Mubvunzo: Mishonga YeAn Anti-Anxiety Safe to Use During My Next Pregnancy?
Hazvisi zvisingazivikanwi kuti vakadzi (uye dzimwe nguva varume) kukurudzira chirwere chekuzvidya mwoyo mushure mokunge pamuviri. Asi zvakachengeteka here kuti vakadzi vashandise kuzvidya mwoyo mishonga yekudzivirira zviratidzo mumubhedha unotevera?
Mhinduro:
Manzwiro ekuzvidya mwoyo mushure mokunge aenda pamuviri angangodaro anonyanya kunetseka pamusoro pekudzivirira mutsva kana kuti kunetseka pamusoro pehupenyu huzhinji.
Vamwe vanogona kutarisana nesarudzo yekuti vashandise mishonga inopesana nekuzvidya mwoyo yekudzora kushushikana mushure mekuenda kwepamuviri. Kune vakaroorana vanoda kuedza kutora pamuviri mutsva, izvi zvinokumbirisa mubvunzo wekuti mishonga iyi yakachengeteka here pamuviri unotevera.
Zvinosuruvarisa, tsvakurudzo inopesana pamusoro pekuchengetedzwa kwemishonga yepfungwa panguva yekuzvitakura, uye mhinduro haisi nguva dzose yakajeka. Hezvino izvo zvatinonyatsoziva pamusoro pemishonga yakasiyana-siyana:
Benzodiazepines
Pari zvino, vanachiremba vakawanda havasi kukurudzira kushandisa kirasi yemishonga panguva yekuzvitakura. Benzodiazepines, yakadai saValium uye Xanax, yakabatanidzwa nemamwe mitsara kune ngozi yakawedzerwa yeharofacial clefts, hypotonia, apnea, nekudyisa zvinetso mumucheche.
Zvimwe zvidzidzo zvakawana hapana njodzi yekushandisa benzodiazepines panguva yekuzvitakura, saka nyaya yacho ichiripo nokuda kwekukakavadzana. Vamwe vanachiremba, zvisinei, vachiri kuronga benzodiazepines panguva yekuzvimba mumamiriro ezvinhu apo vanonzwa zvikomborero zvakanyanya kupfuura zvinogona kuitika.
Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs)
Zvinodhaka mumutambo, zvakadai seProzac (fluoxetine), zvinonyatsoonekwa sevanorwara. Asi, tsvakurudzo inoratidza kuti vanogonawo kubatsira nekuzvidya mwoyo. Vatsvakurudzi havabvumi pamusoro pekuchengetedzwa kweSISRI kushandisa panguva yekuzvitakura; zvimwe zvidzidzo hazvina kuwana nguva yakareba, asi vamwe vakawana uchapupu hwezvinokwanisika zvinetso zvekuberekwa kwevana vachiparadzaniswa neSRR panguva yekuzvitakura.
Pari zvino, American College of Obstetricians uye Gynecologists inokurudzira kuti zvisarudzo pamusoro pekushandisa SSRI panguva yekuzvitakura zvinogadzirwa kune mumwe munhu asi inopa zano pamusoro pekushandiswa kwePaulil panguva yekuzvitakura, kana zvichibvira.
Tricyclic Anodzvinyirira (TCAs)
Imwe tsvakurudzo yakawanawo TCAs, dzakadai seTofranil (imipramine), kuti ive yakakosha kuzvidya mwoyo pamwe nekuora mwoyo. Tsvakurudzo dzinoverengeka dzakatarisa kushandiswa kwe tricyclics panguva yekuzvitakura, uye hapana akawana uchapupu hunogutsa hwezvinetso zvekugara kwenguva refu. Chimwe chekudzidza muna 2007, zvisinei, chakawana uchapupu hwokuti kushandisa tricyclics kana SSRI panguva yechitatu mamiriyoni yakawedzera mukana wekutangira kutangira uye zvinetso zvemucheche pakuberekwa.
Ita Chisarudzo Chakakunakira Iwe
Vakadzi vakawanda vanosarudza kushandisa madhiragi nguva dzose panguva yekuzvitakura, asi kutsvakurudza kuri kuratidza kuti kuva nekuzvidzora kusuruvara kwakanyanya panguva yekuzvitakura kunogona kukonzera zvinetso kumwana, zvakare. Nokudaro, zvechokwadi inova mubvunzo wekuyera kuipa nekubatsirwa. Vamwe vakadzi vanosarudza kutsvaga kugadzirisa-maitiro ehutano kana zvimwe zvisiri izvo zvinodhaka zvinodhaka maitiro pane (kana kuti vasati vamboedza) mishonga.
Chero mamiriro ezvinhu, kusarudzwa kwekuti kana kusashandisa kushungurudzwa mishonga panguva yekuzvitakura kune iwe uye chiremba wako.
Kana iwe uri kutambura nekuzvidya mwoyo kwakakura mushure mokunge uchinge wapona pamuviri, ichi ndicho chidzidzo chinokosha chaunacho.
Sources:
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Chambers, Christina D., Sonia Hernandez-Diaz, Linda J. Van Marter, Martha M. Werler, Carol Louik, Kenneth Lyons Jones, uye Allen A. Mitchell, "Selective Serotonin-Reuptake Inhibitors uye Njodzi Yokuramba Iri Kuwedzera Kuwedzera Kwoutachiona Kwemucheche . " New England Journal of Medicine 9 Feb 2006. Yakasvika 22 May 2008.
Chokroverty, Sudhansu, "Mushonga weruzivo: kusuruvara." UpToDate for Patients 15 Jan 2008. Kuwana 22 May 2008.
Davis, Robert L., David Rubanowice, Heather McPhillips, Marsha Smith Raebel, Susan E. Andrade, David Smith, Marianne Ulcickas Yood, Richard Plat, "Njodzi dzekuzvarwa kusina kunaka uye zviitiko zveparinatal pakati pemucheche akabatwa nemishonga inodzvinyirira panguva yekudzivirira." Pharmacoepidemiology uye Kuchengetedzwa Kwemishonga Aug 2007. Yakasvika 22 May 2008.
Kulin, Nathalie A., Anne Pastuszak, Suzanne R. Sage, Betsy Schick-Boschetto, Glenda Spivey, Marcia Feldkamp, Kelly Ormond, Doreen Matsui, Amy K. Stein-Schechman, Lola Cook, Joanne Brochu, Michael Rieder, naGidheon Koren , Chibereko Chokuzvitakura Kubata Kushandiswa Kwemadzimai eNew Selective Serotonin Reuptake Inhibitors. " JAMA Feb 1998. Yakasvika 17 May 2008.
Ormond, Kelly, uye Pergament Eugene, "Update: Benzodiazepines muKuberekwa." Illinois Teratogen Information Service . Yakasvika 22 May 2008.
Ward, Randy K. naMark A. Zamorski, "Kubatsira uye njodzi dzepfungwa dzepfungwa panguva yekuzvitakura - Practical Therapeutics." American Family Physician 15 Aug 2002. Yakasvika 17 May 2008.