Zimene Tiyenera Kuyembekezera M'chaka Choyamba cha Demo-Ntchito ya Provera

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Pamaso Posankha Lanu Loyamba-Pulogalamu ya Provera

Depo-Provera (medroxyprogesterone) ndi njira yothetsera kubereka yobwereza . Depo-Provera iliyonse imawombera pang'onopang'ono kutulutsa mawonekedwe a progestin, medroxyprogesterone acetate, omwe angakutetezeni kuti musamakhale ndi pakati kwa masabata 11 kapena 14.

Depo-Provera amaletsa kutenga mimba m'njira zitatu. Zimalepheretsa ovulation, kotero palibe dzira lomwe limapezeka kuti umuna umere. Amagwiritsanso ntchito pochepetsa chiberekero cha khola lanu-izi zimapangitsa kukhala kovuta kwa umuna kusambira. Progesin mu Depo-Provera ingathenso kuchepetsa kapena kuteteza minofu ya uterine imene imamanga mwezi uliwonse. Izi zimapangitsa kuti zikhale zovuta kuti dzira la umuna likhale lolimba kuti lilowetse mu khoma lachiberekero popeza palibe chokwanira pamenepo kuti mulandire. Mphutsi za Depo zingathandizenso kuthana ndi ululu wopangidwa ndi endometriosis.

Kuti mukhale ndi chitetezo cha mimba kwa chaka chathunthu, ndikofunikira kukhazikitsa Depo-Provera kapena Depo-subQ Provera 104 yomwe ikuwombera pafupifupi milungu iwiri iliyonse. Pakapita chaka chimodzi, muyenera kulandira ma shoti anayi.

Zotsatira Zotsatira za Depo-Provera

Thupi lanu lingadutse kusintha pamene likukonzekera kwa progesin mu Depo-Provera. Kuti muonjezere kupambana kwanu ndi depo, zingakhale zothandiza kudziŵa zomwe mungayembekezere m'chaka choyamba cha ntchito.

Musanayambe kuwombera koyamba , nkofunika kuti muzindikire zotsatira zowirira magazi zomwe zingachitike pogwiritsa ntchito Depo-Provera. Mwamwayi, palibe njira yodziwira nthawi yambiri ngati zotsatirazi zidzachitika kapena zitakhala nthawi yaitali bwanji. Kafukufuku amasonyeza kuti amai omwe amadziwa nthawi yambiri za kutuluka kwa magazi kapena kupuma kwa nthawi yaitali, ndibwino kuti apitirize kugwiritsa ntchito Depo-Provera.

Zingakhale zolimbikitsa kudziŵa kuti ngakhale kuti zotsatirazi zamagazi zingachitike mukayamba kugwiritsa ntchito depo, amayi opitirira atatu pa atatu aliwonse asiya kukhala ndi nthawi ndi mwezi wachisanu ndi umodzi wogwiritsira ntchito. Pakati pa miyezi 12, theka la amayi amatha. Azimayi ambiri amaloledwa kupyolera m'magazi oyamba poyambitsa mwayi wosakhalanso ndi nthawi.

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Choyamba Chowombera (Miyezi 1 mpaka 3)

Ngati mutalandira mphoto yanu yoyamba pa tsiku limodzi loyamba la masiku anu, Depo-Provera ayamba kugwira ntchito mwamsanga (kutanthauza kuti mumatetezedwa kuti musatenge mimba). Ndi ntchito yabwino, Depo-Provera ndi 99.7 peresenti yogwira ntchito (97 peresenti ndi momwe amagwiritsa ntchito). Depo idzakupatsanso chithandizo choteteza mimba mosalekeza ngati mutasintha kuchokera ku njira ina ya ma hormonal ndipo munalandirapo depo yanu yoyamba m'masiku asanu ndi awiri apitawa pogwiritsa ntchito njirayi (monga kuphatikizapo mapiritsi oletsa kubereka , NuvaRing , kapena Patch ).

Nthawi zambiri, zimatengera pafupifupi miyezi itatu kuti thupi lanu lizigwirizana ndi Depo-Provera. Mofanana ndi njira zina zothandizira kubereka, thupi lanu limafuna nthawiyi kuti lizolowere mahomoni ( progesin ) mu depo.

Pamene thupi lanu likukonzekera kwa Depo-Provera, mwinamwake mudzawona magazi osadziwika (spotting) kapena magazi ochuluka (monga nthawi yopitilira). Chizindikiro ichi chimaonedwa ngati chachilendo. Ngati mumadziwa kuti magazi anu ndi olemetsa kwambiri kapena ngati mumakhala ndi nkhawa, zingakhale bwino kuti mukumane ndi dokotala wanu.

• Zotsatira zina za dothi zomwe mungakumane nazo ndizochita khungu, kupweteka, ndi kupweteka (kuphatikizapo jekeseni weniweni).
• Zotsatira zochepa zomwe zimagwirizanitsa ndi izi: kusintha kwa kugonana, kukhumudwa, mantha, chizungulire, kunyowa, kusinthana ndi njala, kupweteka kwa khungu, kutupa kwa khungu kapena khungu lakuda khungu, zilonda zamphongo, kutaya tsitsi, kapena tsitsi lowonjezeka pa nkhope kapena thupi.

Pamene thupi lanu limasintha ku progestin, zotsatirazi ziyenera kuchepetsa ndi kuthawa. Kwa amayi ena, zotsatirazi zimatha kupitirira mpaka depo ataponyedwa (masabata 11 mpaka 14).

Tikulimbikitsanso kuti mupange nthawi yotsatira yomwe mukufuna kukonzekera panthawi yomwe mukupita kukadokotala.

• Ngati mukugwiritsira ntchito Depo Provera kuwombera, pangani malo anu pa jekeseni lanu lachiwiri mkati mwa masabata 11 kapena 13.
• Ngati mukugwiritsa ntchito Depo-subQ Provera 104, mukamaliza kuwombera muyenera kukhala masabata 12 mpaka 14.

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Second Depo Shot (Miyezi 4 mpaka 6)

Pambuyo pa injini yako yachiwiri Depo-Provera kapena injini ya Depo-subQ 104, thupi lanu lidzasinthabe ndi progestin hormone. Pakalipano, mwinamwake mwakhala wokondwa ndi mwayi wosaganizira za njira za kubala . Ngati muli okhutira ndi chisankho chanu (kapena osakayikira koma mukufuna kupitiriza ntchito Depo-Provera), ndi nthawi yanu yachiwiri kuwombera.

Pakati pa miyezi inayi mpaka isanu ndi umodzi, imakhala ikuwoneka ngati yachilendo ngati mukudwala magazi . Amayi ambiri omwe amagwiritsa ntchito lipoti la Depo-Provera kuti malo awo osadziwika amayamba kuchepa ndi kuwombera. Ndipotu, kumapeto kwa mwezi wachisanu ndi chimodzi, amayi makumi atatu ndi anayi ndi makumi atatu ndi atatu (39%) amatha nthawi zonse kusiya.

Panthawiyi, mukhoza kuona kapena simungasinthe kusintha kwa kulemera kwanu. Kulemera kwa msinkhu ndi zotsatira zodziwika. Gwiritsani ntchito maulendo a dokotala kuti mukambirane za kuchita masewera olimbitsa thupi komanso zakudya zomwe mungachite ndi dokotala wanu. Ngati mumadya mofulumira komanso kuchita masewero olimbitsa thupi nthawi zambiri, mukhoza kuthandiza kuchepetsa kusintha kwa kulemera kwanu komwe kungayambe kugwiritsa ntchito Depo-Provera.

Popeza mukupitirizabe ndi Depo-Provera, muyeneranso kuyankhula ndi dokotala wanu za njira zomwe zingakuthandizeni kukhalabe ndi thanzi lanu. Chifukwa chiyani? Depo-Provera ali ndi chenjezo lakuda lakuda lomwe limalangiza amayi omwe adagwiritsira ntchito demo amachititsa kuti minofu ya minofu iwonongeke. Chifukwa cha ichi, kuwonetseredwa kotereku ndi nthawi yabwino yopempha dokotala kuti adziwe zoyenera kuti mukhale ndi chakudya choyenera cha calcium. Nazi malingaliro ofala omwe:

• Calcium zowonjezera ndi vitamini D
• Kupeza calcium yokwanira mu zakudya zanu monga kudya masamba ambiri
• Yesetsani kupewa kutsekula kwa osteoporosis : kuphatikizapo kulemera kwa thupi komanso kuwonjezera mphamvu zolimbitsa thupi zomwe zingakuthandizeni kuthetsa kupweteka kwa calcium mafupa anu.

Dokotala wanu angakuuzeni kuti musiye kusuta fodya (ngati mumasuta fodya) komanso kuchepetsa kapena kuchotsa mowa uliwonse.

Muyeneranso kupanga nthawi yotsatira yomwe mukufuna kukonzekera panthawi yomwe mukupita dokotalayo kuti mumulandire kachiwiri.

• Ngati mukugwiritsa ntchito Depo-Provera kuwombera, pangani malo anu pa jekeseni lanu lachitatu mkati mwa masabata 11 kapena 13.
• Ngati mukugwiritsa ntchito Depo-subQ Provera 104, mukamaliza kuwombera muyenera kukhala masabata 12 mpaka 14.

Izi zidzakuthandizani kuti chitetezo chanu chikhale chopitirira.

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Mndandanda wa Chitatu Chachitatu (Miyezi 7 mpaka 9)

Panthawi yomwe mwakonzeka kudulira Desi-Provera kapena katemera wa Depo-subQ Provera 104, pali mwayi wabwino (pafupifupi 40 peresenti) kuti mwazi wosasinthasintha komanso nthawi yayima chifukwa thupi lanu lasinthira ku progestin. njira.

Panthawiyi, ndikofunika kukhala ndi moyo wathanzi kuti muthe kulimbana ndi kulemera kwa phindu kapena calcium ya Depo-Provera. Pitirizani kutenga mankhwala owonjezera a calcium ngati dokotala wanu atalimbikitsa ntchito yawo.

Muyeneranso kuchita masewera olimbitsa thupi! Chizoloŵezi chanu chiyenera kuphatikizapo zolemetsa zolemetsa zomwe zingakuthandizeni kuti mafupa anu akhale olimba. Komanso, kuchita masewera olimbitsa thupi nthawi zonse, omwe angathandize kutentha mafuta owonjezera.

• Zochita zolimbitsa thupi zingakhale monga: kuyenda, kuyenda, kapena kuthamanga
• Zochita zolimbitsa thupi zimaphatikizapo: njinga yamoto, yoga, kapena kusambira

Kuti mutsimikizire kuti mimba yanu ikupitirizabe, pangani nthawi yanu yoyendera pakhomo paulendo womwewo kuti mumulandire katatu. Ngati mukugwiritsa ntchito Depo-Provera, pangani masewera anu pa jekeseni lanu lachinayi mkati mwa masabata 11 kapena 13. Ngati mukugwiritsa ntchito Depo-subQ Provera 104, mukamaliza kuwombera muyenera kukhala masabata 12 mpaka 14.

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Mndandanda wachinayi wa Depo (Miyezi 10 mpaka 12)

Panthawiyi, mwinamwake mukusangalala ndi chikhalidwe chopanda pake cha njira iyi yoletsa kubereka. Malingana ngati mwakhala mukulandira majekesiti anu a Depo-Provera pa nthawi, mwakhala mukukhala ndi chitetezo chokwanira. Kuchokera pano mpaka pano, muyenera kupitiriza ndi masewero olimbitsa thupi komanso zakudya zothandizira kukhalabe ndi thanzi labwino komanso kulemera.

Mwinanso mukhoza kukhala ndi phindu lina la kusakhalanso ndi nthawi yanu . Pambuyo pa miyezi isanu ndi iŵiri ya Depo-Provera kapena Depo-subQ Provera 104 amagwiritsa ntchito, pafupifupi theka la nthawi ya amayi ayima kapena ayima. Kwa amayi otsala, 57 peresenti amati nthawi yawo yayima pamapeto a chaka chonse cha demo ntchito. Ngati nthawi yanu isanaimitse kumapeto kwa chaka choyamba, musavutike. Pogwiritsa ntchito Depo-Provera ntchito, zikhoza kuima mkati mwa miyezi yotsatira.

Mutagwiritsa ntchito Depo-Provera kwa chaka, muyenera kuwonetsetsa kuyeza kwanu kwa chaka. Mukhoza kukonzekera kulandila depo yanu yachinayi kuwombera panthawiyi. Iyi ndi nthawi yabwino kukambirana ndi adokotala ngati simukupitirizabe ndi ma shopu anu. Ngati mutasankha kukhala pa Depo-Provera, pangani nthawi yanu yokonzekera jekeseni (masabata 11-14).

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Depo Provera Gwiritsani Ntchito: Kuganizira Kwambiri

Sungani zinthu izi m'maganizo za kupitiliza Depo-Provera ntchito:

• Ndizofunika kwambiri kuti mulandire nthawi yanu, nthawi iliyonse. Ngati mwaphonya Depo-Provera wanu kuwombera kapena ngati milungu yoposa 13 yatha kuchokera mujambulo lanu lomalizira (masabata 14 ngati mutagwiritsa ntchito Depo-subQ Provera 104), onetsetsani kuti mumagwiritsa ntchito njira yowathandiza kubereka , monga makondomu , makondomu a akazi , kapena siponji .
• Ngati mukufuna kukhala ndi pakati, muyenera kuimitsa shopu yanu chaka chimodzi musanayambe kukonzekera kutenga mimba. Izi zimakhala kuti zimatenga miyezi isanu ndi iwiri kapena khumi (nthawi zina zoposa chaka) kuti mubwererenso kubereka komanso kuyamba ovulating mutalandira mpikisano wanu wotsiriza wa Depo-Provera.
• Ndikoyenera kuti amayi ambiri asagwiritse ntchito Depo-Provera kapena Depo-subQ Provera 104 kwa zaka zoposa ziwiri (chifukwa cha kuthekera kwa kuperewera kwapa fupa). Muyenera kupitiliza kupuma kwanu (kwa zaka zoposa ziwiri) pokhapokha mutapindula phindu potsatira mavuto omwe mukupitiliza kugwiritsira ntchito, ndipo inu ndi adokotala mwatsimikiza kuti ili ndi njira yoyenera kuberekera.

> Zotsatira:

> Allen RH, Cwiak C, Kaunitz AM. "Progesin Contraceptive Injectable." The Handbook of Contraception . Kusindikiza kwa International Springer, 2016. 125-138.

> Kupatsirana kwa medroxyprogesterone. MedlinePlus. https://medlineplus.gov/druginfo/meds/a604039.html.