Wonke umuntu empilweni yakhe ubhekene nezifo ezehlukene. Kungokwemvelo ukuthi izifo eziningi zidinga ukwelashwa. Akuyona eyingqayizivele esikhathini sethu, lapho ukwelashwa kwe-antibacterial kuyadingeka ukuze kukhishwe i-lactation. Isibonelo, uma owesifazane enezinkinga ngemuva kokubeletha, i-pyelonephritis yokukhulelwa, i-toxoplasmosis, izifo ze-urogenital noma izifo ezithathelwanayo, njll.
Uma lesi sifo esibucayi sinomusa, ungazama ukubhekana nalesi sifo futhi ngaphandle kwezidakamizwa. Kodwa-ke, kulawo maqiniso lapho impilo noma impilo kamama isengozini, ayikho indlela yokugwema ukwelashwa kwama-antibiotic. Isibonelo, uma isiguli sinesifo se-purulent noma i-macroprolactinoma. Kodwa ezimweni eziningi, ngokunakekelwa ukwelashwa, odokotela banxuswa kakhulu ukuba agcine umama olahlayo elahla.
Indlela yokuhlola ukuphepha kwe-antibacterial therapy in lactation
Okokuqala, kubalulekile ukuxhumana nodokotela ozokwazi ukukhetha isidakamizwa esiphezulu kakhulu futhi anqume ukuthi kungenzeka yini ukuyisebenzisa ngesikhathi sokudla. Kusenganeni, ingane ikhula ngokushesha futhi izuza. Ingane inezinto eziphakeme zamanzi emzimbeni, ukwanda kwemetabolism, ukungabi namagciwane. Ngakho-ke, udokotela obeka imithi yomama onesihlengikazi kufanele ngokuqinisekile aqinisekise ukuphepha kwalo muthi wengane ebeletha.
Lapho ukwelashwa kwama-antibiotic ngesikhathi sokudla, kubalulekile ukucabangela izindlela zokuthola imithi emzimbeni womama, kanye nokusatshalaliswa kwayo, ukugaya umzimba, ukukhipha. I-pharmacokinetics yesidakamizwa esinqunyiwe kufanele iphinde icatshangelwe emzimbeni wengane (ukusatshalaliswa emzimbeni wengane, imetabolism, imigwaqo ye-excretion, njll).
Ukuze kuhlolwe ingozi ye-antibiotic therapy kwengane, izinkomba ezimbili ezivame ukusetshenziswa kakhulu ziyingxenye yokuhlushwa kwesidakamizwa eplasma yengane kubisi lomama, umthamo wezingane ezincane (umthamo umntwana ozothola emini nge-lactation).
Ukuphepha kwe-fetus antibacterial therapy kulabo besifazane ngesikhathi sokukhulelwa kuxhomeke kakhulu ekungenikeni komuthi ngokusebenzisa i-placenta, okuvimbela umonakalo ezithombeni ezingxenyeni nasezingxenyeni zomntwana. Ngakho-ke, i-levomycetin (chloramphenicol) iphazamisa ukusebenza komzimba wamathambo futhi ingakhuthaza ukuthuthukiswa kwe-"grey syndrome" ezisanda kuzalwa, ama-tetracycline abangela ukuphazanyiswa kwamathambo, i-biseptol kanye nezifanekiselo zayo zandisa ingozi ye-anomalies engezangezozalo emntwaneni we-fetus, i-fluoroquinolones engxenyeni yangaphakathi ebusweni ngesikhathi sokukhula usanda kuzalwa.
Indlela yokunciphisa ingozi ye-antibacterial therapy ye-lactation
Ukuze unciphise ingozi ye-antibacterial therapy, kunezindlela eziningi. Kwezinye izimo, kungenzeka ukudlulisa imithi okwesikhashana noma ngisho nokuyiyeka ngokuphelele. Uma lokhu kungenakwenzeka, udokotela kufanele akhethe imithi enokungenisa okuncane ubisi lomama. Isisombululo esiphezulu sezifo ezithile kungase kube ukushintsha indlela noma indlela yokuphatha izidakamizwa. Isibonelo, esikhundleni samathebulethi, ukuphulukiswa kwe-inhalation kungasetshenziswa, njll.
Phakathi ne-lactation, isikhathi phakathi kwe-feedings kufanele sicatshangelwe. Uma uhlelo lwezokwelapha luvumela, khona-ke isidakamizwa sithathwe kangcono ngaphambi kwesikhathi eside kakhulu sokulala kwengane (kusihlwa). Uma ukwelashwa kwe-antibacterial kuyingozi kakhulu kumntwana, kungcono ukuthi usebenzise isikhashana okwesikhashana, noma ngisho wenqabe ukondla ingane nobisi lomama.
Izinto okufanele uzikhumbule
Ukwelashwa kwama-antibiotic ngesikhathi sokuhlaselwa kudinga ukuqapha okwedlulele ngesikhathi sokuzalwa kwezinsana, uma umntwana engakafiki noma egule, angasebenzisi isilinganiso esiphezulu futhi ukwelashwa isikhathi eside.
Kodwa odokotela abaningi bezobuchwepheshe obuncane kanye nomkhuba ojwayelekile abaqapheli kakhulu izingozi zokusebenzisa imithi ethile ye-fetus (uma owesifazane ekhulelwe) kanye nomntwana obelethwe ngamabele. Futhi abokusebenza kwemithi kaningi abacabangi konke okungenhla lapho bethengisa izidakamizwa. Imiphumela yezinyathelo ezinjalo ayibi kakhulu. Ngakho-ke, ngaphambi kokuthatha imithi, funda ngokucophelela imiyalelo yokusetshenziswa kwayo. Futhi kungcono ukuthi ungaguli futhi konke kube nempilo enhle!