Kunyatsoongorora Kuchengetedzwa kweAnode-depressant SaZoloft Panguva Yokudzivirira
Kushungurudzika kwekliniki ndechirwere chepfungwa chinokanganisa vanhu zvakasiyana. Maererano neChirungu chaDimes, vanenge 1 pa5 vakadzi vane pamuviri vane zviratidzo zvekuora mwoyo. Kushungurudzika panguva yekuzvimba kunogona kuva nemigumisiro yakaipa kune vose amai nechecheche. Pane ngozi yakawanda yehutano hwakadai sa preeclampsia mumamamai akaora mwoyo, uye kune ngozi yakawanda yokuti amai havazozvitarisiri zvakakodzera, havazobatanisi nechechecheche, kana kuti vangazoenda kune iyo inorayirwa kutarisirwa kutarisirwa.
Amai vanoona kuora mwoyo panguva yepamuviri vanogona kuva pangozi yakanyanya yekushungurudzika kwemashure . Pakati pevanhu, zviratidzo nemigumisiro yekusagadziriswa kwepabonde kunogona kubva pane zvishoma kusvika kune yakaoma.
Kuongorora uye Kurapa Kuora Mwoyo Panguva Yechirwere
Chazhinji munguva pfupi yapfuura, pane kuwedzera kufarira mune pfungwa yekuongorora vakadzi vane pamuviri nekuda kwekuora mwoyo uye kupa rubatsiro kunenge kwaidiwa. Rubatsiro runogona kuva nerutsigiro uye psychotherapy, kana mune dzimwe nguva, mishonga. Asi vakadzi vakawanda vanoshamisika kana mishonga inopesana nemishonga yakachengeteka panguva yekudzivirira. Uyezve, amai vanobata nekuora mwoyo vasati vaita pamuviri vanowanzobvunza kana zvakachengeteka kuti varambe vari pamishonga yavo panguva yekuzvitakura. Zvinosuruvarisa, mhinduro haisi nyore "hongu." Kune dzimwe njodzi dzinogona kuitika yekushandisa vanorwara nehutachiona panguva yekuzvitakura. Zvengozi idzi dzinofanirwa kuve yakananga pane imwe nyaya-ne-mamiriro ekudzivirira zvinetso zvekusashandisa vanorwara nehutachiona panguva yekuzvitakura.
Kuchengetedzwa kweAnodepressantant During Pregnancy and Risk of Marriages
Zvinonyanya kushandiswa zvinorwisa zvinodhaka zvinowira mumapoka e tricyclic anodzvinyirira (TCAs) (semazita ezita rokuti Tofranil neElavil) uye anosarudza serotonin reuptake inhibitors (SSRIs) (sezita remazita Zoloft neProzac). Makirasi maviri emishonga anowanzoenderera mberi panguva dzose apo pamuviri apo mamamese anovashandisa vanova nepamuviri, uye dzimwe nguva inorayirwa kuvakadzi vane pamuviri vanowanikwa vane kuora mwoyo kukuru panguva yekuzvitakura.
TCAs dzave dziri nguva yakareba kupfuura SSRIs uye dzichidzidziswa zvimwe zvakanyanya, kunyange zvimwe tsvakurudzo dzichiri kudiwa pamativi ose maviri.
Uchapupu hunowanikwa hunoratidza kuti kuisa kune maSRR uye maTCA zvinogona kubatanidzwa nekuregererwa kwezviratidzo mumwana achangoberekwa, asi zviratidzo izvi zvinowanzotora nguva uye hupenyu hunopisa kana hukuvadza kwenguva refu. Kutsvakurudza pamusoro pemigumisiro yenguva refu nekuremara kwekuberekwa kunosanganiswa, zvikuru kune SSRIs.
Mubvunzo wekuparadzana kwekuparara kwepabonde kwave kupopotedzana. Uchapupu pamusoro pekuchengetedzwa kweSISR, kunyanya, yakavhenganiswa neongororo dzakawanda dzine zviduku zvishoma samples (nhamba shoma yevatsvakurudzi vanoongorora); zvisinei, hurukuro yakawanda ye2010 yakaratidza kuti SSRI inoshandisa mumatatu ekutanga yakaratidzika sekubatanidzwa ne 68% kuwedzerwa mumungozi yekuparara. Hapana chinokonzera kuwirirana pakati peSISRI kushandiswa uye kupererwa kwepamuviri kwakaratidzwa, asi kazhinji kuwanikwa kunoshungurudza vakadzi vazhinji uye vanachiremba. Hapana humwe humwe hunobatanidza kushandiswa kweTCAs pakuberekwa kuwedzerwa njodzi yekuparara.
Iwe Unofunga Kutora Kusuruvara Nezvepamuviri Here?
Nekudzidzira chero kupi zvako kunobatanidza zvinodzvinyirira kuwedzera mungozi yekuparara pamuviri, kuberekwa kwekuberekwa, kana mamwe matambudziko, zvinokosha kuti uratidze chikonzero chekuwana.
Kunyange nehuwandu hwekubatanidza pakati peTCA kana SSRI kutsvaga uye matambudziko akasiyana-siyana, zvinogona kuva zvakaoma kugona nechokwadi chokuti chirwere ichi ndicho chakaita kuti kuipa kusvike. Zvinokwanisika kuti mishonga iyi inokuvadza kukura vana, asi zvinogonawo kuti vakadzi vane mishonga inodzvinyirira yakaora mwoyo zvikuru kubva pakutanga uye kune chiito kana chimiro chezvinhu mumama aya anonyora kuwirirana kunowanikwa mukudzidza .
Zvakakoshawo kuongorora zvikwereti zvekurapa kusvika kune njodzi yekushayikwa kwemishonga. Kuwedzera chero kupi zvako kwengozi kumwana kunogona kutyisa, kunyange kana dambudziko rose rishoma.
Kunyange zvakadaro, kutsvakurudza kunoratidza kuti kuora mwoyo kunowanzoita zvekare kutora pamuviri, nechinotyisa zvikuru mumamamu vanorega mishonga yavo-saka vanachiremba vanowanzoramba kuudza kuti amai vanorega mishonga yavo, kunyanya vachipa kushayikwa kwehuwandu hwehutano hwekushandisa zvinodhaka mukuzvitakura. Kusanzwisisika kuora mwoyo pakuberekwa kunobatanidza nehuwandu hwehuwandu kune vose amai nemwana, zvichienderana nekuoma kwekuora mwoyo, saka inobvunza mubvunzo wekupi kwezvipingamupinyi hukuru. Mhinduro yacho inogona kunge yakananga uye inonyatsokurukurwa nechiremba wako.
Nharo dzeAnodedpressant Use During Pregnancy
Sezvakataurwa pamusoro apa, kusaora mwoyo kusingatauri kunokonzera njodzi yakajeka kune amai vanotarisira uye mwana. Vanaamai vakaora mwoyo havakwanisi kuenda kune imwe nguva vachitarisirwa vasati vasvika , vachida kushandisa zvinodhaka, vasingakwanisi kushamwaridzana nevana vavo, uye vangangodaro vachinetseka nekupera kwepabonde - zvose zvingakanganisa kukwanisa kweamai kutarisira mwana uye mushure mokuberekwa.
Nyaya dzakawanda dzekutsvakurudza kusvika nhasi hazvina kuratidzira njodzi dzenguva refu dzinosanganiswa nekushandiswa kweTCA kana SSRI kudzvinyirira panguva yekudzivirira, kunyange zvazvo uchapupu hwakavhenganiswa. Dambudziko rinonyanya kusimbiswa rinoratidzika sekuti vacheche vacheche vanogona kuwana chirwere chekudzima kwenguva pfupi pakuberekwa nezviratidzo zvakadai sekuchema zvakanyanya, kushaya jitteriness, kudyisa zvinetso, nekutsamwa - asi zviratidzo zvinowanzoenda mukati memavhiki maviri.
Mamwe mapepa akaratidza njodzi yakakwirira yehutano hunonzi huri kuramba huchiwedzera huwandu hwehupombwe hwemucheche (PPHN) mucheche anonyoreswa kuva SSRIs pakuberekwa. PPHN inogona kuva yakakomba, asi njodzi yakawanda yehutachiwana yakaderera kunyange muvana vakacherechedza, saka vanachiremba vanogona kusarudza kubatsirwa kwekuenderera mberi kwechirwere chinoshanda kunogona kupfuudza ngozi. Mamwe mapepa anoratidza kuwedzerwa kwehutano hwekuberekwa kwemwoyo kusagadzikana nekushandiswa kweparoxetine (Paxil), asi zvakare, njodzi yakawanda inoramba iri pasi uye amai vanova nepamuviri pavanenge vachishandisa Paxil vangasarudza kupfuurira nemishonga.
Kunyanya kuongororwa hakuratidzi matambudziko ehutano kana zvimwe zvinokonzerwa nemigumisiro yenguva refu kune vana vakave vachirwisana nemishonga inodzvinyirira muUtero, kunyange kutsvakurudza kwakawanda kunodiwa. Asi kutsvakurudza kwakafanana nekushayikwa kwemazuva ekupedzisira maitiro ekuberekwa kwevana vakaberekerwa nemama vasina kuodzwa mwoyo, uye zvinonzwisisika kuti kusaora mwoyo kusingateereri kunogona kuenzana kana kuwedzera kukuvadza kudarika kujekesa mishonga yekurwisa mishonga.
Kunyange zvazvo kuongorora kwe2010 kwakaratidza kuti SSRI inoshandisa pakuberekwa yakabatanidzwa ne 68% inowedzera mumungozi yekupererwa pamuviri , inogonawo kutaurirwa kuti kuwedzerwa kwengozi kunogona kuenzaniswa nezvibereko zvekushandisa zvinodhaka. Kana huwandu hwevanhu huri nehuwandu hunokwana 15% hwekuenda pamuviri, kuwedzera kwe68% muhutano kunoreva kuti 25% inokonzerwa nekuparara pamuviri kune vakadzi vachishandisa mishonga. Amai vane nhoroondo yekuora mwoyo zvakanyanya vanogona kusarudza pamwe chete navanachiremba kuti njodzi inoramba ichigamuchirwa. Inofanirawo kuchengetwa mupfungwa kuti sangano iri muchidzidzo rinoramba riri correlational pasina uchapupu hwokuti mishonga yeSSRI yakanga iri nechokuita nehuwandu hwehutachiwana hwekuparara.
Zvinokonzera Kusagadzikana Kwepfungwa Pakushanda
Pamusoro peflip, vazhinji vaamai vanotarisira vanogona kutarisa dambudziko rekuchengetedza uye vanofunga kuti chero mungozi inowedzera kune vacheche - zvisinei kuti zviduku-hazvigamuchirwi. Kunyange zvazvo zviratidzo zveononatal behavior syndrome zvichingoitika, zvinokonzera kufanana kwepenital heart malformations uye PPHN inogona kuva nemigumisiro yenguva refu. Vamwe vakadzi vanogona kunzwa kuti kana vana vavo vakagadzirisa matambudziko aya, havazombokwanisi kugamuchira kuti zvinetso zvingadai zvakadzivirirwa.
Saizvozvowo, madzimai anonyadzisa pavanenge vachishandisa SSRI uye vozoziva nezvekukwanisa kuwirirana pakati peSRIs uye kupererwa kwevakadzi vanogona kuwana mukana wekuwedzera kwekuparara kwepamuviri nenzira isina kukodzera. Kutsvakurudza kunoratidza kuti madzimai ane nhoroondo yepfungwa yekare inowedzera mungozi yekutambudzika kwekuora mwoyo kana kwekugumbusa kushungurudzika kwepfungwa mushure mekumuka kwepamuviri , zvakare, saka pangozi yakawedzerwa yekuparara pamuviri mumamese kunorapwa ne SSRI inofanira kunge isina kuregererwa.
Pakupedzisira, mibvunzo inoramba iri pamusoro pemubatsiro wevanhu vanodzvinyirirwa nokuda kwemaitiro akaenzana ekuderedza mwoyo - tsvakurudzo yakave yakakanganiswa kubudirira kwezvinodhaka pane placebo nokuda kwekuora mwoyo kusina kuoma. Vamwe vakadzi vari kutora zvirwere zvinodhaka zvinogona kukwanisa kuderedza kuora mwoyo kwavo pasina mushonga, kunyange zvazvo avo vane chirwere chakanyanya kuora mwoyo vangave vashoma kukunda pasina kurapwa.
Iyo Iyi Nyaya Inotanga
Hapana mhinduro dziri nyore. Nzira yakarurama yekuita inogona kunge yakasiyana nemunhu. Amai vane kushungurudzika kwakanyanya uye vasina kumbozviuraya vanogona kusarudza nezano rechiremba wavo kuti vaedze kuenda kumishonga yake. Asi zvakasiyana, nokuda kwemai vane nhoroondo yekuedza kuzviuraya isina kumbovandudza mune zvepfungwa uye ndiani pakupedzisira akachengeteka pamishonga inopesana nemishonga, zvipingamupinyi zvekurega kurapwa zvinogona kupfuura zvakakonzerwa nekuenderera kurapwa.
Sezvinowanikwa munzvimbo dzakawanda dzehutano hwehutano, vakadzi vanofanira kutaura nezvekubatsira uye njodzi dzezvikamu zviviri zvekuita nevanachiremba. Vakadzi vatove vanorwisa zvinodhaka uye avo vane hanya nemigumisiro yemishonga panguva yekuzvitakura vanofanira kutaura zvakanaka kuvanachiremba vasati vamboita pamuviri, sezvo kuedza kwekuregera mishonga kunogona kuitika zvakanaka musati mimba. Vakadzi vanova nepamuviri pavanenge vachirwisa zvirwere havafaniri kurega mishonga yavo vasingabvunzi vanachiremba vavo-kunyange kana mushonga wacho uchizogadziriswa, zvingava zvakanaka kupa zvishoma nezvishoma chiremba panzvimbo pokurega kutonhora. Chiremba wako anogona kukupa mazano pamapoka ekutsigira kana zvimwe zvisiri zvekurapa munharaunda yako zvinogona kukubatsira kutarisira mamiriro ako.
Uye pakupedzisira, vakadzi vanosarudza kupfuurira mishonga yavo panguva yekuzvitakura havafaniri kunzwa vane mhosva nekuita saizvozvo. Kurapa kurapwa kwekuora mwoyo hakusi unhu husina kukwana, uye kuva mai vakanaka kunorevawo kutora zvakakwana kuti iwe ugone kushanda uye kutarisira zvakanaka mwana wako asati aberekwa uye mushure mokuberekwa. Kunyange kana kutapukira pamuviri kana kubata pamuviri kune imwe nguva paunotora zvirwere zvinodhaka, hazvirevi zvakajeka kuti iwe unofanira kufunga kuti zvinodhaka zvinokonzera - zvakaenzana kana zvakanyanya kuti pane imwe tsanangudzo zvachose. Panguva ino, sarudza zvakajeka marudzi ekutonga uye usafunga kuti unofanira kudzivirira zvisarudzo zvako kune ani zvake. Pasinei nemafungiro akawanda anofarira kunze pamusoro penyaya iyi, iwe nachiremba wako mune nzvimbo yakanakisisa yekuziva zvakakunakira iwe.
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