Isticmaalka saliida galbeedka ah ee loogu talagalay foosha ayaa waxaa mar hore soo qoray dhakhaatiir iyo umulisooyin badan, laakin taladani ma ahan mid caadi ah maadaama ay ahayd sababtoo ah caddeyn la'aanta waxtarkeeda. Hase yeeshee, taasi micnaheedu ma'aha in hooyada ama soddeed-ka aysan kuu sheegin wax ku saabsan.
Saliida dufanka leh waa saliid qudaar ah oo laga soo qaatay digirta castor. Waxaa loo isticmaalay waqti dheer si loo yareeyo calool-galinta ama xitaa matagidda marka loo baahdo, sida aan ka fikirno sharoobada ipecac maanta.
Naqshada foosha ee saliidda castor waa in saliida castor dhaqaajiso sida kiciyaasha caloosha, taas oo cidhiidhi galeysa ilmo-galeenka iyo sababa foosha.
Waxyaabaha kale ee saameynaya
Waxyeellada soo gaarta saliida castor waxa ka mid ah:
- Shuban
- Matagid
- Qandhada ilmo-galeenka (laga yaabo ama laga yaabo inaysan noqon shaqo)
- Lalabbo
Waxaa jira dad farsamaysan oo aan ku talineynin saliinka castor sababta oo ah saameynaha ay keeni karaan fuuq-baxa (laga bilaabo saxaro yaryar iyo / ama matag), calool-damac , iyo meconium ee ilmaha. Waligaa ha isku dayin inaad soo saaro saliid caro ah oo aan la shaqeyn dhaqtarkaaga. Had iyo jeer waa inaad hubsataa inaad la hadasho ummulisadaada ama takhtarkaaga wixii ku saabsan nooc kasta oo induction ah ka hor inta aadan isticmaalin.
Waxaa intaa sii dheer, soo-bixinta ka hor taariikhdaada la filayo maahan fikrad wanaagsan haddii aysan jirin sabab caafimaad. Xitaa markaa, soo saarida saliida sheyga ayaa noqon karta midka ugu wanaagsan, maadaama ay jiraan farsamooyin daaweyn iyo daaweyn aan ahayn daaweyn .
Goorma Ayuu Shaqeeyaa Casriga Casriga?
Inkastoo qaar ka mid ah hooyooyinka ay ku soo warramayaan inay dareemayaan qulqulka mindhiciradooda saacad ama laba ka mid ah isticmaalka saliida booriga ah si ay u keento foosha, dadka kale ma saameynayaan.
Waxaa jira warar sheegaya in ilmuhu ku jiro saacado gudaheed soo saarid saliida gaasta ah ama soo-qaadista induction-ka haddii uu shaqeeyo. Daraasado caafimaad oo xadidan ayaa tilmaamaya xogta soo jeedinaysa in shaqadu ay u badantahay 24-ka saacadood ee ugu horreeya ka dib markii la cuno saliida galbeedka, oo ay su'aal ka keenaan badbaadada shaqada.
Cilmi baaris dheeraad ah ayaa loo baahan yahay.
Halista
Daraasadda ugu badan ee la sameeyay oo la eegay saliida galbeedka ah ee loo yaqaan "induction" ma helin farqi weyn oo ah nooca dhalashada, xaamilada ama hoosta haweenka, ama dhererka shaqada. Sidoo kale ma aysan helin caddaynta dhibaatooyinka sii kordhaya sida infekshanka, ama meconium oo ku jira dheecaanka amniotic. Khatarta ugu wayni waxay ahayd dulqaad hooyadaa-sida wanaagsan ee hooyada u dulqaatay saliideedka. Mid ka mid ah daraasad ayaa lagu ogaaday in hooyo kasta oo qaadatay saliida castor ay la kulmeen lallabo, ama matag la'aan. Warbixinnada kale waxaa ka mid ah waayo-aragnimo ah saxaro dabacsan, taasoo keeni karta fuuq-bax.
Bedelka
Marka foosha aan wali la bilaabin oo aysan jirin sabab caafimaad oo loo soo jiidanayo, talooyinka macquul ee macquul ah waa inaan waxba waxba qaban, si ay u sugaan foosha si ay u bilawdaan. Haddii ay jirto baahi caafimaad oo loogu talagalay foosha, waxaa jira fursado badan oo la heli karo, oo ay ka mid yihiin:
- Naqshadaynta dareenka (xoqida boorsada biyaha)
- Isticmaalka Pitocin (oo loo soo mariyo IV)
- Prostaglandins (oo lagu bixiyo noocyo kala duwan)
- Kaadida tuubada tuubada (farsamada)
- Kicinta ibta naaska mashiinka naaska ama gacanta
Go'aanka ah in la isticmaalo mid ka mid ah hababkaan ama isku-dar ah hababkaan waa inay ahaadaan adiga iyo dhakhtarkaaga.
Qaar ka mid ah talooyin ayaa laga yaabaa inay kuu raaxeystaan ama waxay u badan tahay inay ka shaqeeyaan kiiskaaga gaarka ah.
Erey Aan ka soo Baxay
Dhammaadka, suugaanta caafimaadku aad ayey ufudud u tahay, gaar ahaan marka la eego cilmi-baaris dhamaystiran oo wanaagsan, sidaas darteed inta badan waxa aad ka maqashid saliida castor waa anecdotal. Dib u eegista Cochrane waxay qortay in aysan jirin dhibaatooyin sii kordhaya oo la ogaaday-in aysan caddayn in aysan halkaa joogin, kaliya ma aysan ku jirin daraasadaha yar yar ee la sameeyay. Waxyeelada la ogsoon yahay ee lallabadu waxay ku dareysaa raaxo la'aanta uurka waxayna u badan tahay inaysan ahayn wax aad rabto.
Qeybta hoose waa, la hadal bixiyahaaga iyo hubi in adiga iyo canuggaaga ay awoodaan oo ay tahay inay si ammaan ah u isticmaalaan habkan inta aysan ka fekerin ama habab kale oo isdabajoog ah.
Fursadaha ayaa ah bixiyehaagu inuu leeyahay xulasho ka wanaagsan oo lagu bixiyo, haddii loo baahdo.
> Ilo:
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> Hall HG, McKenna LG, Griffiths DL. Daawo dhameystiran iyo daaweyn kale oo loogu talagalay soo-kicinta foosha. Haweenka Dhalashada. 2012 Sep; 25 (3): 142-8. doi: 10.1016 / j.wombi.2011.03.006. Epub 2011 Apr 27. Dib u eegis.
> Kelly AJ, Kavanagh J, Thomas J. Saliida dufanka, qubeyska iyo / ama enema loogu talagalay ilma-galeenka ilmo-galeenka iyo soo-saarista shaqada. Macluumaadka Cochrane Syst Rev. 2013 Jul 24; (7): CD003099. doi: 10.1002 / 14651858.CD003099.pub2. Dib u eegid.
> Calaamadaha CE, Ng RW, Xu K. Hababka aan hormoonka ahayn ee loogu talagalay soo-qabsashada shaqada. Curr Opin Obstet Gynecol. 2013 Dec; 25 (6): 441-7. doi: 10.1097 / GCO.0000000000000027. Dib u eegid.
> Mozurkewich EL, Chilimigras JL, Berman DR, Perni UC, Romero VC, King VJ, Keeton KL. Siyaabaha foosha shaqada: dib u eegis nidaamsan. BMC Uurka Dhalmada. 2011 Oct 27; 11: 84. doi: 10.1186 / 1471-2393-11-84. Dib u eegid.
> Tunaru S, Althoff TF, Nusing RM, Diener M, Bixiyeyaasha S. Saliida dufanka leh waxay keenaysaa calool-xanuun iyo ilmo-galeenka iyada oo la adeegsanayo ricinoleic acid activated prostaglandin EP3 reseptors. Proc Natl Acad Sci US A. 2012 Jun 5; 109 (23): 9179-84. doi: 10.1073 / pnas.1201627109. Epub 2012 May 2.