Ni iki Dinoprostone: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Dinoprostone ni uruvange rw'imisemburo karemano yitwa prostaglandin E2 ifasha gutegura umura wawe n'igitsina cy'umugore kugira ngo bakire imirimo. Muganga wawe ashobora kugusaba uyu muti igihe uri hafi cyangwa uri mu gihe cyo kubyara kandi ukeneye ubufasha bwo gutangira imirimo karemano.

Uyu muti ukora woroshya kandi ufungura igitsina cy'umugore mugihe kandi gishishikariza umura wawe gutangira guhagarara. Tekereza nk'uko ugira umubiri wawe gake kugirango utangire imirimo y'imirimo yitegura.

Dinoprostone ikoreshwa kubera iki?

Dinoprostone ikoreshwa cyane cyane kugirango itere imirimo igihe wowe n'umwana wawe mwiteguye ariko imirimo itaratangira ku giti cyayo. Umuganga wawe ashobora gutanga uyu muti niba warengeje itariki yo kubyara cyangwa niba gukomeza gutwita bigushyira mu kaga cyangwa umwana wawe.

Uyu muti kandi ukoreshwa mugufasha kwera cyangwa koroshya igitsina cy'umugore mbere yuko imirimo itangira. Ubu buryo, bwitwa kwera kw'igitsina cy'umugore, byoroshya igitsina cy'umugore gufunguka mugihe cy'imirimo kandi bishobora gutuma ubu buryo bwose bugushimisha.

Mu bihe bimwe na bimwe, abaganga bakoresha dinoprostone kubera impamvu z'ubuvuzi nk'ingorane zo gutwita, umuvuduko w'amaraso mwinshi, cyangwa impungenge zijyanye n'imibereho myiza y'umwana wawe. Itsinda ryawe ry'ubuzima rizasesengura neza uko umubiri wawe umeze mbere yo gusaba ubu buvuzi.

Dinoprostone ikora ite?

Dinoprostone ifatwa nk'umuti woroshye ariko ukora neza wigana ibyo umubiri wawe ukora karemano. Ikora muguhuza n'ibice byihariye byo mu gitsina cy'umugore n'umura, itera impinduka zimwe zizaba karemano mugihe wegereye imirimo.

Uyu muti woroshya urugingo rukomeye, rwa fibre muri igitsina cy'umugore, rukarushaho koroha kandi rukitegura gufunguka. Muri icyo gihe, irashobora gutera guhagarara gake mu mura wawe, bifasha gushyira umwana wawe neza kugirango abyarwe.

Abagore benshi batangira kubona impinduka nyuma y'amasaha make bakiriye dinoprostone. Ibyo bigenda byiyongera buhoro buhoro, bigatuma umubiri wawe wimenyereza mu buryo busanzwe umubiri witegura kubyara aho guhatira imitsi guhagarara mu buryo butunguranye kandi bukomeye.

Nkwiriye Gufata Gute Dinoprostone?

Dinoprostone itangwa nk'urushinge rwo mu gitsina cyangwa gel umuganga wawe azashyira mu gitsina cyawe. Ntabwo uzakenera kwishyiriramo uyu muti wenyine - buri gihe bikorwa n'abantu b'inzobere mu by'ubuvuzi mu bitaro cyangwa ahantu ho kubyarira.

Mbere y'uko bikorwa, mubisanzwe uzasabwa gusukura uruhago rwawe ukaryama mu mwanya mwiza. Muganga wawe cyangwa umuforomo bazashyira umuti mu buryo bworoheje bakoresheje igikoresho cyihariye, kimwe n'uko ikizamini cyo mu gatuza gikoreshwa.

Uzakenera kumara byibura iminota 30 uryamye nyuma yo gushyirwamo kugira ngo umuti ugume ahantu. Muri iki gihe, ikipe yawe y'ubuzima izagukurikiranira hafi wowe n'umwana wawe kugira ngo barebe ko byose bigenda neza.

Nta mbogamizi zidasanzwe z'imirire zikenewe mbere yo guhabwa dinoprostone. Ariko, ugomba kurya uko bisanzwe kandi ukagumana amazi nk'uko byagenda mu bindi bice byose byo gutwita kwawe.

Nzamara Igihe Kingana Gite Ndafataga Dinoprostone?

Igihe cyo kuvura na dinoprostone gitandukanye cyane ku muntu ku muntu. Abagore bamwe basubiza mu masaha make, mu gihe abandi bashobora gukenera amasaha 12-24 cyangwa ndetse n'urundi rugero rwa kabiri kugira ngo bagere ku ngaruka zifuzwa.

Umuvuzi wawe azakurikiranira hafi iterambere ryawe buri gihe kandi agasobanura igihe cyo gukuraho umuti cyangwa gukomeza n'izindi nteruro. Intego ni ukugera ku kwera kw'umura guhagije no gutangira kw'imitsi isanzwe.

Niba umurimo wawe ukomeye neza nyuma ya dinoprostone, ntushobora gukenera indi miti. Ariko, niba imitsi itaba isanzwe cyangwa ikomeye bihagije, muganga wawe ashobora gushishikariza izindi nzira zo gufasha umurimo gukomeza.

Ni Iyihe Ngaruka Ziterwa na Dinoprostone?

Abagore benshi bahura n’ingaruka zoroheje zisa n’ibimenyetso byo gutangira kubyara. Kumenya ibyo witegura bishobora kugufasha kumva witeguye kandi ufite icyizere mu gihe cyo kuvurwa.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Kubabara cyangwa guhagarara gake gusa nk'uko bimeze mu gihe cy'imihango
• Umwanda mu gitsina cyangwa kuva amaraso make
• Kubabara umugongo cyangwa umuvuduko mu gatuza
• Isesemi cyangwa kuribwa mu nda
• Kumva ushyushye mu gitsina
• Kuniga cyane

Ibi bimenyetso muri rusange ni ibisanzwe kandi bigaragaza ko imiti ikora. Itsinda ry'ubuzima rizabafasha gutandukanya ingaruka zitezwe n'ikintu icyo aricyo cyose gikeneye ubufasha bw'abaganga.

Ingaruka zitabaho cyane ariko zikomeye zikeneye ubufasha bw'ubuvuzi bwihuse. Nubwo ibi bibaho gake, ni ngombwa kubimenya kugirango ubimenyeshe umuganga wawe ako kanya.

• Guhagarara cyane cyangwa kenshi (birenze 5 mu minota 10)
• Kubabara cyane mu nda kudahosha hagati yo guhagarara
• Kuva amaraso menshi mu gitsina (kumena pad imwe mu isaha)
• Urubavu, imbeho, cyangwa ibimenyetso byo kwandura
• Kugorana guhumeka cyangwa kubabara mu gituza
• Kubabara umutwe cyane cyangwa guhinduka kw'amaso

Itsinda ryawe ry'ubuvuzi rizagukurikiranira hafi mu gihe cyo kuvurwa kugirango rifate ibibazo byose hakiri kare. Wibuke ko ingaruka zikomeye zitabaho cyane, kandi inyungu zo gutegura neza kubyara akenshi zirenga ibyago.

Ninde utagomba gufata Dinoprostone?

Dinoprostone ntabwo ikwiriye kuri buri wese, kandi umuganga wawe azasuzuma neza amateka yawe mbere yo kuyisaba. Ibyiciro bimwe na bimwe bituma uyu muti utaba mwiza cyangwa utagira akamaro.

Ntabwo ukwiriye guhabwa dinoprostone niba ufite kimwe muri ibi bikurikira:

• Kubagwa ibice mbere cyangwa kubagwa mu nda
• Placenta previa cyangwa izindi ngorane za placenta
• Uburwayi bwa herpès bwo mu gitsina bukiriho
• Asima ikomeye cyangwa ibibazo byo guhumeka
• Uburwayi bw'umutima cyangwa umuvuduko ukabije w'amaraso
• Ibibazo by'impyiko cyangwa umwijima
• Allergies ku bintu bya prostaglandins cyangwa imiti isa nayo

Muganga wawe azanareba uko umwana wawe ameze n'ubuzima bwe. Niba umwana wawe ari mu mwanya utari wo, agaragaza ibimenyetso by'agahinda, cyangwa niba utwite abana benshi, dinoprostone ntishobora kuba igisubizo cyiza kuri wewe.

Ingorane zimwe na zimwe zo gutwita nka preeclampsia ikomeye, kuva amaraso cyangwa impungenge ku mibereho myiza y'umwana wawe bishobora gutuma dinoprostone idakwiriye. Itsinda ry'abaganga bazareba ibyo byose neza mbere yo gutanga inama.

Amazina y'ubwoko bwa Dinoprostone

Dinoprostone iboneka mu mazina menshi y'ubwoko, ayo dusanzwe tuzi cyane akaba ari Cervidil na Prepidil. Byombi bikubiyemo ikintu kimwe gikora ariko bikaba byarateguwe mu buryo butandukanye kugirango bikoreshwe mu buryo bwihariye.

Cervidil iza nk'ikintu gito cyoroshye, gishyira imiti gahoro gahoro mu gihe cy'amasaha 12-24. Ubu buryo bukunda gukoreshwa cyane kuko byoroshye gukuraho niba bibaye ngombwa kandi bitanga imiti ihwanye, igenzurwa.

Prepidil iboneka nka gel ishyirwa ku ijosi ryawe. Ubu buryo bukora vuba ariko ntibushobora gukurwaho iyo bumaze gushyirwaho, bityo akenshi bukoreshwa iyo igisubizo gihutirwa.

Uburyo bundi bwo gukoresha dinoprostone

Hariho ubundi buryo bwinshi bwo gutera umurimo, kandi umuganga wawe azahitamo uburyo bwiza bushingiye ku miterere yawe bwite. Uburyo bwose bufite inyungu zabwo n'ibitekerezo.

Uburyo bwa mekaniki nka Foley catheter balloon bushobora gufasha gukura ijosi ryawe ritiriwe ukoresha imiti. Ubu buryo bukubiyemo gushyira balloon ntoya mu ijosi ryawe rigenda ririgutura uko rizamurwa.

Misoprostol ni undi muti ushobora gutera kubyara kandi rimwe na rimwe ukoreshwa mu mwanya wa dinoprostone. Akenshi uhendutse ariko ushobora gutera imitsi ikomeye isaba gukurikiranwa neza.

Uburyo karemano nk'ukwambura urwungano, aho muganga wawe atandukanya urwungano rw'amazi ruri mu nda n'umura wawe, bishobora kugeragezwa mbere. Kugenda, gushishikariza amabere, cyangwa izindi nzira karemano zishobora gufasha gushishikariza kubyara ku bagore bamwe.

Ese Dinoprostone iruta Pitocin?

Dinoprostone na Pitocin (oxytocin) bikora mu buryo butandukanye kandi akenshi bikoreshwa mu byiciro bitandukanye byo gutera kubyara. Dinoprostone akenshi ikoreshwa mbere kugirango itegure umura wawe, mugihe Pitocin ikoreshwa nyuma kugirango ikomeze imitsi.

Dinoprostone akenshi ifatwa nk'igicucu kuko yigana imitegurire karemano y'umubiri wawe yo kubyara. Ifasha koroshya no gufungura umura wawe buhoro buhoro, ibyo bishobora gutuma uburyo bwose bwo kubyara burushaho kuba bwiza kandi bumeze neza.

Pitocin akenshi itangizwa nyuma yuko umura wawe witeguye kandi ikora cyane kugirango ikomeze imitsi kandi ikore neza. Abagore benshi bakira dinoprostone mbere, igakurikirwa na Pitocin niba bikenewe kugirango bakomeze imitsi myiza.

Umutanga serivisi z'ubuzima azahitamo umuti mwiza hashingiwe ku gutegurwa k'umura wawe, uko umwana wawe ameze, n'uko kubyara kwawe bigenda. Rimwe na rimwe imiti yombi ikoreshwa mu buryo bukurikirana kugirango habeho ibisubizo byiza.

Ibibazo Bikunze Kubazwa Kuri Dinoprostone

Q1. Ese Dinoprostone irakwiriye kubagore bafite inda zifite ibyago byinshi?

Dinoprostone irashobora gukoreshwa neza mu nda nyinshi zifite ibyago byinshi, ariko iki cyemezo gisaba isuzuma ryitondewe n'ikipe yawe y'ubuzima. Ibyiciro nka diyabete, umuvuduko ukabije w'amaraso, cyangwa impungenge zijyanye n'imikurire y'umwana wawe bishobora gutuma gutera kubyara na dinoprostone ariyo nzira nziza.

Muganga wawe azagereranya ibyago byo gukomeza gutwita n'ibyago byo gutangiza umurimo. Mu bihe byinshi, inyungu zo gutangiza umurimo ku gihe ziraruta ingorane zishobora guterwa no gutegereza igihe kirekire.

Q2. Nkwiriye gukora iki niba mbonye imitsi ikomeye cyane?

Niba urimo kugira imitsi yumvikana cyane, ikunda, cyangwa ibabaza, menyesha umuganga wawe ako kanya. Barashobora gusuzuma niba iki ari igisubizo gisanzwe cyangwa niba umuti ukeneye gukurwaho.

Itsinda ryawe ry'ubuvuzi rizakurikirana imitsi yawe buri gihe kandi rishobora gukuraho vuba dinoprostone niba bibaye ngombwa. Wibuke ko kutumva neza bimwe bisanzwe, ariko kubabara bikabije cyangwa imitsi ikunda cyane bisaba kwitabwaho ako kanya.

Q3. Byagenda bite niba Dinoprostone itagize icyo ikora?

Niba dinoprostone itagize icyo ikora neza mu kwera umura wawe cyangwa gutangiza umurimo nyuma y'igihe cyagenwe, umuganga wawe afite uburyo bwinshi ashobora gukoresha. Barashobora kugerageza urundi rugero, guhindurira ku muti utandukanye, cyangwa gukoresha uburyo bwa mekaniki kugirango bafashe umura wawe gufunguka.

Rimwe na rimwe guhuza dinoprostone n'ubundi buryo bikora neza kuruta kuyikoresha yonyine. Muganga wawe azaganira ku ntambwe zikurikira ashingiye ku buryo umubiri wawe witwaye ku muti wa mbere n'ubuzima bwawe muri rusange.

Q4. Ni ryari umurimo ushobora kwitezwe gutangira nyuma ya Dinoprostone?

Igihe cyo gutangira umurimo gitandukanye cyane mu bagore bakira dinoprostone. Bamwe batangira kugira imitsi isanzwe mu masaha 6-12, mu gihe abandi bashobora gukenera amasaha 24 cyangwa arenzeho kugirango babone impinduka zigaragara.

Itsinda ryawe ry'ubuvuzi rizakurikirana iterambere ryawe kandi rigufashe gusobanukirwa icyo witegura gushingiye ku buryo wabyakiriye. Wibuke ko umubiri wa buri mugore witwara mu buryo butandukanye, kandi nta gihe

Uzagomba kurara hasi byibuze iminota 30 nyuma yo gushyirwamo dinoprostone kugira ngo umuti ugume aho uri. Nyuma y'iki gihe cya mbere, umuganga wawe azakubwira igihe bizaba byemewe guhaguruka no kugenda.

Abagore benshi basanga kugenda gake bifasha umurimo gutera imbere igihe bemerewe kugenda. Itsinda ryawe ry'abaganga rizakangurira kugenda neza mu gihe ririnda ko wowe n'umwana wawe mukomeza gukurikiranwa neza muri iki gikorwa.