Izinzuzo, Amakhasimende, Izinzuzo Zempilo, kanye Nemiphumela Emibi
I-Depo-Provera (i-medroxyprogesterone) iyindlela eguquguqukayo yokulawulwa kokubeletha . Eyaziwa nangokuthi i-DMPA, i-Depo shot, noma i-shot control yokudubula, lokhu kokuvimbela ukukhulelwa kwe-progestin kuphela kuvimbela ukukhulelwa izinyanga ezi-3 ngokudubula ngakunye.
Indlela Esebenza ngayo
I-Depo-Provera iyindlela yokwelapha ye-hormonal ekhishwa kancane kancane i-progestin medroxyprogesterone acetate futhi ivikela ngokukhulelwa isikhathi samasonto angu-11 kuya kwangu-14.
Isebenza ngokuvimbela i-ovulation futhi ngokuqinisa umsizi womlomo wesibeletho. Lokhu kuvimbela isibindi ukungena emagodini omkhuhlane bese kuhlwanyela noma yiliphi iqanda elingase livuliwe.
Amafomu amabili
Kunezinguqulo ezimbili 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 kufanele ifakwe emzimbeni, noma ingalo noma ingalo engaphezulu. Kumele ube nesibhamu izikhathi ezine ngonyaka (njalo emavikini angu-11 kuya ku-13) ukuze ugcine isilinganiso sezinga lika-Depo-Provera eliphezulu. I-shot eyodwa iqukethe ama-milligram angu-150 we-medroxyprogesterone acetate.
Uma uthola iDepo yakho yokuqala ngaphambi kwezinsuku ezinhlanu zokuqala kwakho, inikeza ukuvikelwa kokukhulelwa ngokushesha. Uma uthola ukudubula kwakho kokuqala nganoma yisiphi esinye isikhathi emjikelezweni wakho, kufanele usebenzise indlela yokusekela njengamakhondomu, okungenani izinsuku ezingu-7 ezilandelayo.
I-Depo-subQ Provera 104 Injection: Le nguqulo iqukethe i-hormone engamaphesenti angu-31 kune-Depo yasekuqaleni edutshulwa kuma-milligram angu-104 we-acroate proxyxyprogesterone. Ngenxa yokuthi unesilinganiso esingaphansi se-progestin, singase sibe nemiphumela emibi ehlobene ne-progestin.
I-subQ imele "okuncane," okusho ukuthi lokhu kudutshulwa okusha kufanele kujojowe ngaphansi kwesikhumba, hhayi isisulu.
Inaliti encane futhi ingabangela ubuhlungu obukhulu. I-Depo-subQ Provera i-104 kumele ifakwe egangeni noma kumathumbu izikhathi ezine ngonyaka (njalo amasonto angu-12 kuya kwangu-14). Izinga lokuvikelwa kokukhulelwa kufana nokudubula okujwayelekile.
Ungashintsha kalula kusuka kuDepo-Provera kuya ku-Depo-subQ Provera 104 ku-injection yakho elandelayo ehleliwe. Uma wenza lokhu, uzoba nokuvikelwa kokukhulelwa ngokushesha.
Izinzuzo
Uma kuqhathaniswa nezinye izindlela zokulawula ukubeletha, kunezizathu eziningi zokuthi kungani uDepo-Provera iheha abesifazane abaningi.
- Ukulawula ukubeletha kudutshulwa kuyindlela enkulu uma ungafuni ukuhlukunyezwa kokusebenzisa indlela yokulawula nsuku zonke njengephilisi.
- Kufanele uthole ama-injection e-Depo-Provera izikhathi ezine ngonyaka kuphela. Uma uthola iDupo yakho edutshulwa, akudingeki ucabange ngokulawulwa kokuzalwa izinyanga.
- I-Depo-Provera ingenza izikhathi zakho zikhanyise kakhulu, futhi zingase zime ngokuphelele ngemuva kwezijovo ezimbalwa zeDepo.
- Kuyindlela yokulawula yokubeletha okuphumelelayo futhi eguquguqukayo.
- U-Depo-Provera akaphazamisi ukulala ocansini, ngakho-ke kuvumela ukuzonda.
- Kuyinto yokuzivocavoca yangasese neqondayo. Akekho owazi ukuthi usebenzisa i-Depo-Provera ngoba ayikho i-wrappers noma i-pill compacts.
- I-Depo ayinalo i- estrogen , ngakho-ke kungaba yindlela enhle uma ungenakubekezelela i-estrogen noma ukusebenzisa inhlanganisela yokukhulelwa .
- Abesifazane abancancisayo noma amaviki ayisithupha emva kokubeletha bangasebenzisa i-Depo-Provera ngokuphepha.
Izinzuzo ezingezona ukukhulelwa
I-FDA iphinde ivumele injini yeDepo-subQ Provera 104 yokwelapha ubuhlungu obuhlobene ne-endometriosis . Ukucwaninga kubonisa ukuthi kuthatha lobu buhlungu ngokuphumelelayo njenge- leuprolide , kodwa buhlotshaniswa nezimpawu ezimbalwa ze-vasomotor ezinjengokukhanya okushisayo nokukhukhumeza kanye nokulahleka okukhulu kwethambo.
I-Depo-Provera inikeza ukuphumula kobuhlungu obulingana nalokho kwe-leuprolide kuzo zonke izindawo ezihlobene ne-endometriosis. Lokhu kufaka ubuhlungu besisu kanye nesisa, i- dysmenorrhea (izikhwama zesisu) , ubulili obubuhlungu, nokuqina nokuqina kwezicubu.
Ngemuva kokungenwa okuncane, uDepo-Provera uvame ukuyeka ukuya esikhathini, okwenza kube mnandi, izicubu eziningi ze-endometrial. Lokhu nakho kungamisa ukukhula kwezimplantshi ze-endometrium, ukukhulula ubuhlungu obuhlobene ne-endometriosis .
I-Depo-Provera ingasiza futhi ukuvimbela umdlavuza wesibeletho sesisu . Kubonakala sengathi ukusetshenziswa kukaDepo-Provera kunganciphisa ingozi yakho yomdlavuza we-endometrial / uterine ngamaphesenti angu-80. Lo mphumela wokuzivikela weDepo udutshulwa ubonakala uhlala okungenani iminyaka engu-8 uma usuyeka ukuwusebenzisa.
Ukungalungi
Kuvamile ukulawulwa kokuzalwa ukuthi kube nokungalungi. I-Depo-Provera ayifani futhi kubalulekile ukwazi kokubili ubuhle nobuqili ngaphambi kokwenza isinqumo.
- Ukuhlela kuqakathekile futhi kufanele ukhumbule ukwenza umsebenzi wakho wokuqashwa ngamasonto angu-12. Uma sekusele amasonto angaphezu kwangu-13 kusukela ekudutshulweni kwakho kokugcina (noma amaviki angu-14 kusukela ekudutshulweni kweDepo-subQ 104 yakho), qiniseka ukuthi usebenzisa indlela yokulawula ukubeletha ngoba ungasengozini yokukhulelwa.
- I-package ye-Depo-Provera iqukethe ibhokisi elimnyama elixwayisa mayelana nokulahleka kwethambo okungenzeka ukuthi: "Abesifazane abasebenzisa iDepo-Provera bangase balahlekelwe kakhulu ematheni amaminerali (BMD)." I-BMD iyalinganisa ukuthi i-calcium ingakanani emalini. Ukusebenzisa iDepo kudutshulwa isikhathi kungabangela ukulahleka kwe-calcium, kodwa i-calcium iqala ukubuya uma le ndlela ivaliwe. Ngenxa yalesi sixwayiso, uDepo-Provera ngokuvamile akavunyelwanga kumantombazane asekhulile.
- Ngenxa yokuthi kungenzeka ukulahleka kwamathambo, kunconywa ukuthi akufanele usebenzise uDepo Provera noma uDepo-subQ Provera 104 iminyaka engaphezu kwemibili.
- Abesifazane abaningi bayeka ukusebenzisa i-Depo-Provera phakathi nonyaka wokuqala wokusetshenziswa ngenxa yokuphaphaza / ukuphaphaza okungavamile nokuqhubekayo. Lo mphumela ohlangothini uvame kakhulu phakathi nezinyanga ezintathu zokuqala zokusetshenziswa kweDepo. Ngeshwa, ayikho indlela yokwazi kusengaphambili ukuthi uzobhekana nalezi zinkinga zokuphuza noma cha.
- Enombalwa encane yamacala, abesifazane baye bathola ukusabela kwesikhumba endaweni lapho bethola khona iDupo shot. Isikhumba esizungeze umjovo singase siphinde siphume noma sibe nomuzwa wokuthi siyazizwa.
- I-Pfizer, umkhiqizi weDepo-Provera, uncoma ukuthi umise amajoli wakho weDepo unyaka ngaphambi kokuthi ungathanda ukukhulelwa. Kuthatha isilinganiso sezinyanga eziyisishiyagalolunye kuya kwezingu-10 (futhi ngezinye izikhathi ngisho nonyaka noma ngaphezulu) ukuze uphinde uthole ukuzala futhi uqale u-ovulating ngemuva kokuthola ukudubula kwakho kokugcina.
- Ezinye izifundo zibonisa inzuzo yesisindo ngeDupo-Provera edutshulwa . Umkhiqizi uthi abesifazane bathola isilinganiso esingu-5.4 amakhilogremu ngonyaka wokuqala futhi bazozuza amaphilisi angu-8.1 ngasekupheleni konyaka wesibili.
- Abanye besifazane babika ubuhlungu obukhulu obuhambisana nomjovo weDepo.
Ngeshwa, ayikho indlela yokumisa imiphumela emibi engaholela ekusetshenzisweni kweDepo-Provera. Kukhona ithuba lokuthi lemiphumela emibi ingase iqhubeke kuze kube yilapho umjovo wakho weDepo ugqoke emavikini angu-12 kuya kwangu-14.
Izingcingo ezingezansi ezivamile
Ngaphezulu konyaka wokuqala we-Depo shots , ungabona izinguquko ezimbalwa njengoba umzimba wakho ulungisa. Ukwengeza, eminye yemiphumela emibi engavamile efaka izinguquko ku-sex drive kanye nesidlo kanye nokulahlekelwa izinwele kanye / noma izinwele ezengeziwe ebusweni noma emzimbeni. Kwabesifazane abambalwa, kungabangela ukucindezeleka, ukwesaba, isizungu, isicashu, noma ikhanda. Ukuqubuka kwesikhumba noma ukukhanya okukhazimulayo kwesikhumba noma amabele obuhlungu kungase kwenzeke.
Ukucutshungulwa okwengeziwe
Uma okwamanje usebenzisa enye indlela ye-hormonal, ungashintsha ku-Depo-Provera. Kufanele uthole iDepo yakho yokuqala ngaphambi kwezinsuku eziyisikhombisa ngemuva kosuku lokugcina lokusebenzisa indlela yakho yamanje.
- Uma usuka ekuhlanganyeleni amaphilisi okulawula ukuzalwa , hlela ukuthola i-Depo yakho yokuqala ngaphambi kwezinsuku eziyisikhombisa ngemuva kokuthatha iphilisi yakho yokugcina esebenzayo.
- Uma usuka ku- Ortho Evra Patch , hlela injini yakho ye-Depo-Provera ezinsukwini eziyisikhombisa ngemuva kokukhipha i-patch yakho.
- Uma usuka ku- NuvaRing , hlela i-Depo yakho yokuqala edutshulwa phakathi nezinsuku eziyisikhombisa ngemuva kokuthatha isikhalazo.
Ukuvikelwa kwe-STD
I-Depo-Provera ayihlinzeki ngokuvikela izifo ezithathelwana ngocansi . Kumele usebenzise ikhondomu.
Ubani Ongayisebenzisa
I-Depo Provera ingaba inketho yokuphepha yokubeletha ephephile yabesifazane abaningi abanempilo. Kubalulekile ukuthi uxoxe ngomlando wakho wezokwelapha ophelele nodokotela wakho ngaphambi kokuthola umjovo.
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 asebekhulile kusukela kulokhu kuyisikhathi esibucayi sezintambo zamathambo
- Ukusuka kwamagciwane okungasetshenziswanga
- Isifiso sokukhulelwa ngaphakathi ngonyaka ozayo
Izindleko ezihlanganisiwe
Ngaphansi koMthetho Wokunakekelwa Ongathintekayo, izinhlelo eziningi zomshuwalense kumele zihambele ukuvakashelwa odokotela okuhlobene nokulawulwa kokuzalwa kanye nokudubula ngokwayo kukhululekile ngaphansi kwezinhlelo eziningi. I-Medicaid ingase ihlanganise izindleko futhi. 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 i-coverage, kuzodingeka ukhokhe ngaphandle kwe-pocket ukuhlolwa kwezokwelapha. Izindleko zakho zingase zibe ngu-$ 250 ukuvakasha kokuqala futhi okungenani u-$ 150 ukuze uvakashele ngokuqhubekayo.
Amanani omjovo ayedwa ayashintsha, kodwa izindleko ezijwayelekile zomjovo ngamunye zingaba phakathi kuka- $ 30 no-$ 75. Izindleko eziphelele zonyaka ogcwele wokusetshenziswa zingashintsha kusuka ku-$ 200 kuya ku-$ 600 futhi zingahluka uma kudingeke ukuvakashelwa kwamahhovisi engeziwe.
Ungathola izindleko ezengeziwe uma ungaphezu kwamaviki amabili ngasekupheleni kwesibhamu sakho esilandelayo. Udokotela wakho angadinga ukuhlolwa kokukhulelwa ngaphambi komjovo wakho olandelayo, ngakho-ke uzodinga ukukhokha lokho.
Ukuphumelela
I-Depo-Provera ingamaphesenti angu-94 kuya kuma-99 amaphesenti aphumelelayo. Ngomsebenzi ophelele, abesifazane abangaphansi kuka-1 kwabangu-100 abasebenzisa iDepo-Provera bazokhulelwa ngonyaka owodwa. Ngokusetshenziswa okujwayelekile, abesifazane abangu-3 kwabangu-100 abasebenzisa iDepo-Provera bazokhulelwa.
Izwi elivela
Njengoba iqala ukugunyazwa yi-FDA, i-Depo-Provera ibe yindlela ethandwayo yokulawula ukuzalwa. Kungakhathaliseki ukuthi kulungile yini kuwe kuncike ezintweni eziningi. Abesifazane abaningi baye bathola ukuthi iminyaka emibili yokujova ngezijoka kwenza kube lula ukulawula ukubeletha. Khuluma nodokotela wakho ukuze ubone ukuthi kulungile yini futhi uqiniseke ukuthi ubuza noma yimiphi imibuzo onayo endleleni.
> Imithombo:
> Nezworski L, Murray S. Ukusetshenziswa kwe-Depot Medroxyprogesterone Acetate ku-Practice Gynecologic yamanje. I-postgraduate Obstetrics & Gynecology. 15 Apreli 2010; 30 (7): 1-6.
> Umzali ohleliwe. Ukulawulwa kokuLawula ukuzalwa. https://www.plannedparenthood.org/learn/birth-control/birth-control-shot/how-thect-is-the-birth-control-shot
> Schlaff WD, Carson SA, uLuciano A, Ross D, Bergqvist A. Injected Subcutaneous ye-Depot Medroxyprogesterone Acetate Ngokuqhathaniswa ne-Acetate Leuprolide ku-Treatment of Endometriosis-Associated Pain. Ukuzala nokuhlunga . 2006; 85 (2): 314-325.