Xa Ubunzima Bakho Bufanele Buyisele Emva koLawulo lokuLawula ukuzalwa
I-Depo-Provera, eyaziwa nangokuthi ulawulo lokuzalwa lokudubula, lingaphinda luyeke ukuhamba kwimizuzu yakho , ngokukodwa ngokusetyenziswa ngokuphindaphindiweyo. Oku kunokuba nzima ukuba ungalindelanga, kwaye unokhathazeka malunga nokuba kwaye uza kubuyela nini. UDepo-Provera unedumela elibi kwi-intanethi nakwiifom zendalo. Abasebenzisi bokuqala badla ngokumangalisa ukuba kuthatha ixesha elingakanani ukuzala kwabo ukuba babuyele emva kokuyeka ii-injections.
Ukuba unqamle ukusebenzisa i-Depo-Provera kwaye ufuna ukukhulelwa , unokuba noxhala kunye nemibuzo. Uza kuphinda ukhulelwe nini kwakhona? Ngaba kuqhelekile ukuba uthathe ixesha elide ukuba uvelise? Ngaba i-Depo-Provera ingabangela ukungapheli kwexesha elide?
Izimpendulo ezikhawulezayo kule mibuzo zi ...
- Ukusetyenziswa kweDepo-Provera akuhambelananga nexesha elingapheliyo kwexesha elidlulileyo kwiminyaka emibili emva kokujola kokugqibela. Abasetyhini abangekho i-ovulating iinyanga ezingama-22 emva kokujola kwabo kokugqibela-okanye abangakhulelwa kwiinyanga ezili- 6 ukuya kwezi-12 emva kokuba baqale i- ovulating-bafanele babone ugqirha wabo wokuvavanya .
- Abaninzi abasetyhini (ama-50 ekhulwini, ngokutsho kophando) baya kukhulelwa iinyanga ezili-10 emva kokujola kwabo kokugqibela.
- Nangona kunjalo, kwabanye, kungathatha iminyaka emibili ukuzala kwabo ukubuyela.
- Emva komnye unyaka weenjini, ubude bexesha lokuhamba kwimizi yokubuyela kwinyanga li malunga neenyanga ezi-6 (emva kwejoza lokugqibela.) Oku kunokuba kusele okanye kufutshane.
Ukufumana iimpendulo ezingaphezulu, qhubeka ufunda.
Yintoni i-Depo-Provera kunye Nokuba isebenza njani?
I-Depo-Provera yigama lesigqirha seyeza le-medotor medroxyprogesterone acetate (DMPA). Kuthatyathwa nge-injection kwaye inika iinyanga ezintathu zokulawulwa kokuzalwa okuthembekileyo. Izigulane ziphinda ziphindwe rhoqo emva kweenyanga ezintathu zakuba zifuna ukulawulwa kokuzalwa.
I-Depo-Provera yi-progestin-based based contraceptive. Isebenza ngokunciphisa i-ovulation kunye nokwandisa i-mucus yomlomo .
Ngokungafani namapilisi okulawula ukuzalwa, okufuneka ukuba kuthathwe imihla ngemihla, iileno ze Depo-Provera zifunwa kanye kuphela emva kweentsuku ezingama-90. Oku kungenxa yokuba injola idala i- depot (okanye ukugcinwa) kwe-acetate ye-medroxyprogesterone emzimbeni kwisayithi yejoyi.
Emva kwentsholongwane, amazinga e-progesterone emzimbeni akhula ngokukhawuleza malunga neveki ezintathu. Emva kweeveki ezintathu, ifikelele kwinani layo. Emva koko, amanqanaba e-progesterone ayancipha.
Nanini na amanqanaba e-progesterone angaphantsi kwinqanaba elithile (ngaphantsi kwe-0.1 ng / mL), i- ovulation (kunye nokuya esikhathini) iqala kwakhona.
Abanye abesifazana baya kugqithisa ukuhamba kwabo xa befumana iijoyi zeDepo-Provera. Kula mabhinqa ayenayo injections ngomnyaka owodwa, ama-50 ekhulwini ayenayo i-amenorrhea (ukungabi nako kwemijikelezo yokuya esikhathini).
Oku akusiyo uphawu lokungabikho komntwana , kodwa nje umphumo osecaleni lweyeza. Ukujikeleza kwexesha kuya kubuyela emva kokuba iyeza liqhuba ikhosi. Ngokuqhelekileyo, ixesha lakho liza kubuya kwisithuba seenyanga ezintandathu zejoyi yokugqibela, kodwa kunokuthatha ixesha elide.
Ukufumana Ukukhulelwa Emva Kwenqweno Kufuneka Usebenze-Ngokufanelekileyo
Ngethuba nje ufuna ukukhusela ukukhulelwa, kufuneka ufumane injola nganye iintsuku ezingama-90. Oku kungenxa yokuba, emva kweentsuku ezingama-90, amanqanaba kaDepo-Provera awaphezulu kakhulu ngokwamaninzi amabhinqa ekukhuseleni ukukhulelwa.
Makhe sithi ufuna ukukhulelwa uze uyeke iilenki.
Unokucinga ukuba ukuzala kwakho kuya kubuya ngomhla we-91, kodwa oku akusiyo indlela iyeza ngayo.
Nangona amazinga kaDepo-Provera emva kweentsuku ezingama-90 azinako ukuphakama ngokwaneleyo ukuba kuthathelwe ingqalelo ekusebenzeni ukukhusela ukukhulelwa, basenokuba baphakame kakhulu ukuba bangakhulelwe.
Abanye abafazi baya kukhulelwa ngenyanga yokuqala emva kweentsuku ezingama-90, kodwa oku akuqhelekanga. Uninzi lwabasetyhini luya kubuya ukubuyela kwabo emva kweenyanga ezi-5 ukuya kwezi-7 zabo zokugqibela. Ngamanye amagama, malunga neenyanga ezimbini emva kwexesha leentsuku ezingama-90 iphelile.
Kwiinyanga ezili-10 zokugqibela ze-Depo-Provera injection, ama-50 ekhulwini kwabasetyhini abakhulelwe.
Ndingazi njani ukuba ndiyashushumbisa emva kweDepo-Provera?
Kukho iindlela ezintathu zokwazi ukuba ukuzala kwakho ekugqibeleni kubuyile emva kokumisa uDepo-Provera: ukuba ube nomjikelezo oqhelekileyo wokuya esikhathini, ukufumana iziphumo ezilungileyo kwi-ovulation test predictor test, kunye nokufumana i-ovulation ebonakalayo kwi-chart yangaphakathi. (Kakade, oku kucinga ukuba akukho zengxaki ezongezelelweyo zokuzala.)
Imijikelezo yakho rhoqo ibuya. Ukuba nomjikelezo oqhelekileyo wokuya esikhathini kuyona mqondiso obalaseleyo wokuba i-ovulation iqalile. Imijikelezo engavumelekanga yimiqondiso yeengxaki ze-ovulation . ( Imiqobo engavumelekanga xa ufumana iigciwane kwaye emva kokuyeka ukudubula.) Yintoni echaza umjikelezo oqhelekileyo?
- Iimjikelezo zakho zininzi kuneentsuku ezingama-21 kodwa zifutshane kuneentsuku ezingama-35.
- Imijikelezo yakho iyahambelana nenyanga ukuya kwenyanga. Ngamanye amagama, umjikelezo omnye awuyiintsuku ezingama-23 kwaye enye iintsuku ezingama-34. Kuyafaneleka ukuba bahluka ngeentsuku ezimbalwa. (Njengeenyanga enye iintsuku ezingama-27, enye ingu-29.)
- Ukuphuma kwegazi akukukhanya kakhulu. Ukubona nje kungabonakalisa ukuba awuyi-ovulating.
Iziphumo ezintle kwi-ovulation test predictor test. Ezi zivivinywa ze-ovulation ongazithenga kuyo nayiphi na ikhemisi okanye kwi-intanethi. Basebenza okuninzi njengolu vavanyo lokukhulelwa, ngokuba usebenzisa umchamo wakho ukuvavanya amahomoni akho. Nangona iimvavanyo zokukhulelwa zikhangele iHCG , uvavanyo lwe-ovulation predictor test lujonga i-hormone LH. I-LH i-spik ngaphambi nje kokuba uyivule.
Ukuvuthwa kufunyenwe kwi-charity body charity chart. Ubushushu bakho bomzimba bubushushu bomzimba wakho ekuphumleni okupheleleyo. Olu bushushu lushintsho kuxhomekeke apho ukhona kumjikelezo wakho. Ukuba u-ovulating, ubushushu bomzimba wakho obusisiseko buza kuphuma kwaye buhlale buphakamileyo uze ufumane ixesha lakho. Emva koko, iya kuphinda iphinde iphinde ihlale phantsi ize ihlale apho kude kubekho i-ovulation eyenzeka kwakhona.
Unako ukulandelela ukushisa komzimba wakho osisiseko ekhaya. Le yindlela yokwazi ukuba i-ovulation ibuyile emva kweDepo-Provera, kwaye inokukunceda ugqirha wakho akuncede ukuba ufumanisa ukuba ukuvuthwa akubuyiselanga kulindeleke.
Kutheni i-Depo-Provera Inokubangela Ubuthathaka obusisigxina kwiMinyaka emiBini
Kodwa akusiwo onke amabhinqa aya kufumana umjikelezo wawo emva kweenyanga ezi-5 emva kokujola kokugqibela. Kwezinye iimeko, kungathatha iinyanga ezingama-22-okanye phantse iminyaka emibini-ukuzala ukuze ubuyele emva kwegciwane lokugqibela. Kutheni oku kwenzekayo?
Ngokomphando, ukulibaziseka kubonakala ngathi kuhambelana nomthwalo wesifazana.
Abasetyhini abanomlinganiselo omncinci baya kubuyela ngokukhawuleza kunabasetyhini abavame ukulinganisela. Oku kuhambelana nokuthatha ixesha elingakanani umzimba wakho ukuba ulungelelanise ngokupheleleyo iprogesin.
Kude kube nini usebenzisa i-Depo-Provera ayinxulumene nexesha elide lokungabikho kwe-ovulation. Ngamanye amagama, nokuba usebenzise ii-injini zeDepo-Provera ezintandathu kwiinyanga okanye kwiminyaka emibini ayinandaba. Ukuzala kwakho kuya kuthatha ixesha elifanayo ukubuyela kuyo nayiphi na imeko.
Ukuba ufumene inguqu engaphantsi kweDepo-Provera (ngokuchasene nomjovo osemdala osetyenziswa rhoqo), umngcipheko wokufumana ukungabikho kwe-ovulation ukuya kwiminyaka emibini ingaphantsi kakhulu.
Ngokomnye ubuncinci, u-97 wamaphesenti abafazi abafumana ingcaciso engaphantsi kweDepo-Provera bebenokubuyela emva kweenyanga ezili-12.
Thatha iNgxelo zeZigqeba kwiDepo-Provera kunye neGrain yeTyuwa
Into ebaluleke kakhulu ukwazi ukuba iDepo-Provera ayikwazi ukunyusa umngcipheko wokungabikho kwempilo emva kokuba ezi ziinyanga ezili-12 ukuya kwezi-22.
Ngamanye amagama, ukusetyenziswa kweDepo-Provera akuhambelani nengozi yokwanda kwengqondo ngokubanzi.
Ukuvuthwa (kwaye mhlawumbi imijikelezo yakho yokuya esikhathini) kuthathe ixesha elide ukubuyela ngenxa yomzimba wakho ungakagcini imitha. Akunjalo ngenxa yokuba uDepo-Provera uye wabangela ingxaki yexesha elingapheliyo.
Ngaloo nto yathi, malunga nantoni yonke kwi-Depo-Provera kwiingqungquthela zokungapheli, uya kubafumana abafazi bethetha ukuzala kwabo abangazange babuyele, nangemva kweminyaka emibini. Ngamanye amaxesha, baya kuthatha ukuba oku kubangelwa kukutshulwa. Oku akusixhaswanga nguphando.
Khumbula ukuba ukungabikho kwengqondo kubakho kwiibini ezi-8 kwizibini. Oku kubandakanya imibhangqwana ekhetha ukusebenzisa iDepo-Provera. Kuza kubakho abafazi abangenako ukukhulelwa emva kweDepo, kwiminyaka emibini emva kweDepo, kodwa oku akubangelwa ukulawulwa kolawulo lokuzalwa. Baya kuba nzima ukukhulelwa ngaphandle kweDepo-Provera ngokunjalo.
ILizwi elivela kwiTwellwell
Ngethemba, ububele bakho buya kubuya emva kweenyanga ezintathu okanye ezintandathu emva kokudutshulwa kwakho kokugqibela. Le yindlela ekufuneka isebenze ngayo, kwaye abaninzi abafazi bayakhulelwa ngaphakathi kweenyanga ezili-8 ukuya kwezi-10 zeDupo-Provera.
Ukuba ngaba imijikelezo yakho ingabuyi okanye awunayo i-ovulating, kwaye kungakapheli iminyaka emibili yokudutshulwa kwakho kokugqibela, ngelishwa kuncinane kakhulu ugqirha wakho angayenza ukuze uncede.Ukuvavanywa kobuchule akunakuncedo, kuba iziphumo ezinokwenzeka zehomoni yakho Inkqubo ayiyi kuvumela ugqirha wakho ukuba abone enye into engafanelekanga. Unyango lwamayeza alukwazi ukusetyenziswa, ngenxa yamahomoni asekho kwindlela yakho.
Kufuneka nje ulinde. Eyona nto ingabangela ukukhathazeka kakhulu.
Ngoko, ufanele nini ukubona ugqirha? Ukuba ...
- Kuye kwinyanga ezingama-24 ukususela kwilungu lakho lokugcina kwaye awuyikukhupha .
- Imijikelezo yakho ayinasiphelo seminyaka emibini emva kokugaya kwakho kokugqibela.
- Awunakho ukukhulelwa kwiinyanga ezili-6 ukuya kwezi-12 zokubuya.
- Unomnye umngcipheko okanye iimpawu zengxaki yokuzala .
Njengamaxesha onke, xubusha nayiphi na ingxaki ugqirha wakho.
> Imithombo:
Bigrigg A, Evans M, Gbolade B, Newton J, Pollard L, Szarewski A, Thomas C, Walling M. "Depo Provera. Iphepha lokubeka ngokusetyenziswa kwekliniki, ukuphumelela kunye nemiphumo emibi. " Br J Fam Plann . 1999 Jul; 25 (2): 69-76.
I-Garza-Flores J, uCardenas S, RodrÃguez V, uCravioto MC, uDiaz-Sanchez V, uPerez-Palacios G. "Buyela ekuhambeni kwexesha emva kokusetyenziswa kwezicwangciso zokukhusela ezikhuselweyo ezinokuthatha ixesha elide. " Ulwaphulo . 1985 kuMatshi; 31 (4): 361-6.
UJain J1, uDutton C, uNicosia A, Wajszczuk C, Bode FR, iMishell DR Jr. "I-Pharmacokinetics, ukukhutshwa kwe-ovulation kunye nokubuyela kwi-ovulation emva kwe-dose ephantsi yokuqulunqwa kweDepo-Provera. " Ulwaphulo . 2004 Jul; 70 (1): 11-8.
Kaunitz, Andrew M MD; Zieman, Mimi MD. I-Depot i-medroxyprogesterone i-acetate yokukhulelwa. UptoDate.com.
Kaunitz AM. "I-depot medroxyprogesterone ye-acetate contraception: ukuhlaziywa kwabakliniki base- US." Int J Fertil Womens Med . Ngo-1998 ngoMar-Apr; 43 (2): 73-83. https://www.ncbi.nlm.nih.gov/pubmed/9609206
Zieman, Mimi MD. Ulwazi olunomonde: Iindlela ze-Hormonal zokulawulwa kokuzalwa (ngaphaya kweZiseko). UptoDate.com.