Ngisho nezingane ezincane ezingaphambi kokuqala ezingozini
Isibeletho yindawo engcono kakhulu yokukhulisa ingane yakho. Kodwa-ke, amaphesenti angaba ngu-10 abesifazane azobhekana nokusebenza ngaphambi kwesikhathi futhi abaningi balaba besifazane bazobeletha izinsana ezingakafiki. Uma ingane yakho ingakafiki isikhathi eside, ingcindezi eyengeziwe kanye nemiphumela engaba khona yesikhathi eside ikhona.
Isilinganiso Sokukhulelwa Esikhathini Eside Kangakanani?
Ukukhulelwa okuvamile kufaka cishe amasonto angama-40, ngezifundo ezithile ezibonisa ukuthi ubude bokukhulelwa buyitholile isikhathi eside.
Incazelo yokukhulelwa kwesikhathi ukukhulelwa emavikini angu-37. Izinsana ezizalwe cishe emavikini angu-22 zisaphila ngokunakekelwa kwezempilo okufanelekile nasezibhedlela.
Uma ingane ihlala isikhathi eside esibelethweni, kungcono amathuba ayo okusinda futhi anciphise ukucindezeleka ngemva kokuzalwa.
Izingane ezincane ezingaphambi kokuqala ezisengozi, Kakhulu
Nakuba kwakwamukelwa jikelele ukuthi izinsana ezazalwa ngaphambi kwesikhathi zingekho engozini enkulu, ulwazi olusha luthi lokhu akulona iqiniso.
Ngisho nezinsana ezincane ezingakafiki ngaphambi kwamasonto angama-34 kuya kwangu-36 ukubeletha kunomngcipheko wezinkinga ezithile ngemuva kokuzalwa. Lezi zithasiselo zihlushwa izikhathi ezimbili kuya kwezingu-3 izinga lokushona kwezingane ngesikhathi sonyaka wokuqala kanye nezinsana ezizalwa emavikini angu-32-33 zinezibalo eziyisithupha zokukhula kwamazinga ngonyaka wokuqala.
Ucwaningo, olushicilelwe ku-Journal of the American Medical Association, lukhuluma ngempela nokusetshenziswa kokungeniswa , ikakhulukazi ngokulula, kulezi zingane ezincane ngaphambi kwesikhathi, zifakaza izinzuzo ezihambisana nezingozi zokungeniswa kokuqala noma okuhleliwe okuhleliwe.
I-Steroid Inject for Development Fetal Lung Development
Ukwelashwa kwe-corticosteroids yokuthuthukiswa kwe-fetal lungenye yezindlela ezihamba kahle kakhulu emithi yokwelapha. Kusukela ngo-1994, iNational Institutes of Health kanye nezinye izinhlangano zezobuchwepheshe ziye zakhuthaza ukusetshenziswa kwazo ekukhuthazeni ukuthuthukiswa kokuthuthukiswa kwamaphaphu emantwini asengozini yokuqashwa komsebenzi noma ukuzalwa.
I-Betamethasone ne-dexamethasone yi-steroids esetshenziswa kakhulu kakhulu. Iprotocol yokulinganisa yayizokwehlukanisa ama-injection ye-intramuscular (IM) amahora angu-24. Abanye odokotela bakhetha ukuphinda baphinde njalo izivivinyo njalo ngesonto kuze kube sekuzalweni. Lezi zijovo kwakudingeka zinikezwe amahora angu-24-48 ngaphambi kokuzalwa komthelela omkhulu. Zasetshenziswa kangcono phakathi kwamasonto angu-24 no-34 ukubeletha.
Ukusetshenziswa kwe-steroids kwanikeza izinzuzo zokuthuthukiswa kwamaphaphu ezinganeni ezingakabiphi ukunciphisa ingozi yokuphefumula kwesifo sokuphefumula (RDS) kanye nokunciphisa ingozi yokuqothulwa komzimba okungekho emthethweni kanye nezinye izinzuzo ezikhona.
Kodwa-ke, ucwaningo lwamuva luthi izinzuzo zamanani amaningi zingabazeki, ikakhulukazi ngokubhekene nezingozi ezingenzeka. Echaza "izinga elilinganiselwe" lezifundo zamanani amaningi kanye nokungahle kwenzeke ukuthi iNational Institute of Health yanikeze isitatimende ukuthi umthamo owodwa wawwanele ekufezeni izinzuzo ezifunwa.
Kungenzeka ukuthi izinhlangothi ezingaphansi kwamanani amaningi zingabandakanya:
- ukulibaziseka kwengqondo
- izinkinga zokuziphatha
- imiphumela yokufa kwezingane ezingakazalwa ziyaziwa phakathi kwezifundo ezilodwa kanye nezimo eziningi
Ekutholeni okuhlangenwe nakho okufundwa yi-Israel abacwaningi baphinde babone ukuthi kunokwanda kwegciwane lesandulela ngculaza ngokusetshenziswa kwe-steroids, ngakho-ke ukulinganiselwa kwamanani kungasiza ngalomphumela ohlangothini olufanayo.