Kuchotsa mimba popanda kuthandizira pa chiwalo cha uterine, nthawi zambiri kumachepetsa chiopsezo cha mavuto pambuyo pochotsa mimba, zomwe nthawi zambiri zimayambitsa kusabereka. Njirayi amatchedwa mankhwala (kapena mankhwala) kuchotsa mimba kumayambiriro.
Kuchotsa mimba kwachipatala: ndi chiyani?
Pansi pa kusokonezeka kwa mankhwala mimba kumayambiriro, ndi mwambo kuti mutanthawuze njira yochotsa mimba m'gawo loyambalo mothandizidwa ndi mankhwala apadera. Kusokoneza kotereku kwa mimba yosafuna kumayesedwa kuti ndi imodzi mwa njira zabwino koposa zochotsera mimba.
Mfundo zoyambirira za kuchotsa mimba
Pofuna kuthetsa mimba motere, m'pofunika koyamba kuti mulandire chitsimikiziro cha mimba ndikuwululira mawu pogwiritsa ntchito mayesero ovomerezeka, omwe ali ndi mimba yotenga mimba (pogwiritsa ntchito mphamvu yamaginito), komanso kuyesa magazi kwa hCG.
Mimba yamtundu uwu imakhala yogwira kokha kumayambiriro oyambirira (mpaka masabata asanu ndi limodzi). Mchitidwe uwu wochotsa mimba kwathunthu umapatulapo njira iliyonse yopaleshoni. Ndipotu, mimba imeneyi imakhala ndi mankhwala okhaokha monga Mifolian, Mifegin, Pencrofton ndi Mifeprex. Mankhwalawa akuphatikizidwa ndi mankhwala othandizira mifepristone. Mankhwalawa amachititsa kuti progesterone (hormone yomwe imathandiza mimba). Pamene mkazi alowa m'thupi, amayamba kulimbikitsa njira yochotsa dzira la fetus, kenako mankhwalawa amayamba kuchepa pamimba, kutsegula. Chotsatira chake, dzira lomwe linali feteleza silingathe kulumikizana ndi khoma la chiberekero, lomwe limasiya chitukuko cha mluza.
Ubwino wa kuchotsa mimba kumayambiriro oyambirira
Kusokoneza kotereku kwa mimba yosafuna kumaphatikizapo kuchitapo opaleshoni ndipo sikutanthauza kuperewera kwa anesthesia. Komanso, chiopsezo chotenga kachilomboka chacheperachepera. Mimba ingakhoze kuimitsidwa pazochepa. Ndipo chofunika kwambiri, kuchotsa mimba koteroko kumapereka chitsimikizo chokwanira, chomwe chiri pafupifupi 97%.
Contraindications pharmacological mimba
Kusokonezeka kwa mankhwala osokoneza bongo kumaloledwa, ngati ectopic mimba yapezeka, pamakhala zilonda pa chiberekero, mkazi amatha kukhala ndi vuto lachiberekero chosakwanira kapena chifuwa chachikulu cha mphumu. Komanso mtundu uwu wa kuchotsa mimba ndi woletsedwa ngati mutakhala osagwirizana ndi mankhwala osokoneza bongo, amayi omwe ali ndi zaka 35 omwe amasuta kuti asakhale ndi vuto ndi mtima.
Zotsatira za kuchotsa mimba
Njirayi imaphatikizapo magawo angapo: pamaso pa dokotala, mayi ayenera kutenga 600 mg ya mankhwala, ndipo pambuyo pa 36-48 maola mankhwalawa amatengedwa malinga ndi prostaglandin regimen (zinthu monga mahomoni zomwe zimayambitsa chiberekero ndikuchotsa zotsalira za minofu ya fetal). Ndipo maola 4-8 kuchokera ku prostaglandin, kuperewera kwa pathupi kumachitika chifukwa cha kupachikidwa kwa chiberekero. Pambuyo masiku asanu ndi awiri ndi asanu ndi awiri (7-14) mayi ayenera kuyang'anitsitsa kuti atsimikize kuti dzira la fetus la particles silikhala.
Njira imeneyi imangosokoneza mimba pang'onopang'ono, koma imaonedwa ngati yopweteka (mkazi akhoza kumva ululu m'mimba mwa m'mimba, mofanana ndi ululu pa nthawi ya kusamba).
Atachotsa mimba kumayambiriro oyambirira, mkaziyo abwereranso kumoyo wake wamba. Mwa njira, panthawi ya kumwa mankhwala, kupumula kwa mphasa kumatsutsana ngakhale, chifukwa izi zikhoza kupangitsa kuti mwanayo asaphedwe. Chinthu chokha choyenera kumvetsera ndikumwazika magazi, komwe kumayamba pa kumwa mapiritsi. Kuchuluka kwawo kukugwirizana ndi kusamba kwabwinobwino kapena kungakhale kochepa kwambiri. Kugawa kungathe masiku 12.
Ndipo potsiriza, mimba yamtundu uwu siimayambitsa kusabereka, chifukwa kutsekedwa kwa obvomerezeka a progesterone ndi kwa kanthaŵi kochepa ndipo mkazi akhoza kale kale kumaliseche. Kuwonjezera apo, mimba imeneyi imalekerera mosavuta m'maganizo.