Uri gutekereza ku buryo bwo kuboneza urubyaro? Noneho ushobora kuba uzi uburyo bwinshi ubu bwo guhitamo. Hari ibintu byinshi nk'ibinini byo kuboneza urubyaro, imiti igabanya ubukana bwa IUD, udukingirizo. Muri ubwo buryo, uburyo buvugwa cyane kandi bworoshye ni uburyo bwo kuboneza urubyaro buri kwezi. None rero uyu munsi, reka tuvuge kuri bumwe muri ubwo buryo, uburyo bwo kuboneza urubyaro, bukorwa hifashishijwe imisemburo ibiri yitwa `Estradiol Cypionate` na `Medroxyprogesterone`. Niba ubizi neza, bizoroha guhitamo uburyo bukunogeye, sibyo?
Mu magambo make, uru ni urukingo rw'ubwoko ki?
Uru ni urushinge rw'imisemburo rwagenewe by'umwihariko abagore kugira ngo birinde gusama batabishaka. Mu magambo make, ni urushinge rutangwa buri kwezi . Urushinge rumwe rutanga uburinzi bwo kuboneza urubyaro mu gihe cy'ukwezi kumwe (hafi iminsi 28-30).
Irimo ubwoko bubiri bw’imisemburo ibiri ikorwa mu mubiri w’umugore mu buryo busanzwe. Iyi misemburo ni estrogen na progestin. Iyi misemburo yombi ikorana kugira ngo ihagarike umubiri wawe gutanga intanga, ari na yo mpamvu igi riva mu ntanga ngore. Nanone igabanya ururenda mu ntangangore yawe, bigatuma intanga ngore zigorwa no kwinjira. Uku ni ko urinda gutwita.
Icy'ingenzi: Nubwo uru rukingo rwahagaritswe mu bihugu bimwe na bimwe, nka Leta Zunze Ubumwe za Amerika, inkingo nk'izo zikoreshwa mu bihugu bitandukanye, harimo na Sri Lanka. Ni byiza kuvugana na muganga wawe mbere yo gufata icyemezo niba rukubereye cyangwa rutakubereye.
Ni ibihe bintu ugomba kubwira muganga mbere yo gukingirwa?
Mbere yo gukoresha uru rukingo, ni ngombwa cyane ko muganga wawe asobanukirwa neza uko ubuzima bwawe buhagaze. Uru rukingo rw'imisemburo ntirujyanye n'indwara zimwe na zimwe. Niba warigeze cyangwa warigeze kugira imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe.
| Indwara ufite/wagize | Kuki ari ngombwa kubibwira muganga ? |
|---|---|
| Niba uri umunywi w'itabi | Kunywa itabi, cyane cyane niba ufite imyaka irenga 35, byongera cyane ibyago byo kubyimba amaraso no gucika intege mu gihe bivanze no guterwa inshinge z'imisemburo. |
| Indwara z'imitsi y'amaraso, kuziba kw'amaraso, cyangwa indwara yo gucika kw'imitsi | Uru rukingo rushobora kongera ibyo byago. |
| Kanseri y'ibere, iy'inkondo y'umura, iy'umura, iy'intanga, cyangwa iy'umwijima | Kanseri zishingiye ku misemburo zishobora kwiyongera cyane. |
| Kuva amaraso mu gitsina bitasobanuwe | Impamvu y'ibi igomba kubanza gusuzumwa. |
| Umuvuduko ukabije w'amaraso, indwara z'umutima, cholesterol nyinshi | Izi ndwara zishobora kugorana iyo hakoreshejwe imisemburo. |
| Diyabete | Urugero rw'isukari mu maraso rushobora guhinduka. |
| Migraine, indwara y'umwijima cyangwa impyiko | Izi ndwara zishobora kongera cyangwa zikagira ingaruka ku mikorere y'umuti. |
| Niba utwite cyangwa ugerageza gutwita | Uru rukingo ntirugomba gutangwa mu gihe cyo gutwita. |
Byongeye kandi, ntukibagirwe kuvuga ku byerekeye ubwivumbure ubwo aribwo bwose ufite ku yindi miti, ibiryo, cyangwa amarangi.
Uru rukingo rukoreshwa rute?
Iyi si inshinge ushobora kuyitera uri mu rugo. Iterwa mu mitsi yawe (akenshi mu matako cyangwa ku kuboko) na muganga cyangwa umuforomo wabyigiye .
- Urukingo rwa mbere: Urukingo rwa mbere rutangwa mu minsi 5 ya mbere uhereye igihe imihango yawe itangiriye.
- Hanyuma: Ugomba gupimwa inshinge buri kwezi (buri minsi 28-30). Ni ngombwa cyane ko amatariki agumana ukuri.
Wakora iki niba usibye umunsi wo gukingirwa?
Ni ngombwa gufata inshinge yawe ku munsi wagenwe kugira ngo ukomeze kurinda uburyo bwo kuboneza urubyaro. Niba usibye umunsi wagenwe, hamagara muganga wawe cyangwa ivuriro vuba kugira ngo uhindure gahunda. Niba hashize iminsi irenga 33 (ibyumweru birenga 4) kuva watewe inshinge ya nyuma, uzakenera gukora ikizamini cyo gutwita mbere yuko uhabwa inshinge itaha.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Indi miti ufata ishobora kugabanya ubushobozi bw'iyi miti yo kuboneza urubyaro. Ibi bivuze ko niba ufata iyi miti hamwe n'iyo miti, ushobora kuba ufite ibyago byo gusama. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata.
Dore ingero zimwe na zimwe:
- Amwe mu matibayotike - cyane cyane akoreshwa mu kuvura igituntu, nka Rifampin.
- Imiti itangwa ku ndwara y'igicuri (ifite ibibazo) - nka 'Carbamazepine', 'Phenytoin', 'Topiramate'.
- Imiti ivura ubwandu bwa virusi itera SIDA - nka `Ritonavir`.
- Inyongeramusaruro z'ibimera - cyane cyane umutobe wa St. John.
- Imiti irwanya imiyoboro.
Uru rutonde ntabwo rurambuye. Kubwibyo, menya neza ko wabwiye muganga wawe imiti yose ufata (harimo na vitamine, Panadol, imiti ya Ayurvedic, ibikomoka ku bimera) , inyongeramusaruro iyo ari yo yose ufata, ndetse niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kuzirikana mugihe uhabwa urukingo
- Kunywa itabi no kuvura amaraso: Nkuko twabivuze mbere, iki ni ikintu cy'ingenzi cyane . Niba ufata inshinge nk'iyi y'imisemburo, cyane cyane niba ufite imyaka irenga 35, kunywa itabi byongera cyane ibyago byo kurwara amaraso, indwara z'umutima, no gucika imitsi. Kubwibyo, turakugira inama ikomeye yo kwirinda kunywa itabi burundu ku bw'umutekano wawe.
- Imbaraga z'amagufwa: Iyo uru rukingo rumaze igihe kirekire (imyaka irenga 2), hari amahirwe ko urugero rwa kalisiyumu mu mubiri ruzagabanuka kandi amagufwa agacika intege (Osteoporose). Kubwibyo, keretse ubundi buryo bwo kuboneza urubyaro butagukwiriye, ongera uganire na muganga wawe ku bijyanye no gukomeza gukoresha uru rukingo mu gihe kirenga imyaka 2. Shaka kandi inama z'uburyo wabona kalisiyumu na vitamine D kugira ngo amagufwa yawe akomeze gukomera.
- Nta bwirinzi ku ndwara zandurira mu mibonano mpuzabitsina: Ibi nabyo ni ingenzi cyane. Uru rukingo rurinda gutwita, ariko ntabwo rutanga uburinzi ubwo aribwo bwose kuri SIDA (SIDA) cyangwa izindi ndwara zandurira mu mibonano mpuzabitsina (STDs). Kubwibyo, kugira ngo wirinde izo ndwara, ugomba gukoresha uburyo bwo kwirinda indwara nk'udukingirizo.
- Gusuzumwa kwa muganga buri gihe:Mu gihe ufata uru rukingo, ni ngombwa kujya kwa muganga wawe buri gihe kugira ngo agupime. Ni ngombwa ko ujya usuzuma amabere buri gihe no gupimwa Pap smears.
- Kurenza urugero: Kubera ko uru rukingo rutangwa n'umuganga, ibyago byo kurenza urugero ni bike cyane. Ariko, niba ukeka ko ibi byabaye, hita umenyesha Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo cyangwa Ishami rishinzwe kuvura byihutirwa (ETU) riri hafi yawe.
Ni izihe ngaruka mbi zishobora kubaho?
Nkuko bigenda ku muti uwo ari wo wose, uru rukingo rushobora kugira ingaruka mbi. Zimwe ni mbi cyane, izindi ni izisanzwe. Ni ngombwa kubimenya.
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse (jya mu ishami ry’ubutabazi bwihuse - ETU) | |
|---|---|
| ⚫ Kuribwa umutwe cyane mu buryo butunguranye | ⚫ Kubabara mu gituza, kugorwa no guhumeka |
| ⚫ Guhinduka kw'amaso (kubona nabi, kubona kabiri) | ⚫ Kugorwa no kuvuga cyangwa kumva, gutakaza kwibuka |
| ⚫ Gucika intege cyangwa intege nke mu maso, mu kuboko, cyangwa mu kuguru (cyane cyane ku ruhande rumwe rw'umubiri) | ⚫ Ububabare, kubyimba, gutukura, n'ubushyuhe mu kuguru (ibimenyetso by'amaraso yapfutse) |
| ⚫ Uruhu cyangwa amaso birahinduka umuhondo, inkari zijimye, amabyi yera asa n'aho ari make | ⚫ Ikibyimba cyangwa impinduka mu ibere, kuva amaraso mu ibere |
| Ibisanzwe, ariko bwira muganga wawe niba bikomeje cyangwa bikubangamiye. | |
| ⚫ Kubabara ibere cyangwa gufungana | ⚫ Guhindagurika kw'amarangamutima, kwiheba guke |
| ⚫ Kubabara mu gifu, kuzura igifu | ⚫ Impinduka mu kwezi k'imihango, kuva amaraso make |
| ⚫ Gutakaza umusatsi, impinduka z'ibiro | ⚫ Kuryarya mu gitsina, ibimenyetso by'ubwandu |
Niba ubonye ibindi bimenyetso bidasanzwe bitavuzwe kuri uru rutonde, vugana na muganga wawe ku byerekeye ibyo bimenyetso.
Ubutumwa bwo kujyana mu rugo
- Uru ni urushinge rwo kuboneza urubyaro rutangwa rimwe mu kwezi.
- Mbere yo kubona urukingo, banza ubwire muganga wawe indwara zawe zose n'imiti yose ufata.
- Uru rukingo ntabwo rutanga uburinzi ku ndwara zandurira mu mibonano mpuzabitsina, harimo na virusi itera SIDA. Koresha uburyo nk'agakingirizo.
- Niba unywa itabi, cyane cyane umugore urengeje imyaka 35, uru rukingo rushobora kutagukwiriye kuko ibyago byo kubyimba amaraso no gucika intege mu bwonko biri hejuru cyane.
- Niba ugize ingaruka zikomeye nko kubabara mu gatuza, guhumeka nabi, kuvuga nabi, cyangwa kugira ibisebe ku ruhande rumwe rw'umubiri, jya ku ishami rishinzwe ubutabazi bwihuse (ETU) riri hafi yawe.
- Mbere yo guhitamo uburyo ubwo aribwo bwose bwo kuboneza urubyaro, ganira na muganga wawe ku byiza n'ibibi byabwo hanyuma uhitemo uburyo bukunogeye.
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