Mwachidule
Njira yoyamba yochotsa mimba yosakanikirana ndi imodzi mwa njira zitatu zomwe zingathetsere kutenga mimba yoyambirira ( mapiritsi ochotsa mimba ndi zofuna zina ndizo njira zina). Njira iyi yoyamba kuchotsa mimba ingagwiritsidwe ntchito masabata 5 mpaka 12 mutatha msambo .
Njirayi imakhala yofulumira (5 mpaka 15 minutes) ndipo ikhoza kukwanira bwinobwino ku ofesi yachipatala kapena kuchipatala.
Kupuma kwa Mpweya Wopuma
- Kuchotsa mimba yoyamba
- Kutulitsa mimba kutuluka
- Kusuta makina opuma
- Chotsani chikhumbo
Asanayambe ulendo
- Pulogalamu ya osmotic (cervical) dilator ingalowetsedwe m'kati mwa chiberekero kuti ipatutse pang'onopang'ono kutsegula kwake tsiku limodzi kapena maola asanayambe kuchotsa mimba.
- Mankhwala osokoneza bongo angaperekedwe kuti athandizidwe kuchepetsa chiberekero .
- Mankhwala opweteka kapena sedation angaperekedwe pamlomo kapena mwachindunji. Vasopressin (kapena mankhwala ofanana) angaphatikizedwe ndi mankhwala am'deralo kuti achepetse kapena kuchepetsa magazi pa malo opangira jekeseni pamimba.
Pulogalamuyi
- Dokotala wanu adzaika speculum .
- Chiberekerocho chidzayeretsedwa ndi mankhwala osokoneza bongo ndipo chidzagwedezeka ndi kuchepetsa thupi.
- Chiberekero chimagwiritsidwa ntchito ndi chida chimene chimapangitsa chiberekero. Chiberekero chimatha kuchepetsedwa kuti chichepetse chiopsezo chake.
- Phukusi losalala, lotchedwa cannula, limalowetsedwa m'chiberekero. Amaphatikizidwa ndi tubing ku botolo ndi mpope.
- Pampu ikatsegulidwa, imapanga madzi ozizira omwe amachotsa mimba.
Panthawiyi, mukhoza kumverera kupweteka kwapang'onopang'ono mpaka poyerekeza chifukwa chiberekero chanu chimagwira pamene minofu imachotsedwa. Pali vuto linalake, komabe kupondaponda kuyenera kuchepetsedwa kamodzi kokha katemera atachotsedwa.
Mwinanso mungakhumudwe, kukhumudwa kapena kusokonezeka.
Pambuyo pa kuchotsa mimba
- Pambuyo pochotsa mimba kuchotsa mimba, minofu yochotsedwa ikhoza kuyesedwa kuti iwonetsetse kuti zonsezo zatulutsidwa, ndipo kuchotsa mimba kwatha.
- Malinga ndi momwe mumamvera, mutha kuyambiranso ntchito zachizolowezi tsiku lotsatira. Mwinamwake muyenera kuyembekezera pafupi sabata kuti mugwirizane ndi kugonana kapena kugwiritsa ntchito zida zogonana.
Zotsatira Zowonongeka Zotheka
- Pambuyo pa ndondomekoyi, mwinamwake mukukhala magazi, ngakhale kuti nthawi zambiri mumakhala magazi ambiri pambuyo pa njira ya aspiration kusiyana ndi kugwiritsa ntchito piritsi lochotsa mimba . (Kutuluka magazi ndi kowala kuposa nthawi yofanana). Mukhozanso kukhala ndi malo ena oyamba masabata awiri oyambirira.
- Mutha kupatsidwa mankhwala oletsa tizilombo toyambitsa matenda.
- Mwinanso mungapeze zowonjezereka zomwe zingathe kuchitika kwa maola angapo (mutatha njira yopuma) mwina mwinamwake ngakhale masiku angapo (monga chiberekero chanu chikubwerera kumbuyo kukula kwake). Dokotala wanu anganene kuti acetaminophen kapena ibuprofen kuti athetse vutoli.
Mphamvu
Ndondomeko ya aspiration ndi pafupifupi 98-99% yogwira ntchito. Komabe, kawirikawiri, njira yokhudzidwa siingathetse mimba. Izi zikutheka kuti zichitike mwazikhumbo zomwe zakhala zikuchitika pasanafike masabata asanu ndi limodzi, pamene pafupifupi 3% amalephera ndipo amafunanso kubwereza.
Ngati minofu yonseyo sinachotsedwe bwino pamakina opuma, njira yothandizira (D & C) ingayesedwe .
Maganizo Otsiriza
- Kufuna kutulutsa mimba kumakhala kosavuta kuti pakhale mimba ya mtsogolo, popeza palibe kuthekera kokhala ndi minofu yambiri.
- Njirayi imakhala yotetezeka, yogwira ntchito ndipo ili ndi chiopsezo chochepa cha mavuto.
- Zovuta zing'onozing'ono zomwe zingathe kuchitika zimaphatikizapo kuvulala kwa chiberekero cha uterine kapena kachilombo ka HIV kapena matenda.
Chitsime:
Keder LM. "Njira zabwino kwambiri zochotsa mimba." Journal of Obstetrics and Gynecology 2003 189: 418-422.