Kodi ndi mimba yotani yomwe ilipo?
Asanasankhe chisankho, mkazi ayenera kuganiza. Kusokoneza koteroko kumadzala ndi zotsatira za ntchito ya kubereka - atsikana ambiri, atachotsa mimba, amakumana ndi vuto la kutenga pakati. Ngati chigamulocho chapangidwa, muyenera kupita kuchipatala komwe mungapeze zambiri zokhudzana ndi kuchotsa mimba komanso nthawi yomwe akugwiritsire ntchito. Mwa njira zomwe zilipo zowononga mimba, ndi bwino kudziwa:
- Kuchotsa mimba - kumatengera mankhwala osokoneza bongo ndikuchotsa mazira kunja;
- Kutaya mimba (kutulutsa mimba) - kusokoneza, kutengedwa ndi chithandizo cha aspirator, pogwiritsa ntchito ndondomeko yoyera;
- Njira yopangira opaleshoni - ikuchitidwa mothandizidwa ndi zipangizo zapadera zomwe zimayeretsa uterine cavity.
Mitundu ya mimba yoyamba
Tiyenera kuzindikira kuti ndondomeko ya kusokonezeka imatha kale kuchokera pa masabata atatu, nthawi yomwe mu chiberekero mumatha kuona kachilombo kameneka mothandizidwa ndi ultrasound. Kulankhula za mtundu wa kutha kwa mimba kumayambiriro oyambirira, muyenera choyamba kumvetsa medabort. Ubwino wake ndi kusowa kwathunthu kwa zipangizo zamakono kapena zochitika zopaleshoni. Zimagwiritsidwa ntchito pogwiritsa ntchito mankhwala apadera. Mlingo wa kuyendetsa bwino ndi 98%.
Njira yogwiritsira ntchito aspirum imaphatikizapo kuchotsa dzira la fetal kuchokera ku chiberekero kudzera mu chipangizo chapadera. Ndondomekoyi siidatha mphindi 10. Amayankhula njira zopaleshoni, koma akulephera. Zitha kuthekera kumayambiriro koyambira, mpaka dzira limakhazikitsidwa kwambiri mu endometrium. Njirayo ingagwiritsidwe ntchito ngati yothandizira - pambuyo pochotsa mimba, kuonetsetsa kuti mimbayo imachotsedweratu, pofuna kuthetsa zotsalira za matenda.
Kodi kuchotsa mimba ndi chiyani?
Mwa mitundu yonse yomwe ilipo yochotsa mimba, iyi imadziwika ngati njira yabwino kwambiri yochotsera mimba. Ali ndi zotsatira zochepa, sizikusowa kupezeka kwa zipangizo zapadera ndi zochitika zachipatala. Zimangokhala mkati mwa makoma a mabungwe azachipatala, moyang'aniridwa ndi kuyang'aniridwa ndi madokotala. Palinso mankhwala ena omwe angagwiritsidwe ntchito mwanjirayi. Njira yapadera ndiyo kugwiritsa ntchito Mifepristone.
Asanamwe mankhwala, dokotala amachititsa ultrasound, kuyesa mkhalidwe wa wodwalayo. Pambuyo pake, chikalata chovomeretsa mimba chimasaina. Poyang'aniridwa, mkaziyo amatenga mankhwalawa. Pambuyo pa maola 3-4 wodwalayo, atatsimikiza kuti palibe vuto, madokotala amaloledwa kuchoka kuchipatala. Pambuyo pa masiku 3-5, kubwereza mobwerezabwereza kumachitika, pofufuza uterine cavity ndi kuyesedwa kwa ntchito yochitidwa.
Kuchotsa mimba - mankhwala
Mtsikana amene adasokoneza mimba, akufunsa mafunso ambiri. Chiyembekezo chochotsa mimba, mpaka masabata angapo akuchitidwa - iye samadziwa nthawi zonse. Ntchito yaikulu ya madokotala mu njirayi ndichindunji chodziwikiratu cha msinkhu wokondwerera. Ikhoza kukhazikitsidwa pamaziko a deta yofufuza ya ultrasound. Njira iyi yothetsera khanda imagwira ntchito mpaka masabata asanu kuphatikizapo, nthawi zina ikhoza kuchitidwa pa sabata 6.
Kuchotsa mimba - zotsatira
Ngakhale pangozi yaing'ono, pangokhala pangozi yaing'ono, sizingatheke kuti pakhale zochotsa mimba, zotsutsana ndi kukhazikitsidwa kwa izi ndi izi:
- nthawi yayitali yaitali (milungu yoposa 6);
- zovuta zenizeni za kapangidwe ka uchembere;
- kusagwirizana kwa mankhwala osokoneza bongo.
Kuonjezera apo, madokotala nthawi zambiri amagwidwa ndi nkhawa za njira yochotsa mimba chifukwa cha zotsatira zovuta, pakati pawo:
- kusokonezeka kosatha kwa chiberekero ndi kupititsa patsogolo kwa mimba - tawona ngati kukanidwa kwa dzira la fetus silikuchitika;
- magazi;
- ululu woopsa m'mimba pamunsi;
- kunyoza kwakukulu ndi kusanza.
Kodi mumatani kuti muchotse mimba?
Poganizira za njira zothetsera tsogolo la mwana, mayi akufunsa za momwe kuchotsa mimba kumakhalira. Njira yotereyi imafuna kukonzekera. Zimagwiritsidwa ntchito pogwiritsa ntchito anesthesia, kaŵirikaŵiri kawirikawiri. Pankhaniyi, mayiyo asadye chakudya pambuyo pa 12 koloko usiku watangotsala pang'ono kugwira ntchito.
Ndondomeko yokha, monga mitundu ina ya kuchotsa mimba, imayendetsedwa mu mpando wachikazi, pogwiritsa ntchito kuyamwa. Nsonga ya chipangizocho imayikidwa mu uterine cavity. Zowonongeka kale, magwiritsidwe ntchito kuti atsegule khosi la uterine. Pogwiritsa ntchito nsongayo, dokotala amachotsa zonsezo. Pakangotha maola angapo, wodwala amamuwona, kenako amachoka kuchipatala.
Kuchotsa mimba kwachinthu - mawu
Nthaŵi ya ndondomekoyi ndichinthu chodziŵikitsa posankha njira yochotsa mimba. Kawirikawiri, amayi omwe akufuna kuchotsa mwanayo, akufunafuna kudziwa za kutulutsa mimba kwazing'ono: amatha masabata angati, omwe amawakonda kwambiri. Njirayi imatheka pokhapokha m'zaka zochepa zowonongeka. Chimachitika ngati masabata osachepera 14 asadutse kuchokera pamene mayi akuyembekezera.
Kuchotsa mimba - zotsatira
Chifukwa chakuti njirayi ikukhudzana ndi njira zochepa zochititsira opaleshoni, sizingatheke kuti tichotse mimba yotsuka, zomwe zimatsutsana ndi izi:
- ectopic pregnancy;
- matenda mu thupi la malo alionse;
- zogwira ntchito ndi zamoyo mu ziwalo za m'mimba;
- kusokonezeka kwa dongosolo la magazi coagulation;
- mimba yapitayo inatenga miyezi yosachepera 6;
- nthawi ndiposa masabata asanu;
- anabadwa ndipo anapeza zolakwika za chiberekero.
Zina mwa zotsatira za kusokoneza kotere ndi:
- kuchotsedwa kwa mwana wosabadwayo kuchokera mu uterine cavity;
- kupweteka kumakoma a limba;
- magazi ochuluka kwambiri.
Kodi kuchotsa mimba kumapangidwira bwanji?
Asanayambe kugwira ntchito ya mtundu umenewu, mayiyo adzafufuza bwinobwino. Zikuphatikizapo:
- Kusanthula mwadzidzidzi pogwiritsa ntchito smears;
- Ultrasound;
- kusanthula kwa hCG;
- kuyesa magazi: kafukufuku wambiri, chifukwa cha chiwindi, chiwindi, gulu la magazi ndi Rh factor.
Kuchotsa mimba kumagwira ntchito pansi pa anesthesia, yomwe imachitidwa mwachangu. Pambuyo poyambira magalasi, ntchito ya expander, yambitsani zapadera. zipangizo. Amawononga ziphuphu za mluza, kuzichotsa pa khoma la chiberekero. Mothandizidwa ndi curette, dokotala amapanga zowonjezera zamkati za uterine. Asanafike mapeto, dokotalayo amakhulupirira kuti palibenso minofu m'kati mwake. Kuti kudalirika muzitha kuyatsa. Nthawi yowonongeka konse ndi mphindi 20-30, mphamvuzo ndi 100%.
Zochotsa mimba - mawu
Poganizira mitundu yochotsa mimba, dziwani kuti njirayi ingagwiritsidwe ntchito nthawi yayitali. Pochita zimenezi, amafunika kuikidwa kuchipatala. Kuchetsa mimba kumapeto kwa nthawi kumaphatikizapo kuphwanya kwa intrauterine, kutaya mimba, kufa kwa mwana wosabadwa. Pankhani iyi, imachitika pa nthawi ya masabata 6 mpaka 22, pokhapokha pamalo okhazikika, ndi kupezeka kwa zipangizo zapadera ndi ogwira ntchito zachipatala oyenerera.
Zotsatira za kuchotsa mimba
Njirayi ndi njira yothandizira opaleshoni, choncho sizingatheke kuti tichite mimba yochotsa mimba, zomwe zimatsutsana ndi izi:
- kusokonezeka kwa dongosolo la mtima;
- kusokonezeka kwa ubongo wa ubongo;
- matenda aakulu komanso oopsa.
Madokotala amayesera kuti asagwiritse ntchito njira yochotsa mimba chifukwa chaziopsezo zazikulu zovuta, zomwe zilipo:
- magazi;
- chisokonezo cha uterine looms;
- matenda opweteka (parametritis, endometritis, salpingitis, etc.);
- matenda;
- kuphwanya kwa msambo, kusabereka kwachiwiri.
Kodi kuchotsa mimba ndi kotani?
Poopa zotsatira za njirayi, poyesera kuchepetsa iwo, amai nthawi zambiri amaganiza za momwe njira yabwino kwambiri yochotsera mimba ilipo pakalipano. Pankhaniyi, madokotala samapereka yankho losavomerezeka - mitundu yonse ya mimba ili ndi zofooka zawo. Kusankha kwa njira kumadalira pazinthu zambiri, zomwe zimakhala:
- nthawi ya mimba;
- kukhalapo kwa matenda aakulu;
- zizindikiro zowopsya - matenda a chiberekero, kupezeka kwa mimba m'mbuyomo.
Kulankhula za mitundu yochotsa mimba, madokotala omwe ali otetezeka kwambiri amavomereza kusokonezeka kwa mankhwala kwa kugonana. Gulu lolondola la ndondomekoyi, kusankha kwa kukonzekera ndi nthawi yowonongeka kumapangitsa kuti njirayi ikhale yogwira bwino kwambiri. Chovuta chachikulu kwa amayi ndizosavomerezeka kugwiritsira ntchito paokha. Ikuchitika kokha m'mazipatala zamankhwala.