Unogona here kutora antibiotics panguva yekuzvitakura?

Ko antibiotics inogona kutorwa panguva yekuzvitakura here?

Kune mishonga inorwisa mabhakitiriya inonyanya kushandiswa, zvichinzi zvakachengeteka kushandiswa kwayo panguva yekuzvitakura. Avo vane chengetedzo yakanyorwa zvakanyanya yekushandiswa ndiyo mishonga yeboka repenicillin, inova zvakare sarudzo yekutanga kurapwa. zvirwere zvinowanzoitika.

Asi mishonga inorwisa mabhakitiriya inogona kushandiswa here? panguva yekuzvitakura kubva mumavhiki ekutanga? ». Tinofanira kugara tichiyeuka kuti mishonga yose kuyambuka placenta, uye kuti naizvozvo kushandiswa kwayo kusina kufanira kunogona kuva nemigumisiro pane fetus. Panyaya yemishonga inorwisa mabhakitiriya, zvakawanda zvinoenderana neiyo nguva yekuzvitakura umo tinozviwana pachedu uye musimboti unoshanda. Mishonga inorwisa mabhakitiriya iyo, mumavhiki ekutanga ekuzvitakura, inogona kuva nemigumisiro ye teratogenic, kureva, inobatanidzwa nayo congenital anomalies mumwana achangoberekwa, anomiririra musiyano.

Mushonga unorwisa mabhakitiriya wega une njodzi yakanyorwa kumwana ari mudumbu mushonga unorwisa mabhakitiriya unobva mukubatanidzwa kwezvinhu zviviri zvinoshanda, sulfamethoxazole uye trimethoprim; inotengeswa seBactrim kana Septra, inoshandiswa zvakanyanya mukurapa zvirwere zvekufema.

Yekutanga trimester chenjera kwazvo

Chero zvazvingaitika, yekutanga trimester inguva yakatetepa nekuti muchikamu chekutanga ichi chekukura kwe embryonic inoumbwa matishu uye nhengo dzemuviri, nepo muchikamu chechipiri nechitatu njodzi inodzikira sezvo mazhinji enhengo dzakatosiyaniswa. Naizvozvo, pamberi kutora antibiotic panguva yekuzvitakura, Iwe unofanirwa kugara uchibvunza gynecologist yako uye usambovimba ne "zviite iwe pachako".

Mukuwedzera kune kushamwaridzana pakati pe sulfonamides uye trimethoprim, pakati antibiotics kuti udzivise panguva yekuzvitakura, kunyanya muchipiri uye chechitatu trimesters, nekuda kwechiratidzo che teratogenic, tinowana boka re tetracyclines, rinoshandiswa pakurapa. mbiriso chirwere kurapwa, mycoplasma uye syphilis zvirwere. Iyi mishonga inorwisa mabhakitiriya, kubva ku 12 vhiki yekuzvitakura kuyambuka placenta uye kuunganidza, zvichikanganisa kukura kwemapfupa nemeno.
Uyewo kirasi yeaminoglycosides (gentamicin, neomycin, streptomycin), inoshandiswa mukurapa Urinary infections, dzinofanirwa kudziviswa panguva yekuzvitakura nekuda kwengozi yehuturu kune fetus, ichisarudza mamwe marudzi emishonga inorwisa mabhakitiriya.

Ndeipi maantibioti anogona kutorwa panguva yekuzvitakura?

Ndeipi nguva yekutora antibiotics panguva yekuzvitakura? Zvirwere zvinowanzoitika panguva yekuzvitakura ndezvi:

• zviya zvekutapurirana pabonde;
• avo veurinary tract;
• iyo inobatanidza nzira yekufema;

zvose zvinosanganisira yakanangana nemishonga inorwisa mabhakitiriya, pachiyero chakazara uye kwenguva yakakwana, kunyangwe paine nhumbu, sezvo kushaikwa kwekurapa kunogona kuve nemhedzisiro kumwana.

genitourinary zvirwere Zvinowanzoitika pakubata pamuviri asi, kana zvikasarapwa zvakanaka, zvinogona kuwedzera njodzi yekupfupfudzika, kuzvara mwana asati asvika, uye uremu hwekuzvarwa hushoma.

Ndeupi mushonga unorwisa mabhakitiriya unogona kutorwa?

Asi, Ndeapi maantibioti anogona kutorwa panguva yekuzvitakura? Muchiitiko chechirwere chegenitourinary, mushonga unorwisa mabhakitiriya uchave wakananga kune hutachiona hunoenderera mberi, hunosarudzwa kubva pakati pechisarudzo chekutanga panguva yekuzvitakura, saka zvakachengeteka, kuvimbisa hutano hwaamai nemwana. mwana. Pakati pemishonga inorwisa mabhakitiriya amoxicillin, amoxicillin), metrondazol uye fosfomycin inonzi yakachengeteka uye inoshanda. Panyaya yevaginal-rectal swabs yeStreptococcus tsvakurudzo yakaitwa pakupera kwepamuviri, mishonga inorwisa mabhakitiriya inonyanya kushandiswa ndeye ampicillin, kudzivirira kutapurirwa kumwana panguva yekusununguka.

mimba fever pamusoro pe 38 ° C inowanzobatanidzwa nechando, chikosoro uye zviratidzo zvinobata huro uye nzeve. Muzviitiko zvizhinji zvakadaro mavambo ehutachiona (80%), zvakadaro kushandiswa kwemishonga inorwisa mabhakitiriya kunofanira kudziviswa, sezvo yaisazovandudza mamiriro eutano, uyewo yaisazorapa dzihwa kana kuti furuu.

Zvirwere zvakawanda zvechando zvinobata nzira dzemhepo vane zviratidzo zvakafanana asi zvingada marapirwo akasiyana (furuwenza yemwaka, hutachiona hwehutachiona, hutachiona hweCovid…). Kana mabviro ari mabhakitiriya, amoxicillin, penicillin, ndiwo mushonga wekutanga sarudzo mukuzvitakura, pamwe nekurapa fivha ne antipyretics (senge paracetamol). Ampicillin ndiwo mumwe mushonga unorwisa mabhakitiriya unoshandiswa pazvirwere zvekufema panguva yekuzvitakura, asi unonyanya kushandiswa muzvipatara uye unopihwa netsinga ipapo.

Migumisiro yekutora mishonga inorwisa mabhakitiriya panguva yekuzvitakura

The secondal effects Mishonga inorwisa mabhakitiriya yakawanda panguva yekuzvitakura inokanganisa chirongwa chekudya. Kutaura zvazviri, kutora mishonga iyi kunogona kukonzera kushungurudza uye kurutsa, manyoka, kuputika, uye kurwadziwa kwepamuviri; zviratidzo zvinowanzogadzirisa mushure mekupedza kurapwa.

chii chokuteerera nguva yekutora antibiotic therapy? Zvakakosha kugara uchitora mishonga iyi se uye kana ukarairwa nachiremba wako, pasina kumira kurapwa kana kuderedza madosi nekuda kwekuti iwe unonzwa zviri nani, kudzivirira kugadzirwa kwemishonga inorwisa mabhakitiriya. Kana iwe ukaona kuti warasikirwa nedosi nguva pfupi isati yasvika yako inotevera dose, usatora kaviri dose, sezvo kuita izvi kunogona kuwedzera njodzi yemhedzisiro.

Sezvinotarisirwa, kuratidzwa kune mamwe marudzi emishonga inorwisa mabhakitiriya panguva yekuzvitakura kwakabatanidzwa pfupi mhedzisiro, se congenital anomalies munyaya yemamorekuru ane teratogenic ngozi. Asi kutora mishonga inorwisa mabhakitiriya panguva yekuzvitakura kunogonawo kutungamirira kune dambudziko renguva refu zvakadai sekuchinja mu intestinal microbiota mucheche achangoberekwa. Nokudaro, mishonga inorwisa mabhakitiriya inofanira kungogumira mamiriro ezvinhu apo zvakakodzera nguva dzose pamazano ekurapa uye kwete pakurudziro yeshamwari, mhuri kana vashandi vasina kukodzera.