Facts game da kwayar zubar da ciki da kuma kawo karshen ciki tare da magunguna
Ranar 28 ga watan Satumba, 2000, Gidajen Abincin da Drug (FDA) ya sanar da amincewar RU-486. da miyagun kwayoyi wanda ake kira " kwayar zubar da ciki ." An tsara shi a Amurka ta hanyar mai suna Mifeprex (mifepristone).
An riga an yi amfani da miyagun ƙwayoyi a Turai kuma an sauke shi da sauri a Amurka. Bayan yardarta, yawancin zubar da ciki sun ki yarda da fiye da miliyan hudu a kowace shekara daga shekara ta 2001 zuwa 2011.
Yawan adadin abortions sun ki yarda sosai yayin da adadin abortions da aka zubar da ciki ya karu ya zama kusan kashi huɗu cikin jimlar.
FDA Canje-canje a 2016 don Mifeprex
Gwaninta na lafiyar lafiyar zubar da ciki ya haifar da canje-canje ga tsarin FDA-amincewa a shekara ta 2016 wanda ya ba da damar yin amfani da shi ta kwanaki 70 na gestation kuma baya buƙatar mai shiga mutum don yin amfani da misoprostol da kuma kima daga bisani. Asalin FDA na asali ne don amfani har zuwa kwanaki 49 na gestation, wanda ya sanya shi wani zaɓi don kashi 37 na zubar da ciki marasa lafiya. Wurin kwana 70 ya sa ya zama zaɓi don kashi 75 na zubar da ciki marasa lafiya. Har ila yau, jagorori na 2016 suna fadada wanda zai iya rubuta maganin miyagun ƙwayoyi.
Ta yaya aka ba da Mifeprex?
Ka'idoji na asali na RU-486 (Mifeprex) suna buƙatar ziyara uku zuwa asibitin likita yayin da sharuɗɗa da aka sauƙaƙe yana buƙatar guda ɗaya zuwa biyu ziyara. Abin likita ne kawai zai iya ba da magani bayan gwajin ƙwaƙwalwar gonadotropin (HCG) na mutum, wanda yayi la'akari da matakin hormone da aka samar a jiki a lokacin daukar ciki.
Doctors kuma suna buƙatar yin sauti don tabbatar da kwanan wata ciki. Ka'idodin 2016 sun bada izinin amfani da magani don zuwa kwanaki 70 na gestation (makonni 10).
Da zarar an tabbatar da ciki, za a ba ku nau'i biyu na magani. Na farko, za a ba ku kashi daya daga cikin mifepristone, wanda zai sa ba zai yiwu ba don hadu da kwai don ya kasance a haɗe zuwa jikin jikin ku.
Da asali, kashi ya zama Allunan uku, amma an rage shi zuwa ɗaya kwamfutar hannu, an dauki baki.
Na biyu magani, misoprostol, yana haifar da takunkumi na uterine kuma an dauki kwanaki biyu bayan haka. Sabbin jagororin sun ba da izini a gudanar da su a gida kamar allo huɗu da ka sanya a kunciyarka maimakon haɗiye, ba su damar kwashe tsawon minti 30. Sharuɗɗa na asali, wanda wasu jihohi ya tilastawa, ya buƙaci ka ziyarci likita don ɗaukar wannan magani na biyu.
Misoprostol ta ƙare ciki a ko'ina daga sa'o'i shida zuwa mako daya daga baya. Dole ne ku kasance a shirye don ƙuƙwalwa da zub da jini, wanda zai ci gaba da kwanaki da dama.
Dole ne mai kula da lafiyar ku ya kamata ku gwada lafiyarku na bakwai zuwa 14 bayan shan mifepristone. FDA ba ta damu da cewa wannan dole ne ya ziyarci mutum ba. Idan ciki har yanzu yana nan, dole ne a yi zubar da ciki.
Dalili na yiwuwa RU-486 sun haɗu da filaye mai ciki, gajiya, tashin zuciya, da zub da jini. Yawancin matan sukan dawo gaba daya cikin sa'o'i kadan zuwa mako daya. Sakamakon nasarar da zubar da ciki ya kai 92 bisa dari zuwa kashi 92.5 cikin bakwai na bakwai na ciki. Wannan ya bar ƙananan mata waɗanda zasu buƙaci ƙarin tiyata.
Idan kun yi tsammanin za ku yi ciki kuma kuna so ku yi amfani da kwayar cutar zubar da ciki don ƙare ciki, ya kamata ku tuntuɓi likitanku ko asibitin yanki da wuri-wuri don tattauna zabinku.
Abũbuwan amfãni da rashin amfani
Abubuwa biyu na babbar magungunan ciki na daukar ciki sune tasiri mai kyau da gaskiyar cewa shi ne mafi ƙanƙantawa da raɗaɗi fiye da rashin zubar da ciki.
Amma ga rashin amfani, Mifeprex bazai zama wani zaɓi ga mata da hanta ko matsalolin koda, anemia, da ciwon sukari, ko wadanda suke da karfin jini ba. Maiyuwa bazai aiki ba idan an haɗa shi tare da sauran kwayoyi. Hanyoyin da zasu iya haifar da ƙananan ƙwayar cuta, tashin hankali, vomiting, cututtuka, da kuma zub da jini yana da kwanaki 8 zuwa 10.
Canje-canje ga jagororin FDA sun nuna yawancin likitoci. Duk da haka, wasu jihohin sun wuce dokokin da ke buƙatar yin biyayya da lakabin FDA maimakon amfani da aka yi amfani da shi.
Canje-canje na lakabi na iya fadada damar samun zubar da ciki.
> Sources:
> Ciwon ciki tare da Magunguna. MedlinePlus. https://medlineplus.gov/ency/patientinstructions/000835.htm
> Jones RK, Boonstra HD. Harkokin Kiwon Lafiyar Jama'a na FDA Update zuwa Labarin Zubar da ciki na Magunguna. Guttmacher Cibiyar. https://www.guttmacher.org/article/2016/06/public-health-implications-fda-update-medication-abortion-label.
> Mifeprex (mifepristone) Bayani. Cibiyar Abinci da Drugta ta Amirka. https://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm111323.htm.