Ese urimo gutekereza ku kuboneza urubyaro? Cyangwa imihango yawe ntigera ku gihe? Ahari muganga wawe yakubwiye gukoresha "ikinini" ku ndwara y'ibiheri cyangwa ku yindi mpamvu. Nubwo hari inkuru nyinshi muri sosiyete zivuga kuri ibi binini byitwa ibinini byo kuboneza urubyaro, abantu benshi ntibazi neza ibyo ari byo. Uyu munsi rero turabivugaho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.
Mu magambo make, ibi binini byo kuboneza urubyaro ni ibihe?
Ibinini byo kuboneza urubyaro ni ibinini birimo imisemburo ikoreshwa mu kubuza umugore gusama. Bitwa kandi 'Oral Contraception' kuko bigomba gufatwa mu kanwa buri munsi. Mu rurimi rwacu, byitwa "ibinini". Ku bantu benshi, ibi byabaye nk'ibisanzwe mu buzima bwabo bwa buri munsi.
Ariko hari ikintu cy'ingenzi cyane. Iyo ufata ibi binini buri munsi, ku gihe , bigira akamaro kangana na 99% mu kwirinda gutwita. Ariko, ugereranije n'ubundi buryo bwo kuboneza urubyaro nka agakingirizo, ibi binini ntabwo bitanga uburinzi ku ndwara zandurira mu mibonano mpuzabitsina (STIs). Kubwibyo, kugira ngo wirinde izo ndwara, ni ngombwa gukoresha ubundi buryo bwo kwirinda (nk'agakingirizo) mu gihe ufata ibi binini.
Ni ubuhe bwoko bw'ingenzi bw'ibinini byo kuboneza urubyaro?
Hari ubwoko bubiri bw'ingenzi bw'ibinini byo kuboneza urubyaro. Byombi birimo imisemburo ikubuza gusama.
| Ubwoko bw'ibinini | Ibisobanuro |
|---|---|
| Ibinini bivanze | Ubu ni bwo bwoko bukunze gukoreshwa cyane. Ibi binini birimo estrogen na progestin. |
| Ibinini bya Progestin gusa | Ibi kandi byitwa "mini pill." Ubwo bwoko bushobora kuba bwiza cyane niba wonsa, ufite amateka yo kubyimba kw'amaraso mu maguru cyangwa mu bihaha (venous thromboembolism), cyangwa warigeze kugira stroke. Ibi biterwa nuko imisemburo ya estrogen idakwiye kuri bene abo bantu. |
Byongeye kandi, hari ubwoko bw'ibinini byo kuboneza urubyaro byitwa "ibinini bya mu gitondo nyuma yo kubyara." Ntabwo ari ibinini bikunze gufatwa buri munsi. Bikoreshwa gusa mu bihe byihutirwa, ni ukuvuga iyo ubundi buryo bwo kuboneza urubyaro bwananiwe.
Ibi binini bikora bite imbere mu mubiri?
Biroroshye cyane. Imisemburo iri muri ibi binini ikora ibintu bitatu by'ingenzi.
- Guhagarika cyangwa kugabanya intanga ngore: Ibi bivuze kubuza irekurwa ry'igi mu ntanga ngore. Iyo nta gi, nta kintu na kimwe intanga ngore ishobora gutera.
- Ukwijima kw'inkondo y'umura: Ibi bikora nk'imbogamizi ku ntanga ngore zinjira mu mura. Ukwijima kw'intanga ngore bituma bigora intanga ngore kwinjira mu mura.
- Gucukura igice cy'imbere cy'umura: Nubwo igi ryaba ryaratewe intanga ngabo mu buryo runaka, urukuta rw'umura ntirugira aho rushobora kwinjirira no gukura.
Ubu buryo butatu ni bwo butuma inda idatwita.
Ni gute nkwiye gufata ibinini? Ni ryari?
Iki ni cyo gice cy'ingenzi cyane. Ni ngombwa gufata ibinini neza nk'uko muganga wawe abikubwiye. Kurikiza amabwiriza ari ku ikarita y'ibinini neza. Ikarita y'ibinini iboneka mu ngano itandukanye.
Ibinini bivanze
Akenshi, hari ubwoko bubiri bw'ibinini ku ikarita y'ibinini: ibinini "Bikora" n'ibinini "Bidakora". Ibinini bikora birimo imisemburo. Ibinini bidakora (rimwe na rimwe biba bifite ibara ritandukanye) byitwa ibinini bya placebo. Ibi bihari kugira ngo bigufashe gukomeza gahunda yawe ya buri munsi y'ibinini.
| Ubwoko bw'ikarita y'ibinini | Uburyo bwo gukoresha |
|---|---|
| Ikarita y'ibinini by'iminsi 28 | Ugomba gufata ibinini bitanga imbaraga (birimo imisemburo) iminsi 21 n'ibinini bidatanga imbaraga (bidafite imisemburo) iminsi 7. Uzagira imihango (kuva amaraso) mu cyumweru ufata ibinini bidatanga imbaraga. |
| Ikarita y'ibinini y'iminsi 21 | Fata ibinini bizima mu minsi 21, hanyuma usimbuke iminsi 7 ikurikiraho. Imihango yawe izaba muri iki cyumweru udafite ibinini. (Ariko ibuka gutangira ipaki nshya ku munsi wa 29!) |
| Amakarita y'ibinini by'igihe kirekire (paki z'iminsi 91) | Ufata ibinini bizima ubudasiba mu gihe cy'ibyumweru 12 (amezi 3), hanyuma ufata ibinini bizima mu minsi 7 iri imbere. Ukoresheje ubu buryo, uzajya ugira imihango yawe inshuro enye gusa mu mwaka. |
Ibinini bya Progestin gusa (Ibinini bito)
Iyi paki y'ibinini ubusanzwe iba irimo ibinini 28 bikora. Igihe cyo kuyifata ni ingenzi cyane. Ugomba kuyifata icyarimwe buri munsi (mu gihe cy'amasaha atatu) . Urugero, niba ufata ikinini saa moya za mu gitondo umunsi umwe hanyuma saa yine n'igice za mu gitondo ku munsi ukurikiyeho (usibye amasaha 3.5), ushobora kuba ufite ibyago byo gusama.
Bite ho niba nibagiwe gufata ikinini?
Ibi bishobora kuba kuri buri wese. Ntugahangayike.
Fata ikinini ukimara kucyibuka. Hanyuma ufate ikinini gikurikira ku gihe gisanzwe.
Ariko, niba wasibye ikinini, menya neza ko ukoresha ubundi buryo bwo kuboneza urubyaro (nk'agakingirizo) mu minsi 7 iri imbere . Niba wasibye ikinini mu minsi myinshi, vugana na muganga wawe vuba kugira ngo akugire inama.
Uretse kwirinda gutwita, hari izindi nyungu izi miti zifite?
Yego rwose! Nubwo abantu benshi batabizi, ibinini byo kuboneza urubyaro bifite akamaro kenshi ku buzima. Hari igihe abaganga babitanga kubera izo mpamvu, atari ukuboneza urubyaro gusa.
- Bigenga imihango yawe kandi bigabanya kuva amaraso menshi.
- Igabanya kuribwa mu nda no kubabara umutwe biva mu mihango.
- Birinda amaraso make mu mubiri binyuze mu kugabanya amaraso atakaza.
- Bigabanya ibimenyetso byo mu gihe cyo gucura nka PMS (Premenstrual Syndrome).
- Bifasha mu kugenzura ibiheri n'imikurire y'umusatsi mu mubiri udakenewe (hirsutism).
- Ikoreshwa mu kuvura indwara nka Polycystic Ovary Syndrome (PCOS) na Endometriosis.
- Bigabanya ibyago byo kurwara ubwoko bumwe na bumwe bwa kanseri, cyane cyane kanseri y'intanga ngore na kanseri y'umura.
Ni izihe ngaruka n'ingaruka zikunze kugaragara?
Kimwe n'indi miti iyo ari yo yose, hari abantu bashobora kugira ingaruka nke iyo batangiye gufata ibinini byo kuboneza urubyaro. Ariko ntugahangayike, inyinshi muri zo zizashira mu mezi make.
Ingaruka mbi nto:
- Isesemi
- Umutwe
- Kubabara cyangwa kubyimba mu ibere
- Guhinda umushyitsi
- Kuva amaraso make hagati y'imihango (kugaragara kw'ibitotsi)
Niba izi ngaruka mbi zitarangiye nyuma y'amezi make, vugana na muganga wawe. Ushobora guhindura ubwoko bw'ibinini bikubereye.
Ingaruka zikomeye ariko zidasanzwe:
Umubare muto w'abantu bafata ibinini bivanze (birimo estrogen) bashobora kugira ibyago byo kuvura amaraso. Ibi bishobora gutera indwara nka Deep Vein Thrombosis (DVT), Pulmonary Embolism, Stroke na Heart Attack.
Ariko ibi ni gake cyane. Mbere yo kuguha ikinini, muganga wawe azareba amateka y'umuryango wawe n'amateka y'ubuzima bwawe kugira ngo aguhitiremo ikinini cyiza kurusha ibindi.
"Ese gufata ibinini bizagutera kuba munini?"
Iki ni ikibazo abantu benshi bibaza. Ubushakashatsi bwinshi bwagaragaje ko ibinini byo kuboneza urubyaro bidatera kwiyongera cyangwa kugabanuka ibiro mu buryo butaziguye .
Ni ubuhe bwoko bw'ikinini cyiza kuri njye?
Ibyo ni ibya muganga wawe. Azasuzuma ibintu byinshi, harimo imyaka yawe, ubuzima bwawe, n'imibereho yawe, kugira ngo aguhe ikinini gikwiye kandi cyizewe.
Amaherezo, ikinini cyiza kuri wewe ni icyo ushobora kwibuka gufata buri munsi kandi gihuye n'imibereho yawe. Kubera ko abantu benshi batwita igihe bakoresha iki kinini bagitwara kuko batagifashe neza.
Niba bigoye gufata ikinini buri munsi, ganira na muganga wawe ku bundi buryo bwo kuboneza urubyaro bw'igihe kirekire (urugero: gushyiramo ikinini, icyuma gishyirwa mu nda y'umubyeyi (IUD), inshinge).
Ubutumwa bwo kujyana mu rugo
- Ibinini byo kuboneza urubyaro ni uburyo bwiza cyane bwo kwirinda gutwita iyo bikoreshejwe neza kandi ku gihe buri munsi.
- Ibi binini ntabwo bitanga uburinzi ku ndwara zandurira mu mibonano mpuzabitsina (STIs). Menya neza ko ukoresha ubundi buryo, nk'agakingirizo.
- Uretse kwirinda gutwita, bitanga inyungu nyinshi ku buzima, nko gutanga ukwezi kudasanzwe, kugabanya ibiheri, no kugabanya ibyago byo kurwara kanseri zimwe na zimwe.
- Ingaruka mbi zigaragara mu ntangiriro z'ikinini akenshi ziba iz'igihe gito. Iyo zikomeje, vugana na muganga wawe.
- Ni ngombwa kumenyesha muganga wawe indi miti yose ufata ndetse n'amateka y'ubuzima bwawe.
- Buri gihe shaka inama za muganga wawe kugira ngo amenye uburyo bwo kuboneza urubyaro bukubereye.
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