Chodetsa nkhaŵa chomwe chimapangitsa anthu ambiri kusokonezeka ndi ngati mapiritsi a m'mawa amatha kapena chimodzimodzi monga piritsi ( RU486 ). Kusokonezeka uku kumachokera ku zikhulupiriro zolakwika zokhuza kubereka mwadzidzidzi . Ndikofunika kuzindikira kuti mankhwala awiriwa ali ndi zolinga zosiyana kwambiri ndikugwira ntchito mosiyana kwambiri.
Pilisi Yam'mawa Ndi Chiyani?
Mapiritsi amatha-mmawa ndi kulera kwa mahomoni . Pakatha maola 72 a kugonana kosateteza kapena kubereka , zingathandize kupewa mimba. Pilisi yam'mawa imagulitsidwa pamtengowo kwa anthu a msinkhu uliwonse ndipo ili ndi mapiritsi limodzi omwe ali ndi progestin, levonorgestrel . Ikugulitsidwa pansi pa maina awa: Konzani B Bwalo Loyamba, Chosankha Chokha Chokha , Njira Yanga , Chigwirizano , ndi Pambuyo Pambuyo .
Ngakhale njira yeniyeni imene mapiritsi am'mawa amatha kuteteza mimba sichidziwikiratu, momwe zimagwirira ntchito zimadalira komwe mukupita kumwezi. Ngati muli ndi pakati kale, ndipo mutenga mapiritsi a m'mawa, sizidzakuvulaza mimba yanu ndipo sizidzachotsa mimba .
Kodi Pilisi Yotulutsa Mimba N'chiyani?
Pilisi yochotsa mimba (yomwe imatchedwanso M & M, Mifeprex, RU486, ndi mifepristone) imagwiritsidwa ntchito ngati njira yoyamba kuchotsa mimba. Zimathetsa kuthetsa mimba ndipo zimagwiritsidwa ntchito pokhapokha atatenga mimba (ndipo osapitirira masiku 49 kuchokera pamene mayi amatha msambo).
Pilisiyo inagwiritsidwa ntchito mosamala ku Ulaya ndipo idali yovomerezedwa ndi FDA ku US mu September 2000. Piritsiyo nthawi zambiri imakhala ndi mankhwala awiri - imodzi imayambitsa chiberekero cha uterine (kotero dzira la umuna silingathe kukhalapo) , ndi imodzi yomwe imayambitsa chiberekero. Pogwiritsidwa ntchito palimodzi, kuchotsa mimba ndi mankhwala 95-97% kuthetsa mimba.
Nanga n'chifukwa chiyani anthu amasokonezeka ponena za mapiritsi am'mawa komanso kuchotsa mimba?
Zambiri za chisokonezo chimenechi zimachokera ku zikhulupiliro za momwe mapiritsi am'mawa amathandizira. Gulani B Njira imodzi (kuphatikizapo mapiritsi ena a mapiritsi a m'mawa) amachepetsa mwayi wokhala ndi mimba mwa kupewa kapena kuchepetsa kupuma ndi / kapena kusokoneza ubweya wa umuna (zomwe zimachititsa kuti umuna usabereke dzira). Kusamvetsetsa kwenikweni kumakhudzana ndi ayi kapena ayi mapiritsi a m'mawa amalepheretsa dzira kuti lakhazikitsidwe. Ngakhale kuti kafukufuku amasonyeza kuti Plan B Yodzichepetsa siimasokoneza kukhazikitsa , malemba a FDA pa mapiritsi a m'mawa akuti "akhoza kulepheretsa kuyika."
N'chifukwa chiyani malemba a FDA a mapiritsi a m'mawa amanena chinthu chimodzi pamene kafukufuku akunena kuti palibenso china?
Zikuwoneka kuti kafukufuku amene FDA anagwiritsira ntchito pokhapokha pokhapokha pulogalamu yamapulogalamu yam'mawa imatha kugwiritsidwa ntchito kwambiri pazitsulo (Progesin levonorgestrel) Chifukwa chakuti kafukufukuyu sanayang'ane ndendende momwe mapiritsi am'mawa adagwirira ntchito, FDA inasankha kuti izi zingakhudzire kukhazikika kwa mankhwalawa (makamaka chifukwa chakuti kuganiza kuti ndiko chifukwa chakuti mapiritsi oletsa kubadwa angagwire ntchito mwa kusintha chiberekero cha chiberekero, mapiritsi amatha-mmawa amachitanso,).
Izi zikunenedwa, a FDA tsopano avomereza kuti deta yomwe ilipo ndi kafukufuku pamapiritsi a m'mawa amasonyeza kuti mankhwalawa samasokoneza kuyika.
Kodi Anthu Akulimbana ndi Chiyani?
Akatswiri azachipatala kuphatikizapo a FDA, American College of Obstetricians ndi Gynecologists, ndipo National Institutes of Health amavomereza kuti kukhazikitsidwa kwa mimba kumatenga masiku angapo ndipo sikumamaliza mpaka dzira la feteleza litalowa mu chiberekero cha chiberekero cha mkazi.
-> Kotero - mankhwala, amalingalira kuti ali ndi pakati pokha atangomangidwa.
Koma, anthu ambiri (kuphatikizapo pro-moyo ndi mabungwe achipembedzo) akupitiriza kugwiritsitsa ku chikhulupiriro cholakwika kuti mapiritsi amatha-mmawa amalepheretsa kukhazikitsidwa kwa dzira la umuna.
Amafulumira kutsutsana ndi kugwiritsira ntchito kwake ndipo molakwika amalemba mtundu uwu wa chithandizo monga abortifacient (chinachake chomwe chimayambitsa mimba kumatha msanga ndi kuchotsa mimba). Maganizo olakwikawa kuti mapiritsi am'mawa amatha kuchotsa mimba zakhala zolepheretsa kupeza ndi kugwiritsa ntchito mapiritsi am'mawa . Azimayi omwe ali ndi zipembedzo zina sangathe kufunsa za izo chifukwa auzidwa kuti zimachotsa mimba. Pali zochitika zina zomwe zipatala zam'chipatala zowopsya zimakana kupereka mapiritsi ammawa kwa amayi omwe agwiriridwa.
Pansi
Ovomerezeka a mapiritsi am'mawa amakhalabe olimba pophunzitsa anthu kuti mankhwalawa siwothandizira mimba. Akuluakulu azachipatala akufotokoza kuti kuchotsa mimba ndiko kusokoneza kwa dzira lopangidwa ndi feteleza. Mapulogalamu a boma, amavomereza ndi achipatala ndikufotokozera mankhwala ndi zipangizo zomwe zimakhalapo asanayambe kukhazikitsidwa monga zowonjezera kuti pakhale mimba m'malo mwa olemba omwe amathetsa mimba.
Njira yolondola yosiyanitsa kusiyana kwa mankhwala awiriwa:
- Pirisi yochotsa mimba ndiyo njira yochotsera mimba . Ndi FDA -vomerezedwa kuthetsa mimba kwa amayi omwe ali ndi pakati pa masabata asanu ndi awiri.
- Pilisi yam'mawa imakhala mtundu wa chithandizo chachangu. Ndi FDA -vomerezedwa kuteteza mimba ndipo sichivulaza mimba yomwe ilipo kale. Mwamayi, mayi sali oganiza kuti ali ndi pakati ngati ali ndi dzira la feteleza lomwe silinayambe mu chiberekero chake. Izi zikutanthauza kuti sikutheka kuti mapiritsi am'mawa asamathetse mimba kuyambira, mankhwala, mimba ilibe.
> Zotsatira:
> Marions L, Hultenby K, Lindell I, Sun X, Stabi B, & Gemzell-Danielsson K. "Kulera Kwadzidzidzi Kwa Mifepristone ndi Levonorgestrel: Njira Yothandizira." Matenda a Mimba ndi Matenda a Gynecology 2002; 100 (1): 65-71.
> Prine L. "Kulera Kwadzidzidzi: Zopeka ndi Zoona." Chipatala cha Gynecol N Am. 2007; 34: 127-136.