Gucura ni igihe gisanzwe mu buzima bwa buri mugore. Ariko, impinduka zizanwa na byo rimwe na rimwe zishobora kugorana kwihanganira. Ushobora kuba warigeze kugira ibintu nko kubira ibyuya bitunguranye (ubushyuhe), kudasinzira, no kumererwa nabi mu byiyumvo. Mu gihe nk'iki, muganga wawe ashobora kuba yarakuganirije ku bijyanye no kuvura imisemburo. Imwe muri iyo miti ni Estrogens ziterwa na Esterified. Reka tubiganireho mu buryo bworoshye kandi busobanutse.
Uyu ni ubwoko ki bw'umuti?
Muri make, Estrogens za Esterified ni ubwoko bw'ibinini birimo imisemburo ya estrogen y'abagore. Bikunze gutangwa nk'umuti w'ibibazo bibaho iyo umubiri wacu ufite urugero rwa estrogen nkeya mu buryo busanzwe.
Hari uburyo bwinshi bw'ingenzi uyu muti ukoreshwamo:
- Kubabara nyuma yo gucura: Kugenzura ibimenyetso, cyane cyane ubushyuhe.
- Irinda kugabanya amagufwa: Uyu muti ufasha mu kwirinda indwara yo kugabanya amagufwa, indwara ishobora gutera gucura.
- Ku bagore bafite imisemburo mike: Hari abagore bamwe na bamwe baba bafite imisemburo mike ya estrogen mu mubiri wabo. Ibi kandi binahabwa abo bagore.
- Nyuma yo Gukuraho Ikibyimba cy'Intanga: Niba intanga zawe zarakuweho, ibi binatangwa nk'uburyo bwo kuvura ikibazo cy'ibura ry'imisemburo.
- Kuri kanseri zimwe na zimwe: Uyu muti ushobora no gukoreshwa mu kuvura ubwoko bumwe na bumwe bwa kanseri, nka kanseri y'ibere cyangwa kanseri ya prostate.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira uyu muti, ni ngombwa cyane kuganira na muganga wawe ku buzima bwawe bwose nta kintu na kimwe uhisha. Menya neza ko wabibwiye muganga wawe niba warigeze cyangwa waragize kimwe muri ibi bikurikira:
| Imiterere y'ubuzima | Icyo ukeneye kumenyesha |
|---|---|
| Amateka ya kanseri | Niba warigeze kugira cyangwa urwaye kanseri y'ibere, y'inkondo y'umura, y'umura, y'intanga, cyangwa y'umwijima. |
| Ibibazo by'amaraso n'umutima | Indwara z'imitsi y'amaraso, kubyimba kw'amaraso, indwara z'umutima, indwara y'umutima iherutse gutera, indwara zo mu bwonko, umuvuduko ukabije w'amaraso, cholesterol nyinshi. |
| Ibibazo by'abagore | Kuva amaraso mu gitsina kudasanzwe, kuba utarakorewe gysterectomy. |
| Izindi ndwara | Indwara nka diyabete, indwara y'agahinda k'inkari, indwara y'umwijima, indwara y'impyiko, migraine, indwara yo kwibagirwa, urugero rwinshi rwa kalisiyumu mu maraso, na Systemic Lupus Erythematosus (SLE). |
| Ingeso n'ubwivumbure | Niba unywa itabi, ugira ubwivumbure ku misemburo, indi miti, ibiryo, cyangwa amarangi. |
| Gutwita no konsa | Niba utwite, ugerageza gusama, cyangwa wonsa. |
Uyu muti nkwiye kuwukoresha nte?
Mirira iki kinini n'ikirahure cy'amazi. Fata urugero rwanditswe gusa, nk'uko muganga wawe yabigutegetse. Gira akamenyero ko gufata umuti wawe icyarimwe buri munsi. Ibi bizagufasha kwibuka gufata umuti wawe gake. Ntugafate imiti irenze iyo muganga wawe akubwira.
Igikuru ni uko uyu muti ari uwawe gusa. Ntugahe uyu muti inshuti yawe ifite ibimenyetso bimwe nawe. Ubuzima bwa buri wese buratandukanye.
Bite ho nintakaza urugero rw'umuti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose wibagiwe.
Bite ho iyo mfashe imiti myinshi?
Niba ufite amakenga make ko wafashe uyu muti urenze urugero,Hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo ako kanya. Cyangwa ujye mu Kigo cyita ku Buvuzi bwihutirwa (ETU) cy'ibitaro biri hafi. Ntugafate ibi nk'ibi byoroshye.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Indi miti ufata ishobora kugira ingaruka kuri iyi misemburo. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo vitamine, imiti y'ibimera, n'inyongeramusaruro).
By'umwihariko, imiti ikurikira ntigomba gufatwa hamwe n'uyu muti:
- Inzobere mu gukumira aromatase nka aminoglutethimide, anastrozole, na exemestane.
Hashobora kandi kuba hari ibibazo bikurikira:
- Barbiturates nka phenobarbital
- Karubamazepine
- Antibiyotike nka clarithromycin na erythromycin
- Umutobe w'imbuto z'imizabibu
- Imiti ivura indwara z'ibihumyo, nka ketoconazole na itraconazole
- Imiti nka rifampin na ritonavir
- Igiti cy'umuti wa St. John's Wort
Ibintu ugomba kuzirikana mu gihe ufata imiti
Ugomba kwita ku mubiri wawe cyane mu gihe ufata uyu muti.
Kwisuzumisha kwa muganga buri gihe
Mu gihe ufata ubu buvuzi, ni ngombwa kujya kwa muganga wawe buri gihe . Ubusanzwe uzakenera gupimwa ibere, gupimwa Pap smear, no gupimwa ikibuno. Nanone, ganira na muganga wawe niba ugomba gupimwa na mammograms, kandi ukurikize amabwiriza ye.
Kubika amazi no kunywa itabi
Uyu muti rimwe na rimwe ushobora gutuma amazi asigara mu mubiri, kubyimba amaboko, ibirenge, intoki n'utuguru. Ushobora kandi kongera umuvuduko w'amaraso. Niba uhuye n'ibi, bwira muganga wawe.
Umuburo w'ingenzi cyane: Kunywa itabi mu gihe ufata uyu muti byongera cyane ibyago byo kurwara indwara yo kubyimba kw'amaraso no gucika intege mu bwonko. Ibi nibyo bikomeye cyane cyane niba ufite imyaka irenga 35. Kubwibyo, ni byiza cyane kwirinda kunywa itabi burundu mu gihe ufata uyu muti.
Ingaruka zijyanye n'umura
Keretse iyo nyababyeyi yawe yakuweho (hysterectomy), gukoresha ibinini bya estrogen gusa igihe kirekire bishobora gutuma igice cy'imbere cy'intanga ngore (endometrium) kiba kinini cyane. Iyi ndwara yitwa endometrial hyperplasia. Ibi bishobora kuvamo kanseri y'intanga ngore nyuma.Kugira ngo ugabanye ibi byago, muganga wawe azakwandikira indi misemburo yitwa progestin hamwe n'iki kinini cya estrogen. Baza muganga wawe ikibazo icyo ari cyo cyose ufite kuri ibi.
Ni izihe ngaruka mbi ubona?
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe muri zo ni mbi cyane, izindi ni izisanzwe.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| Ingaruka mbi ugomba guhita umenyesha muganga wawe | |
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| Ingaruka mbi zigomba kumenyeshwa muganga niba zikomeje cyangwa zibangamiye | |
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Ubutumwa bwo kujyana mu rugo
- Estrogens zikozwe mu buryo bwa Esterified ni umuti w'ingenzi ushobora gufasha mu bibazo byinshi bifitanye isano no gucura, ariko ugomba gukoreshwa gusa ku nama za muganga.
- Menya neza ko wabwiye muganga wawe amateka y’ubuzima bwawe bwose, indi miti ufata, hamwe n’ubwivumbure ubwo aribwo bwose ushobora kugira.
- Niba ugize ingaruka mbi zikomeye nko kubabara mu gatuza, kugira ibisebe bitunguranye, kuribwa umutwe cyane, cyangwa kuva amaraso adasanzwe, shaka ubufasha kwa muganga byihutirwa.
- Irinde kunywa itabi burundu mu gihe ufata uyu muti. Bishobora guteza ingaruka zikomeye ku buzima.
- Rinda ubuzima bwawe witabira isuzuma rya muganga buri gihe.
- Uyu muti ni uwawe gusa. Ntukigere uwusangira n'abandi.
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