Kuchotsa mimba kumayambiriro kwa mimba

Pakati pa masabata 20 mpaka 22, zotchedwa mimba za mchere ndi zobadwa zimagwiritsidwa ntchito, pokhapokha malingana ndi chikhalidwe cha mankhwala ndi zachipatala cha mkaziyo. Kodi kuchotsa mimba ndi chiyani? Mimba imeneyi imagwiritsidwa ntchito pokhapokha mimba yomaliza. Pankhaniyi, mayi ayenera kukhala ndi zizindikiro zachipatala kapena zachikhalidwe. Posachedwa, kuchotsa mimba kwagwiritsidwa ntchito mobwerezabwereza, chifukwa chiopsezo cha zochitika zadzidzidzi n'chokwanira, komabe lero mimba ya mchere ikugwiritsidwa ntchito. Njirayi ndi iyi: singano imalowetsedwa mu amnion - thumba lodzaza ndi amniotic fluid yomwe imateteza mwanayo. Kenaka pumped 200 ml wa madzi mu amnion ndi m'malo mwake ndi saline yankho - sodium kloride. Choncho, mwanayo adzazunguliridwa ndi caustic brine. Choncho, kuchotsa mimba pamimba pa nthawi yoyembekezera mimba ndi mutu wa nkhaniyo.

Imfa ya mwana wosabadwa ndi mimba yamtundu uwu imapweteka kwambiri, imatha maola angapo, siteji - sitepi yotentha, kutaya thupi, kutaya thupi kwa thupi. Zotsatira zake, zizindikiro za chiberekero zimayambira, zomwe zimayambitsa zipatso zakufa. Madokotala amatcha chipatso ichi - "maswiti" chifukwa khungu la mwanayo pansi pa njira ya saline yatha ndipo imakhala yofiira kwambiri. Zipatso zakufa zimapezedwa pambuyo pa maola 24-48. WHO (World Health Organisation) imafuna dokotala aliyense amene amachotsa mimba kuti amchenjeze wodwalayo kuti pamene njira yothetsera sodium chloride imalowa mu amnion, mwanayo akuvutika kwambiri ndipo akuvutika, mazira, maso, ndi khungu amawotcha kwambiri, pamene mwanayo akumva chirichonse, kotero monga kale pa masabata 20 mpaka 22 mwana ali ndi mitsempha yapakatikati ya mitsempha, receptors, kotero imfa ya mwanayo imatenga maola angapo ndipo imapweteka kwambiri.

Kuchotsa mimba sikugwiritsidwa ntchito kawirikawiri pa zifukwa zingapo: choyamba, chiopsezo cha umoyo wa wodwala ndi chokwanira, monga ngati mchitidwe uliwonse wochotsa mimba pamapeto pake, ndipo kachiwiri, nthawi zina, ana akhoza kupulumuka akakhalabe olumala, ndipo pamene mkazi amawona mwana wotere "wosabadwa," ngati kuti atulukamo m'madzi otentha, ndiye mantha aakulu ndi mavuto ena aakulu a chikhalidwe cha maganizo ndi zotheka. M'malo moyambitsa sodium chloride imagwiritsidwanso ntchito mankhwala - prostaglandin, omwe ndi hormone ndipo amachititsa kuti chiberekero chichepetse, chomwe chimayambitsa chiberekero ndipo kubadwa kumachitika msanga. Wina amagwiritsira ntchito dropper ndi oxytocin - hormone yomwe imachititsa kuti thupi liziyenda bwino, limayamba kugwira ntchito, lomwe limabereka msanga.

Ngati wodwalayo akutsutsana ndi "kutsanulira" ndi kubadwa msanga, ndiye kuti gawo "laling'ono" la kansera limagwiritsidwa ntchito. Mwanayo amachotsedwa kenako amadzipiringizidwa, kapena mwanayo amaikidwa m'madzi, kapena kutsetsereka pakati pa mawindo, kotero kuti mwanayo anamwalira ndi hypothermia. Kuchotsa mimba pa tsiku lomaliza ndi kuphedwa kwenikweni kwa mwana, kulungamitsidwa kumene kulibe zifukwa zomveka komanso umboni wa chikhalidwe. Izi, ndithudi, ziyenera kukumbukira zotsatira zokha za mimba yamchere. Ndipo mu zizindikiro zachipatala, dokotala amatsatira udindo wa "zochepa zoyipa" - mwachitsanzo, pamene kukula kwa fetus kumasokonezeka ndi anomalies, kusinthika kwa majini, kapena kutenga mimba kumakhala koopsa kwa mayiyo. Kodi chimachitika n'chiyani kwa mwana yemwe ali ndi pakati? Pa masabata 20 mpaka 22, kulemera kwa chipatsocho kumafikira magalamu a 420, ndipo kukula kwake ndi 27.5 masentimita. Maso ndi ubongo zakhazikika kale, insulini imapangidwa ndi makoswe, matumbo a m'mimba amatsekedwa, zidutswa za mano ndi tsitsi zimapezeka, mwanayo ali ndi nsidze!

Ndicho chifukwa chake, mkazi yemwe amathyola mimba amapanga kupha mwana. Taganizirani izi, chifukwa ngati mutenga mimba ndi kupha mwana wakhanda, atangotenga mpweya woyamba - kodi pali kusiyana pakati pawo? Pofuna kupewa mavuto aakulu, azimayi okondedwa, ganizirani za thanzi lanu, funsani azimayi anu kuti asankhe njira yoyenera ya kulera. Osati kusokoneza, kuchotsa mimba - sikuli zoberekera. Ndondomekoyi siingakhoze kutetezera kusamalidwa, ndi njira yokha yobwezera mimba yomwe yayamba kale. Mankhwala masiku ano angatipatse mankhwala ambirimbiri a mahomoni komanso njira zamagetsi zoberekera. Malingana ndi zofuna zanu komanso zizindikiro zachipatala, mungathe kusankha njira yoyenera yowalera, nthawizonse n'zotheka kukuthandizani.

Lembani kwa dokotala wodziwa bwino, ndipo mukumvetsa kuti moyo wa kugonana uyenera kubweretsa zabwino zokhazokha, osadandaula za mimba yosakonzekera. Koma ngati panalibe mimba yosafunika, ndiye kuti nkofunika kuyimitsa pa nthawi yoyamba, popeza kupatulapo chikhalidwe chokhalira ndi mimba, kuchotsa mimba kumapeto kwa thupi kumakhala kovulaza thupi lachikazi, kungathe kuvulaza kwambiri kusiyana ndi kuchotsa mimba kapena kupuma. Mosakayikira, munthu sayenera kuiwala za chiwalo cha maganizo, thandizo lachidziwitso la katswiri wa zamaganizo ndilofunikira. Chinthu chofunika kwambiri pa umoyo wa amayi ndi kufufuza ndi kuyang'anitsitsa kwa amayi, izi zimaphatikizapo kupenda kwa ultrasound ndi kuyang'ana mwatsatanetsatane kwa msambo ndipo zindikirani ngakhale kusintha kocheperako pokhudzana ndi kubereka. Choncho, malangizowo amathandiza kuti zitheke kuti asatenge mimba kumapeto kwa nthawi, ngakhale kuti nthawi zonse sizingatheke kuti adziwone kumayambiriro kwa zaka zoyambirira, ndizotheka kupeŵa zosankha zodabwitsa monga ntchito yopanga mimba kapena mimba ya mchere. Kodi ndichite chiyani ngati kusamba kwachedwa?

Taganizirani izi:

1) kulankhulana ndi mayi wamayi;

2) perekani magazi kuti athandizidwe;

3) Kufufuza kwa ultrasound za ziwalo zapakhosi;

4) onetsetsani kuti mimba yayamba;

5) onetsetsani kuti malo a dzira la feteleza mu chiberekero;

6) kukhazikitsidwa kwa zaka zazing'ono

Musaiwale kuti kuchotsa mimba ndi ntchito yochiritsira yovuta, imene akuyenera kuti madokotala azitsatira malamulo a aseptic, kuti akhale ndi zigawo zoyenera komanso zovomerezeka za ntchito zoterezi, komanso zipangizo zamankhwala zokhazokha zomwe zili ndi zipangizo zofunika komanso ogwira ntchito oyenerera. Musadzipusitse nokha! Izi ndizoopsa kwambiri! Musatenge abortifacients musanakambirane ndi dokotala - zingabweretse mavuto m'thupi lanu! Musadalire mimba yochotsa mimba! Mumayesa kuwononga thanzi lanu ndi moyo wanu!

Zimene mungachite musanachotse mimba:

• Wodwala amafunika kuthandizidwa ndi katswiri wamaganizo ndi kuthandizira;
• Mayi ayenera kudziwitsidwa za njira zosiyanasiyana zochotsera mimba kotero kuti wina asankhe chimodzi popempha dokotala.
• Dokotala ayenera kumulangiza wodwalayo za zotsatira zomwe zingatheke komanso mavuto omwe amabwera chifukwa chochotsa mimba.

Pambuyo pa opaleshoni, mayi ayenera kukhala kuchipatala kwa kanthawi mpaka nthawi yomaliza ikamatha. Ndiye amafunika kuti ayambe kufufuza kofunika kwambiri. Kodi chizolowezi chochotsa mimba ndi chiyani kumapeto kwa nthawi? Choyamba, opaleshoni ingasokoneze thanzi ndipo imayambitsa mavuto. Chachiwiri, kuchotsa mimba ndi njira yowonongeka, yomwe imapweteka kwambiri. Chachitatu, mu zotsatira za ndondomekoyi, mkazi angayambe kuuluka ndi kupuma. Chachinayi, kupweteka kwa anesthesia komwe ukugwiritsidwa ntchito pa opaleshoni kungayambitse zowawa. Malingana ndi chiwerengero cha mabungwe azachipatala, pafupifupi 1% mwa anthu kuchokera ku chiwerengero cha mimbayo amachotsa mimba pa tsiku lotsatira.