Yaya Yadda ake Kulawa Don Yarda da Gwaninta na Gwaninta?
Lokacin da jaririn yana fuskantar hadarin da ba a ba shi ba , likita zai ba mahaifiyar jerin nau'o'in maganin steroid don taimakawa wajen bunkasa jaririn jaririn. An kira shi azaman maganin steroid, hanya tana da matukar tasiri a rage yiwuwar hadarin rikice-rikice masu rai, ciki har da ciwo na rashin lafiya na numfashi (RDS) .
Betamethasone ko dexamethasone su ne kwayoyin steroid guda biyu da aka saba amfani da shi a lokuta na bayarwa na farko, injected akalla sa'o'i 24 kafin kuma akalla ba fiye da mako daya kafin haihuwa ba. An wajabta farfadowa a cikin jerin shirye-shiryen biyu da aka kai 24 hours baya.
Ta yaya Antenatal Steroids Yi aiki
Magunguna, wanda aka fi sani da corticosteroids, sune siffofin roba na halayen dan adam masu amfani da su don rage ƙonewa. Idan aka yi amfani da shi ba tare da izini ba, an kawo miyagun ƙwayoyi zuwa jariri ta hanyar jini ta mahaifiyarsa kuma yana taimakawa wajen tayar da mahaifa a hanyoyi biyu:
- Yana ƙara yawan samar da sinadarin tsufa , cakuda lipids da sunadarai da jiki ya samar, wanda zai rage yanayin tashin hankali a cikin huhu kuma yana da sauƙi.
- Ya rage ruwa a cikin huhu, kuma yana taimakawa wajen murmurewa ta hanyar ƙara ƙwayar huhu.
Idan an ba da injections fiye da mako ɗaya kafin a haife su, sakamakon zai rage kuma zai yiwu ya sake yin amfani da magani.
Saboda ba a kula da shi ba don samun nau'o'in darussa , yana da muhimmanci a lokacin da injections kamar yadda aka yi wa takardun izini.
Hanyoyin da za a iya yiwuwa
Yawancin karatun sun kammala cewa yin amfani da kwayoyin cutar antenatal ba zai cutar da jaririn ba. Duk da yake akwai wasu shawarwari cewa aikin ya danganci adiposity (ƙãra jiki mai nauyi da nauyi) a cikin yara, yawancin bincike ya iyakance ga tsarin dabba.
Wani binciken da aka wallafa a cikin binciken na Yuni na 2016 na Pediatric Research ya saba wa da'awar, yana mai cewa daga cikin 'yan shekaru 186 da aka haife su ba tare da dadewa ba - wasu daga cikinsu sun kamu da maganin steroid da sauran wadanda ba su da shi - babu wani kididdiga bambanci a cikin yawan adiposity tsakanin ko dai rukuni.
Da wannan aka ce, daya daga cikin abubuwan da ke tattare da amfani da steroid din antenatal shine nauyin haihuwar haihuwa , yawanci alaka da jariran da aka kai su fiye da ɗaya hanya na corticosteroids. Mafi yawan shaidu na yanzu suna nuna cewa jariran da aka fallasa su zuwa asibitoci suna da kashi 300 cikin dari mafi girma na rashin nauyin jiki kuma ba mafi kyau ko sakamako mafi muni ba idan aka kwatanta da jariran da aka fallasa zuwa hanya ɗaya.
A cikin dukkanin waɗannan ƙananan ƙananan yara, ƙananan yara masu haihuwa za su "kama" ta lokacin da suke yarinyar ba tare da tasiri ba ko dai na cigaba ko haɓaka motsa jiki.
Bugu da ƙari, babu wani shaida da cewa steroid zai iya cutar da mahaifiyarta (wanin, watakila, ta hanyar haifar da ciwon da ke ciki ko kumburi a shafin yanar gizon). Iyakar abin da ke cikin iyaye ne kawai wanda ya sami kwarewa da yawa, wanda mafi yawa daga cikinsu ya bayar da rahoton matsalolin barci.
> Sources:
> Cibiyar Kwalejin Yammacin Amurka da Masana ilimin lissafi. "Sanarwar ACOG ta Majalisar Dinkin Duniya: Antenatal Corticosteroid Far of Fetal Maturation." Obstetrics da Gynecology. 2017; 130 (2): e102-e109. DOI: 10.1097 / AOG.0000000000002237.
> Washburn, L .; Nixon, P .; Snively, B. et al. "Corticosteroids da magungunan ƙwayoyin cuta a cikin matasa waɗanda aka haife su tare da nauyin haihuwa." Nazarin Pediatric. 2017; 82-107. DOI: 10.1038 / pr.2017.133.