Uma Ukubeletha Kwakho Kumele Kubuyele Ngemva Kokulawulwa Kwokulawula Ukuzalwa
U-Depo-Provera, owaziwa nangokuthi ukuguqulwa kokulawulwa kokuzalwa, angase ayeke ngokuphelele imijikelezo yakho yokuya esikhathini , ikakhulukazi ngokusetshenziswa okuphindaphindiwe. Lokhu kungabangela ukukhathazeka uma ungalindele, futhi ungase ukhathazeke ngokuthi ngabe imijikelezo yakho izobuya nini nokuthi nini. U-Depo-Provera unedumela elibi e-intanethi nasemaforamu okuzala. Abasebenzisi bangaphambilini bayamangala ukuthi kuthatha isikhathi eside kangakanani ukuzala kwabo ukubuyela ngemuva kokuyeka ukujova.
Uma uyeke ukusebenzisa i-Depo-Provera futhi ufuna ukukhulelwa , ungaba nokukhathazeka nemibuzo. Uzokwazi nini ukukhulelwa futhi? Ingabe kungokwemvelo ukuthatha isikhathi eside ukuzala kwakho ukubuyela? Ingabe i-Depo-Provera ingabangela ukungapheli isikhathi eside?
Izimpendulo ezisheshayo kule mibuzo zi ...
- Ukusetshenziswa kwe-Depo-Provera akuhlotshaniswa nokuphelelwa isikhathi okungapheli isikhathi esingaphezu kweminyaka emibili emva kokujola kokugcina. Abesifazane abangekho izinyanga ezingu-22 ngemuva kokujova kwabo kokugcina-noma abangakhulelwe ezinyangeni ezingu-6 kuya kwezingu-12 ngemuva kokuqala ukugcoba- kumele babone udokotela wabo ukuhlolwa kokuzala .
- Abesifazane abaningi (amaphesenti angu-50, ngokusho kocwaningo) bazokhulelwa izinyanga ezingu-10 ngemuva kokujova kwabo kokugcina.
- Nokho, kwabanye, kungathatha iminyaka emibili ukuzala kwabo ukubuyela.
- Ngemuva konyaka owodwa wokujola, isikhathi esiphezulu sokujikeleza kokuya esikhathini sibuyele ezinyangeni ezingu-6 (emva kokujola kokugcina.) Lokhu kungaba isikhathi eside noma esifushane.
Ukuze uthole izimpendulo ezengeziwe, qhubeka ufunda.
Kuyini Ukukhohlakala-U-Provera futhi Usebenza Kanjani?
I-Depo-Provera yigama lomuthi we-depot medroxyprogesterone acetate (i-DMPA). Kuthathwa nge-injection bese inikeza izinyanga ezintathu zokulawulwa kokuzalwa okuthembekile. Izifo ziphindaphindiwe njalo ezinyangeni ezintathu uma nje kudingwa ukulawulwa kokuzalwa.
I-Depo-Provera iyi-contragesttive esekelwe. Isebenza ngokunciphisa i-ovulation nokuqina kwe-mucus yomlomo wesibeletho .
Ngokungafani namaphilisi okulawula ukubeletha, okudingeka athathwe nsuku zonke, ama-injection e-Depo-Provera adingeka kanye kuphela ezinsukwini ezingu-90. Lokhu kungenxa yokuthi umjovo udala i- depot (noma isitoreji) se-medroxyprogesterone acetate emzimbeni esakhiweni somjovo.
Ngemuva kokujola, amazinga e-progesterone emzimbeni akhula kancane kancane amasonto amathathu. Ngemuva kwamasonto amathathu, ifika phezulu. Khona-ke, amazinga we-progesterone ayancipha kancane kancane.
Noma nini lapho amazinga we-progesterone engaphansi kwezinga elithile (ngaphansi kuka-0.1 ng / mL), ukuvota (kanye nokuya esikhathini) kuqala futhi.
Abanye besifazane bazoba nemigqa yabo yokuya esikhathini lapho bethola injection yeDepo-Provera. Kulabo besifazane abaye bafumana le mijovo ngonyaka owodwa, amaphesenti angu-50 abhekana ne- amenorrhea (ukungabi namjikelezo wokuya esikhathini).
Lokhu akusibonakaliso sokungabi nabantwana , kodwa nje umphumela wecala elilindelekile lomuthi. Imijikelezo yokuya esikhathini iyobuya uma imithi iqhubekela phambili. Ngokuvamile, isikhathi sakho sizobuyela ezinyangeni ezingu-6 zomjovo wokugcina, kodwa kungathatha isikhathi eside.
Indlela Ukuthola Ukukhulelwa Ngemuva Kokuqeda Ama-Depo Kufanele Usebenze-Ngokufanelekile
Uma nje ufuna ukuvimbela ukukhulelwa, udinga ukuthola umjovo njalo izinsuku ezingu 90. Lokhu kungenxa yokuthi, ngemva kwezinsuku ezingu-90, amazinga kaDepo-Provera awaphezulu kakhulu kwabesifazane abaningi ukuvimbela ukukhulelwa ngokuqiniseka.
Ake sithi ufuna ukukhulelwa futhi ushiya izijovo.
Ungase ucabange ukuthi ukuzala kwakho kuzobuya ngosuku 91, kodwa akusilo ukuthi imithi isebenza kanjani.
Ngenkathi amazinga kaDepo-Provera ngemuva kwezinsuku ezingu-90 engase angabi phezulu ngokwanele ukuze abhekwe njengendlela ephumelelayo yokuvimbela ukukhulelwa, angase aphakame kakhulu ukukhulelwa.
Abanye besifazane bazokhulelwa ngenyanga yokuqala emva kwezinsuku ezingu-90, kodwa lokhu akuvamile. Abaningi besifazane bazobona ukubuya kwabo kokubeletha kungakapheli izinyanga eziyisihlanu kuya kwezingu-7 zomjovo wabo wokugcina. Ngamanye amazwi, cishe izinyanga ezimbili ngemuva kwalokho isikhathi sezinsuku ezingu-90 siphelile.
Kungakapheli izinyanga ezingu-10 kokugcina kwe-Depo-Provera injection, amaphesenti angu-50 abesifazane asekhulelwe.
Ngingazi kanjani ukuthi ngisemvuleni emva kokukhohlisa-u-provera?
Kunezindlela ezintathu zokwazi uma ukuzala kwakho sekugcineni sekubuyile ngemuva kokumisa uDepo-Provera: ukuba nomjikelezo wokuya esikhathini njalo futhi, ukuthola imiphumela emihle ekuhlolweni kwe-ovulation predictor, futhi ukuvuthwa kutholakala eshadini lokushisa lomzimba. (Yiqiniso, lokhu kucabanga ukuthi ayikho izinkinga ezengeziwe zokuzala.)
Imijikelezo yakho evamile ibuya. Ukuba nomjikelezo ovamile wokuya esikhathini kuyisibonakaliso esicacile kunazo zonke sokuthi i-ovulation iqalile. Imijikelezo engavamile iyisibonakaliso sezinkinga ze-ovulation . ( Imijikelezo engavamile iyinto evamile uma uthola injection futhi nje ngemva kokuyeka ukudubula.) Yini echaza umjikelezo ovamile?
- Imijikelezo yakho ingaphezulu kwezinsuku ezingu-21 kodwa imfushane kunezinsuku ezingu-35.
- Imijikelezo yakho iyahambisana nenyanga kuya kwenyanga. Ngamanye amazwi, umjikelezo owodwa awusiwo izinsuku ezingu-23 kanti enye ingukusuku ezingu-34. Kuhle uma zihluka ngezinsuku ezimbalwa. (Njengenyanga eyodwa yizinsuku ezingu-27, enye ingu-29)
- Ukuphuma kwegazi akukona ukukhanya kakhulu. Ukubona nje kungabonakalisa ukuthi awunayo i-ovulating.
Imiphumela emihle ekuhlolweni kwe-ovulation predictor. Lezi yizivivinyo ze-ovulation ongazithenga kunoma iyiphi ikhemisi noma ku-intanethi. Basebenza okuningi njengokuhlola kokukhulelwa, ngokuthi usebenzisa umchamo wakho ukuhlola amahomoni akho. Ngesikhathi ukuhlolwa kokukhulelwa kubheka i-hCG , i-ovulation test predictor test ibukeka i-hormone LH. I-LH i-spik ngaphambi nje kokuba uguqe.
Ukuvuthwa kutholakala eshadini lomzimba oshisa lokushisa. Ukushisa komzimba wakho okuyisisekelo ukushisa komzimba wakho ekuphumuleni okuphelele. Lokhu kubanda kushintsho kuye ngokuthi ukhona kuphi emjikelezweni wakho. Uma u-ovulating, izinga lokushisa lomzimba wakho we-basal lizothola phezulu futhi lihlale liphakeme kuze kube yilapho uthola isikhathi sakho. Khona-ke, lizohlehla emuva futhi lihlale lapho kuze kube yilapho ukuvuthwa kwenzeka futhi.
Ungakwazi ukulandelela izinga lokushisa lomzimba wakho osekhaya . Lena yindlela yokwazi ukuthi ukukhishwa kwe-ovulation kubuyile ngemuva kweDepo-Provera, futhi kungasiza udokotela wakho akusize uma uthola ukuthi ukuvuthwa akubuyanga njengoba kulindelwe.
Okwenza i-Depo-Provera ingabangela ukungabi nalutho okwesikhashana kuze kube seminyaka emibili
Kodwa akuwona wonke owesifazane ozobuyela emuva emuva kwezinyanga ezingu-5 emva kokujola kokugcina. Kwezinye izimo, kungathatha izinyanga ezingaba ngu-22-noma cishe iminyaka emibili-ukuze kube nokuzala ukuze ubuyele ngemuva kokujola kokugcina. Kungani lokhu kwenzeka?
Ngokusho kocwaningo, ukubambezeleka kubonakala sengathi kuhlobene nesisindo sesifazane.
Abesifazane ababa nesisindo esincane bazobuya ngokuphindaphindiwe kokubeletha kunabesifazane abavame ukukala okungaphezulu. Lokhu kuhlobene nokuthi kuthatha isikhathi esingakanani isidumbu sakho ukuba senze ngokuphelele i-progestin.
Kuze kube nini usebenzise i-Depo-Provera ayihlotshaniswa nenkathi ende yokuntuleka kwe-ovulation. Ngamanye amazwi, kungakhathaliseki ukuthi usebenzise ama-injection e-Depo-Provera ezinyangeni ezingu-6 noma eminyakeni emibili awunandaba. Ukuzala kwakho cishe kuzothatha isikhathi esifanayo ukubuyela kunoma yikuphi icala.
Uma uthola inguqulo encane yeDepo-Provera (ngokungafani nomjovo omdala osetshenziselwa kakhulu), ingozi yakho yokuthola ukungena kwe-ovulation iminyaka emibili ingaphansi kakhulu.
Ngokwesinye isifundo esisodwa, amaphesenti angu-97 abesifazane abathola inguqulo encane yeDepo-Provera bebuyele emuva emuva kwezinyanga ezingu-12.
Thatha amaposi e-Forum kuDepo-Provera nge-Grain Salt
Into ebaluleke kakhulu ukwazi ukuthi i-Depo-Provera ayaziwa ukwandisa ingozi yokungabi nalutho ngemva kwalokho ezinyangeni ezingu-12 kuya kwezingu-22.
Ngamanye amazwi, ukusetshenziswa kukaDepo-Provera akuhlotshaniswa nengozini eyengeziwe yokwehluleka kwemvelo ngokujwayelekile.
Ukuvuthwa (futhi mhlawumbe imijikelezo yakho yokuya esikhathini) kuthatha isikhathi eside ukubuyela ngenxa yomzimba wakho okwamanje kungakabonakali ngokuphelele imithi. Akunjalo ngoba uDepo-Provera uye ngendlela ethile eyenza inkinga yokudala ukungapheli isikhathi eside.
Ngalokho kusho, cishe zonke izintambo kuDepo-Provera ezinkundleni ezingenasifo, uzothola abesifazane bethi ukuzala kwabo akuzange kubuyiswe, ngisho nangemva kweminyaka emibili. Ngezinye izikhathi, bazocabanga ukuthi lokhu kubangelwa ukudubula. Lokhu akusekelwe ngokucwaninga.
Khumbula ukuthi ukungabi nabantwana kuvela emibhangqwaneni engu-8 kwabangu-8. Lokhu kubandakanya imibhangqwana ekhetha ukusebenzisa i-Depo-Provera. Kuzoba khona abesifazane abangakwazi ukukhulelwa emva kweDepo, ngisho neminyaka emibili emva kweDepo, kodwa lokhu akukona ngenxa yokudubula kokuzalwa. Bengaba nzima ukukhulelwe ngaphandle kweDepo-Provera kanye.
Izwi elivela ku-Verywell
Ngithemba ukuthi ukuzala kwakho kuzobuya emuva kwezinyanga ezintathu noma eziyisithupha ngemuva kokudubula kwakho kokugcina. Yile ndlela okufanele isebenze ngayo, futhi abesifazane abaningi bakhulelwa ezinyangeni ezingu-8 kuya kwezingu-10 zokudubula kwabo kokugcina kweDepo-Provera.
Uma imijikelezo yakho ingabuyi noma ungenayo i-ovulating, futhi kungakapheli iminyaka emibili yokudutshulwa kwakho kokugcina, ngeshwa kakhulu udokotela wakho angakwenza ukuze asize.Ukuhlolwa kokusebenza kokusebenza akusizi ngalutho, ngoba imiphumela ekhona ye-hormone yakho uhlelo ngeke luvumele udokotela wakho ukuthi abone ukuthi yini enye engase ingalungile. Ukuphathwa kokwelashwa nakho ngeke kusetshenziswe, ngenxa yamahomoni asesimweni sakho.
Udinga nje ukulinda. Yikuphi okungakhungathekisa kakhulu.
Ngakho, kufanele ubone nini udokotela? Uma ...
- Sekuyizinyanga ezingu-24 kusukela kokujola kwakho kokugcina futhi awusenayo i-ovulating .
- Imijikelezo yakho ayinqamule iminyaka emibili emva kokujola kwakho kokugcina.
- Awunami ukukhulelwa ezinyangeni ezingu-6 kuya kwezingu-12 ze-ovulation ebuya.
- Unezinye izici eziyingozi noma izimpawu zenkinga yokuzala .
Ngokuvamile, xoxani noma yikuphi ukukhathazeka nodokotela wakho.
> Imithombo:
Bigrigg A, Evans M, Gbolade B, Newton J, Pollard L, Szarewski A, Thomas C, Walling M. "Depo Provera. Iphepha lokubeka ngokusetshenziswa komtholampilo, ukusebenza kahle nemiphumela emibi. " Br J Fam Plann . 1999 Jul; 25 (2): 69-76.
I-Garza-Flores J, uCardenas S, Rodriguez V, Cravioto MC, uDiaz-Sanchez V, uPerez-Palacios G. "Buyela ekuvuthweni emva kokusetshenziswa kokukhulelwa kokuvimbela ukujola isikhathi eside: isifundo sokuqhathanisa. " Ukwelashwa . 1985 Apr; 31 (4): 361-6.
Jain J1, Dutton C, Nicosia A, Wajszczuk C, Bode FR, Mishell DR Jr. "I-Pharmacokinetics, ukucindezela i-ovulation nokubuyela ekuvuthweni ngemuva kokusungulwa kweDepo-Provera ngezansi. " Ukwelashwa . 2004 Jul; 70 (1): 11-8.
Kaunitz, Andrew M MD; Zieman, Mimi MD. I-Depot medroxyprogesterone i-acetate yezokwelapha. UptoDate.com.
Kaunitz AM. "I-depot medroxyprogesterone i-acetate contraception: i-update ye- clinics yase-US." Int J Fertil Womens Med . 1998 kuMashi-Apr; 43 (2): 73-83. https://www.ncbi.nlm.nih.gov/pubmed/9609206
Zieman, Mimi MD. Ukwaziswa kwesineke: Izindlela ze-hormone zokulawula ukubeletha (Ngaphandle Kwezinto Eziyisisekelo). UptoDate.com.