Munguva iyi, placenta inoumbwa uye nhengo dzose uye maviri emwana anoiswa, saka njodzi yekudzidzira kusagadzikana mumwana inowanikwa. Ndezvipi zvinorwisa mabhakitiriya kutora mukadzi ane pamuviri, tsvaga munyaya yenyaya inoti "Ndeapi antibiotics yandingashandisa kuvakadzi vane pamuviri".
Nezvozvi mupfungwa, vanachiremba vanopa maitiro akachengeteka emishonga inorwisa mabhakitiriya ayo akaedzwa nenguva. Muna II uye III semesters, chikonzero chekushandiswa kwemishonga iyi inogona kunge iri kuwedzera kwezvirwere zvisingaperi sepyelonephritis uye cystitis, "yakamutswa" zvirwere, zvirwere zvepabonde (chlamydia, ureaplasmosis, gonococcal infection), uye chorioamnionitis - kuputika kwemuviri nekuda kwekurwara kwemukati . Mushure mevhiki yegumi nembiri, apo danho rinokosha zvikuru rekuvandudzwa kwecheche rakapfuura, urongwa hwezvinodhaka zvinoshandiswa kuronga vanaamai munguva yemberi zvinogona kuwedzerwa. Kune marudzi akawanda emishonga inorwisa mabhakitiriya, uye kwete ose ayo anobvumirwa kushandiswa panguva yekuzvitakura. Nenzira yekugadzirisa pazvirwere zvehutachiona, mishonga iyi ibhaktericidal uye bacteriostatic. Yokutanga inouraya zvinokonzera kukuvadza mhepo, yechipiri inomira kukura kwayo. Izvo zviitiko zvekuita kwemishonga inorwisa mabhakitiriya inogonawo kunge yakasiyana. Neyiyi parameter, iyo yakakamurwa kuva makirasi mashanu, rimwe nerimwe rinorwisana nerimwe rudzi rwepathogenic mabhakitiriya. Uye, pakupedzisira, mishonga inorwisa mabhakitiriya yakasiyana mumakemikari avo, ichirasika mumapoka gumi nemaviri. Zvizhinji zvezvo zvinopisa simba pamuviri wemukadzi, uye pamusana pekuvandudza mwana. Mapoka matatu emishonga inorwisa mabhakitiriya asina migumisiro yakaipa pamusoro pemucheche ndiwo momsamangwana: boka repenicillin (penicillin, amoxicillin, oxacillin), boka re cephalosparins (cefazolin, cefotaxime) uye boka re macrolide (erythromycin, josa-mizin). Mumaawa matatu ekutanga, mwana paanonyanya kuoma, vanachiremba vanoedza kutora ne penicillin uye cephalosporins. Pashure pevhiki yechi12, macrolides inogona kushandiswa. Asi zvisinei pashoko racho, mushonga unofanirwa kusarudzwa chete nechiremba.
Mamwe mapoka emishonga inorwisa mabhakitiriya kuvakadzi vane pamuviri inopesana, uye nokuda kweiwo pane zvikonzero zvinokumanikidza. Aminoglycosides (streptomycin, gentamicin) inovhiringidza kukura kweizinso uye kunzwa kunobatsira mwana. Sulfonamides (iyo inosanganisira, kunyanya, inozivikanwa nekurapa kwebronchitis biseptol) inogona kukonzera kukanganisa kwakanyanya kune hematopoietic system. Tetracyclines, inozivikanwa kune vakawanda kubva paudiki (tetracycline, doxycycline, vibramycin), inogona kukuvadza chiropa nemamamu uye mwana, uye mwana anogona kukonzera kukanganisa kusingagadziriswi kwezino rezino uye kunonoka kukura kwemapfupa. Zvisinei, kana mubvunzo wacho unomuka pamusoro pehupenyu nerufu, vanachiremba vanochengetedza mukadzi nenzira ipi zvayo, zvisinei nokuti zvinopesana. Kushandiswa kwezvinodhaka kunowedzera ngozi kune mwana, zvinogona kuva zvakakosha kune zvirwere zvinotyisa rufu (sepsis, severe pneumonia, meningitis). Panguva dzinonetsa munguva yezvirwere zvekuzvidzivirira muviri zvinokonzerwa nemafungiro ezvokuchengetedza, naizvozvo muviri wemukadzi dzimwe nguva unobvisa pamuviri, uye mushonga hauna chokuita nazvo.
Murairo mukuru
Pakugadza amai vamangwana vemishonga chero ipi zvayo, kusanganisira antibiotic, vanachiremba vanofanira kufunga nezvekuchinja kunokosha kunoitika mumuviri wake. Munguva yekuzvitakura, simba rekupararira ropa rinowedzera, uye itsvo dzinotanga kutora mushonga nokukurumidza. Nokuda kwechikonzero ichi, kuti ave nehutano hwekurapa, vanachiremba dzimwe nguva vanoda kuwedzera kana chiremba chechirwere kana kuti nguva yakawanda yehutungamiri hwavo. Izvo zvakakosha kuita kuti kuongororwa kunzwisisike kumishonga inorwisa mabhakitiriya - bhakitiriya mbeu. Nyaya yekutsvakurudza inotorwa kubva munzvimbo dzebhakitiriya dzakakonzera chirwere chacho. Inogona kudyara kubva pamutsipa, kudyara microflora yemukadzi kubva pamuviri wemukati, kudyara urini kana ropa. Asi migumisiro inofanirwa kumirira kwenguva yakareba (kubvira pamasere kusvika kune gumi), saka mumamiriro ezvinhu akaoma, hapana nguva yekuti tifunge saizvozvo.
Sezvakaita mishonga ipi neipi, mishonga yose inorwisa mabhakitiriya ine migumisiro yechirwere Kazhinji kacho mishonga iyi inokonzera kuora. Izvi zvinokonzerwa nekuti muhupenyu hwose tinosangana navo kakawanda kupfuura zvatinofunga. Mishonga inorwisa mabhakitiriya inorayirwa kune angina, dzakawanda "huduku" uye zvirwere zvepamuviri. Iyi mishonga inobatwa zvakasimba nemhuka, saka dziripo mumukaka nenyama, zvatinodya. Mumakore ose aya, muviri une nguva yekudzivirira maantibiotikiti nekuda kwekuzvidzivirira kwemuviri muchimiro chemaitiro, uye munyaya iyi vanachiremba vanonyanya kusarudza mushonga. Chimwe chisinganzwisisiki nemishonga inorwisa mabhakitiriya: havaurayi mabhakitiriya anokuvadza chete, asiwo anoparadza michero inobatsira michero mumatumbo uye mumadzimai. Izvi zvinogona kukonzera kuvhara muviri, uye kutanga kutanga dysbiosis kana matumbo emukemikari (kuvimbiswa, kurambana). Nemafaro, zviri nyore kwazvo kubvisa dambudziko iri: rinokwana zvakafanana nekutora mishonga inorwisa mabhakitiriya uye kutora mapurobioti kwemavhiki maviri mushure mekupedzisira kwekambani (Lineks, LEK, Bifiform, Ferrosan, Bifidumbacterin, Acipol, Atzilact) - zvinodhaka zvinodzorera maruva emukati nemadzimai, uye idya zvakawanda zvemishonga yemazi. Iye zvino tinoziva kuti ma antibiotic angashandiswa sei nevakadzi vane pamuviri.