Kuthetsa mimba ndi mankhwala
Zambiri Zokhudza Kutaya Mimba Zachipatala
Amayi ena amakonda kugwiritsa ntchito mankhwala kuti athetse mimba chifukwa:
- Itha kugwiritsidwa ntchito poyambira mimba.
- Itha kugwiritsidwa ntchito kunyumba.
- Zimamveka zachilengedwe, monga kupita padera.
- Ndizowopsa kwambiri kuposa kuchotsa mimba kuchipatala.
Mankhwala atha kugwiritsidwa ntchito kuthetsa mimba isanakwane. Nthawi zambiri, tsiku loyamba la nthawi yanu yomaliza liyenera kukhala lochepera milungu 9 yapitayo. Ngati muli ndi pakati pa milungu isanu ndi iwiri, mutha kutaya mimba. Zipatala zina zimatha kupitirira milungu 9 kuti achotsere mankhwala.
Onetsetsani kuti mukufuna kuthetsa mimba yanu. Sizabwino kuletsa mankhwala mukangoyamba kumwa. Kuchita izi kumabweretsa chiopsezo chachikulu pakubala ana obadwa nako.
Yemwe Sayenera Kuchotsa Mimba Kuchipatala
Simuyenera kuchotsa mimba ngati:
- Kodi muli ndi pakati pamasabata asanu ndi anayi (nthawi kuyambira nthawi yanu yomaliza).
- Khalani ndi vuto la kutseka magazi kapena kulephera kwa adrenal.
- Khalani ndi IUD. Iyenera kuchotsedwa kaye.
- Ndizovuta kwa mankhwala omwe amagwiritsidwa ntchito kuthetsa mimba.
- Tengani mankhwala aliwonse omwe sayenera kugwiritsidwa ntchito pochotsa mimba.
- Osakhala ndi mwayi wopita kuchipatala kapena kuchipatala.
Kukonzekera Kuchotsa Mimba Kuchipatala
Wothandizira zaumoyo:
- Chitani kuyezetsa thupi ndi ultrasound
- Pendani mbiri yanu yazachipatala
- Yesani magazi ndi mkodzo
- Fotokozani momwe mankhwala ochotsera mimba amagwirira ntchito
- Kodi mulembe mafomu
Zomwe Zimachitika Pakataya Mimba
Mutha kumwa mankhwala otsatirawa pochotsa mimba:
- Mifepristone - izi zimatchedwa mapiritsi ochotsa mimba kapena RU-486
- Kulakwitsa
- Mutenganso maantibayotiki kupewa matenda
Mutha kutenga mifepristone muofesi kapena kuchipatala cha omwe akukuthandizani. Izi zimalepheretsa progesterone ya hormone kugwira ntchito. Kutalika kwa chiberekero kumawonongeka kotero kuti mimba isapitirire.
Woperekayo angakuuzeni nthawi komanso momwe mungatengere misoprostol. Zikhala pafupifupi maola 6 mpaka 72 mutatenga mifepristone. Misoprostol imapangitsa chiberekero kugwirana ndikukhala chopanda kanthu.
Mukamwa mankhwala achiwiri, mudzamva kuwawa komanso kupweteka. Mudzakhala ndi magazi ochulukirapo ndipo mudzawona kuundana kwa magazi ndi minofu kutuluka kumaliseche kwanu. Izi nthawi zambiri zimatenga maola 3 mpaka 5. Ndalamazo zidzakhala zochuluka kuposa momwe muliri ndi nthawi yanu. Izi zikutanthauza kuti mankhwalawa akugwira ntchito.
Muthanso kukhala ndi nseru, ndipo mutha kusanza, kukhala ndi malungo, kuzizira, kutsegula m'mimba, ndi mutu.
Mutha kutenga zothetsa ululu monga ibuprofen (Motrin, Advil) kapena acetaminophen (Tylenol) kuti muthandizire zowawa. Musamwe aspirin. Yembekezerani kuti muzikhala ndi magazi pang'ono mpaka milungu 4 mutachotsa mimba. Muyenera kukhala ndi mapadi ovala. Konzani kuti musavutike kwa milungu ingapo.
Muyenera kupewa kugonana kwanyengo pafupifupi sabata mutachotsa mimba. Mutha kukhala ndi pakati mukangotulutsa mimba, chifukwa chake lankhulani ndi omwe amakuthandizani pa zaumoyo. Onetsetsani kuti mukugwiritsa ntchito njira yolerera musanayambe kuchita zachiwerewere. Muyenera kupeza nthawi yanu pafupifupi masabata 4 mpaka 8.
Tsatirani Wopereka Chithandizo Chazaumoyo Wanu
Pangani msonkhano wotsatira ndi wokuthandizani. Muyenera kufufuzidwa kuti muwonetsetse kuti kutaya mimba kwatha komanso kuti mulibe mavuto. Ngati sizinagwire ntchito, muyenera kuchotsa mimba kuchipatala.
Zowopsa Zothetsa Mimba Ndi Mankhwala
Amayi ambiri amachotsa mimba mosavutikira. Pali zoopsa zochepa, koma zambiri zitha kuchiritsidwa mosavuta:
- Kutaya mimba kosakwanira ndipamene gawo limodzi la mimba silimatuluka. Muyenera kukhala ndi mimba yapachipatala kuti mumalize kuchotsa.
- Kutaya magazi kwambiri
- Matenda
- Magazi amaundana m'chiberekero mwanu
Kuchotsa mimba mwachipatala nthawi zambiri kumakhala kotetezeka. Nthawi zambiri, sizimakhudza kuthekera kwanu kukhala ndi ana pokhapokha mutakhala ndi vuto lalikulu.
Nthawi Yoyitanira Dotolo
Mavuto akulu ayenera kuthandizidwa nthawi yomweyo kuti mutetezeke. Itanani omwe akukuthandizani ngati muli ndi:
- Kutaya magazi kwambiri - mukukwera pamapadi awiri ola lililonse kwa maola awiri
- Kuundana kwa magazi kwa maola awiri kapena kupitilira apo, kapena ngati makhosowo ndi akulu kuposa mandimu
- Zizindikiro zakuti mudakali ndi pakati
Muyeneranso kuyimbira foni dokotala wanu ngati muli ndi zizindikiro zodwala:
- Zowawa m'mimba mwako kapena kumbuyo
- Malungo opitilira 100.4 ° F (38 ° C) kapena malungo aliwonse kwa maola 24
- Kusanza kapena kutsegula m'mimba kwa maola opitilira 24 mutamwa mapiritsi
- Kutuluka koyipa kumaliseche
Piritsi lochotsa mimba
Lesnewski R, Prine L. Kuchotsa mimba: Kuchotsa mimba. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 114.
Nelson-Piercy C, Mullins EWS, Regan L. Umoyo wa amayi. Mu: Kumar P, Clark M, eds. Kumar ndi Clarke's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier; 2017: mutu 29.
Oppegaard KS, Qvigstad E, Fiala C, Heikinheimo O, Benson L, Gemzell-Danielsson K. Kutsata kwachipatala poyerekeza ndi kudziwunika kwa zomwe zachitika pambuyo pochotsa mimbulu kuchipatala: mayesero ambiri, osadzichepetsera, oyeserera, owongoleredwa. Lancet. 2015; 385 (9969): 698-704. PMID: 25468164 www.ncbi.nlm.nih.gov/pubmed/25468164.
Rivlin K, Westhoff C. Kulera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 13.
- Kuchotsa mimba