Reka twige neza ku binini byo kuboneza urubyaro (Ethynodiol Diacetate; Ethinyl Estradiol)!

Hari igihe tugomba gukoresha ibinini byo kuboneza urubyaro nk'uburyo bwo kuboneza urubyaro, si byo se? Cyangwa muganga ashobora kubyandika ku kibazo cy'imisemburo. Uyu munsi rero tugiye kuvuga kuri kimwe muri ibyo binini. Izina ry'ubuvuzi ry'ibi ni `Ethynodiol Diacetate; Ethinyl Estradiol`. Nubwo izina rishobora gusa n'aho rigoye, ntugahangayike. Tuzabivugaho mu buryo bworoshye, mu buryo ushobora kumva.

Uyu muti ni iki? Mu magambo make...

Mu magambo make, ubu ni ubwoko bw'ibinini byo kuboneza urubyaro bikoreshwa mu kwirinda gutwita. Abaganga babyita "imiti yo kuboneza urubyaro inyobwa." Ibi binini birimo ubwoko bubiri bw'imisemburo y'abagore . Byitwa "estrogen" na "progestin".

Tekereza, iyi misemburo ibiri ikorana kugira ngo ihagarike igi gukura no kurekurwa mu ntanga zawe, inzira yitwa 'ovulation'. Iyo igi ritarekuwe, nta buryo intanga ngabo zishobora guhuzwa naryo zikanatwita, sibyo? Uko ni ko ibi binini birinda gusama.

Ibi binini rimwe na rimwe bikoreshwa ku zindi mpamvu z'ubuvuzi. Niba ushaka kumenya byinshi kuri byo, ushobora kubaza muganga wawe cyangwa umufarumasiye.

Ibintu ugomba kubwira muganga wawe! (Mbere yo gutangira uyu muti)

Mbere yo gutangira gukoresha ibi binini byo kuboneza urubyaro, hari indwara zimwe na zimwe ugomba kumenyesha muganga wawe. Kubera ko ibi binini bishobora kuba bidakwiriye abantu bafite indwara zimwe na zimwe, cyangwa bishobora gukenerwa gukoreshwa witonze cyane kandi ukurikiranwe by'umwihariko. Kubwibyo, niba ufite kimwe muri ibi bikurikira, cyangwa warigeze kubikoresha mbere, ntukibagirwe kubimenyesha muganga wawe:

• Iyo habayeho kuva amaraso mu gitsina ku buryo budasanzwe.
• Niba ufite amateka yo kurwara imitsi y'amaraso cyangwa kubyimba kw'amaraso.
• Niba warigeze cyangwa warigeze kurwara kanseri y'ibere, y'inkondo y'umura, y'inkondo y'umura, y'intanga ngabo, y'umwijima, cyangwa y'umura.
• Niba urwaye diyabete (isukari nyinshi mu maraso).
• Niba ufite indwara y'agasabo k'inkari.
• Niba uteganijwe kubagwa mu gihe kiri imbere.
• Niba ufite indwara y'umutima cyangwa uherutse kugira indwara y'umutima.
• Niba ufite umuvuduko w'amaraso ukabije.
• Niba ufite cholesterol nyinshi cyangwa triglycerides mu maraso yawe.
• Niba warigeze kugira ikibazo cy'umutima utera nabi cyangwa ikibazo cy'imitsi y'umutima.
• Niba ufite indwara y'impyiko.
• Niba ufite indwara y'umwijima.
• Niba ukunze kugira ikibazo cyo kubabara umutwe (migraine).
• Niba ufite ikibazo cy'amaraso cyitwa ``Poroteyine C/S deficiency``.
• Niba uherutse kubyara umwana, wakuyemo inda cyangwa wakuyemo inda.
• Niba warigeze kugira ikibazo cyo gucika imitsi.
• Niba ufite indwara y’ubwiyongere bw’umubiri ``Systemic lupus erythematosus (SLE)``.
• Niba unywa itabi (ibi ni ingenzi cyane).
• Niba warigeze kugira ikibazo kidasanzwe cyangwa kidasanzwe ku misemburo yitwa estrogens, progestins, indi miti, ibiryo, ibara ry'ibiryo, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita ubu.
• Niba uri umubyeyi wonsa.

Ni ku bw'umutekano wawe kubwira muganga ibi bintu.

Ni gute neza neza ukoresha uyu muti?

Iki ginini kigomba gufatwa mu kanwa. Icy'ingenzi ni ukugifata mu gihe kimwe buri munsi. Icyo gihe ni cyo gikora neza. Ushobora guhitamo igihe cyoroshye kwibuka, urugero, buri joro nyuma yo kurya.

Hari abantu bashobora kugira isesemi no kubabara mu nda nyuma yo gufata ibi binini. Ibi nibibaho, fata iki ginini hamwe n'ifunguro. Ibi bishobora kugabanya ibimenyetso.

Kurikiza amabwiriza ari ku rupapuro rwa muganga neza. Fata ikinini kimwe buri munsi, nk'uko byavuzwe ku ikarita y'ikinini. Ntugafate ibirenze ibyo muganga akubwira.

Uyu muti rimwe na rimwe uhabwa abana bato batangiye kujya mu mihango, ariko bisaba inama zihariye z'abaganga.

Iyo uhawe uyu muti, uzahabwa agapaki k'umurwayi. Uzahabwa akandi gashya hamwe na buri muganga kandi buri gihe uhabwa akandi gapapuro. Buri gihe soma amakuru arimo witonze, kuko amakuru ashobora guhinduka rimwe na rimwe.

Icy'ingenzi: Niba utekereza ko wafashe uyu muti urenze urugero, ni ukuvuga niba ukeka ko warenze urugero, jya mu bitaro bikuru bikuru biri hafi yawe cyangwa uhamagare ikigo gishinzwe kurwanya uburozi ako kanya. Uyu muti wanditswe kuri wowe gusa. Ntukigere uwusangira n'abandi.

Wakora iki niba wibagiwe gufata ikinini?

Birashoboka, si byo se? Hari igihe ushobora kwibagirwa gufata ikinini. Ntugahangayike. Reba urupapuro rw'amakuru y'umurwayi navuze mbere rwari ruzanye n'imiti yawe. Rufite amabwiriza y'icyo wakora mu gihe nk'icyo.

Muri rusange, iyo utiriwe ufata ibinini birenze kimwe, ibinini bishobora kutagira akamaro gakomeye mu kwirinda gutwita. Ibi bibaye, ushobora gukenera gukoresha ubundi buryo bwo kuboneza urubyaro (nk'agakingirizo) igihe runaka. Ibi kandi birasobanurwa mu gapapuro k'amabwiriza, cyangwa ubaze muganga wawe.

Ni iyihe mikorere iterwa n'uyu muti?

Iki si igitekerezo cyiza gufata hamwe n'ibinini byo kuboneza urubyaro.Hari imiti imwe n'imwe. Nanone, indi miti myinshi, vitamine zimwe na zimwe ufata, n'inyongeramusaruro z'ibimera ukoresha bishobora kugira ingaruka ku mikorere y'iyi miti yo kuboneza urubyaro. Ibi bivuze ko iyi miti yo kuboneza urubyaro ishobora kudakora neza cyangwa ingaruka mbi zishobora kwiyongera.

Ntukigere ukoresha ibi binini byo kuboneza urubyaro hamwe n'imiti ikurikira:

• `Dasabuvir; ombitasvir; paritaprevir; ritonavir` (iyi ni imiti itangwa ku ndwara ya hepatite C)
• `Ombitasvir; paritaprevir; ritonavir` (uyu ni umuti utangwa ku ndwara ya hepatite C)

Byongeye kandi, hari indi miti myinshi n'ibindi bintu bishobora kugira ingaruka (kugira ingaruka) kuri ibi binini byo kuboneza urubyaro. Dore ingero nke:

• Acetaminophen (nk'iya parasetamol)
• Amwe mu matibayotike (cyane cyane rifampin, rifabutin, rifapentine, griseofulvin, rimwe na rimwe na penisiline cyangwa tetracycline)
• Imiti ivura indwara nk'igicuri (indwara zo mu mutwe/izifata) (nk'ibiyobyabwenge nka `phenobarbital`, `carbamazepine`, `oxcarbazepine`, `phenytoin`, `topiramate`)
• Imiti ivura imihangayiko cyangwa kudasinzira (urugero: diazepam, temazepam)
• Umuti wa diyabete
• Inyongeramusaruro y'ibimera `St. John's Wort`
• Imiti imwe ikoreshwa mu kuvura ubwandu bwa virusi itera SIDA (urugero: ritonavir)
• `Warfarin` (umuti woroshya amaraso)
• Umutobe w'imbuto z'imizabibu

Uru rutonde ntirwuzuye. Hashobora kuba hari n'izindi nyinshi. Rero, menya neza ko wabwiye muganga wawe cyangwa umufarumasiye wawe ibyerekeye buri muti, vitamine, inyongeramusaruro z'ibimera, cyangwa ikindi gicuruzwa ufata. Menya neza ko wabwiye muganga wawe cyangwa umufarumasiye wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge.

Ibintu ugomba kuzirikana mugihe ufata uyu muti

Ni ngombwa cyane kwita ku buzima bwawe igihe ukoresha ibi binini byo kuboneza urubyaro.

• Gusuzumwa kwa muganga buri gihe: Jyana na muganga wawe buri gihe kugira ngo arebe uko umerewe. Ni ngombwa ko usuzuma amabere, usuzuma ikibuno, kandi ugapimwa Pap smears buri gihe mu gihe ufata iki kinini.
• Uburinzi bw'inyongera mu kwezi kwa mbere: Ni byiza gukoresha ubundi buryo bwo kuboneza urubyaro (urugero: agakingirizo) mu kwezi kwa mbere utangiye gufata ibi binini, kuko bishobora gufata igihe kugira ngo umubiri wawe umenyere ibi binini kandi utange uburinzi bwuzuye.
• Niba ukeka ko utwite: Niba ukeka ko utwite ku mpamvu iyo ari yo yose, hagarika gufata ibi binini ako kanya hanyuma uhamagare muganga wawe.
• Mu rwego rwo kuvura ibibazo by'imisemburo: Niba ufata ibi binini kubera ikibazo cy'imisemburo (urugero: imihango idakora neza, kuva amaraso menshi), ushobora gukenera gufata ibi binini mu gihe cy'amezi menshi kugira ngo ubone iterambere muri iyo mimerere.
• Kunywa itabi n'ibyago:Ibi ni ingenzi cyane! Niba unywa itabi uri gufata ibi binini byo kuboneza urubyaro, cyane cyane niba ufite imyaka irenga 35, uba uri mu kaga gakomeye ko kurwara amaraso cyangwa indwara yo gucika imitsi. Kubwibyo, abaganga bakugira inama ikomeye yo kureka burundu kunywa itabi niba ufata ibi binini.
• Kubika amazi: Ibi binini rimwe na rimwe bishobora gutuma umubiri wawe ubika amazi menshi cyane. Ibi bishobora gutera kubyimba intoki zawe, amaboko, cyangwa utuguru. Umuvuduko w'amaraso na wo ushobora kwiyongera. Bibwire muganga wawe niba uhuye n'ibi.
• Uburyo bwo kwisiga izuba: Uyu muti ushobora gutuma uruhu rwawe rworohera cyane imirasire y'izuba (photosensitivity). Kubwibyo, irinde imirasire y'izuba uko bishoboka kose. Niba ugomba kujya hanze ku zuba, ambara imyenda ipfuka uruhu rwawe kandi ukoreshe amavuta akingira izuba. Ntugakoreshe amatara y'izuba cyangwa utubati/utubati two kwisiga.
• Amarangi yo mu maso: Niba wambaye amarangi yo mu maso ukabona impinduka mu maso yawe, cyangwa niba ukumva utameze neza mugihe wambaye amarangi yo mu maso, gana muganga w'amaso yawe.
• Ibibazo by'ishinya: Hari abantu bashobora kugira ububabare, kubyimba, cyangwa kuva amaraso make mu ishinya. Ibi nibibaho, bwira umuganga w'amenyo. Ibi bishobora kugabanuka iyo wogeje amenyo yawe neza buri munsi. Jyana umuganga w'amenyo buri gihe kandi umubwire imiti yose ufata.
• Mbere yo kubagwa: Niba uteganya kubagwa mu buryo bwo guhitamo, ushobora gukenera guhagarika gufata ibi binini iminsi mike mbere yo kubagwa. Vugana na muganga wawe kuri ibi.
• Nta bwirinzi ku ndwara zandurira mu mibonano mpuzabitsina: Ibi nabyo ni ingenzi cyane. Izi miti zo kuboneza urubyaro ntizikurinda kwandura agakoko gatera SIDA (SIDA) cyangwa izindi ndwara zose zandurira mu mibonano mpuzabitsina (STIs). Kugira ngo wirinde izo ndwara, ugomba gukoresha ubundi buryo bwo kwirinda, nk'udukingirizo.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, iyi miti yo kuboneza urubyaro ishobora gutera ingaruka mbi ku bantu bamwe. Imwe ntabwo ari mbi cyane, ariko indi iteye impungenge.

Ingaruka mbi ugomba guhita ubibwira muganga wawe:

Niba ubonye kimwe muri ibi bikurikira, menyesha muganga wawe cyangwa ibitaro bikwegereye vuba bishoboka:

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri (uduheri duto dutukura), kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Amaraso apfutse: kubabara amaguru, kubyimba, cyangwa ubushyuhe, guhumeka bigoranye, kubabara mu gituza.
• Ibibazo by'inkari: Kubabara cyane mu nda yo hejuru, isesemi, kuruka, umuriro.
• Ubwiyongere bw'umuvuduko w'amaraso.
• Gukomereka k'umwijima:Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, kwitumamo amabara yoroheje, inkari z'umuhondo wijimye cyangwa umukara, uruhu cyangwa amaso bihinduka umuhondo, no kumva unaniwe cyangwa ufite intege nke bidasanzwe.
• Umutwe mushya cyangwa urimo kwiyongera cyane.
• 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, kuribwa umutwe cyane, impinduka mu kureba.
• Amavuta adasanzwe ava mu gitsina, kuribwa, cyangwa impumuro mbi.
• Kurushaho kugira amarangamutima mabi, kumva ubabaye cyane.

Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe niba zigutera ikibazo:

Ibi akenshi ntabwo ari ibintu bikomeye, ariko niba bikomeje cyangwa bikakubangamira cyane, ni byiza kubibwira muganga wawe:

• Kubabara cyangwa gufungana kw'ibere.
• Uduce twijimye tw'uruhu ku maso cyangwa ahandi hantu hagaragara izuba.
• Ukwezi guhindagurika cyangwa kuva amaraso make (amabara make) hagati y'imihango.
• Isesemi.
• Kongera ibiro.

Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Niba ubonye ikintu kidasanzwe, nyamuneka ubaze muganga wawe ibyacyo.

Ni gute wabika uyu muti mu buryo butekanye?

Bika uyu muti ahantu abana n'amatungo batagera .

Igomba kubikwa ku bushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30, dogere selisiyusi 59 na 86). Tata umuti wose utakoreshejwe nyuma y'itariki ntarengwa.

Ikintu cy'ingenzi ugomba kwibuka! (Ubutumwa bwo kujyana mu rugo)

Sawa, rero ndizera ko ubu usobanukiwe neza ikinini cyo kuboneza urubyaro cyitwa `Ethynodiol Diacetate; Ethinyl Estradiol` twavuzeho.

Wibuke ko uyu ari umuti ugomba gukoreshwa gusa ku nama za muganga. Niba ufite ikibazo cyangwa impungenge, ntutindiganye kubaza muganga wawe, umufarumasiye, cyangwa umuvuzi. Aka gatabo ni incamake gusa kandi gashobora kuba kadafite ibisobanuro byose. Umutekano wawe ni cyo kintu cy'ingenzi cyane!

Kwirinda kunywa itabi, gufata ibinini ku gihe, kubwira muganga wawe uko ubuzima bwawe buhagaze, no kumenya uburyo imiti ikoreshwa n'indi miti byose ni inyungu zawe.

Ibinini byo kuboneza urubyaro , Ethynodiol Diacetate, Ethinyl Estradiol, kwirinda gutwita, ubuzima bw'abagore, imisemburo, ingaruka mbi, imiti yo kuboneza urubyaro inyowe, estrogen, progestin, ibinini byo kuboneza urubyaro Sinhala