Hiki iā Abortion ke kumu i ka hānau ʻole?

Anter

• He aha nā ʻano o ka hāpai keiki?
• Hoʻoiho maʻi lapaʻau
• Hoʻokiʻi ʻōpala
• He aha nā pilikia mai ka hāpai ʻana?
• He aha ka maʻi ʻo Asherman?
• He aha ka nānā no ka momona ma hope o ka hāpai ʻana?
• ʻO ka lawe lawe ʻana

I ka terminology olakino, ʻo ka huaʻōlelo "abortion" hiki ke manaʻo i ka hoʻopau hoʻolālā ʻia o kahi hāpai keiki a i ʻole kahi hāpai e hopena i ka hānau ʻole. Eia nō naʻe, ke kuhikuhi ka hapanui o ka poʻe i ka hāpai keiki, manaʻo lākou he abortion i hoʻokomo ʻia, a pēlā e hoʻohana ʻia ai ka huaʻōlelo i kēia ʻatikala.

Inā loaʻa ʻoe i kahi ʻōpū i hoʻokomo ʻia, hopohopo paha ʻoe i ke ʻano o ia no ka momona a me nā hāpai hāpai i ka wā e hiki mai ana. Eia naʻe, ʻaʻole pili ka loaʻa ʻana o ka ʻōpū i kou hiki ke hāpai hou i kekahi manawa ʻē aʻe.

ʻO kahi ʻokoʻa loa inā loaʻa ʻoe i ka scarring ma hope o kahi ʻōpū o ke kahakaha, kahi ʻano i kapa ʻia ʻo Asherman syndrome.

E ʻimi ana kēia ʻatikala i nā ʻano abortions like ʻole, ka momona o ka wā e hiki mai ana, a me ka mea e hana ai inā pilikia ʻoe i ka hāpai ʻana ma hope o ka hāpai keiki.

He aha nā ʻano o ka hāpai keiki?

ʻOiai ʻano laha ʻole, i kekahi manawa ke ʻano o ka ʻōpū āu i pili i kāu momona i ka wā e hiki mai ana. ʻO ka maʻamau, ʻo ke ʻano o ka hāpai keiki e pili ana i ka lōʻihi o ka hāpai ʻana o ka hāpai. Hiki paha i kahi manawa ke koi inā makemake ke kanaka i kahi maʻi lapaʻau a lāʻau lapaʻau paha.

Hoʻoiho maʻi lapaʻau

Hana kahi abort lapaʻau i ka wā e lawe ai ka wahine i nā lāʻau e hoʻohuli i ka hāpai keiki. I kekahi manawa, lawe paha ka wahine i kēia mau lāʻau no ka mea ua ʻike ʻo ia i ka hāpai keiki ʻole. Kōkua nā lāʻau i ka hōʻoia ʻana i nā huahana o ka hāpai ʻana e hōʻalo i ka maʻi a no laila hiki i ka wahine ke hāpai hou i ka wā e hiki mai ana.

ʻO ka koho abortion lāʻau a ke kauka e kuhikuhi pinepine ai i ka makahiki hānau a i ʻole ehia mau pule i loko o ka hāpai keiki ke kanaka.

ʻO nā laʻana o ka hoʻokalakupua lapaʻau e pili ana i ka manawa e hoʻopili ʻia:

• E hāpai i nā hebedoma 7: Hiki i ka lāʻau lapaʻau methotrexate (Rasuvo, Otrexup) ke hoʻopau i nā hunaola i ka embryo mai ka hoʻonui wikiwiki ʻana. Lawe kahi wahine i ka lāʻau misoprostol (Cytotec) e hoʻonāukiuki i ka hoʻoliʻiliʻi uterine e hoʻokuʻu i ka hāpai ʻana. ʻAʻole hoʻolaha nui nā kauka i ka methotrexate - mālama ʻia kēia ala no nā wahine me ka hāpai ʻana ectopic, kahi e ulu ai ka embryo ma waho o ka kōpū a hiki ʻole ke hāpai.
• Hōʻea i nā hebedoma he 10: Hiki paha i ka hoʻohaʻahaʻa lapaʻau ke lawe i nā lāʻau ʻelua, e like me mifepristone (Mifeprex) a me misoprostol (Cytotec). ʻAʻole hiki i nā kauka āpau ke kuhikuhi i ka mifepristone - pono i nā mea he nui e hōʻoia kūikawā e hana pēlā.

Hoʻokiʻi ʻōpala

ʻO kahi ʻōpū surgical kahi hana e hoʻopau ai i ka hāpai ʻana a i ʻole e wehe i nā huahana i koe o ka hāpai ʻana. E like me nā hoʻōkō lāʻau lapaʻau, hilinaʻi paha ke ala i ka manawa.

• Hōʻea i nā hebedoma 16: ʻO ka makemake nui o ka holo kekahi o nā ala maʻamau i ka hāpai keiki. Hoʻopili kēia i ka hoʻohana ʻana i nā pono hana kūikawā e hemo ai i ka ʻōpū a me ka placenta mai ka pūpū.
• Ma hope o 14 mau pule: ʻO ka dilation a me ka neʻe ʻana (D&E) ka wehe ʻoki o ka fetus a me ka placenta. Hoʻohui ʻia paha kēia ala me nā ʻenehana ʻē aʻe e like me ka ʻimi ʻana o ka hakahaka, ka wehe ʻana i ka forceps, a i ʻole ka dilation a me ka curettage. Hoʻohana pū nā kauka i ka dilation a me ka curettage (D & C) e hoʻoneʻe i nā huahana i koe o ka hapai inā ua hānau ʻole kekahi wahine. ʻO Curettage ke ʻano o ke kauka e hoʻohana i kahi mea hana kūikawā i kapa ʻia curette e hoʻoneʻe i nā mea pili i ka hāpai ʻana mai ka uhi uterine.
• Ma hope o 24 mau pule: ʻO ke kuʻu induction kahi ala e hana pinepine ʻole ʻia ma United States, akā hōʻike ʻia i nā wā hope o ka hāpai ʻana. ʻO nā kānāwai e pili ana i ka hāpai keiki ma hope o 24 mau pule he ʻokoʻa e ka mokuʻāina. Hoʻopili kēia kaʻina hana i ka loaʻa ʻana o nā lāʻau e hoʻokomo i ka lawe. Ma hope o ka hānau ʻana o ka ʻōpū, e lawe ke kauka i kekahi huahana o ka hapai ʻana, e like me ka placenta, mai ka pūpū.

Wahi a ka Guttmacher Institute, ua koho ʻia he 65.4 pākēneka o ka hāpai keiki i ka wā he 8 mau wahine e hāpai ana a i ʻole ma mua. Kuhi ʻia he 88 pākēneka o ka hāpai keiki e hana i nā hebedoma 12 mua o ka hāpai keiki.

Ke hoʻopau ʻia kahi ʻōpū ma kahi ʻano olakino, palekana, ʻo ka hapa nui o nā kaʻina hana ʻaʻole e hoʻopili i ka momona. Eia nō naʻe, e kamaʻilio mau i kāu kauka e pili ana i kāu hopohopo.

He aha nā pilikia mai ka hāpai ʻana?

Wahi a ka American College of Obstetricians and Gynecologists (ACOG), ʻo kahi abortion kahi hana haʻahaʻa haʻahaʻa. ʻO ka makaʻu o ka make ma hope o ka hāpai keiki ma lalo o 1 i 100,000. ʻO ka wā ma hope o kona hāpai ʻana he hāpai keiki ka wahine, ʻoi aku ka nui o kona makaʻu no nā pilikia; akā naʻe, ʻo ka makaʻu o ka make ma hope o ka hānau ʻana he 14 mau manawa ke kiʻekiʻe aʻe ma mua o ka makaʻu o ka make ma hope o ka hānau mua.

ʻO kekahi o nā pilikia kūpona e pili ana i ka hāpai keiki ʻana:

• Kaheʻana o ke koko: Hiki i ka wahine ke ʻike i ke kahe ʻana ma hope o ka hāpai keiki. ʻO ka maʻamau, ʻaʻole nui loa ke kahe o ke koko he pilikia olakino ia. Eia nō naʻe, kākaʻikahi, hiki i ka wahine ke kahe i ke koko a koi aku ʻo ia i ke kōpili koko.
• Hoʻopau pono ʻole: Ke hiki kēia, hiki ke waiho i nā kikoʻī a i ʻole nā ​​huahana ʻē aʻe o ka hapai i loko o ka kōpū, a pono paha i kekahi kanaka i kahi D & C e hoʻoneʻe i nā mea i koe. ʻOi aku ka makaʻu o kēia ke lawe kekahi i nā lāʻau no kahi ʻōpū.
• Maʻiʻaʻai: Hāʻawi pinepine nā kauka i nā lāʻau antibiotic ma mua o ka abort e pale ai i kēia pilikia.
• Ka hōʻeha i nā ʻōpuni e pili ana: I kekahi manawa, hōʻeha hewa paha ke kauka i nā ʻōnaehana kokoke i kahi ʻōpū. ʻO nā laʻana me ka uterus a i ʻole ka ʻai. ʻO ka makaʻu e hiki mai kēia e hoʻonui i ka mea hou aʻe ma ka wahine i kahi hāpai.

ʻO ka ʻenehana, nā mea āpau e hoʻonā i ka ʻōpū i ka hiki ke hoʻololi i ka momona o ka wā e hiki mai ana. Eia nō naʻe, ʻaʻole paha e hiki mai kēia.

He aha ka maʻi ʻo Asherman?

ʻO ka maʻi ʻo Asherman kahi pilikia paʻakikī hiki ke hana ma hope o ka loaʻa ʻana o kahi kaʻina hana o ka wahine, e like me D & C, i hiki ke hōʻino i ka uhi ʻana o ka uterine.

Hiki i ke ʻano ke hoʻoulu i ka scarring i loko o ka lua uterine. Hiki i kēia ke hoʻonui i ka likelika i ka hāpai ʻana o ka wahine i kahi hānau ʻole a i ʻole nā ​​pilikia e hāpai i ka wā e hiki mai ana.

ʻAʻole pinepine ʻo Asherman syndrome. Eia nō naʻe, inā hana ia, hiki i nā kauka ke mālama pinepine i ke ʻano me ke ʻoki ʻana e lawe i nā wahi wili o nā mea i loko o ka kōpū.

Ma hope o ka hemo ʻana o ke kauka i kaʻiʻo makaʻu, e haʻalele lākou i kahi pāluna i loko o ka kōpū. Kōkua ka baluna i ka ʻōpū e wehe hāmama i hiki ai iā ia ke hoʻōla. Ke ola ka ʻōpū, wehe ke kauka i ka baluna.

He aha ka nānā no ka momona ma hope o ka hāpai ʻana?

Wahi a ACOG, ʻaʻole pili ka loaʻa ʻana o ka hāpai keiki i kou hiki ke hāpai i ka wā e hiki mai ana. ʻAʻole ia e hoʻonui i nā pilikia no nā pilikia o ka hāpai inā koho ʻoe e hāpai hou.

Paipai nā kauka he nui i ka hoʻohana ʻana i kekahi ʻano o ka kaohi hānau ma hope koke o ka hāpai ʻana no ka mea he hiki i ka wahine ke hāpai hou ke hoʻomaka ʻo ia e ovulate.

Paipai pinepine nā kauka i ka wahine e hōʻole i ka moekolohe no kekahi manawa ma hope o ka hoʻēmi keiki e ʻae ai i ka manawa o ke kino e hoʻōla.

Inā loaʻa iā ʻoe ka paʻakikī e hāpai ma hope o ka hoʻēmi keiki, he mea nui e noʻonoʻo i kekahi o nā kumu ʻē aʻe i hiki ke hoʻohuli i kāu momona, ʻoiai ʻaʻole he kumu o ka hāpai keiki i ka wā ma mua. Hiki i kēia mau mea ke hoʻopili i ka momona:

• Makahiki: Ke ʻelemakule nei ʻoe, e emi ana kāu momona. Heʻoiaʻiʻo loa kēia no nā wahine i ʻoi aku i ka 35 mau makahiki, e like me ka.
• Nā nohona ola: ʻO nā ʻano nohona, e like me ka puhipaka ʻana a me ka hoʻohana ʻana i ka lāʻau, hiki ke hoʻopili i kou momona. Pēlā nō ia no kāu hoa.
• Mōʻaukala olakino: Inā loaʻa iā ʻoe kahi moʻolelo o nā maʻi i loaʻa i ka moekolohe (STI), e like me chlamydia a i ʻole gonorrhea, hiki i kēia mau mea ke hoʻopili i kāu momona. Pēlā nō ia no nā maʻi maʻi mau e like me ka maʻi diabetes, nā maʻi autoimmune, a me nā maʻi hormonal.
• ʻO ka momona a Partner: Hiki i ka maikaʻi semen ke hoʻopili i ka hiki i ka wahine ke hāpai. ʻOiai inā ua hāpai ʻoe me ka hoa like i ka wā ma mua, hiki i nā ʻano nohona a me nā ʻelemakule ke hoʻopili i ka momona o kāu hoa.

Inā pilikia ʻoe i ka hāpai ʻana, e kamaʻilio me kāu gynecologist. Hiki iā lākou ke aʻo iā ʻoe e pili ana i nā kaupaona e hiki ai ke kōkua, a me ka ʻōlelo ʻana i kahi loea hānau e hiki ke kōkua iā ʻoe e ʻike i nā kumu a me nā koho lapaʻau kūpono.

ʻO ka lawe lawe ʻana

ʻO kahi abort kahi hana olakino a lawe paha i nā lāʻau e hoʻopau i kahi hāpai. Wahi a ka Guttmacher Institute, ua koho ʻia he 18 pākēneka o nā hāpai keiki maʻAmelika Hui Pū ʻIa ma 2017 i pau ma muli o ka hāpai keiki. Nānā ʻole i ke ala e hele ai, noʻonoʻo nā kauka i nā ʻōnaehana he palekana loa nā kaʻina hana.

ʻO ka loaʻa ʻana o kahi ʻōpū ʻaʻole ia he kumu ʻaʻole hiki iā ʻoe ke hāpai i kekahi manawa aʻe. Inā pilikia ʻoe i ka hāpai ʻana, hiki i kāu gynecologist ke kōkua.