Terms of kuchotsa mankhwala a mavuto mimba pambuyo ndondomeko

Mankhwala mimba - njira watsopano wochita mimba, chimene chakhala ntchito Russia pa 5 zaka zapitazo. Kuyambira kalekale anthu akhala anayesa kupeza njira si olanda kuthetseratu vuto la mimba zapathengo, ndi chinapezeka mwa njira imeneyi.

Zomwe mimba kuchipatala?

njira zachokera kumwa mankhwala mu mawonekedwe piritsi, amene kuswa chakudya zipatso kenako chifukwa kukanidwa kwake. Mimba kumachitika panthawi angapo, tikambirana pansipa.

Monga abortive yogwira kukonzekera mankhwala ntchito mu gawo loyamba, mifepristone, amene analandira mu mlingo wa 600 mg. Izo zikhoza kupezeka mu mawonekedwe a ndalama "Mifegin", "Penkrofton".

Pamene mimba kuchipatala, formulations wa yachiwiri azitenga theka masiku awiri pambuyo njira yoyamba. Iwo akhoza kukhala ndi piritsi mawonekedwe ntchito mu mawonekedwe a suppositories ukazi. Ndi kukonzekera kwa gulu la prostaglandins (kawirikawiri amatanthauza "Misoprostol"), zomwe zimayambitsa ndondomeko chokhala padera. Choncho, nthawi kuchotsa mankhwala mimba alibe upambana masiku 3-4, kuphatikiza zina masabata ochepa akhoza kutenga nthawi kuchira.

Ngakhale kuti njira Russian "Mifepristone" ntchito posachedwapa, kunja amadziwika kuyambira 1988, ndipo gulu lachiwiri la mankhwala - ndipo ngakhale kale, chapakati pa zaka za m'ma 20. Kamodzi mankhwala awa akhala mogwira mavuto ochuluka ndi pamene ntchito.

Limagwirira cha zochita za mankhwala kupangira mimba

Monga amadziwika, pambuyo mimba mahomoni mkazi kusintha: kuwonjezera ndende ya timadzi wa, umalimbana kuteteza zipatso. Choncho timadzi mu trimester mimba ndi progesterone. Izo kumawonjezera voliyumu ya minofu zilonda za chiberekero kwa mwana wosabadwayo pamaso mapangidwe latuluka akhoza kupeza zakudya zonse kuchokera kwa amake.

Mankhwala "Mifegin" ( "mifepristone") msanga kukula kwa endometrium, amene amasokoneza zakudya yoopsa. Kuchepetsa ndende ya progesterone kumawonjezera udindo wa oxytocin, zomwe zimabweretsa contractions uterine. Mu gawo lachiwiri prostaglandins amathandiza kuti ntchitoyi, ndiponso pali kukana yoopsa.

Terms of mimba mankhwala

Pali prerequisites zingapo amenewa mimbayo. Choyamba mawu onse ofunika a zachipatala kuchotsa mimbayo. Izi ndi zotheka pasanathe masiku 49 kuchokera msambo lomaliza. Magwero ena anati kwa masiku 63, malinga kuchipatala ndondomeko chikuchitika.

Mu matenda a osafunika oyambirira mimba kuchotsa kwambiri wofatsa njira kugwiritsira ntchito mankhwala bwino anachita kwa milungu 4 chifukwa wosabadwa sikokwanira chitazika chiberekero. Izi zikutanthauza kuti magazi pambuyo kusalandira wosabadwa Pankhaniyi adzakhala kochepa.

Kodi mungathere farmabort?

Ngakhale kuti m'kati ndiyotani pakuchotsa mimbayo zimachokeradi opaleshoni, njirayi amagwirizana ndi mavuto ena. Choncho, kugula mankhwala pa mankhwala ndi ntchito kunyumba sizigwira ntchito.

Kodi mankhwala mimba ikuchitika? Pakali pano, kokha pamalowo dokotala. Kum'dula pakamwa wa chipatala mimba imagwiridwa kuyang'aniridwa pafupi ogwira ntchito kuti athe kudziwa mavuto pa siteji oyambirira. Penyetsetsani kumachitika mwa maola angapo pambuyo ndondomeko, mtima uli ndiye lili masiku angapo, ndipo pambuyo masabata 2 ya polojekiti anagwira ultrasound kuti akatsimikizire mimba yokonza.

Pofuna kuti mimba mankhwala, chipatala ayenera kalata ndi kusamvana pa ntchito mifepristone. Kamodzi mankhwala ntchito kuchita njira farmaborta muyenera mwachindunji poyang'ana upo yoyenera.

Mtengo wa ndondomeko

Medical mimba, mtengo umene uli chifukwa mtengo wa mankhwala zambiri, sikuli kwa gulu la odwala bajeti. Popeza zokwanira kukwaniritsa chifukwa cha phwando la miyala iwiri, kuphweka kwa njira walola kukhazikitsa mitengo yake (7 zikwi kapena kuposerapo).

Kuti mtengo wa mankhwala anawonjezera kuti kupereka m'chipatala, ndi kugwiritsa ntchito zipangizo ndi mtengo wa ogwira ntchito zaumoyo ntchito nthawi.

Pa mtengo yomaliza nawonso anakopeka ndi chinthu maganizo, chifukwa pakalibe alowererepo amatonthoza mkati, umene ambiri amakhala okonzeka kulipira owonjezera.

Pa nthawi yomweyo mimbayo zachipatala, mtengo umene ndi apamwamba kuposa zingalowe chiyembekezo kapena curettage la chiberekero, ndondomeko ndithu mosavuta misa ambiri a anthu.

zosokonezeka kutheka pambuyo mimba zachipatala

ngakhale nthawi kuchotsa mankhwala a mimba ndi kupewa mavuto ambiri zosasangalatsa pali mavuto kugwirizana ndi ndondomeko.

Mphamvu ya njira ndi 95%, ndiye pali kuthekera kuti 5% ya amayi apakati adzapitiriza.

Medical mimba, pa zimene detachment wa mwana wosabadwayo ku khoma chiberekero, kuchititsa magazi (zambiri osati wochuluka kwambiri), koma pali chiopsezo ataya magazi. Kupatukana kungakhale yaitali, limodzi ndi ululu chiberekero, zachilengedwe kuledzera (malungo, kuzizira, nseru).

Phunziro kwa luso la gawo piritsi kumachititsa wa kukwaniritsa zotsatira ankafunila, koma palibe njira alipo musataye% zotsatira 100.

contraindications

Mankhwala mimba sizingatheke mu pamaso pa matupi awo sagwirizana anachita zigawo mankhwala, ndi clotting magazi osauka, pamaso pa matenda yamchiberekero ndi chiberekero.

Ngakhale pali kuchotsa oyambirira mimba kugwiritsira ntchito mapiritsi sizingatheke ngati kale imachitika ntchito pa chiberekero. Zipsera ndi Mwina mkulu angasokoneze kukana yoopsa, i.e. kungafune wotsatira kuchipala patsekeke.

Pamaso pa insufficiency aimpso ndi mphumu dokotala amathanso kuletsa kuchotsa mimbayo njira imeneyi.

Popeza mankhwala ndi mahomoni chikhalidwe, kapewedwe ka kulera m'thupi angathe kuchepetsa mphamvu ya njira Komabe, chinthu ichi ndi contraindication kwa mimba ndi mifepristone ndi ena ofanana zace.

mimba Medical amadziwikanso osati anachita pa nkhani ya mimba ectopic, kotero Ndondomeko yoyamba kuphimba.

Kudzifufuza pamaso mimba

Mlingo wa mankhwala kwa mimba kuchotsa lakonzedwa kuti mkazi wathanzi thupi normosthenic mtundu wa chithunzi, chotero patsogolo ndondomeko, mayesero magazi mtima kutaya, kupaka pa zomera ndi, akudutsa Kupenda ultrasound. Zimenezi zimathandiza kudziwa mlingo wa umoyo, kukhazikitsa enieni gestational zaka, kudziwa contraindications zotheka kuchotsa mimba.

Pakuti kafukufuku sindiye kusankha tsiku limodzi, ntchito wa zonse n'zotheka tsiku lina. The kafukufuku mulinso kuwerenga malangizo kwa mankhwala, kusaina zikalata pangano kuchita ndondomeko.

Mkazi anachenjeza kuti kupitiriza zotheka mimbayo, ndipo ngati pambuyo pa masabata 2 mwana wosabadwayo ndi atasunga, izo zidzakhala zofunikira kugwiritsa ntchito njira ina. Komanso, mlingo wa ngozi ndi zingalowe kukhumba (masabata 6 mimba) ndi kuchipala (milungu 12). Terms of mimba zachipatala ndi zingalowe chiyembekezo ndi pafupi zofanana, koma chiopsezo thanzi la mayiyo mlandu wachiwiri ndi apamwamba kwambiri.

Pambuyo mimba zachipatala ayenera kupewa kuchita masewera olimbitsa thupi yovutayi, kusamba ndi kupita kusamba ndi anthunzi otulutsirako thukuta, kukana kugonana kwa masabata 2 pambuyo ndondomeko, ndipo osagwiritsa ntchito wotsukira.