Okuyisisekelo soMthetho Wokulawula Ukuzalwa
Sibutsetelo
I-Depo-Provera (i-medroxyprogesterone) iyindlela eguquguqukayo yokulawulwa kokubeletha . Eyaziwa nangokuthi i-DMPA, i-Depo edutshulwa, noma ukudubula kokubeletha, le ndlela yokuvimbela ukuvimbela ukwelashwa iyatholakala kuphela ngomjovo. Ukudubula okulodwa kuvikela ukukhulelwa amasonto ambalwa.
Indlela Esebenza ngayo
I-Depo-Provera ithumela kancane kancane i-progestin medroxyprogesterone acetate futhi ivikela ukukhulelwa isikhathi esingamaviki angu-11 kuya kwangu-14.
I-Depo-Provera isebenza ngokuvimbela ukuvuthwa kwegazi futhi ngokuqinisa umqubu womlomo wesibeletho, okuvimbela isidoda ukungena emagayeni omzimba nokufaka umquba noma yiliphi iqanda elingase livezwe.
Izinguqulo ezimbili
Okwamanje, kunezinguqulo ezimbili ezahlukene zeDepo-Provera. Ngaphandle kokungafani okumbalwa okushiwo ngezansi, zombili izijovo zisebenza ngendlela efanayo futhi zinikeza izinga elifanayo lokuvikelwa kokukhulelwa.
- I-Depo-Provera Injection: I-formula yasekuqaleni ye-Depo-Provera kumele ifakwe emzimbeni futhi ifakwe ku-intanethi noma ingalo engaphezulu. Kumele ube nesibhamu izikhathi ezine ngonyaka (njalo emavikini angu-11 kuya ku-13) ukuze ugcine isilinganiso sezinga lika-Depo-Provera eliphezulu. Uvikelekile ekukhulelwe ngokushesha ngemuva kokuthola umthamo ngamunye. Lolu khetho luqukethe ama-milligram angu-150 we-medroxyprogesterone acetate.
- I-Depo-subQ Provera 104 Injection: Le nguqulo iqukethe i-hormone engaphansi kwamaphesenti angu-31 kune-Depo yasekuqaleni edonsela ku-104 milligrams ye-medroxyprogesterone acetate. Ngenxa yokuthi unesilinganiso esingaphansi se-progestin, singase sibe nemiphumela emibi ehlobene ne-progestin. I-subQ ibhekisela ngaphansi kwe-subcutaneous, okusho ukuthi lokhu kudutshulwa okusha kuphela kumele kujojowe ngaphansi kwesikhumba, kungabi yisisipha, ngakho sinaliti encane futhi kungabangela ubuhlungu obukhulu. I-Depo-subQ Provera i-104 kumele ifakwe egangeni noma kumathumbu izikhathi ezine ngonyaka (njalo amasonto angu-12 kuya kwangu-14). Inikeza nokuvikelwa kokukhulelwa ngokushesha.
Ubuhle nobubi
Izinzuzo ezihambisana nokungalungi kufaka:
- Iphumelela kakhulu futhi ihlakaniphile kakhulu. Ngeke ube esengozini yokukhulelwa ngenxa yokukhohlwa ukuthatha iphilisi noma ukusebenzisa indlela yokuvimbela.
- Umjovo we-Depo-subQ Provera 104 yi- FDA evunyelwe ukwelashwa kobuhlungu obuhlobene ne-endometriosis .
- UDepo-Provera unebhokisi elimnyama elixwayisa ngokulahleka kwethambo: "Abesifazane abasebenzisa iDepo-Provera bangase balahlekelwe yimfucuza yamaminerali amaningi (BMD)."
- Abesifazane abaningi babika ukuphaphazeka okungavamile (spotting) kanye / noma ukuphuma kwegazi isikhathi eside ngenkathi usebenzisa uDepo-Provera. Nokho, umphumela omuhle wukuthi isikhathi sokuya esikhathini sivame ukuphela ngemva kwezinyanga eziyisithupha zokusebenzisa.
- Kungathatha isikhathi esingaphezu konyaka ukuvuselela ukuzala kwakho emva kokuyeka ukusetshenziswa kukaDepo-Provera.
- Ezinye izifundo zibonisa inzuzo yesisindo ngeDupo-Provera edutshulwa . Umkhiqizi uthi abesifazane bathola isilinganiso esingu-5.4 amakhilogremu ngonyaka wokuqala futhi bayothola amakhilogremu angu-8.1 ngasekupheleni konyaka wesibili.
- Imiphumela emibi ejwayelekile yeDepo-Provera ihlanganisa ubuhlungu besisu noma ukunganaki, isizungu, ukuphathwa ikhanda, ubuthakathaka, ukukhathala, noma ukwesaba.
- Akufanele isetshenziswe isikhathi eside kuneminyaka emibili.
Ubani Ongayisebenzisa
Le ndlela ingaba inketho yokuphepha yokubeletha ephephile yabesifazane abaningi abanempilo. Kubalulekile ukuthi uxoxe ngomlando wakho wezokwelapha ophelele nodokotela wakho ngaphambi kokuthola injection yeDepo Provera.
I-Depo-Provera ayinconywa kwabesifazane abanakho okulandelayo:
- Umdlavuza wesibeletho
- I-Thrombophlebitis, umlando wezifo ze-thromboembolic, noma isifo se-cerebral vascular
- Izingozi ze-osteoporosis: izifo zethambo, utshwala ngokweqile noma ukubhema, umlando womndeni we- osteoporosis , i-anorexia, noma ukusetshenziswa kwezidakamizwa ze-steroid
- Isifo esibindile esibindi
- Amantombazane asezinsana-ngoba lokhu kuyisikhathi esibucayi sokwehliswa kwamathambo
- Ukusuka kwamagciwane okungasetshenziswanga
- Isifiso sokukhulelwa ngaphakathi ngonyaka ozayo
Izindleko ezihlanganisiwe
Ngaphansi koMthetho Wokunakekelwa Okunakekelwayo, izinhlelo eziningi zomshuwalense kufanele zihambele ukuvakashelwa odokotela okuhlobene nokulawulwa kokuzalwa kanye nokudubula ngokwayo kukhululekile ngaphansi kwezinhlelo eziningi. I-Medicaid nayo kufanele ihlanganise izindleko zalendlela yokukhulelwa. Noma yikuphi ukushintshwa koMthetho Wokunakekelwa Okunganakekelwa Ongathintekayo kungathinta ngabe izinhlelo zomshuwalense zihlanganisa ukukhulelwa komzimba Hlola nge-plan yakho yomshuwalense ukubona ukuthi yini okuyobekwa ngayo kanye nezindleko zakho.
Uma ungenayo umshuwalense wezempilo noma ukukhokhelwa nge-Medicaid futhi kufanele ukhokhe ephaketheni ekuhlolweni kwezokwelapha, izindleko zakho zingase zibe ngu-$ 250 ukuvakasha kokuqala futhi okungenani u-$ 150 ukuze uvakashele.
Amanani omjovo ayedwa ayashintsha, kodwa izindleko ezijwayelekile zomjovo ngamunye zingaba phakathi kuka- $ 30 kuya ku-$ 75. Izindleko eziphelele zonyaka ogcwele wokusetshenziswa zingahluka kusuka ku $ 200 kuya ku-$ 600, kuye ngokuthi kuzodingeka yini ukuvakashelwa kwehhovisi elengeziwe. Ungase futhi ufake izindleko ezengeziwe uma ungaphezu kwamasonto amabili ngasekupheleni kwesibhamu sakho esilandelayo njengoba udokotela wakho angadinga ukuhlolwa kokukhulelwa ngaphambi kokujova kwakho okulandelayo.
Ukuphumelela
UDepo-Provera ngamaphesenti angu-97 kuya ku-99.7%. Lokhu kusho ukuthi ngokusetshenziswa okuphelele, abesifazane abangaphansi kuka-1 kwabangu-100 abasebenzisa iDepo-Provera bazokhulelwa ngonyaka owodwa. Ngokusetshenziswa okujwayelekile, abesifazane abangu-3 kwabangu-100 abasebenzisa iDepo-Provera bazokhulelwa.
Ukuvikelwa kwe-STD
I-Depo-Provera ayihlinzeki ngokuvikela izifo ezithathelwana ngocansi . Kumele usebenzise ikhondomu.
> Imithombo:
> Ukulawulwa Kwezokuzalwa. Umzali Ohleliwe. https://www.plannedparenthood.org/learn/birth-control/birth-control-shot.
> Depo-Provera (echaza ulwazi). Pharmacia & Upjohn Co. http://labeling.pfizer.com/ShowLabeling.aspx?id=522.
> Depo-SubQ Provera (echaza ulwazi) Pharmacia & Upjohn Co. http://labeling.pfizer.com/ShowLabeling.aspx?id=549.