Iyintoni ingozi ekusebenziseni le chiza ngelixa umntwana elindele?
Ngokwemiyalelo, i-Aspirin kwikota yokuqala (1 trimester), ngokukhulelwa okuqhelekileyo, ayikwazi ukusetyenziswa. Oku kuvinjelwa kubangelwa yimpembelelo engafanelekiyo kumzimba wengane ngexesha lokubunjwa kwamalungu axial, okwenzeka kwiiveki ezili-12 ukususela ngexesha lokukhulelwa. Ukusetyenziswa kwe-Aspirin ngexesha lokukhulelwa kwi-3rd trimester lijongene nomngcipheko wokulapha ngexesha lokunikezelwa, eli liyeza lichaphazela kakubi igazi, njengokwenza i-coagulability.
Nangona kukho konke oku ngasentla, kwezinye iimeko, xa umphumo osalindelekileyo wokusebenzisa izidakamizwa udlulile kunokwenzeka ukuba kuveliswe iingxaki zomntwana, ukuba kunyanzelekile, kwi-2 trimester yokukhulelwa, i-Aspirin inokumiselwa ngugqirha.
Nangona kunjalo, ngokuphindaphindiweyo, ukwazi isixa somngcipheko ekusebenziseni le nkunkuma, oogqirha banika iifaneli ezikhuselekileyo.
Ziziphi iziphumo ezibi kunye neengqinisiso zezilwanyana?
Ukusetyenziswa kwe-Aspirin kunye neempawu zayo (i-Aspirin UPCA, i-cardio), ngexesha lokukhulelwa alivumelekanga kwinqanaba kunye nokuba nemiphumo emibi, phakathi kweyona nto ibonakele rhoqo:
- ukuphuhliswa kwesifo se-asthma;
- I-Reye's syndrome;
- leukopenia;
- ukukhulelwa kwegazi;
- ukuphazamiseka kwesibindi kunye nezintso;
- angioedema;
- iziphazamiso zesitopu (isifo sohudo);
- isicefe
- intlungu esiswini;
- edema;
- nephrite;
- bronchospasm;
- ukwehla kwesidlo, njl.
Ngokubhekisele ngqo kwiingqinisiso zokusetyenziswa kwe-Aspirin ekukhulelweni, ngoko, njengomthetho, zihambelana ngqo neengxaki ezinokwenzeka kwi-fetus kunye nokuphulwa kwenkqubo yokusebenza, phakathi kwazo:
- umngcipheko weengxaki zamapulmonary and heart;
- ukukhulelwa;
- ukucotha ukukhula komntwana;
- ukuchithwa kweplacental premature.
Kuyafaneleka ukuba uqaphele ukuba izazinzulu ezenza izifundo malunga neengxaki ezinokwenzeka kunye ne-Aspirin, zakha ubudlelwane obuchanekileyo phakathi kokusetyenziswa kweziyobisi kunye nophuhliso lwentsholongwane yemathambo kumakhwenkwe.
Kuziphi iimeko apho kunokwenzeka ukunika uApirin ngexesha lokukhulelwa, kwaye yiyiphi imilinganiselo?
Kufuneka kuqaphele ngokukhawuleza ukuba ukusetyenziswa okuzimeleyo kweso sigqirha akuvumelekanga. Kwimeko apho kukho isidingo sokucuthwa kwegazi ngexesha lokukhulelwa, ngoko ke le Aspirin inqunywe kwincinci, okubizwa ngokuba yi-microdosages.
Njengomthetho, oogqirha abanamagunya angaphezu kwama-100 mg kwesi sidakamizwa ngosuku.
Kwakhona, isilwanyana sinokumiselwa phambi kweemvumba ze-varicose kubasetyhini abakhulelweyo. Nangona kunjalo, kwiimeko ezinjalo, oogqirha bazama ukusebenzisa i-analogue - iKurantil, ekhuselekileyo, kokubili umntwana kunye nonina.
Ngaloo nto, kuyimfuneko ukuthetha ukuba olu hlobo lwesilwanyana lunokusetyenziswa ngexesha lokuthwala umntwana emva kokubonisana nodokotela. Oku kuya kuphepha ukuphuhliswa kwemiphumo emibi ichazwe ngasentla.