Zomwe Muyenera Kuyembekezera Kuikidwa Mimba kwa Madokotala
RU486 (dzina loti Mifeprex) lakhala likugwiritsidwa ntchito mwakuya, mosagwiritsidwa ntchito, komanso mosamala ku France, Sweden, ndi Great Britain kwa zaka zambiri. Pirisi yochotsa mimba RU486 idalandiridwa ndi FDA kuti igwiritsidwe ntchito ku US. Pulogalamu yochotsa mimba (yomwe imatchedwanso kuti mimba) imayenera kuperekedwa ndi katswiri wa zamankhwala.
Kuti muchotse mimba, mudzafunikila kukachezera odwala mankhwala katatu.
Gawo loyamba la kuchotsa mimba likuchotsa piritsi la mimba RU486. Ndiye, ngati kuli koyenera, RU486 ayenera kutsatiridwa ndi mankhwala achiwiri, misoprostol, kuthetsa mimba.
Woyamba RU486 Kusankhidwa
Paulendo uwu, wothandizira zaumoyo wanu ayenera kuyamba kudziwa ngati muli ndi mimba (kupyolera mu kuyesedwa kwa mimba ndi / kapena ndi kuyezetsa magazi). Ngati muli ndi pakati, dokotala wanu angayambe kuganiza kuti ali ndi pakati pogwiritsa ntchito sonogram (popeza izi sizili zovomerezeka ndi FDA, ena opereka angathe kusankha kuti asagwiritse ntchito sonogram).
Mudzapatsidwa mapiritsi atatu (200 mg aliyense) wa Mifeprex (RU-486) kuti atengedwe mwamwayi. Mlingo uwu wa mifepristone umayambitsa dzira la umuna kuti lisagwirizane ndi chiberekero cha chiberekero.
Mudzakonza dongosolo lanu lotsatira kuti lichitike masiku awiri pambuyo pake.
Chisankho chachiwiri
Paulendo umenewu (zomwe ziyenera kukhala maola 48 mutatenga mifepristone), dokotala wanu adzachita kafukufuku kuti awone ngati mimba yayimitsa.
Ngati simukutero, mumapatsidwa mankhwala achiwiri, misoprostol, monga ma mapiritsi awiri omwe ayenera kutengedwa pamlomo kapena monga abini. Mankhwalawa ayenera kutengedwera ku ofesi ya dokotala ndipo ayenera kuyambitsa mimba kulikonse kuyambira maola asanu ndi limodzi mpaka sabata limodzi.
The misoprostol idzapangitsa mazira a chiberekero, kotero inu mukhoza kupunduka ndi magazi.
Dokotala wanu angapereke mankhwala opweteka ndi kukupatsani malangizo pokhapokha ngati mwadzidzidzi mukuchitika.
Kusankhidwa Kwanthawi
Muyenera kutsata ndikupita kuchipatala milungu iwiri mutatha kutenga misoprostol. Panthawiyi, dokotala wanu adzatsimikizira kuti mimba yathera ndipo yatsimikizirani kuti palibe mavuto ena (monga kutaya magazi kapena matenda). Ngati zatsimikiziranso kuti muli ndi pakati, mungapangidwe kuti mukonze njira yothandizira kuti muthetse mimba. Malinga ndi liwu la Mifeprex, "Odwala omwe ali ndi mimba yokhazikika paulendowu ali ndi chiopsezo cha fetal malformation chifukwa cha mankhwala. Kuchotsa opaleshoni kumalimbikitsidwa kuti asamalire zolephera za mimba zachipatala. "
Zambiri zokhudzana ndi kuchotsa mimba
Mukatengedwa nokha, piritsi lotola mimba RU486 limayambitsa kuchotsa mimba kwathunthu pafupifupi 64 peresenti mpaka 85 peresenti ya nthawiyo. Pamene misoprostol imapatsidwa maola 48 pambuyo pake, mphamvu ya kuchotsa mimba yawonjezeka kufika 92 peresenti mpaka 98 peresenti.
Kuchotsa mimba mapiritsi kungaphatikizepo kupunduka, zotheka kunyoza, kusanza ndi kutsekula m'mimba, ndi kutaya kwa magazi komwe kumatha masiku asanu ndi atatu kapena khumi.
Pirisi yochokera mimba RU486 ndi FDA yokhayovomerezeka kwa mayi amene ali ndi pakati pa milungu isanu ndi iwiri (yomwe ili yofanana ndi milungu isanu kuchokera pamene mayiyo ali ndi pakati) kapena mpaka masiku 49 atatha kumaliza.
Ngakhale anthu ena othandizira zaumoyo adzaligwiritsa ntchito njirayi kwa amayi opitirira asanu ndi awiri omwe ali ndi pakati, agwiritsire ntchito pa nthawiyi kuti ayang'ane-chizindikiro (kutanthauza, osati FDA kuvomerezedwa).
Ngakhale kuti anthu ambiri amakhulupirira, nkofunikanso kuzindikira kuti American Psychological Association yapeza kuti palibe umboni wakuti kuchotsa mimba kumabweretsa mavuto a maganizo .
Zotsatira:
FDA. Mifeprex chizindikiro . Inapezeka pa 5/12/08.
Spitz, IM, Bardin, CW, Benton, L. & Robbins, A. (1998). Kutha kwa pakati pa msinkhu ndi mifepristone ndi misoprostol ku United States. New England Journal of Medicine, 338 (18) , 1241-47. Idapezeka kudzera kubwezeretsa payekha 5/12/08