Kubuda pamuviri kwepasi (chemikemikari, medicamental) inzira yekubvisa pamuviri nekubatsira kwemishonga, iyo isingadyi kushandiswa kwekuvhiya.
Tsanangudzo uye nzira yehupfumi-kubvisa pamuviri
Mishonga inobvisa mishonga inobatwa panguva yegesting yemasvondo matanhatu. Kubudirira kwenzira yacho inenge 95-98%. Nzira yekubvisa pamuviri inosanganisira zvikamu zviviri.
- Pachigamba chekutanga, an anamnesis inotorwa, kuongororwa kwomukadzi ane pamuviri uye ultrasound inoitwa, mushure mezvo murwere anotora Mifepristone. Izvi zvinodhaka zve steroid zvakadzivisa simba reprogesterone , sechikonzero chekubatanidza kwema embryo ne endometrium kwakaputsika, uye kubvumirana kwehutachi uterine huwedzerwa.
- Pachipiri chechipiri (mushure memazuva maviri), murwere anopiwa Mizoprostol, semugumisiro wechipfuva chinowedzera simba, uye iyo fetal egg inodzingwa kunze. Chiremba anotarisa nzira yacho nekubatsirwa kwe ultrasound.
Pazvikamu zviviri izvi murwere anoonekwa nevarapi vemaawa maviri. Kudzora ultrasound kunoitwa mazuva maviri mushure mekubvisa pamuviri wemakemikari. Pashure pevhiki imwechete kana maviri, dzokorora ultrasound uye gynecological examination.
Zvakanakira nzira iyi:
- outpatient abortion;
- kuderedza kushungurudzika;
- hazvidi kuti mukuru anesthesia;
- Izvo hazvina matambudziko nenzira yekubatanidza, zvinotyisa, utachiona hwechibereko;
- kukwanisa kuve nepamuviri kunodzorerwa kune imwe nguva yekuenda kumwedzi.
Zvinetso zvinogona kuitika ne pharm-kubvisa pamuviri
Zvinetso zvekubvisa pamuviri izvi zvinosanganisira:
- uterine kubuda ropa ;
- kurwadziwa mucheche pasi;
- kushungurudza, kurutsa, chirwere;
- kutonhora, chills;
- zvinokonzera kugadzirisa;
- mumamiriro ezvinhu apo kubvisa pamuviri kusina kumboitika, ectopic pregnancy inogoneka.
Contraindications:
- anatomical defects ye chibereko: tumaronda, zvinotyisa, kukura kwezvinhu zvisina kunaka;
- zvirwere zvinoputika zve mavha mavari uye chibereko;
- renal kana hepatic insufficiency;
- chimiro chakanyanya chechirwere chechibhakoma;
- chirwere cheropa coagulation uye anemia yekuenzanisa uye yakasimba zvakasimba.