Những điều nên biết về phá thai 3 tháng đầu bằng thuốc

Những điều nên biết về phá thai 3 tháng đầu bằng thuốc

Phá thai bằng thuốc là cách dùng thuốc để chấm dứt thai nghén một giải pháp an toàn và đáng chất lượng. Giải pháp phá thai ba tháng đầu bằng thuốc được thực hiện cho một số phụ nữ mang thai dưới 7 tuần tuổi (tính từ ngày trước hết của kỳ kinh cuối cùng) hoặc là muốn chấm dứt thời kỳ thai nghén. Bỏ thai bằng thuốc an toàn chỉ khi đối tượng thực hiện dịch vụ là các cán bộ y tế đã được đào tạo bài bản và có đủ kỹ năng làm cách bỏ thai này, có hữu hiệu thành quả lên đến 96-99%.
Cách này tiếp diễn theo trình tự như sau: Bác sĩ sẽ làm kiểm tra phụ khoa để đánh giá mức độ sức khỏe của người mắc bệnh, siêu âm chắc hẳn mang bầu trong tử cung và xác định được tuổi thai Rồi sẽ giải thích về quá trình bỏ thai và trả lời về các kỹ thuật phòng tránh thai. Bệnh nhân nên ký vào một bản cam kết bỏ thai, nhân viên y tế sẽ làm y lệnh dùng thuốc Mifepristone . Chức năng của Mifepristone sẽ thực hiện thai ngừng phát triển. Sau khi dùng thuốc người mắc bệnh nhận biết cơ thể vẫn bình thường tuy vậy cũng có khả năng xuất hiện ra máu âm đạo, sau uống thuốc tùy theo mức độ mà có nguy cơ cho người bệnh theo dõi tại nhà. Sau 2 ngày thì hẹn bệnh nhân quay lại cơ sở y tế để sử dụng dạng thuốc tiếp theo là Misoprostol. Bình thường trong vòng 30 phút đến 4 giờ sau khi uống Misoprostol, người bệnh sẽ đau đớn bụng, thấy máu khá nhiều và ra máu cục khi thai được tống ra ngoài. Hầu như chị em phụ nữ chảy máu như hành kinh tầm khoảng 10 ngày kể từ khi dùng thuốc, nhưng một số ít các chị em có khả năng thấy máu nhẹ quá lâu hơn và khi đó nên đến trung tâm y tế để kiểm tra lại.
Các tác dụng phụ khác có thể gặp sau khi uống thuốc như buồn nôn, nôn hoặc tiêu chảy trong quá trình ra thai. Một số biểu hiện này gây không dễ chịu tuy nhiên không phải là vấn đề không bình thường và sẽ qua đi trong thời gian ngắn. Nếu đau bụng có nguy cơ sử dụng một vài thuốc giảm sút đau như Paracetamol hoặc Ibuprofen bên cạnh chườm ấm vùng bụng, có thể thấy đau đớn đầu và chóng mặt sau khi uống Misprostol, cần thiết phải sử dụng nhiều nước lọc hoặc nước ép trái cây, không lấy cà phê, rượu hoặc chất gây nghiện. Một số chị em phụ nữ bị sốt trong vài giờ, đôi khi kèm theo ớn lạnh, triệu chứng này sẽ ngay lập tức qua đi và không gây ra nguy hiểm.
Khi thực hiện cách này người mắc bệnh cần phải để ý cần thay băng vệ sinh thường xuyên như trong kỳ kinh bình thường cho đến khi hết chảy máu, làm sạch cơ thể và không cần thiết phải ăn kiêng bất cứ dạng đồ ăn nào.Cần khuyên khi người bệnh từng sử dụng Mifepristone thì không thể giữ thai nữa vì đứa trẻ có nguy cơ mắc phải khuyết tật vì vậy nếu bỏ thai bằng thuốc thất bại và cần làm hút thai
Bỏ thai ba tháng đầu bằng thuốc là phẫu thuật nhẹ nhàng hơn so với biện pháp hút thai bằng biện pháp hút chân không song cần phải lưu ý theo dõi sát và khi nên tới cơ sở y tế để giải quyết kịp thời; nhưng vẫn có một tỷ lệ nhỏ các tai biến có thể xảy ra như có máu không ít gây nên mệt mỏi chóng mặt do đó phải hút thai bằng cách hút chân không, truyền máu thường hay phối hợp dùng thuốc. Khuyên sau khi lấy thuốc nếu người mắc bệnh xuất hiện đau đớn bụng hàng ngày sau thời kỳ ra máu trước hết, ra máu âm đạo rất nhiều (mỗi giờ thấm hết 2 băng vệ sinh dày trong 2 giờ liền), sốt 38°C trở lên và lâu dần trên một ngày sau khi sử dụng Misoprostol, không chảy máu tầm khoảng 24 giờ sau khi uống thuốc Misoprostol. Nên quay lại thăm khám khám bệnh tầm 2 tuần để khẳng định đã từng sảy thai hoàn toàn. Lần tái khám này là cực kỳ quan trọng.
Một số tình huống sau đây không nên sử dụng cách bỏ thai bằng thuốc: Có sẹo mổ đẻ cũ, có tiền sử căn bệnh lý về máu và tim mạch, tiền sử đẻ băng huyết, thai quá tuổi chỉ dẫn, kết quả siêu âm chưa đặc trưng, tiền sử mổ chửa ngoài tử cung, sắp đi công tác xa thường ở xa các cơ sở y tế.

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