Munguva iyi, maitiro ezvirwere zvemuviri wemukadzi anotarisira zvakanyanya kuderera, uye mutoro pane mamwe masangano uye nhengo dziri kuwedzerawo. Munguva iyi, amai vari kumangwana vanowanzova nengozi yezvirwere uye zvirwere zvisingaperi, saka unofanirwa kushandisa mushonga nemishonga yakasiyana-siyana. Muzviitiko zvizhinji, nemhando dzakasiyana-siyana dzokuputika mumutumbi (pyelonephritis, tonsillitis, sinusitis), ronga mishonga inorwisa mabhakitiriya. Nokudaro, mubvunzo unokosha zvikuru unomuka: kunwa kwemishonga inorwisa mabhakitiriya kunobata sei pamuviri, nokuti zvose izvo mukadzi anoshandisa zvakananga zvinokanganisa fetus mukati maro.
Antibiotics.
Mishonga inorwisa mabhakitiriya - zvinodhaka zvinotarisirwa kuporesa zvirwere zvinokonzerwa nemarudzi ose ezvinyoronyoro. Zvinosuruvarisa, kutora mishonga inorwisa mabhakitiriya haisi nguva dzose yakachengeteka panguva yekudzivirira. Mushure mezvose, mumuviri, kunze kwekuti chirwere chacho chinonyatsoshanda, chinopesana nemagetsi, chinogona kukonzera kutarisa kwevhutano kana zvimwe zvinokonzerwa nemagumisiro: kuvimbiswa, kuora mwoyo, kuora musoro.
Makore ekutsvakurudza anoratidza kuti mishonga inorwisa mabhakitiriya haigadziri maitiro emagetsi, asi zvisinei nemigumisiro isina kunaka inogoneka. Masayendisiti eEurope neAmerica mune zvidzidzo zvavo akafananidza nemigumisiro yemishonga yakasiyana-siyana pakuumbwa kwe fetus. Maererano nemigumisiro yekutsvakurudza, mapoka akachengetedzeka emapenicillin (ampicillin, amoxicillin, nezvimwewo), asi penicillin yakava yakanakisisa yeboka. Zvizhinji zve cephalosporins (cefotaxime, cefazolinum uye vamwe), pasinei nokuti ivo vangotanga pamuviri, vane chinotyisa pamucheche, asi vanorayirwa kutora nezvirwere zvinotyisa-sepsis, maitiro akakomba echirwere, zvirwere zvekuvhota. Mukuwedzera, masayendisiti anotaura kuti mushure memakore matatu ekutanga, kudya kwemishonga inorwisa mabhakitiriya yekusununguka hakuiti. Uyewo, mamwe maitiro emishonga inorwisa mabhakitiriya haasi akachengeteka kuvakadzi vane pamuviri. Iyo mudziyo ndeye boka re macrolides, vamiririri vavo ndea azithromycin, erythromycin. Izvi zvinorwisa mabhakitiriya mishonga mune zvirwere zvakawanda zvinotapukira, saka zvinokurudzirwa kuvagadzirisa chete. Kubva kune mamwe antibacterial drugs, panguva yekuzvitakura zviri nani kurega. Mamwe mapoka ezvirwere zvinorwisa mabhakitiriya anonyanya kuita zvishoma, saka anoshandiswa kukonzera mabhakitiriya ezvimwe mhuka, uye anozivikanwa kune zvirwere zvinoratidzika (zvakanyanya mumukirwere zvirwere, tuberculosis nezvimwe zvirwere zvinopisa upenyu). Kudya kwemishonga inorwisa mabhakitiriya kune zvakanyanya kukanganisa pamuviri. Saka, pasina chikonzero chakanaka, usashandise mishonga yakadai seaminoglycosides (amikacin, gentamitazin uye alnologic), zvinosanganisira zvakasimba zvinokonzera tsvina pamutsara unongororwa we fetus mumutambo wekutanga wekuita pamuviri.
Kushandisa sulfonamide.
Kushandiswa kweSulfonamide mumatangiro ekutanga ekudzivirira kunounza hutano hwakasiyana-siyana uye hutungamiri hwenhema, huchitungamirira kukuvadza kwehutachiona. Kushandiswa kwetetracyclines (doxycycline, tetracycline) kunotungamirira kukuparadzwa kusingagadziriswi kwezino rezodzi, rine chinotyisa pachiropa, kunobatsira kumuchetura kwemafuro.
Kusvikira munguva pfupi yapfuura, muzvipatara zvedu, vakadzi vane pamuviri vainyatsorayira ciprofloxacin. Asi kwemazuva ano kugamuchirwa kwemishonga inorwisa mabhakitiriya inorambidzwa muchikamu, nokuti mishonga inokonzera kusakwana kwemafupa emapfupa mumwana.
Inotora kutora mahwendefa.
Saka, rudzi rwakarongwa, chii chinonzi antibacterial drugs chinogona kutorwa panguva yekuzvitakura. Asi iwe uchiri kuda kukuyeuchidza vanaamai vepamangwana, mitemo mikuru yekutora maantibioti. Saka:
1. Mumwedzi mishanu yekutanga yekuzvimba, kana pasina chikonzero chakakura cheizvi, mishonga inorwisa mabhakitiriya inofanira kutorwa zvakanyanyisa, nokuti panguva iyi apo kuvakwa kwezvikamu zvose zvinokosha uye masukisi emucheche anoitika. Muchiitiko apo kugamuchirwa kwemishonga inorwisa mabhakitiriya isingadzivisiki, unogona kuita izvi bedzi pamusana pekutarisa kwechiremba wechiremba anouya!
2. Zvakakosha kutora nguva yakakwana yekurapa uye yakatarwa, kwete munyaya iwe unogona kuchinja iwe pachako.
3. Usati warayirwa nzira yekurapa nemishonga inorwisa mabhakitiriya, udza chiremba wako nezvehutano hwako hwehutano hwakapfuura, hutano husina kunaka, kunyanya kurwara!
4. Kana chero zviitiko zvinowanikwa zvakajeka kana manzwiro okusagadzikana akaonekwa panguva yekuchengetedzwa kwemishonga inorwisa mabhakitiriya, iwe unofanira kubva warega kutora mishonga yakatemwa uye kubvunza chiremba wako.
Zvinosuruvarisa kuti vakadzi vazhinji vari kuparadzwa vanomanikidzwa kutora maantibayoti, nekuda kwezvirwere zvisingaperi. Izvi zvinogona kuva nzira kana kugara uchigamuchira imwe chirwere. Munguva yepamuviri, kana zvinyatsobvumirwa, zviri nani kusashandisa kushandisa antibacterial drugs, kuitira kurapa zvirwere zvisingaperi. Kunwa kwemishonga inorwisa mabhakitiriya "kuitira kuti kudzivirira kuwedzera" kunorambidzwa zvachose. Muzviitiko zvizhinji, kuzvipira kwakadai hakuiti kuti hubudirire uye kunokurudzira kupararira kwehutachiona, iyo inokonzera maitiro avo avo vakarasikirwa nezvinodiwa kuti varambe vachirwisa antibacterial agents.
Mumamiriro ezvinhu apo kurapwa kunodiwa, zviri nani kupa zvinodhaka zvinodhaka izvo zvinoshandiswa kwenguva yakareba kupfuura zvisingabatsiri izvi.
Asi chinhu chinonyanya kukosha, yeuka, kuti pakuzvirapa, kugadzirisa kwema antibacterial kunokwanisa kukonzera mwana mucheche munguva inenge ichangobva kuberekwa kutadza kunetseka (kunyange kana mai vake vasina kumbonzwa pachavo). Usati watora mishonga inorwisa mabhakitiriya, unofanirwa kutaurira chiremba wako, nokuti ndiye chete chiremba achakwanisa kuziva kudikanwa kwemishonga inorwisa mabhakitiriya. Uyewo, maererano nemigumisiro yeongororo, iye achakwanisa kutora kugadzirisa kwakakodzera uye kuongorora nguva yekubvuma kwake.