Inkqubo yokuzala umntwana iyanzima kakhulu kumzimba wesetyhini kwaye, ngokuphindaphindiweyo, kufuna ukungenelela kwonyango rhoqo. Ngokuqhelekileyo ekusebenziseni izibilini, i-magnesium isetyenziselwa abafazi abakhulelweyo, ukuthatha iigciwane okanye iipilisi ezithatha ixesha elide.
Kutheni abafazi abakhulelweyo bethetha i-magnesium?
Iziyobisi ezibizwa ngokuba nje nge-magnesium sulfate, okanye i-magnesium sulphate, esetyenziselwa ukukhulelwa, inezinye iziphumo ezinomzimba womama wesikhathi esizayo. Ngamandla abo okuphilisa izifo ezithile eziyimpawu zokukhulelwa, ukuphucula imeko ebanzi yomzimba wesetyhini, ukukhusela ezinxamnye nezixazululo ezikhoyo kunye nokulahlekelwa ngamathambo. Uluhlu olupheleleyo lweempembelelo zezi zi yobisi zibukeka kanje:
- ukujongwa kwengcinezelo yegazi;
- kuncipha kwixabiso leendonga zeemisipha zegazi kunye neemisipha;
- ukupheliswa okukhawulezileyo kokuphuma komzi womzimba, okugwema ukuvuvukala;
- ukucotha ukubunjwa kwegazi;
- ukupheliswa kweempawu ze-eclampsia, i-nephropathy, i-seizures;
- ukuzaliswa kokungabikho kwe-magnesium emzimbeni;
- ukunciphisa umngcipheko wokunikezelwa kwangethuba.
I-Magnesia ngexesha lokukhulelwa kwisithuba se-1 trimester ayinakunyulwa, ekubeni ukubeka zonke izitho kunye neenkqubo ze-fetus. Kule nqanaba kunokutshintshwa ngokuphumelelayo nge-no-shpa, papaverine kunye nokuphumla.
Ngaba abafazi abakhulelweyo banokutshaywa nge-magnesium?
Ewe, unako. Impembelelo enkulu kakhulu ifumaneka ngokuchanekileyo ngamagciwane e-magnesia ngexesha lokukhulelwa nge-intramuscularly. Nangona kunjalo, le nkqubo ibuhlungu kwaye idinga ukunakekelwa kunye namava avela kwigosa lonyango. Ngokulawulwa kakubi kweziyobisi, iingxaki ezinjengokufa kunye nokuvuvukala kwezicubu kwisayithi yejojo ye-magnesia ngexesha lokukhulelwa kunokwenzeka. Qinisekisa ukuba utywala luyakushushu, i-injection yenziwe ngedaliti encinci, ende ende, ngaphandle kokukhawuleza.
Le meko ifaka isicelo kwi-intravenous administration, ethatha ixesha elide. I-Magnesia kwiipilisi ngexesha lokukhulelwa liza kuvelisa kuphela umphumo onobulali, obunxilisayo, ngokuba i-salesi ye-magnesium ayinakunyuswa ngumzila wesisu.
Ukuze ugweme iimvakalelo ezimbi kunye nemiphumo yeenjini, abacebisi bamabhinqa bamisela i-electrophoresis nge-magnesium ngexesha lokukhulelwa. Le nkqubo yinkqubo engenakubuhlungu, ebudeni apho kuya kufuneka ufune ukuphumla.
Iyiphi inqanaba le-magnesium ngexesha lokukhulelwa?
Njengawuphi na omnye umuthi, i-magnesium sulphate imiselwe ngokusekelwe kwimimiselo ethile yendalo yowesifazane ngamnye okhulelweyo kunye nenkqubo yesiganeko somzimba. Nangona kunjalo, kukho imimiselo engabhalwanga yonyango, ngokuya kufuneka uthathe iinjenges ze-25% i-magnesia, i-dose enye engama-20 ml.
Imiphumo emibi yemagnesia ekukhulelweni
Kukho imiphumo emibi yokudla rhoqo kwi-sulfate magnesia. Ezi ziquka:
- ukuphalaza kwegazi ebusweni;
- khulisa;
- intlungu entloko;
- ukukhathala, ukucaphuka, ukwesaba;
- ukungaphumeleli kwisiginxa sokulala nokuvuka;
- ukunciphisa uxinzelelo lwegazi, njl
Kwaye ngokuqinisekileyo akufanele uthathe i-magnesium, xa ukukhulelwa kuhamba kunye nokunciphisa uxinzelelo lwegazi kumzimba womama. Kwakhona, iphikisana ngokubambisana kunye nezondlo zokutya okanye amalungiselelo aqukethe i-calcium. Ukugqithisa umyinge ochazwe ngugqirha unobunzima bokuphefumla ebusweni.