Kubereka mwana wathanzi wambiri ndilo chikhumbo chofunikira kwambiri cha mkazi. Koma panjira yopita ku cholinga iye ayenera kukhala ndi mankhwala ambiri ochizira maantibayotiki, chifukwa matenda ndi zizindikiro za kutupa kwa amayi amkati zimakhala zovuta kwambiri pa mimba. Choncho, pofuna kuyamba kuyambira, amayi amakufunsani pamene mutha kutenga mimba mutatha kumwa ma antibiotic.
Kupanga mimba pambuyo pa ma antibiotics
Maantibayotiki ndi zinthu zachilengedwe kapena zachilengedwe, zomwe zimatha kuthetsa ntchito yofunikira ya maselo amoyo (mwachitsanzo, mabakiteriya). Nthawi yomwe mungathe kukonzekera mimba mutatha kumwa ma antibiotic, zimadalira zina. Chowonadi ndi chakuti maantibayotiki ali ndi chuma chokwanira mu thupi ndipo samakhudza ziwalo zokha, komanso maselo a kugonana, mwachitsanzo, dzira la mkazi. Pokonzekera mimba pambuyo pa maantibayotiki, munthu ayenera kuganizira kuti chifukwa cha kumwa mankhwala a spermatozoa amatha kukhala osagwira ntchito, komanso amakhala ndi matenda. Mimba, yomwe imaphatikizapo maselo ogonana, nthawi zambiri imabweretsa kuperewera kwadzidzidzi m'tsogolomu. Ndicho chifukwa chake n'zotheka kukonzekera kutenga mimba pambuyo pa kumwa maantibayotiki panthawi imene mkazi amatha kusamba. Ngati mwamuna amagwiritsira ntchito mankhwala opha tizilombo, mimba iyenera kuchitika pasanakhalepo, mu miyezi 2-3, pamene nyemba idzasinthidwa. Choncho, kutenga mimba pambuyo pa ma antibiotic ndi kotheka komanso popanda zotsatira zoipa. Chinthu chachikulu sikuthamanga, ndipo miyezi ingapo yoyamba chithandizo chitetezedwa.
Kodi maantibayotiki amakhudza bwanji mimba?
Zikuchitika kuti mayi amene ali mthupi mwake adayambitsidwa ndi matenda opatsirana, ndipo dokotala anamupatsa antibiotics kwa iye. Ndipo amadera nkhaŵa kwambiri za zotsatira za mankhwala opha tizilombo pa mimba ndi zotsatira zotheka kwa mwanayo. Kuopa koteroko kwa amayi amtsogolo sizomwe kulibe. Mankhwalawa akhoza kukhala ndi zotsatira zoipa pa mwanayo. Zoopsa kwambiri ndi kudya maantibayotiki m'masabata oyambirira a mimba: ma embryonic pathologies amatha kupezeka chifukwa chopita padera.
Zokonzekera zotsatirazi ndizoletsedwa kutenga mimba:
- tetracycline (mwachitsanzo, doxycycline) yomwe imakhudza chiwindi ndi fupa;
- sulfonamides (sulfademitoxin), zomwe zimayambitsa zolakwika zambiri;
- aminoglycosides (amikacin), ali ndi poizoni pa mlandu;
- fluoroquinolones (ciprofloxocin, nolycin, ciprolet), kuwononga ziwalo.
Zikuwoneka kuti si amayi onse omwe ali ndi mimba angathe kusamalira popanda matenda miyezi isanu ndi iwiri. Pali matenda oterewa ngati mankhwala ochiza maantibayotiki ndi ofunikira, mwachitsanzo:
- ndi matenda a urogenital (pyelonephritis, cystitis, chlamydia, etc.);
- ndi matenda opuma chifukwa cha mabakiteriya (chibayo, pakhosi);
- pamatenda a mimba (polyhydramnios, hypochlorism);
- Matenda omwe amayambitsa moyo wa mayi.
Koma ndi antibiotics ati omwe angagwiritsidwe ntchito panthawi ya mimba?
- M'tsogolo muno mumaloledwa maantibayotiki a gulu la penicillin (ampicillin, amoxicillin, amoxiclav).
- Musakhale ndi zotsatira zovulaza pa fetus kukonzekera zamakono (erythromycin, rovamycin, vilprafen).
- Kwa ma antibayotiki ololedwa mu mimba ndi cephalosporins (cefazolin, supraks, ceftriaxone, chikazi).
- Maantibayotiki ena m'mayambiriro oyambirira a mimba amaletsedwa chifukwa chophwanya ziwalo zoberekera. Mu gawo lachiwiri ndi lachitatu, pamene ziwalo zakhazikitsidwa kale, kulandira kwawo kumatheka ndithu (trichopolum, metronidazole, flagel, furadonin).
Mulimonsemo, amayi amtsogolo sayenera kudzipangira mankhwala. Kumbukirani kuti dokotala yekha ndi amene angapereke mankhwala aliwonse, omwe ayenera kudziwa za mimba. Ndi iye amene amapereka mankhwala othandiza odwala maantibayotiki, ndipo mayi amene ali ndi vutoli ayenera kungogwiritsira ntchito mankhwala osayenera, popanda kuchepa kapena kuwonjezeka.