Kodi Kutaya Mimba Kungayambitse Kusabereka?

Zamkati

• Mitundu yochotsa mimba ndi iti?
• Kuchotsa mimba
• Kuchotsa mimba
• Kodi kuopsa kochotsa mimba ndi kotani?
• Kodi Asherman syndrome ndi chiyani?
• Kodi chiyembekezo chokhudzana ndi kubereka pambuyo pochotsa mimba ndi chiyani?
• Kutenga

M'mawu azachipatala, mawu oti "kuchotsa mimba" atha kutanthauza kutha kwa pakati kapena pakati komwe kumathera padera. Komabe, pamene anthu ambiri amatanthauza kuchotsa mimba, amatanthauza kuchotsa mimba, ndipo ndi momwe mawuwa agwiritsidwira ntchito m'nkhaniyi.

Ngati mwakhala mukuchotsa mimba, mutha kukhala ndi nkhawa ndi zomwe zingatanthauze kubereka mtsogolo komanso kutenga pakati. Komabe, kuchotsa mimba sikumakhudza kuthekera kwanu kutenga pakati nthawi ina.

Chosowa chosowa kwambiri ndikuti mwakhala mukuchita zipsera mutachotsa mimba, matenda omwe amatchedwa Asherman syndrome.

Nkhaniyi idzafotokoza mitundu yosiyanasiyana yochotsa mimba, chonde chamtsogolo, ndi zomwe mungachite ngati mukuvutika kutenga pakati mutachotsa.

Mitundu yochotsa mimba ndi iti?

Ngakhale ndizosowa, nthawi zina mtundu wamtundu womwe mungakhale nawo ungakhudze kubereka kwanu mtsogolo. Nthawi zambiri, njira yochotsera mimba itengera kutalika kwa mimba. Kusunga nthawi kumathandizanso ngati munthu akufuna kuchotsa mimba kapena kuchipatala.

Kuchotsa mimba

Kuchotsa mimba mwachipatala kumachitika mzimayi akamamwa mankhwala kuti athetse mimba. Nthawi zina, mayi amatha kumwa mankhwalawa chifukwa adapita padera. Mankhwalawa amathandizira kuonetsetsa kuti zinthu zonse zapakati zimaperekedwa kuti apewe matenda ndikuti mkazi adzakhalanso ndi pakati mtsogolo.

Ndi njira iti yochotsa mimba yomwe dokotala angakupatseni nthawi zambiri zimadalira msinkhu wobereka kapena milungu ingati ali ndi pakati?

Zitsanzo za njira zochotsera zochotsa mimbazi pazokhudza nthawi ndi monga:

• Mpaka masabata 7 apakati: Mankhwala a methotrexate (Rasuvo, Otrexup) amatha kuyimitsa maselo omwe ali mluza kuti asachulukane msanga. Mayi kenaka amamwa mankhwalawa misoprostol (Cytotec) kuti atsegule chiberekero kuti atulutse mimba. Madokotala samapereka mankhwala ambiri a methotrexate - njirayi nthawi zambiri imasungidwa kwa azimayi omwe ali ndi ectopic pregnancy, komwe zimayambira mluza kunja kwa chiberekero ndipo mimba siyikhala yothandiza.
• Mpaka milungu 10 yapakati: Kuchotsa mimba kungaphatikizepo kumwa mankhwala awiri, kuphatikizapo mifepristone (Mifeprex) ndi misoprostol (Cytotec). Si madotolo onse omwe angakupatseni mifepristone - ambiri ayenera kukhala ndi satifiketi yapadera yochitira izi.

Kuchotsa mimba

Kuchotsa mimba ndi njira yothetsera mimba kapena kuchotsa zotsalira za mimba. Monga momwe zimakhalira pochotsa mimba kuchipatala, njirayi imadalira nthawi.

• Mpaka masabata 16 ali ndi pakati: Kutsata pazolowera ndi imodzi mwanjira zofala kwambiri pakuchotsa mimba. Izi zimaphatikizapo kugwiritsa ntchito zida zapadera zochotsera mwana wosabadwayo ndi placenta kuchokera pachiberekero.
• Pambuyo pa masabata 14: Kutulutsa ndi kutuluka (D&E) ndikuchotsa kwa mwana wosabadwayo ndi placenta. Njirayi itha kuphatikizidwa ndi njira zina monga kutulutsa mpweya, kuchotsa mphamvu, kapena kuchepa ndi kuchiritsa. Madokotala amagwiritsanso ntchito dilation and curettage (D&C) kuti achotse zotsalira za pakati ngati mayi wapita padera. Curettage amatanthauza kuti dokotala amagwiritsa ntchito chida chapadera chotchedwa curette kuti achotse minyewa yokhudzana ndi mimba kuchokera kumtunda kwa chiberekero.
• Pambuyo pa masabata 24: Kuchotsa mimba ndi njira yomwe imagwiritsidwa ntchito kawirikawiri ku United States, koma imawonetsedwa pamagawo omaliza a mimba. Malamulo okhudza kuchotsa mimba pambuyo pa masabata 24 amasiyanasiyana malinga ndi mayiko. Njirayi imaphatikizapo kulandira mankhwala omwe amachititsa kuti muperekedwe. Mwana atabadwa, adotolo amachotsa chilichonse chobereka, monga placenta, kuchokera pachiberekero.

Malinga ndi Guttmacher Institute, pafupifupi 65.4% ya mimba zimachitika mayi ali ndi pakati kapena milungu isanu ndi itatu. Akuti pafupifupi 88% ya mimba zimachitika m'masabata 12 oyambira.

Kuchotsa mimba kumachitika m'malo oyera, otetezeka, njira zambiri sizingakhudze chonde. Komabe, nthawi zonse lankhulani ndi dokotala wanu za zovuta zilizonse zomwe muli nazo.

Kodi kuopsa kochotsa mimba ndi kotani?

Malinga ndi American College of Obstetricians and Gynecologists (ACOG), kuchotsa mimba ndi njira yowopsa. Chiwopsezo chomwalira pambuyo pochotsa mimba ndichoperewera m'modzi mwa 100,000. Pambuyo pake ali ndi pakati mayi amataya mimba, pamakhala chiopsezo chachikulu pamavuto; komabe, chiopsezo chakufa pambuyo pobereka ndichokwera kakhumi ndi 14 poyerekeza ndi chiopsezo chakufa pambuyo pochotsa msanga.

Zina mwazovuta zomwe zimachitika chifukwa chobweretsa mimba ndi izi:

• Magazi: Mzimayi amatha kutuluka magazi atachotsa mimba. Kawirikawiri, kutaya magazi sikuchuluka kwambiri kotero kuti ndimavuto azachipatala. Komabe, kawirikawiri, mzimayi amatha kutuluka magazi kwambiri mwakuti amafunika kuthiridwa magazi.
• Kuchotsa mimba kosakwanira: Izi zikachitika, minofu kapena zinthu zina zobereka zimatha kukhalabe m'chiberekero, ndipo munthu angafunike D & C kuti achotse minofu yotsalayo. Kuopsa kwa izi kumachitika makamaka munthu akamamwa mankhwala ochotsa mimba.
• Matenda Madokotala nthawi zambiri amapereka maantibayotiki asanachotse mimba kuti apewe ngozi imeneyi.
• Kuvulala kwa ziwalo zozungulira: Nthawi zina, dokotala amatha kuvulaza mwangozi ziwalo zapafupi pochotsa mimba. Zitsanzo zimaphatikizapo chiberekero kapena chikhodzodzo. Zowopsa kuti izi zichitike zimawonjezera kupitilira apo mzimayi ali ndi pakati.

Mwaukadaulo, chilichonse chomwe chimayambitsa kutupa m'chiberekero chimatha kukhudza kubereka mtsogolo. Komabe, ndizokayikitsa kwambiri kuti izi zichitika.

Kodi Asherman syndrome ndi chiyani?

Matenda a Asherman ndizovuta zomwe zimachitika mayi atachita opaleshoni, monga D & C, yomwe imatha kuwononga chiberekero cha chiberekero.

Vutoli limatha kupangitsa kuti zibowo zikule m'mimba mwa chiberekero. Izi zitha kukulitsa mwayi woti mayi atha kutenga padera kapena kukhala ndi mavuto pakubereka mtsogolo.

Matenda a Asherman samachitika kawirikawiri. Komabe, ngati atero, madotolo nthawi zambiri amatha kuchiritsa vutoli ndi opaleshoni yomwe imachotsa mabala amkati mwa chiberekero.

Dokotala atachita opaleshoni kuchotsa khungu lofiira, amasiya buluni mkati mwa chiberekero. Buluni imathandiza kuti chiberekero chikhalebe chotseguka kuti chizitha kuchira. Chiberekero chikachira, adokotala amachotsa buluni.

Kodi chiyembekezo chokhudzana ndi kubereka pambuyo pochotsa mimba ndi chiyani?

Malinga ndi ACOG, kuchotsa mimba sikumakhudza kuthekera kwanu kutenga pakati mtsogolo. Siziwonjezeranso zovuta zakubadwa ndi mimba ngati mungasankhe kutenga pakati.

Madokotala ambiri amalimbikitsa kuti azigwiritsa ntchito njira yolerera atangotaya mimba chifukwa ndizotheka kuti mayi amathanso kutenga pakati atayamba kutulutsa mazira.

Madokotala amalimbikitsanso kuti mayi apewe kugonana kwakanthawi kwakanthawi atachotsa mimba kuti thupi lipeze nthawi yochira.

Ngati mukuvutika kutenga pakati mutachotsa mimba, ndikofunikira kulingalira zina mwazinthu zomwe zitha kusokoneza kubereka kwanu, popeza kutaya mimba koyambirira sikungayambitse mavuto. Izi zitha kukhudzanso chonde:

• Zaka: Mukamakalamba, kubereka kwanu kumachepa. Izi ndizowona makamaka kwa azimayi azaka zopitilira 35, malinga ndi.
• Zizolowezi Zamoyo: Zizolowezi za moyo wanu, monga kusuta fodya komanso kugwiritsa ntchito mankhwala osokoneza bongo, zimatha kukhudza chonde. N'chimodzimodzinso ndi mnzanu.
• Mbiri yachipatala: Ngati muli ndi mbiri yokhudzana ndi matenda opatsirana pogonana, monga chlamydia kapena gonorrhea, izi zimatha kukhudza kubereka kwanu. N'chimodzimodzinso ndi matenda osachiritsika monga matenda ashuga, zovuta zamagulu, komanso zovuta zam'madzi.
• Kubereka kwa mnzake: Umuna umatha kukhudza kuthekera kwa amayi kutenga pakati. Ngakhale mutakhala ndi pakati ndi mnzanu yemweyo m'mbuyomu, zizolowezi zamakhalidwe ndi ukalamba zimatha kukhudza kubereka kwa mnzanuyo.

Ngati mukukumana ndi mavuto otenga pakati, lankhulani ndi azachipatala anu. Amatha kukulangizani zamakhalidwe omwe angakuthandizeni, komanso amalangiza katswiri wokhudzana ndi chonde amene angakuthandizeni kuzindikira zomwe zingayambitse zomwe mungachite komanso chithandizo chomwe mungapeze.

Kutenga

Kuchotsa mimba ndi njira iliyonse yamankhwala kapena kumwa mankhwala kuti muchepetse kutenga pakati. Malinga ndi Guttmacher Institute, pafupifupi 18% ya mimba ku United States mu 2017 zidatha chifukwa chobweretsa mimba. Mosasamala kanthu za njirayi, madokotala amaona kuti kuchotsa mimba ndi njira zabwino kwambiri.

Kuchotsa mimba sikukutanthauza kuti simungathe kutenga pakati nthawi ina. Ngati mukukumana ndi mavuto pakubereka, mayi wanu akhoza kukuthandizani.