Medroxyprogesterone jekeseni

Zamkati

• Musanagwiritse ntchito jakisoni wa medroxyprogesterone,
• Medroxyprogesterone imatha kuyambitsa mavuto.Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zotsatira zotsatirazi sizachilendo, koma ngati mukukumana ndi zina mwazi, itanani dokotala wanu mwachangu:

Jekeseni wa Medroxyprogesterone imatha kuchepetsa calcium yomwe imasungidwa m'mafupa anu. Mukamagwiritsa ntchito mankhwalawa nthawi yayitali, calcium imachepetsa m'mafupa anu. Kuchuluka kwa calcium m'mafupa anu sikungabwerere mwakale ngakhale mutasiya kugwiritsa ntchito jakisoni wa medroxyprogesterone.

Kutaya kashiamu m'mafupa anu kumatha kuyambitsa kufooka kwa mafupa (komwe mafupa amafooka ndi kufowoka) ndipo kumawonjezera chiopsezo kuti mafupa anu amatha kuswa nthawi ina m'moyo wanu, makamaka pambuyo pa kusintha kwa moyo (kusintha kwa moyo).

Kuchuluka kwa calcium m'mafupa nthawi zambiri kumawonjezeka mzaka zaunyamata. Kuchepa kwa calcium yamfupa panthawi yofunika kwambiri yolimbitsa mafupa kungakhale koopsa kwambiri. Sizikudziwika ngati chiopsezo chanu chokhala ndi matenda a kufooka kwa mafupa mukamakula ndichachikulu mukayamba kugwiritsa ntchito jakisoni wa medroxyprogesterone mukadali wachinyamata kapena wachikulire. Uzani dokotala wanu ngati inu kapena aliyense m'banja lanu ali ndi matenda otupa mafupa; ngati mwakhalapo kapena mwakhalapo ndi matenda ena am'mafupa kapena anorexia nervosa (matenda odyera); kapena ngati mumamwa mowa kwambiri kapena mumasuta kwambiri. Uzani dokotala ngati mutamwa mankhwala aliwonse awa: corticosteroids monga dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), ndi prednisone (Deltasone); kapena mankhwala a khunyu monga carbamazepine (Tegretol), phenytoin (Dilantin), kapena phenobarbital (Luminal, Solfoton).

Musagwiritse ntchito jakisoni wa medroxyprogesterone kwa nthawi yayitali (mwachitsanzo, zaka zoposa 2) pokhapokha ngati palibe njira ina yolerera yoyenera kwa inu kapena palibe mankhwala ena omwe angagwire ntchito yothana ndi vuto lanu. Dokotala wanu akhoza kuyesa mafupa anu kuti awonetsetse kuti sakuwonda kwambiri musanapitilize kugwiritsa ntchito jakisoni wa medroxyprogesterone.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'anira thanzi lanu mosamala kuti atsimikizire kuti simukukhala ndi matenda a kufooka kwa mafupa.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito jakisoni wa medroxyprogesterone.

Medroxyprogesterone intramuscular (into a muscle) jekeseni ndi medroxyprogesterone subcutaneous (pansi pa khungu) jakisoni amagwiritsidwa ntchito popewa kutenga mimba. Medroxyprogesterone jakisoni wocheperako amagwiritsidwanso ntchito pochiza endometriosis (vuto lomwe mtundu wa minofu yomwe imayendetsa chiberekero (chiberekero) imakula m'malo ena amthupi ndipo imayambitsa kupweteka, kusamba kwambiri kapena kusakhazikika [kusamba], ndi zizindikilo zina). Medroxyprogesterone ali mgulu la mankhwala otchedwa progestins. Zimagwira ntchito popewera mimba poletsa kutulutsa mazira (kutulutsa mazira m'mimba mwake). Medroxyprogesterone imachepetsanso chiberekero. Izi zimathandiza kupewa mimba mwa azimayi onse ndikuchepetsa kufalikira kwa minofu kuchokera pachiberekero kupita kumadera ena azimayi mwa azimayi omwe ali ndi endometriosis. Jekeseni wa Medroxyprogesterone ndi njira yothandiza kwambiri yolerera koma siyiletsa kufalikira kwa kachilombo ka HIV (kachilombo ka HIV, kachilombo kamene kamayambitsa matenda a immunodeficiency syndrome [AIDS]) kapena matenda ena opatsirana pogonana.

Medroxyprogesterone jekeseni wamitsempha yam'mimba imabwera ngati kuyimitsidwa (madzi) kuti ilowetsedwe m'matako kapena kumtunda. Nthawi zambiri amaperekedwa kamodzi pakatha miyezi itatu (masabata 13) ndi othandizira azaumoyo kuofesi kapena kuchipatala. Medroxyprogesterone jakisoni wocheperako amadza ngati kuyimitsidwa kuti alandire jekeseni pakhungu. Nthawi zambiri amabayidwa kamodzi pamasabata 12 kapena 14 aliwonse ndi othandizira azaumoyo kuofesi kapena kuchipatala.

Muyenera kulandira jakisoni wanu woyamba wa medroxyprogesterone subcutaneous kapena intramuscular kokha panthawi yomwe sizotheka kuti muli ndi pakati. Chifukwa chake, mutha kulandira jakisoni wanu woyamba m'masiku asanu oyambira kusamba kwabwino, m'masiku asanu oyamba mutabereka ngati simukufuna kuyamwitsa mwana wanu, kapena sabata la chisanu ndi chimodzi mutabereka ngati mukukonzekera kuyamwitsa mwana wanu. Ngati mwakhala mukugwiritsa ntchito njira ina yolerera ndipo mukusinthana ndi jakisoni wa medroxyprogesterone, dokotala wanu angakuuzeni nthawi yomwe muyenera kulandira jakisoni wanu woyamba.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito jakisoni wa medroxyprogesterone,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la medroxyprogesterone (Depo-Provera, depo-subQ provera 104, Provera, ku Prempro, ku Premphase) kapena mankhwala ena aliwonse.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO CHENJEZO ndi aminoglutethimide (Cytadren). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi khansa ya m'mawere kapena matenda ashuga. Komanso muuzeni dokotala ngati mwakhala mukukumana ndi mavuto ndi mabere anu monga zotupa, kutuluka m'magazi anu, mammogram yachilendo (breast x-ray), kapena matenda am'mimba a fibrocystic (otupa, mabere ofewa komanso / kapena zotupa za m'mawere zomwe zili osati khansa); Kutuluka kwamadzi kosadziwika, kusamba kosasamba kapena kosavuta; kunenepa kwambiri kapena kusungira madzi nthawi yanu isanakwane; magazi aundana m'miyendo yanu, m'mapapu, muubongo, kapena m'maso; sitiroko kapena mini sitiroko; mutu waching'alang'ala; kugwidwa; kukhumudwa; kuthamanga kwa magazi; matenda amtima; mphumu; kapena matenda a mtima, chiwindi, kapena impso.
• uzani dokotala wanu ngati mukuganiza kuti mutha kukhala ndi pakati, muli ndi pakati, kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukamagwiritsa ntchito jakisoni wa medroxyprogesterone, itanani dokotala wanu mwachangu. Medroxyprogesterone imatha kuvulaza mwana wosabadwayo.
• uzani dokotala wanu ngati mukuyamwitsa. Mutha kugwiritsa ntchito jakisoni wa medroxyprogesterone mukamayamwitsa bola mwana wanu ali ndi masabata asanu ndi limodzi mukalandira jakisoni wanu woyamba. Ma medroxyprogesterone ena amatha kupatsira mwana wanu mkaka wa m'mawere koma izi sizinawonetsedwe kuti ndizovulaza. Kafukufuku wa makanda omwe amayamwitsa pomwe amayi awo anali kugwiritsa ntchito jakisoni wa medroxyprogesterone adawonetsa kuti anawo sanavulazidwe ndi mankhwalawa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito jakisoni wa medroxyprogesterone.
• muyenera kudziwa kuti kusamba kwanu kumasintha mukamagwiritsa ntchito jakisoni wa medroxyprogesterone. Poyamba, nthawi yanu imakhala yosasinthasintha, ndipo mutha kuwona pakati pa nthawi. Mukapitiliza kugwiritsa ntchito mankhwalawa, nthawi yanu imatha. Kusamba kwanu mwina kumabwereranso mwakale mukasiya kugwiritsa ntchito mankhwalawa.

Muyenera kudya zakudya zambiri zomwe zili ndi calcium ndi vitamini D yambiri pomwe mukulandira jakisoni wa medroxyprogesterone kuti muchepetse kuchepa kwa calcium m'mafupa anu. Dokotala wanu angakuuzeni kuti ndi zakudya ziti zomwe zimapatsa thanzi komanso kuchuluka kwa zosowa zanu tsiku lililonse. Dokotala wanu amathanso kupereka mankhwala othandizira calcium kapena vitamini D.

Ngati mwaphonya nthawi yoti mulandire jakisoni wa medroxyprogesterone, itanani dokotala wanu. Simungatetezedwe ku mimba ngati simulandira jakisoni wanu panthawi yake. Ngati simulandila jakisoni nthawi yake, dokotala wanu adzakuwuzani nthawi yomwe muyenera kulandira jekeseni wosowa. Dokotala wanu angayese mayeso oyembekezera kuti awonetsetse kuti simuli ndi pakati asanakupatseni jakisoni yemwe mwaphonya. Muyenera kugwiritsa ntchito njira ina yolerera, monga makondomu mpaka mutalandira jakisoni yemwe mwaphonya.

Medroxyprogesterone imatha kuyambitsa mavuto.Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kusintha kwa msambo (Onani ZOSANGALALA)
• kunenepa
• kufooka
• kutopa
• manjenje
• kupsa mtima
• kukhumudwa
• kuvuta kugona kapena kugona
• kutentha kotentha
• kupweteka kwa m'mawere, kutupa, kapena kukoma mtima
• kupweteka kwa m'mimba kapena kuphulika
• kukokana kwamiyendo
• kupweteka kumbuyo kapena kumalumikizana
• ziphuphu
• kusowa tsitsi kumutu
• kutupa, kufiira, kuyabwa, kuwotcha, kapena kuyabwa kumaliseche
• kutuluka koyera kumaliseche
• kusintha kwa chikhumbo chakugonana
• kuzizira kapena zizindikiro za chimfine
• kupweteka, kupsa mtima, zotupa, kufiira kapena zipsera pamalo pomwe mankhwala adayikidwa

Zotsatira zina zoyipa zingakhale zazikulu. Zotsatira zotsatirazi sizachilendo, koma ngati mukukumana ndi zina mwazi, itanani dokotala wanu mwachangu:

• kupuma movutikira
• kupweteka mwadzidzidzi kapena kuphwanya pachifuwa
• kutsokomola magazi
• mutu wopweteka kwambiri
• nseru
• kusanza
• chizungulire kapena kukomoka
• kusintha kapena kutaya masomphenya
• masomphenya awiri
• maso otupa
• zovuta kuyankhula
• kufooka kapena dzanzi m'manja kapena mwendo
• kulanda
• chikasu cha khungu kapena maso
• kutopa kwambiri
• kupweteka, kutupa, kutentha, kufiira, kapena kukoma mwendo umodzi wokha
• Kutuluka magazi msambo kolemera kwambiri kapena komwe kumatenga nthawi yayitali kuposa yachibadwa
• kupweteka kwambiri kapena kukoma pansi pamiyendo
• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kukodza kovuta, kowawa, kapena pafupipafupi
• kupweteka kosalekeza, mafinya, kutentha, kutupa, kapena kutuluka magazi pamalo pomwe adabayidwa mankhwala

Ngati muli ochepera zaka 35 ndikuyamba kulandira jakisoni wa medroxyprogesterone m'zaka 4 mpaka 5 zapitazi, mutha kukhala ndi chiopsezo chowonjezeka kuti mungakhale ndi khansa ya m'mawere. Jakisoni wa Medroxyprogesterone amathanso kuwonjezera mwayi woti mukhale ndi magazi omwe amapita kumapapu kapena ubongo wanu. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Jekeseni wa Medroxyprogesterone ndi njira yoletsa kubereka. Simungakhale ndi pakati kwakanthawi mukalandira jakisoni wanu womaliza. Lankhulani ndi dokotala wanu za zomwe mungagwiritse ntchito mankhwalawa ngati mukufuna kukhala ndi pakati posachedwa.

Jekeseni wa Medroxyprogesterone imatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Dokotala wanu azisunga mankhwalawo muofesi yake.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Muyenera kuyezetsa kwathunthu, kuphatikiza kuyeza kwa magazi, mayeso a m'mawere ndi m'chiuno, komanso mayeso a Pap, osachepera pachaka. Tsatirani malangizo a dokotala wanu kuti mudziyese mabere anu; nenani ziphuphu zilizonse nthawi yomweyo.

Musanayesedwe mu labotale, auzeni ogwira nawo ntchito kuti mukugwiritsa ntchito medroxyprogesterone.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Depo-Provera^®
• depo-subQ provera 104^®

• Lunelle^® (yokhala ndi Estradiol, Medroxyprogesterone)^¶

• acetoxymethylprogesterone
• methylacetoxyprogesterone

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.