Kubvisa pamuviri piritsi, inozivikanwawo seR RU486 yakave yakawanda uye inoshandiswa zvakachengetwa muUnited States kwemakore. Izvo zvakare FDA-inogamuchirwa senzira yekurapa kubvisa pamuviri. Zita re RU486 ndiro Mifeprex, uye zita rayo rinoreva mifepristone. Kuti ushandise kubvisa pamuviri piritsi, unofanira kuona chiremba wezvechiremba .
Zita rokuti "kubvisa pamuviri piritsi" inonyengedza zvishoma nekuti inonyanya kutaura nezvekushandisa mishonga miviri yakasiyana kuti ubvise pamuviri wako.
Inofungidzirwa kuva chibereko chekurapa.
Unoishandisa Sei?
Kana ukasarudza kushandisa piritsi yekubvisa pamuviri, kune matanho matatu ekuishandisa .
- Chokutanga, pahofisi yechiremba wako kana kliniki yezvechiremba, uchapiwa RU486 (mifepristone). Iwe unogonawo kubvunzwa kutora antibiotic panguva ino.
- Zvadaro, ma 24-48 maawa mushure mokutora mifepristone, munoda kutora mushonga wechipiri unonzi misoprostol. Iva nechokwadi chokuti chiremba wako anokupa mirayiridzo yekuti sei uye sei kutora misoprostol.
- Pakupedzisira, mushure memavhiki maviri, iwe unoda kuva nekuzotevera musangano nechiremba wako. Izvi zvakakosha nokuti chiremba wako achaita kuti piritsi yekubvisa yakashanda. Chiremba wako angangokupa chirwere chepamuviri chekuvhara ropa kana kuti ultrasound kuti uve nechokwadi chokuti hausisiri pamuviri.
Iyo Inoshanda Sei
RU486 inodzivisa progesterone receptors mumuviri wako (hormone inotarisira kukonzera uterine mbatya kuvaka uye kugadzirira pamuviri).
Saka, RU486 (mifepristone) inonyanya kukonzera kuti chigadziko chechibereko chako chidege-saka kubata kwako hakukwanisi kupfuurira nokuti zamai haazogoni kumira. Zvadaro, iyo misoprostol inokonzera uterine contractions. Izvi zvinoita kuti chibereko chako chibudiswe.
Ndiani Angashandisa?
Kubvisa pamuviri piritsi ndeye FDA-inogamuchirwa kuvakadzi vanosvika masvondo manomwe vari pamuviri (izvi zvakafanana nekuve mavhiki mashanu kubva pakuberekwa) kana kusvika kumakumi mashanu nemazuva makumi mashanu ekupedzisira kwekuenda kwemwedzi.
Kunyange zvazvo vamwe vashandi vehutano vacharamba vachishandisa nzira iyi kuvakadzi vanopfuura mavhiki manomwe vakaberekwa, vachishandisa RU486 panguva ino inofungidzirwa pasina-label (zvinoreva, haisisiri FDA inogamuchirwa).
Migumisiro Yechiri
Iwe unofanirwa kutarisira kunzwa mamwe madhara mushure mekushandisa kubvisa pamuviri piritsi. Izvi zvinogona kusanganisira:
- Cramping
- Nausea
- Kuputika uye kurara
- Kubuda ropa kwakanyanya (kunogona kunge kune mavheti makuru muropa)
- Dumbu remarwadzo
- Mild fever kana chills
Nguva Yenguva neEfficacy
Mukati maawa mana kana mashanu mushure mekutora mifepristone, inopfuura hafu yevakadzi vanozvitakura ichagumiswa. Kune vamwe, zvinogona kutora nguva shomanana, asi kubvisa pamuviri kunofanira kuitika mumazuva mashoma. RU486 inobatsira kubvisa pamuviri pasina kuvhiyiwa uye iri 92-98% inoshanda kana yakashandiswa pamwe chete ne misoprostol. Apo mifepristone inoshandiswa yoga, inenge 64-85% inoshanda.
Kubatsirwa
- Kubudirira.
- Zvishoma zvisinganzwisisiki uye zvinorwadzisa muviri kunze kwekubvisa pamuviri .
- Vamwe vakadzi vanonzwa sokuti iyo inowanzobvisa pamuviri sarudzo sezvo inonzwa yakafanana nekuparara.
- Pamwe.
- Inogona kushandiswa pakutanga munguva yekuzvitakura.
Kukanganisika
- Vamwe vanhu vanopesana nemitemo iyi kubvira pakuberekwa uye kuiswa kwave kwakatoitika.
- Mifepristone inogona kunge isingasarudzo yevakadzi vane chiropa kana zvinetso zvepvo, anemia, chirwere cheshuga, Rh-negative blood kana avo vanonyanya kuwandisa.
- Iyi nzira inoda kushanya kakawanda kune chiremba, uye kune imwezve inogona kuti inogona kusashanda.
- Kana iyo piritsi isina kubvisa pamuviri wako, pane mukana wekuti pane zvingave nezvirema zvakaberekwa.
Zvimwe Zvokufungisisa
Iwe unogona kuva nepamuviri zvakare mushure mekushandisa kubvisa pamuviri piritsi, saka iva nechokwadi chokuti uri kushandisa mushonga wekubvisa shure .
Zvinowanzoita kuti rimwe ropa rive neropa kana kutarisa kwemavhiki mana mushure mekushandisa kubvisa pamuviri piritsi. Kwevhiki yekutanga shure, iwe unofanira kungoshandisa pads kana uri kubuda ropa.
Zvinokurudzirwa kuti urege kuisa chero chinhu mukati memukadzi kana kuita zvepabonde kwemazuva masere mushure mekushandisa kubvisa pamuviri piritsi.
Kubuda kubva pamuviri wemapiritsi kunoratidza kutanga kwemwedzi mutsva. Izvi zvinoreva kuti nguva yako yakakwana inofanira kudzoka mumavhiki mana kusvika ku8.
Kubvisa pamuviri piritsi HAKASI chinhu chimwe chete semangwanani-mushure memapiritsi .
Ramba uchifunga kuti iwe unogona kuva nemarudzi ose emanzwiro mushure mokubvisa pamuviri kwekurapa. Nemhaka yekuchinja kamwe kamwe muhomoni yako, iwe unogona kuwedzera kuva nemanzwiro. Zvinogona kubatsira kuziva kuti vazhinji vakadzi vanotaura kuti mafungiro makuru avo vanonzwa mushure mokuzorora. Uye pamusoro pevakadzi vose vakashandisa piritsi yekubvisa vaizoikurudzira kune shamwari.
Izvo zvinogona kubatsirawo kuunza mumwe munhu waunovimba newe iwe kumisangano yechiremba wako.
Zvinodhura
Iwe unogona kutarisa neinishuwarenzi yako yega yega kuti uone kana yakavhara kubvisa pamuviri. Izvo zvinotaurwa, kubvisa pamuviri piritsi kunogona kukwana kusvika madhora mazana mana, asi kazhinji kunodhura zvishoma - mari yekupedzisira inodaro kana kana iwe usingatengi kuongororwa kwakawedzerwa, chiremba anoshanyira, uye / kana kuongorora.
Sources:
Chen, MJ & Creinin, MD "Mifepristone neBaccal misoprostol yekurapa pamuviri: kubvunzurudza kwakarongeka." Obstetrics & Gynecology . 2015; 126.1: 12-21. Inowanikwa kuburikidza nekubhadhara padziviriro
Spitz, IM, Bardin, CW, Benton, L. & Robbins, A. (1998). Kuguma kwokutanga pamuviri nemapepristone uye misoprostol muUnited States. New England Journal of Medicine . 1998; 338 (18): 1241-47. Inowanikwa kuburikidza nekubhadhara padziviriro.