Unyango elwa nga kakhulu kwandisa ingozi kwesisu

Abasetyhini abathatha iintlobo ezithile antibiotics xa nisaqala yokukhulelwa kunokuba basengozini enkulu kwesisu, abaphengululi zibonisa.

idatha ezintsha of izazinzulu Canadian

Kodwa asingabo bonke antibiotics ziyafana, yaye abanye kuba ikhuseleke ngexesha lokukhulelwa kunabanye. Abaphengululi waseKhanada lwafumanisa ukuba abasetyhini abakhulelweyo abasebenzisa iintlobo ezithile antibiotics, waba ukwanda okungephi umngcipheko isisu kwiiveki zokuqala-20 zokukhulelwa, xa kuthelekiswa ne oomama elizayo abangazange bababambe. Iziphumo zesi sifundo yapapashwa ngoMeyi 1 Canadian Association Medical Journal.

"Olu phando lwabonisa ukuba le mithi ezisetyenziswa ngokuxhaphakileyo - penicillin, cephalosporin kunye erythromycin - kuba nafuthe umngcipheko kwesisu," - uthi lead isifundo umbhali Anick Berard, unjingalwazi imithi kwiYunivesithi naseMontreal eKhanada.

Izifo ukuba kwenzeka abasetyhini ngexesha lokukhulelwa, kufuneka siphathwe, ngoko Kuyancomeka ukwazi ukuba elwa zezona lwimi zisetyenziswa kakhulu, akunguye unobangela isisu ekukhulelweni ekuqaleni.

iingxaki zokhuseleko

Nangona lixhaphakile antibiotics ngexesha lokukhulelwa ukunyanga iintlobo zosulelo, ukhuseleko, ifuthe la machiza ekukhuleni kosana olungekazalwa kuhlala ingxaki, ababhali isifundo kuthi. Oku kungenxa yokuba izifundo zangaphambili ubudlelwane phakathi nokusebenzisa imithi ngexesha lokukhulelwa kunye nengozi kwesisu baphatheka ziphikisana. Abanye abaphandi bafumene unxulumano phakathi ukusetyenziswa kwiiklasi ezithile antibiotics ngethuba lokukhulelwa kwesisu, ngoxa abanye azikhange iqinisekisiwe.

Iingenelo usebenzisa database

Kwisifundo esitsha, izazinzulu data kwi ikhondo ukukhulelwa abafazi Quebec phakathi 1998 no 2009 efunda. Le database iqulathe ulwazi abasetyhini abakhulelweyo ngaphakathi kwiphondo, leyo, wayifulela yi isicwangciso ngurhulumente Quebec ngayo kwi-inshorensi iziyobisi. Le database kuquka iinkcukacha malunga uninzi abasetyhini abakhulelweyo kweli phondo.

Ngoko ke, abaphandi babeqinisekile ukuba ukusebenzisa ulwazi ngqo malunga amayeza antibiotics, oomama ummiselo abakhulelweyo, ebavumela ukuba ixhomekeke kubuchule kwabasetyhini ukuba ukukhumbula ukuba amachiza ayesebenzisa, kuba luphawu ethembekileyo kangako.

Zeziphi elwa yingozi abasetyhini abakhulelweyo

Abaphandi kuthelekiswa amatyala angaphezu kwe-8.700 nabafazi waba isisu kwiiveki zokuqala-20, kubafazi 87 000 lowo kubunzima ukukhulelwa. Ubudala abafazi kuphononongo zazisuka kwiminyaka eli-15 ukuya kwezingama-45. Ndafumanisa ukuba malunga 12 500 kubo baye antibiotics ngexesha lokukhulelwa.

Uphononongo lwabonisa ukuba iiklasi ezintlanu antibiotics - macrolides, quinolones, tetracyclines, sulfonamides kunye metronidazole - nga kwandisa ingozi kwesisu, umfazi, ukuba sikwinqanaba zokuqala zokukhulelwa. Izazinzulu ziye zaphawula ukuba omnye antibiotics macrolide - erythromycin - ayizange enxulumene lo mngcipheko.

Ezi data ziyangqinelana iziphumo ezifunyenwe ngethuba lezifundo ezithile edlulileyo, kodwa unxulumano phakathi fluoroquinolones kunye tetracyclines, kunye nengozi kwesisu khange kubonakele ngaphambili. Noko ke, okwangoku obstetricians musa singacebisi ukusetyenziswa fluoroquinolones kunye tetracyclines kwi zigaba zokuqala zokukhulelwa, yaye ezi ziphumo zibonakalisa ukuba eli cebiso yenza ucacelwa.

ingozi ephantsi

"Nangona uphononongo lufumanise nengozi eyonyukileyo isisu kwabasetyhini abathatha ezinye iintlobo-ntsholongwane, iyodwa akukho phezulu," - utsho uNjingalwazi Berard. Ukusetyenziswa kwezinye amayeza ezininzi, ezifana nonsteroidal amachiza anti-ukudumba kunye lakhula sele yanxulunyaniswa umngcipheko efanayo nangakumbi kwesisu.

Ukunciphisa ubungozi kwesisu

Enye iindaba ezimnandi ukuba zintsholongwane efanayo - nitrofurantoin, elithanda emiselwe umfazi, ukuba uthi abe usulelo womchamo, eneneni ezinxulumene Ukwehla kobungozi isisu xa kuthelekiswa neqela lolawulo le. Lo isifundo sokuqala ebonisa olu lwalamano, ngenxa yokuba kwixesha elizayo, izazinzulu kuya kufuneka ukuba uqinisekise eso sigqibo entsha.