Kubvisa pamuviri kubvisa kubvisa pamuviri nemaune kusvika pamasvondo makumi maviri nemasere. Pakukumbira kwomukadzi, kubvisa pamuviri kunogona kuitwa chete kusvika kwemavhiki gumi nemaviri, uye kubva pamasvondo gumi nemasere kusvikira kune makumi mana - kune zviratidzo zvekurapa uye zvehupfumi.
Zviratidzo zvekubvisa pamuviri
Zviratidzo zvechiremba zvinosanganisira zvirwere zvakakomba zveamai: chirwere chemwoyo chakakomba, itsvo, chiropa, chirwere chetachiona, chirwere chetachiona, chinetso chepfungwa, matumbo. Izvi zvinosanganisira kukanganisa kutapurika kwemazamu uye hutano hwakakonzera hupenyu hwemamai: ectopic pamuviri, zvinokanganisa panguva yekudzivirira (rubella, miviri), maitiro akakomba e toxicosis, kusagadzikana kana kufa kwemucheche.
Contraindications
Izvi zvinosanganisira kuvhiringidza kwemashure, zvipembenene uye zvinogadziriswa. Izvi zvinoda kuporeswa vasati vaita kubvisa pamuviri. Usavhiringidza pamuviri kana kubvisa pamuviri kwakapera kwaiva pasi pemwedzi 6 yapfuura.
Mhando dzekubvisa pamuviri
Iyo nzira inobva pane nguva yekuzvitakura.
- Pakazosvika masvondo matatu, kubvisa-aspiration ye fetus inoitwa. Kazhinji kazhinji, pasi peanesthesia yemunharaunda, iyo fetal egg inoshushikana uchishandisa kanzura uye kusanyanya kunaka.
- Pasati mavhiki matanhatu nemanomwe ekuberekwa, kubvisa pamuviri kunoitwa. Iko kusingabatsiri kupindira kwokuvhiya uye kunoitwa nekubatsirwa kwemishonga.
- Izwi remasvondo mashanu kusvika ku12 rinosanganisira kubviswa kweiyo fetal egg uye nekucheka kwechibereko chekuberekwa. Pasi pechirwere chinonzi anesthesia kuburikidza nemudzimai kuwedzera mukova wechiberekero uye chironga chokuvhiya (curette) chinonyora zviri mukati.
- Pazuva rinotevera (vhiki 13-28), "kuberekwa kwekuberekwa" kunoitwa. Iyo hypertensive saline solution inodururirwa mu fetal bladder, zvibvumirano zvechibereko uye fetus inodzingwa kunze. Chikamu cheCesarea hachinawo kubviswa.
Migumisiro yekubvisa pamuviri
Matambudziko ekubvisa pamuviri maitiro akaparadzaniswa kuva nguva nekupera.
Pakutanga:
- kukuvadzwa uye kupererwa kwemasvingo emuviri;
- kubuda ropa;
- kusagadziriswa kubviswa kwe fetal egg;
- zvinetso zvinotapukira.
Mangwana:
- kusabereka nekuparadzana;
- ngozi ye endometriosis, uterine fibroids;
- ectopic pregnancy ;
- kukanganisa kwemwedzi.