Depo-Provera (urushinge rw'inzitiramubyi)

Depo-Provera ni izina rizwi cyane ry’umuti wa medroxyprogesterone acetate, urushinge rw’ubwirinzi bw’inda rurimo hormone ya progestin. Depo-Provera iterwa nk'urushinge buri mezi atatu. Ubusanzwe Depo-Provera ihagarika gusohora intanga, ikabuza ovaire yo kubyara intanga. Nanone kandi ikora amavangingo y'inkondo y'umura y'umusemburo kugira ngo ihagarike intanga ngabo kugera ku gihimbazwa.

Depo-Provera ikoreshwa mu gukumira gutwita no gucunga ibibazo by'ubuzima bifitanye isano n'imihango yawe. Umuganga wawe ashobora kugusaba gukoresha Depo-Provera niba: Udashaka gufata itabi ryo kuboneza urubyaro buri munsi Ushaka cyangwa ukeneye kwirinda gukoresha estrogeno Ufite ibibazo by'ubuzima nk'ubukonje bw'amaraso, indwara z'ubwonko, indwara ya sickle cell, endometriosis cyangwa fibroids z'umura. Mu byiza bitandukanye, Depo-Provera: Ntibisaba gukora buri munsi Ikuraho akaga ko guhagarika imibonano mpuzabitsina kubera kuboneza urubyaro Igabanya ububabare n'ububabare bw'imihango Igabanya amaraso menshi mu mihango, kandi mu bindi bihe ihagarara burundu Igabanya ibyago bya kanseri y'umura Depo-Provera ikwiriye buri wese ariko. Umuganga wawe ashobora kukubuza gukoresha Depo-Provera niba ufite: Ukuva amaraso mu gitsina utari uzi impamvu Kanseri y'amabere Indwara y'umwijima Uburwayi kuri ubuki bumwe bwa Depo-Provera Ibintu byongera ibyago byo kugira osteoporosis Amateka y'ihungabana Amateka yo kugira ikibazo cy'umutima cyangwa stroke Byongeye kandi, umenyeshe umuganga wawe niba ufite diyabete, umuvuduko ukabije w'amaraso utaragenzurwa cyangwa amateka y'indwara y'umutima cyangwa stroke, no kuva amaraso mu gitsina utari uzi impamvu.

Mu mwaka umwe w’ikoresha risanzwe, habarirwa abantu 6 kuri 100 bakoresha Depo-Provera baza gutwita. Ariko ibyago byo gutwita biracye cyane niba ugaruka buri mezi atatu kugira ngo ubone inshinge yawe. Depo-SubQ Provera 104 yagize ingaruka nziza cyane mu bushakashatsi bwa mbere. Ariko, ni imiti mishya, bityo ubushakashatsi buriho bushobora kutagaragaza umubare w’ababyeyi mu ikoreshwa rya buri munsi. Mu bintu byo kuzirikana kuri Depo-Provera harimo: Ushobora gutinda gusubira kubyara. Nyuma yo guhagarika Depo-Provera, bishobora gufata amezi 10 cyangwa arenga mbere yo gutangira gusohora amagi. Niba ushaka gutwita mu mwaka utaha cyangwa hafi yaho, Depo-Provera ishobora kuba atari uburyo bwiza bwo kuboneza urubyaro kuri wowe. Depo-Provera ntikingira indwara zandurira mu mibonano mpuzabitsina. Mu by’ukuri, ubushakashatsi bumwe bwerekana ko imiti igabanya imisemburo nka Depo-Provera ishobora kongera ibyago bya chlamydia na HIV. Ntabwo bizwi niba iyi mibanire iterwa na hormone cyangwa ibibazo by’imyitwarire bifitanye isano n’ikoresha ry’uburyo bwo kuboneza urubyaro buzira amakemwa. Gukoresha agakingirizo bizagabanya ibyago byo kwandura indwara zandurira mu mibonano mpuzabitsina. Niba uhangayikishijwe na HIV, vugana n’abaganga bawe. Bishobora kugira ingaruka ku bushyire bw’amagufwa. Ubushakashatsi bwerekanye ko Depo-Provera na Depo-SubQ Provera 104 bishobora gutera igihombo cy’ubushyuhe bw’amagufwa. Iki gihombo gishobora kuba kigoye cyane mu rubyiruko rutaragera ku gupima kwabo kw’amagufwa. Kandi ntibiramenyekana niba iki gihombo gishobora gusubira inyuma. Kubera ibi, Ikigo cy’Amerika gishinzwe ibiryo n’imiti cyongeyeho imyigisho ikomeye ku bipfunyika by’inshinge kiburira ko Depo-Provera na Depo-SubQ Provera 104 bitagomba gukoreshwa igihe kirekire cyane kuruta imyaka ibiri. Icyitonderwa kandi kivuga ko gukoresha ibi bicuruzwa bishobora kongera ibyago byo kugira osteoporosis no kuvunika kw’amagufwa mu myaka y’ubukure. Niba ufite izindi mpamvu zishobora gutera osteoporosis, nko kuba ufite amateka yo kubura amagufwa mu muryango wawe na bimwe mu bibazo byo kurya, ni byiza kuganira ku bibazo n’inyungu zishoboka z’uburyo bwo kuboneza urubyaro hamwe n’abaganga bawe, ndetse no kumenya izindi nzira zo kuboneza urubyaro. Ibindi bimenyetso bya Depo-Provera bisanzwe bigabanuka cyangwa bihagarara mu mezi make ya mbere. Bishobora kuba birimo: Kubabara mu nda Kubyimba Kugabanuka kw’ishyuhiryo ry’imibonano mpuzabitsina Kugira agahinda Kuzenguruka Umutwe Kubura imihango n’imihango idasanzwe Kugira ubwoba Ubusembwa n’umunaniro Kugira ibiro Ongera uvugane n’abaganga bawe vuba bishoboka niba ufite: Agahinda Ukuva amaraso menshi cyangwa impungenge ku buryo bwo kuva amaraso Kugira ikibazo cyo guhumeka Ibyuya, ububabare burambye, ubuhumyi, gukorora cyangwa kuva amaraso ahantu haboshywe Ububabare bukomeye mu nda hasi Indwara ikomeye y’uburwayi Ibindi bimenyetso bikuhangayikisha Abahanga benshi bemeza ko uburyo bwo kuboneza urubyaro bukoresha progestin gusa, nka Depo-Provera, bufite ibyago bike cyane by’izo ngaruka kurusha uburyo bwo kuboneza urubyaro burimo estrogen na progestin.

Uzakenera amabwiriza ya Depo-Provera ava ku muforomokazi wawe, uzanagenzura amateka yawe y'ubuzima kandi ashobora kugenzura umuvuduko w'amaraso yawe mbere yo kwandika imiti. Ganira n'abaganga bawe ku bijyanye n'imiti yose ukoresha, harimo n'imiti udakeneye amabwiriza n'ibikomoka ku bimera. Niba ushaka kwipfuriza inshinge za Depo-Provera iwawe, baza umuganga wawe niba ari amahitamo.