Kuchotsa mimba kumatchedwanso kupuma. Izi zimakhala zochepa kwambiri kusiyana ndi kuchotsa mimba nthawi zonse, zomwe zimaphatikizapo kutulutsa chiberekero cha uterine. Chinthu chofunika kwambiri chochotsa mimba ndikuti palibe chifukwa chogwiritsa ntchito anesthesia. Njira yonseyi imagwiridwa ndi anesthesia.
Njira zothandizira
Asanayambe kufufuza. Kufufuza ndi kusanthula zofunikira zomwe zimafunika kuti utulutsidwe mimba zilembedwe pansipa:
- kusanthula kwakukulu kwa magazi ndi mkodzo;
- kutsimikiza kwa hCG mlingo;
- Ultrasound kuti atsimikizire kuti ali ndi mimba ndi kupezeka kwa matenda osokoneza bongo;
- amafufuza za kukhalapo kwa opatsirana opatsirana omwe amachititsa matenda opweteka a chiberekero, komanso kachilombo ka HIV, matenda a chiwindi, chiwindi.
Kuti timvetsetse momwe kuchotsa mimba kwatha, tiyeni tione njira zazikuluzikuluzi:
- Mankhwala otere amathandizidwa ku chiberekero.
- Pambuyo pa anesthésia yowonongeka, catheter yapadera imayambitsidwa kudzera mumtsinje wa chiberekero. Pankhaniyi, palibe chifukwa chogwiritsira ntchito zofutukula zapadera, monga momwe zimakhalira potira. Choncho, njirayi ndi yopweteka kwambiri.
- Catheter imagwirizanitsidwa ndi chida chapadera - aspirator chopuma, yomwe imayambitsa mavuto oipa mu uterine cavity. Muzochitika zotero, dzira la fetus "limatha" kuchoka ku khoma la uterine ndikukwera kunja.
Kawirikawiri, mutatha kuwongolera, muyenera kukhala kuchipatala kwa mphindi 30. Lembani mankhwala omwe amachititsa kuti musamakhale ndi matenda opatsirana.
Tsopano tiyeni tiwone momwe masabata angapo amachotsera mimba, chifukwa osati pa nthawi iliyonse ya mimba zidzakhala zothandiza. Njira yochotsa mimba ingagwiritsidwe ntchito kumayambiriro kwa nthawi yobereka. Izi ndi za masabata asanu ndi limodzi. Panthawiyi, villi ya chorion sanalowe mkati mwa chiberekero cha chiberekero. Choncho, ndi kosavuta kuchotsa dzira la fetus pachiberekero.
Sankhani kuchotsa mimba kapena kuchotsa mimba kuchokera pa nthawi ya mimba ndi zizindikiro ndi zosiyana. Nthawi zina kuchotsa mimba sikubweretsa zotsatira zoyenera, kapena dzira la fetus silisiyanitsidwa kwathunthu. Pachifukwa ichi, mutatha kumwa mapiritsi, mukufunikira kuchotsa mimba ndi aspiration ya dzira la fetal.
Zotsatira ndi nthawi yobwezera
Ambiri akudandaula kuti ndi zopweteka kuchita mimba yazing'ono ndi momwe nthawi yobwezeretsera ikupitilira mutatha kulowa. Monga njira iliyonse yopaleshoni, mimba yamtundu uwu sungakhale yopweteka. Koma chifukwa cha bwino analgesia, zowawa zowawa zimachepetsedwa. Makhalidwe a kukhalapo kwa chisangalalo panthawi yotsegula chiberekero. N'zotheka kuti phokoso liwoneke, kutukuta kwambiri komanso kufooka kwakukulu.
Pakatha nthawi yochotsa mimba, pangakhale ululu wojambula m'mimba. Kuwonekera kwake kumagwirizanitsidwa ndi kufooka kwa zochita za anesthetics. Choncho, ngati mimba imatha pambuyo pochotsa mimba, ndiye izi siziri chifukwa chodetsa nkhaŵa. Tsiku lotsatira, atachotsa mimba, zimakhala zofanana ndi magazi. Matendawa amatha masiku khumi. Zotsatira za kuchotsa mimba kungakhale motere:
- kuchotsedwa kosatha kwa dzira la fetal ;
- kuchepa kwa hormoni ndi mavuto okhudzana ndi msambo;
- kukhala ndi matenda.
Kuwonjezeka kwa kutentha kwa thupi pambuyo pa kuchotsa mimba kumaloledwa kwathunthu. Izi ndizimene thupi limayankha kuchitidwa opaleshoni.
Pambuyo pa kutha kwa mimba, m'pofunika kusiya kugonana mpaka chiberekero chichiritsidwa (pafupifupi masabata atatu). Ndipo kukonzekera mimba pambuyo pa kuchotsa mimba sikuyenera kukhalapo kuposa miyezi 6 itatha.