Kuchotsa mimba kumatha kumabweretsa zovuta zosiyanasiyana: kumayambiriro (kumachitika nthawi yomweyo pa opaleshoni), kuchedwa (mu mwezi) ndi kutali. Matenda omwe amapezeka mwachangu amapezeka mu maonekedwe a chiberekero, kutuluka mwazi; Kuchotsa mimba kumabweretsa mavuto otere: endometritis, kutupa kwa mazira, kusamba kwa msinkhu. Komanso kuchotsa mimba kumadza ndi zovuta, zovuta kwambiri zomwe zimayambitsa kusabereka, ectopic pregnancy kapena kuperewera kwa amayi.
Mayi lero mmalo mochotsa mimba nthawi zonse akhoza kusankha njira ina yothandizira - kuchotsa mimba (kuchotsa mimba ndi mapiritsi), zomwe zimachitika pa mimba yoyambirira (mpaka masabata 6-7).
Anthu ambiri amasangalala ndi momwe mimba yamatenda ikuchitikira.
Kuchotsa mimba ukuchitika mothandizidwa ndi "antihormone" - mifepristone, yomwe imateteza progesterone "mahomoni oyembekezera". Pogwiritsa ntchito pulogalamu yotereyi, fetus exfoliates, ndipo mwanayo amachotsamo pachiberekero. Kuchotsa chiberekero chabwino, kukonzekera kumaperekedwa - prostaglandins, chifukwa cha kugwiritsa ntchito mankhwala osokoneza bongo, kuchotsa mimba kumagwira ntchito pa 98%.
Phindu la kuchotsa mimba.
Ndikoyenera kudziwa kuti m'maganizo mwathu, njira yochotsera mimba ndiyosavuta kupirira. Odwala ambiri amakonda kutulutsa mimba chifukwa cha kupweteka, kuchotsedwa kwa anesthesia, khalidwe lake lodziletsa, luso lozindikira zomwe zikuchitika ndi kuthetsa chikhalidwe chake. Pambuyo pake palibe mavuto ngati amenewa, monga atatha.
Mfundo yofunikira ndizofunika kuti chithandizo cha mimba chichotse mimba, chinsinsi cha ndondomeko komanso kukhulupirika kwa madokotala kwa wodwalayo.
Pafupifupi 95% azimayi omwe adalandira mimba, ngati anayenera kuchotsa mimba kachiwiri, angagwiritse ntchito njirayi.
Mayi pamaso pa dokotala amatenga mankhwala kuchipatala omwe ali ndi chilolezo cha izi.
Ndondomeko ya kuchotsa mimba.
Kuchotsa mimba kwachipatala kumawonjezeka motere.
Pa tsiku loyamba, pamene mayi amauza dokotala za chisankho chake chochotsapo mimba, amakayezetsa zoyezetsa kuti awonetsetse kuti palibe zotsutsana. Ndiye wodwalayo amapeza tsatanetsatane wokhudza njira ya chithandizo cha kuchotsa mimba ndipo amatsimikizira kuti akufuna kuchotsa mimba. Kenaka, pamaso pa mayi wamayi, mkazi amatenga mankhwalawo ndikubwerera kwawo. Mutatha kumwa mifepristone, mayi akhoza kukhala akuwoneka. Pambuyo ma 36-48 maola, muyenera kupita kuchipatala kachiwiri.
Pa tsiku lachitatu mutatha kumwa mankhwalawa, wodwalayo amatenga prostaglandin ndipo adokotala amamuwona kwa maola awiri ndi awiri. Panthawiyi, kuchuluka kwa magazi kumakula, monga nthawi ya kusamba. Dzira la fetal limathamangitsidwa kuchipatala kapena posachedwa. Pambuyo masiku 8-14, adokotala amamuonanso wodwalayo, akuonetsetsa kuti dzira la fetalali lapita kwathunthu.
Mukamaliza kuchotsa mimba, kupuma kwa kama sikofunikira.
Chifukwa chochotsa mimba, mapuloteni a progesterone amaletsedwa kanthawi, zomwe zikutanthauza kuti palibe zotsatirapo zotsatila mmoyo watsopano. Choncho, kuti asakhalenso ndi mimba, mayi ayenera kugwiritsa ntchito njira zolera zothandizira dokotala.