Zimene Mukuyenera Kudziwa Zokhudza Depo-Provera

Mapindu, Madyerero, Zaumoyo Zaumoyo, ndi Zotsatira Zowonongeka

Depo-Provera (medroxyprogesterone) ndi njira yowonjezera yosinthira. Amadziwikanso kuti DMPA, Depo akuwombera, kapena kubadwa kwabwino, kuwombera kumeneku kumateteza mimba kwa miyezi itatu ndi kuwombera.

Momwe Ikugwirira Ntchito

Depo-Provera ndi njira yothandizira njira ya kulera yomwe imatulutsa pang'onopang'ono progesin medroxyprogesterone acetate ndipo imateteza mimba kwa masabata 11 mpaka 14.

Zimagwira ntchito popewera ovulation ndi kukulitsa mkodzo wa khola. Izi zimalepheretsa umuna kuti usaloŵe mumachuno yamphongo ndikufesa dzira lirilonse limene lingakhale litakonzedwa.

Two Formulations

Pali maulosi awiri a Depo-Provera. Kupatulapo zochepa zomwe zili pansipa, jekeseni zonse zimagwira ntchito mofananamo ndikupereka mlingo womwewo wa chitetezo cha mimba.

Kuwonongeka kwa Depo-Provera: Choyambirira cha Depo-Provera chiyenera kukhala chojambulidwa mu minofu, kaya ndi nsomba kapena mkono wapamwamba. Muyenera kuwombera kawiri pachaka (masabata khumi ndi awiri kapena khumi ndi awiri) kuti muteteze Depo-Provera. Pulogalamu imodzi ili ndi mamiligalamu 150 a medroxyprogesterone acetate.

Mukapeza Depo yanu yoyamba m'masiku asanu oyambirira a nthawi yanu, imapereka chitetezo mwamsanga. Ngati mutawombera koyamba pa nthawi ina iliyonse, muyenera kugwiritsa ntchito njira yosungira monga makondomu , masiku asanu ndi awiri otsatirawa.

Depo-subQ Provera Kusokonezeka Kwambiri 104: Bukuli liri ndi homoni yokwana 31 peresenti kuposa Depo yapachiyambi yomwe inasambira 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 zikutanthawuza kuti kuwombera kwatsopano kumeneku kumayenera kuti kalowe pansi pa khungu, osati minofu.

Ali ndi singano yaing'ono ndipo ikhoza kuyambitsa kupweteka pang'ono. Depo-subQ Provera 104 ayenera kuikidwa mu ntchafu kapena mimba kanayi pachaka (masabata 12 kapena 14 alionse). Mlingo wa chitetezo cha mimba ndi chimodzimodzi ndi muyeso wowombera.

Mutha kusintha mosavuta Depo-Provera kwa Depo-subQ Provera 104 pa jekeseni lanu lotsatira. Ngati mutachita izi, mudzatetezedwa mwamsanga.

Phindu

Poyerekeza ndi njira zina zothandizira kubereka, pali zifukwa zingapo zomwe Depo-Provera amakondera amayi ambiri.

• Kuwombera kumene kukuwombera ndi njira yabwino ngati simukufuna kugwiritsira ntchito njira yoletsa kubereka tsiku ndi tsiku monga pilisi .
• Muyenera kupeza majekesiti a Depo-Provera 4 pachaka. Mukapeza Depo wanu kuwombera, simukusowa kuganizira za kulamulira kwa miyezi.
• Depo-Provera angapangitse nthawi yanu kukhala yowala kwambiri, ndipo akhoza kusiya pokhapokha atadutsa majekesiti angapo a Depo.
• Ndi njira yabwino kwambiri yothetsera vutoli .
• Depo-Provera sichilepheretsa kugonana, choncho zimalola kuti munthu azichita zinthu zogonana.
• Ndi chisankho chodziletsa komanso chodziletsa. Palibe amene ayenera kudziwa kuti mumagwiritsa ntchito Depo-Provera chifukwa palibe wrappers kapena mapiritsi.
• Depo alibe isrogen , kotero ikhoza kukhala njira yabwino ngati simungathe kulekerera estrogen kapena kugwiritsa ntchito njira zothandizira kulera .

• Azimayi amene akuyamwitsa kapena amatha masabata asanu ndi limodzi amatha kutsegula akhoza kugwiritsa ntchito Depo-Provera.

Zopanda Phindu

A FDA advomerezanso jekeseni wa Depo-subQ Provera 104 pochiza ululu wokhudzana ndi endometriosis . Kafukufuku amasonyeza kuti amachititsa ululuwu mofulumira monga leuprolide , koma umagwirizanitsidwa ndi zizindikiro zochepa zapasomotor monga kutentha kwa moto ndi thukuta komanso kuphwanya kwambiri mafupa.

Depo-Provera amapereka mpumulo wa zowawa zomwe zimakhala zofanana ndi za leuprolide kudera lonse la endometriosis. Izi zimaphatikizapo kupweteka kwapakhosi ndi kuchepa mtima, kuchepetsa (kupweteka kwa msambo) , kupweteka kwa kugonana, ndi kuuma ndi kuphulika kwa minofu.

Pambuyo pa jekeseni zingapo, Depo-Provera nthawi zambiri amasiya kusamba, zomwe zimapangitsa kuti thupi likhale lochepa kwambiri, komanso minofu yambiri yotchedwa endometrial. Izi zikhoza kuletsa kukula kwa mapulaneti a endometrial, kuchepetsa ululu wokhudzana ndi endometriosis .

Depo-Provera ingathandizenso kuteteza khansa ya chiberekero . Zikuwoneka kuti ntchito ya Depo-Provera ingachepetse chiopsezo chanu cha khansa ya m'mimba / chiberekero pafupifupi 80 peresenti. Mphamvu yotetezera ya Depo ikuwoneka ikukhala kwa zaka 8 ngati mutasiya kuigwiritsa ntchito.

Kuipa

Zowonongeka kuti zitha kubereka zimakhala ndi zovuta. Depo-Provera sali wosiyana ndipo ndikofunika kudziwa zonse zomwe zimapindulitsa ndi chiopsezo musanapange chisankho.

• Kukonzekera n'kofunika ndipo muyenera kukumbukira kupanga ntchito yanu yopiramo jekeseni milungu isanu ndi iwiri. Ngati mwakhala masabata opitirira 13 kuchokera pomwe mutha kuwombera (kapena masabata 14 kuchokera pa Depo-subQ 104 yanu yomaliza), onetsetsani kugwiritsa ntchito njira yothandizira kubereka chifukwa mutha kutenga pathupi.
• Phukusi la Depo-Provera lili ndi bokosi lakuda yochenjeza za kutheka kwa mafupa: "Azimayi omwe amagwiritsa ntchito Depo-Provera angathenso kutaya mitsempha yambiri ya mafupa." BMD imayeza kuchuluka kwa kashiamu m'masapo. Kugwiritsira ntchito Depo kuwombera nthawi kungayambitse calcium, koma kashiamu imayamba kubwerera kamodzi njirayi itayimitsidwa. Chifukwa cha chenjezo limeneli, Depo-Provera sakuvomerezedwa kwa atsikana omwe ali achinyamata.
• Chifukwa cha kuthekera kwa kuperewera kwa mafupa, akulimbikitsanso kuti musagwiritse ntchito Depo Provera kapena Depo-subQ Provera 104 kwa zaka zoposa ziwiri.
• Amayi ambiri amasiya kugwiritsa ntchito Depo-Provera m'chaka choyamba cha ntchito chifukwa cha kuwonetsa magazi / kapena kutuluka magazi. Izi zimakhala zofala makamaka m'miyezi itatu yoyamba ya ntchito ya Depo. Tsoka ilo, palibe njira yodziwiratu nthawi yambiri ngati simudzakhala ndi vuto la magazi.
• Muziwerengero zing'onozing'ono, amayi adakumana ndi khungu m'madera omwe adalandira Depo kuwombera. Khungu lozungulira jekeseni likhoza kuchepetsedwa kapena kumverera bwino.
• Pfizer, wopanga Depo-Provera, akukulimbikitsani kuti muyimitse jekeseni lanu la Depo chaka chimodzi musanakhale ndi pakati. Zimatenga pafupifupi miyezi isanu ndi iwiri kapena khumi (ndipo nthawi zina ngakhale chaka kapena kuposerapo) kuti mubwererenso kubereka ndi kuyamba ovulating mutalandira kulandira kwanu kotsirizira.
• Kafukufuku wina amasonyeza kupindula ndi Depo-Provera kuwombera . Wopanga amanena kuti amayi amapeza ndalama zokwanira 5.4 mapaundi chaka choyamba ndipo adapeza mapaundi 8.1 kumapeto kwa chaka chachiwiri.
• Azimayi ena amafotokoza ululu wofatsa womwe umagwirizanitsidwa ndi jekeseni wa Depo.

Mwamwayi, palibe njira yothetsera zotsatira zoyipa zomwe zingayambitse ntchito ya Depo-Provera. Pali mwayi woti zotsatirazi zingapitirire mpaka jekeseni lanu la Depo likutha masabata 12 mpaka 14.

Zochepa Zochepa Zotsatira Zotsatira

Pa chaka choyamba cha Depo shots , mungaone kusintha pang'ono pamene thupi lanu limasintha. Kuwonjezera apo, zina mwa zotsatira zochepa zomwe zimakhalapo zimaphatikizapo kusintha kwa kugonana ndi chilakolako komanso kuphwanya tsitsi ndi / kapena kuwonjezera tsitsi pamaso kapena thupi. Mu akazi ochepa, zingayambitse kuvutika maganizo, mantha, chizungulire, nseru, kapena mutu. Kuthamanga kwa khungu kapena khungu lakuda khungu kapena mawere owawa kumatha kuchitika.

Zowonjezerapo

Ngati panopa mukugwiritsa ntchito njira ina yamadzimadzi, mukhoza kusintha ku Depo-Provera. Muyenera kulandira Depo yanu yoyamba mkati mwa masiku asanu ndi awiri mutatha tsiku lomaliza pogwiritsa ntchito njira yanu yamakono.

• Ngati mutembenuka kuchokera ku mapiritsi oletsa kubereka , konzani kuti Depo yanu yoyamba ifike m'masiku asanu ndi awiri mutatha kumwa mapiritsi anu otsiriza.
• Ngati mutasintha kuchokera ku Ortho Evra Patch , pitani injini yanu Depo-Provera mkati mwa masiku asanu ndi awiri mutachotsa chigamba chanu.
• Ngati mutasintha kuchokera ku NuvaRing , yesani Depo yanu yoyamba m'masiku asanu ndi awiri mutatha kutulutsa.

Chitetezo cha STD

Depo-Provera sangateteze ku matenda opatsirana pogonana . Muyenera kugwiritsa ntchito kondomu.

Ndani Angagwiritse Ntchito?

Depo Provera akhoza kukhala njira yoyenera yoletsa kubadwa kwa amayi ambiri athanzi. Ndikofunika kuti mukambirane mbiri yanu yachipatala ndi dokotala musanalandire jekeseni.

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 kuyambira pano ndi nthawi yovuta ya mineralization
• Magazi osabadwa osadziwika
• Chikhumbo chokhala ndi pakati m'chaka chotsatira

Zosakaniza Zogwirizana

Pansi pa Zopindulitsa Care Act, ambiri inshuwalansi ndondomeko ayenera kudutsa dokotala maulendo okhudzana ndi kubereka komanso kuwombera wokha ndi ufulu pansi mapulani ambiri. Medicaid ikhozanso kubweza ndalamazo . 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 chithunzi, muyenera kulipiritsa kafukufuku wamankhwala. Mtengo wanu ukhoza kukhala madola 250 paulendo woyamba komanso pafupifupi $ 150 kuti mupitenso.

Mitengo ya jekeseni yokha imasiyana, koma mtengo wa jekeseni uliwonse ukhoza kukhala pakati pa $ 30 ndi $ 75. Mtengo wokwanira wa chaka chonse chogwiritsira ntchito ukhoza kusiyana ndi $ 200 mpaka $ 600 ndipo ukhoza kusiyana ngati maofesi owonjezera akufunika.

Mukhoza kutenga zina zowonjezera ngati mutatha masabata awiri mofulumira kuti muwombere. Dokotala wanu angafunike kuyesedwa mimba musanayambe jekeseni lanu, kotero mudzafunika kulipira.

Mphamvu

Depo-Provera ndi 94 peresenti mpaka 99 peresenti yogwira ntchito. Pogwiritsa ntchito bwino, amayi oposa 1 mwa 100 alionse amene 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.

Mawu Ochokera

Popeza kuti poyamba inavomerezedwa ndi FDA, Depo-Provera wakhala njira yotchuka yoletsa kubereka. Kaya kapena zili bwino kwa inu zimatengera zinthu zambiri. Azimayi ambiri apeza kuti zaka zingapo za jekeseni nthawi zonse zimapangitsa kuti kusamalidwa bwino kukhale kosavuta. Lankhulani ndi dokotala wanu kuti muwone ngati ziri zoyenera ndipo onetsetsani kuti mufunse mafunso aliwonse omwe muli nawo panjira.

> Zotsatira:

> Nezworski L, Murray S. Ntchito ya Depot Medroxyprogesterone Acetate mu Mchitidwe Watsopano wa Gynecologic Practice. Zolemba zapamwamba zolemba m'mbuyo ndi Gynecology. 15 April 2010; 30 (7): 1-6.

> Parenthood yokonzedwa. Kugonjetsedwa Kwachibadwa. Chiwongoladzanja

> Schlaff WD, Carson SA, Luciano A, Ross D, Bergqvist A. Kupangidwira kwapadera kwa Depot Medroxyprogesterone Acetate Poyerekeza ndi Leuprolide Acetate mu Treatment of Endometriosis-Associated Pain. Utsi ndi Wofooka . 2006; 85 (2): 314-325.