Ukuzala umntwana onomsocoko ngokuqhelekileyo ngumnqweno wesithandwa kakhulu ngumfazi. Kodwa endleleni eya kwiinjongo kufuneka aqhube iikhosi ezininzi zokwelashwa kwamagciwane, ekubeni izifo kunye ne-foci ye-inflammation kwi-genitalia yabesifazane ingaba ngumqobo omkhulu wokukhulelwa. Ngoko ke, enqwenela ukuqala inkqubo yokukhulelwa, abafazi banomdla xa unokukhulelwa emva kokuba uthathe i-antibiotics.
Ukukhulelwa kokucwangciswa emva kwee-antibiotics
I-antibiotics yintlobo yemvelaphi yemvelo okanye isisombululo, enokukwazi ukunqanda umsebenzi obalulekileyo weeseli eziphilayo (umzekelo, iibhaktheriya). Ixesha apho unokucwangcisa ukukhulelwa emva kokuthatha i-antibiotic, kuxhomekeke kwezinye izinto. Inyaniso kukuba i-antibiotics inempahla yokuqokelela emzimbeni kwaye ingathinteli kuphela izitho, kodwa kunye neeseli zesisu, umzekelo, iqanda elithile kwintombazana. Ekucwangceni kokukhulelwa emva kwee-antibiotiki, omnye kufuneka aqwalasele nokuba ngenxa yokuthatha imishanguzo ye-spermatozoa yamadoda ayiyi kusebenza kuphela, kodwa ibuye ibe ne-pathologies. I-Conception, ebandakanya iiseli zesini, isoloko iholele ekuphumuleni kwexesha elizayo. Yingakho kunokwenzeka ukuba uceba ukukhulelwa emva kokuthatha ii-antibiotics ngexesha xa ibhinqa lidlula ubuncinane omnye umjikelezo wesini. Ukuba umntu wasebenzisa i-antibiotics, ukukhulelwa akufanele kwenzeke ngaphambilana, kwiinyanga ezi-2-3, xa isilwanyana siza kuhlaziywa. Ngaloo ndlela, ukukhulelwa emva kwe-antibiotics kunokwenzeka kwaye akukho nemiphumo emibi. Into ephambili ayiyikukhawuleza, kunye neenyanga zokuqala emva kokuba unyango luya kukhuselwa.
Amayeza okulwa namagciwane achaphazela njani ukukhulelwa?
Kwenzeka ukuba ibhinqa eleso sifo igalelwe isifo esithathelwanayo, kwaye ugqirha wamisela i-antibiotic kuye. Kwaye ukhathazeke kakhulu malunga nemiphumo ye-antibiotic ekukhulelwe kunye nemiphumo engenzeka kumntwana. Ukwesaba okunjalo koomama ozayo kungekhona. Ezi zi yobisi ziyakwazi ukuba nefuthe elibi kumntwana. Okuyingozi kakhulu ukungenisa i-antibiotics kwiiveki zokuqala zokukhulelwa: i-embryonic pathologies inokubangela ukuba ikhefu eliphumayo lingaphumi.
Ezi zilandelayo zilungiselelwe ukukhulelwa:
- i-tetracycline (umzekelo, i-doxycycline) echaphazela isibindi nesistim;
- i-sulfonamides (sulfademitoxin), ekhokelela kwiziphene ezininzi;
- i-aminoglycosides (i-amikacin), inesiphumo esinobungozi kwintetho;
- i-fluoroquinolones (i-ciprofloxocin, i-nolycin, i-ciprolet), umonakalise amajoyina.
Kucacile ukuba akusiwo wonke umfazi okhulelweyo onokulawula ngaphandle kwezifo zonke iinyanga ezilisithoba. Kukho izifo ezinjalo xa unyango lwe-antibiotic luyimfuneko nje, umzekelo:
- kunye nokusulelwa kwe-urogenital (pyelonephritis, cystitis, chlamydia, njl);
- nezifo zokuphefumula ezibangelwa yi-bhakteria (impumoniya, isondo somlomo);
- kwi-pathologies yokukhulelwa (i-polyhydramnios, i-hypochlorism);
- izifo ezibeka engozini ubomi bomama.
Kodwa yiyiphi i-antibiotics engasetyenziswa ngexesha lokukhulelwa?
- Iimama zamamva zivunyelwe i-antibiotics yeqela le-penicillin (ampicillin, amoxicillin, amoxiclav).
- Musa ukwenza iziphumo ezinobungozi kumalungiselelo omntwana we-macrolides (erythromycin, rovamycin, vilprafen).
- Kwimithi ye-antibiotics evumelekileyo ekukhuleleni kubandakanya kunye ne-cephalosporins (cefazolin, supraks, ceftriaxone, cefepime).
- Ezinye iziza-antibiotics kumanyathelo okuqala okukhulelwa ayanqatshelwe ngenxa yokuphulwa kwimizimba yezitho zomntwana. Kwii-trimesters zesibini neyesithathu, xa iziko sele zakhiwe, ukwamkela kwazo kunokwenzeka (trichopolum, metronidazole, flagel, furadonin).
Kwimeko nayiphi na, i-moms yexesha elizayo akufanele ikwazi ukuzinyango. Khumbula ukuba kuphela ugqirha onokumisela nawaphi na amayeza, okumele ayaziwa ngokukhulelwa kwesigulane. Nguye obeka i-antibiotic esifanelekileyo kwisifo esithile, kwaye ibhinqa kule meko iya kufuneka ihambelane ngokungqongqo kwimiqathango emiselweyo yeyeza, ngaphandle kokunciphisa okanye ukunyusa.