Kupera kwekuita pamuviri pasina kubatsira kupindira muuterine cavity, kazhinji kunoderedza ngozi yezvinetso pashure pokubvisa pamuviri, izvo zvinowanzokonzera kusapera. Iyi nzira inonzi mishonga (kana pharmacological) kugumisa kuberekwa panguva yekutanga.
Kubvisa pamuviri kubvisa pamuviri: chii ichocho
Pasi pemhirizhonga yemishonga yekuzvitakura mumavambo ekutanga, inowanzoreva nzira yekubvisa pamuviri mukutanga kwekutanga nekubatsirwa nemishonga inokosha. Kukanganisa kwakadaro kwepamuviri husingadiwi kunofungidzirwa kuti ndeimwe yenzira dzakachengeteka munyika yekubvisa pamuviri.
Nheyo dzekutanga dzekubvisa pamuviri
Kuti abvise pamuviri nenzira iyi, zvakakosha kutanga kune vose kugamuchira musimbiso wekubata uye kuzarura izwi rinoshandisa chiratidzo chinoratidzika, chiremera chekudzivirira (kushandisa sendimba yevakadzi), uye kuongorora ropa nekuda kweHCG.
Mhando iyi yokubvisa pamuviri inoshanda chete mumatangiro ekutanga (kusvika kumavhiki matanhatu). Iyi nzira yekubvisa pamuviri zvachose inobvisa zvachose kupindira kupi zvako kwekuvhiya. Mushure mezvose, kubvisa pamuviri kunobata chete kushandiswa kwemishonga yemishonga yakadai seMifolian, Mifegin, Pencrofton uye Mifeprex. Kuumbwa kwemishonga iyi kunosanganisira iyo inoshanda inoshandiswa mifepristone. Iyi mishonga inokwanisa kubvisa chiito cheprogesterone (hormone inotsigira pamuviri). Apo mukadzi anopinda mumuviri, anotanga kukurudzira nzira inotarisirwa kubvisa mazai e fetal, mushure mokunge mishonga inobata zvishoma nezvishoma pamuviri wemukati, ichivhura. Somugumisiro, yei yakange yakasimwa haina kukwanisa kusungira kumadziro emuviri, iyo inomisa kufambiswa kwemukati.
Makomborero ekubvisa pamuviri mune zvekurapa mukutanga kwekutanga
Kukanganiswa kwakadaro kwepamuviri husingadikanwi zvachose kunosanganisira kupindira kwokuvhiya uye hakudi anesthesia. Mukuwedzera, njodzi yehutachiona yakanyanya kuderedzwa. Kuberekwa kunogona kumira pamusana pemitemo. Uye zvinonyanya kukosha, kubvisa pamuviri kwakadai kunopa chivimbo chekubudirira, iyo inenge 97%.
Contraindications pharmacological pamuviri
Kushandiswa kwezvinodhaka kwekukura kwekuberekwa kunorambidzwa, kana ectopic pamuviri akawanikwa, pane zvipembenene pamubereki, mukadzi ane chirwere chisingaperi chisingakoshi kana chirwere chinoputika. Uyewo rudzi urwu rwunobvisa pamuviri rwakarambidzwa kana munhu asingabvumiri nemishonga, vakadzi vane makore makumi matatu nemakore makumi matatu nemashanu vari kusvuta kuti varege kudzivirira nehutano hwemwoyo.
Nhanho dzekubvisa pamuviri
Iyi nzira inosanganisira matanho akawanda: pamberi pechiremba, mukadzi anofanira kutora 600 mg yemishonga, uye pashure pemakore 36-48 mushonga wacho unotorwa maererano neprostaglandin regimen (hormone-sezvinhu zvinokonzera chibereko kuti chibvumirane uye kusunungura zvakasara zvemuviri we fetal). Uye maawa 4-8 mushure mekuitwa kwe prostaglandin, kupererwa kwepamuviri kunowanikwa nekuda kwekudzivirira kwechibereko. Mushure memazuva manomwe kusvika kumakore manomwe mukadzi anofanira kuongorora kuti ave nechokwadi chekuti fetal yai yezvikamu haigari.
Iyi nzira inongorambidza kubata pane zvishoma, asi inofungidzirwa kunge isina kurwadziwa (mukadzi anogona kunzwa kurwadziwa kwakanyanya mudumbu remuviri, kufanana nekurwadziwa panguva yekuenda kumwedzi).
Sezvo akabvisa kubvisa pamuviri kwakadaro mumatanho ekutanga, mukadzi wacho anokurumidza kudzokera kumuupenyu hwake hunowanzoitika. Nenzira, panguva yekutora mishonga, kurara kwembhedha kunopesana, nokuti izvi zvinogona kukonzera mutsara we fetal. Chinhu bedzi chinofanira kutarisirwa kubuda ropa, chinotanga mukugadzirisa mapiritsi. Kuwanda kwavo kunofanana nekugara kwemazuva ose kana kuti kungangove kwakakwirira. Kugovera kunogona kupedza kusvika kwemazuva gumi nemaviri.
Uye pakupedzisira, rudzi urwu rwekubvisa pamuviri haruna kutungamirira mukushaya simba, nokuti kudziviswa kweprogesterone receptors ndeyechinguva uye mukadzi anogona kutotanga mumwedzi wokutanga. Uyezve, kubvisa pamuviri kuri nyore nyore mufungwa mupfungwa.