I-misoprostol isebenza njani?
Indlela yokwenza isilwanyana isilula: ngokuqalisa ukusebenza kwemvumelwano yesistim ye-muscle ye-myometrium ye-uterine, kunye nokwanda kwendlela yesibini yomlomo wesibeleko, ukunyakaza okusebenzayo kwezihlunu ze-uterine kwenzeka, okukhokelela ekususweni ngokuzimeleyo kweqanda lomntwana.
Ukuba sithetha malunga nokuba iMisoprostol iqala ukuthatha isenzo, ingqwalasela eninzi yecandelo ifikelelwe emva kwemizuzu eyi-15.
Ngokwemiyalelo yokusetyenziswa, i-misoprostol yokukhupha isisu ingasetyenziselwa iintsuku ezingama-42 ze-amenorrhea (zilibaziseke nyangazonke kule meko) kwaye zihlanganiswe kuphela ne-mifepristone.
Ziziphi iingqinisiso zokusebenzisa iMisoprostol?
Esi sidakamizwa sinokuphikisana amaninzi, phakathi kwazo:
- hypersensitivity;
- izifo zesimo senhliziyo;
- Izifo zesifo kunye nesibindi;
- i glaucoma;
- i-asthma ye-bronchial;
- ngxinzelelo lwegazi;
- isifo sikashukela;
- i-adrenal gland ukungasebenzi;
- ixesha lokuhlamba;
- ukukhulelwa kwegazi;
- ukusetyenziswa kwezilwanyana zokukhulelwa kwezilwanyana.
Ngendlela eyiyo ukuthatha i-misoprostol yokukhipha isisu?
Ngenjongo yokukhipha isisu, isilwanyana kufuneka sisetyenziswe nge-mifepristone, kuphela kwiinkonzo zonyango, phantsi kolawulo lwagqirha.
Ngokuqhelekileyo, abafazi banqunywe ama-600 mg we-mifepristone (amaphilisi amathathu), alandelwe ngu-400 μg ye-misoprostol (iipilisi ezimbini).
Kwenzeka ntoni emva kokuthatha i-misoprostol?
I-uterine musculature iqala ukunciphisa ngamandla. Ngelo xesha, ibhinqa ivakalelwa intlungu kwisisu somlingisi wokudonsa. Kukho ukukhutshwa kwegazi ukusuka kwisini. Nangona kunjalo, ukuba akukho kuphuma emva kokuthatha i-Misoprostol, ngoko kunokwenzeka ukuba, i-dosage engalunganga yonyango ikhethiweyo. Kwiimeko ezinjalo, i-ultrasound imiselwe ukuba ingabandakanyi ukukhupha isisu esingaphelelanga, xa umntwana engakhutshwa, kodwa uyafa. Kwingama-80% yabasetyhini, ukukhipha isisu kwenzeka emva kweeyure ezingama-6 emva kokuthatha amacwecwe, i-10% - ngeveki. Ukuhlaziywa kwakhona komfazi kwenziwa emva kweentsuku ezingama-8 emva kokusetyenziswa kweziyobisi.
Ziziphi iziphumo zecala le-misoprostol?
Emva kokusebenzisa iziyobisi, ibhinqa linokuthi:
- intloko;
- isicefe
- ukuhlanza;
- ukungcola;
- intlungu kwisithathu esezantsi kwesisu.
Kwiimeko ezinqabileyo, kunokubakho igalelo legazi ebusweni, ukwanda kweqondo lokushisa komzimba, ukungabikho komzimba, isithintelo.