IMedroxyprogesterone, Ukumiswa ngomjovo

-Delile

• Izexwayiso ezibalulekile
• Izexwayiso ze-FDA
  
• Ezinye izexwayiso
• Yini i-medroxyprogesterone?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Medroxyprogesterone
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• IMedroxyprogesterone ingaxhumana neminye imithi
• Izixwayiso zeMedroxyprogesterone
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-medroxyprogesterone
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-medroxyprogesterone
• Jikelele
• Ukuvakasha
• Ukuhlolwa kokukhulelwa
• Ukuqapha komtholampilo
• Ukudla kwakho
• Ingabe zikhona ezinye izindlela?

Okuvelele kwe-medroxyprogesterone

1. Umjovo weMedroxyprogesterone umuthi wehomoni otholakala njengezidakamizwa ezinamagama amathathu:
   • I-Depo-Provera, esetshenziselwa ukwelapha umdlavuza wezinso noma umdlavuza we-endometrium
   • Injection Yokuvimbela Inzalo Yedepo-Provera (CI), esetshenziswa njengokulawula inzalo
   • Idepo-subQ Provera 104, esetshenziswa njengokulawulwa kokubeletha noma njengokwelashwa kobuhlungu be-endometriosis
2. IDepo-Provera neDepo-Provera CI ziyatholakala njengezidakamizwa ezijwayelekile. IDepo-subQ Provera 104 ayitholakali njengomuthi ojwayelekile.
3. IMedroxyprogesterone iza ngezindlela ezimbili: ithebhulethi yomlomo nokumiswa komjovo. Umjovo unikezwa ngumhlinzeki wezokunakekelwa kwempilo emtholampilo noma esibhedlela.

Izexwayiso ezibalulekile

Izexwayiso ze-FDA

• Lo muthi unezixwayiso zebhokisi elimnyama. Lezi izexwayiso ezibucayi kakhulu ezivela ku-Food and Drug Administration (FDA). Izixwayiso zebhokisi elimnyama zixwayisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
• Ukwehla kwesixwayiso samaminerali amathambo: IMedroxyprogesterone ingadala ukwehla okukhulu kwesisindo samathambo kwabesifazane. Lokhu kubangela ukwehla kwamandla amathambo. Lokhu kulahleka kukhulu uma usebenzisa lo muthi isikhathi eside, futhi kungahlala unomphela. Ungasebenzisi i-medroxyprogesterone njengokulawula ukubeletha noma ukwelashwa izinhlungu ze-endometriosis isikhathi esingaphezu kweminyaka emibili. Akwaziwa ukuthi lo mphumela ungakhuphula ingozi yokuqhekeka ngenxa ye-osteoporosis kamuva empilweni.
• Asikho isexwayiso sokuvikela i-STD: Ezinye izinhlobo zalesi sidakamizwa zisetshenziselwa ukuvimbela ukukhulelwa. Kodwa-ke, zonke izinhlobo zalesi sidakamizwa ziyakwenza hhayiuhlinzeke ngokuvikelwa ekuthelelekeni nge-HIV noma kwezinye izifo ezithathelwana ngocansi.

Ezinye izexwayiso

• Isexwayiso samahlule egazi: IMedroxyprogesterone iphakamisa ubungozi bamahlule egazi. Lawa mahlule angenzeka noma kuphi emzimbeni wakho. Lokhu kungabulala (kubangele ukufa).
• Isexwayiso sokukhulelwa kwe-Ectopic: Abesifazane abakhulelwa ngenkathi besebenzisa lesi sidakamizwa basengozini yokukhulelwa kwe-ectopic. Lokhu kulapho ukufakelwa kweqanda elikhulelisiwe ngaphandle kwesibeletho sakho, njengakwezinye amashubhu akho e-fallopian. Shayela udokotela wakho ngokushesha uma unezinhlungu ezinzima esiswini sakho (endaweni yesisu) ngenkathi uthatha lesi sidakamizwa. Lokhu kungaba uphawu lokukhulelwa kwe-ectopic.

Yini i-medroxyprogesterone?

Umjovo weMedroxyprogesterone umuthi kadokotela. Inikezwa ngumhlinzeki wezokunakekelwa kwempilo emtholampilo noma esibhedlela. Wena noma umnakekeli wakho ngeke nikwazi ukusebenzisa lesi sidakamizwa ekhaya.

Umjovo weMedroxyprogesterone uyatholakala njengezidakamizwa ezibizwa ngegama IDepo-Provera, IDepo-Provera CI, noma Idepo-subQ Provera 104. IDepo-Provera neDepo-Provera CI nazo ziyatholakala njengezidakamizwa ezijwayelekile. IDepo-subQ Provera 104 ayiyona. Imithi ejwayelekile ijwayele ukubiza ngaphansi kwezinguqulo zamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengezidakamizwa ezinegama lomkhiqizo.

Kungani kusetshenziswa

Ukusetshenziswa komjovo weMedroxyprogesterone kuyehluka kuya ngefomu:

• IDepo-Provera isetshenziselwa ukwelapha umdlavuza wezinso noma umdlavuza we-endometrium (ulwelwesi lwesibeletho)
• Umjovo We-Depo-Provera Contraceptive Injection (CI) usetshenziswa njengokulawula inzalo
• I-Depo-subQ Provera 104 isetshenziswa njengokulawulwa kokuzalwa noma njengokwelashwa kobuhlungu be-endometriosis

Isebenza kanjani

IMedroxyprogesterone ingeyesigaba semithi ebizwa ngama-progestin. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Medroxyprogesterone uhlobo lwe-progesterone, i-hormone eyenziwa ngumzimba wakho. IMedroxyprogesterone ingasiza ekulawuleni amanye ama-hormone emzimbeni wakho. Lesi sidakamizwa sisebenza ngezindlela ezihlukile, kuya ngokuthi kungani udokotela wakho ekunika.

• Ukwelashwa komdlavuza wezinso noma we-endometrial: I-Estrogen iyi-hormone esiza amangqamuzana omdlavuza ukuthi akhule. Lesi sidakamizwa sinciphisa inani le-estrogen emzimbeni wakho.
• Ukulawulwa kokuzalwa: Lesi sidakamizwa sivimbela umzimba wakho ukuthi ungakhiphi amanye ama-hormone okumele uwakhiphe (ukhiphe iqanda esibelethweni sakho) kanye nezinye izinqubo zokuzala. Lesi senzo sisiza ukuvimbela ukukhulelwa.
• Ukukhululwa kobuhlungu be-endometriosis: Lesi sidakamizwa sisebenza ngokunciphisa inani le-estrogen emzimbeni wakho. Isidakamizwa sinciphisa ubuhlungu, futhi singasiza futhi ekuphulukiseni izilonda ezibangelwa i-endometriosis.

Imiphumela emibi ye-Medroxyprogesterone

Ukumiswa okujova ngomjovo kweMedroxyprogesterone kungadala ukozela. Kungadala neminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile ye-medroxyprogesterone ifaka:

• izikhathi ezingajwayelekile
• isicanucanu noma ubuhlungu esiswini sakho (endaweni yesisu)
• ukuzuza kwesisindo
• ikhanda
• isiyezi

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Ukuncipha kwamaminerali amathambo
• Amahlule egazi, angadala:
  • ukushaywa unhlangothi (ihlwili ebuchosheni bakho), ngezimpawu ezinjenge:
    • kunzima ukuhamba noma ukukhuluma
    • ukwehluleka okungazelelwe ukuhambisa uhlangothi olulodwa lomzimba wakho
    • ukudideka
  • i-vein thrombosis ejulile (i-clot emlenzeni wakho), enezimpawu ezinjengalezi:
    • ububomvu, ubuhlungu, noma ukuvuvukala emlenzeni wakho
  • i-embolism ye-pulmonary (clot iphaphu lakho), enezimpawu ezinjengalezi:
    • ukuphelelwa umoya
    • ekhwehlela igazi

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

IMedroxyprogesterone ingaxhumana neminye imithi

IMedroxyprogesterone ukumiswa ngomjovo kungasebenzisana neminye imithi, amakhambi, noma amavithamini ongahle uwathathe. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle. Umhlinzeki wakho wezokunakekelwa kwempilo uzobheka ukuxhumana nemithi yakho yamanje. Njalo qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amakhambi, noma amavithamini owathathayo.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izixwayiso zeMedroxyprogesterone

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

I-Medroxyprogesterone ingadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• inkinga yokuphefumula
• ukuvuvukala komphimbo wakho noma ulimi
• umkhuhlane noma amakhaza
• ubuhlungu endaweni yomjovo
• isifuba

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphindi uwusebenzise lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyisebenzisa futhi kungaba yingozi (kungadala ukufa).

Isexwayiso sokusebenzisana kotshwala

Ukuphuza utshwala kuphakamisa ubungozi bakho bokuqina kwamaminerali aphansi kusuka ku-medroxyprogesterone. Uma uphuza utshwala, khuluma nodokotela wakho ukubona ukuthi lo muthi uphephile yini kuwe.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanomlando wamahlule egazi noma unhlangothi: Lesi sidakamizwa siphakamisa ubungozi bamahlule egazi. Uma uke waba ne-clot yegazi noma isifo sohlangothi esikhathini esedlule, khuluma nodokotela wakho ukubona ukuthi lo muthi uphephile yini kuwe.

Kubantu abanomlando womdlavuza webele: IMedroxyprogesterone iphakamisa ingozi yokuba nomdlavuza webele. Akufanele usebenzise i-medroxyprogesterone uma uke waba nomdlavuza webele. Uma unomlando womndeni wesifo somdlavuza webele, khuluma nodokotela wakho ukubona ukuthi lo muthi uphephile yini kuwe.

Kubantu abanezinkinga zesibindi: Isibindi sakho sisiza umzimba wakho ukucubungula lo muthi. Izinkinga zesibindi zingaholela ezingeni elikhulile lalesi sidakamizwa emzimbeni wakho, okungadala imiphumela emibi eyengeziwe. Uma unezinkinga zesibindi noma umlando wesifo sesibindi, khuluma nodokotela wakho ukubona ukuthi lo muthi uphephile yini kuwe.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: IMedroxyprogesterone kufanele angikaze isetshenziswe ngesikhathi sokukhulelwa. Shayela udokotela wakho ngokushesha uma ukhulelwa ngenkathi uthatha lo muthi.

Kwabesifazane abancelisayo: IMedroxyprogesterone ingadlula ibisi lwebele futhi idale imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukuyeka ukuncelisa noma uyeke ukuthatha le mithi.

Okwabadala: Izinso nesibindi sabantu asebekhulile kungenzeka kungasebenzi ngendlela ababevame ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Ngenxa yalokhu, inani eliphakeme lomuthi lihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Okwezingane: IMedroxyprogesterone inganciphisa ukuminyana kwamaminerali amathambo. Uma indodakazi yakho eyeve eshumini nambili isebenzisa lo muthi, kufanele uxoxe ngale ngozi nodokotela wayo.

Ungayithatha kanjani i-medroxyprogesterone

Udokotela wakho uzonquma isilinganiso esifanele wena ngokuya ngezidingo zakho ngazinye. Impilo yakho ejwayelekile ingathinta umthamo wakho. Tshela udokotela wakho ngazo zonke izimo zempilo onazo ngaphambi kokuba umhlinzeki wakho wezokunakekelwa kwezempilo akunikeze lesi sidakamizwa.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

Umjovo weMedroxyprogesterone usetshenziselwa ukwelashwa kwesikhashana noma kwesikhathi eside. Ubude bokwelashwa kwakho kuya ngokuthi kungani uthola lo muthi. Uma uyisebenzisa njengokulawula ukubeletha noma ukwelapha ubuhlungu be-endometriosis, ungasebenzisi lo muthi isikhathi esingaphezu kweminyaka engu-2.

Lesi sidakamizwa siza nezingozi ezinkulu uma ungathathi njengoba kuchaziwe.

Uma uyeka ukuthola umuthi ngokungazelelwe noma ungawutholi nhlobo: Isimo sakho singaqhubeka noma sibi kakhulu. Uma uthatha lo muthi njengokulawula ukubeletha, ungahle ukhulelwe.

Uma uphuthelwa imithamo noma ungawutholi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Okufanele ukwenze uma uphuthelwa umthamo: Shayela udokotela wakho ngokushesha ukuze uhlele kabusha isikhathi sakho sokuqokwa.

Uma uthatha lo muthi njengokulawula ukubeletha, ungahle udinge ukusebenzisa enye indlela yokulawula ukubeletha isikhathi esithile.

Ungasho kanjani ukuthi umuthi uyasebenza: Uma uthatha lo muthi ukwelapha umdlavuza, ungahle ungakwazi ukwazi ukuthi umuthi uyasebenza yini. Udokotela wakho uzoqapha umdlavuza wakho ukuthola ukuthi umuthi uyasebenza yini.

Uma uthatha lo muthi ukudambisa ubuhlungu be-endometriosis, ubuhlungu bakho kufanele banciphiswe.

Uma uthatha lo muthi njengokulawula ukubeletha, kungenzeka ungakhulelwa.

Ukucatshangelwa okubalulekile kokuthatha i-medroxyprogesterone

Gcina lokhu kubheka engqondweni uma udokotela wakho ekuyalela i-medroxyprogesterone.

Jikelele

• Lapho uthola le mithi kuya ngokuthi kungani uyithola.
  • Ukwelashwa komdlavuza wezinso noma we-endometrial: Udokotela wakho uzonquma ukuthi uwuthola kangaki lo muthi. Ungayidinga kaningi ekuqaleni kokwelashwa.
  • Ukulawulwa kokuzalwa: Uzothola lo muthi kanye njalo ezinyangeni ezi-3.
  • Ukukhululwa kobuhlungu be-endometriosis: Uzothola lo muthi kanye njalo ezinyangeni ezi-3.
• Umjovo ngamunye we-medroxyprogesterone kufanele uthathe cishe umzuzu owodwa.
• Umjovo weMedroxyprogesterone ungakwenza uzele. Ungadinga umngane noma othandekayo ukukusiza ufike ekhaya ngemuva komjovo wakho.

Ukuvakasha

Lesi sidakamizwa kufanele sinikezwe ngumhlinzeki wezempilo oqeqeshiwe. Khuluma nodokotela wakho nganoma yiziphi izinhlelo zokuhamba onazo. Ungadinga ukuhlela uhambo lwakho ngokuzungeza uhlelo lwakho lokwelashwa.

Ukuhlolwa kokukhulelwa

Ngaphambi kokuba udokotela wakho akunikeze lesi sidakamizwa, bazokuqinisekisa ukuthi awukhulelwe.

Ukuqapha komtholampilo

Udokotela wakho kufanele aqaphe izingqinamba ezithile zezempilo ngenkathi uthatha lo muthi. Lokhu kungasiza ukuqinisekisa ukuthi uhlala uphephile ngesikhathi sokwelashwa kwakho. Lezi zinkinga zifaka:

• Umsebenzi wesibindi. Udokotela wakho angenza ukuhlolwa kwegazi ukuze abheke ukuthi isibindi sakho sisebenza kahle kangakanani. Uma isibindi sakho singasebenzi kahle, udokotela wakho anganciphisa isilinganiso sakho salesi sidakamizwa.

Ukudla kwakho

Ngoba i-medroxyprogesterone inganciphisa amandla amathambo akho, udokotela wakho angasikisela ukuthi udle ukudla okuqukethe i-calcium novithamini D.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.