Ukopha Ne-Spoto Shot Depo-Provera: Ungakuyeka Kanjani
-Delile
- Isebenza Kanjani iDepo-Provera?
- Iyini imiphumela emibi yeDepo-Provera?
- Ukopha okungajwayelekile
- 1. Ukuphuma kwegazi ngentuthuko
- 2. Izinkathi ezisindayo
- 3. Izinkathi ezilula noma izikhathi ezingekho
- Eminye imiphumela emibi
- Yini ebangela le miphumela engemihle?
- Izici zobungozi okufanele uzigcine engqondweni
- I-Ibuprofen noma i-estrogen yokuyeka ukopha kudutshulwa iDepot-Provera
- Ukopha ngemuva kwesibhamu sikaDepo-Provera kuyaphela
- Umbono
Ukubuka konke
I-shot control, iDepo-Provera, ingumjovo wehomoni ongavimbela ukukhulelwa okungahleliwe. Isibhamu sokulawula ukubeletha siletha umthamo omkhulu we-hormone progestin. Iprogestin inguqulo yokwenziwa kweprogesterone, eyi-hormone yezocansi eyenzeka ngokwemvelo emzimbeni.
Ukopha okungajwayelekile kungumphumela ohlangothini ovame kakhulu wokudutshulwa kokulawulwa kokubeletha. Kwabesifazane abaningi, lowo mphumela wecala uvame ukuhamba ngokuhamba kwesikhathi. Nakhu okufanele ukwazi uma ukudubula futhi uhlangabezana nokopha okungavamile.
Isebenza Kanjani iDepo-Provera?
I-Progestin, i-hormone esesithombeni, ivimbela ukukhulelwa ngezindlela ezintathu.
Okokuqala, kuvimbela ama-ovari akho ekukhipheni iqanda ngesikhathi sokuvuthwa. Ngaphandle kweqanda lokukhulelwa, amathuba akho okukhulelwa awekho.
I-hormone ibuye isize ukukhulisa ukukhiqizwa kwe-mucus emlomo wesibeletho sakho. Lokhu kwakha okunamathelayo kuvimbela isidoda ukuthi singene esibelethweni sakho.
Ekugcineni, i-hormone inciphisa ukukhula kwe-endometrium. Lezi izicubu ezibeka isibeletho sakho. Uma kwenzeka ukhipha iqanda ngesikhathi sokuvuthwa nokuthi isidoda singalivundisa, iqanda elikhulelwe liyoba nesikhathi esinzima ukunamathisela ulwelwesi lwesibeletho sakho. Lokhu kungenxa yokuthi i-hormone iyenza ibe mncane futhi ingakulungeli ukukhula.
Ukudubula kokuvimbela ukukhulelwa kuvimbela ukukhulelwa izinyanga ezintathu. Kusebenza kahle kakhulu. Ngokusho kokufakwa komkhiqizi weDepo-Provera, ukusebenza kwesibhamu sokulawula ukubeletha bekuphakathi kwamaphesenti angama-99.3 kuya kwayi-100 phakathi kwezifundo ezinhlanu zokwelashwa.
Njalo emavikini ayi-12, udinga ukuba nomjovo ophindayo ukuze uvikeleke ekukhulelweni. Uma wephuzile, gwema ukuya ocansini noma usebenzise uhlelo lokulondoloza. Udokotela wakho kungenzeka adinge ukuthi uthathe ukuhlolwa kokukhulelwa uma ungatholi isibhamu lapho kufanele.
Futhi, kungadingeka ukuthi uthathe uhlobo lokuvimbela inzalo oluphuthumayo, njengePulani B, uma uke waya ocansini olungavikelekile emahoreni angu-120 adlule, noma ezinsukwini ezinhlanu, futhi ususele isikhathi esingaphezu kwesonto ekuthatheni umuthi wakho wokuzalwa. umjovo.
Iyini imiphumela emibi yeDepo-Provera?
IDepo-Provera ingadala ukopha ngokungajwayelekile neminye imiphumela emibi.
Ukopha okungajwayelekile
Umphumela ovame kakhulu wokudutshulwa kokulawulwa kokubeletha ukuphuma kwegazi ngokungajwayelekile. Ungaba nezinkinga zokopha izinyanga eziyisithupha kuya kweziyishumi nambili ngemuva kokuqala ukusebenzisa isibhamu. Izinkinga ezivame kakhulu zokopha zifaka:
- ukuphuma kwegazi
- izikhathi ezinzima
- izinkathi ezilula noma izikhathi ezingekho
1. Ukuphuma kwegazi ngentuthuko
Abanye besifazane bazozwa ukuphuma kwegazi noma ukubona phakathi kwezikhathi izinyanga ezimbalwa ngemuva kokuqala ukudubula. Amaphesenti angama-70 abesifazane abasebenzisa isilawuli sokubeletha badutshulwa baba neziqephu zokopha okungalindelekile ngonyaka wokuqala wokusetshenziswa.
2. Izinkathi ezisindayo
Ungathola ukuthi isibhamu senza izikhathi zakho zibe nzima futhi zibe zinde. Lokhu akuvamile, kepha kungenzeka. Lokhu kungaxazululeka ngemuva kokuthi usebenzise iDepo-Provera izinyanga ezimbalwa.
3. Izinkathi ezilula noma izikhathi ezingekho
Ngemuva konyaka besebenzisa isibhamu sokulawula ukubeletha, kuze kufike kwengxenye yabesifazane babika ukuthi abasenazo izikhathi. Ukungabikho kwesikhathi, okubizwa ngokuthi i-amenorrhea, kuphephile futhi kuvamile uma ukudubula. Uma isikhathi sakho singapheli ngokuphelele, ungahle ube nenkathi elula futhi emfushane kakhulu.
Eminye imiphumela emibi
Ngaphandle kokopha, eminye imiphumela emibi kaningi ayivamile futhi imnene. Le miphumela emibi ingafaka:
- ubuhlungu besisu
- ukuzuza kwesisindo
- ushintsho ekudleni
- ukushintsha kwemizwa
- ushintsho ekushayeleni ubulili
- ukulahleka kwezinwele
- induna
- ukwanda kobuso nobuso bomzimba
- isisa sebele
- ubuhlungu besifuba
- ikhanda
- isicanucanu
- isiyezi
- ubuthakathaka
- ukukhathala
Iningi labesifazane lizojwayela amazinga e-hormone esilawuli sokuzalwa adutshulwe ezinyangeni ezimbalwa noma ngemuva kwemijikelezo embalwa yokwelashwa. Izinkinga ezinkulu zivame kakhulu.
Yini ebangela le miphumela engemihle?
IDepo-Provera ihambisa umthamo omkhulu we-progestin kudutshulwa ngayinye. Ngomjovo ngamunye, umzimba udinga isikhathi sokukhula ujwayele leli zinga elisha lamahomoni. Izinyanga ezimbalwa zokuqala ngokudutshulwa kokulawulwa kokuzalwa ngokujwayelekile kubi kakhulu ngemiphumela emibi nezimpawu. Ngemuva komjovo wakho wesithathu noma wesine, umzimba wakho uyazi ukuthi ungaphendula kanjani kulokho kukhuphuka, futhi ungaqaphela okumbalwa ngaphandle kwezinkinga.
Ngoba i-shot control control yenzelwe ukuhlala isikhathi eside, akukho ongakwenza ukumisa imiphumela ye-hormone uma usujovwe. Esikhundleni salokho, kufanele ulinde noma yimiphi imiphumela emibi kanye nezimpawu.
Uma izikhathi zakho ziba nzima kakhulu noma wopha ngokuqhubekayo izinsuku ezingaphezu kwezingu-14, yenza isikhathi sokukhuluma nodokotela wakho. Kubalulekile ukuxoxa ngalokho ohlangabezana nakho nodokotela wakho ukuze bakwazi ukunquma ukuthi lezi zinkinga zivamile yini. Lokhu futhi kuvumela udokotela wakho ukuthi abone noma yiziphi izinkinga ezinkulu.
Izici zobungozi okufanele uzigcine engqondweni
Yize abesifazane abaningi bengathola ukutholwa kokulawulwa kokuzalwa ngaphandle kwezinkinga noma izingqinamba, akuphephile kuwo wonke umuntu. Qiniseka ukuthi uxoxa ngezinketho zakho zokulawulwa kokuzalwa kanye nanoma yiziphi izinto ezingaba yingozi nodokotela wakho.
Akufanele uthole isibhamu seDepo-Provera uma:
- ube nomdlavuza webele noma ube nawo
- abakhulelwe
- sebeke babhekana nezinkinga zokuncipha kwamathambo noma ukuqaqamba kwamathambo, kufaka phakathi ukuphuka nokwaphuka
- thatha i-aminoglutethimide, okuwumuthi osetshenziselwa ukwelapha isifo sikaCushing
- ngifuna ukukhulelwa kungekudala
I-Ibuprofen noma i-estrogen yokuyeka ukopha kudutshulwa iDepot-Provera
Imiphumela eminingi emibi yesibhamu sokulawulwa kokuzalwa izophela ngemuva kwezinyanga eziyisithupha zokuqala. Kodwa-ke, kubalulekile ukukhuluma nodokotela wakho uma uhlangabezana nemiphumela engemihle, njengokuphuma kwegazi nokubona, ikakhulukazi uma kuba yinkinga kuwe.
Imithi ethile ingasiza ekunqandeni ukopha nokubona imiphumela emibi yesibhamu sokulawula ukubeletha. Noma kunjalo, abukho ubufakazi obusekela ukusetshenziswa okujwayelekile kwalolu hlobo lwezokwelapha.
Inketho yokuqala udokotela wakho angase ayiphakamise isidakamizwa esingaqedi ukuvuvukala (i-NSAID), njenge-ibuprofen (Advil). Udokotela wakho angakuthatha lokhu izinsuku ezinhlanu kuya kweziyisikhombisa.
Uma i-NSAID ingasebenzi, udokotela wakho angaphakamisa i-estrogen eyengeziwe. I-Estrogen supplementation kucatshangwa ukuthi ikhuthaza ukulungiswa kwezicubu nokuqina. Isengezo se-estrogen ngeke sinciphise ukusebenza kwesibhamu sokulawula ukubeletha, kepha sandisa ubungozi bakho bemiphumela emibi ehlobene ne-estrogen.
Ukopha ngemuva kwesibhamu sikaDepo-Provera kuyaphela
I-hormone evela kusilawuli sokuzalwa idutshulwa ihlala emzimbeni wakho okungenani izinyanga ezintathu. Imiphumela emibi, njengokuphuma kwegazi, ingaqhubeka amasonto ambalwa ngaphesheya kwewindi lokusebenza kwesibhamu. Le miphumela emibi ingahlala amasonto noma izinyanga ezimbalwa ngemuva kokumiswa.
Umbono
Uma usanda kudubula isilawuli sakho sokuqala sokubeletha futhi uhlangabezana nezinkinga zokopha, khumbula ukuthi lezi zinkinga zivamile. Iningi labesifazane libhekana nokuphuma kwegazi noma ukubona izinyanga ezimbalwa zokuqala ngemuva kokuqala ukudutshulwa. Kungathatha izinyanga eziyisithupha kuya onyakeni ngaphambi kokuba imiphumela engemihle iphele nezikhathi zakho zibuyele kokujwayelekile. Kwabesifazane abathile, isikhathi sabo singaphela ngokuphelele.
Kufanele ugcine udokotela wakho enolwazi nganoma yiziphi nezingqinamba ohlangabezana nazo. Uzodinga umjovo wakho olandelayo emasontweni ayi-12. Ngaphambi kokuba uthole lowo mjovo, khuluma nodokotela wakho nganoma yimiphi imiphumela emibi oyibonile nokuthi yini ongayilindela ezinyangeni ezintathu ezizayo.
Lapho umzimba wakho usuzivumelanisa, ungathola ukuthi uyakwazisa ukusetshenziswa okulula nokuvikelwa okuhlinzekwe ukudutshulwa.