Kunyange zvazvo zvikonzero zvinokonzera kutapudzwa kwechipiri chemamiriyoni matatu (kana kuti "kutama kwepamuviri") zvinogona kuwirirana nekutanga kutapukira kwepamuviri ("kupererwa kwepakutanga") pamwe chete nekuberekwa , kurapwa kwechipiri chemamiriyoni ekusimuka kwemazuva matatu kunowanzosiyana nekutanga kwemashure matatu.
Kusiyana nekuparara kwepakutanga, iwe ungasava nehuwandu hwakawanda mune zvamunogona kurapa. Urongwa hwako hwekutarisira hunogona kugadziriswa nemamiriro ekunze kunze kwekutonga kwako, zvakadai sehutachiona kana kupera kwekutanga kwezvikamu (zvinonziwo sehomwe yemvura).
Chiremba wako achakupa mazano pamusoro pemhando ipi zvayo yaunayo uye anokubatsira iwe kuti uite chisarudzo chakanaka pamusoro pemishonga yakakodzera yezvaunoda.
Ndapota cherechedza kuti mishonga iyi inogonawo kushandiswa kune vakadzi vanoda chirwere chinoratidzirwa kuratidzika.
D & E (Kushungurudza uye Kubuda)
D & E inzira yekuvhiya iyo inosanganisira kuderedza chibereko chechivharo, iyo inowanzoitwa kutanga pazuva. Pazuva rekushandiswa, chiremba wako achashandisa shanduro yekushandisa yakasununguka kuti abvise zviri mukati mechibereko. Iyi nzira inosanganisira anesthesia; D & E inogona kunge isingaitike zvichienderana nekuti iwe uri kure zvakadini iwe pamuviri wako uye apo rufu rwemucheche rwakaratidzwa. Haasi vanachiremba vose vakadzidziswa kuita D & E; zvisinei, vanachiremba vakawanda vanozokutaurira kune mumwe aripo kana iyi ndiyo yakakodzera kurapwa kwako.
Medical Management
Kurapa kurapwa ndiyo yakanyanya kunyanya kurapwa yakakurudzirwa kuvakadzi vanovhiringidza mumutambo wechipiri.
Kutarisira kurapwa kunosanganisira kutora mimwe kana mishonga inokonzera kukonzera mishonga yemukati uye kubvumira fetus uye placenta kuti ibudise vaginha. Mishonga inowanzoshandiswa ndeye misoprostol uye mifepristone.
Misoprostol inogona kutorwa nemuromo, inobatwa mudama kusvikira ichiputika kana kuiswa pamuromo wechirwere nechiremba kuti aite zvinopesana.
Misoprostol inogona kushandiswa iri woga kana pamwe chete nemapepristone.
Munguva yepiri yechipiri, misoprostol inowanzotarisirwa muchipatara umo unogona kuongororwa navanesi uye vanachiremba kana pane imwezve kurapwa inotarisirwa.
Mifepristone (dzimwe nguva anozivikanwa se RU-486 kana Mifeprex) inogona kushandiswa se "kufungidzira" kune misoprostol kugadzirira chibereko chechibereko chechibereko chechivi. Havasi vese vanopa kurapa kana zvivako vanoshandisa mifepristone.
Pain Control
Kusuruvara kazhinji kunowedzera zvakanyanya nekupererwa kwekupedzisira kwekupedzisira kupfuura nekutanga. Nemhaka yekuti kurasikirwa kwechipiri chetatu kunowanikwa muchipatara, zvingasarudzwa zvekurwadziwa zvakasiyana. Iwe unogona kukurukura zvaunogona kuita nemureri wako, chiremba uye anesthesiologist pafoni.
PCA (murwere anorwara anorgesia): Mishonga yemarwadzo yakadai se morphine, dilaudid kana fentanyl inopiwa kuburikidza neA IV inogona kuponeswa kuburikidza nepamu inokosha inokubvumira kushandisa bhatani kuti uzvipe mukana wemishonga kana uchida
Epidural: Kunyorera mishonga nemishonga inorwadza inogona kupiwa kuburikidza nehutu kadiki yakaiswa mushure mako ne anesthesiologist.
Zvimwe Zvirwere
Chimwe chezvikonzero zvinowanzoitika pakuparara kwekupedzisira kwekupedzisira chirwere. Utachiona huzhinji hunokonzerwa nemvura inopera nguva isati yakwana.
Muzviitiko izvi, kurapa kwako kunogona kusanganisira mishonga inorwisa mabhakitiriya kuporesa utachiona, kubvumirwa kune imwe chipatara uye zvichida nzvimbo yakakosha yekukurudzira kubata kuti ienderere apo maantibioti anopiwa.
Kunyange zvazvo pamuviri unogona kuchengetedzwa nehutachiona hwakakanganiswa, njodzi yehutachiwana yakakwirira, uye kupererwa kwepamuviri dzimwe nguva kunoitika pasinei nekupindira. Kazhinji, kuora mwoyo uku kunoitika nokukurumidza uye pasina kupindira kwachiremba, kufanana ne "kusununguka kwepanyama " vakadzi vakawanda vanotarisana mumutatu wekutanga.
Kutevera Kuteerera Pashure Pechipiri Chetatu Kuparadzaniswa
Chipiri chemamiriyoni chepamuviri chisina kujairika zvokuti chiremba wako angangodaro akakurudzira vamwe kuedza kutevera .
Rudzi rwekuedzwa runobva pane izvo zvinozivikanwa kana kuti zvinokonzera kukonzera kusununguka kwako uye zvinogona kusanganisira kuongorora kwepentecenta kana fetus mushure mokuberekwa, kuongororwa kwechibereko chako, kusarudzwa kwebhakitiriya kana hutachiona zvakakonzera kutapurirwa uye kuongororwa kweropa rako kune zvipingamupinyi zvekudzivirira .
Chiremba wako achakurudzira maitiro akakodzera anobva munhoroondo yako. Panogona kunge pane zvinhu zvaunogona kuita munguva yekusununguka kwemazuva anotevera kuderedza mikana yako yekuita imwe nguva yekuenda kwepamuviri.
Sources:
Michels, TC, Tiu, AY Chepiri-katatu kutakura pamuviri. American Family Physician 2007.
Puscheck, EE, Chelmow, D., Trupin, SR, et al. Kutanga pamuviri kurasikirwa nekurasikirwa nekugadzirisa. Medscape 2010.
Wildschut, H., Zvose, MI, Medema, S., et al. Nzira dzezvekurapa pakati pemagumi matatu ekuguma kwekuita pamuviri. National Institutes of Health.