Bw’olowooza ku nkola z’okuteekateeka amaka, osanga olowooza ku mpeke z’omira buli lunaku oba empiso z’ofuna buli luvannyuma lwa myezi mitono. Naye owuliddeko empeta entono, ekyukakyuka ng’oyambala munda mu bukyala? Eno era nkola nnungi nnyo ey’okuteekateeka amaka. Leero, ka twogere ku mpeta eno ey'obukyala, `Empeta y'obukyala`. Mu Sri Lanka, oyinza okuba nga wali owuliddeko wansi w’erinnya lya ‘NuvaRing`.
Mu ngeri ennyangu, empeta eno ey’obukyala kye ki?
Eno mpeta ntono ekoleddwa mu buveera obugonvu era obutangaavu obukozesebwa abakyala mu kutegeka amaka. Kirimu ebika by’obusimu bibiri. Zino ze zino: estrogen ne progestin. Okubeera omutuufu, erimu eddagala lya `Etonogestrel` ne `Ethinyl Estradiol`.
Empeta eno bw’ogiyingiza mu bukyala, efulumya obusimu buno mu mubiri gwo mu ngeri ey’obukkakkamu ennyo, efugibwa. Obusimu buno obubiri bwe bugatta awamu bukola ebintu bibiri ebikulu:
1. Atangira Ovulation: Ayimiriza okufulumya eggi buli mwezi okuva mu nkwaso z’omukyala. Awatali ggi, olubuto teruyinza kubaawo.
2. Okugonza omusulo gw’omumwa gwa nnabaana: Omusulo oguli ku mulyango oguyingira mu nnabaana gugonvuwa, ekizibu ensigo okuwuga okuyingira mu nnabaana.
Empeta eno y’engeri gy’ekukuuma obutafuna lubuto.
Ebintu by’olina okutegeeza omusawo nga tonnaba kukozesa ddagala lino:
Empeta eno tesaanira buli muntu. N’olwekyo bw’oba oyogera n’omusawo wo, kakasa nti oyogera ku mbeera yonna wansi. Kino kikulu nnyo eri obukuumi bwo.
| Ekika ky’embeera y’obujjanjabi | Embeera z’osaanidde okuloopa |
|---|---|
| Obuzibu bw’omutima n’emisuwa | Puleesa, obulwadde bw’omutima oba okulwala omutima gye buvuddeko, okusannyalala, okuzimba omusaayi mu misuwa, omuwendo gwa kolesterol oba triglyceride omungi. |
| Kookolo | Bw’oba olina oba olina kookolo w’amabeere, ow’omumwa gwa nnabaana, ow’omu nnabaana, ow’enkwaso oba ow’ekibumba. |
| Embeera endala ez’obujjanjabi | Ssukaali, obulwadde bw’ekibumba, obulwadde bw’ekibumba, obulwadde bw’ennywanto, omutwe ogulumwa omutwe, lupus (SLE), Obutabeera na Protein C/S. |
| Engeri y’obulamu n’ensonga endala | Bw’oba onywa ssigala (naddala ng’osukka emyaka 35), ng’obadde waakazaala, n’oggyamu olubuto, ng’anaatera okulongoosebwa oba ng’ovuddemu omusaayi mu bukyala obutali bwa bulijjo. |
| Okufuna embuto ne alergy | Bw’oba oli lubuto oba ng’ogezaako okufuna olubuto, bw’oba oyonsa, oba ng’olina alergy eri obusimu oba eddagala eddala oba emmere. |
Ddala empeta eno ogikozesa otya?
Enkola y’okukozesa kino nnyangu nnyo, naye kikulu nnyo okugoberera enkola yennyini.
1. Wiiki 3 mu, wiiki 1 ebweru: Yingiza empeta mu bukyala ng’omusawo bw’akulagidde. Kino kisaana okusigala mu kifo okumala wiiki 3 (ennaku 21) .
2. Okuggyawo: Oluvannyuma lwa wiiki 3 zennyini, ggyayo empeta ku lunaku lwe lumu lwe wagiyingiza (e.g., bw’oba ogiyingiza ku Ssande, olwo ku Ssande oluvannyuma lwa wiiki 3).
3. Okuwummulamu wiiki emu: Ojja kwetaaga obutaba na mpeta okumala wiiki eddako (ennaku 7) . Mu kiseera kino, ojja kuba n’ensonga yo (withdrawal bleeding).
4. Okuyingiza empeta empya: Nga wayise wiiki emu ddala ng’owummudde, ku lunaku lwe lumu empeta eyasooka lwe yaggyibwawo (mu kyokulabirako kyaffe, Ssande eddako), wandibadde oyingiza empeta empya .
Okugeza bw’oba owulira ng’empeta yo evuddemu, oba ng’obuusabuusa oba eriwo, gikebere amangu ago. Bw’oba tomanyi bbanga lye limaze nga liri bweru, oyinza okuba mu bulabe bw’okufuna olubuto. Mu kiseera ekyo weekebeze olubuto oyogere n’omusawo wo.
Singa empeta ogiteekako kikeerezi, oba bw’egwa okola ki?
Obuwanguzi bw’enkola eno businziira ku ngeri gy’okwataganamu n’enzirukanya eno. Bw’osubwa olunaku lwe wandibadde oyingiza empeta, oba ng’emaze essaawa ntono ng’efuluma, obukuumi bwo obutafuna lubuto buyinza okukendeera. Kuba essimu y’omusawo wo amangu ago akuwe amagezi. Era kiba kya magezi okukozesa engeri endala ey’okuziyiza okuzaala, gamba nga kondomu okutuusa lw’akugamba.
Ebintu by'otolina kukozesa na mpeta eno (Drug Interactions)
Eddagala eddala ly’omira liyinza okukwatagana n’obusimu obuli mu mpeta eno, ne likendeeza ku bulung’amu bwayo oba okwongera ku buzibu obuvaamu. N’olwekyo buulira omusawo wo ku ddagala lyonna, vitamiini n’ebimera by’omira.
| Amannya gano temugakozesa wamu! | |
|---|---|
| Weewale okukozesa empeta eno n’eddagala erimu eriwonya obulwadde bwa Hepatitis C (nga Dasabuvir; ombitasvir; paritaprevir; ritonavir), ebizigo by’obukyala ebirimu amafuta oba silicone. | |
| Buulira omusawo wo bw’oba omira eddagala lino. | |
| Eddagala eriwonya yinfekisoni | Eddagala eritta obuwuka n’ery’enkwa nga Rifampin ne Griseofulvin. |
| Eddagala eriweweeza ku bulwadde bw’okusannyalala/ okukonziba | Nga eddagala lya Carbamazepine, Phenytoin, Topiramate. |
| Eddagala eriwonya akawuka ka siriimu | Eddagala erimu eritta akawuka. |
| Ebintu ebikolebwa mu muddo | Ensigo ya Yokaana Omutukuvu. |
| Lala | Acetaminophen (Paracetamol), Warfarin, eddagala lya sukaali, obusimu bwa thyroid, n’eddagala eddala lingi. |
*Olukalala luno terunnaggwa. Kale nsaba otegeeze omusawo wo ku buli kimu ky’omira.*
Ebintu by’olina okwegendereza ng’okozesa
- Weewale okunywa sigala: Okunywa sigala kya bulabe nnyo singa oba okozesa eddagala ery’ekika kino eriziyiza okuzaala ery’obusimu. Okunywa sigala kyongera nnyo ku bulabe bw’okuzimba omusaayi n’okusannyalala naddala ng’osukka emyaka 35.
- Okukeberebwa abasawo: Lambula omusawo mu budde era okebere. Tobuuka bintu nga okukebera amabeere ne Pap smears.
- Endwadde z’ekikaba:
- Amabala ku lususu: Abakyala abamu bayinza okufuna amabala ga kitaka (cholasma) mu maaso. Embeera eno esobola okwonooneka ng’omuntu ali mu musana. Kale, weekuume omusana era kozesa eddagala eriziyiza omusana.
- Dozi esukkiridde: Singa olw’ensonga yonna oteebereza nti olina eddagala erisukkiridde, genda mangu mu National Poisons Information Center mu ddwaaliro ly’eggwanga oba mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.
- Empeta y’obukyala nkola ya cyclical birth control nga bagiyingiza okumala wiiki 3, ne bagiggyamu okumala wiiki emu, oluvannyuma ne bagiyingizaamu empya.
- Wadde kino kikuuma obutafuna lubuto, tekirina bukuumi bwonna ku ndwadde z’ekikaba (STIs), omuli ne siriimu.
- Bw’oba onywa sigala ate ng’olina emyaka egisukka mu 35, emikisa gy’okuziyira omusaayi giba mingi nnyo. Weewale ddala okunywa sigala.
- Buulira omusawo wo ku ddagala lyonna, vitamiini, n’ebirungo by’omuddo by’omira.
- Noonya mangu omusawo singa ofuna ebizibu byonna eby’amaanyi ng’okulumwa ennyo mu kifuba, okukaluubirirwa okussa, okuzimba amagulu oba okulumwa ennyo omutwe.
- Singa empeta egwa oba weerabira okugiyingiza ku lunaku lwe wategese, weebuuze ku musawo mu bwangu.
Ekisinga obukulu nti empeta eno ekukuuma obutafuna lubuto lwokka. Tekukuuma ku ndwadde z’ekikaba (STI) nga siriimu (Mukenenya). Kikulu nnyo okukozesa enkola ey’okuziyiza nga kondomu.
Biki ebisuubirwa okuvaamu?
Okufaananako n’eddagala lyonna, lino liyinza okuvaako ebizibu. Ebimu bya siriyaasi, ebimu bya bulijjo.
| Ebizibu eby’amaanyi ebirina okuloopebwa eri omusawo mu bwangu | |
|---|---|
| Obubonero bw’okuzimba omusaayi | Okulumwa amagulu, okuzimba, okumyuuka, okukaluubirirwa okussa, okulumwa mu kifuba. |
| Obubonero bw’okusannyalala | Okuziyira oba okunafuwa mu maaso, omukono oba okugulu okw’amangu, okukaluubirirwa okwogera, okulumwa omutwe ennyo, okukyuka mu kulaba. |
| Obuzibu mu kibumba | Obulumi mu lubuto olwa waggulu ku ddyo, olususu oba amaaso okufuuka ekya kyenvu, omusulo omuddugavu, omusulo nga guddugavu. |
| Obubonero obulala obw’amaanyi | Allergy (okusiiyibwa kw’olususu, okusiiwa, okuzimba mu maaso/emimwa), omutwe okweyongera, okwennyamira, okulumwa mu bukyala, okufulumya amazzi mu ngeri etaali ya bulijjo, obubonero bw’obulwadde bwa Toxic Shock Syndrome (TSS) n’omusujja. |
| Ebizibu ebitera okubaawo naye nga birina okuloopebwa eri omusawo singa bibaawo | |
|---|---|
| Okulumwa amabeere oba okunyiga | Ekikeeto |
| Okugenda mu nsonga ezitali za bulijjo oba okubeera n’amabala | Okweyongera okugejja katono |
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