I-Magnesium sulfate, noma mag for short, isetshenziswe ekukhulelwe iminyaka engaphezu kwengu-60. UMag ekuqaleni wasebenzisa kuphela ukuvimbela ukugwinya ngenxa yokwehla kwe- preeclampsia , futhi kusetshenziselwa isizathu. Ezinsukwini zanamuhla, i-magnesium sulfate nayo isetshenziselwa ukunciphisa noma ukuyeka ukusebenza komzimba , nokuvimbela ukulimala kwengqondo yomntwana.
Nakuba mag infusons ingaba nezinzuzo eziningi kumama nabantwana, akuzona kumnandi.
Amama kaningi akhononda ngemiphumela emibi yemil futhi angathandi ukuthi kufanele unikezwe nge-IV, esibhedlela. Ake sibheke ngaphezulu ezinzuzo nemiphumela emibi yalesi sidakamizwa esivamile kakhulu ekusebenzeni nasekulethweni.
Ukusetshenziswa kwe-Magnesium Sulfate kwabesifazane abakhulelwe
I-Magnesium sulfate isetshenziselwa ukuguqulwa phansi, futhi ngesizathu esihle. Isidakamizwa esifunde kahle, ngakho odokotela bayazi kahle ukuthi kuthinta kanjani amama kanye nezingane. Futhi imithi ewusizo, futhi ingasetshenziselwa lezi zizathu ezintathu eziyinhloko:
- Vumela isikhathi ukunikeza i-steroids: I- Magnesium sulfate yi-tocolytic esetshenziselwe ukunciphisa noma ukuyeka ukusebenza ngaphambi kwesikhathi. Ukucwaninga kubonisa ukuthi mag, njengamanye ama-tocolytics, ayisebenzi kahle ekuvimbeleni ukuzalwa kwangaphambi kokubeletha, kodwa angasiza ukuyeka abasebenzi ngesikhathi esifushane. Odokotela bangase baphathe umsebenti wezinkukhu ngamahora angu-48, benethemba lokuthenga isikhathi esanele sokuqeda inkambo ye- steroids ukusiza amaphaphu wengane akhule.
- Ukuvimbela izimpande ezivela e-eclampsia: I- Preeclampsia iyinkimbinkimbi evamile yokukhulelwa ebangela ukucindezeleka kwegazi kanye namaprotheni emcinini. Uma kungelashwa, i-preeclampsia ingahlakulela ibe yi-eclampsia, isifo se-seizure. Imithi yokwelapha kuphela ye-preeclampsia ne-eclampsia ukuletha umntwana, kodwa i-magnesium sulfate ingasiza ekuvimbeleni ukuwayeka kwabesifazane abane-preeclampsia enzima.
- Vikela ubuchopho bomntwana wangaphambi kokubeletha: Izinsana zangaphambi kwesikhathi , ikakhulukazi labo abazalelwa ngaphambi kwamasonto angama-32 ukubeletha, banamazinyo amancane ngesikhathi sokuzalwa. Njengoba bekhula, basengozini yokuphefumula kwengqondo, isifo esithinta ukunyakaza nokuhlakanipha. Isikhathi esifushane (amahora angaba ngu-24 noma ngaphansi) ama-infusions we-magnesium sulfate aye aboniswa ukusiza ukuvikela ubuchopho bomntwana ngokunciphisa izifo zokukhubazeka kwengqondo ye-cerebral palsy.
Okuqhamuka uma udla imishanguzo
Nakuba i-magnesium sulfate igulisa isonto eliphansi noma eliphansi libhekwa liphephile kumama nangomntwana, akuzona neze ezijabulisayo njalo. I-Mag ine nemiphumela emibi engeyona eyingozi kepha ingakhathazeki kakhulu.
Emama, imiphumela emibi ye-magnesium sulfate ingafaka:
- Ukuqhuma noma ukushisa okushisayo
- Ukuzwa ukhathele futhi ukhululekile
- I-nausea nokuhlanza
- Isizungu
- Umbono ophundlekile
- Ubuthakathaka bemisipha
Ezimweni ezingavamile, ukucindezeleka kokuphefumula kungenzeka. Lokhu kungaguqulwa nge-infusion ye-calcium futhi kuvame kakhulu kubesifazane abanenkinga yezinso.
I-Magnesium sulfate iwela emntwaneni, futhi izingane zingase zizalwe nemiphumela emibi kusuka kumag. Ama- Apgar amanani aphansi kanye nezwi elimpofu lomzimba lapho ebelethwa yimiphumela emibi kakhulu yamag insana. Lemiphumela emibi ivame ukuhamba ngosuku noma ngaphezulu futhi ingabangeli izinkinga zesikhathi eside.
Abesifazane abakhulelwe akufanele bathole amagciwane isikhathi eside kunezinsuku ezingu-5 kuya kwezingu-7, njengoba imithi yokwelashwa yesikhathi eside ingabangela i-calcium ephansi emathanjeni omntwana.
Imithombo:
Ikhomishana YaseMelika Yezinambuzane Nezazi ZamaGynecologists. "I-Magnesium Sulfate Ukusetshenziswa Nge-Obstetrics." Septemba 2013. http://www.acog.org/Resources_And_Publications/Committee_Opinions/Ikomidi_on_Obstetric_Practice/Magnesium_Sulfate_Use_in_Obstetrics
UMerrill, L., "Magnesium Sulfate Ngesikhathi Esilindeleke Ukuzalwa Kwangaphambi Kwesifo Sezinsana Zezingane." Feb-Mar 2013. Abahlengikazi Wezempilo Yabesifazane. 17; 42-51.
Riaz, M., Porat, R., Brodsky, NL, Hurt, H. "Imiphumela ye-Magneesium Sulfate Treatment On the Newborns: Isifundo Esilawulwa Ngokulawulwayo." Nov-Dec 1998. Amaphephandaba ePerinatology 18 (6 Pt 1): 449-54.
Smith, J., Lowe, R., Fullerton, J., Currie, S., Harris, L., noFelker-Kantor, E. "Ukubuyekezwa Okuhlanganyelwe Kwemiphumela Ehlangene Ehlobene nokusetshenziswa kwe-Magnesium Sulfate ye- I-eclampsia ne-Eclampsia Management. " Feb. 2013. BMC Ukukhulelwa Ukubeletha 13:34.
Ukuphathwa kwe-US nokuDrug. "I-Magnesium Sulfate: Ukuxhumana Kokuphepha Kwezidakamizwa - Isiphakamiso Ngokusetshenziswa Okuqhubekayo Emisebenzini Yengaphambi Kwesikhathi" May 30, 2013. https://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm354603.htm