Kodi mukudziwa kuti kuchotsa mimba ndi njira yofala kwambiri yopaleshoni yoperekedwa kwa amayi ku US? Kuchotsa mimba ndi kofala kwambiri kuti akazi atatu pa khumi aliwonse ku US amachotsa mimba nthawi yomwe ali ndi zaka 45. Kuchotsa mimba ndi njira yomwe imathetsa mimba. Pali njira zosiyanasiyana zochotsera mimba malinga ndi momwe muliri mimba yanu.
Njirazi zimaphatikizapo njira zothandizira mimba ndi opaleshoni.
Zambiri za Njira Zokukha Mimba
Ngati muli ndi pakati , muli ndi zosankha . Ngati mukuyesetsa kusankha ngati kuchotsa mimba ndiyo njira yabwino kwa inu, kumvetsetsa zomwe mungachite pochotsa mimba kungakuthandizeni kupanga chisankho chanu. Kuchotsa mimba kungatheke panthawi yonse ya mimba. Koma mimba zambiri zimachitika pakatha masabata 12 oyambirira. Chomwe mungasankhe kuchotsa mimba mwinamwake chidzakhazikitsidwa pa nthawi yomwe mwakhala mukuyembekezera.
- Muli ndi njira zitatu zoyambirira kuchotsa mimba zomwe zingathe kuthetsa mimba bwinobwino. Njira zochotsa mimbazi zikhoza kuchitika pa 1 trimester yoyamba ya mimba (masabata 1-12).
- Zosankha za mimba za opaleshoni zimagwiritsidwa ntchito pa nthawi yachitatu ya mimba - pafupifupi 10% ya mimba imachitika mukakhala mu trimester yanu yachiwiri.
Njira zoyambirira za mimba ndi zina mwa njira zabwino kwambiri zothandizira - paliponse pangozi ya00% ya mavuto aakulu.
Kawirikawiri, mimba yachiwiri-trimester imawopsa kwambiri kuposa mimba yoyamba itatu. Musasocheretsedwe ndi mphekesera kuti kuchotsa mimba kungayambitse matenda a kansa ya m'mawere kapena matenda. Izi si zoona! Bungwe la American Psychological Association linanena kuti palibe umboni wosonyeza kuti kuchotsa mimba kungabweretse mavuto a maganizo.
Kuchetsa Mimba
Pofuna kuchotsa mimba, njira imodzi ndiyo kuchotsa mimba. Njira yochotsa mimba imatengedwa ngati njira yoyamba kuchotsa mimba. Panthawi ya kuchotsa mimba, mumapatsidwa mankhwala enieni kuti muthetse mimba. Kuchotsa mimba kumatchedwanso kuti kugwiritsa ntchito piritsi lochotsa mimba . Ndi FDA -vomerezedwa kuti igwiritsidwe ntchito mpaka masiku 49 kuchokera tsiku loyamba lakumaliza kwanu. Izi zikufanana ndi masabata asanu ndi awiri (kapena milungu isanu kuchokera pamene mudatenga).
Zosankha za kuchotsa mimba zingagwiritsidwe ntchito mwamsanga pamene mimba yanu yatsimikiziridwa ndi mayeso oyembekezera. Mankhwala RU486 (dzina lakuti Mifeprex) wakhala wochuluka, mosamala, ndipo amagwiritsidwa ntchito bwino kwa zaka zambiri. Mudzapatsidwa piritsi lochotsa mimba ndi dokotala. Kenaka, kawirikawiri 24-48 maola pambuyo pake, mufunika kutenga mankhwala achiwiri otchedwa misoprostol. Nthawi zina, ndiye Mifeprex yekha amene amagwiritsidwa ntchito. Pamene mankhwala onsewa atengedwa, kuchotsa mimba kumatha kuthetsa mimba 92-98% ya nthawi popanda kufunikira opaleshoni iliyonse.
Buku Lopereka Mimba Kutulutsa Mimba
Cholinga cha Buku ndi njira yoyamba kuchotsa mimba. Mukhoza kuchita izi nthawi iliyonse pakati pa milungu isanu ndi iwiri kuchokera pamene mukupita kumwezi. Pogwiritsa ntchito chilakolako chochotsa mimba, dokotala wanu amagwiritsa ntchito sering'i yokhala ndi dzanja kuti apange kuyamwa.
Chochotsa mimbacho chimangotenga mphindi zochepera (5 mpaka 15 minutes), kamakhala ndi chiopsezo chochepa choyambitsa minofu, ndipo imachira mofulumira. Njira yopititsa patsogolo mimba yokhala ndi mimba imakhalanso ndi zotsatira zabwino kwambiri - ndi 98-99% yogwira ntchito).
Kuchotsa Mimba Kuchotsa Mimba
Kufuna kutulutsa makina ndi njira ina yoyamba kuchotsa mimba. Mungathe kuchotsa mimba imeneyi kuyambira masabata 5 mpaka 12 mutatha nthawi yanu yotsiriza. Panthawi yochotsa mimba, dokotala wanu amafunika kuwonjezera (kapena kutsegula) chiberekero chanu. Kenaka, chubu, yomwe imayikidwa mu botolo ndi pope idzaikidwa kudzera mu chiberekero chanu.
Pampu imatembenuzidwa ndipo imapanga mpweya wabwino umene umatulutsa minofu mchiberekero. Njira yochotsamo mimba yogwiritsira ntchito mimba imachitidwa mofulumira, mosamala, komanso mogwira mtima ku ofesi ya dokotala kapena kuchipatala.
Kuchetsa Mimba ndi Kuchetsa Mimba
Kusinthana ndi mankhwala (omwe amadziwikanso ngati D & C) ndi njira yopititsira mimba yogwiritsira ntchito yomwe ingagwiritsidwe ntchito mpaka sabata lanu la 16 la mimba. Anali njira yotchuka yochotsa mimba yoyambirira - koma chifukwa pali njira zina zosawotcha mimba zomwe zilipo tsopano, kugwiritsa ntchito D & C kwatsika. Kupweteka kumatanthawuza kutsegula chiberekero. Curettage amatanthauza kuchotsa zomwe zili mu chiberekero. Ndondomeko yowonongeka ndi yothandizira ikhoza kukhala yofunikira ngati chochotsa chochotsa mimba sichikuyenda bwino. Pakati pa D & C, curette (chida chopangidwa ndi supuni) amagwiritsidwa ntchito kuwombera uterine makoma. Kuchotsa mimba kungatheke kuchipatala pogwiritsa ntchito anesthesia, kapena ku ofesi ya dokotala pogwiritsa ntchito mankhwala osokoneza bongo.
Kuchetsa Mimba ndi Kuchotsa Mimba
Kusinthanitsa ndi Kutuluka Mthupi (komwe kumatchedwanso D & E) ndi njira ina yochotsera mimba. D & E imachitidwa nthawi yachitatu ya mimba (makamaka masabata 13 mpaka 24). Pafupifupi maola 24 musanayambe kutulutsa mimba, chipangizo chomwe chimatchedwa osmotic (cervical) dilator nthawi zambiri chimayikidwa m'chiberekero kutsegula kachilombo ka HIV. Njira yochotsa mimba imatenga pafupifupi 30 minutes. Kaŵirikaŵiri zimaphatikizapo kuphatikizapo kupuma, kuyeretsa ndi kuchiritsa, ndi kugwiritsa ntchito zipangizo zopangira opaleshoni (monga forceps). Mimba ya D & E idzachitika mu chipatala kapena kuchipatala. Njira yochotsa mimba ili pafupi pafupifupi 100% - chifukwa dokotala wanu adzafufuza minofu yochuluka ya uterine kuti atsimikize kuti mimbayo yatha.
Kuchotsa Mimba
Kuchotsa mimba mwachangu ndi njira yomwe imachitidwa kuthetsa mimba yachiwiri kapena yachitatu. Njira yotulitsa mimbayi imagwiritsidwa ntchito pokhapokha ngati pali vuto lachipatala m'mimba mwa mayi kapena mimba. Kuchotsa mimba kuchotsa mimba kumachepetsera chiopsezo ku thanzi lanu ndipo kungalole madokotala kuti azichita molondola molondola pa fetus (kuti adziwe chomwe chiri cholakwika). Kuchuluka kwa mimba 1% ya mimba zonse ku United States ndizochotsa mimba. Panthawi yochotsa mimba, mudzapatsidwa mankhwala omwe amachititsa kuyamba kuyambitsa. Kenaka, mudzachita masitepe onse othandiza komanso kubereka.
Kusintha Kwambiri ndi Kutengedwa
Kusintha Kwambiri ndi Kutsekula Mimba (kumatchedwanso D & X ndi mimba ya kubala mimba) ndi njira yothetsa mimba yamapeto. Kutulutsika kwa mimba ndi kutulutsa mimba kumakhala patatha masabata 21 a mimba. Njira yotulutsira mimba yam'mbuyo imabweretsa kuchotsa mwana wosabadwa - choncho ndizovuta kwambiri pazochotsa mimba. Cholinga Choletsera Mimba Yokamba Mimba Yokha Chokha chimalola kugwiritsa ntchito D & X yoyenera ngati kuli kofunika kuti asunge moyo wa mayi. Chochotsa mimbacho chikhoza kapena sichikhala chovomerezeka pamtundu wanu - chifukwa chakuti, m'madera ena, milandu ya khoti yaphwanya lamuloli.
Zotsatira:
> Jensen JT, Mishell Jr. DR. Kukonzekera kwa kulera: kulera, kutsekemera, komanso kutha kwa mimba. Mu: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Gynecology yambiri . 6th ed. Philadelphia, PA: Elsevier Mosby; 2012: mutu 13.
> Chipatala cha Mayo Clinic. Kuchotsa mimba. Mayoclinic . April 2015. http://www.mayoclinic.org/tests-procedures/medical-abortion/basics/definition/PRC-20012758?p=1.
> White CD, American F, Obstetricians, et al. Kuchotsa mimba - opaleshoni: MedlinePlus encyclopedia yachipatala. https://medlineplus.gov/ency/article/002912.htm.