Mishonga inogona yekudyidzana zvinowedzera mukana nokupfupfudzika

Vakadzi vanotora mamwe inorwisa mabhakitiriya ari tanga pamuviri angava panjodzi kubva pamuviri, vaongorori vanoti.

Data New masayendisiti Canadian

Asi kwete mishonga ose akafanana, uye vamwe zvingava ngozi panguva yepamuviri kupfuura vamwe. Vaongorori Canadian vakawana kuti vakadzi vane pamuviri uyo akashandisa mamwe inorwisa mabhakitiriya, akanga zvishomanana kuwedzera ngozi yokubva pamuviri yakakura mumavhiki 20 pamuviri wokutanga, tichienzanisa madzimai ramangwana vasina vavabate. Zvakabuda kudzidza ichi dzakabudiswa May 1 iri muCanadian Medical Association Journal.

"The ongororo yakaratidza kuti vazhinji inowanzoshandiswa nemishonga - kuti penicillin, cephalosporin uye erythromycin - hazvina zvazvinoita ngozi yokubva pamuviri yakakura," - anoti vatungamirire chidzidzo munyori Anick Berard, purofesa chemishonga paUniversity Montreal muCanada.

Zvirwere kuitika vakadzi panguva pamuviri, inofanira kubatwa, saka zviri chinofadza kuziva kuti nemishonga ndivo inonyanya kushandiswa, havasi chinokonzera nokupfupfudzika mukutanga pamuviri.

chibatiso matambudziko

Pasinei kakawanda kushandiswa inorwisa mabhakitiriya panguva yepamuviri kubata-siyana nezvirwere, kuchengeteka, matambudziko zvinodhaka izvi pamusoro mudumbu anoramba dambudziko, muchidzidza vanyori vanoti. Izvi imhaka yokuti yapfuura zveBhaibheri ukama pakati kushandiswa kwemishonga inorwisa mabhakitiriya panguva pamuviri uye ngozi yokubva pamuviri yakakura zvakasiyana dzinopesana. Vamwe vanotsvakurudza vakaona kubatana pakati kushandisa zvimwe zvidzidzo inorwisa mabhakitiriya panguva pamuviri uye zvinoguma nokupfupfudzika, nepo vamwe vasina yasimbiswa.

Zvakanakira kushandisa Database

Kudzidza zvitsva, masayendisiti mashoko pamusoro kosi pamuviri vari vakadzi Quebec pakati 1998 uye 2009 vakanga vakadzidza. Database ichi chine mashoko pamuviri mukati padunhu, iyo kufukidzwa Quebec hurumende hurongwa pamusoro inishuwarenzi zvinodhaka. The Database zvinosanganisira mashoko pamusoro vakawanda vakadzi vane pamuviri mudunhu.

Saka, vatsvakurudzi vaiva nechivimbo chokuti vakanga kushandisa ruzivo chaiwo pamusoro mushonga nokuda nemishonga, mishonga inonyorwa pamuviri amai, achivabvumira varege kuvimba nekugona vakadzi kuyeuka zvinodhaka vaishandisa, sezvo iri shoma yakavimbika chakarurama.

Izvo mishonga ine ngozi kuvakadzi vane mimba

Vaongorori akaenzanisa nyaya yevakadzi anopfuura 8.700 aiva kupfupfudzika muvhiki 20 dzokutanga, kubva 87 000 vakadzi vaiva nepamuviri matambudziko. Age vakadzi vari kudzidza ranged kubva 15 kusvika 45 makore. Zvakazozivikanwa kuti vanenge 12 500 vavo vakatora nemishonga inorwisa mabhakitiriya panguva yepamuviri.

The ongororo yakaratidza kuti nemakirasi mashanu inorwisa mabhakitiriya - macrolides, quinolones, tetracyclines, sulfonamides uye metronidazole - anogona kuwedzera ngozi yokubva pamuviri, kana mukadzi ari tanga pamuviri. Masayendisiti akaona kuti rimwe macrolide mishonga - erythromycin - haana chokuita ngozi iyi.

Data izvi ndihungu nemigumisiro vakawana mukufamba zvimwe zvidzidzo rapfuura, asi ushamwari pakati fluoroquinolones uye tetracyclines, uye ngozi yokubva pamuviri yakakura haina kare dzakaonekwa. Kunyange zvakadaro, pari obstetricians regai kutokurudzira kushandisa fluoroquinolones uye tetracyclines mukutanga zvokukura pamuviri, uye migumisiro izvi zvinoratidza kuti zano iri musoro.

yakaderera njodzi

"Kunyange zvazvo kudzidza akawana mikana yakawanda nokupfupfudzika vakadzi avo vakatora dzimwe mhando inorwisa mabhakitiriya, pachayo hazvisi yakakwirira," - anodaro Purofesa Berard. Kushandiswa nemimwe mishonga zhinji, dzakadai nonsteroidal Anti-anogumbura zvinodhaka uye antidepressants yavewo chokuita ine mikana yakafana nokupfupfudzika.

Kuderedza ngozi yokubva pamuviri

Chimwe akanaka ndechokuti rinowanika mushonga - nitrofurantoin, iyo kazhinji ushandiswe kana mukadzi ane Urinary turakiti zvirwere, chaizvoizvo chokuita yadzikira mukana nokupfupfudzika zvichienzaniswa nokudzora boka. Ichi ndicho chidzidzo chokutanga kuti inoratidza ukama ichi, nekuti mune ramangwana, masayendisiti vanofanira kusimbisa kuwanikwa itsva iyi.