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Pamberi Pebasa Rako Rokutanga-Provera ShotDepo-Provera (medroxyprogesterone) inoshandiswa kugadzirisa chirongwa chekuberekwa kwekuberekwa . Dhipiro imwe neimwe-Provera inotamba zvishoma nezvishoma inoburitsa maitiro eprogestin, medroxyprogesterone acetate, inogona kukudzivirira pakubata pamuviri masvondo 11 kusvika ku14.
Depo-Provera inodzivirira kubata nenzira nhatu. Iyo inodzivisa kuvhara, naizvozvo hapana mazai anowanikwa kuti chirume chinamere. Iyo inoshandawo nekuderedza chikwama chako chemudzimai-izvi zvinoita kuti zvive zvakaoma kuti mbeu ishambire. Iyo progestin muDepo-Provera inogonawo kuderedza kana kudzivirira hutachiona hunovaka mwedzi woga woga. Izvi zvinoita kuti zvive zvakaoma kuti mazai anogadzirwa kuti asvike muchivako chemukati sezvo pasina kukwana kwakakwana ikoko kuti uigamuchire. Depo shots inogona kubatsira kubata marwadzo anokonzerwa ne endometriosis.
Kuti uve nemimba yekuchengetedzwa kwegore rose, zvakakosha kuronga Depo-Provera yako kana Depo-subQ Provera 104 shots anenge masvondo gumi nemaviri. Pamusoro pegore rimwe chete, iwe unofanirwa kugamuchira zvidzidzo zvina zveppopo.
Migumisiro Yechipfuva Depo-Provera
Mumuviri wako unogona kuchinja kuburikidza nekugadzirisa ku progesin muDepo-Provera. Kuti uwedzere kubudirira kwako ne depo, zvingave zvichibatsira kuziva zvingatarisira mugore rekutanga rekushandisa.
Iwe usati watanga demo rako rokutanga kupfura , zvinokosha kuti iwe unoziva nezvezvinogona kubuda ropa migumisiro inogona kuitika apo uchishandisa Depo-Provera. Zvinosuruvarisa, hapana nzira yekuziva nguva isati yasvika kana izvi zvinowanzoitika kana kuti zvichareba kwenguva yakareba sei. Kutsvakurudza kunoratidza kuti vakadzi vanoziva nguva isati yasvika pamusoro pekugona kwemazuva ose (kuonekwa) kusingaoneki (kana kuonekwa) kubuda kana kuramba kwenguva refu, kubuda ropa kunoramba kuchiwedzera kushandisa Depo-Provera.
Zvinogona kukurudzira kuziva kuti kunyange izvi zvinokonzerwa nekubuda ropa zvinogona kuitika paunotanga kushandisa demo, chikamu chetatu chemadzimai chakanga charega kuva nenguva nemwedzi wechitanhatu unoshandiswa. Pakazosvika mwedzi gumi nemaviri, hafu yevakadzi nguva dzakamira. Vakadzi vakawanda vanoda kubuda ropa rokutanga vachichinjana kuitira mukana wokusava nenguva.
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First Depo Shot (Mwedzi Yekutanga kusvika KuTatu)Kana iwe uchigamuchira dhodhi yako yokutanga kupfura mune imwe yemazuva mashanu ekutanga ako, Dhepo-Provera ichatanga kushanda pakarepo (kureva, iwe unodzivirirwa pakusatora pamuviri). Nekushandisa kwakakwana, Depo-Provera ndiyo 99.7 muzana inobatsira (97 muzana neinojaira kushandisa). Depo ichakupawo kuenderera mberi kwekudzivirirwa kwepamuviri kana iwe wakashandura kubva kune imwe nzira yehomoni uye wakagamuchira demo rako rokutanga rakaputira mukati memazuva manomwe ekupedzisira ekushandisa nzira iyo (yakadai sokubatanidza kuberekwa kwepiritsi , NuvaRing , kana Patch ).
Kazhinji, zvinotora anenge mwedzi mitatu kuti muviri wako uchinje kuDepo-Provera. Kufanana nedzimwe nzira dzekuberekwa kwehomoni, muviri wako unoda nguva ino kuti uenzaniswe nehomoni ( progestin ) mu depo.
Sezvo muviri wako uchigadzirisa kuDepo-Provera, zvichida iwe uchaona ropa risina kujeka (spotting) kana kubuda ropa kwenguva refu (sepanguva inopfuurira). Ichi chiratidzo chinoonekwa sechinhu chakanaka. Kana zvakadaro, iwe unocherechedza kuti kubuda kwako kunorema kana kuti iwe unonzwa uchifunga, zvinogona kuva pfungwa yakanaka yekuonana nachiremba wako.
- Zvimwe zvinokonzera madhara zvinogona kuitika zvinosanganisira kugadziriswa kweganda, kuwedzera kuwanda, uye kurwadziwa (kunobatanidza nejaya chaiyo).
- Zviito zvisingabatsiri zvinowanzobatanidza zvinosanganisira: kuchinja mune zvepabonde, kuora mwoyo, kutya, chizuru, kuora mwoyo, kuchinja kwechido, kushaya musoro, kuputika kweganda kana kumira kwechivara cheganda, mazamu anoonda, kurasikirwa nevhu, kana kuwedzera bvudzi pameso kana muviri.
Sezvo muviri wako uchigadzirisa ku progesin, idzi migumisiro inofanira kuderedza nekuenda. Kune vamwe vakadzi, izvi zvinogadzirisa zvinogona kupfuurira kusvikira depo ichipfura inopera (masvondo 11 kusvika ku14).
Inokurudzirwawo kuti iwe uite musangano wekutsvaga yako purogiramu yakatarwa kupfura munguva yekushanyira imwe chete kwechiremba iwe unogamuchira kupfura kwako kokutanga.
- Kana iwe uri kushandisa dhiyabhorosi Depo Provera kupfura, ita kuti iwe usarudzwa kuti uwane injini yechipiri mukati memasvondo 11 kusvika ku13.
- Kana iwe uri kushandisa Depo-subQ Provera 104, yako inotevera inotorwa inofanira kuva mumavhiki 12 kusvika ku14.
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Second Depo Shot (Mwedzi Ichina kusvika Ichitanhatu)Mushure mekunge wechipiri Depo-Provera ichipfura kana Duo-subQ 104 injection, muviri wako uchange uri kuchinja ku progestin hormone. Parizvino, iwe pamwe wakave uchifara nekunaka kwekusafunga nezvekudzivirira kuberekwa . Kana iwe uchigutsikana nechisarudzo chako che depo (kana kuti uchiri kutendeseka asi uchida kuramba uchishandisa Depo-Provera), inguva yokuti wechipiri wako apfeke.
Pakati pemwedzi mina kusvika kwechitanhatu, ichiri kuonekwa sechinhu chakanaka kana uri kutarisa kupera kweporadi . Vakadzi vakawanda vanoshandisa dhipoti yeDepo-Provera kuti maitiro avo asina kukwana anowedzera kuderera nepfuti rimwe nerimwe. Mukati, pamagumo emwedzi wechitanhatu, 39 muzana yevakadzi vanowanzova nenguva yavo yakamira zvachose.
Panguva ino, iwe unogona kana usingaone kuchinja kwehuremu hwako. Kuwedzerwa kwepfumi kunowanzosvibiswa. Shandisai kuratidzwa kwechiremba uku kuti mukurukure zvinogona kuitwa uye chirongwa chekudya nechiremba wenyu. Kana iwe uchidya zvine njere uye urovedza muviri nguva dzose, unogona kubatsira kuderedza kuchinja kwehutoro hwako hunogona kubva pakushandisa Depo-Provera.
Sezvo uchiri kuenderera mberi neDepo-Provera, iwe unofanirawo kutaura nachiremba wako nezvenzira dzekutora mararamiro anokwanisa kukubatsira kuchengeta utano hwako hwepafupa. Sei? Depo-Provera ine yebhokisi nyevero inonyevera iyo inokurudzira vakadzi vakaramba vachishandisa demo kunogona kukonzera mapfupa emaminiti emagetsi ekurasikirwa. Nekuda kweizvi, iyi dhodhi iri kutarirwa kusangana uye nguva yakanaka yekubvunza chiremba wako pamusoro pezvirongwa zvekuchengetedza zvakakwana calcium kudya. Heano mamwe mazano akafanana:
- Calcium inowedzera uye vitamini D
- Kuwana calcium yakakwana mukudya kwako nenzira dzinosanganisira kudya mizhinji yemiriwo
- Ita zvekudzivirira kudzivirira osteoporosis : kusanganisira kuora-kutakura uye maitiro anosimbisa musimba anogona kubatsira mukurwisa chero chero chinogona kurasikirwa ne calcium kumapfupa ako.
Chiremba wako anogonawo kukurudzira kuti urege kusvuta (kana iwe uri kusvuta) nekudzikisa kana kubvisa chero doro.
Iwe unofanirwawo kugadzirira nguva yako yekutevera yakarongwa panguva yakatarwa panguva yekushanyira kwachiremba imwechete iwe unogamuchira pfumo rako rechipiri.
- Kana uri kushandisa Depo-Provera kupfura, ita kuti iwe usarudze mukana wako wechitatu mukati memasvondo 11 kusvika ku13.
- Kana iwe uri kushandisa Depo-subQ Provera 104, yako inotevera inotorwa inofanira kuva mumavhiki 12 kusvika ku14.
Izvi zvichaita kuti huviriro hwako huvepo hunoenderera mberi.
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Chechitatu Depo Shot (Mwedzi Ichinomwe kusvika Nini)Nenguva yamunenge wakagadzirira yechitatu Depo-Provera kupfura kana Depo-subQ Provera 104 injection, pane mukana wakanaka (pedyo ne40 muzana) kuti kuregerera kwako kusina kukwana uye nguva dzakamira nokuti muviri wako wakashandura ku progestin mune izvi nzira.
Panguva ino, zvakakosha kuti uchengetedze mararamiro ehupenyu huri nani kuti ubatsire kupesana chero upi hupi hunorema kana calcium kurasikirwa inosanganiswa naDepo-Provera. Ramba uchitora calcium supplements kana chiremba wako akakurudzira kushandisa kwavo.
Iwe unofanirwawo kushandisa! Zvaunofanira kuita zvinosanganisira kuwedzera uremu hunobata maitiro anozobatsira kuchengeta mafupa ako akasimba. Kunyanya, nguva dzose, mwoyo utano hunobatsira huchabatsira kupisa pane mamwe makori.
- Kuita muviri kunorema kunogona kusanganisira: kufamba, kufamba, kana kushanda
- Mwoyo-utano hwakanaka maitiro anosanganisira: bhasikoro, yoga, kana kushambira
Kuti uve nechokwadi chekuti kutora kwako kuzvitakura kunopfuurira, kuronga nguva yekutarisa kwaunotevera inofamba panguva yekushanyira kwachiremba imwechete iwe unogamuchira pfuti yako yechitatu. Kana iwe uri kushandisa Depo-Provera, ita sarudzo yako yejova yako yechina mukati memasvondo 11 kusvika ku13. Kana iwe uri kushandisa Depo-subQ Provera 104, yako inotevera inotorwa inofanira kuva mumavhiki 12 kusvika ku14.
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Fourth Depo Shot (Mwedzi 10 kusvika ku12)Panguva ino, iwe unonakidzwa nekusununguka kwekusununguka kwenzira iyi yekudzivirira kuberekwa. Chero bedzi mave muchigamuchira majekesiti ako eDepo-Provera panguva, iwe wakagara uchidzivirira pamuviri. Kubva panguva iyi zvichienda mberi, iwe unofanirwa kuenderera mberi nechirongwa chekuita muviri uye chirongwa chekudya kuti ubatsire kuchengetedza utano hwakanaka hweutema uye uremu.
Iwe unogonawo kuva nehuwandu hwekubatsira kwekusava nenguva yako zvakare . Pashure pemwedzi mipfumbamwe yaDepo-Provera kana Depo-subQ Provera 104 inoshandisa, inenge hafu yenguva dzomadzimai inenge yakamira kana yakamira zvachose. Kune vakadzi vakasara, 57 muzana vanoti nguva yavo yakamira pamagumo egore rese rekushandisa. Kana nguva yako isati yakamira zvachose pakuguma kwegore rokutanga, usanetseka. Nekuenderera mberi kweDepo-Provera kushandiswa, zvingangodaro zvamira mumwedzi inotevera.
Mushure mekushandisa Depo-Provera kwegore, iwe unenge uchida kuronga nguva yako yegore yekuongorora gynecological. Iwe unogona kuronga kugamuchira yako yechina depo pfuti panguva iyi musangano. Iyi inguva yakanaka yekukurukurirana nachiremba wako kana kuti kwete kuti uenderere mberi ne depo yako shots. Kana ukasarudza kugara paDepo-Provera, ita nguva yako yejeri inotevera (mavhiki 11-14).
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Depo Provera Kushandisa: Kufunga KwokupedzisiraChengetedza zvinhu izvi mupfungwa pamusoro pekuenderera mberi Depo-Provera kushandisa:
- Izvo zvakakosha kuti iwe ugamuchire yako depo kupfura nenguva, nguva dzose. Kana ukarasa Dhopo-Provera yako kana kuti kana kupfuura masvondo gumi nemaviri apfuura kubva pakuvhara kwako kwekupedzisira (masvondo 14 kana uchishandisa Depo-subQ Provera 104), iva nechokwadi chokuti unoshandisa nzira yekuchengetedza kuberekwa , sekushongedza kondomu , kondomu dzevakadzi , kana chipanje .
- Kana iwe uchida kuva nepamuviri, unofanira kumira yako depo shots gore rimwe chete nguva yaunoronga kutanga kutanga kuedza kutora pamuviri. Izvi ndezvokuti zvinotora mapeji emwedzi mapfumbamwe kusvika kune gumi (dzimwe nguva kupfuura gore) kuti uwanezve kubereka uye kutanga ovulating mushure mekugamuchira yako yekupedzisira Depo-Provera kupfura.
- Zvinokurudzirwa kuti vazhinji vakadzi vasashandise Depo-Provera kana Depo-subQ Provera 104 kwemakore anopfuura maviri (zvichienderana nekukwanisa kwepfupa rekupera simba). Unofanirwa kupfuurira newadhi yako shots (kwemakore anopfuura maviri) chete mushure mekuyera zvikomborero nematambudziko ekupfuurira kushandiswa, uye iwe uye chiremba wako wakaratidza kuti pane iyi ndiyo nzira yekudzivirira kuberekwa iwe yaunofanira kushandisa.
> Sources:
> Allen RH, Cwiak C, Kaunitz AM. "Progestin Injectable Contraceptive." The Handbook Contraception . Springer International Publishing, 2016. 125-138.
> Medroxyprogesterone Injection. MedlinePlus. https://medlineplus.gov/druginfo/meds/a604039.html.