Mchitidwe Wodziwika Wonse Umvera Zotsatira Zachimake

Zizindikiro zimakhala zosavuta komanso zosakhalitsa

Depo-Provera ndi jekeseni ya mavitamini obadwa ndi mahomoni omwe amagwiritsa ntchito progesin (mawonekedwe a progesterone) kuti ateteze mimba. Depo-Provera sikuti ndi yochenjera komanso yabwino, imakhala yokwanira 99.7 peresenti yogwiritsidwa ntchito molondola. Monga chithandizo chovomerezeka cha progestin , chingakhale chosankha chachikulu ngati simungathe kugwiritsa ntchito njira za kulera kwa estrogen.

Zoipa za Depo-Provera zikhoza kuchitika pamene thupi lanu likukonzekera ku zotsatira za mankhwala. Ena ndi amayi omwe amakhudzidwa kwambiri kuposa ena, ndipo ena sangakhale ndi zizindikiro zilizonse. Zotsatira zofala kwambiri za Depo-Provera (zomwe zimachitika mwa amayi asanu mwa magawo asanu) zimaphatikizapo:

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Kusamba kosasamba

Amayi ambiri amasiya kugwiritsa ntchito Depo Provera m'chaka choyamba cha ntchito chifukwa chodziwidwa kapena kutuluka kwa nthawi yaitali . Zotsatirazi zimakhala zofala makamaka m'miyezi itatu yoyamba koma zimatha kupitiriza kwa amayi ena kwa nthawi yoposa chaka chimodzi.

Chomvetsa chisoni n'chakuti palibe njira yodziwiratu yemwe adzataya magazi kapena momwe zizindikiro zidzakhalira. Nthawi zina, kuthetsa chithandizo ndi njira yokhayo.

Kwa ena, estrogen supplementation, Lysteda (tranexamic acid), ndi Ponstel (mefenamic acid) akhoza kupereka mpumulo wa nthawi yayitali mpaka thupi likhale lokhazikika ku zotsatira za mankhwala.

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Kutha kwa Nthawi

Pambuyo pang'onopang'ono, Depo Provera nthawi zambiri amasiya kusamba. Izi zikachitika, zingapangitse nthawi yanu kukhala yowala kwambiri kapena kuthetseratu.

Kafukufuku wamaphunziro akuganiza kuti amayi opitirira atatu pa Depo Provera adzalandira amenorrhea pamwezi wachisanu ndi umodzi. Pambuyo pa chaka, nambala imeneyo idzawonjezeka mpaka 55 peresenti ndikupitirira kuwonjezeka kufika pa 68 peresenti pachaka.

Amayi ambiri, amalola kulola magazi poyamba kuti asakhalenso ndi nthawi.

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Kutaya Kwambiri kwa Matenda

Depo Provera ali ndi bokosi lakuda lochenjeza za kuthekera kwa kupuma kwapa fupa. Malinga ndi wopanga, ngati Depo Provera imagwiritsidwa ntchito mosalekeza kwa zaka zoposa ziwiri, kutaya kwa calcium kungapangitse kwambiri kuopsa kwa matenda otupa mafupa ndi mafupa osweka.

Chifukwa cha izi, nkoyenera kuti amai aziletsa ntchito zawo kuposa zaka ziwiri. Pochepetsa kuchepa kwa mafupa, madokotala nthawi zambiri amalimbikitsa calcium ndi vitamini D kuti azidyera pamodzi ndi zakudya zamtundu wa calcium.

Ndikofunika kukumbukira kuti ngati kutayika kwa mafupa kumachitika, izo zimaonedwa kuti ndizokhalitsa ndipo sizidzabwerera.

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Kulemera kwa kulemera

Kulemera kungapeze chifukwa china chomwe amayi amasiya kugwiritsa ntchito Depo Provera.

Malinga ndi kafukufuku wochokera ku yunivesite ya Texas Medical Branch ku Galveston, pafupifupi aŵiri mwa atatu mwa akazi omwe adagwiritsa ntchito Depo Provera adalemba phindu lolemetsa la mapaundi asanu chaka choyamba. Chiwerengero chimenecho chinawonjezeka kufika pa mapaundi asanu ndi atatu pachaka ndipo chinapitiriza kukula, chaka ndi chaka, ndi mapaundi ena enanso.

Pofika chaka chachisanu ndi chimodzi, akazi a Depo Provera amapeza mapaundi okwana 16.5 (kapena 2,75 pachaka).

Zotsatira zake, komabe, sizikuwoneka mwa amayi onse. Kuchita masewera olimbitsa thupi nthawi zonse komanso zakudya zamakono komanso zakudya zowonjezera mafuta zimatha kuchepetsa ngozi.

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Kubwezeretsedwa Kubwerera kwa Chiberekero

Depo Provera ali ndi nthawi yaitali yobereka. Kamodzi atayima, zingatenge chaka kuti abwererenso kubereka ndipo ayambitse ovulating mobwerezabwereza. Ngati mwaganiza kutenga pakati, mungayembekezere kudikira kwa miyezi isanu ndi iwiri kapena khumi musanayesere.

Malingana ndi kafukufuku wamsika wochokera kwa wopanga, anatenga 68 peresenti ya amayi 12 miyezi kuti atenge mimba atasiya Depo Provera. Pakati pa miyezi 15, chiŵerengero chonsechi chinawonjezeka kufika pa 83 peresenti. Pakati pa miyezi 18, akazi okwana 93 peresenti omwe amafuna kutenga mimba adatha kuchita zimenezo.

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Zomwe Mungayang'anire M'kati mwawo

Chimodzi mwa zofala kwambiri, ndipo mwinamwake chosautsa, zizindikiro za Depo Provera ndizochitika pamtunda pawombera. Azimayi ena amapereka ululu wowawa womwe umayambitsidwa ndi jekeseni, pamene asanu ndi limodzi peresenti adzawona zochitika za khungu kuzungulira dera limene anaponyedwa. Onsewo amakhala ochepa ndipo adzathetsa okha pa tsiku limodzi kapena awiri.

Zowononga zina zowonongeka zimaphatikizapo:

• Kupweteka m'mimba kapena kusokonezeka
• Chizungulire
• Mutu
• Kufooka kapena kutopa
• Mantha

Kawirikawiri, zizindikiro izi zimapangitsa kuti mutengere Depo Provera nthawi zambiri ndipo simukusowa chithandizo.

> Zotsatira:

> Grossman Barr, N. "Kusamalira Zotsatira Zowawa za Kugonana kwa Amuna." Am Phys Physician. 2010; 82 (12): 1499-1506.

> Spevak, E. "Zotsatira zaumoyo wa nthawi yaitali wa Depo-Provera." Mankhwala Okhazikika. 2013; 12 (1): 27-34.