Duk Abin Da Kuke So Ku Sani Game Da Allurar Hana Haihuwa Ta Depo-Provera

Ku yi tunani na ɗan lokaci kaɗan... Lokacin da muke magana kan tsarin iyali da kuma yadda za mu tsara haihuwarmu yadda ya kamata, mata da yawa suna neman hanyar da za ta kasance mai sauƙi, wadda ba za su dinga tuna shan magani kullum ba, ko ba haka ba? Yanzu fa, bari mu tattauna tare game da allurar hana haihuwa ta Depo-Provera®, wadda ita ce ɗaya daga cikin hanyoyin da ake amfani da su sosai a asibitocinmu na gida anan Najeriya da Nijar.

A mat Yakinmu na likitoci a asibitin kusa da ku ko a wani ƙaramin asibiti (Primary Health Centre / Clinic), muna ganin mata da yawa kullum suna tambaya game da wannan allura ta watanni uku. Shin kun taɓa yin tunanin yadda wannan allura ke aiki a jikin mace? Ko kuwa kun damu da ko za ta iya shafar haihuwarku nan gaba? Kada ku damu, a cikin wannan jagorar za mu fasa komai gida-gida a hankali tare da amsa duk wata fargaba ko tambaya da kuke da ita. Bari mu fara!

Menene ainihin wannan allurar rigakafin Depo-Provera®?

Kamar yadda muka ambata a farko, Depo-Provera wani nau'in magani ne na riga-kafi ko na tsarin iyali wanda ake amfani da shi ta hanyar yin shi a jiki (allura). Sunan sinadarin dake cikin wannan allurar shi ne medroxyprogesterone acetate. Wannan sinadari yayi kama sosai da wani hormone da jikin mace yake fitar da shi ta halitta wanda ake cewa progesterone.

A asibitocinmu anan Najeriya da Nijar, yawancin mata sun fi sanin wannan allurar da sunan "allurar watanni uku". Kocin hakan kuwa shi ne saboda ana buƙatar a maimaita yin ta ne kawai sau ɗaya a kowane watanni uku don ta ci gaba da ba da kariya mai ƙarfi. Wannan ya sa ta zama abin so ga mata masu aiki ko masu yawan harkoki waɗanda ba za su iya tunawa su sha kwayar magani kowace rana ba. Yayi daɗi ko? Hakika hakan yana sauƙaƙe rayuwa sosai!

Ta yaya wannan allurar rigakafin take aiki a cikin jiki?

Idan kuna tunanin abin da ke faruwa a cikin jiki bayan an yi muku wannan allurar, ba sai kun damu ba, bari mu bayyana muku shi a sauƙaƙe. Yanzu dai, kamar yadda muka sani, a duk wata jikin mace yana sakin ƙwai ɗaya wanda idan ya haɗu da maniyyi zai ba da ciki, ko ba haka ba? To, ga abin da Depo-Provera ke yi:

• Tana hana fitowar ƙwai (Ovulation): Sinadarin da ke cikin allurar yana aikewa da saƙo zuwa ga kwakwalwa da gabobin jiki masu sarrafa haihuwa cewa su dakatar da fitar da ƙwai a wancan watan. Idan babu ƙwai, babu yadda za a yi a samu ciki!
• Tana kauri da ruwan mahaifa (Cervical Mucus): Ruwan dake fita daga mahaifa yana zama mai kauri da santsi sosai ta yadda maniyyin namiji ba zai iya shiga ciki don ya isa ga inda ƙwai yake ba ko da an yi sa'a an fitar da shi.
• Tana sassauta bango ko cikin mahaifa (Endometrium): Tana sa bangon mahaifan ya zama siriri sosai, ta yadda ko da an samu wani abin da ya faru, ƙwai mai rai ba zai iya zamewa ko ya ɗaure a ciki ba.

Gaskiya ne, wannan tsarin yana da matukar inganci wajen bada kariya ta kusa da kashi 99 cikin ɗari idan an yi ta a kan lokaci. Kun ga kenan, yana da kyau sosai mutum ya kiyaye lokacin da ya kamata a sake masa allurar ta gaba, ko?

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Ta yaya zan sami wannan allurar rigakafin?

Samun wannan allurar ba ta da wani wahala sam. Abin da ya kamata ku yi shi ne ku ziyarci asibitin kusa da ku, ƙaramin asibiti (Primary Health Centre / Clinic), ko sashen kula da lafiyar iyali da haihuwa na babban asibiti. A can, ƙwararrun ma'aikatan lafiya za su yi muku ƴan tambayoyi kaɗan domin su tabbatar cewa lafiyar jikinku ta amince da shan wannan maganin.

Bayan an gama tattaunawa kuma an ga komai yana da kyau, za a yi muku allurar a sashin jiki mai tsoka, kamar a samansa ko kuma a hip (ƙashin baya). Allurar ba ta da wani zafi mai yawa, kuma za ku iya komawa gida nan take don ci gaba da harkokinku na yau da kullum kamar su girka tuwo, zuwa kasuwa, ko kula da yara. Kunga fa yadda abin yake da sauƙi!

Ta yaya zan fara amfani da allurar riga-kafi kuma yaushe zan fara samun kariya?

Wannan ita ce ɗaya daga cikin tambayoyin da mata da yawa suke yi mana a asibiti. "Doctor, idan na yi allurar yau, zan fara samun kariya nan take ko kuwa?" Amsar ita ce: duk yana danganta da lokacin da kuka fara yin allurar a cikin kwanakin al'adarku.

• Idan aka yi muku allurar a cikin kwanaki biyar na farko da fitowar al'adarku, za ku fara samun kariya nan take ba tare da wani tazara ba.
• Amma idan an yi muku a wani lokaci daban wanda ba lokacin al'ada ba ne, likitoci sukan ba da shawarar cewa ku yi amfani da wani ƙarin kariya (kamar kwaroron roba ko wani abin kariya) na tsawon kwanaki bakwai (mako guda) kafin ku saki jiki gaba ɗaya.

Ka tuna abin da muka faɗa a baya: yana da matukar muhimmanci a dawo a yi sabuwar allura duk bayan watanni uku (wato kwanaki 90 zuwa 91) domin gudun kada kariya ta yanke a jiki.

Shin wannan allurar rigakafin ba ta dace da kowa ba?

Duk da cewa Depo-Provera tana da amfani sosai ga mata da yawa, a matsayinmu na likitoci muna girmamawa da kuma duba lafiyar kowace mace kafin mu ba da ita. Akwai wasu yanayi ko cututtuka da ba a son a yi wa mutum wannan allurar ko kuma ana buƙatar a yi taka-tsantsan. Waɗannan sun haɗa da:

• Idan akwai yiwuwar cewa kin riga kin yi ciki kafin a yi muku allurar.
• Mata masu tarihin samun daskarewar jini a jijiyoyin jiki (blood clots).
• Mata masu ciwon hanta mai tsanani.
• Mata masu tarihin cutar daji ta nono (breast cancer).
• Mata masu fama da malalar jini ta gaban mace wadda ba a san dalilinta ba.

Shi ya sa muke ƙarfafa gwiwar kowa cewa kar ta yi amfani da maganin ba tare da tuntuɓar asibitin kusa da ku ko ƙaramin asibiti ba. Zai fi kyau likita ya duba ku a gane ko ita ce ta fi dacewa da ku.

Shin uwa mai shayarwa ta iya amfani da wannan?

Wannan wata babbar tambaya ce da mata da yawa ke yi wa kanta: "Ina shayar da ɗanta na nono, shin zan iya yin wannan allurar kuwa?" Tabbas, amsar ita ce I!

Depo-Provera tana da lafiya sosai ga uwa mai shayarwa kuma ba ta rage yawan nonon da yake fitowa ko kuma ta cutar da jariri. Sai dai, a asibiti muna ba da shawarar cewa uwa mai shayarwa ta jira har sai jaririnta ya cika makonni shida (6) zuwa takwas (8) da haihuwa kafin ta fara amfani da ita, domin a bar jiki ya dawo daidai bayan haihuwa sannan a tabbatar nonon uwa ya dace da abincin jariri sosai.

Menene illar hakan? Ya kamata in damu da wannan?

Kamar kowane irin magani ko sinadari da aka sanya a jiki, Depo-Provera na iya zuwa da wasu canje-canje ko illoli (side effects). Amma ka sani ba lallai ne kowace mace ta ga waɗannan abubuwan a jikinta ba. Ga wasu daga cikinsu:

• Canjin yanayin al'ada: Wannan shi fi abin da ya fi fitowa fili. Bayan an fara allurar, al'adarku za ta iya zama ta daban. Wasu mata al'adarsu kan tsaya gaba ɗaya (wanda ba shi da wani cutarwa ga lafiya), yayin da wasu kuma za su iya ganin ɗigon jini ko zuban jini mara tsari a 'yan watannin farko.
• Canjin sha'awa ko nauyin jiki: Wasu mata kan lura cewa nauyin jikinsu ya ƙaru kaɗan ko kuma sha'awar abinci ta ƙaru saboda sauyin hormones.
• Canjin yanayin rai (Mood changes): Wasu mata kan ji kamar suna cikin bacin rai ko rashin nishaɗi ba tare da wani dalili mai ƙarfi ba.

Idan kika lura da wani abu da ya fi ƙarfin tunaninki ko kuma ya dame ki, kar ki yi shakka ko tsoro—kawai ki ziyarci asibitin kusa da ku domin samun shawara daga likita.

Me kuke tunani game da waɗannan illolin? Shin kun taɓa jin labarin wata wadda ta yi allurar kuma ta daina ganin al'ada? Wannan al'ada ce ta saba faruwa, kuma a matsayinmu na likitoci muna bayanin cewa hakan yana faruwa ne saboda sinadarin yana sa bangon mahaifa ya kasance siriri sosai, don haka babu abin da zai fito. Ba wani abin tsoro ba ne ko kaɗan!

Bari mu kalli fa'idodi da rashin amfanin allurar riga-kafi a takaice

Don samun sauƙin fahimta da kwatanta abubuwan da ke tattare da wannan allura, mun tsara muku wannan teburin mai zuwa:

Zan iya sake samun jariri bayan dakatar da allurar riga-kafi?

Wannan ita ce babbar tambayar da mata da yawa ke yi wa kanta a asibiti: "Doctor, idan na daina yin allurar nan, zan sake samun ciki kuwa?" Amsar ita ce I, tabbas za ki iya samun ciki!

Sai dai wani abu da ya kamata a sani shi ne, bayan kin daina yin allurar, jikinki zai ɗauki ɗan lokaci kafin hormones ɗinki su dawo daidai da halitta. Ga wasu mata, yana ɗaukan watanni huɗu zuwa goma sha biyu (ko wani lokacin ma fiye da haka) kafin al'adarsu da ƙarfinsu na ɗaukar ciki su dawo gaba ɗaya. Don haka, idan kin shirya samun wani jaririn, yana da kyau ki sanar da likita tun kafin lokacin da za ki sake yin sabuwar allura ta watanni uku.

👩🏽‍⚕️ Ƙarin tambayoyi akai-akai)

📚 Manazarta da Nazarin Kimiyya

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• BJOG : an international journal of obstetrics and gynaecology (2017): Stewart EA et al. — Epidemiology of uterine fibroids: a systematic review [PMID: 28296146]
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