Zoona za piritsi yochotsa mimba ndi kutha kwa mimba ndi mankhwala
Pa September 28, 2000, Food and Drug Administration (FDA) inalengeza kuti avomerezedwa ndi RU-486. mankhwala osokoneza bongo omwe nthawi zambiri amatchedwa " piritsi ya mimba ." Amauzidwa ku United States ndi dzina lakuti Mifeprex (mifepristone).
Mankhwalawa anali atagwiritsidwa ntchito ku Ulaya ndipo adatengedwa mwamsanga ku United States. Pambuyo povomerezeka, chiwerengero cha kuchotsa mimba chinachepera ndi kotalika pa milioni pachaka kuyambira 2001 mpaka 2011.
Chiwerengero cha zochotsa mimba chinachepa kwambiri pamene chiwerengero cha mimba yolandira mimba chinakula kukhala pafupifupi kotala la chiwerengero.
FDA Kusintha mu 2016 kwa Mifeprex
Chidziwitso cha chipatala cha kutulutsa mimba kwapadera chinayambitsa kusintha kwa boma la FDA lovomerezeka mu 2016 lomwe limalola kuti ligwiritsidwe ntchito masiku makumi asanu ndi limodzi aliwonse asanakwatirane ndipo simukusowa kuti munthu wina ayambe kuyendera mlingo wa misoprostol ndi kufufuza chithandizo. Liwu lakale la FDA linali loti ligwiritse ntchito masiku oposa 49, ndipo izi zinapangitsa kuti 37 peresenti ya odwala mimba ayambe. Mawindo a masiku makumi asanu ndi awiri amachititsa kuti odwala 75 apatsidwe mimba. Ndondomeko ya 2016 imalonjezanso omwe angathe kupereka mankhwalawa.
Mifeprex Mwapatsidwa Bwanji
Malamulo oyambirira a RU-486 (Mifeprex) amafuna maulendo atatu ku ofesi ya udokotala pomwe malemba omwe akutsatiridwawo amafunikira kuyendera limodzi kapena awiri okha. Mankhwalawa amangotumizidwa ndi dokotala pambuyo poyezetsa munthu chorionic gonadotropin (HCG), yomwe imayeza kuchuluka kwa mahomoni opangidwa m'thupi pamene ali ndi mimba.
Madokotala amafunikanso kupanga sonogram kuti atsimikizire ndi kuyambitsa mimba. Malangizo a 2016 amalola kuti mankhwalawa agwiritsidwe ntchito kwa masiku opitirira 70 (onani masabata 10).
Mukakhala ndi pakati, mumapatsidwa mankhwala awiri. Choyamba, mudzapatsidwa mlingo umodzi wa mifepristone, womwe umapangitsa kuti zikhale zosatheka kuti dzira la umuna likhale lopitirira pa chikhomo cha chiberekero chanu.
Poyambirira, mlingoyo unali miyala itatu, koma izi zinachepetsedwa kukhala piritsi imodzi, yotengedwa pamlomo.
Mankhwala achiwiri, misoprostol, amachititsa kuti tizirombo ta uterine tibwerere ndipo amatengedwa masiku awiri kenako. Malangizo atsopano amalola kuti aperekedwe kunyumba ngati mapiritsi anayi omwe mumayika pamasaya anu m'malo momeza, kuwalola kuti asungunuke kwa mphindi 30. Mfundo zoyambirira, zolimbikitsidwa ndi maiko ena, zinafuna kuti mupite kukaonana ndi dokotala kuti mutenge mankhwala achiwiri.
Misoprostol imathetsa mimba kulikonse kwa maola asanu ndi limodzi mpaka sabata limodzi. Muyenera kukhala wokonzekera kuti muthe kupweteka ndi magazi, zomwe zingapitirize masiku angapo.
Wothandizira zaumoyo wanu ayenera kuyesa matenda anu masiku asanu ndi awiri kapena 14 mutatha kumwa mifepristone. A FDA sakunena kuti izi ziyenera kukhala maulendo a munthu. Ngati mimba ikadalipo, mimba yochotsa mimba iyenera kuchitidwa.
Zotsatira zake za RU-486 zimaphatikizapo ziphuphu za uterine, kutopa, kunyowa, ndi kutaya magazi kwambiri. Amayi ambiri amachira mwangwiro maola angapo mpaka sabata. Mphamvu ya kupititsa mimba ndi mankhwalawa ndi 92 peresenti mpaka 92.5% pa masabata asanu ndi awiri oyambirira a mimba. Izi zimasiya chiwerengero cha amayi omwe angafune opaleshoni yowonjezera.
Ngati mukuganiza kuti mungakhale ndi pakati ndipo mukufuna kugwiritsa ntchito piritsi kuchotsa mimba yanu, muyenera kuonana ndi dokotala wanu kapena kuchipatala kuti mukambirane zomwe mungachite.
Ubwino ndi Kuipa
Ubwino wake waukulu wa kuchotsedwa kwa mimba ndikumveka kwake kwabwino komanso kuti ndizovuta kwambiri komanso zopweteka kusiyana ndi kuchotsa mimba.
Ponena za zovuta, Mifeprex sangakhale njira yowonjezera kwa amayi omwe ali ndi vuto la chiwindi kapena impso, kuchepa kwa magazi, shuga, kapena omwe ali olemera kwambiri. Zingagwire ntchito ngati zili ndi mankhwala ena. Zotsatirapo zingaphatikizepo kupunduka kwazing'ono, kunyoza, kusanza, kutsegula m'mimba, ndi kutuluka magazi komwe kumatenga masiku asanu ndi atatu kapena khumi.
Kusintha kwa zitsogozo za FDA kunawonetsera chizolowezi cha madokotala ambiri. Komabe, zigawo zina zidapititsa malamulo omwe amafunika kutsatira zolemba za FDA m'malo molembapo.
Kusintha kwa zolembazo kungapangitse kupeza mwayi wochotsa mimba.
> Zotsatira:
> Kumaliza Kutenga ndi Mankhwala. MedlinePlus. https://medlineplus.gov/ency/patientinstructions/000835.htm
> Jones RK, Boonstra HD. Malingaliro Omwe Amagulu a Zaumoyo a FDA Kukonzekera ku Label ya Kuchotsa Mimba. Guttmacher Institute. https://www.guttmacher.org/article/2016/06/public-health-implications-fda-update-medication-abortion-label.
> Mifeprex (mifepristone) Information. US Food & Drug Administration. https://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm111323.htm.