Iinkonzo, uMboleki, iiNzuzo zezeMpilo kunye neempembelelo zecala
I-Depo-Provera (i-medroxyprogesterone) yindlela eguquguqukayo yokulawulwa kokuzalwa komyalelo . Eyaziwa nangokuthi yi-DMPA, iDupo ibetha, okanye ulawulo lokuzalwa lokudubula, le ndlela yokukhusela i-progestin-kuphela ikhusela ukukhulelwa kwiinyanga ezi-3 ngokudubula ngamnye.
Ingaba isebenza kanjani
I-Depo-Provera yindlela yokukhusela i-hormonal ekhupha ngokukhawuleza i-progestin i-medroxyprogesterone i-acetate kwaye ikhusela ukukhulelwa kwisithuba seveki ezili-11 ukuya kwezi-14.
Isebenza ngokuthintela i-ovulation kunye nokukhupha umlomo wesibeleko. Oku kuvimbela isidoda ukungena kwiibhulo zomhlaba kunye nokucoca naluphi na iqanda elingaba lugqityiweyo.
Amabini
Kukho iinguqulelo ezimbini zeDepo-Provera. Ngaphandle kwemibono embalwa echazwe ngezantsi, zombini iisilingi zisebenza ngendlela efanayo kwaye zinika inqanaba elifanayo lokukhusela ukukhulelwa.
I-Depo-Provera Injection: Ifom ye-original Depo-Provera kufuneka ifakwe kwi-muscle, nokuba yintsimbi okanye ingalo engaphezulu. Kumele ube neempuphu ezine ngonyaka (nganye kwiiveki ezi-11 ukuya kuma-13) ukugcina izinga le-Depo-Provera eliphezulu. Enye ibhola iqukethe i-milligram ye-medroxyprogesterone i-acetate.
Ukuba ufumana iDepo yakho yokuqala ibhenyuza phakathi kweentsuku zokuqala ezintlanu zexesha lakho, linikeza ukhuseleko lokukhulelwa ngokukhawuleza. Ukuba ufumana udonga lwakho lokuqala ngethuba linye ixesha kumjikelezo wakho, kufuneka usebenzise indlela yokulondoloza njengamakhondom, ubuncinane kwiintsuku ezi-7 ezizayo.
I-Depo-subQ Provera 104 Injection: Le nguqu 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 mtsha uphendulelwe kuphela kufuneka ujojowe phantsi kwesikhumba, kungekhona umsizi.
Inenaliti encinci kwaye ingabangela intlungu ephantsi. I-Depo-subQ IPprovera 104 kufuneka ifakwe kwisitya okanye isisu ngesinye isihlandlo kane (iiveki ezi-12 ukuya kwe-14). Umgangatho wokukhuselwa kokukhulelwa kufana nekhutshana eliqhelekileyo.
Ungakwazi ukutshintsha ngokulula kwiDepo-Provera ukuya kwi-Depo-subQ Provera 104 kwi-injection yakho elandelayo ehleliweyo. Ukuba ukwenza oku, uza kukhuselwa ngokukhawuleza kokukhulelwa.
Inzuzo
Xa kuthelekiswa nezinye iindlela zokulawula ukuzalwa, kukho izizathu ezininzi zokuba kutheni i-Depo-Provera ibonakala kubaninzi bafazi.
- Ukulawulwa kolawulo lokutsalwa kuyindlela enkulu xa ungafuni ukulahlekelwa kokusebenzisa indlela yokulawula imihla ngemihla njengepilisi .
- Kuphela kufuneka ufumane iijoyi zeDepo-Provera izikhathi ezine ngonyaka. Xa ufumana iDupo yakho idutshulwa, akudingeki ucinge ngokulawulwa kokuzalwa kweenyanga.
- I-Depo-Provera inokwenza ukuba amaxesha akho acace, kwaye angayiyeka ngokupheleleyo emva kweeyuniti ezimbalwa zeDepo.
- Kukhethwa kwindlela yokulawula ukuzalwa kokuzalwa kwemithi .
- UDepo-Provera akaphazamisi ukulala ngesondo, ngoko kuvumela ukuzithengisa.
- Kukhethiweyo lwangasese kunye nolwaphulo. Akukho mntu omele azi ukuba usebenzisa iDepo-Provera kuba ayikho i-wrappers okanye ipilisi.
- I-Depo ayiqukethe i- estrogen , ngoko inokuba yinto efanelekileyo ukuba awukwazi ukunyamezela i-estrogen okanye ukusebenzisa i- contraceptive yokudibanisa .
- Abasetyhini abancancisayo okanye iiveki ezi-6 emva kokuphela kwendawo bangasebenzisa ngokukhuselekileyo iDepo-Provera.
Iingenelelo ezingekhoyo zoNyango
I-FDA iphinde ivume i-Depo-subQ-Provera injection ye - 104 yokunyanga intlungu ye-endometriosis . Uphando lubonisa ukuba uyayiphatha le ntlungu ngokuphumelelayo njenge- leuprolide , kodwa inxulumene neempawu ezincinci ze-vasomotor ezifana nokutshisa okutshisa kunye nokukhupha kunye nokulahlekelwa kwethambo elingaphantsi.
I-Depo-Provera inikezela intlungu yesantya ngokulingana neyo leuprolide kuyo yonke indawo ye-endometriosis. Oku kubandakanya ubuhlungu be-pelvic kunye nobubele, i- dysmenorrhea (i-cramps) , isondo esibuhlungu, kunye nokuqina nokuqina kweethambo.
Emva kweeyunithi ezimbalwa, i-Depo-Provera ivame ukuyeka ukuya esikhathini, okwenza kube mncinci, izicubu ze-endometrial ezingaphezulu. Oku, kunokukhawulela ukukhula kweimplantshi ze-endometri, ukukhulula intlungu ye-endometriosis .
I-Depo-Provera inokukunceda ukunqanda umdlavuza wesibeletho . Kubonakala ukuba ukusebenzisa i-Depo-Provera kunokunciphisa ingozi yomdlavuza we-endometrial / uterine malunga nama-80 ekhulwini. Esi siphumo sokukhusela seDepo sibonakala siphelile iminyaka engama-8 xa uyeka ukuyisebenzisa.
Iingxaki
Kuqhelekileyo ukulawulwa kokuzalwa kuba neengxaki. I-Depo-Provera ayikho into eyahlukileyo kwaye kubalulekile ukwazi zonke iinkonzo kunye neqhinga phambi kokuba wenze isigqibo.
- Ukucwangcisa kubalulekile kwaye kufuneka ukhumbule ukwenza isabelo sakho sokujova rhoqo kwiiveki ezili-12. Ukuba sele iveki ezili-13 ukususela ekudutshulweni kwakho kokugqibela (okanye iiveki ezili-14 ukususela kwiDupo yakho yokugqibela-subQ 104 ukukhangela), qiniseka ukusebenzisa indlela yokukhusela ukukhusela kuba ungasengozini yokukhulelwa.
- Ingeniso ye-Depo-Provera iqulethe ibhokisi elimnyama malunga nokulahleka kwethambo: "Abasetyhini abasebenzisa iDepo-Provera banokulahlekelwa yimpembelelo yamathambo eninzi (BMD)." I-BMD iyalinganisa ukuba i-calcium igcinwe kangakanani emathanjeni. Ukusebenzisa iDepo kudutshulwa kwixesha kunokubangela ukulahleka kwe-calcium, kodwa i-calcium iqala ukubuyela emva kokuba le ndlela isamisiwe. Ngenxa yesi silumkiso, uDepo-Provera ngokubanzi akacebisi ukuba amantombazana asetsheni.
- Ngenxa yokukhubazeka kwethambo, ikwacetyiswa ukuba akufanele usebenzise iDepo Provera okanye iDepo-subQ Provera 104 iminyaka engaphezu kweminyaka emibili.
- Abasetyhini abaninzi bayeke ukusebenzisa i-Depo-Provera ngunyaka wokuqala wokusetyenziswa ngenxa yokuphaphaza / ukuphaphaza ngokungaqhelekanga kunye / okanye ukuphuma kwegazi. Esi siphumo sempembelelo siqhelekileyo kwiinyanga ezi-3 zokuqala zeDepo. Ngelishwa, akukho ndlela yokwazi kwangaphambi kwexesha nokuba ngaba awuyi kufumana le micimbi yegazi.
- Kwinkalo encinci yamatyala, abafazi baye bafumana ukuphendula kwesikhumba endaweni apho bafumana iDepo batshayela khona. Ikhumba elijikeleze umjovo nalo lingafihliwe okanye live likhulu.
- I-Pfizer, umenzi weDepo-Provera, uncoma ukuba unqande iiliti zakho zonyaka ngaphambi kokuba ungathanda ukukhulelwa. Kuthatha inqanaba leenyanga ezilisithoba ukuya kwezi-10 (kunye ngamanye amaxesha nangonyaka okanye ngaphezulu) ukuze uphinde uvelise kwaye uqale u-ovulating emva kokufumana ukudubula kwakho kokugqibela.
- Ezinye izifundo zibonisa inzuzo yesisindo kunye neDepo-Provera ibetha . Umenzi uchaza ukuba abafazi banesilinganiso sama-5.4 iipounds ngonyaka wokuqala kwaye baya kuzuza iipounds ezili-8.1 ekupheleni konyaka wesibini.
- Abanye besetyhini babika intlungu echukumisiweyo edibene ne-Depo injection.
Ngelishwa, akukho ndlela yokumisa imiphumo emibi engabangela ukusetyenziswa kweDepo-Provera. Kukho ithuba lokuba ezi ziphumo zecala zingaqhubeka zide ijoke yakho yeDepo igqoke kwiiveki ezi-12 ukuya kwezi-14.
Imiphumo engaphantsi kwemiSebenzi
Ngaphezulu konyaka wokuqala we-Depo shots , ungabona iinguqu ezimbalwa njengoko umzimba wakho uguqula. Ukongezelela, ezinye zeempembelelo eziqhelekileyo eziqhelekileyo zibandakanya utshintsho kwi-sex driving and appetite kunye nokulahleka kweenwele kunye / okanye ukwanda kweenwele ebusweni okanye emzimbeni. Kwimbalwa yabasetyhini, kunokubangela ukudandatheka, ukukhathazeka, ukuxakeka, isisulu, isisu okanye intloko. Ukugqithisa kwesikhumba okanye ibala elimnyama lesikhumba okanye amabele ambi angenzeka.
Ukuqwalaselwa okongeziweyo
Ukuba ngoku usebenzisa enye indlela ye-hormonal, ungatshintsha kwiDepo-Provera. Ufanele ufumane iDepo yakho yokuqala ibhekise kwiintsuku ezisixhenxe emva kohlobo lokugqibela lokusebenzisa indlela yakho yangoku.
- Ukuba ushintshe ukusuka kwiipilisi zokulawula ukuzalwa , yenza amalungiselelo okufumana iDepo yakho yokuqala ibhekise iintsuku ezisixhenxe emva kokuba uthathe ipilisi yakho yokugqibela.
- Ukuba usuka kwi- Ortho Evra Patch , cwangcisa ijoyi yakho ye-Depo-Provera kwisithuba seentsuku ezisixhenxe emva kokususa iqhosha lakho.
- Ukuba uguquka ukusuka kwiNuvaRing , cwangcisa iDepo yakho yokuqala udubule kwisithuba seentsuku ezisixhenxe emva kokuba uthathe umgca.
Khuselo lwe STD
I-Depo-Provera ayinikeli ukhuselo kwizifo ezithathelwana ngesondo . Kufuneka usebenzise ikhondom.
Ngubani Ongayisebenzisa
I-Depo Provera ingaba yindlela ekhuselekileyo yolawulo lokuzalwa kubantwana abaninzi abasempilweni. Kubalulekile ukuba uxoxe ngembali yakho yonyango ngokupheleleyo kunye nogqirha wakho phambi kokufumana injola.
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 ukususela ngeli xesha lixesha elibalulekileyo le-bone mineralization
- Ukuphuma kwintsholongwane emzimbeni
- Isifiso sokukhulelwa kunyaka ozayo
Iindleko ezidibeneyo
Ngaphantsi koMthetho woNonophelo olungabonakaliyo, amaninzi amalungiselelo e-inshorensi kufuneka agqithise ukutyelelwa koogqirha okuhlobene nokulawulwa kokuzalwa kunye nebhombo ngokwalo likhululekile phantsi kwezicwangciso ezininzi I-Medicaid inokuthi idibanise iindleko ngokunjalo. 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 inkcazo, kuya kufuneka uhlawule i-pocket kwi-medical examination. Iindleko zakho zingaba zi-$ 250 zokutyelela kokuqala kunye ne-$ 150 ukuze uhambele phambili.
Ixabiso leelenjini zodwa zihluka, kodwa iindleko eziqhelekileyo zejoyi nganye zingena phakathi kwama-$ 30 kunye ne-75. Iindleko ezipheleleyo zonyaka opheleleyo wokusetyenziswa zingahluka ukusuka kwi-$ 200 ukuya kwii-600 zama-600 kwaye ziyahluka uma kukho iindwendwe ezongezelelweyo ezifunekayo.
Unokufumana iindleko ezongeziweyo xa ungaphezu kweeveki ezimbini emva kwephetshana lakho elilandelayo. Ugqirha wakho angadinga ukuhlolwa kokukhulelwa phambi kwejoyi elandelayo, ngoko kuya kufuneka uhlawule loo nto.
Impumelelo
UDepo-Provera ngamaphesenti angu-94 ukuya kuma-99 ekhulwini. Ngokusetyenziswa okugqibeleleyo, ngaphantsi kwe-1 kwabasetyhini abasebenzisa iDepo-Provera baya kukhulelwa ngonyaka owodwa. Ngokusetyenziswa okuqhelekileyo, aba-3 kwabasetyhini abasebenzisa iDepo-Provera baya kukhulelwa.
ILizwi
Ekubeni okokuqala kuvunywe yi-FDA, iDepo-Provera iye yinto ekhethwa yintlawulo yokuzalwa. Kungakhathaliseki ukuba akunjalo kuwe kuxhomekeke kwizinto ezininzi. Abasetyhini abaninzi baye bafumanisa ukuba iminyaka engama-injini rhoqo i-injection yenza ukuba kube lula ukulawula ukuzalwa. Thetha nogqirha wakho ukuba ubone ukuba kulungile kwaye uqiniseke ukuba ucela nayiphi na imibuzo enayo endleleni.
> Imithombo:
> Nezworski L, Murray S. Ukusetyenziswa kwe-Depot I-Medroxyprogesterone i-Acetate kwi-Gynecologic Current Practice Practice. I-Postgraduate Obstetrics & Gynecology. 15 uEpreli 2010; 30 (7): 1-6.
> Uhlobo lobuzali. Ulawulo lokuLawula ukuzalwa. https://www.plannedparenthood.org/learn/birth-control/birth-control-shot/how-effective-is-birth-control-shot
> Schlaff WD, Carson SA, uLuciano A, Ross D, Bergqvist A. Ukuxhamla kwe-Depot Medroxyprogesterone I-Acetate ngokuthelekiswa ne-Acetate ye-Leuprolide kwi-Treatment ye-Endometriosis-Painted Pain. Ukhuseleko kunye nobuthathaka . 2006; 85 (2): 314-325.