Cirbadeynta Medroxyprogesterone

Qanacsan

• Kahor intaadan isticmaalin duritaanka medroxyprogesterone,
• Medroxyprogesterone wuxuu sababi karaa waxyeelo.U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Dhibaatooyinka soo socda ee soo socdaa waa kuwo aan caadi ahayn, laakiin haddii aad la kulanto midkood, isla markiiba wac dhakhtarkaaga:

Cirbadeynta Medroxyprogesterone waxay yareyn kartaa qadarka kaalshiyamka ku jira lafahaaga. Muddo intee le'eg ayaad isticmaashaa daawadan, waxaa sii yaraanaya tirada kaalshiyamka ee lafahaaga. Qiyaasta kaalshiyamka ee lafahaaga ayaan ku noqon doonin caadi xitaa ka dib markaad joojiso isticmaalka duritaanka medroxyprogesterone.

Luminta kaalshiyamka ee lafahaaga waxay sababi kartaa lafo xanuun (xaalad ah in lafuhu noqdaan kuwo khafiif ah oo daciifa) waxayna kordhin kartaa halista ah in lafahaaga ay jabaan waqti ka mid ah noloshaada, gaar ahaan caadada ka dib (isbedelka nolosha).

Qaddarka kaalshiyamka ku jira lafaha ayaa badanaa kordha inta lagu jiro sannadaha qaan-gaarka Hoos u dhac ku yimaadda kalsiyum lafaha xilligan muhiimka ah ee xoojinta lafaha ayaa laga yaabaa inay si gaar ah u daran tahay. Lama oga in halista aad ugu jirto lafo-beelka dambe ee noloshaada ay ka sii weyn tahay haddii aad bilowdo inaad isticmaasho cirbadeynta 'medroxyprogesterone' markaad tahay dhalinyaro ama dhalinyaro qaangaar ah. U sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ahi qabo lafo-beel; haddii aad qabto ama aad waligaa qabtid cudur kale oo lafo ama anorexia nervosa (cilad cunid); ama haddii aad khamri badan cabto ama aad wax badan cabto. U sheeg dhakhtarkaaga haddii aad qaadato mid ka mid ah daawooyinka soo socda: corticosteroids sida dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), iyo prednisone (Deltasone); ama dawooyinka qalalka sida carbamazepine (Tegretol), phenytoin (Dilantin), ama phenobarbital (Luminal, Solfoton).

Waa inaadan isticmaalin muditaanka medroxyprogesterone muddo dheer (tusaale, in ka badan 2 sano) ilaa mooyee hab kale oo xakameynta dhalmada ah aysan adiga kugu habbooneyn ama aysan jirin daawo kale oo ka shaqeyn doonta daaweynta xaaladdaada. Dhakhtarkaagu wuxuu baari karaa lafahaaga si loo hubiyo inaysan khafiif noqonayn kahor intaadan sii wadin isticmaalka daawada medroxyprogesterone.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa si taxaddar leh ula socon doona caafimaadkaaga si loo hubiyo inaadan ku dhicin lafo-beelka.

Kala hadal dhakhtarkaaga khataraha isticmaalka cirbadeynta medroxyprogesterone.

Cirbadeynta Medroxyprogesterone intramuscular (murqaha) iyo medroxyprogesterone subcutaneous (maqaarka hoostiisa) irbadeynta waxaa loo isticmaalaa in looga hortago uurka. Cirbadeynta subcutaneous ee 'Medroxyprogesterone' ayaa sidoo kale loo isticmaalaa in lagu daaweeyo endometriosis (xaalad nooca nooca unugyada ah ee safka minka (ilmo galeenka) ay ku koraan qaybaha kale ee jirka waxayna keenaan xanuun, caadooyin culus ama aan caadi ahayn, iyo calaamado kale). Medroxyprogesterone wuxuu ku jiraa nooc daawo ah oo loo yaqaan progesin. Waxay ka shaqeysaa ka hortagga uurka iyadoo ka hortageysa ugxansidaha (sii deynta ukunta ugxansidaha). Medroxyprogesterone sidoo kale waxay soo daadinaysaa dahaarka ilmo-galeenka. Tani waxay ka caawineysaa ka hortagga uurka dumarka oo dhan waxayna hoos u dhigeysaa fiditaanka unugyada minka minka ilaa qaybaha kale ee jirka ee haweenka qaba endometriosis. Cirbadeynta Medroxyprogesterone waa qaab wax ku ool ah oo ka hortagga uurka laakiin kama hortageyso faafitaanka fayraska difaaca jirka ee aadanaha (HIV, virus-ka keena sababaha keena difaac la'aanta jirka [AIDS]) ama cudurada kale ee galmada lagu kala qaado.

Cirbadeynta xididdada jirka ee loo yaqaan 'Medroxyprogesterone intramuscular' waxay u timaaddaa sidii ganaax (dareere) ah oo lagu durayo badhida ama gacanta kore. Badanaa waxaa bixiya hal mar 3dii biloodba (13 toddobaad) daryeel caafimaad bixiye xafiis ama rug caafimaad. Cirbadeynta subcutaneous ee loo yaqaan 'Medroxyprogesterone' waxay u timaaddaa sidii ka-hakis loogu duray maqaarka hoostiisa. Caadi ahaan waxaa lagu duraa hal mar 12-kii ilaa 14-kii toddobaadba daryeel caafimaad bixiye xafiis ama rug caafimaad.

Waa inaad heshaa cirbadeyntaada medroxyprogesterone ee ugu horeysa ee subcutaneous ama intramuscular duritaanka kaliya waqtiga aysan suuragal aheyn inaad uur leedahay. Sidaa darteed, waxaad heli kartaa oo keliya mudistaada koowaad 5-ta maalmood ee ugu horreysa caadada caadiga ah, inta lagu gudajiro 5-ta maalmood ee ugu horreysa dhalashadaada haddii aadan qorsheyneyn inaad naaska nuujiso cunuggaaga, ama inta lagu jiro usbuuca lixaad kadib dhalmada haddii waxaad qorsheyneysaa inaad naas nuujiso ilmahaaga. Haddii aad isticmaaleysay qaab ka duwan oo xakameynta dhalmada ah oo aad u beddeleyso cirbadeynta daawada 'medroxyprogesterone', dhakhtarkaaga ayaa kuu sheegi doona goorta ay tahay in lagaa duro cirbadaada ugu horreysa.

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan isticmaalin duritaanka medroxyprogesterone,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay medroxyprogesterone (Depo-Provera, depo-subQ provera 104, Provera, in Prempro, in Premphase) ama daawooyin kale.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku qoran qaybta DIGNIIN MUHIIM AH iyo aminoglutethimide (Cytadren). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ahi uu qabo ama uu weligiis ku dhacay kansarka naasaha ama kaadi macaan. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa dhibaato ku qabtid naasahaaga sida burooyin, dhiig ka soo baxa ibtaada, mammogram aan caadi ahayn (raajada naaska), ama cudurka naasaha ee fibrocystic (oo barara, naasaha jilicsan iyo / ama burooyinka naasaha ee maaha kansar); dhiigbaxa siilka ee aan la faahfaahin, caadada oo aan caadi ahayn ama aad u fudud; miisaanka oo kordha ama dheecaanka oo ku sii jira ka hor caadadaada; xinjirowga dhiigga ee lugahaaga, sambabahaaga, maskaxdaada, ama indhahaaga; istaroog ama mini-stroke; madax xanuunka dhanjafka; suuxdinta; niyad jab; dhiig kar; wadne qabad; neefta; ama wadnaha, beerka, ama cudurka kalyaha.
• u sheeg dhakhtarkaaga haddii aad u malaynayso inaad uur leedahay, aad uur leedahay, ama aad qorshaynayso inaad uur yeelato. Haddii aad uur yeelato intaad isticmaaleyso cirbadeynta medroxyprogesterone, isla markiiba wac dhakhtarkaaga. Medroxyprogesterone waxay waxyeeleyn kartaa uurjiifka.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso. Waad isticmaali kartaa mudista medroxyprogesterone inta aad naaska nuujineyso ilaa iyo inta cunugaaga uu jiro 6 toddobaad markii lagugu duray mudista koowaad. Daawada medroxyprogesterone qaarkood ayaa loo gudbin karaa ilmahaaga caanaha naaskaaga laakiin tan looma muujin inay waxyeello leedahay. Daraasado lagu sameeyay ilmaha naaska la nuujiyay inta hooyooyinkood ay isticmaalayeen irbadda medroxyprogesterone ayaa muujisay in carruurta aysan waxyeello ka soo gaarin daawada.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso cirbadeynta medroxyprogesterone.
• waa inaad ogaataa in caadadaada caadiyan ay isbadali doonto intaad isticmaaleyso cirbadeynta medroxyprogesterone. Marka ugu horeysa, caadadaadu waxay u egtahay inay noqon doonto mid aan caadi ahayn, waxaadna la kulmi kartaa dhibco u dhexeeya muddooyinka. Haddii aad sii wado isticmaalka daawadan, muddooyinkaaga ayaa gebi ahaanba joogsan kara. Wareeggaaga caadada ayaa u badan inuu caadi ku soo noqdo waqti ka dib markaad joojiso isticmaalka daawadan.

Waa inaad cuntid cuntooyin badan oo hodan ku ah kaalshiyamka iyo fitamiin D inta aad qaadaneysid cirbadeynta medroxyprogesterone si ay kaaga caawiso yareynta luminta kaalshiyamka lafahaaga. Dhakhtarkaaga ayaa kuu sheegi doona cuntooyinka ay yihiin ilaha wanaagsan ee nafaqooyinkan iyo inta jeer ee aad u baahan tahay maalin kasta. Dhakhtarkaagu sidoo kale wuxuu kuu qori karaa ama kugula talin karaa kaalshiyam ama fitamiin D-ga dheeri ah.

Haddii aad seegto ballan si aad u hesho cirbadeynta medroxyprogesterone, wac dhakhtarkaaga. Lagama ilaalin doono uurka haddii aadan ku helin cirbadahaaga jadwalka. Haddii aadan ku helin cirbad jadwalka, dhakhtarkaaga ayaa kuu sheegi doona goorta ay tahay inaad qaadato cirbadda la seegay. Dhakhtarkaaga ayaa u badan inuu ku sameeyo tijaabada uurka si loo hubiyo inaadan uur lahayn ka hor intaadan ku siin cirbadda la seegay. Waa inaad isticmaashaa qaab ka duwan kan ka hortagga uurka, sida cinjirka galmada ilaa aad ka heleyso cirbadeynta kaa baaqatay.

Medroxyprogesterone wuxuu sababi karaa waxyeelo.U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• isbeddelada xilliyada caadada (Fiiri taxaddarrada gaarka ah)
• miisaanka oo kordha
• daciifnimo
• daallan
• gariirid
• xanaaq
• niyad jab
• dhibaato xagga hurdada ama hurdada ah
• olol kulul
• xanuunka naaska, barar, ama damqasho
• calool xanuun ama dibbiro
• lugo xanuun
• dhabar ama kalagoys xanuun
• finanka
• timo luminta madaxa
• barar, casaan, cuncun, gubasho, ama cuncun siilka
• dheecaanka siilka cad
• isbedelka rabitaanka galmada
• calaamadaha hargabka ama ifilada
• xanuun, cuncun, buurbuur, casaan ama nabar ku yaal meeshii lagu duray dawada

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Dhibaatooyinka soo socda ee soo socdaa waa kuwo aan caadi ahayn, laakiin haddii aad la kulanto midkood, isla markiiba wac dhakhtarkaaga:

• neef yar oo kedis ah
• xabad xanuun degdeg ah oo fiiqan ama jajabiya
• qufacaya dhiigga
• madax xanuun daran
• lallabbo
• matagid
• dawakhaad ama suuxdin
• isbeddel ama arag la'aan
• aragti labalaab ah
• indhaha oo bullanaya
• hadalka oo adkaada
• daciifnimo ama kabuubyo gacanta ama lugta ah
• qalal
• hurdi maqaarka ama indhaha
• daal xad dhaaf ah
• xanuun, barar, diirimaad, casaan, ama damqasho hal lug ah oo keliya
• dhiigbaxa caadada oo ka culus ama ka sii dheer kii caadiga ahaa
• xanuun daran ama danqasho oo ka hooseysa dhexda
• finan
• finan
• cuncun
• neefsashada ama wax liqidda oo ku adkaata
• barar gacmaha, cagaha, anqawyada, ama lugaha hoose
• kaadi adag, xanuun badan, ama kaadi joogta ah
• xanuun joogto ah, malax, diirimaad, barar, ama dhiig bax meeshii lagu duray daawada

Haddii aad ka yar tahay 35 sano jir oo aad bilawday inaad hesho tallaalka medroxyprogesterone 4tii ilaa 5tii sano ee la soo dhaafay, waxaa laga yaabaa inaad halista waxyar ka korortay ee ah inaad ku dhacdo kansarka naasaha. Cirbadeynta Medroxyprogesterone waxay sidoo kale kordhin kartaa fursadda aad ku abuuri karto xinjir dhiig oo u dhaqaaqda sambabahaaga ama maskaxdaada. Kala hadal dhakhtarkaaga khataraha isticmaalka daawadan.

Cirbadeynta 'Medroxyprogesterone' waa hab xakameyn dhalasho oo waqti dheer soconaya. Ma uur yeelan doontid in muddo ah kadib markii lagaa mudo cirbadeyntaadii ugu dambeysay. Kala hadal dhakhtarkaaga saameynta isticmaalka daawadan haddii aad qorsheyneyso inaad uur yeelato mustaqbalka dhow.

Cirbadeynta Medroxyprogesterone waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn inta aad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Dhakhtarkaagu wuxuu dawada ku keydin doonaa xafiiskiisa ama ayada.

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Waa inaad qaadataa baadhitaan jidheed oo dhammaystiran, oo ay ku jiraan cabbiraadda cadaadiska dhiigga, baaritaanka naasaha iyo miskaha, iyo baaritaanka Pap, ugu yaraan sanadkiiba. Raac tilmaamaha dhakhtarkaaga ee is-baarista naasahaaga; si dhakhso leh u soo sheeg wixii buruq ah.

Kahor intaadan sameynin baaritaan shaybaar, usheeg shaqaalaha sheybaarka inaad isticmaaleyso medroxyprogesterone.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

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

• Lunelle^® (oo ay kujiraan Estradiol, Medroxyprogesterone)^¶

• acetoxymethylprogesterone
• methylacetoxyprogesterone

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.