Sezvo asarudza kuita basa rakagadzirisa kuti abvise pamuviri, mukadzi anowanzofarira chiremba: sei kubvisa pamuviri, nzira dzipi dziripo. Ngationgororei zvakadzama izvi, nzira dzekutungamirira, zvinogona kuitika uye zvinetso.
Kubvisa pamuviri - Species
Kusati kwambovhiringidzika pamuviri , vanachiremba vanoita hurukuro nemurwere pamusoro pemigumisiro yakaipa yekushungurudza. Vakawanda mushure mokunge vabvisa pamuviri vane dambudziko rokubata pamuviri. Mushure mokuita chisarudzo chekupedzisira, musikana wacho anofanira kuenda kumubvunzurudzo wevakadzi, uko iwe unogona kuwana ruzivo pamusoro pemarudzi akange aripo ekubvisa kubvisa uye nguva yekushandiswa kwavo.
Mukudzidzira kwevakadzi, nzira dzakawanda dzokubvisa pamuviri dzinoshandiswa. Pakusarudza chiremba chaiwo, vanotungamirirwa nenguva yekuzvitakura, nguva yemurwere, kufunga nezvekuvapo kwekuzvitakura munguva yakapfuura. Pakati pezvinenge zviripo:
- kubvisa pamuviri kwemishonga - kunosanganisira kushandisa zvinodhaka zvinokonzera rufu rwembryo nekudzingwa kubva muchibereko chemukati;
- mini-mimba (aspirum aspiration) - inoitwa nekubatsira kwechigadzirwa chakakosha, iyo inofanana neyekuchenesa;
- kuporesa kubvisa (kupora) - uterine cavity inoshambidzwa nemashandisirwo anokosha.
Kubvisa pamuviri mahwendefa
Apo kubvisa pamuviri kwechirwere kunoitwa, zvinodhaka zvinoshandiswa mukugadzirisa zvinokonzera kufa kwe fetal egg, iyo inobva yabuda. Nzira yacho inoshandiswa chete pamashoko maduku, nediki duku embryo ukuru. Kutaura pamusoro pekuti kubvisa pamuviri kubvisa pamuviri, kunofanira kunzi kuti kubudirira kwayo ndeye 98%. Inoitwa muzvipatara, pasi pekutarisirwa kwechiremba. Pachitanga chekutanga, vanopa kuti unwe mushonga unokonzera rufu rwembryo, mushure mokunge mushonga wacho unodzinga embryo (Mifepreston uye Misoprostol).
Mini-kubvisa pamuviri
Kuvhara chinangwa, rechipiri zita reminimi-kubvisa pamuviri, inzira yekuvhiya yekuvhiringidza gestation. Inobatwa pamashoko maduku. Basa racho harina kupfuura maminitsi gumi. Nekubatsira kwepisipiriti yakanakisisa ine chidimbu, vanachiremba vanopedza kutsvaira fetal yai kubva muuterine cavity. Izvo zvinoitwa nekugadzira kubvisa. Nokuda kwekushaikwa kwekubatana kwakasimba pakati pe embryo neusterine rusvingo, sangano iri nyore. Izvo zvisingabatsiri zveyi nzira ndeyokana yekusabviswa kusakwana kwemashure e fetal kubva muuterine cavity. Somugumisiro, pane ngozi yekutapukirwa kwechibereko.
Kubvisa pamuviri
Mhando iyi yokubvisa pamuviri inoshandiswa panguva dzinotevera, apo embryo haigone kusiya uterine cavity pachako (nokuda kwehukuru hwayo). Basa racho rinoshandiswa uchishandisa anesthetics. Kutaura nezvekuti rudzi urwu rwunobvisa pamuviri runoitika sei, vanachiremba vanoisa pfungwa dzevarwere pakufanana kwaro neanoitwa nguva dzose pamutambo wekubereka. Mushure mokugadzirwa kwezvioni zvegynecological, itai kuwedzera kwechirwere. Kuva nekuwana hutachiona, chirwere chacho chinoshandiswa kugadzirisa zvakakwana - kubviswa kwe fetal egg pamwe ne endometrium.
Kubvisa pamuviri - kuburitsa maitiro
Kutaura pamusoro pekuti kubvisa pamuviri kunowanikwa sei munguva yekupedzisira, vanachiremba vanocherechedza kushayikwa kwekwanisi yekuita nzira iyo pane chido chemukadzi ane pamuviri. Kuita kushandiswa kwakadaro, zvikonzero zvakanaka zvinodiwa. Kusarudzwa kwenzira dzokuitakura kunoenderana nemamiriro emukadzi, kuvapo kana kusavapo kwezvirwere zvisingaperi. Mukusabvumirana kwezvinyorwa, chirongwa chakakosha (hypertonic sodium chlorine) chinoshandiswa muamniotic fluid kuburikidza nemukati, iyo inokonzera kufa kwemwana. Nhanho inotevera muropa remukadzi ane pamuviri inopindwa nemishonga inowedzera uterine contractil.
Kukanganiswa kwepamuviri nemishonga yevanhu
Kubvisa pamuviri pamba kune ngozi, upenyu hwekutyisidzira. Nzira dzakadai sokushambidza kushambidzika nefudzi ye mustard, kushanyira bhati, kusimudza zvisikwa, zvinogona kukanganisa utano hwevakadzi. Izvi zvinokonzera kukurumidza kweropa kune nhengo dzemazamu. Kuwedzererwa mukati mukati memidziyo yemapuranga maduku, anokonzerwa nezviputi zveuterine, semugumisiro weiyo embryo inodzingwa kunze.
Inofanira kufungwa kuti kubvisa zvinhu zvinoshandiswa hakugoni kuendesa kune chibereko chezana. Somugumisiro, pane ngozi yehutachiwana hwehutachiwana - nzvimbo dze embryo tissue dzakasara muhutachi uterine dzinotanga kupera. Izvi zvinoda kupindira mune zvechiremba, kuchenesa uterine cavity. Mukuwedzera, kune ngozi yekuita uterine kubuda ropa paunenge uchishandisa vanhu vortifacients uye nzira. Kusakwanisa kuchengetwa kweropa kunogona kutungamirira kurufu.
Zviratidzo zvekubvisa pamuviri
Nguva pfupi kubvisa pamuviri kunowanzoitwa pakukumbira kwemukadzi pachake. Zvisinei, kunewo izvo zvinonzi zvinoratidza kubvisa pamuviri. Vanopatsanurwa kuva chiremba uye zvemagariro. Ikutanga inosanganisira zvirwere zvisingaenderani nehupenyu hwemucheche - kune kubuda kwepamuviri, mwana anoberekwa ane anomalies uye zvakaipa. Kubvisa pamuviri kunogona kurongerwa mishonga, apo iyo nzira yekuita pamuviri isingadikanwi nemhuka yemukadzi - chirwere chiri muduku duku, kupererwa kwemazuva mashoma.
Zvikonzero zvezvemagariro zvinoshandiswa kureva zvikonzero izvo zvakakodzera, zvose kuhutano hwaamai, uye kumamiriro ehupenyu hwake - mhuri dzinoshaya basa, kuvepo kwezvirwere zvemajeni mujeri. Mumamiriro ezvinhu akadaro, chiremba wezvehutano anosarudza kubvisa pamuviri. Muchiitiko ichi, chishuwo chemukadzi pachake pachacho chinotorwawo zvakare. Nhamba yezviratidzo zvekubvisa pamuviri nekuda kwezvikonzero zvekugarisana yakasiyana nedzimwe nyika, uye inotsanangurwa muhurongwa hweHurumende yehutano.
Kukanganiswa kwepamuviri nekuda kwehutano
Kukanganiswa kwepamuviri nechishuvo chekudzivirira kunoitwa uye nekuda kwezvikonzero zvekurapa. Izvozvo zvinoratidzwa mumagwaro ekusimudzira ehurumende yeHurumende. Kana mukadzi ane chirwere kana asingagoni kutakura mwana, zuva rekushanda rinosarudzwa. Kusarudzwa kwemuitiro kunobva paurefu hwekubata muviri, kuvapo kwekugadzirisa zvirwere. Pakati pezvirwere zvinowanzoitwa nehutano hwekuvhiringidza kuberekwa ndezvekuti:
- chikamu chinoshanda chechifuba;
- rubella - kusangana nemurwere kusvika kumasvondo gumi nemaviri ekuzvitakura, kusava nechirwere chekudzivirira;
- zvipembenene zvinoputika, kurapwa kunosanganisira kushandiswa kwe-ray-ray;
- chirwere cheshuga mellitus nechirwere chakaoma (nekukuvadza kwetsvina);
- acute leukemia;
- kukanganisika kwepfungwa;
- drug addiction;
- meningitis, encephalitis;
- kuora mwoyo nechinangwa chekugumburwa kazhinji;
- heart defects;
- dumbu rekuonda neropa;
- hepatitis uye cirrhosis;
- glomerulonephritis.
Kukanganiswa kwepamuviri maererano nekuratidzwa kwevanhu
Mukuvapo kwehuchapupu hwakadaro, kukanganisa kuberekwa nemapiritsi kunoitwa muchipatara. Nhamba yezviratidziro zvemagariro evanhu inogona kusiyana, uye inobva kune nyika yekugara kwevakadzi vane pamuviri. Saka mune nyika dzeCIS, zviratidzo zvikuru zvevanhu zvekubvisa pamuviri ndezvi:
- kuremara kwemurume (1,2 boka);
- kufa kwomunhu anopa zvokudya panguva yekuzvitakura;
- kugara kwemukadzi ane pamuviri kana mudzimai wake munzvimbo dzekudzikinura rusununguko, kutonga kwekudzivirira kodzero dzevabereki;
- kurambana panguva yekudzivirira kwezvino;
- kuvapo kwehukama hwevapoteri;
- kusava nenzvimbo dzekugara;
- mari yakaderera yemhuri (iri pasi pehuwandu hwemari).
Kubvisa pamuviri - misimboti
Kwete nguva dzose, kana pane chido chemudzimai ane pamuviri, kubvisa pamuviri kunogona kuitwa - nguva yekushanda iyi yakatemwa. Kana kusina zviratidzo zvekurapa, kubvisa pamuviri zviyero zvinotenderwa kusvika masvondo gumi nemaviri. Kubvisa pamuviri kunoonekwa sekutanga. Itai kuti vanachiremba vanogona uye gare gare - vhiki 12-22, apo pane mishonga. Zvichienderana nehutachiwana nguva, nzira yekuvhiya inosarudzwa inosarudzwa. Kutaura nezvenzira iyo kubvisa pamuviri kuri kuitwa kwenguva pfupi, vanachiremba vanodana chiremba uye mini-kubvisa pamuviri.
Kubvisa pamuviri pakutanga
Kana mukadzi achida kubvisa pamuviri pakutanga, vanachiremba vanoshandisa kubvisa pamuviri, izvo zvinosvika kusvika masvondo mashanu ekubata pamwe chete. Vanachiremba vanogona kuongorora kuberekwa ne ultrasound pamasvondo matatu. Kana iwe uchifungidzira kuti pamuviri isingadikanwi, unofanirwa kuonana naGynecologist wako. Kusavapo kwekuvhiya, hardware intervention inobatsira pakubvisa pamuviri, izvo zvinokonzera izvo zvisinganyanyi kuitika.
Kubvisa-kubvisa pamuviri kunogoneka kusvikira vhiki 7 . Une simba rakakura kudarika iri pamusoro, asi kune ngozi dzekuvhiringidzika kune uterine masvingo. Kazhinji, kwenguva pfupi, chinangwa chinogona kushandiswa sekutonga kwe medabort. Kunyatsobviswa kwemasara emumvuri wechipfuva kunodzivirira kukura kwezvinetso zvekuvhiringidza uye kupararira.
Kubvisa pamuviri munguva yekupedzisira
Kutaura nezvenzira yekubvisa pamuviri mumavambo ekutanga, tinocherechedza kuti zvinokwanisika mu 2-3 trimester. Kukanganiswa kwepamuviri munguva yekupedzisira kunogoneka nekuda kwezvikonzero zvekurapa. Iyo nzira yacho pachayo inofanana nekuberekwa - kukurudzirwa kwekuberekwa kunoitwa zvakare. Kana pane chido chekukurumidza fetal extraction, chirwere (hachiwanzo) chinogona kushandiswa. Pakushandura kushandisa shanduro yepabonde kana kushandiswa kwechirwere chechigodhi chemashure anokosha (kuburikidza nemadziro emimba kana uterine neck).
Usati wabvisa pamuviri, catheter inokosha inopindirwa mumutsipa wehuro, mushure mokunge chirwere che fetal chinosvika uye chinopiswa, chirongwa che hypertonic chinopindwa. Kuenzanisa kwemvura inodiwa kunoitwa nekufungisisa nguva yekuita muviri - 6 ml kwevhiki imwechete. Panzvimbo ye hypertonic sodium chloride solution, glucose inowanzoshandiswa 20% solution. Mushure meizvi, zvinodhaka zvinokuvadza uterine zvipfeko zvinotangwa.
Kubvisa pamuviri - zvinetso
Matambudziko pashure pokubvisa pamuviri inoitika mazuva mashomanana mushure mekugadzirisa. Zvinogona kushamwaridzana, zvose pamwe nekusagadzirisa kusakarurama kwekubvisa pamuviri algorithm, uye pamwe nedzimwe nguva yekudzorera. Pakati pezvinetso zvinowanzoitika pakubvisa pamuviri:
- kubuda ropa kunorema;
- kunyoresa kwerusine;
- kusanganisa kusakwana;
- kuvhiringidza zvirongwa muhutano hwekubereka.
Migumisiro yekubvisa pamuviri
Hapana hukama hwakachengeteka hwekubvisa pamuviri. Panguva imwecheteyo, hakuna hutungamiri hwemigumisiro yekubvisa pamuviri kubviswa sei. Izvo hazvo hazvo zvakachengeteka kudana kubvisa pamuviri kwezvokurapa, migumisiro yaro inogona kuvhiringidza pashure pemwedzi mishoma kana makore. Kakawanda, kuva nenhoroondo yekubvisa pamuviri, vakadzi vanogunun'una pamusoro pokuputsa kwekuenda kumwedzi: nguva dzose yakarashika, ivhu rinochinja. Kukanganiswa kweHormonal kunowanzoitika, pasinei nokuti mukadzi anobviswa sei. Inoparadzanisa zvakananga maronda anoita basa. Kutadza kwavo kunokonzera dzimwe zvirwere uye zvinetso:
- endometriosis;
- myoma ;
- endometrial hyperplasia;
- polycystic;
- zvirongwa zvehupenyu muhutano hwekubereka;
- kukanganisa kubereka (kubata);
- kushaya simba kwemasisitemu mapiritsi emuchechi;
- kuumbwa kwezvitsva pamadziro eUterine (mushure mekucheka).