Kurasikirwa pamuviri kunogona kuonekwa kunyange zvisati zvaitika zviratidzo
Zvinokwanisika kuva nepamuviri uye pasina kubuda ropa kana kupwanya. Zvisinei, izvi zviratidzo zvinowanzozopedza nguva yakawanda. Kunyange zvazvo zvinonzwika zvisingaiti, kuongorora kubvisa pamuviri zviratidzo zvisati zvaitika zvinowanzova zvakajairika sezvo vashandi vezvechiremba vanotanga nguva yekare chimiro chekuedza uye cheki.
Kusveta uye Zvimwe Zviratidzo zvekudzingwa
Chiratidzo chinowanzobatanidzwa nekupererwa kwemimba kunobuda ropa.
Kubuda ropa kunogona kushanduka pakutanga, kubva padiki shoma yeropa kusvika kubuda ropa. Kusveta kunoitika kana michina yekuberekwa inopfuura kubva muchibereko kuburikidza nemukati nemukadzi.
Kunze kwekubuda ropa, zvimwe zviratidzo zvekusununguka kwepamuviri zvinosanganisira:
- Kupwanya kana kurwadziwa kunorwadza kumusana kana mapepa angave ari nguva dzose kana kuuya uye achienda
- Kupera kwemafupa emuviri-kunofanana nehombe yakachena yakavharwa muropa
- Kurasikirwa kwepakutanga kwehutano hwemangwanani (ramba uchifunga mupfungwa iyo yehutano hwemangwanani inowanzoenda nemwedzi wechishanu wekuzvimba)
Kana ukawana chero chezviratidzo izvi kana zviratidzo-kunyange kana kubuda ropa kusipo-taura nachiremba wako pakarepo.
Yakashayiwa Miscarriages
Apo kusununguka kwepamuviri kunoridzirwa pasina kubuda ropa, mamiriro ezvinhu anonzi kusafirwa nekusimuka kwemazuva dzimwe nguva anotsanangurwa. Chikonzero nei kubvisa pamuviri kunotumidzwa se "kurasikirwa" ndechokuti mutumbi usati wakaziva kuti mukadzi haasisiri pamuviri.
Kubvisa kubva pakubvisa pamuviri hakuwanzotanga nguva iyo fetus inenge isisakwanisi kuitika, asi pane hutachiona hwemahomoni huchidonha-chiratidzo kune muviri kuti pamuviri haugone kuenderera mberi. Panguva ino, chivako chemukadzi chinonzi uterine chinotanga kubuda uye kubuda ropa chichatanga (kufanana nekuenda kumwedzi).
Izvi zvinogona kutora mazuva mashomanana kana masvondo, ichi chikonzero nei ultrasound inobatwa mushure mekuberekwa kwepamuviri pakuberekwa kunowanzoratidza kuti mwana akafa kamwe kusvika kwevhiki mbiri asati atanga kubuda ropa.
Asi kana i-ultrasound ichiitwa nokuda kwechimwe chikonzero, zvakadai sekugadziriswa kwechiitiko chekushaya moyo, zvinogona kuti ultrasound ione kuti mwana akachera mwana asati atanga kuve nemararamiro aanoita pamuviri, uye angave achiri kunzwa ane pamuviri.
Chirwere Chenguva uye Mhedzisiro Inobviswa Pamuviri
Muzviitiko zvakawanda, kubuda kwepamuviri kweropa kwaizotanga pachega mukati memavhiki maviri mushure mekutsvaga. Asi kupa hutariro yenguva yakareba uye maonero ekutakura kubata pamuviri usina kukwana, vazhinji vanamai vanosarudza D & C kana kukanganiswa kwemishonga inokonzerwa nemishonga kana chirwere ichi chave chichinyatsosimbiswa, chinosarudza kuwana mamiriro ezvinhu emuviri wepamuviri pakarepo pamwe nekukurumidza .
Zvinotarisirwa kutarisirwa, kureva kumirira kubvisa pamuviri kuti zviitike zvakasikwa, zvakare ndezvokusarudza.
Kune vanhu vakawanda, hapana nzira imwe chete inonzi inofanirwa, uye vanhu vanowanzotaurirwa kusarudza nzira iyo yavanonzwa yakanyatsonaka nayo. Kana iwe uri kutarisana nechisarudzo ichi, hezvino zvimwe zvezvakanaka uye zvakanakira kufunga.
Makomborero eMhando imwe neimwe
- Kurinda kumirira: Iyi ndiyo nzira isingasviki uye inogona kunzwa "yakasikwa" kune vamwe vakadzi. Iyo inewo mari inodhura pane dzimwe nzira.
- Cytotec (misoprostol) kupererwa kwepabonde-kunokonzerwa nemishonga: Iyi nzira haisi yakaipa kupfuura kuvhiyiwa asi yakawanda inopisa kupfuura kurindira kumirira-rudzi rwe "pakati". Vanhu vazhinji vanogona kuita izvi sevanenge vari kunze. Kunyange zvazvo kubudirira kwevakadzi vakawanda, avo vanokundikana kupedzisa kukanganisa vachada D & C.
- D & C chirongwa chokuvhiya: Ne D & C, kubviswa kwemishonga yekuberekwa kunogona kuitwa panguva yaunosarudza, uye iwe uchakwanisa kudzokera kuhupenyu hwako nekukurumidza (kazhinji).
Kukanganiswa kweMitemo Yega
- Kurindira kumirira: Nenzira iyi, iwe unofanira kumirira kuti upfuure mhuka dzemuviri, izvo zvinogona kuoma mupfungwa uye mumuviri. Kuenzanisa kusvika kubuda kunorema nekupwanya kunogona kuitika. Mukuwedzera, vanhu vanosarudza kurindira vakarindira vanogona kuguma vaine D & C isina kurongwa.
- Cytotec (misoprostol) kupererwa kwepabonde kunokonzerwa nemishonga: Cytotec ine zvimwe zvinokonzera madhara zvakadai sokunyunyutira, kurutsa, uye kurora. Mishonga haishandisi pakarepo, saka inogona kutora nguva yakati isati yasvika. Kungofanana nekumirira kwakamirira, mukadzi anogona kubuda ropa rinorema kudarika kumira uye kuenzanisa kusvika kune simba.
- D & C chirongwa chekuvhima: Ichi ndicho chinonyanya kuipa chezviito uye chinogona kuitwa pasi rose anesthesia (ine njodzi dzeanesthesia) muimba yekushandisa, kana dzimwe nguva muhofisi yepamusoro. Kazhinji, vakadzi vanogona kukura uterine adhesions ( Asherman's syndrome ), iyo inogona kutungamirira kumatambudziko nekushaya vana. Panewo ngozi shomanana yekukuvadza mumuviri wechibereko kana uterine perforation. Iyi ndiyo inonyanya kukosha yenzira.
Mufananidzo mukuru pano ndewekuti kana ukasvika pakugadzirisa kusununguka kwepamuviri, chiremba anonyanya kufunga zvaunoda. Njodzi dzinofananidzwa zvakajeka pakati pemakwara-ekubuda ropa rinokosha uye / kana utachiona hunogona kuitika nevose vatatu (kunyange izvi zvisingawanzoitiki).
Shoko Rinobva Kunyanya
Iko kunogona kutadza kusununguka kunotyisa kune chero mukadzi upi zvake ane pamuviri. Zvisinei, huwandu hwepamuviri hunoenderera mberi pasina zvinetso izvi. Zvinosuruvarisa, muzviitiko zvakawanda (zvikurukuru mumutatu wekutanga), hapana chero chinhu chipi zvacho chinogona kuita kuti chiitike.
Kana uri kunzwa uchizvidya mwoyo pamusoro pehupamuviri hwako, taura nachiremba wako kuti uwedzere kutungamirirwa. Kana iwe ukadzidza kuti wakave nekupererwa pamuviri, inogona kuva nguva yakaoma sezvaunotarisana nemarapirwo epanyama pamwe chete nemanzwiro ekurasikirwa.
Svika kumhuri neshamwari. Vamwe vanhu vanozviona zvichibatsira zvikuru kutaura kune vamwe vakatarisana nemamiriro ezvinhu akafanana, kana pakati pehama dzavo kana kuburikidza neimwe yemasangano akawanda anotsigira anobatsira kubatsira vanhu kurarama nekurasikirwa pamuviri.
> Sources:
> Black, K., deVries, B., Moses, F. et al. Zvinogamuchirwa Nekutsvaga Kurapa Kwemishonga paChechi yekuchengetedza uye yekuvhiya kweKuberekwa kwekuchembera. The Australian and New Zealand Journal of Obstetrics uye Gynecology . 2017. 57 (1): 93-98.
> Cunningham FG, Williams JW. Williams Obstetrics . New York: McGraw-Hill; 2014.
> Segawa, T., Kuroda, T., Kato, K. et al. Cytogenetic Analysis yeChetened Products of Conception after Missing Abortion Kufukurirana kweBlastocyst: A Retrospective, Large-Scale, Single-Center Study. Reproductive Biomedicine Online . 2017. 34 (2): 203-210.
> IAmerican Congress yeZvibvumirano uye Gynecologists Komiti ye Practice Bulletins-Gynecology. Kutanga Kuberekwa Kwepamuviri: Kuita Bulletin Nhamba 150. Obstetrics & Gynecology . 2015; 125 (5): 1258-1267. Yakasimbiswa 2017. ini: 10.1097 / 01.aog.0000465191.27155.25.
> Tulandi T, Al-Fozan HM. (January 2017). Kubvisa pamuviri kamwechete: Njodzi dzinokonzerwa nehutachiona, etiology, zviratidzo zvekurapa, uye kuongororwa kwekuongorora. Mu: UpToDate, Levine D, Barbieri RL (Eds), UpToDate, Waltham, MA.