Created at:1/13/2025
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I-Depo-Provera ngumjovo wokulawula ukuzala osiza isikhathi eside ovimbela ukukhulelwa izinyanga ezintathu ngomjovo owodwa nje. Lokhu kulawula ukuzala kuqukethe i-hormone eyenziwe ngamachweba ebizwa nge-medroxyprogesterone acetate, esebenza ngendlela efana ne-progesterone yemvelo umzimba wakho oyikhiqizayo. Ingenye yezindlela zokulawula ukuzala ezibuyisekayo ezisebenza kahle kakhulu, enikeza ukuvikelwa okungaphezu kuka-99% ekukhulelweni uma isetshenziswa ngendlela efanele.
I-Depo-Provera ngumjovo wokulawula ukuzala osuselwe ku-hormone onikeza ukuvikelwa ekukhulelweni amasonto angu-12 kuya kwangu-14. Lo mjovo uqukethe amamiligremu angu-150 e-medroxyprogesterone acetate, okuyinguqulo eyenziwe e-lab ye-progesterone elingisa i-hormone yakho yemvelo yomzimba.
Lo mjovo usebenza ngokuvimbela ama-ovari akho ukuthi akhulule amaqanda njalo ngenyanga. Futhi wenza amafinyila emlonyeni wakho wesibeletho abe makhulu, okwenza kube nzima ngesidoda ukuthi sifinyelele kunoma yiliphi iqanda elingase likhishwe. Ukwengeza, ishintsha ukugqama kwesibeletho sakho, okunciphisa ithuba lokuthi iqanda elivundisiwe lingene.
Umuthi unikezwa njengomjovo ojulile we-intramuscular, ngokuvamile engalweni yakho engenhla noma ezinqeni. Abahlinzeki bezempilo bebelokhu besebenzisa le ndlela ngokuphepha amashumi eminyaka, futhi ivunyelwe yi-FDA ukusetshenziswa kokulawula ukuzala.
I-Depo-Provera isetshenziswa ikakhulukazi ukuvimbela ukukhulelwa okungafuneki kubantu abafuna ukulawula ukuzala okusebenzayo, okwesikhathi eside. Abaningi bakhetha le ndlela ngoba ayidingi ukunakwa kwansuku zonke njengamaphilisi okulawula ukuzala noma izinqubo zokufaka njenge-IUDs.
Ngaphandle kokuvimbela ukukhulelwa, abahlinzeki bezempilo ngezinye izikhathi batusa i-Depo-Provera ngenxa yezinye izizathu zezokwelapha. Kungasiza ekuphatheni izikhathi ezinzima noma ezibuhlungu, kunciphise izimpawu ze-endometriosis, futhi kunikeze impumuzo ezinhlotsheni ezithile zobuhlungu be-pelvic. Abanye abantu abanezifo zokuphuma igazi nabo bayazuza kulokhu kwelashwa.
Lo mjovo ulusizo ikakhulukazi kulabo abanobunzima bokukhumbula imithi yansuku zonke noma abangathandi ukusebenzisa izindlela zokuvimbela ngesikhathi sokusondelana. Futhi kuyindlela enhle uma ungenakho ukusebenzisa izindlela zokulawula ukuzala ezinama-estrogen ngenxa yezinkinga zempilo ezinjengamagazi noma ama-migraines.
Ukuthola umjovo wakho we-Depo-Provera kuyinqubo eqondile ethatha imizuzu embalwa ehhovisi lomhlinzeki wakho wezempilo. Umhlinzeki wakho uzoxoxa kuqala ngomlando wakho wezokwelapha futhi aqinisekise ukuthi le ndlela ilungile kuwe.
Umjovo ngokwawo uhlanganisa ukugwaza okusheshayo ngentambo emsulweni omkhulu. Umhlinzeki wakho wezempilo uzohlanza kuqala indawo yokujova ngento yokubulala amagciwane futhi asebenzise inaliti enenzalo ukuletha imithi ejuleni emsipheni. Abantu abaningi bachaza ukuzwa njengokuthola umgomo.
Nakhu okwenzekayo ngesikhathi sokuqokwa kwakho:
Ngemuva komjovo, ungase uzwe ubuhlungu endaweni yokujova usuku olulodwa noma ezimbili. Lokhu kuvamile ngokuphelele futhi kungalawulwa ngemithi yokwelapha ubuhlungu uma kudingeka.
Ukulungiselela umjovo wakho we-Depo-Provera kulula futhi akudingi noma yiziphi izinyathelo ezikhethekile. Into ebaluleke kakhulu ukuhlela umjovo wakho wokuqala ngendlela efanele ukuze uqinisekise ukuvikelwa kokukhulelwa ngokushesha.
Uma uqala i-Depo-Provera okokuqala ngqa, uzodinga ukuthola umjovo wakho phakathi nezinsuku ezinhlanu zokuqala zomjikelezo wakho wokuya esikhathini. Lesi sikhathi siqinisekisa ukuthi awukhulelwe futhi sinikeza ukuvikelwa ngokushesha kokuvimbela inzalo. Uma uthola umjovo nganoma yisiphi esinye isikhathi, uzodinga ukusebenzisa ezinye izindlela zokuvimbela inzalo ngesonto lokuqala.
Ngaphambi kokuqokwa kwakho, cabanga ngalezi zinyathelo zokulungiselela eziwusizo:
Akudingeki ukuthi uzile noma ugweme noma yimiphi imisebenzi ngaphambi komjovo wakho. Kodwa-ke, yazisa umhlinzeki wakho uma uthatha noma yimiphi imithi yokunciphisa igazi, njengoba lokhu kungase kulithinte kancane inqubo yomjovo.
Ngokungafani nokuhlolwa kwelabhorethri, i-Depo-Provera ayikhiqizi
Umhlinzeki wakho wezempilo uzoqapha impendulo yakho ngokuhlolwa okuvamile futhi angase alandele izinguquko esisindweni sakho, umfutho wegazi, kanye nokuminyana kwamathambo ngokuhamba kwesikhathi. Lokhu kulinganisa kusiza ukuqinisekisa ukuthi imithi iyaqhubeka nokuphepha futhi ifanele wena.
Ukuphatha indlela yakho yokusebenzisa i-Depo-Provera kuhilela ukuhlala esimisweni sokujova futhi uqaphele ukuthi umzimba wakho usabela kanjani. Isici esibaluleke kakhulu ukuthola imijovo yakho njalo ngamaviki ayi-11-13 ngaphandle kokulibala.
Uma uhlangabezana nemiphumela emibi, iningi liyaphathwa ngamasu alula. Ushintsho lwesilinganiso, oluthinta cishe ingxenye yabasebenzisi, lungancishiswa ngokuvamile ngokuzivocavoca njalo nokudla ngokuqonda. Ushintsho lwemizwa, nakuba lungavamile, kufanele kuxoxwe ngalo nomhlinzeki wakho wezempilo ngokushesha.
Nazi izindlela ezingokoqobo zokuthuthukisa indlela yakho yokusebenzisa i-Depo-Provera:
Khumbula ukuthi kungathatha izinyanga eziyi-12-18 ngemva kokuyeka i-Depo-Provera ukuba inzalo yakho ibuyele esimweni esijwayelekile. Uma uhlela ukukhulelwa esikhathini esizayo esiseduze, xoxa ngezindlela zokuvimbela ezinye nomhlinzeki wakho wezempilo.
Ishejuli engcono kakhulu ye-Depo-Provera ihilela ukuthola umjovo wakho njalo ngamaviki ayi-12, ngesikhathi somusa esinwetshwa kumaviki ayi-13 ubuningi. Ukuhlala ngaphakathi kwalolu hlu lwesikhathi kuqinisekisa ukuvikelwa okuqhubekayo kokukhulelwa ngaphandle kwegebe ekuhlanganiseni.
Umhlinzeki wakho wezempilo ngokuvamile uzohlela ama-aphoyintimenti akho njalo ngamaviki ayi-11-12 ukuze anikeze ibhafa ngokumelene nezingxabano zokuhlela. Le ndlela isiza ukugcina amazinga e-hormone aqhubekayo emzimbeni wakho futhi ivimbela ukukhathazeka kokulahlekelwa iwindi lakho.
Abahlinzeki abaningi batusa ukumaka ikhalenda lakho ngokushesha ngemuva komjovo ngamunye nokusetha izikhumbuzi eziningi. Abanye abantu bakuthola kuwusizo ukuhlela ukuqokwa kwabo okulandelayo ngaphambi kokuhamba ehhovisi, baqinisekise ukuthi bagcina isimiso sabo sokuvikela.
Uma usheshe ngamasonto angaphezu kwama-13 ngomjovo wakho, uzodinga ukusebenzisa indlela yokuvimbela ukukhulelwa eyisipele okungenani isonto elilodwa ngemuva kokuthola umjovo wakho. Umhlinzeki wakho angase futhi ancome ukuhlolwa kokukhulelwa ngaphambi kokunikeza umjovo ohlwile.
Izimo ezithile zempilo nezici zokuphila zingakhuphula ingozi yakho yokuba nezinkinga nge-Depo-Provera. Ukuqonda lezi zici eziyingozi kukusiza wena nomhlinzeki wakho wezempilo ukuthi nenze izinqumo ezinolwazi mayelana nokuthi le ndlela ilungile yini kuwe.
Isici esiyingozi esibaluleke kakhulu umlando we-osteoporosis noma izimo ezithinta ukuminyana kwamathambo. Njengoba i-Depo-Provera inganciphisa okwesikhashana ukuminyana kwamaminerali amathambo, abantu abanezinkinga zamathambo ekhona bangase babhekane nokukhathazeka okwengeziwe. Lo mphumela ngokuvamile uyabuyiseka ngemuva kokuyeka umuthi.
Izimo eziningana zezokwelapha zingakhuphula ingozi yakho yezinkinga:
Ubudala bungadlala indima futhi, njengoba abantu abaneminyaka engaphezu kwengama-35 ababhemayo bengase babe nezingozi ezengeziwe. Ngaphezu kwalokho, uma uhlela ukukhulelwa eminyakeni emibili ezayo, ukubuyela emuva kokuzala kungase kube ukucatshangelwa kunokuba kube yinkinga.
Ushintsho emjikelezweni wakho wokuya esikhathini ngenkathi usebenzisa i-Depo-Provera kujwayelekile ngokuphelele futhi kulindelekile. Akukho "okungcono" - okubalulekile ukuthi izinguquko zivamile kulolu hlobo lokuvimbela inzalo ngamaphilisi.
Abantu abaningi bathola ukuthi ukuba nezikhathi ezilula noma ukungabi nazo nhlobo empeleni kuyinzuzo eyamukelekayo. Lokhu kuncipha kokopha kwesikhathi kungasiza nge-anemia, kunciphise ukuqaqamba, futhi kuqede ukuphazamiseka kwanyanga zonke kwezikhathi. Ngokombono wezokwelapha, ukuba nezikhathi ezimbalwa ngenkathi usebenzisa ukuvimbela inzalo ngamaphilisi kuphephile ngokuphelele.
Abanye abantu bahlangabezana nokuchitheka okungajwayelekile, ikakhulukazi ngonyaka wokuqala wokusebenzisa. Ngenkathi lokhu kungase kucasule, akulimazi futhi kuvame ukuthuthuka ngokuhamba kwesikhathi. Cishe ama-50% abantu abasebenzisa i-Depo-Provera unyaka owodwa ngeke babe nezikhathi nhlobo, futhi leli phesenti liyanda ngokusebenzisa isikhathi eside.
Okubalulekile ukuqonda ukuthi izinguquko zokuya esikhathini azibonisi izinkinga ngempumelelo yomuthi. Ukuvikelwa kwakho kokuvimbela inzalo kuhlala kuqinile kungakhathaliseki ukuthi unezikhathi ezijwayelekile, ukopha okungajwayelekile, noma awekho nhlobo.
Ngenkathi i-Depo-Provera ngokuvamile iphephile kubantu abaningi, kubalulekile ukuqonda izinkinga ezingaba khona ukuze ukwazi ukwenza izinqumo ezinolwazi futhi uqaphele ukuthi nini okufanele ufune ukunakekelwa kwezokwelapha.
Izinkinga ezivame kakhulu zihilela izinguquko ezithinta impilo yakho yansuku zonke kodwa azilimazi ngempela. Ukukhuluphala kwenzeka cishe kwingxenye yabasebenzisi, ngokuvamile amakhilogremu angu-1.3-2.2 ngonyaka wokuqala. Abanye abantu futhi bahlangabezana nezinguquko zemizwa, ukwehla kwesifiso socansi, noma ikhanda.
Izinkinga ezingathi sína kodwa ezingavamile zihlanganisa:
Ukusetshenziswa kwesikhathi eside kungase kuhlotshaniswe nokwanda okuncane kwengozi yomdlavuza webele, nakuba lokhu kusaqondene futhi kudinga ucwaningo olwengeziwe. Umhlinzeki wakho wezempilo angakusiza ukuthi ulinganise lezi zingozi ezingaba khona ngokumelene nezinzuzo ezisekelwe kuphrofayili yakho yezempilo.
Izinkinga eziningi ziyaqondakala noma ziyanyamalala ngemva kokuyeka umuthi. Okubalulekile ukugcina ukuxhumana okuvulekile nomhlinzeki wakho wezempilo mayelana nanoma yiziphi izinguquko ozitholayo.
Kufanele uthinte umhlinzeki wakho wezempilo uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo noma izinguquko ezinkulu ngemva kokuthola umjovo wakho we-Depo-Provera. Nakuba imiphumela eminingi engemihle ijwayelekile, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha.
Shayela umhlinzeki wakho ngokushesha uma uhlangabezana nobuhlungu obukhulu besisu, njengoba lokhu kungase kukhombise izinkinga ezingathi sína. Ngokufanayo, uma uba nezimpawu zamaqhubu egazi njengobuhlungu emlenzeni, ukuvuvukala, ubuhlungu besifuba, noma ubunzima bokuphefumula, funa ukunakekelwa kwezokwelapha ngokushesha.
Nazi izimo ezithile ezidinga ukunakekelwa kwezokwelapha:
Ngaphezu kwalokho, hlela ama-aphoyintimenti okulandelana njengoba kunconywe ngumhlinzeki wakho. Lokhu kuvakasha kuvumela ukuqapha impilo yakho yonke, ukuminyana kwamathambo uma ungumsebenzisi wesikhathi eside, kanye nengxoxo yanoma yiziphi izinkathazo mayelana nokuqhubeka nale ndlela.
Unganqikazi ukushayela ngemibuzo mayelana nemiphumela engemihle ejwayelekile. Ithimba lakho lezempilo likhona ukukusekela futhi liqinisekise ukuthi uzizwa ukhululekile ngokukhetha kwakho ukulawula inzalo.
I-Depo-Provera inikeza ukuvikeleka ngokushesha ekukhulelweni uma uthola umjovo wakho wokuqala phakathi nezinsuku ezinhlanu zokuqala zomjikelezo wakho wokuya esikhathini. Lesi sikhathi siqinisekisa ukuthi awukhulelwe futhi sivumela i-hormone ukuthi iqale ukusebenza ngokushesha.
Uma uthola umjovo wakho wokuqala nganoma yisiphi esinye isikhathi emjikelezweni wakho, uzodinga ukusebenzisa ezinye izindlela zokuvimbela inzalo izinsuku eziyisikhombisa zokuqala. Lokhu kuqapha kuqinisekisa ukuthi uvikelekile ngokugcwele ngenkathi i-hormone yakha emazingeni asebenzayo ohlelweni lwakho.
Cha, i-Depo-Provera ayibangeli ukungabi nenzalo unomphela. Kodwa-ke, kungathatha isikhathi eside ukuthi inzalo yakho ibuye uma iqhathaniswa nezinye izindlela zokuvimbela inzalo. Abantu abaningi bangakhulelwa phakathi nezinyanga eziyi-12-18 ngemuva komjovo wabo wokugcina.
Ukubambezeleka ekubuyeni kwenzalo kuyahlukahluka kumuntu nomuntu. Abanye bangase baqale ukuvuthwa kwamaqanda ezinyangeni ezimbalwa, kanti abanye bangathatha iminyaka emibili. Lokhu kubambezeleka kungokwesikhashana, futhi ikhono lakho lokukhulelwa lizobuyela ezingeni lakho elijwayelekile.
Yebo, i-Depo-Provera iphephile ukuyisebenzisa ngenkathi uncelisa futhi ngeke ilimaze ingane yakho. I-progestin esejovweni ayithinti ngokuphawulekayo ukukhiqizwa noma ikhwalithi yobisi, okwenza kube yindlela ethandwayo kubazali abancelisayo.
Unga qala i-Depo-Provera ngokushesha ngamasonto ayisithupha ngemuva kokubeletha uma uncelisa. Abanye abahlinzeki bezempilo bangase batusa ukulinda kuze kube yilapho ukuhlinzekwa kwakho kobisi kusekwe kahle, ngokuvamile cishe amasonto angu-6-8 ngemuva kokubeletha.
Uma ulindele umjovo wakho, xhumana nomhlinzeki wakho wezempilo ngokushesha ukuze uhlele kabusha. Uma usungaphezu kwamasonto angu-13 ngemuva komjovo wakho wokugcina, uzodinga ukusebenzisa ezinye izindlela zokuvimbela inzalo okungenani isonto elilodwa ngemuva kokuthola umjovo wakho.
Umhlinzeki wakho angase ancome ukuhlolwa kokukhulelwa ngaphambi kokukunika umjovo osekwephuze. Ungashayi uvalo uma usuphelelwe izinsuku ezimbalwa - umuthi uyaqhubeka nokuhlinzeka ngokuvikeleka isikhashana ngemva kwamasonto angu-12.
Yebo, i-Depo-Provera ivame ukunciphisa kakhulu ukuphuma kwegazi ngesikhathi sokuya esikhathini futhi ingaba ukwelashwa okuphumelelayo kwezikhathi ezinzima. Abantu abaningi baba nezikhathi ezilula noma izikhathi zabo zingase ziyeke ngokuphelele ngenkathi besebenzisa le ndlela yokuvimbela inzalo.
Lokhu kuncipha kokuphuma kwegazi kungasiza nge-anemia, kunciphise ubuhlungu besikhathi, futhi kuthuthukise izinga lempilo kulabo abahlupheka ngemijikelezo yokuya esikhathini enzima. Kodwa-ke, abanye abantu bangase babe nokubona okungajwayelekile, ikakhulukazi ngonyaka wokuqala wokusebenzisa.