Iphilisi yokukhipha isisu, eyaziwa ngokuba yi-RU486 iye yafunyanwa ngokubanzi kwaye isetyenziswa ngokukhuselekileyo e-United States iminyaka. Kuye kwavunyelwa i-FDA njengokhetho lokukhipha isisu. Igama legama le-RU486 li-Mifeprex, kwaye igama layo eliqhelekileyo li-mifepristone. Ukuze usebenzise ipilisi yokukhipha isisu, kufuneka ubone ugqirha wezobugcisa .
Igama elithi "i-pilisi yokukhupha isisu" yinto ephosakeleyo ngenxa yokuba ibhekiselele ekusebenziseni amayeza amabini ahlukeneyo ukuphelisa ukukhulelwa.
Kuthathwa njengento yokukhipha isisu.
Uyisebenzisa njani?
Ukuba ukhetha ukusebenzisa ipilisi yokukhipha isisu, kukho amanyathelo amathathu okuyisebenzisa .
- Okokuqala, kwi-ofisi yakho ugqirha okanye kwikliniki yezokwelapha, uya kunikwa i-RU486 (mifepristone). Unokucelwa ukuba uthathe i-antibiotiki ngeli xesha.
- Emva koko, iiyure ezingama-24 ukuya kwii-24 emva kokuba uthathe i-mifepristone, kuya kufuneka uthathe iyeza lesibini elibizwa ngokuthi i-misoprostol. Qinisekisa ukuba ugqirha wakho ukunika imiyalelo malunga nendlela kunye nexesha lokuthatha i-misoprostol.
- Ekugqibeleni, emva kweveki ezimbini, kuya kufuneka ukuba ube nokuqokwa kokulandelelana nodokotela wakho. Oku kubaluleke kakhulu kuba ugqirha wakho uya kuqinisekisa ukuba ipilisi yokukhipha isisu sele isebenze. Ugqirha wakho uza kukunika uvavanyo lokukhulelwa kwegazi okanye i-ultrasound ukuqinisekisa ukuba awusakhulelwe.
Ingaba isebenza kanjani
I-RU486 inqanda i-progesterone receptors emzimbeni wakho (ihommoni ephetheyo yokubangela utywala lwe-uterine ukwakha nokulungiselela ukukhulelwa).
Ngoko, i-RU486 (mifepristone) ibangela ukuba inxalenye yesisu sakho ichithe - ngoko ukukhulelwa kwakho akukwazi ukuqhubeka ngenxa yokuba iqanda aliyi kubakho nto. Emva koko, i-misoprostol iya kubangela iziphene ze-uterine. Oku kuvumela ukuba i-uterus yakho ikhutshwe.
Ngubani Ongayisebenzisa?
Ipilisi yokukhipha isisu ivunyiwe yi-FDA yabasetyhini abafikelela kwiiveki ezi-7 ezikhulelwe (oku kufana neentsuku ezi-5 ukususela ekuqaleni) okanye ukuya kwiintsuku ezingama-49 emva kokuhamba kwakho kwexesha lokugqibela.
Nangona abanye ababoneleli bezempilo baya kusetyenziswa le ndlela kubasetyhini abangaphezu kweeveki ezi-7 ezikhulelweyo, usebenzisa i-RU486 ngeli xesha liqwalaselwa ngaphandle-itytile (intsingiselo, ayisisayi kuvunyelwa i-FDA).
Imiphumela
Ngokuqinisekileyo kufuneka ulindele ukuva iimiphumo emva kokusebenzisa ipilisi yokukhipha isisu. Ezi ziquka:
- Ukuqhawula
- I sizathu
- Ukuvuthwa kunye nehudo
- Ukuphuma kwamanzi amakhulu (kunokubakho iifutha ezinkulu kwigazi)
- Intlungu yesisu
- Ifiva okanye i-chills
Ubude bexesha kunye nezobugcisa
Emva kweeyure ezine okanye ezintlanu emva kokuthatha i-mifepristone, ngaphezu kwesigamu sabakhubaza abafazi baya kugqitywa . Kwabanye, kungathatha ixesha elide, kodwa isisu kufuneka senzeke kwiintsuku ezimbalwa. I-RU486 inceda ukuqeda ukukhulelwa ngaphandle kokuhlinzwa kwaye i-92-98% esebenzayo xa isetyenziselwa ukudibanisa ne-misoprostol. Xa i-mifepristone isetyenziselwa yodwa, malunga ne-64-85% esebenzayo.
Inzuzo
- Ngempumelelo.
- Ukunciphisa umzimba kunye nokubuhlungu kumzimba kunokukhupha isisu .
- Abanye besetyhini bavakalelwa kukuba kuyindlela yokukhwabanisa kwemvelo kuba ivakalelwa kakhulu ngokusweleka komzimba.
- Ngasese.
- Inokusetyenziswa kusekuqaleni kokukhulelwa.
Iingxaki
- Abanye abantu baziphatha ngokuchasene nale ndlela kubakho ukukhulelwa kunye nokufakelwa kwendawo sele kwenzekile.
- I-Mifepristone ayinakukhethwa ngabafazi abaneengxaki zesibindi okanye iingxaki zeengso, i-anemia, isifo sikashukela, igazi elingenayo i-Rh okanye abo bakhuluphele kakhulu.
- Le ndlela idinga ukutyelela ezininzi ugqirha, kwaye kusekho inokwenzeka ukuba ayikwazi ukusebenza.
- Ukuba iipilisi zokukhipha isisu azizange ziphelise ukukhulelwa kwakho, kukho ithuba lokuba kunokuba neziphene zokuzalwa.
Ezinye izinto
Unokukhulelwa kwakhona emva kokusebenzisa iipilisi zokukhipha isisu, ke qiniseka ukuba usebenzisa ukukhulelwa kwe-contraception .
Kuqhelekile ukuba uphephe okanye uphawule iiveki ezine emva kokusebenzisa ipilisi yokukhipha isisu. Kwiveki yokuqala emva koko, kufuneka usebenzise kuphela iipads xa uphala.
Kunconywa ukuba ungenise into ethile kwisisu okanye ulale ngesondo ubuncinane iintsuku ezisixhenxe emva kokusebenzisa ipilisi yokukhipha isisu.
Ukuphuma kwamanzi kwipilisi yokukhipha isisu ukuqala komjikelezo omtsha wokuhamba. Oku kuthetha ukuba ixesha lakho eliqhelekileyo kufuneka libuyele kwiiveki ezi-4 ukuya kwezi-8.
Ipilisi yokukhipha isisu ayifani into efanayo nepilisi yokusa .
Gcina ukhumbule ukuba unakho zonke iintlobo zeemvakalelo emva kokukhipha isisu. Ngenxa yokutshintsha ngokukhawuleza kumanqanaba akho e-hormone, unokuba uvakalelwa ngakumbi. Kunokukunceda ukwazi ukuba abaninzi abafazi babika ukuba imvakalelo eyona nto abavakalelwa emva koko iyanceda. Kwaye malunga nawo onke amabhinqa asebenzise ipilisi yokukhipha isisu ayakuyincoma kumhlobo.
Kwakhona kunokuba luncedo ukuzisa umntu othembela nawe kunye nokuqeshwa kukagqirha.
Iindleko
Unokuzijonga nge-inshurensi yakho yangasese ukuze ubone ukuba zibandakanya ukukhipha isisu. Oko kuthethwa, ipilisi yokukhipha isisu ingaba i-$ 800, kodwa ihlala ibiza ixabiso elingaphantsi - iindleko zokugqibela zixhomekeke ekubeni okanye ungazifuna iimvavanyo ezongezelelweyo, ukutyelela ugqirha, kunye / okanye iimviwo.
Imithombo:
UKen, MJ & Creinin, MD "Mifepristone kunye ne-bucc misoprostol yokukhupha isisu: ukuhlolwa ngokufanelekileyo." I-Obstetrics & Gynecology . 2015; 126.1: 12-21. Kufumaneka ngokubhalisa kwangasese
Spitz, IM, Bardin, CW, Benton, L. & Robbins, A. (1998). Ukuphela kokukhulelwa kwangaphambili kunye ne-mifepristone kunye ne-misoprostol e-United States. I-New England Journal of Medicine . 1998; 338 (18): 1241-47. Kufumaneka ngokubhalisa kwangasese.