I-antibiotics ithinta kanjani ukukhulelwa?

Esikhathini esinzima kangaka lapho ukhulelwa, owesifazane ubhekene nezingozi eziningi.

Phakathi nalesi sikhathi, isimiso somzimba sokuzivikela komama esilindelekile siba buthakathaka kakhulu, futhi umthwalo kwezinye izinhlelo kanye nezitho zanda. Phakathi nalesi sikhathi, umama ozayo uzobe esengozini kakhulu kwizifo nezifo ezingelapheki, ngakho-ke kufanele uphendule ekwelashweni ngemithi ehlukahlukene. Ezimweni eziningi, ngezinqubo ezihlukahlukene zokuvuvukala emzimbeni (i-pyelonephritis, tonsillitis, sinusitis), misela izidakamizwa ze-antibiotic. Ngakho-ke, kuphakama umbuzo obaluleke kakhulu: ukudla kwama-antibiotic kuthinta kanjani ukukhulelwa, ngoba konke okusetshenziswa owesifazane ngokuqondile kuthinta ngqo ingane.

Ama-antibiotics.

Ama-antibiotics - izidakamizwa zihloswe ukuphulukisa izifo ezibangelwa yizo zonke izinhlobo zezincane ezincane. Ngeshwa, ukuthatha ama-antibiotics akuphephile ngaso sonke isikhathi ngesikhathi ukhulelwe. Ngempela, emzimbeni, ngaphezu kokuthi umuthi unomphumela oqondile, umphumela wokulwa nomzimba, ungabangela ukusabela okwezinye izifo noma imiphumela emibi: ukuqunjelwa, isisulu sokuhlukunyezwa, ikhanda.

Iminyaka yocwaningo ibonisa ukuthi ama-antibiotic ayithinti nezezici ze-genetic, kodwa nemiphumela engathandeki kungenzeka. Ososayensi baseYurophu naseMelika ezifundweni zabo baqhathanisa umphumela wezidakamizwa ezahlukene ekubunjweni kwe-fetus. Ngokusho kwemiphumela yocwaningo, amaqembu aphephile kakhulu e-penicillins (ampicillin, amoxicillin, njll), kodwa i-penicillin yaba yiyona ndlela enhle kakhulu eqenjini. Eziningi ze-cephalosporins (cefotaxime, cefazolinum nabanye), naphezu kokuthi ziqala ukukhulelwa, zinomthelela onobuthi kumntwana, kodwa ziyanconywa ukuthatha izifo ezisongela ukuphila - izinhlobo ze-pneumonia, ukutheleleka kwamagciwane. Ngaphezu kwalokho, ososayensi bathi emva kokuqala kwe-trimester, ukudla kwala ma antibiotics ukukhulelwa akuthinti. Futhi, ezinye izidakamizwa zokulwa namagciwane ziphephile kakhulu kwabesifazane abakhulelwe. Umkhumbi ungoqoqo lama-macrolide, abameleli bawo yi-azithromycin, i-erythromycin. Lawa ma-antibiotics ayimithi yezifo eziningi ezithathelwanayo, ngakho-ke kunconywa ukuba umkhawulo kuphela. Kusukela kwezinye izidakamizwa zokulwa nezifo, ngesikhathi sokukhulelwa kungcono ukugwema. Amakilasi asele elwa namagciwane ayenayo isenzo esincane, ngakho-ke asetshenziselwa ukunciphisa ama-bacteria ezinhlobo ezithile, futhi kuthiwa anezifo zesifo (izifo ezinzima zamathumbu, isifo sofuba nezinye izifo ezisongela ukuphila). Ukudla kwama-antibiotics kunomthelela omubi kakhulu ekukhulelweni. Ngakho-ke, ngaphandle kwesizathu esihle, ungasebenzisi izidakamizwa ezinjengama-aminoglycosides (amikacin, gentamitazin kanye ne-alnologic), zithinta umphumela onamandla onobuchopho emgodini wokuhlola we-fetus esikhathini sokuqala sokukhulelwa.

Ukusetshenziswa kwe-sulfonamide.

Ukusetshenziswa kwe-sulfonamide ezinyathelweni zokuqala zokukhulelwa kubangela ukuhlukumezeka okuhlukahlukene nokuthuthukiswa kwemvelo, okuholela ekulimazeni ohlelweni lokujikeleza. Ukusetshenziswa kwe-tetracycline (i-doxycycline, i-tetracycline) kuholela ekubhujisweni okungenakugwenywa kwezinyosi zamazinyo, kunomthelela onobuthi esibindi, kubangele ukukhubazeka kwesisu.

Kuze kube maduzane, ezibhedlela zethu, abesifazane abakhulelwe babememezela ngokuqinile i-ciprofloxacin. Kodwa okwamanje ukwamukelwa kwala ma-antibiotics kuvinjelwe ngokweqile, ngoba lesi sidakamizwa sibangela iziphambeko ezingenakwenzeka ezingatheni ezinganeni.

Imithetho yokuthatha amaphilisi.

Ngakho-ke, uhlobo lokuhlanzwa, yiziphi izidakamizwa ezithathelwanayo ezingathathwa ngesikhathi sokukhulelwa. Kodwa usadingeka ukhumbuze omama esikhathini esizayo, imithetho esemqoka yokuthatha ama-antibiotics. Ngakho:

1. Ezinyangeni ezinhlanu zokuqala zokukhulelwa, uma kungekho isidingo esinzima salokhu, ama-antibiotic kufanele athathwe ngokucophelela, ngoba phakathi nalesi sikhathi ukwakhiwa kwazo zonke izitho ezibalulekile kanye namathishu omzimba we-fetus kwenzeka. Uma kwenzeka ukuthi ukwemukelwa kwezidakamizwa zokulwa namagciwane kungenakugwemeka, ungenza lokhu kuphela ngaphansi kokuqapha okudokotela oya khona!

2. Kubaluleke kakhulu ukuthatha ukwelashwa okugcwele kanye nesilinganiso esinqunyiwe, kungakhathaliseki ukuthi ungayishintsha wena.

3. Ngaphambi kokuba ubeke inkambo yokwelashwa ngezidakamizwa zokulwa namagciwane, tshela udokotela wakho ngezinkinga zakho zezempilo ezedlule, ukhula olubi kakhulu, ikakhulukazi ukulimala!

4. Uma noma yimiphi imiphumela emibi ebonakalayo noma umuzwa wokungahambi kahle kubonakala ngenkathi kulawulwa ama-antibiotics, kufanele ushiye ngokushesha ukuthatha imithi enqunyiwe futhi uxoxe nodokotela wakho.

Ngeshwa, abesifazane abaningi ekudothulweni baphoqeleka ukuthatha ama-antibiotic, ngenxa yezifo ezingapheli. Lokhu kungaba inkambo noma ukwamukela njalo umuthi othile. Ngesikhathi sokukhulelwa, uma ngokuqinisekile kuvunyelwe, kungcono ukungasebenzisi ukusetshenziswa kwezidakamizwa zokulwa namagciwane, ukuze uphathe izifo ezingapheli. Ukudla kwama-antibiotics "ukuze kuvinjelwe ukukhushulwa" akuvunyelwe ngokuphelele. Ezimweni eziningi, ukuzitholela okunjalo akulethi kuphumelele futhi kukhuthaza ukusabalala kwezifo, ama-causative agents abalahlekelwe ukusabela okudingekayo kuma-antibacterial agents angunaphakade.

Ezimweni lapho kudingeka khona ukwelashwa, kungcono ukunikeza izidakamizwa ezisetshenziswa isikhathi eside kunabanye ngaphandle kwale mibi.

Kodwa into ebaluleke kakhulu, khumbula ukuthi ekuziphatheni okwelapha, ukulungiswa kwe-antibacterial kukwazi ukubangela ingane ngesikhathi esanda kuzalwa isenzo esibi kakhulu (ngisho noma umama wakhe engakaze azizwele ngokwakhe). Ngaphambi kokuba uthathe noma yimaphi ama-antibiotics, kufanele nakanjani uthintane nodokotela wakho, ngoba kuphela udokotela oyokwazi ukunquma isidingo sokulwa namagciwane. Futhi, ngokusho kwemiphumela yocwaningo, uzokwazi ukuthatha ukulungiswa okudingekayo futhi anqume isikhathi sokwamukelwa kwakhe.