Kusvika iye zvino, nyanzvi dzakawana ruzivo rwakawanda pamusoro pemigumisiro yakaipa yemishonga pakuvandudzwa kwema fetus nevana vanozvarwa. Mishonga inotyisa zvikuru ine tatatogenic effect (kukura kwekuberekwa kusagadzikana mune ramangwana mwana).
Mishonga inopesana nehutachiwana inogona kuva nemigumisiro chero ipi zvayo yekudzivirira, asi huwandu hwakanyanya hwakavimbika hwehutano hwakawanikwa kuburikidza nekuongorora kushanda kwemishonga munguva ye organogenis (kubva pamakore 18 kusvika ku55) uye panguva yekukura kwekuberekwa nekukura (mushure mememazuva 56) .
Zvakawanda zvatinoshushikana nazvo, chiito chetatu mumunhu zvakaoma kufanotaura, zvichibva pane dhiari yekuongorora, yakawanikwa pamhuka. Semuenzaniso, kunyengedza thalidomide inotyisa chaizvo, uye munguva yakafanira ichi chinodhaka chakanga chichigadzirirwa vakadzi vane pamuviri pasi rose. Pamusoro pazvo saizvozvo pakuzvibata kwekuedza kune mhuka chero ipi zvayo inogadziriswa.
Pakati pezvimwe zvinhu, kuonekwa kwezvinetso izvi zvekurapa zvinodhaka kwakaomawo zvakasikwa nemasikirwo emusana we fetal anomalies anokonzerwa nezvimwe zvinokonzera (kudhakwa, kuderedza zvirwere, utachiona hwehutachiwana, nezvimwewo).
Kune nhamba huru yemishonga inogona kunge inotyisa kubva pakuona kwetatogogenesis, uye iyo iyo inoratidzwa apo pane zvikonzero zvakanaka zveizvi. Saka, pakurondedzera madhiragi kuvakadzi munguva yekurera, zvakakosha kuongorora njodzi iripo uye kuibatanidza pamwe nekubatsira kushandisa chirwere panguva yekuzvitakura. Zvakakoshawo kuti usabvisa pamuviri kana madhiragi neatatogenic properties akanyorwa.
Kubva pamigumisiro yemashoko akawanikwa mushure mekuedza kune vanhu uye kunyanya pamhuka, zvinodhaka munguva dzemazuva ano zvakarongerwa maererano nehuwandu hwehutambudziro kumwana anouya mune dzimwe nyika (Australia, USA). Mishonga inogoverwa muzvikamu kubva kuA, iyo yakachengeteka, kusvika kuD, iyo inotyisa kugovera panguva yekuzvitakura.
Uyewo chikamu X chakagoverwa - madhiragi aya anonyatsopesana nevadzimai vane pamuviri. Izvi zvinokonzerwa nekuti iyo ngozi kubva pakushandisa yakawanda zvikuru kudarika kubatsirika nekuda kwechiremu chetachiona chekuita.
Rwendo rwezvinodhaka kubva muchikwata X:
- antidepressants;
- hormonal contraceptive;
- antihypertensives (chlorothiazide, reserpine);
- mishonga inorwisa mabhakitiriya (tetracycline, streptomycin);
- vitamini A, kana iyo inodarika 10 000 IU pazuva;
- analgesics (indomethacin, aspirin).
Chikamu chinopesana nechinotevera zvinodhaka:
- zvimwe zvirwere (kunyange zvinokuvadza kubva mukushandiswa kwemishonga pakuberekwa hakuratidzi);
- zvinodhaka zvinokonzera migumisiro, uye zvinorayirwa nachiremba chete kana zvichidiwa kuti utano hwevakadzi vane pamuviri huvepo;
- isina kuongororwa kuongororwa (ingozi kubva pakushanda haisi kuratidzwa, asiwo haina kuratidzirwa).
Inofanirawo kutakurwa mupfungwa kuti mukadzi haagoni kushandisa mishonga chete panguva yekuzvitakura, asiwo maruva akawanda. Semuenzaniso, bhiribheri, amai namai vatatu, comfrey, magnolia, juniper, stekhnia, nezvimwewo.
Asati atora mushonga uyu, mukadzi ane pamuviri anofanira kunyatsodzidza rondedzero, nokuti inofanira kuratidza kana zvichibvira kushandisa chirwere ichi panguva yekuzvitakura uye panguva yekubata. Nokuvimbika, unogona kubvunza nyanzvi.
Paanorondedzera madhiragi nekugadza chiremba, chiremba haafaniri kufunga nezvekuita kwepamuviri, asiwo zvinoitika pakuzvitora pamigumisiro yemishonga. Izvi zvinokonzerwa nekuti apo panguva yekuzvitakura inoshandiswa mukudya, kugovera uye kugadzirwa kwemishonga. Uyezve, panguva yekuzvitakura, kuwedzera kwepuroteni kunoshandura, iyo yakawanda ye-extracellular fluid, mumutatu wechitatu inoshandura basa reitsvo uye chiropa, uye inobatanidzwa mukugadzirisa uye kubviswa kwemishonga.
Kubvuma kwepamberi yemari inofanira kumira munguva yekudzivirira pamuviri, zvose zvevakadzi nevarume. Paunenge uine pamuviri, kutarisirwa kunofanira kutorwa: tevera mazano echiremba uye chenjerera kudyiwa kusingadzorwi kwemishonga.