Waxa jira labo wado daaweynta ilmo-xaaqista. Labada haba waxtar ayey leeyihiin:
Sida Loo Isticmalaa Kaniinka Ilma soo ridka
Tilmaamaha Ilmo-xaaqista oo ay lasocoto Mifepristine iyo Misoprostol
Ka hor intaanad bilaabin, ka akhri taladayada Ka Hor Intaanad Isticmaalin Kiniinka. Hubi in:
- Uurkaagu uu ku jiro 11 todobaad ee u horeeya (77 maalmood)
- Aad haysato qorshe nabadeed lacala hadii xaalad degdega timaado
- Aad haysatid qorshe amaan lacala hadii xalaad degdega timaado
- Talaabada 1:
- Biyo ku liq hal xabo oo mifepristine (200mg)
- Talaabada 2:
- Sug 24-48 saac. Waa inaad sugtaa 24 saac ka hor intaanad isticmaalin misoprostol, lakiin ha sugin wax ka badan 48 saac. Intaad sugeysid, kaliya samee shayada aad caadiga u sameyso noloshaada maalinlaha ah, sida daryeelida qoyskaaga ama tagista shaqo ama iskuul.
- Talaabada 3:
- Dhig 4 misoporostol (200mg midkiiba) carabkaaga hoostiisa. Ku hay carabkaaga hoostiisa ilaa 30 mirir. Waxa suurto gal ah in ay qalajiyaan afkaaga ama ay dhadhamaan sida budo marka ay milmaan. Waxba ha cabin ama ha cunin inta lagu jiro 30 mirir. Ka dib 30 mirir, ku maydh afkaaga biyo oo cab shaykasta oo ka hadhay kiniinada.
- Hadii aad matagto inta lagu jiro 30 mirir ee ay kiniinada misoprostol ku jiraan carabkaaga hoostiisa, waxa suurto gal ah in aanay shaqayn. Xaaladani, waxa daruuri ah in si dedega loogu soo celiyo talaabada 3. Hadii aad matagtid ka dib markii ay kiniinadu ku jireen carabkaaga hoostiisa 30 mirir, looma baahno inaad kusoo celiso talaabada 3, madaamoo mar hore kiniinada uu nuugay jidhkaagu.
- Waxaad bilaabi doontaa dhiigitaan 3 saac gudohood ka dib markaad isticmaashid 4 kiniinada misoprostol. Dhiigitaanku wuxuu la mid noqon doonaa ama ka adkaan doonaa kaaga muda xaydka ee caadiga ah. Tani waa calaamad in ilmo-xaaqistu shaqeynayso.
- Ka dib 3 saac, dhamaan dumarkau dhexeeya 9-11 todobaad oo xaamilo ah waa in ay bilaabaan talaabada 4. Hadii aanad gaadhin 9 todobaad oo xaamilo ah oo aad leedahay in yar ama aan dhiigba jirin ka dib markaad dhameystid talaabada 3, kusii wad talaabada 4. Hadii aanad gaadhin 9 todobaad oo xaamilo ah oo aad leedahay dhiig (ama ka badan) ka dib talaabooyinka 1-3, uma baahnid inaad ku sii socotid talaabada xigta madaamoo ay suurto gal tahay in nidaam dhameys yahay.
- Talaabada 4:
- Hadii aanad gaadhin 9-11 todobaad oo xaamilo ah AMA aad leedahay in yar ama aanad lahanba wax dhiiga 3 saac ka dib talaabada 3, dhig 4 kiniinada misoprostol ah (200mg midkiiba) carabkaaga hoostiisa. Ku hay carabkaaga hoostiisa 30 mirir. Ka dib 30 mirir, ku maydh afkaaga biyo oo cab wax kasta oo ka hadhay kiniinada.
- Ku celi talaabada 1 oo ay la socdaan 4 kiniin oo kale. Hadii aad isticmaashay dhamaan 12 kiniin oo aad waajahaysid dhiig yar ama aanad lahaynba ama kabuubyo, kala xidhiidh saaxiibadayada www.safe2choose.org, www.womenhelp.org ama www.womenonweb.org wixii caawimo ah. . Kulama talino isticmaalka kiniino dheeriya ilaa xalaada uu qiimeyn karo qof u tababaran caawimada.
Waxyaabaha Kale Ee Loo tixgaliyo Ilm-o-xaaqista Ay lasocoto Mifepristone Iyo Misoprostol:
Ka baro waxaa la rajeeyo ka dib qaadashada mifepristone + misoprostol halkan.
Hadii aad waajahdid kabuubyo xun, ibuprofen ayaa ah daawo ku fiican la tacaalista xanuunka. Waxaad ka iibsan kartaa 200mg ibuprofen ah goobaha caafimaadka (adigoon dhakhtar kuu qorin) wadamada badankooda. Qaado 3-4 kiniin (200 mg midkiiba) 6-8 saacadood oo kasta. Hadii aad u baahan tahay wax dheeraad ah si aad u dajisid xanuunka, waxaad sidoo kale isticmaali kartaa 2 kiniin oo Tylenol ah (325 mg) 6-8 saacadood oo kastaba.
Hadii aad isticmaashay kiniinada ilmo-xaaqista mifepristone iyo misoprostol, uma baahnid inaad bookhatid daryeel bixiye caafimaad si aad isu eegto. Daawooyinkani waxtar ayey leeyihiin ilaa Ururka Caafimaadka Aduunku ku taliyey inaad kala is eegi kartid hadii:
- Aad dareentid xanuun, ama xanuunku aanu kasoo kabaneyn ka dib 2 ama 3 maalmood. Hadii tani dhacdo, raadso baadhitaan caafimaad islamarkaasi.
- Hadii aad wali iskusii aragtid calaamado xaamilo labo todobaad ka dib qaadashada kiniinada ilmo-xaaqista.
- Dhiigitankaagu wuu xoogan yahay mana soo fududaanayo ka dib 2 todobaad.
Tilmaamaha Ilmo-xaaqista oo ay lasocoto Misoprostol oo Kaliya
Ka hor intaanad bilaabin, ka akhri taladayada Ka Hor Intaanad Isticmaalin Kiniinka. Hubi in:
- Uurkaagu uu ku jiro 11 todobaad ee u horeeya (77 maalmood)
- Aad haysato qorshe nabadeed lacala hadii xaalad degdega timaado
- Aad haysatid qorshe amaan lacala hadii xalaad degdega timaado
- Talaabada 1:
- Dhig 4 kiniinada misoprostol ah (200 mcg midkiiba) carabkaaga hoostiisa. Ku hay carabkaaga hoostiisa 30 mirir. Waxa suurto gal in ay qalajiyaan afkaaga ama ay dhadhamaan budbudo markay milmaan. Ha cunin ama ha cabin shayna 30-kan mirir. Ka dib 30 mirir, ku maydh afkaaga biyo oo cab shaykasta oo ka hadhay kiniinada. Sug 4 saac ka hor intaanad ku socon talaabada 2.
- Hadii aad matagto inta lagu jiro 30 mirir ee ay kiniinada misoprostol ku jiraan carabkaaga hoostiisa, waxa suurto gal ah in aanay shaqayn. Xaaladani, waxa daruuri ah in si dedega loogu soo celiyo talaabada 1. Hadii aad matagtid ka dib markii ay kiniinadu ku jireen carabkaaga hoostiisa 30 mirir, looma baahno inaad kusoo celiso talaabada, madaamoo mar hore kiniinada uu nuugay jidhkaagu.
- Waxaad bilaabi doontaa dhiigitaan 3-4 saacadood gudohood ka dib markaad isticmaashid kiniinada misoprostol. Dhiigitaanku wuxuu la mid noqon doonaa ama ka adkaan doonaa kaaga muda xaydka ee caadiga ah. Tani waa calaamad in ilmo-xaaqistu shaqeynayso.
- Talaabada 2:
- Ku celi talaabada 1 oo ay lasocdaan 4 kiniin, sug 3 saac.
- Dhamaan dumarka u dhexeeya 9-11 todobaad oo xaamilo ah waxay kusii socon doonaan talaabada 3. Hadii aanad gaadhin 9 todobaad oo xaamilo oo aad leedahay in yar ama aanad lahayn wax dhiig ah ka dib dhameysashada talaabada 2, kusoco talaabada 3. Hadii aanad gaadhin 9 todobaad oo xaamilo ah oo aad leedahay dhiigitaan ( ama in ka badan ) ka dib talaabooyinka 1-2, uma baahnid inaad kusii socotid talaabada xigta madaamoo nidaamo ay suurto gal tahay inuu dhameystiran yahay.
- Talaabada 3 (Kaliya hadii aanad gaadhin 9-11 todobaad oo xaamilo ah, ama aad leedahay in yar ama aanad lahayn dhiigitaan ka dib talaabooyinka 1-2):
- Ku celi talaabada 1 oo ay la socdaan 4 kiniin oo kale.
- Hadii aad isticmaashay dhamaan 12 kiniin oo aad waajahaysid dhiig yar ama aanad lahaynba ama kabuubyo, kala xidhiidh saaxiibadayada www.safe2choose.org, www.womenhelp.org ama www.womenonweb.org wixii caawimo ah. Kulama talino isticmaalka kiniino dheeriya ilaa xalaada uu qiimeyn karo qof u tababaran caawimada.
Waxyaabaha kale Ee Loo tixgaliyo Ilm-o-xaaqista Ay lasocoto Misoprostol:
Ka baro waxaa la rajeeyo ka dib qaadashada misoprostol halkan.
Hadii aad isticmaashay misoprostol, uma baahnid inaad bookhatid daryeel bixiye caafimaad si aad isu eegto.
Daawooyinkani waxtar ayey leeyihiin ilaa Ururka Caafimaadka Aduunku ku taliyey inaad kala is eegi kartid hadii:
- Aad dareentid xanuun, ama xanuunku aanu kasoo kabaneyn ka dib 2 ama 3 maalmood. Hadii tani dhacdo, raadso baadhitaan caafimaad islamarkaasi.
- Hadii aad wali iskusii aragtid calaamado xaamilo labo todobaad ka dib qaadashada kiniinada ilmo-xaaqista.
- Dhiigitankaagu wuu xoogan yahay mana soo fududaanayo ka dib 2 todobaad.
References:
- "Safe abortion: technical and policy guidance for health systems." World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/70914/;jsessionid=B7AEEBE4F34809D869F73B1ABA7F6221?sequence=1
- "Clinical updates in reproductive health." Ipas. https://ipas.azureedge.net/files/CURHE19-april-ClinicalUpdatesInReproductiveHealth.pdf
- "Providing medical abortion in low-resource settings: An introductory guidebook. Second edition." Gynuity. https://gynuity.org/assets/resources/clinguide_maguide2nd_edition_en.pdf
- "Clinical policy guidelines for abortion care." National Abortion Federation (NAF). https://5aa1b2xfmfh2e2mk03kk8rsx-wpengine.netdna-ssl.com/wp-content/uploads/2018_CPGs.pdf