I-Mifepristone isebenza njani xa ukukhulelwa kuphazamiseka?
Kwisigaba sokuqala sokukhulelwa, oko kukuthi, ngaphambi kwexesha lesithandathu leveki, le nkunkuma ingasetyenziselwa ingxamiseko okanye ukuphazamiseka okucwangcisiweyo. I-Mifepristone ivimba ukuhlanganiswa kweprogesterone kwinqanaba le-receptors, kwaye ekubeni le hormone iyimfuneko kwikhosi eqhelekileyo yokukhulelwa kunye nesisu, ngenxa yendlela yokwamkelwa kwayo, ukukhishwa kweqanda le-fetal livela.
Ngaloo ndlela, phantsi kwesenzo sonyango, ama-capillary e-placental atshabalaliswa, ngenxa yoko umbungu uphawula kwiindonga zesisu kwaye ususwe ngaphandle. Njengomthetho, ukwenzela ukufezekisa umphumo okhawulezayo kwaye ophawulekayo, ukongezwa kwe-prostaglandin, umzekelo, iDinoprost okanye iMisoprostol, ukongezwa. Ezi zi yobisi zandisa ukontrakthi we-uterine musculature, ukwenzela ukuba iqanda le-fetal likhutshwe ngokukhawuleza.
I-Mifepristone isebenza njani ngexesha lokubeletha?
Ngokuqhelekileyo, i-mifepristone isetyenziswe kwisithuba sokugqibela sokukhulelwa ukukhuthaza ukuhanjiswa kwimeko apho inzala yokuzalwa yemvelo ayifumanekanga kumfazi. Kule meko, ukuthatha iilisi kukhuthaza ukuvulwa komlomo wesibeleko kunye nokuqala kokunyakaza kwe-fetal ngokusebenzisa isalathiso sokuzalwa. Njengomthetho, ngekhosi eqhelekileyo yokukhulelwa, oku kubangela ukuvela kwemfazwe kunye nokuphunyuka kwe-amniotic fluid, ukwenzela ukuba umama osemncinci anikezelwe ngokuzalwa.
Usebenza njani ngokukhawuleza uMifepristone?
Uninzi lwabasetyhini abaphoqelelwe ukusebenzisa le myeza banomdla kumbuzo wokuba uMifepristone wenza ntoni ngokukhawuleza ngexesha lokuvuselela abasebenzi okanye ukupheliswa kokukhulelwa. Eli xesha lixhomekeka kwiimeko ezininzi kunye nemeko jikelele yomzimba wentombazana, kodwa ngokwesilinganiso impembelelo yokuthatha iyeza iqala ukubonakala emva kweeyure ezingama-24. Ngelo xesha, uxinzelelo oluphezulu lweMifepristone egazini lomama ozayo lufikelelwe kwiiyure ezingama-4. Isiqingatha sobomi besilwayo, kwakhona, iiyure eziyi-18.
Nangona kunjalo, kukho na matyala xa, emva komhla, iMifepristone ayinaso umphumo kumzimba wesetyhini okhulelwe, kwaye kule meko kufuneka athathe elinye ipilisi. Ukuba ke, nangona kunjalo, ukulawulwa kwexesha elibini leziyobisi akuzange kube nempembelelo efunwayo, ugqirha unokumisela omnye, uncedo olungakumbi.
I-Mifepristone ichaphazela njani umntwana?
Ukutya kwe-Mifepristone kwisilinganisi esifanelekileyo ngokungabikho kokuphikisana kumfazi okhulelwe akuchaphazeli kakhulu umntwana. Nangona kunjalo, le ngcebiso ingasetyenziselwa ukuvuselela ukuhanjiswa kuphela phantsi kweliso lugqirha, kuba liyeza kakhulu kwaye lingabangela iingxaki.
Ukugqithisa umlinganiselo ovumelekileyo we-Mifepristone akunakwenzeka phantsi kwazo naziphi na iimeko - oku kunokukhokelela ekuqaleni kwe-hypoxia yengqondo enganeni engakazalwa, leyo leyo ingakhokelela kwimiphumo emibi ekufeni komntwana.
Indlela yokumisa isenzo seMifepristone?
Kwiimeko ezinqabileyo, kunokukho imeko apho kuya kuba nemfuneko yokumisa isenzo seMifepristone kwaye umise ukuphazamiseka kokukhulelwa. Ukwenza oku, faka i-200 mg yeProgesterone nge-intramuscularly kwiintsuku ezimbini ezilandelelanayo emva kokuthabatha iziyobisi, uze wenze ii-injection ezinjalo ngamaxesha amathathu ngeveki de kube sekupheleni kwekota yesibini.
Ukugcina ukukhulelwa kwezi meko akusoloko kunokwenzeka, kwaye ukukwazi ukuzala ngokuphumelelayo kwintsana kukuphakamileyo, ixesha elincinane lidlulileyo phakathi kokungenwa kwe-Mifepristone kunye ne-Progesterone injection.