Njira yowonetsera mimba ndiyo kuchotsa mimba. Ziri zotetezeka kwa umoyo ndi maganizo a mkazi. Pogwiritsa ntchito mankhwalawa, amagwiritsidwa ntchito mankhwala omwe amachititsa kuti dzira la fetalidali likhale kunja.
Kodi kuchotsa mimba ndi chiyani?
Mawu oti "mankhwala" amagwiritsidwa ntchito popanga kusokoneza kwapangidwe kwa mimba yomwe yayamba ndi kugwiritsa ntchito mankhwala. Njirayi imapatulapo kupatula opaleshoni. Pochita izi, wodwalayo amatenga mapiritsi pamaso pa dokotala. Pansi pa zochita za zigawo zikuluzikulu za mankhwalawa, kamwana kamene kamwalira. Izi zimathera gawo loyamba la kuchotsa mimba.
Patapita nthawi, mkazi amatenga mankhwala ena. Zachigawo zake zimapangitsa kuwonjezeka kwa ntchito ya mgwirizano wa uterine myometrium. Chotsatira chake, dzira lochotsedwa la fetus limachotsedwa kunja, kuchotsa mimba kumachitika. Njirayi ili ndi ubwino wambiri mwa njira zina (kupopera mimba, kuchotsa mimba ):
- kusawonongeka kwa chiberekero;
- Kupeza msanga kwa msambo;
- chiopsezo chachikulu cha mavuto;
- silikufuna anesthesia.
Kuchotsa mimba - nthawi
Kuyankha funso la mkazi, mpaka nthawi yomwe mimba ikhoza kuchitidwa, madokotala amatcha masabata 6-7. Pharmabort ikhoza kuchitidwa pasanathe masiku 42-49 kuchokera pamene tsiku loyamba la kumapeto kwa kusamba kunakondwerera. Kupambana kwa njirayi kumachepetsedwa ndi nthawi, ndipo kuthekera kwa mavuto kumakula.
Nthaŵi yoyenera yopangira medabort imatchedwa nthawi ya masabata 4. Dzira la fetal alibe nthawi yokonza molimba mu khoma la uterine, kotero ndi bwino komanso mofulumira kuti muchotse ndi kutuluka. Kuwonjezera apo, mahomoni sangayambe kukhazikitsidwa, kukonzanso thupi sikukwanira, kotero zidzakhala zosavuta kuti abwererenso kale, asanabadwe.
Kuchotsa mimba - zotsutsana
Chizindikiro chachikulu cha kuchotsa mimba kotero ndi chikhumbo cha mkazi mwiniwake. Komabe, si amayi onse omwe ali ndi pakati ndipo nthawi zonse amatha kuchotsedwa mankhwala. Kuphatikiza pa zolemba zomwe tatchulidwa pamwambapa, palinso zina zotsutsana ndi kukhazikitsidwa kwa medaborta:
- mankhwala osokoneza bongo kwa anamnesis;
- chidziwitso chodziletsa;
- kusakwanira;
- kukhetsa magazi;
- njira yotupa yotentha mu thupi la mkazi;
- chifuwa chachikulu;
- kusinkhasinkha kwa ectopic mimba ;
- zochitika;
- ndondomeko yamatope;
- kukhazikitsa mankhwala a corticosteroid;
- Kuphwanya malamulo a magazi.
Kodi kuchotsa mimba kumapezeka bwanji?
Kulankhula za momwe madokotala akudutsamo, dokotala akulongosola ndondomeko ya ndondomekoyi. Pre-mkazi amafunika kuti apeze kafukufuku wochepa, omwe amasankhidwa tsiku la chithandizo:
- Ultrasound ya chiberekero;
- smear pa microflora;
- kuyesa magazi kwa syphilis.
Pambuyo pa kulandira zotsatira, nthawi yeniyeni imasankhidwa pamene kuchotsa mimba kudzachitika, masiku ake omwe atchulidwa pamwambapa. Paulendo wachiwiri, dokotala adakambirananso ndi mkaziyo, amamvetsa kufunika kwa zolinga zake, kaya asintha malingaliro ake. Ndiye wodwalayo wapatsidwa mankhwala omwe amamwa pamaso pa dokotala. Pochita mankhwalawa, kukula kwa endometrium kumasiya, ndipo minofu yosanjikiza imayamba kugwirizana. Mayiyo amawonetsedwa kwa maola 2-3, kenako amachoka kuchipatala.
Pamaphunziro a wodwala, mapiritsi a mankhwala ena amaperekedwa, omwe amachititsa kuti mitsempha ya uterine imveke. Tengani pambuyo pa 36-48 maola, molingana ndi malangizo a dokotala. Pansi pa mankhwala, mankhwala omwe amawonongeka amachotsedwa kunja. Pambuyo pokhapokha mimba imeneyi imatengedwa kukhala yodzaza. Mayi akukonza malo.
Kuchotsa mimba - mankhwala
Mzimayi, ngakhale akufuna, sangathe kuchita yekha mankhwalawa - mapiritsi omwe akugwiritsidwa ntchito sagulitsidwa pamtanda wa mankhwala. Kutulutsa mimba, mankhwala osokoneza bongo amagwiritsidwa ntchito ndi mavitamini apamwamba, kotero amaperekedwa ndi dokotala kuchipatala. Kuti muchotse mimba, magulu otsatirawa amagwiritsidwa ntchito:
- Antigestagens - kulepheretsani zochita za masoka achilengedwe pamlingo woyambira. Woimira gululi ndi Mifepriston, Mifegin. Kwa mankhwalawa amagwiritsa ntchito 600 mg ya mankhwala.
- Prostaglandins - kulimbitsa mgwirizano wa chiberekero cha myometrium. Kawirikawiri kuchokera ku gululi mumagwiritsa ntchito Mirolyut. Perekani ndalama 400 mg. Tengani maola 36-48 mutatha anti-gestagen.
Kodi mungamvetsetse bwanji kuti pharma ili bwino?
Zovuta ndizotheka ndi njira iliyonse yothandizira, kotero amayi amakonda nthawi zambiri madokotala kuti amvetsetse kuti medabort siidapindule. Pofuna kuchotsa kuphwanya komwe zingatheke patapita masiku 14, mayi ayenera kupita kuchipatala ndikuyang'aniridwa ndi ultrasound. Dokotala ayenera kuonetsetsa kuti dzira la fetus, zotsalira zake zatsala pang'ono kuchoka mu uterine. Yang'anani thupi lokha, kudziwitsa kukula kwake. Kwa amayi dokotala amatsimikizira khalidwe la vydeleny, kupezeka ndi mphamvu ya matenda opweteka. Kawirikawiri pambuyo pa mayesero, mayesero ali abwino - izi zimachokera kumsana wam'madzi.
Mwezi uliwonse pambuyo pa mankhwala
Kawirikawiri, mwezi uliwonse pambuyo pa kampaniyo amadza masiku 28-30. Kulandira kwa abortifacients kuchita sikumaganizira za chikhalidwe cha mzimayi, choncho kusamba sikunasweka. Komabe, nthawi zina kusintha kwa mphulupulu kumachitika: mwina kungakhale kochepa kapena kochuluka kwambiri. Choncho, kuchepa pang'ono pokhapokha ngati mankhwala akuchotsa mimba angakhale chifukwa cha:
- Kutsegula pang'ono kwa chiberekero pakubereka mimba - zidutswa za mwana wosabadwa sizingatheke kutuluka panja, kuwonjezeka mu chiberekero cha uterine.
- Kuchotsa mimba kosakwanira - dzira la fetal silinathe konse, ndipo mwanayo amapitiriza kukula.
Pakadutsa masiku awiri, kutuluka magazi pambuyo pa mankhwalawa. Kawirikawiri amatha masiku 10-14. Dzira la fetus limagawidwa m'magawo ena, kotero kutaya kumatenga nthawi yaitali. Mau awo amaposa chiwerengero cha kusamba. Muyenera kumvetsera mwatcheru voliyumu, kuonetsetsa kuti asalowe m'magazi . Zizindikiro za vutoli ndi:
- magazi ochulukitsidwa otulutsidwa kuchokera kumaliseche - kwa theka la ora pedi yaukhondo (maxi) imadzazidwa kwathunthu;
- ululu m'mimba pamunsi;
- chizungulire;
- blanching khungu;
- kuwonjezeka kwa chiwerengero cha ziphuphu za mtima;
- kuchepetsa kuthamanga kwa magazi.
Kugonana ndi mankhwala
Pambuyo pomaliza mankhwalawa, zomwe simungathe kuzichita komanso zomwe muyenera kuziwona - mkaziyo amamufotokozera mkaziyo. Pachifukwa ichi, chisamaliro chapadera chimaperekedwa kwa moyo wapamtima. Madokotala samalimbikitsa kugonana ndi akazi mpaka magazi atayima. Apo ayi, pali chiopsezo chachikulu cha matenda a kubereka. Pafupipafupi, nthawi yodziletsa iyenera kukhala masabata awiri kuchokera pa nthawi yochotsa mimba.
Mimba pambuyo pa mankhwala
Kuchitidwa mowongoka mwabwino kwa mankhwala sikuthandiza kugwira ntchito. Pambuyo pa kutha kwa mimba kumatha patatha mwezi umodzi, pakapita mtsogolo. Chifukwa cha izi, madokotala amalangizidwa kuti adziteteze okha. Kawirikawiri amayi amadandaula zomwe achita ndipo amafuna kuti akhale ndi pakati. Kuwonjezera apo, pali milandu pamene kusokonezeka kwachitika chifukwa cha zamankhwala, kotero mkazi akufuna kuti akhalenso ndi pakati kachiwiri.
Njira yobereka imasowa nthawi yoti mupeze, kotero muyenera kupewa kukonzekera mimba kwa miyezi isanu ndi umodzi kuyambira pamene munalandira mimba. Panthawiyi, madokotala amalimbikitsa kugwiritsa ntchito njira zolera . Pankhani imeneyi, makondomu ayenera kuperekedwa kwa makina (kondomu), chifukwa kugwiritsa ntchito mankhwala osokoneza bongo kungakhudze mahomoni.
Kuchotsa mimba - zotsatira
Kusokonezeka kwa mimba nthawi zonse kumakhala ndi chiopsezo cha thanzi la mkazi. Chimodzimodzi sikutulutsa mimba, zotsatira zake zingakhale motere:
- kupititsa patsogolo;
- kuchotsa mimba osakwanira;
- kuphwanya mahomoni.