Zvinokonzera uye Kurapwa kweDepo-Provera Side Effects
Chimwe chezvimwe zvipingamupinyi zvaro zveDepo-Provera ndiyo inopfuurira kana kusina kubuda ropa (spotting) iyo dzimwe nguva inogona kuitika mugore rekutanga . Kunyange zvazvo izvi zvinowanzoitika mumwedzi mitatu yokutanga, inogona kuramba ichienda kune gore kana kupfuura kune vamwe vakadzi. Dzidza zvakawanda pamusoro pechiratidzo ichi uye izvo zvaunogona kuita kana zvichiramba.
Depo-Provera ndiyo injodzi yekudzivirira kuberekwa iyo inoshandisa maitiro eprogesterone ekudzivirira kubata pamuviri kwevhiki dzinenge gumi nemana.
Depo-Provera haisi kungoziva chete uye yakanakisisa, inenge yakaita 99.7% inoshanda kana yakashandiswa zvakanaka. Sezvo chirongwa chekuvhara pamuviri cheprogestin-chete , icho chisarudzo chikuru kana iwe usingakwanisi kushandisa yesrogen-based contraception.
Kutarisa uye Kubvambura Ne Depo-Provera
Kana zvasvika pakuberekwa kwekuberekwa, kubuda ropa kunoramba kuri chikonzero chimwe chekuti vakadzi vanorega kubata pamuviri. Nechirwere chakadai seDepo-Provera, kubuda kwepamuviri hakusi kungowanikwa chete asi asi inotarisirwa kuitika mune rimwe remadzimai mana.
Zvinosuruvarisa, hapana nzira yekufanotaura kuti ndiani achazove nemigumisiro iyi kana kuti angave akaoma sei. Kune vakadzi vakawanda, zviratidzo zvekubuda ropa zvichagadzirisa mumwedzi mitanhatu. Pachinhu chakanaka ivo havaiti, mukadzi angatarisana nechisarudzo chekusiya kurapwa naDepo-Provera kana kupfuurira.
Chii chaunotarisira kana kuvharwa kuchiitika
Kana iwe uchingotanga kuona kana kubuda ropa mushure mekunge Depo-Provera yako yekutanga yapfuva , zvingaita sekutambudzika asi kazhinji haisi kusingaperi.
Maererano nemuiti wezvinodhaka, vanenge 39 muzana yevakadzi paDepo-Provera vachabva vane nguva nemwedzi wechitanhatu. Pakupera kwegore rokutanga, inopfuura hafu (57 muzana) inofanira kunge isisina zvikanganiso.
Kune avo vasati varipo, pangangodaro kune mishonga inogona kubatsira. Zvose izvi zvinongotarirwa kushandiswa kwenguva pfupi uye, kana zvichishanda, zvinouya nemigumisiro yavo yemigumisiro nekufungisisa.
Pakati pemishonga ikozvino inogamuchirwa kushandiswa neU.S. Food and Drug Administration (FDA):
- Estrogen supplementation yakaratidzwa kubvisa kubuda ropa kuburikidza nekusimudzira kuwedzera kwembatya ye uterine nekugadzirisa midzi yeropa uye ropa clot. Kwete isrogen chete inowedzera Depo-Provera yemigumisiro yekudzivirira pamuviri, inogona kuendeswa nemhetuti yemuromo, transdermal patch, kana ring inopera mukati. Kutsvakurudza kwakaratidza kuti apo estrogen inopa rubatsiro rwenguva pfupi, migumisiro inowanzodzoka kana chirwere chichimira.
- Tranexamic acid (Lysteda) isiri yemishonga yemishonga yemuromo yakagamuchira FDA mvumo muna 2009 kuitira kurapwa kwekurema kwekuenda kumwedzi . Dzidzo dzakaratidza kuti 88 kubva muzana yevakadzi paDepo-Provera vakanga vasina ropa rekudzivirira mukati memazuva makumi maviri ekurapwa vachienzaniswa ne8,2 muboka re placebo. Migumisiro yechirwere yakanyanyisa uye inosanganisira misoro, kurwadziwa kwemuviri, kurwadziwa kwemimba, sinusitis, musuru uye kurwadziwa pamwe chete, migraine, anemia, uye kuneta.
- Mefenamic acid (Ponstel) isiri-steroidal inorwisa-kupisa mishonga inoshandiswa kuronga kwenguva pfupi yekuona uye kubuda ropa. Hazvifungidzirwe kuti inguva refu yekugadzirisa sekushandiswa kwenguva refu kunogona kuwedzera njodzi yekuderedzwa kweropa, kushaya mwoyo, nekurova.
Kana imwe yemishonga iyi ichipikiswa kana isingawanikwi, vamwe vanachiremba vanogona kupa chirwere chisina-steroidal anti-inflammatory like ibuprofen inotorwa katatu zuva rimwe nerimwe kuderedza uterine kuvhiringidza uye kuderedza kusagadzikana.
Kana kubuda ropa kwakanyanya kuchiitika pakutora Depo-Provera, zvakakosha kuyeuka kuti mishonga inogona kunge isiri iyo inobva (kana chete inobva) yemamiriro acho. Kubuda ropa kusina kuchena kunofanira kugara kuchiratidza kunyatsoongorora, uye zvimwe zvikonzero zvose (kusanganisira uterine fibroids, utachiona hunopararira pabonde, uye kenza) inofanira kutongwa kunze kwekunge chirongwa chinorayirwa.
Shoko Rinobva
Kusarudzwa kwekuzvarwa patsva hakusi nyore nguva dzose.
Kana iwe uri paDepo-Provera uye unotarisana nemigumisiro yausingagoni kutakura, taura nachiremba wako pamusoro pemishonga inogona kukubvumira kuti uenderere mberi kana kutsvaga dzimwe nzira dzingave dzisingabatsiri pane zvose munguva pfupi uye kwenguva refu .
Kana usati watanga mushonga asi, dzidza zvakawanda pamusoro pemishonga sezvaungaita, kuongorora zvose zvinotyisa uye zvinobatsira. Dzidzo dzakaratidza kuti vakadzi avo vakafanoziviswa pamusoro pezvipingamupinyi zveDepo-Provera ndivo vakakwanisa kunyanya kushivirira migumisiro yechirwere uye zvishoma kuti vasiye. Sezvo nguva dzose, ruzivo ruzivo kana uchiita zvisarudzo zvakajeka pamusoro pekudzivirira kubata pamuviri.
> Sources:
> Abdel-Aleem H, d'Arcangues C, Vogelsong KM>, Gaffield ML, Gülmezoglu AM. Kurapa kweVaginal Bleeding Kusakanganiswa Kunokonzerwa neProgestin Kupedza Kunyorera. Cochrane Database yekuongorora kwakarongeka 2013, Nyaya 10. Art. Kwete: CD003449. DOI: 10.1002 / 14651858.CD003449.pub5.
> US Food and Drug Administration. Depo Provera: medroxyprogesterone acetate injectable suspension, USP . Silver Spring, Maryland; yakarongwa naJune 2015: Ref ID 3777137.