Maitiro Okurapa Kunowanikwa Mukusagadzikana Kusina Kukwana
Zvinorevei kana iwe uine kusakwana kwekusununguka kwepamuviri, chii chinoratidza zviratidzo, uye ndezvipi zvirongwa zvakasiyana-siyana zvinogona kushandiswa kugadzirisa chirwere ichi? Chii chaunoda kuziva kana iwe uchiita sarudzo yako pamusoro pezvirevo izvi?
Kusagadzikana Kusina Kukwana Dudziro
Kumbera pamuviri kunonzi "kusina kukwana" kana kubuda ropa kwave kwatanga uye chibereko chechivharo chinoputika, asi mishonga kubva pamuviri inenge ichiri mudumbu.
Kazhinji nguva, kupererwa kwepamuviri "kusina kukwana" panguva yekuongororwa kuchapedza nzira yacho pasina kupindira. Asi dzimwe nguva muviri unotambudza kupfuudza maronda kubva pamuviri, uye kupererwa kwepamuviri kunoramba kusina kukwana kusvikira mukadzi achitsvaga kurapwa.
Kusakwana kwepamuviri yechirwere chepabonde hakufanani nekupererwa kwepamuviri -kusina kukwanisa kubata pamuviri apo mwana haasati akura, asi chivharosi inoramba ichivharwa uye pasina kubuda ropa kunotanga.
Zviratidzo zveKutadza Kusina Kukwana
Zviratidzo zvikuru zvekusakwana kwekusununguka kwepamuviri kune kubuda uye kupera. Muzviitiko zvakawanda, kupererwa kwepamuviri kusina kukwana panguva yekutanga kuongororwa kuchazadzikisa pasina kupindira kana mukadzi wacho achida kubvisa chirwere chakadai seD & C kuti abvise zvigadzirwa zvekuberekwa. Dzimwe nguva, zvisinei, mhuka yacho inoramba iri mudumbu pasina muviri unoipfuura nenzira yakasununguka, uye nzira yekuvhiya kana yezvoutano inoratidzwa.
Kurapa Zvimwe Zvokuda Kubviswa Kwisina Kukwana
Kurapa kwevakadzi vane ruzivo rwakakwana rwekusununguka kwepamuviri kunosanganisira imwe yenzira zvitatu dzinotevera:
- Mushonga wokuvhiya unonzi dilation uye curettage (D & C)
- Kurapa kwechiremba neCytotec (misoprostol)
- Kurindira kumirira-zvinoreva kumirira kuona kana mutumbi unopfuura zvigadzirwa zvekuberekwa zvakasununguka
Ndeipi Nzira Yakanakisisa?
Kutsvakurudza kunoratidza kuti idzi nhatu nzira dzine maitiro akafanana ekubudirira kwekutanga-trimester kusina kupera kwepamuviri, saka zvinodiwa nemukadzi zvinonyatsokurukurwa, pamwe nekukurukurirana kwakanyatsofungisisa nachiremba wake.
Kurindira Kurinda uye Kutarisira Kutarisira
Nekumirira kwakamirira, mukadzi ari kunyatsoongororwa sepasipo. Kazhinji, muviri unowanzopfuura zvinhu zvinotakura pamuviri pasina zvinetso. Iyi ndiyo nzira inonyanya kushandiswa uye inobhadhara mari kune avo vane hanya.
Kune avo vanosarudza kutarisira kutarisira, pane ngozi yakakwirira yekusapedzisira kusina kukwana, uye saka, mukana mukuru wekuda D & C isina kurongwa munguva. Panewo huwandu hwehuwandu hwekubuda ropa zvakanyanya uye izvi zvinogona kuva nengozi kana zvakanyanya uye zvakasimba. Kana kubuda ropa kuri kudarika, D & C inoratidzwa. Dzimwe nguva kana kubuda ropa hakugoni kukurumidza kukura nekuvhiyiwa, kuwedzerwa ropa kunogona kudiwa.
D & C Kuvhiya kweKutadza Kusina Kukwana
D & C inogona kusarudzwa kana nekuda kwechido chemukadzi, kana kuti kudzivisa kana kumira kubuda ropa kwakanyanya.
NeD & C, chiremba wezvipembenene / gynecologist (OB-GYN) anoshandisa zvidimbu zviduku kana mishonga yekuzarura chibereko chechibereko uye kupinda mubereki.
Izvi zvinowanzoitwa kakawanda pasi pese anesthesia. Kamwe kamwe mukati mechiberekero, chiremba anoshandisa curette kuti anyore mapande emuviri uye anounganidza zvinhu zvakachengetedzwa zvekuberekwa. Curettes inogona kunge yakajeka kana kushandisa kuswa.
Kunyange zvazvo D & C, iyo, nokuda kwechikamu chikuru, nzira yakachengeteka, kune ngozi dzingangobatanidzwa (semhando ipi zvayo yekuvhiya).
Heano zvimwe zvinetso zveD & C:
- Bleeding
- Matambudziko anesthesia
- Cervical damage
- Kubviswa kusina kukwana kwezvigadzirwa zvekuberekwa
- Kupera simba kwechibereko
- Kurwara
- Zvisikwa zvisingatauri kana kubatisisa pamadziro eUterine, izvo zvinogona kukonzera chiitiko chisingawanzi chinonzi Asherman's syndrome . Asherman's syndrome, pamwewo, dzimwe nguva inogona kuita kuti vanhu vasazochera, kusava nemhuka, kana kuberekwa kwekutanga (asi zvakare, izvi hazvishamisi)
Vakadzi vanopfuurira kubuda mazuva mushure meD & C kana chiziviso chisina kubudiswa vanofanira kuzivisa chiremba wavo pakarepo. Zvimwe zviratidzo zvinoshungurudza mushure meD & C zvinosanganisira kurwadziwa kunoramba kuripo uye kuputika.
Cytotec yekutorwa kusina kukwana
Maererano nehutano hwehutano, Cytotec (misoprostol) imishonga inogona kupiwa kuvakadzi mumuromo, nemuromo, pamatama, kana pasi pemutauro. Cytotec yakatanga kugadziriswa kurapa zvipembenene asi iko zvino inoshandiswa kakawanda kugadzirisa mamiriro ezvinhu. Migumisiro inogona kunosanganisira kurwadziwa, kusuruvara uye kurutsira, uye chirwere.
Kakawanda, kubudirira kwechiCytecec kune makore makumi mapfumbamwe nemakumi mapfumbamwe nemazana makumi mapfumbamwe nemazana makumi mapfumbamwe (100%) ekuzvitakura kwezera remakore gumi nemaviri kana kupfuura. Kune vamwe vakadzi, kurapwa hakuzobudiriri, uye D & C ichazodiwa zvakare. Kakawanda, kurapwa kwezvoutano kunobatsira kuva nehuwandu hwekutyisa hutachiona hwehutachiwana, asi huwandu huwandu hwekurasikirwa kweropa.
Vamwe vakadzi vanosarudza sarudzo iyi, semhando ye-pakati pekusarudza. Hazvisi sechisimba sekuvhiyiwa, asi vakadzi vanonzwa sokuti vari kuita chimwe chinhu kukurumidza kushanda.
Shoko Rinobva Kunyanya
Kana iwe kana munhu waunoda ari kutarisana nekusununguka kwepabonde, tapota taurai nezvekushandisa kwekutarisira zvakanyatsonaka nechiremba wenyu uye mutaure zvaunoda uye zvinetso. Zvakakosha kuti iwe unzwe uchitsigirwa mukusarudzwa kwako kurapwa. Kunze kwekuti iwe uine chikonzero chakajeka chokusarudza imwe nzira yekurapa pane imwe, sarudzo yakanakisisa ndiyo mushonga unonzwa unogamuchirwa kwauri iwe pachako. Kazhinji, chisarudzo hachidi kuitwa nokukurumidza. Tora nguva yekudzidza nezvekusakwana kwepamuviri uye kusava nechokwadi kuti mibvunzo yako yose inopindurwa.
Mukuwedzera kune nyaya nekutarisira kurapa kusakwana kwepamuviri, iyi inogona kuva nguva inoparadza. Kurasikirwa nechecheche kupera pamuviri ndiko kurasikirwa kukuru, uye vanhu vanofamba nepakati pezvikamu zvekushungurudza sekune chero kurasikirwa kupi zvako. Iwe unganzwa kutarisa mamwe mazano ekugadzirisa nekupererwa kwepabonde kwakabatsira vamwe vanotarisana nekurasikirwa kwakafanana.
Kana iwe uri kutarisana nenhamo yokusununguka pamuviri pamwe nemumwe wako, iva nechokwadi chokuti unomubatanidza mukuita kwako zvisarudzo. Kutsvakurudza kunoratidza kuti varume nevakadzi vose vanoshungurudzika mushure mekunge vaenda pamuviri, asi vanogona kuratidza kushungurudzika nenzira dzakasiyana. Izvi zvinogona kukonzera kupesana pane imwe nguva yakaoma. Regai iyi ive nguva yokuti iwe uwedzere pedyo pane kuparadzana.
> Sources
> Hooker, A., Aydin, H., Brolmann, H., uye J. Huirme. Matambudziko Ekare-kare uye Mubereko Wokuberekwa mushure mekutungamirirwa kwekuchengetedzwa kwemishonga yekugadzirisa: Kuongorora kwakarongeka. Kubereka uye Kusimba . 2016. 105 (1): 156-64.e1-2.
> Kim, C., Barnard, S., Neilson, J., Hickey, M., Vazquez, J., naL. Dou. Zvirwere Zvokurapwa Zvisina Kubviswa Zvisina Kukwana. Cochrane Database yekuongorora kwakarongeka . 2017. 1: CD007223.