Kuchotsa mimba (mankhwala, mankhwala) ndi njira yochotsa mimba mothandizidwa ndi mankhwala, omwe safuna kuchitidwa opaleshoni.
Kufotokozera ndi njira za kuchotsa mimba
Kuchotsa mimba kumagwiritsidwa ntchito pazaka zapakati pa masabata asanu ndi limodzi. Mphamvu ya njirayi ndi 95-98%. Njira yochotsa mimba imaphatikizapo magawo awiri.
- Pa gawo loyambalo, anamnesis amatengedwa, kukayezetsa amayi oyembekezera ndi ultrasound kumachitika, pambuyo pake wodwalayo amatenga Mifepristone. Chida ichi cha chikhalidwe cha steroid chimachepetsa zotsatira za progesterone , chifukwa cha kugwirizana kwa mluza ndi endometrium kumaphwanyidwa, ndipo mgwirizano wa minofu ya uterine ikuwonjezeka.
- Pa gawo lachiwiri (pambuyo pa masiku awiri), wodwala amapatsidwa Mizoprostol, chifukwa cha chiberekero chimatha mofulumira, ndipo dzira la fetus limathamangitsidwa panja. Dokotala amayang'anira njirayo mothandizidwa ndi ultrasound.
Pazigawo zonsezi wodwala amamuwona ndi odwala maola awiri alionse. Kuthamanga kwa ultrasound kumachitika masiku awiri pambuyo pochotsa mimba. Pambuyo pa sabata limodzi kapena awiri, bwerezerani ultrasound ndikuyezetsa magazi.
Ubwino wa njirayi:
- kuchiritsa mimba;
- kupweteka kwakukulu;
- silikufuna anesthesia wamba;
- Palibe mavuto mu mawonekedwe a adhesions, zipsera, matenda a chiberekero;
- kumatha kutenga pakati kumabwereranso kumapeto kwa msambo.
Zingakhale zovuta ndi pharm-kuchotsa mimba
Mavuto a mimba imeneyi ndi awa:
- magazi ;
- ululu m'mimba pamunsi;
- kunyoza, kusanza, kutsekula m'mimba;
- kutentha, kuzizira;
- zosokoneza;
- Mukakhala kuti kuchotsa mimba kwathunthu sikuchitika, ectopic pregnancy is possible.
Contraindications:
- Matenda a chibadwa cha chiberekero: zotupa, zipsera, zopanda pake;
- matenda opweteka a mazira ndi chiberekero;
- chidziwitso chodziletsa;
- mawonekedwe amphamvu a mphumu yowononga;
- Matenda a magazi coagulation ndi kuchepa kwa magazi m'thupi mozama komanso mopitirira muyeso.