Kuchotsa mimba - zamankhwala

Kuchotsa mimba ndi kugwiritsa ntchito mankhwala kuti athetse mimba yosafunikira. Mankhwalawa amathandiza kuchotsa mwana wosabadwayo ndi placenta m'mimba mwa mayi (chiberekero).

Pali mitundu yosiyanasiyana yochotsa mimba:

• Kuchotsa mimba mwachipatala kumachitika chifukwa mayiyu ali ndi thanzi labwino.
• Kuchotsa mimba kumachitika chifukwa mayi amasankha (amasankha) kuti athetse mimba.

Kuchotsa mimba mosankha sikofanana ndi kupita padera. Kupita padera ndi pomwe mimba imatha yokha isanakwane sabata la 20 la mimba. Kupita padera nthawi zina kumatchedwa kuchotsa mimba kwadzidzidzi.

Kuchotsa mimba pogwiritsa ntchito opaleshoni kumathetsa mimba.

Kuchotsa mimba, kapena kosachita opaleshoni, kumatha kuchitika mkati mwa milungu 7 kuyambira tsiku loyamba la nthawi yomaliza ya mkazi. Mankhwala osakaniza a mahomoni amagwiritsidwa ntchito kuthandiza thupi kuchotsa mwana wosabadwayo ndi nsengwa. Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala mutatha kuyesa thupi ndikufunsa mafunso okhudza mbiri yanu yachipatala.

Mankhwala omwe amagwiritsidwa ntchito ndi mifepristone, methotrexate, misoprostol, prostaglandins, kapena mankhwalawa. Omwe amakupatsirani mankhwala adzakupatsani mankhwalawo, ndipo mudzapita nawo kunyumba.

Mukamwa mankhwala, thupi lanu lidzatulutsa minofu yapakati. Amayi ambiri amakhala ndi magazi ochepa komanso opunduka kwa maola angapo. Wothandizira anu akhoza kukupatsani mankhwala azowawa ndi mseru ngati pakufunika kuti muchepetse nkhawa zanu panthawiyi.

Kuchotsa mimba kungaganizidwe ngati:

• Mayiyo sangakonde kukhala ndi pakati (kusankha mimbayo).
• Mwana yemwe akukula amakhala ndi vuto lobadwa kapena vuto la majini.
• Mimbayo imavulaza thanzi la mayiyo (kuchotsa mimba mwachithandizo).
• Mimbayo idachitika atakumana ndi zoopsa monga kugwiriridwa kapena kugonana pachibale.

Zowopsa zochotsa mimba ndizo:

• Kupitiliza kutuluka magazi
• Kutsekula m'mimba
• Mimba yapakati siyidutsa kwathunthu, ndikupangitsa kuti opaleshoni ichitike
• Matenda
• Nseru
• Ululu
• Kusanza

Chisankho chofuna kutenga pakati ndichapadera kwambiri. Pofuna kuthandizira kusankha zomwe mwasankha, kambiranani momwe mukumvera ndi mlangizi, wothandizira, kapena wachibale kapena mnzanu.

Kuyesa komwe kunachitika kale izi:

• Kuyezetsa magazi kumachitika kuti mutsimikizire kuti ali ndi pakati ndikuyerekeza kuti muli ndi pakati pa milungu ingati.
• Kuyezetsa magazi kwa HCG kungachitike kuti mutsimikizire kuti ali ndi pakati.
• Kuyezetsa magazi kumachitika kuti muwone mtundu wamagazi anu. Kutengera zotsatira zoyeserera, mungafunike kuwombera kwapadera kuti muteteze mavuto mukadzakhala ndi pakati mtsogolo. Kuwombera kumatchedwa Rho (D) immune globulin (RhoGAM ndi mitundu ina).
• Vaginal kapena m'mimba ma ultrasound atha kuchitidwa kuti azindikire zaka zenizeni za mwana wosabadwayo ndi malo omwe ali m'mimba.

Kutsata wothandizira wanu ndikofunikira kwambiri. Izi ndikuwonetsetsa kuti njirayi idamalizidwa ndipo minofu yonse idathamangitsidwa. Mankhwalawa sangagwire ntchito mwa akazi ochepa kwambiri. Izi zikachitika, mlingo wina wa mankhwala kapena njira yochotsa mimba ingafunike kuchitidwa.

Kuchira mthupi nthawi zambiri kumachitika m'masiku ochepa. Zimatengera gawo la mimba. Yembekezerani kutuluka magazi kumaliseche ndi kupsinjika pang'ono masiku angapo.

Kusamba kofunda, mphini yotenthetsera pansi, kapena botolo lamadzi otentha lodzaza ndi madzi ofunda oyikidwa pamimba zitha kuthandiza kuchepetsa nkhawa. Pumulani pakufunika. Osachita chilichonse champhamvu kwa masiku ochepa. Ntchito zapakhomo zopepuka zili bwino. Pewani kugonana kwa masabata awiri kapena atatu. Msambo wabwinobwino uyenera kuchitika pafupifupi milungu 4 mpaka 6.

Mutha kutenga mimba isanakwane. Onetsetsani kuti mwapanga dongosolo lopewa kutenga mimba, makamaka mwezi woyamba kutaya mimba.

Kuchotsa mimba mwachipatala ndi opaleshoni ndi kotetezeka komanso kothandiza. Nthawi zambiri amakhala ndi zovuta zazikulu. Sikwachilendo kuti kuchotsedwa kwa mankhwala kumakhudza kubala kwa amayi kapena kuthekera kwake kubereka ana mtsogolo.

Kuchotsa mimba; Kusankha kuchotsa mimba; Kuchotsa mimba; Kuchotsa mimba kosachita opaleshoni

American College of Obstetricians ndi Gynecologists. Yesetsani nkhani ya no. 143: kasamalidwe ka zamankhwala pamimba yoyamba. Gynecol Woletsa. 2014; 123 (3): 676-692. PMID: 24553166 www.ncbi.nlm.nih.gov/pubmed/24553166. (Adasankhidwa)

Nelson-Piercy C, Mullins EWS, Regan L. Umoyo wa amayi. Mu: Kumar P, Clark M, eds. Kumar ndi Clark's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier; 2017: mutu 29.

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.