Muraho! Gucura ni imwe mu mpinduka zikomeye umugore anyuramo uko agenda asaza. Muri iki gihe, ushobora kuba uhura n'ingorane nyinshi bitewe n'ibintu nk'ubushyuhe n'ibyuya nijoro. Uyu munsi rero, tugiye kuvuga ku miti igabanya imisemburo abaganga basaba kugira ngo bagenzure ibyo bimenyetso.
Uyu ni ubwoko ki bw'umuti?
Mu magambo make, ni uruvange rw'imisemburo ibiri. Ni ukuvuga estrogen na progestin . Umuti muganga wawe yagundikiye urimo `Norethindrone Acetate` (ubu ni ubwoko bwa progestin) na `Ethinyl Estradiol` (ubu ni ubwoko bwa estrogen).
Mu gihe cyo gucura, imisemburo ya estrogen mu mubiri wawe iragabanuka. Uyu muti ukora mu gusubiza urugero rw'imisemburo mu buryo busanzwe. Ibi bishobora gufasha mu kugenzura ibimenyetso byinshi bijyana no gucura, cyane cyane ubushyuhe .
Byongeye kandi, hari n'izindi nyungu nyinshi:
- Kwirinda indwara yo gucika intege kw'amagufwa: Nyuma yo gucura, amagufwa aba mato kandi ashobora kuvunika cyane. Uyu muti ufasha kugabanya ibyo byago.
- Kurinda igice cy'imbere cy'umura: Gufata estrogen gusa bishobora gutuma igice cy'imbere cy'umura kibyimba bitari ngombwa, bikongera ibyago byo kurwara kanseri y'umura. Imisemburo ya progestin yongerwa kuri ibi kugira ngo hirindwe ibi.
Ibintu ugomba kubwira muganga wawe mbere yo gufata umuti
Ibi ni ingenzi cyane. Niba ufite kimwe mu bibazo biri hepfo, ugomba kubibwira muganga wawe mbere yo gutangira uyu muti.
| Indwara cyangwa ibyago | Ibisobanuro |
|---|---|
| Indwara za kanseri | Niba ufite cyangwa warigeze kurwara kanseri y'ibere, y'inkondo y'umura, y'umura, cyangwa y'inkondo y'umura. |
| Ibibazo bifitanye isano n'amaraso | Niba waragize indwara y'imitsi y'amaraso, kuvura amaraso, gucika imitsi mu bwonko, cyangwa indwara y'umutima iherutse gutera. Umuvuduko w'amaraso ukabije, urugero rwa cholesterol ruri hejuru. |
| Indwara y'umwijima cyangwa impyiko | Niba ufite indwara iyo ari yo yose y'umwijima cyangwa impyiko. |
| Izindi ndwara | Diyabete, Endometriosis, Fibroids, Indwara ya Gallbladder, Migraine, Kwiheba, Lupus (SLE), Porphyria. |
| Ubuzima n'ubwivumbure | Niba unywa itabi, uva amaraso mu gitsina bidasanzwe, cyangwa ufite ubwivumbure ku misemburo cyangwa indi miti cyangwa ibiryo. |
| Gutwita | Niba utwite, ugerageza gutwita, cyangwa uri umubyeyi wonsa. |
Nigute nkwiye gukoresha uyu muti?
Iki ginini kigomba gufatwa icyarimwe buri munsi hamwe n'ikirahure cy'amazi. Fata igipimo cyagenwe gusa, nkuko muganga yabikubwiye. Ushobora kugifata uri kumwe n'ibiryo cyangwa utabiriye. Buri gihe soma agapapuro k'umurwayi kari kumwe n'imiti yawe.
Bite ho nintakaza urugero rw'umuti?
Niba wibagiwe gufata ikinini, fata ako kanya wibuka. Ariko niba igihe cyo gufata ikinini gikurikira kiri hafi, jya usimbuka ikinini cyabuze hanyuma ufate ikinini gikurikira ku gihe cyagenwe. Ntukigere ufata ibinini bibiri icyarimwe.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe uyu muti urenze urugero, ntugatinye. Hita uhamagara 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 wanditswe kuri wewe gusa. Kubwibyo, ntukawusangire n'undi muntu uwo ari we wese.
Indi miti ishobora kugira ingaruka kuri uyu muti
Imiti imwe n'imwe ishobora kugira ingaruka kuri ubu buvuzi bw'imisemburo, bityo ugomba kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti gakondo).
| Ntugafate uyu muti hamwe. | |
|---|---|
| Indangagaciro za Aromatase (urugero: anastrozole, letrozole) | Uburyo bwo kuvura Hepatite C nka dasabuvir, ombitasvir, paritaprevir, ritonavir |
| Ibindi bintu bishobora kugira icyo bitanga | |
|---|---|
| Umutobe w'imbuto z'imizabibu | Imiti igabanya amaraso nka Warfarin |
| Imiti igabanya igicuri nka Phenobarbital na Carbamazepine | Imiti ivura diyabete |
| Imiti imwe n'imwe ifatwa ivura virusi itera SIDA cyangwa | Ibikomoka ku bimera nka St. John's Wort |
| Imiti irwanya fungane nka Itraconazole | Antibiyotike zirwanya igituntu, nka Rifampin |
| Imisemburo ya tiroyide | Steroids nka Prednisone |
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Gusuzumwa kwa muganga buri gihe:Jyana na muganga wawe nibura rimwe mu mezi 6 kugira ngo arebe uko umeze. Jya usuzuma amabere n'ikibuno buri gihe. Vugana na muganga wawe ku bijyanye n'uko ukeneye kwisuzumisha hakoreshejwe mammogram.
- Kubyimba umubiri: Uyu muti ushobora gutuma amazi aguma mu mubiri, ugatera kubyimba mu biganza, mu birenge no mu tuguru. Ushobora kandi kongera umuvuduko w'amaraso. Bibwire muganga wawe niba ubonye kimwe muri ibi bimenyetso.
- Kunywa itabi: Niba unywa itabi, cyane cyane niba ufite imyaka irenga 35, ibyago byawe byo kubyimba amaraso no gucika intege biba byinshi. Vugana na muganga wawe kuri ibi kandi ubone inama zikenewe.
- Gutwita: Niba ukeka ko utwite, hagarika gufata imiti ako kanya kandi ubibwire muganga wawe.
- Kubagwa: Niba uteganya kubagwa, baza muganga wawe niba ukeneye guhagarika gufata uyu muti mbere y'igihe.
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Ingaruka mbi ugomba guhita umenyesha muganga wawe | |
|---|---|
| Allergie | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi. |
| Ibimenyetso by'amaraso yangiritse | Kubabara amaguru, kubyimba, ubushyuhe, guhumeka bigoranye, kubabara mu gituza. |
| Ibimenyetso by'indwara ya stroke | Kubura umutwe mu buryo butunguranye mu maso, mu kuboko cyangwa mu kuguru, kugorwa no kuvuga, kugorwa no kugenda, kuribwa umutwe cyane. |
| Impinduka mu mabere | Ibibyimba bishya, gutukura, ububabare, no kuva mu ibere. |
| Ibimenyetso by'indwara y'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, uruhu cyangwa amaso bigahinduka umuhondo, inkari zijimye. |
| Ibindi | Umutwe mushya cyangwa ukomeje kwiyongera, kuva amaraso mu gitsina nyuma yo gucura. |
| Niba bikomeje cyangwa bikubangamiye, bwira muganga wawe. | |
| Kubabara cyangwa gufungana kw'ibere | Umutwe rusange |
| Kubyimba amaboko, ibirenge, utubuto | Amaso yumye, cyane cyane iyo wambaye indorerwamo z'amaso. |
Ubutumwa bwo kujyana mu rugo
- Mbere yo gutangira ubu buvuzi bw'imisemburo, bwira muganga wawe indwara zawe zose n'indi miti ufata.
- Fata umuti ku gihe kimwe buri munsi, hakurikijwe urugero rwatanzwe. Niba wabuze urugero, ntufate doze ebyiri icyarimwe.
- Shaka ubufasha bwihuse kwa muganga niba ugize ingaruka mbi nko kubyimba amaguru, kubabara mu gatuza, guhumeka bigoranye, cyangwa kuvuga nabi.
- Niba unywa itabi, uba ufite ibyago byinshi mu gihe ufata uyu muti. Vugana na muganga wawe kuri ibi.
- Ni ingenzi cyane kwisuzumisha kwa muganga no gupimwa amamammogram ku gihe cyagenwe.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.