Okujjamu olubuto n`obuweke abantu abamu bakiyita okwejjamu olubuto nga gwe omuntu.
Bwonokozesa obuweke ojja kuvamu omusayi, wamu nokulumwa mu lubuto era obubonero bufanaganira ddala n`omukyaala ali munsonga.
Obuweke buno mulimu Mifepristone ne Misoprostol oba Misoprostol yeka.
Mifepristone
– mifepristone ddagala eriziyiza ekirungo kya progesterone, ekirungo ekiretera olubuto/omwana okuberawo mu lubuto.
– Mifepristone eyengeza/okugonza omumwa gwa nabaana era kino kiyamba nyo ku nkola ya misoprostol.
– Mifepristone yeeka tasobola kujjamu lubuto era misoprostol yetagisa.
– Mifepristone akozesebwa kujjamu lubuto, oyinza okusanga obuzibu okumufuna okuzinzira ku mateeka agafuga ekitundu kyolimu.
Misoprostol
– Misoprostol ddagala eriretera nabaana okufuna ebisa, kino nekiyamba olubuto/omwana okufuluma wamu n`omusayi, nobulumi bwomundira.
– Okujjamu olubuto n`obuweke kusobola okukolebwa ne misoprostol yeeka, awatali mifepristone, naye kyanguwa singa okozesa byombi.
– Misoprostol ayina emigaso emirala nga ojjeko guno, (Okuleta ebisa nga omukyala azala, okuziyiza okuvamu omusaayi omunji nga omukyala amaze okuzala, okujjanjaba alusa,..). n`olwokye, ye afunika nyo.
Mifepristone ne Misoprostol ddagala eryayisibwa ekitongole ky`ebyobulamu byensi yona nga eddagala elilina okubelawo eri buli muntu singa abera alyetaze.
okumanya engeri jjoyinza okujjamu olubuto nga okuzesa Misoprostol ne Mifepristone nnyiga wano. Singa okozesa misoprostrol yeeka nnyiga wano.
Okubela obulungi nga okozesa obuweke nebyokwewala
Okujjamu olubuto nga okozesa empeke tekirina buzibu bwona mu bantu abasinga, naye waliwo embeera nga tokilizibwa kukozesa mpeke zijjamu lubuto.
Mifepristone TAKILIZIBWA nga:
- Nga obadde okozesa eddaggala lya steroidisi okumala akadde akawavu,nga Prednisone ne Dexamethasone.
- Nga olina obulwadde bwo kuvamu omusaayi, nga porphyria.
- Nga olina adrenal failure emazeko akabanga.
Naye, osobola okujjamu olubuto nga okozesa Misoprostol yekka.
BYOMBI Mifepristone ne Misopristol TEBIKILIZIBWA nga:
- Nga okozesa eddagala lya anticoagulants, nga Heparin ne Warfarin;
- Nga olina allagi ku Mifepristone , Misoprostol oba prostaglandins; oba
- Nga olina olubuto olukulidde munseke (wabweru wanabana)
Okukozesa empeke ezijjamu olubuto nga olubuto lukulidde munseke tekijja kukosa, naye olubuto teluvaamu.
Bw’oba oteebereza oba ng’olina olubuto olukulidde munseke, genda olabe abasawo.
Okubeera nga olina IUD (akaweta ko munabana) tekikugana kukozesa empeke zijjamu lubuto, naye nga:
- Obuzibu bwo lubuto okukulila munseke nga olina IUD bweyongera
- Okulumizibwa mundira kuba kunji.
- Kilungi okujjamu IUD nga tonaba kukozesa mpeke zijjamu lubuto.
Bwoba tewekakasa oba obuweke tebukutuuseko kabenje, kwatagana naffe tosobola okukuyamba okumanya ekitufu
Jjukira nti obubaka buno bwamugaso kumpeke ezijjamu embuto eziri wakati wa wiiki 13 n’okukka wansi okuva lw’oyosa okugenda mumwezi.
Singa osuka wiiki 13 ezolubuto, omutendero gukyuka era obawetaga okufibwako okwenjawulo, tukusaba okutukilira tiimu yaffe ofune okulangamya ne’okulandoko okuliwo.
Ebyokwetegekela nga okozeseza obuweke okujjamu olubuto
bw`omaliriza okukozesa obuweke, ojjakufuna obubonero obufaanana nobw`omukyala agenze munsonga, oba avaamu olubuto.
Mifeprestone tatera kuleta bubonero. Abantu abamu bavamu omusayi omutono. Singa ovamu omusayi, kyamugaso nyo okugobelera emitendera gyona, omuli no ku mila obweke bwa Misoprostol okumaliriza okugyamu olubuto.
Oluvannyuma lw’okukozesa misoprostol, okulumizibwa n’okuvaamu omusaayi biyinza okutandika mu ddakiika 30 oba okutwala essaawa 24. Okulumizibwa mu diira okw’amaanyi kya bulijjo kuba nnabaana yeenyiga okuggyamu olubuto.
Okuvaamu omusaayi kuyinza okufaananako oba okuzitowa okusinga okugenda mu nsonga, ng’omusaayi gwekutte ebitole n’ebitundu by’omubiri ebiyita, nga byawukana mu bunene okusinziira ku bbanga ly’olubuto lwe lwali. Ebbanga ly’okuvaamu omusaayi omungi n’amaanyi g’okuzimba kwawukana okusinziira ku muntu.
Misoprostol asobola okuleta ebizibu eby’ekiseera ng’ekiddukano, okusindikirirwa emmeme, okusesema, kamugulunze, okulumwa olubuto, okulumwa omutwe, omusujja n’okukakana.
Naye bwotafuna ekimu kwebyo tewaba buzibu. Singa obufuna, bivawo mu sawa 24 oba obutawera.
Tutukirire omanye engeri y’okuddukanyaamu ebizibu ebivaamu.
Okumanya nti obuweke bukoze
Bw’oba okozesezza empeke zino okusinziira ku biragiro ebiragiddwa, n’ovaamu omusaayi mungi era ogufaananako n’ogw’okugenda mu nsonga (oba okusingawo) okumala essaawa eziwera, kirabika okuggyamu embuto ng’okozesa empeke kwagenda mu maaso bulungi.”
Obubonero bw’olubuto bulina okukendeera mu wiiki eziddako oluvannyuma lw’okukozesa empeke, ekiraga nti okuggyamu embuto kwakola. Okusindikirirwa emmeme n’okufulumya omusulo ennyo bitera okukoma mu nnaku ntono, ate obubonero ng’okulumwa amabeere buyinza okumala ennaku 10.
Wadde nga tekikwetaagisa, bw’oba oyagala okukakasa okulala oyinza okusalawo okukola ekimu ku kukebera kuno wammanga:
– Okukebera omusulo (hcg y’omusolo): Kino kye kigezo ekisinga okuba eky’angu ekiyinza okukolebwa okukakasa, anti kiyinza okukolebwa mu kyama mu maka go. Kirungi okulinda nga wayise wiiki 4 ku 5 ng’omaze okukozesa empeke z’okuggyamu embuto. Singa enkola eno yagenda bulungi, okukebera kulaga nti toli lubuto. Okukebeera amangu kiyinza okulaga nti ekivuddemu ekikyamu.
– Okukebera omusaayi (omuwendo gwa hcg): Okukebera kuno kwetaaga okugenda ew’omusawo, era kusinga kuba kwa mugaso nga n’okukebera omusaayi kwe kumu kwakolebwa nga tebannaba kukozesa mpeke ziggyamu lubuto okugeraageranya emiwendo gy’obusimu. Okukebera kuno tekukolebwa bulijjo, era bwe kityo bw’oba oyagala okukakasa okukebera omusulo nga bwe kyayogeddwako waggulu kutera okozesebwa. Bw’oba osazeewo okukola okukebera omusaayi, obusimu bw’olubuto bulina obutabaawo wakiri wiiki 4 ku 5 oluvannyuma lw’okukozesa eddagala singa enkola eno ebadde nnungi.
– Akatiivi: Kino kyetaagisa okugenda ew’omusawo, era osobola okukikozesa okuzuula olubuto olugenda mu maaso. Kijjukire nti singa empeke z’okuggyamu embuto zakola, okyayinza okulaba omusaayi n’ebitundu ebirabika ku kattivi okumala waakiri wiiki 2. Ne bwe kiba nti olubuto luvudemu, oluusi akatiivi bwekakolebwa nga bukyali era oyinza okuzuulibwa nti “olubuto teluvudemu” ekiyinza okuvaako okulongoosebwa okuteetaagisa. Bw’oba osazeewo okukola akatiivi, kirungi okulinda waakiri wiiki 2, okuggyako ng’olina obubonero bw’ebizibu era nga weetaaga akattivi mubwangu.
singa wayitawo esawa ezisuka 24, nga omaliriza okukozesa misoprostol era nga tofulumiza musaayi oba nga ofulumiza omusayi mutono okusinzira ku gwofulumya nga oli munsonga, omanya nti olubuto teluvuddemu.
Era ebisera ebisinga kisoboka okuddamu okukozesa obuweke. kwatagana naffe, tusobole okukuyamba.
Okufuna obujanjabi nga okozeseza obuweke
singa obubonero bwo bubelanga obwabulijjo, tewetaga ku genda mu ddwaliro. Tewegata ku kebeza lubuto oba kukola kattivi oba okukolokotebwa, okwozebwa mu lubuto
Okugenda munsonga nga omaze okujjamu olubuto
Mzunguko wako wa hedhi unaweza kurudi katika takriban wiki 4-6. Uwezo wako wa kushika mimba unaweza kurudi haraka sana, ambayo ina maana kwamba unaweza kupata mimba ikiwa utafanya ngono bila kinga muda mfupi baada ya kutoa mimba, ndani ya muda wa wiki mbili.
Ikiwa ungependa kuzuia mimba isiyohitajika, inashauriwa kuanza njia ya kupanga uzazi mara moja. osobola okusanga obubaka obusingako wano ku FindMyMethod.org
Bya timu ya safe2choose era nabawagizi abakugu ku carafem, okusinzilla ku kulungamya kw’okufayo kukujjamu embuto kwa WHO 2022; epipya ku ddwaliro mu byobulamu 2023 bya Ipas ne ebilungamya ku bya malwaliro ku fayo eri okujjamu embuto bya NAF.
Safe2choose eyambibwa Medical Advisory Board eyakolebwa abakugu mu by’obulamu ebyokwegata(SRHR)
carafem ewa okufayo okwedembe n’obukugu nga ojjemu olubuto era entegeka ya maka abantu basobole fuga owudendo n’okuwa abaana babwe amabanga.
Ipas kitongole kya nsiyona ekyesigamye kuku gaziya okufuna okujjamu embuto okutali kwabulabe ne okufayo eri okulwanisa embuto.
WHO ye World Health Organization -kitongole kikugu ekya United Nations ekivunanyizibwa ku byobulamu mu nsiyona
NAF ye National Abortion Federation – ekitongole ekyabakugu mu USA ekiyamba kujjamu embuto okutalikwabulabe, okwekakasibwa ne dembe lyobulamu.
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[3] “Ebilagila ebifuga enkola y’obujjanjabi” National Abortion Federation, 2024, prochoice.org/providers/quality-standards/. Yafunibwa November 2024.
[4] Reproductive Health Matters. Self-management of medical abortion: a
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[5] Children by Choice. Medication abortion. Retrieved from: https://www.childrenbychoice.org.au/foryou/abortion/medicationabortion
[6] S. Hopkins MD, M. Fleseriu MD. Chapter 7 – Medical Treatment of Cushing’s Disease. Retrieved from: https://www.sciencedirect.com/science/article/pii/B9780128043400000073
[7] Ngo TD, Park MH, Shakur H, Free C. Comparative effectiveness, safety and acceptability of medical abortion at home and in a clinic: a systematic review. Bull World Health Organ. 2011 May 1;89(5):360-70. doi: 10.2471/BLT.10.084046. Epub 2011 Mar 4. PMID: 21556304; PMCID: PMC3089386.. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/21556304/
[8] Planned Parenthood. How does the abortion pill work? Retrieved from: https://www.plannedparenthood.org/learn/abortion/the-abortion-pill/how-does-the-abortion-pill-work
[9] BPAS. Caring for yourself after your abortion. Retrieved from: https://www.bpas.org/abortion-care/abortion-aftercare