Kuchotsa mimba ndiko kusokoneza kwakukulu mu thupi la mkazi, ziribe kanthu nthawi yomwe ali ndi mimba komanso momwe imasokonekera. Ngakhale kuchotsa mimba, kupatulapo opaleshoni, kungakhale ndi zotsatira zina. Choncho, ataganizira pa sitepe yotereyi, mayi ayenera kufufuza zovuta zonse, ndipo ndithudi, pita kwa katswiri wabwino, osati kungochita zokhazokha, komanso chifukwa cha kuyang'anira kubwezeretsa kwa thupi. Mwezi uliwonse pambuyo pochotsa mimba zimatsimikizira kubwezeretsedwa kwa ntchito ya mazira ochuluka, koma nthawi zonse kubereka sikubwezeretsedwa popanda mavuto. Zizindikiro zirizonse zosawonongeka, kuphatikizapo kuchedwa kwa miyezi itatha kuchotsa mimba, ndi mwayi wopita kwa dokotala. Ngakhalenso pamene atachotsa mimba, kumayambiriro kwa msambo, ndibwino kuti mupitirize kuyang'anitsitsa mkhalidwewo mpaka kubweranso kwa msambo.
Kodi chimakhudza bwanji kusamba kwa mimba pambuyo pochotsa mimba?
Akatswiri amadziwa zinthu zotsatirazi zomwe zimakhudza mlingo wa thupi pambuyo pochotsa mimba:
- zaka ndi dziko la thanzi la mkazi;
- kupezeka kwa matenda a pulogalamu yobereka;
- kukhalapo kwa matenda a hormonal;
- nthawi yothetsa mimba;
- njira yochotsa mimba;
- kubweretsa bwino mimba asanabwere mimba;
- mlingo wamalonda wa dokotala;
- ubwino wa mankhwala omwe amagwiritsidwa ntchito ngati akuchotsa mimba.
Chofunika kwambiri pakuletsa chitukuko cha matenda akuluakulu okhudzana ndi kuchotsa mimba ndi mwayi wodalirika kwa dokotala pakakhala kusokonezeka kwa msambo. Kuti muchite izi, muyenera kudziwa nthawi yomwe miyezi ikuchotsa mimba ikuyamba, ndipo ndizolakwika ziti zomwe zimadetsa nkhaŵa.
Kodi kusamba kumayamba liti pakulera mimba?
Kuchotsa mimba kumachokera pakuletsa mavitamini a progesterone, omwe amachititsa kukana dzira la fetus. Monga lamulo, izi sizimakhudza chonde komanso kusamba. Patatha masiku angapo mwezi udzayamba pambuyo pochotsa mimba kumadalira payekha payekha. Kukana dzira la fetal kumatengedwa kuti ndilo tsiku loyambalo, kotero, kuyambira pa ichi, chiyambi cha ulendo wotsatira chiwerengedwa. Mwezi uliwonse pambuyo pochotsa mimba amatha kuyamba ndi kuchedwa kwa masiku khumi, kawirikawiri miyezi 2 kuchokera pamene mimbayo imachotsa mimba. Kuchedwa kotereku kungaoneke ngati kozolowereka ngati matenda opatsirana pogonana komanso kuthekera kwa kubereka mobwerezabwereza sikuchotsedwa. Ngati miyezi itatha mimba itayamba mofulumira, koma kutuluka magazi ochulukirapo, kumafunika kuyang'anitsitsa kuti pasakhale chitukuko cha endometriosis. Matenda a mahomoni angathenso kuti azipita kumapeto kwa nthawi yaitali kapena matenda enaake.
Mwezi uliwonse mutachotsa mimba
Kuchotsa mimba kumatchedwa kuchotsa mimba kumayambiriro oyambirira ndi kupuma. Njirayi imapangitsa kuti chiberekero chikhale ndi mphamvu, choncho, pali ngozi yowonongeka ndi zovuta. Kusamba kwa mimba pambuyo pa kuchotsa mimba kubwezeretsedwa mkati mwa miyezi 3-7. Azimayi obereka, kuyambiranso kubwezedwa mkati mwa miyezi 3-4. Pafupifupi patatha mwezi umodzi kuchotsa mimba, miyezi yoyamba ikuyamba. Monga momwe amachitira chithandizo chamankhwala a mimba, masiku a msambo amawerengedwa pa maziko a kayendedwe kamodzi. Mwachitsanzo, ngati mkombero uli ndi masiku 28, ndiye kuti msambo uyenera kuyamba masiku 28 kuchokera mimba. Chifukwa cha kuchotsedwa kwa ovariya ntchito, kusamba m'miyezi yoyamba kungakhale kosavuta kuposa nthawi zonse. Chifukwa chochezera dokotala ndikusintha mtundu wa kutuluka kwa msambo, mawonekedwe a fungo lakuthwa, lomwe lingakhale chizindikiro cha matenda opatsirana. Kutaya magazi, kuonekera masiku oyambirira pambuyo pa kutha kwa mimba, sikukusamba. Monga lamulo, izi ndi zotsatira za kuchotsa mimba, chifukwa cha ziphuphu za chiberekero. Kutuluka magazi kowawa komanso kowawa kwambiri, nkofunikanso kukaonana ndi dokotala.
Ngati kuchotsa mimba kuchitidwa mofulumira, opaleshoni, chiopsezo cha mavutowa chidzakhala chokwanira mokwanira. Zikatero, ndi koyenera kufufuza nthawi zonse kuchokera kwa dokotala yemwe akupezekapo mpaka kumapeto kwa msambo.
Tiyenera kuzindikira kuti mtundu uliwonse wochotsa mimba umayambitsa zolephera za hormonal ndipo zingayambitse matenda a chiberekero. Komanso chifukwa cha matenda a mahomoni, amakhala ndi chiopsezo chachikulu chokhala ndi mimba mobwerezabwereza asanayambe kusamba. Choncho, poyambanso kugonana, nkofunikira kusamalira chithandizo pasanapite nthawi. Kusankhidwa kwa njira zothandizira pakamwa pakatha kuchotsa mimba, sikungowononga mimba, koma kumathandizanso kubwezeretsanso mahomoni. Koma dokotala yekha yemwe akupezekapo akhoza kupereka mankhwala opatsirana pogonana, poganizira zochitika zonse za thupi la mkazi. Komanso, pambuyo pochotsa mimba, mayeso oletsa kuteteza sayenera kuphonyedwa ndipo uphungu wamakono uyenera kubwezeretsedwa ngati zizindikiro zikuwonekera. Miyeso imeneyi idzachepetsa kwambiri chiopsezo cha matenda osabereka komanso matenda opatsirana.