Ucwaningo lwango-2017 alufumani nzuzo ekunciphiseni umngcipheko wesifo esingapheliyo samaphaphu
Abaninzi bethu baye bakuva nge-DHA, eyongezelelweyo isongezelelo eyongeziweyo kwindlela kunye nezinye izinto zokutya zentsana. Kwaye nangona abaninzi bethu bedibanisa iDHA kunye nempilo yengane, isifundo se-2017 sibuza ukuba ingaba uncedo lungancedisa iintsana zakudala.
Yintoni i-DHA?
I-DHA, eyona nto i-fatty chain-fatty acid ebizwa ngokuba yi docosahexaenoic acid, sele idibaniswe nokukhuthaza impilo yabantwana , ngakumbi kwingqondo.
I-DHA ikhona kubisi lwebele, umzekelo, ngoko kuthathwa njengento ebaluleke kakhulu kubantwana njengoko bekhula. Noko ke, izifundo zixutywe malunga nokuba uncedo olunjani le-acid acid kunye nokuba zonke iintsana kufuneka zithole i-DHA, nangona zingabinayo ubisi lwebele.
Ezinye izifundo zicebise ukuba iintsana ezisela isilwanyana kunye ne-DHA zinemizimba emincinci yokuphefumula kunye nesikhumba. Baye badibaniswa nokunciphisa i-asthma kunye nokuvuthwa kwabantwana abanomama obuthathaka, kunye neentsholongwane ezincinci zokuphefumula. Olunye uphando lwafumanisa ukuba ukuxhaswa kwe-fatty acid kwakunxulumene ne-bronchitis engaphantsi, i-bronchiolitis, ukuxininiseka kwendoda, kunye nesifo sohudo oludinga ukungenelela kwezonyango. Kukho konke, i-DHA iye yaziwa ngokuba yinto enhle idalwe.
Ngaba i-DHA Uncedo Kwiintsana Zengaphambi Kwexesha?
Ngenxa yokudibanisa nempilo yokuphefumula, oogqirha baye bazibuza ukuba ukunika i-DHA isondeza kwiintsana ezingasenakuncinci kunokuncedisa ukunciphisa amazinga e-bronchopulmonary dysplasia.
Enye yeengxaki eziphambili zezokwelapha ezinokuthi zenzeke ngeentsana ezingaphambi kwexesha ziyingxaki zokuphefumula, okanye iingxaki zemiphunga, kuba iintsana zengqondo zihlala ziphethe imiphunga engaphangeliyo.
I-br onchopulmonary dysplasia (i-BPD) isifo semiphunga esinokuchaphazela iintsana zangaphambi kwintsana ezifuna uncedo ngokuphefumla emva kokuzalwa.
I-BPD ingakhokelela ekubhenkeni komphunga kunye nokuphazamisa indlela umoya otshintshana ngayo kwimiphunga, engakhokelela kwiingxaki ngokuphefumula kunye nezinye iingxaki zempilo ebomini, kuquka ukuhluleka kwentliziyo.
Oko kuthethwa nguPhando
Yaye ngelixa bekuya kuba kuhle ukuba i-DHA isongezelelo iyakuthintela i-BPD kwiintsana ezingekafiki, isifundo se-New England Journal of Medicine sibonise ukuba i-DHA isenokungabi luncedo njengoko kwakucingelwa ngaphambili ukunciphisa umngcipheko wesifo somphunga.
Uhlolisiso lwabheka abantwana abangama-1,273, bonke abazalelwa ngaphambi kweeveki ezingama-29 zokukhulelwa, kwaye bahlola imiphumo yokunika i-60 mg / kilogram ye-DHA ukwongezelelwa xa kuthelekiswa neintsana ezingazange zithole i-DHA. Ukuncediswa kwanikezelwa kude iintsana zifikelele kwiminyaka eyi-36 ubudala, ngaphambi kokuba ziqwalaselwe "njengegama" iintsana okanye zize zikhutshwe ukuya ekhaya.
Ingqikithi yabantwana abangama-592 iphelile ngokugqitywa ngokukhawuleza kwiqela le-DHA kwaye ngaphandle kwabo, i-291 okanye i-49.1 ekhulwini yabo yafunyaniswa ne-BPD. Kwiphepha le-flip, ngaphandle kwabantwana abangama-613 ababesebandleni lokulawula kwaye abazange bamkele ukuxhaswa kwe-DHA, i-269 okanye i-43.9 ekhulwini kubo, babe ne-BDP. Ngoko ukusuka kule datha, ezinye iintsana zifumanekile zifumene i-BPD yekliniki kwiqela le-DHA ngoko iqela elingewona i-DHA.
Ezi ziphumo zakhokelela abaphandi ukuba bagqibe ukuba i-DHA yokongezelela ayinakunceda kuphela ukukhusela i-DHA, kodwa ukuba inokuthi idibaniswe nakwiimeko zeBPD. Kwakukho iintsana ezininzi kakhulu kwiqela le-DHA eyayineBPD, ngoko umbutho awukwazi ukukhishwa.
Olu pho nonongo luphelile:
Ukongezwa kwe-DHA yokungena kwi-dose ye-60 mg nganye nge kilogram ngosuku akuzange kubangele umngcipheko omncinci we-bronchopulmonary dysplasia yomzimba kune-emulsion yokulawula phakathi kweentsana ezibelethwe ngaphambi kweeveki ezingama-29 zesigxina kwaye kunokubangela umngcipheko omkhulu
I-Takeaway
Ngoko oko kuthetha ukuthini?
Kuthetha ukuba ukuba ungumzali wengane engaphambi kwentsana okanye ulindele umntwana osenokuchitha ixesha kwi-NICU, unokwazi ngophando olutsha malunga nokuxhaswa kwe-DHA kwiintsana zangaphambi kwexesha. Ukuba usana lwakho luzalwa ngaphambi kwangoko, usemngciphekweni wesifo somphunga BPD, esinokubangela iingxaki zokuphefumula kunye nezinye iingxaki zesikhathi eside.
Oogqirha baqwalasele ukuba ukunikezelwa kwe-DHA kunokuncedisa ukunciphisa umngcipheko wezinsana zangaphambi kwexesha ukufumana i-BPD, kodwa uphando lubonisa ukuba i-DHA yokongezwa ayiyi kunciphisa umngcipheko we-BPD. Ukuba unomntwana kwi-NICU okanye usemngciphekweni webasebenzi bokuqala, xela nodokotela wakho ngezinye iindlela ongakunceda ukunciphisa umngcipheko wengane yakho ye-BPD, njengokubamba ubisi lwebele.
> Imithombo:
> Collins, C. et al. (2017, Matshi 30). I-Docosahexaenoic acid kunye ne-bronchopulmonary dysplasia kwiintsana zangaphambili. I-New England Journal of Medicine , 376: 1245-1255. Ukufunyanwa kwi-http: //www.nejm.org/doi/full/10.1056/NEJMoa1611942.
> Amanxeba, A., Kerling, E., Wick, J., Scalabrin, D., Colombo, J., noS S. Carlson. I-Formula kunye ne-polyunsaturated i-fatty chain long long chain acids ithoxisa i-incidence of allergies ebuntwaneni. Iintsholongwane zezilwanyana kunye ne-Immunology . 2016. 27 (2): 156-61.
> Kent, G. Ukulawula i-fatty acids inomfomfesana wabantwana: uvavanyo olubalulekileyo lwemigaqo-nkqubo ye-US nezenzo. I-International Breastfeeding Journal . 2014. 9 (1): 2.
> Lapillone, A., uMfundisi, uN., uZhuang, W., noD. Scalabrin. Iimfesane ezisondezayo iintsana ezongezelelweyo ze-polyunsaturated fatty acids ziye zanciphisa iziganeko zezifo zokuphefumula kunye nesifo sohudo phakathi nomnyaka wokuqala wokuphila. BMC Pediatrics . 2014. 14: 168.