Terms yezvokurapa kugumiswa pamuviri yematambudziko pashure nzira

Mishonga pamuviri - nzira yerudzi rutsva kuita pamuviri, iro rave kushandiswa Russia anopfuura 5 apfuura. It yagara akaedza kuwana asiri invasive nzira kugadzirisa chinetso pamuviri pamusingadi, uye vakawana nenzira iyi.

On chii zvokurapa pamuviri?

Nzira inobva kutora zvinodhaka ari pahwendefa chimiro, izvo kuputsa muchero zvokudya uye kukonzera wokuriramba. Kubvisa nhumbu kunoitika mumatanho dzinoverengeka, izvo dzichakurukurwa pazasi.

Zvaaiva abortive achishingaira kugadzirira fuma rinoshandiswa yokutanga danho, mifepristone, iyo awana chipimo chemushonga pamusoro MG 600. Rinogonawo kuwanikwa muchimiro mari "Mifegin", "Penkrofton".

Kana zvokurapa pamuviri, Formulations rechipiri kutotanga anofanira kutora hafu maviri mazuva shure kwerekutanga nzira. Vanogona kuva piritsi chimiro kana kushandiswa iri muchimiro kusangana nekutsi kwemukadzi suppositories. Zviri gadziriro kubva boka prostaglandins (Rinowanzoreva 'Misoprostol "), iyo inotanga mumwe muitiro chakatodzana nokupfupfudzika. Saka, nguva yezvokurapa kugumiswa pamuviri hakuiti kupfuudza mazuva 3-4, pamwe nemamwe mavhiki mashoma anogona kutora kupora nguva.

Pasinei chokwadi kuti zvinoreva Russian "Mifepristone" rinoshandiswa ichangopfuura, kunze inozivikanwa kubvira 1988, uye boka zvinodhaka rechipiri - uye kunyange kwokutanga, kubva pakati pezana remakore rechi20. Kamwe mishonga iyi dzabatsira mumiedzo yakawanda uye panguva kushandiswa.

The mashandiro chiito zvinodhaka kufurira pamuviri

Sezvazvakanyorwa anozivikanwa, pashure pamuviri pane mukadzi mahormone kushandura: kuwedzera wevasungwa kemikari inonzi, zvainanga pakuchengetedza muchero. Saka kemikari iri trimester pamuviri rokutanga progesterone. Kunowedzera Vhoriyamu zvinyama lining ari dumbu kuti mudumbu pamberi paumbwe placenta anogona kuwana zvose zvinovaka muviri kubva mai.

The mushonga "Mifegin" ( "mifepristone") riri nomumugwagwa kwaitora nguva ikure endometrium, iyo kuchambokanganisa fetus kudya kunovaka. Kuderedza wevasungwa kuti progesterone kunowedzera basa oxytocin hunokonzera uterine sunga. In yechipiri Danho prostaglandins kubatsira iyi, uye awedzere ipapo fetus kurambwa.

Terms of mishonga pamuviri

Pane prerequisites akawanda zvakadaro pamuviri. Chekutanga zvinokosha mashoko ose yezvokurapa kugumiswa pamuviri. Izvi zvinogoneka mukati memazuva 49 kubva wokupedzisira kumwedzi. Vamwe manyuko vakati mazuva 63, zvichienderana kiriniki apo muitiro kunoitika.

In nechirwere pamusoro vasingadiwi mangwanani pamuviri kugumiswa nzira yokushandisa mishonga kupfuura munyoro yakanakisisa kuitwa kusvika 4 vhiki nokuti mudumbu hakuna kukwana zvakasimba muchibereko muchibereko chemusikana. Izvi zvinoreva kuti ropa pashure Kurambwa azvarwa munyika iyi ichava shoma.

Apo iwe unogona kupedza farmabort?

Pasinei chokwadi kuti pakuitika ndichiva kubvisa nhumbu hakuitiki kuvhiyiwa, nzira iri chokuita nedzimwe njodzi. Naizvozvo, kutenga mushonga pa chemishonga uye kurishandisa kumba hakushandi.

Apo zvokurapa pamuviri rinoitwa? To zuva, chete mune zvokurapa jeri. Chidzivaidzo pamuviri kiriniki rinoitwa pasi pedyo kutarisira mudonzvo kuti kukwanisa kuziva matambudziko yekare kare yemagwaro. Observation kunoitika mumaawa mashomanana pashure nzira, murwere zvino kumbokweva mazuva mashomanana, uye pashure 2 mavhiki zvichiongororwa vakatakura Ultrasound ushe kubva pamuviri yokuzvigadzirisa.

Kuti mushonga pamuviri, kiriniki vanofanira rugwaro pamwe chisarudzo pamusoro pokushandiswa mifepristone. Kamwe fuma iyi inoshandiswa kuita farmaborta nzira zvaunofanira tsanangurai kana kutsvaka zvakakodzera kubvunza.

Mari nzira

Medical pamuviri, mutengo chiri nokuda Mari mushonga muzvinhu zvakawanda, haagari muchikwata che budgetary dzokuvhiya. Sezvo zvakakwana kuita mugumisiro womuchato mahwendefa maviri, ari nyore nzira anobvumira kumisa zvakakodzera prices (kubva 7 zviuru kana kwakakwirira).

To mari zvinodhaka inowedzerwa kwokuripirwa muchipatara kugara, uye kushandiswa zvinhu uye mari nevashandi vezveutano kushanda nguva.

Panguva yokupedzisira mutengo iri nemarererwo mupfungwa chinhu, nekuti kusavapo kupindira kunyaradza yomukati, iyo vazhinji vanoda mari yokuwedzera.

Panguva imwe chete nachiremba pamuviri, mutengo chiri kupfuura Vacuum chido kana curettage pamusoro dumbu, imwe nzira zvikuru nyore mukuru guru vemo.

Possible yematambudziko pashure zvokurapa pamuviri

kunyange yokunyatsochengeta nguva vezvokurapa kugumiswa pamuviri uye kudzivisa nemigumisiro zhinji, pane zvimwe ngozi chokuita nzira.

Kubudirira nzira iri 95%, saka pane mukana kuti 5% yevakadzi vane pamuviri acharamba.

Medical pamuviri, panguva iyo yokuzviparadzanisa ari mudumbu kubva dumbu parusvingo, zvichikonzera ropa (kakawanda kwete chaizvo zhinji), asi kune ngozi hombe kurasikirwa neropa. Kuparadzana zvinogona refu, achiperekedzwa kurwadziwa dumbu, ivo mananara kudhaka (nefivhiri, chills, kuda kurutsa).

Pasi unyanzvi piritsi danho kunowedzera mukana wokuti kuwana zvinozoita, asi hapana zviripo nzira regai kupa 100% zvabuda.

Contraindications

Pharmaceutical pamuviri hazvibviri pamberi ane sema pavakanzwa mushonga zvinoriumba, pamwe pakugwamba murombo ropa, kuvapo ovarian zvirwere uye fallopian sepombi.

Kunyange kana pane imwe mangwanani kugumiswa pamuviri kushandisa mapiritsi hazvibviri, kana kare dzaiitisa akavhiyiwa pamusoro dumbu. Mavanga rurefu mukana anogona kukanganisa fetus kurambwa, i.e. kungada unozotevera tichibvisa mhango.

In pamberi renal insufficiency uye asima chiremba anogona kurambidza kugumiswa pamuviri nenzira iyi.

Zvisinei, sezvo mishonga hormone hunhu, dziviriro pakushandisa hormone nhumbu anogona kuderedza kubudirira nzira dzakadaro, chinhu ichi ndicho contraindication kuti pamuviri ne mifepristone uye nomukaka ayo.

Medical pamuviri chiri kuita panyaya ectopic pamuviri, saka nzira yacho pashure achivhara.

Ongororo pamberi pamuviri

The chipimo chemushonga zvinodhaka kuti pamuviri kugumiswa rakagadzirirwa mukadzi utano muviri normosthenic mhando nechipi, saka pamberi muitiro, murwere kurasikirwa nemiedzo ropa, vaname pamusoro nemiti, anopfuura Ultrasound kuongorora. Izvi zvinobvumira kuti kuona pachiyero pautano, kuti umutse chaiwo gestational zera, ziva zvinobvira contraindications pamuviri.

Nokuti kuongorora hazvireve sarudza nezuva rimwe chete, chokupika mabasa zvose zvinogoneka nezuva rimwe. Ongororo yacho zvinosanganisira kuverenga mirayiridzo mushonga, kusaina esungano magwaro kuita muitiro.

Mukadzi akanyevera kuti zvinobvira kuenderera pamuviri, uye kana mushure 2 weeks kubva mudumbu iri kuramba, zvichava zvakakodzera kushandisa dzimwe nzira. Uyezve, ukuru ngozi vari Vacuum chido (6 mavhiki pamuviri) uye tichibvisa (vhiki kusvika 12). Terms yezvokurapa pamuviri uye Vacuum chido iri rinenge chete, asi ngozi kune hutano mukadzi kana wechipiri yepamusoro zvikuru.

Pashure zvokurapa pamuviri havafaniri rinonetesa muviri, kugeza uye kuenda nebhati uye sauna, kuramba kurara nokuda 2 weeks pashure nzira, uye havashandisi douches.