Usenokuba uphuphe ngokujonga amehlo amnandi wosana lwakho olusanda kuzalwa xa umbona okokuqala esibhedlele. Kwelinye icala, kusenokwenzeka ukuba uya kudibana nabanye amehlo ancangathi adumbe kancinci. Kutheni kusenzeka oku? Ewe, i-goo iphuma kwisithambiso esikhethekileyo samehlo esikhusela ukubona kosana.
Yintoni i-erythromycin ointment kubantwana abasanda kuzalwa?
Le mafutha yamehlo ukuba iqulethe erythromycin kwaye i intsholongwane. Kwisithuba seeyure ezingama-24 ezelwe, ugqirha okanye umongikazi uya kuqaba isiqwenga esicekethekileyo se-erythromycin yamafutha ngaphantsi kweenkophe ezisezantsi zomntwana wakho. Ngokuqhelekileyo oku kwenzeka kwiiyure ezimbini okanye ezintathu zokuqala zobomi bomntwana. Unokuva kwakhona ibinzana elithi "ocular prophylaxis," eligama lezonyango lokusetyenziswa kwamafutha okubulala iintsholongwane ukukhusela izifo zamehlo kwiintsana ezisanda kuzalwa.
Awuyi kunyanzeleka ukuba uyihlambe kamva le nto yokuthambisa. Idla ngokuzihambela yodwa emva kosuku okanye ezimbini.
Kutheni le nto la mafutha e-erythromycin afakwa kwiintsana ezisanda kuzalwa?
Lula: I-ointment ikhusela iintsana kwizifo ezinzulu zamehlo ezibangelwa yi-gonorrhea, i-chlamydia, kunye nezinye iibhaktheriya eziqhelekileyo. Oomama abanosulelo oludluliselwa ngokwabelana ngesondo (Sexually transmitted infection) (STI) banokuludlulisela kwiintsana zabo ezisandula ukuzalwa ngexesha lokubeleka, nto leyo ebabeka emngciphekweni wokosulelo lwamehlo olwaziwa ngokuba yi-ophthalmia neonatorum (ON).
Ngokuqinisekileyo kufuneka ukuba ucinga ukuba akukho ndlela yokuba ube ne-STI, kwaye mhlawumbi awunayo. Kwakhona, i-OB/GYN yakho mhlawumbi ikuvavanye nge-chlamydia kunye ne-gonorrhea ngexesha lokukhulelwa kwakho.
Kodwa abanye oomama abaza kuzalwa abavavanywa, mhlawumbi ngenxa yokuba bengenayo i-inshorensi yezempilo okanye ngenxa yokuba bengalufumani ukhathalelo lwaphambi kokubeleka. Okanye unokuba wosulelwe yi-chlamydia okanye i-gonorrhea emva kokuvavanywa ukuba awunayo. Ngapha koko, amadoda nabasetyhini banokuba nezi zifo zokwabelana ngesondo ngaphandle kweempawu, kwaye amazinga e-gonorrhea ayenyuka.
Kuzo zonke ezi zizathu, kukhuselekile ukunika i-erythromycin ointment kumntwana ngamnye osandul 'ukuzalwa njengenxalenye yovavanyo lwesiqhelo kunye neenkqubo.
Ngaba i-erythromycin i-ointment iyimfuneko kumehlo abantwana abasanda kuzalwa?
Kubalulekile ukuba usana lwakho lufumane esi sithambiso samehlo: ukuba akanaso kwaye une gonorrhea okanye i-chlamydia, kukho amathuba angama-30 ukuya kuma-50 epesenti wokuba ugqithise ibhaktheriya kuye. Kwaye oko kubeka usana lwakho emngciphekweni wokuphuhlisa i-ON, into engekhoyo. Kwiintsuku nje ezimbalwa, amehlo osana olusulelekileyo adumba aze abebomvu bubofu. Ukuba usulelo alunyangwa, inokonakalisa i-corneas kwaye ibangele ubumfama.
Yiyo loo nto uthintelo losulelo lwebhaktheriya yamehlo ngamathontsi eliso okanye i-ointment ibe lukhathalelo oluqhelekileyo lweentsana ezisanda kuzalwa ukusukela ngeminyaka yoo-1880, xa. oogqirha babeka i-nitrate yesilivere emehlweni abantwana. Emva koko batshintshela kwi-erythromycin kuba ayicaphuki kakhulu.
Ngo-2019, i-US Preventive Services Task Force yaphinda yaqinisekisa isindululo sayo sangaphambili sokuba zonke iintsana zifumana i-antibiotiki yokuthambisa ekuzalweni kwayo. Isincomo sikwaxhaswa yi-American Academy of Pediatrics, i-American College of Obstetricians kunye ne-Gynecologists, amaZiko oLawulo lweSifo kunye noThintelo, kunye noMbutho wezeMpilo weHlabathi.
Ngoko cinga nge-erythromycin ophthalmic ointment yomntwana wakho osandul 'ukuzalwa njenge-inshurensi nje ukuba kunokwenzeka, nokuba i-C-section. Ekubeni sisibulali-zintsholongwane, sinokuthintela usulelo lwamehlo olubangelwa zezinye iintlobo zebhaktiriya ezinokufunyanwa lusana.
Ukulibazisa ukufakwa kwe-ointment yamehlo kwiintsana ezisanda kuzalwa
I-Erythromycin inokuphazamisa umbono wakho osandul 'ukuzalwa kancinane, kodwa umbono womntwana wakho omncinci awukho 20/20 ukuqala. (Uninzi lweentsana ziyi-myopic). Kodwa ukuba ufuna ukujongana namehlo ngelixa ubambe usana lwakho, cela ugqirha wakho okanye umongikazi ukuba banokulibazisa ukufaka i-ointment kwabo bancinci. kangangeyure okanye ezimbini. Mhlawumbi baya kuthi ewe ukuze nobabini ninokonwabela ukubambana kwesikhumba sesikhumba kunye neseshini yokonga ngaphandle kokuphazamiseka ngakumbi (nangona amehlo abo enokukhupha iinyembezi).