Depo-Provera (isiqephu sokuvimbela ukukhulelwa)

I-Depo-Provera libizwa ngegama elidume kakhulu le-medroxyprogesterone acetate, i-injection yokuqeda ukukhulelwa equkethe i-hormone progestin. I-Depo-Provera inikezwa njenge-injection yonke imizuzwana emithathu. Ngokuvamile i-Depo-Provera ivinela ukukhishwa kweqanda, igcina ama-ovari akho engakhululi iqanda. Futhi iqinisa ukhukhu lomphimbo ukuvimbela isperm ukufinyelela eqandeni.

I-Depo-Provera isetshenziswa ukuvimbela ukukhulelwa nokuphatha izimo zezokwelapha ezihlobene nesikhathi sakho. Umhlinzeki wakho wezinsizakalo zezempilo angakuncoma i-Depo-Provera uma: Awufuni ukuthatha iphilisi yokulawula ukubeletha nsuku zonke Ufuna noma udinga ukugwema ukusebenzisa i-estrogen Uneengxaki zezempilo ezinjengokuhlupheka kwegazi, ukuhlushwa, isifo se-sickle cell, i-endometriosis noma ama-fibroids esibeletho Phakathi kwezinzuzo ezahlukahlukene, i-Depo-Provera: Ayidingi isenzo sansuku zonke Isusa isidingo sokuqeda ubulili ngenxa yokutholakala kwesikhumba Kunciphise ukubamba nobuhlungu besikhathi Sinyusa ukugeleza kwegazi lesikhathi, futhi kwezinye izimo kuyeka ukuqothuka Kunciphisa ingozi yomdlavuza we-endometrial I-Depo-Provera ayifanelekile kuwo wonke umuntu, noma kunjalo. Umhlinzeki wakho wezinsizakalo zezempilo angakukhuthaza ukusetshenziswa kwe-Depo-Provera uma une: Ukugeleza kwegazi kwesikhumba okungachazwanga Umhlaza wesifuba Isifo se-Liver Ukululama kunoma yisiphi izingxenye ze-Depo-Provera Izingozi ze-osteoporosis Umlando wokuhlukunyezwa Umlando wokuhlaselwa yinhliziyo noma isikhubekiso Ngaphezu kwalokho, tshela umhlinzeki wakho wezinsizakalo zezempilo uma une-diabetes, ukucindezela kwegazi okungalawuleki noma umlando wesifo senhliziyo noma isikhubekiso, nokugeleza kwegazi kwesikhumba okungachazwanga.

Phakathi konyaka wokusetshenziswa okuvamile, kulinganiselwa ukuthi abantu abangu-6 kwaba ngu-100 abasebenzisa iDepo-Provera bayokhulelwa. Kodwa ingozi yokukhulelwa incintisana kakhulu uma ubuyela njalo ngenyanga ezintathu ukuze uthole ukugonywa kwakho. I-Depo-SubQ Provera 104 yayisebenza kakhulu ekuhlolweni kokuqala. Noma kunjalo, iyimithi entsha, ngakho-ke ucwaningo lwamanje lungase lungabonisi amazinga okukhulelwa ekusetshenzisweni okuvamile. Phakathi kwezinto okufanele uzicabangele mayelana neDepo-Provera kukhona: Ungase ube nokulibaziseka ekubuyeleni kwakho ekuhlonipheni. Ngemva kokumisa iDepo-Provera, kungathatha izinyanga eziyi-10 noma ngaphezulu ngaphambi kokuba uqale ukukhishwa amaqanda futhi. Uma ufuna ukukhulelwa ngonyaka olandelayo noma kancane, iDepo-Provera ingase ingabi yindlela efanele yokulawula ukubeletha kuwe. I-Depo-Provera ayivikela ekuthuthukisweni kwezifo ezithathelwanayo ngocansi. Eqinisweni, ezinye izifundo ziyabonisa ukuthi izidakamizwa ze-hormonal ezifana neDepo-Provera zingase zikhulise ingozi yakho ye-chlamydia ne-HIV. Akwaziwa ukuthi lobu buhlobo bubangelwa yi-hormone noma izinkinga zokuziphatha ezihlobene nokusetshenziswa kokulawula ukubeletha okuthenjwayo. Ukusebenzisa amakhondomu kuzokwehlisa ingozi yakho yokutheleleka ngocansi. Uma ukhathazekile nge-HIV, xoxa nodokotela wakho. Kungase kuchaphazele ubukhulu be-bone mineral. Ucwaningo luye lwabonisa ukuthi iDepo-Provera neDepo-SubQ Provera 104 zingase zibangele ukulahleka kwe-bone mineral density. Lokhu kulahleka kungase kube ukukhathazeka ikakhulu kubasakhulayo abangakafezi ubunzima babo bethambo. Futhi akucaci ukuthi lokulahleka kuphindaphindwe. Ngenxa yalokhu, i-US Food and Drug Administration yengeze izexwayiso ezinamandla ekuphakeleni ukugonywa ikhuthaza ukuthi iDepo-Provera neDepo-SubQ Provera 104 akufanele zisetshenziswe isikhathi esingaphezu kweminyaka emibili. Isixwayiso siphinde sisho ukuthi ukusebenzisa lezi zikhiqizo kungase kukhulise ingozi ye-osteoporosis nokuphuka kwama-bone kamuva ekuphileni. Uma unezinye izici ezingozi ze-osteoporosis, njengomlando womndeni wokulahleka kwama-bone nezifo zokudla ezithile, kuyinto enhle ukuxoxa ngezingozi nezinzuzo ezingaba khona zale ndlela yokulawula ukubeletha nodokotela wakho, kanye nokufunda ngezinye izinketho zokulawula ukubeletha. Ezinye izingozi ezihlobene neDepo-Provera ngokuvamile ziyancipha noma ziyaphela ezinyangeni ezimbalwa zokuqala. Zingase zihlanganise: Ubuhlungu besisu Ukukhukhula Ukuthanda ucansi okuncishisiwe Ukudideka Ukukhungatheka Izinhlungu zikhanda Izikhathi ezingavamile nokuphuza igazi Ukukhathazeka Ubuthakathaka nokukhathala Ukuzuza isisindo Xhumana nodokotela wakho ngokushesha okukhulu uma une: Ukudideka Ukopha okukhulu noma ukukhathazeka ngezindlela zakho zokopha Ukuphefumula okuyinselele I-pus, ubuhlungu obude, ubomvu, ukukhahlela noma ukopha endaweni yokugonywa Ubuhlungu obukhulu besisu Ukulimala okukhulu okuhlobene nokulimala Ezinye izimpawu ezikukhathazayo Ochwepheshe abaningi bakholelwa ukuthi izindlela zokulawula ukubeletha ze-progestin kuphela, ezifana neDepo-Provera, zithwala izingozi ezincane kakhulu zalezi zinhlobo zezinkinga kunendlela yokulawula ukubeletha ehlanganisa i-estrogen ne-progestin.

Uzodinga iresiphi yeDepo-Provera evela kudokotela wakho, ozoqala ngokuhlola umlando wakho wezokwelapha futhi mhlawumbe ahlole ingcindezi yakho yegazi ngaphambi kokubhala umuthi. Xoxa nodokotela wakho mayelana nawo wonke amayeza akho, kufaka phakathi imikhiqizo engekho ngaphansi kwelayisensi kanye nemikhiqizo yemifino. Uma ufuna ukuzithombisa ngeDepo-Provera ekhaya, buza udokotela wakho uma lokho kuyindlela efanele.