Daaweynta foosha kahor: sunta sunta jirka

Qanacsan

• Daawada sunta ah
• Waa maxay nooca dawada sunta ah ee la isticmaalo?
• Goorma ayaan uurka qaadan karaa daawooyinka sunta ah?
• Muddo intee le'eg ayay tahay in daawooyinka sunta lagu buufiyo la sii wado?
• Sidee guul ugu tahay daawooyinka sunta?
• Yaan u isticmaali karin daawooyinka sunta ah?

Daawada sunta ah

Dawooyinka sunta lagu buufiyo waa dawooyin loo isticmaalo dib u dhigista dhalmadaada muddo gaaban (illaa 48 saacadood) haddii aad foosha bilowdo xilli hore oo uurkaaga ah.

Dhakhaatiirtu waxay u isticmaalaan daawooyinkan inay dib u dhigaan dhalmadaada inta laguu wareejinayo isbitaal ku takhasusay daryeelka uurka, ama si ay kuu siiyaan corticosteroids ama magnesium sulfate. Cirbadaha loo yaqaan 'corticosteroid irbado' waxay ka caawiyaan bislaadaan sambabada ilmaha.

Magnesium sulfate wuxuu ka ilaaliyaa ilmaha ka yar 32 usbuuc curyaanka maskaxda, laakiin sidoo kale waxaa loo isticmaali karaa sunta sunta ah. Magnesium sulfate sidoo kale waxaa loo isticmaalaa in looga hortago suuxdinta haweenka uurka leh ee leh preeclampsia (dhiig kar).

Daawooyinka kale ee loo isticmaali karo sunta sunta waxaa ka mid ah:

• beta-mimetics (tusaale ahaan, terbutaline)
• Kaalshiyam kaaliyaal (tusaale, nifedipine)
• daawooyinka anti-bararka ee non-steroidal ama NSAIDs (tusaale ahaan, indomethacin)

Macluumaadka guud ee ku saabsan daawooyinkan hoos ayaa lagu siinayaa.

Waa maxay nooca dawada sunta ah ee la isticmaalo?

Ma jiraan wax macluumaad ah oo muujinaya in hal dawo ay si joogto ah uga wanaagsan tahay midda kale, dhakhaatiirta ku kala sugan qaybaha kala duwan ee dalka ayaa leh dookhyo kala duwan.

Isbitaalo badan, terbutaline ayaa la siiyaa gaar ahaan haddii haweeneydu ay qatar yar ugu jirto inay umuliso ilmaheeda goor hore. Haweenka halista sare ugu jira inay umulaan usbuuca soo socda, magnesium sulfate (oo la siinayo xididka) badiyaa waa daawada xulashada.

Goorma ayaan uurka qaadan karaa daawooyinka sunta ah?

Daawooyinka sunta jirka lagu shubo ee foosha xilliga uurka lama isticmaalo ka hor 24 toddobaad ee uurka. Xaaladaha qaarkood, dhakhtarkaagu wuu isticmaali karaa markaad tahay 23 toddobaad ee uurka.

Dhakhaatiir badan ayaa joojiya bixinta sunta sunta ah ka dib markay haweeneydu gaarto usbuucii 34aad ee uurka, laakiin dhakhaatiirta qaar waxay bilaabaan sunta lagu daaweeyo ugu dambeyn 36 toddobaad.

Muddo intee le'eg ayay tahay in daawooyinka sunta lagu buufiyo la sii wado?

Dhakhtarkaagu wuxuu marka hore isku dayi karaa inuu ku daaweeyo fooshaada nasashada sariirta, dheecaanka dheeriga ah, dawada xanuunka, iyo hal qadar oo ah daawada sunta ah. Waxay sidoo kale sameyn karaan baaritaan dheeri ah (sida baaritaanka fibronectin uurjiifka ah iyo ultrasound-ka transvaginal) si ay si fiican u go'aamiyaan halista aad u leedahay in aad umusho.

Haddii fooshaadu aysan istaagin, go'aanka ah inaad sii waddo daawooyinka sunta ah, iyo illaa goorma, waxay ku saleysnaan doontaa halista dhabta ah ee dhalmada kahor (sida lagu go'aamiyay tijaabooyinka baaritaanka), da'da ilmaha, iyo xaaladda ilmaha sambabada.

Haddii tijaabooyinku muujiyaan inaad halis sare ugu jirto dhalmada ka hor, dhakhtarkaaga ayaa laga yaabaa inuu ku siiyo magnesium sulfate ugu yaraan 24 ilaa 48 saacadood iyo sidoo kale dawada loo yaqaan 'corticosteroid' si loo hagaajiyo shaqada sanbabada ilmaha.

Haddii foosha ay joogsato, dhakhtarkaagu wuu yarayn doonaa ka dibna wuu joojin doonaa magnesium sulfate.

Haddii foosha ay sii socoto, dhakhtarkaagu wuxuu dalban karaa baaritaanno dheeri ah si looga hortago infekshinka hoose ee ilmo-galeenka. Dhakhtarku wuxuu kaloo sameyn karaa baaritaan si loo ogaado heerka sanbabada ilmaha.

Sidee guul ugu tahay daawooyinka sunta?

Ma jiro dawada sunta sunta lagu muujiyo oo si isdaba joog ah u keenta dhalmada mudo aad u muhiim ah.

Si kastaba ha noqotee, daawooyinka sunta sunta ah ayaa dib u dhigi kara dhalmada ugu yaraan muddo gaaban (badanaa maalmo yar). Tani waxay badanaa siisaa wakhti ku filan oo lagu helo koorso steroid ah. Cirbadaha kortikosteroid-ka ayaa yareeya khataraha ilmahaaga haddii ay goor hore yimaadaan.

Yaan u isticmaali karin daawooyinka sunta ah?

Haweenku waa inaysan isticmaalin dawooyinka sunta lagu buufiyo marka halista isticmaalka daawooyinka ay ka badan tahay faa iidooyinka ay leeyihiin.

Dhibaatooyinkaas waxaa ka mid noqon kara dumarka qaba cudurka 'preeclampsia' daran ama 'eclampsia' (dhiig kar sare oo ku dhaca xilliga uurka oo sababi kara dhibaatooyin), dhiig bax daran (dhiig bax), ama infekshinka ilmo galeenka (chorioamnionitis).

Daawooyinka sunta sunta ah sidoo kale waa in aan la isticmaalin haddii ilmuhu ku dhex dhintay caloosha ama haddii ilmuhu leeyahay cillad aan caadi ahayn oo u horseedi doonta dhimasho dhalashada kadib.

Xaaladaha kale, dhakhtar ayaa laga yaabaa inuu taxaddar ka muujiyo isticmaalka daawooyinka sunta ah, laakiin wuu qori karaa maxaa yeelay faa'iidooyinka ayaa ka culus halista. Xaaladahan waxaa ka mid noqon kara marka hooyadu leedahay:

• preeclampsia khafiif ah
• dhiigbax xoogaa deggan muddada saddexda bilood ama saddexaad
• xaalado caafimaad oo daran
• afka ilmo-galeenka oo horey u ballaariyay 4 ilaa 6 sentimitir ama ka badan

Dhaqtarku wuxuu wali isticmaali karaa sunta sunta lagu daweeyo markii cunugu uu leeyahay garaaca wadnaha oo aan caadi ahayn (sida lagu muujiyay korjoogtada uurjiifka), ama koritaanka gaabiska ah.