Kutulutsika mimba

Kutulutsika mimba ndi kuchotsa mwachangu mimba pamasabata 28. Pempho la mkazi, kuchotsa mimba kumatha kupitirira pa masabata khumi ndi awiri, ndi kuyambira masabata 13 mpaka 28 - zowonetsa zachipatala ndi zachikhalidwe.

Zizindikiro za kuchotsa mimba

Zizindikiro zachipatala zimaphatikizapo matenda aakulu a mayi: matenda aakulu a mtima, impso, chiwindi, chithokomiro, chifuwa chachikulu, matenda a maganizo, zotupa. Izi zimaphatikizapo kukula koyenera kuteteza mwana m'mimba komanso zinthu zomwe ziri zoopsa pa moyo wa mayi: Ectopic pregnancy, zotsatira zovuta panthawi ya mimba (rubella, ma radiation), mitundu yoopsa ya toxicosis, zopweteka kapena imfa ya mwanayo.

Contraindications

Izi zikuphatikizapo kutupa kwa mazira, matenda opatsirana komanso opatsirana. Izi zimayenera kuchiritsidwa musanapange mimba yokha. Musasokoneze mimba ngati mimba yapitayi inali yosakwana miyezi isanu ndi umodzi yapitayo.

Mitundu ya mimba

Njira imadalira nthawi ya mimba.

1. Pakadutsa masabata atatu, kutuluka kwa aspirin ya fetus kumachitika. Kaŵirikaŵiri, pansi pa anesthésia, dzira la fetus limathamangitsidwa pogwiritsa ntchito chingwe ndi mavuto.
2. Pambuyo pa masabata asanu ndi limodzi mphambu zisanu ndi ziwiri (6-7) kuchokera mimba, kuchotsa mimba kumatulutsa. Sichikuphatikizapo opaleshoni ndipo amathandizidwa ndi mankhwala.
3. Mawu a masabata asanu ndi awiri (12-12) amatanthauza kuchotsa dzira la fetus ndi kukhetsa chiberekero cha uterine. Pansi pa chifuwa chachikulu cha umuna kupyolera mumaliseche, pitirizani pakhomo la chiberekero ndipo supuni ya opaleshoni (curette) ikuwombera.
4. Pambuyo pake (masabata 13-28), "kubadwa" kumapangidwa. Njira yothetsera shuga yambiri imatsanuliridwa m'chikhodzodzo cha fetal, chiberekero cha chiberekero ndipo mwanayo amachotsedwa kunja. Gawo lachisitere silidatulutsidwanso.

Zotsatira za kuchotsa mimba

Zovuta za zochotsa mimba zimagawidwa kumayambiriro ndi mochedwa.

Kumayambiriro:

• kuvulaza ndi kuwonongeka kwa makoma a chiberekero;
• magazi;
• kuchotsedwa kosatha kwa dzira la fetal;
• matenda opatsirana.

Chakumapeto:

• kusabereka komanso kuperewera kwa mayi;
• ngozi ya endometriosis, uterine fibroids;
• ectopic pregnancy ;
• Kuphwanya kusamba.