Gucura, igihe imihango ihagarara, bishobora kuzana ububabare butandukanye ku mubiri ku mugore. Ikunze kugaragara muri ibi ni ibyuya bitunguranye n'ubushyuhe. Iyi ndwara ishobora gutera impagarara kuri bamwe ku buryo badashobora gukora imirimo yabo ya buri munsi. Rero, uyu munsi turimo kuvuga ku muti wihariye abaganga batanga kugira ngo bagenzure ibyo bimenyetso. Uwo ni ubwoko bw'ibinini by'imisemburo byitwa Synthetic Conjugated Estrogens.
Uyu muti witwa estrogen ni iki mu by'ukuri?
Muri make, uyu ni umuti ukozwe mu buryo bwa sintetike usa n'umusemburo wa estrogen ukorwa mu mubiri w'umugore. Mu gihe cyo gucura, urugero rwa estrogen mu mubiri rugabanuka. Uyu muti ukora mu gusubiza urugero rw'imisemburo rugabanuka ku rugero runaka no kugabanya ububabare buterwa na wo, cyane cyane ubushyuhe . Ubu buryo kandi twita uburyo bwo kuvura imisemburo (HRT) .
Uretse iyi mpamvu nyamukuru, muganga wawe ashobora no kukwandikira uyu muti ku zindi ndwara zimwe na zimwe.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yo gutangira gufata uyu muti, ni ngombwa cyane kumenyesha muganga wawe amateka y’ubuzima bwawe bwose. Uyu muti ushobora kuba udakwiriye abantu bafite indwara zimwe na zimwe. Menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zikurikira:
Kanseri n'ingaruka zijyanye nayo
- Niba waragize cyangwa wigeze kurwara kanseri y'ibere, inkondo y'umura, endometrium, intanga ngabo, umwijima, cyangwa nyababyeyi.
- Niba hari umuntu wo mu muryango, cyane cyane umubyeyi cyangwa mushiki we, warwaye kanseri y'ibere.
Ibibazo bijyanye n'umutima, imiyoboro y'amaraso, n'imitsi ifungana
- Niba ufite umuvuduko w'amaraso ukabije.
- Niba ufite indwara y'umutima cyangwa uherutse kugira indwara y'umutima.
- Niba warigeze kugira stroke mbere.
- Niba ufite indwara y'imitsi y'amaraso, cyangwa amaraso akagenda afungana mu maguru cyangwa mu bihaha.
- Niba urugero rwa cholesterol mu maraso ruri hejuru.
Izindi ndwara
- Niba ufite amaraso adasanzwe mu gitsina nta mpamvu izwi.
- Niba urwaye diyabete.
- Niba ufite indwara y'umwijima cyangwa impyiko.
- Niba ufite indwara y'agasabo k'inkari.
- Niba ufite indwara zo mu mura nka endometriosis cyangwa fibroids .
- Migraine, ni ukuvuga, niba ufite migraine .
- Iyo urugero rwa kalisiyumu mu maraso ruri hejuru.
- Niba ufite indwara zo mu mutwe nko kwiheba.
- Niba ufite indwara yo kwiheba cyangwa uri mu kaga ko kuyirwara.
- Niba unywa itabi (ibi ni ingenzi cyane).
- Niba urimo kugerageza gutwita, utwite, cyangwa uri umubyeyi wonsa.
- Niba ufite allergie kuri iki ginini cya estrogen cyangwa undi muti, ibiryo, cyangwa irangi.
Nigute nkwiye gukoresha uyu muti?
Ni ngombwa cyane gufata uyu muti neza neza nk'uko muganga yabigutegetse, mu gipimo gikwiye.
- Mirira iki kinini n'ikirahure cy'amazi.
- Igire akamenyero ko gufata imiti yawe ku gihe kimwe buri munsi. Muri ubwo buryo, ntuzibagirwa kandi bizakorohera gukomeza kugira imisemburo mu mubiri wawe.
- Ntugafate ibirenze ibyo muganga yagutegetse, cyangwa ngo ubifate kenshi.
- Buri gihe soma witonze urupapuro rw'umurwayi igihe ufata umuti wawe.
- Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Umuburo: Uyu muti wagenewe wowe gusa. Ntugahe undi muntu wese ufite ibimenyetso nk'ibyawe.
Gukoresha ingano irenze urugero
Niba wafashe uyu muti urenze urugero, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami ryita ku bibazo byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Itondere ibi bintu mu gihe ufata imiti.
Ni ingenzi cyane gukurikirana ubuzima bwawe buri gihe mu gihe ukoresha uyu muti.
- Gusuzumwa kwa muganga buri gihe: Jya kwisuzumisha kwa muganga buri gihe nk'uko muganga wawe yabigutegetse. Vugana na muganga wawe ku bijyanye no kumenya niba ugomba kwisuzumisha mammogram n'inshuro ugomba kwisuzumisha, ndetse no gupimwa amabere, gupimwa ikibuno, no gupimwa Pap smear.
- Irinde kunywa itabi: Ibi ni ingenzi cyane. Iyo unywa itabi uri gufata uyu muti, ibyago byo kubyimba amaraso no gucika intege biriyongera cyane. Ibi nibyo biri hejuru cyane cyane iyo ufite imyaka irenga 35 .
- Kubika amazi: Uyu muti rimwe na rimwe ushobora gutuma amazi abika, kubyimba mu biganza, mu birenge, cyangwa mu tuguru. Ushobora kandi kongera umuvuduko w'amaraso. Bibwire muganga wawe niba uhuye n'imwe muri izi mpinduka.
- Ububyimba bw'urukuta rw'inda ibyara:Iyo ufashe ibinini bya estrogen gusa igihe kirekire, hari ibyago by'uko igice cy'umura (endometrium) cyakwiyongera cyane amaherezo kikavamo kanseri (endometrial hyperplasia). Kugira ngo wirinde ibi, keretse iyo nyababyeyi yawe yakuweho hakoreshejwe kubagwa (hysterectomy), muganga wawe ashobora kukwandikira indi misemburo yitwa progestin hamwe n'ibinini bya estrogen. Muganga wawe azagusobanurira birambuye.
- Kubabara mu maso: Uyu muti ushobora gutera amaso yumye no kutabona neza. Iyo wambaye indorerwamo z'amaso, ushobora kugira ikibazo. Ibitonyanga by'amaso bishobora gukoreshwa bibaye ngombwa. Niba ikibazo kigikomeje, reba muganga wawe.
- Mbere yo kubagwa: Niba ugiye kubagwa, vugana na muganga wawe mbere y'igihe kandi umubaze niba ukeneye guhagarika by'agateganyo gufata uyu muti.
Ingaruka mbi zishobora guterwa n'umuti
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka zimwe na zimwe. Imbonerahamwe iri hepfo irabyerekana neza.
| Ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Ingaruka mbi zikomeye zisaba kwihutira kujya kwa muganga cyangwa kujya kwa muganga | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa cyangwa ku rurimi. |
| Kubabara mu gituza, kugorwa no guhumeka | Ibi bishobora kuba ikimenyetso cy'indwara y'umutima cyangwa amaraso yacitse mu bihaha. |
| Ibimenyetso by'indwara yo mu bwonko | Kubura ibinya ku ruhande rumwe rw'isura, ukuboko, cyangwa ukuguru, intege nke, kugorwa no kuvuga, urujijo, kugorwa no kugenda, isereri. |
| Ibimenyetso by'amaraso yangiritse | Ububabare, kubyimba, gutukura, n'ubushyuhe mu kuguru. |
| Ibibazo by'umwijima | Amaso cyangwa uruhu rugahinduka umuhondo, inkari zijimye, imyanda yera, ububabare mu gice cyo hejuru cy'iburyo cy'igifu, isesemi. |
| Ibindi bimenyetso bikomeye | Kuva amaraso mu gitsina bidasanzwe, ibibyimba cyangwa impinduka mu mabere, kuva amaraso mu mabere, kuribwa umutwe cyane, impinduka mu kureba. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe mu gihe zikomeje: | |
| Ingorane nto | Gutakaza umusatsi, inzara cyangwa inyota byiyongera, kwihagarika kenshi, kwandura indwara zo mu gitsina (gushyuha, kuva amaraso mu buryo budasanzwe), kumva unaniwe bidasanzwe. |
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Ugomba kandi kubwira muganga wawe indi miti iyo ari yo yose, ibikomoka ku bimera, cyangwa inyongeramusaruro ufata. Imiti imwe ishobora kugira ingaruka ku iyi miti ya estrogen. By'umwihariko, imiti nka aromatase igabanya kanseri ntigomba gufatwa hamwe n'iyi miti. Nanone, imwe mu miti ivura igicuri, indwara zandurira mu bihumyo, imiti imwe n'imwe irwanya imiti ya za antibiotics, ndetse n'umutobe w'imbuto z'umuzabibu ishobora kugira ingaruka ku buryo iyi miti ikora.
Ubutumwa bwo kujyana mu rugo
- Uyu muti ni umuti uvura ububabare bwo gucura. Ugomba gukoreshwa gusa uyobowe na muganga.
- Mbere yo gutangira imiti, bwira muganga wawe indwara zawe zose n'indi miti yose ufata.
- Irinde kunywa itabi burundu mu gihe ufata uyu muti. Bwongera cyane ibyago byo kubyimba kw'amaraso no gucika intege mu bwonko.
- Ntuzigere wibagirwa ibizamini bisanzwe by'amabere n'ibinini by'igitsina muganga wawe yakwandikiye.
- Niba ubonye ikintu nk'amaraso adasanzwe ava mu gitsina, ububabare mu gituza, kubyimba amaguru, cyangwa ibimenyetso by'indwara yo mu bwonko, shaka ubufasha bwa muganga byihutirwa.
- Uyu muti ni uwawe gusa. Ntukigere uwusangira n'abandi.
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