Kwezinye izimo, ukuxilongwa "kwesifo somfutho wegazi" kwenziwa ngemuva kokuthola ukuhlolwa kwesifo se-ultrasound, kodwa abesifazane abaningi abakhulelwe bazizwa lesi simo futhi baqonde uma kudingeka basebenzise imithi yokuphumula imisipha nokuqeda izimpawu ezingathandeki. Kodwa-ke, ngesikhathi sokubeletha umntwana kuphela ingxenye encane yemithi kuvunyelwe, ngakho-ke ukukhetha kwabo kufanele kuphathwe ngokuqapha okukhulu.
Kulesi sihloko, sizokutshela ukuthi i-Papaverin ingasetshenziswa yini ngesikhathi sokukhulelwa, futhi yiziphi izimo okumelwe kwenziwe.
Iyiphi i-Papaverin eyayisetshenziselwa ukukhulelwa kwasekuseni nasekupheleni kwesikhathi?
Ngokuvamile ukukhishwa kwezinto ezibuhlungu, isidakamizwa esifana nePapaverine sisetshenziswa. Yenziwe ngendlela yamathebhulethi wokuphatha ngomlomo, i-suppository yama-rectal nezixazululo zokuphathwa kwe-intramuscular.
Ngokuhambisana nemiyalelo yokusetshenziswa, i-papaverine ngesikhathi sokukhulelwa ingahle ibekwe ukuba kususwe iziphambane ezibuhlungu zezintambo ezibushelelezi zesisu esiswini, inhliziyo, izitsha zobuchopho, izitsha zomngcele kanye nama-bronchospasms. Kulaba besifazane abalindelekile, ama-spasms avame ukuboniswa ngegazi lomfutho wesibindi, ngakho-ke lokhu kubonakala okuyinhloko.
Itheyiphu ye-uterine ephakanyisiwe iyingozi kakhulu ezinyathelweni zakuqala, lapho ivame ukuba yisisusa sokukhipha isisu nokukhulelwa kwesisu, abesifazane abaningi basebenzisa uPataverin, kusukela emasontweni okuqala enkathi yokulinda kwengane.
Kodwa-ke, ngokwemigomo yamuva, lesi simo sihlanganisa nemiphumela emibi. Ngaphansi kwethonya lemisipha ehlala njalo, i-crumb ayikwazi ukuthuthukisa ngokugcwele nangokugcwele. Ngaphezu kwalokho, nge-high blood pressure, ngaso sonke isikhathi kukhona ithuba eliphakeme lokuqala kokuzalwa ngaphambi kwesikhathi. Izinsana zangaphambi kokuzalwa zingazalwa ngezifo kanye nezifo ezibelethwe ezitho zangaphakathi, ngakho-ke kudingeka wenze konke okusemandleni ukuze uphumule imisipha ebushelelezi.
Ezimweni ezingavamile, i-Papaverin inqunyelwe ukuba omama abazayo bahlehlise ukucindezeleka kwegazi nokushaya kwenhliziyo, ngcono ukuhlinzeka ngegazi emithanjeni yesibeletho futhi bazuze umphumela wokuguqula jikelele.
Ngethonya lesibeletho ngesikhathi sokukhulelwa, ngokuvamile amakhandlela akhethwe nePapaverinom, noma kunjalo esibhedlela kungenzeka futhi ahlabe. Amathebulethi kwabesifazane abakhulelwe cishe akakaze akhishwe.
Imiphumela emibi kanye nokuphikisana nokusetshenziswa kwe-papaverine ekukhulelweni
Kwezinye izimo, abesifazane abakhulelwe ngemuva kokuthatha izidakamizwa bazizwa bebuthakathaka futhi bebhekene ne-malaise. Lokhu kubangelwa ukwehla kwegazi, ngakho-ke lo muthi awunqunyelwe omama abazayo abajwayele i-hypotension. Ngaphezu kwalokho, iziguli ezisebenzisa iPapaverine zivame ukuba nokuqothulwa noma isifo sohudo,
Amakhandlela anePapaverine, kanye nalesi sidakamizwa kwezinye izinhlobo zokukhululwa ayinqunyelwe abesifazane abanesifo seyesibindi, isifo sikashukela nezinye izifo ze-endocrine, ukunyuka kwe-intraocular kanye ne-tachycardia. Kufanele kukhunjulwe ukuthi i-papaverine ayiphephile ngokuphelele, ngakho-ke ngaphambi kokuyisebenzisa, njalo uxoxe nodokotela oqeqeshiwe.