Mokhoa oa Thuso ea Meriana ea ho Koetlisa Makala a Preemie
Ha lesea le kotsing ea ho pepa pele ho nako , ngaka e atisa ho fa 'mè letoto la li-steroid ho thusa ho potlakisa tsoelo-pele ea matšoafo a lesea. Ho boleloa hore e le phekolo ea steroid ea pelehi, mokhoa ona o hlolla ka mokhoa o tsotehang ho fokotsa kotsi ea bophelo bo kotsing ea bophelo, ho kenyelletsa le lefu la khatello ea maikutlo (RDS) .
Betamethasone kapa dexamethasone ke li-steroid tse peli tse atisang ho sebelisoa maemong a ho pepa pele ho nako, ho kenngoa ka bonyane lihora tse 24 pele ho moo 'me ha ho joalo ka beke pele ho tsoalo ea lesea. Phekolo eo e fanoeng ka letoto la lihlankana tse peli e fana ka lihora tse 24 ka thōko.
Kamoo Antenatal Steroids e Sebetsang Kateng
Li-steroids, tseo ka nepo li bitsoang corticosteroids, li na le mefuta ea li-hormone tsa tlhaho tsa batho tse sebelisoang ho fokotsa ho ruruha. Ha e sebelisoa ka antenateng, sethethefatsi se fetisetsoa ho lesea ka mali a 'mè le lithuso tse thusang ho hōlisa matšoafo a lesea ka litsela tse peli tsa bohlokoa:
- E eketsa tlhahiso ea li-surfactants , motsoako oa lipids le liprotheine tse hlahisoang ke 'mele, tse fokolisang tsitsipano ea matšoafo ka har'a matšoafo le ho etsa hore phefumoloho e be bonolo.
- E fokotsa metsi a matšoafong matšoafo, e tsoela pele ho thusa ho phefumoloha ka ho eketsa molumo oa maphafu.
Haeba liente li fuoa nako e fetang beke pele ho tsoaloa, liphello li atisa ho fokotsa melemo ea phekolo.
Hobane ho sa tsejoe ho kena lithutong tse ngata , ke habohlokoa hore nako e be le liente tse haufi le fensetere e laetsoeng ka hohle kamoo ho ka khonehang.
Liphello tse ka khonehang
Liphuputso tse ngata li fihlile qeto ea hore tšebeliso ea li-antenatal steroids ha e bake kotsi lesea ka nako e telele. Le hoja ho ne ho e-na le litlhahiso tsa hore mokhoa ona o ne o amana le bofokoli (ho eketsa mafura le 'mele) ho bana, boholo ba lipatlisiso bo ne bo lekanyelitsoe mehlala ea liphoofolo.
Phuputso e phatlalalitsoeng khatisong ea Phatlalatso ea Bana ea June 2017 e ile ea hanyetsa seo, se etsa qeto ea hore har'a bana ba 186 ba lilemo li 14 ba neng ba tsoetsoe pele ho nako-ba bang ba bona ba ne ba pepesehetse li-steroid tsa pelehi le ba bang ba neng ba e-ba se na lipalo-palo phapang ka tekanyo ea bofokoli pakeng tsa sehlopha.
Ha ho buuoa joalo, e 'ngoe ea litla-morao tse tloaelehileng tsa ho thibela malapa a senyeheloa ke ho ba le boima ba' mele , hangata bo amana le masea a neng a pepesehile ho feta lekholong la corticosteroids. Boholo ba bopaki ba hona joale bo bontša hore masea a pepesetsoeng meriana e mengata a na le kotsing e kholo ea karolo ea 300 lekholong ea boima ba 'mele' me ha ho molemo kapa liphello tse mpe ho bapisoa le masea a pepelitsoeng thupelong e le 'ngoe.
Maemong a mangata, lisele tse tlaase tsa boimana li tla qetella li "tšoasa" nakong eo e neng e le bana ba banyenyane ba se nang tšusumetso ho nts'etsopele kapa nts'etsopele ea motlakase.
Ka mokhoa o ts'oanang, ha ho na bopaki ba hore li-steroid tsa pelehi li ka ntša 'mè kotsi (ntle le, mohlomong, ka ho baka bohloko ba sebakeng se seng kapa ho ruruha sebakeng sa eng). Phomolo e le 'ngoe feela e ne e le har'a bo-'mè ba neng ba e-na le lithuto tse ngata, ba seng bakae ba neng ba tlalehile mathata a nakoana a ho robala.
> Mehloli:
> Koleji ea Amerika ea Litsela le Ma-Gynecologists. "Tlhaloso ea Komiti ea ACOG: Tlhahlobo ea lefu la ho fokola ha motsoako oa Fetal." Likokoana-hloko le Gynecology. 2017; 130 (2): e102-e109. DOI: 10.1097 / AOG.0000000000002237.
> Ho hlatsoa, L .; Nixon, P .; Snively, B. le al. "Li-corticosteroids tsa pelehi le li-cardiometabolic liphello ho bacha ba tsoetsoeng ba e-na le boima ba 'mele ba ho beleha." Lipatlisiso tsa Bana. 2017; 82-107. NA: 10.1038 / pr.2017.133.