Naphezu kokusebenza kwayo, ukulawulwa kokubeletha kududuza ukukhathazeka
I-Depo Provera (i-depot medroxyprogesterone acetate) yisidakamizwa se-hormonal esetshenziswa njengendlela eguquguqukayo yokulawulwa kokuzalwa . Naphezu kokuthi izidakamizwa zingamaphesenti angama-99.7 ephumelelayo ekuvimbeleni ukukhulelwa kuze kube amasonto angu-14, inzuzo yesisindo ihlale ikhonjiswe njengesizathu sokuthi kungani abesifazane beyeka ukusebenzisa i-Depo Provera.
Indlela uDepo Provera Esebenza Ngayo
I-Depo Provera iqukethe uhlobo lwe-progesterone eyaziwa ngokuthi i- progestin .
Kuyindlela ejojowe yomuthi ofanayo, owaziwa njengoPravera, owawusetshenziselwa ukwelapha izinkinga zokuya esikhathini ezibangelwa ukungalingani kwe-hormone.
Ukwelashwa okusekelwe ku-progesin kuvimbela ukuvuthwa okungaveli. Iphinde ikhulise umsila womlomo wesibeletho okwenza kube nzima ukuba isidoda sidlule embelethweni. Ngaphezu kwalokho, isenzo se-hormonal senza ukuxilongwa kwezicubu ze-uterine, okwenza kube nzima ukuba iqanda elikhulelwe lifakwe kusukela kungekho izicubu ezanele odongeni lwe-uterine ukuze uluthole.
U-Depo Provera unemiphumela emibi eminingi, evame kakhulu kuwo:
- I-acne
- Ukulala
- Izikhathi ezingekho noma ezingavamile
- Izinwele zokucwenga
- Ukwandisa izinwele ebusweni
- Izinkinga zokulala
- Ubuhlungu besisu
Imithwalo eminingana eyingozi kakhulu eyaziwa ukuthi yenzeke ihlanganisa ingozi eyengeziwe yokukhubazeka kokuzalwa uma ithathwa uma ikhulelwe futhi ilahlekelwa yithemba lamaminerali (isimo esiphenduka kakhulu uma ukwelashwa kumisiwe).
Kodwa, ngokuthakazelisayo, umphumela owodwa ohlangothini ozovame ukubangela ukucindezeleka okukhulu phakathi kwabasebenzisi kungengozini yokuthola isisindo.
I-Depo Provera ne-Weight Gain
Kusukela ngo-2009, ucwaningo luye lwaluqinisekisa ukuthi iDepo Provera ingabangela abesifazane ukuba banesisindo. Nokho, izinga lempumelelo, noma kunjalo, lingashintsha ngokuphawulekayo ngezinye zengeze amakhilogremu ambalwa ngenkathi ezinye zingeza noma ubukhulu bayizigqoko ezimbili.
Olunye lwezifundo eziphelele, olwenziwa ngabacwaningi eNyuvesi yaseTexas Medical Branch eGalveston, liqhathanisa inzuzo yesisindo kwabesifazane abangama-703 abasebenzisa iphilisi , i-Depo Provera, noma i-nonhormonal contraception (njenge- diaphragm , IUD noma i- sponge ).
Abahlanganyeli babehlanganisa ama-200 aseMelika aseMelika, ama-247 abamhlophe, nabesifazane abangu-245 baseSpanishi.
Lokho abacwaningi abathola ukuthi uDepo Provera akagcini nje ngokubangela ukutholakala kwesisindo ngaphezu kwecala lezinyanga ezingu-36, okwenza kanjalo ngokwanda kwamanoni omzimba. Inzuzo yesisindo phakathi kwabasebenzisi bepilisi, ngokuphambene, yayihlotshaniswa nokugcinwa kokuketshezi. Konke okukhulunywe ngakho, abesifazane abasebenzisa ukuzuza kweDepo Provera ku:
- Isisindo (9.7 amakhilogremu emva kwezinyanga ezingu-24 namapounds angu-11.25 emva kwezinyanga ezingu-36)
- Amafutha omzimba (amakhilogremu angu-9.04)
- Amaphesenti amafutha omzimba (amaphesenti angu-3.4)
Izinga lokuthola isisindo livele lihlotshaniswa ngokuqondile nenani likaDepo Provera elisetshenzisiwe. Ukwengeza, abesifazane abangekho obomvu babonakala benengozini enkulu kule mpumelelo ngamaphesenti angama-50 amathuba okuba bekhuluphele ngemva kweminyaka emithathu.
Ngenhlanhla, lo mphumela ubonakala ungaguquki kancane phakathi kwabesifazane abaye bavala uDepo Provera futhi bashintsha ekukhulelweni kokubeletha okungenayo i-hormone. Kulaba besifazane, kwakukhona ukulahlekelwa kwesisindo samathani angu-3.75 emva kwezinyanga ezingu-24.
Ehlangothini le-flip, labo abaguqulela iphilisi bazuza inzuzo yamakhilogremu angu-3.75 emva kwezinyanga ezingu-24 (futhi, ngaphezulu ngenxa yokugcinwa kwamanzi kagesi kunokwanda kwamanoni engeziwe).
Izwi elivela
Lokhu kukhetha ukukhulelwa ngokweqile kungumuntu oyedwa. Kwabesifazane abathile, izinzuzo zokuba lula zingahle zidlule kakhulu kunoma yikuphi ukulimala okungenzeka.
Ekugcineni, ayikho impendulo efanele noma engalungile.
Uma ukhetha ukusebenzisa i-Depo Provera, kungenzeka ukunciphisa ingozi yakho ngokudla okunempilo nokuzivocavoca njalo. Buza udokotela wakho ukuthi adluliselwe kumuntu okhethekile wokudla okunomsoco ongase akwazi ukunikeza amathiphu ngendlela yokulondoloza isisindo sakho esihle ngokuthuthukisa umzimba wakho ngomsebenzi nokulawula ukudla kwakho kwe-caloric kanye namafutha amaningi.
> Umthombo:
> Berenson, A. kanye no-Rahman, M. "Izinguquko zesisindo, amafutha omzimba, amaphesenti amafutha omzimba, kanye ne-central-to-peripheral fat ratio ehambisana nokusetshenziswa kokuvimbela ukukhulelwa." Journal American of Obstetrics and Gynecology . 2009; 220 (3): 329 e1-329 e8.