Gucura ni impinduka isanzwe mu buzima bw'umugore. Ariko ntabwo tuvuga cyane ku bibazo bimwe na bimwe by'umubiri bizanwa na byo, si byo se? Cyane cyane ibintu nko kuma kw'igitsina, kuribwa, gushya, no kubabara mu gihe cy'imibonano mpuzabitsina. Ibi bishobora no gutera stress nyinshi. Rero, umuti umwe muganga wawe ashobora kukugira inama yo kugabanya ibi bimenyetso ni ibinini bya Estradiol mu gitsina. Reka tubiganireho mu buryo burambuye, mu buryo bworoshye.
Estradiol ni iki mu by'ukuri?
Mu magambo make, Estradiol ni umuti urimo imisemburo imwe yitwa estrogen ikorerwa mu mubiri w'umugore. Iyi iza mu buryo bw'ikinini gito gishobora gushyirwa mu gitsina. Nyuma yo gucura, urugero rwa estrogen mu mubiri rugabanuka, ari nayo mpamvu habaho kuma kw'igitsina. Rero, iyo iki kinini gishyizwe mu gitsina, ako gace gahabwa imisemburo ya estrogen ikenewe, kandi ingingo ziho zigatangira gukira. Kubera iyo mpamvu, ibimenyetso nko kuma, kubyimba, n'ububabare bigabanuka buhoro buhoro. Muri Sri Lanka, uyu muti ushobora kugaragara munsi y'amazina nka Vagifem.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Ibi ni ingenzi cyane. Mbere yo kuguha ibinini bya Estradiol, muganga wawe agomba kumenya amateka y’ubuzima bwawe. Ibi biterwa nuko gukoresha uyu muti hamwe n’indwara zimwe na zimwe bishobora guteza akaga. Niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe.
| Indwara cyangwa imiterere | Kuki ngomba kubimenyesha muganga ? |
|---|---|
| Kuva amaraso mu gitsina nta mpamvu | Ibi bishobora kuba ikimenyetso cy'indwara ikomeye, bityo impamvu igomba kubanza kuboneka. |
| Amaraso afungana mu mitsi cyangwa indwara zifitanye isano nayo | Imisemburo ya estrogen ishobora kongera gato ibyago byo kuvura amaraso. |
| Kanseri y'ibere, iy'inkondo y'umura, iy'umura, iy'intanga, cyangwa iy'umwijima | Kubera ko ubwoko bumwe na bumwe bwa kanseri buterwa n’imisemburo, uyu muti ntukwiriye. |
| Indwara z'umutima, indwara y'umutima iherutse gutera cyangwa gucika kw'imitsi | Muri ibyo bihe, hakwiye kwitabwaho cyane ikoreshwa ry'imisemburo. |
| Umuvuduko ukabije w'amaraso, diyabete, cholesterol nyinshi | Ni ngombwa kugenzura neza ibi bibazo mu gihe ukoresha uyu muti. |
| Indwara y'umwijima cyangwa impyiko, indwara y'agasabo k'inkari | Imikorere y'izi ngingo ni ingenzi kuko zigira uruhare mu gukura ibiyobyabwenge mu mubiri. |
| Indwara yo mu mutwe, Migraine, SLE | Umuganga agomba kumenya indwara nk'izo zidakira. |
| Kunywa itabi (cyane cyane niba ufite imyaka irenga 35) | Iyo kunywa itabi na estrogen bihuye, ibyago byo kubyimba kw'amaraso no gucika intege mu mitsi biriyongera. |
| Niba utwite, ugerageza gutwita, cyangwa wonsa | Uyu muti ntukwiriye na gato muri bene ibyo bihe. |
| Allergie ku yindi misemburo, imiti, ibiryo, cyangwa amarangi | Ni ngombwa kutumenyesha mbere y'igihe ibyerekeye ubwivumbure ubwo aribwo bwose. |
Ni gute neza neza nkoresha uyu muti?
Noneho reka turebe uko twabikoresha neza. Ntugahangayike, biroroshye cyane. Soma kandi amabwiriza ari mu ipaki y'imiti witonze.
1. Uburyo bwo gutegura: Banza woge intoki zawe neza n'isabune n'amazi, hanyuma uzihanagure n'igitambaro gisukuye.
2.Gutegura Applicator: Umuti uba uri mu gikoresho cya pulasitiki. Kuramo mu gapaki. Koresha igikoresho gishya buri gihe.
3. Gusuzuma ikinini: Hari igihe ikinini gishobora kuba cyaravuye mu gikoresho cyo gukoresha imiti kandi kikiri mu gapaki. Ibi nibibaho, shyira witonze mu gikoresho cyo gukoresha imiti. Ariko, niba ikinini cyaguye mu gapaki, jugunya icyo gikoresho cyo gukoresha imiti n'ikinini utagikoresheje, hanyuma ubone ikindi gishya.
4. Uburyo bwo kuryama: Lara umugongo wawe ku buriri cyangwa ahantu harambuye, pfukama amavi yawe, hanyuma ushyire amaguru yawe ukwayo gato. Humeka cyane kandi uruhuke.
5. Gushyiramo: Noneho shyiramo buhoro buhoro icyo gikoresho mu gitsina, mu buryo bwimbitse uko ushoboye kose.
6. Kurekura ikinini: Hanyuma, kanda agakoresho ko gushyiramo ikinini ku gikoresho kugeza hasi. Ibi bizarekura ikinini mu gitsina.
7. Kuraho: Noneho shyiramo witonze igikoresho. Shyira igikoresho cyakoreshejwe mu myanda.
8. Gukaraba intoki: Ongera ukarabe intoki zawe neza n'isabune.
Igikuru ni ukuyikoresha neza nk'uko muganga abivuga, mu gihe gikwiye, mu rugero rukwiye . Ntureke kuyifata utabanje kugirwa inama na muganga cyangwa ngo uyikoreshe kenshi.
Bite ho nibagirwa gufata 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.
Bite ho niba umuti ukoreshejwe cyane?
Niba ufite amakenga ko wakoresheje uyu muti urenze urugero, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo cyangwa ujye mu ishami ryita ku bibazo byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Indi miti ishobora kugira ingaruka kuri uyu muti (Interactions)
Ni ingenzi cyane kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera). Imiti imwe n'imwe ishobora kugira ingaruka kuri Estradiol.
| Ingano y'imiti ishoboka hamwe na estradiol | |
|---|---|
| Imiti idakwiye gufatwa hamwe: | |
| Inhibitori ya Aromatase (urugero: anastrozole, letrozole) | |
| Indi miti ishobora guterana: | |
| Amwe mu matibayotike akoreshwa mu kuvura igituntu (urugero: rifampin) | Raloxifene cyangwa Tamoxifen (imiti ivura kanseri y'ibere) |
| Warfarin (umuti ugabanya amaraso) | |
Ibintu ugomba kwitondera mu gihe ukoresha umuti
- Gusuzumwa kwa muganga buri gihe: Jya kwisuzumisha buri gihe nk'uko muganga wawe yabigutegetse. Ibi bishobora kuba birimo gupimwa ibere no gupimwa ikibuno. Nanone, ganira na muganga wawe ku bijyanye n'uko ukeneye gupimwa mammogram buri gihe.
- Kubika amazi: Hari igihe uyu muti ushobora gutera kubyimba intoki, amaboko, cyangwa utubuto tw'amaguru. Ushobora no kongera umuvuduko w'amaraso. Niba uhuye n'ibi, bwira muganga wawe.
- Irinde kunywa itabi: Niba unywa itabi, cyane cyane niba ufite imyaka irenga 35, kunywa itabi unywa uyu muti byongera cyane ibyago byo kurwara amaraso no gucika intege mu bwonko . Kubwibyo, ni byiza kwirinda kunywa itabi burundu.
- Gutwita: Niba ukeka ko utwite ku mpamvu iyo ari yo yose, hagarika gukoresha umuti ako kanya kandi ubibwire muganga wawe.
- Kubagwa: Niba ugomba kubagwa mu gihe giteganyijwe, baza muganga wawe mbere yo gutegura kubagwa niba ukwiye guhagarika gukoresha uyu muti.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti iyo ari yo yose, ibi bishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Ariko, si buri wese ubibona. Itondere ibimenyetso biri hepfo.
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse | |
|---|---|
| Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo. | Ibimenyetso by'amaraso yapfutse: kubabara amaguru, kubyimba cyangwa gushyuha, guhumeka bigoranye, kubabara mu gituza. |
| Ibimenyetso bya stroke: Kubura ibinya cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, urujijo, kugorwa no kugenda, no guhinduka mu byo umuntu abona. | Impinduka mu mabere: ibibyimba bishya, gutukura, ububabare, kuva amaraso mu mabere. |
| Ingorane z'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. | Ibibazo byo mu gitsina: kuva amaraso adasanzwe nyuma yo gucura, impinduka mu kuva amaraso, uburyaryate, impumuro mbi. |
| Ubusanzwe ntabwo ari ikibazo gikomeye (ariko bwira muganga wawe niba kigikomeje) | |
| Kubyimba inda | Kubabara cyangwa gufungana kw'ibere |
| Isesemi cyangwa kuruka | Kubabara gato cyangwa kubabara aho bateye urushinge. |
Ubutumwa bwo kujyana mu rugo
- Ibinini bya Estradiol mu gitsina ni umuti w'ibimenyetso by'inyuma yo gucura no kubyimba mu gitsina.
- Mbere yo gukoresha uyu muti, banza ubwire muganga wawe amateka y’ubuzima bwawe n’indi miti yose ufata .
- Umuti ugomba gukoreshwa neza neza nk'uko muganga yabigutegetse . Igipimo ntikigomba guhindurwa cyangwa ngo gihagarikwe hagati.
- Menya ibimenyetso by'ingaruka mbi zikomeye nko kubyimba kw'amaraso, gucika intege mu mitsi, no kuva amaraso mu buryo budasanzwe. Nubona kimwe muri ibi, shaka ubufasha kwa muganga byihutirwa.
- Ni ingenzi cyane kujya kwisuzumisha kwa muganga mu gihe ukoresha uyu muti.
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