Pilisi yochotsa mimba, yomwe imatchedwanso RU486 yakhala ikugwiritsidwa ntchito bwino ku United States kwa zaka zambiri. Chimodzimodzinso ndi FDA monga njira yochotsera mimba. Dzina la RU486 ndi Mifeprex, ndipo dzina lake lenileni ndi mifepristone. Pofuna kugwiritsa ntchito mapiritsi, muyenera kuwona dokotala .
Dzina lakuti "piritsi la mimba" limasocheretsa pang'ono chifukwa limatanthauza kugwiritsa ntchito mankhwala awiri kuti athetse mimba.
Zimatengedwa ngati kuchotsa mimba.
Kodi Mumagwiritsa Ntchito Motani?
Ngati mutasankha kugwiritsa ntchito piritsi lochotsa mimba, pali njira zitatu zomwe mungagwiritsire ntchito .
- Choyamba, ku ofesi ya dokotala kapena kuchipatala, mudzapatsidwa RU486 (mifepristone). Mwinanso mungapemphedwe kutenga antibiotic panthawiyi.
- Kenaka, maola 24-48 mutatha kutenga mifepristone, muyenera kutenga mankhwala achiwiri otchedwa misoprostol. Onetsetsani kuti dokotala wanu amakupatsani malangizo a momwe mungatengere misoprostol ndi nthawi yanji.
- Pomalizira, patatha pafupifupi masabata awiri, mufunika kukhala ndi chidziwitso chotsatira ndi adokotala. Izi ndizofunikira kwambiri chifukwa dokotala wanu adzaonetsetsa kuti piritsi lochotsa mimba lasintha. Dokotala wanu angakupatseni kuyesedwa kwa mimba ya magazi kapena ultrasound kuti muonetsetse kuti simuli ndi pakati.
Momwe Ikugwirira Ntchito
RU486 imaletsa mavitamini a progesterone mu thupi lanu (hormone yomwe imayambitsa kuyambitsa chipinda cha uterine kumanga ndi kukonzekera mimba).
Choncho, RU486 (mifepristone) zimayambitsa chiberekero cha chiberekero chanu kotero kuti mimba yanu isathe kupitilira chifukwa dzira silidzakhala nalo. Kenaka, misoprostol idzapangitsa kuti mimba ikhale yosiyana. Izi zimathandiza kuti chiberekero chanu chichotsedwe.
Ndani Angagwiritse Ntchito?
Pilisi yovomerezeka ndi abambo a FDA omwe amavomerezedwa kwa amayi omwe ali ndi pakati pa milungu isanu ndi iwiri (yomwe ili yofanana ndi milungu isanu kuchokera pamene mayi ali ndi pakati) kapena mpaka masiku 49 mutatha msambo.
Ngakhale anthu ena othandizira zaumoyo adzaligwiritsira ntchito njira iyi kwa amayi omwe ali ndi mimba yokwana masabata asanu ndi awiri, pogwiritsa ntchito RU486 panthawiyi akuwoneka kuti palibe-chizindikiro (kutanthauza, sikuti a FDA amavomereza).
Zotsatira Zotsatira
Muyenera kuyembekezera kuti mukumva zotsatira zina mutatha kuchotsa piritsi. Izi zingaphatikizepo:
- Kuponda
- Nausea
- Kuthamanga ndi kutsekula m'mimba
- Kuchepa kwakukulu (pakhoza kukhala mabala akulu mu magazi)
- Kupweteka kwa m'mimba
- Kutentha thupi kapena kuzizira
Kutalika kwa Nthawi ndi Mphamvu
Pakatha maola anayi kapena asanu mutatha kutenga mifepristone, oposa theka la amayi omwe ali ndi pakati adzathetsedwa. Kwa ena, zingatenge nthawi yaitali, koma kuchotsa mimba kuyenera kuchitika masiku angapo. RU486 imathandiza kuthetsa mimba popanda opaleshoni ndipo ndi 92-98% yogwiritsidwa ntchito pophatikizidwa ndi misoprostol. Pamene mifepristone imagwiritsidwa ntchito yokha, ili pafupi 64-85%.
Phindu
- Zogwira mtima.
- Zochepa zopweteka komanso zopweteka thupi kusiyana ndi kuchotsa mimba .
- Azimayi ena amawoneka kuti ndi njira yowonjezera mimba chifukwa imamva mofanana kwambiri ndi kupititsa padera.
- Yachinsinsi.
- Angagwiritsidwe ntchito mwamsanga mimba.
Kuipa
- Anthu ena amatsutsana ndi njirayi kuyambira pamene mimba ndi kukhazikitsidwa zakhala zikuchitika kale.
- Mifepristone sizingatheke kwa amayi omwe ali ndi vuto la chiwindi kapena impso, kuchepa kwa magazi, shuga, magazi a Rh kapena omwe ali olemera kwambiri.
- Njira imeneyi imafuna maulendo angapo kwa dokotala, ndipo akadakalipobe kuti sangagwire ntchito.
- Ngati piritsi lochotsa mimba silimathetse mimba yanu, pali mwayi woti pangakhale zilema zobereka.
Mfundo Zina
Mungathe kutenga mimba kachiwiri mukatha kugwiritsa ntchito piritsi lochotsa mimba, onetsetsani kuti mukugwiritsa ntchito njira yobereka yobwereza .
Ndi zachilendo kukhala ndi magazi kapena kupenya kwa milungu isanu ndi umodzi mutatha kuchotsa piritsi. Pakatha sabata yoyamba, muyenera kugwiritsa ntchito mapepala ngati mwazi.
Ndikoyenera kuti musalowetse chirichonse mu chikazi kapena kugonana kwa masiku asanu ndi awiri mutatha kuchotsa piritsi.
Kutuluka kwa piritsi wochotsa mimba kumayambitsa kuyamba kwa msambo. Izi zikutanthauza kuti nthawi yanu yoyenera iyenera kubwerera masabata 4 mpaka 8.
Piritsi lochotsa mimba silofanana ndi mapiritsi am'mawa .
Kumbukirani kuti mutha kukhala ndi malingaliro onse pambuyo pochotsa mimba. Chifukwa cha kusintha kwadzidzidzi m'magulu anu a mahomoni, mukhoza kukhala omasuka kwambiri. Zingathandizire kudziwa kuti amayi ambiri amafotokoza kuti maganizo aakulu omwe amamva pambuyo pake ndi mpumulo. Ndipo pafupifupi akazi onse omwe agwiritsira ntchito piritsi lochotsa mimba akhoza kulipangira ilo kwa bwenzi.
Zingakhalenso zothandiza kubweretsa wina yemwe mumakhulupirira ndi adokotala anu.
Ndalama
Mukhoza kuyesa inshuwalansi yanu yapadera kuti muwone ngati akuphimba mimba. Izi zikunenedwa kuti, piritsi yochotsa mimba ikhoza kufika madola 800, koma kawirikawiri imakhala yotsika mtengo - mtengo wotsiriza umadalira ngati simukusowa mayeso ena, maulendo oyendayenda, ndi / kapena mayeso.
Zotsatira:
Chen, MJ & Creinin, MD "Mifepristone ali ndi buccal misoprostol kuti apatutse mimba: ndondomeko yowunika." Zovala zamaliseche & Gynecology . 2015; 126.1: 12-21. Idapezeka kudzera mwachinsinsi
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 . 1998; 338 (18): 1241-47. Idapezeka kudzera mwachinsinsi.