Kodi mankhwalawa amagwira ntchito bwanji?
Malinga ndi zomwe zili mu malangizo ogwiritsira ntchito, mifepristone pakutha kwa mimba kumakhudza kwambiri minofu ya uterine myometrium, kuwonjezera mgwirizano wawo ndi kukondweretsa. Kuwonjezera apo, Mifepristone ndi progesterone blocker ndi chikhalidwe chake. Zotsatira zake, nthano za dzira la fetal zowonongeka ndipo mimba imachotsedwa kunja. Umu ndi m'mene mankhwala amachitira pa mwana, ngati Mifepristone.
Ndikutenga bwanji mifepristone kuti ndithetse mimba?
Tiyenera kuzindikira kuti njira imeneyi ikuchitika pokhapokha m'makoma a chipatala, moyang'aniridwa ndi dokotala. Chinthuchi ndi chakuti chiopsezo chotenga magazi kuchokera ku uterine, chomwe chimafuna thandizo lachipatala mwamsanga, ndilobwino.
Mifepristone amachotsa mimba, nthawi zambiri pamodzi ndi misoprostol. Choyamba, mayi amapatsidwa kumwa 600 mg ya Mifepristone, yomwe imagwirizana ndi mapiritsi atatu, kenako mapiritsi awiri a Misoprostol.
Kodi Mifepristone amayamba kuchita zinthu zingati?
Mankhwalawa amathamangira mwamsanga mwazi. Kutsekemera kwakukulu mu magazi kumatengedwa pambuyo pa maola 4-5. Ntchito yoyamba imatsogolera kukanidwa kwa endometrium, kutsegula pang'ono kwa khosi la uterine. Pambuyo maola 36-48, mayiyo abweranso kuchipatala, amatenga Misoprostol, yomwe imayambitsa chiberekero. Mkazi anati:
- kulumikiza ululu m'mimba pamunsi;
- maonekedwe a magazi kuchokera mukazi.
Zotsutsana ndi zotsatira za mifepristone
Mankhwalawa, ngakhale atakhala ogwira mtima, angagwiritsidwe ntchito kuchotsa mimba kutali ndi akazi onse. Zotsutsana za ntchito yake zikuphatikizapo:
- kusagwirizana ndi hypersensitivity kuti zikhale zigawo zikuluzikulu;
- matenda a chiwindi ndi impso;
- glaucoma;
- matenda owopsa;
- shuga;
- nthawi yachipatala;
- kuperewera kwa magazi.
Tiyenera kukumbukira kuti kugwiritsa ntchito mankhwalawa kungakhale ndi zotsatira zake, zomwe:
- chisokonezo;
- kusanza;
- chizungulire;
- ululu pamutu;
- kupweteka m'mimba.
Ndi mankhwala ati omwe ndingagwiritse ntchito kuthetsa mimba?
Monga mukudziwira, Mifepristone sichipezeka kwaulere, koma pali zofanana za mankhwalawa ku mankhwalawa. Zonsezi zimafunikira ntchito pokhapokha pamaso pa dokotala.
Kwa mankhwala omwe ali ndi zotsatira zofanana, ndizotheka kutchula:
- Mzimayi;
- Pencrofton;
- Mythophian.
Zotsatira za kugwiritsa ntchito Mifepristone pofuna kuchotsa mimba
Mukhoza kugwiritsa ntchito mankhwala okhaokha mu chipatala cha zamankhwala. Apo ayi, mwina ndipamwamba:
- magazi;
- kuchotsa mimba osakwanira;
- anaphylactic mantha.