Mu gihe tuvuga ku buryo bwo kuboneza urubyaro, bumwe mu buryo buzwi cyane kandi bukoreshwa cyane mu bantu benshi ni ibinini byo kuboneza urubyaro. Ariko hari ubwoko butandukanye bw'ibi binini byo kuboneza urubyaro. Uyu munsi, muri iyi nkuru, tugiye kuvuga ku bwoko bumwe bw'ibinini byihariye, Norgestrel. Umwihariko w'ibi ni uko birimo ubwoko bumwe gusa bw'imisemburo, ntabwo birimo ubwoko bubiri bw'imisemburo nk'ibindi binini byo kuboneza urubyaro. Reka turebe neza iki kinini icyo ari cyo, uburyo bwo kugikoresha neza, n'ibintu tugomba kwitondera mu gihe tugikoresha.
Norgestrel ni iki?
Mu magambo make, Norgestrel ni ikinini cyo kuboneza urubyaro gifatwa mu kanwa kugira ngo hirindwe gutwita cyangwa nk'uburyo bwo kuboneza urubyaro. Kirimo gusa imisemburo y'abagore yitwa progestin . Niyo mpamvu rimwe na rimwe yitwa 'mini-pill'.
Uyu muti ushobora kuzanwa n'amazina y'ibirango bitandukanye. Amazina amwe ashobora kuba atakiboneka mu bihugu bimwe na bimwe. Ariko, ushobora kuba warahawe ubwoko bw'uyu muti na muganga wo muri Sri Lanka. Hari n'igihe ukoreshwa mu bundi buryo bw'ubuvuzi. Ushobora kubaza muganga wawe amakuru arambuye.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Kugira ngo ugire umutekano kandi ugere ku ntsinzi ihagije ukoresheje imiti, ugomba kumenyesha muganga wawe niba ufite imwe muri izi ndwara zikurikira mbere yo gutangira gukoresha iki kinini.
| Indwara cyangwa imimerere | Kuki wagombye kubyitaho? |
|---|---|
| Amateka y'indwara y'imitsi y'amaraso cyangwa kubyimba kw'amaraso | Ibinini bya hormone bishobora guhindura gato iyi ngaruka. |
| Kanseri y'ibere, kanseri y'inkondo y'umura, cyangwa kanseri y'igitsina gore | Bishobora kugira ingaruka kuri kanseri iterwa n'imisemburo. |
| Ihungabana | Impinduka mu misemburo zishobora kugira ingaruka ku byiyumvo. |
| Diyabete | Ingano y'isukari mu maraso igomba gukurikiranwa kugira ngo harebwe ingaruka zishobora kubaho. |
| Indwara z'umutima, indwara y'umwijima, cyangwa indwara y'impyiko | Imikorere y'izi ngingo ishobora kugira ingaruka. |
| Migraine cyangwa igicuri | Ugomba kumenya impinduka iyo ari yo yose mu bimenyetso. |
| Kuva amaraso mu gitsina ku mpamvu itazwi | Impamvu y'ibi igomba kubanza gusuzumwa. |
| Niba utwite cyangwa ugerageza gutwita | Ibi binini ntibigomba gufatwa mu gihe cyo gutwita. |
| Niba konsa | Ni ngombwa gushaka inama kwa muganga kuko imisemburo mike ishobora kongerwa mu mata. |
Ni gute nkwiye gufata ikinini?
Uburyo bwo gukoresha uyu muti ni ubworoshye cyane, ariko ni ingenzi cyane.
- Iki ginini kigomba gufatwa mu kanwa. Ni byiza kugifata kirimo amazi.
- Ushobora kubifata uri mu biryo cyangwa utabiriye.
- Igikuru ni ukunywa ikinini mu gihe kimwe buri munsi. Hitamo igihe cyoroshye kwibuka. Urugero, buri mugoroba nyuma yo kurya.
- Fata ibinini uko bikurikirana bigaragara ku ikarita y'ibinini, nk'uko bigaragara ku myambi.
- Koresha gusa nk'uko muganga wawe yabigutegetse. Ntuzigere ufata ibirenze urugero rwatanzwe.
Niba ubona ko wafashe uyu muti urenze urugero ku bushake, hamagara 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.Ntugasuzugure ibi.
Wakora iki niba wibagiwe gufata ikinini?
Iki ni ikibazo abantu benshi bahura nacyo. Igihe cyose ubuze ikinini, ubushobozi bwo kuboneza urubyaro bugabanuka kandi ibyago byo gutwita biriyongera.
- Niba wasibye ikinini: Fata ikinini wasibye vuba ubyibuka (nubwo byatinze amasaha 3). Hanyuma, fata ikinini gikurikira ku gihe usanzwe uwo munsi. Ariko kugira ngo urusheho kwirinda, menya neza ko ukoresha ubundi buryo bwo kuboneza urubyaro, nka agakingirizo, mu masaha 48 ari imbere.
- Niba wabuze ibinini birenze kimwe: Ibi ni ibintu bikomeye kurushaho. Menya neza ko ukoresha uburyo bwo kuboneza urubyaro mu gihe cyose ugiye gufata ipaki, kugeza igihe uzamara imihango itaha. Nanone, vugana na muganga wawe ako kanya kugira ngo akugire inama.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Indi miti urimo gufata ishobora kugira ingaruka ku mikorere y'iyi miti yo kuboneza urubyaro. Ibi bivuze ko iyi miti ishobora kuba idakora neza. Kubwibyo, ni ngombwa cyane kubibwira muganga wawe niba urimo gufata imwe muri iyi miti ikurikira:
| Icyiciro cy'ibiyobyabwenge | Ingero |
|---|---|
| Amwe mu matibayotike n'imiti irwanya udukoko | rifampine, griseofulvin |
| Imiti igabanya ubukana bw'ibibyimba/ibinini | phenobarbital, carbamazepine, phenytoin, topiramate |
| Imiti ivura virusi itera SIDA | ritonavir |
| Ibikomoka ku bimera | Umutobe wa Mutagatifu Yohani |
Uru rutonde ntabwo rurambuye. Bwira muganga wawe imiti yose, vitamine, imiti y'ibimera, n'inyongeramusaruro ufata. Nanone, bwira muganga wawe niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Reba muganga wawe kugira ngo agusuzumishe buri gihe. Ibi bishobora kuba birimo gupimwa ibere, gupimwa mu gitsina, no gupimwa Pap smear.
- Niba ufite amakenga make ko utwite, hagarika gufata ikinini ako kanya hanyuma uganire na muganga wawe.
- Mu kwezi kwa mbere utangiye gukoresha uyu muti, ni byiza gukoresha ubundi buryo bwo kuboneza urubyaro (urugero: agakingirizo) .
Icy'ingenzi cyane: Iki ginini cyo kuboneza urubyaro kikurinda gusa gutwita. Ntikirinda VIH (SIDA) cyangwa izindi ndwara zandurira mu mibonano mpuzabitsina. Ni ngombwa gukoresha agakingirizo nk'uburyo bwo kwirinda.
Ingaruka mbi zishobora kubaho
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe muri zo ni mbi cyane, izindi ni izisanzwe.
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| - Kuva amaraso mu ibere cyangwa kubabara - Kurwara umutwe ukabije mu buryo butunguranye - Kubabara mu gituza, mu kibuno, cyangwa mu maguru - Kugorwa no guhumeka | - Kugorwa no kubona cyangwa kuvuga - Uruhu rufite uduheri , uburyaryate cyangwa uduheri - Guhinduka umuhondo k'uruhu cyangwa amaso - Umunaniro udasanzwe |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| - Impinduka mu mihango ya buri kwezi (kwiyongera, kugabanuka) - Isesemi - Kuribwa umutwe (bisanzwe) - Kongera ibiro cyangwa kugabanya ibiro | - Impinduka mu byifuzo by'imibonano mpuzabitsina - Gukura k'umusatsi mu maso - Kurakara, ihindagurika ry'amarangamutima - Kubyimba bitewe no kubika amazi mu mubiri |
Niba ubonye ikintu kidasanzwe kitari kuri uru rutonde, vugana na muganga wawe kuri cyo.
Ubutumwa bwo kujyana mu rugo
- Ni ngombwa gufata ikinini cya Norgestrel mu gihe kimwe buri munsi .
- Niba wasibye ikinini cyangwa ibinini byinshi, menya neza ko ukoresha ubundi buryo bwo kuboneza urubyaro kandi uganire na muganga wawe.
- Iki ginini ntabwo gitanga uburinzi ubwo aribwo bwose ku ndwara zandurira mu mibonano mpuzabitsina (STIs). Koresha agakingirizo kuri ibyo.
- Bwira muganga wawe indi miti yose, vitamine, n'ibikomoka ku bimera ufata.
- Niba ugize ingaruka mbi zikomeye nko kubabara mu gatuza, kuribwa umutwe cyane, cyangwa kutabona neza , shaka ubufasha kwa muganga byihutirwa.
- Uyu muti ni uwawe gusa. Ntukigere uwusangira n'abandi.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ikinini cya Norgestrel (Norgestrel / Ovrette / Opill) ni iki?
Iki ni ikinini cyo kuboneza urubyaro gifatwa buri munsi kugira ngo hirindwe gutwita bidateganijwe (Ikinini cyo kuboneza urubyaro cya buri munsi / Ikinini cyo kuboneza urubyaro gikoreshwa ku bagore. Umwihariko w'iki kinini ni uko kirimo gusa imisemburo yitwa 'Progestin-only'! (Ibyo bivuze ko iki kinini kidakubiyemo imisemburo ya Estrogen). Kubwibyo, gishobora gukoreshwa ku buntu n'abafite ubwivumbure/ibibazo by'imisemburo ya Estrogen, ndetse n'ababyeyi bonsa.
💬 Ni gute umugore yakwirinda kubyara nyuma yo gufata iki kinini (Norgestrel)?
Ibi bitanga uruzitiro rw'inzira eshatu! 1. Iyo binyowe buri munsi, bigabanya ururenda rw'inkondo y'umura, bigatuma bigorana ko intanga ngore zinyuramo no kwinjira mu mura. 2. Bigabanya igice cy'imbere cy'umura, bigatuma kidakwirakwira mu gutera intanga (endometrial atrophy). 3. Binarinda intanga ngore.
💬 Ni izihe ngaruka n'akaga by'iyi pinini yo kuboneza urubyaro (Progestin gusa)?
Kubera ko idafite estrogen, ingaruka zikomeye kandi zibabaza abagore benshi ni 'kuva amaraso ku buryo budasanzwe / kubona amabara'. Ikindi kintu kibi ni uko ugomba kuyifata 'mu gihe kimwe' buri munsi! Nubwo wabura dose amasaha 3, uburinzi bwayo buragabanuka 100% kandi ufite amahirwe menshi yo gusama!
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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.