Zotsatira ndi Chithandizo cha Depo-Provera Zotsatira Zachimake
Imodzi mwa zovuta zake zazikuru za Depo-Provera ndi kupuma kosalekeza kapena kosalekeza komwe kumachitika nthawi zina chaka choyamba . Ngakhale kuti izi zimachitika m'miyezi itatu yoyambirira, zimatha kupitirira chaka chimodzi kapena zambiri mwa amayi ena. Phunzirani zambiri za zotsatirazi ndi zomwe mungachite ngati zikupitirizabe.
Depo-Provera ndi njira yowononga yoberekera yomwe imagwiritsa ntchito mawonekedwe a progesterone pofuna kupewa mimba kwa milungu isanu ndi iwiri.
Depo-Provera sikuti ndi yochenjera komanso yabwino, imakhala yokwanira 99.7 peresenti yogwiritsidwa ntchito molondola. Monga chithandizo chovomerezeka cha progestin , ndi chisankho chabwino ngati simungathe kugwiritsa ntchito njira za kulera za estrogen.
Kutulutsa ndi Kunyuntha ndi Depo-Provera
Pankhani yokhudzana ndi kubala, magazi amatsalira chifukwa chimodzi chomwe amaletsa kubereka. Ndi mankhwala monga Depo-Provera, kuthamanga kwa m'mimba sizomwe zimagwira ntchito koma zomwe zimayembekezeka kuti zichitike mumodzi mwa amayi anai onse.
Chomvetsa chisoni n'chakuti palibe njira yodziwiritsira yemwe adzakumana ndi zotsatira zake kapena momwe angakhalire okhwima. Kwa amayi ambiri, zizindikiro za kukhetsa magazi zidzathetsa mkati mwa miyezi isanu ndi umodzi. Mwadzidzidzi iwo samatero, mkazi akhoza kuyang'anizana ndi kusankha kapena kusiya Depo-Provera kapena kukakamiza.
Zimene Tingayembekezere Ngati Kunyunthwa Kumayamba
Ngati mutayamba kuyang'ana kapena kutuluka m'magazi mutatha kuwombera Depo-Provera yoyamba, zingamawoneke zovuta koma nthawi zambiri sizikhala zamuyaya.
Malingana ndi wopanga mankhwala, pafupifupi 39 peresenti ya amayi a Depo-Provera amatha kukhala ndi nthawi mwa mwezi wa chisanu ndi chimodzi. Pofika kumapeto kwa chaka choyamba, opitirira theka (57 peresenti) sayenera kukhala ndi zotsatira zake zonse.
Kwa omwe sali, pakhoza kukhala mankhwala omwe angathandize. Zambiri mwazinthuzi zimangogwiritsidwa ntchito kanthawi kochepa ndipo, ngakhale zogwira mtima, zimadza ndi zotsatira zake zokhazokha.
Pakati pa mankhwala omwe tsopano akuvomerezedwa kuti agwiritsidwe ntchito ndi US Food and Drug Administration (FDA):
- Estrogen supplementation yasonyezedwa kuti athetse magazi mwa kulimbikitsa kukula kwa chiberekero cha uterine pamene kulimbikitsa mitsempha ya magazi ndi magazi. Sikuti estrogen imapangitsa kuti Depo-Provera ayambe kulandira chithandizo, akhoza kuperekedwa ndi pulogalamu yamakono, transdermal patch, kapena mphete yamkati. Kafukufuku wasonyeza kuti pamene estrogen imapereka mpumulo wa nthawi yayitali, zotsatira zimabwereranso pamene amasiya mankhwala.
- Tranexamic acid (Lysteda) ndi mankhwala osamwa amlomo omwe adalandira chivomerezo cha FDA m'chaka cha 2009 kuti athe kuchiza magazi . Kafukufuku wasonyeza kuti akazi okwana 88 pa Depo-Provera analibe magazi m'mimba masiku 20 akuchiritsidwa poyerekezera ndi 8.2 peresenti mu gulu la placebo. Zotsatira zake zimakhala zochepa ndipo zimaphatikizapo mutu, kupweteka kumbuyo, kupweteka kwa m'mimba, sinusitis, kupweteka kwa minofu ndi kuphatikiza, migraine, kuchepa magazi m'thupi, ndi kutopa.
- Mefenamic acid (Ponstel) ndi mankhwala osagwiritsa ntchito mankhwala omwe amagwiritsidwa ntchito kwa kanthaŵi kochepa kuti azidziwoneka ndi kutuluka magazi. Sitikuganiza ngati njira yothetsera nthawi yayitali ngati ntchito yowonjezereka ingapangitse chiopsezo cha kuthamanga kwa magazi, matenda a mtima, ndi kupweteka.
Ngati mankhwala ena amatsutsana kapena sakupezeka, madokotala ena amatha kupereka mankhwala osagwiritsidwa ntchito ngati mankhwala a ibuprofen omwe amachitidwa katatu tsiku lililonse kuti achepetse kutupa kwa chiberekero komanso kuchepa.
Ngati kutaya magazi kumabwera pokhapokha mutatenga Depo-Provera, nkofunika kukumbukira kuti mankhwalawa sangakhale gwero (kapena gwero) la chikhalidwecho. Kuchepetsa magazi kumakhala koyenera kufufuziridwa mosamalitsa, ndi zina zonse zomwe zimayambitsa (kuphatikizapo uterine fibroids, matenda opatsirana pogonana, ndi khansa) ziyenera kuchitidwa musanayambe kumwa mankhwala.
Mawu Ochokera
Kusankha kubereka nthawi zambiri si kophweka.
Ngati muli pa Depo-Provera ndipo mukukumana ndi zotsatira zomwe simungathe kupirira, lankhulani ndi dokotala wanu za mankhwala omwe angakulole kuti mupitirize kapena kufufuza njira zina zomwe zingakhale zosakhudzidwa pafupipafupi komanso nthawi yayitali .
Ngati simunayambe kumwa mankhwala, phunzirani zambiri za mankhwalawa momwe mungathere, kuyeza zoopsa ndi zopindulitsa. Kafukufuku wasonyeza kuti akazi omwe adadziwitsidwa za kuopsa kwa Depo-Provera anali okhoza kupirira zotsatira zake ndipo sangalekeke. Monga nthawi zonse, chidziwitso ndichinsinsi pakupanga chisankho chodziwitsa za kulera.
> Zotsatira:
> Abdel-Aleem H, wa Arcangues C, Vogelsong KM>, Gaffield ML, Gülmezoglu AM. Kuchiza kwa Kusamba kwa Vaginal Kusayenerera Kupangidwa ndi Progesin Kachilombo Chokha. Cochrane Mndandanda wa Zosintha Zogwirizana 2013, Nkhani 10. Zojambula. Ayi: CD003449. DOI: 10.1002 / 14651858.CD003449.pub5.
> Utsogoleri wa US Food and Drug Administration. Depo Provera: medroxyprogesterone acetate yowonongeka, USP . Silver Spring, Maryland; ndondomeko ya June 2015: Ref ID 3777137.