I-Magnesium sulphate, okanye imida emfutshane, isetyenziswe ekukhulelwe iminyaka engaphezu kwe-60. UMag wayesetyenziselwa kuphela ukukhusela ukuxothwa ngenxa yokunyuka kwe- preeclampsia , kwaye isasetyenziselwa eso sizathu. Kwiintsuku zanamhlanje, i-magnesium sulfate isetyenziselwa ukucotha okanye ukuyeka umsebenzi wabasebenzi , nokukhusela ukulimala kwengqondo yomntwana.
Nangona i-mags infusons ingaba neenzuzo ezininzi kumama kunye neentsana, azixhamli.
AmaMama ahlala ekhononda ngeziphumo zecala kunye nokungafuni ukuba kufuneka unikezwe nge-IV, esibhedlele. Makhe sijonge ngakumbi kwizibonelelo kunye nemiphumo yecala yesi sifo esiqhelekileyo ekusebenzeni nasekuhambisweni.
Ukusetyenziswa kwe-Magnesium Sulfate kwabasetyhini abakhulelweyo
I-Magnesium sulfate isetyenziswe ngokubanzi kumgangatho wesitrotho, kwaye ngenxa yezizathu ezifanelekileyo. Isidakamizwa esifundekayo, ngoko ke oogqirha bayazi kakuhle indlela ezichaphazela ngayo umama neentsana. Kwakhona uncedo lonyango, kwaye lunokusetyenziswa kwezi zizathu ezintathu eziphambili:
- Vumela ixesha ukunika i-steroids: I-Magnesium sulfate yi-tocolytic esetyenzisiweyo ukucotha okanye ukuyeka ukusebenza kwangaphambili. Uphando lubonisa ukuba imil, njengamanye ama-tocolytics, ayisebenzi kakuhle ekukhuseleni ukuzalwa kwangaphambi kokuzalwa, kodwa inokukunceda ukugqithisa abasebenzi ngexesha elifutshane. Oogqirha banokuphatha unyango lomsebenzi ngeeyure ezingama-48, benethemba lokuthenga ixesha elaneleyo lokugqiba ikhosi ye- steroids ukunceda imiphunga yengane iphuhlise.
- Ukuthintela ukuthintela kwi-eclampsia: I- Preeclampsia yinkxalabo eqhelekileyo yokukhulelwa ebangela uxinzelelo oluphezulu lwegazi kunye neprotheyini kumchamo. Ukuba ingaphathwa, i-preeclampsia ingahlakulela ibe yi-eclampsia, i-disorder of disorder. Ukuphela kwonyango ye-preeclampsia kunye ne-eclampsia kukuziswa komntwana, kodwa i-magnesium sulfate inokukunceda ukuthintela ukuthintela kwabasetyhini abane-preeclampsia enzima.
- Khusela ingqondo yengane yomntwana: Iintsana ezinokuqala , ngakumbi abo bazalwa ngaphambi kweeveki ezingama-32, zinobuchopho obuncinane ekuzalweni. Njengoko bekhula, basengozini yokukhubazeka kwe-cerebral, i-disorder echaphazela ukunyakaza kunye nolwazi. Ixesha elifutshane (iiyure ezingama-24 okanye ngaphantsi) i-infesions ye-magnesium sulfate iboniswe ukuba incede ukukhusela ingqondo yengane ngokunciphisa iziganeko zokukhubazeka kwe-cerebral palsy.
Imiphumela
Nangona i-magnesium sulfate igxotha iiveki okanye ngaphantsi ibonwa njengekhuselekile kumama nakwintsana, ahlala ehleka. UMag unemiphumo emibi engekho yingozi kodwa akanakukhathazeka kakhulu.
Kwiimama, iziphumo ezibi ze-magnesium sulfate zingaquka:
- Ukutshisa okanye ukutshisa okutshisa
- Ndiziva ndikhathele kwaye ndibaleka
- Isihlunu kunye nokuhlanza
- Utywala
- Umbono ongezantsi
- Ubuthakathaka obuthathaka
Kwiimeko ezinqabileyo, uxinzelelo lokuphefumula lunokwenzeka. Oku kunokuguqulwa nge-infusion ye-calcium kwaye ixhaphake kakhulu kubafazi abaneengxaki zeengtso.
I-Magnesium sulphate iwela emntwaneni, kwaye iintsana ziza kuzalwa zichaphazelekayo kumag. Amanqaku aphantsi e- Apgar kunye neqondo elibi le-muscle ekuzalweni yizona ziphumo eziqhelekileyo eziqhelekileyo zemigane kwiintsana. Ezi ziphumo zihlala zihamba ngosuku okanye njalo kwaye azibangeli iingxaki zesikhathi eside.
Abafazi abakhulelweyo akufanele bafumane umbane ixesha elide kuneentsuku ezi-5 ukuya kwii-7, njengoko unyango lwexesha elide lunokubangela i-calcium ephantsi kumathambo omntwana.
Imithombo:
Ikholeji yase-American College of Obstetricians kunye neGynecologists. "I-Magnesium Sulfate Usetyenziso kwi-Obstetrics." Septemba 2013. http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Obstetric_Practice/Magnesium_Sulfate_Use_in_Obstetrics
Merrill, L., "i-Magnesium Sulfate Ngethuba elilindelekileyo lokuzalwa kwangaphambi kweNtsholongwane yeNtsana." NgoFebru-Mar 2013. Uncedo lwabaSebenzi bezeMpilo. 17; 42-51.
Riaz, M., Porat, R., Brodsky, NL, Hurt, H. "Iimpembelelo zeMagneseum Sulfate Treatment on the Newborns: I-Study Out Control. NgoNovemba-Disemba 1998. IiNcwadana kwiPerinatology 18 (6 Pt 1): 449-54.
I-Smith, J., uLowe, R., Fullerton, J., Currie, S., Harris, L., kunye noFelker-Kantor, E. "Ukuhlaziywa okuHlangeneyo kweeMpawu eziPhakathi ezihlobene nokusetyenziswa kweMagnesium Sulfate ye- Ulawulo lwe-eclampsia no-Eclampsia. " NgoFebruwari 2013. Ukukhulelwa kweBMC Ukubeletha 13:34.
US Food and Drug Administration. "I-Magnesium Sulfate: UkuNxibelelana koKhuseleko lweMithi - Iingcebiso ezichasene nokuSebenziswa kwexesha elidlulileyo kwiBasebenzi zangaphambi kwexesha" ngoMeyi 30, 2013. https://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm354603.htm