Rashin tsangwama na ciki cikin marigayi sharuddan yana yiwu ne kawai a lokuta masu ban mamaki. Barin sha'awar mace a lokaci guda ba nuna nuni ba ne game da tsoma baki. Doctors suna jin tsoron sakamakon mummunar cutar zubar da ciki, babban abu shine rashin haihuwa.
An yi abortions a kwanan wata?
Tsarin gestation akan buƙatar mace za a iya aiwatar da shi a farkon matakai na ci gaban tayi. Tsawon zamani don ƙarewar ciki da uwa ta fara da ita shine makonni 12. Zubar da ciki bayan wannan lokaci ana kiranta marigayi kuma an yi kawai a cikin lokuta masu ban mamaki. Hanya na hanyar da aka katse ta ciki ya kasance ne bisa la'akari da halin yanzu, shekarun mace mai ciki da kuma lafiyarta. Sabili da haka, bayan makonni 20 na gestation, likitoci ba su yin amfani da magungunan gargajiya ba, amma suna yin haihuwa.
Indiya ga zubar da ciki
An yanke shawara cewa akwai bukatar yin zubar da ciki a wani kwanan wata daga hukumar likita. Masanan likitoci (likitan kwantar da hankali (likitan kwariyar jiki, likita a cikin filin da ke haifar da buƙatar zubar da ciki (masanin zamantakewa, wakilan hukumomi) sunyi la'akari da sakamakon binciken likita, yanayin zamantakewa wanda mace mai ciki take. Za a iya yanke shawara na ƙarshe game da buƙatar katse gestation bayan makonni 12 akan:
- alamun kiwon lafiya;
- alamomin zamantakewa.
Bayanin likita don zubar da ciki
Irin wannan nuni don karewa na ciki a kwanakin baya an ɗauke shi a asusun farko. A mafi yawan lokuta, suna haɗuwa da kasancewar wata mace mai ciki da cututtuka wanda zai iya hana ta daga al'ada ta haihuwa da kuma haihuwar jariri. Bugu da ƙari, zubar da ciki ta ƙarshen iya nunawa ta hanyar gano matsalar rashin tayi da kuma ci gaban ci gaban da, bayan haihuwa, zai haifar da rashin lafiyar yara ko mutuwa. Daga cikin manyan alamun likita don zubar da ciki bayan makonni 12 sune:
- cututtuka ta jiki da ta jiki na mace mai ciki;
- bayyanuwar cututtuka na hali na chromosome a cikin tayin, wanda bai dace da rayuwa ba;
- ciwon sanyi ;
- cututtuka masu tsanani na mai ciki (hematite, cututtukan cututtuka, cututtuka);
- da yiwuwar mutuwar mace da ci gaba da cigaba da ci gaban ciki.
Bayanin zamantakewa don zubar da ciki
Dalili na zamantakewa na zubar da ciki a cikin sharuddan baya shine saboda abubuwan da zasu iya haifar da yanayin rayuwa mai ciki ko jaririn da ke gaba. Sau da yawa, likitoci sunyi la'akari da abubuwan da suka shafi zamantakewa da suka tashi a lokacin daukar ciki kanta:
- mutuwar matar;
- saki;
- kama ɗayan iyayen jariri.
Bugu da kari, akwai wasu dalilai na zamantakewa waɗanda za a iya la'akari da su yayin da suke yanke shawara game da zubar da ciki, amma samun su ba wata alama ce ta katsewa daga gestation:
- rashin gidaje;
- kasancewar a cikin iyali fiye da yara 3;
- shekarun da ke nan gaba ba ta da shekaru 18 ba.
Ta yaya zubar da ciki ya faru a wata rana?
Hanyar zubar da ciki a cikin sharuddan sharuddan ba ya bambanta da waɗanda masu likita ke amfani da su a farkon matakan gestation. Duk da haka, ba a aiwatar da katsewa na ciki a cikin kwayoyin cututtuka ba. Tsarin hanyoyin za a gudanar da shi ta hanyar hukumar kiwon lafiya ta hanyar binciken binciken, la'akari da lokacin da za a haifa da kuma siffofin ta. Kowace fasaha tana da halaye na kansa, wani fasaha. Daga cikin hanyoyin da aka yi amfani da su don katse ciki, bayan makonni 12 yayi amfani da su:
- Tsarin intraamnial na ruwa.
- Ƙarfafa ƙwararren mahaifa.
- Tsarukan artificial .
- Ƙananan ɓangaren maganin.
Hanyar gabatarwa ta intraamnial na taya
Zubar da ciki a cikin marigayi juna biyu tare da yin amfani da maganin hypertonic wata hanya ce ta yau da kullum. Hanyar aikin aiwatar da wannan hanya na katse gestation yana hade da canji a cikin ƙarar ruwan amniotic, da matsa lamba ta osmotic. A sakamakon wadannan canje-canje, akwai shimfiɗar ƙwayoyin kwayoyin halitta cikin mahaifa tare da raguwa ta ƙarshe.
Ƙara ƙarar sautin mahaifa a cikin wannan yanayin, likitoci sun haɗa kai tare da yiwuwar mummunan sakamako na abubuwa waɗanda zasu fara fitowa bayan tayi ya mutu (sakamakon sakamakon maganin hypertonic). Ƙarƙashin magungunan launi na myometrium zai haifar da fitar da tayin zuwa waje, sakamakon abin da aka haifa ciki gaba daya. Ta hanyar aikinta, hanyar tana kama da maye gurbin miyagun ƙwayoyi na ciki, wanda ba'a amfani dashi a cikin sharuddan baya. Bayan aikin, likitoci sunyi nazari akan ƙwayar mahaifa don warewa gaban jikin tayi.
Dilatation da fitarwa
Zubar da zubar da ciki a kan marigayi sharudda don dalilai na kiwon lafiya sau da yawa ana aiwatar da shi ta hanya ta dilatation da fitarwa. Lokacin mafi kyau ga zubar da ciki shine makonni 15-18. Na farko, likita na yin gyaran kafa na wucin gadi, ta yin amfani da kayan miki tare da kara fadada girman dilator (dilatation).
Bayan samun damar yin amfani da gado mai yaduwar ciki, likitoci sunyi yaduwa da yarinyar da kuma tayar da ƙwayar tayi. A ƙarshen wannan mataki, zasu fara farawa - cirewa daga tayi zai kasance a waje tare da taimakawa da iskar gas. An gane fassarar tare da rigar dilatation a matsayin hanyar ta zubar da ciki a lokutan baya kuma WHO ya bada shawara ta hanyar hanyar zubar da ciki.
Ƙananan ɓangaren maganin
Wannan nau'i na zubar da ciki a cikin sharuddan sharuddan ba ya bambanta da sababbin cesarean. Samun dama ga tayin ne ta hanyar karkatawa a cikin bango na ciki, ta hanyar abin da aka fitar da 'ya'yan itace. Ana gudanar da aikin a ƙarƙashin ƙwayar cuta. Wannan hanya tana da wuya a yi amfani dashi, a cikin lokuta da ƙin yarda da hanyar da aka bayyana a sama. A lokacin aikin, akwai mummunar haɗari na zub da jini, don haka yanke shawarar daukar shi idan akwai barazana ga rayuwar mace kanta.
Hanyar hanyar bayarwa na wucin gadi
Lokacin da ake buƙatar aiwatar da zubar da ciki a wani kwanan wata, bayan makonni 20 , likitoci sun canza magunguna na bayarwa na wucin gadi. Tayin tayi a cikin wannan batu ba a janye shi daga cikin yarinya ba, amma ana aiwatar da matakai wanda ya sa aka fitar da shi daga waje zuwa waje. Da yake magana game da yadda zubar da ciki ya faru a ƙarshen rayuwa, likitoci sukan yi amfani da kalmar nan "ƙarfafawar ba da haihuwa".
A ƙarshen lokaci, zubar da ciki ba a zubar da zubar da ciki daga ra'ayi game da ilimin halayyar kwakwalwa ba: tayi a yanzu an kira yarinya, kuma mahaifiyar da ta riga tana sha'awar jariri. Haɗuwa a cikin jarabirinta suna nuna nauyin haihuwa. Tsunukan artificial farawa tare da motsawa - sun yi amfani da prostaglandins cikin jiki, wanda ya kara sautin da ke cikin ƙwayar mahaifa kuma ya haifar da sabani. A sakamakon haka, aikin kabilanci ya fara.
Discharge bayan ƙaddamar da ciki a cikin lokutan baya
Zubar da ciki abu ne mai mahimmanci ga jiki, yana raunana rigakafi, don haka yana da muhimmanci wajen saka idanu game da lafiyar mace. Tsarin haihuwa ya haifar da yanayi mai kyau don bunkasa kamuwa da cuta da kumburi. A matsayin mai nuna alama game da yanayin tsarin haihuwa, ana cire bayan an zubar da ciki. Yawanci, sun bayyana a kan 2-3rd rana bayan hanya, suna da ƙananan jini, amma ba su jin wari. Canji a waɗannan sigogi na iya nuna wani kamuwa da cuta. Rashin rawaya da ƙanshin rot ya zama dalilin da ya tuntubi likita.
Gyaran launin ruwan da ke faruwa bayan an yi ciki a cikin marigayi zai iya wuce har kwanaki 10. A wasu lokuta, mata zasu iya lura da bayyanar jini (yayinda yake faruwa a ƙarƙashin rinjayar jikin jiki). Girman irin wannan sirri yana da matsakaici, kuma basu da haɗuwa da jin dadi a cikin ƙananan ciki ko a cikin fili. Canja secretions zuwa duhu launin ruwan kasa na iya nuna polyps a cikin mahaifa.
Gyarawa bayan zubar da ciki a lokutan baya
Lokacin tsawon lokacin dawowa an ƙaddara ta hanyar hanyar ƙaddamar da ciki da lokacin da aka gudanar. Abortions a kan marigayi sharudda suna halin da high morbidity da damuwa ga jiki. Don ware wahalhalun farko, mace tana karkashin kulawar likita a asibitin. Gaba ɗaya, dawowa daga zubar da ciki ya shafi:
- Rigakafin asarar jini.
- Banda yiwuwar kamuwa da cuta (maganin kwayoyin cutar, maganin anti-inflammatory).
- Binciken kayan aiki game da tsarin haihuwa na mace don cire jinsin jikin mutum.
Sakamakon ƙarshen ciki a cikin marigayi sharuddan
Da sha'awar likitoci game da sakamakon da ake samu, mata suna ƙoƙarin gano ko zai yiwu zubar da zubar da ciki da kuma yadda wannan hadarin ke da haɗari. Masanan burbushin halittu suna jayayya cewa wannan hanya bata da kyau - rikitarwa da sakamakon sakamakon zubar da ciki na baya zai iya bayyana bayan wasu watanni da shekaru. Bisa ga lokacin da suke ci gaba, likitoci sun rushe matsalolin da suka shafi:
- Na farko - yana faruwa a lokacin hanya ta katsewa (tsinkayar mahaifa, zub da jini).
- An jinkirta - ci gaba a cikin wata guda bayan aiki (endometritis, hematoma, ci gaban ciki).
- M - bayyana bayan shekara daya daga bisani (gyare-gyaren kwalliya a cikin pharynx na ciki, cervix, lalacewar endometrium, cin zarafi na tubes fallopian).