Usongo lokuphazamiseka kokukhulelwa okwenzekayo ngokuvamile kuyisibonelo sokuqala kwesikhathi sokubeletha, kodwa kungenzeka futhi ku-trimester yesibili. Endabeni yokuxilonga ukungakwazi ukusebenza kwe-progesterone, abesifazane banqunywe uDufaston ngesikhathi sokukhulelwa okwamanje. Cabanga ukusetshenziswa kwalesi sidakamizwa ngesikhathi sokubeletha kwe-fetus bese utshela ngezici zokusetshenziswa kwazo.
Kungani abesifazane kufanele baphuze uDufaston ngesikhathi sokukhulelwa?
Njengomthetho, inhloso eyinhloko yokumisela lolu hlobo lwezidakamizwa ukuvimbela ukuthi kungenzeka ukukhipha isisu okuzenzekelayo. I-Duphaston ingokwemvelo i-analog yokwenziwa komshini we-hormone progesterone. Yingakho lo muthi usiza ukunciphisa ithoni ekhulayo ye-myometrium, kanti futhi ithinta kahle inqubo yokwakheka kwe-mucosa evamile. Yingakho lo muthi ungabhalwa futhi uma kwenzeka ukuthi lapho ubeletha umntwana owesifazane unesifo esinjengesifo se-endometritis esingapheli.
Kufanele ngithathe kanjani uDufaston ngesikhathi sokukhulelwa?
Ukusebenzisa uDufaston ngesikhathi sokukhulelwa njalo, ukuthembela ekufundiseni, umama ozayo ngeke avunyelwe. Isidakamizwa kufanele sikhethwe udokotela, esibonisa isilinganiso kanye nemvamisa yokwamukelwa.
Ezimweni eziningi, lesi sidakamizwa sinqunyelwe ukusetshenziswa phakathi kwamaviki ayisithupha okuqala. Kodwa-ke, ezimweni ezithile, ngokulahlekelwa kwe-hormone egazini, umama olindelekile angathatha amasonto angu-22. Ngakho-ke, ngokuthi kungakanani nokuthi kuyadingeka kanjani ukuphuza uDufaston ngesikhathi sokukhulelwa, kungukuthi udokotela ukuba aqaphele inkambo, ecabangela zonke izici zalolu hlelo. Uma, ngenkathi ukwelashwa noDufaston ngesikhathi sokukhulelwa, umama olindeleke ngokuzumayo ukhohlwe ukuwaphuza, khona-ke inqubo elandelayo yenziwa ngokulandela uhlu lwemigomo, okungukuthi. Imithi engaphenduliwe ayithathiwe.
Kufanele kuqaphele ukuthi ukuphela kwesidakamizwa uDufaston ngesikhathi sokukhulelwa, isb. ukukhanselwa kwayo, kwenziwa ngokusho kwesimiso esithile hhayi ngokushesha. Ngakho nsuku zonke umthamo uyancishiswa, wehlisa ngo-0.5-1 tablet. Izenzo ezinjalo zenziwa kuphela ngemva kokuqinisekiswa kwe-laboratory yezinga le-hormone egazini lomama ozayo. Ngakho-ke, kuze kube yisiphi isonto ukuphuza iDyufaston ekukhulelwe okuqondile, udokotela kufanele anqume kuphela ngesisekelo semiphumela yokuhlolwa kwegazi ngamahomoni.
Ingabe kungenzeka njalo ukusebenzisa i-Dufastone kwabesifazane abakhulelwe abane-disorder efanele?
Ngaphambi kowesifazane ngesikhathi sokukhulelwa uzoqala ukuthatha uDufaston, odokotela bafunde ngokucophelela u-anamnesis wakhe.
Ngaphezu kwalokho, phakathi kokuphikisana nokufundiswa, ungathola ukuhlukunyezwa okunjalo njengo-Dabin-Johnson syndrome, i-Rotor syndrome. Ukunakekelwa okukhethekile kuthathwa odokotela lapho bebeka umuthi kumama ozayo abanezinkinga ohlelweni lwe-cardiovascular, uma kukhona isifo sikashukela, nezifo zesistimu ye-excretory, ikakhulukazi izinso. Futhi, umuthi uvivinywa ukuba ungaqashiwe kulawo macala ngenkathi ngesikhathi sokukhulelwa kwangaphambili owesifazane wayenekhanda lesikhumba.