Zomwe Zimayambira pa Kugonjetsa Kwachibadwa
Mwachidule
Depo-Provera (medroxyprogesterone) ndi njira yowonjezera yosinthira. Amadziwikanso kuti DMPA, Depo akuwombera, kapena njira yoberekera, kuwombera kumeneku kumapezeka mwa jekeseni. Mfuti imodzi imateteza mimba kwa milungu ingapo.
Momwe Ikugwirira Ntchito
Depo-Provera amaletsa pang'onopang'ono progesin medroxyprogesterone acetate ndipo amateteza mimba kwa masabata 11 mpaka 14.
Depo-Provera amagwira ntchito popewera ovulation ndi kukulitsa chiberekero cha khola, chimene chimalepheretsa umuna kuti usaloĊµe mumachuno yamphongo ndikudyetsa dzira lirilonse lomwe lingakhale litapangidwa.
Zolemba ziwiri
Pakali pano, pali Mabaibulo awiri a Depo-Provera. Kupatulapo zochepa zomwe zili pansipa, jekeseni zonse zimagwira ntchito mofananamo ndikupereka mlingo womwewo wa chitetezo cha mimba.
- Kuipa kwa Depo-Provera: Choyambirira cha Depo-Provera chiyenera kukhala chojambulidwa mu minofu ndipo imayikidwa mkati mwa nsomba kapena mkono wapamwamba. Muyenera kuwombera kawiri pachaka (masabata khumi ndi awiri kapena khumi ndi awiri) kuti muteteze Depo-Provera. Mumatetezedwa ku mimba mwamsanga mutalandira mlingo uliwonse. Njirayi ili ndi mamiligalamu 150 a medroxyprogesterone acetate.
- Depo-subQ Provera Kupweteka Kwambiri 104: Iyiyi ili ndi 31% yochepa kwambiri kuposa ya Depo yapachiyambi yomwe ikuwombera pa millilogram 104 za medroxyprogesterone acetate. Chifukwa chakuti ali ndi mlingo wochepa wa progestin, ukhoza kuwatsogolera ku zotsatira zochepa zokhudzana ndi progestin. SubQ imayimira subcutaneous, zomwe zikutanthauza kuti mfuti yatsopanoyi imangoyambira mkati mwa khungu, osati mu minofu, kotero ili ndi singano yaing'ono ndipo ikhoza kuwapweteka kwambiri. Depo-subQ Provera 104 ayenera kuikidwa mu ntchafu kapena mimba kanayi pachaka (masabata 12 kapena 14 alionse). Amaperekanso chithandizo chotenga mimba mwamsanga.
Zochita ndi Zochita
Ubwino wotsutsana ndi zovuta ndi monga:
- Ndiwothandiza kwambiri komanso wanzeru. Simungakhale pangozi yoti mutenge mimba chifukwa choiwala kumwa mapiritsi kapena kugwiritsa ntchito njira yolepheretsa.
- Jekeseni wa Depo-subQ Provera 104 ndi FDA yovomerezedwa kuti athetse ululu wokhudzana ndi endometriosis .
- Depo-Provera ali ndi bokosi lakuda yochenjeza za kutheka kwa mafupa: "Azimayi omwe amagwiritsa ntchito Depo-Provera angathenso kutaya mitsempha yambiri ya mafupa."
- Amayi ambiri amanena kuti magazi amawoneka mosavuta (kapena spotting) ndi / kapena kutuluka magazi nthawi yaitali pogwiritsa ntchito Depo-Provera. Komabe, zotsatira zabwino ndizakuti nthawi ya kusamba imatha pambuyo pa miyezi isanu ndi umodzi yogwiritsiridwa ntchito.
- Zitha kutenga chaka kuti mutenge kachilombo kaye mutasiya ntchito ya Depo-Provera.
- Kafukufuku wina amasonyeza kupindula ndi Depo-Provera kuwombera . Wopanga akuti amayi amapeza pafupifupi 5,4 pounds chaka choyamba ndipo adapeza mapaundi 8.1 kumapeto kwa chaka chachiwiri.
- Zotsatira za Common Depo-Provera zikuphatikizapo ululu m'mimba kapena zovuta, chizungulire, kupweteka mutu, kufooka, kutopa, kapena mantha.
- Sayenera kugwiritsidwa ntchito kwa zaka zoposa ziwiri.
Ndani Angagwiritse Ntchito?
Njira iyi ikhoza kukhala njira yoyenera yoletsa kubereka kwa amayi ambiri athanzi. Ndikofunika kuti mukambirane mbiri yanu yachipatala ndi dokotala musanalandire injection ya Depo Provera.
Depo-Provera sakuvomerezeka kwa amayi omwe ali ndi zotsatirazi:
- Khansara ya m'mimba
- Thrombophlebitis, mbiri ya matenda a thromboembolic, kapena matenda a ubongo
- Zowopsa za matenda a mitsempha: matenda a mafupa, kumwa kwambiri mowa kapena kusuta fodya, mbiri ya banja ya osteoporosis , anorexia, kapena mankhwala a steroid
- Matenda aakulu a chiwindi
- Atsikana achichepere-popeza iyi ndi nthawi yovuta kwambiri yopanga mineralization
- Magazi osabadwa osadziwika
- Chikhumbo chokhala ndi pakati m'chaka chotsatira
Zosakaniza Zogwirizana
Pansi pa Zopindulitsa Care Act, ambiri inshuwalansi ndondomeko ayenera amayendera madokotala maulendo okhudzana ndi kubereka komanso kuwombera wokha ndi ufulu pansi zambiri. Medicaid iyeneranso kutseka mtengo wa njira iyi ya kulera. Kusintha kulikonse kwa Affordable Care Act kungakhudze ngati mapulani a inshuwalansi amaphimba kubereka. Onetsetsani ndondomeko yanu ya inshuwalansi kuti muwone zomwe mungapereke ndi ndalama zanu.
Ngati mulibe inshuwalansi ya umoyo kapena chithandizo cha Medicaid ndipo muyenera kulipira m'thumba la mayeso a zachipatala, mtengo wanu ukhoza kukhala ngati $ 250 pa ulendo woyamba komanso ndalama zokwana madola 150 kuti mupitenso.
Mitengo ya jekeseni yokha imasiyana, koma mtengo wa jekeseni uliwonse ukhoza kukhala pakati pa $ 30 mpaka $ 75. Mtengo wokwanira wa chaka chonse chogwiritsira ntchito ukhoza kusiyana ndi $ 200 mpaka $ 600, malingana ngati maofesi ena amafunikanso. Mukhozanso kutenga ndalama zambiri ngati mutatha masewera oposa masabata awiri mutatha kuwombera kumene dokotala wanu angafunike kuyesa mimba musanayambe jekeseni wanu wotsatira.
Mphamvu
Depo-Provera ndi 97 peresenti mpaka 99.7 peresenti yogwira ntchito. Izi zikutanthauza kuti pogwiritsa ntchito bwino, amayi oposa 1 mwa 100 alionse omwe amagwiritsa ntchito Depo-Provera adzakhala ndi pakati m'chaka chimodzi. Ndimagwiritsidwe ntchito, amayi atatu mwa amayi 100 alionse amene amagwiritsa ntchito Depo-Provera adzakhala ndi pakati.
Chitetezo cha STD
Depo-Provera sangateteze ku matenda opatsirana pogonana . Muyenera kugwiritsa ntchito kondomu.
> Zotsatira:
> Kugonjetsa Kwadongosolo. Kukonzekera Parenthood. https://www.plannedparenthood.org/learn/birth-control/birth-control-shot.
> Depo-Provera (akufotokozera mfundo). Pharmacia & Upjohn Co. http://labeling.pfizer.com/ShowLabeling.aspx?id=522.
> Depo-SubQ Provera (akufotokoza zambiri) Pharmacia & Upjohn Co. http://labeling.pfizer.com/ShowLabeling.aspx?id=549.