Ama-antibiotics ayaziwa ukulwa nokutheleleka. Ngezinye izikhathi udinga le mithi enamandla ekusebenzeni kwakho nokulethwa kwezidingo. Nazi ezinye zezizathu ongadinga ama-antibiotic ngesikhathi sokulethwa kwakho:
Iqembu le-B Strep (GBS)
Ngokuqinisekile uzohlolwa i- Group B Strep ekupheleni kokukhulelwa kwakho, ngokuvamile phakathi kwamaviki 34-36. Uma unesifiso se-GBS phakathi naleso sivivinyo uyobe uthanda kakhulu ukuthola ama-antibiotic ekusebenzeni nge- IV yakho noma ukukhiya u-saline .
Ungabuye unikezwe ngama-antibiotic uma ubelethile umntwana othole i-GBS.
I-Prophylactic - Kulungile Esimweni
Kwezinye izimo zokubeletha, ungase unikezwe ngama-antibiotics uma kwenzeka, isibonelo singase sibe sesigaba se-cearean noma isigaba c. Njengoba ingozi yokutheleleka ikhuphuka ngenxa yemvelo yokubeletha, i-antibiotic inikezwa ukusiza ukuvimbela lokho kutholakala. Kungase kube nezinye izizathu ukuthi udinga ama-antibiotic futhi, khuluma nodokotela noma umbelethisi wakho ukuze uthole ingxoxo enikezwe umlando wakho wezokwelapha. Kuye kwahlongozwa ukuthi bonke abesifazane banikwe antibiotics ekupheleni kokukhulelwa kwabo ukuvimbela izinhlobo ezithile zezifo. Ayikho idatha ebonisa ukuthi inenzuzo futhi ingase ibangele ukulimala, ngakho lokhu akusikho okushoyo nge-prophylactic. Akuzuzi futhi ukunikeza ama-antibiotic kuwo wonke umama ngaphambi kokuphuza amanzi ukuze azame ukuvimbela i-chorioamnionitis.
Umsebenzi wokuqala
Uma ungumsebenzi wokuqala , kungase kubangelwe ukutheleleka.
Ngenxa yalokhu, ukusebenzisa ama-antibiotic kungase kumise ukusebenza kwakho noma okungenani kusize ngokutheleleka. Ngisho noma ungakwazi ukuyeka umsebenzi, ungasiza ukunciphisa izingozi zokutheleleka kuwe.
Amanzi Akho Aphuliwe Ngesikhathi Esithile Esithile
Ama-antibiotic ngokuvamile anikezwa emva kwamahora angu-18 wezingqimba zakho (amanzi) ephukile ukuze azame ukuvimbela ukutheleleka kwesibeletho noma i-chorioamnionitis (ukutheleleka kwesikhwama se-amniotic) uma isimo sakho se-Group B Strep singaziwa.
Lokhu kungase kube maduzane noma ngokuhamba kwesikhathi kuye ngohlelo lwakho lomtholampilo noma lomsebenzi. Lokhu kuyiqiniso uma amanzi akho aphule eyedwa noma uma kwenziwa njengendlela yokwenza umsebenzi noma umsebenzi wejubane.
Ukugijima kwe-Fever
Uma uqhuba umkhuhlane emsebenzini, angakunika ama-antibiotics, ngisho nangaphambi kokuba azi ukuthi kungani uqhuba imfiva ukuzama ukuvimbela ukudluliselwa kwanoma yikuphi okungenzeka ube nakho kumntwana. Lokhu kuxhomeke emlandweni wakho wezokwelapha kanye ne-protocol endaweni yakho yokuzalwa kanye nabahlinzeki bakho.
Izwi Nge-Mitral Valve Prolapse (MVP)
Kwakuvamile ukuthi uma unesifo se-mitral valve (MVP) uzocelwa ukuba wenze ama-antibiotic e-prophylactic ukuvimbela izinkinga zenhliziyo. Kwakusetshenziselwa futhi nasezinkingeni zesifo senhliziyo. Lokhu akusabhekwa njenge-protocol.
Imithombo:
IGabbe, S, Niebyl, J, Simpson, JL. I-Obstetrics: Ukulungiswa Okuvamile Nezinkinga. Uhlelo lwesihlanu.
Ray A, iData S. Cochrane Database Syst Rev. 2014 Okthoba 1; 10: CD010626. i-doi: 10.1002 / 14651858.CD010626.pub2. Ama-antibiotics ngaphambi koku-amniotomy ekunciphiseni ukuhlukumezeka okubangelwa yizifo emanzini nasana.
Thinkhamrop J, Hofmeyr GJ, Adetoro O, Lumbiganon P, Ota E. Cochrane Database Syst Rev. 2015 Jun 20; 6: CD002250. i-doi: 10.1002 / 14651858.CD002250.pub3. I-antibiotic prophylaxis ngesikhathi sesibili nesithathu sesithathu ukunciphisa imiphumela ekhulayo yokukhulelwa nokuhlukunyezwa.