Vose Vari Kuvhiya Kwekupedzera Kuberekwa Kusina Utano
Vose vanozvitakura vanoenda kunze kwechirwere: Pashure pemavhiki makumi mana kana kupfuura, mwana ane utano anoberekwa uye mhuri inokura nemumwe. Zvinosuruvarisa, asi dzimwe nguva zvinhu hazviendi sezvinotarisirwa: Pane dambudziko rinoita kuti zvive zvakakodzera kugumisa kuberekwa kana kunoguma zvishoma nezvishoma mumusikana. Zvichienderana nehuwandu hwehutano hwakakura sei, izvi zvinogona kuwanikwa nekumwe nzira mbiri dzekuvhiya: kuwedzera uye kubuda (D & E) uye kuwedzera kana kuvhara (D & C.
D & C, iyo chirwere chechivharo chakawedzerwa kuita kuti zvive nyore kuti chiremba ashandise chimbo chinopinza chinonzi curette kuti abvise mishonga kubva pachigadziko chechibereko. (Izwi D & C dzimwe nguva rinoshandiswa kureva vaccum aspiration, imwe nzira yekugumisa pamuviri.)
Kusuruvara uye kugadziriswa kunoitwa mukati mavhiki gumi nemaviri ekuberekwa. Mumamiriro ezvinhu ekudzivirira kunoenderera mberi kune D & E inodikanwa. Zvimwe zvinowanzoita kuti mukadzi awane D & E: Mwana ane chimiro chakakomba kana akafira muchizvaro uye angave akazvarwa ; iyo nhengo dzakaputika zvisati zvaitika; kana kune ngozi yakaipisisa kune hutano hwemukadzi kana pamuviri uchienderera mberi.
Iko D & E Inofanana
Zvose D & Cs uye D & Es zvinosanganisira kuderedza chibereko chechivharo uye kubvisa chibereko chekuita mimba. Hezvino zvinoitika pane imwe neimwe yezviito izvi muD & E:
Nhanho 1: Kuparara
Nhanho yekutanga muD & E iri kugadzirira chibereko chechivhadziro nekugadzirisa zvishoma nezvishoma uye kuideredza ichi kutanga zuva kana maviri pamberi pechirongwa chaiwo.
Izvi zvinowanzoitwa ne "osmotic dilator," yakagadzirwa kubva kune yakaomeswa, yakanyungudutswa majeko emvura ane simba (anonzi laminaria) kana kuti hydrogel tsvimbo dzinowanikwa mumugero wemudzimai umo inotora unyoro zvishoma nezvishoma kuwedzera. Kuchengeta kunonoka kunokosha: Kukurumidza kushandiswa kwekugadziriswa kwakaratidzwa kuwedzera kukanganisa kwechipiri-trimester pamuviri kurasikirwa munguva dzekuita pamuviri.
Zvinodhaka zvinogonawo kushandiswa kugadzirira chibereko chechivharosi pazuva rekugadzirisa, asi haisi seinobudirira seasmotic dilators-zvinoreva kushandiswa kwemajini zvinogona kudikanwa kunze kwekunge zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichange zvichishandiswa mukutanga kwechipiri.
Danho 2: Kubuda
Nhanho yechipiri muD & E ndiyo kubudiswa kwe fetus uye placenta kubva muchibereko. Izvi zvisati zvaitika, mukadzi uyu anopiwa aneshesia uye antibiotic kudzivirira utachiona. Paanenge ari pasi peanesthesia, chiremba anovhiya achiita D & E kazhinji achashandisa kusanganiswa kwekutsvaira, simba, uye curettage kubvisa chibereko. Vamwe vanachiremba vanoshandisa jira kuti vaone kuti kufa kwekufa kunoitika zvisati zvaitika, asi izvi zvinopesana.
D & E inonetsa asi inowanzochengeteka zvakakwana. Matambudziko akadai sechirwere chemuviri wechikadzi; kunyorera kwechibereko; hutachiona, kana kuora ropa hazviwanzoitiki. Uyezve, vakadzi vane D & E havatarisi matambudziko mumangwanani ekuberekwa ane chokuita nekuita.
Sources:
American College yezvipfeko uye Gynecologists. "Kubvisa Kubvisa Mimba." May 2015.