Ucwaningo luka-2017 aluzuzi nzuzo ekunciphiseni ingozi yezifo ezingapheli zamapayipi
Abaningi bethu sebezwile nge-DHA, okuyinto isisetshenziswa esivamile esongezwe kumfomu kanye nezinye izinto zokudla komntwana. Futhi nakuba abaningi bethu bahlanganisa i-DHA nezempilo yabantwana, isifundo se-2017 sibuza ukuthi ngabe isisetshenziswa singasiza ezinganeni ezingakabiphi.
Kuyini i-DHA?
I-DHA, okuyinto empeleni i-fatty chain fatty ebizwa ngokuthi i-docosahexaenoic acid, isiye yahlotshaniswa nokukhuthaza impilo yengane , ikakhulukazi ebuchosheni.
I-DHA ikhona ebisi lwebele, isibonelo, ngakho kubhekwa njengokubaluleke kakhulu ezinganeni njengoba zikhula. Kodwa-ke, izifundo ziye zaxubaniswa ngokuthi kungakanani ama-asidi enamafutha ewusizo futhi uma zonke izinsana kufanele zithole i-DHA, ngisho noma zingekho ubisi lwebele.
Ucwaningo oluthile luphakamisa ukuthi abantwana abaphuza ifomula ne-DHA banezinkinga zokuphefumula nezesikhumba ezimbalwa. Baye baxhunyaniswa nokunciphisa i-asthma futhi bahamba ngezingane ezinomama onobuchopho, kanye nokuba nezifo ezincane zokuphefumula ngokuphelele. Esinye isifundo sathola ukuthi ama-fatty acid supplementation ahlotshaniswa ne-bronchitis encane, i-bronchiolitis, ukucinana komzimba, kanye nokuhuda okudinga ukungenelela kwezokwelapha. Konke kukho konke, i-DHA ithola idumela lokuba yinhle elitholile.
Ingabe i-DHA iyasiza ezinganeni ezingaphambi kokuqala?
Ngenxa yokuhlangana kwayo nempilo yokuphefumula, odokotela baye bazibuza ukuthi ukunikeza i-DHA izithasiselo ezinganeni ezingakabiphi kungasiza ekunciphiseni izinga labo le-dysplasia ye-bronchopulmonary.
Enye yezinkinga ezinkulu zezokwelapha ezingase zenzeke ezinsana ezingakabiphi kuyinkinga yokuphefumula, noma izinkinga zamaphaphu, ngoba izinsana ze-preemie ngokuvamile ziba namapayipi angathuthuki.
I-br onchopulmonary i-dysplasia (i-BPD) isifo sesifo samaphaphu esingathinta izingane ezingenesikhathi esedinga usizo ngokuphefumula ngemva kokuzalwa.
I-BPD ingaholela ekuphungeni kwamaphaphu futhi iphazamise indlela umoya oshintshaniswa ngayo emaphashini, okungaholela ezinkingeni ngokuphefumula nezinye izinkinga zempilo kuyo yonke impilo, kufaka phakathi ukwehluleka kwenhliziyo kwangempela.
Okushiwo Ucwaningo
Futhi nakuba kungaba kuhle uma ukuvuselelwa kwe-DHA kungavimbela i-BPD ezinganeni ezingakafiki, isifundo se-2017 eNew England Journal of Medicine sibonise ukuthi i-DHA ingase ingabi usizo njengalokho okucatshangwa ngaphambilini ukunciphisa ingozi ye-lung disorder.
Ucwaningo lwabheka izinsana ezingu-1 273, zonke ezazalwa ngaphambi kwamasonto angu-29 okukhulelwa, futhi zahlola imiphumela yokunikeza ukwesekwa kwe-DHA ka-60 mg / kilogremu uma kuqhathaniswa nezinsana ezingazange zithole i-DHA. Ukwengezwa kwanikezwa kuze kube yilapho abantwana befinyeleleka emasontweni angama-36 asezingeni elihle, ngaphambi kokuba babhekwe njengengane "yegama" noma baze baxoshwe ekhaya.
Ingqikithi yabantwana abangu-592 iphelile ngokuthi ihanjiswe ngezikhathi ezithile eqenjini le-DHA futhi kulabo, amaphesenti angu-291 noma angu-49.1 awo atholakala ene-BPD. Ehlangothini lwe-flip, kwaphuma ezinganeni ezingu-613 ezazingaphansi kweqembu lokulawula futhi azitholanga ukwesekwa kwe-DHA, amaphesenti angama-269 noma angu-43.9, ayenayo i-BDP. Ngakho kusukela kulolu datha, izingane eziningi zatholakala ukuthi zine-BPD emitholampilo eqenjini le-DHA bese iqembu elingeyona i-DHA.
Lezi zithole zenze abacwaningi baphethe ngokuthi ukuxhaswa kwe-DHA kwakungasizo kuphela ukusiza ukuvimbela i-DHA, kodwa ukuthi kungenzeka ukuthi ixhunyaniswe namacala e-BPD. Kwakukhona izinsana eziningi kakhulu eqenjini le-DHA elineBPD, ngakho-ke inhlangano ayikwazi ukukhishwa.
Ucwaningo lwaphetha:
Ukwengezwa kwe-Enteral DHA ngesilinganiso sika-60 mg nge kilogram ngalunye akuzange kubangele ingozi ephansi ye-dysplasia ye-physiological bronchopulmonary kune-emulsion yokulawula phakathi kwezinsana zangaphambi kokubeletha ezelwe ngaphambi kwamasonto angu-29 wokubeletha futhi kungenzeka ukuthi ziholele engozini enkulu
I-Takeaway
Ngakho konke lokhu kusho ukuthini?
Kusho ukuthi uma ungumzali wengane ngaphambi kwesikhathi noma ulindele umntwana ongase asebenzise isikhathi ku-NICU, ungaqaphela ucwaningo lwamuva mayelana nokwengezwa kwe-DHA kubantwana abangakabiphi isikhathi. Uma ingane yakho izalwa ngaphambi kwesikhathi, isengozini ye-lung disease BPD, engabangela izinkinga zokuphefumula nezinye izinkinga zesikhathi eside.
Odokotela baye bacabangela ukuthi ukwesekwa kwe-DHA kungasiza ekunciphiseni ubungozi bokubeletha izingane ngaphambi kwesikhathi ukuthola i-BPD, kodwa ucwaningo luveza ukuthi ukuvuselelwa kwe-DHA ngeke kunciphise ingozi ye-BPD. Uma unomntwana ku-NICU noma usemngciphekweni womsebenzi wokuqala, khuluma nodokotela wakho ngezinye izindlela ongasiza ekunciphiseni ingozi yengane yakho ye-BPD, njengokubamba ubisi lwebele.
> Imithombo:
> Collins, C. et al. (2017, Mashi 30). I-Docosahexaenoic acid kanye ne-bronchopulmonary dysplasia ezinsana zangaphambi. I-New England Journal of Medicine , 376: 1245-1255. Ibuyiswe kusuka ku-http: //www.nejm.org/doi/full/10.1056/NEJMoa1611942.
> Ububi, A., Kerling, E., Wick, J., Scalabrin, D., Colombo, J., noS S. Carlson. Ifomu nge-polyunsaturated fatty acids ende-chain iyanciphisa izifo zokungezwani komzimba ebuntwaneni. Ukwelashwa kwezingane ezithathelwanayo kanye ne-Immunology . 2016. 27 (2): 156-61.
> Kent, G. Ukulawula i-fatty acids ebusweni lobusana: ukuhlolwa okubucayi kwezinqubomgomo nezinqubo ze-US. I-International Breastfeeding Journal . 2014. 9 (1): 2.
> Lapillone, A., uMfundisi, uN., Zhuang, W., noD. Scalabrin. I-formula eyondliwe enezinsana eneziqu ezinamaphesenti ama-acids e-polyunsaturated enwetshiwe yanciphise izifo zokuphefumula kanye nesifo sohudo phakathi nonyaka wokuqala wokuphila. BMC Pediatrics . 2014. 14: 168.