Utshintsha njani kwiDepo-Provera uye kwiPilisi yoLawulo lokuzalwa

Umxholo

• Isebenza njani iDepo-Provera?
• Isebenza njani iDepo-Provera?
• Zithini iziphumo ezibi zeDepo-Provera?
• Lisebenza njani ipilisi yokulawula ukuzalwa?
• Lisebenza kangakanani ipilisi yokulawula inzala?
• Zithini iziphumo ebezingalindelekanga zepilisi yolawulo lokuzalwa?
• Uyenza njani into yokuTshintshela kwiPilisi
• Imiba yomngcipheko ekufuneka uyiqwalasele
• Nini ukubona uGqirha wakho
• Ukuthatha isigqibo sokuba yeyiphi na indlela yolawulo lokuzalwa ekufaneleyo
• Ukuthatha

I-Depo-Provera yindlela elula nesebenzayo yolawulo lokuzalwa, kodwa ayikho ngaphandle kwemingcipheko yayo. Ukuba ubukade useDepo-Provera okwethutyana, isenokuba lixesha lokutshintshela kolunye uhlobo lolawulo lokuzalwa njengepilisi. Zininzi izinto ekufuneka uyazi ngaphambi kokuba wenze utshintsho.

Isebenza njani iDepo-Provera?

IDepo-Provera luhlobo lwehomoni yolawulo lokuzalwa. Inikezelwa ngokudutyulwa kwaye ihlala iinyanga ezintathu ngexesha. Ifoto iqulethe iprogestin yehomoni. Le hormone ikhusela ekukhulelweni ngokuthintela ama-ovari akho ekukhutshweni kwamaqanda, okanye ekukhutshweni kweqanda. Ikwandisa i-mucus yomlomo wesibeleko, enokwenza kube nzima ngakumbi kwisidoda ukufikelela kwiqanda, ukuba umntu angakhululwa.

Isebenza njani iDepo-Provera?

Le ndlela ifikelela kuma-99 eepesenti xa isetyenziswa njengoko kuyalelwe. Oku kuthetha ukuba ukuba ufumana ifoto yakho rhoqo kwiiveki ezili-12, ukhuselekile ekukhulelweni. Ukuba ufike kade ekufumaneni ifoto yakho okanye ngenye indlela uphazamise ukukhutshwa kwehomoni, imalunga neepesenti ezingama-94 ezisebenzayo. Ukuba ungaphezulu kweentsuku ezili-14 emva kokufumana ifoto yakho, ugqirha wakho unokufuna ukuba uthathe uvavanyo lokukhulelwa ngaphambi kokuba ufumane olunye udubulo.

Zithini iziphumo ezibi zeDepo-Provera?

Abanye abantu basetyhini bafumana iziphumo ebezingalindelekanga kwiDepo-Provera. Oku kunokubandakanya:

• ukopha ngokungaqhelekanga
• ukukhanya okanye amaxesha ambalwa
• utshintsho kwisondo
• ukwanda kwesidlo
• ukutyeba kwakho
• ukudakumba
• ukwanda kokulahleka kweenwele okanye ukukhula kweenwele
• isicaphucaphu
• amabele abuhlungu
• intloko ebuhlungu

Unokufumana ukulahleka kwethambo ngelixa uthatha iDepo-Provera, ngakumbi ukuba uthatha iyeza iminyaka emibini okanye nangaphezulu. Ngo-2004, wakhupha isilumkiso seelebheli esinebhokisi esibonisa ukuba iDepo-Provera inokubangela ilahleko yokuxinana kwamaminerali. Isilumkiso silumkisa ukuba ukulahleka kwethambo akunakubuyiselwa.

Ngokungafaniyo nezinye iindlela zolawulo lokuzalwa, akukho ndlela yokukhulula iziphumo ebezingalindelekanga zikaDepo-Provera kwangoko. Ukuba ufumana iziphumo ebezingalindelekanga, banokuqhubeka de ihormone iphume kwinkqubo yakho ngokupheleleyo. Oku kuthetha ukuba ukuba udubule kwaye uqala ukufumana iziphumo ebezingalindelekanga, zinokuqhubeka ukuya kuthi ga kwiinyanga ezintathu, okanye xa kufanelekile ukuba udubule olandelayo.

Lisebenza njani ipilisi yokulawula ukuzalwa?

Iipilisi zolawulo lokuzalwa kwakhona luhlobo lolawulo lokuzalwa kwehomoni. Ezinye iimveliso ziqulathe iprogestin kunye ne-estrogen, ngelixa ezinye zineprogesin kuphela. Basebenza ukukhusela ukukhulelwa ngokumisa i-ovulation, ukwandisa i-mucus yomlomo wesibeleko, kunye nokunciphisa umgca wesibeleko. Iipilisi zithathwa yonke imihla.

Lisebenza kangakanani ipilisi yokulawula inzala?

Xa kuthathwa ngaxeshanye yonke imihla, iipilisi zokulawula ukuzalwa ziipesenti ezingama-99 ngokusebenza. Ukuba ulahlekelwa yidosi okanye uthathe ipilisi yakho emva kwexesha, zisebenza ngeepesenti ezingama-91.

Zithini iziphumo ebezingalindelekanga zepilisi yolawulo lokuzalwa?

Iziphumo ebezingalindelekanga ezinokubakho ziya kuxhomekeka kuhlobo lwepilisi oyithathayo kunye nendlela umzimba wakho osabela ngayo kwiihomoni ezikhoyo. Ukuba ukhetha ipilisi ye-progestin kuphela, iziphumo ebezingalindelekanga zinokuba zincinci okanye zifane naleyo ubuqhele ukuyifumana ngokudutyulwa kweDepo-Provera.

Iziphumo eziqhelekileyo zepilisi zingabandakanya:

• ukuphuma kwegazi
• isicaphucaphu
• ukugabha
• amabele athambileyo
• ukutyeba kwakho
• utshintsho lweemvakalelo
• intloko ebuhlungu

Iziphumo ebezingalindelekanga zinokwehla okanye zihambe ngokuhamba kwexesha. Ngokungafaniyo nokudutyulwa kweDepo-Provera, ezi ziphumo bezingalindelekanga kufuneka ziyeke kwangoko xa usiya kwipilisi.

Uyenza njani into yokuTshintshela kwiPilisi

Kukho amanyathelo omele uwathathe xa utshintsha ukusuka eDepo-Provera ukuya kwipilisi ukuba ufuna ukuthintela ukukhulelwa.

Eyona ndlela isebenzayo yokutshintsha ukuzalwa yindlela "yokungabikho kwesithuba". Ngale ndlela, usuka kolunye uhlobo lolawulo lokuzalwa uye kolunye ngaphandle kokulinda ukufumana ixesha lakho.

Ukwenza oku, kukho amanyathelo ambalwa ekufuneka uwalandele:

1. Nxibelelana nogqirha wakho ukuqinisekisa ukuba kuya kufuneka uthathe ipilisi yakho yokuqala.
2. Fumana ipakethe yokuqala yolawulo lokuzalwa kwi-ofisi kagqirha wakho, kwikhemesti, okanye kwiklinikhi yendawo.
3. Funda ishedyuli efanelekileyo yokuthatha iipilisi. Bonisa ixesha lokuzithatha yonke imihla kwaye ubeke isikhumbuzi sokuzalisa kwikhalenda yakho.
4. Thatha ipilisi yakho yokuqala yokuzalwa. Ngenxa yokuba iDepo-Provera ihlala isemzimbeni wakho ukuya kuthi ga kwiiveki ezili-15 emva kokudubula kwakho kokugqibela, ungaqala ipilisi yakho yokuqala yokuzalwa nangaliphi na ixesha kwelo xesha. Uninzi loogqirha bancomela ukuthatha ipilisi yakho yokuqala ngosuku olulandelayo olufanelekileyo.

Imiba yomngcipheko ekufuneka uyiqwalasele

Ayingabo bonke abantu basetyhini ekufuneka basebenzise iDepo-Provera okanye ipilisi. Ngamaxesha anqabileyo, zombini ezi ntlobo zolawulo lokuzalwa zifunyenwe zibangela amahlwili egazi, isifo sentliziyo, okanye ukubetha. Lo mngcipheko uphezulu ukuba:

• uyatshaya
• unesifo sokunqanda igazi
• Unembali yegazi, isifo sentliziyo, okanye ukubetha
• uneminyaka engama-35 okanye ngaphezulu
• unesifo seswekile
• unoxinzelelo lwegazi oluphezulu
• unecholesterol eninzi
• Unemigraines
• utyebile
• unomhlaza webele
• uphumle ebhedini ixesha elide

Ukuba unayo nayiphi na le micimbi, ugqirha unokukucebisa ukuba ungathathi ipilisi.

Nini ukubona uGqirha wakho

Ukuba ufumana iimpawu ezinzima okanye ngokukhawuleza, kufuneka ufune unyango ngokukhawuleza. Ezi mpawu zibandakanya:

• intlungu zesisu
• iintlungu zesifuba
• intlungu emlenzeni
• ukudumba emlenzeni
• intloko ebuhlungu
• isiyezi
• ukhohlela igazi
• utshintsho lombono
• ukuqhawukelwa ngumphefumlo
• ukukrwada kwintetho yakho
• ubuthathaka
• Ukuba ndindisholo ezingalweni zakho
• Ukuba ndindisholo emilenzeni

Ukuba ubukwiDepo-Provera kangangeminyaka emibini ngaphambi kokuba utshintshele kwipilisi, kuya kufuneka uthethe nogqirha wakho malunga nokuvavanywa kwamathambo ukuze kufumaneke ukulahleka kwethambo.

Ukuthatha isigqibo sokuba yeyiphi na indlela yolawulo lokuzalwa ekufaneleyo

Kubafazi abaninzi, olona ncedo luphambili lweDepo-Provera ngaphezulu kwepilisi kukuba kufuneka ukhathazeke ngokukhumbula ifoto enye kunye nokuqeshwa kogqirha omnye kangangeenyanga ezintathu. Ngepilisi, kufuneka ukhumbule ukuyithatha yonke imihla kwaye uphinde uzalise ipakethe yakho yenyanga nganye. Ukuba awukwenzi oku, unokukhulelwa.

Ngaphambi kokwenza utshintsho ukusuka kwiDepo-Provera ukuya kwipilisi, cinga ngazo zonke iindlela ezikhoyo zolawulo lokuzalwa, izibonelelo zabo kunye nokusilela. Gcina ukhumbula iinjongo zakho zokukhulelwa, imbali yezonyango, kunye neziphumo ezinokubakho zendlela nganye. Ukuba ukhetha ulawulo lokuzalwa kwehomoni ekungafuneki ukuba ucinge ngalo rhoqo, unokufuna ukuqaphela isixhobo se-intrauterine (IUD). Ugqirha wakho unokufaka i-IUD kwaye inokushiywa endaweni yayo ukuya kuthi ga kwiminyaka elishumi.

Akukho hlobo lolawulo lokuzalwa olukhusela kwizifo ezidluliselwa ngeentlobano zesini. Kuya kufuneka usebenzise indlela yesithintelo, njengekhondomu yamadoda, ukukhusela kusulelo.

Ukuthatha

Kwinxalenye enkulu, ukutshintshela kwiDepo-Provera ukuya kwipilisi kufanele ukuba kube lula kwaye kusebenze.Nangona unokufumana ezinye iziphumo ebezingalindelekanga, zihlala zincinci. Zikwathutyana. Qiniseka ukuba uzifundisa malunga neempawu zeziphumo ebezingalindelekanga ezinobungozi. Ngokukhawuleza ufumana uncedo olukhawulezileyo ukuba lwenzeka, ngcono umbono wakho.

Ugqirha wakho ngoyena mntu unokukunceda ucwangcise utshintsho lolawulo lokuzalwa. Bangayiphendula imibuzo yakho kwaye bajongane neenkxalabo zakho. Eyona nto ibaluleke kakhulu kukukhetha indlela ehambelana nendlela ophila ngayo kunye neemfuno zocwangciso losapho.