Gucura, igihe imihango ihagarara, ni impinduka ikomeye mu buzima bw'umugore. Muri iki gihe, impinduka mu misemburo mu mubiri zishobora gutuma bamwe mu bagore bagira ibibazo bitandukanye mu gitsina. Nk'umumaro mu gitsina, kuribwa no kubabara mu gihe cy'imibonano mpuzabitsina. Uyu munsi rero turimo kuvuga ku buryo bwo kuvura hakoreshejwe uruhu rwo mu gifu bushobora gufasha mu gukemura ibyo bibazo.
Iyi mpeta ya Estradiol mu gitsina ni iki?
Mu magambo make, iyi ni impeta nto kandi yoroshye yinjizwa mu gitsina cyawe. Iyi mpeta isohora buhoro buhoro imisemburo yitwa Estradiol. Estradiol ni ubwoko bw'imisemburo yitwa Estrogen. Nyuma yo gucura, urugero rwa Estrogen mu mubiri rugabanuka, ari nayo mpamvu ibintu nko kuma kw'igitsina, ububabare, no kumererwa nabi bibaho. Bityo imisemburo isohoka muri iyi mpeta igira ingaruka kuri ako gace gusa kandi igafasha kugabanya ibyo bimenyetso. Muri Sri Lanka, ushobora kuyisanga mu birango nka Estring.
Ni iki nabwira muganga mbere yo gukoresha uyu muti?
Ibi ni ingenzi cyane. Uyu muti ntukwiriye buri wese. Kubwibyo, mugihe uganira na muganga wawe, ugomba gutanga ibisobanuro byuzuye ku buzima bwawe nta kintu na kimwe uhisha . Cyane cyane niba ufite imwe muri izi ndwara ziri hepfo, menya neza ko umubwiye ibyayo.
- Ingaruka za kanseri: Niba ufite cyangwa ukeka ko ufite kanseri y'ibere, iy'inkondo y'umura, iy'inkondo y'umura, iy'intanga ngore, iy'umwijima cyangwa iy'umura.
- Ibibazo by'amaraso: Niba warigeze kugira indwara nk'indwara y'imitsi y'amaraso, kuziba kw'amaraso, cyangwa indwara yo gucika imitsi mu gihe cyashize.
- Indwara z'umutima: Niba ufite indwara y'umutima, indwara y'umutima iherutse gutera, umuvuduko w'amaraso ukabije, cyangwa urugero rwa cholesterol ruri hejuru.
- Izindi ndwara: Niba ufite indwara nka diyabete, indwara y'agahinda k'inkari, indwara y'umwijima cyangwa impyiko, umutwe urwaye migraine, indwara yo kwibagirwa, cyangwa indwara ya Systemic Lupus Erythematosus (SLE).
- Ingeso n'andi makuru: Niba unywa itabi, utwite cyangwa ugerageza gusama, cyangwa wonsa.
- Allergie: Niba ufite allergie kuri estrogen cyangwa indi misemburo, imiti, ibiryo, cyangwa imiti irinda ubushyuhe.
- Gukuraho inda: Waba warakorewe igitsina cyawe cyangwa utagikuyemo (hysterectomy).
- Kuva amaraso mu buryo budasanzwe: Iyo hari kuva amaraso mu gitsina ku buryo budasanzwe nta mpamvu izwi.
Nigute nkoresha iyi mpeta?
Amabwiriza yo kubikoresha agaragara neza ku gapaki wahawe. Ubusanzwe ushobora kubishyira mu gitsina cyawe ubwawe. Tekereza nko gukoresha tamponi. Niba ufite gushidikanya kuri byo, ushobora kubaza muganga wawe cyangwa umuforomo wawe uburyo nyabwo bwo kubikoresha.
Icy'ingenzi ni uko iyi mpeta igomba gusigara mu gitsina mu minsi 90. Nyuma y'iminsi 90, ishaje igomba gukurwaho hanyuma hagashyirwaho indi nshya.
Ntukareke gukoresha ibi udahawe inama na muganga.
Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ry’ibitaro biri hafi yawe. Nanone, uyu muti ni uwawe gusa. Ntukigere uwusangira n’undi muntu uwo ari we wese.
Ese hari ibibazo bishobora kubaho ku yindi miti?
Yego, hari imiti ishobora kugira ingaruka kuri iyi Estradiol Ring. Kubwibyo, ni ngombwa cyane kubwira muganga wawe imiti yose ufata, harimo vitamine, imiti y'ibimera, n'inyongeramusaruro.
| Icyiciro cy'ibiyobyabwenge | Ingero |
|---|---|
| Irinde gukoresha iyi mpeta hamwe n'iyi miti burundu: | |
| Ibyuma bigabanya ubukana bwa Aromatase | Imiti nka anastrozole, letrozole, exemestane |
| Bwira muganga wawe niba ufata iyi miti: | |
| Indi miti | Carbamazepine, imiti imwe n'imwe irwanya udukoko, imiti irwanya udukoko (urugero: ketoconazole), Ritonavir, Raloxifene, Tamoxifen, imiti y'ibimera nka St. John's Wort, umutobe wa Grapefruit |
Ibintu ugomba kwitondera mu gihe ukoresha uyu muti
Kwisuzumisha kwa muganga buri gihe
Mu gihe ukoresha ibi, ugomba kujya kwa muganga wawe buri gihe kugira ngo arebe uko umerewe. Vugana na muganga wawe niba ukeneye gupimwa ibere, gupimwa Pap smear, na mammogram, kandi ukurikize amabwiriza ye.
Kunywa itabi n'ibyago
Niba unywa itabi, cyane cyane niba ufite imyaka irenga 35, ibyago byo kurwara amaraso cyangwa indwara yo gucika kw'imitsi biba byinshi cyane iyo ukoresha uyu muti. Kubwibyo, ni ngombwa kwirinda kunywa itabi burundu.
Izindi ngingo
- Kubyimba: Uyu muti ushobora gutuma amazi aguma mu mubiri, bigatuma amaboko, ibirenge n'utuguru bibyimba. Ushobora kandi kongera umuvuduko w'amaraso. Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe.
- Gutwita: Niba ukeka ko utwite, hagarika gukoresha uyu muti ako kanya kandi uganire na muganga wawe.
- Ingaruka ku mura: Ku bagore batarabagwa, hari ibyago bike byo kurwara endometrial hyperplasia (ubwinshi bw'uruti rw'umura) iyo ukoresheje estrogen gusa. Kugira ngo ugabanye ibi byago, muganga wawe ashobora no kuguha indi misemburo yitwa progestin. Ni ngombwa kubiganiraho na muganga wawe no gusobanukirwa ibyiza n'ingaruka bikubayeho.
- Ibikorwa bya buri munsi: Ushobora kwiyuhagira no gukora indi mirimo nkuko bisanzwe. Ntabwo ari ngombwa gukuramo impeta mu gihe cy'imibonano mpuzabitsina. Ariko, niba utamerewe neza, ushobora kuyikuramo icyo gihe gusa, ukayisukura mu mazi y'akazuyazi (atari ashyushye), hanyuma ukongera kuyishyiramo.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo ni zikomeye, izindi ni izisanzwe.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ibintu ugomba kubwira muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Amaraso apfundika | Kubabara amaguru, kubyimba, ubushyuhe, guhumeka bigoranye, kubabara mu gituza. |
| Igisebe cy'imitsi | Kubura ibinya cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, kugorwa no kugenda, kuribwa umutwe cyane. |
| Impinduka mu mabere | Ibibyimba bishya, gutukura, ububabare, no kuva mu ibere. |
| Kwangirika k'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'inda, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye cyangwa umukara, ndetse n'amaso cyangwa uruhu bigahinduka umuhondo. |
| Ibibazo byo mu gitsina | Kuva amaraso mu buryo budasanzwe, uburyaryate cyangwa impumuro mbi, kuva amaraso nyuma yo gucura, kubabara mu nda yo hasi. |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Ingaruka mbi nto | Kubyimba, kubabara mu ibere, isesemi, kuruka, no kubabara gato aho impeta yashyizwe. |
Ubutumwa bwo kujyana mu rugo
- Impeta ya Estradiol Vaginal ni uburyo bwo kuvura indwara zo mu gitsina nyuma yo gucura.
- Mbere yo kubikoresha, bwira muganga wawe amateka yawe yose y'ubuzima (cyane cyane kanseri, kubyimba kw'amaraso, indwara z'umutima).
- Impeta imwe igomba gukoreshwa mu minsi 90. Ntugahagarike udahawe inama na muganga.
- Niba ugize ingaruka mbi zikomeye nko kubyimba kw'amaraso, gucika intege, cyangwa ibibyimba bishya mu mabere, shaka ubufasha bwa muganga byihutirwa.
- Ingaruka ziba nyinshi cyane iyo unywa itabi. Kwirinda kunywa itabi ni ingenzi cyane ku mutekano wawe.
- Uyu muti ni uwawe gusa. Ntukigere uwusangira n'abandi.
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