Kuzvara kubwinya kwakagwinya kunowanzova chido chevakadzi chinonyanya kukoshesa. Asi panzira inoenda kune chinangwa iye anofanira kupinda mune dzakawanda maitiro ekurapa maantibhakitiriya, sezvo zvirwere uye foci yekuputika mumadzimai echikadzi zvinogona kuva chipingamupinyi chakakomba pamuviri. Saka, muchida kutanga utambo hwekuita pamuviri, vakadzi vanofarira kana iwe unogona kutora pamuviri mushure mekutora antibiotics.
Kuronga pamuviri mushure memishonga inorwisa mabhakitiriya
Mishonga inorwisa mabhakitiriya inhengo yezvinhu zvakasikwa kana kuti semi-synthetic, iyo inokwanisa kukanganisa basa rinokosha remasero ehupenyu (semuenzaniso, mabhakitiriya). Nguva iyo iwe unokwanisa kuronga pamuviri mushure mekutora mishonga inorwisa mabhakitiriya, zvinoenderana nezvimwe zvinhu. Ichokwadi ndechekuti mishonga inorwisa mabhakitiriya ine pfuma yekuunganidza mumuviri uye haisi simba kwete chete nhengo, asiwo masero epabonde, somuenzaniso, yei mumukadzi. Mukuronga kwehutano mushure mokurwisa maantibayoti, munhu anofanirwawo kufunga nezvekuti nekuda kwekumwa mishonga spermatozoa yevarume haisi kungoita basa chete, asi inewo chirwere. Kubata pamuviri, uko kunosanganisira masero ekurara kwepabonde, kazhinji kunotungamirira kumapapuriro emangwana munguva yemberi. Ndicho chikonzero nei zvichikwanisika kuronga kuva nepamuviri mushure mokutora maantibioti panguva apo mukadzi anopfuura kamwe chete kumwedzi. Kana munhu akashandisa mishonga inorwisa mabhakitiriya, pamuviri unofanirwa kuitika pasina kare, mumwedzi miviri, apo semeni ichavandudzwa. Nokudaro, pamuviri mushure memaantibhakitiriya unogoneka uye pasina migumisiro yakaipa. Chinhu chikuru hachisi kukurumidza, uye mwedzi mishomanana mushure mekurapa kuchachengetedzwa.
Mishonga inorwisa mabhakitiriya inobata sei pamuviri?
Izvi zvinoitika kuti mukadzi ari mumamiriro ezvinhu akawana chirwere chepachirwere, uye chiremba akaraira maantibiotics kwaari. Uye anonetseka zvikuru pamusoro pemigumisiro yemishonga inorwisa mabhakitiriya pakuberekwa nemigumisiro inogoneka kumucheche. Kutya kwakadaro kwemazuva amangwana hausi pasi. Iyi mishonga inogona kuva nemigumisiro yakaipa pamucheche. Inonyanya kuipa kudyiwa kwemishonga inorwisa mabhakitiriya mumavhiki ekutanga ekudzivirira: embryonic pathologies inogona kuitika iyo inokonzera kusununguka kwepabonde.
Izvi zvinotevera zvinogadzirirwa kuberekwa:
- tetracycline (semuenzaniso, doxycycline) inobata chiropa uye bone system;
- sulfonamides (sulfademitoxin), zvichiita kuti zvikanganiso zvakawanda zvive;
- aminoglycosides (amikacin), vane chinotyisa pamhosva;
- fluoroquinolones (ciprofloxocin, nolycin, ciprolet), zvinokuvadza majoints.
Zviri pachena kuti havasi mukadzi wose ane pamuviri anogona kugadzirisa pasina zvirwere zvose mwedzi mapfumbamwe. Kune zvirwere zvakadai apo kurapwa kwemishonga inorwisa mabhakitiriya inongodiwa chete, somuenzaniso:
- uye urogenital zvirwere (pyelonephritis, cystitis, chlamydia, nezvimwe);
- ane zvirwere zvokufema zvinokonzerwa nemaBhakitiriya (pneumonia, kurwadziwa kwehuro);
- pazvirwere zvepamuviri (polyhydramnios, hypochlorism);
- zvirwere zvinokanganisa hupenyu hwaamai.
Asi ma antibiotics angashandiswa sei panguva yekuzvitakura?
- Mangwana mune ramangwana inobvumirwa maantibayoti eboka repenicillin (ampicillin, amoxicillin, amoxiclav).
- Usava nemigumisiro pamuchechi wekuberekwa kwe macrolides (erythromycin, rovamycin, vilprafen).
- Kumabhakitiriya anoregererwa pakuberekwa kunosanganisira cephalosporins (cefazolin, supraks, ceftriaxone, cefepime).
- Mimwe mishonga inorwisa mabhakitiriya mumatangiro ekutanga ekudzivirira inorambidzwa nekuda kwekuputswa kwekuiswa kwezvikamu zvekuberekwa. Muchikamu chechipiri nechechitatu, apo nhengo dzatove dzakasikwa, kugamuchirwa kwavo kunogoneka (trichopolum, metronidazole, flagel, furadonin).
Chero zvazvingava, momsamangwana haazofaniri kuzvirapa. Yeuka kuti chiremba chete anokwanisa kupa mishonga chero ipi zvayo, iyo inofanira kuzivikanwa nezvomurwere ane pamuviri. Ndiye iye anorayira mushonga unorwisa maitiro ehumwe chirwere, uye mukadzi ari mumamiriro ezvinhu achingofanira kunyatsoteerera zvinorehwa mutezo wemishonga, pasina kupera kana kuwedzera.