Amayi ambiri wathanzi amapita mwadzidzidzi kuchotsa mimba, chifukwa, pazifukwa zilizonse, iwo sali okonzeka kulera mwana. Koma, mwatsoka, pali kuchotsa mimba. Pamene mayi wodwala ali ndi matenda aakulu, apulumutse moyo wake, komanso kuti apewe mwana wodwala, akulimbikitsidwa kuti achotse mimba chifukwa cha matenda.
Kuchotsa mimba kwa uchi kumaperekedwa nthawi iliyonse ya mimba, ngati kwa iye pali zizindikiro zomwe zimaperekedwa ndi lamulo. Poyambirira (mpaka masabata asanu ndi limodzi), mkazi amapatsidwa chisokonezo chosokoneza mankhwala osokoneza bongo kapena kuchotsa mimba ndi chopuma; mpaka miyezi itatu, ayenera kuchita njira yopaleshoni yopaleshoni, ndipo patapita nthawi, kuchotsa mimba kumakhala kofanana ndi kubereka.
Zisonyezo za kuchotsa mimba yokakamizidwa
Pali magulu awiri akuluakulu a zizindikiro zosokoneza mimba malinga ndi uchi:
- Matenda a mayi, omwe chifukwa cha mimba ndi kubala amatha kupha moyo wa mkazi, amachulukitsa kwambiri thanzi lake, amafunika chithandizo chofulumira chosagwirizana ndi mimba.
- Kuzindikiritsidwa pakapita kafukufuku wamaphunziro opatsirana pogonana, kukula kwa ubongo, kusagwirizana ndi moyo kapena kutsogolera kulemala.
Tilembera matenda awa:
- oncology, makamaka wodalira mahomoni, wofuna kugwiritsa ntchito chemotherapeutic ndi radiotherapy;
- rubella ndi chifuwa chachikulu;
- Kuphwanya kwakukulu kwa matenda a shuga (matenda a shuga mu mawonekedwe opatsirana, prolactinoma ndi ena);
- matenda ena a hematopoietic dongosolo;
- Matenda a ubongo (matenda a khunyu ndi ena);
- zofooka za mtima, matenda a mtima ndi kuzungulira;
- matenda aakulu a ziwalo zina ndi machitidwe.
Pa mbali ya mwanayo, zotsatirazi ndi zifukwa zothetsera mimba:
- kusokonezeka kwa chromosomal;
- matenda akuluakulu;
- malingaliro otukuka.
Chigamulo cha kusokonezeka kwachangu
Dziwani kuti mkaziyo ali ndi ufulu wosankha zomwe zidzachitike mimba yake. Palibe yemwe ayenera kumukakamiza kuti achotse mimba. Kudziwa kuti ali ndi mimba, komanso matenda a mwanayo ayenera kutsimikiziridwa ndi kafukufuku wambiri komanso madandaulo ovomerezeka a madokotala.
Malangizo omwe amachokera pa kutha kwa mimba amaperekedwa kwa mayi woganizira za momwe amachitira matenda a amayi, katswiri wa matendawa (wodwalayo, wodwalayo, katswiri wamagetsi, etc.) ndi dokotala wamkulu wa chipatala cha amayi. Ngati chigamulo cha madokotala sichikukayikira, ndizomveka kuti mkazi avomereze ndi zifukwa zawo, kuti asawononge thanzi lawo, koma, mwina, moyo wokha.
Kusokonezeka ndi chidziwitso cha zachipatala sikuli chilango cha moyo nthawi zonse. N'zosakayikitsa kuti atalandira chithandizo, mpumulo wa machitidwe ovuta m'thupi, mimba yatsopano idzatha ndipo idzatha pomaliza kubadwa.
Kuchotsa mimba mwa ziwonetsero
Mau ochepa amayenera kunena za kuchotsa mimba kwa mimba pazinthu zomwe zimatchedwa chikhalidwe. Mpaka masabata khumi ndi awiri, mkazi aliyense payekha angathe kuthetsa mimba. Koma patadutsa miyezi itatu kuyambira pachiyambi cha mimba, sizingatheke kuchotsa mimba popanda chithandizo chamankhwala kapena chikhalidwe.
Mndandandanda wa zizindikiro za chikhalidwe zimasonyezedwa momveka bwino m'malamulo ndipo zili ndi mfundo 4 zokha:
- Ngati mimba imachitika chifukwa cha kugwirira.
- Kuchokera kwa ufulu wa mayi ku khoti.
- Kupeza mkazi woyembekezera m'madera "osati kutali".
- Ngati panthawi yomwe mayiyo anali ndi pakati, mayiyo anakhalabe wamasiye.
Chilolezo chochita mimba imeneyi chimaperekedwa ndi bungwe la zachipatala pogwiritsa ntchito zikalata zomwe zimatsimikizira kuti zovuta zimakhala zovuta.