Ndezvipi zvinodhaka zvinoshandiswa mukugumisa kwekutanga kwekubvisa pamuviri?
Kusvika iye zvino, kune mishonga yakawanda yokubvisa pamuviri pakutanga kwekudzivirira. Kazhinji kacho, nzira dzokutanga kubva pamuviri dzinoshandiswa sePencrofton, Mifepriston, Mifegin.
Chimwe nechimwe chezvipi zvakagadzirirwa zvine nguva yekushandiswa, asi paavhareji ivhiki 4-6 yekuzvitakura.
Mifegin yakashandiswa kubudirira kwenguva yakareba munyika dzekuMadokero uye muCIS. Izvi zvinodhaka zvinopesana neprogesterone, zvinodzivirira uterine receptors nekuita kuti kudzingwa kwema embryo kuvepo. Saka, kutanga kune kugadzirisa kweupterrium uterine uye kuvhura kwehutatu hweutsi. Panzvimbo inotevera, uterine myometrium inoderera, iyo inotungamirira kukudzingwa kweiyo fetal yai kubva muuterine cavity panze. Izvi zvinopedza maawa anenge 6-8. Dzimwe nguva, kuwedzera simba rekudzinga, mazano anobatsira (prostaglandin) anoshandiswa.
Pasinei nechokwadi chokuti kune mifananidzo, ndiyo Mifegin iyo inoonekwa seimwe yezvinyatsogadziriswa zvakagadzirirwa zvemarudzi aya. Kubudirira kwekushanda kwayo kwava pedyo ne100%, uye migumisiro inoshandiswa kubva kushandiswa haina kunyanya kukosha. Ngozi yekugadzirisa zvinokonzerwa neorgeric inoderedzwa.
Mamiriro makuru ekushandiswa kwechirwere ichi ndeyekuregererwa kwekugona kwe ectopic kukura kwe fetus. Saka, nguva dzose kusati kwaitwa kusununguka kwekubvisa pamuviri, vakadzi vanosarudzwa kuti vaite ultrasound.
Migumisiro inobva mukushandiswa kwechirwere ichi yakashoma uye yakazara zvakakwana pamunhu mumwe nomumwe unhu hwemuviri wemukadzi. Semitemo, iyo inobatanidzwa nekuenderera mberi kwemukati weuterasi wekuberekwa kwema fetus, rufu rwemucheche pasina kubudiswazve kubva muhutachi uterine, kana nekukura kwehutachiona uterine ropa.
Uyewo, kazhinji kuregererwa kwekuita pamuviri munguva yekutanga hakuitike nemishonga yeMifepriston. Icho chiri cheboka reva antigestagens. Iyo nzira yekuita kwayo ndeyokuvhara mafungiro emagetsi anopfuura kune gestagen receptors.
Kukanganisa kwechirwere chepamuviri nemishonga iyi kunoshandisa kushandiswa kwemumwe mushonga - misoprostol. Ndiye iye anotungamirira kushandiswa kwemuscular layer ye chibereko, zvichikonzera kutanga kwehondo.
Maererano nemirairo, kushandiswa kwechirwere ichi kunokwanisika kwemavhiki 9 ekuzvitakura. Mukuwedzera, kushandiswa kwechirwere ichi kunogona kushandiswa kudzinga fetus uye rufu rwayo rweprauterine.
Munda wokutora mukadzi uyu wemishonga kwemaawa maviri uri pasi pekutarisirwa kweutano. Ultrasonic kutarisa kwemugumisiro wekubvisa pamuviri inoitwa mushure me 36-48 maawa.
Pencroftone inoshandiswawo pakurapa pamuviri. Mushonga uyu unobudiswa muRussia. Inoshandiswa kwemasvondo matanhatu. Inonyatsobudirira uye inenge isina kukonzera chero matambudziko. Mushonga unochengetedza kuvimbika kwechibereko chechibereko chechivharo, pamwe chete nemakumbo ayo.
Iko kunofanira kutaurwa kuti zvachose mapiritsi ekubvisa pamuviri munguva yekutanga, zita rayo rinoratidzwa pamusoro apa, haigoni kutengwa nemukadzi ari mu pharmacy chete. Chikonzero ndechekuti kugamuchirwa kwemishonga iyi kunofanira kuitwa kunze kwekutarisirwa kwechiremba.
Ndezvipi zvakakosha uye kuipa kwekubvisa pamuviri?
Kukanganiswa kwepamuviri nemapiritsi munguva yepakutanga hazvina maturo pamuviri wemukadzi.
Kubudirira kukuru kwekubvisa pamuviri kwekushandisa mishonga ndekusavapo kwekugona kukanganisa endometrium uye chibereki (zvinowanzoitika panguva yekubvisa pamuviri), iyo yakanakisisa yepfungwa inokonzera kushandiswa kwemaitiro, kukwanisa kushandiswa mukati memaitiro ekunze, kukwanisa kwakanyanya kwenzira (anenge 95%), uye inonyanya kukosha - iyi nzira iyo ndiyo nzira yakanakisisa yevakadzi vasingasviki, nokuti kubvisa pamuviri kunowanzosiya kunze kwekugona kwekuita pamuviri zvakare.