Izimbangela Nezokwelashwa Kwe-Depo-Provera Effects Side
Enye yezingqinamba zayo ezinkulu zeDepo-Provera yilapha eqhubekayo noma egazini (okungabonakali) okungenzeka ngezinye izikhathi ngonyaka wokuqala . Nakuba lokhu kwenzeka njalo ezinyangeni ezintathu zokuqala, ingaqhubeka kuze kube unyaka noma ngaphezulu kwabanye besifazane. Funda kabanzi ngale mphumela ohlangothini nokuthi yini ongayenza uma iqhubeka.
I-Depo-Provera ifomu lokujola lokuvimbela ukubeletha olusebenzisa uhlobo lwe-progesterone lokuvimbela ukukhulelwa kuze kube amasonto angu-14.
I-Depo-Provera ayiyona nje ehlakaniphile futhi elula, kungcono ukuthi amaphesenti angu-99.7 aphumelele uma isetshenziswe kahle. Njengesandulela sokukhulelwa kwe-progestin kuphela , futhi kuyindlela enhle uma ungakwazi ukusebenzisa isisu sokubeletha esise-estrogen.
Ukutshala nokweqa nge-Depo-Provera
Uma kuziwa ekulawuleni ukubeletha, ukuphuma kwamanzi kuyisisodwa sezizathu zokuthi kungani abesifazane beyeka ukukhulelwa kwemithi. Ngomuthi ofana noDepo-Provera, ukuphuma ngegazi lomzimba akuwona nje umphumela ovamile ovamile kodwa okulindeleke ukuba kwenzeke komunye wabafazi abane.
Ngokudabukisayo, ayikho indlela yokubikezela ukuthi ubani ozobhekana nalezi zinkinga noma ukuthi kungenzeka kangakanani. Kwabesifazane abaningi, izimpawu zokugaya zizoxazulula zingakapheli izinyanga eziyisithupha. Ngaphandle kokungabikho, owesifazane angase abhekene nokukhetha kokuyeka ukulashwa noDepo-Provera noma ukuqhubekela phambili.
Yini Ongayilindela Uma Ukuphaphaza Kuqala
Uma uqala ukubona noma ukuphaphama ngemuva kokudubula kokuqala kweDepo-Provera , kungase kubonakale kukucindezela kodwa ngokuvamile akusiyo unomphela.
Ngokusho komkhiqizi wezidakamizwa, cishe amaphesenti angu-39 abesifazane abakwaDepo-Provera kuzophela ukuba nezinyanga ngenyanga yesithupha. Ekupheleni konyaka wokuqala, ingxenye engaphezu kwesigamu (amaphesenti angu-57) akufanele ibe nemiphumela emibi ngokuphelele.
Kulabo abangekho, kungase kube khona imithi engasiza. Iningi lalezi zihloswe kuphela ekusetshenzisweni kwesikhathi esifushane futhi, ngenkathi zisebenza kahle, ziza nemiphumela yazo emibi kanye nokucabangela.
Phakathi kwezokwelapha okwamanje ezivunyelwe ukusetshenziswa ngu-US Food and Drug Administration (FDA):
- I-Estrogen supplementation iye yaboniswa ukuze kukhululwe ukuphuma kwegazi ngokukhuthaza ukukhula kwebhande le-uterine ngenkathi kuqiniswa imithwalo yegazi ne-clot igazi. I-estrogen ayikwenzi nje kuphela ukuthuthukisa imiphumela yezinkinga zokukhulelwa kweDepo-Provera, ingahanjiswa yi-tablet yomlomo, i-patch transdermal, noma i-ring yangaphakathi. Ucwaningo luye lwabonisa ukuthi ngenkathi i-estrogen inikeza usizo olusenesikhathi esifushane, imiphumela ngokuvamile ibuya uma ukwelashwa kwema.
- I-Tranexamic acid (Lysteda) imithi yomlomo engeyona i-hormonal eyathola imvume ye-FDA ngo-2009 yokwelashwa kokuphuma esikhathini esiqile . Ucwaningo luye lwabonisa ukuthi amaphesenti angu-88 kwabesifazane kuDepo-Provera ayengenayo igciwane lesandulela ngculaza zingakapheli izinsuku ezingu-20 zokwelapha uma kuqhathaniswa namaphesenti angu-8.2 eqenjini le-placebo. Imiphumela emibi ibuthakathaka futhi ihlanganisa ikhanda, ubuhlungu emuva, isisu esiswini, isifo senususitis, ubuhlungu bomzimba kanye nokuhlanganyela, i-migraine, i-anemia, nokukhathala.
- I-Mefenamic acid (iPonstel) yisidakamizwa esingezona-steroidal esivimba ukuvuvukala esetshenziselwa ukulawula isikhathi esifushane sokubona nokuphuma kwegazi. Akubhekwa njengesisombululo sesikhathi eside njengoba ukusetshenziswa isikhathi eside kungandisa ingozi yegazi eliphezulu, ukuhlasela kwenhliziyo, nokushaya isisu.
Uma noma iyiphi yalezi zonyango iphikisana noma ingatholakali, odokotela abathile bangase babeke izidakamizwa ezingekho-steroidal anti-inflammatory ezifana ne-ibuprofen ezithathwe kathathu nsuku zonke ukunciphisa ukuvuvukala kwesibindi nokunciphisa ukuhlukumeza.
Uma ukuphuma kwegazi kunzima ngenkathi kuthatha u-Depo-Provera, kubalulekile ukukhumbula ukuthi lesi sidakamizwa angeke sibe umthombo (noma umthombo kuphela) wesimo. Ukusuka okungavamile kufanele kuhlale kuqinisekisa ukuthi uphenyo olunzulu, futhi zonke ezinye izimbangela (kubandakanya i-uterine fibroids, ukutheleleka ngocansi, kanye nomdlavuza) kufanele kukhishwe ngaphambi kokuba kukhishwe ukwelashwa.
Izwi elivela
Ukukhetha ukulawula ukuzalwa akulula ngaso sonke isikhathi.
Uma u-Depo-Provera futhi ubhekene nemiphumela emibi ongayikuthwala, khuluma nodokotela wakho mayelana nokwelashwa okungakuvumela ukuba uqhubeke noma uhlole ezinye izindlela ezingase zibe nomthelela omncane kokubili esikhathini esifushane neside .
Uma ungakaqali ukwelashwa okwamanje, funda okuningi ngomuthi ongakwenza, ulinganisa kokubili izingozi nezinzuzo. Ucwaningo luye lwabonisa ukuthi abesifazane abatshelwa kusengaphambili mayelana nezingozi zikaDepo-Provera babekwazi ukubekezelela imiphumela emibi futhi bancane amathuba okuyeka. Njengokwenza njalo, ulwazi luyisihluthulelo uma wenza izinqumo ezinolwazi mayelana nokukhulelwa.
> Imithombo:
> Abdel-Aleem H, d'Arcangues C, Vogelsong KM>, Gaffield ML, Gülmezoglu AM. Ukwelashwa Kwezimpawu Zokungcoliswa Kwezimpawu Zama-Vaginal Ukwelashwa Okubangelwa yi-Progestin Yezokwelapha kuphela. Database Cochrane Yokuhlolwa Okuhlelekile 2013, Issue 10. Art. Cha: CD003449. I-DOI: 10.1002 / 14651858.CD003449.pub5.
> Ukuphathwa Kwezokudla Nezidakamizwa zase-US. I-Depo Provera: i-medroxyprogesterone i-acetate ukumiswa okuyijozi, i-USP . I-Silver Spring, e-Maryland; ibuyekeziwe ngoJuni 2015: ID ye-Ref 3777137.