Nzira yekupedza kubvisa pamuviri ndeyekupisa pamuviri. Inenge yakachengeteka yehutano uye hwemamiriro ezvinhu emukadzi. Nekushandiswa kwayo, zvinodhaka zvinoshandiswa zvinoita kuti ejection ye fetal egg kunze.
Chii chinonzi kubvisa pamuviri?
Izwi rokuti "pharmacological" rinoshandiswa kuratidza kupesana kwepamuviri kwehutumbi hwakatanga nekushandiswa kwemishonga. Nzira yacho inonyanya kusabatanidza kupindira kwokuvhiya. Mukuita izvi, murwere anotora mapiritsi pamberi pechiremba. Pasi pechiito chezvikamu zvechirwere ichi, embryo inofa. Izvi zvinopedza danho rekutanga rokubvisa pamuviri.
Mushure meimwe nguva mukadzi anotora mumwe mushonga. Zvikamu zvaro zvinokurudzira kuwedzera kwechibvumirano chebvumirano che uterine myometrium. Somugumisiro, iyo yakasununguka fetal egg inodzingwa kunze, kubvisa pamuviri kunowanikwa. Iyi nzira ine huwandu hwezvakanaka kune kuremekedza dzimwe nzira (kupera, mini-kubvisa pamuviri ):
- kusavapo kwekutambudzika kwechibereko;
- nekukurumidza kupora kwemazuva ekuenda kumwedzi;
- njodzi yakaderera yezvinetso;
- haitendi anesthesia.
Mishonga yokubvisa pamuviri - nguva
Kupindura mubvunzo wemukadzi, kusvika panguva ipi iyo kubvisa pamuviri kunogona kuitwa, vanachiremba vanoshevedza vhiki 6-7. Pharmabort inogona kuitwa mushure memazuva 42-49 kubva panguva iyo zuva rokutanga rekupedzisira kuenda kumwedzi rakapemberera. Kubudirira kwemuitiro uyu kunoderedza nenguva, uye mikana yezvinetso zvinowedzera.
Nguva yakakodzera yekuitisa medabort inonzi nguva yekusvika mavhiki mana. Iyo fetal egg haina nguva yekugadzirisa zvakachengeteka mudanda re uterine, saka zviri nani uye nekukurumidza kubvisa uye kubuda. Mukuwedzera, mahomoni haasati agadzikana zvakakwana, kugadziridzwa kwemuviri hakuna kukwana, saka zvichava nyore kwaari kuti adzokere kune imwe nyika yapfuura, asati aberekwa.
Kubvisa pamuviri - kubvumirana
Chiratidzo chikuru chekubvisa pamuviri kwakadaro chido chemukadzi pachake. Zvisinei, havasi vose vakadzi vane pamuviri uye kwete mumamiriro ezvinhu ose vanogona kurapwa mishonga. Mukuwedzera kune nguva dzinotsanangurwa pamusoro apa, kune zvimwe zvinopesana nekushandiswa kwe medaborta:
- zvinokonzera kugadzirisa kumishonga mumamnesnesis;
- hepatic insufficiency;
- adrenal insufficiency;
- pathological bleeding;
- chirwere chinoputika mukati memuviri wemukadzi;
- pulmonary tuberculosis;
- kunyunyuta kwe ectopic pamuviri ;
- incological processes;
- lactation process;
- kushandiswa kwekristicosteroid therapy;
- kukanganisa kweropa coagulation system.
Kubvisa pamuviri kunobata sei?
Kutaura pamusoro pekuti mufaramadzi ari kuitika sei, chiremba anotsanangura zvikamu zvehutano. Pre-mukadzi inofanirwa kuongorora zvishoma, iyo inosarudzwa pazuva rekurapa:
- Ultrasound ye chibereko;
- smear on the microflora;
- kuongororwa ropa kweropa.
Mushure mokugamuchira migumisiro, nguva chaiyo inosarudzwa apo kubvisa pamuviri kwekurapa kuchaitwa, mazuva ayo anoratidzwa pamusoro apa. Pachitsva chechipiri, chirembazve-anotaura nemukadzi, anotsanangura kuoma kwezvinangwa zvake, kana akachinja pfungwa dzake. Ipapo murwere anopiwa chirwere chinomwa chaipo pamberi pechiremba. Pasi pechiito chechirwere, kukura kwe endometrium kunomira, uye musero wekutanga unotanga kubvumirana. Mukadzi wacho anocherechedzwa kwemaawa maviri, mushure mokunge abuda kuchipatara.
Pamaoko omurwere, mapiritsi emumwe mushonga unopiwa, izvo zvinokurudzira uterine contractions. Tora iyo mushure me 36-48 maawa, maererano nemirairo yechiremba. Pasi pechiito chechirwere, iyo yakaparadzwa embryo inodzingwa kunze. Kana mushure mekunge kubvisa pamuviri kubvisa pamuviri kunonzi kwakakwana. Mukadzi anotarisa kuona.
Kubvisa pamuviri mishonga - zvinodhaka
Mukadzi, kunyange kana achida, haakwanisi kuita zvakasununguka kuita pharma - mahwendefa ekushandiswa kwayo haatengeswi mumutambo wemishonga. Kutakura kubvisa pamuviri, zvinodhaka zvinoshandiswa nehuwandu hwehuwandu hwemhomoni, saka dzinobudiswa nachiremba mune zvekurapa. Kuita kubvisa pamuviri kwezvinodhaka, mapoka anotevera emishonga anoshandiswa:
- Antigestagens - kudzvinyirira chiito chezvinyorwa zvechizvaro pamusana pekugamuchira. Mumiriri weboka iri ndiMifepriston, Mifegin. Nokuti mushonga unoshandisa 600 mg yemishonga.
- Prostaglandins - kusimbisa kuvimbiswa kweuterine myometrium. Kazhinji kacho kubva muboka iri vanoshandisa Mirolyut. Shandisa 400 mg mari. Tora 36-48 maawa mushure me anti-gestagen.
Inonzwisisa sei kuti pharma yakabudirira?
Zvinetso zvinokwanisika nemhando ipi zvayo yezvehutano, saka vakadzi vanowanzofarira vanachiremba nezvekunzwisisa kuti medabort haina kubudirira. Kuti urege kubvisa kukanganisa kunogona kuitika mushure memazuva gumi nemasere mukadzi anofanira kushanyira kliniki uye ave nekutonga ultrasound. Chiremba anofanirwa kuve nechokwadi chekuti fetal egg, yakasara yakasiya zvachose uterine cavity. Ongorora muviri wacho pachako, uchitarisa hukuru. Pakati pemukadzi chiremba anotsanangura hutano hwe vydeleny, kuvapo uye kuwedzera kwemarwadzo anorwadza. Kakawanda mushure mekuedzwa, muedzo unofadza - izvi zvinokonzerwa nekushanduka kwemahomoni.
Mwedzi wega wega mushure mehomiti
Kazhinji, mwedzi mumwe nomumwe mushure mekunge pharmiste anouya mumazuva 28-30. Kugamuchira kwevana vanoita zvinhu zvisingabvumirwi hakuratidze mamiriro ehutoni emukadzi, saka kuenda kumwedzi hakuna kuputsika. Zvisinei, pane dzimwe nguva kuchinja kwehuwandu hwekudzivirira kunoitika: vangave vashoma kana kuti vakawanda kwazvo. Saka, shoma shoma mushure mekunge mishonga yekugadzirisa kuberekwa kunogona kuitika nekuda kwe:
- Chivako chiduku chechirwere panguva yekubvisa pamuviri - zvidimbu zve fetus hazvigoni kubuda panze, kuunganidza mu uterine cavity.
- Kubvisa pamuviri kusina kukwana - iyo fetus egg haina kubviswa zvachose, uye fetus inoramba ichikura.
Mumazuva maviri, kubuda mushure mushure mekunge musimamiti aonekwa. Kazhinji inopera mazuva gumi nemaviri. Iyo fetal egg inoparadzaniswa muzvikamu, saka kubuda kunopedza nguva refu. Inzwi ravo rinodarika nhamba yekuenda kumwedzi. Iwe unofanirwa kubhadhara zvakanyanya kubhuku, uchiva nechokwadi chokuti haapindi muuterine kubuda ropa . Zviratidzo zvekugadzirisa kwakadaro ndezvi:
- ropa rakawanda rakabudiswa kubva mumudzimai - kwehafu yeawa pari yehutsanana (maxi) yakazara zvakakwana;
- kurwadziwa mucheche pasi;
- chizoro;
- blanching ganda;
- kuwedzera kwenhamba yekushaya moyo;
- kuderedza ropa.
Zvepabonde mushure mokurapa
Mushure mokunge mishonga inoshandiswa, chii chisingagoni kuitwa uye mitemo yekucherechedza - mukadzi anotsanangura mukadzi. Muchiitiko ichi, kunyatsoteerera kunobhadharwa kuhupenyu hwepedyo. Vanachiremba havatauri kupinda mune zvepabonde nevakadzi kusvikira ropa richimira. Kana zvisina kudaro, kune ngozi yakakura yehutachiona hwehutano hwekubereka. Pakati pevhesi, nguva yekudzivisa inofanira kuva mavhiki maviri kubva panguva yekubvisa pamuviri.
Kubata mushure mokurapa mishonga
Yakanyatsotungamirirwa nemishonga inobvisa pamuviri haina kukanganisa kubereka basa. Kuberekwa mushure mokunge kuguma kwekuita pamuviri kunogoneka mushure memwedzi, mumwedzi unotevera. Zvichipa izvi, vanachiremba vakanyatsorayirwa kuti vadzivirire ivo pachavo. Kazhinji vakadzi vanozvidemba zvavakaita uye vanoda kuva nemimbazve. Mukuwedzera, pane zviitiko apo kukanganisa kwakaitwa nekuda kwezvikonzero zvekurapa, naizvozvo mukadzi anoda kukurumidza kuva nepamuviri zvakare.
Izvo zvinoda kubereka zvinoda nguva yekuwanazve, saka unofanirwa kurega kuronga kubata pamuviri kwemwedzi 6 kubvira panguva yawakazobvisa pamuviri. Munguva iyi, vanachiremba vanokurudzira kushandisa micheche . Muchiitiko ichi, zvido zvinofanira kupiwa kumagetsi (kondomu), sezvo kushandiswa kwemishonga inokonzerwa nehomoni kunogona kukanganisa mahomoni.
Mishonga yokubvisa pamuviri - migumisiro
Kuvhiringidzika kwepamuviri nguva dzose kunowanikwa nehutano hwehutano hwomukadzi. Zvimwe chete hazvirevi kubvisa pamuviri kwezvokurapa, migumisiro yaro ingave yakaita seyizvi:
- progressive pregnancy;
- kusakwana kubvisa pamuviri;
- kukanganisa kwehomoni yakabva.