Kawirikawiri, chimfine chimatuluka panthawi yomwe ali ndi pakati, ngakhale kwa amayi omwe sanakumanepo ndi kachilombo ka HIV. Kawirikawiri, amayi amtsogolo adzatayika ndipo sadziwa choti achite kuti athetse matenda osasangalatsa. M'nkhani ino, tikuuzani momwe mungatherere pakamwa pa milomo pamene muli ndi mimba, komanso ngati zingakhale zoopsa ku thanzi labwino la mayi wamtsogolo ndi mwana wake.
Kodi ndizoopsa kuti mukhale ndi chimfine pakamwa pamene mukuyembekezera?
Ambiri mwa amayi omwe amakumana ndi zowawa m'nthaŵi ya kuyembekezera mwanayo, anali atamva kale mobwerezabwereza. Zikakhala choncho, chimfine chosayembekezereka pamlomo chimakhala chitetezeka, chifukwa mwana wosabadwa ali pansi pa chitetezo cha ma antibodies a amayi, zomwe zikutanthauza kuti mwayi wa kachilombo sikudutsa 5 peresenti.
Ngati chimfine chikuwoneka mwa mayi yemwe akukonzekera kukhala mayi, kwa nthawi yoyamba, izi zingakhale ndi zotsatira zovuta kwambiri, pa umoyo ndi moyo wa mwana wosabadwa, komanso panthawi ya mimba. Pogwiritsa ntchito njira yobereka, kachilombo ka herpes kamalowa bwino m'chimake ndipo mwina 50-60% imakhudza mwana wosabadwa. Momwemonso, zinyenyeswazi zingathe kusokoneza mapangidwe a ziwalo ndi machitidwe. Ana oterowo nthawi zambiri amakhala ndi vuto lakumva komanso kuwona masomphenya, zolakwika za ubongo, zoyipa zamkati zamatenda, zilonda za m'maganizo ndi zakuthupi, komanso muzovuta kwambiri, mwana akhoza kufa m'mimba mwake.
Kuonjezera apo, kuzizira pamilomo, komwe kunawonekera kwa amayi amtsogolo pamene ali ndi mimba m'kati mwa trimester yoyamba, kumawonjezera kuopseza kwa padera. Ngakhale mwanayo atatha kupulumutsidwa, mwayi wokhala ndi mwana wodwala umakula nthawi zambiri, choncho nthawi zina, ataphunzira mwatsatanetsatane, adokotala amalimbikitsa kuthetsa mimba.
Kodi mungatani kuti musamalidwe pakamwa pamene mukuyembekezera?
Mulimonsemo, ngakhale kuwonjezereka kwa kachilombo ka HIV kumakhala kozoloŵera kwa inu, ngati muli ndi chimfine pakamwa pamene mukuyembekezera, nthawi zonse muzimvetsera dokotala wanu. Pambuyo pochita njira zoyenera kufufuza, dokotala woyenera adzapereka mankhwala oyenera omwe angagwiritsidwe ntchito kuthetsa ntchito ya kachilombo ndipo, ngati kuli koyenera, kulimbikitsa chitetezo.
Kuchiza kwa chimfine pamilomo pa nthawi ya mimba, makamaka pa 2 ndi 3 trimester, kumakhala kovuta chifukwa chakuti mankhwala ambiri omwe amakhalapo nthawi imeneyi sagwiritsidwa ntchito. Makamaka, mapiritsi aliwonse a mauthenga ovomerezeka amaletsedwa.
Kawirikawiri, madokotala amapatsa amayi apakati mankhwala oletsa tizilombo toyambitsa matenda, monga Zovirax, oxolinic kapena mafuta a alizarin. Ayenera kugwiritsidwa ntchito kumalo okhudzidwa ndi khungu kapena mucosa pafupifupi 5-6 pa tsiku kwa sabata kapena masiku khumi.
Mungagwiritsenso ntchito mankhwala apadera odziteteza pakamwa kapena pamapiritsi omwe amachokera ku tiyi. Kuwonjezera apo, nthawi zambiri amayi amtsogolo amatsuka pamilomo ndi mankhwala a Corvalol, mafuta a zitsamba, masamba kapena nyanja ya buckthorn, msuzi kapena minofu yotchuka yopanga mankhwala a Russian Balsam.