Ndeapi marudzi ekubvisa pamuviri aripo?
Asati aita chisarudzo chokupedzisira, mukadzi anofanira kufunga. Kutariswa kwakadaro kunokonzerwa nemigumisiro kubva mubasa rekubereka vana - vasikana vazhinji, vaine kutambura kubvisa pamuviri, vane dambudziko rokubata pamuviri. Kana sarudzo yacho yaitwa, iwe unoda kuenda kuchipatara uko iwe unogona kuwana ruzivo pamusoro pemhando dzekubvisa pamuviri uye nguva yekushandiswa kwavo. Pakati pezvinenge zviripo zvekuvhiringidza hutano, zvakakosha kuziva:
- kubvisa pamuviri - kunoitwa nekushandisa zvinodhaka zvinouraya embryo nekudzinga fetal egg kunze;
- vacuum aspiration (mini-abortion) - kushandiswa, kuitiswa nerubatsiro rwe aspirator, kushanda pamutemo wekuvhara mvura;
- nzira yekuvhiya (kupora) - inoitwa nekubatsirwa kwezvinhu zvinoshandiswa zvinonatsa uterine cavity.
Mhando dzokutanga kubvisa pamuviri
Zvakakosha kuziva kuti kukanganisa kunokwanisika iko kwemavhiki matatu, nguva iyo mumukati uterine inokwanisika kuona embryo nekubatsirwa kwe ultrasound. Kutaura nezvemhando dzekugumisa pamuviri mumavambo ekutanga, unofanira kutanga utora medabort. Zvakanakira ndezvekushaikwa kwakakwana kwehutambo kana kupindira kwekuvhiya muhutano hwekubereka. Inoitwa nekushandiswa kwemishonga inokosha. Dhigirii rekushanda kwekunyengedza ndeye 98%.
Nzira yekudzivirira mafungiro inosanganisira kubviswa kwe fetal egg kubva muuine uterine kuburikidza neshoko rinokosha. Nzira yacho haigoni maminitsi gumi. Inotsanangura nzira dzokuvhiya, asi kuregerera avo. Izvo zvinokwanisika muzvikamu zvekutanga zvekubata, kusvikira zhi rakadzika midzi mu endometrium. Iyo nzira inogona kushandiswa seyomubatsiri - mushure mokubvisa pamuviri wezvokurapa, kuve nechokwadi chokuti embryo yakabviswa zvachose, kuitira kuti ibvise masara ematumbu.
Kubvisa pamuviri kunobatsira sei?
Pakati pemhando dzose dziripo dzekubvisa pamuviri, izvi zvinozivikanwa senzira yakachengeteka yokubvisa pamuviri. Une zvishoma zvigumisiro, hazvidi kuti kuwanikwa kwezvinhu zvakakosha uye zvipatara. Inongoitwa chete mukati memasvingo ezvipatara, pasi pekutarisa nekutariswa kwechiremba. Pane imwe nhamba yemishonga inogona kushandiswa mune iyi nzira. Imwe nzira yekare ndiyo kushandiswa kweMifepristone.
Asati atora mishonga, chiremba anotora ultrasound, anoongorora mamiriro ekurapa. Mushure mokudaro, documentary chibvumirano chekubvisa pamuviri chinosayinwa. Pasi pekutarisirwa, mukadzi anotora mushonga. Mushure memaawa 3-4 murwere, aine chokwadi chekusavapo kwematambudziko, vanachiremba vanobvumirwa kubva kuchipatara. Mushure memazuva 3-5, kudzokorora kugamuchirwa kunoitwa, nekuongorora uterine cavity uye kuongororwa kwekuitwa kushandiswa.
Kubvisa pamuviri - mazwi
Musikana uyo akasarudza kuvhara pamuviri, anobvunza mibvunzo yakawanda. Kutarisira kubvisa pamuviri kwekurapa, kusvika kumavhiki mashoma anoitwa - haawanzoziva nguva dzose. Basa guru rezvechiremba mune iyi nzira ndiyo yakanyatsozivikanwa yezera remakore. Inogona kusimbiswa pachishandiswa ultrasound yekuongorora data. Iyi nzira yekubvisa mwana mucheche inoshanda kusvika kumasvondo mashanu akabatanidzwa, mune dzimwe nguva inogona kuitwawo pavhiki 6.
Kubvisa pamuviri kubvisa pamuviri - migumisiro
Kunyange nekutambudzika kwakanyanya, pangozi duku yezvinetso, haisi nguva dzose kugona kubvisa pamuviri wezvokurapa, izvo zvinopesana nekushandiswa kweizvi zvinotevera:
- nguva yakareba kwenguva refu (kupfuura mavhiki matanhatu);
- matomical anorasika muhutano hwehutano hwekubereka;
- kusagamuchirwa nemishonga yehomoni.
Mukuwedzera, vanachiremba vanowanzobatwa nekufungisisa kwekuita nenzira iyi yekubvisa pamuviri nekuda kwezvinoitika zvinogumbura zvakaipa, pakati peizvi:
- kusagadzikana kusina kukwana kwegomba uye kuwedzera kufambira mberi kwepamuviri - kureva kana kurambwa kweiyo fetal isingaiti;
- uterine kubuda ropa;
- kurwadziwa kwakasimba mumuviri pasi;
- kushungurudza kukuru uye kurutsa.
Unobvisa sei kubvisa pamuviri?
Kufunga nezvenzira dzekubvisa ramangwana remucheche, mukadzi anobvunza pamusoro pekuti kubvisa pamuviri kubvisa sei kubviswa. Kuvhiya kwakadaro kunoda kumwe kugadzirira. Inoshandiswa kushandisa anesthesia, kazhinji inowanikwa. Muchiitiko ichi, mukadzi anofanira kuiswa kunze kwekudya pashure pegumi nechinomwe usiku hutangira kushanda.
Nzira yacho pachayo, yakafanana nedzimwe mhando dzokubvisa pamuviri, inoitwa muchigaro chechiremera chechikadzi, kushandiswa kwekudzivirira. Icho chidimbu chechigadzirwa chacho chinowanikwa muuterine cavity. Pre-akaisa mirara, anoshandiswa pakuwedzera kuti azarure uterine mutsipa. Achifambisa chikamu mumugwagwa, chiremba anobvisa zvachose zviri mukati. Mumaawa mashomanana, murwere anocherechedzwa, mushure mokunge abuda kuchipatara.
Mini-Kubvisa pamuviri - mazwi
Nguva yenguva yacho ndiyo inogadzirisa chinhu pakusarudza nzira yekubvisa pamuviri. Kazhinji, vakadzi vanoda kubvisa mwana, vari kutsvaga ruzivo pamusoro pekubvisa pamuviri masikati: mavhiki mashoma anoshandiswa, ivo vanofarira zvikuru. Iyi nzira inokwanisika bedzi munguva yepfupi yekufungidzira. Iyo inoitwa kana masvondo anopfuura 14 apfuura kubvira pakuberekwa.
Kubvisa pamuviri - kubvisa
Pamusana pekuti nzira iyi inobatana nekupindira kwechidiki chirwere, haisi nguva dzose kugona kubvisa pamuviri kubvisa pamuviri, izvo zvinopesana nezviri zvinotevera:
- ectopic pregnancy;
- hutachiwana mumuviri wehupi hwemunharaunda;
- acute uye zvirongwa zvehupenyu munhengo dzepelvic;
- kuvhiringidzwa kweropa coagulation system;
- kubvisa pamuviri kwakapfuura mwedzi mitanhatu;
- shoko rinopfuura mavhiki mashanu;
- kubatana uye akawana kusakanganiswa kwechibereko.
Pakati pemigumisiro yekushandiswa kwakadaro ndeyikuti:
- kusagadziriswa kubviswa kwe embryo kubva muuterine cavity;
- kushungurudzika kumadziro echikwata;
- uterine yakanyanya kubuda ropa.
Kuvhima kubvisa kwakadini kunoitwa sei?
Usati wasarudzwa kushanda kwechirudzi ichi, mukadzi uyu achava nekodzero yekuongorora. Inosanganisira:
- kuongorora gynecological nekutora smears;
- Ultrasound;
- analysis for hCG;
- kuongororwa kweropa: kuongorora kukuru, nokuda kwehepatitis, syphilis, boka reropa uye Rh factor.
Kugadziriswa kubvisa pamuviri kunoitwa pasi peanesthesia yakawanda, iyo inoitwa intravenously. Mushure mekuiswa kwezvioni, kushandiswa kwekutsvaga, kuisa pachena. zvishandiso. Vanoparadza zvimedu zvembryo, vanozvidzivirira kubva pamadziro emuviri. Nemubatsiro wepureta, chiremba anoita kupora kwezviri mukati mechipu uterine kunze. Pamberi pemugumo, chiremba anovhiya anonyatsogutsikana nekusavapo zvachose kwezvisikwa mumupata. Nokuvimbika kunoshandisa chivharo. Nguva yekushandiswa kwose kwemaawa makumi maviri nemakumi matatu nemakumi matatu, kukwanisa kuri 100%.
Kugadzirisa kubvisa pamuviri - mazwi
Tichifunga nezvemhando dzekubvisa pamuviri, inofanira kuonekwa kuti nzira iyi inogona kushandiswa kwenguva refu. Mukuita kudaro, anoda kusarudzwa kwechiremba. Kugadzirisa kubvisa pamuviri panguva dzakapera kunoitwa nekuputsika kunoonekwa kwekuwedzera kweprauterine, pamuviri kupera, rufu rwemucheche. Muchiitiko ichi, inoitwa mukati memakore matanhatu kusvika ku22, kunyanya mumamiriro ezvinhu, pamwe nekuwanikwa kwezvinhu zvakakosha uye vashandi vanokwanisa.
Migumisiro yekubvisa pamuviri
Iyi ndiyo nzira yekupindira kwekuvhiya, saka haisi nguva dzose kugona kubvisa pamuviri, kubvumirana kune izvo:
- kuvhiringidzwa kwemwoyo yematambudziko;
- kukanganiswa kwechiremba chemawere;
- zvirwere zvisingaperi uye zvinotapukira.
Vanachiremba vanoedza kusashandisa nzira iyi yokubvisa pamuviri nekuda kwedambudziko guru rezvinokonzerwa nezvinetso, pakati peizvi:
- kubuda ropa;
- tsvina ye uterine looms;
- zvirwere zvinopisa (parametritis, endometritis, salpingitis, etc.);
- utachiona;
- kutyora kwekuenda kumwedzi, kuchikoro kwechipiri.
Ndeupi rudzi rwekubvisa pamuviri kune ngozi?
Kutya migumisiro yechirongwa, vachiedza kuvaderedza, vakadzi vanowanzotanga kuti chii chakachengeteka kubvisa pamuviri chiripo panguva ino. Muchiitiko ichi, vanachiremba havasi kupa mhinduro isina kufanira - mhando dzose dzekubvisa pamuviri dzine kukanganisa kwavo pachavo. Kusarudzwa kwemuitiro kunobva pane zvinhu zvakawanda, izvo zvakanyanya zviri:
- nguva yekuzvitakura;
- kuvapo kwezvirwere zvisingaperi;
- zvinhu zvinowedzera - zvirwere zvekuberekwa, kuvapo kwekubvisa pamuviri munguva yakapfuura.
Kutaura nezvemhando dzekubvisa pamuviri, avo vanonyatsochengetedzwa navanachiremba varipo vanoziva kupererwa kwechiremba kwekuita mimba. Sangano rakarurama rekugadzirisa, kusarudzwa kwegadziriro uye nguva yekugadzirisa zvinokonzera kushanda kwakanakisisa kwenzira yacho. Iko kusakosha kukuru kwevakadzi ndiko kusabvumirwa kwekushandisa pachavo. Inoitwa chete mumakiriniki ezvehutano.