Ngakhale kuti zitha kuchitika, kubereka kwabwino kumabweretsa nkhawa
Depo Provera (depot medroxyprogesterone acetate) ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito ngati njira yowonongeka. Ngakhale kuti mankhwalawa ndi 99.7 peresenti ogwira ntchito popewera mimba kwa masabata khumi ndi atatu, kupindula kulemera kumatchulidwa kawirikawiri monga chifukwa chomwe akazi amasiya kugwiritsa ntchito Depo Provera.
Momwe Mphamvu Imamvera Ntchito
Depo Provera ali ndi mawonekedwe a progesterone wotchedwa progesin .
Ndi mtundu wojambulidwa wa mankhwala omwewo, wotchedwa Provera , omwe amachititsa kuti azitha kusamba chifukwa cha kusamvana kwa homoni.
Thandizo la progestin limapangitsa kuti ovulation asachitike. Imathandizanso kuti umuna ukhale wovuta kwambiri kuti ukhale ndi chiberekero. Kuwonjezera apo, mankhwalawa amachititsa kuti thupi likhale lochepa kwambiri, kuti zikhale zovuta kuti dzira lauberekedwe likhale lovuta chifukwa palibe matupi okwanira pa khoma la uterine kuti mulandire.
Depo Provera ali ndi zotsatira zochepa, zomwe zowonjezereka zimaphatikizapo:
- Zikodzo
- Kugona
- Nthawi zosokonezeka kapena zosadziwika
- Kupukuta tsitsi
- Kuwonjezera tsitsi la nkhope
- Matenda ogona
- Kupweteka kwa m'mimba
Zambiri, zotsatira zoyipa kwambiri zomwe zimadziwika kuti zikuchitika zimakhala ndi chiopsezo chowonjezereka cha zilema zobereka ngati zitatengedwa pathupi komanso kutayika kwa minofu ya mchere (chikhalidwe chomwe chimasinthidwa makamaka ngati mankhwala atayimitsidwa).
Koma, zogwira mtima, mbali imodzi yomwe imayambitsa mavuto ambiri pakati pa ogwiritsa ntchito ndi omwe angathe kuopseza kulemera.
Depo Provera ndi Kulemera Kunenepa
Kuchokera mu 2009, kafukufuku wasonyeza kuti Depo Provera angayambitse amayi kulemera. Mpata wa zotsatirazi, komabe, ukhoza kusiyana kwambiri ndi ena kuwonjezera mapaundi angapo pamene ena akuwonjezera kapena miyeso iwiri ya madiresi.
Imodzi mwa maphunziro apamwamba kwambiri, omwe adachitidwa ndi ofufuza a pa Yunivesite ya Texas Medical Branch ku Galveston, adafanizira phindu lolemera mwa amayi 703 omwe adagwiritsa ntchito mapiritsi , Depo Provera, kapena mankhwala osamalidwa bwino (monga chifuwa , chifuwa , kapena siponji ).
Ophunzirawo analipo 200 a African American, 247 oyera, ndi aakazi okwana 245 a ku Spain.
Zimene ofufuza adapeza zinali kuti Depo Provera sanangowonjezera kulemera kwa miyezi 36, izi zinatero powonjezera mafuta ochuluka. Kulemera kwa phindu pakati pa ogwiritsira ntchito mapiritsi, mosiyana, kunali makamaka kugwirizana ndi kusungidwa kwa madzi. Zonse zomwe zafotokozedwa, amayi omwe agwiritsira ntchito Depo Provera omwe adapezapo zotsatirazi:
- Kulemera kwake (9.7 mapaundi patatha miyezi 24 ndi mapaundi 11.25 patatha miyezi 36)
- Mafuta a thupi (makilogalamu 9,04)
- Mafuta olemera a thupi (3.4 peresenti)
Mlingo wa phindu lolemera unayanjanitsidwa mwachindunji ndi kuchuluka kwa Depo Provera yogwiritsidwa ntchito. Kuwonjezera apo, amayi omwe sali olemera kwambiri amaoneka kuti ali ovuta kwambiri chifukwa cha 50 peresenti amakhala ochepa pambuyo pa zaka zitatu.
Mwamwayi, akaziwa amaoneka ngati osasinthika pakati pa amayi omwe anasiya Depo Provera ndipo anasintha kukhala njira ya kulera. Kwa akaziwa, panali kulemera kwake kwa mapaundi 3.75 patapita miyezi 24.
Pamwamba pake, iwo omwe amatha kugwiritsa ntchito mapiritsiwo adapeza phindu la mapaundi 3.75 patatha miyezi 24 (kachiwiri, chifukwa cha kusungidwa kwa madzi kuposa mafuta owonjezera).
Mawu Ochokera
Kusankha kwa kulera kumeneku ndi umunthu wapadera. Kwa amayi ena, ubwino wopezeka mosavuta ungadwale kwambiri zotsatira zake zonse.
Pamapeto pake, palibe yankho lolondola kapena lolakwika.
Ngati mwasankha kugwiritsa ntchito Depo Provera, n'zotheka kuchepetsa chiopsezo chanu ndi zakudya zoyenera komanso zolimbitsa thupi nthawi zonse. Funsani dokotala wanu kuti atumizidwe kwa wodwala zakudya zamaphunziro omwe angapereke malingaliro a momwe mungasungire cholemera chanu powonjezera mphamvu yanu yamagetsi pogwiritsa ntchito ntchito yanu ndikuyendetsa mafuta anu a caloric ndi mafuta.
> Chitsime:
> Berenson, A. ndi Rahman, M. "Kusintha kwa kulemera kwake, mafuta onse, mafuta a thupi, ndi chiwerengero cha mafuta omwe ali pakati pa odwala ndi odwala." Journal American Obstetrics ndi Gynecology . 2009; 220 (3): 329 e1-329 e8.