Ta yaya tsarin kiwon lafiya na ɓarna ya yi aiki?
A cikin 'yan shekarun nan, ya zama mafi sauki ga likitoci su ba da magunguna don gudanar da wani ɓarna a yayin da sakamakon hCG ko jarrabawar duban dan tayi ya tabbatar da ganewar asali ko rashin kuskure ko kuskuren da aka yi . Wannan ya ba wa mata wata hanya ta hanyar dilal da magani ( D & C ) ko kuma jirage mai tsawo na jiragowa don farawa ta al'ada.
Misoprostol don Gudanar da zubar da ciki
Mafi amfani da miyagun ƙwayoyi da aka yi amfani dashi don wannan dalili shine magani wanda ake kira misoprostol (sunan suna Cytotec), wanda aka lakafta shi azaman magani na miya amma an samo shi don taimakawa wajen tafiyar da ɓarna. Ana amfani da Misoprostol a wasu lokuta don haɗuwa tare da mifepristone, maganin antiprogesterone wanda aka sani da Mifeprex ko RU486. Wata mawuyacin hali shine cututtuka, amma wannan miyagun ƙwayoyi na iya haifar da cututtuka mafi tsanani a wasu lokuta.
Doctors na iya amfani da magani don kawo karshen hawan ciki da aka tabbatar da ita wanda ba shi da wata hadarin gaske ga lafiyar mace, amma magani ne, a wannan yanayin, yawancin lokaci ne.
Misoprostol a cikin Farko na Farko
Gudanar da maganin rashin zubar da ciki ya sa mafi mahimmanci a lokuta inda aka tabbatar da rashin kuskure amma jinin bai riga ya fara ba. Yadda yake aiki: likitanku ya tsara daya ko fiye da magunguna da ke sa cervix ya rushewa kuma yarinyar kuɗin ciki don zubar.
Wannan magani zai iya kasancewa ta baka ko kuma ta tsakiya, dangane da ƙayyadaddun yarjejeniya. Zubar da zubar da jini ta jiki ba tare da ɓarna ba yakan fara cikin kwana ɗaya ko biyu daga cikin kula da miyagun ƙwayoyi kuma yana ci gaba kamar yadda ba a yi ba. Hanyoyi masu magungunan kwayoyi na iya hada da ciwo, tashin zuciya, vomiting, da zawo.
Bisa ga binciken, yawan nasarar da aka samu don kammala fashewa bayan yin amfani da misoprostol shine kusan kashi 71 zuwa kashi 84. Yawancin matan da suka zabi aikin kula da lafiyar su saboda rashin halayen su sun yarda da zabi lokacin da aka yi hira a baya.
Risks na Amfani da Magunguna don Sarrafa Ɗauki
Hadarin yin amfani da magani don gaggauta rashin kuskure (maimakon samun D & C) suna da alaka da haɗari na ɓarna a cikin halitta. Akwai ƙananan yaduwar jini, kamuwa da cuta, da kuma buƙatar D & C daga baya idan nama ya kasance a cikin mahaifa. A bayyane yake, D & C yana ɗauke da ƙananan ƙananan haɗari, saboda haka zaɓin ya tabbata a gare ku da likitanku-sai dai a cikin waɗannan lokuta inda gaggawa na gaggawa ya buƙaci D & C. Tsayin zubar da jini don rashin zubar da ciki ta hanyar kwakwalwa ya kasance kamar misalin rashin faruwar da ya faru ba tare da shigarwa ba (kimanin makonni biyu).
Ba kowace likita ba ta ba da izinin kiwon lafiya na farko a cikin wannan lokaci, amma mutane da yawa suna aikatawa. Idan an gano ku tare da rashin hasara kuma ba a yi shawarar yanke shawara ba, sai ku tattauna da likitanku idan kuna so ku gano aikin kiwon lafiya na rashin zubar da ciki. Ana amfani da waɗannan magunguna kawai a karkashin kulawar likita.
Amfani na biyu na Truster na Misoprostol
Likitoci na iya ƙayyade misoprostol, wani lokaci tare da mifepristone, don haifar da lokacin haihuwa ko tashin hankali na biyu a lokacin da duban dan tayi ya bayyana jaririn ba tare da kullun zuciya ba ko shaida mai ma'ana cewa ciki ba zai iya yiwuwa ba. A cikin waɗannan lokuta, kwarewa shine haɓaka aiki kuma mata zasu iya dubawa a asibiti domin hanya, yayin da likita ta haifar da ɓarna na farko da za'a iya yiwa sauƙi a lokuta.
> Sources:
> Niinimäki M, Mentula M, Jahangiri R, Männistö J, Haverinen A, Heikinheimo O. Magungunan Jiya na Biyu-Fetal Fuskantarwa; wani bincike mai zurfi. Dangal G, ed. KUMA KUMA . 2017; 12 (7): e0182198. Doi: 10.1371 / journal.pone.0182198.
> Saraswat L, Ashok PW, Mathur M. Gudanarwa na Lafiya. Obstetrician & Gynecologist. 2014; 16: 79-85.
> Tulandi T, Al-Fozan HM. Marasacce zubar da ciki: Gudanarwa. Na zamani. Updated 7 ga Agusta, 2017.