Maitiro ekurapa kwekuparara kwemimba kunoshanda
Mumakore mashomanana adarika, zvave zvakajairika kuvanachiremba kupa mishonga yekutarisa kupererwa kwepabonde kana hCG zvibereko kana kuongorora kwechirongwa chekusimudzira hutsi hunosimbisa kuongororwa kwekufa kwekusava nemimba kana kuputika ovum . Izvi zvinopa vakadzi imwe nzira yekugadzirisa nekugadzirisa nzira ( D & C ) kana kuti kungamirira kwenguva yakareba kwekuparara kwekutanga kutanga.
Misoprostol yekutarisa kusarudzwa kwemudzimai
Mishonga inowanzoshandiswa nokuda kwechinangwa ichi mishonga inonzi misoprostol (zita rinonzi Cytotec), iro rinorondedzerwa semishonga yechilonda asi rakawanikwa richibatsira mukurasika kwepamuviri. Misoprostol dzimwe nguva inoshandiswa pamwe chete nemapepristone, antiprogesterone mishonga inonziwo Mifeprex kana RU486. Imwe nzira inogona kunge ine gemeprost, asi ichi chinodhaka chinogona kukonzera kuipa kwemigumisiro mune dzimwe nguva.
Vanachiremba vangashandisawo mushonga kupedzisa ectopic mimba yechipikirwa iyo isiri kuisa dambudziko risina kunaka kune hutano hwemukadzi, asi mishonga, mune izvi, inowanzoitwa methotrexate.
Misoprostol muTatu Trimester
Kurapa kwekuparara kwepamuviri kunonyanya kunzwisisika mumamiriro ezvinhu apo kubvisa pamuviri kunotsigirwa asi kubuda ropa kusati kwatanga. Iyo inoshanda sei: Chiremba wako anorayira imwe kana mimwe mishonga inokonzera kuti chirwere chako chidimbure uye iwe uterine lining kuti ude.
Iyi mishonga inogona kunge iri mumuromo kana mumadzimai, zvichienderana nehuwandu hweprotocol. Kubuda kwepamuviri-yehupombwe inokonzerwa nemudzimai kunotanga mukati mezuva rimwe kana maviri ekutungamira kwechirwere uye kunoenderera zvakafanana nekusemuka kwepanyama. Migumisiro yemishonga inogona kusanganisira kurwadziwa, kushungurudza, kusuruvara, uye kurara.
Maererano nekutsvakurudza, kubudirira kwekuzadzisa kupererwa kwemashure mushure mekushandisa misoprostol inenge 71 kubva muzana kusvika 84 muzana. Ruzhinji rwevakadzi vanosarudza kurapwa kwehutano nekuda kwekucheka kwavo kwakagutsikana nechisarudzo pavanobvunzurudzwa gare gare.
Ngozi dzekushandisa Mishonga yekutarisa kusarudzwa
Ngozi dzekushandisa mishonga yekufambisa kupererwa kwepamuviri (pane kuva neD & C) inenge yakangofanana nematambudziko ekusavhiringidza zvakasikwa. Pane chiitiko chiduku chekushaya ropa, chirwere, uye unoda D & C gare gare kana mhuka inoramba iri mudumbu. Zviri pachena kuti D & C inotakura zvimwe zvipingamupinyi zvakare, saka sarudzo ndeyo iwe uye chiremba wako-kunze kweiyo mamiriro ezvinhu apo chirwere chekukurumidzira chinoda D & C. Kureba kweropa pamusana wemakumbo anokonzerwa nemishonga kunenge kwakangofanana nechepamuviri hunoitika pasina kupindira (anenge mavhiki maviri).
Haasi chiremba wose anopa kurapwa kwehutano kwekutanga kutambisa matambudziko panguva ino, asi vazhinji vanoita. Kana wakamboonekwa kuti une kupererwa kwepamuviri uye usati waita chisarudzo chekurapwa, taura nachiremba wako kana uchida kutsvaga kurapwa kwehutano hwekusiya pamuviri. Iyi mishonga inofanira kushandiswa chete pasi pekutarisirwa kwechiremba.
Second Trimester Kushandisa Misoprostol
Vanachiremba vanogonawo kurongedza misoprostol, dzimwe nguva pamwe nemapepristone, kuti iite kuberekwa kwechipiri kana chechipiri-trimester kusununguka kana ultrasound inoratidzira mwana asina kubatwa nemwoyo kana zvimwe uchapupu huri pachena hwokuti pamuviri hahugoneki. Mune zviitiko izvi, ruzivo rwacho ndechekudzivirirwa kwebasa uye vakadzi vanenge vachida kutarisa muchipatara kuti zviitwe, asi kushandiswa kwechiremba kwekutanga kwemamiriyoni ematokari kunowanzoitwa kunze kwekupedzisira.
> Sources:
> Niinimäki M, Mentula M, Jahangiri R, Männistö J, Haverinen A, Heikinheimo O. Kurapa Kwechipiri-Kutatura Kwemakumbo Kutsemuka; Retrospective Analysis. Dangal G, ed. PLoS ONE . 2017; 12 (7): e0182198. doi: 10.1371 / magazini.pone.0182198.
> Saraswat L, Ashok PW, Mathur M. Medical Management yekudzingwa. Mudzidzisi wezvipatara & Gynecologist. 2014; 16: 79-85.
> Tulandi T, Al-Fozan HM. Kubvisa pamuviri kamwechete: Kutarisira. Kusvika pari zvino. Yakavandudzwa August 7, 2017.