Kuchotsa mimba ndi njira imodzi yothetsa mimba. Mosiyana ndi kuchotsa mimba, mankhwala ndi aspirum aspiration zimakhala zowawa kwambiri kwa amayi onse mthupi ndi m'maganizo. Kuchotsa mimba kwachidwidwe kumachitika pamene kuchotsa mimba kwa njira ziwiri zapitazo zachitidwa mochedwa.
Njira ndi nthawi ya kuchotsa mimba
Kuchotsa mimba, kwenikweni, ndi ntchito yopaleshoni yaing'ono. Zimagwira pansi pa anesthesia wamba kapena wamba kuchipatala.
- Kuchotsa mimba m'zaka zitatu zoyambirira kumayendetsedwa ndi njira yowonjezeramo "kupititsa patsogolo". Zida zamakono zimapanga kachilombo ka HIV ndipo zimayambitsa dzira la fetal ndi endometrium ya makoma a uterine.
- Kuchotsa mimba m'kati mwa trimester yachiwiri kumachitika ndi "njira yowonongeka ndi kutuluka". Mtsinje wa chiberekero umatha, kenako kuyamwa kwa magetsi (kapena, ngati n'koyenera, zipangizo zamagetsi) kumachotsa mwanayo.
Pambuyo pochotsa mimba, nthawi zonse kumawoneka. Kukwanira kwawo ndi nthawi yake ndizokhazikika. Kugawidwa kumayamba mkati mwa maola oyambirira pambuyo pa opaleshoni ndipo ikhoza kutha kwa masabata awiri ndi kusokonezeka. Kuchotsa mimba mwachangu, kutulutsa kofiira kofiira, patapita nthawi kumakhala kofiira, voliyumu imachepa. Kutuluka kwa chikasu ndi fungo la fetid limasonyeza matenda, matendawa ayenera kuchitidwa mwamsanga.
Miyezi yoyamba pambuyo pochotsa mimba kumayamba masabata 4-8 ndipo poyamba kubwezeretsa kwa mahomoni kungakhale kosasintha, kwambiri komanso kwanthawi yayitali. Moyo wokhudzana ndi kugonana ukhoza kuyamba patangopita masabata awiri kuchokera mimba, pomwe ndi koyenera kusamalira chithandizo, chifukwa chakuti mimba yatsopano ikhoza kuchitika mofulumira kusiyana ndi nthawi yoyamba kutuluka mimba.
Makhalidwe ochotsa mimba amakhazikitsidwa pa msinkhu wa boma ndipo amapanga nthawi yopitirira 12 yobvuta kwa mimba ya pakati. Mpaka masabata asanu ndi limodzi, monga lamulo, gwiritsani ntchito mimba yakuchotsa mimba kapena kupuma.
Amaloledwa kuti abweretse mimba nthawi yonse ya mimba, koma ngati pali umboni ndipo, ndithudi, chilolezo cha mkaziyo.
Kuchotsa mimba kwa zifukwa zachipatala
Kuchotsa mimba kwazifukwa zachipatala n'kotheka ngati:
- ectopic kapena mimba yozizira;
- Kukhalapo kwa mkazi yemwe ali ndi matenda omwe, ngati ali ndi pakati, ali oopsa kwa thanzi lake kapena moyo wake (TB, chifuwa chachikulu cha matenda a shuga ndi matenda otchedwa endocrinological, ziwalo zapakhosi, matenda opatsirana, matenda a mitsempha, matenda amanjenje, ndi ena);
- kudziwidwa m'mimba mwachinyamatayo mwa kuyang'aniridwa kwa msinkhu wa maubwenzi obadwa mwachisawawa kapena zosabadwa; kukhalapo kwa zolakwa zomwe zimakhudzana ndi fetal impracticability.
Kuchotsa mimba kwa zifukwa zachipatala masabata 20 asanatuluke, kumatchedwa masabata 20-28 - mochedwa, patatha masabata 28, kuchotsa mimba kale kumabereka .
Zotsatira ndi kukonzanso pambuyo pochotsa mimba
Pambuyo pochotsa mimba, chikhalidwe cha mkazi chimakhala chophwanya kwambiri. Chiwawa ndi chomwe chimatchulidwa kwambiri, kenako mimba inasokonezedwa. Monga kukonzanso pambuyo pochotsa mimba pakapita masabata asanu ndi limodzi otsatirawa, tikulimbikitsidwa kutenga COC
Zotsatira za kuchotsa mimba ndi zovuta kufotokozera. Zopeka, ngati opaleshoni imachitidwa ndi katswiri wodziwa bwino kuchipatala choyenera, zotsatira zosayenera zimachepetsedwa. Komabe, chizolowezicho chimasonyeza mavuto ambiri. Mayi aliyense wachitatu pambuyo pochotsa mimba ali ndi matenda opweteka a ziwalo zoberekera zamkati, makoma a uterine opasuka, kutuluka kwa magazi, kusasamba kwa msambo, kusabereka kwa mimba, kusabereka.