vk’kk ds }kjk

xHkZfujks/kd batsD’ku Mh,eih, ¼varjk½

ds ckjs esa
vDlj iwNs tkus okys ç’u (FAQs)

UNFPA INDIA
55, Lodhi Estate, New Delhi - 110003
Website: india.unfpa.org
Frequently Asked Questions by ASHAs about
DMPA: Depot Medroxy Progesterone Acetate

Government of India introduced three new contraceptives in its public health system in 2016.
UNFPA India has been assisting the Government of India in roll out of new contraceptives,
including injectable contraceptives, and in ensuring high quality services. This publication
has been developed to address the questions frequently asked by ASHAs or similar level front
line health worker or volunteer on injectable contraceptives (DMPA). The purpose of this FAQ
is to help ASHA/community worker to provide correct information with regards to DMPA/
Injectable Contraceptive and enable women to make informed choice. The questions contained
in this document have been compiled on the basis of questions or concerns raised by ASHAs
from different states during field level interactions.

The responses are based on technical guidance documents of Government of India, World
Health Organization and other expert agencies. All reasonable precautions have been taken
by United Nations Population Fund to verify the information contained in this publication.
However, the responsibility for the interpretation and use of the material lies with the reader.
In no event shall UNFPA be liable for damages arising from its use.

UNFPA India
November 2018
vk’kk ds }kjk xHkZfujks/kd batsD’ku Mh,eih, ¼varjk½
ds ckjs esa vDlj iwNs tkus okys ç’u (FAQs)

funsZ'k & ;g vDlj iwNs tkus okys ç'u fo'ks"k :i ls vk'kk ;k leku Lrj ds ÝaV ykbu lsok çnkrk ds
fy, fMtkbu fd, x, gSaA bl iqfLrdk dk mís'; vk'kk @ leqnk; dk;ZdrkZ dks Mh,eih, @ varjk batsD'ku
ds laca/k esa lgh tkudkjh çnku djus esa enn djuk gS vkSj efgykvksa dks bls viukus esa enn djuk gSA

iz'u 1. varjk / Mh,eih, batsD’ku D;k gS+\

batsD'ku ;ksX; xHkZfujks/kd ;k Mh,eih, ;k varjk
tSlk fd ;g Hkkjr esa tkuk tkrk gS] ,d vLFkkbZ
xHkZfujks/kd lk/ku gSA 15&45 lky dh mez dh dksbZ
Hkh efgyk bldk mi;ksx dj ldrh gSA ;g ljdkjh
LokLF; dsUæksa vkSj vLirkyksa esa eq¶r esa miyC/k gSA

iz'u 2. Mh,eih, ¼varjk½ dSls dke djrk gS\

batsDVscy efgyk esa vaMs ds fudyus dks jksdus ls dke djrh gSA blfy, efgyk xHkZorh ugha gks
ldrh gSA

Suppresses
hormones
responsible for
ovulation

Thickens
cervical mucus to
block sperm

iz'u 3. Mh,eih, ¼varjk½ mi;ksx dh foQyrk nj D;k gS\

tc varjk dk lgh <ax ls mi;ksx fd;k tkrk gS rks Mh,eih, dh 0-3% dh foQyrk nj gksrh
gSA bldk eryc gS fd ;g 1000 efgykvksa esa ls 3 esa foQy gks ldrk gSA

1
 vk’kk ds }kjk xHkZfujks/kd batsD’ku Mh,eih, ¼varjk½
ds ckjs esa vDlj iwNs tkus okys ç’u (FAQs)

iz'u 4. efgykvksa dks batsD'ku fdruh ckj ysuk iM+rk gS+\

batsD'ku gj 3 eghus esa fy;k tkrk gSA

iz'u 5. dqN efgyk,a batsDVscYl dk mi;ksx D;ksa djrh gSa\

batsDVscYl lqjf{kr gSa vkSj xHkkZoLFkk dks jksdus ds fy, vPNh rjg ls dke djrs gSaA
rhu eghuksa ds nkSjku] ,d efgyk dks vkSj dqN ugha djuk iM+rk gSA
;g futh gS & nwljksa dks ;g ugha irk pysxk fd ,d efgyk batsDVcsYl dk mi;ksx dj jgh
gSA
ekfld jä lzko cgqr gYdk gks tkrk gS vkSj vDlj mi;ksx ds ,d o"kZ ckn can gks tkrk gSA
tc efgyk batsD'ku dk mi;ksx djuk can dj nsrh gS rks ekgokjh okil pkyw gks tkrh gSA
batsD'ku dk mi;ksx rc Hkh fd;k tk ldrk gS tc ,d efgyk Lruiku dj jgh gks] ijUrq
cPps ds tUe ds 6 lIrkg ckn gh 'kq: fd;k tkuk pkfg,A

iz'u 6. D;k efgykvksa dks fu/kkZfjr rkjh[k dk l[rh ls ikyu djus dh t:jr gS\
Mh,eih, dh [kqjkd çkIr djrs
le;]efgykvksa dks yxHkx 3 eghus • Injection every
3 months or 13 weeks
ckn vkus ds fy, dgk tkuk pkfg,A
gkykafd] fofHkUu dkj.kksa ls efgykvksa • Can be up to
2 weeks early or
dks nsj gks ldrh gSA 4 weeks late
;gka rd fd vxj efgyk dks vkus
esa dqN fnu nsj gks tkrh gS
¼vf/kdre 28 fnu nsjh ls½] rks
mldk vxyk batsD'ku fn;k tk
ldrk gSA
blh çdkj] ;fn og dqN fnuksa igys
pyh tkrh gS] rks batsD'ku fu/kkZfjr frfFk ls vf/kdre 14 fnu igys Hkh fn;k tk ldrk gSA

;fn vki fdlh efgyk ls feyrh gSa ftls Mh,eih, [kqjkd ds fy, nsj gks pqdh gS] rks vki
mls crk,a fd mls LokLF; dsUæ esa okil tkuk pkfg,] blls dksbZ QdZ ugha iM+rk fd mls
fdruh nsj gks pqdh gSA

iz'u 7. varjk ¼Mh,eih,½ ds nq"çHkko D;k gSa\

,d efgyk tks varjk batsD'ku çkIr djrh gS] mlds fuEufyf[kr nq"çHkko gks ldrs gSa%
i. yxHkx lHkh efgykvksa ds ekfld /keZ esa ifjorZu gksrs gSaA T;knkrj efgykvksa ds fy, ekgokjh
esa [kwu dh ek«kk de gks tkrh gSA yxHkx vk/kh efgykvksa esa] dqN eghuksa rd mi;ksx ds ckn
ekgokjh can Hkh gks ldrh gSA
ii. çtuu {kerk esa nsjh% Mh,eih, mi;ksx dks jksdus ij] efgyk,a rqjar xHkZorh ugha gksrha]
xHkZorh gksus esa 4&6 eghus yx ldrs gSaA

2
 iii. vU; ifjorZu% dqN efgykvksa dks fuEu rdyhQ Hkh gks ldrh gSa%
 otu c<+uk ¼yxHkx 1&2 fdyks ,d lky ds ckn½  isV esa lwtu vkSj vlqfo/kk
 fljnnZ  ewM cnyrk gS
 pDdj vkuk  de lsDl Mªkbo

iz'u 8. Mh,eih, dks can djus ds ckn xHkZorh gksus esa fdruk le; yxrk gS\
efgyk tks Mh,eih, dks can dj nsrh gS mls vU; rjhdksa dk bLrseky djus okyh efgyk ls
xHkZorh gksus ds fy, vkSlr 4&6 eghus dk bartkj djuk iM+rk gSA Mh,eih, ds bLrseky dks
jksdus ds ckn ;fn 12 eghus rd efgyk xHkZorh ugha gks] rks mls fpafrr ugha gksuk pkfg,A

iz'u 9. D;k lHkh efgyk,a Mh,eih, dk mi;ksx dj ldrh gSa\

D;k dksbZ LokLF; ifjfLFkfr;ka gSa ftuesa efgykvksa dks bldk mi;ksx ugha djuk pkfg,+\

fuEufyf[kr fLFkfr;ksa esa Mh,eih, dk mi;ksx ugha fd;k tk ldrk gS&

xHkkZoLFkk ds nkSjku& xHkkZoLFkk dh iqf"V djus okyh dksbZ Hkh efgyk tc rd og xHkkZoLFkk ;k
xHkkZoLFkk lekIr ugha gks tkrh gS
izzlo gksus ds ckn 6 lIrkg ¼42 fnu½ rd
vxj fdlh efgyk dks dqN xaHkhj LokLF; leL;k gS] mnkgj.k ds fy,] tc mldk chih cgqr
vf/kd gksrk gS] ;k e/kqesg okyh efgykvksa esa ftUgsa fiNys dbZ lkyksa ls e/kqesg gS] rks vfrfjDr
tk¡p dh t:jr gksrh gS lHkh efgykvksa dks iwjh tk¡p ds ckn gh mUgsa varjk fn;k tkrk gSA

,d efgyk dks mlds Mh,eih, batsD'ku nsus ls igys] ,d M‚DVj mldh mu lHkh fLFkfr;ksa ds
fy, tkap djrs gSa ftuesa varjk batsD'ku ugha fn;k tkuk pkfg,A

iz'u 10. D;k os efgyk,a ftudk ifjokj iwjk gks pqdk gS vkSj os vkSj vf/kd cPps ugha pkgrha gSa] yacs le;
rd Mh,eih, çkIr dj ldrh gSa\
gka] Mh,eih, lqjf{kr gS vkSj mu efgykvksa }kjk Hkh bLrseky fd;k tk ldrk gS] tks yach vof/k
dk lk/ku pkgrs gSaA Mh,eih, lesr lHkh miyC/k xHkZfujks/kd rjhdksa ij efgykvksa dks lykg nh
tkuh pkfg,A efgykvksa dks viuh bfPNr fof/k pquus esa enn dh tkuh pkfg,A

iz'u 11. vxj dksbZ efgyk Mh,eih, 'kq: djus ds 2 lky ckn xHkZorh gksuh pkgrh gS] rks le; ij
xHkZorh gksus ds fy, mls Mh,eih, batsD'ku dc jksduk pkfg,\
vxj dksbZ efgyk xHkZorh gksuh pkgrh gS rks mls 5&6 [kqjkd ds ckn varjk ¼Mh,eih,½ dks can
dj nsuk pkfg, A mldh çtuu {kerk okil ysus esa 4&6 eghus yxsaxsA

iz'u 12. D;k fookfgr efgykvksa esa igys cPps esa nsjh djus ds fy, varjk ¼Mh,eih,½ fn;k tk ldrk gS\
gka] varjk ¼Mh,eih,½ dks uofookfgr efgyk dks Hkh fn;k tk ldrk gS] tks dqN lky ds fy,
igys cPps ds tUe esa nsjh djuk pkgrh gSA

3
 vk’kk ds }kjk xHkZfujks/kd batsD’ku Mh,eih, ¼varjk½
ds ckjs esa vDlj iwNs tkus okys ç’u (FAQs)

iz'u 13. ,d efgyk lqjf{kr :i ls varjk ¼Mh,eih,½ dk mi;ksx fdrus le; rd dj ldrh gS\
bldk mi;ksx rc rd fd;k tk ldrk gS tc rd fd efgyk mi;ksx djuk pkgrh gS] vkSj
xHkkZoLFkk jksduk pkgrh gSA blds mi;ksx dh vof/k ij dksbZ çfrca/k ugha gSA

iz'u 14. D;k varjk ¼Mh,eih,½ efgykvksa dks cka> cukrh gS\
ughaA varjk ¼Mh,eih,½ vLFkkbZ xHkZfujks/kd fof/k gS vkSj ;g dHkh Hkh fdlh efgyk dks cka> ugha
cukrh gSA efgyk dks okil xHkZ/kkj.k esa vkSlr le; 4&6 eghus yxrs gSA

iz'u 15. D;k izlo ds rqjUr ckn esa efgykvksa dks varjk ¼Mh,eih,½ fn;k tk ldrk gS] ftUgsa fiNys 48
?kaVksa esa fMyhojh gqbZ gS\
ughaA varjk ¼Mh,eih,½ Lruiku djkus okyh efgyk esa 6 lIrkg ds ckn ds le; rd ugha nh tk
ldrh gSA bls dsoy 6 lIrkg ¼42 fnu½ fMyhojh ds ckn 'kq: fd;k tk ldrk gSA xSj Lruiku
djkus okyh efgyk ds fy, bls 42 fnuksa ls igys Hkh 'kq: fd;k tk ldrk gS] gkykafd ,slh
efgykvksa ds fy, efgyk dh çtuu bPNkvksa ds vuqlkj vkSj mfpr ijke'kZ fn;k tkuk pkfg,A

iz'u 16. vxj dksbZ efgyk ekyk&Mh xksfy;ksa ls varjk ¼Mh,eih,½ esa cny dj jgh gS] rks D;k og eghus
ds chp esa 'kq: dj ldrh gS ;k D;k mls viuh vxyh ekgokjh dh 'kq#vkr rd bartkj djuk
pkfg,\
og rqjar varjk ¼Mh,eih,½ dk mi;ksx 'kq: dj ldrh gS mls vxyh ekgokjh dh 'kq#vkr dh
çrh{kk djus dh vko';drk ugha gSA

iz'u 17. D;k vk'kk,a varjk ¼Mh,eih,½ ns ldrh gSa\

ugha] ysfdu og varjk ¼Mh,eih,½ ij efgykvksa ls lykg ys ldrh gSasA mi;ksxdrkZ dks vxys
batsD'ku ds le; ij ysus ds fy, ;kn fnykrh gS vkSj vxj mUgsa varjk ¼Mh,eih,½ ds mi;ksx ls
lacaf/kr dksbZ ç'u gSa rks mUgsa lykg ns ldrha gSaA

iz'u 18. D;k ulZ ;k ,,u,e Mh,eih, ns ldrs gSa\

Hkkjr esa LokLF; ea=ky; ds fn'kkfunsZ'kksa ds vuqlkj] ;g flQkfj'k dh tkrh gS fd mfpr tkap
ds ckn çf'kf{kr ,echch,l M‚DVj ds ekxZn'kZu esa Mh,eih, batsD'ku dh igyh [kqjkd nh tk,A
ckn esa batsD'ku çf'kf{kr ,,u,e ;k LVkQ ulZ }kjk fn;k tk ldrk gSA

iz'u 19. D;k varjk ¼Mh,eih,½ dk mi;ksx ;kSu laca/kksa dks çHkkfor djrk gS\
vke rkSj ij] ughaA T;knkrj efgykvksa esa muds ;kSu laca/kksa esa bPNk esa dksbZ cnyko ugha gksrk gSA
gkykafd dqN efgykvksa esa ;kSu laca/k dh bPNk de gks ldrh gSA

iz'u 20. D;k ,uhfed efgyk,a varjk ¼Mh,eih,½ ys ldrh gSa \

varjk ¼Mh,eih,½ ykSg dh deh okys ,uhfe;k dks jksdus esa enn dj ldrk gSA varjk ¼Mh,eih,½
ysus okyh efgykvksa esa ekgokjh dh ek«kk de gks tkrh gS tks ;g ,uhfe;k dks jksdus esa enn
djrk gSA blfy, ,uhfed efgykvksa ds fy, ;g ,d vPNh fof/k gSA

4
iz'u 21. ,slh efgyk ds fy, tks varjk ¼Mh,eih,½ pkgrh gS dkSu lh tk¡p dh vko';drk gS\
,d efgyk tks varjk ¼Mh,eih,½ 'kq: djuk pkgrh gS] fpfdRlh; tkap dh vko';drk gksrh gS]
ftlesa mlds LokLF; dh tk¡p] CyM çs'kj psdvi] isV dh tk¡p gksrh gS o dqN ç'u iwNs tkrs
gSaA

;ksfu }kjk tk¡p dh vke rkSj ij vko';drk ugha gSA

iz'u 22. vxj dksbZ efgyk vius ifr ;k ifjokj dks lwfpr fd, fcuk Mh,eih, dk mi;ksx djuk pkgrh
gS] rks D;k og varjk ¼Mh,eih,½ çkIr dj ldrh gS\
fdlh vU; xHkZfujks/kd dh rjg] xHkZfujks/kd fof/k dk mi;ksx djuk efgyk dk viuk fu.kZ; gSA
Mh,eih, ds mi;ksx ds fy, lgefr nsus ds fy, fdlh ifjokj ds lnL; dh vko';drk ugha gSA

iz'u 23. D;k vui<+ efgyk,a Mh,eih, dk mi;ksx dj ldrh gSa\

gk¡A Mh,eih, dk mi;ksx djus esa #fp j[kus okyh dksbZ Hkh efgyk bldk mi;ksx dj ldrh
gS] c'krsZ og bldk mi;ksx djus ds fy, fpfdRldh; :i ls ;ksX; gksA Mh,eih, 'kq: djus ls
igys] lHkh efgykvksa dks Mh,eih, ds ckjs esa] vxys batsD'ku dh rkjh[k ds ckjs essa] vkSj lkbM
bQsDV~l ds ckjs esa mfpr ijke'kZ fn;k tkuk pkfg,A

iz'u 24. vxj eSa leqnk; esa ,d ,slh efgyk ls feywa] tks nwljh [kqjkd ;k ckn dh [kqjkd ds fy, okil
ugha vkrh gS rks eq>s D;k djuk pkfg,\
;fn vki ,d ,slh efgyk ls feyrs gSa tks viuh nwljh [kqjkd ds fy, okil ugha xbZ gS] rks
fuEu dk vkdyu djsaA pkgs og nksgjkus okyh [kqjkd ds fy, ykSVus dh vko';drk ls voxr
gSA

D;k mlds ikl dksbZ nq"çHkko gS tks mlls lacaf/kr gS vkSj D;k og can djuk pkgrh gS o vxj
og Mh,eih, dks can djuk pkgrh gS] rks irk djsa fd D;k og xHkZfujks/kd 'kq: djuk pkgrh gS
vkSj mls ,d LokLF; dsaæ tkus ds fy, dgrh gS vks vxj og Mh,eih, tkjh j[kuk pkgrh gS]
rks mls LokLF; dsaæ esa okil tkus ds fy, dgsaA

iz'u 25. vxj efgyk batsD'ku yxokus ds fy;s dqN fnu nsjh ;k tYnh tkuk pkgs gks tk;s rks eq>s D;k
djuk pkfg,\
efgyk dks lwfpr djsa fd mls vxys batsD'ku ds fy, le; ij tkus dk ç;kl djuk pkfg,A
gkykafd] vxj og xzkgd dkMZ ds vuqlkj fu/kkZfjr frfFk ij tkus esa vleFkZ gS] rks og batsD'ku
ds fy, fu/kkZfjr rkjh[k ls 28 fnu nsj ls ;k 14 fnu rd tk ldrh gSA

iz'u 26. ;fn efgyk dks 28 fnu ls vf/kd dh nsj gks pqdh gS ¼vafre batsD'ku dh rkjh[k ls 4 eghus ls
vf/kd le; chr pqds gSa½ rks vk'kk dks D;k djuk pkfg,\
;fn vafre batsD'ku ds ckn ls 4 eghus ls vf/kd le; chr pqds gSa] rks efgyk dks ,d vkSj
xHkZfujks/kd fof/k ¼tSls daMkse dk mi;ksx 'kq: djus dh lykg nsa vkSj mls rqjar LokLF; dsaæ ij
tkus ds fy, dgsaA

5
 vk’kk ds }kjk xHkZfujks/kd batsD’ku Mh,eih, ¼varjk½
ds ckjs esa vDlj iwNs tkus okys ç’u (FAQs)

iz'u 27. ;fn dksbZ efgyk vius cPps dks Lruiku dj jgh gS] rks Mh,eih, dk mi;ksx djrh gS] D;k ;g
nw/k dh ek=k vkSj xq.koÙkk dks çHkkfor djrh gS\
varjk batsD'ku çlo ds ckn 6 lIrkg ckn ¼42 fnu½ 'kq: fd;k tk ldrk gSA Mh,eih, eka vkSj
cPps nksuksa ds fy, lqjf{kr gS] vkSj nw/k mRiknu dh xq.koÙkk vkSj ek=k dks çHkkfor ugha djrk gSA
Lruiku djkus okyh ekrkvksa ds fy, ;g ,d vPNk fodYi gSA

iz'u 28. ;fn Mh,eih, dk mi;ksx djus okyh efgyk dh ekgokjh can gks tk, rks D;k bldk eryc ;g
gS fd og xHkZorh gS ;k mls jtksfuo`fÙk gks xbZ gS\
ugha] Mh,eih, dk mi;ksx djus okyh yxHkx vk/kh efgykvksa dh ekgokjh ugha gksxhA Mh,eih,
okyh efgykvkssa esa ekgokjh dk can gksuk] xHkkZoLFkk ;k jtksfuo`fÙk ls lacaf/kr ugha gSA

iz'u 29. vesuksjsfj;k ¼ekgokjh dk can gksuk½ ds ekeyksa esa eq>s D;k lykg nsuh pkfg,\
efgyk dks vk'oLr djsa fd vesuksjsfj;k ¼ekgokjh can gksuk½ ,d vke izHkko gS vkSj gkfudkjd
ugha gSA gkykafd] vxj og larq"V ugha gS rks vki mls vk'oLr djus ds fy;s xHkkZoLFkk Tkakp
fu'p; fdV }kjk dj ldrh gSaA vxj og fZQj Hkh larq"V ugha gksa] rks mls ,,u,e ;k esfMdy
v‚fQlj ls ijke'kZ djus ds fy, fudVre LokLF; dsaæ esa HkstasA

iz'u 30. vxj Mh,eih, dk mi;ksx djus okyh efgyk vfu;fer ekgokjh ;k /kCcs iMus dh f'kdk;r
djrh gS rks eq>s D;k lykg nsuh pkfg,\
;fn dksbZ efgyk vfu;fer ekgokjh dh f'kdk;r djrh gS] rks mls vk'oLr djsa fd mls Li‚fVax
;k vfu;fer jälzko gkfudkjd ugha gS vkSj ;g vkerkSj ij mi;ksx ds igys dqN eghuksa ds
ckn de ;k can gks tkrk gSA vxj og larq"V ugha gS] rks mlds lkFk LokLF; dsaæ esa tk,A ;g
vko';d gS fd Mh,eih, dh 'kq:vkr ls igys] efgyk dks laHkkfor lkbM bQsDV~l ij mfpr
ijke'kZ fn;k tk,A

iz'u 31. D;k Mh,eih, ds dkj.k ekgokjh can gks tkus ds dkj.k xank jDr bdV~Bk gks tkrk gS\
ugha] tc dksbZ efgyk Mh,eih, dk mi;ksx djrh gS rks xHkkZ'k; esa dksbZ jä ,d= ugha gksrk gSA
xHkkZ'k; dh vLrj iryh gks tkrh gS] ;gh dkj.k gS fd ekfld /keZ jälzko de gks tkrk gS ;k
can gks tkrk gSA

6
iz'u 32. lcD;qVsfu;l DMPA D;k gS\
DMPA ,d vkSj Lo:i esa vkrk gS] ftls dsoy lcD;qVsfu;l ¼Ropk ds uhps½ batsD'ku ds fy,
bLrseky fd;k tkrk gS] bls ekalis'kh esa ugha fn;k tkrk gSA ;g ,d Lopkfyr batsD'ku midj.k
¼Uniject½ esa vkrk gS tks igys ls Hkjk gksrk gS] vkSj blesa cgqr iryh lqbZ vkSj IykfLVd dh ,d
dSIlwy gksrh gSA ;g 3 eghus rd dke djrk gSA

Needle Shield

Gap
Port Injector

Reservoir

iz'u 33. D;k nksuksa çdkj ds batsD'kuksa ds çHkko dh vof/k esa dksbZ QdZ gksrk gS\
th ugha] çHkko dh vof/k esa dksbZ QdZ ugha gksrk rFkk nksuksa 3 eghus ds xHkZfujks/kd batsD'ku gSaA1

iz'u 34. D;k lcD;qVsfu;l MPA mu efgykvksa dks Hkh fn;k tk ldrk gS ftUgsa MPA‑IM ugha fn;k tk
ldrk gS\
th ugha] tks efgyk,a MPA‑IM ds fy, ;ksX; ugha gS mUgsa SC‑DMPA Hkh ugha fn;k tk ldrk gSA
nksuksa ds bLrseky ds varfoZjks/k ¼contraindications½ ,d gh gksrs gSaA2

1 Supplement to Reference Manual for Subcutaneous MPA, GOI, 2016.P. 7

2 Supplement to Reference Manual for Subcutaneous MPA, GOI, 2016.P. 7

7
 vk’kk ds }kjk xHkZfujks/kd batsD’ku Mh,eih, ¼varjk½
ds ckjs esa vDlj iwNs tkus okys ç’u (FAQs)

iz'u 35. D;k dksbZ efgyk baVªkeLdqyj MPA vkSj lcD;qVsfu;l MPA ds chp vnyk&cnyh dj ldrh
gS\
th gk¡] ;fn t:jh gks] pwafd IM vkSj SC Q‚ewZys'ku esa lfØ; ?kVd ¼eq[; nokbZ½ ,d gh gSaA ;fn
vko';d gks vkSj gj rhu eghus esa mi;ksx fd, tk,a rks bu nks Q‚ewZys'ku ds chp vnyk&cnyh
dh tk ldrh gSA batsDVscy ds chp vnyk&cnyh djuk lqjf{kr gS] vkSj blls bldk çHkko de
ugha gksrkA efgyk dks u, batsDVscy ds uke] vkSj mlds batsD'ku 'ksMîwy ds ckjs esa lwfpr djuk
vkSj le>k;k tkuk pkfg,A3

iz'u 36. D;k baVªkeLdqyj MPA dh rqyuk esa lcD;wVsfu;l MPA dk ekgokjh esa cnyko ij vyx çHkko
gksrk gS\
th ugha] MPA‑IM vkSj MPA‑SC nksuksa dk ekgokjh cnyko ij leku çHkko gksrk gS] D;ksafd jä esa
gkjeksu ds Lrj cjkcj gksrs gSaA4

iz'u 37. lcD;qVsfu;l MPA vkSj baVªkeLdqyj MPA ds chp D;k QdZ gS\
nokbZ dk eq[; rRodk;Z djus ds rjhds] lqj{kk] çHkkodkfjrk] ykHk vkSj nq"çHkkoksa ds lanHkZ esa
lcD;wVsfu;l MPA vkSj MPA‑IM ds chp dksbZ QdZ ugha gSA buesa nok dh ek=k] fn, tkus ds
ekxZ] LFky vkSj lqbZ ds vkdkj esa QdZ gksrk gSA

3 Supplement to Reference Manual for Subcutaneous MPA, GOI, 2016.Pg 7

4 Supplement to Reference Manual for Subcutaneous MPA, GOI, 2016.Pg 7.