Jiyya na teraukar terabi'a: Calcium Channel Blockers (CCBs)

Wadatacce

• Kwayar cututtukan haihuwa
• Dalili da abubuwan haɗari
• Gwaje-gwajen don tantance rashin haihuwa
• Ta yaya masu toshe tashar calcium ke aiki?
• Yaya ingancin nifedipine?
• Menene sakamakon sakamako mai kyau na nifedipine?
• Shin akwai matan da bai kamata su sha nifedipine ba?
• Outlook

Yammacin lokacin haihuwa da masu toshe tashar ruwan alli

Ciki mai ciki yakan ɗauki makonni 40. Lokacin da mace ta fara nakuda a makonni 37 ko a baya, ana kiranta lokacin haihuwa kuma ana cewa jaririn bai yi wuri ba. Wasu jariran da basu isa haihuwa ba suna bukatar kulawa ta musamman lokacin da aka haife su, wasu kuma suna da nakasa ta jiki da ta hankali na dogon lokaci saboda ba su da isasshen lokacin ci gaba sosai

Hakanan ana iya amfani da masu toshe tashar Calcium (CCBs), wanda yawanci ake amfani da shi don rage hawan jini, don huce kwancen mahaifa da jinkirta haihuwa. CCB gama gari don wannan dalili shine nifedipine (Procardia).

Kwayar cututtukan haihuwa

Alamomin cutar tsufa na iya zama bayyane ko dabara. Wasu alamun sun hada da:

• naƙuda na yau da kullun ko yawaitawa
• matsewar mara
• ƙananan matsin ciki
• cramps
• farjin mace
• zubar jini ta farji
• watsewar ruwa
• fitowar farji
• gudawa

Ganin likitanka idan kun sami ɗayan waɗannan alamun ko kuma kun ji cewa za ku fara nakuda da wuri.

Dalili da abubuwan haɗari

Abubuwan da ke haifar da nakuda ba tare da bata lokaci ba suna da wuyar ganowa.

A cewar asibitin Mayo, kowace mace na iya fara nakuda da wuri. Abubuwan haɗarin da ke da alaƙa da lokacin haihuwa sune:

• samun haihuwa da wuri
• kasancewa da juna biyu tare da tagwaye, ko wasu ninkin-ba-ninkin
• samun matsaloli tare da mahaifar ku, mahaifa, ko mahaifa
• ciwon hawan jini
• da ciwon sukari
• ciwon anemia
• shan taba
• amfani da kwayoyi
• da ciwon cututtukan al'aura
• kasancewa mara nauyi ko kiba kafin daukar ciki
• samun ruwa mai yawa, wanda ake kira polyhydramnios
• zubar jini daga farji yayin daukar ciki
• samun jaririn da ba a haifa ba wanda ke da nakasar haihuwa
• yana da tazarar ƙasa da watanni shida tun daga ɗaukar ciki na ƙarshe
• rashin kulawa ko kadan
• fuskantar matsaloli na rayuwa, kamar mutuwar ƙaunataccen mutum

Gwaje-gwajen don tantance rashin haihuwa

Likitanku na iya yin ɗaya ko fiye da waɗannan gwaje-gwajen don tantance aikin ciki na lokacin haihuwa:

• jarrabawar pelvic don sanin idan mahaifar mahaifinka ta fara budewa da kuma sanin taushin mahaifar da jaririn
• duban dan tayi don auna tsawon bakin mahaifa kuma a tantance girman jaririn da matsayin sa a cikin mahaifar ku
• kulawar mahaifa, don auna tsawon lokaci da tazara na raunin ku
• balaga amniocentesis, don gwada ruwan ɗarin ciki don ƙayyade jaririn huhun jaririn
• wankin farji don gwada kamuwa da cuta

Ta yaya masu toshe tashar calcium ke aiki?

Doctors galibi suna ba da umarnin CCBs don jinkirta lokacin haihuwa. Mahaifa babban tsoka ne wanda ya kunshi dubunnan ƙwayoyin tsoka. Lokacin da alli ya shiga waɗannan ƙwayoyin, tsoka zata kankama kuma ta matse. Lokacin da alli ya dawo daga cikin tantanin halitta, tsoka zata saki. CCBs suna aiki ta hana hana alli motsawa zuwa cikin ƙwayoyin tsoka na mahaifa, wanda ke sa ya zama ba zai iya yin kwangila ba.

CCBs rukuni ne na ƙungiyar ƙwayoyi da ake kira tocolytics. Showsaya yana nuna cewa nifedipine shine mafi kyawun CCB don jinkirta jinkirin lokacin haihuwa kuma yana da tasiri fiye da sauran magungunan tocolytics.

Yaya ingancin nifedipine?

Nifedipine na iya rage adadi da yawaitar naƙuda, amma tasirin sa da kuma tsawon lokacin da zai ɗauka ya bambanta daga mace zuwa wata. Kamar duk magungunan tocolytic, CCBs basa hana ko jinkirta isar da lokacin haihuwa zuwa wani muhimmin lokaci.

A cewar ɗayan, CCBs na iya jinkirta bayarwa na kwanaki da yawa, ya danganta da yadda wuyan mahaifa ke faɗaɗa yayin fara magani. Wannan na iya zama ba kamar lokaci mai yawa ba, amma zai iya yin babban canji ga ci gaban jaririnka idan aka ba ka kwayoyin steroid tare da CCBs. Bayan awanni 48, steroids na iya inganta aikin huhun jaririn ku kuma rage haɗarin mace-mace.

Menene sakamakon sakamako mai kyau na nifedipine?

Dangane da Maris na Dimes, nifedipine yana da inganci kuma yana da aminci sosai, shi ya sa likitoci ke amfani da shi sosai. Nifedipine bashi da wata illa ga jariri. Abubuwan da ke iya faruwa a gare ku na iya haɗawa da:

• maƙarƙashiya
• gudawa
• tashin zuciya
• jin jiri
• jin suma
• ciwon kai
• saukar karfin jini
• jan fata
• bugun zuciya
• kumburin fata

Idan hawan jini ya sauka na tsawan lokaci, zai iya shafar gudan jini ga jaririn.

Shin akwai matan da bai kamata su sha nifedipine ba?

Matan da ke da yanayin kiwon lafiya waɗanda sakamakon cutar da aka bayyana a sama zai iya zama mafi muni kada su ɗauki CCBs. Wannan ya hada da mata masu cutar hawan jini, bugun zuciya, ko kuma larurar da ke shafar karfin tsoka.

Outlook

Shiga cikin lokacin haihuwa zai iya shafar ci gaban bebinka. CCBs hanya ce mai aminci da inganci don jinkirta lokacin haihuwa. CCBs sun jinkirta aiki har zuwa awanni 48. Lokacin da kake amfani da CCB tare da corticosteroids, magungunan biyu zasu iya taimakawa ci gaban ɗanka kafin haihuwa kuma zasu taimaka tabbatar da samun haihuwar lafiya da jariri mai lafiya.