Panthawi imeneyi, chitetezo cha mthupi cha mayi woyembekezera chikufooka kwambiri, ndipo katundu pazinthu zina ndi ziwalo zikuwonjezereka. Panthawi imeneyi, mayi wamtsogolo amayamba kukhala ndi chiopsezo chotenga matenda komanso matenda aakulu, choncho muyenera kupita kuchipatala ndi mankhwala osiyanasiyana. Nthaŵi zambiri, ndi maonekedwe osiyanasiyana opweteka m'thupi (pyelonephritis, matonillitis, sinusitis), amapereka mankhwala osokoneza bongo. Choncho, pali funso lofunika kwambiri: kodi kudya kwa ma antibiotic kumakhudza bwanji mimba, chifukwa chilichonse chimene mkazi amagwiritsa ntchito chimakhudza mwanayo mwachindunji.
Maantibayotiki.
Maantibayotiki - mankhwala amachititsa kuchiza matenda opangidwa ndi tizilombo tosiyanasiyana. Mwatsoka, kumwa mankhwala opha tizilombo nthawi zonse sikukhala kotetezeka pa nthawi ya mimba. Ndipotu, m'thupi, kupatulapo kuti mankhwalawa ali ndi mphamvu zake zowonongeka, zimayambitsa zotsatira zowonjezereka kapena zotsatira zake: kudzimbidwa, kunyowa, kupweteka mutu.
Zaka zambiri kafukufuku amasonyeza kuti mankhwala opha tizilombo samakhudza njira zonse za majini, koma zotsatira zake sizingatheke. Asayansi a ku Ulaya ndi America mu maphunziro awo poyerekeza zotsatira za mankhwala osiyanasiyana pa mapangidwe a kamwana. Malingana ndi zotsatira za kafukufuku, magulu otetezeka kwambiri a penicillin (ampicillin, amoxicillin, ndi zina zotero), koma penicillin anakhala opambana kwambiri mu gululo. Ambiri a cephalosporins (cefotaxime, cefazolinum ndi ena), ngakhale kuti atangoyamba mimba, amakhala ndi poizoni pa fetus, komabe akulimbikitsidwa kutenga matenda owopsyeza - matenda, chiwindi cha matenda a chibayo, matenda a mkodzo. Kuwonjezera apo, asayansi amati pambuyo pa trimester yoyamba, kudya kwa mankhwalawa chifukwa cha mimba sikukhudza. Komanso, mankhwala ena ophera tizilombo ndi otetezeka kwa amayi apakati. Chombocho ndi cha gulu la macrolides, omwe amaimira awo ndi azithromycin, erythromycin. Maantibayotiki awa ndi mankhwala m'magulu ambiri opatsirana, choncho ndibwino kuti asiye okha. Kuchokera ku mankhwala ena opatsirana pogonana, pa nthawi ya mimba ndi bwino kupewa. Magulu otsala a mankhwala opha tizilombo amakhala ochepa kwambiri, choncho amagwiritsidwa ntchito kuthetsa mabakiteriya a mitundu ina, ndipo amachititsa kuti zizindikiro za matenda (matenda aakulu m'mimba, chifuwa chachikulu ndi matenda ena owopsya). Kudya ma antibayotiki kumakhudza kwambiri mimba. Choncho, popanda chifukwa chabwino, musagwiritsire ntchito mankhwala monga aminoglycosides (amikacin, gentamitazin ndi alnologic), zimakhudza kwambiri mphamvu ya poizoni pa mitsempha yambiri ya mimba m'mimba yoyamba ya mimba.
Ntchito ya sulfonamides.
Kugwiritsidwa ntchito kwa sulfonamides kumayambiriro koyambirira kwa mimba kumayambitsa zovuta zosiyanasiyana ndi zolakwika, zomwe zimayambitsa kuwononga kwa kayendetsedwe kake. Kugwiritsidwa ntchito kwa tetracycline (doxycycline, tetracycline) kumabweretsa kuwonongeka kosasinthika kwa maolivi a dzino, ali ndi poizoni pachiwindi, kumapangitsa kuti mwanayo asokonezeke.
Mpaka posachedwa, m'mabungwe athu, amayi apakati anali atapatsidwa chithandizo cha ciprofloxacin. Koma lero kulandiridwa kwa mankhwalawa kumatsutsidwa kagawo, chifukwa mankhwalawa amachititsa kuti ziwalo za mafupa zisapitirire.
Malamulo okamba mapiritsi.
Kotero, mtundu wamtundu wotani, ndi mankhwala otani a antibacterial omwe angatengedwe pamene ali ndi mimba. Koma mukufunikira kukumbukira amayi amtsogolo, malamulo akuluakulu othandizira kumwa ma antibiotic. Kotero:
1. Mu miyezi isanu yoyamba ya mimba, ngati palibe chosowa chachikulu cha mankhwalawa, maantibayotiki ayenera kunyalanyazidwa mosamala kwambiri, chifukwa ndi nthawi yomwe kumanga ziwalo zonse zofunika ndi ziwalo zofunikira za mwana wosabadwayo zikuchitika. Zikakhala kuti kulandila mankhwala osokoneza bongo sikungapeweke, mungathe kuchita izi poyang'anitsitsa dokotala yemwe akupezekapo!
2. Ndikofunikira kuti mutenge mankhwala onse ndi mlingo woyenera, palibe chomwe mungasinthe nokha.
3. Musanayambe kumwa mankhwala oletsa antibacterial, muuzeni dokotala za matenda anu onse akale, odwala kwambiri, makamaka kupsyinjika!
4. Ngati zotsatira zowoneka bwino kapena zovuta zowoneka bwino zikuonekera panthawi ya ma antibayotiki, muyenera kusiya nthawi yomweyo kumwa mankhwala omwe mwalandira ndikufunsani dokotala wanu.
Mwamwayi, amayi ambiri omwe amawonongedwa amakakamizidwa kutenga mankhwala opha tizilombo chifukwa cha matenda aakulu. Izi zikhonza kukhala njira kapena kulandila mankhwala ena. Pakati pa mimba, ngati ndizovomerezeka, ndibwino kuti musagwiritse ntchito mankhwala osokoneza bongo, kuti muzitha kuchiza matenda aakulu. Kudyetsa mankhwala opha tizilombo "kuti tipewe kuchulukitsa" sikuletsedwa. Nthaŵi zambiri, kudzipangitsa koteroko sikubweretsa mphamvu ndipo kumalimbikitsa kufalikira kwa matenda, omwe amachititsa kuti asamakhale ndi matendawa.
Panthawi imene chithandizo chikufunika, ndi bwino kupatsa mankhwala omwe amagwiritsidwa ntchito nthawi yaitali kuposa ena popanda zotsatirapozi.
Koma chinthu chofunika kwambiri, kumbukirani, kuti pakudzipangitsa nokha, kukonzekera kwa antibacterial kumatha kuyambitsa mwana wachinyamata nthawi yaying'ono (ngakhale mayi ake sanamvere yekha). Musanayambe kumwa mankhwala aliwonse opha tizilombo, muyeneradi kufunsa dokotala, chifukwa adokotala yekha ndiye amene angadziwe kufunika kokhala ndi maantibayotiki. Komanso, malinga ndi zotsatira za kafukufukuyu, adzatha kukonzekera ndikukonzekera nthawi yomwe adzalandiridwa.