Pakati pa mimba yosafuna amai ambiri amatha kukambirana ndi amayi ndi cholinga chochotsa mimba. Ngati kudula kwa dzira la fetus kuchokera ku chiberekero cha uterine kumayendetsedwa, kachitidwe kaŵirikaŵiri kachitidwe mu chipinda chogwiritsira ntchito pansi pa anesthesia. Kusokonezeka koteroko kungakhale ndi zotsatira zoopsa kwambiri: chifukwa cha kuchotsa mimba, mkazi sangataye mwayi wokhala mayi, komanso moyo wake. Izi zimachititsa ambiri kuti aziwopseza, ndipo akudzifunsa ngati n'zotheka kuchotsa mimba ndi mapiritsi, popanda opaleshoni ndi aneshesia. Njira iyi yochotsera mimba imakhalapo, ndipo, ngati ndinganene choncho, ndikumangirira kwambiri thupi.
Kodi kuchotsa mimba ndi mapiritsi ndi chiyani?
Kutha kwa mimba kotereku kunayamba posachedwapa ndipo kumazindikiritsidwa m'mayiko oposa makumi atatu. WHO amalingalira za piritsi, kapena mankhwala, kuchotsa mimba njira yabwino kwambiri. Poganizira dzinali, mukhoza kuganiza kuti kuchotsa mimba kumachitika mwa kumwa mankhwala. Mphamvu zake ndi 95-98%, zomwe zimadalira nthawi yeniyeni ya mapiritsi ndi nthawi ya mimba.
Odwala ambiri a kuwonana kwa amayi akudandaula mwamsanga pa nkhaniyi powerenga mimba yochotsa mimba, mpaka tsiku lomveka kuligwiritsa ntchito. Mtundu wotere wa kutha kwa pakati ndi masabata 6-7 okha.
Mankhwalawa amawathandiza kwambiri - apepristone - kukonzekera kwa mahomoni. Kulowa m'thupi, kumateteza zochita za hormone yaikulu yomwe imateteza mimba, progesterone. Motero, kukula kwa dzira la fetal lidzasiya. Pachigawo chachiwiri cha kuchotsa mimba, mapiritsi okhala ndi prostaglandins (misoprostol) amachititsa kuchepa kwa chiberekero, kutanthauza kutaya pathupi, kutanthauza kuchotsa mimba.
Kodi kuchotsa mimba kumatulutsa bwanji?
Mzimayi yemwe akufuna kukhala ndi mimba zachipatala amamuyendera ndi mayi wa amayi komanso chipinda choyesera cha ultrasound kuti atsimikizidwe kuti ali ndi kachilombo ka HIV, komanso kuti atha kutenga mimba ndi kuthetsa mimba yokhala ndi pakati. Kuchotsa mimba kwadongosolo kumachitika malinga ndi dongosolo ili:
- Pa tsiku loyamba, mapiritsi 1-3 a mifepristone amapatsidwa kwa iye (mayina amalonda ndi mifegin, miefeprex, mytholian). Mankhwala omwa, wodwala amakhala m'chipatala kwa ola limodzi pansi pa kuyang'anira madokotala kuti ayang'anire ubwino wake.
- Maola 36-48 atatha kumwa mifepristone, katswiri wa amai amalingalira mkazi ndipo amamupatsa misoprostol, yomwe imayambitsa magazi. Atayang'ana wodwalayo kwa maola 3-5, amamasulidwa kunyumba.
- Pambuyo masiku khumi, mayi ayenera kupita kuchipatala kwa nthawi yachitatu kuti ayambe kufufuza njira zamakono.
Kuchotsa mimba kwa ma tablesi: ubwino ndi kuipa
Monga momwe mukuonera, kuchotsa mimba koteroko kumakopa chifukwa chakuti sikutanthauza opaleshoni ya opaleshoni ndipo ndi kotheka kumayambiriro oyambirira. Mwa njira, kusamba kumabwereranso mofulumira - mwezi. Kuonjezerapo, kuchotsa mimba ndizovuta kwambiri, popeza mucous nembanemba ya chiberekero sichiwonongeke.
Komabe, njira iyi si yabwino. Pogwiritsira ntchito mapiritsi ochotsa mimba, zotsatirapo za thupi lakazi zimakhalanso. Ngati, mwachitsanzo, palibe kukanidwa kwa dzira la fetal, udzafunika kuchotsa mimba (aspirum aspiration). Ndi kuchotsedwa kwa dzira la fetal, nthawi zina pamakhala magazi ochuluka kwambiri omwe amachititsa kuti chithandizo chamankhwala chichitike. Mwa njirayi, pangakhale zotsatira zosautsa: kusanza, kunyowa, kupweteka m'mimba pamunsi, kukhumudwa komanso kuwonjezeka kwa magazi.
Kuwonetseratu kuti kugwiritsira ntchito mimba kumatulutsa mimba ndi ectopic mimba, impso, adrenal ndi matenda a chiwindi, malingaliro a m'mimba, magazi, chotupa ndi ndondomeko yamakono m'mimba yaing'ono, pachiberekero.