Kuchotsa mimba

Malingana ndi dzina la njira yochotsamo mimba, zimatsimikizirika kuti njira yothetsera mimba imeneyi ikuchitika mothandizidwa ndi mankhwala.

Njira yochotsera mimba

Kusokonezeka kwa pulogalamu ya mimba kumatha nthawi yaitali mpaka masabata asanu ndi limodzi kuchokera tsiku loyamba la kusamba.

Tsopano tiyeni tione m'mene mimbayo imachotsera mimba, ndipo kusintha kotani kumachitika mu thupi la mkazi panthawiyi. Kuchotsa mimba kumagwiritsa ntchito mankhwala awiri.

1. Mefeipristone ndi mankhwala omwe amachititsa kuti pulogalamu ya progesterone ikhale yofunika kwambiri. Choncho, ntchito ya mankhwala imasiya kukula kwa dzira la fetal.
2. Pafupipafupi, tsiku limodzi kapena masiku awiri mutatha pepala limodzi la Mifepristone, muyenera kutenga mapiritsi awiri a Misoprostol. Ndizofanana ndi ma prostaglandin, omwe amachititsa kupweteka, kupweteka kwa chiberekero. Pa nthawi yomweyi, pali kuwonetseratu kwa ntchito yogwira ntchito.

Pambuyo maola angapo, mimba imasokonezeka, yomwe imaphatikizapo kutuluka kwa magazi. Chifukwa chake, kamwana kameneka kakulekanitsa ndi khoma la uterine ndipo chimachoka pamtanda. Pambuyo pochotsa mimba, ndikulimbikitsidwa kuti mukhale ndi ultrasound kuti mutsimikizire kupezeka kwa mwana wosabadwa mu chiberekero cha uterine.

Kusokonezeka kwa mimba ndi chithandizo cha kuyeza kumatsutsana pazotsatira zotsatirazi:

• ndi ectopic pregnancy;
• ngati msinkhu waunyengo uli woposa masiku 49;
• kusokoneza maganizo ndi kupezeka kwazotsutsana ndi mankhwala ogwiritsidwa ntchito;
• ndi nthendayi yoopsa ya matenda (ubongo, adrenal ndi matenda osadziwika, matenda a mtima, matenda aakulu a matenda a broncho-pulmonary);
• kukhalapo kwa hemostasis ya magazi;
• zilonda zam'mimba, endometriosis;
• zipsera pachiberekero.

Komanso, pulogalamu yothetsa mimba sivomerezeka kwa amayi oposa 35.

Zotsatira za kuchotsa mimba ndi nthawi yochira

Kuchotsa mimba kumatengedwa kuti ndi njira yabwino kwambiri. Ubwino wa mimba yochotsa mimba ndi yakuti njirayi sikutanthauza kugwiritsa ntchito zipangizo zapadera zachipatala. Ndipo motero palibe pangozi yowonjezera mavuto omwe amabwera chifukwa cha zoopsa kwa uterine matenda ndi matenda a ziwalo za kubereka.

Koma zochitika zina zotsatira zowonjezera mimba sizinatulukidwe. Choyamba, mavuto angakhale awa:

1. Kulephera kwa Hormonal. Ndi njira iyi, pofuna kuthetsa mimba, m'pofunika kutenga mankhwala akuluakulu a mahomoni, omwe nthawi zambiri amakhudza mahomoni ambiri. Koma panopa, kuchotsa mimba kumachitika kumayambiriro oyambirira, kotero thupi limasowa nthawi yochepa kuti ipeze.
2. Mimba yosakwanira. Pachifukwa ichi, kutuluka mimba pambuyo pochotsa mimba kudzakhala yaitali komanso kuthetsa vutoli ndi koyenera kuyambitsa chithandizo cha mucous membrane ya chiberekero.
3. Pambuyo kumwa mankhwala, pangakhale vuto la katolo, kunyoza ndi kusanza.

Mwezi uliwonse pambuyo pochotsa mimba nthawi zambiri amabwezeretsedwa nthawi yomweyo. Pambuyo pa miyezi ingapo, kusamba kumayambiranso mu ulamuliro wakale. Ndipo malinga ndi nthawi yake komanso kuchuluka kwa magazi otayika sizomwe zimasiyana ndi kusamba kwa msinkhu. Kuti mukhale ndi nthawi yabwino, tsiku lochotsa mimba limatengedwa ngati tsiku loyamba la kusamba ndipo kuchokera kwa ilo lipoti lopitirira la kayendedwe kameneka kamapezeka.