Imithi elwa namagciwane kuvunyelwe ekukhulelweni (2 ngethemu): isidingo ukwamukelwa, umthelela

Namuhla, ezihlukahlukene kwamaphilisi Yisimanga, kukhona amalungiselelo iphrofayela emincane futhi ububanzi esisiza odokotela nokusindisa izimpilo. Kodwa lena enye eceleni uhlamvu lwemali. Omunye Awukwazi ukuphika yokuthi Pharmacy eziningi ukuthengisa le mithi ngaphandle kadokotela. Kulokhu, abantu saving time imali ukuvakashela udokotela, futhi kumiyalo wacosha imithi yabo bese uqale balithathe. Yiqiniso, kwezinye izimo, isimo lula Nokho, lokhu akusho ukuthi imbangela iyasuswa. Ungase kuphela sifiphalisiwe lesi sifo, futhi ngokushesha kuyoba emuva, kanye izidakamizwa esifanayo kwaba cishe, ngeke ngilethe le umphumela oyifunayo.

Imithi elwa namagciwane ngoba omama abakhulelwe

Namuhla, Nokho, ngeke ukhulume ngezinzuzo futhi efanele ibe kuhlu lokuhlukumezeka antimicrobial bebonke. Umsebenzi wethu kancane isikhathi eside futhi nzima ngesikhathi esifanayo. Sifuna ukwazi ukuthi kungenzeka ukuthatha imithi elwa namagciwane uma bekhulelwe (2 ngethemu). Lesi sihloko awusoze ulahlekelwe ngokuhlathulula ukusebenza kwawo njengomuntu wesifazane ebizwa ingane, okuningi obala ingozi ukuthuthukiswa isifo, ngoba amasosha omzimba nawo waba buthaka kakhulu.

Phakathi uhlu omkhulu kwamaphilisi ekhona njengamanje banezimali ezanele lingasetshenziswa, kusukela nethonya lazo umzimba akuyona eyingozi ingane. Nokho, kukhona labo, yokwamukela okungaholela kona kuletha imiphumela emibi kakhulu. Ngakho-ke, ngaphandle iseluleko sikadokotela akunakwenzeka eyolanda imithi elwa namagciwane ngesikhathi sokukhulelwa. 2 senyanga - isikhathi lapho kakade emananini umsebenzi umzanyana, ivikela umntwana kusukela eziningi amagciwane namagciwane, kanye nezidakamizwa ezingeke lo mgoqo. Ngaphezu kwalokho, zonke izitho ezibalulekile kakade kwakhiwa, ngakho-ke, ematfuba anomalies azalwa naso kuyehla kube okungenani.

Izakhi yokuzikhethela?

Okokuqala kubalulekile ukuhlola isimo kukamama, igama elithi ukuhlonza Amagciwane, ukukhetha imithi ezingasiza kule ndaba, futhi, ekugcineni, ungakhohlwa mayelana ingozi nengane. Kwaze kwaba yilapho sebeshiye enesisindo zonke lezi zici, ungakhetha antibiotic nephephile ngesikhathi sokukhulelwa. 2 Igama elithi kulesi sici kuyinto ngconywana, ngoba unika ububanzi odokotela enkulu ukukhetha imithi. Kufika kwamasonto angu-12 cishe yonke imithi zivinjelwe, ngakho uma asikho isidingo esiphuthumayo, odokotela abazama ukubambelela kulokhu kuphila kuphela, bese zithathwe ukuze bayothola ukwelashwa.

Ngokuvamile ngalinye izenzo-antibiotic ngesikhathi iqembu ethile amagciwane. Ngokwesiko, odokotela utihlukanise tibe ezintathu:

• Zemvelo - "penicillin" namanye amagama ahlobene nalo.
• Semi-zokwenziwa ( "Amoxicillin", "Cefazolin").
• Zokwenziwa (sulfonamides).

Ukuze ukhethe imithi elwa namagciwane ngempumelelo ngesikhathi sokukhulelwa (2 ngethemu), kubaluleke kakhulu ukuba abe onokuqonda okubanzi agent causative. Ihlola ukuzwela yayo umuthi othize, ungakwazi ukunikeza elilungile ukwelashwa lwemithi. Kuphela uma lokhu kungeke kwenzeke noma isimo sidinga ukunakekelwa ngokushesha, yamisa ezibanzi spectrum antibiotic.

Isilinganiso esithathwa umama okhulelwe

Asazi ngamabomu banquma ukuyeka okwamanje. Isikhathi esining impela nokusetshenziswa kwamaphilisi ngesikhathi sokukhulelwa scares abesifazane, futhi, naphezu udokotela ekwelapheni, banciphisa umthamo ukuze singathwesi ukulimaza ingane. Eqinisweni, isilinganiso esithathwa umama okhulelwe akuhlukile evamile. Ludizayinelwe ukucindezela kakhulu ngempumelelo ukukhula microbial. Dose ukunciphisa kungaholela yokuthi ngeke abanasikhathi ukuzivumelanisa nokwelashwa ngeke kube umphumela oyifunayo. Ngakho-ke, musa uzizamele impilo yakho futhi benza ngokuqinile ngokuvumelana izincomo lochwepheshe.

Imithi elwa namagciwane ukuvimbela

Enye inkolelo evamile yokuthi kunengxenye elwa ezibanzi-spectrum (noma eyabelwe umuntu nasezihlotsheni) ingase ikhishwe uma kwenzeka noma yimuphi isifo, ukuze avimbele ukuba isimo sasiya ngokuya sishuba. Eqinisweni, umbuzo ukuthi baphuze imithi elwa namagciwane ngesikhathi sokukhulelwa ziyinkimbinkimbi kakhulu. Impendulo ke uthanda lolu: akuzona zonke futhi ngaso sonke isikhathi. aphoyintimenti kumele kwakufaneleka ngokugcwele futhi kufaneleka. Ngakho-ke, lo pass ukuhlolwa kuqala, bese kuphela ngesisekelo ukuthi, udokotela enquma.

Kwezinye izimo, imishanguzo elwa namagciwane kuyinto ayizwakali

Njengoba sifundile, leli qembu izidakamizwa omiselwe injongo eyodwa, okungukuthi, ukuba achithe amagciwane abanjwe emzimbeni futhi zingaphinde esiphelweni olunye. Noma kunjalo ngezinye izikhathi ngisho nezifundiswa abasha abanokungabaza kanjani ukuphendula umbuzo ukuthi kungenzeka ukuphuza imithi elwa namagciwane uma bekhulelwe. Kungenzeka, kodwa kuphela uma uqiniseka ukuthi izimpawu kungukuthi ezibangelwa ama-virus.

Imithi elwa namagciwane ngeke kusize abesifazane abakhulelwe kulezi zimo ezilandelayo:

• Ukuze Umkhuhlane ne-acute izifo ezibangelwa amagciwane zokuphefumula. Basuke ubangwa amagciwane engibukhulumile ngaso engenamandla ngisho amaphilisi anamuhla kakhulu. Nokho, ngesinye isikhathi kunzima ukunquma yini ebangela izimpawu ezifana amakhala yisisu nokukhwehlela. Ngakho-ke, kukhona nakho kubalulekile esisebenzayo udokotela.
• Ngezinye ephakeme lokushisa antimicrobial ngeke ibe nanoma imuphi umthelela antipyretic noma analgesic. Ngakho-ke, kumele kuhlanganiswe neminye imithi.
• Ngo izinqubo ukuvuvukala, kusukela ayikho imithi elwa namagciwane has nomphumela eqeda ukuvuvukala.
• Ngokuvamile lapho ukhwehlela akunandaba mqondo ukuba linqume izidakamizwa kuleli qembu. Kuphela ezimweni ezingavamile lapho kubangelwa amagciwane, kungasiza antimicrobial.
• Kukhona elinye futhi iqembu izifo lapho imithi elwa namagciwane ayisasebenzi ekukhulelweni (2 ngethemu). Uma ushevu njengoba uphawu kuphela ukuphazamiseka emathunjini, akudingekile ukusebenzisa amalungiselelo okungathi sína njengalokho. Aphuze amanzi amaningi (nge "rehydron"), ukuze ihambisane engashiyi ukudla futhi mhlawumbe ibhekane inkambo probiotics.

Ethandwa "metronidazole"

Lesi sidakamizwa manje abantu abaningi abanawo lapho nekhabethe lemithi kanye ezishibhile kuqhathaniswa futhi ine spectrum ezibanzi yesenzo, okusho usizo izifo eziningi. Nokho, umama kufanele kube eyingqopha ezimbili kuphela - inzuzo engaba yena ukulinyazwa ingane. Kuphela ngokuqhathanisa ngalezi zinkomba ezimbili, kungenzeka ukusho ngokuthe ngqó ukuthi umuthi ekufanele.

Manje ake ukusho amazwi ambalwa mayelana nawe "metronidazole". Yokusetshenziswa (intengo Izibuyekezo omuthi ekhangayo) ugcizelela ukuthi, e senyanga yokuqala izidakamizwa akuvunyelwe nakancane. Uma owesifazane enza ngokwakho, kungashiwo ukukhipha izisu Kunconywa. Naphezu kweqiniso lokuthi izidakamizwa siyasebenza kakhulu ngokumelene namagciwane, kwabe kweqa placenta ezingenzeka embungwini, okungaholela ukuthuthukiswa isifo.

Ngo senyanga ka lokubekwa kwesibili kungenzeka, kodwa ngokuqapha okukhulu. Futhi kuphela udokotela kufanele futhi ukunquma ukuthi ungathatha "metronidazole". Yokusetshenziswa (intengo Izibuyekezo Yiqiniso, sikhuthaze isifiso sokuthuthuka ukusetshenziswa kwalesi izidakamizwa futhi ubuyisele impilo, kubiza ruble 25 nje kuphela.) Lisitshela ukuthi umthamo owodwa kungasiza ukuba abhekane ngokuphumelelayo nesitha ezihlukahlukene izifo, kodwa emakamu eliphezulu we ketshezi esebenzayo egazini kungaholela ukulithola esithelweni, okungase sinomthelela ukuthuthukiswa. Futhi Ukweqiwa evamile izinsuku ezingu-7 anda ingozi preterm lokuzalwa.

Ukwelashwa nokuvikelwa pyelonephritis

I angahlangani ezivamile ngesikhathi sokukhulelwa. Futhi kaningi ngaphambi ngesonto 12 kwesimo uhlelo genitourinary okuvamile, kodwa njengoba ukukhula womntwana kwandisa umthwalo phezu izinso. Uma imiphumela umchamo abonisa ukuthi lesi simo siya singalawuleki, kubalulekile ukuba sithathe izinyathelo esiphuthumayo. Ukwelashwa izifo ngesikhathi sokukhulelwa ngokuvamile uya ngezindlela ezimbili. Nephrologist acoce owesifazane ephuza umbuso (ngezinye izikhathi lo mkhawulo, kodwa ezimweni eziningi ukwenza ngaphandle kwalo), uncoma ukuphuza cranberry juice futhi cranberry, kanye kwamakhambi yamakhambi.

Nokho, lokhu kuphela into aid ukuthi ngeke ukuvikele Ukuwohloka isimo esikhathini esizayo. Okwamanje, kubalulekile ukuqhuba yokwelapha imithi elwa nawo. imithi elwa namagciwane kuvunyelwe ekukhulelweni (2 ngethemu) - kuyinto "Ampicillin", "Methicillin", "Kanamycin" izidakamizwa cephalosporin iqembu.

Inkinga № 2 - cystitis

Kuba yisikhathi futhi lapho ukugula ethandwa phakathi kwabesifazane abakhulelwe. Futhi liphinde anobungozi. Ukuvuvukala ngaphakathi esinyeni futhi kungaba ngisho nayingozi kuleyo nqubo kalula bakwazi ukuthuthela esibelethweni. Lokhu inkimbinkimbi kakhulu inkambo sokukhulelwa futhi kungase futhi ukulimaza umbungu. Njengomthetho, kukhethwa odokotela kulokhu esincane. Esimisiwe 'Amoxiclav "noma" Monural ". Ngokuvamile choice ewela wesibili ngenxa spectrum ebanzi isinyathelo futhi ukusebenza kwaleli thuluzi.

umphimbo obuhlungu

isimo esibucayi kakhulu ukuthi kuyinto efiselekayo ukugwema. Umkhuhlane nje ovamile ku isizinda amasosha omzimba enciphile kubangela exacerbation izifo ezingamahlalakhona zokuphefumula. Yini owesifazane? Ngezinye izimpawu zokuqala ukugula ngokushesha kufanele kudokotela. Uma kukhona harbingers ka angina, ukwelashwa kufanele iqalwe ngokushesha futhi njalo ngaphansi kokuqondisa kukadokotela. Imiphumela ukunganaki kulokhu kungase kube okusemqoka kakhulu. Ukudakwa ukushisa futhi kungabangela hypoxia fetus noma ukuphuphuma.

Yiziphi Kunconywa imithi umphimbo obuhlungu ngesikhathi sokukhulelwa (2 ngethemu)? Ezimweni eziningi, lokhu amalungiselelo nezokusigcoba ukuthi zisetshenziswa ngqo endaweni ukuvuvukala. Lokhu "Grammidin", "Bioparox" futhi eziningi nezinye izifutho ukuthi avunyelwe neviki 13. Ngaphezu kwalokho, kunconywa isixazululo ukuhahaza "Furacilinum" usawoti soda okungenani kanye njalo ngemva kwemizuzu engu-60. Futhi-ke, athobele embhedeni ukuphumula.

Uma isiguli wavuma usesimweni esibucayi

Uma ngesikhathi sokwelashwa kudokotela owesifazane eshisa nomphimbo ezinzima obuhlungu ke uhlambulule ngeke akwenze. Ukuze isikhathi esingamasonto 13 Kulolu hlu olungenhla imikhiqizo abagunyaziwe enkulu ngokwanele kakade, futhi lo dokotela kuyoba inala ongakhetha kuzo. Yikuphi imithi ngokweqile zifana nokuthela wayivumela?

• Penicillin uchungechunge - esekelwe imiphumela yocwaningo, le mithi musa kuthinte ikhwalithi ekukhuleni kwengane. Leli qembu kuhlanganisa "Ampicillin", "Oxacillin" "Amoxicillin" kanjalonjalo.
• Cephalosporins - lokhu ngemithi yanamuhla, okuyinto kalula ukunqoba amagciwane amelana ne-penicillin. Bewela umgoqo esinomhlapho, kodwa ungenalo umphumela anobuthi on ingane. Lokhu kumele kufake esebenzisa "Ceftriaxone", "Supraks", "Cefazolin".
• Macrolide uchungechunge - "Erythromycin" "Sumamed" nezinye analogue. Isicelo zivumelekile ngokuvumelana ngokubona kwalo dokotela ezimweni ezithile.
• "Gentamicin" - kuphela amacala olunzima udokotela wakho angase akhethe imithi. Umthamo ikhethwa ngokuqinile ngamunye.

imithi elwa namagciwane Banned ekukhulelweni

Ngakolunye uhlangothi, lolu lwazi kungase kubonakale ezingadingekile. Futhi ngakho-ke kuyacaca ukuthi self akwamukelekile, futhi kanjalo silandela izincomo uchwepheshe, uyazi ukuthi ngeke ukwazi adle. Nokho, ukuze sithole isiqondiso jikelele sinikela uhlu izidakamizwa ukuthi kumele asuswe nekhabethe lemithi, uma ekhaya:

1. Iqembu lokuqala kakhulu - tetracyclines. Abagcini ngokujabulela nemiphumela anobuthi embungwini, kodwa kungaba buthelela ku nohlaka lwamathambo umntwana.
2. Sulfanilamide uchungechunge - a "Biseptol" kubo bonke ukuphepha yayo sobala, "Oribakt" kanye nabanye abaningi.
3. uchungechunge Fluoroquinolone - eqinisweni, lezi izidakamizwa ukuze nje ungadluli izifundo, ngakho akekho ongasho ngokuqinisekile ukuthi iyingozi ezingenzeka embungwini. Lokhu "Ofloxacin" futhi "Ciprofloxacin".
4. "Chloramphenicol" futhi analogs yayo kungacupha kahle ukuthuthukiswa ezinye izinhlobo anaemia e ingane.
5. "Furadonin", "furazolidone" kukhona cishe njalo nekhabethe lemithi, kodwa futhi kungashaya isifo sokulahlekelwa igazi ku-fetus.

Umthelela sokukhulelwa imithi elwa namagciwane

Yiqiniso, kungcono kakhulu uma umama okhulelwe ungaguli nhlobo, khona-ke akudingeki kokuyekethisa ukuze kuzuze omama ingozi umntwana. Nokho, izifo ukuza lapho basuke okungenani lungekho khona, ngakho-ke kungenzeka ukuthi udinga imithi elwa namagciwane ngesikhathi sokukhulelwa. Imiphumela embungwini kungenziwa balulaza by ukwelashwa esifike abesifazane kadokotela efanele.

Nokho, asikwazi ukusho ukuthi le mithi - muhle. Ngaphezu umphumela zokwelapha, futhi benezingane eziningi engathandeki. Yonke imithi kuthinte isibindi kanye microflora emathunjini, izivikeli mzimba iyonke. Konke lokhu kungaba nomthelela impilo jikelele yowesifazane.

Ngokuvamile, umthelela yokwelapha ngemithi elwa namagciwane ku ingane kuxhomeke kakhulu ngesikhathi sokukhulelwa. Kuze ngesonto 13 kufanele uzame ukugwema kokuthatha imithi. Yiqiniso, uma umbuzo uwukuthi ephathelene nokuphila kanye nokufa, ukukhetha impendulo isobala. Kamuva, isithelo ivikelwe nge placenta, okusho ukuthi imithi eminingi engeke uyidlule le umgoqo.

esikhundleni isiphetho

Njengoba ubona, uma isetshenziswa kahle ingaba abangane okusheshayo kwamaphilisi sokukhulelwa (2 ngethemu). Imiphumela (izimpendulo wagcizelela kaningi ukuthi ngidlula imithi oyinikiwe, abesifazane wazala izingane enempilo ngesikhathi) nakho kungaba negative, kodwa kaningi kwenzeka kulezi zimo zokuzelapha. Udokotela abanekhono ayoyikhetha izindlela ephephile futhi umthamo ezanele futhi ukulandela isimo owesifazane okhulelweyo. Kulokhu, ukuphathwa kuyoletha izinzuzo kuphela.