Iingxaki kunye noPiliso lwe-Depo-Provera Effects Side
Enye yeengxaki ezingundoqo zeDepo-Provera yiyo eqhubekayo yokuphaphaka okanye ukungafihla ngokungaqhelekanga (okubonakalayo) okungenzeka ngezinye iimeko kunyaka wokuqala . Nangona oku kwenzekayo kwiinyanga ezintathu zokuqala, kunokuqhubeka unyaka okanye ngaphezulu kwamanye amabhinqa. Funda kabanzi malunga nale mpembelelo kunye nento ongayenza ukuba iyaqhubeka.
I-Depo-Provera yindlela ejoyiweyo yokulawulwa kokuzalwa esebenzisa uhlobo oluthile lweprogesterone ukukhusela ukukhulelwa ukuya kwiiveki eziyi-14.
I-Depo-Provera ayikho nje ingqiqo kwaye ifanelekile, i-99.7 yeepesenti esebenzayo xa isetyenziswa ngokuchanekileyo. Njengendlela yokukhulelwa kweprogesin kuphela, kuyona nto ikhethekileyo xa ungenakukwazi ukusebenzisa i-estrogen-based contraceptive.
Ukutshatyalaliswa nokuhlambalaza ngeDepo-Provera
Xa kuziwa ekulawulweni kokuzalwa, ukuphuma kwegazi kuhlala isisombululo esinye sezizathu zokuba abantu besetyhini bayeke ukukhulelwa. Ngomuthi onjengeDepo-Provera, ukuphuma ngegazi lomzimba akusiyo kuphela impembelelo yecala eliqhelekileyo kodwa kulindeleke ukuba kwenzeke kwelinye labesetyhini abane.
Ngokudabukisayo, akukho ndlela yokuchaza ukuba ngubani na oya kuba neempembelelo okanye indlela enzima ngayo. Kwabaninzi abasetyhini, iimpawu zokuphuma kwamanzi ziya kusombulula kwisithuba seenyanga ezintandathu. Ngethuba lokungabikho, inkokheli inokujamelana nokukhethwa kweyonyango kunye neDepo-Provera okanye ukunyusa.
Yintoni enokuyilindela xa ukuhlamba kwenzeka
Ukuba uqala ukuphawula okanye ukuphaphama emva kokuba udonsa kuqala u Depo-Provera , kunokubonakala kubandezelekileyo kodwa ngokuqhelekileyo akunako isigxina.
Ngokutsho komenzi weziyobisi, malunga neepesenti ezingama-39 zabesetyhini kwiDepo-Provera bayayeka ukuba nexesha ngenyanga yesithandathu. Ekupheleni konyaka wokuqala, ngaphezulu kwehafu (57 ekhulwini) akufanele ibe yimiphumo emibi.
Kwalabo abangenayo, kunokukho unyango olungakunceda. Uninzi lwale lujoliswe kuphela ekusebenziseni ixesha elifutshane kwaye, ngelixa lisebenza ngokufanelekileyo, liza kunye neziphumo zecala kunye nezicatshulwa.
Phakathi kwamanyango okwangoku avunyelwe ukusetyenziswa yi-US Food and Drug Administration (FDA):
- Ukuxhaswa kwe- Estrogen kuye kwaboniswa ukunciphisa ukuphuma kwamanzi ngokukhuthaza ukukhula kwebhanki ye-uterine ngexesha lokuzinzisa imithwalo yegazi kunye negazi. Akusiyo kuphela i-estrogen eyenza i-Depo-Provera ingxaki yokukhulelwa komzimba, ingahanjiswa ngepilisi yomlomo, i-pdermal patch, okanye i-ring yangaphakathi. Uphando lubonisile ukuba ngelixa i-estrogen ifumana uncedo lwexeshana elifutshane, imiphumo ngokubanzi iya kubuya xa unyango luyeka.
- I-Tranexamic acid (Lysteda) yimiyeza yomlomo engekho-hormonal eyayifumana imvume ye-FDA ngo-2009 kunyango lokuphuma kwexesha elikhulu . Ucwaningo luye lwabonisa ukuba i-88 ekhulwini yabasetyhini kwiDepo-Provera yayingenayo igciwane lesisu phakathi kweentsuku ezingama-20 zonyango xa kuthelekiswa nama-8.2 ekhulwini kwiqela le-placebo. Imiphumo emibi ilula kwaye iquka intloko, intlungu emva, isisu esiswini, sinusitis, imisipha kunye nentlungu edibeneyo, i-migraine, i-anemia, kunye nokukhathala.
- I-Mefenamic acid (i-Ponstel) isilwanyana esingenalo steroidal esichaphazelayo esisetyenziselwa ukulawulwa kwexesha elifutshane lokuphaphaza nokuphuma kwamanzi. Akuthathwa njengesisombululo sesikhathi eside njengoko ukusetyenziswa ixesha elide kunokunyusa umngcipheko wegazi ophezulu, ukuhlaselwa yintliziyo, kunye nesifo.
Ukuba kukho naziphi na ezi zonyango zichasene okanye azifumaneki, abanye oogqirha banokwenza i-non-steroidal anti-inflammatory drug like ibuprofen ithathe kathathu imihla ngemihla ukunciphisa ukuvutha komzimba kunye nokunciphisa ukungahambi.
Ukuba kuphuma igazi elininzi ngelixa uthatha i-Depo-Provera, kubalulekile ukukhumbula ukuba le nkunkuma ayiyiyo imvelaphi (okanye yodwa umthombo) wale meko. Ukungcola okungavamile kufuneka kuhlale kufunwa uphando olusisiseko, kunye nazo zonke ezinye izizathu (kubandakanya i-uterine fibroids, isifo sosulela ngesondo, kunye nomhlaza) kufuneka kugqitywe ngaphandle kokuba kwenziwe unyango.
ILizwi
Ukukhetha ukulawula ukuzalwa akulula ngaso sonke isikhathi.
Ukuba uhlala kwiDepo-Provera kwaye ubhekane nemiphumo engathandabuzekiyo, thetha nodokotela wakho malunga nokunyanga okunokukuvumela ukuba uqhubeke okanye uphonononge ezinye iindlela ezingaba nefuthe ngaphantsi kwexesha elifutshane nelide .
Ukuba awuzange uqalise unyango okwangoku, fundisisa okuninzi malunga neziyobisi njengoko unako, ulinganise ubunzima kunye neenzuzo. Ucwaningo luye lwabonisa ukuba abafazi abaxelelwe kwangaphambili ngemingcipheko yeDepo-Provera babenako ukunyamezela iziphumo ezibi kunye nokuba banako ukuyeka. Njengoko kunjalo, ulwazi luyintloko xa wenza ukhetho oluchanekileyo malunga nokukhulelwa.
> Imithombo:
> Abdel-Aleem H, d'Arcangues C, Vogelsong KM>, Gaffield ML, Gülmezoglu AM. Unyango lwe-Vaginal Bleeding Irregularities Elandelwa yiProgesin kuphela. I-Cochrane Database yeeNkcazo eziPhezulu 2013, Inkcazo 10. Ubugcisa. Hayi: CD003449. INGXELO: 10.1002 / 14651858.CD003449.pub5.
> Ulawulo lweZiko lokuTya kunye neDrug. I-Depo Provera: i-medroxyprogesterone i-acetate yokumiswa kwe-injection, i-USP . Silver Spring, eMaryn; hlaziywa ngoJuni 2015: I-ID ye-Ref 3777137.