Reka twige ku binini byo kuboneza urubyaro byihutirwa? - Levonorgestrel na Ethinyl Estradiol

Mu buzima hari igihe ibintu bitunguranye bitugeraho twese, si byo se? Hari igihe, iyo twakoze imibonano mpuzabitsina idateguwe kandi idakingiye, dushobora kumva dufite ubwoba bwinshi n'impungenge, tuti "Ese nzatwita?". Uyu munsi, tugiye kuvuga ku bwoko bw'umuti ushobora gukoreshwa mu gukumira gutwita mu bihe nk'ibi. Ubu, mu by'ukuri, ni uburyo bwo kuboneza urubyaro bukoreshwa mu bihe byihutirwa . Izina risanzwe ry'ibi ni `(Ubuvuzi bwihutirwa bwo kuboneza urubyaro)`.

Uyu muti ni iki mu by'ukuri?

Mu magambo make, irimo imisemburo ibiri, Levonorgestrel na Ethinyl Estradiol. Iyi miti irahuzwa kandi ikoreshwa mu kuboneza urubyaro byihutirwa. Ibi bikorwa ufata ibi binini mu masaha 72 (iminsi 3) nyuma yo gukora imibonano mpuzabitsina idakingiye, bikarinda gusama. Wibuke ko rimwe na rimwe agakingirizo gashobora gucika, cyangwa ubundi buryo bwo kuboneza urubyaro bushobora kudakoreshwa neza. Ni bwo ibi biba ingirakamaro.

Igikuru ni iki: Niba usanzwe utwite, uyu muti ntacyo uzagira. Ni ukuvuga ko atari ikinini cyo gukuramo inda.

Uyu muti rimwe na rimwe ushobora gukoreshwa n'abaganga mu bindi bintu. Niba ufite ikibazo, ni byiza kubaza muganga wawe cyangwa umuntu wo muri farumasi. `Preven` ni izina ry'ikirango cy'ubu bwoko bw'imiti. Ariko, uburyo iyi miti iboneka bushobora gutandukana bitewe n'igihugu. Bityo rero ni byiza kubaza uko ibintu bimeze mu gace utuyemo.

Ni ibihe bintu ugomba kubwira muganga wawe mbere yo gufata uyu muti?

Mbere yo gufata ibi binini byo kuboneza urubyaro byihutirwa, ni ngombwa cyane kubanza gusobanukirwa neza ibintu bimwe na bimwe na muganga wawe. Ibi biterwa nuko uyu muti ushobora kuba udakwiriye abantu bafite indwara zimwe na zimwe, cyangwa bakaba bakeneye kwitabwaho by'umwihariko.

Niba ufite cyangwa warigeze kugira kimwe muri ibi bibazo, menya neza ko wabibwiye muganga wawe :

• Ibibazo by'imitsi y'amaraso cyangwa kubyimba kw'amaraso: Niba ufite kubyimba kw'amaraso ahantu hose mu mubiri wawe, cyangwa niba ufite indwara ifitanye isano n'imitsi y'amaraso yawe.
• Ibibazo by'isukari nka diyabete: Niba ufite `(Diabete Mellitus)`.
• Indwara za kanseri: Cyane cyane kanseri y'ibere, inkondo y'umura, intanga ngabo, nyababyeyi, igitsina gore, cyangwa kuva amaraso mu gitsina ku buryo budasanzwe.
• Indwara y'agasabo: Iyo hari ikibazo ku gasabo k'inkari.
• Indwara z'umutima cyangwa indwara y'umutima iherutse gutera: Niba ufite indwara y'umutima, cyangwa warigeze kugira indwara y'umutima.
• Umuvuduko w'amaraso ukabije: Niba ufite umuvuduko w'amaraso ukabije.
• Indwara z'umwijima:Niba hari indwara iyo ari yo yose mu `(umwijima)`.
• Umutwe uterwa na migraine: Niba ukunze kurwara migraine.
• Niba uri umunywi w'itabi: Niba uri umunywi w'itabi, nawe ugomba kubivuga.
• Stroke: Niba warigeze kugira stroke mu bihe byashize.
• Kurwara imisemburo: Niba ufite ubwivumbure ku misemburo nka estrogen na progestin, cyangwa indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita: Ibi ni ingenzi cyane kuko uyu muti ntuhabwa abagore batwite.
• Niba uri umubyeyi wonsa: Niba wonsa umwana wawe, bibwira na muganga wawe .

Mu kuvuga ibi, muganga ashobora kuguha inama zisobanutse neza niba uyu muti ukubereye cyangwa utakubereye, cyangwa uko wawukoresha mu buryo bwizewe.

Ni gute neza neza nkwiye gukoresha uyu muti?

Iki ni ikinini ufata ukoresheje umunwa. Ni ngombwa gukurikiza amabwiriza ya muganga wawe neza. Muganga wawe ashobora kugusaba gupima inda mbere yo gufata iki kinini.

• Ikinini cya mbere: Kinywe vuba bishoboka nyuma yo gukora imibonano mpuzabitsina idakingiye, byaba byiza mu masaha 24 ya mbere . Ariko, ni ngombwa kugifata mu masaha 72 (iminsi 3) .
• Ikinini cya kabiri: Ikinini cya kabiri kigomba gufatwa nyuma y'amasaha 12 neza nyuma yo gufata ikinini cya mbere. Ni ngombwa kubahiriza igihe nyacyo.
• Ntugafate ibinini byinshi: Ntugatekereze ko gufata ibinini byinshi bizagabanya ibyago byo gusama. Ibyo ntibizabaho. Ariko, ibyago byo kugira ingaruka mbi bishobora kwiyongera.

Ese uyu muti uhabwa abana bato?

Uyu muti wakoreshejwe ku bakobwa bakiri bato batangiye kujya mu mihango. Ariko, ni ngombwa gushaka inama ku muganga w'abana muri ibyo bihe. Hashobora kuba ngombwa kwitabwaho by'umwihariko.

Iyo uhawe uyu muti, uzahabwa agapaki k'umurwayi karimo. Karimo amakuru yerekeye uyu muti. Buri gihe soma agapapuro witonze . Amakuru ashobora guhinduka gato.

Bigenda bite iyo ufashe byinshi? (`Kurenza urugero`)

Niba ubona ko wafashe uyu muti urenze urugero, jya mu bitaro bikuru bireba ubutabazi bwihuse, cyangwa uhamagare ikigo gishinzwe kurwanya uburozi.

Wibuke: Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese.

Wakora iki iyo ubuze dose cyangwa uruka?

Niba wabuze dose, cyangwa ukaruka mu isaha imwe nyuma yo gufata ikinini, ugomba gushaka inama kwa muganga wawe cyangwa umuganga wawe. Ni ingenzi cyane.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti? (Imikoranire)

Hari imiti imwe n'imwe ishobora guteza ibibazo iyo ifashwe n'iyi miti yo kuboneza urubyaro yihutirwa. Ni ukuvuga ko ishobora kugabanya imbaraga z'iyi miti cyangwa ikongera ingaruka mbi.

Ntugakoreshe ibi hamwe n'imiti ikurikira:

• `` dasabuvir; ombitasvir; paritaprevir; ritonavir`
• `ombitasvir; paritaprevir; ritonavir`

Nanone, hari indi miti ishobora gutera ingaruka mbi kuri iyi. Dore ingero nke:

• Acetaminophen (nk'iya parasetamol)
• Antibiyotike cyangwa imiti ivura indwara zandura (cyane cyane rifampin, rifabutin, rifapentine, griseofulvin, rimwe na rimwe na penisiline cyangwa tetracyclines)
• Aprepitant
• Aside ascorbic (vitamine C)
• Atorvastatin (umuti wa cholesterol)
• Imiti yo mu bwoko bwa barbiturate (urugero: phenobarbital)
• Bosentan `(bosentan)`
• Carbamazepine (umuti uvura indwara zo mu mutwe )
• Kafeyine
• Cyclosporine
• Imiti ivura ibitotsi n'imihangayiko (urugero: diazepam, temazepam)
• Umuti wa diyabete
• Umutobe w'imbuto z'imizabibu
• `Umuti wa Mutagatifu Yohani` (iyi ni inyongeramusaruro y'ibimera)
• Imisemburo ya tiroyide
• Warfarin (igabanya amaraso)

Si imiti yose iri kuri uru rutonde ishobora kugira akamaro. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, ibikomoka ku bimera, vitamine, n'inyongeramusaruro). Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Hari ibintu bishobora kugira ingaruka kuri uyu muti.

Ni ibihe bintu ugomba kwitondera mu gihe ukoresha uyu muti?

Ubu buryo si uburyo buhoraho bwo kuboneza urubyaro, keretse gukoreshwa mu buryo bwihutirwa. Vugana na muganga wawe ku bijyanye n'uburyo buhoraho bwo kuboneza urubyaro bukubereye.

• Ongera urebe muganga wawe: Nyuma yo gufata uyu muti, ni byiza kongera kubonana na muganga wawe mu byumweru 3-4.
• Guturika kw'amaraso: Ni ibisanzwe kuva amaraso mu gitsina nyuma yo gufata uyu muti. Ariko, niba imihango yawe itaha itageze, ugomba gusuzuma niba utwite. Shaka muganga vuba bishoboka kandi upime utwite.
• Kunywa itabi n'ibyago: Iyo unywa itabi urimo gufata ibinini byo kuboneza urubyaro, uba ufite ibyago byinshi byo kurwara indwara yo kubyimba kw'amaraso cyangwa indwara yo gucika kw'imitsi. Ni byiza kutanywa itabi, cyane cyane niba ufite imyaka irenga 35.
• Nta bwirinzi ku ndwara zandurira mu mibonano mpuzabitsina:Uyu muti nturinda kwandura agakoko gatera SIDA (SIDA) cyangwa izindi ndwara zandurira mu mibonano mpuzabitsina (STDs). Ubundi buryo bwo kwirinda, nk'udukingirizo, bukwiye gukoreshwa.

Ni izihe ngaruka mbi zishobora kubaho?

Kimwe n'indi miti iyo ari yo yose, ibi bishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Ariko, akenshi ingaruka mbi zikomeye ziba nke cyane.

Ingaruka mbi ugomba guhita umenyesha muganga wawe :

Nubwo ingaruka mbi zikomeye zidakunze kubaho, zishobora kubaho. Ni byiza rero kuganira na muganga wawe kuri ibi bintu no kugumana amakuru. Urugero, niba ugize ibimenyetso bikomeye nko kugorwa no guhumeka, kubabara mu gatuza, cyangwa kubyimba amaguru, hita ubonana na muganga.

Ingaruka mbi zidakunze gukenera ubuvuzi, ariko zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye:

• Kubabara mu gifu cyangwa isesemi
• Kubabara cyangwa gufungana kw'ibere
• Kuribwa umutwe (umutwe)
• Kuzungera
• Isesemi/kuruka (niba uruka mu isaha imwe nyuma yo gufata ikinini, menya neza ko wabibwiye muganga wawe )
• Gusohora amaraso (amaraso ava mu mubiri)

Ingaruka mbi zose kuri uru rutonde ntizishobora gucika. Niba ubonye ikindi kintu kidasanzwe, gana muganga wawe.

Ukwiye kubika gute imiti yawe?

• Bishyire kure y'abana. Ibi ni ingenzi cyane.
• Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30).
• Ntugakoreshe umuti warengeje igihe ngo uwujugunye.

Amaherezo, ibintu byo kwibuka

Sawa, reka twongere twibukiranye bimwe mu byo twaganiriyeho tubona ko bizaba ingenzi kuri wowe.

Ibi binini byo "Kwibasira Indagihe byihutirwa" bigenewe gukoreshwa mu bihe byihutirwa gusa, ntabwo ari uburyo bwa buri munsi bwo kuboneza urubyaro. Ibyo ujye ubyibuka.

• Ibi bigomba gufatwa vuba bishoboka, mu masaha 72, nyuma yo gukora imibonano mpuzabitsina idakingiye.
• Niba hari ibinini bibiri, fata icya mbere hanyuma ufate icya kabiri nyuma y'amasaha 12 .
• Niba usanzwe utwite, ibi ntacyo bitwaye.
• Menya neza ko wabwiye muganga wawe indi miti yose ufata ndetse n'indwara zose ufite.
• Ibi ntibirinda SIDA cyangwa izindi ndwara zandurira mu mibonano mpuzabitsina.
• Nyuma yo gufata ibi binini, ni byiza kubonana na muganga mu byumweru bike.
• Niba imihango yawe itaha yatinze, reba niba utwite.

Ndizera ko aya makuru azagufasha. Niba ufite ikibazo cyangwa gushidikanya, ntutindiganye kubaza muganga wawe cyangwa umukozi w’umuryango wawe. Bazagufasha.

Ibinini byihutirwa byo kuboneza urubyaro, levonorgestrel, ethinyl estradiol, kwirinda gutwita, imibonano mpuzabitsina idakingiye, ubuzima bw'abagore, kuboneza urubyaro