Ngokukodwa, inani elininzi labamama kwikamva ekunyanzelekeni banyanzelekile ukuba basebenzise i-intentonic rectal nge-indomethacin, ingakumbi kwizigaba zokuqala. Kule nqaku, siza kukuxelela oko iipropati zesi siza, nokuba ingaba kuthathwa ngexesha lokukhulelwa.
Ndiyakwazi ukuthatha ikhandlela nge-indomethacin ngexesha lokukhulelwa?
Kwiimeko ezininzi ezininzi, iibhandlela ezine-indomethacin zichazwe kwabasetyhini abakhulelweyo ngokunyuka kwetoni yesisu kunye nosongelo lokukhipha isisu. Ngenxa yokuba isilwanyana sisetyenziswe ngokusemthethweni, senza umphumo wayo ngokukhawuleza kwaye sinceda ukukhusela ukuphuhliswa kweengxaki ezinzima.
Into esebenzayo yale nkunkuma - i-indomethacin, - ikhankanyile izixhobo ezichasayo, izigulane, i-antigretic ne-antiplatelet. Xa usebenzisa ikhandlela ngokusekelwe kweli nqanaba ngeli xesha lokubeleka komntwana, ukuveliswa kwe-prostaglandin, ebonisa ukuba izicubu ze-muscle, ivaliwe emzimbeni wesibhambano, ngenxa yoko kwenzeka ukuba ukunciphisa umonakalo.
Nangona i-gynecologists ihlala iyala eli gulane kwizigulane zabo ezilindele ngokunyanisekileyo ubomi obutsha, eqinisweni, imiyalelo yokusetyenziswa kwekhandlela nge-indomethacin ibonisa ukuba bayaphikisana nokukhulelwa.
Akumangalisi kukuba, into esebenzayo yale nkunkuma ifinyelela kwisithintelo se-placental kwaye kwezinye iimeko inokubangela ukufa komntwana ongakazalwa esesibelethweni. Ukongezelela, ukusetyenziswa kwamakhandlela kunye ne-indomethacin ngexesha lokukhulelwa kunokubangela ezinye iziphumo ezinzima kumntwana, oku: ukungaphumeleli kwimizila yokuguqula ngexesha lokugqibela emva kokutshatyalaliswa, okanye, ngokuchaseneyo, ukuvalwa kwe-intrauterine, iziphazamiso ezahlukeneyo zeplatelet, i-pulmonary hypertension, ukuguqulwa kwesifo se-myocardium, i-intraventricular hemorrhage , ukungaphumeleli komzimba kunye nokungasebenzi, izilonda ezahlukeneyo zendlela yokutya kunye nokunye.
Yingakho kubalulekile ukunyanga le nkunkuma ngokucophelela. Nangona kunjalo, abaninzi oogqirha bavuma ukuba inzuzo yokulindela ukusebenzisa i-indomethacin ekukhulelweni komama ozayo xa kungekho kubambisana nokugqithisa kakhulu kudlula ubunzima beengxaki kwiintsana ezibelethweni zikamama. Njengomthetho, ngokwemigqaliselo yonyango, oomama abalungiselela ukuzalwa komntwana, sebenzisa i-1 suppository ngamaxesha ama-2-3 ngemini de iimeko zikhululekile kwaye iimpawu ezingathandekiyo zisuswe.