Ndeipi ropa rakawanda rinotevera mushure mokubvisa pamuviri?

Kwete nguva dzose muupenyu huse hunoenda maererano neurongwa hwezvirongwa. Dzimwe nguva mukadzi anomanikidzwa kuenda kunobvisa pamuviri, uye anoda kuziva kuti ropa rinowedzera sei shure kwekubvisa pamuviri kwekurapa.

Chii chiri chemikemikari (chiremba) kubvisa pamuviri?

Sezvaunoziva, kukanganisa kwepamuviri kuburikidza nekuvhiyiwa kunoshungurudza zvikuru pamuviri wechikadzi uye kunotakura mikana yakawanda yezvinetso mune ramangwana. Imwe nzira inonzi inonzi pharmacological pamuviri nekushandiswa kwemapiritsi ayo anosimba muviri kuti ubvise fetus egg. Mazuva mashoma ropa rinotevera mushure mokubvisa pamuviri kunobva pane imwe nyama yemukadzi, hapana nguva yakajeka.

Kubvuma kwekutanga kunotadzisa kubudiswa kweprogesterone, uye muviri wechikadzi haugoni kurongerwa kubata pamuviri. Bhebheti yechipiri inotungamirira kukurudzirwa kwechibvumirano chechibvumirano chechiberekero nekudzingwa kwe fetus.

Kubatsirwa kwekodhiya

Mazuva ano gynecologists vanokurudzira kuitisa kudengenyeka kwezvinodhaka, panzvimbo yekuvhiya kwechidimbu kana kusasva-aspiration. Iyi nzira inozivikanwa neWIV seyo yakachengeteka. Zvinyorwa zvaro zvinosanganisira:

1. Iko kusanyanya kukanganisa pamuviri wechikadzi.
2. A low peresenti yezvinetso pashure pekuita.
3. Kusabatwa kweanesthesia.
4. Kusuruvara kunorwadza.
5. Hazvigarisi kubereka kwevakadzi munguva yemberi.
6. Kusiyana kwakakura mupfungwa dzepfungwa kubva pane zvakajairika.
7. Nemhaka yekushayikwa kwekupindira kwekuvhiya, kuderera kweropa kuduku.
8. Kurumidza kudzokera kuhupenyu hwehupenyu - mukati maawa maviri.

Kukanganisa kwekubvisa pamuviri wevelvet

Asi, pasinei nezvose zvakakosha zvekushungurudzwa kwezvinodhaka, pane zvimwe zvipikano pano - kutakura hakufaniri kuenda kudarika nguva inoda (mazuva 42-49 kubvira pakutanga kwekupedzisira), kana masvondo matanhatu kusvika ku7. Pakati pezvikanganiso, kutaurwa kunofanira kuitwa ne:

1. Mishonga haisi kupindira ectopic pamuviri.
2. Kana nokuda kwechimwe chikonzero kubvisa pamuviri hakuiti uye fetus inowedzera mberi, mukana wekuberekwa kusagadzikana kwakanyanya kwazvo.

Algorithm yekubvisa pamuviri

Mukadzi anosarudza nzira iyi anofanira kuziva zvaanotarisira kubva pane zvaanenge achiita. Mushure mokupfuura maitiro e-ultrasound ekuongorora uye kutora miedzo kumurwere:

1. Ipa piritsi yekutanga pamberi pevashandi vehutano. Inogona kukonzera kushungurudzika kuduku uye kuvhara kubuda kana chinhu chisingazoitiki. Zvinotora nguva.
2. Mushure mokunge, murwere anotora mushonga wechipiri maererano nechisarudzo chechiremba. Panguva ino, zvinyorwa zvinogona kuwedzera, asi kwete kusvikira kubuda ropa. Mushure memaawa matatu kusvika maawa matanhatu, fetus inodzingwa nenzira yekuenda kumwedzi nguva dzose.
3. Mushure memavhiki maviri, kutora ultrasound kunoitwa.

Nzira iyo ropa rinopera mushure mekuregererwa kwechiremba kwekuita pamuviri hakurevi kune chiremba. Mhuka yese yevakadzi inopindura nenzira yayo pachayo. Kazhinji kazhinji kubuda ropa kwakawanda, sekuenda kumwedzi uye kunopera mazuva anenge 7-10.

Muzviitiko zvisingawanzoitiki, kubuda ropa kunogona kunonoka kusvika panguva inotevera yekuenda kumwedzi. Izvi zvakare zvekare, kunze kwekuti zvishoma nezvishoma hazvina maturo. Asi kana ropa rinopera kuenda kana muawa rimwe mukadzi anomanikidzwa kutora mapaipi maviri makuru, uye nokukurumidza unoda rubatsiro kubva kuvarume vegynecologists.