6 Depo evamile Provera Effects Side

Izimpawu zivela emnene nangesikhatsi esingenakubekezelelwa

I-Depo-Provera yindlela ejova ngayo yokulawula i-hormone esebenzisa i-progestin (ifomu elenziwe ngama-progesterone) ukuvimbela ukukhulelwa. I-Depo-Provera ayiyona nje ehlakaniphile futhi elula, kungcono ukuthi amaphesenti angu-99.7 aphumelele uma isetshenziswe kahle. Njengesisu sokubeletha kuphela , kungase kube ukukhetha okuhle uma ungakwazi ukusebenzisa isisu sokubeletha esise-estrogen.

Imiphumela emibi ye-Depo-Provera ingenzeka uma umzimba wakho ulungisa imiphumela yemithi. Abanye bangabesifazane abathintekayo kunabanye, kanti abanye bangase bangaboni nanoma yiziphi izimpawu. Umphumela ojwayelekile kakhulu weDepo-Provera (ovela emaqenjini angaphezu kwamahlanu kwabesifazane) kufaka:

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Ukwehla okungajwayelekile kokuya esikhathini

Abesifazane abaningi bayeka ukusebenzisa i-Depo Provera ngonyaka wokuqala wokusetshenziswa ngenxa yokubona isikhathi eside noma ukuphuma . Lemiphumela emibi ivame kakhulu phakathi nezinyanga ezintathu zokuqala kodwa ingaqhubeka nokunye kwabanye besifazane isikhathi esingaphezu konyaka.

Ngokudabukisayo, ayikho indlela yokubikezela ukuthi ngubani ozophuma egazini noma ukuthi izimpawu zingase zibe nzima kangakanani. Kwezinye izimo, ukuqedwa kokwelashwa yiyona ndlela kuphela.

Kwabanye, i-estrogen supplementation, i-Lysteda (tranexamic acid), ne-Ponstel (i-mefenamic acid) inganikeza ukusizwa kwesikhashana kuze kube yilapho isidumbu singcono sigcizelela imiphumela yomuthi.

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Ukuqedwa kwama-Periods

Ngemuva kokudubula ambalwa, uDepo Provera uzovame ukuyeka ukuya esikhathini. Uma lokhu kwenzeka, kungenza ukuthi izikhathi zakho zikhanyise noma ziqede ngokuphelele.

Ucwaningo lwezokwelapha lulinganisela ukuthi ngaphezu kwengxenye yesithathu yabesifazane kuDepo Provera kuzothola i- amenorrhea ngenyanga yesithupha. Ngemuva konyaka, lelo nani lizokhula libe ngamaphesenti angu-55 futhi liqhubeke likhuphuke libe ngamaphesenti angu-68 ngonyaka ngonyaka.

Abesifazane abaningi, eqinisweni, bazimisele ukubekezelela ukuphuma kwegazi okokuqala ithuba lokungabi naso isikhathi.

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I-Bone Density Loss

I-Depo Provera iqukethe isaziso esimnyama sebhokisi mayelana nokuhleleka kokulahlekelwa kwethambo. Ngokusho komkhiqizi, uma uDepo Provera isetshenziswa ngokuqhubekayo iminyaka engaphezu kwengu-2, ukulahleka kwe-calcium kungandisa kakhulu ingozi ye- osteoporosis namathambo aphukile.

Ngenxa yalokhu, kunconywa ukuthi abesifazane kufanele banciphise ukusetshenziswa kwabo okungaphezu kweminyaka emibili. Ukuze kunciphise ukulahleka kwethambo, odokotela bavame ukuncoma i-calcium ne-Vitamin D okuhambisanayo nokudla okunomsoco we-calcium.

Kubalulekile ukukhumbula ukuthi uma ukulahleka kwethambo kwenzeka, kuthathwa njengomphela futhi ngeke kubuyelwe.

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Ukutholakala kwesisindo

Isisindo sithola esinye isizathu esivamile sokuba abesifazane bayeke ukusebenzisa i-Depo Provera.

Ngokusho kocwaningo oluvela eNyuvesi yaseTexas Medical Branch eGalveston, cishe amaphesenti amabili kwabesifazane abasebenzisa uDepo Provera babike inzuzo yesisindo samakhilogremu amahlanu ngonyaka wokuqala. Leli nani landa ngamapounds ayisishiyagalombili ngonyaka futhi laqhubeka landa, ngonyaka ngonyaka, ngamakhilogremu amane.

Ngonyaka wesithupha, abesifazane baseDepo Provera bathola amaphesenti angu-16.5 (noma cishe 2.75 ngonyaka).

Lo mphumela, noma kunjalo, awubonakali kubo bonke abesifazane. Ukuzivocavoca njalo kanye nokudla okunomkhawulo-kakhudlwana kunganciphisa ingozi.

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Ukubuyiselwa Kokubuya Kwesizalo

UDepo Provera unomphumela wokukhulelwa isikhathi eside. Uma usukile, kungathatha isikhathi esingangonyaka ukuze uphinde uthole ukuzala futhi uqale u-ovulating ngokujwayelekile futhi. Uma unquma ukukhulelwa, cishe kuzomele ulinde okungenani izinyanga ezingu-9 kuya kwezingu-10 ngaphambi kokuzama.

Ngokusho kokucwaninga kwamakethe okuvela emkhiqizweni, kuthatha amaphesenti angu-68 abesifazane besifazane izinyanga ezingu-12 ukuze bakhulelwe ngemuva kokumisa uDepo Provera. Ngezinyanga ezingu-15, isibalo sonke senyuke saba amaphesenti angu-83. Ngezinyanga ezingu-18, inani labesifazane abangamaphesenti angu-93 abafuna ukukhulelwa bakwazi ukwenza kanjalo.

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Ukuphendula kwangaphakathi kwe-Injection

Enye yezinto ezivame kakhulu, futhi mhlawumbe okungenani edabukisayo, izimpawu zikaDepo Provera yizimpendulo zendawo endaweni yokudubula. Abanye besifazane bazobika ubuhlungu obuncane obuhambisana nomjovo, kanti amaphesenti ayisithupha azobona ukusabela kwesikhumba ezungeze endaweni lapho kudutshulwe khona isibhamu. Bobabili bavame ukuba abancane futhi bazozixazulula ngokwabo phakathi nosuku noma ababili.

Ezinye izinto ezivamile zomsindo zihlanganisa:

• Ubuhlungu besisu noma ukungakhululeki
• Isizungu
• Izinwele
• Ubuthakathaka noma ukukhathala
• Ukwesaba

Ngokuyinhloko, lezi zinhlobo zezimpawu zenza ngcono uma uthatha u-Depo Provera futhi ngokuvamile akadingi ukwelashwa.

> Imithombo:

> Grossman Barr, N. "Ukuphatha Imiphumela Embi Yezinkinga Zokuvimbela I-Hormonal." Am Fam Physician. 2010; 82 (12): 1499-1506.

> Spevak, E. "Imiphumela Yempilo Yesikhathi Esivamile Ye-Depo-Provera." Imithi Edidiyelwe. 2013; 12 (1): 27-34.