Zvaunotarisira paDhigirio Rokurapa Kubvisa Zvokugadza
RU486 (zita rechiratidzo Mifeprex) rave rakawanda, rakabudirira, uye rinoshandiswa zvakachengetedzwa muFrance, Sweden, uye Great Britain kwemakore. Kubvisa pamuviri piritsi RU486 zvakare zvakare FDA-inogamuchirwa kushandiswa muUnited States. Kubvisa pamuviri piritsi (inofungidzirwawo kuti inobvisa pamuviri) inofanira kupiwa nechiremba wehutano.
Kuti uve nechikwereti chekurapa, iwe uchadaidzwa kushanyira mutapi wehutano wako katatu.
Chikamu chekutanga chekubvisa pamuviri kubvisa pamuviri piritsi RU486. Zvadaro, kana zvichidiwa, RU486 inofanira kuteverwa neyechipiri mushonga, misoprostol, kubvisa zvachose kuberekwa.
Yokutanga RU486 Kusarudzwa
Panguva yekushanya uku, mutapi wako wehutano anofanira kutanga atarisa kana iwe uri nepamuviri (kuburikidza nekuedzwa kwekuita pamuviri uye / kana nekuongorora kwepecvic). Kana iwe uri nepamuviri wako, chiremba wako angabva atanga kubata pamuviri kuburikidza nekushandisa sonogram (sezvo iyi isiri iyo yaA-FDA, vamwe vashandi vangasarudza kusaita sonogram).
Iwe uchazopiwa mapiritsi matatu (200 mg imwe neimwe) yeMifeprex (RU-486) kuti inotorwa pakarepo nemuromo. Iyi nhamba ye mifepristone inowanzoita kuti mazai anogadzirwa kuti asakwanisa kuramba akabatanidzwa pachigadziko chechibereko.
Iwe uchazogadzirisa musangano wako unotevera kuti uite mazuva maviri gare gare.
Chisarudzo cheChipiri
Panguva yekushanya uku (iyo inofanirwa kuva maawa 48 mushure mokutora mifepristone), chiremba wenyu achaita kuongororwa kuti aone kana kutakura kwapera.
Kana zvisina kudaro, iwe uchapiwa chirwere chechipiri, misoprostol, muchimiro chemapiritsi maviri angatorwa nemuromo kana semukadzikadzi suppository. Iyi mishonga inofanira kutorwa kuhofisi yechiremba uye inofanira kuita kuti pamuviri upedze kubva kune maawa matanhatu kusvika kwevhiki rimwe chete.
Izvozvo zvinokonzera uterine contractions, kuitira kuti iwe unogona kukuvara uye kubuda ropa.
Chiremba wako anogona kupa mishonga inorwadza uye anokupa mazano kana zviitiko zvinokurumidza kuitika.
The Final Appointment
Iwe unofanirwa kutevera-kushanya nekushanyira chiremba wako mavhiki maviri mushure mokutora misoprostol. Panguva ino, chiremba wako achasimbisa kuti kubata pamuviri kwakapera uye kunova nechokwadi kuti hakuna zvimwe zvinetso (zvakadai sokupinza muviri kana utachiona). Kana zvakatemwa kuti iwe uine pamuviri, zvinenge zvichinzi iwe unoronga nzira yekuvhiya kugumisa kuberekwa. Maererano neMifeprex label, "Varwere vane hupombwe hunoramba huripo pakushanyira uku kune njodzi ye fetal malformation inobva mukurapa. Kugadziriswa kushandiswa kunorudzirwa kuti utarisire kurapa kwekurohwa kwekurota pamuviri. "
Zvimwe Nezve Kubvisa pamuviri Piritsi
Kana inotorwa yoga, piritsi yekubvisa RU486 inokonzera kubvisa pamuviri kwakakwana pamusoro pe 64 muzana kusvika 85 muzana yenguva. Apo misoprostol inopiwa maawa 48 gare gare, kubudirira kwekubvisa pamuviri kunowedzera kusvika 92 muzana kusvika 98 muzana.
Kubvisa pamuviri pill side effects kunogona kusanganisira kubvongodza, zvinokonzera kushushikana, kurutsa uye kurwisa, uye kubuda ropa kunogona kugara mazuva masere kusvika gumi.
Kubvisa pamuviri piritsi RU486 ndeye FDA-inogamuchirwa kumukadzi anenge masvondo manomwe ari pamuviri (ayo akaenzana nemavhiki mashanu kubva pakuberekwa) kana kusvika kumakumi mashanu nemazuva makumi mana apera pakupedzisira kumwedzi.
Kunyange zvazvo vamwe vatapi vehutano vacharamba vachishandisa nzira iyi kuvakadzi vanopfuura vhiki masere vauri pamuviri, vanoshandisa panguva ino inofungidzirwa-off-label (zvinoreva, kwete FDA inogamuchirwa).
Pasinei nokutenda kwakakurumbira, zvinokoshawo kuziva kuti American Psychological Association yaona kuti hakuna humwe uchapupu hwokuti kubvisa pamuviri kamwe chete kuchakonzera hutano hwepfungwa .
Sources:
FDA. Mifeprex label . Yakasvika 5/12/08.
Spitz, IM, Bardin, CW, Benton, L. & Robbins, A. (1998). Kuguma kwokutanga pamuviri nemapepristone uye misoprostol muUnited States. New England Journal of Medicine, 338 (18) , 1241-47. Inowanikwa kuburikidza nekubhadhara pachedu 5/12/08