Munhu wese muhupenyu hwake anotarisana nezvirwere zvakasiyana-siyana. Zvakangoitika kuti zvirwere zvakawanda zvinoda kurapwa. Hazvisi nyore munguva yedu, apo kurapwa kwemaantibacterial kunotarisirwa kuti uwane lactation. Somuenzaniso, kana mukadzi ane zvinetso mushure mokuberekwa, gestational pyelonephritis, toxoplasmosis, zvirwere zveurogenital kana zvinotapukira-zvinopisa, nezvimwewo.
Kana chirwere chakaoma chikaita, iwe unogona kuedza kurarama nechirwere uye pasina zvinodhaka. Zvisinei, mune izvozvi apo hutano kana hupenyu hwemamai huri panjodzi, hapana nzira yekudzivisa maantibiotic therapy. Somuenzaniso, kana murwere ane purulent mastitis kana macroprolactinoma. Asi mune dzimwe nguva, nekurapa, vanachiremba vakanyatsorayirwa kuchengetedza amai vanochera vachirapa.
Nzira yekuongororwa kuchengetedzwa kwemishonga inonzi antibacterial in lactation
Chokutanga pane zvose, zvakakosha kusangana nemudzidzisi uyo achakwanisa kusarudza mishonga yakanakisisa uye achisarudza kuve nekugona kuishandisa panguva yekurota. Mucheche, mwana anokura nekukurumidza. Mwana ane mvura yakakwirira mumuviri, yakawedzera metabolism, kushayikwa kwezvirwere. Nokudaro, chiremba uyo anorayira mushonga weamai vanoyamwisa anofanira kunyatsoona kuchengetedzwa kwemishonga iyi kumwana ari kuyamwa.
Kana chirwere chinorwisa mabhakitiriya panguva yekuvhenekera, zvakakosha kufunga nezvenzira yekuwana mushonga mumutumbi waamai, pamwe nekuparadzirwa kwayo, metabolism, excretion. Iro pharmacokinetics yemishonga yakatemwa inofanirawo kufungwa nezvayo muhupenyu hwemwana (kugoverwa mumuviri wemwana, metabolism, migwagwa yechuru, nezvimwewo).
Kuongorora njodzi yemishonga inorwisa mabhakitiriya kumwana, zviyero zviviri zvinowanzoshandiswa zvinokonzerwa nehuwandu hwemishonga mu plasma yemucheche kune mukaka wamai, iyo inonzi infantile dose (chirwere icho mwana achagamuchira masikati nea lactation).
Kuchengetedza fetus antibacterial therapy kuvakadzi panguva yekuzvitakura kunowanzoenderana nehuwandu hwehutachiona hwechirwere kuburikidza neparcenta, iyo inogadzirisa kukanganisa kunhengo nhengo dzemaviri emucheche. Saka, levomycetin (chloramphenicol) inonyadzisa bone marrow basa uye inogona kukurudzira kusimba kwe "gray syndrome" muzvitsva, tetracyclines inobatsira kukanganiswa kwemapfupa, biseptol nemamwe ayo anowedzera dambudziko rekuberekwa kwevana musati mu fetus, fluoroquinolones kukuvadza kwemazamu musati mucheche mukukura uye chicheche.
Nzira yekuderedza ngozi ye antibacterial therapy for lactation
Kuti kuderedza ngozi ye antibacterial therapy mu lactation, pane nzira dzakawanda. Mune zvimwe zviitiko, zvinokwanisika kuendesa mishonga kwekanguva kana kutorega zvachose. Kana izvi zvisingakwanisi, ipapo chiremba anofanira kusarudza mishonga isina kunyorera mumukaka wamai. Iyo yakakwana yekugadzirisa dzimwe zvirwere inogona kuva yekugadzirisa nzira kana maitiro ekutungamira kwechirwere. Somuenzaniso, pane mahwendefa, inhalation inogona kugadziriswa, nezvimwewo.
Munguva yekurasikirwa, nguva iri pakati pekudyisa inofanira kuverengwa. Kana chirongwa chekurapa chichibvumira, zvino mushonga wacho unotorwa kutorwa nguva refu nguva refu yekurara mumwana (manheru). Kana chirwere chinorwisa mabhakitiriya chakaipa zvikuru kumucheche, zvino zvakanaka kuti tishandure kwenguva pfupi, kana kutoramba kupa mwana mwana mukaka wamai.
Zvinhu zvokuyeuka
Kurapa kwemishonga inorwisa mabhakitiriya panguva yeactation inoda kungwarira zvakanyanya munguva yevacheche, kana mwana asati apera kana kurwara, usashandise mizinga yakakura uye kwenguva yakareba kurapwa.
Asi vazhinji vevanachiremba vane ruzivo rwakakosha uye tsika yakawanda havazivi zvikuru njodzi yekushandisa mamwe mishonga yemucheche (apo mukadzi ane pamuviri) uye mwana anochekwa. Uye vanachiremba havawanzofungi zvose pamusoro apa kana vachitengesa zvinodhaka. Migumisiro yezviito zvakadaro hazvina kunaka. Saka, usati watora mishonga, nyatsoverenga mairairo ekushandisa kwayo. Uye zviri nani kusava kurwara uye zvose kwauri kune utano hwakanaka!