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ISQOT

iskotISQOT (Abortio), abort, dar davomi 29 haftai avvali homilagi az bachadon aftidani janini gayri qobili hayot. I. tabii va suni meshavad.
I.-i tabii dar natijai yagon bemori ba vujud meoyad. I.-i suni bo khohishi zan (agar bo yagon sabab kudakdor shudan nakhohad) yo bo tavsiyai dukhtur, hangome, ki haml va tavallud ba salomati va hayoti u khatarnok boshad (mas., shakli faoli sili shush, nuqsi vaznini dil, toksikozhoi vaznin va g.), inchunin baroi peshgirii az nasl ba nasl guzashtani bemorihoi vaznini irsi guzaronida meshavad.
Isqoti suniro dar muassisahoi tabobati amali megardonand. Agar I. khudsarona va berun az bemorkhona karda shavad, jinoyat hisob meyobad, chunki onro shakhsoni az tib dur va az talaboti imruzai on bekhabar meguzaronand. Az amaliyoti in guna «tabibon» gazak giriftani bachadon yo surokh shudani devorahoi on, illati mahbal, shoshadon, ruda ajab nest. Tibqi moddai 123 Kodeksi jinoyatii Jumhurii Tojikiston shakhsone (az on chumla dukhturone), ki berun az bemorkhona I. mekunand, ba javobgarii jinoyati kashida meshavand.
I.-i suni ba organizm zarar dorad, zero on sozgorii fiziologiro, ki bo inkishofi homilagi aloqamand ast, yakbora qat namuda, dar baze holatho kori asab, sistemai endokrini, mubodilai moddahoro vayron mekunad. I. khususan baroi zanhoe, ki bori yakum haml giriftandu davrai hayz vayron ast, inchunin giriftori infantilizmi jinsi (sust inkishof yoftani uzvhoi tanosul) meboshand, zarar dorad. Mumkin ast onho digar homila nashavand. Hunravi, osebi bachadon, gazaki bachadon va zoidhoi (uzvhoi ilovagii ) on orizahoi I. meboshand. Gazaki bachadon (nig. Metroendometrit) va zoidhoi on (nig. Adneksit) beshtar nomalum guzarand ham, tagiyroti ziyodi jiddi ba vujud meorand. Mas., gazaki lulahoi bachadon qisman rohi tukhmguzarro basta, sababi homilagii berun az bachadon yo benasli megardad. Bazan badi 1 – 2 sol faoliyati sistemai asab va gadudhoi endokreni khalal meyobad. Zan zud-zud asaboni va kamquvvat gashta, hayz to darajai amenoreya merasad. Ikhtiloli mubodilai moddaho boshad, boisi farbehi megardad.
I.-i suni masalai muhimi ijtimoi ast, chunki nafaqat manfiati zan, balki manfiati davlatro ham dar nazar dorad. In masala dar mamlakathoi gunoguni jahon ba tarzi mukhtalif hal karda meshavad. Dar mamlakati mo baroi muhofizati salomati va khushbakhtii modaronu kudakon sharoiti khub faroham ovarda shudaast (nig. Muhofizati modaron va kudakon). Qonunhoi oid ba muhofizati mehnati zanon dar istehsolot, ziyodshavii shumorai muassisahoi tabobatiyu profilaktiki va bachagona (tavalludkhonaho, mashvaratgohhoi zanona, yasliyu bogchaho va g.), afzudani yorii davlat ba modaroni tanho dar borai on shahodat medihand. Dar mamlakati mo baroi ba isqoti jinoyati roh nadodan, I.-ro dar sharoiti bemorkhona meguzaronand. Dar barobari in oid ba zarari I.-i suni korhoi tashviqoti guzaronida, mavodi ziddi haml tavsiya karda meshavand (nig. Peshgirii homilagi).
Pesh az ba I. rozi shudan, boyad har yak zan zarari onro donad. Agar I. zarur boshad, boyad u avval az muoinai dukhturoni mushovaragohi zanona guzarad; muassisai muolijavi dar asnoi az 12 hafta ziyod nabudani muhlati homilagi va vujud nadoshtani iltihobi azoi jinsi ba u khati rukhsat medihad. Pesh az I. gazaki uzvhoi tanosulro boyad muolija kard. Agar homilagi az 12 hafta guzashta boshad, ba I. tanho dukhtur ijozat mefarmoyad (dar surate, ki homilagi va tavallud ba hayoti zan khavf nadoshta boshad).
Bad az I. zan boyad tavsiyai dukhtur va qoidahoi behdoshtro qati ijro kunad. Dar 2 haftai avval shustani farsh, jomashui, bardoshtani bori vaznin man ast. Zan boyad ba holati umumii organizmi khud nazorat kunad (qazoi hojat, har ruz chen kardani harorati badan, khususan dar du haftai avval, ehtiyot az sarmo va g.). Hangomi bad shudani ahvol, khunravi, hissi dard dar zeri nof va g. ba dukhturi zanona murojiat kardan zarur ast. Zan boyad har ruz 2 marotiba (pagohi va begohi) bo obi jushidai shirgarm va sobun (yo bo mahluli susti permanganati kaliy) mustahab kunad, libosi tagashro ivaz namoyad (chunki ruzhoi avval gardani bachadon andake kushoda buda, ba bachadon mikrobhoi bemoriovar dokhil meshavand va boisi gazaki on megardand). Bo mahluli dorui shustani mahbal mumkin nest, chunki on boisi khunravi khohad shud. Du haftai avval tanho dar dush obbozi kardan mumkin ast (dar daryo va bahr obbozi kardan mumkin nest). Dar muddati 1 moh bo varzish mashgul shudan niz man meboshad; tanho varzishi sabuki pagohiruzi ravost. Hangomi takhiri hayz yo barmahal sar shudani on, hatman ba dukhtur murojiat boyad kard. Aloqai jinsi faqat bad az hayz (peshaki az dukhtur oid ba usulhoi peshgiri namudani homilagi maslihat pursidan mufid meboshad) mumkin ast.
Isqoti tabii sababi bisyor dorad. On dar natijai bemorihoi iltihobi, omos va g., inkishofi noqisi uzvhoi jinsii zan, bemorihoi siroyati (gripp, burtsellyoz, toksoplazmoz va g.), nomuvofiqatii khuni modaru janin, toksikozhoi vaznin, bad az I.-i suni va g. ba vujud meoyad.
Hangomi I.-i tabii tukhmaki janin az devorai bachadon kuchida, raghoi khuni on illat meyobad. Avval az tasiri kashishi mushakhoi bachadon dar poyoni shikam va kamargoh dardi sust paydo meshvad. Bad dar natijai kuchidani tukhmaki janin andake khun meravad. Dar in mavrid agar sarivaqt ba muolija shuru kunand, homilagiro nigoh doshtan mumkin ast. Baroi in pesh az hama bistari shuda, dukhturro davat kardan lozim. Istemoli doru yo ba shikam guzoshtani yakh mumkin nest, chunki kashishi boshiddati bachadon sar mezanad. Agar muolija nakunand, dard meafzoyad, az bachadon khuni bisyor meravad va oqibat janin meaftad. Hangomi I.-i tabii aksaran tukhmak purra naaftoda, qisman dar bachadon boqi memonad, dar natijai kashish nakhurdani bachadon khunravi davom mekunad. Az in sabab baroi dur kardani baqiyai janin dar bemorkhona bistari shudan zarur ast.
Bazan dar haftahoi avvali homilagi I.-i tabii orom surat girifta, khun kam meravad, zan ba dukhtur murojiat namekunad. Ammo tul kashidani on baroi salomati khatarnok ast, chunki ba bachadon mikrobhoi bemoriovar dokhil shuda, boisi gazak va inkishofi ufunat megardand. Binobar in hangomi hissi dard va khunravi favran ba dukhtur murojiat boyad kard. In imkon medihad, ki I. va orizahoi on peshgiri karda shavand.
I.-i tabii metavonad takror yobad (I.-i odati). Dar in mavrid muolijai muntazam va bardavom zarur ast. Mahz baroi oshkor namudani sababi I.-i odati muoinai peshaki guzaronida meshavad. Dar davomi muoina va tabobat boyad az homilagi khuddori kard.
Agar zan bordor shavad, dar muddati 3 mohi avval boyad az aloqai jinsi khuddori kunad; khudro az shakhsoni giriftori bemorihoi siroyati dur girad, ba iztirobu khastagi roh nadihad, beshtar dar havoi toza boshad, khuroki sergizo khurad.
Dar peshgirii I.-i tabii sarivaqt (hangomi paydoishi alomathoi avvalini homilagi) murojiat kardan ba mushovaragohi zanona ahamiyati kalon dorad. In imkon medihad, ki bemorii asosi oshkor va tabobat karda shavad. Ba qadri imkon roh nadodan ba I.-i suni niz khele muhim ast.

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