Nangona Iintsana Zisemva Kwangaphambi Kwengozi
Isibeleko yindawo efanelekileyo yokukhula umntwana wakho. Nangona kunjalo, malunga neepesenti ezili-10 zabesetyhini baya kuba namava ngaphambi kwexesha kwaye abaninzi balaba bafazi baya kubeleka iintsana ezingekafiki. Xa umntwana wakho engaphambi kwexesha, ingxaki kunye nefuthe elide elide elide likhoyo.
Ixesha elingakanani Umlinganiselo Wokukhulelwa?
Ukukhulelwa okuphakathi kuqhubeka malunga neeveki ezingama-40, kunye nezifundo ezithile ezibonisa ukuba ubude bokukhulelwa buye bafumana ixesha elide.
Inkcazo yokukhulelwa kwexesha ukukhulelwa kwiiveki ezingama-37. Iintsana ezizalwe ngeveki ezingama-22 zihlala zikunakekelwa ngonyango kunye nokulaliswa kwezibhedlele.
Xa ixesha elide umntwana ehlala kwisibeleko, ngcono amathuba akhe okuhlala kunye nokunciphisa iingxaki emva kokuzalwa.
Iintsana ezincinci ezisemngciphekweni zisengozini, Njalo
Nangona kwakukho ukwamkelwa ngokuqhelekileyo ukuba iintsana ezelwe kungekudala zingekho engozini enkulu, ulwazi olutsha luthi oku akunjalo.
Nangona iintsana ezincinane ngaphambi kokuzalwa kwamaviki angama-34 ukuya kuma-36 zenzeke ingozi yeengxaki ezithile emva kokuzalwa. Ezi zithako zixhatshazwa ngamaxesha ama-2 ukuya kwezi-3 ukufa kwabantwana ngexesha lokuqala kunyaka wokuqala kunye neentsana ezizalwe kwiiveki ezingama-32-33 zinezihlandlo ezithandathu zokunyuka kwamazinga okufa kunyaka wokuqala.
Uphononongo olupapashwe kwi-Journal ye-American Medical Association, lithetha ngokwenene ukusetyenziswa kwe- induction , ngokukodwa ukulungelelanisa, kule ntsana ezincinane ngaphambi kokuqala, ukubuza ngokuqinisekileyo iingenelo ngokubhekiselele kwiingozi zokuqulunqwa kwangaphambili okanye okucwangcisiweyo.
I-Steroid Inject for Developmental Lung Development
Ukunyuswa kwama-corticosteroids ekuphuculeni imiphunga ye-fetal ngenye yeyona ndlela ihamba phambili kumachiza omntwana. Ukususela ngo-1994, iiNational Institutes of Health kunye neminye imibutho yezobugcisa baye bakhuthaza ukusetyenziswa kwabo ekukhuthazeni ukuphuhliswa kwentuthuko yemiphunga kubomama abasemngciphekweni wokuba ngumsebenzi wokuzalwa okanye ukuzalwa.
I-Betamethasone kunye ne-dexamethasone yizona ezimbini eziqhelekileyo ezisetyenziswayo. Umyinge wokulinganisa kwakufuneka unike iijojo zentramuscular (IM) iiyure ezingama-24 ngaphandle. Abanye oogqirha bakhetha ukuphinda baphinda baphinde baphinde benze iiveki nganye ngeveki de kuzalwa. Iilenki zafuneka zinikezwe iiyure ezingama-24 ukuya kwii-4 ngaphambi kokuba kuzalwe umbane. Ziye zisetyenziswe kakuhle phakathi kweveki ezingama-24 no-34.
Ukusetyenziswa kwe-steroids kwanike iingenelo ekuphuhliseni imiphunga kwiintsana ezingaphambi kwexesha ukunciphisa umngcipheko we-respiratory syndrome (RDS) kunye nokunciphisa umngcipheko wokubangela ukunyuka kwamathambo kunye nezinye izibonelelo ezinokwenzeka.
Nangona kunjalo, uphando olutshanje luthi iingeniso zamanani amaninzi azinakungqinisiseki, ngakumbi ngokubhekiselele kwimingcipheko engozi. Ukukhankanya "umgangatho omncinci" wezifundo zamanani amaninzi kunye neengxaki ezingenakwenzeka kwiSizwe seZiko lezeMpilo zikhuphe isitatimende sokuba enye idosi inelisekile ekufezekiseni iinzuzo ezifunwayo.
Kungenzeka ukuba ngamacandelo amaninzi kumanani amaninzi angabandakanya:
- ukulibaziseka kwengqondo
- iingxaki zokuziphatha
- Imiphumo yokufa kwe-neonatal ayiyaziwayo phakathi kwezifundo ezifanayo kunye neendlela ezininzi
Ngokweziphumo ezahlukileyo zifunyenwe ngabakwa-Israel abaphandi baphinde bafumanisa ukuba kukho ukwanda kwentsholongwane yabantwana ngokusetyenziswa kwe-steroids, ngoko ukunciphisa amanqanaba kunokunceda nangalo mphakathi.