Kubvisa nhumbu - zvekurapa

Kubvisa nhumbu zvekurapa ndiko kushandiswa kwemushonga kupedza nhumbu isingadiwe. Mushonga unobatsira kubvisa fetus uye placenta kubva mudumbu raamai (chibereko).

Kune mhando dzakasiyana dzekurapa kubvisa nhumbu:

• Kurapa kubvisa nhumbu kunoitwa nekuti mukadzi ane hutano.
• Kubvisa nhumbu kunoitwa nekuti mukadzi anosarudza (kusarudza) kupedza nhumbu.

Kubvisa nhumbu kusarudzo hakuna kufanana nekubvisa pamuviri. Kuzvitakura kana nhumbu ichizopera yega isati yasvika vhiki yechi20 yepamuviri. Kubvisa pamuviri dzimwe nguva kunonzi kubvisa kuzvibvisa.

Kuvhiya kubvisa nhumbu kunoshandisa kuvhiya kupedza nhumbu.

Kubvisa pamuviri, kana kuvhiya, kunogona kuitwa mukati memavhiki manomwe kubva pazuva rekutanga rekupedzisira kwemukadzi. Musanganiswa wemishonga inonyorerwa mahormone unoshandiswa kubatsira muviri kubvisa fetus neplacenta tishu. Anokuchengetedza hutano anogona kukupa iyo mishonga mushure mekuita bvunzo dzepanyama uye kubvunza mibvunzo nezve yako nhoroondo yezvokurapa.

Mishonga inoshandiswa inosanganisira mifepristone, methotrexate, misoprostol, prostaglandins, kana musanganiswa wemishonga iyi. Anokupa achapa mushonga, uye iwe uchautora kumba.

Mushure mekutora mushonga, muviri wako unodzinga nhumbu yekuzvitakura. Vazhinji vakadzi vane mwero kusvika mukuremerwa kubuda ropa nekupwanya kwemaawa akati wandei. Mupiki wako anogona kupa mushonga wekurwadziwa uye kusvotwa kana zvichidikanwa kuti udzikise kusagadzikana kwako panguva iyi.

Kubvisa nhumbu kwekurapa kunogona kutariswa kana:

• Mukadzi wacho haangade kuve nepamuviri (kusarudza kusarudza kubvisa pamuviri).
• Mwana ari kukura ane hurema hwekuzvarwa kana dambudziko remajini.
• Iyo nhumbu inokuvadza kune hutano hwemukadzi (kurapa kubvisa nhumbu).
• Iyo nhumbu yakazoguma mushure mechiitiko chinotyisa sekubatwa chibharo kana makunakuna.

Njodzi dzekurapa kubvisa pamuviri dzinosanganisira:

• Kuenderera mberi nekubuda ropa
• Manyoka
• Kubata kwepamuviri kusapfuura zvachose kubva mumuviri, zvichiita kuti kuvhiyiwa kuve kwakakodzera
• Utachiona
• Nausea
• Kurwadziwa
• Kusvipa

Sarudzo yekumisa nhumbu ndeyako wega. Kubatsira kuyera sarudzo dzako, kurukura zvaunonzwa nemupi wezano, mupi, kana nhengo yemhuri kana shamwari.

Miedzo yakaitwa pamberi peiyi maitiro:

• Pelvic bvunzo inoitwa kusimbisa nhumbu uye kufungidzira kuti une mavhiki mangani uine nhumbu.
• Kuongororwa kweropa kweHCG kunogona kuitwa kusimbisa nhumbu.
• Kuongororwa kweropa kunoitwa kuti utarise mhando yeropa rako. Kubva pamhedzisiro yemuedzo, ungangoda pfuti chaiyo yekudzivirira matambudziko kana ukava nepamuviri mune ramangwana. Pfuti inonzi Rho (D) immune globulin (RhoGAM uye mamwe marangi).
• Vaginal kana dumbu ultrasound inogona kuitwa kuti utore zera chairo remwana uye nzvimbo yaro mudumbu.

Kutevera pamwe nemupi wako kwakakosha kwazvo. Izvi ndezvekuona kuti maitiro apera uye nyama dzese dzakadzingwa. Mushonga wacho haugone kushanda mune shoma shoma nhamba yevakadzi. Kana izvi zvikaitika, imwe nhanho yemushonga kana nzira yekubvisa nhumbu yekuvhiya ingangoda kuitwa.

Kupora kwemuviri kunowanzoitika mukati memazuva mashoma. Zvinoenderana nedanho repamuviri. Tarisira kumwe kubuda ropa kwemadzimai uye kupwanya zvinyoro kwemazuva mashoma.

Bhati inodziya, pombi yekupisa yakaiswa pazasi, kana bhodhoro remvura inopisa rakazara nemvura inodziya yakaiswa padumbu inogona kubatsira kudzikamisa kusagadzikana. Zorora sezvinodiwa. Usaite chero chiitiko chine simba kwemazuva mashoma. Chiedza basa repamba rakanaka. Dzivisa kusangana kwevhiki mbiri kusvika kumatatu. Nguva yenguva yekuenda kumwedzi inofanira kuitika mukati memavhiki mana kusvika matanhatu.

Unogona kutora nhumbu usati waenda kumwedzi. Ive neshuwa yekuita gadziriro yekudzivirira kubata pamuviri, kunyanya mukati memwedzi wekutanga mushure mekubvisa nhumbu.

Kubvisa pamuviri nekurapa kwakachengeteka uye kunoshanda. Ivo havawanzo kuve nezvinetso zvakakomba. Kashoma kuti kurapa kubvisa nhumbu kukanganise kubereka kwemukadzi kana kugona kwake kubereka vana mune ramangwana.

Kurapa kwekurapa kubvisa nhumbu; Kubvisa pamuviri kwekurapa; Kubvisa nhumbu; Kubvisa nhumbu

American College yeVadzvinyiriri uye Gynecologists. Dzidzira bulletin kwete. 143: kurapwa kwekurapa kwekutanga-trimester kubvisa nhumbu. Obstet Gynecol. 2014; 123 (3): 676-692. PMID: 24553166 www.ncbi.nlm.nih.gov/pubmed/24553166.

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

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.