Ingabe ucabanga ngokuhlela umndeni? Bese ufunda ngomjovo wokuvimbela inzalo (i-Medroxyprogesterone Injection) onikezwa njalo ezinyangeni ezi-3!

Ingabe ucabanga ngokuhlela umndeni ? Noma usuvele usebenzisa indlela yokuhlela umndeni? Nokho, namuhla sizokhuluma ngomjovo wokuvimbela inzalo odumile kwabaningi futhi odinga ukusetshenziswa njalo ezinyangeni ezintathu. Lona umjovo weMedroxyprogesterone. Kungenzeka ukuthi uke wezwa kuthiwa yiDepo- Provera. Ngakho-ke, ake sibone ukuthi lo mjovo uyini, usebenza kanjani, ungowabani, nokuthi yiziphi izinto okufanele uziqaphele.

Iyini le injection yeMedroxyprogesterone?

Kalula nje, iMedroxyprogesterone umuthi ovimbela ukuvuthwa kweqanda kanye nokukhulelwa . Ingeqembu lamaphilisi okuvimbela inzalo (izindlela zokuvimbela inzalo). Ukuze kube sobala, uhlobo lwehomoni ebizwa ngokuthi i-progestin . Le homoni ivimba ezinye zezinqubo emzimbeni wakho ezidingekayo ekukhulelweni. Isibonelo, ivimba ukukhishwa kweqanda ezikhiqizweni, futhi iqinisa ulwelwesi lwesibeletho, okwenza kube nzima ukuthi isidoda singene.

Lomuthi ungasetshenziswa nangezinye izinjongo, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Amagama emikhiqizo adumile alo muthi wokugoma yi-Depo-Provera kanye ne-Depo-subQ Provera 104.

Yini okufanele uyitshele ithimba lakho lezokwelapha ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uthole lo muthi wokugomela, kubalulekile ukutshela ithimba lakho lezokwelapha uma unezinye zezimo ezilandelayo, njengoba lolu lwazi luzonquma ukuthi lo muthi wokugomela ukufanele yini.

• Uma une -asthma .
• Uma uke waba nezinkinga zokuqhekeka kwegazi noma okwamanje unezinkinga.
• Uma unomdlavuza webele , noma uma othile emndenini wakho eke waba nomdlavuza webele.
• Uma unesifo sokucindezeleka .
• Uma unesifo sikashukela .
• Uma unezinkinga zokudla , isibonelo, i-anorexia nervosa.
• Uma uke waba nesifo senhliziyo ngaphambili.
• Uma une -high blood pressure .
• Uma unegciwane lesandulela ngculazi noma ingculazi .
• Uma uphuza njalo .
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma uphathwa ikhanda elibuhlungu njalo.
• Uma une -osteoporosis noma ubuthakathaka bamathambo.
• Uma unesifo sokuwa .
• Uma uke waba nesifo sohlangothi ngaphambili.
• Uma usebenzisa ugwayi (ubhema).
• Uma uphuma igazi esithweni sangasese sowesifazane ngaphandle kwesizathu esicacile.
• Uma une -allergy ku-medroxyprogesterone, amanye ama-hormone, eminye imithi, ukudla, udayi wokudla, noma izithasiselo.
• Kulungile uma ukhulelwe noma uzama ukukhulelwa njengamanje .
• Uma uncelisa .

Kubaluleke kakhulu ukuze uphephe ukunikeza udokotela lolu lwazi, ngakho ungafihli lutho.

Lo muthi wokugomela kufanele usetshenziswe kanjani?

Kunezinhlobo ezimbili zalo muthi wokugomela.

• Umjovo wokuvimbela inzalo i-Depo-Provera CI ufakwa emsipheni .
• Umuthi wokugomela i-Depo-subQ Provera 104 unikezwa ngaphansi kwesikhumba .

Awukwazi ukusebenzisa lo muthi wokugomela ekhaya. Kufanele unikezwe esibhedlela noma emtholampilo ngudokotela noma umhlengikazi oqeqeshiwe .

Lo muthi wokugomela uvame ukunikezwa:

• Ezinsukwini zokuqala ezi-5 zenyanga yakho,
• Noma ngemva kwamasonto ayisithupha ezelwe .

Uma unikezwe lo muthi, uzonikezwa isengezo sephakheji yesiguli . Yifunde ngokucophelela njalo, njengoba ulwazi olukuwo lungashintsha ngezikhathi ezithile.

Kudingeka futhi sikhulume ngokunikeza lo muthi wokugomela izingane ezincane. Lo muthi wokugomela usetshenziswe nakwezinye izimo kumantombazane aqale ukuya esikhathini . Kodwa-ke, udinga iseluleko esikhethekile sezokwelapha.

Kuthiwani uma ngiphuza umuthi omningi kakhulu?

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu (lokhu akuvamile ukuba njalo ngoba uwumuthi wokugoma, kodwa kuhle ukwazi), shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Okubalulekile: Lo muthi ungowakho kuphela. Ungavumeli omunye umuntu awusebenzise.

Wenzani uma uphuthelwa usuku lokugoma oluhleliwe?

Lokhu kubaluleke kakhulu. Kubalulekile ukuhlela ukugonywa kwakho okulandelayo. Kufanele uthole lo mjovo njalo ezinyangeni ezi-3.Uma uphuthelwa usuku, ukusebenza kahle kokulawula inzalo kungase kunciphe. Uma ungakwazi ukuphuza iphilisi lakho ngosuku oluhleliwe, shayela ithimba lakho lezempilo ngokushesha bese ubazisa.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

Eminye imithi, imikhiqizo yamakhambi, kanye namavithamini kungasebenzisana nalo muthi wokugomela. Okusho ukuthi, kungathinta indlela lo muthi wokugomela osebenza kahle ngayo.

Nazi ezinye izinto ezingase zenzeke:

• Ama-antibiotic noma eminye imithi yokwelapha izifo, ikakhulukazi i-rifampin ne -griseofulvin
• Ama-antiviral e-HIV noma i-hepatitis
• I-Aprepitant
• I-Armodafinil
• I-Bexarotene
• I-Bosentan
• Imithi yokulwa nokuxhuzula, njenge -carbamazepine , i-felbamate, i-oxcarbazepine, i-phenytoin, i-phenobarbital, i-primidone, ne-topiramate
• I-Mitotane
• I-Modafinil
• Ikhambi le-St. John's wort

Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, amavithamini). Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni.

Izinto okufanele uziqaphele uma usebenzisa lo muthi

Akukho sivikelo ezifweni ezithathelwana ngocansi!

Lokhu kubaluleke kakhulu. Lo muthi wokugomela i-medroxyprogesterone awukuvikeli ekuthelelekeni nge-HIV (AIDS) noma kwezinye izifo ezithathelwana ngocansi (STD). Lokhu kusho ukuthi noma ngabe uthola lo muthi wokugomela, kusabalulekile ukusebenzisa indlela yokuvimbela, njengekhondomu, ukuze uzivikele kulezi zifo.

Ukwehla kwe-calcium emathanjeni (i-osteoporosis)

Lo mjovo ungaqeda i-calcium emathanjeni akho. Lokhu kulahlekelwa yi-calcium kungaholela emathanjeni abuthakathaka, isimo esibizwa ngokuthi i-osteoporosis .

Ngokuvamile, ukusebenzisa lo muthi wokugomela iminyaka engaphezu kwemi-2 kunconywa kuphela uma ezinye izindlela zokuvimbela inzalo (isib. amaphilisi, amakhondomu, ama-IUD) zingakufaneleki nganoma iyiphi indlela.

Uma usebenzisa lo muthi isikhathi eside, kulapho ingozi yakho yokuthola amathambo abuthakathaka iba nkulu khona. Ngakho-ke, buza ithimba lakho lezokwelapha ukuthi ungawagcina kanjani amathambo akho eqinile, njengokuthi uyayidinga yini i-calcium ne-vitamin D.

Izinguquko zokuya esikhathini

Ngesikhathi uthatha lo muthi wokugomela, umjikelezo wakho wokuya esikhathini wanyanga zonke ungashintsha noma ungajwayelekile. Abanye abantu bangase babe namabala. Kodwa-ke, kwabesifazane abaningi, ukuya kwabo esikhathini kuyaphela ngokuphelele uma bethatha lo muthi.Lokhu kujwayelekile, ungakhathazeki ngakho. Kodwa-ke, uma unenkinga, khuluma nodokotela wakho.

Kuthiwani uma usola ukuthi ukhulelwe?

Uma ugonywe ngesikhathi, amathuba okuba ukhulelwe aphansi kakhulu. Kodwa-ke, uma ucabanga nganoma yisiphi isizathu ukuthi ungase ukhulelwe (isib. ushintsho oluzumayo ngemva kokuyeka ukuya esikhathini, ushintsho emabeleni akho), bheka ithimba lakho lezempilo ngokushesha ngangokunokwenzeka ukuze lihlolwe.

Uma uhlela ukukhulelwa futhi

Uma uhlela ukuba nomunye umntwana phakathi nonyaka olandelayo, kubalulekile ukutshela ithimba lakho lezempilo. Lokhu kungenxa yokuthi imiphumela yalo muthi ingahlala isikhathi eside, mhlawumbe izinyanga noma ngisho nonyaka, ngemva kokuthatha umthamo wakho wokugcina. Lokhu kusho ukuthi ungase ungakwazi ukukhulelwa futhi ngokushesha ngemva kokuyeka ukugoma. Kuzothatha isikhathi esithile.

Yimiphi imiphumela emibi engaba khona ngalo muthi wokugomela?

Njenganoma yimuphi umuthi, lo muthi wokugoma ungabangela imiphumela emibi kwabanye abantu. Akuwona wonke umuntu oyitholayo, kodwa abanye abantu bayithola.

Imiphumela emibi okufanele ibikwe kudokotela ngokushesha:

Uma uhlangabezana nanoma yimiphi yale miphumela emibi , kufanele utshele udokotela ngokushesha okukhulu :

• Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo.
• Ukugoba kwegazi – ubuhlungu bomlenze, ukuvuvukala noma ukufudumala, ubunzima bokuphefumula, ubuhlungu besifuba.
• Izinkinga zenyongo - ubuhlungu obukhulu besisu, isicanucanu, ukuhlanza, umkhuhlane.
• Umfutho wegazi ophakeme.
• Ukulimala kwesibindi – ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, kanye nokukhathala okungavamile.
• I-migraines entsha noma ikhanda elibuhlungu, noma ukuba kubi kakhulu kwalezo ezikhona.
• Ukuquleka.
• Isifo sohlangothi – Ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, ukudideka, ubunzima bokuhamba, ukulahlekelwa yibhalansi, isiyezi, ikhanda elibuhlungu kakhulu, kanye nokushintsha kombono.
• Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane, ukulunywa, noma iphunga elibi.
• Ukushintshashintsha kwemizwa, imizwa yokucindezeleka.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma ikhathaza:

Le miphumela emibi ngokuvamile ayibi mibi kakhulu, kodwa uma iqhubeka noma ikukhathaza, tshela udokotela wakho :

• Ubuhlungu noma ukuqina kwebele.
• Amabala amnyama esikhumbeni ebusweni noma ezindaweni ezichayeke elangeni.
• Ukuya esikhathini noma ukubona okungajwayelekile.
• Isicanucanu.
• Ukwanda kwesisindo.

Akuzona zonke imiphumela emibi kulolu hlu engenzeka. Uma ubona noma yini engavamile, xhumana nodokotela wakho.

Ngingawugcina kuphi lo muthi?

Ngoba lokhu kungumjovo wokugoma,Lokhu kunikezwa yithimba lezokwelapha kuphela. Ngeke unikezwe ukuthi ukugcine ekhaya. Ngakho akudingeki ukhathazeke ngakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usunokuqonda okungcono ngomjovo we-Medroxyprogesterone esesikhulume ngawo isikhathi eside.

Kafushane:

* Thatha lokhu kanye njalo ezinyangeni ezintathu, kuyindlela yokuvimbela inzalo ephumelela kakhulu.

* Kubaluleke kakhulu ukuthola umuthi wokugoma ngesikhathi.

* Lo mjovo awuvikeli ezifweni ezithathelwana ngocansi, okuhlanganisa ne-HIV. Izindlela zokuvikela ezengeziwe (isib. amakhondomu) kumele zisetshenziswe.

* Ukusetshenziswa iminyaka engaphezu kwemibili kungabangela ukwehla kwe-calcium emathanjeni, ngakho khuluma nodokotela wakho ngakho.

* Ukuya esikhathini kungase kungenzeki ngendlela evamile noma kume ngokuphelele.

* Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, ikakhulukazi ezinzima, funa iseluleko sezokwelapha ngokushesha.

* Uma ucabanga ukukhulelwa futhi, khumbula ukuthi kungase kudingeke uyeke ukuthatha umuthi wokugomela isikhashana.

Indlela engcono kakhulu yokunquma ukuthi lo muthi wokugomela ukulungele yini ukukhuluma nodokotela wakho. Lesi sinqumo sizocabangela izici eziningi, okuhlanganisa impilo yakho nendlela yakho yokuphila. Ngakho-ke, ungesabi ukubuza udokotela wakho ngalokhu.

Umjovo wokuvimbela inzalo, Umjovo weMedroxyprogesterone, iDepo-Provera, Ukuhlela umndeni, Impilo yabesifazane, Imiphumela emibi, Ukuvimbela ukukhulelwa