Ukuqonda izimpawu zokuqala nokhetho lwezokwelapha
Ukusebenza kwangaphambi kwesikhathi (preterm) kungaba yinye yezimo ezicindezelayo owesifazane angabhekana nazo futhi enye imibhangqwana eminingi engakulungele. Ngenkathi isizathu esiqondile sokubeletha ngaphambi kokuzalwa kungaziwa, kunezici ezingandisa ingozi, kuhlanganise nokukhulelwa okuningi , izifo ezithile, izinkinga zomlomo wesibeletho, iminyaka yobudala bomama, nokubhema.
Kukhona izindlela zokwelapha eziningana ezingasiza ekuvimbeleni umsebenzi wokuqashwa kwabesifazane abasengozini enkulu kanye nabanye abangakwazi ukuphikisana kancane uma umsebenzi uqala ngaphambi kwesikhathi.
Ngokwehla, ezinye zalezi zonyango aziphumelelanga kakhulu kwabanye besifazane futhi ziphikisana ngokuphelele kwabanye.
Izimpawu Zomsebenzi Wokuqala
Ukuqala komsebenzi kwenzeka cishe ngamaphesenti angu-12 azo zonke ukukhulelwa. Kwezinye izimo, kungase kwenzeke ukuvimbela ukubeletha ngaphambi kwesikhathi ngokuwazi izimpawu zokuqala. Ezinye zezimpawu ezifakazelayo zihlanganisa:
- Izinkinga ezinhlanu noma ngaphezulu ngaphakathi kwehora
- Amanzi amanzi aphuma emzimbeni (okubonisa ukuthi amanzi akho angase aphule)
- I-backache enesibindi ngaphansi kwesinxele esingase ihambe noma ihlale njalo
- Ukwehla kwesisu esikhathini esiswini esingaphansi
- Ukucindezelwa kwamagciwane okuzizwa sengathi umntwana wakho uyaphonsa phansi
Ukuvimbela Umsebenzi Wokuqala Emadodeni ase-At-Risk
Abesifazane abasengozini yokuqashwa kwabasebenzi, ikakhulukazi labo abaye baba nokuzalwa okulodwa noma ngaphezulu, bangabhekwa ukwelashwa okukodwa noma ngaphezulu:
- I-progesterone isetshenziselwe ukuvimbela ukukhulelwa kwesisu nokuzalwa kwangaphambi kweminyaka engaphezu kwengu-40. Naphezu kokusetshenziswa kwayo okubanzi, izifundo ziphikisana ngokuthi ngabe i-progesterone ingahlala ikhulise ukukhulelwa kwabesifazane besengozini yokulethwa ngaphambi kwesikhathi.
- I-Cerclage iyisitembu esabekwe emgodini wesibeletho ukuyivala . Ngenkathi izitifiketi zisetshenziswe iminyaka engaphezu kwengu-50 ukuvimbela ukuzala kwangaphambi kokubeletha, ucwaningo luveza ukuthi lungakhulelwa kuphela ukukhulelwa (kanye nakwabesifazane abathile kuphela) futhi ngeke luyeke ukusebenza uma seliqalile
- Ukuphumula kombhede kuvunyelwe ukuthi abesifazane babe nokukhulelwa okuningi, i- eclampsia , i- preeclampsia , ukuphuma kwegazi okwesibindi, izinguquko ezingavamile zesibindi somzimba, ukuthuthukiswa komntwana, ukucindezeleka okungokwemvelo, noma isifo sikashukela sokubeletha.
- Ama-antibiotic ngokuvamile anikezelwe abesifazane abathola ukukhishwa kwangaphambi kwezibeletho ukuvimbela ukutheleleka kwezibeletho ezingabangela ukuzalwa ngaphambi kokuzalwa. Ama-antibiotic angaphinde akhulise ukukhulelwa kwabesifazane abaye babhekana nokuqala kokuqala.
Ukwelapha Umsebenzi Wokuqala
Ukukhuluma ngokweqile, kuvame ukuba nzima ukuguqula izinto uma owesifazane ebonisa izimpawu zomsebenzi wangaphambi kwesikhathi. Ngisho nezinyathelo eziphumelela kakhulu kuvame ukubambezeleka kokubeletha usuku noma ezimbili.
Ngenxa yalokhu, imigomo emibili yokwelashwa ukuvumela isikhathi esanele sokudlulisela umama esikhungweni esinezikhungo zokunakekelwa ngokukhululekile (NICU) nokuhlinzeka nge- steroids ukusheshisa ukuthuthukiswa kwamaphaphu wesisu.
Kukhona isibalo semithi yezokwelapha kuzophendukela ngesikhathi sokusebenza ngaphambi kwesikhathi. Ezinye, ezibizwa ngokuthi i-tocolytics, zenzelwe ngokuqondile ukuphuza noma ukuyeka imivimbo ye-uterine.
Phakathi kokuvamile okushiwo i- magnesium sulfate enemiphumela emibili: ukuvimbela ukugwinya kwabesifazane abane-preeclampsia nokunciphisa ubungozi bokukhubazeka kwesifo sofuba kanye nezinye izinkinga zobuchopho ezinganeni ezingaphambi kwesikhathi.
Amanye ama-tocolytics afaka izidakamizwa ezisetshenziselwa ukuphatha izinkinga zenhliziyo nephuphu, njenge-nifedipine ne-terbutaline, zombili zazo eziphumelelayo ekuvimbeleni izinqamulelo ze-uterine.
> Imithombo:
> Morgan, M .; I-Goldenberg, i-R .; kanye no-Schulkin, J. "Ukuhlolwa Kwezinto Zokukhubazeka Nezifo Zamazinyo Nokuphathwa Kokuzalwa Kwangaphambi Kokuzalwa." I-Obstetrics ne-Gynecology . 2008; 112: 35-41.
> Vidaeff, A. noRamin, S. "Amasu okuphatha okuvimbela ukuzalwa kwangaphambi kwesikhathi. Ingxenye I: Buyekeza ku-Progesterone Supplementation." Umbono wamanje ku-Obstetrics and Gynecology. 2009; 21: 480-484 .