Ese ufata ibinini byo kuboneza urubyaro? Reka twige kuri (Norgestrel; Ethinyl Estradiol)!

Ushobora kuba urimo gutekereza ku kuboneza urubyaro , cyangwa muganga wawe ashobora kuba yaragundikiye imiti yo kuboneza urubyaro nk'uburyo bwo kuvura ikibazo cy'imisemburo. Uyu munsi tugiye kuvuga ku binini byo kuboneza urubyaro birimo `(Norgestrel; Ethinyl Estradiol )`. Ibi bikunze gukoreshwa mu kwirinda gutwita . Reka tubirebe mu buryo burambuye.

Uyu muti ni iki? Mu magambo make...

Iki ginini, cyitwa `(Norgestrel; Ethinyl Estradiol ), kibuza umubiri wawe kurekura igi` (intanga ngore), bityo kikakurinda gutwita. Ni mu itsinda ry'ibinini byo kuboneza urubyaro` (imiti yo kuboneza urubyaro inyobwa). Mu by'ukuri, ni uruvange rw'imisemburo ibiri` (estrogen)` na` (progestin).`

Ushobora kubona ibi binini ku isoko mu mazina atandukanye nka `(Cryselle)`, `(ELINEST)`, `(Lo/Ovral)`, `(Low-Ogestrel)`, `(Ogestrel 0.5/50)`, `(Ovral)`. Ariko izina n'ingano muganga wawe yaguhaye ni byo by'ingenzi. Hari igihe uyu muti ushobora no gukoreshwa mu zindi mpamvu z'ubuvuzi. Niba ufite ikibazo kuri wo, ushobora kubaza muganga wawe cyangwa umufarumasiye.

Ibintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti!

Mbere yo gutangira gukoresha ibi binini byo kuboneza urubyaro, ugomba kubibwira muganga wawe niba ufite kimwe muri ibi bikurikira mu ndwara cyangwa ibibazo, cyangwa niba warigeze kugira ikindi. Ese ibi ni ingenzi cyane?

• Kuva amaraso mu gitsina bidasanzwe (kuva amaraso kenshi cyangwa bidasanzwe mu gitsina)
• 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
• Diyabete Mellitus cyangwa isukari nyinshi mu maraso
• Niba ufite indwara y'agasabo k'inkari
• Niba ufite indwara y'umutima cyangwa uherutse kugira indwara y'umutima
• Niba ufite umuvuduko w'amaraso ukabije
• Iyo urugero rwa cholesterol mu maraso ruri hejuru (Cholesteroli nyinshi)
• Niba ufite indwara y'impyiko
• Niba ufite indwara y'umwijima
• Niba ufite umutwe urwaye migraine
• Niba warigeze kugira stroke mbere
• Niba ufite indwara yitwa `Systemic lupus erythematosus (SLE)`
• Niba unywa itabi - iyi ni ingingo y'ingenzi cyane.
• Niba ufite ubwivumbure ku misemburo yitwa estrogen na progestin, indi miti, ibiryo, amabara y’ubukorano, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita ubu
• Niba uri umubyeyi wonsa

Niba hari ingingo zimwe muri izi zikureba, ni ngombwa cyane ku mutekano wawe kubivuganaho na muganga wawe.

Ni gute nkwiye gukoresha ibi binini?

Uyu muti ugomba gufatwa unyowe. Hari abantu bashobora kumva bafite isesemi nyuma yo kuwufata. Ibi bibaye, gufata umuti hamwe n'ibiryo bishobora kugabanya iki cyiyumvo. Kurikiza amabwiriza ari ku rupapuro rwa muganga wawe aguha neza.

Ni ingenzi cyane gufata iki ginini icyarimwe buri munsi kandi mu buryo bugaragara ku ipaki. Nk'uko unywa icyayi buri gitondo, komeza ushyireho igihe runaka cyo kugifata. Ni bwo uzashobora kubona ibisubizo byinshi bivuye kuri iki gipimo. Ntugafate ibirenze ibyo muganga yagutegetse.

Niba uyu muti uhawe abana bato, ni ukuvuga abana bato batangiye imihango, ushobora kuba ukeneye ubwitonzi bwihariye. Bityo rero vugana na muganga wawe kuri ibyo.

Iyo wahawe uyu muti, uzahabwa agapaki k'umurwayi. Soma uyu muti witonze igihe cyose uhawe umuti mushya na buri gihe uhabwa wongeramo, kuko amakuru arimo ashobora guhinduka.

Bite ho iyo mfashe imiti myinshi? (Ingano irenze urugero)

Tekereza ko wafashe uyu muti urenze urugero. Niba ibyo bibaye , ugomba guhita ujya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe, cyangwa ugahamagara ikigo gishinzwe kurwanya uburozi. Ntugafate ibi nk'ibisanzwe, sibyo?

Icy'ingenzi: Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese, kabone n'iyo yaba afite ibimenyetso nk'ibyawe.

Wakora iki niba wibagiwe gufata ikinini?

Niba wibagiwe gufata ikinini umunsi umwe, urupapuro rw'amakuru ku murwayi ruzaguha amabwiriza. Reba neza. Hari igihe niba wibagiwe gufata ibinini birenze kimwe, umuti ushobora kuba udakora neza. Ibi bibaye, ushobora gukenera gukoresha ubundi buryo bwo kuboneza urubyaro. Baza muganga wawe nawe.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)

Ibi binini byo kuboneza urubyaro bishobora kugira ingaruka ku yindi miti ufata. Rero, nubonana na muganga wawe, menya neza ko umubwira imiti yose ufata, harimo vitamine, imiti y'ibimera, imiti idasaba muganga, n'inyongeramusaruro.

By’umwihariko, hari imiti myinshi idakwiye gufatwa hamwe n’iyi miti yo kuboneza urubyaro. Urugero:

• `(Dasabuvir; ombitasvir; paritaprevir; ritonavir)`
• `(Ombitasvir; paritaprevir; ritonavir)`

Byongeye kandi, imiti n'ibindi bintu bikurikira bishobora kugira ingaruka ku binini byo kuboneza urubyaro:

• Acetaminophen
• Antibiyotike cyangwa imiti ivura indwara zandura (cyane cyane rifampin, rifabutin, rifapentine, griseofulvin, rimwe na rimwe na penisiline cyangwa tetracyclines)
• `Aprepitant`
• aside ascorbic (vitamini C) `(aside ascorbic (vitamini C))`
• `Atorvastatin` (umuti ugabanya cholesterol)
• Imiti ya Barbiturate (urugero: phenobarbital)
• `Bosentan`
• Kafeyine
• `Carbamazepine` (umuti uvura igicuri)
• 'Clofibrate'
• 'Cyclosporine'
• 'Dantrolene'
• 'Doxercalciferol'
• `Felbamate`
• Umutobe w'imbuto z'imizabibu
• 'Hydrocortisone'
• Imiti ivura imihangayiko cyangwa kudasinzira (urugero: diazepam, temazepam)
• Imiti ya diyabete (urugero: pioglitazone)
• Amavuta y'ubutare
• `Modafinil`
• 'Mycophenolate'
• `Nefazodone`
• 'Oxcarbazepine'
• 'Phenytoin' (umuti uvura igicuri)
• `Prednisolone` (ubwoko bwa steroid)
• Ritonavir cyangwa indi miti ivura VIH/SIDA
• `Rosuvastatin` (umuti ugabanya cholesterol)
• `Selegiline`
• Inyongeramusaruro za soya isoflavone
• Inyongeramusaruro y'ibimera bya St. John's Wort
• `Tamoxifen` cyangwa `raloxifene` (imiti ivura kanseri)
• 'Theophylline' (umuti uvura asima)
• Imisemburo ya tiroyide
• Topiramate
• Warfarin (umuti ugabanya amaraso)

Uru rutonde rushobora kuba rutarimo ibintu byose. Rero, niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko, bwira muganga wawe ibi bintu kuko hari ibintu bishobora kugira ingaruka ku miti yawe.

Ibintu ugomba kuzirikana mugihe ufata uyu muti

Shaka muganga wawe kugira ngo agusuzumishe buri gihe mu gihe ufata iki kinini cyo kuboneza urubyaro. Ubusanzwe uzakenera gupimwa ibere, gupimwa ikibuno, no gupimwa Pap smear mu gihe ufata uyu muti.

• Uburinzi bw'inyongera mu kwezi kwa mbere: Ni byiza gukoresha ubundi buryo bwo kuboneza urubyaro (urugero: agakingirizo) mu kwezi kwa mbere (ukwezi kwa mbere) ufata ibi binini.
• Niba ukeka ko utwite: Niba ukeka ko utwite ku mpamvu iyo ari yo yose, hagarika gufata ibi binini ako kanya hanyuma uganire na muganga wawe.
• Mu kuvura ibibazo by'imisemburo: Niba ufata uyu muti nk'umuti w'ikibazo cy'imisemburo, ushobora kuwukoresha amezi menshi (ingendo nyinshi) kugira ngo ubone iterambere mu buzima bwawe.
• Kunywa itabi n'ibyago: Iyo unywa itabi urimo gufata ibi binini byo kuboneza urubyaro, cyane cyane niba ufite imyaka irenga 35, ibyago byawe byo kurwara indwara yo kubyimba kw'amaraso cyangwa indwara yo gucika kw'imitsi biba byinshi cyane. Niyo mpamvu abaganga bakugira inama ikomeye yo kutanywa itabi urimo gufata ibi binini.
• Kugumana amazi: Uyu muti ushobora gutuma amazi agumana mu mubiri wawe. Ibi bishobora gutuma intoki zawe, amaboko, cyangwa utubuto tubyimba. Umuvuduko w'amaraso na wo ushobora kwiyongera. Bibwire muganga wawe niba uhuye n'ibi.
• Kumva izuba rikabije: Uyu muti ushobora gutuma uruhu rwawe rworohera izuba. Kubwibyo, gabanya igihe cyo kwibasirwa n'izuba uko bishoboka kose. Niba ugiye hanze, ambara imyenda ipfutse uruhu rwawe, wambare indorerwamo z'izuba, kandi ukoreshe amavuta akingira izuba. Ntugakoreshe amatara y'izuba cyangwa utubati/utubati two gusiga ibara ry'izuba.
• Ku bantu bambara lens: Niba wambaye lens ukareba impinduka mu maso yawe, cyangwa niba ukumva utameze neza mugihe wambaye lens, gana inzobere mu kwita ku maso.
• Ibibazo by'ishinya: Abagore bamwe bashobora kugira ububabare, kubyimba, cyangwa kuva amaraso make mu ishinya ryabo. Ibi nibibaho, menyesha umuganga w'amenyo. Iyi ndwara ishobora kugenzurwa no koza amenyo yawe buri munsi. Jyana umuganga w'amenyo buri gihe kandi umubwire imiti iyo ari yo yose ufata.
• Kubagwa guteganyijwe: Niba ugiye kubagwa hifashishijwe uburyo bwo guhitamo, baza muganga wawe niba ukwiye guhagarika gufata uyu muti mbere yo kubagwa.
• Nta bwirinzi bwa VIH/SIDA n'indwara zandurira mu mibonano mpuzabitsina: Ibi ni ingenzi cyane. Izi miti zo kuboneza urubyaro ntizikurinda VIH/SIDA cyangwa izindi ndwara zandurira mu mibonano mpuzabitsina. Ugomba gukoresha ubundi buryo bwo kwirinda (urugero: agakingirizo).

Ingaruka mbi zishobora guterwa n'uyu muti

Kimwe n'indi miti yose, iyi miti yo kuboneza urubyaro ishobora gutera ingaruka mbi ku bantu bamwe. Ariko si buri wese uyifata, si byo se? Imwe muri yo ni mbi cyane,Ubonye ikintu nk'icyo, ugomba guhita ubonana na muganga.

Ingaruka mbi zigomba kumenyeshwa muganga ako kanya:

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Amaraso apfutse: kubabara amaguru, kubyimba cyangwa gushyuha, guhumeka bigoranye, kubabara mu gituza.
• Ibibazo by'inkari: Kubabara cyane mu nda yo hejuru, isesemi, kuruka, umuriro.
• Ukwiyongera k'umuvuduko w'amaraso .
• Gukomereka k'umwijima: Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye cyangwa umukara, uruhu cyangwa amaso bihinduka umuhondo, n'umunaniro udasanzwe.
• 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, uburyaryate, cyangwa impumuro mbi .
• Amarangamutima arushaho kumera nabi, kumva ufite agahinda kenshi .

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga (ariko zigomba kumenyeshwa muganga niba zikomeje cyangwa zibangamiye):

• Ububabare cyangwa ububabare bw'ibere
• Uduce twijimye tw'uruhu ku maso cyangwa ahandi hantu hagaragara izuba
• Iminsi y'imihango idahwitse cyangwa kugaragara kw'amaso
• Isesemi
• Kongera ibiro

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba ubonye ibimenyetso bidasanzwe, vugana na muganga wawe. Ushobora kandi gutanga raporo kuri FDA (uhamagara 1-800-FDA-1088).

Uyu muti nawubika nte?

Bika uyu muti ahantu abana n'amatungo batagera.

Bika ku bushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30 / dogere selisiyusi 59 na 86). Takura umuti uwo ari wo wose warengeje igihe warangiriraho.

Icy'ingenzi: Iyi nkuru ni incamake gusa. Ishobora kuba idafite ibisobanuro byose. Niba ufite ibindi bibazo kuri uyu muti, vugana na muganga wawe, umufarumasiye, cyangwa undi mukozi w'ubuvuzi.

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, rero ndizera ko ubu usobanukiwe neza ibinini byo kuboneza urubyaro twavuze.

• Buri gihe icyarimwe, ukurikiza amabwiriza nezaNi ingenzi cyane gufata ibi binini.
• Menya neza ko wabwiye muganga wawe izindi ndwara zose ufite hamwe n'indi miti yose ufata.
• Niba unywa itabi, ingaruka ziba nyinshi iyo ufata ibi binini. Kubwibyo, ni byiza kwirinda kunywa itabi.
• Ibi binini ntibirinda indwara zandurira mu mibonano mpuzabitsina.
• Niba ugize ingaruka mbi zikomeye, shaka ubufasha bwa muganga ako kanya.

Ni inshingano zawe bwite kwita ku buzima bwawe. Kubwibyo, mu gihe ukoresha iyo miti, ni byiza kumenya neza ibijyanye n'ubuvuzi no gukurikiza amabwiriza ya muganga wawe.

Ibinini byo kuboneza urubyaro, Norgestrel, Ethinyl Estradiol, Kwirinda gutwita, Imisemburo, Ubuzima bw'abagore, Ingaruka mbi