Ese uri mu gihe cyo gucura? Cyangwa muganga wawe yakubwira ko urugero rw'imisemburo yawe ruri hasi? Niba ari byo, ushobora kuba warahawe umuti witwa Estropipate. None rero uyu munsi, reka tuganire ku cyo Estropipate ari cyo, icyo ikora ku mibiri yacu, n'icyo tugomba kwitondera cyane mu gihe dukoresha uyu muti.
Ni ubuhe bwoko bw'umuti Estropipate?
Muri make, Estropipate ni ikinini kirimo imisemburo ya estrogen y'abagore. Ikoreshwa cyane cyane nk'ubuvuzi bwo gusimbuza imisemburo (HRT) ku bagore banyuze mu gihe cyo gucura.
Nkuko mubizi, gucura bizana no kubabara nko gushyuha, kubira ibyuya kenshi, no kudasinzira. Nanone, bitewe no kugabanuka k'umusemburo wa estrogen, amagufwa aragabanuka kandi akavunika byoroshye, bivuze ko hari ibyago byo kurwara osteoporosis. Bityo, ibi binini bya Estropipate biha umubiri imisemburo ya estrogen ikenewe, bigafasha mu kugenzura ubwo bubabare no kurinda amagufwa.
Byongeye kandi, abaganga batanga uyu muti ku bagore bamwe na bamwe bafite urugero ruke rw'imisemburo, ikorwa n'intanga zabo mu buryo busanzwe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Iki ni ikintu cy'ingenzi cyane. Mbere yo gutangira ibinini bya Estropipate, ni ngombwa guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Cyane cyane, menya neza ko wamubwiye niba ufite kimwe muri ibi bikurikira:
- Amateka y'indwara y'imitsi y'amaraso cyangwa kubyimba kw'amaraso
- Kanseri y'ibere, iy'inkondo y'umura, iy'inkondo y'umura, cyangwa iy'umura
- Diyabete
- Endometriosis
- Imiyoboro ya nyababyeyi (fibroids)
- Indwara y'umusatsi
- Indwara z'umutima cyangwa indwara y'umutima iherutse gutera
- Kolesteroli nyinshi mu maraso
- Umuvuduko ukabije w'amaraso
- Igipimo kinini cya kalisiyumu mu maraso
- Iyo nyababyeyi yakuwemo umura (hysterectomy)
- Indwara y'impyiko
- Indwara y'umwijima
- Ihungabana ryo mu mutwe
- Umutwe uterwa na Migraine
- Indwara yitwa porphyria
- Niba warigeze kugira stroke
- Indwara ya Systemic Lupus Erythematosus (SLE)
- Niba unywa itabi
- Kuva amaraso mu gitsina kudasanzwe bitewe n'impamvu itazwi
- Uburyo bwo kubabara bitewe na estrogen cyangwa indi misemburo, imiti, ibiryo, cyangwa amarangi
- Niba utwite cyangwa ugerageza gutwita
- Niba uri umubyeyi wonsa
Uyu muti nkwiye kuwukoresha nte?
Iki ni ikinini cyo kunywa ukoresheje umunwa. Fata iki kinini n'ikirahure cy'amazi. Fata igipimo cyanditswe na muganga gusa. Ni ngombwa cyane gufata iki kinini icyarimwe buri munsi. Ibi bizagufasha kugumana urugero rumwe rw'imisemburo mu mubiri wawe.
Niba utekereje 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 kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Uyu muti ni uwawe gusa. Ntuwusangize abandi ku mpamvu iyo ari yo yose.
Wakora iki niba wabuze dose y'umuti?
Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose ikurikira hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri kugira ngo wishyure dose yabuze.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Indi miti ufata ishobora kugira ingaruka ku buryo Estropipate ikora. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo vitamine, imiti ikomoka ku bimera, n'imiti igabanya ububabare).
| Ibintu bishobora guteza ikibazo | Ingero |
|---|---|
| Imiti idakwiye gufatwa na Estropipate | |
| Ibyuma bigabanya ubukana bwa Aromatase | aminoglutethimide, anastrozole, exemestane, letrozole, testolactone |
| Ibindi bintu bishobora gutera imikoranire na Estropipate | |
| Imiti imwe n'imwe igabanya igicuri | Barbiturates nka Carbamazepine na Phenobarbital |
| Amwe mu ma antibiyotike | Clarithromycin, Erythromycin |
| Indwara zirwanya fungane | Ketoconazole, Itraconazole |
| Imiti ivura igituntu | Rifabutin, Rifampin, Rifapentine |
| Ibindi | Umutobe w'imbuto z'imizabibu, Ritonavir, St. John's Wort (ibikomoka ku bimera) |
Ibintu ugomba kwitondera mu gihe ufata umuti
- Kwisuzumisha kwa muganga buri gihe: Mu gihe ufata uyu muti, ni ngombwa cyane kubonana na muganga wawe buri gihe kugira ngo urebe ubuzima bwawe. Ni ngombwa ko wipimisha amabere buri gihe no gupimwa Pap smears. Nanone, ganira na muganga wawe ku bikenewe ko wisuzumisha mammograms kandi ukurikize amabwiriza ye.
- Irinde kunywa itabi: Ibi ni ingenzi cyane! Niba unywa itabi uri gufata uyu muti, cyane cyane niba ufite imyaka irenga 35, ibyago byawe byo kurwara amaraso cyangwa indwara yo gucika kw'imitsi biba byinshi cyane. Kubwibyo, ni byiza cyane kwirinda kunywa itabi burundu.
- Kubyimba: Uyu muti ushobora gutera kubyimba mu biganza, ibirenge, cyangwa intoki bitewe no kubika amazi. Umuvuduko w'amaraso nawo ushobora kwiyongera. Niba ubyiboneye, bwira muganga wawe.
- Ingaruka zo kurwara kanseri y'umura: Uyu muti ufite ibyago byo kurwara endometrial hyperplasia, ari na yo mikurire idasanzwe y'uturemangingo mu gice cy'umura. Ibi bishobora kuvamo kanseri y'umura. Kugira ngo ugabanye ibi byago, muganga wawe ashobora kuguha indi misemburo yitwa progestin hamwe na Estropipate niba nyababyeyi yawe itarakurwamo. Vugana na muganga wawe kuri ibi kandi usobanukirwe ibyiza n'ingaruka byabyo.
- Gutwita: Niba ukeka ko utwite, hagarika gufata uyu muti ako kanya kandi uganire na muganga wawe.
- Kubaga:Niba ugiye kubagwa, bwira muganga wawe hakiri kare. Ushobora kuba ugomba guhagarika by'agateganyo gufata uyu muti mbere yo kubagwa.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, Estropipate ishobora gutera ingaruka mbi. Dore zimwe mu ngaruka mbi zishobora kubaho.
| Ingaruka mbi | Icyo gukora |
|---|---|
| Ingaruka mbi zikomeye ugomba guhita umenyesha muganga wawe | |
| Indwara zo kugira ubwivumbure (kubyimba mu maso, iminwa, ururimi, uduheri ku ruhu, uburyaryate) | Shaka inama z'abaganga ako kanya. |
| Guhinduka kw'amabere, ibibyimba, cyangwa amazi ava mu mabere | |
| Guhinduka kw'amaso, kubabara mu gituza, guhumeka bigoranye | |
| Urujijo, kugorwa no kuvuga cyangwa gusobanukirwa | |
| Kuribwa umutwe cyane, kugenda bigoranye, isereri, gutakaza uburinganire bw'umubiri | |
| Gucika intege cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru bitunguranye | |
| Ububabare, kubyimba, no gushyuha mu kuguru | |
| Kubabara mu nda yo hejuru iburyo, isesemi, kuruka | |
| Kuva amaraso mu gitsina bidasanzwe | |
| Amaso cyangwa uruhu bihinduka umuhondo, inkari zijimye, cyangwa amabyi yo mu nda | |
| Bwira muganga wawe niba bikomeje cyangwa bikubangamiye. | |
| Gutakaza umusatsi | Vugana na muganga wawe. |
| Kumva unaniwe cyangwa ufite intege nke bidasanzwe | |
| Ibimenyetso by'indwara zo mu gitsina (gushyukwa, kubyimba, kuva amaraso mu buryo budasanzwe) | |
Uru rutonde rushobora kuba rudafite ingaruka mbi zose zishobora kubaho. Niba uhuye n'ubundi burwayi, gana muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Estropipate ni umuti urimo imisemburo ya estrogen ikoreshwa mu kurwanya ibimenyetso bijyana no gucura no kuvura ikibazo cyo kubura imisemburo.
- Mbere yo gutangira uyu muti, menyesha muganga wawe neza indwara zawe zose n'indi miti ufata.
- Kunywa itabi mu gihe ufata uyu muti byongera cyane ibyago byo kubyimba kw'amaraso no gucika intege mu bwonko. Kubwibyo, irinde kunywa itabi burundu.
- Shaka ubufasha bwihuse kwa muganga niba ugize ingaruka mbi nko kubabara mu gatuza, guhumeka nabi, kuva amaraso mu gitsina bidasanzwe, cyangwa ibibyimba byo mu mabere.
- Ntugahagarike gufata uyu muti, guhindura ingano yawo, cyangwa ngo uwuhe abandi utabanje kugisha inama muganga wawe.
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