Iimpawu zivela kwizinto ezincinci kunye nezikhawulezileyo ezingenakuxhomekeka
I-Depo-Provera yindlela ejoyiweyo yolawulo lokuzalwa kwe-hormones esebenzisa i-progestin (ifomu yokwenziwa kweprogesterone) ukukhusela ukukhulelwa. I-Depo-Provera ayikho nje ingqiqo kwaye ifanelekile, i-99.7 yeepesenti esebenzayo xa isetyenziswa ngokuchanekileyo. Njengendlela yokukhusela iprogesin kuphela, inokuyinqumle enkulu ukuba awukwazi ukusebenzisa isisu sokukhulelwa kwe-estrogen.
Iziphumo zempembelelo zeDepo-Provera zenzeka xa umzimba wakho ulungisa iziphumo zonyango. Abanye banamabhinqa abachaphazelekayo kunabanye, kwaye abanye abanakufumana nayiphi na impawu. Impembelelo echaphazelekayo yeDepo-Provera (eyenzeka ngaphezu kwamahlanu kwindoda yabasetyhini) iquka:
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Ukunyuka kwexesha lokungaqhelekangaAbasetyhini abaninzi bayeke ukusebenzisa iDepo Provera ngunyaka wokuqala wokusetyenziswa ngenxa yokungena okanye ukuphuma kwexesha elide . Ezi ziphumo zize ziqheleke kwiinyanga ezintathu zokuqala kodwa zingaphikelela kwamanye amabhinqa angaphezu konyaka.
Ngokudabukisayo, akukho ndlela yokuchazela ukuba ngubani oza kuphuma okanye ukukhathazeka kweempawu. Kwezinye iimeko, ukupheliswa kwonyango yedwa kuphela.
Kwabanye, i-estrogen supplementation, i-Lysteda (tranexamic acid), kunye ne-Ponstel (mefenamic acid) inokunika uncedo lwexesha elifutshane kuze kube lula umzimba ulungelelanise kwiziphumo zonyango.
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Ukupheliswa kweeNyangaEmva kwamaphetshana ambalwa, uDepo Provera uya kuyeka ukuya esikhathini. Xa oku kwenzeka, kunokukwenza ukuba amaxesha akho alula okanye aziphelise ngokupheleleyo.
Ucwaningo lwezonyango luqikelela ukuba ngaphezu kweyesithathu kwabasetyhini kwiDepo Provera kuya kuba nama- hororhea ngenyanga yesithandathu. Emva konyaka, loo nombolo iya kunyuka ibe ngama-55 ekhulwini kwaye iqhubeke nokunyuka ukuya kuma-68 ekhulwini ngonyaka wesibini.
Abaninzi abafazi, ngokwenene, bazimisele ukunyamezela ukuphuma kwegazi okokuqala ngethuba lokuba bangabi nako ixesha.
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Ukuxhomekeka Kwamathambo UkulahlekaUDepo Provera iqulethe ibhokisi emnyama isilumkiso malunga nokuba kungenzeka ukulahleka kwethambo. Ngokutsho komenzi, ukuba iDepo Provera isetyenziselwa ngokuqhubekayo iminyaka engaphezu kwembini, ukulahleka kwe-calcium kunokunyusa kakhulu ingozi ye- osteoporosis kunye namathambo aphukile.
Ngenxa yoko, kucetyiswa ukuba abafazi kufuneka banciphise ukusetyenziswa kwabo kungekho ngaphezu kweminyaka emibini. Ukunciphisa ukulahleka kwethambo, oogqirha baya kuthi bancoma i-calcium kunye ne-Vitamin D kunye ne-calcium-rich rich.
Kubalulekile ukukhumbuza ukuba ukuba ilahleko yentsiba ivela, kuthathwa njengesigxina kwaye ayiyi kubuya.
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Ukutyeba kwakhoIsisindo sizuza esinye isizathu esivakalayo sokuba kutheni abafazi beke bayeke ukusebenzisa iDepo Provera.
Ngokomphando ovela kwiYunivesithi yaseTexas Medical Branch eGalveston, malunga neyesibini kubathathu ababesetyenziselwa iDepo Provera babike ukufumana ubunzima beepounds ezintlanu kunyaka wokuqala. Lelo nani liye landa kwiipilili ezisibhozo ngonyaka kwaye laqhubeka likhula, unyaka ngonyaka, ngamanye amawaka.
Ngonyaka wesithandathu, abafazi kwiDepo Provera banokulingana nama-16.5 iipounds (okanye malunga no-2.75 ngonyaka).
Lo mphumo, nangona kunjalo, awubonakali kubo bonke abafazi. Ukuzilolonga rhoqo kunye ne-calorie- kunye ne-fat-restri restried diet can often reduce the risk.
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Ukukhawuleza Ukubuya kweZenzaloUDepo Provera unomphumela wokukhulelwa kwexesha elide. Emva kokuma, kungathatha unyaka ukuza kuphinda uvelise kwaye uqale u-ovulating ngokuqhelekileyo kwakhona. Ukuba uthatha isigqibo sokukhulelwa, kuya kufuneka ukuba ulinde okungenani iintsuku ezi-9 ukuya kwi-10 ngaphambi kokuzama.
Ngokwe-post-market research from manufacturer, kuthathe iipesenti ezingama-68 zabesetyhini iinyanga ezili-12 ukuba zikhulelwe emva kokumisa uDepo Provera. Kwiinyanga ezili-15, inani elipheleleyo liye landa kuma-83 ekhulwini. Kwiinyanga ezili-18, i-93 ekhulwini yabasetyhini ababefuna ukukhulelwa bakwazi ukwenza njalo.
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Ukuphendula Kwangaphakathi KwangaphakathiEnye yezona zinto ziqhelekileyo, kwaye mhlawumbi ubunzima kakhulu, iimpawu zeDepo Provera ziphendulela kwiprato. Abanye abafazi baya kuxela intlungu ehambelana negalelo, ngelixa iipesenti ezithandathu ziza kubakho ukuphendula kwesikhumba ngaphakathi kwendawo apho idilesi yenziwe khona. Bobabini bavame ukuba ngabancinci kwaye baya kuzincoma zabo ngosuku okanye ezimbini.
Ezinye iziphumo eziqhelekileyo zomphumo ziquka:
- Intlungu yesisu okanye ukungahambi kakuhle
- Utywala
- Intloko
- Ubuthathaka okanye ukukhathala
- Ukhathazeka
Ngona kunjalo, ezi ntlobo zeempawu ziphucula ukuba uthathe ixesha elide uthabathe iDepo Provera kwaye kaninzi akayidingi unyango.
> Imithombo:
> Grossman Barr, N. "Ukulawula iimpembelelo ezimbi zeCommonceptives." I-Phys Physician. 2010; 82 (12): 1499-1506.
> Spevak, E. "Impembelelo yexesha elide leDepo-Provera." Udidi lweMithi. 2013; 12 (1): 27-34.