Nzira Iyo Mishonga Inobatsira Pakuneta Makomba a Preemie
Apo mwana ari pangozi yekuberekwa asati asvika , chiremba anowanzopa mai vacho mutsara majekiseni e steroid kuti vabatsire kufambira mberi kwemapapu emwana. Yakarondedzerwa se-antenatal steroid therapy, iyo nzira inoshamisa kuti inobudirira mukuderedza njodzi yezvinetso zvingangoisa upenyu, zvinosanganisira kuporesa chirwere chinonzi syndrome (RDS) .
Betamethasone kana dexamethasone ndiyo steroid mbiri dzinowanzoshandiswa mumatambudziko ekutanga kutora, injowa maawa makumi maviri nemaviri zvisati zvaitika uye hazvirevi kupfuura kwevhiki musati maberekwa mwana. Chirwere chacho chinorayirwa mune zvakapetwa mabheti maviri akaendesa maawa makumi maviri nemasere.
Zvakaita Antenatal Steroid Work
Steroids, zvakakodzera kunzi se corticosteroids, inogadzirwa nemaitiro evanhu vemahomoni evanhu kushandiswa kuderedza kuputika. Apo rinoshandiswa antenatally, mishonga inotakurwa kumwana kuburikidza neropa raamai uye mishonga mukukura mumapapu emwana nenzira mbiri dzinokosha:
- Inowedzera kubudiswa kwevashandi veputika , musanganiswa we lipids uye mapuroteni anobudiswa nemuviri, izvo zvinoderedza kusangana kwepasi mumapapu uye kunoita kuti kupisa zvive nyore.
- Iyo inoderedza kushanduka kwemvura mumapapu, zvichiwedzera kubatsira mukufema nekuwedzera mapapu ivhu.
Kana majekesiti anopiwa kupfuura kwevhiki asati aberekwa, migumisiro yacho inowanzowedzera uye inogona kuchinja mararamiro ekurapa.
Nemhaka yokuti hazvizivikanwi kuti uwane mafundo akawanda , zvinokosha kuti nguva iyo majekesiti aswedere pedyo nemirairo yakatarwa sezvinobvira.
Migumisiro Yacho Inogona Kuitika
Nyanzvi dzakawanda dzakagumisa kuti kushandiswa kweantenatal steroid kunokonzera kushungurudza kwenguva refu kumwana. Kunyange zvazvo paive nemamwe mazano kuti chiitiko chacho chakanga chakabatanidzwa nechimiro (kuwedzera muviri mumuviri uye kuyerisa) muvana, zvizhinji zvekutsvakurudza zvakanga zvichingove zvishoma kune mhando dzemhuka.
Chimwe chidzidzo chakabudiswa muJune 2017 shanduro yeZveshupiti yePedyari inopesana nemashoko aya, achigumisa kuti pakati pevane makore 186 vane makore 14 vakanga vaberekwa vasati vasvika-vamwe vavo vakanga vaine ruzivo rwechirwere chechirwere chechirwere chekare uye vamwe vasina-kwakanga kusina nhamba musiyano muyero wehutera pakati peboka rimwe nerimwe.
Nezvo zvichitaurirwa, chimwe chezvinhu zvinowanzovhiringidza zvekuberekwa kwesteroid kushandiswa kwakaderera kuberekwa uremu , zvinowanzoenderana necheche dzakange dzave dzakaparidzirwa kune imwe yeklasi ye corticosteroids. Icho chizhinji cheuchapupu huripo hunoratidza kuti vana vanoratidzirwa kune maitiro akawanda vane mazana matatu kubva muzana ngozi yakawanda yekuderera kwehutatu hwehuviri uye hapana zviri nani kana zvibereko zvakaipisisa zvichifananidzwa nevana vanoratidzwa mune imwe nzira.
Muzvinhu zvose kunze kwezviitiko zvishomanana, vana vashoma kuberekwa kuwanda vanozopedzisira "vachisvika" panguva iyo ivo vaiva vaduku vasina chavanogona kuita pakuziva kana kugadzirwa kwemotokari.
Saizvozvowo, hapana humwe uchapupu hwekuti chirwere chetachiona steroid chinogona kukuvadza amai (kunze kwekuti, zvichida, kuburikidza nekukonzera marwadzo emunharaunda kana kupfugama panzvimbo yejojo). Chimwe chete chaiva pakati pevanaamai vakanga vawana dzidzo dzakawanda, vashomanana vavo vakanga vaudza zvinetso zvenguva duku zvekurara.
> Sources:
> American College of Obstetrics uye Gynecologists. "Ongororo yeAACOG Committee: Antenatal Corticosteroid Therapy ye Fetal Maturation." Obstetrics uye Gynecology. 2017; 130 (2): e102-e109. DOI: 10.1097 / AOG.0000000000002237.
> Washburn, L .; Nixon, P .; Snively, B. et al. "Antenatal corticosteroids nemigumisiro ye cardiometabolic muvechiri kuyaruka vane kuberekwa zvakanyanya." Research Pediatric. 2017; 82-107. DOI: 10.1038 / pr.2017.133.