Iisiseko zoLwazi lokuLawula ukuzalwa
Sibanzi
I-Depo-Provera (i-medroxyprogesterone) yindlela eguquguqukayo yokulawulwa kokuzalwa komyalelo . Eyaziwa nangokuthi yi-DMPA, iDupo ibetha, okanye ulawulo lokuzalwa lokudubula, le ndlela yokukhusela i-hormonal iyatholakala kuphela ngejoza. Enye ipempi ikhusela ukukhulelwa iiveki ezimbalwa.
Ingaba isebenza kanjani
I-Depo-Provera ikhupha kancane i-progestin i-medroxyprogesterone i-acetate kwaye ikhusela ukukhulelwa kwisithuba seveki ezili-11 ukuya kwezi-14.
I-Depo-Provera isebenza ngokuthintela i-ovulation kunye nokunyusa i-mucus yomlomo, okuvimbela isidoda ukuba singene emagqabeni angamaqhina kwaye ikhumbuze nayiphi na iqanda elingaba likhutshwe.
Iinguqu ezimbini
Okwangoku, kukho iinguqu ezimbini ezahlukeneyo zeDepo-Provera. Ngaphandle kwemibono embalwa echazwe ngezantsi, zombini iisilingi zisebenza ngendlela efanayo kwaye zinika inqanaba elifanayo lokukhusela ukukhulelwa.
- I-Depo-Provera Injection: Ifom ye-Depo-Provera yasekuqaleni kufuneka ifakwe kwi-muscle kwaye ijojowe kuyo nayiphi na intsimbi okanye ingalo engaphezulu. Kumele ube neempuphu ezine ngonyaka (nganye kwiiveki ezi-11 ukuya kuma-13) ukugcina izinga le-Depo-Provera eliphezulu. Ukhuselwe ukhulelwe emva kokufumana umthamo ngamnye. Le khetho iqulethe i-150 milligram ye-medroxyprogesterone acetate.
- I-Depo-subQ Provera 104 Injection: Le ngqungquthela iqulethe i-hormone engama-31 engaphantsi kweDepo yasekuqaleni edutshulwa kwi-104 milligram ye-medroxyprogesterone acetate. Ngenxa yokuba ine-dose ephantsi yeprogesin, ingakhokelela kwimiphumo engaphantsi yecala ye-progestin. I-subQ imele i-subcutaneous, nto leyo ithetha ukuba lo mdlalo uphendule kuphela kufuneka ujojowe phantsi kwesikhumba, kungekhona kwisisipha, ngoko kunesaliti encinane kwaye kunokubangela intlungu ephantsi. I-Depo-subQ IPprovera 104 kufuneka ifakwe kwisitya okanye isisu ngesinye isihlandlo kane (iiveki ezi-12 ukuya kwe-14). Ikwabonelela ngokukhusela ngokukhawuleza kokukhulelwa.
Okuhle nokubi
Iingenelo ezichasene nokungalunganga ziquka:
- Isebenza kakuhle kwaye iyingqondi. Ngeke usengozini yokukhulelwa ngenxa yokulibala ukuthatha ipilisi okanye ukusebenzisa indlela yokukhawulela.
- Inkunkuma ye-Depo-subQ Provera 104 yi- FDA evunywe ukunyanga intlungu ye-endometriosis .
- I-Depo-Provera inobhokisi ebomnyama isilumkiso malunga nokulahleka kwethambo: "Abasetyhini abasebenzisa iDepo-Provera banokulahlekelwa yimpembelelo yamathambo eninzi (BMD)."
- Abaninzi abasetyhini babika ukuphaphazeka ngokungagqithanga (spotting) kunye / okanye ukuphuma ngexesha elide ngelixa besetyenziselwa iDepo-Provera. Nangona kunjalo, umphumo ochaphazelekayo wukuthi ixesha lokuya esikhathini liphela emva kweenyanga ezintandathu zokusetyenziswa.
- Ingathatha unyaka ukubuyela kwakhona emva kokuyeka ukusebenzisa iDepo-Provera.
- Ezinye izifundo zibonisa inzuzo yesisindo kunye neDepo-Provera ibetha . Umenzi uthi abesifazana bathola umyinge wama-5.4 iipounds ngonyaka wokuqala kwaye baya kuzuza iipilili ezingama-8.1 ekupheleni konyaka wesibini.
- Iziphumo eziqhelekileyo zeDepo-Provera zibandakanya intlungu yesisu okanye ukungahambi kakuhle, ukuxakeka, ukutywala, ukunyameka, ukukhathala, okanye ukukhathazeka.
- Akufanele isetyenziswe ixesha elingaphezu kweminyaka emibili.
Ngubani Ongayisebenzisa
Le ndlela ingaba yindlela efanelekileyo yokulawulwa kokuzalwa kwabafazi abaninzi abasempilweni. Kubalulekile ukuba uxoxe ngembali yakho yonyango ngokupheleleyo kunye nogqirha wakho phambi kokufumana ijoyi ye-Depo Provera.
I-Depo-Provera ayikhuthazwa ngabasetyhini abanezinto ezilandelayo:
- Umhlaza webele
- I-Thrombophlebitis, imbali yeengxaki ze-thromboembolic, okanye isifo se-vascular cerebral
- Imiba yengozi ye-osteoporosis: isifo sesifuba, ukusela ngokweqile okanye ukutshaya, imbali yentsapho ye- osteoporosis , i-anorexia, okanye ukusebenzisa iziyobisi ze-steroid
- Isifo esibalulekileyo sesibindi
- Amantombazana asebuntwaneni-kuba eli lixesha elibalulekileyo le-bone mineralizing
- Ukuphuma kwintsholongwane emzimbeni
- Isifiso sokukhulelwa kunyaka ozayo
Iindleko ezidibeneyo
Ngaphantsi koMthetho woNonophelo olungabonakaliyo, amaninzi amalungiselelo e-inshorensi kufuneka agqithisele ukutyelela oogqirha ngokumalunga nokulawulwa kokuzalwa kunye nokudubula ngokwawo kukhululekile phantsi kwezicwangciso ezininzi I-Medicaid nayo kufuneka ifake iindleko zale ndlela yokukhusela. Naluphina utshintsho kwi-Care Affordable Act lungachaphazela ukuba ngaba i-inshorensi ikhusela ukukhulelwa. Hlola ngecebo lakho le-inshorensi ukuze ubone ukuba yeyiphi inqaku kunye neendleko zakho.
Ukuba awunayo i-inshorensi yempilo okanye i-coverage ye-Medicaid kwaye kufuneka uyihlawule ephaketheni yokuhlolwa kwezobugqirha, iindleko zakho zingabakho i-$ 250 kwintyelelo yokuqala kunye ne-$ 150 ukuze uhambele phambili.
Ixabiso leelenjini zodwa zihluka, kodwa iindleko eziqhelekileyo zejoyi nganye zingena phakathi kwe-$ 30 ukuya kwi-75. Iindleko ezipheleleyo zonyaka opheleleyo wokusetyenziswa zingahluka ukusuka kwi-$ 200 ukuya kwii-600 zama-600, kuxhomekeka ukuba ngaba kutyelelwe iofisi ezongezelelweyo. Unokufumana iindleko ezongezelelweyo ukuba ungaphezu kweeveki ezimbini emva kwephetshana lakho elilandelayo eliphambili njengoko ugqirha wakho angadinga ukuhlolwa kokukhulelwa phambi kokujova kwakho okulandelayo.
Impumelelo
I-Depo-Provera ingama-97 ekhulwini ukuya ku-99.7 ekhulwini. Oku kuthetha ukuba kunye nokusetyenziswa okugqibeleleyo, ngaphantsi kwe-1 kwabasetyhini abayi-100 abasebenzisa iDepo-Provera baya kukhulelwa ngomnyaka omnye. Ngokusetyenziswa okuqhelekileyo, aba-3 kwabasetyhini abasebenzisa iDepo-Provera baya kukhulelwa.
Khuselo lwe STD
I-Depo-Provera ayinikeli ukhuselo kwizifo ezithathelwana ngesondo . Kufuneka usebenzise ikhondom.
> Imithombo:
> Ulawulo lokuLawula ukuzalwa. Umzali oCwangcisiweyo. https://www.plannedparenthood.org/learn/birth-control/birth-control-shot.
> Depo-Provera (echaza ulwazi). Pharmacia & Upjohn Co. http://labeling.pfizer.com/ShowLabeling.aspx?id=522.
> Depo-SubQ Provera (echaza ulwazi) Pharmacia & Upjohn Co. http://labeling.pfizer.com/ShowLabeling.aspx?id=549.