Matenda a Catarrha amayamba chifukwa cha mavairasi:
- Matenda a Rhinoviruses - mpaka 40% ya chimfine chonse;
- eco-mavairasi;
- fuluwenza ndi ma parainfluenza;
- reoviruses;
- coronaviruses;
- mpweya wotchedwa syncytial virus;
- adenoviruses;
- cytomegalovirus;
- enteroviruses.
Kawirikawiri, patatha masiku atatu kachilombo kameneka kamatulutsa thupi, koma masamba amatha kuteteza chitetezo cha m'mimba, kenako matenda opatsirana ndi mabakiteriya amajowina kapena mavairasi otsekemera ( herpes virus ) amasinthidwa. Ngati tiwona kuti chitetezo cha amayi oyembekezera ndi ofooka, kawirikawiri chimfine pa nthawi ya mimba ingayambitse vuto la chitukuko cha mwana wosabadwa ndi mavuto a mimba.
Kodi chimfine chimakhala choopsa panthawi yoyembekezera?
Vutoli kumayambiriro kwa nthawi yomwe ali ndi mimba, makamaka atangomaliza kutenga mimba (chimfine m'masiku oyambirira a mimba) ikhoza kupha imfa ya mimba. Pamene kuika ziwalo ndi ziphuphu zimachitika, kutentha kwa tizilombo m'masabata oyambirira a mimba, kuwononga maselo a majeremusi, kumayambitsa kusintha kosiyanasiyana m'mimba, kutayika kwa ziwalo (makamaka kachilombo kamakhudza matupi a ubongo) kapena ziphuphu zofunikira za ziwalo (makamaka mtima). Kulosera kuti ndi nthawi iti ndipo kachilombo kamene kamayambitsa zilema sizingatheke, koma n'zotheka kuzindikira zolakwika pa kufufuza maphunziro a ultrasound.
Kumayambiriro kwa mimba, chimfine chimakhala choopsa kwambiri kuposa chachiwiri ndi chachitatu cha trimester, pamene sichimayambitsanso ziwalo zazikulu za thupi, koma zovuta zothandizira (mwachitsanzo, hypoxia ndi kuchepetsa kukula kwa mwana).
Koma osati mavairasi okha owopsa: matenda a bakiteriya, ngakhale kuti samapweteka kwambiri mwanayo, koma amatha kuyambitsa intrauterine kuchepetsa kukula kwa fetus, matenda a intrauterine a fetus. Kutentha kwa bakiteriya pa masabata makumi 40 a mimba kumayambitsa matenda a bacterial sepsis, meningitis, kapena chibayo atangobereka kumene.
Zizindikiro za chimfine pa nthawi ya mimba
Zizindikiro za chimfine pa nthawi yomwe ali ndi mimba zimakhala zofanana ndi amayi omwe alibe amayi: chifuwa, mphuno yamphongo, pakhosi, malungo, - mimba ya mimba ilibe phindu panthawi ya matendawa. Ndipo, ngati mayi woyembekezera amatha kuzizira, kufunika kokhazikika sikungokhala kokha chifukwa cha mavuto omwe amatha kuchokera ku ziwalo zomwe zimakhudza kachilomboka, koma chifukwa cha mavuto omwe ali nawo mimba. Choncho chimakhala chozizira pokhapokha panthawi yomwe mimba imatulutsidwa panyumba, ndipo kulemera kwakukulu ndi kuzizira kwambiri panthawi ya mimba kumangotanganidwa kuchipatala motsogoleredwa ndi dokotala.
Kuchiza kwa chimfine pa nthawi ya mimba nthawi zambiri kumakhala komweko ndipo cholinga chake ndizochotsa kachilombo kuthupi ndi kuchepetsa zizindikiro za matenda. Mankhwala osokoneza bongo pofuna kuchiza ndi kupewa chimfine pa nthawi ya mimba sanagwiritsidwe ntchito. Contraindicated ndi antibiotics, makamaka pa trimester yoyamba ya mimba. Koma ndi mabakiteriya, makamaka oopsa komanso owopsya amayi (mabakiteriya a chibayo), ena angagwiritsidwe ntchito ngakhale kuti ali ndi chiopsezo kwa mwanayo.
Matenda a m'deralo a chimfine amadziwika kuti amapezeka pa tsamba lokhazikitsa kachilombo koyambitsa matendawa poyambitsa zitsamba, mapiritsi okhala ndi antiseptics, amathira mankhwala opangira ulimi wothirira. Kuchokera ku njira za physiotherapy, tikulimbikitsidwa kugwiritsa ntchito njira ya UVA, mankhwala a nebulizer (inhalation) ndi antiseptics pa kuyang'ana kutentha. Koma, kuphatikizapo baktericidal kanthu, n'kotheka kuchotsa kachilombo ka HIV ndikutsuka kunja kwa chiopsezo cha matenda
Pochotsa zizindikiro za kuledzera ndi kuzizira, mungagwiritse ntchito madzi ambiri: kugwiritsa ntchito madzi oyera, teas (kuchokera ku currants, masamba a strawberries) popanda shuga ndi mitsempha ya mankhwala ochizira. Pofuna kutsokomola, mafuta amchere amasonyezedwa, komanso kuchepetsa kutentha - tiyi ndi raspberries.
Kupewa chimfine pa nthawi ya mimba - Kuwotcha masewera olimbitsa thupi, chakudya chambiri chokhala ndi masamba ndi zipatso zambiri, pewani hypothermia ndi gulu lalikulu la anthu kumene mungatenge kachilombo ka HIV.