Indlela uMncedisi weNyango ngayo ekuHlanganiseni iMilenze ye-Preemie
Xa umntwana usengozini yokunikezelwa kwangethuba , ugqirha uya kunika umama uchungechunge lwee-injection ze-steroid ukwenzela ukukhawulezisa ukuphuhliswa kwemiphunga yengane. Ebhekiselwe njengonyango lwe-steroid ye-antenatal, le nkqubo iyamangalisa ukusebenza ngokunciphisa umngcipheko weengxaki zokusongela ubomi, kubandakanywa nesifo sengqondo sokuphefumula (RDS) .
I-Betamethasone okanye i-dexamethasone yi-steroids ezimbini eziqhelekileyo ezisetyenziselwa kwiimeko zokuhanjiswa kwangaphambili, injected ubuncinane iiyure ezingama-24 ngaphambili kwaye azikho ngaphezu kweveki ngaphambi kokuzalwa komntwana. Ulwaphulo olumiselwe kwinqaku leebhothi ezimbini linikezela ngeeyure ezingama-24.
Indlela I-Antenatal Steroids Work
I-Steroids, efanelekileyo ngokubhekiselwe kuyo njenge-corticosteroids, ziintlobo zokwenziwa kwee-hormone zabantu zendalo ezisetyenziselwa ukunciphisa ukuvuvukala. Xa isetyenziswe ngenyameko, isicatshulwa siyathunyelwa kumntwana ngokusebenzisa igazi lomama kunye neenkxaso ekukhuliseni imiphunga yengane ngeendlela ezimbini ezibalulekileyo:
- Ukwandisa imveliso yabasebenza ngamafutha , umxube we-lipids kunye nama-protein aveliswa ngumzimba, okwehlisa umthamo womhlaba phakathi kwemiphunga kwaye yenza lula ukuphefumula.
- Iyanciphisa umkhuhlane kumaphaphu, ngokuqhubekayo kunceda ekuphefumuleni ngokunyusa umthamo wamaphaphu.
Ukuba iilenki zinikezelwa ngaphezu kweveki ngaphambi kokuba kuzalwe, iziphumo zivame ukuhlawulela kwaye zinokuthi zitshintshe izibonelelo zonyango.
Ngenxa yokuba ayinakunyulwa ukuba afumane izifundo ezininzi , kubalulekile ukuba ixesha lijonge njenge-window echaziweyo ngokunokwenzeka.
Iimiphumo zangaphandle
Uninzi lweziphumo ziphelile ukuba ukusetyenziswa kwe-steridal antenatal kubangela ukuba kungabikho konakalisa ixesha elide umntwana. Ngelixa kwakukho iziphakamiso ukuba lo mkhuba wawunxulumene nobubi (ukunyuka kwamafutha omzimba kunye nobunzima) kubantwana, ininzi yophando yayinganiselwe kwimifanekiso yezilwanyana.
Uphando olupapashwe kwiphepha likaJuni ka-2017 loPhando lweZonyango luphikisana nebango, ekugqibeleni ukuba phakathi kwabantwana abaneminyaka engama-186 ababezalwa ngaphambi kokudala-abanye babo babesele bavelele kwi-steroids yokubeletha kunye nabanye ababengabikho-manani umahluko kwizinga lokungahambi phakathi kweqela.
Xa kuthethwa oko, enye yeempembelelo eziqhelekileyo eziqhelekileyo zokusebenzisa isifo sokubeleka kwesifo somntwana esisiswini sokuzalwa sisisindo esiphantsi , ngokuqhelekileyo sifana neentsana eziye zavezwa kwiikholeji ze-corticosteroids. Ubuninzi bokuba ubungqina bokuba banokubonisa ukuba iintsana ezibonakaliswe kumanani amaninzi zinomngcipheko omkhulu wama-300 weesisindo somzimba ophantsi kwaye akukho miphumo engcono okanye iziphumo ezigqithisileyo ezinxulumene neentsana ezichazwe kwiklasi enye.
Kuzo zonke iziganeko ezimbalwa, isisindo sokuzalwa esisezantsi siya kuba "sibambe" ngethuba lokuba bengabantwana abangenawo mpe mbelelo kwiinkqubela okanye ukuphuhlisa imoto.
Ngokufanayo, abukho ubungqina bokuba i-steroids yokubeletha ingalimaza umama (ngaphandle, mhlawumbi, ngokubangela intlungu okanye ukuvuvukala kwindawo yokuxela). Okukuphela kwendawo ephakathi koomama abaye bafumana izifundo ezininzi, abambalwa abaye babika iingxaki zokulala zisesigxina.
> Imithombo:
> I-American College ye-Obstetrics kunye neGynecologists. I-ACOG Komiti Yengxelo: I-Antenatal Corticosteroid Uphulo Lokukhula Kwama-Fetal. " I-Obstetrics kunye neGynecology. 2017; 130 (2): e102-e109. INGXELO: 10.1097 / AOG.0000000000002237.
> Washburn, L .; Nixon, P .; Snively, B. et al. "I-corticosteroids yokuzalwa kwangaphambili kunye neziphumo ze-cardiometabolic kwiintsholongwane ezizalwe ngobunzima bokuzalwa obuphantsi." Uphando lwezeMpilo. 2017; 82-107. INGXELO: 10.1038 / pr.2017.133.