Kuchotsa mimba kwa velvet kumatanthawuza njira za kuchotsa mimba ali wamng'ono. Analandira dzina lotero chifukwa cha zochepa zomwe zimakhudza thupi la mkazi poyerekezera ndi mimba zina zosalamulirika. Ndipo njira iyi imadziwika ndi bungwe la World Health Organization ngati lopambana kwambiri. Mimba ya velvet imagwiritsidwa ntchito kwambiri m'mayiko otukuka a ku Europe ndipo pang'onopang'ono imakhala yotchuka padziko lonse lapansi monga njira yothetsera kuperekera kwa pakati.
Kuchotsa mimba kwa velvet kumachitidwa mothandizidwa ndi mankhwala a hormone mankhwala mifepristone. Chithandizochi chimangotulutsidwa m'manja mwa akatswiri ovomerezeka ndipo amavomerezedwa kuti azigwiritsidwa ntchito pokhapokha ngati akuyang'aniridwa ndi dokotala.
Kodi kuchotsa mimba kumapezeka bwanji?
Njira yomwe amachititsa kuti abambo abereke mimba ndi chithandizo cha mifepristone imachitidwa ku chipatala chakumankhwala pamaso pa katswiri wodziwa za matenda odwala matenda opaleshoni. Kuyika mkaka umenewu kuli mapiritsi 3 a 200 g of substance yogwira, yomwe imatengedwa ndi wodwalayo panthawi yomweyo. Pambuyo pake, ayenera kuyang'aniridwa ndi dokotala mkati mwa ora limodzi, kotero kuti pakakhala zotsatira zake, athe athandizidwe mwamsanga. Panthawi imeneyi mu thupi lake pali njira zotsutsa dzira la fetus ndi kuthamangitsidwa kwake. Izi zimachitika chifukwa cha kutsekemera kwa progesterone ya mahomoni yomwe imayambitsa kukula kwa mimba.
Zotsatira za mankhwalawa zimatsogoleredwa kuti zitsitsimutse zozizwitsa za uterine ndi kuwonongeka kwa fetus embryo. Kuti mudziwe kuti mayi akupita padera, amayi atatha masiku 8-15 atatenga mifepristone amapangidwa ndi ultrasound ya pelvic yaing'ono.
Kodi ndi zopweteka kuchita mimba?
Kuchotsa mimba ndi njira yosautsa yochotsera mimba, ngakhale kuti imakhudzidwa ndi zowawa zina. Izi zikhoza kuwonetsedwa ndi kuphwanya koteroko kwa umoyo wa mkazi monga:
- kunyoza, kusanza;
- ululu m'mimba pamunsi;
- kupha magazi, ndi zina zotero.
Musanafike nthawi yanji ya mimba ndikutha kuchotsa mimba?
Kuchotsa mimba ndi mifepristone kumatheka kokha kumayambiriro koyamba. Mpaka masabata ochuluka, kuthetsa mimba kotero ndiko kotheka, kutchulidwa mu malangizo kwa mankhwala. Wopanga mankhwalayo amalephera kutero mpaka masabata asanu ndi limodzi mphambu zisanu ndi limodzi (6-7) zogonana, ndiko kuti, ngati pasanathe masiku 49 kuchokera tsiku loyamba la kusamba. Cholinga choterocho chimachokera ku mgwirizano wofookabe pakati pa mayi ndi fetus, zomwe zimalola kupeĊµa mavuto aakulu pambuyo pochotsa mimba. Patsiku lomaliza, kuchotsa mimba kuchokera ku velvet kungayambitse kuperewera kwa amayi osakwanira komanso kutulukira kwa magazi.
Zotsutsana ndi zochotsa mimba
Kuchotsa mimba kwa abambo ndi mifepristone kumatsutsana pazinthu monga:
- hypersensitivity kwa Mifepristone;
- mimba masiku oposa 42 kuchokera tsiku lomaliza la kusamba;
- kukhalapo kwa chilonda pa chiberekero;
- matenda opweteka a ziwalo zoberekera akazi;
- magazi;
- vuto la kutseka magazi;
- uterine myoma;
- chiwindi chodzidzimutsa kapena kusowa kwapadera;
- zovuta;
- ectopic pregnancy;
- chifuwa cha mphumu mwa mkazi.
Kodi vuto lochotsa mimba ndi chiyani?
Kuchotsa mimba ndi ambepristone sikunapite pachabe kuyang'aniridwa ndi akatswiri. Ngakhale njira iyi yochotsera mimba ndi imodzi mwabwino kwambiri, komabe, monga kuchotsa mimba, ili ndi mavuto. Mthemayi ya mankhwala imayambitsa zosayembekezereka mu thupi la mkazi. Mwachitsanzo, ngati hypersensitivity ku mifepristone, kutaya magazi kumatsegulidwa, komwe kuli koopsa kwa moyo wa mkazi. Kapena, ngati chiwerengerocho sichingakhale chokwanira kuchotsa mimba kwathunthu, chingayambitse kuperewera kwa amayi osakwanira. Izi ndizoopsa ndi kutupa, matenda, sepsis, endometriosis, ndi zina zotero.