Kutaya Mimba Kumapeto Kwathu: Zomwe Muyenera Kuyembekezera

Zamkati

• Momwe njirayi imagwirira ntchito
• Ndani ali woyenera kutero?
• Mtengo, chitetezo, komanso kuchita bwino kwake
• Momwe mungakonzekerere ndondomekoyi
• Zomwe mungayembekezere mukamaliza
• Zotsatira zoyipa
• Zomwe muyenera kuyembekezera kuchokera kusamba ndi ovulation
• Zomwe mungayembekezere kuchokera pakugonana komanso chonde
• Zowopsa ndi zovuta
• Lankhulani ndi dokotala wanu
• Kumene mungapeze thandizo

Kodi kuchotsa mimba pambuyo pake ndi kotani?

Pali pafupifupi 1.2 miliyoni yochotsa mimba chaka chilichonse ku United States. Zambiri zimachitika panthawi yoyamba kutenga mimba.

"Kutaya mimba pambuyo pake" kumachitika nthawi yachiwiri kapena yachitatu ya mimba.

Pafupifupi 8 peresenti imachitika pakati pa masabata a 13 ndi 27 a zaka zakubadwa, kapena nthawi yachitatu yachiwiri. Pafupifupi 1.3 peresenti ya mimba zonse zimachitika sabata kapena pambuyo pa 21.

Ngakhale anthu ena amatchula za kutaya mimba komwe kumachitika pambuyo pake pathupi monga "nthawi yochedwa," mawuwa ndi olondola pazachipatala.

Mimba "yochedwa kutha" yatha milungu 41 yapakati - ndipo kutenga pakati kumangodutsa milungu 40 yonse. Mwanjira ina, kubala kwachitika kale. Izi zikutanthauza kuti "kuchotsa mimba mochedwa" sikutheka.

Momwe njirayi imagwirira ntchito

Anthu ambiri omwe amachotsa mimba pambuyo pake amachotsa mimba. Ndondomekoyi imatchedwa dilation and evacuation (D & E).

D & E nthawi zambiri imatha kuchitika kuchipatala kapena kuchipatala.

Gawo loyamba ndikuchepetsa ndi kutsegula khomo pachibelekeropo. Izi zitha kuyambitsidwa kutatsala tsiku limodzi kuti D & E. Mukhazikike patebulo ndi mapazi anu mothinana, monga momwe mungapangire mayeso amchiuno. Dokotala wanu amagwiritsa ntchito speculum kuti afutukule kutsegula kwanu. Izi zimawathandiza kutsuka khomo lanu la chiberekero ndikugwiritsa ntchito mankhwala oletsa ululu m'deralo.

Pambuyo pake, dokotala wanu adzaika ndodo yochepetsera (osmotic dilator) yotchedwa laminaria m'chiberekero chanu. Ndodo iyi imatenga chinyezi ndipo imatsegula khomo pachibelekeropo, chifukwa imafufuma. Kapenanso, dokotala wanu atha kugwiritsa ntchito mtundu wina wa ndodo yochepetsera yotchedwa Dilapan, yomwe imatha kuikidwa tsiku lomwelo ndi opareshoniyo.

Dokotala wanu amathanso kusankha kukupatsani mankhwala otchedwa misoprostol (Arthrotec), omwe angathandize kukonzekera khomo pachibelekeropo.

D & E isanachitike, mwina mudzapatsidwa mankhwala ogwiritsira ntchito mankhwala osokoneza bongo kapena mankhwala oletsa ululu, choncho mwina mudzagona. Mudzapatsidwanso mlingo wanu woyamba wa maantibayotiki kuti muteteze matenda.

Dokotala wanu amachotsa ndodo ndikutulutsa chiberekero ndi chida chakuthwa chotchedwa curette. Kuyamwa kwapayipi ndi zida zina zopangira opaleshoni zidzagwiritsidwa ntchito kutulutsa mwana wosabadwa ndi placenta. Malangizo a Ultrasound atha kugwiritsidwa ntchito pochita izi.

Zimatengera pafupifupi theka la ola kuti mumalize kuchita izi.

Ndani ali woyenera kutero?

Zinthu zomwe zimaloledwa kutaya mimba pambuyo pake zimasiyana malinga ndi mayiko. Pakadali pano, mayiko 43 amaletsa kutaya mimba pakapita nthawi. Mwa ma 24 akuti kuletsa kutaya mimba kapena patadutsa sabata linalake lazaka zoberekera, 17 mwa mayikowa amaletsa kutaya mimba pafupifupi milungu 20 pambuyo pa umuna.

Dokotala wanu amatha kufotokoza zomwe mungachite mdziko lanu.

Mtengo, chitetezo, komanso kuchita bwino kwake

Malinga ndi Planned Parenthood, D & E itha kutenga $ 1,500 mu trimester yoyamba, ndipo kutaya mimba kwachiwiri-trimester kumawononga ndalama zambiri. Kuchita izi kuchipatala kumatha kukhala kodula kuposa kuchitira kuchipatala.

Ma inshuwaransi ena azaumoyo amakhudza kutaya mimba kwathunthu kapena mbali imodzi. Ambiri satero. Ofesi ya dokotala wanu imatha kulumikizana ndi inshuwaransi wanu m'malo mwanu.

D & E wachiwiri wa trimester amawerengedwa kuti ndi njira yabwino komanso yothandiza kuchipatala. Ngakhale pali zovuta zomwe zingakhalepo, ndizochepa kwambiri kuposa zovuta zobereka.

Momwe mungakonzekerere ndondomekoyi

Musanayambe ndondomekoyi, mudzakhala ndi msonkhano wozama ndi dokotala kuti mukambirane:

• thanzi lanu lonse, kuphatikiza zovuta zilizonse zomwe zidalipo
• mankhwala aliwonse omwe mumamwa komanso ngati mukuyenera kudumpha musanachitike
• zenizeni za ndondomekoyi

Nthawi zina, mudzafunika kukaonana ndi dokotala tsiku dzulo lisanachitike opaleshoniyo kuti muyambe kutulutsa chiberekero.

Ofesi ya dokotala wanu ikupatsani malangizo asanachitike komanso pambuyo pochitidwa opaleshoni, zomwe muyenera kutsatira mosamala. Mukulangizidwa kuti musadye pafupifupi maola asanu ndi atatu D & E.

Zikhala zothandiza ngati mutachita izi pasadakhale:

• konzani zoyendera kupita kunyumba pambuyo pa opaleshoniyi, chifukwa simudzatha kuyendetsa nokha
• khalani ndi mapadi aukhondo okonzeka chifukwa simudzatha kugwiritsa ntchito tampons
• dziwani zosankha zanu zakulera

Zomwe mungayembekezere mukamaliza

Mufunikira maola ochepa kuti muwone kuti simukutaya magazi kwambiri kapena kukhala ndi zovuta zina. Munthawi imeneyi, mutha kukhala ndi zovuta komanso malo owonekera.

Mukamasulidwa, mudzalandira mankhwala a maantibayotiki. Onetsetsani kuti mukuzitenga zonse monga momwe mwalamulira kuti muteteze matenda.

Kuti mumve zowawa, mutha kutenga acetaminophen (Tylenol) kapena ibuprofen (Advil) monga mwalamulidwa, koma funsani dokotala wanu poyamba. Musatenge aspirin (Bayer), chifukwa imatha kukupangitsani kutuluka magazi kwambiri.

Mutha kumva bwino tsiku lotsatira kapena mungafune tchuthi musanabwerere kuntchito kapena kusukulu. Pewani masewera olimbitsa thupi sabata imodzi, chifukwa imatha kukulitsa magazi kapena kukanika.

Tsatirani malingaliro a dokotala anu poyambiranso ntchito zanu zachizolowezi. Nthawi yobwezeretsa imatha kusiyanasiyana pakati pa munthu ndi munthu, choncho mverani thupi lanu.

Zotsatira zoyipa

Zotsatira zina zoyipa ndi izi:

• cramping, makamaka pakati pa tsiku lachitatu ndi lachisanu kutsatira njirayi
• nseru, makamaka m'masiku awiri oyamba
• kupweteka kwa m'mawere
• Kutaya magazi kwambiri kwamasabata awiri kapena anayi, auzeni adotolo ngati mulowetsa ma phukusi opitilira awiri ola limodzi kwa maora awiri kapena kupitilira apo
• kuundana komwe kumatha kukhala kokulirapo ngati mandimu, dziwitsani dokotala ngati ali okulirapo kuposa amenewo)
• malungo ochepa, itanani dokotala wanu ngati atakwera pamwamba pa 100.4 ° F (38 ° C)

Zomwe muyenera kuyembekezera kuchokera kusamba ndi ovulation

Thupi lanu liyamba kukonzekera kukonzekera nthawi yomweyo. Mutha kuyembekezera kusamba kwanu pasanathe milungu inayi kapena isanu ndi itatu chitachitika.

Kuzungulira kwanu kumatha kubwerera mwakale nthawi yomweyo. Kwa anthu ena, nthawi zimakhala zosazolowereka komanso zopepuka kapena zolemera kuposa kale. Pakhoza kukhala miyezi ingapo asanabwerere mwakale.

Chifukwa cha chiopsezo chotenga kachilomboka, mudzalangizidwa kuti musagwiritse ntchito tampon kwa sabata imodzi kutsatira njirayi.

Zomwe mungayembekezere kuchokera pakugonana komanso chonde

Simuyenera kuchita zogonana sabata imodzi mutakhala ndi D & E. Izi zidzakuthandizani kupewa matenda ndikulolani kuchira.

Dokotala wanu adzakudziwitsani mukamaliza kuchiritsa ndipo mutha kugonana kachiwiri. Njirayi siyenera kukhudza kuthekera kwanu kosangalala ndi kugonana.

Kubereka kwanu sikungakhudzidwe, mwina. Ndizotheka kutenga pakati pambuyo pa D & E yanu, ngakhale simunakhalepo ndi msambo.

Ngati simukudziwa kuti ndi njira yanji yolerera yomwe ingakuthandizeni, lankhulani ndi dokotala wanu za zabwino ndi zoyipa zamtundu uliwonse. Ngati mukugwiritsa ntchito kapu yamtundu wa chiberekero kapena diaphragm, muyenera kudikirira pafupifupi milungu isanu ndi umodzi kuti khomo lanu lachiberekero libwerere kukula. Pakadali pano, mufunika njira yobwezera.

Zowopsa ndi zovuta

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zovuta zina kuchokera ku D & E zomwe zingafune chithandizo china.

Izi zikuphatikiza:

• thupi lawo siligwirizana ndi mankhwala
• kutumbuka kapena chiberekero cha chiberekero
• kutaya magazi kwambiri
• magazi amaundana kuposa ndimu
• cramping kwambiri ndi ululu
• Kulephera kwa khomo lachiberekero m'mimba zamtsogolo

Vuto lina la D & E ndi matenda m'mimba mwa chiberekero kapena ma fallopian. Onani dokotala wanu nthawi yomweyo ngati mukukumana ndi:

• malungo pamwamba pa 100.4 ° F (38 ° C)
• kugwedezeka ndi kuzizira
• ululu
• kutuluka konyansa

Pofuna kupewa matenda, pewani zinthu izi sabata yoyamba:

• matampu
• douching
• kugonana
• mabafa (shawa m'malo mwake)
• maiwe osambira, malo osambira

Lankhulani ndi dokotala wanu

Kaya mwasankha chisankho chomaliza kapena ayi, ndikofunika kuti mufunsane ndi dokotala yemwe mumamukhulupirira. Ayenera kulola nthawi yochuluka ya mafunso kuti mumvetsetse bwino zomwe zikuchitika komanso zomwe muyenera kuyembekezera. Kungakhale lingaliro labwino kuti mafunso anu ndi nkhawa zanu zilembedwe musanasankhidwe, kuti musayiwale chilichonse.

Dokotala wanu ayenera kukhala wofunitsitsa kukupatsani chidziwitso pazomwe mungasankhe. Ngati simumasuka kulankhula ndi dokotala wanu, kapena simukumva kuti mukupeza zonse zomwe mukufuna, musazengereze kukaonana ndi dokotala wina.

Kumene mungapeze thandizo

Maganizo okhudzana ndi kutenga pakati komanso kuthetsa mimba ndizosiyana ndi aliyense. Zachisoni, kukhumudwa, kumva kutayika, kapena kupumula ndi zomwe zimachitika poyambira pakati. Zina mwa izi zitha kukhala chifukwa cha kusinthasintha kwama mahomoni komwe kumachitika. Ngati mukukhala okhumudwa kapena kukhumudwa, pitani kuchipatala posachedwa.

Ngati mukuganiza zochotsa pakati, kapena ngati mukuvutika kuthana ndi vuto limodzi, thandizo lilipo. Mutha kupeza kuti njira yolimba yothandizira imathandizira kuchira. Funsani azachipatala anu, asing'anga, chipatala, kapena chipatala kuti akutumizireni kwa mlangizi wamaganizidwe kapena gulu loyenera lothandizira.