Iphilisi lokukhipha isisu, elaziwa nangokuthi i-RU486 liye lasetshenziswa kabanzi futhi lisetshenziswe ngokuphepha e-United States iminyaka. Kuphinde kuqinisekiswe i-FDA njengendlela yokukhipha isisu kwezokwelapha. Igama lomkhiqizo we-RU486 yi-Mifeprex, futhi igama layo elivamile liyi-mifepristone. Ukuze usebenzise iphilisi yokukhipha isisu, kufanele ubone udokotela wezokwelapha .
Igama elithi "iphilisi lokukhipha isisu" lidukisa kancane ngoba empeleni libhekisela ekusebenziseni imithi emibili ehlukene ukuqeda ukukhulelwa kwakho.
Kubhekwa njengokukhipha isisu.
Uyisebenzisa Kanjani?
Uma ukhetha ukusebenzisa iphilisi yokukhipha isisu, kunezinyathelo ezintathu zokuyisebenzisa .
- Okokuqala, ehhovisi likadokotela wakho noma emtholampilo wezokwelapha, uzonikezwa i-RU486 (mifepristone). Ungabuye ubuzwe ukuthi uthathe imithi elwa namagciwane ngalesi sikhathi.
- Ngokulandelayo, amahora angu-24-48 ngemva kokuthatha i-mifepristone, kuzodingeka uthathe imithi yesibili ebizwa ngokuthi i-misoprostol. Qinisekisa ukuthi udokotela wakho ukunikeza imiyalelo yokuthi uzothatha kanjani i-misoprostol nokuthi nini.
- Okokugcina, ngemva kwamasonto amabili, kuzodingeka ube nokuqokwa kokulandelela nodokotela wakho. Lokhu kubaluleke kakhulu ngoba udokotela wakho uzoqinisekisa ukuthi iphilisi lokukhipha isisu seliye lasebenza. Udokotela wakho cishe uzokunikeza ukuhlolwa kokukhulelwa kwegazi noma i-ultrasound ukuqinisekisa ukuthi awusakhulelwe.
Indlela Esebenza ngayo
I-RU486 ivimbela ama-progesterone receptors emzimbeni wakho (i-hormone ephethe ukuthi kubangele uketshezi lwe-uterine ukwakha nokulungiselela ukukhulelwa).
Ngakho-ke, i-RU486 (mifepristone) ibangela ukuba uhlaka lwesisu lwakho luchithe - ngakho ukukhulelwa kwakho ngeke kusakwazi ukuqhubeka ngoba iqanda ngeke likwazi ukuhlala lihambisana nalo. Khona-ke, i-misoprostol izobangela ukuphazamiseka kwezibeletho. Lokhu kuvumela ukuthi isibeletho sakho sikhishwe.
Ubani Ongayisebenzisa?
Iphilisi lokukhipha isisu livunyelwe i-FDA kubantu besifazane abafika kumaviki angu-7 abakhulelwe (lokhu kufana nokuthi sekuyimasonto amahlanu kusukela ekukhulelwe) noma kuze kube yizinsuku ezingu-49 emva kokuhamba kwesikhathi sokugcina.
Nakuba abanye abahlinzeki bezempilo bezosebenzisa le ndlela kwabesifazane abangaphezu kwamasonto angama-7 abakhulelwe, besebenzisa i-RU486 ngalesi sikhathi kubhekwa ngaphandle-ilebula (okusho ukuthi akusekho i-FDA evunyelwe).
Okuqhamuka uma udla imishanguzo
Kufanele nakanjani ulindele ukuzwa imiphumela emibi emva kokusebenzisa iphilisi yokukhipha isisu. Lezi zingabandakanya:
- Ukugubha
- I-nausea
- Ukuvota nokuhuda
- Ukuphuma ngegazi elikhulu (kungase kube nama-clots amakhulu egazini)
- Ubuhlungu besisu
- Umkhuhlane omncane noma ama-chills
Ubude Besikhathi Nokusebenza
Kungakapheli amahora amane noma amahlanu emva kokuthatha i-mifepristone, ngaphezu kwengxenye yokukhulelwa kwabesifazane kuzoqedwa. Kwabanye, kungathatha isikhathi eside, kodwa ukukhipha isisu kufanele kwenzeke ezinsukwini ezimbalwa. I-RU486 isiza ukuqeda ukukhulelwa ngaphandle kokuhlinzwa futhi isebenza kahle ngo-92-98% uma isetshenziselwa ukuhlanganiswa ne-misoprostol. Uma i-mifepristone isetshenziselwa yedwa, cishe ku-64-85% esebenzayo.
Izinzuzo
- Ukuphumelela.
- Ukunciphisa umzimba okuncane futhi okubuhlungu kunokukhipha isisu .
- Abanye besifazane bazizwa sengathi kuyindlela yokukhipha isisu ngaphezulu ngoba izwa kakhulu efana nokukhulelwa kwesisu.
- Ngasese.
- Kungasetshenziswa ekuqaleni kokukhulelwa.
Ukungalungi
- Abanye abantu baziphatha ngokumelene nale ndlela kusukela ukukhulelwa nokufakelwa kwesisu sekuvele kwenzeke.
- I-Mifepristone kungenzeka ingabi yindlela yokukhetha abesifazane abanesibindi noma izinkinga zezinso, i-anemia, isifo sikashukela, igazi elingenayo i-Rh noma labo abakhuluphele ngokweqile.
- Le ndlela idinga ukuvakashelwa kudokotela izikhathi eziningana, futhi kusekhona kungenzeka ukuthi ngeke isebenze.
- Uma iphilisi yokukhipha isisu lingakapheli ukukhulelwa kwakho, kunethuba lokuthi kungenzeka kube nokukhubazeka kokuzalwa.
Okunye okucatshangwayo
Ungaphinda ukhulelwe futhi ngemuva kokusebenzisa iphilisi yokukhipha isisu, ngakho qinisekisa ukuthi usebenzisa ukukhulelwa kokukhulelwa .
Kuyinto evamile ukuba negazi noma ukuphawula kuze kube amasonto amane emva kokusebenzisa iphilisi yokukhipha isisu. Ngeviki lokuqala ngemuva kwalokho, kufanele usebenzise kuphela amaphuzu uma uphala.
Kunconywa ukuba ungafaki lutho emaseni noma ulale ucansi okungenani izinsuku eziyisikhombisa emva kokusebenzisa iphilisi yokukhipha isisu.
Ukuphuma kwamaphilisi okukhipha isisu kubonisa ukuqala komjikelezo omusha wokuya esikhathini. Lokhu kusho ukuthi isikhathi sakho esivamile kufanele sibuyele emavikini angu-4 kuya kwangu-8.
Iphilisi lokukhipha isisu alifani nephilisi- ekuseni .
Khumbula ukuthi unayo yonke imizwa emva kokukhipha isisu. Ngenxa yokushintsha okungazelelwe emazingeni akho e-hormone, ungase ube nomzwelo ngaphezulu. Kungasiza ukwazi ukuthi iningi labesifazane libika ukuthi umzwelo oyinhloko abazizwa ngemva kwalokho ukukhululeka. Futhi cishe bonke abesifazane abasebenzisa iphilisi yokukhipha isisu bangayincoma kumngani.
Kungase kube usizo ukuletha umuntu omethembayo nawe ekuqokweni kukadokotela wakho.
Izindleko
Ungabheka umshuwalense wakho wangasese ukuze ubone ukuthi zihlanganisa yini ukukhipha isisu. Lokhu kuthiwa, iphilisi lokukhipha isisu lingadla ku-$ 800, kepha ngokuvamile libiza kancane - izindleko zokugcina zixhomeke ukuthi noma ngabe ungadinga ukuhlolwa okungeziwe, ukuvakashelwa odokotela, kanye / noma izivivinyo.
Imithombo:
Chen, MJ & Creinin, MD "I-Mifepristone ene-buccal misoprostol yokukhipha isisu: ukubuyekezwa okuhlelekile." I-Obstetrics & Gynecology . 2015; 126.1: 12-21. Kufinyelelwe ngokubhalisa kwangasese
Spitz, IM, Bardin, CW, Benton, L. & Robbins, A. (1998). Ukuqeda ukukhulelwa kokuqala nge mifepristone ne-misoprostol e-United States. I-New England Journal of Medicine . 1998; 338 (18): 1241-47. Kufinyelelwe ngokubhalisa kwangasese.