Ese nawe uhura n'ibi bibazo nyuma yo gucura? Reka tuvuge ku gitambaro cya (Estradiol; Levonorgestrel)!

Gucura ni ikintu gisanzwe mu buzima bw'umugore, ariko bimwe mu bibazo bishobora kugorana kwihanganira, si byo se? Ibimenyetso nk'ubushyuhe butunguranye, ibyuya, n'"ubushyuhe bwinshi" rimwe na rimwe bishobora kudashobora kugenzurwa. Ntushobora gusinzira nijoro, kandi ugomba kuguma unaniwe umunsi wose. Si ibyo gusa, ushobora no kumva udatuje kandi urakaye. Uko igihe kigenda gihita, amagufwa yawe ashobora gucika intege no kuvunika byoroshye, bishobora gutera indwara yitwa "Osteoporosis". Rero, umuti umwe ushobora gukoresha kugira ngo ugufasha mu gihe nk'iki ni agace ka "(Estradiol; Levonorgestrel)". Reka tubiganireho birambuye uyu munsi, si byo se?

Iki gipande cya `(Estradiol; Levonorgestrel)` ni iki? Gikora iki?

Mu magambo make, aka ni agace gato ushyira ku ruhu rwawe. Karimo ubwoko bubiri bw'imisemburo yitwa `(Estradiol)` na `(Levonorgestrel)`. Ese wari uzi ko mu gihe cyo gucura, urugero rw'imisemburo yitwa `(Estrogen)` na `(Progestin)` mu mubiri wacu rugabanuka. Aka gace gafasha kugarura urugero rw'imisemburo rugabanuka ku rugero runaka.

None se ni iyihe nyungu ibi bizakuramo?

• Igabanya ubushyuhe: Iki ni kimwe mu bibazo by'ingenzi bizanwa no gucura. Iki gitambaro gifasha kugabanya ubu burwayi n'inshuro bukunze kubaho.
• Ifasha mu kwirinda indwara ya osteoporosis: Nyuma yo gucura, amagufwa aba afite amahirwe menshi yo gucika intege. Iyi patch inafasha mu kuyirinda.

Ibi akenshi biza ku izina ry'ikirango `(Climara Pro)`. Ariko, iki si ikintu gikorera buri wese. Kubwibyo, ni byiza kuvugana na muganga kugira ngo umenye neza niba ibi bikubereye.

Ni ibihe bintu ngomba kubwira muganga mbere yo gukoresha uyu muti?

Mbere yo gutangira gukoresha iki gikoresho, hari indwara ugomba kubwira muganga wawe. Kuko, bishobora guteza akaga umuntu ufite ibi binini gukoresha iki gikoresho. Tekereza gato, niba ufite kimwe muri ibi bintu, ntukibagirwe kubibwira muganga wawe , sibyo?

• Niba ufite indwara y'imitsi y'amaraso cyangwa amateka y'ibibazo nk'imitsi ifungana/amaraso afunganye.
• Niba ufite cyangwa warigeze kugira kanseri y'ibere, inkondo y'umura, endometrium, cyangwa nyababyeyi.
• Niba urwaye diyabete (Diabetes Mellitus).
• Niba ufite ikibazo cya `Endometriosis` (uturemangingo tw'inda tumera hanze ya nyababyeyi).
• Iyo hari ibibyimba nka ``(Fibroid)`` mu mura .
• Niba ufite indwara y'agasabo k'inkari.
• Niba ufite indwara y'umutima cyangwa uherutse kugira indwara y'umutima.
• Iyo urugero rwa cholesterol mu maraso ruri hejuru cyane.
• Niba ufite umuvuduko w'amaraso ukabije.
• Iyo urugero rwa kalisiyumu mu maraso ruri hejuru cyane.
• Niba warigeze gucibwa igitsina (ugomba kubiganiraho na muganga wawe, kuko uburyo bwo kuvura imisemburo rimwe na rimwe bushobora guhinduka).
• Niba ufite indwara y'impyiko.
• Niba ufite indwara y'umwijima.
• Niba ufite ihungabana ryo mu mutwe.
• Niba ufite umutwe urwaye migraine.
• Niba ufite indwara idakunze kugaragara mu maraso yitwa 'Porphyria'.
• Niba wigeze kugira ikibazo nk'indwara yo mu bwonko.
• Niba ufite indwara y’ubudahangarwa bw’umubiri nka `Systemic lupus erythematosus (SLE)`.
• Niba unywa itabi.
• Kuva amaraso mu gitsina bibaho nta mpamvu.
• Niba ufite ikibazo cy'ubwivumbure kuri estrogen, imisemburo ya progestin, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita.
• Niba wonsa umwana.

Uru rutonde ni rurerure gato, ariko ku bw'umutekano wawe, ni ngombwa cyane kubiganiraho na muganga wawe.

Ni gute ukoresha iyi patch neza neza?

Ibi biroroshye cyane, ariko ni byo koko bigomba gukorwa.

1. Kangura witonze agapaki karimo agace. Ntugakoreshe ikintu nk'imikasi, kuko bishobora gukata agace.

2. Kuraho agace gakomeye gakingira ku ruhande rw'agace gafata. Gerageza kwirinda gukora ku ruhande rw'agace gafata ku buryo bushoboka.

3. Shyira agace, uruhande rw'agace gafatana rureba uruhu, kugira ngo uruhu rworoshye, rwumuke kandi rutagira ubwoya. Ubusanzwe, inda yo hasi n'amatako niho hantu heza ho gushyira agace.

4. Ntugashyire ahantu hari ibikomere, uruhu rwavunitse, inkovu, cyangwa uruhu rubi.

5. Ntugashyire ku mabere cyangwa hafi y'ikibuno.

6. Mu gihe ushyira agace k'uruhu ku gasatsi buri gihe, ntugashyire ahantu hamwe nk'uko byari bimeze mbere. Ugashyire ahantu hatandukanye gato. Ibi bizafasha kugabanya uburibwe bw'uruhu.

7. Ntugace cyangwa ngo ugabanye agace.

8. Ntugahagarike gukoresha ibi utabanje kuvugana na muganga wawe.

9. Keretse muganga wawe yabigutegetse, ntugashyiremo ibirahure birenze kimwe icyarimwe.

Iyo uhawe uyu muti kandi ukawuhabwa nanone, uzahabwa urupapuro rwo "kongera kuzuza". Rufite amakuru menshi kuri uyu muti. Ntukibagirwe kuwusoma witonze buri gihe. Kuko amakuru arimo rimwe na rimwe ashobora guhinduka.

Ku bijyanye n'ikoreshwa ry'uyu muti ku bana bato, ugomba gusaba muganga wawe inama zihariye.

Wakora iki iyo wibagiwe gushyiramo agapira k'uruhu ku bushake?

Yego, birashoboka. Niba wibagiwe gushyiramo agace gato, ushobora kugashyiramo ako kanya ukimara kubyibuka.Ariko, niba igihe cyo gukora ikindi gice kigeze hafi, ntugashyiremo icyabagiranye, ahubwo ushyiremo ikindi gice ku gihe cyagenwe. Ntugashyiremo ibice bibiri cyangwa byinshi icyarimwe.

Ese hari indi miti ishobora kugira ingaruka kuri iki gikoresho?

Yego, irahari. Hari imiti ishobora guteza ibibazo iyo ifashwe n'iki gitambaro. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata, harimo imiti yanditswe na muganga, imiti idasaba kugurishwa na muganga, imiti gakondo, vitamine, n'inyongeramusaruro mu mirire.

Ntugakoreshe iki gikoresho kirimo imiti ikurikira:

• Imiti igabanya ubukana bwa Aromatase (ingero: aminoglutethimide, anastrozole, exemestane, letrozole, testolactone). Iyi ni imiti ikoreshwa mu kuvura ubwoko bumwe na bumwe bwa kanseri.

Ibindi bintu bishobora kubangamirana n'iyi patch ni:

• Ibinini bimwe na bimwe byo gusinzira, nka barbiturates (urugero: phenobarbital).
• `Carbamazepine` (umuti uvura igicuri).
• Antibiyotike zitangwa ku ndwara zimwe na zimwe.
• Umutobe w'imbuto z'imizabibu.
• Imiti ivura indwara z'ibihumyo (urugero: `itraconazole`, `ketoconazole`).
• `Raloxifene` cyangwa `tamoxifen` (nanone ni umuti utangwa ku kanseri zimwe na zimwe z'ibere).
• `Rifabutin`, `rifampin`, cyangwa `rifapentine` (imiti ikoreshwa mu kuvura igituntu).
• `Ritonavir` (umuti uvura ubwandu bwa virusi itera SIDA).
• `Umuti wa Mutagatifu Yohani` (icyatsi gakondo gikoreshwa na bamwe mu kuvura indwara zo mu mutwe).

Uru rutonde rushobora kuba rudakubiyemo byose. Niyo mpamvu ari ngombwa kubwira muganga wawe ibyo unywa byose. Nanone, niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge, nabyo bibwira muganga wawe .

Ni ibihe bintu tugomba kwitondera mu gihe dukoresha icyo gikoresho?

Mu gihe ukoresha iki gikoresho, ugomba kwita ku buzima bwawe cyane.

• Jyana na muganga wawe buri gihe: Muganga wawe agomba kukubona kugira ngo arebe uko ubuzima bwawe buhagaze. Ugomba gupimwa ibere, gupimwa mu gitsina, no gupimwa umura (harimo no gupimwa Pap) buri gihe. Nanone, ganira na muganga wawe ku nshuro ugomba gupimwa mammogram, kandi ubikore uko bikwiye.
• Witondere ko amazi agumana: Uyu muti ushobora gutuma amazi agumana, ukabyimba mu biganza, mu birenge no mu tuguru. Ushobora kandi kongera umuvuduko w'amaraso. Niba ubyumva utyo, bwira muganga wawe .
• Niba utekereza ko ushobora kuba utwite: Niba ukeka gato ko ushobora kuba utwite, hagarika gukoresha iki gikoresho by’uburozi bw’uruhu ako kanya maze uganire na muganga wawe.
• Unywa itabi? Hanyuma ibyago biba byinshi: Iyo unywa itabi uri gukoresha iki gikoresho, ibyago byawe byo kurwara amaraso cyangwa indwara yo gucika kw'imitsi biba byinshi cyane. Ibi nibyo byinshi cyane cyane niba ufite imyaka irenga 35.Kubwibyo, ni byiza kutanywa itabi.
• Ese wambara indorerwamo z'amaso? Niba wambara indorerwamo z'amaso, bwira muganga wawe niba ubonye impinduka mu maso yawe cyangwa niba wumva utameze neza igihe wambaye indorerwamo z'amaso.
• Ese uri kubagwa cyangwa gupimwa na MRI? Niba ugomba kubagwa cyangwa gupimwa na MRI, ushobora gukenera guhagarika gukoresha iki gikoresho igihe runaka. Vugana na muganga wawe ku bijyanye n'ibi bintu mbere yo kubagwa.
• Ese agace gashobora kuvaho? Yego, agace gashobora kuvaho iyo wiyuhagiye, woga, cyangwa ukoresha sauna. Niba bigenze bityo, gerageza kongera kugashyiramo. Niba bidashoboka, shyira agace gashya ahandi kandi ukomeze gahunda yawe isanzwe yo gutanga urugero.

Ni izihe ngaruka mbi zishobora guterwa n'iki gikoresho?

Kimwe n'indi miti yose, iyi patch ishobora gutera ingaruka zimwe na zimwe. Si buri wese uzibona, ariko ni byiza kubimenya.

Ingaruka mbi ugomba guhita ubibwira muganga wawe:

Niba ubonye kimwe muri ibi bimenyetso, hita ubonana na muganga:

• Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Amaraso apfutse: kubabara amaguru, kubyimba cyangwa gushyuha, guhumeka bigoranye, kubabara mu gituza.
• Impinduka mu ibere: Ibibyimba bishya mu ibere, gutukura, ububabare, cyangwa kuva mu ibere.
• Ibibazo by'inkari: Kubabara cyane mu gice cyo hejuru cy'iburyo cy'inda, isesemi, kuruka, umuriro.
• Indwara y'umutima: Kubabara cyangwa gufungana mu gituza, mu bitugu, mu maboko, cyangwa mu rwasaya, isesemi, guhumeka bigoranye, kumva ubukonje cyangwa ibyuya, no gucika intege.
• Ukwiyongera k'umuvuduko w'amaraso.
• Gukomereka k'umwijima: Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amacandwe y'umuhondo wijimye cyangwa umukara, amaso cyangwa uruhu bihinduka umuhondo, n'umunaniro udasanzwe.
• Gucika intege mu maso: Kubura ibinure cyangwa intege nke mu maso, mu kuboko, cyangwa mu kuguru, kugorwa no kuvuga, kujijinganya, kugorwa no kugenda, kubura uburinganire, kuzungera umutwe, kuribwa umutwe cyane, no guhinduka kw'amaso.
• Ububabare bw'amaso butunguranye cyangwa impinduka mu kureba: kutabona neza, kubona isura y'urumuri hafi y'amatara, gutakaza ubushobozi bwo kubona.
• Kuva amaraso mu gitsina nyuma yo gucura, kubabara mu kibuno.

Ingaruka mbi ubusanzwe zitari mbi cyane, ariko zigomba kumenyeshwa muganga mu gihe zikomeje:

Ibi bikunze kugenda nyuma y'iminsi mike, ariko niba bikomeje cyangwa bikakubangamira cyane, bwira muganga wawe ibi bikurikira:

• Kubabara umugongo.
• Kubabara cyangwa kubabara mu ibere.
• Umutwe.
• Kurakazwa aho ikoreshwa.
• Kubyimba utubuto, amaboko, cyangwa ibirenge.

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba ubonye ikintu kidasanzwe, vugana na muganga wawe kuri cyo. Ushobora kandi gutanga raporo kuri FDA (nimero ya terefone: 1-800-FDA-1088).

Ni gute wabika uyu muti mu buryo butekanye?

• Bika uyu muti ahantu abana batagera .
• Bika ku bushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30 / dogere selisiyusi 59 na 86).
• Ntubike uduce twakuwe mu gipfunyika cy'uburinzi.
• Ntugakoreshe umuti uwo ari wo wose nyuma y'itariki ntarengwa.
• Uduce twakoreshejwe tugomba gutabwa neza. Kubera ko hashobora kuba hakiri imisemburo mu gipande cyakoreshejwe, zungurutsa agace mo kabiri, impande zometse hamwe, hanyuma ujugunye mu myanda.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Twavuze byinshi kuri iki gipande cya `(Estradiol; Levonorgestrel)`, si byo se?

Ibuka ibi: Iki gikoresho gishobora kuba igisubizo cyiza ku ngorane zimwe na zimwe ziterwa no gucura. Ariko, si ibya buri wese. Hari kandi ibintu byinshi ugomba kumenya mugihe ugikoresha.

Kubwibyo, niba wumva ukeneye ubu buryo bwo kuvurwa, menya neza ko uganira na muganga. Muganga wawe azazirikana ubuzima bwawe, indi miti ufata, kandi agusobanurire niba iyi patch ikubereye, inyungu izaguha, n'ingaruka ishobora guteza.

Niba ufite ibindi bibazo kuri ibi, ntutindiganye kubaza muganga wawe, umufarumasiye, cyangwa umuvuzi wawe. Uko urushaho kumenya byinshi ku buzima bwawe, niko urushaho kugira ubuzima bwiza.

Gucura , uduce tw'imisemburo, estradiol, levonorgestrel, ubuzima bw'abagore, ingaruka mbi, uburyo bwo kuvura imisemburo