গর্ভপাতের পর জটিলতা ও করনীয় :

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গর্ভপাতের  পর  জটিলতা  ও করনীয় :

অনেক  ধরনের  গর্ভপাত  আছে ।  সব  ধরনের  গর্ভপাতের পরই  জটিলতা  হতে  পারে ; সবচেয়ে  বেশি  জটিলতা  হয়  বেআইনি বা  কৃত্রিম  বা জোরপূর্বক  গর্ভপাতে( criminal  abortion )

স্বত:স্ফূর্ত  (spontaneous) গর্ভপাতের  জটিলতা  অনেক  কম – বেশির  ভাগ  ক্ষেত্রে  কোনো  জটিলতা  হয়না ।

জটিলতাগুলো –

১ শারীরিক –

* অসফল  গর্ভপাত  ;গর্ভে  সন্তান  জীবিত  অবস্থায়   থেকে  যায় ।

* অসম্পুর্ন  গর্ভপাত – ভ্রুন  বা  গর্ভফুল বা  আবরন  থেকেই  যায় ।

* ইনফেকশন – তলপেটে  ব্যথা .রক্তক্ষরন .জ্বর .দুর্গন্ধযুক্ত  স্রাব /

রক্তমিশ্রীতো  স্রাব  ইত্যাদি ।

 *  জরায়ুতে  ছিদ্র   হওয়া ।

* অতিরিক্ত  রক্তক্ষরন  ।

* পেটের  নাড়ি ফুটো  হওয়া

* মাসিক  বন্ধ  হওয়া – জরায়ুর  ভিতরের  আবরন  বেশি  করে  ফেলে  দিলে ।

* বন্ধ্যত্ব – ইনফেকশন  হয়ে  টিউব  ২ টি  বন্ধ  হলে  বা  জরায়ুর  ভিতরের  ফাঁপা  জায়গা   না  থাকলে (uterine  synechia )

* দুর্বলতা

২ ।  মানসিক –

* লাগাতার  অপরাধবোধ ।

*  পরবর্তীতে  মা  হতে  না  পারার  ভয় ।

 * হতাশা / বিষন্নতা

করনীয় :

অভিজ্ঞ  ডাক্তার দিয়া  –

#  জীবানুমুক্ত   পরিবেশে

# জীবানুমুক্ত যন্ত্র ব্যবহার

# এন্টিবাওটিক  সেবন  বা ইনজেকশন

# জরায়ু  পুরো  খালি / পরিস্কার  হওয়া  ণিস্চিতকরনে  USG করা ।  গর্ভপাতের  ২ সপ্তাহ  পর  করতে  হবে  ।

# বিশ্রাম  নিতে  হবে

# পুসটিকর  খাবার  খেতে  হবে ।

# পরিস্কার – পরিচ্ছন্ন  থাকতে  হবে ।

# ন্যাকড়া  বা  ট্যাম্পুন  ব্যবহার  করা  যাবেনা -এসবে  ইনফেকশন  বাড়ে  ।

# পুরোপুরি  রক্ত  বন্ধ  হওয়ার  আগে  সহবাস  করা  যাবেনা  ।

#  ভালো  করে কাউন্সিলিং   করতে  হবে ।

# স্বামী / বন্ধুর  সংস্পর্শে  থাকতে  হবে ।

বি :দ্র : অনভিজ্ঞ  নার্স  বাড়িতে  ডেকে.  usg  না  করে.গর্ভসময়  গননা  না  করে   MR. বা D&C করা  ঠিক  না ।

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