Iyo utekereje ku buryo bwo kuboneza urubyaro, ushobora kuba utekereza ku binini ufata buri munsi cyangwa inshinge uhabwa buri mezi make. Ariko se wigeze wumva impeta nto kandi yoroshye wambara mu gitsina? Ubu kandi ni uburyo bwiza cyane bwo kuboneza urubyaro. Uyu munsi, reka tuvuge kuri iyi mpeta yo mu gitsina, "Impeta yo mu gitsina". Muri Sri Lanka, ushobora kuba warabyumvise ku izina rya `NuvaRing`.
Mu magambo make, iyi mpeta yo mu gitsina ni iki?
Iyi ni impeta nto ikozwe muri pulasitiki ibonerana kandi ikoresha mu kuboneza urubyaro n'abagore. Irimo ubwoko bubiri bw'imisemburo. Ni estrogen na progestin. Mu by'ukuri, irimo imiti `Etonogestrel` na `Ethinyl Estradiol`.
Iyo ushyize iyi mpeta mu gitsina cyawe, irekura iyi misemburo mu mubiri wawe mu buryo bworoshye kandi bugenzurwa. Iyi misemburo yombi hamwe ikora ibintu bibiri by'ingenzi:
1. Irinda ko intanga zisohoka: Ihagarika irekurwa ry'intanga z'umugore buri kwezi. Iyo nta ntanga zivutse, gutwita ntibishoboka.
2. Kubyimba kw'ururenda rw'inkondo y'umura: Ururenda ruri ku muryango w'inkondo y'umura rurabyimbye, bigatuma bigora intanga ngore kwinjira mu mura.
Uku ni ko iyi mpeta ikurinda gutwita.
Ibintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti:
Iyi mpeta ntikwiriye buri wese. Rero iyo uganiriye na muganga wawe, menya neza ko wavuze kimwe mu bintu biri hepfo. Ibi ni ingenzi cyane ku mutekano wawe.
| Ubwoko bw'indwara | Ibintu ukwiye gutangaza |
|---|---|
| Ibibazo by'umutima n'imitsi y'amaraso | Umuvuduko ukabije w'amaraso, indwara z'umutima cyangwa indwara y'umutima iherutse gutera, gucika imitsi, kubyimba kw'amaraso mu mitsi, cholesterol nyinshi cyangwa triglyceride. |
| Kanseri | Niba ufite cyangwa warigeze kurwara kanseri y'ibere, y'inkondo y'umura, y'umura, y'intanga cyangwa y'umwijima. |
| Izindi ndwara | Diyabete, indwara y'umwijima, indwara y'impyiko, indwara y'agasabo k'inkari, umutwe uterwa n'umutwe ukabije, lupus (SLE), kubura poroteyine C/S. |
| Imibereho n'ibindi bibazo | Niba uri umunywi w'itabi (cyane cyane urengeje imyaka 35), wabyaye vuba aha, wakuyemo inda, ugiye kubagwa, cyangwa uva amaraso mu gitsina udasanzwe. |
| Gutwita n'ubwivumbure | Niba utwite cyangwa ugerageza gutwita, niba wonsa, cyangwa niba ufite allergie ku misemburo cyangwa indi miti cyangwa ibiryo. |
Ni gute ukoresha iyi mpeta neza?
Uburyo bwo kubikoresha bworoshye cyane, ariko ni ingenzi cyane gukurikiza neza uburyo.
1. Ibyumweru 3 nyuma, icyumweru 1 nyuma: Shyira impeta mu gitsina nk'uko muganga yabigutegetse. Igomba kuguma aho iri mu mwanya wayo mu byumweru 3 (iminsi 21) .
2. Gukuraho: Nyuma y'ibyumweru 3 neza, kura impeta ku munsi wayishyizemo (urugero, niba wayishyizemo ku Cyumweru, hanyuma ku Cyumweru nyuma y'ibyumweru 3).
3. Ikiruhuko cy'icyumweru kimwe: Ugomba kuba udafite impeta mu cyumweru gitaha (iminsi 7) . Muri iki gihe, uzagira imihango yawe (kuva amaraso mu gihe cyo gusohora).
4. Gushyiramo impeta nshya: Nyuma y'icyumweru kimwe gusa, ku munsi umwe impeta yabanje yakuweho (mu rugero rwacu, ku Cyumweru gikurikiraho), ugomba gushyiramo impeta nshya .
Urugero, niba wumva impeta yawe yavuyemo, cyangwa niba utazi neza niba ikirimo, hita uyisuzuma. Niba utazi igihe imaze isohotse, ushobora kuba uri mu kaga ko gutwita. Icyo gihe kora ikizamini cyo gutwita kandi uganire na muganga wawe.
Wakora iki iyo wambaye impeta utinze cyane, cyangwa iguye?
Kugira ngo ubu buryo bugende neza biterwa n'uburyo ukomeza gukora neza muri iki gihe. Niba usibye umunsi wagombaga gushyiramo impeta, cyangwa se ikaba imaze amasaha make isohotse, uburinzi bwawe bwo gutwita bushobora kugabanuka. Hamagara muganga wawe ako kanya kugira ngo akugire inama. Ni byiza kandi gukoresha ubundi buryo bwo kuboneza urubyaro, nk'udukingirizo, kugeza igihe azabikubwira.
Ibintu bidakwiye gukoreshwa n'iyi mpeta (Imikoranire y'ibiyobyabwenge)
Indi miti ufata ishobora kugira ingaruka ku misemburo iri muri iyi mpeta, ikagabanya imikorere yayo cyangwa ikongera ingaruka mbi. Bityo rero bwira muganga wawe imiti yose, vitamine, n'ibikomoka ku bimera ufata.
| Ntimugakoreshe aya mazina hamwe! | |
|---|---|
| Irinde gukoresha iyi mpeta hamwe n'imiti imwe n'imwe ivura Hepatite C (nka Dasabuvir; ombitasvir; paritaprevir; ritonavir), amavuta yo kwisiga mu gitsina arimo amavuta cyangwa silicone. | |
| Bwira muganga wawe niba ufata iyi miti. | |
| Imiti yo kuvura indwara zandurira mu mubiri | Antibiyotike n'imiti irwanya udukoko nka Rifampin na Griseofulvin. |
| Imiti ivura igicuri/ ibicurane | Nka Carbamazepine, Phenytoin, Topiramate. |
| Imiti ivura virusi itera SIDA | Imiti imwe n'imwe igabanya ubukana bw'imiti .... |
| Ibikomoka ku bimera | Umutobe wa Mutagatifu Yohani. |
| Ibindi | Acetaminophen (Paracetamol), Warfarin, imiti ya diyabete, imisemburo ya tiroyide, n'indi miti myinshi. |
*Uru rutonde ntirwuzuye. Noneho rero, nyamuneka menyesha muganga wawe ibyo urimo gufata byose.*
Ibintu ugomba kwitondera mu gihe ukoresha
- Irinde kunywa itabi: Kunywa itabi ni bibi cyane niba ukoresha ubwo buryo bwo kuboneza urubyaro bugizwe n'imisemburo. Kunywa itabi byongera cyane ibyago byo kurwara amaraso no gucika intege mu bwonko, cyane cyane niba ufite imyaka irenga 35.
- Kwisuzumisha kwa muganga: Sura muganga wawe ku gihe kandi wisuzumishe. Ntugasimbuke ibintu nko gupima amabere no gupimwa pap smears.
- Indwara zandurira mu mibonano mpuzabitsina:
- Uduheri ku ruhu: Abagore bamwe bashobora kugira uduheri tw'umukara (cholasma) mu maso. Iyi ndwara ishobora kwiyongera iyo umuntu yiriwe ku zuba. Rero, wirinde izuba kandi ukoreshe amavuta akingira izuba.
- Kurenza urugero: Niba hari impamvu iyo ari yo yose ukeka ko warenze urugero, jya vuba ku Kigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu Bitaro by’Igihugu cyangwa mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) cy’ibitaro biri hafi yawe.
- Impeta yo mu gitsina ni uburyo bwo kuboneza urubyaro bukoreshwa mu gihe cy'ibyumweru 3, bukavanwaho mu gihe cy'icyumweru, hanyuma hagashyirwamo indi nshya.
- Nubwo ibi birinda gutwita, ntabwo bitanga uburinzi ubwo aribwo bwose ku ndwara zandurira mu mibonano mpuzabitsina (STIs), harimo na virusi itera SIDA.
- Niba unywa itabi kandi urengeje imyaka 35, ibyago byawe byo kubyimba amaraso ni byinshi cyane. Irinde kunywa itabi burundu.
- Bwira muganga wawe imiti yose, vitamine, n'ibikomoka ku bimera urimo gufata.
- Shaka abaganga vuba niba ugize ingaruka mbi nko kubabara mu gatuza, guhumeka nabi, kubyimba amaguru, cyangwa kuribwa umutwe cyane.
- Iyo impeta iguye cyangwa ukibagirwa kuyishyira ku itariki yagenwe, hita ubaza muganga wawe.
Igikuru ni uko iyi mpeta ikurinda gusa gutwita. Ntabwo ikurinda kwandura indwara zandurira mu mibonano mpuzabitsina (STIs) nka VIH (SIDA). Ni ngombwa gukoresha uburyo bwo kwirinda nko gukoresha agakingirizo.
Ni izihe ngaruka mbi zitezweho?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
|---|---|
| Ibimenyetso by'amaraso yangiritse | Kubabara amaguru, kubyimba, gutukura, guhumeka bigoranye, kubabara mu gituza. |
| Ibimenyetso bya Stroke | Kubura ibinya cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, kuribwa umutwe cyane, guhinduka mu kureba. |
| Ibibazo by'umwijima | Kubabara mu nda yo hejuru iburyo, uruhu cyangwa amaso bigahinduka umuhondo, inkari zijimye, amabyi yera. |
| Ibindi bimenyetso bikomeye | Ubwivumbure bw'uruhu (uduheri ku ruhu, kuribwa, kubyimba mu maso/iminwa), kwiyongera k'umutwe, kwiheba, ububabare mu gitsina, kuva amaraso mu buryo budasanzwe, ibimenyetso bya Toxic Shock Syndrome (TSS) hamwe n'umuriro. |
| Ingaruka mbi zikunze kugaragara ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
|---|---|
| Kubabara cyangwa gufungana kw'ibere | Isesemi |
| Iminsi y'imihango idahwitse cyangwa kugaragara kw'amaso | Kongera ibiro gato |
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