Pros, Cons, Health Benefits, uye Side Side Effects
Depo-Provera (medroxyprogesterone) inzira inoshandiswa yekugadzirisa chirwere chekuberekwa . Iyo inozivikanwawo seDMPA, Depo kupfura, kana kuberekwa kwekuberekwa kwakafutirwa, chirongwa ichi chepestin-chete chinodzivirira kubata kwemwedzi mitatu nepfuti rimwe nerimwe.
Iyo Inoshanda Sei
Depo-Provera iyi inonzi hormonal contraceptive nzira inononoka kubudisa progestin medroxyprogesterone acetate uye inochengetedza pakubata pamuviri kwemavhiki 11 kusvika ku14.
Inoshanda kuburikidza nekudzivirira kuvharidza uye nekuderedza chikwama chemuviri. Izvi zvinodzivirira humuviri kuti usapinda muhutori hwehutano uye hutungidza mazai ega angangodaro akaiswa.
Two Formulations
Kune maBhaibheri maviri eDepo-Provera. Kunze kwemashoma mashoma akataurwa pasi apa, majekiseni ose anobata nenzira imwechete uye anopa hutano hwakafanana hwekudzivirira kubata pamuviri.
Depo-Provera Injection: Dhiyabhorosi Depo-Provera yekutanga inofanira kuiswa mumusanganisi, kana mutezo kana ruoko rukuru. Iwe unofanirwa kuva nepfuro kanomwe pagore (masvondo gumi nerimwe kusvika ku13) kuti uchengetedze Depo-Provera zvakakosha zvikuru. Rimwe pfuti rine ine 150 milligrams ye medroxyprogesterone acetate.
Kana ukawana Depo yako yokutanga kupfura mukati memazuva mashanu ekutanga kwenguva yako, inopa kukurumidza kudzivirira kuchengetedzwa. Kana iwe ukawana pfumo rako rokutanga panguva ipi zvayo pane imwe nguva muhupenyu hwako, unofanira kushandisa nzira yekuchengetedza yakadai semakondomu , kwemazuva manomwe anotevera.
Depo-subQ Provera 104 Injection: Iyi shanduko ine 31% muzana hormone shoma kupfuura yaDepo yepakutanga yakafambisa pamamiriyoni 104 emadroxyprogesterone acetate. Nemhaka yokuti ine chirwere chepasi cheprogestin, chinogona kutungamirira kune vashoma vanoenderana nemigumisiro yechirwere.
Iyo subQ inomiririra "subcutaneous," iyo inoreva kuti mutsva uyu mutsva unongofanira kuiswa mukati meganda, kwete musuru.
Iine nhovo duku uye inogona kukonzera kurwadziwa kwakanyanya. Depo-subQ Provera 104 inofanira kuiswa muhudyu kana mudumbu kanomwe pagore (masvondo maviri kusvika ku14). Nhamba yekudzivirirwa kwemimba yekudzivirira yakangofanana neyomufaro wakafanana.
Iwe unogona kuchinja nyore nyore kubva kuDepo-Provera kusvika kuDepo-subQ Provera 104 pane yako inotevera yakagadzirirwa injection. Kana iwe ukaita izvi, iwe uchave nekukurumidza kudzivirira pamuviri.
Kubatsirwa
Kuenzaniswa nedzimwe nzira dzokudzivirira kuberekwa, kune zvikonzero zvakawanda nei Depo-Provera inofadza vakadzi vazhinji.
- Kuberekwa kwekuberekwa kwakafuridzirwa ndeimwe nzira yakasiyana kana iwe usingadi kutambudzika kwekushandisa nzira yekubata kwezuva nezuva semapiritsi .
- Iwe unongotora Depo-Provera injections kanomwe pagore. Kana wawana Depo yako shoma, haufaniri kufunga nezvekudzivirira kuberekwa kwemwedzi.
- Depo-Provera inogona kuita kuti nguva dzako dzive dzakanyanya, uye dzinogona kumira zvachose mushure memajeri maduku eDepo.
- Icho chinoshanda zvakanyanya uye chinodzokodzwa chinodhaka chekuberekwa kwekodzero sarudzo.
- Depo-Provera haiti kupindirana nekuita zvepabonde, naizvozvo inobvumira kupera.
- Icho chisarudzo chakavanzika uye chengwarira pakudzivirira. Hapana munhu anofanira kuziva kuti iwe unoshandisa Depo-Provera nokuti hapasisina wrappers kana pill compact.
- Depo haina vesrogen , saka inogona kunge iri nzira yakanaka kana iwe usingakwanisi kutsungirira isrogen kana kushandisa kusanganiswa kwekudzivirira .
- Vakadzi vari kuyamwisa kana masvondo matanhatu mushure mekuvhara vanogona kuchengetedza Depo-Provera zvakachengeteka.
Zvisiri-Kubvisa pamuviri
Iyo FDA yakagamuchirawo chirongwa cheDepo-subQ Provera 104 nokuda kwekurapwa kwemarwadzo ekupedzisira endometriosis . Kutsvakurudza kunoratidza kuti inobata kurwadziwa uku nenzira inobudirira sezvinonzi leuprolide , asi inosanganiswa nezvishoma zviratidzo zvevasomotor zvakatsva kupisa uye kuputika pamwe chete nekurasikirwa kwepfupa.
Depo-Provera inopa rubatsiro rwemarwadzo ehuwandu hwakaenzana nehuye hweuprolide kumativi ese endometriosis-akabatanidzwa. Izvi zvinosanganisira kurwadziwa kweplavic uye unyoro, kurwara kwemaronda (kumwedzi) , kunorwadza kwepabonde, uye kuoma uye kuoma kwezviviri.
Mushure mokunge majekiseni mashomanana, Depo-Provera anowanzoregera kuenda kumwedzi, zvichiita kuti ave akaonda, kunyanya kugadzirisa mishonga yemakemikari. Izvi, pamwe chete, zvinogona kumisa kukura kwezvakagadziriswa zvemastometrial, kurega kurwadziwa kwepametriosis-yakabatana .
Depo-Provera inogonawo kubatsira kudzivirira kenza yemukamu yakanyunguduka . Zvinoratidzika kuti kushandiswa kweDe-Provera kunogona kuderedza ngozi yako yepemetrial / uterine kenza anenge 80 muzana. Izvi zvinodzivirira zveDepo Shoma zvinoratidzika kuti zvinopfuurira kwemakore masere kana mushure mokunge musisa kuzvishandisa.
Kukanganisika
Zvinowanzoitika pakuberekwa kwekuberekwa kunokanganisa. Depo-Provera haisi yakasiyana uye zvakakosha kuziva zvose zvinobatsira uye nehana iwe usati waita chisarudzo.
- Kugadzirisa zvakakosha uye unofanira kuyeuka kuita sarudzo yako yejojo masvondo gumi nemaviri. Kana yakapera masvondo gumi nemasere kubva pakapedzisira kupera (kana masvondo gumi nemana kubva pakapedzisira Depo-subQ 104 pfuti), iva nechokwadi chokuti unoshandisa nzira yekudzivirira kuberekwa nokuti iwe unogona kuva pangozi yekutora pamuviri.
- Irosi yepaDepo-Provera ine bhokisi rakasvibiswa pamusoro pekugona kurasikirwa kwepafu: "Vakadzi vanoshandisa Depo-Provera vanogona kurasikirwa nehuipi hwematokari emadhora (BMD)." BMD inotarisa kuti yakawanda sei calcium mumapfupa. Kushandisa Depo kupfurikidza nenguva kunogona kukonzera kurasikirwa kwe calcium, asi calcium inotanga kudzoka kana iyi nzira inomiswa. Nemhaka yekunyeverwa iyi, Depo-Provera hawanzwisisiki kuvasikana vechidiki.
- Pamusana pehutano hwehutachiona hwekupera simba, zvinokurudzirwawo kuti haufaniri kushandisa Depo Provera kana Depo-subQ Provera 104 kwemakore anopfuura maviri.
- Vakadzi vazhinji vanomira kushandisa Depo-Provera mugore rokutanga rekushandisa nemhaka yekuona / kusina kubuda ropa uye / kana kubuda ropa. Iyi yechipfuva inonyanya kuonekwa mukati memwedzi mitatu yekutanga yekushandiswa kweDepo. Zvinosuruvarisa, hapana nzira yekuziva kare mberi kana iwe uchinge uchinge uchinzwa nyaya idzi dzinopa ropa.
- Mune nhamba shomanana dzezviitiko, vakadzi vakaona kugadzikana kweganda munzvimbo yavakagamuchira Depo shot. Ganda rakakomberedza jekiseni rinogonawo kuderera kana kunzwa kunzwa.
- Pfizer, mugadziri weDepo-Provera, anorayira kuti iwe usiye injini yako yeDepo gore rimwe chete usati wada kuva nepamuviri. Zvinotora kuenzana kwemwedzi mipfumbamwe kusvika kune gumi (uye dzimwe nguva kunyange gore kana kwenguva refu) kuti uwanezve kubereka uye kutanga ovulating mushure mekutora yako yekupedzisira kupfura.
- Zvimwe zvidzidzo zvinoratidza kuwedzera kuwanda pamwe neDepo-Provera kupfura . Muiti wacho anotaura kuti vakadzi vanowana mavhareji e54 pounds gore rokutanga uye vawana 8.1 pounds pakupera kwegore rechipiri.
- Vamwe vakadzi vanorondedzera kurwadziwa kunobatanidza nejeri reDepo.
Zvinosuruvarisa, hapana nzira yekugadzirisa migumisiro yechirwere inogona kuguma nekushandisa Depo-Provera. Iko kune mukana wekuti migumisiro iyi inogona kupfuurira kusvikira injini yako yeDepo inopera mumasvondo 12 kusvika ku14.
Muchidimbu Maitiro Akafanana Maitiro
Pamusoro pegore rokutanga raDepo shots , unogona kuona zvishoma kuchinja sezvo muviri wako uchigadzirisa. Uyezve, zvimwe zvisingabatsiri zvikamu zvinowanzosanganisira kushandiswa kwekuita zvepabonde nekudya pamwe nekushaiwa bvudzi uye / kana kuwedzerwa bvudzi pameso kana muviri. Madzimai mashomanana, zvinogona kukonzera kuora mwoyo, kutya, chirwere, chirwere chepfungwa, kana misoro. Kushanda kweganda kana ruvara ruvara rweganda kana mazamu akaora zvinogonawo kuitika.
Zvimwe Zvokufungisisa
Kana iwe ikozvino uri kushandisa imwe nzira yehomoni, unogona kuchinja kune Depo-Provera. Iwe unofanirwa kugamuchira Depo yako yekutanga kupfura mumazuva masere mushure mekupedzisira kwekushandisa yako ikozvino nzira.
- Kana kushanduka kubva pamwe chete nekuberekwa kwepiritsi mapiritsi , ronga kuti uwane Depo yako yekutanga inofamba mukati memazuva masere mushure mokutora mapiritsi ako ekupedzisira.
- Kana kuchinja kubva kuOrtho Evra Patch , ronga chirwere chako cheDepo-Provera mumazuva masere mushure mekubvisa chikamu chako.
- Kana uchisimuka kubva kuNuvaRing , ronga kuti Depo yako yekutanga ipfuure mukati memazuva manomwe mushure mokutora ring.
STD Kudzivirirwa
Depo-Provera haipei kudzivirirwa kurwere hwepabonde . Unofanira kushandisa kondomu.
Ndiani Angashandisa Iyo
Depo Provera inogona kunge yakachengeteka kuberekwa kwekuberekwa kwevakadzi vazhinji vane utano. Zvakakosha kuti ukurukure nhoroondo yako yezvokurapa nechiremba wako usati wagamuchira mujenya.
Depo-Provera haina kukurudzirwa kune vakadzi vane zvinotevera:
- Kansa yepabonde
- Thrombophlebitis, nhoroondo yezvirwere zvepromboembolic, kana kuti cerebral vascular disease
- Zvinokonzerwa nehutachiona hwehasteoporosis: chirwere chepa bone, kudhakwa kudhakwa kana kusvuta, nhoroondo yemhuri ye osteoporosis , anorexia, kana kushandisa steroid zvinodhaka
- Chirwere chinokonzera chiropa
- Vasikana vaduku kubva panguva ino ndiyo nguva yakaoma yekutema mineralization
- Kubuda ropa kusina kuonekwa
- Chido chokuva nepamuviri mukati megore rinotevera
Associated Costs
Pasi pemutengo unobhadhara weChechi, manyurudzo yehushuwarisi inofanirwa kuvhara chiremba anoshanyira maererano nehutano hwekuberekwa uye pfuti pachayo isununguka pasi pezvirongwa zvakawanda. Medicaid inogona kuvhara mari yacho zvakare. Chero kushanduka kupi kuAne Affordable Care Act kunogona kuchinja kana zvirongwa zve inshuwarisi dzichivhara kubata pamuviri. Tarisa neurongwa hwe inshuwarisi yako kuti uone kuti kugoverwa kwako uye mari inogona kunge iri.
Kana iwe usina kuvhara, iwe uchada kubhadhara kunze kwehomwe yekuongorora kwechiremba. Mari yako inogona kunge yakaita $ 250 yekutanga kushanyira uye yakawanda se $ 150 kuti uwedzere kushanyira.
Mitengo yemayjectko iga inofananidzwa, asi inowanzobhadhara mujeri rimwe nerimwe inogona kuve pakati pe $ 30 ne $ 75. Mari yose yegore rose rekushandisa ingasiyana kubva pa $ 200 kusvika ku $ 600 uye inogona kusiyanisa kana mamwe mahofisi ekushanyira achidiwa.
Iwe unogona kutora mari yakawanda kana iwe uri kupfuura vhiki mbiri kusvika panguva yako inotevera yakarongwa kupfurwa. Chiremba wako angada kubvunzwa pamuviri wako musati wapera, kuitira kuti iwe unoda kubhadhara zvakare.
Kubudirira
Depo-Provera ndiyo 94 muzana kusvika 99 muzana inoshanda. Neshandiswa yakakwana, vakadzi vanopfuura 1 kuvarudzi vose vanoshandisa Depo-Provera vachava nepamuviri mugore rimwechete. Nekunyoresa kushandiswa, varume vatatu pavakadzi 100 vanoshandisa Depo-Provera vachava nepamuviri.
Shoko Rinobva
Sezvo yakatanga kugamuchirwa neDFA, Depo-Provera yakange iri nzira yakakurumbira yekudzivirira kuberekwa. Zvichida kana kwete zvakakunakira iwe zvinoenderana nezvimwe zvinhu. Vakadzi vakawanda vakaona kuti makore maviri emakirini evanhu vanoita kuti kurapa kuberekwa kuve nyore. Taura nachiremba wako kuti uone kana yakakodzera uye iva nechokwadi chekubvunza chero mibvunzo yaunayo munzira.
> Sources:
> Nezworski L, Murray S. Kushandiswa kweDepot Medroxyprogesterone Acetate mu Current Gynecologic Practice. Postgraduate Obstetrics & Gynecology. 15 Mbudzi 2010; 30 (7): 1-6.
> Kurongwa Parenthood. Birth Control Shot. https://www.plannedparenthood.org/learn/birth-control/birth-control-shot/how-ffective-is-the-birth-control-shot
> Schlaff WD, Carson SA, Luciano A, Ross D, Bergqvist A. Kushungurudzwa kweDepot Medroxyprogesterone Acetate Kuenzaniswa neLeuprolide Acetate muTraining of Endometriosis-Associated Pain. Kubereka uye Kusimba . 2006; 85 (2): 314-325.