I-Medroxyprogesterone Injection

-Delile

• Ngaphambi kokusebenzisa umjovo we-medroxyprogesterone,
• IMedroxyprogesterone ingadala imiphumela emibi.Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Imiphumela elandelayo ayivamile, kepha uma uhlangabezana nayo, shayela udokotela wakho ngokushesha:

Umjovo weMedroxyprogesterone unganciphisa inani le-calcium eligcinwe emathanjeni akho. Uma usebenzisa lo muthi isikhathi eside, inani le-calcium emathanjeni akho lehla kakhulu. Inani le-calcium emathanjeni akho kungenzeka lingabuyeli kwesejwayelekile noma ngabe usuyekile ukusebenzisa umjovo we-medroxyprogesterone.

Ukulahleka kwe-calcium emathanjeni akho kungadala i-osteoporosis (isimo lapho amathambo eba mncane futhi abe buthakathaka) futhi kungandisa ingozi yokuthi amathambo akho angahle aphuke ngesikhathi esithile empilweni yakho, ikakhulukazi ngemuva kokunqamuka kokuya esikhathini (ukuguquka kwempilo).

Inani le-calcium emathanjeni livame ukwanda phakathi neminyaka yobusha. Ukwehla kwe-calcium yamathambo ngalesi sikhathi esibalulekile sokuqiniswa kwamathambo kungaba kubi kakhulu. Akwaziwa ukuthi ingozi yakho yokuthola i-osteoporosis kamuva empilweni inkulu uma uqala ukusebenzisa umjovo we-medroxyprogesterone lapho usemusha noma esemdala. Tshela udokotela wakho uma wena noma omunye emndenini wakho enesifo samathambo; uma uke waba nanoma yisiphi esinye isifo samathambo noma i-anorexia nervosa (inkinga yokudla); noma uma uphuza kakhulu utshwala noma ubhema kakhulu. Tshela udokotela wakho uma uthatha noma iyiphi yale mithi elandelayo: i-corticosteroids efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (i-Medrol) ne-prednisone (i-Deltasone); noma imishanguzo yokuquleka efana ne-carbamazepine (Tegretol), i-phenytoin (i-Dilantin), noma i-phenobarbital (i-Luminal, i-Solfoton).

Akufanele usebenzise umjovo we-medroxyprogesterone isikhathi eside (isb., Ngaphezu kweminyaka engu-2) ngaphandle kokuthi ayikho enye indlela yokulawula ukubeletha ekufanele noma ayikho enye imithi ezosebenza ukwelapha isimo sakho. Udokotela wakho angahlola amathambo akho ukuze aqiniseke ukuthi awanciphi kakhulu ngaphambi kokuba uqhubeke nokusebenzisa umjovo we-medroxyprogesterone.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzoqapha impilo yakho ngokucophelela ukuze aqiniseke ukuthi awutholi i-osteoporosis.

Khuluma nodokotela wakho ngezingozi zokusebenzisa umjovo we-medroxyprogesterone.

I-Medroxyprogesterone intramuscular (into a muscle) injection kanye ne-medroxyprogesterone subcutaneous (ngaphansi kwesikhumba) injection isetshenziswa ukuvimbela ukukhulelwa. Umjovo ongaphansi komhlaba weMedroxyprogesterone nawo usetshenziselwa ukwelapha i-endometriosis (isimo lapho uhlobo lwethishu eligudla isibeletho (isibeletho) lukhula kwezinye izindawo zomzimba futhi lubangele ubuhlungu, ukuya esikhathini okunzima noma okungajwayelekile [nezinye izikhathi], nezinye izimpawu). IMedroxyprogesterone isekilasini lemithi ebizwa ngama-progestins. Isebenza ukuvimbela ukukhulelwa ngokuvimbela ukuphuma kwamaqanda (ukukhishwa kwamaqanda kuma-ovari). IMedroxyprogesterone ibuye inciphise ulwelwesi lwesibeletho. Lokhu kusiza ukuvimbela ukukhulelwa kubo bonke abesifazane futhi kubambezela ukusabalala kwezicubu esibelethweni kuya kwezinye izingxenye zomzimba kwabesifazane abane-endometriosis. Umjovo weMedroxyprogesterone uyindlela ephumelela kakhulu yokulawula ukubeletha kepha ayikuvimbeli ukusabalala kwegciwane lesandulela ngculazi (i-HIV, igciwane elibanga i-immunodeficiency syndrome [i-AIDS] noma ezinye izifo ezithathelwana ngocansi.

Umjovo weMedroxyprogesterone intramuscular uza njengokumiswa (uketshezi) okuzofakwa ezinqeni noma engalweni ephezulu. Imvamisa inikezwa kanye ezinyangeni ezintathu (amasonto ayi-13) ngumhlinzeki wezokunakekelwa kwempilo ehhovisi noma emtholampilo. Umjovo ongaphansi komhlaba weMedroxyprogesterone uza njengokumiswa ukuze kujovwe ngaphansi kwesikhumba. Kuvamise ukujova kanye njalo emavikini ayi-12 kuya kwayi-14 ngumhlinzeki wezokunakekelwa kwempilo ehhovisi noma emtholampilo.

Kufanele uthole umjovo wakho wokuqala we-medroxyprogesterone subcutaneous noma we-intramuscular kuphela ngesikhathi lapho kungenakwenzeka ukuthi ukhulelwe. Ngakho-ke, ungathola umjovo wakho wokuqala phakathi nezinsuku zokuqala ezinhlanu zesikhathi esijwayelekile sokuya esikhathini, phakathi nezinsuku ezinhlanu zokuqala ngemuva kokubeletha uma ungahlelile ukuncelisa ingane yakho ibele, noma phakathi nesonto lesithupha ngemuva kokubeletha uma uhlela ukuncelisa ingane yakho ibele. Uma ubusebenzisa indlela ehlukile yokulawula ukubeletha futhi ushintshela kumjovo we-medroxyprogesterone, udokotela wakho uzokutshela ukuthi kufanele uwuthole nini umjovo wakho wokuqala.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa umjovo we-medroxyprogesterone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-medroxyprogesterone (Depo-Provera, depo-subQ provera 104, Provera, e-Prempro, e-Premphase) noma yimuphi omunye umuthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO kanye ne-aminoglutethimide (Cytadren). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho unomdlavuza webele noma isifo sikashukela. Phinda utshele udokotela wakho uma uke waba nezinkinga ngamabele akho njengezigaxa, ukopha ezingonweni zakho, i-mammogram engajwayelekile (i-breast x-ray), noma isifo sesifuba se-fibrocystic (esivuvukele, amabele amathenda kanye / noma izigaxa zesifuba hhayi umdlavuza); ukopha okungachazwanga kwesitho sangasese sowesifazane; ukuya esikhathini okungajwayelekile noma okulula kakhulu; ukuzuza ngokweqile kwesisindo noma ukugcinwa koketshezi ngaphambi kwesikhathi sakho; amahlule egazi emilenzeni yakho, emaphashini, ebuchosheni noma emehlweni; unhlangothi noma mini-unhlangothi; ikhanda le-migraine; ukuquleka; ukucindezeleka; umfutho wegazi ophakeme; isifo senhliziyo; isifuba somoya; noma isifo senhliziyo, isibindi noma sezinso.
• tshela udokotela wakho uma ucabanga ukuthi kungenzeka ukhulelwe, ukhulelwe, noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi usebenzisa umjovo we-medroxyprogesterone, shayela udokotela wakho ngokushesha. IMedroxyprogesterone ingalimaza umbungu.
• tshela udokotela wakho uma uncelisa. Ungasebenzisa umjovo we-medroxyprogesterone ngenkathi uncelisa inqobo nje uma ingane yakho inamasonto ayisithupha ubudala lapho uthola umjovo wakho wokuqala. Amanye ama-medroxyprogesterone angadluliselwa enganeni yakho obisini lwakho lwebele kepha lokhu akubonisanga ukuthi kuyingozi. Ukuhlolwa kwezingane ezanceliswa ibele ngenkathi omama bazo besebenzisa umjovo we-medroxyprogesterone kukhombisile ukuthi izingane azilimazwanga yimithi.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa umjovo we-medroxyprogesterone.
• kufanele wazi ukuthi umjikelezo wakho wokuya esikhathini cishe uzoshintsha ngenkathi usebenzisa umjovo we-medroxyprogesterone. Ekuqaleni, izikhathi zakho kungenzeka zingalingani, futhi ungathola ukubonwa phakathi kwezikhathi. Uma uqhubeka nokusebenzisa lo muthi, izikhathi zakho zingama ngokuphelele. Umjikelezo wakho wokuya esikhathini cishe uzobuyela kokujwayelekile isikhathi esithile ngemuva kokuyeka ukusebenzisa le mithi.

Kufanele udle ukudla okuningi okunothe nge-calcium novithamini D ngenkathi uthola umjovo we-medroxyprogesterone ukusiza ukwehlisa ukulahleka kwe-calcium emathanjeni akho. Udokotela wakho uzokutshela ukuthi yikuphi ukudla okuyimithombo emihle yalezi zinongo nokuthi zingaki izinsizakalo ozidingayo usuku ngalunye. Udokotela wakho futhi angakunikeza noma ancome izithasiselo ze-calcium noma uvithamini D.

Uma uphuthelwa isikhathi sokuthola umjovo we-medroxyprogesterone, shayela udokotela wakho. Ungahle ungavikeleki ekukhulelweni uma ungatholi imijovo yakho ngesikhathi esifanele. Uma ungatholi umjovo ngesikhathi esifanele, udokotela wakho uzokutshela ukuthi kufanele uwuthole nini umjovo ongabanjwanga. Udokotela wakho mhlawumbe uzokwenza ukuhlolwa kokukhulelwa ukuze aqiniseke ukuthi awukhulelwe ngaphambi kokukunika umjovo ongabanjwanga. Kufanele usebenzise indlela ehlukile yokulawula ukubeletha, njengamakhondomu uze uthole umjovo ophuthelwe wona.

IMedroxyprogesterone ingadala imiphumela emibi.Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• izinguquko ezikhathini zokuya esikhathini (Bheka IZINYATHELO EZIKHETHEKILE)
• ukuzuza kwesisindo
• ubuthakathaka
• ukukhathala
• uvalo
• ukucasuka
• ukudana
• ubunzima bokulala noma ukulala
• ukushisa okushisayo
• ubuhlungu besifuba, ukuvuvukala, noma isisa
• isisu noma ukuqunjelwa
• amajaqamba omlenze
• ubuhlungu emuva noma ngokuhlanganyela
• induna
• ukulahlekelwa izinwele ekhanda
• ukuvuvukala, ububomvu, ukucasuka, ukushisa, noma ukulunywa kwesitho sangasese sowesifazane
• ukukhishwa kwesitho sangasese sowesifazane esimhlophe
• izinguquko ezifisweni zocansi
• izimpawu zomkhuhlane noma umkhuhlane
• ubuhlungu, ukucasuka, izigaxa, ububomvu noma isibazi endaweni lapho kwajova khona umuthi

Eminye imiphumela emibi ingaba mibi. Imiphumela elandelayo ayivamile, kepha uma uhlangabezana nayo, shayela udokotela wakho ngokushesha:

• ukuphefumula ngokuzumayo
• ubuhlungu besifuba obucijile noma obucindezelayo
• ekhwehlela igazi
• ikhanda elibi kakhulu
• isicanucanu
• ukuhlanza
• isiyezi noma ukuquleka
• ushintsho noma ukulahleka kombono
• ukubona kabili
• Amehlo aqhamukayo
• kunzima ukukhuluma
• ubuthakathaka noma ukuba ndikindiki engalweni noma emlenzeni
• ukudlikiza
• ukuphuzi kwesikhumba noma kwamehlo
• ukukhathala ngokweqile
• ubuhlungu, ukuvuvukala, imfudumalo, ubomvu, noma isisa emlenzeni owodwa kuphela
• ukuphuma kwegazi okunzima noma okuhlala isikhathi eside kunokujwayelekile
• ubuhlungu obukhulu noma isisa ngaphansi nje kwesinqe
• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• ukuchama okunzima, okubuhlungu, noma okuvamile
• ubuhlungu obungapheli, ubomvu, imfudumalo, ukuvuvukala, noma ukopha endaweni lapho kwajova khona umuthi

Uma umncane kuneminyaka engama-35 ubudala futhi waqala ukuthola umjovo we-medroxyprogesterone eminyakeni engu-4 kuya kwengu-5 edlule, ungaba nengozi ethe xaxa yokuthi uzoba nomdlavuza webele. Umjovo weMedroxyprogesterone ungakhuphula nethuba lokuthi uzoba negazi eliya emaphashini akho noma ebuchosheni. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi.

Umjovo weMedroxyprogesterone uyindlela yokulawula ukubeletha esebenza isikhathi eside. Ungahle ungakhulelwa isikhathi esithile ngemuva kokuthola umjovo wakho wokugcina. Khuluma nodokotela wakho ngemiphumela yokusebenzisa le mithi uma uhlela ukukhulelwa kungekudala.

Umjovo weMedroxyprogesterone ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthola lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Udokotela wakho uzogcina umuthi ehhovisi lakhe.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Kufanele ube nokuhlolwa okuphelele ngokomzimba, kufaka phakathi izilinganiso zomfutho wegazi, izivivinyo zamabele nezomgogodla, nokuhlolwa kwePap, okungenani minyaka yonke. Landela izinkomba zikadokotela wakho zokuzihlola amabele akho; bika noma yiziphi izigaxa ngokushesha.

Ngaphambi kokuthola izivivinyo zelabhoratri, tshela abasebenzi be-laboratory ukuthi usebenzisa i-medroxyprogesterone.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• IDepo-Provera^®
• idepho-subQ provera 104^®

• Lunelle^® (equkethe i-Estradiol, iMedroxyprogesterone)^¶

• i-acetoxymethylprogesterone
• methylacetoxyprogesterone

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.