Kupedza nhumbu nemishonga

Zvizhinji Nezve Kurapa Kubvisa Pamuviri

Vamwe vakadzi vanosarudza kushandiswa kwemishonga kupedza nhumbu nekuti:

• Inogona kushandiswa mukutanga kwepamuviri.
• Inogona kushandiswa pamba.
• Inonzwa seyakajairika, sekuparara.
• Izvo hazvina kuvhiringidza kupfuura kubvisa mu-kiriniki kubvisa nhumbu.

Mishonga inogona kushandiswa kupedza nhumbu yekutanga. Muzviitiko zvakawanda, zuva rekutanga renguva yako yekupedzisira rinofanira kunge risingasviki masvondo mapfumbamwe apfuura. Kana iwe uri pamusoro pemasvondo gumi nepfumbamwe uine pamuviri, unogona kuita mu-kiriniki kubvisa nhumbu. Mamwe makiriniki anozopfuura mavhiki mapfumbamwe ekubvisa nhumbu.

Iva nechokwadi chekuti iwe unoda kupedza nhumbu yako. Hazvina njodzi kumisa mishonga kana watanga kuinwa. Kuita izvi kunogadzira njodzi yakakura kwazvo yekuremara kwakanyanya kwekuberekwa.

Ndiani Asingafanirwe Kubvisa Pamuviri

Haufanire kubvisa nhumbu kana iwe:

• Unopfuura vhiki gumi nepfumbamwe uine pamuviri (nguva kubva pakutanga kwenguva yako yekupedzisira).
• Iva neropa rekuvhara ropa kusagadzikana kana adrenal kutadza.
• Iva neIUD. Inofanira kutanga yabviswa.
• Izvo zvinokanganisa mishonga iyo inoshandiswa kupedza nhumbu.
• Tora chero mishonga isingafanirwe kushandiswa nekubvisa nhumbu.
• Haukwanisi kuwana chiremba kana imba yekukurumidzira.

Kugadzirira Kubvisa Pamuviri

Anopa hutano anozo:

• Ita bvunzo yemuviri uye ultrasound
• Enda pamusoro penhoroondo yako yekurapa
• Ita ropa uye weti kuongororwa
• Tsanangura mashandiro anoita mishonga yekubvisa nhumbu
• Wati wasaina mafomu

Chii Chinoitika Panguva Yokurapa Kubvisa Pamuviri

Unogona kutora mishonga inotevera yekubvisa nhumbu:

• Mifepristone - iyi inonzi piritsi yekubvisa nhumbu kana RU-486
• Misoprostol
• Iwe zvakare uchatora maantibayoti kudzivirira hutachiona

Iwe unotora mifepristone muhofisi yemupi kana kiriniki. Izvi zvinomisa hormone progesterone kushanda. Lining yechibereko inoputsika saka nhumbu haigone kuenderera.

Iye mupi achakuudza iwe uye sei kutora misoprostol. Ichave angangoita maawa matanhatu kusvika 72 mushure mekutora mifepristone. Misoprostol inokanganisa chibereko uye kushaya chinhu.

Mushure mekutora mushonga wechipiri, iwe unozonzwa kurwadziwa kukuru uye kupwanya. Uchave nekubuda ropa zvakanyanya uye woona kuwanda kweropa uye zvinyama zvichibuda mukati memukadzi wako. Izvi zvinowanzo kutora maawa matatu kusvika mashanu. Mari yacho ichave yakawanda kupfuura yaunenge uine nguva yako. Izvi zvinoreva kuti mishonga iri kushanda.

Iwe unogona zvakare kuve nekusvotwa, uye unogona kurutsa, kuita fivhiri, kutonhora, manyoka, uye kutemwa nemusoro.

Unogona kutora zvinodzora marwadzo senge ibuprofen (Motrin, Advil) kana acetaminophen (Tylenol) kubatsira nemarwadzo. Usatora aspirin. Tarisira kuve nekubuda ropa zvishoma kwemavhiki mana mushure mekubvisa nhumbu. Iwe unozofanirwa kuve nemapads ekupfeka. Ronga kutora zviri nyore kwemavhiki mashoma.

Iwe unofanirwa kudzivirira kusangana nekutsi kwemukadzi kweinenge vhiki mushure mekurapa kubvisa nhumbu. Unogona kutora nhumbu nekukurumidza mushure mekubvisa nhumbu, saka taura nemupi wako wezvehutano nezve izvo zvekubereka zvekushandisa. Ita shuwa kuti urikushandisa dziviriro inoshanda usati watangazve kuita bonde. Iwe unofanirwa kuwana nguva yako yenguva dzose mukati memavhiki mana kusvika masere.

Tevedza neMupi Wako Wehutano Anopa

Ita musangano wekutevera-pamwe nemupi wako. Unofanirwa kuongororwa kuti uone kuti kubvisa nhumbu kwapera here uye kuti hauna kana dambudziko. Kana ikasashanda, iwe uchafanirwa kutora in-kiriniki kubvisa nhumbu.

Njodzi dzeKugumisa Kubata neMushonga

Vazhinji vakadzi vanobvisa nhumbu zvekurapa zvakachengeteka. Kune njodzi shoma, asi mazhinji anogona kurapwa nyore.

• Kubvisa nhumbu zvisina kukwana ndipo panobuda chikamu chemimba. Iwe unozofanirwa kuve nein-kiriniki kubvisa nhumbu kuti upedze kubvisa.
• Kubuda ropa kwakanyanya
• Utachiona
• Ropa rinovhara muchibereko chako

Kubvisa nhumbu kwekurapa kunowanzo chengeteka. Muzviitiko zvakawanda, hazvikanganisa kugona kwako kuita vana kunze kwekunge uine dambudziko rakakomba.

Nguva Yokudana Chiremba

Matambudziko akakomba anofanirwa kurapwa ipapo ipapo kuti uchengeteke. Fonera mupiki wako kana iwe uine:

• Kubuda ropa kwakanyanya - urikunyorovesa nepadhi mbiri paawa yega yega kwemaawa maviri
• Ropa rinovhara kwemaawa maviri kana kupfuura, kana kana machira akakura kupfuura ndimu
• Zviratidzo zvekuti uchiri nepamuviri

Iwe unofanirwa zvakare kufonera chiremba wako kana iwe uine zviratidzo zvehutachiona:

• Kusuruvara kwakashata mudumbu rako kana musana
• Fivha inopfuura 100.4 ° F (38 ° C) kana chero fivhiri kwemaawa makumi maviri nemana
• Kurutsa kana kuita manyoka kwemaawa anodarika makumi maviri nemana mushure mekutora mapiritsi
• Kunhuwirira kwakaipa kwemukadzi

Piritsi rekubvisa pamuviri

Lesnewski R, Prine L. Kubvisa pamuviri: mishonga kubvisa pamuviri. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 114.

Nelson-Piercy C, Mullins EWS, Regan L. Hutano hwevakadzi. Mune: Kumar P, Clark M, eds. Kumar uye Clarke's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 29.

Oppegaard KS, Qvigstad E, Fiala C, Heikinheimo O, Benson L, Gemzell-Danielsson K.Kiriniki yekutevera ichienzaniswa nekuzviongorora wega mhedzisiro mushure mekubvisa nhumbu. Lancet. 2015; 385 (9969): 698-704. PMID: 25468164 www.ncbi.nlm.nih.gov/pubmed/25468164.

Rivlin K, Westhoff C. Kuronga mhuri. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits.

• Kubvisa nhumbu