Amayi ambiri amamva bwino kwambiri panthawi yomwe ali ndi pakati. Matendawa nthawi zina amawatcha kuti mimba rhinitis kapena ayi. Azimayi omwe anali ndi matenda monga chifuwa cha mphumu kapena chifuwa chisanayambe kutenga mimba akhoza kupeza kuti zizindikiro zawo zimakhala zovuta kwambiri pa nthawi ya mimba, makamaka pa trimester yachitatu. Zizindikiro zowonekera chifukwa cha mimba nthawi zambiri zimathetsa mkati mwa masiku khumi mutakhala ndi mwana wanu.
Mimba Rhinitis
Kuti muwone ngati mimba ili yeniyeni rhinitis palibe zozizwitsa zina zomwe zimayambitsa matenda monga chifuwa chachikulu kapena matenda opatsirana kumayambitsa matenda. Zizindikiro za rhinitis pa nthawi ya mimba ndi izi:
- chisokonezo chimene chimayambitsa kupuma ndi kugona usiku
- mphuno yothamanga
- kupopera kwa nsana
- kudula
- matenda a sinus
- matenda a khutu
- madzi m'makutu (serous otitis media)
Kafukufuku wasonyeza kuti kukhudzana kwa mimba kumachepetsa kuchepa kwa moyo wa amayi omwe ali ndi mimba ndipo nthawi zoopsa zimakhala zoopsa kwa mwana wakhanda (makamaka amayi oyembekezera omwe ali ndi chifuwa chachikulu). Kafukufuku wina akusonyeza kuti pafupifupi 39 peresenti ya amayi omwe ali ndi pakati akukumana ndi mimba komanso zizindikiro zina za rhinitis. Cholinga cha mimba-chomwe chinapangitsa kuti zizindikiro za mdzakazi zisamvetsetse bwino koma nthawi zambiri zimaganiziridwa kuti zimayambitsa kusintha kwa mahomoni, makamaka estrogen ndi progesterone.
Lingaliro limeneli likhoza kuthandizidwa ndi kuti amayi ena amafotokoza zizindikiro za nasal zomwe zimagwirizana ndi kusamba kwawo. Zizindikiro za osagwirizana ndi rhinitis zanenedwa ndi kugwiritsa ntchito mapiritsi oletsa kubereka.
Kusamalira Kusokonezeka
Kusakanikirana kungachititse kuti zikhale zovuta kwambiri monga matenda a sinus kapena matenda opatsirana omwe amafunika kuchiritsidwa ndi maantibayotiki.
Kusunga chisokonezo kumayendetsa matendawa. Zina mwa njira zothetsera chisokonezo pa nthawi ya mimba ndizo:
- kumwa madzi ambiri
- pogwiritsa ntchito bedi lanu pamene mukugona
- Kuchita masewera olimbitsa thupi (musamachite nawo masewera olimbitsa thupi pamene muli ndi pakati popanda kuvomerezedwa ndi dokotala wanu)
- kusunga mutu wa bedi lanu kukwera
- kugwiritsa ntchito mphika wa neti kapena njira ina ya ulimi wothirira
- pogwiritsira ntchito mankhwala a saline nasal kuti asungunuke
- peŵani kudziwonetsera nokha ku zozizwitsa zodziŵika bwino, mpweya woipa, mankhwala, kapena utsi wa ndudu
Mankhwala a Milandu Yowonjezereka
Ngati izi sizikukwanira kuti zizindikiro zanu zisamayende mungathe kuyankhula ndi dokotala wanu pogwiritsa ntchito mankhwala amodzi kapena angapo omwe akuwoneka ngati otetezeka kuti agwiritsidwe ntchito kwa amayi apakati. Pofuna kupewa chiopsezo chosafunikira kwa mwana wanu musagwiritse ntchito mankhwala atsopano, kaya muli ndi mankhwala kapena mugulitsa pamsika, popanda chivomerezo chochokera kwa dokotala wanu.
- Mankhwala amtundu wa corticosteroids (omwe amatha kufotokoza ) amayamba kugwiritsira ntchito kuthetsa mphumu mwa amayi omwe ali ndi pakati koma nthawi zina amagwiritsidwa ntchito pofuna kuchepetsa kutenga mimba. Chisankho choyamba ndi Entocort (budesonide) chifukwa a FDA adayesa mankhwala awa monga mankhwala a mimba B. Komabe, ngati budesonide siilimbikitsanso mankhwala ena amphongo a corticosteroids angagwiritsidwe ntchito.
- Omwe Amadzimadzi Amadzimadzi Amadzimadzi - Amadzimadzi otentha kwambiri monga Afrin (oxymetazoline) amathandiza kwambiri pakuthana ndi msangamsanga. Komabe, nthawi zambiri amakhala ndi mimba C ndipo ayenera kugwiritsidwa ntchito pang'onopang'ono ngati ali ndi pakati pomwe osati pa trimestre yoyamba. Kugwiritsira ntchito mankhwala osokoneza bongo kwa masiku osachepera atatu mu mzere kungachititse kuwonongeka kwakukulu .
Pamene lingaliro la kugwiritsa ntchito mankhwala alionse lingakhale loopsya kwa amayi ambiri omwe ali ndi pakati omwe mukuyenera kukumbukira kuti kusiya zizindikiro zanu kusatengedwe kungabweretse kuzinthu zina zoopsa zomwe zingasokoneze thanzi la mwana wanu. Choncho, pathupi rhinitis nthawi zonse iyenera kuuzidwa kwa dokotala kuti zizindikiro zikhoza kuyendetsedwa bwino.
Zotsatira:
www.jabfm.com. Kuchiza Chifuwa cha Phumu ndi Comorbid Allergic Rhinitis mu Mimba.
NCBI. Rhinitis ndi chifukwa cha vuto la kupuma m'mayi oyembekezera.
Mimba Mimba Rhinitis: Kupopera, Kupopera, ndi Kusakaniza.
Springer Link. Zizindikiro zachipatala komanso zapachigenetic za mimba rhinitis.