Chithandizo ndi mankhwala akhoza kwambiri azitaya padera

Akazi amene mitundu ina ya mankhwala mu magawo oyambirira mimba angakhale pangozi ya padera kuchuluka ofufuza amati.

deta atsopano asayansi Canada

Koma si mankhwala onse ali ofanana ndi ena angakhale otetezeka pa mimba kuposa ena. Akatswiri Canada anapeza kuti amayi apakati amene ntchito mitundu ina ya mankhwala, anali ndi kuwonjezeka pang'ono chiopsezo padera mu masabata oyambirira 20 mimba, poyerekeza ndi amayi tsogolo amene sanawatengere iwo. Zotsatira za kafukufuku ino anasindikizidwa May 1 mu Canada Medical Association Journal.

"Kafukufukuyu anasonyeza kuti zambiri ntchito mankhwala - penicillin, cephalosporin ndi mankhwalawa - ziribe mphamvu pa chiopsezo padera," - anati kutsogolera phunziro wolemba Anick Berard, katswiri wa mankhwala pa University of Montreal ku Canada.

Matenda zimachitika akazi woyembekezera, ayenera kulandira chithandizo, motero n'zosangalatsa kwambiri kudziwa kuti mankhwala ndi ambiri chimagwiritsidwa ntchito kwambiri, si chifukwa cha padera mimba msanga.

mavuto chitetezo

Ngakhale kawirikawiri wa mankhwala pa mimba kuchitira zosiyanasiyana matenda, chitetezo, mmene mankhwala pa mwana wosabadwayo akhala vuto, olemba kuphunzira kunena. Ichi ndi chifukwa maphunziro lapitalo ubale ntchito maantibayotiki pa mimba ndi chiopsezo cha padera anali otsutsana ndithu. Akatswiri ena apeza kugwirizana pakati pa ntchito magulu ena a mankhwala pa mimba ndi padera, pamene ena sizinachitike anatsimikizira.

Ubwino wa ntchito Nawonso achichepere ndi

Mu phunziro latsopano, asayansi deta pa njira ya mimba akazi ku Quebec pakati pa 1998 ndi 2009 anali kuphunzira. Nawonso achichepere Izi kakunena pa amayi apakati mkati m'chigawo, amene chidafundidwa ndi dongosolo la boma Quebec za inshuwalansi mankhwala. Nawonso achichepere zikuphatikizapo deta za ambiri amayi apakati kuchigawo chimenechi.

Choncho ofufuza sankakayikira kuti akugwiritsira ntchito mfundo yeniyeni za mankhwala opha tizilombo, mankhwala amayi oyembekezera, kuzipatsa osati kudalira nzeru za akazi kukumbukira zimene mankhwala iwo ntchito, chifukwa ndi chizindikiro zochepa odalirika.

Amene mwa mankhwalawa ndi owopsa kwa amayi apakati

Ofufuzawa poyerekeza milandu akazi oposa 8.700 amene padera pa masabata oyambirira 20, akazi 87 000 amene anali mavuto mimba. M'badwo wa akazi kuphunzira ranged kwa zaka 15 mpaka 45. Kunapezeka kuti pafupifupi 12 500 a iwo atenga mankhwala pa mimba.

Kafukufukuyu anasonyeza kuti makalasi asanu a mankhwala - macrolides, quinolones, tetracyclines, sulfonamides ndi mankhwala a metronidazole - akhoza azitaya padera, ngati mkazi ali mu magawo oyambirira mimba. Asayansi amanena kuti munthu mankhwala macrolide - mankhwalawa - sanali kugwirizana ndi chiopsezo izi.

deta izi zogwirizana ndi zotsatira analandira m'kupita kwa ena maphunziro m'mbuyomu, koma Kugwirizana pakati fluoroquinolones ndi tetracyclines, ndi chiopsezo cha padera sichinayambe kale wapezeka. Komabe, panopa obstetricians musati kulengeza ntchito fluoroquinolones ndi tetracyclines mu magawo oyambirira mimba, ndipo Zotsatira zikusonyeza kuti malangizo amenewa n'zomveka.

chiopsezo otsika

"Ngakhale kuphunzira anapeza chiopsezo cha padera ndi akazi amene anatenga mitundu ina ya mankhwala, palokha si mkulu," - anatero Pulofesa Berard. Kugwiritsa ntchito mankhwala ena ambiri, monga mankhwala nonsteroidal odana ndi yotupa ndi antidepressants wakhalanso kugwirizana ndi ofanana chiopsezo cha padera.

Kuchepetsa chiopsezo cha padera

Wina uthenga wabwino kuti mankhwala wamba - nitrofurantoin, omwe kaŵirikaŵiri Kwalamulidwa ngati mkazi ali ndi matenda thirakiti mkodzo, makamaka kugwirizana ndi chiopsezo utachepa a padera poyerekeza ndi gulu kulamulira. Izi ndi phunziro loyamba zimene zikusonyeza chibwenzi, chifukwa m'tsogolo, asayansi kutsimikiza kafukufukuyu latsopano.