Mutu Wanu Wosamalira Nthenda Pakati pa Mimba
Mmene Mungachiritse Matenda Akumwa Pakati pa Mimba
Rhinitis pa nthawi ya mimba ikhoza kukhala chifukwa cha matenda oopsa a rhinitis , sinusitis, kapena osagwirizana ndi rhinitis . Ngati mayiyo ali ndi vuto loti asatenge mimba, izi zingawonongeke, zikhale zofanana, kapena zisinthe. Kusintha kwa zizindikirozi kungadalire pazinthu zambiri, kuphatikizapo kupezeka kwa zizindikiro za nyengo komanso kuwonjezeka kwa mahomoni oyembekezera.
Osagwiritsidwa ntchito mankhwalawa amatha kutenga chifukwa cha kuwonjezeka kwa mahomoni omwe ali ndi mimba, zomwe zimayambitsa kusokonezeka kwa mimba, mphuno ndi mphuno yamkati . Izi zimatchedwa "rhinitis of pregnancy". Zizindikiro zimatha kufanana ndi mavitamini, koma popeza sizili zowonongeka, musayankhe ndi anti-histamines.
Mayi wodwala ali ndi rhinitis akhoza kudera nkhawa za chitetezo cha mankhwala pa nthawi yomwe ali ndi mimba, choncho pewani kumwa mankhwala. Ngati kupezeka kwa mankhwala osokoneza bongo sikutheka kapena kupambana, mankhwala amafunika kuwongolera zizindikiro.
Kuzindikira Matenda a Kachilomboka Pa Nthawi Yotenga Mimba
Kuyezetsa magazi kumaphatikizapo kuyezetsa khungu kapena kuyezetsa magazi, wotchedwa RAST . Kawirikawiri, kuyezetsa khungu kumatenda sikuchitika panthawi ya mimba, kupatsidwa mwayi wochepa wa anaphylaxis umene ungachitike. Anaphylaxis pa nthawi yomwe ali ndi pakati , ngati ali ovuta, akhoza kuchepetsa magazi ndi mpweya ku chiberekero, mwina kuvulaza mwanayo.
Choncho, kuyezetsa magazi nthawi zambiri kumatayika pa nthawi yomwe ali ndi mimba, ngakhale kuti RAST ikhoza kukhala njira yowonjezera ngati zotsatira zikufunika pa nthawi ya mimba.
Chitetezo cha mankhwala opatsirana pogonana pa nthawi ya mimba
Malinga ndi Food and Drug Administration (FDA), palibe mankhwala omwe amawoneka kuti ali otetezeka mwathunthu.
Izi zili choncho chifukwa palibe mayi yemwe ali ndi pakati omwe akufuna kulemba kuti apitirize kuphunzira zachipatala pamene ali ndi pakati. Choncho, a FDA apereka ziopsezo kwa mankhwala okhudzana ndi kugwiritsa ntchito pathupi.
Gawo la mimba "A" mankhwala ndi mankhwala omwe amaphunzira bwino kwa amayi apakati akuwonetsa chitetezo cha mankhwala kwa mwanayo m'miyezi itatu yoyamba. Pali mankhwala ochepa m'gulu lino, ndipo palibe mankhwala a mphumu. Mankhwala a "B" amasonyeza maphunziro abwino a chitetezo m'matumba oyembekezera koma palibe maphunziro aumunthu omwe alipo. Mimba ya mimba "C" imakhala ndi zotsatira zovuta pa mwana wakhanda pamene amaphunzira mimba zodwala, koma ubwino wa mankhwalawa ukhoza kuchepetsa kuopsa kwa anthu. Mankhwala a "D" amasonyeza chiwopsezo chomveka kwa mwana wakhanda, koma pakhoza kukhala zochitika zomwe zimapindulitsa kwambiri kuopsa kwa anthu. Ndipo potsiriza, mankhwala a "X" amasonyeza umboni woonekeratu wa zilema za kubadwa kwa nyama ndi / kapena maphunziro aumunthu ndipo sayenera kugwiritsidwa ntchito pathupi.
Musanayambe kumwa mankhwala alionse pa nthawi ya mimba, dokotala ndi wodwalayo ayenera kukhala ndi chiopsezo / phindu. Izi zikutanthauza kuti phindu la mankhwala liyenera kuyesedwa pangozi - ndipo mankhwala ayenera kungotengedwa ngati phindu likuposa zoopsa.
Kuchiza kwa Rhinitis Pakati pa Mimba
Mchere wamchere . Matenda a mimba amayamba kuchepetsa kusamvana ndi antiam histamines kapena sprays. Matendawa amawoneka kuti amayankha kwa kanthawi kwa madzi amchere (madzi amchere), omwe ali otetezeka kuti agwiritse ntchito panthawi yomwe ali ndi mimba (si kwenikweni mankhwala). Mchere wamchere umapezeka pamtengowo, wotsika mtengo, ndipo ukhoza kugwiritsidwa ntchito nthawi zonse. Kupopera kwapakati pa 3 mpaka 6 kumayikidwa pamphuno iliyonse, kusiya saline m'mphuno kwa masekondi 30, ndikuyimba mphuno.
Antihistamines. Antihistamines achikulire, monga chlorpheniramine ndi tripelennamine, ndiwo othandizira kuti azitha kulandira rhinitis pa nthawi ya mimba, ndipo onsewa ndi mankhwala a B.
Antihistamines yatsopano monga over-the-counter loratadine (Claritin® / Alavert® ndi mitundu yowonjezera) ndi cetirizine (Zyrtec® ndi mitundu yowonjezera) ali ndi mimba ya mimba B.
Otsutsa kwambiri. Pseudoephedrine (Sudafed®, mitundu yambiri ya ma generic) ndi mankhwala ovomerezeka kwambiri pakamwa kuti asamalidwe komanso kuti asagwiritsidwe ntchito panthawi yomwe ali ndi mimba, ngakhale kuti ayenela kupeŵedwa pa trimester yonse yoyamba, monga momwe amachitira ndi gastroschisis ya khanda. Mankhwalawa ndi chigawo cha mimba C.
Kupopera mankhwala amphongo. Cromolyn nasal spray (NasalCrom®, generics) ndi othandiza pochiza matenda a rhinitis ngati agwiritsidwa ntchito asanayambe kugwiritsidwa ntchito kwa allergen komanso asanayambe zizindikiro. Mankhwalawa ali ndi chigawo chakumimba B ndipo amapezeka pamsika. Ngati mankhwalawa si othandiza, m'modzi wa nasal steroid, budesonide (Rhinocort Aqua®), analandira mimba ya mtundu wa B (ena onse ndi gulu C), choncho amatha kukhala chithandizo chamankhwala panthawi yomwe ali ndi mimba. Rhinocort inapezeka kupezeka pamsika popanda chilolezo kumayambiriro kwa 2016.
Immunotherapy. Kuwombera mthupi kungapitirizebe panthawi ya mimba, koma sikuvomerezeka kuti uyambe mankhwalawa pamene ali ndi pakati. Kawirikawiri mlingo wa zizindikiro zowonongeka siwonjezeka , ndipo ambiri odwala matendawa amatha kuchepetsa mlingo wa zovuta zomwe zimawombera 50 peresenti panthawi yoyembekezera. Akatswiri ena amakhulupirira kuti zizindikiro zowonongeka ziyenera kuimitsidwa panthawi yomwe ali ndi mimba, poika chiopsezo cha anaphylaxis ndipo zingakhale zoopsa kwa mwanayo. Zina kuposa anaphylaxis, palibe deta yosonyeza kuti zizindikiro zowonongeka zimakhala zovulaza mwanayo.
Zotsatira:
Allergen Immunotherapy Practice Parameters. Ann Zozizira Nthenda Immunol. 2003; 90: S1-40.
Dykewicz MS, Fineman S, olemba. Kuzindikira ndi Kulamulira kwa Rhinitis: Zitsogozo Zonse za Gulu Loyamba la Ntchito pa Zomwe Zimagwiritsidwa Ntchito Pochita Zachirombo, Khunyu ndi Immunology.