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Ngaphambi kokuba Ukholo Lokuqala-Provera ShotI-Depo-Provera (i-medroxyprogesterone) yindlela yokulawulwa kokuzalwa kwe-prescription . I-Depo-Provera nganye idubula ngokukhawuleza ikhupha ifom ye-progestin, i-medroxyprogesterone i-acetate, engakukhusela ekukhuleleni kwiiveki ezi-11 ukuya kwezi-14.
I-Depo-Provera ivimbela ukukhulelwa ngeendlela ezintathu. Ithintela i-ovulation, ngoko ayikho iqanda efumanekayo ukuze inambuzane iqule. Ikwasebenza ngokukhupha umlomo wakho wesibeleko-oku kwenza kube nzima ukuba insimi ibhukude. Iprogesin kwiDepo-Provera inokukhupha okanye ikhusele izicubu ze-uterine ezakha inyanga nganye. Oku kwenza kube nzima kwiqanda elikhulelweyo ukuba lifakwe eludongeni lwe-uterine kuba kungekho lininge ngokwaneleyo apho ukufumana khona. Izibhengezo zeDepo zinokukunceda ukuphatha intlungu ehlobene ne-endometriosis.
Ukufumana ukhuseleko lokukhulelwa kunyaka opheleleyo, kubalulekile ukucwangcisa iDepo-Provera yakho okanye iDepo-subQ Provera 104 idla phantse malunga neveki ezili-12. Ngaphezulu konyaka omnye, kufuneka ufumane amahlumela amane.
Imiphumo emibi yeDepo-Provera
Umzimba wakho unokwenza utshintsho njengoko ulungiswa kwiprogesin kwiDepo-Provera. Ukwandisa impumelelo yakho nge-depo, kunokunceda ukwazi ukuba ulindele ntoni kunyaka wokuqala wokusetyenziswa.
Ngaphambi kokuba uqale udonga lwakho lokuqala , kubalulekile ukuba uyazi ngemiphumo echaphazelayo yokuphuma kwegazi xa kunokusebenzisa i-Depo-Provera. Ngelishwa, akukho ndlela yokukwazi ngaphambi kwexesha ukuba ezi ziphumo ziza kwenzeka okanye ziza kuhlala ixesha elide. Uphando lubonisa ukuba abafazi abazi ngaphambili kwexesha elinokuthi baphephe okanye bangaphili, ukuphuma kwamanzi kunokuqhubeka nokusebenzisa i-Depo-Provera.
Kungakhuthaza ukwazi ukuba nangona le miphumo yokuphuma kwegazi ingenzeka xa uqala ukusebenzisa i-depo, ngaphezu kweyesithathu yabasetyhini bayeke ukuba nexesha ngenyanga yesithandathu yokusetyenziswa. Kwiinyanga ezili-12, ngaphezu kwesigamu samathuba amabhinqa ayekile. Abaninzi abafazi bazimisele ukuphuma ngegazi lokuqala ngokutshintshela ithuba lokuba bangabi naso ixesha.
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I-Depo Shot yokuqala (inyanga eyodwa ukuya kweyesithathu)Ukuba ufumana i-depo yakho yokuqala idutshulwa ngexesha leentsuku ezintlanu zokuqala kwexesha lakho, ngoko iDepo-Provera iya kuqala ukusebenza ngokukhawuleza (intsingiselo, ukhuselwe ukukhulelwa). Ngokusetyenziswa ngokugqibeleleyo, iDepo-Provera ingu-99.7 yeepesenti esebenzayo (iipesenti ezingama-97 kunye nokusetyenziswa okuqhelekileyo). I-Depo iya kunika nokukhusela okuqhubekayo kokukhulelwa xa usuqalile ukusuka kwenye indlela ye-hormonal kwaye ufumene i-depo yakho yokuqala ekutshintsheni phakathi kweentsuku ezisixhenxe zokugqibela usebenzisa loo ndlela (njenge- pills control controls , i- NuvaRing , okanye iPatch ).
Ngokuqhelekileyo, kuthatha malunga neenyanga ezintathu ukuba umzimba wakho ulungele iDepo-Provera. Ngokufanayo nezinye iindlela zokulawula ukuzalwa komzimba, umzimba wakho udinga eli xesha ukusetyenziswa kwi-hormone ( progestin ) kwi-depo.
Njengoko umzimba wakho ulungelelanisa neDepo-Provera, mhlawumbi uya kuba negazi elingenasiphako (ukuphawula) okanye ukuphuma kwexesha elide (njengexesha eliqhubekayo). Esi sibonakaliso sijongwa ngokuqhelekileyo. Ukuba, nangona kunjalo, uqaphela ukuba ukuphuma kwegazi kunzima kakhulu okanye ukuba unento echaphazelekayo, ingaba yinto efanelekileyo ukuqhagamshelana nogqirha wakho.
- Ezinye iimpembelelo ze-depo onokuzifumana zibandakanya ukusabela kwesikhumba, inzuzo yesisindo, kunye nentlungu (enxulumene ne-injection yangempela).
- Iziphumo eziqhelekileyo ezichaphazelekayo ziquka: utshintsho kwi-sex drive, ukudandatheka, ukwesaba, ukuxakeka, isisu, ukuguquka kwesifiso, ikhanda, ukukhwabanisa kwesikhumba okanye ukuphazamiseka kwesikhumba, izibilini ezinzima, ukulahleka kweenwele okanye ukunyuka kweenwele ebusweni okanye emzimbeni.
Njengoko umzimba wakho uguqula iprogesin, ezi ziphumo zecala kufuneka zinciphise kwaye zihambe. Kwababhinqa abathile, ezi ziphumo zize ziqhubeke zide zitshintshwe i-depo igule (kwiiveki ezi-11 ukuya kwezi-14).
Kukwacetyiswa kwakhona ukuba wenze i-aphoyintimenti kwisithuba sakho esilandelayo siphethwe ngexesha lokutyelela omnye ugqirha ofumana ukutshulwa kwakho kokuqala.
- Ukuba usebenzisa i-original Depo Provera yadubula, yenza i-aphoyintimenti yakho ye-injection yesibili ngaphakathi kweeyure eziyi-11 ukuya kuma-13.
- Ukuba usebenzisa iDepo-subQ Provera 104, ukutshulwa kwakho okulandelayo kufuneka kube kwiiveki ezili-12 ukuya kwezi-14.
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I-Second Depo Shot (inyanga ezine ukuya kweyesithandathu)Emva kokuba i-Depo-Provera yakho yesibini ibetha okanye i-Depo-subQ 104 injection, umzimba wakho uya kulungelelanisa ne-progestin hormone. Okwangoku, mhlawumbi uvuyiswe ngokulula ukuba ungacingi malunga nokulawulwa kokuzalwa . Ukuba unelisekile ngesigqibo sakho se-depo (okanye ungasayiqinisekanga kodwa ufuna ukuqhubeka usebenzisa i-Depo-Provera), lixesha lokupheka kwakho kwe sibini.
Ngeenyanga ezintandathu ukuya kweyesithandathu, kusekwa kuqwalaselwa ngokuqhelekileyo ukuba ufumana ukuphuma kwamanzi . Uninzi lwabasetyhini abasebenzisa ingxelo yeDepo-Provera ukuba indawo yabo engafanelekanga iyancipha idilesi nganye. Enyanisweni, ekupheleni kwenyanga yesithandathu, iipesenti ezingama-39 zabesetyhini zihlala zihlala ziphela.
Kule ngongoma, unako okanye ungaboni inguqu kumlinganiselo wakho. Ukuzuza inzuzo yinto echaphazelekayo yecala. Sebenzisa olu tyelelo lokugqirha ukuxoxa ngesicwangciso sokutya kunye nesicwangciso sokutya kunye nogqirha wakho. Ukuba udla ngokucokisekileyo kwaye usebenzise rhoqo, unokunceda ukunciphisa utshintsho kwisisindo sakho esinokuthi sisebenzise iDopo-Provera.
Ekubeni uqhubeka noDepo-Provera, kufuneka uxoxe nodokotela wakho ngeendlela zokuthatha indlela yokuphila enokukunceda ugcine impilo yakho yeethambo. Ngoba? UDepo-Provera unesilumkiso sebhokisi emnyama elicebisa ukuba abafazi abaqhubekayo basebenzise i-depo bangabangela ukulahlekelwa kwexabiso lomzimba. Ngenxa yoko, le ngqungquthela yokutshintshela i-dépo yinto enhle yokubuza ugqirha malunga neengcebiso zokugcina ukutya okufanelekileyo kwe-calcium. Nazi ezinye iziphakamiso eziqhelekileyo:
- I-calcium supplement and vitamin D
- Ukufumana i-calcium ngokwaneleyo ekudleni kwakho ngeendlela eziquka ukutya ukutya okuninzi
- Ukuzivocavoca ukukhusela i-osteoporosis : kubandakanywa nezenzo zokuqinisa umzimba kunye nokuxhaswa kwemizimba ezinokukunceda ukuphikisana naluphi na ukulahleka kwe-calcium kumathambo akho.
Ugqirha wakho unokucetyiswa ukuba uyeke ukutshaya (ukuba ungumtshayi) kunye nokunciphisa okanye ukunciphisa ukusetyenziswa kotywala.
Kufuneka wenze i-aphoyintimenti yesithuba sakho esilandelayo siphethwe ngexesha lokutyelela omnye ugqirha oyifumene nesibini.
- Ukuba usebenzisa i-Depo-Provera ibhenyu, yenza i-aphoyintimenti yakho ye-injection yesithathu kwiiveki ezi-11 ukuya kuma-13.
- Ukuba usebenzisa iDepo-subQ Provera 104, ukutshulwa kwakho okulandelayo kufuneka kube kwiiveki ezili-12 ukuya kwezi-14.
Oku kuya kuqinisekisa ukuba ukhuseleko lwakho lokukhulelwa luyaqhubeka.
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I-Third Depo Shot (Iinyanga ezisixhenxe ukuya kuNine)Ngelo xesha ulungele ukutshulwa kweDepo-Provera yakho yesithathu okanye i-Depo-subQ Provera injection 104, kukho ithuba elihle (malunga neepesenti ezingama-40) ukuba igazi lakho elingavumelekanga kunye nexesha liyekile ngenxa yokuba umzimba wakho utshintshile kwi progestin kule indlela.
Kule ngongoma, kubalulekile ukugcina indlela yokuphila enempilo ukuze uncede ukuchasana naluphi na ukufumana ubunzima okanye ukulahleka kwe-calcium edibene neDepo-Provera. Qhubeka uthatha izongezelelo zakho ze-calcium ukuba ugqirha wakho uphakamise ukuyisebenzisa.
Kufuneka usebenzise njalo! Ixesha lakho elifanelekileyo kufuneka libandakanye ukunyameka kokusebenza okuza kunceda ukugcina amathambo akho eqinile. Ngaphezu koko, ukuvuthwa kwintliziyo ehlala rhoqo, okuya kunceda ukutshisa iikhalori ezingaphezulu.
- Ukunyamezela umzimba kunokubandakanya: ukuhamba, ukuhamba okanye ukuqhuba
- Iifom zezempilo ezinempilo zibandakanya: ibhayisiki, i-yoga, okanye ukubhukuda
Ukuze uqiniseke ukuba ukhuseleko lwakho lokukhulelwa luyaqhubeka, cwangcisa i-aphoyintimenti ye-depo yakho elandelayo idutshulelwe ngexesha lokutyelela omnye ugqirha ofumana isithathu sakho. Ukuba usebenzisa i-Depo-Provera, yenza uqeshiso lwakho lwesine injini kwisonto eli-11 ukuya kuma-13. Ukuba usebenzisa iDepo-subQ Provera 104, ukutshulwa kwakho okulandelayo kufuneka kube kwiiveki ezili-12 ukuya kwezi-14.
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I-Deti Shot yesine (inyanga 10 ukuya ku-12)Kule ngongoma, mhlawumbi ujabulela ubunjani bokungabikho kobuthathaka obule ndlela yolawulo lokuzalwa. Ngethuba nje ufumene ii-injection zakho ze-Depo-Provera ngexesha, uye waba nokukhusela okuqhubekayo kokukhulelwa. Ukususela kweli nqanaba, kufuneka uqhubeke kunye nesicwangciso sokutya kunye nesondlo sokunceda ukugcina impilo emzimbeni kunye nesisindo.
Unokufumana kwakhona inzuzo eyongezelelweyo yokungabi naso ixesha lakho . Emva kweenyanga ezisi-9 zeDepo-Provera okanye i-Depo-subQ Provera 104 isebenzise, malunga nesiqingatha sexesha labesetyhini sele limile okanye liye laphela. Kwabesetyhini abaseleyo, iipesenti ezingama-57 zithi amaxesha abo ayekile ekupheleni konyaka wonke wokusebenzisa i-depo. Ukuba ixesha lakho alizange liphele ngokupheleleyo ekupheleni konyaka wokuqala, ungakhathazeki. Ngokusetyenziswa kweDepo-Provera eqhubekayo, kuya kubakho ukuma kwiinyanga ezilandelayo.
Emva kokusebenzisa i-Depo-Provera unyaka, kuya kufuneka ukuba ulungele uvavanyo lwakho lwama-gynecological ngonyaka. Ungalungiselela ukufumana i-depo yakho yesine yadutshulwa ngexesha lo kuqeshwa. Eli lixesha elifanelekileyo lokuxoxa kunye nodokotela wakho nokuba awuyi kuqhubeka neeppots yakho. Ukuba ukhetha ukuhlala kwiDepo-Provera, yenza i-aphoyintimenti yesilenze sakho esilandeleyo esilandelayo (iiveki ezi-11-14).
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Ukusetyenziswa kweDepo Provera: Ukuqwalaselwa kokugqibelaGcina ezi zinto engqondweni malunga nokuqhubeka kweDepo-Provera:
- Kubaluleke kakhulu ukuba ufumane iphopoji yakho idutshulwa ngexesha, rhoqo. Ukuba ulahlekelwa i-Depo-Provera yadutshulwa okanye ukuba ngaphezulu kweeveki ezingama-13 ziye zadlulayo ukususela kwi-injection yakho yokugqibela (iiveki ezili-14 ukuba usebenzisa i-Depo-subQ Provera 104), qi ni sekisa ukusebenzisa indlela yokulondoloza yokuzalwa , njengamakhondom, iikondom zabesetyhini. , okanye isiponji .
- Ukuba ufuna ukukhulelwa, kufuneka umise i-depo yakho idlulisa umnyaka omnye ngaphambi kokuba uceba ukuqala ukuzama ukukhulelwa. Oku kungenxa yokuba kuthatha iinyanga ezilisithoba ukuya kwezi-10 (ngamanye amaxesha ngaphezu konyaka) ukuba uphinde uvelise kwaye uqale u-ovulating emva kokufumana udonga wakho wokugqibela uDepo-Provera.
- Kucetyiswa ukuba abaninzi abasetyhini abasebenzisi iDepo-Provera okanye iDepo-subQ Provera 104 iminyaka engaphezu kwembini (ngenxa yokulahlekelwa kwethambo ukulahlekelwa). Kufuneka uqhubeke kunye neempuphu zakho (iminyaka engaphezu kwembini) kuphela emva kokuvavanya inzuzo kunye nemingcipheko yokusetyenziswa okuqhubekayo, kwaye wena nodokotela wakho uye wafumanisa ukuba kukho le ndlela yokulawula ukuzalwa okumele uyisebenzise.
> Imithombo:
> Allen RH, Cwiak C, Kaunitz AM. "Iprogestin yokuLawula inkunkuma." I-Handbook Contraception . Ushicilelo lwe-Springer International, 2016. 125-138.
> I-Medroxyprogesterone Injection. MedlinePlus. https://medlineplus.gov/druginfo/meds/a604039.html.