabi ku bantu bafite imyaka 35 kuzamuka, umuvuduko ukabije w'amaraso, amateka y'ububare bwo gusaza cyangwa indwara y'umutima, n'ibicurundi bifite aura, nk’uko bigaragara ku bisabwa na CDC, ntibireba ku pusi ya progestin gusa nka Opill. Bityo rero ku bantu badashobora cyangwa bakwiye gufata estrogene, Opill ni amahitamo meza koko bashobora kubona badasabye umuhanga mu buvuzi ngo agire icyo abasobanurira ku bijyanye na estrogene. Icya gatatu, ubwigenge n'ubworoherane: kugura ku isoko birorosye kandi ntibigaragare. Ibi ni inyungu nyazo, kandi ku muntu ubikwiye, Opill ni amahitamo meza cyane.

Aho imiti yanditswe na muganga ifite akamaro

Ibyo ku rundi ruhande, byerekanwa neza. Imiti yanditswe na muganga itanga amahitamo menshi n’inama zifashisha, ibi bikaba bifite akamaro ku bantu bamwe. Uburyo butandukanye: uburyo bwanditse na muganga burimo pusi zihuza estrogene na progestin (abantu bamwe bakunda kugira imisohore isanzwe, kandi idahindagurika n’imikorere myiza y’imihindagurikire y’imihindagurikire y’imihindagurikire, umwenda wambara ku mubiri n’impeta, n’uburyo bworoshye cyane bworoshye bworoshye bworoshye bushobora gutwarwa inshuro zirenze izo, nka IUDs n’igiti cyo mu mubiri, ndetse n’uruhinje. Niba ushaka uburyo “buhageze ukayireka” cyangwa inyungu z’estrogene mu gihe cy’imihindagurikire, ibyo bisabwa na muganga gusa. Kwihutira kwihutira: pusi za progestin gusa nk’Opill zishobora kugombye kwirinda cyane ku gihe kimwe buri munsi kugira ngo zikore neza, ufite intego nkeya kuruta pusi zihuza, bityo niba gusohora buri munsi bigoye, uburyo bworoshye bworoshye bushobora kuba bwiza. Inama: umuhanga mu by’ubuzima (ku muntu cyangwa kuri telefoni) ashobora kugufasha guhitamo mu buryo bwinshi hashingiye ku buzima bwawe, ibyo ukunda, n’intego zawe, ibi abantu bamwe bashima, cyane cyane niba batari beza icyo bihuje. Bityo rero ubuvuzi busabwa na muganga buratsinda ku mahitamo no gutanga inama.

Uko wahitamo (n’uko wabona uburyo busabwa na muganga)

Ibyo byose tubihuje, hano ni uko wabitekerezaho. Opill ni amahitamo akomeye niba ushaka kubona ku buryo bworoshye nta nyemerezo yanditse, ntushobora cyangwa ukunda kutarya estrogene, kandi ushobora gufata pusi buri gihe ku gihe kimwe. Imiti yanditswe na muganga ni byiza niba ushaka amahitamo menshi, ukunda uburyo bworoshye cyane (IUD, igiti cyo mu mubiri) cyangwa uburyo bwa estrogene kugira ngo ugire imihindagurikire myiza, cyangwa ushaka ubufasha bw’umuhanga mu guhitamo. Benshi mu bantu batangira na Opill kubera ko iboneka ku buryo bworoshye kandi bagahindura nyuma niba itari myiza, cyangwa se bakigira ku buryo bwa muganga. Niba ushaka amahitamo yanditswe na muganga, ubusabe bwa telehealth bugomba kwishyura $39 burimo gusuzuma amakuru yawe no kuguhugurira uburyo bukwiriye, kandi urubuga rwacu rwose rwerekeye uburyo bwo kubona imiti yo kwirinda gutwita kuri interineti rirerekana inzira zindi. Nta gisubizo kimwe, ahubwo ni amahitamo akwiriye.

IBIBZO BIKUNZE KWIBAZWA

Ni irihe tangiriro ry’ingenzi hagati ya Opill n’imiti yanditswe na muganga?
Opill ni pusi ya progestin gusa isanzwe igurishwa (nta nyemerezo yanditse, nta estrogene), mu gihe imiti yanditswe na muganga harimo uburyo bwinshi, pusi zihuza estrogene, umwenda wambara ku mubiri, impeta, IUDs, igiti cyo mu mubiri, ruhinje, hamwe n’inama z’umuhanga mu by’ubuzima. Opill iratsinda ku buboneke; uburyo busabwa na muganga buratsinda ku buryo bwinshi n’inama. Icyiza kigendana n’ibyo ukeneye.

Opill ifite akamaro nk’imiti yanditswe na muganga?
Pusi za progestin gusa nk’Opill zikora neza iyo zafashwe neza, ku gihe cyagenwe buri munsi, ibi bikaba bifite akamaro kugira ngo zikore neza. Pusi zihuza estrogene zanditswe na muganga zifite akamaro bisa, kandi uburyo bworoshye cyane bworoshye (IUDs, igiti cyo mu mubiri) ni bwo bwakora cyane kuko budasaba kwibuka buri munsi. Kwihanganira ni byo by’ingenzi ku pusi.

Nshobora kubona Opill nta nyemerezo yanditse?
Yego, ni icyo iranga, Opill iboneka mu buryo busanzwe mu mbuga zicururizamo imiti, mu maduka, no kuri interineti nta nyemerezo, gahunda, cyangwa ibihe bisabwa. Ushobora kuyitangira ku munsi wahisemo, ibi bikaba bikuraho imbogamizi ikomeye ku bantu benshi bashaka kwirinda gutwita.

Kuki nahitamo Opill aho guhitamo pusi yanditswe na muganga?
Kubera ko iboneka ku buryo bworoshye nta nyemerezo yanditse, niba utashobora cyangwa ukunda kutarya estrogene (Opill ntirimo estrogene, ikirinda ingaruka za estrogene), kandi niba ushobora gufata pusi buri munsi ku gihe kimwe. Ni amahitamo meza ku bantu bashaka gutangira kwirinda gutwita badafite gahunda yo kwa muganga kandi badashaka uburyo bwa estrogene.

Kuki nahitamo imiti yanditswe na muganga aho kwishyiriraho?
Kubera ko hari amahitamo menshi, uburyo bwa estrogene (abantu bamwe bakunda guhuza imihindagurikire y’imihindagurikire y’imihindagurikire y’imihindagurikire), IUDs n’igiti cyo mu mubiri (nta pusi yo buri munsi yo kwibuka), cyangwa ruhinje, kandi kubera ubufasha bw’umuhanga mu guhitamo ibikwiriye. Niba gusohora buri munsi bigoye, uburyo bworoshye cyane bworoshye bushobora kuba bwiza.

Opill irimo estrogene?
Oya, Opill irimo progestin gusa, ni yo mpamvu yirinda ingaruka za estrogene kandi ntibisabwa kwisuzumisha nk’uko bisabwa ku buryo burimo estrogene (ku bintu nk’uko kunywa itabi ku bantu bafite imyaka 35 kuzamuka, umuvuduko ukabije w’amaraso, cyangwa amateka y’ububare). Ibi bikaba bikora ko ari amahitamo meza ku bantu badashobora gufata estrogene.

Nshobora kwimuka hagati ya Opill n’uburyo busabwa na muganga?
Yego, benshi mu bantu batangira n’imwe bagahindura niba itari myiza. Niba gusohora kwa Opill buri munsi bigoye, uburyo bworoshye cyane bworoshye bushobora kuba bwiza; niba ushaka kwirinda gusura muganga, Opill iboneka. Umuganga ashobora kugufasha mu guhindura. Nta kintu gifungwa.

Njyana nte imiti yo kwirinda gutwita yanditswe na muganga nshaka ko yaba?
Binyuze mu gusura kuri telefoni (ubusabe bugomba kwishyura $39 bushobora kugusuzuma no kuguhugurira vuba iyo bikwiriye), umuganga w’abakobwa, cyangwa rimwe na rimwe mu gihe cya vuba. Uburyo burimo estrogene busabwa kwisuzumisha amaraso mbere, kandi uburyo bworoshye cyane bworoshye (IUD, igiti cyo mu mubiri) bisaba ko bikorwa mu mubiri.