Munthu aliyense m'moyo wake akukumana ndi matenda osiyanasiyana. Ndi zachilendo kuti matenda ambiri amafunika kuchipatala. Sizodziwikiratu masiku ano, pamene mankhwala oletsa tizilombo toyambitsa matenda amafunikira kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Mwachitsanzo, ngati mayi ali ndi mavuto pambuyo pobereka, pyelonephritis yogwira mtima, toxoplasmosis, matenda a urogenital kapena matenda opatsirana, ndi zina zotero.
Ngati matendawa ndi ofatsa, ndiye kuti mungayesetse kulimbana ndi matendawa popanda mankhwala osokoneza bongo. Komabe, pazochitikazi pamene thanzi kapena moyo wa mayi uli pangozi, palibe njira yopezera mankhwala ophera antibiotic. Mwachitsanzo, ngati wodwalayo ali ndi purulent mastitis kapena macroprolactinoma. Koma nthawi zambiri, ndi chithandizo chamankhwala, madokotala amalangizidwa kwambiri kuti mayi wochotsa mimba asamalire.
Mmene mungayang'anire chitetezo cha antibacterial treatment mu lactation
Choyamba, m'pofunika kuonana ndi katswiri yemwe angathe kusankha mankhwala abwino kwambiri ndikudziwiratu kuti angathe kugwiritsa ntchito panthawi yopuma. Kuyambira ali mwana, mwana amakula mofulumira ndipo amakula. Mwanayo ali ndi madzi okwanira m'thupi, amayamba kuchepetsa thupi, kusowa kwa ma antibodies. Choncho, dokotala yemwe amapereka mankhwala a mayi woyamwitsa ayenera kutsimikizira kuti mankhwalawa ndi otetezeka kwa mwana yemwe akuyamwitsa.
Mankhwala oletsa maantibayotiki panthawi yopuma, m'pofunika kuganizira njira zopezera mankhwala m'thupi la mayi, komanso kugawa kwake, kagayidwe kameneka, kapangidwe kake. Pharmacokinetics ya mankhwala oyenera kuyeneranso kuganiziridwa mu thupi la mwana (kufalitsidwa mu thupi la mwana, kuchepa kwa thupi, njira zapamwamba, etc.).
Pofuna kudziwa momwe chiopsezo cha mankhwala chingawonongeke kwa mwana, zizindikiro ziwiri zomwe zimagwiritsidwa ntchito kwambiri ndi chiwerengero cha mankhwala omwe ali m'magazi a mwana mpaka mkaka wa mayi, mlingo wa chiberekero (mlingo umene mwana angalandire masana ndi lactation).
Chitetezo cha feteleza antibacterial kwa amayi pamene ali ndi mimba chimadalira kukula kwa mankhwala kudzera mu placenta, zomwe zimachepetsa kuwonongeka kwa ziwalo ndi zipsinjo za mwana. Choncho, levomycetin (chloramphenicol) imadetsa mafupa a mitsempha ndipo imathandizira kuti chitukuko cha "imvi" chikhale chonchi, chifuwa cha tetracycline chimapangitsa kuti kusokonezeka kwa mafupa, biseptol ndi zizindikiro zake ziwonjezere chiopsezo chokhala ndi mwana m'mimba mwa fetus, fluoroquinolones. mwana wakhanda.
Mmene mungachepetsere chiopsezo cha mankhwala a antibacterial for lactation
Kuchepetsa chiopsezo cha mankhwala oletsa antibacterial mu lactation, pali njira zingapo. Nthawi zina, n'zotheka kusamutsa mankhwala kwa kanthaŵi kapena ngakhale kuzisiya kwathunthu. Ngati izi sizingatheke, ndiye adokotala ayenera kusankha mankhwala omwe amamwa pang'ono mkaka wa mayi. Njira yeniyeni yothetsera matenda ena ingakhale kubwezeretsa njira kapena kayendedwe ka mankhwala. Mwachitsanzo, mmalo mwa mapiritsi, inhalation ikhoza kuperekedwa, ndi zina zotero.
Pakati pa lactation, nthawi pakati pa kudyetsa iyenera kuganiziridwa. Ngati chithandizochi chiloleza, ndiye kuti mankhwalawa amatengedwa bwino asanafike nthawi yayitali mwanayo (madzulo). Ngati mankhwala ophera antibacterial ndi owopsa kwambiri kwa mwanayo, ndiye bwino kupuma pang'ono, kapena kukana kudyetsa mwanayo ndi mkaka wa amayi.
Zinthu zoti muzikumbukira
Mankhwala oletsa tizilombo toyambitsa matenda panthawi yoperewera amafuna kukhala osamala kwambiri pa nthawi imene ana amakhanda, ngati mwana asanakwane kapena akudwala, musagwiritse ntchito mankhwala akuluakulu komanso mankhwala owonjezera.
Koma ambiri a madokotala a zochepa zapadera ndi machitidwe ambiri sadziwa bwino kuopsa kwa kugwiritsa ntchito mankhwala ena a mwana wamwamuna (pamene mayi ali ndi mimba) ndi mwana yemwe ali ndi bere. Ndipo asayansi samakonda kuganizira zonsezi pamwamba pogulitsa mankhwala osokoneza bongo. Zotsatira za zochita zoterezi ndizovuta kwambiri. Choncho, musanayambe kumwa mankhwala, werengani mosamala malangizo omwe akugwiritsidwa ntchito. Ndipo ndibwino kuti musadwale komanso kuti mukhale ndi thanzi labwino.