Ungashintsha kanjani kusuka eDepo-Provera uye ePhilini Lokulawula Ukuzalwa

-Delile

• Isebenza Kanjani iDepo-Provera?
• Isebenza Kangakanani iDepo-Provera?
• Iyini Imiphumela emibi yeDepo-Provera?
• Isebenza Kanjani Iphilisi Lokulawula Ukuzalwa?
• Iphumelela Kangakanani Iphilisi Lokuvimbela Ukuzalwa?
• Iyini Imiphumela emibi Yepilisi Lokulawula Ukuzalwa?
• Ungayishintsha Kanjani Iphilisi
• Izici Zengozi Okufanele Uzicabangele
• Isikhathi sokubonana nodokotela wakho
• Ukunquma ukuthi iyiphi indlela yokulawula inzalo ekufanele
• Ukuthatha

IDepo-Provera iyindlela elula futhi ephumelelayo yokulawulwa kokuzalwa, kepha ayikho ngaphandle kwezingozi zayo. Uma uke waba kuDepo-Provera isikhashana, kungaba yisikhathi sokushintshela kolunye uhlobo lokulawulwa kokuzalwa njengephilisi. Kunezinto eziningana okufanele uzazi ngaphambi kokwenza ushintsho.

Isebenza Kanjani iDepo-Provera?

IDepo-Provera iyindlela yamahomoni yokulawula ukuzalwa. Ihanjiswa ngokudutshulwa futhi ihlala izinyanga ezintathu ngasikhathi. Isibhamu siqukethe i-hormone progestin. Le hormone ivikela ekukhulelweni ngokuvimbela ama-ovari akho ekukhipheni amaqanda, noma ekuvuthweni kwamaqanda. Iphinde iqine isikhwehlela somlomo wesibeletho, esingenza kube nzima kakhulu ukuthi isidoda sifinyelele eqandeni, uma umuntu engadedelwa.

Isebenza Kangakanani iDepo-Provera?

Le ndlela ifinyelela kuma-99% ngempumelelo uma isetshenziswa njengokuyalelwa. Lokhu kusho ukuthi uma uthola isibhamu sakho njalo emavikini ayi-12, uvikelekile ekukhulelweni. Uma wephuzile ukuthola isibhamu sakho noma ngenye indlela uphazamisa ukukhishwa kwamahomoni, kusebenza cishe ngamaphesenti angama-94. Uma ufike sekwedlule izinsuku ezingaphezu kwezingu-14 ekutholeni isibhamu sakho, udokotela wakho angakudinga ukuthi wenze isivivinyo sokukhulelwa ngaphambi kokuthi uthole okunye ukudutshulwa.

Iyini Imiphumela emibi yeDepo-Provera?

Abanye besifazane baba nemiphumela engemihle kuDepo-Provera. Lokhu kungafaka:

• ukopha okungajwayelekile
• izinkathi ezilula noma ezimbalwa
• ushintsho ekushayeleni ubulili
• ukwanda kwesifiso sokudla
• ukuzuza kwesisindo
• ukudana
• ukwanda kwezinwele noma ukukhula kwezinwele
• isicanucanu
• amabele abuhlungu
• ikhanda

Ungase futhi ulahlekelwe amathambo ngenkathi uthatha iDepo-Provera, ikakhulukazi uma uphuza lesi sidakamizwa iminyaka emibili noma ngaphezulu. Ngo-2004, lo myalezo wakhipha isexwayiso selebuli esibonisa ukuthi iDepo-Provera singadala ukulahleka kwesisindo samathambo. Isixwayiso sixwayisa ukuthi ukulahleka kwethambo kungahle kungabuyiselwa emuva.

Ngokungafani nezinye izindlela zokulawula ukubeletha, ayikho indlela yokususa imiphumela eseceleni kaDepo-Provera ngokushesha. Uma uhlangabezana nemiphumela engemihle, ingaqhubeka kuze kube yilapho i-hormone iphume ngokuphelele kusistimu yakho. Lokhu kusho ukuthi uma uthola ukutholwa bese uqala ukuhlangabezana nemiphumela engemihle, ingaqhubeka kuze kube izinyanga ezintathu, noma lapho kufanele ukudubula kwakho okulandelayo.

Isebenza Kanjani Iphilisi Lokulawula Ukuzalwa?

Amaphilisi okulawula ukubeletha nawo ayindlela yokulawula ukuzalwa kwamahomoni. Eminye imikhiqizo iqukethe i-progestin ne-estrogen, kanti eminye iqukethe i-progestin kuphela. Basebenza ukuvimbela ukukhulelwa ngokumisa i-ovulation, ukwandisa i-mucus yomlomo wesibeletho, nokunciphisa ulwelwesi lwesibeletho. Amaphilisi aphuzwa nsuku zonke.

Iphumelela Kangakanani Iphilisi Lokuvimbela Ukuzalwa?

Uma iphuzwa ngasikhathi sinye nsuku zonke, amaphilisi okulawula ukubeletha asebenza ngokufinyelela kumaphesenti angama-99. Uma uphuthelwa umthamo noma wephuza ukuthatha iphilisi lakho, asebenza ngamaphesenti angama-91.

Iyini Imiphumela emibi Yepilisi Lokulawula Ukuzalwa?

Imiphumela emibi engaba khona izoncika ohlotsheni lwephilisi oliphuzayo nokuthi umzimba wakho uphendula kanjani kumahomoni akhona. Uma ukhetha iphilisi le-progestin kuphela, imiphumela emibi ingahle ibe mincane noma ifane nalokho ojwayele ukubhekana nakho ngokudubula kweDepo-Provera.

Imiphumela emibi ejwayelekile yephilisi ingafaka:

• ukuphuma kwegazi
• isicanucanu
• ukuhlanza
• amabele amathenda
• ukuzuza kwesisindo
• ukuguquka kwemizwelo
• ikhanda

Imiphumela emibi ingancipha noma ihambe ngokuhamba kwesikhathi. Ngokungafani nokudutshulwa kweDepo-Provera, le miphumela emibi kufanele iyeke ngokushesha uma uphuma kuphilisi.

Ungayishintsha Kanjani Iphilisi

Kunezinyathelo okufanele uzithathe lapho ushintsha usuka eDepo-Provera uye kwiphilisi uma ufuna ukuvimbela ukukhulelwa.

Indlela ephumelela kunazo zonke yokushintsha ukubeletha yindlela ye- "akukho gap". Ngale ndlela, usuka kolunye uhlobo lokulawulwa kokuzalwa uye kolunye ngaphandle kokulinda ukuthola isikhathi sakho.

Ukwenza lokhu, kunezinyathelo ezimbalwa okufanele uzilandele:

1. Xhumana nodokotela wakho ukuqinisekisa ukuthi kufanele uthathe nini iphilisi lakho lokuqala.
2. Thola iphakethe lakho lokuqala lokulawula ukubeletha ehhovisi likadokotela wakho, ekhemisi, noma emtholampilo wendawo.
3. Funda uhlelo olufanele lokuphuza amaphilisi akho. Thola isikhathi sokuzithatha usuku ngalunye bese ubeka isikhumbuzi sokugcwalisa kabusha kukhalenda lakho.
4. Thatha iphilisi lakho lokuqala lokulawula ukuzalwa. Ngoba iDepo-Provera ihlala emzimbeni wakho kuze kube amasonto ayi-15 ngemuva kokudutshulwa kwakho kokugcina, ungaqala iphilisi lakho lokuqala lokulawula ukubeletha nganoma yisiphi isikhathi phakathi naleso sikhathi. Odokotela abaningi bancoma ukuphuza iphilisi lakho lokuqala ngosuku okuzodingeka ngalo ukudubula kwakho okulandelayo.

Izici Zengozi Okufanele Uzicabangele

Akuwona wonke umuntu wesifazane okufanele asebenzise iDepo-Provera noma iphilisi. Ezimweni ezingavamile, zombili izinhlobo zokulawulwa kokubeletha zitholakale zibangela amahlule egazi, isifo senhliziyo, noma imivimbo. Le ngozi ingaphezulu uma:

• uyabhema
• unenkinga yokunqanda igazi
• unomlando wamahlule egazi, isifo senhliziyo, noma isifo sohlangothi
• uneminyaka engama-35 noma ngaphezulu
• unesifo sikashukela
• unomfutho wegazi ophezulu
• une-cholesterol ephezulu
• unezinkinga zekhanda
• ukhuluphele ngokweqile
• unomdlavuza webele
• ukuphumula embhedeni wesikhathi eside

Uma unezinye zalezi zinto eziyingozi, udokotela wakho angakweluleka ukuthi ungaliphuzi iphilisi.

Isikhathi sokubonana nodokotela wakho

Uma uhlangabezana nezimpawu ezinzima noma ezingazelelwe, kufanele ufune usizo lwezokwelapha ngokushesha. Lezi zimpawu zifaka:

• ubuhlungu besisu
• ubuhlungu besifuba
• ubuhlungu emlenzeni
• ukuvuvukala emlenzeni
• ikhanda elibuhlungu
• isiyezi
• ekhwehlela igazi
• umbono uyashintsha
• ukuphelelwa umoya
• ukonakalisa inkulumo yakho
• ubuthakathaka
• ukuba ndikindiki ezandleni zakho
• ukuba ndikindiki emilenzeni yakho

Uma ngabe ubuseDepo-Provera iminyaka emibili ngaphambi kokushintshela kupilisi, kufanele ukhulume nodokotela wakho mayelana nokuskena amathambo ukuze kutholakale ukulahleka kwethambo.

Ukunquma ukuthi iyiphi indlela yokulawula inzalo ekufanele

Kwabesifazane abaningi, inzuzo enkulu yeDepo-Provera ngaphezu kwepilisi ukuthi kufanele ukhathazeke kuphela ngokukhumbula isibhamu esisodwa nokuqokwa kukadokotela oyedwa izinyanga ezintathu. Ngephilisi, kufanele ukhumbule ukuyiphuza nsuku zonke uphinde ugcwalise iphakethe lakho lenyanga njalo ngenyanga. Uma ungakwenzi lokhu, ungakhulelwa.

Ngaphambi kokwenza ushintsho olusuka eDepo-Provera luye ephilisi, cabanga ngazo zonke izinketho ezitholakalayo zokulawulwa kokubeletha, izinzuzo zazo, kanye nezithiyo. Gcina engqondweni imigomo yakho yokukhulelwa, umlando wezokwelapha, kanye nemiphumela emibi engaba khona yendlela ngayinye. Uma ukhetha ukulawulwa kokubeletha kwe-hormonal okungafanele ucabange ngakho kaningi, ungahle uthande ukubheka i-intrauterine device (IUD). Udokotela wakho angafaka i-IUD futhi ingashiywa endaweni kuze kube yiminyaka eyi-10.

Ayikho indlela yokulawula ukubeletha evikela izifo ezithathelwana ngocansi. Kufanele usebenzise indlela yokuvimbela, njengekhondomu labesilisa, ukuvikela ukutheleleka.

Ukuthatha

Ngokwengxenye enkulu, ukushintsha kusuka eDepo-Provera kuya kuphilisi kufanele kube lula futhi kuphumelele. Noma ungahle ube nemiphumela engemihle, imvamisa imincane. Zingezesikhashana futhi. Qiniseka ukuthi uzifundisa ngezimpawu zemiphumela emibi futhi esongela impilo. Lapho uthola ngokushesha usizo oluphuthumayo uma kwenzeka, kuba ngcono umbono wakho.

Udokotela wakho ungumuntu ongcono kakhulu ukukusiza uhlele inkinobho yokulawula ukuzalwa. Bangakwazi ukuphendula imibuzo yakho futhi babhekane nokukhathazeka kwakho. Into ebaluleke kakhulu ukukhetha indlela elingana nempilo yakho kanye nezidingo zokuhlela umndeni.