Yini Ongayilindela Ngonyaka Wokuqala Wokusetshenziswa Kwe-Depo-Provera

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Ngaphambi Kokuqamba Kwakho Okuqala-Provera Shot

I-Depo-Provera (i-medroxyprogesterone) yindlela yokulawulwa kokuzalwa kokubeletha . I-Depo-Provera ngayinye idutshulwa kancane kancane ikhipha ifomu yokwenza ama progestin, i-medroxyprogesterone acetate, engakuvikela ekukhulelwe amasonto angu-11 kuya kwangu-14.

UDepo-Provera ivimbela ukukhulelwa ngezindlela ezintathu. It kuvimbela ukuvuthwa, ngakho-ke akukhokho iqanda elitholakalayo ukuze isidoda sithole. Ibuye isebenze ngokuqinisa umsizi wakho womlomo wesibeletho-lokhu kwenza kube nzima ukuba isidoda sibheke. I-progestin eDepo-Provera ingaphinda igweme noma igweme izicubu ze-uterine ezakha inyanga ngayinye. Lokhu kwenza kube nzima ukuba iqanda elifakwe umquba ukuze lifake odongeni lwe-uterine njengoba kungekho okwanele khona lapho ukuthola khona. Ama-shots e-Depo angasiza futhi ukuphatha ubuhlungu obuhlobene ne-endometriosis.

Ukuze ube nokuvikelwa kokukhulelwa unyaka ogcwele, kubalulekile ukuhlela i-Depo-Provera yakho noma i-Depo-subQ Provera 104 idutshulwa cishe onke amasonto angu-12. Ngaphezulu konyaka owodwa, kufanele uthole amahlumela amane we-depo.

Imiphumela emibi yeDepo-Provera

Umzimba wakho ungase uhambisane nezinguquko njengoba ulungisa isimo se-progestin ku-Depo-Provera. Ukwandisa impumelelo yakho nge-depo, kungase kube usizo ukwazi ukuthi yini ongayilindela ngonyaka wokuqala wokusetshenziswa.

Ngaphambi kokuba uqale isibhamu sakho sokuqala , kubalulekile ukuthi uqaphele imiphumela engase ivele egazini engase ivele ngesikhathi usebenzisa i-Depo-Provera. Ngeshwa, ayikho indlela yokwazi kusengaphambili uma le mibi emibi izokwenzeka noma izohlala isikhathi eside kangakanani. Ucwaningo lubonisa ukuthi abesifazane ababazi esikhathini esingaba khona mayelana nokuphuma okungavamile noma ukuhlala isikhathi eside, ukuphuma kwegazi okuqhubekayo kungenzeka ukuthi baqhubeke besebenzisa iDepo-Provera.

Kungase kukhuthaze ukwazi ukuthi nakuba lezi zimpawu zokuphuma kwegazi zingenzeka uma uqala ukusebenzisa i-depo, ngaphezu kwengxenye yesithathu yabesifazane beyeke ukuba nezinkathi ngenyanga yesithupha yesetshenziswa. Ngezinyanga ezingu-12, ngaphezu kwengxenye yesikhathi sebesifazane bayeke. Abesifazane abaningi bazimisele ukuphuma ngegazi lokuqala ngokushintshanisa ithuba lokuthi bangabe besaba nesikhathi.

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I-Depo Shot yokuqala (inyanga eyodwa kuya kweyesithathu)

Uma uthola isibhamu sakho sokuqala sokudubula phakathi nenye yezinsuku ezinhlanu zokuqala kwenkathi yakho, uDepo-Provera uzoqala ukusebenza ngokushesha (okusho ukuthi uvikelekile uma ungakhulelwa). Ngomsebenzi ophelele, uDepo-Provera iphumelela ngamaphesenti angu-99.7 (amaphesenti angu-97 ngokusetshenziswa okujwayelekile). I-Depo izokunikeza nokuvikelwa okuqhubekayo kokukhulelwa uma usuqalile kwenye indlela ye-hormonal futhi wamukela i-depo yakho yokuqala edutshulwa phakathi nezinsuku eziyisikhombisa zokugcina ngokusebenzisa leyo ndlela (njengezinhlanganisela zokulawula ukuzalwa , iNuvaRing , noma i- Patch ).

Ngokuvamile, kuthatha cishe izinyanga ezintathu ukuze umzimba wakho ulungiselele kuDepo-Provera. Ngokufanayo nezinye izindlela zokulawula ukuzalwa kwe-hormonal, umzimba wakho udinga lesi sikhathi ukujwayela i-hormone ( progestin ) ku-depo.

Njengoba umzimba wakho ulungisa iDepo-Provera, kungenzeka ukuthi uzothola ukuphaphazeka okungavamile (ukuphawula) noma ukuphuma kwegazi isikhathi eside (njengenkathi eqhubekayo). Lesi sibonakaliso kubhekwa njengokujwayelekile. Uma-ke, uma uqaphela ukuthi ukuphuma kwakho kunzima kakhulu noma uma uzizwa unendaba, kungaba umqondo omuhle ukuxhumana nodokotela wakho.

• Ezinye imiphumela emibi ye-depo ongayithola ihlanganisa ukusabela kwesikhumba, inzuzo yesisindo, nobuhlungu (okuhambisana nomjovo wangempela).
• Imiphumela emibi engavamile ihlanganisa: ukuguqula ukushayela ucansi, ukucindezeleka, ukwesaba, isizungu, isisulu sokunambitheka, ukuguquka kwesifiso, ikhanda, ukukhwabanisa isikhumba noma ukukhanya okwebala kwesikhumba, amabele amancane, ukulahlekelwa izinwele, noma izinwele ezengeziwe ebusweni noma emzimbeni.

Njengoba umzimba wakho ulungisa i-progestin, le miiphumela emibi kufanele ihlise futhi ihambe. Kulaba besifazane abathile, le miphumela emibi ingase iqhubeke kuze kudutshulwe i-depo (amaviki angu-11 kuya kwangu-14).

Kunconywa ukuthi wenze i-aphoyintimenti ye-depo yakho elandelayo ehleliwe edutshulwe ngesikhathi sokuvakasha okudokotela okufanayo ukuthi uthola ukudubula kwakho kokuqala.

• Uma usebenzisa isibhamu sokuqala seDepo Provera, yenza ukuqokwa kwakho ngomjovo wesibili phakathi kwamaviki angu-11 kuya kwangu-13.
• Uma usebenzisa i-Depo-subQ Provera 104, ukudubula kwakho okulandelayo kufanele kube ngamaviki angu-12 kuya kwangu-14.

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I-Second Depo Shot (Izinyanga ezine kuya kweyisithupha)

Ngemuva kokudubula kwakho kwesibili Depo-Provera noma i-Depo-subQ 104 injection, umzimba wakho uzobe ulungisa isimo se-progestin hormone. Njengamanje, kungenzeka ukuthi ujabule ngokulula kokungacabangi ngokulawulwa kokuzalwa . Uma unelisekile ngesinqumo sakho se-depo (noma namanje ungaqiniseki kodwa ufuna ukuqhubeka usebenzisa i-Depo-Provera), sekuyisikhathi sokuthi isibhamu sakho sesibili sidutshulwe.

Phakathi nezinyanga ezine kuya kweyisithupha, kusabhekwa njengokujwayelekile uma uthola ukuphuma kwegazi . Iningi labesifazane abasebenzisa umbiko weDepo-Provera ukuthi ukubonakala kwabo okungavamile kufinyelela ekudutsheni ngalunye. Eqinisweni, ekupheleni kwenyanga eziyisithupha, abesifazane abangamaphesenti angu-39 ngokuvamile baye bachitha isikhathi sabo.

Kuleli phuzu, ungase ubone noma ungaboni izinguquko kwisisindo sakho. Inzuzo yesisindo ngumphumela ovamile ohlangothini. Sebenzisa ukuvakasha kwalesi dokotela ukuze uxoxe ngokuzivocavoca kanye nohlelo lokudla nodokotela wakho. Uma udla ngokuhlakanipha futhi uvame ukuzivocavoca, ungasiza ekunciphiseni izinguquko esisisindo sakho esingase sisebenzise ukusebenzisa i-Depo-Provera.

Njengoba uqhubeka noDepo-Provera, kufanele ukhulume nodokotela wakho ngezindlela zokwamukela indlela yokuphila engakusiza ugcine impilo yakho yethambo. Kungani? U-Depo-Provera unesixwayiso sebhokisi elimnyama elixwayisa abesifazane abaqhubekayo ukusebenzisa i-depo kungabangela ukulahlekelwa kwamathambo amaningi. Ngenxa yalokhu, ukuqokwa kwamaphoyinti okudutshulwa kuyisikhathi esihle sokubuza udokotela wakho mayelana nezincomo zokugcina ukudla okunomsoco we-calcium. Nazi ezinye iziphakamiso ezivamile:

• Izithako ze-calcium ne-vitamin D
• Ukuthola i-calcium ngokwanele ekudleni kwakho ngezindlela ezihlanganisa nokudla imifino eminingi
• Ukuzivocavoca ukuvimbela i-osteoporosis : kuhlanganise nokuzivocavoca umzimba nokuqinisa imisipha okungasiza ekunqandeni noma yikuphi ukulahleka kwe-calcium amathambo akho.

Udokotela wakho angase akhombise ukuthi uyeke ukubhema (uma uphethile) futhi ukhawule noma uqede noma yikuphi ukusetshenziswa kotshwala.

Kumele futhi wenze i-aphoyintimenti ye-depo yakho elandelayo ehleliwe edutshulwe ngesikhathi sokuvakasha okudokotela ofanayo owamukela ukudubula kwesibili.

• Uma usebenzisa isibhamu se-Depo-Provera, yenza ukuqokwa kwakho kwesigqebhezana sakho sesithathu phakathi kwamasonto angu-11 kuya ku-13.
• Uma usebenzisa i-Depo-subQ Provera 104, ukudubula kwakho okulandelayo kufanele kube ngamaviki angu-12 kuya kwangu-14.

Lokhu kuzoqinisekisa ukuthi ukuvikelwa kwakho kokukhulelwa kuyaqhubeka.

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I-Third Depo Shot (Izinyanga eziyisikhombisa kuya kweyisishiyagalolunye)

Ngesikhathi usulungele ukudubula kwakho kwe-Depo-Provera yesithathu noma i-Depo-subQ Provera 104 injection, kukhona ithuba elihle (cishe amaphesenti angu-40) ukuthi ukuphuma kwegazi okungavamile kanye nezikhathi kuyeke ngoba umzimba wakho ulungiselele ku-progestin kule indlela.

Kuleli qophelo, kubalulekile ukugcina indlela yokuphila enempilo ukusiza ukuphikisana nanoma yisiphi isisindo somzimba noma ukulahleka kwe-calcium okuhlobene noDepo-Provera. Qhubeka uthatha izithako zakho ze-calcium uma udokotela wakho ekhuthaze ukusetshenziswa kwayo.

Kufanele futhi usebenzise! Umkhuba wakho kufanele uhlanganise nokuzivocavoca umzimba okuzosiza ukugcina amathambo akho aqinile. Ngaphezu kwalokho, ukuvivinya umzimba okuvamile, okunempilo okuzosiza ukushisa amakholori engeziwe.

• Ukuzivocavoca umzimba kungabandakanya: ukuhamba, ukugibela noma ukugijima
• Izinhlobo ezinempilo enempilo yokuzivocavoca zihlanganisa: ibhayisikili, i-yoga, noma ukubhukuda

Ukuze uqiniseke ukuthi ukuvikelwa kokukhulelwa kwakho kuyaqhubeka, hlela i-aphoyintimenti ye-depo yakho elandelayo edutshulwe ngesikhathi sokuvakasha odokotela okufanayo ukuthi uthola ukudubula kwakho kwesithathu. Uma usebenzisa i-Depo-Provera, yenza ukuqokwa kwakho ngomjovo wakho wesine ngaphakathi kwamasonto angu-11 kuya ku-13. Uma usebenzisa i-Depo-subQ Provera 104, ukudubula kwakho okulandelayo kufanele kube ngamaviki angu-12 kuya kwangu-14.

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I-Fourth Depo Shot (Izinyanga eziyishumi kuya ku-12)

Kuleli phuzu, mhlawumbe ujabulela uhlobo lokungabhubhi kwalendlela yokulawula ukuzalwa. Uma nje uthola ama-injection akho e-Depo-Provera ngesikhathi, uye waba nokuvikelwa kokukhulelwa okuqhubekayo. Kusukela kulokhu kuya phambili, kufanele uqhubeke nomsebenzi wokuzivocavoca nokudla ukusiza ukugcina impilo enhle yethambo nesisindo.

Ungase futhi ubhekene nenzuzo eyengeziwe yokungabi nesikhathi sakho . Emva kwezinyanga eziyisishiyagalolunye zeDepo-Provera noma iDepo-subQ Provera 104 isebenzisa, cishe isigamu sezinkathi zabesifazane cishe sekumile noma sekume ngokuphelele. Kulaba besifazane abasele, amaphesenti angu-57 athi izikhathi zabo ziye zaphela ngasekupheleni konyaka wonke wokusetshenziswa kwe-depo. Uma isikhathi sakho singakaqedi ngokuphelele ekupheleni konyaka wokuqala, ungakhathazeki. Ngokusetshenziswa kukaDepo-Provera okuqhubekayo, cishe kuyokuma ezinyangeni ezilandelayo.

Ngemuva kokusebenzisa i-Depo-Provera unyaka, cishe kuzodingeka uhlele ukuhlolwa kwakho kweminyaka yonke. Ungalungisa ukuthola i-depo yakho yesine edutshulwe phakathi nalesi sikhathi sokuqokwa. Lesi yisikhathi esihle sokuxoxisana nodokotela wakho ukuthi ungaqhubeki noma ungaqhubeki namaphutha akho we-depo. Uma ukhetha ukuhlala ku-Depo-Provera, yenza i-aphoyintimenti yomjovo wakho olandelayo ohleliwe (amasonto angu-11-14).

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Ukusetshenziswa kweDepo Provera: Ukucatshangelwa kokugcina

Gcina lezi zinto engqondweni ngokuqhubeka nokusetshenziswa kukaDepo-Provera:

• Kubaluleke kakhulu ukuthi uthola isibhamu sakho ngesikhathi sakho, njalo. Uma ulahlekelwa ukudubula kwakho kweDepo-Provera noma uma sekudlule amasonto angaphezu kuka-13 kusukela ekujuleni kwakho kokugcina (amasonto angu-14 uma usebenzisa i-Depo-subQ Provera 104), qiniseka ukusebenzisa indlela yokulondoloza yokulawula ukubeletha , njengekondomu, amakhondomu , noma isiponji .
• Uma ufuna ukukhulelwa, kufanele umise isibhamu sakho se-depo ngaphambi konyaka ohlela ukuqala ukuzama ukukhulelwa. Lokhu kungenxa yokuthi kuthatha isilinganiso sezinyanga eziyisishiyagalolunye kuya kwezingu-10 (ngezinye izikhathi ngaphezulu konyaka) ukuze uphinde uthole ukuzala futhi uqale u-ovulating ngemuva kokuthola ukudubula kokugcina kweDepo-Provera.
• Kunconywa ukuthi abesifazane abaningi abasebenzisi i-Depo-Provera noma i-Depo-subQ Provera 104 iminyaka engaphezu kwengu-2 (ngenxa yokulahleka kwamathambo). Kufanele uqhubeke ne-demo yakho isibhamu (iminyaka engaphezu kwengu-2) kuphela emva kokulinganisa izinzuzo ezibhekene nezingozi zokusetshenziswa okuqhubekayo, futhi wena nodokotela wakho nithole ukuthi lena yindlela yokulawula ukuzalwa okufanele uyisebenzise.

> Imithombo:

> Allen RH, uCwiak C, Kaunitz AM. "I-Progestin Yokuvimbela Inzalo." I-Handbook of Contraception . I-Springer International Publishing, ngo-2016. 125-138.

> I-Medroxyprogesterone Injection. I-MedlinePlus. https://medlineplus.gov/druginfo/meds/a604039.html.