Byose wifuza kumenya ku bijyanye n'urushinge rwo kuboneza urubyaro (Depo-Provera®)

Ese uri umuntu utekereza gutinda kubyara igihe gito? Ese ubona bigoye kwibagirwa gufata ibinini byo kuboneza urubyaro buri munsi? Noneho ushobora kuba warumvise iby'uru rukingo rwo kuboneza urubyaro rutangwa buri mezi atatu. Nubwo abantu benshi baruvugaho, ntibazi neza icyo ari cyo, uko rukora, n'ibyiza n'ibibi byarwo. Uyu munsi rero turaganira kuri uru rukingo rwa Depo-Provera®.

Uru rukingo rwa Depo-Provera® ni iki mu by'ukuri?

Mu magambo make, Depo-Provera® ni urushinge rwo kuboneza urubyaro. Rurimo umuti witwa medroxyprogesterone acetate. Hari n'abantu barwita "urushinge rwa Depo." Muganga wawe agutera uru rushinge mu kuboko cyangwa mu kibuno. Ikintu cyiza ni uko ukeneye kurufata rimwe gusa mu byumweru 12 (ni ukuvuga amezi 3) . Iyo ubikoze neza ku gihe, bigira ingaruka 99% mu kwirinda gusama. Ariko twese rimwe na rimwe twibagirwa ibintu. Hari igihe dusiba dose. Rero, iyo ukoresheje ubu buryo busanzwe, bigira ingaruka 96%. Ibyo bivuze ko abagore 4 kuri 100 bakoresha ubu buryo bazatwita mu mwaka umwe.

Uru rukingo rukora rute imbere mu mubiri?

Ibi birashishikaje cyane. Urushinge rwa Depo-Provera® rugizwe n'umusemburo witwa progestin. Iyo uyu musemburo winjiye mu mubiri wacu, ukora ibintu bibiri by'ingenzi. 1. Guhagarika intanga ngore : Ubusanzwe, intanga ngore z'umugore zirekura igi rimwe mu kwezi. Ibi tubyita intanga ngore . Umwana asamwa gusa iyo iri gi rihuye n'intanga ngore. Bityo urushinge ruhagarika irekurwa ry'igi. Aho nta gi rihari, nta buryo bwo gutwita bubaho. 2. Bigabanya umwotsi wo mu mura: Urushinge rugabanya umwotsi wo mu mura. Hanyuma biragoye cyane ko intanga ngore zinjira mu mura . Ni nko gufunga umuhanda. Ubu buryo bubiri burinda gutwita neza cyane.

Uru rukingo narubona nte?

Iki si ikintu ushobora kugura muri farumasi. Nta gushidikanya ko ugomba kujya kwa muganga ukabona imiti ya muganga. Ubusanzwe, ivuriro ry’umuryango wawe cyangwa ikigo cy’ubuvuzi cya muganga wawe gishobora kuguha urukingo. Izo mbwa zigira izihe ngaruka? Hari amahitamo kuri ibi? Niba umwana wanjye w’igihe cyose abonetse, bazahita batanga uru rukingo nta kibazo. Hariho kandi ubwoko bw’uru rukingo rushobora guterwa munsi y’uruhu (`Depo-subQ Provera 104`). Ariko ntabwo ari ibintu bisanzwe cyane mu gihugu cyacu. Niba ubyifuza, ushobora kuvugana na muganga wawe.

Nigute natangira gukoresha urukingo kandi ni ryari natangira kubona uburinzi?

Iyo umaze kumenya neza ko udatwite, ushobora gutangira gukoresha uru rukingo umunsi uwo ari wo wose w'ukwezi kwawe. Akenshi, muganga wawe azagusaba gupima inda mbere yo kuguha urukingo. Ni ingenzi cyane gufata urukingo rukurikira nyuma y'ibyumweru 12 by'umuti wa nyuma. Iyo ubuze itariki, ushobora kuba ufite ibyago byo gusama.

Ese uru rukingo ntirukwiriye buri wese?

Yego, ubu buryo si bumwe bujyanye na bose. Hari indwara zimwe na zimwe zishobora gutuma habaho ibyago byo kubona uru rukingo. Kubwibyo, ni ngombwa kubwira muganga wawe amateka yawe yose y'ubuzima. Uru rukingo akenshi ntirugirwa inama niba ufite kimwe muri ibi bikurikira:

• Niba ufite amaraso mu gitsina aturutse ku mpamvu itazwi
• Indwara z'umwijima
• Niba kanseri y'ibere igaragaye
• Indwara ya Lupus
• Niba warigeze kugira indwara y'umutima cyangwa indwara yo gucika kw'imitsi

Ese umubyeyi wonsa ashobora kubikoresha?

Yego, ariko hari ikintu kimwe gito ugomba kwitaho. Umuti muto cyane uri muri uru rukingo ushobora kwinjira mu mashereka. Kubwibyo, abaganga bakunze kugira inama yo gutegereza kugeza umwana wawe afite nibura ibyumweru 6 mbere yo gutangira urukingo. Inama nziza kuri ibi ni ukuwuhabwa na muganga wawe.

Ingaruka mbi ni izihe? Ese nkwiye guhangayikishwa n'ibi?

Nk’uko bimeze ku muti uwo ari wo wose, uru rukingo rushobora gutera ingaruka zimwe na zimwe. Nubwo atari buri wese urwakira, izikunze kugaragara cyane ni izi:

• Gufata imihango idakurikije amategeko: Iyi ni yo ngaruka zikunze kugaragara cyane. Mu mezi make ya mbere, imihango ishobora kuba idakurikije amategeko, kuva amaraso make mu minsi mike. Ariko , nyuma y'umwaka umwe ukoresheje urukingo, abagore bagera kuri 55% bahagarika burundu imihango. Iyi si indwara, kandi si ikintu cyo gutinya. Kugira imihango buri kwezi si ngombwa kugira ngo ugire ubuzima bwiza.
• Kwiyongera ibiro: Yego, ibi bishobora kubaho kuri bamwe. Dukurikije ubushakashatsi bumwe, abantu bakoresheje uru rukingo mu gihe cy'umwaka biyongera ibiro bigera kuri 2.2. Ariko ibi ntibibaho kuri buri wese.
• Osteopenia: Iki ni ikibazo. Gukoresha Depo-Provera igihe kirekire bishobora gutuma ubucucike bw'amagufwa bugabanuka gato. Niyo mpamvu abaganga bakunze gutekereza kabiri ku gukoresha urwo rukingo mu gihe kirenga imyaka ibiri.
• Izindi ngaruka mbi: Hari abantu bashobora kugira ibintu nko kubyimba , kuribwa umutwe no kuzerera, kwiheba no guhangayika.

Niba ufite gushidikanya kuri kimwe muri ibi, ikintu cyiza wakora ni ukuganira na muganga wawe.

Reka turebe ibyiza n'ibibi by'urukingo muri make.

Mbere yo guhitamo uburyo ubwo aribwo bwose bwo kuboneza urubyaro, ni ngombwa kumenya ibyiza n'ibibi byabwo.

Ibyiza	Imbogamizi
Ntabwo ugomba kwibuka gufata ibinini buri munsi. Rimwe gusa mu mezi atatu.	Ingaruka mbi (nk'ubwiyongere bw'ibiro, imihango idahwitse) zishobora kubaho.
Nta kintu na kimwe ukeneye gukora mbere yo gukora imibonano mpuzabitsina.	Nta bwirinzi ku ndwara zandurira mu mibonano mpuzabitsina (STIs).
Iyo bifashwe mu gihe gikwiye, bigira ingaruka nziza cyane.	Kuri bamwe, kubonana na muganga buri byumweru 12 bishobora kugorana.
Hari abantu bagabanuka ububabare bwo mu mihango no kuva amaraso menshi.	Bishobora gufata igihe (ubusanzwe amezi agera ku 10) kugira ngo wongere utwite nyuma yo guhagarika urukingo.
-	Gukoresha igihe kirekire bishobora kugira ingaruka ku bucucike bw'amagufwa.

Ese nshobora kongera kubyara nyuma yo guhagarika urukingo?

Birashoboka rwose. Ariko hashobora kubaho gutinda gato. Nyuma yo guterwa urushinge rwa nyuma, akenshi bifata amezi agera ku 10 kugira ngo uburumbuke bugaruke kandi utwite umwana. Ibi bishobora gutandukana bitewe n'umuntu ku wundi. Rero, niba wifuza kubyara vuba, ubu buryo bushobora kuba butari bwo bwiza kuri wewe. Ni byiza kubiganiraho na muganga wawe hanyuma ugafata umwanzuro.

Ubutumwa bwo kujyana mu rugo

• Depo-Provera® ni urushinge rwiza cyane rwo kuboneza urubyaro rufatwa buri mezi atatu.
• Ibi bikora mu guhagarika intanga no gukaza ururenda rw'inkondo y'umura.
• Guhagarara mu mihango ku buryo butunguranye hanyuma ugahagarara burundu ni ibintu bisanzwe cyane kandi si ikibazo cy’uburwayi.
• Uru rukingo ntirukwiriye buri wese. Ugomba kuganira na muganga wawe uko ubuzima bwawe buhagaze mbere yo gufata icyemezo.
• Hashobora kubaho gutinda kongera gutwita nyuma yo guhagarika urukingo.
• Ni ngombwa gukurikiza inama za muganga, kuko ubucucike bw'amagufwa bugomba kwitabwaho iyo ukoresheje mu gihe kirenze imyaka ibiri.
• Icy'ingenzi: Uru rukingo ntirurinda indwara zandurira mu mibonano mpuzabitsina (STIs), harimo na virusi itera SIDA. Ni ngombwa gukoresha agakingirizo.

👩🏽‍⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)

💬 Ni izihe mbogamizi zo gusigwa inshinge zo kuboneza urubyaro (Depo-Provera) zitangwa buri mezi 3?

Nyuma yo guhabwa uru rukingo, bamwe mu bagore bagira imihango idahwitse cyangwa ihagarara burundu. Bashobora kandi kugira ingaruka mbi nko kwiyongera ibiro, gutakaza umusatsi, no guhinduka mu buryo butunguranye.

💬 Ese ni ukuri ko gukoresha uru rukingo bigabanya intege z'amagufwa?

Yego, ni ukuri. Hari ibyago byo kurwara indwara y'amagufwa mu gihe ukomeje gufata uru rukingo mu gihe kirenga imyaka ibiri. Niyo mpamvu abaganga bavuga ko utagomba kurukoresha igihe kirekire.

💬 Bitwara igihe kingana iki kugira ngo umwana ahabwe umwana nyuma yo guhagarika gukingirwa?

Kenshi na kenshi, hari abantu bagira ingorane zo gusama kugeza ku mezi 10 nyuma yo guhagarika uru rukingo. Bityo rero, ubu buryo ntabwo bugira ingaruka nziza cyane niba wifuza kubyara umwana vuba.