Yini i-Dinoprostone: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Dinoprostone iyinguqulo eyenziwe ngamachiza ye-hormone yemvelo ebizwa ngokuthi i-prostaglandin E2 esiza ukulungiselela isitho sakho sangasese sesifazane nesibeletho ngomsebenzi. Udokotela wakho angase ancome lo muthi uma ususondele noma usufike esikhathini esiphelele futhi udinga usizo lokuqala umsebenzi ngokwemvelo.

Lo muthi usebenza ngokuthambisa nokuvula isitho sakho sangasese sesifazane ngenkathi futhi ukhuthaza isibeletho sakho ukuthi siqale ukuzwana. Cabanga ngakho njengokunikeza umzimba wakho ukukhuthaza okuncane ukuze uqale inqubo yomsebenzi osuvele uzilungiselela yona.

Yini i-Dinoprostone Esetshenziselwa Yona?

I-Dinoprostone isetshenziswa ikakhulukazi ukwenza umsebenzi uma wena nomntwana wakho nilungele kodwa umsebenzi awukaqali ngokwawo. Umhlinzeki wakho wezempilo angase asikisela lo muthi uma usudlule usuku lwakho lokuzalwa noma uma ukuqhubeka kokukhulelwa kubeka wena noma umntwana wakho engozini.

Lo muthi usetshenziselwa futhi ukusiza ukuvuthwa noma ukuthambisa isitho sakho sangasese sesifazane ngaphambi kokuthi umsebenzi uqale. Le nqubo, ebizwa ngokuthi ukuvuthwa kwesitho sangasese sesifazane, yenza kube lula ukuthi isitho sakho sangasese sesifazane sivuleke ngesikhathi somsebenzi futhi singenza yonke inqubo ikhululeke kakhulu kuwe.

Kwezinye izimo, odokotela basebenzisa i-dinoprostone ngezizathu zezokwelapha ezifana nezinkinga zokukhulelwa, umfutho wegazi ophezulu, noma ukukhathazeka ngempilo yomntwana wakho. Ithimba lakho lezempilo lizohlola ngokucophelela isimo sakho esithile ngaphambi kokuncoma lokhu kwelashwa.

Isebenza Kanjani i-Dinoprostone?

I-Dinoprostone ithathwa njengomuthi omnene kodwa osebenzayo olingisa lokho okukhiqizwa umzimba wakho ngokwemvelo. Isebenza ngokubopha kuma-receptors athile esithweni sakho sangasese sesifazane nesibeletho, iqala izinguquko ezifanayo ezingenzeka ngokwemvelo njengoba usondela emsebenzini.

Lo muthi uthambisa izicubu eziqinile, ezinemicu esithweni sakho sangasese sesifazane, okwenza zibe lula futhi zilungele ukuvuleka. Ngesikhathi esifanayo, ingakhuthaza ukuzwana okuncane esibelethweni sakho, isize ukubeka umntwana wakho kahle ukuze azalwe.

Abesifazane abaningi baqala ukuqaphela izinguquko kungakapheli amahora ambalwa ngemva kokuthola i-dinoprostone. Imiphumela yakha kancane kancane, ivumela umzimba wakho ukuba uzivumelanise ngokwemvelo nenqubo yokubeletha kunokuba uphoqe ukuncipha okungazelelwe, okunamandla.

Kufanele Ngiyithathe Kanjani I-Dinoprostone?

I-Dinoprostone inikezwa njenge-vaginal insert noma i-gel ezofakwa ngqo esithweni sakho sangasese ngumhlinzeki wakho wezempilo. Ngeke kudingeke ukuthi uzifake wena lo muthi - ngaso sonke isikhathi kwenziwa ochwepheshe bezokwelapha abaqeqeshiwe esibhedlela noma endaweni yokuzalela.

Ngaphambi kwenqubo, ngokuvamile uzocelwa ukuba ukhiphe isinye sakho bese ulala endaweni enethezekile. Udokotela wakho noma umhlengikazi uzofaka ngobumnene umuthi esebenzisa i-applicator ekhethekile, efana nendlela yokuhlolwa kwe-pelvic.

Kuzodingeka ukuthi uhlale ulele okungenani imizuzu engama-30 ngemva kokufakwa ukuze uvumele umuthi ukuba uhlale endaweni. Ngesikhathi esifanayo, ithimba lakho lezempilo lizokuqapha wena nomntwana wakho ngokucophelela ukuze liqinisekise ukuthi konke kuhamba kahle.

Akukho ukudla okukhethekile okudingekayo ngaphambi kokuthola i-dinoprostone. Nokho, kufanele udle ngokujwayelekile futhi uhlale unamanzi njengoba ungakwenza kunoma iyiphi enye ingxenye yokukhulelwa kwakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Dinoprostone?

Ubude bokwelashwa nge-dinoprostone buhlukahluka kakhulu kumuntu nomuntu. Abanye besifazane basabela kungakapheli amahora ambalwa, kanti abanye bangase badinge amahora ayi-12-24 noma ngisho nomthamo wesibili ukuze bathole umphumela oyifunayo.

Umhlinzeki wakho wezempilo uzoqapha intuthuko yakho ngokuqhubekayo futhi anqume ukuthi uzowukhipha nini umuthi noma uqhubeke nezinye izindlela zokungenelela. Umgomo uwukuthola ukuvuthwa okwanele kwesitho somzimba kanye nokuqala kokuncipha okujwayelekile.

Uma ukubeletha kwakho kuqhubeka kahle ngemva kwe-dinoprostone, ungase ungadingi eminye imithi eyengeziwe. Nokho, uma ukuncipha kungabi njalo noma kungabi namandla ngokwanele, udokotela wakho angase ancome ezinye izindlela zokusiza ukubeletha kuqhubeke.

Yiziphi Imiphumela Eceleni Ye-Dinoprostone?

Abesifazane abaningi bahlangabezana nemiphumela emincane engemihle efana nezimpawu zokuqala komsebenzi. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke futhi uqiniseke ngesikhathi sokwelashwa.

Nawa amanye amiphumela engemihle ejwayelekile ongase uhlangabezane nayo:

• Ukugcwala noma ukuqina okuncane okufana nokugcwala kwesikhathi
• Ukuphuma emithanjeni noma ukopha okuncane
• Ukuqaqamba emhlane noma ukucindezela e-pelvic
• Ukucasuka kwesisu noma isisu esincane
• Umuzwa ofudumele endaweni yakho yesitho sangasese sowesifazane
• Ukunyuka kokuchama

Lezi zimpawu ngokuvamile zivamile futhi zibonisa ukuthi umuthi uyasebenza. Ithimba lakho lokunakekelwa kwezempilo lizokusiza ukuthi uhlukanise phakathi kwemiphumela elindelekile nanoma yini edinga ukunakekelwa kwezempilo.

Imiphumela engemihle engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Ngenkathi lokhu kwenzeka kaningi, kubalulekile ukuthi uqaphele ukuze ukwazi ukwazisa umhlinzeki wakho wezempilo ngokushesha.

• Ukuqina okunamandla kakhulu noma okuvame kakhulu (ngaphezu kwangu-5 emizuzwini eyi-10)
• Ubuhlungu obukhulu besisu obunganciphi phakathi nokuqina
• Ukuphuma kwegazi okukhulu emithanjeni (ukucwilisa ngaphezu kwephedi elilodwa ngehora)
• Umkhuhlane, ama-chills, noma izimpawu zokutheleleka
• Ukuphefumula kanzima noma ubuhlungu besifuba
• Ikhanda elibuhlungu kakhulu noma izinguquko embonweni

Ithimba lakho lezokwelapha lizokuqapha eduze ngesikhathi sokwelashwa ukuze libambe noma yiziphi izinkinga ekuqaleni. Khumbula ukuthi imiphumela engemihle ebucayi ayivamile, futhi izinzuzo zokungeniswa komsebenzi ngesikhathi esifanele zivame ukudlula izingozi.

Ubani Ongafanele Athole I-Dinoprostone?

I-Dinoprostone ayifanele wonke umuntu, futhi umhlinzeki wakho wezempilo uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyincoma. Ezinye izimo zenza lo muthi ungaphephile noma ungasebenzi kahle.

Akufanele uthole i-dinoprostone uma unezinye zalezi zimo:

• Ukuhlinzwa kwangaphambilini kwe-cesarean noma ukuhlinzwa kwesibeletho
• I-Placenta previa noma ezinye izinkinga ze-placental
• Ukunyuka kwegciwane le-herpes elithathelwanayo
• Isifuba esikhulu noma izinkinga zokuphefumula
• Isifo senhliziyo noma umfutho wegazi ophezulu
• Izinkinga zezinso noma zesibindi
• Ukungezwani nezinto ezithile kuma-prostaglandins noma imithi efanayo

Udkt wakho uzobuye acabangele isikhundla somntwana wakho kanye nesimo sempilo. Uma umntwana wakho esesikhundleni se-breech, ekhombisa izimpawu zokucindezeleka, noma uma ukhulelwe izingane eziningi, i-dinoprostone kungenzeka ingeyona inketho efanele kuwe.

Ezinye izinkinga zokukhulelwa njenge-preeclampsia enkulu, ukuphuma kwegazi okusebenzayo, noma ukukhathazeka ngempilo yomntwana wakho kungase futhi kwenze i-dinoprostone ingafaneleki. Ithimba lakho lokunakekelwa kwezempilo lizohlola zonke lezi zinto ngokucophelela ngaphambi kokwenza izincomo.

Amagama Omkhiqizo we-Dinoprostone

I-Dinoprostone itholakala ngaphansi kwamagama amaningi omkhiqizo, lapho okujwayelekile kakhulu kungu-Cervidil kanye ne-Prepidil. Zombili ziqukethe isithako esifanayo esisebenzayo kodwa zenziwe ngezindlela ezihlukene ukuze zisetshenziswe ngokuqondile.

I-Cervidil iza njengento encane, eguquguqukayo ekhulula imithi kancane kancane emahoreni angu-12-24. Lolu hlobo luvame ukukhethwa ngoba lungasuswa kalula uma kudingeka futhi lunikeza ukukhululwa kwemithi okuzinzile, okulawulwayo.

I-Prepidil itholakala njenge-gel efakwa ngqo emqaleni wakho wesibeletho. Lolu hlobo lusebenza ngokushesha kodwa alukwazi ukususwa uma selusetshenzisiwe, ngakho-ke ngokuvamile lusetshenziswa lapho kudingeka impendulo esheshayo.

Ezinye izindlela ze-Dinoprostone

Ezinye izindlela ze-dinoprostone ziyatholakala zokungenisa umsebenzi, futhi umhlinzeki wakho wokunakekelwa kwezempilo uzokhetha inketho engcono kakhulu ngokusekelwe ezimweni zakho ngazinye. Indlela ngayinye inezinzuzo zayo kanye nokucatshangelwa kwayo.

Izindlela zemishini njenge-Foley catheter balloon zingasiza ukuvuthwa komlomo wakho wesibeletho ngaphandle kokusebenzisa imithi. Le ndlela ihlanganisa ukubeka ibhaluni elincane emqaleni wakho wesibeletho eliwunweba kancane kancane njengoba lifuthwa.

I-Misoprostol ngomunye umuthi ongabangela ukubeletha futhi ngezinye izikhathi usetshenziswa esikhundleni se-dinoprostone. Ngokuvamile akubizi kakhulu kodwa kungase kubangele ukuqina okukhulu okudinga ukuqashwa okucophelelayo.

Izindlela zemvelo ezinjengokuhlanza ulwelwesi, lapho udokotela wakho ehlukanisa isikhwama se-amniotic emlonyeni wakho wesibeletho, zingase zizanywe kuqala. Ukuhamba, ukukhuthaza ama-nipple, noma ezinye izindlela zemvelo zingase futhi zisize ukukhuthaza ukubeletha kwabesifazane abathile.

Ingabe i-Dinoprostone Ingcono Kune-Pitocin?

I-Dinoprostone ne-Pitocin (oxytocin) zisebenza ngendlela ehlukile futhi zivame ukusetshenziswa ezigabeni ezihlukene zokungeniswa komsebenzi. I-Dinoprostone ngokuvamile isetshenziswa kuqala ukulungisa umlomo wakho wesibeletho, kuyilapho i-Pitocin isetshenziswa kamuva ukuqinisa ukuqina.

I-Dinoprostone ngokuvamile ithathwa njengentethe ngoba ilingisa ukulungiselela komzimba wakho kwemvelo ukubeletha. Isiza ukuthambisa nokuvula umlomo wakho wesibeletho kancane kancane, okungenza yonke inqubo yokubeletha ikhululeke futhi izizwe ngendlela yemvelo.

I-Pitocin ivame ukwethulwa ngemuva kokuthi umlomo wakho wesibeletho usulungile futhi usebenza ikakhulukazi ukwenza ukuqina kube namandla futhi kuvamile. Abesifazane abaningi bathola i-dinoprostone kuqala, kulandelwe i-Pitocin uma kudingeka ukugcina ukuqina okuhle.

Umhlinzeki wakho wezempilo uzoqoka ukuthi yimuphi umuthi ongcono kakhulu ngokusekelwe ekulungeleni komlomo wakho wesibeletho, isikhundla somntwana wakho, nokuthi ukubeletha kwakho kuqhubeka kanjani. Ngezinye izikhathi yomibili imithi isetshenziswa ngokulandelana ukuze kutholakale imiphumela engcono kakhulu.

Imibuzo Evame Ukubuzwa Mayelana ne-Dinoprostone

Q1. Ingabe i-Dinoprostone Iphephile Ezinganeni Ezinobungozi Obukhulu?

I-Dinoprostone ingasetshenziswa ngokuphepha ekukhulelweni okuningi okuyingozi enkulu, kodwa lesi sinqumo sidinga ukuhlolwa ngokucophelela yithimba lakho lezempilo. Izimo ezinjengesifo sikashukela, umfutho wegazi ophezulu, noma ukukhathazeka ngokukhula kwengane yakho kungase empeleni kwenze ukungeniswa komsebenzi nge-dinoprostone kube yindlela ephephe kakhulu.

Udktela wakho uzohlola izingozi zokuqhubeka nokukhulelwa kwakho uma ziqhathaniswa nezingozi zokufakwa komsebenzi. Ezimweni eziningi, izinzuzo zokuqala umsebenzi ngesikhathi esifanele zidlula izinkinga ezingase zibe khona zokulinda isikhathi eside.

Q2. Kufanele Ngenzeni Uma Ngizwa Ukuncipha Okunamandla Kakhulu?

Uma uzwa ukuncipha okuzizwa kunamandla ngokungavamile, njalo, noma kubuhlungu, yazisa umhlinzeki wakho wezempilo ngokushesha. Bangahlola ukuthi lokhu kuyimpendulo ejwayelekile noma ngabe imithi idinga ukususwa.

Ithimba lakho lezokwelapha lizogada ukuncipha kwakho ngokuqhubekayo futhi lingasusa ngokushesha i-dinoprostone insert uma kudingeka. Khumbula ukuthi ukungakhululeki okuthile kujwayelekile, kodwa ubuhlungu obukhulu noma ukuncipha okuningi kudinga ukunakwa ngokushesha.

Q3. Kwenzekani Uma I-Dinoprostone Ingasebenzi?

Uma i-dinoprostone ingayivuthisi ngokwanele intamo yesibeletho sakho noma iqale umsebenzi ngemuva kwesikhathi esinconyiwe, umhlinzeki wakho wezempilo unezinketho eziningana. Bangase bazame umthamo wesibili, bashintshele kwenye imithi, noma basebenzise izindlela zemishini ukusiza intamo yakho yesibeletho ivuleke.

Ngezinye izikhathi ukuhlanganisa i-dinoprostone nezinye izindlela kusebenza kangcono kunokuyisebenzisa yodwa. Udktela wakho uzoxoxa ngezinyathelo ezilandelayo ngokusekelwe ekutheni umzimba wakho usabele kanjani ekwelashweni kokuqala kanye nesimo sakho sempilo esiphelele.

Q4. Umsebenzi Ungalindeleka Nini Ukuqala Ngemuva Kwe-Dinoprostone?

Isikhathi somsebenzi siyahlukahluka kakhulu phakathi kwabesifazane abathola i-dinoprostone. Abanye baqala ukuzwa ukuncipha okuvamile kungakapheli amahora angu-6-12, kanti abanye bangase badinge amahora angu-24 noma ngaphezulu ukuze babone izinguquko ezibalulekile.

Ithimba lakho lezempilo lizogada inqubekela phambili yakho futhi likusize uqonde okulindelekile ngokusekelwe ekuphenduleni kwakho komuntu ngamunye. Khumbula ukuthi umzimba wowesifazane ngamunye usabela ngendlela ehlukile, futhi akukho

Kuzodingeka ukuthi uhlale ulele okungenani imizuzu engama-30 ngemuva kokufakwa kwe-dinoprostone ukuqinisekisa ukuthi umuthi uhlala endaweni yawo. Ngemuva kwalesi sikhathi sokuqala, umhlinzeki wakho wezempilo uzokwazisa ukuthi kuphephile nini ukuvuka nokuhamba.

Abesifazane abaningi bathola ukuthi ukuhamba kancane empeleni kuyasiza ukuthi umsebenzi uqhubeke uma sebekhululiwe ukuhamba. Ithimba lakho lezokwelapha lizokhuthaza ukunyakaza okuphephile ngenkathi liqinisekisa ukuthi wena nomntwana wakho nihlala niqashwe kahle kuyo yonke inqubo.