Phakathi nezinyanga zokukhulelwa, umzimba wowesifazane ushintsha kakhulu lapho Izidingo zensimbi zikhula kakhulu ukuze kusekelwe ukukhula nokuthuthukiswa kwengane i-placenta kanye nezinguquko kumthamo wegazi likamama. Kuvamile kakhulu ukuzwa lokho odokotela abakubiza ngokuthi ukuntuleka kwensimbi ngaphandle kwe-anemia, isimo lapho izitolo zensimbi ziphansi kakhulu kodwa amazinga e-hemoglobin asabonakala ejwayelekile ekuhlolweni kwegazi okujwayelekile. Lokhu kubangela abesifazane abaningi ukuba bahlupheke ngokukhathala okukhulu noma balulame kancane ngaphandle kokuthi inkinga eyisisekelo itholakale ngesikhathi.
Muva nje, ucwaningo lwamazwe ngamazwe lapho IYunivesithi yaseGranada kanye ne-ibs.GRANADA Iveze ubufakazi obuqinile besayensi bokuthi singayithuthukisa kanjani lesi simo. Ucwaningo, olushicilelwe ephephabhukwini elidumile i-Lancet Haematology, lusikisela ukuthi akudingekile ukulinda kuze kube yilapho i-anemia isibi kakhulu ukuze uthathe isinyathelo. Ukuthatha isinyathelo ngaphambi kwalesi sigaba sokuncishiswa kwemithombo akuphephile nje kuphela, kodwa futhi kuye kwabangela izinzuzo eziqondile kumama kanye nosana olusanda kuzalwaokuvumela kokubili ukuthi kufinyelelwe isikhathi sokubeletha ezimweni zezempilo ezingcono kakhulu.
Isivivinyo somtholampilo esinemiphumela eqinisekile
Ukuze kufinyelelwe kulezi ziphetho, ithimba locwaningo, elihlanganisa uDkt. Naomi Cano-Ibáñez, lihlanganyele esivivinyweni sezokwelapha esihlanganisa izikhungo eziningi. Abesifazane abakhulelwe abangu-600Nakuba umsebenzi wasensimini wenziwa ezibhedlela zaseyunivesithi ePakistan, indlela kanye nokuhlaziywa kwahlanganiswa kusukela eSpain, okunikeza umbono ofuna ukushintsha izinqubo ezilandelwayo kulo lonke elaseYurophu njengamanje. Abahlanganyeli bahlukaniswe ngamaqembu amabili: elinye elathola isithasiselo sensimbi somlomo esivamile kanye nelinye elanikwa i- imithamo yensimbi yokuqala ngemithambo yegazi.
Idatha etholakele kunzima ukuyishaya indiva, njengoba abesifazane abathola ukwelashwa nge-intravenous bafike ekupheleni kokukhulelwa kwabo. amazinga e-hemoglobin aphezulu kakhuluOkutholakele okuphawuleka kakhulu ukuthi izinga lokuntuleka kwegazi ngaphambi kokubeletha kuleli qembu lalingu-23% kuphela, uma kuqhathaniswa no-74% obalulekile obhalwe kwabesifazane abathatha izithasiselo zomlomo kuphela. Lokhu kubonisa ukuthi umthamo wokumunca insimbi ngomlomo Ngezinye izikhathi akwanele ukuhlangabezana nezidingo eziphakeme zokukhulelwa okuthuthukile.
Ukuthuthuka ekukhuleni nasekusindeni kwengane
Kodwa lolu cwaningo alugxili nje kuphela empilweni kamama; izinsana ezisanda kuzalwa nazo ziye zazuza kulokhu kungenelela kwasekuqaleni. Abacwaningi baphawule ukuthi izinsana ezinonina abaphathwe nge-iron emithanjeni zibonise ukungasebenzi kahle kwe-intravenous. ukunciphisa ukuvinjelwa kokukhula kwengane, kwehle kusuka ku-11% wamacala eqenjini elijwayelekile kuya ku-1% kuphela. Ngaphezu kwalokho, laba bantwana bazalwa benesifo sikashukela. isisindo esikhulu kanye nokugcinwa kwensimbi okungconoLokhu kubanika indawo engcono yokuqala ukukhula kwabo phakathi nezinyanga zokuqala zokuphila ngaphandle kwesibeletho.
Ngokuphathelene nokuphepha kokwelashwa, okuvame ukuba ngenye yezinto ezikhathaza kakhulu omama abakhulelwe, ucwaningo aluzange lubonise noma yimiphi imiphumela emibi. imiphumela emibi kakhulu ehlobene nokuphathwa ngemithambo yegaziLokhu kuqinisa umqondo wokuthi iyithuluzi lokwelapha eliphephile nelisebenzayo kwabesifazane, ngisho noma bengenayo i-anemia, abanezitolo zensimbi ezinciphile kakhulu. Ekugcineni, kumayelana gwema izinkinga ngaphambi kokuba zivele, besebenzisa izinsiza zezokwelapha ngendlela ehlakaniphile nevikelayo.
Ukuya emodeli entsha yokunakekelwa kwangaphambi kokubeletha
Njengoba kunikezwe le miphumela, umphakathi wesayensi uphakamisa isidingo sokuthi Buyekeza izinqubo zokulandelela ezikhungweni zezempiloIsiphakamiso silula kodwa sinomgomo omkhulu: ukufaka isilinganiso se-ferritin, inkomba yangempela yezindawo zokugcina insimbi, ekuhlolweni kwegazi okuvamile kwabo bonke abesifazane abakhulelwe. Lokhu kuzovumela... thola abesifazane abasengozini kusenesikhathi eside, ngaphandle kokulinda kuze kube yilapho amazinga e-hemoglobin ehla ngaphansi kwezinga elinconywayo futhi i-anemia isivele itholakale.
Isinyathelo esilandelayo sochwepheshe kuzoba ukutadisha ukuthi kungenzeka yini ngokwezomnotho ukusebenzisa lezi zinyathelo ngezinga elikhulu ekunakekelweni kwezempilo komphakathi nokuhlola ukuthi bangahlanganisa kanjani umthamo owodwa wensimbi efakwa emthanjeni emtholampilo ojwayelekile. Kuyindlela yokungenelela, yize ilula, kodwa enamandla okwenza ukuguqula inhlalakahle kamama nengane ngezinga elikhulu. Intuthuko eyengeziwe kulolu chungechunge locwaningo ivumela ukunakekelwa kwezempilo ukuthi kube ngokwezifiso futhi kulungiselelwe izidingo zangempela zowesifazane ngamunye phakathi nesinye sezigaba ezinzima kakhulu empilweni yakhe.
Ukuxhumana phakathi kwamaqembu ezempilo yomphakathi kanye nochwepheshe bezokubelethisa kuzobaluleka ukuze lokhu okutholakele kuhunyushwe kube yi- ikhwalithi engcono yokuphila kwabesifazane abakhulelweNgokugxila ekuvimbeleni nasekuxilongweni kusenesikhathi nge-ferritin, kuvuleka umnyango wokunciphisa izinkinga ngesikhathi sokubeletha nokuqinisekisa ukuthi ukukhula komntwana akuphazamiseki ngenxa yokuntuleka kokudla okunempilo okungelapheka ngokuphelele ngezindlela zamanje.
