Umbuzo: Ngaba Imithi Yokuxhalabisa Ekhuselekileyo Ukusetyenziswa Ngethuba Lokukhulelwa Kwandilandelayo?
Akuqhelekanga kubafazi (ngamanye amaxesha amadoda) ukuhlakulela ingxaki yokuxhalaba emva kokuphuphuma kwesisu. Kodwa ngaba ukhuselekileyo kubafazi ukusebenzisa izidakamizwa zokuxhalabisa ukulawula iimpawu ekukhulelweni okulandelayo?
Impendulo:
Imvakalelo yokuxhalaba emva kokusweleka kwesisu ingaba yinkxalabo malunga nokukhulelwa okutsha okanye kunokukhathazeka ngobomi ngokubanzi.
Abanye banokujamelana nokukhetha ukuba ngaba ukusebenzisa amayeza anxamnye nokuxhalabisa ukulawula uxhalaba emva kokusweleka kwesisu. Kwizibini ezifuna ukuzama ukukhulelwa okutsha, oku kukukhupha umbuzo ukuba ngaba iziyobisi zikhuselekile ekukhulelweni okulandelayo.
Ngelishwa, uphando luyaphikisana nokukhuselwa kwemithi yengqondo ngexesha lokukhulelwa, kwaye impendulo ayisoloko icacile. Nantsi into esiyayazi malunga namacandelo atywala:
Benzodiazepines
Okwangoku, oogqirha abacebisi ukusebenzisa le klasi yezilwanyana ngexesha lokukhulelwa. Ii-Benzodiazepines, ezifana neValium kunye ne-Xanax, ziye zadibaniswa ngenye iingxelo kwiingozi zokunyuka kwee-orofacial, i-hypotonia, i-apnea, kunye nobunzima bokutya kwiintsana.
Olunye uphando alufumananga mngcipheko wokusebenzisa i-benzodiazepines ngexesha lokukhulelwa, ngoko ke umcimbi uphakamisela ingxoxo. Kanti abanye oogqirha baya kuthi baqhubeke benzela i-benzodiazepines ngexesha lokukhulelwa kwiimeko apho baziva ukuba izibonelelo ziphezulu ngaphezu kweengozi.
I-Serotonin Reuptake Inhibitors (i-SSRIs)
Izidakamizwa kwicandelo, ezifana neProzac (i-fluoxetine), zibhekwa njengeengcali zokuxhatshazwa. Kodwa, uphando lubonisa ukuba banokukunceda nokuxhalabisa. Abaphandi abavumelani nokhuseleko lwe-SSRI ngexesha lokukhulelwa; ezinye izifundo azifumananga nemiphumo emide, kodwa abanye baye bafumana ubungqina beengxaki ze-neonatal ezinganeni ezityhila kwi-SSRI ngexesha lokukhulelwa.
Njengamanje, i-American College of Ostrijians kunye namaGynecologists uncoma ukuba izigqibo malunga nokusebenzisa ii-SSR ngexesha lokukhulelwa zenziwa ngabanye kodwa zicebisa malunga nokusetyenziswa kwePaxil ngexesha lokukhulelwa, xa kunokwenzeka.
I-Tricyclic Antidepressants (TCAs)
Olunye uphando lufumene i-TCAs, ezifana neTofranil (imipramine), ukuba luncedo ekukhathazeni kunye nokudakumba. Izifundo eziliqela zijonge ukusetyenziswa kwee-tricyclic ngexesha lokukhulelwa, kwaye akukho bani ufumene ubungqina obuqinileyo beengxaki zexesha elide. Kodwa olunye uhlolisiso luka-2007 lufumene ubungqina bokuthi ukusebenzisa i-tricyclics okanye i-SSRI ngexesha le-trimester yesithathu kwandisa umngcipheko wokuhanjiswa kwangaphambili kunye neengxaki zomntwana ekuzalweni.
Yenza isigqibo esilungileyo kuwe
Abasetyhini abaninzi bathanda ukukhusela iziyobisi ngokupheleleyo ngexesha lokukhulelwa, kodwa uphando lubonisa ukuba ukukhathazeka okukhulu ngexesha lokukhulelwa kunokubangela iingxaki zentsana. Ngoko, ngokuqinisekileyo kuba ngumbuzo wokulinganisa ingozi kunye neenzuzo. Abanye besetyhini bakhetha ukufuna unyango oluthile lokuziphatha okanye ezinye iziyobisi ezingenalo iziyobisi kunokuba (okanye ngaphambi kokuzama) amayeza.
Kwimeko nayiphi na imeko, ukhetho lokusebenzisa okanye ukungawasebenzisi iyeza lokuxhalabisa ngexesha lokukhulelwa liza kuwe kunye nogqirha wakho.
Ukuba unokukhathazeka okukhulu emva kokusweleka kwesisu, le ngxoxo ebalulekileyo ukuba nayo.
Imithombo:
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Abaphequluli, uEvalien, u-Anneloes Van Baar, uVictor JM Pop, "Ukuxhalabeleka komama ngexesha lokukhulelwa nokuphuhliswa kwabantwana." Ukuziphatha nokuThuthukiswa koMntwana 2001. Kufumaneka ngomhla we-22 kuMeyi 2008.
, UChristina D., Sonia Hernandez-Diaz, uLinda J. Van Marter, uMarta M. Werler, uColor Louik, uKenneth Lyons Jones kunye no-Allen A. Mitchell, "I-Serotonin-Reuptake Inhibitors ekhethiweyo kunye neengozi yokunyanzeliswa kwegazi lokutsha . " I-New England Journal of Medicine 9 Feb 2006. Kufumaneka ngomhla we-22 Meyi 2008.
Chokroverty, Sudhansu, "Ulwazi olulwelwe ngumonde: ukulala." UkuKwazisa kwezigulane 15 Januwari 2008. Kufumaneka ngomhla we-22 kuMeyi 2008.
UDavis, uRobert L., uDavid Rubanowice, uHeather McPhillips, uMarsha A. Raebel, uSusan E. Andrade, uDavid Smith, uMarianne Ulcickas Yood, uRichard Plat, "Ingozi yokuzalwa komntwana kunye neentshukumo zomntwana ngokusasazeka kweentsana ezichazwe kwiimithi ezixinzelelekileyo ngexesha lokukhulelwa." I-Pharmacoepidemiology kunye noKhuselo lweMilo ngo-Agasti 2007. Kufumaneke ngomhla we-22 kuMeyi 2008.
UKalin Spivey, uMarcia Feldkamp, uKelly Ormond, uDoreen Matsui, u-Amy K. Stein-Schechman, uLola Cook, uJoanne Brochu, uMichael Rieder noGidion Koren Isiphumo sokukhulelwa Ukulandela Ukusetyenziswa koMama kweNewerotonin Reuptake Inhibitors ekhethiweyo. "I- JAMA Feb 1998. Kufumaneke ngomhla we-17 Meyi 2008.
Ormond, Kelly, kunye ne-Eugene Pergament, "Ukuhlaziywa: iBenzodiazepines ekukhulelweni." I-Illinois Teratogen Information Service . Ufikelele ngomhla we-22 Meyi 2008.
IWard, uRandy K. noMark A. Zamorski, "Iinzuzo kunye neengozi zemithi yengqondo ngexesha lokukhulelwa - Iimpawu zokwelapha eziSebenzayo." Ugqirha wezeMpilo waseMerika 15 Agasti 2002. Kufumaneka ngomhla we-17 Meyi 2008.