IMedroxyprogesterone, UkuNqunyanyiswa okungangenisiyo

Umxholo

• Izilumkiso ezibalulekileyo
• Izilumkiso ze-FDA
  
• Ezinye izilumkiso
• Yintoni iMedroxyprogesterone?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga zeMedroxyprogesterone
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• IMedroxyprogesterone inokusebenzisana namanye amayeza
• Izilumkiso zeMedroxyprogesterone
• Isilumkiso somzimba
• Isilumkiso sokunxibelelana notywala
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• Ungayithatha njani i-medroxyprogesterone
• Thatha njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokuthatha i-medroxyprogesterone
• Ngokubanzi
• Ukuhamba
• Uvavanyo lokukhulelwa
• Ukubeka iliso kwezonyango
• Ukutya kwakho
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi e-medroxyprogesterone

1. Inaliti yeMedroxyprogesterone yinyango yehomoni efumaneka njengeziyobisi ezintathu:
   • Idepo-Provera, esetyenziselwa ukunyanga umhlaza wezintso okanye umhlaza we-endometrium
   • Inaliti yokuthintela ukukhulelwa eDepo-Provera (CI), esetyenziswa njengolawulo lokuzalwa
   • Idepo-subQ Provera 104, esetyenziswa njengolawulo lokuzalwa okanye njengonyango lweentlungu ze-endometriosis
2. Idepo-Provera kunye neDepo-Provera CI ziyafumaneka njengeziyobisi eziqhelekileyo. Idepho-subQ Provera 104 ayifumaneki njengechiza elenziwe lafana nelo.
3. IMedroxyprogesterone iza ngeendlela ezimbini: ithebhulethi yomlomo kunye nokumiswa kwenaliti. Inaliti inikwa ngumboneleli wezempilo kwikliniki okanye esibhedlele.

Izilumkiso ezibalulekileyo

Izilumkiso ze-FDA

• Eli chiza linezilumkiso zebhokisi emnyama. Ezi zezona zilumkiso zinzima ezivela kuLawulo lokutya kunye noLawulo lweziyobisi (FDA). Izilumkiso zebhokisi emnyama malunga noogqirha kunye nezigulana malunga neziphumo zeziyobisi ezinokuba yingozi.
• Ukunciphisa isilumkiso samaminerali amathambo: I-Medroxyprogesterone inokubangela ukwehla okukhulu kubunzulu bamathambo kubasetyhini. Oku kubangela ukwehla kwamandla emathambo. Le lahleko inkulu xa usebenzisa eli chiza, kwaye inokuba sisigxina. Sukusebenzisa i-medroxyprogesterone njengolawulo lokuzalwa okanye unyango lwentlungu ye-endometriosis ixesha elingaphezulu kweminyaka emibini. Ayaziwa ukuba esi siphumo sinokunyusa umngcipheko wokuqhekeka ngenxa ye-osteoporosis kamva ebomini.
• Akukho silumkiso sokukhusela i-STD: Ezinye iintlobo zeli chiza zisetyenziselwa ukuthintela ukukhulelwa. Nangona kunjalo, zonke iintlobo zeli chiza zenza hayiunikeze naluphi na ukhuseleko kusulelo lwe-HIV okanye ezinye izifo ezidluliselwa ngeentlobano zesini.

Ezinye izilumkiso

• Isilumkiso samahlwili egazi: IMedroxyprogesterone inyusa umngcipheko wamahlwili egazi. Ezi zihlwili zinokwenzeka naphi na emzimbeni wakho. Ezi zinokubulala (zibangele ukufa).
• Isilumkiso sokukhulelwa kwe-Ectopic: Abasetyhini abakhulelweyo ngelixa besebenzisa eli chiza basemngciphekweni wokukhulelwa kwe-ectopic. Kulapho ukufakwa kweqanda kuchumileyo ngaphandle kwesibeleko sakho, njengakwityhubhu yakho ye-fallopian. Tsalela umnxeba kwangoko ukuba unentlungu ebuhlungu esiswini (esiswini) ngelixa uthatha eli chiza. Oku kunokuba luphawu lokukhulelwa kwe-ectopic.

Yintoni iMedroxyprogesterone?

Inaliti yeMedroxyprogesterone sisiyobisi esisemthethweni. Inikwa ngumboneleli wezempilo kwikliniki okanye esibhedlele. Wena okanye umkhathaleli wakho ngekhe nikwazi ukuhambisa eli chiza ekhaya.

Inaliti yeMedroxyprogesterone iyafumaneka njengechiza-igama leziyobisi Idepo-Provera, Idepo-Provera CI, okanye Idepo-subQ Provera 104. IDepo-Provera kunye neDepo-Provera CI zikwafumaneka njengeziyobisi eziqhelekileyo. Idepo-subQ Provera 104 ayisiyiyo. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala exabisa ngaphantsi kweenguqulelo zegama lophawu. Ngamanye amaxesha, azinakufumaneka kuwo onke amandla okanye kwifom njengamachiza anegama lophawu.

Kutheni isetyenziswa

Ukusetyenziswa kwenaliti yeMedroxyprogesterone kuyahluka ngokuxhomekeka kwifom:

• I-Depo-Provera isetyenziselwa ukunyanga umhlaza wezintso okanye umhlaza we-endometrium (ulwelwesi lwesibeleko)
• Idi-Provera Inaliti yokuthintela ukukhulelwa (CI) isetyenziswa njengolawulo lokuzalwa
• I-Depo-subQ Provera 104 isetyenziswa njengolawulo lokuzalwa okanye njengonyango lwentlungu ye-endometriosis

Ingaba isebenza kanjani

IMedroxyprogesterone ikudidi lweziyobisi ezibizwa ngokuba ziiprogestins. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

IMedroxyprogesterone luhlobo lweprogesterone, ihomoni eyenziwa ngumzimba wakho. IMedroxyprogesterone inokunceda ekulawuleni ezinye iihomoni emzimbeni wakho. Eli chiza lisebenza ngeendlela ezahlukeneyo, kuxhomekeke ekubeni kutheni likunikwa ngugqirha.

• Unyango lwezintso okanye umhlaza we-endometrial: I-Estrogen yincindi yedlala enceda ukukhula kweeseli zomhlaza. Eli chiza linciphisa inani le-estrogen emzimbeni wakho.
• Ukulawula inzala: Eli chiza lithintela umzimba wakho ekukhutshweni kwezinye iihormoni ekufuneka ziphumile (ukukhupha iqanda kwi-ovary yakho) kunye nezinye iinkqubo zokuzala. Eli nyathelo linceda ukukhusela ukukhulelwa.
• Uncedo lwentlungu ye-endometriosis: Eli chiza lisebenza ngokunciphisa inani le-estrogen emzimbeni wakho. Iyeza linciphisa iintlungu, kwaye linokunceda ekunyangeni izilonda ezibangelwa yi-endometriosis.

Iziphumo ebezingalindelekanga zeMedroxyprogesterone

I-Medroxyprogesterone yokumiswa kwenaliti inokubangela ukozela. Inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo ezichaphazelekayo ze-medroxyprogesterone zibandakanya:

• amaxesha angaqhelekanga
• isicaphucaphu okanye iintlungu esiswini sakho (kwindawo yesisu)
• ukutyeba kwakho
• intloko ebuhlungu
• isiyezi

Ukuba ezi ziphumo zincinci, zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• Ukunciphisa uxinano lwamaminerali amathambo
• Amahlwili egazi, anokubangela:
  • ukubetha (ihlwili kwingqondo yakho), kunye neempawu ezinje:
    • ingxaki ukuhamba okanye ukuthetha
    • ukungakwazi ngesiquphe ukuhambisa icala elinye lomzimba wakho
    • ukudideka
  • i-vein thrombosis enzulu (ihlwili emlenzeni wakho), kunye neempawu ezinje:
    • ubomvu, iintlungu, okanye ukudumba emlenzeni wakho
  • I-pulmonary embolism (ihlwili kumphunga wakho), kunye neempawu ezinje:
    • ukuqhawukelwa ngumphefumlo
    • ukhohlela igazi

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu lwazi lubandakanya zonke iziphumo ebezingalindelekanga ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uxoxa ngeziphumo ebezingalindelekanga ezinokwenzeka kunye nomboneleli wezempilo oyaziyo imbali yakho yezonyango.

IMedroxyprogesterone inokusebenzisana namanye amayeza

IMedroxyprogesterone ukumiswa okunokufakwa inaliti kunokusebenzisana namanye amayeza, amayeza, okanye iivithamini onokuthi uzithathe. Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle. Umboneleli wakho wezempilo uya kujonga ukuhlangana kunye namayeza akho akhoyo. Njalo qiniseka ukuxelela ugqirha wakho malunga nawo onke amayeza, imifuno, okanye iivithamini ozithathayo.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye namayeza owathethayo.

Izilumkiso zeMedroxyprogesterone

Eli chiza liza nezilumkiso ezininzi.

Isilumkiso somzimba

I-Medroxyprogesterone inokubangela ukusabela kakubi. Iimpawu zingabandakanya:

• ingxaki yokuphefumla
• ukudumba komqala okanye ulwimi lwakho
• umkhuhlane okanye ukubanda
• iintlungu kwindawo yenaliti
• urhwebo

Ukuba uvelisa ezi mpawu, tsalela umnxeba ku-911 okanye uye kwigumbi lexakeka elikufutshane.

Musa ukuphinda ulisebenzise eli chiza ukuba ukhe waba neempendulo ezichaseneyo nalo. Ukuyisebenzisa kwakhona kunokuba yingozi (kubangele ukufa).

Isilumkiso sokunxibelelana notywala

Ukusela utywala kuphakamisa umngcipheko weethambo zamaminerali asezantsi ukusuka kwi-medroxyprogesterone. Ukuba usela utywala, thetha nogqirha wakho ukubona ukuba eli chiza likhuselekile na kuwe.

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abanembali yegazi okanye ukubetha: Eli chiza liphakamisa umngcipheko wamahlwili egazi. Ukuba ubukhe wajija igazi okanye wabetha ngaphambili, thetha nogqirha wakho ukuze ubone ukuba eli chiza likhuselekile na kuwe.

Kubantu abanembali yomhlaza webele: IMedroxyprogesterone inyusa umngcipheko womhlaza wamabele. Akufanele usebenzise i-medroxyprogesterone ukuba wakhe waba nomhlaza wamabele. Ukuba unembali yosapho yomhlaza webele, thetha nogqirha wakho ukuze ubone ukuba eli chiza likhuselekile na kuwe.

Kubantu abaneengxaki zesibindi: Isibindi sakho sinceda umzimba wakho ukuba usebenze ngeli chiza. Iingxaki zesibindi zinokukhokelela kwinqanaba elonyukayo leli chiza emzimbeni wakho, elinokubangela ukonyuka kwemiphumela. Ukuba unengxaki yesibindi okanye imbali yesifo sesibindi, thetha nogqirha wakho ukuze ubone ukuba eli chiza likhuselekile na kuwe.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: IMedroxyprogesterone kufuneka soze isetyenziswe ngexesha lokukhulelwa. Biza ugqirha wakho ngoko nangoko ukuba ukhulelwe ngelixa uthatha eli chiza.

Kubafazi abancancisayo: I-Medroxyprogesterone inokudlula kubisi lwebele kwaye ibangele iziphumo ebezingalindelekanga emntwaneni oncanciswa. Thetha nogqirha wakho xa uncelisa umntwana wakho. Kuya kufuneka uyeke ukuncancisa okanye uyeke ukuthatha eli yeza.

Kubantu abadala: Izintso kunye nesibindi sabantu abadala asinakusebenza njengokuba babesenza ngaphambili. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, inani eliphezulu leziyobisi lihlala emzimbeni wakho ixesha elide. Oku kuphakamisa umngcipheko weziphumo ebezingalindelekanga.

Kubantwana: IMedroxyprogesterone inokunciphisa uxinano lwamaminerali amathambo. Ukuba intombi yakho yeshumi elivisayo ithatha eli chiza, kuya kufuneka uxoxe ngomngcipheko nogqirha wakhe.

Ungayithatha njani i-medroxyprogesterone

Ugqirha wakho uya kumisela idosi efanelekileyo kuwe ngokusekwe kwiimfuno zakho. Impilo yakho ngokubanzi inokuchaphazela idosi yakho. Tshela ugqirha wakho malunga nayo yonke imeko yezempilo onayo phambi kokuba umboneleli wakho wezempilo ehambisa eli yeza kuwe.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha wakho okanye usokhemesti malunga needosi ezikulungeleyo.

Thatha njengoko kuyalelwe

I-Medroxyprogesterone injection isetyenziselwa unyango lwexesha elifutshane okanye elide. Ubude bonyango lwakho buxhomekeke ekubeni kutheni ufumana eli chiza. Ukuba uyisebenzisa njengolawulo lokuzalwa okanye ukunyanga iintlungu ze-endometriosis, sukusebenzisa eli chiza ixesha elingaphezulu kweminyaka emi-2.

Eli chiza liza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba uyeka ukufumana ichiza ngequbuliso okanye ungalifumani kwaphela: Imeko yakho inokuqhubela phambili okanye ibe mandundu. Ukuba uthatha eli chiza njengolawulo lokuzalwa, unokukhulelwa.

Ukuba uphosa idosi okanye awufumani chiza kwishedyuli: Amayeza akho anokungasebenzi kakuhle okanye angayeka ukusebenza ngokupheleleyo. Ukuze eli chiza lisebenze kakuhle, isixa esithile kufuneka sibe semzimbeni wakho ngalo lonke ixesha.

Yintoni omele uyenze xa uphosa idosi: Biza ugqirha wakho kwangoko ukuze ucwangcise ixesha lokuqeshwa kwakho.

Ukuba uthatha eli chiza njengolawulo lokuzalwa, unokufuna ukusebenzisa enye indlela yolawulo lokuzalwa kangangexesha elithile.

Ungaxela njani ukuba ichiza liyasebenza: Ukuba uthatha eli chiza ukunyanga umhlaza, ngekhe ube nakho ukuxelela ukuba ichiza liyasebenza. Ugqirha wakho uya kuwujonga umhlaza wakho ukuze aqiniseke ukuba ichiza liyasebenza.

Ukuba uthatha eli chiza ukunciphisa iintlungu ze-endometriosis, iintlungu zakho kufuneka zincitshiswe.

Ukuba uthatha eli chiza njengolawulo lokuzalwa, ngekhe ukhulelwe.

Ukuqwalaselwa okubalulekileyo kokuthatha i-medroxyprogesterone

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-medroxyprogesterone yakho.

Ngokubanzi

• Xa ufumana eli yeza lixhomekeka ekubeni kutheni ulufumana.
  • Unyango lwezintso okanye umhlaza we-endometrial: Ugqirha wakho uya kugqiba ukuba ufumana la mayeza kangaphi. Unokuyifuna rhoqo rhoqo kunyango.
  • Ukulawula inzala: Uya kulifumana eli chiza kube kanye kwiinyanga ezi-3.
  • Uncedo lwentlungu ye-endometriosis: Uya kulifumana eli chiza kube kanye kwiinyanga ezi-3.
• Inaliti nganye ye-medroxyprogesterone kufuneka ithathe malunga nomzuzu omnye.
• Inaliti ye-Medroxyprogesterone inokukwenza ulale. Unokufuna umhlobo okanye umntu omthandayo ukukunceda ufike ekhaya emva kwenaliti yakho.

Ukuhamba

Eli chiza kufuneka lilawulwe ngumboneleli wezempilo oqeqeshiweyo. Thetha nogqirha wakho malunga naziphi na izicwangciso zokuhamba onazo. Kuya kufuneka ucwangcise uhambo lwakho malunga neshedyuli yakho yonyango.

Uvavanyo lokukhulelwa

Ngaphambi kokuba ugqirha wakho akunike eli chiza, baya kukuqinisekisa ukuba awukhulelwe.

Ukubeka iliso kwezonyango

Ugqirha wakho kufuneka abeke iliso kwimicimbi ethile yezempilo ngelixa uthatha eli chiza. Oku kunokukunceda ukuba uhlale ukhuselekile ngexesha lonyango lwakho. Le micimbi ibandakanya:

• Umsebenzi wesibindi. Ugqirha wakho angenza uvavanyo lwegazi ukujonga ukuba isibindi sakho sisebenza njani. Ukuba isibindi sakho asisebenzi kakuhle, ugqirha wakho unokuhlisa idosi yakho yeli chiza.

Ukutya kwakho

Ngenxa yokuba i-medroxyprogesterone inokunciphisa amandla akho ethambo, ugqirha wakho unokucebisa ukuba utye ukutya okuqulethe ikhalsiyam kunye nevithamini D.

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Abanye banokukulungela ngcono kunabanye. Thetha nogqirha wakho ngezinye iindlela zamachiza ezinokusebenzela wena.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.