Yintoni ekufuneka uyigweme kunye nento oyenzayo ngexesha leeveki ezimbini
Ngaba ibuprofen ingabangela ukungabikho komntwana? Ngaba isiraphu yokukhwehlela ingakunceda ukhulelwe? Ngaba kukho iyeza-o-counter (i-OTC) onokuthi ungayithathi ngexesha leveki ezimbini ulinde ? Le mibuzo iyimfuneko abantu abanayo malunga neziyobisi ezingekho mthethweni kwaye bazama ukukhulelwa.
Mhlawumbi uyazi ukuba kufuneka uqaphele malunga naluphi unyango oluthathayo xa ukhulelwe .
Kodwa ulwazi alucaci njengokuba uzama .
Njengamaxesha onke, xela ugqirha wakho malunga naluphi na uxhalabisayo onalo malunga nokubhaliweyo kunye nokungagunyazisiyo. Gcina ukhumbule ukuba amadoda namabhinqa kufuneka baxoxe ngamachiza abo kunye nendlela abanokuchaphazela ngayo ukuzala kunye nomboneleli wabo wezempilo.
Ngaloo nto yathi, nantsi isikhokelo kwi-OTC iziyobisi kunye nokuzala.
Ngaba i-Ibuprofen okanye i-NSAID ingabangela iingxaki zokuvuthwa?
Ibuprofen yi-NSAID okanye i-non-steroidal anti-inflammatory drug, kwaye yintlungu eyaziwayo. Kubafazi abafumana ixesha elincinci , i-NSAID ingaba ngumsindisi. Ngelishwa, banokuphazamisa ukuvuthwa . Eli klasi lamachiza liphela yilisi-mveliso yezobisi esenza uphando ngokuxhasa umphumo ongeyiphumo ekuzaleni.
"Andiqondi ubungqina obucacileyo bokuthi nayiphi na iyeza ze-OTC kuncitshisa okanye kuphucula amathuba okukhulelwa," kuchaza uDkt. Kevin Doody, ozala i-endocrinologist yokubeletha e-Dallas, eTexas.
"Ukungafani nalokhu kukuba siyazi ukuba izidakamizwa zeeklassi ze-NSAID zingaphazamisa ukuphulwa kobuqili kunye nokukhululwa kweqanda. I-Indomethacin [i-prescription NSAID] ngokukodwa iboniswe ukuba ibangele i-LUFS (i-folkle syndrome engapheliyo). "I-LUFS xa iqela likhula kodwa lingazikhutshi kwi-follicle kwi-ovulation.
Kutheni oku? Ukuvuthwa kubandakanya ulandelelwano kwii-ovari ezivulekileyo kwaye zikhulule iqanda. Le yenzo eyenziwa ngumzimba womzimba. Ngamanye amagama, ngelixa sicinga ngokuvuvukala njengento "embi," kulo mzekelo, ukuvuvukala kubonakala kuyadingeka kwimpilo ephilileyo, evamile. I-NSAID igxotha ukuvuvukala, nokuba "ukulungela" ukuvuvukala.
Kodwa ngaphambi kokuba ulahle yonke ibuprofen yakho, okanye ubeka isohlwayo ngenxa yokungasebenzi kwakho kwangoku, qaphela ukuba umthamo wesinye isikhathi awunakwenzeka ukuba wenze impembelelo enkulu.
Yintoni Uphando lwe-NSAID kunye ne-Ovulation?
Umlingo we-crossover ongenangqondo wawuneentombi ezili-12 zithatha i-800 mg ye-ibuprofen kathathu ngosuku, iintsuku ezili-10. Bathi bathatha intlungu ekuxhaseni kwinqanaba lokuqala lojikelezo lwabo, okanye isigaba sokulandelelana ngaphambi kokuba i-ovulation ivele. Abaphengululi bafumene ukuba i-ovulation yayilibazisekile kakhulu kubasetyhini abathabatha ii-NSAID.
Nangona kunjalo, le nto yayiyincwadana encinane, kunye nabafazi abalishumi elinesibini. Baye bathatha amanyathelo aphezulu eziyobisi, ngaphezu kweentsuku eziliqela. Oku akubonakali ukusetyenziswa okuqhelekileyo.
Uphando olukhulu lubhekiselele ukuba ngaba ii-NSAID zinokukunceda ukukhusela i-ovulation ngaphambi kwexesha le-IVF . (Ukuba i-ovulation ivele ngaphambi kokuba amaqanda atholakale, umjikelezo kufuneka ukhanselwe.) Olu pho nonongo lwe-N800 luye lwafumanisa ukuba izidakamizwa ze-NSAID zinokukunceda ukukhusela i-ovulation.
Kule meko, ii-NSAID zazinceda. Baye banceda ukukhusela i- IVF umjikelezo wokukhansela . Kodwa iziphumo zibonisa nokuba kungenzeka ukuba i-NSAID ikwazi ukulibazisa i-ovulation, mhlawumbi xa ingenakuncedo .
Akunabo bonke uphando lubonisa ii-NSAID ezimbi ukuvuthwa. Kuphononongo olusisigxina, abaphandi baqokelela idatha yabasetyhini basebenzisa iintlobo ezahlukeneyo zosizi njengoko zidla njalo kunye nokuba zinokuchaphazela njani i-hormone yokuzalana nokukhupha.
Abafazi abangama-175, malunga neepesenti ezingama-70 bathi bathe baxhaphaza ubuhlungu obukhulu. Ibuprofen yayiyipilisi eyaziwayo kakhulu, kwi-45 pesenti yexesha, elandelwa yi-acetaminophen, i-aspirin kunye ne-naproxen.
Abasetyhini abavakalisa ukuba basebenzise nayiphina imithi yokunceda intlungu ngethuba lesibini lokuqala lomjikelezo wabo babengenakukwazi ukufumana umjikelezo onqabileyo. Ngamanye amazwi, kungekhona nje ukuba imilenze yelihlungu ayilangazekanga ukungabikho kwempilo-ibonakala ibandakanyeka engozini encinane yeengxaki zobuncwane . Kule meko, isiyobisi se-OTD sinokuncedisa ukuvelisa.
Ngoko, ucinga ntoni? Ibuprofen okanye i-NSAID ngezinye iimeko akunakwenzeka ukuba kubangele iingxaki zokuzala, kodwa mhlawumbi kungcono ukuyiphepha, xa kunokwenzeka.
Ngaba i-Ibuprofen Ingxaki Yobuncwane Bamadoda?
Ii-NSAID zingenakuba yingxaki kuphela kubafazi. Zingakho nokuba zibangele iingxaki zesintu zokuzala .
Kwilingo elincinci lonyango, amadoda angama-31 aboniswe kwixesha elide eliphezulu, i-ibuprofen. Le nto yayijoliswe ekuphenduleni indlela abagijimi besilisa abanokuthatha ngayo iyeza. Uphononongo lwadlula iiveki ezintandathu kwaye lubandakanye ukuthatha 600 mg ye-ibuprofen, kabini imihla ngemihla.
Emva kweentsuku ezili-14 ze-ibuprofen zisebenzisa, amanye amadoda athatha ibuprofen athuthukise isimo sonyanzeliso se-hypogonadism. Kulo xesha umlinganiselo we testosterone kwiHH hormone ayiqhelekanga. Oku kunokubangela ukuba uhla lwesininzi sembewu.
Esi sifundo, kodwa, asizange senze uvavanyo lokubala kwesilisa . Ngoko, ngaba amadoda azama ukukhulelwa kunye namaqabane abo athatha ibuprofen?
"Ndicinga ukuba ukuthatha i-Advil ngethuba elihle," utsho urologist kunye neengcali zenzalo yezobugcisa uJames M. Hotaling Associate Medicine Associates yaseNew Jersey. "Impembelelo yabonakala kuphela emva kokutyhila ixesha elide. Kufuneka umsebenzi olungakumbi ngaphambi kokuba senze izigqibo eziqinileyo. "
Ingakanani ibuprofen kakhulu? "Ndicinga ukuba kufuneka babe nexhalaba xa bethatha amazinga aphezulu e-ibuprofen okanye eTylenol ixesha elide, ngaphezu kweeveki ezimbini." Sekunjalo, akuyiyo yonke intlungu eyanqumlayo inkunkuma, ikakhulukazi imichiza yemithi. "Amadoda akufanele athathe ama-narcotics ngelixa ezama ukukhulelwa njengoko oku kunokutshintsha i-hormone ye-axis yindoda kwaye kubangele iingxaki nge-sperm," kusho u-Hotaling.
Ngaba Ingonyango Yobuncwane Ilungile okanye Ayimbi Ukuze Inzalo?
Ukuba uchithe naliphi na ixesha kwiifom zenzalo okanye kumaqela omculo woluntu, uvile ukuba i-expectorant guaifenesin inokukunceda ukuzala kwakho. Ngokukodwa, abantu bathi ukuphucula ikhwalithi ye- mucus yomlomo .
Kukho ubungqina obuncinane, nangona kunjalo, ukuba oku kuyinyaniso. "Ingcamango yokuba i-guaifenesin inokukhuthaza ukuvelisa ngokuveliswa kwemveliso ye-mucus yomlomo isele ijikeleze iminyaka emashumi," kuchaza iDoody. "Andizi ukuba kukho na ubungqina bokuba oku kunjalo. Andizi naziphi na iingcali zenzalo ezicebisayo. "
Kukho enye imichiza yokukhwehlela omele uyiqonde malunga: dextromethorphan. Lo ngowokufuneka uhlale kude xa uzama ukukhulelwa. I-Dextromethorphan yinkompo yokukhupha kwaye ifunyenwe kwiimithi ezibandayo ezibandayo. Eli nyanga alinconywa ngexesha lokukhulelwa kwaye lubhalwe yi-FDA njengeCandelo C lokukhulelwa komngcipheko weziyobisi. Oko kuthetha ukuthini ukuba izifundo zezilwanyana ziye zafumana ingozi kwi-fetus, kwaye ngelixa oko akuthethi ukuba kuya kuba nefuthe elibi kwiintsana zabantu, ukukhuseleka, kukulungele ukukhutshwa ngexesha lokukhulelwa.
I-Antihistamines kunye ne-Allergy: Ingaba Inokubangela Ingxaki?
Enye into oyibonayo kwiifom zenzalo yiphakamiso yokuphepha imishanguzo yokunyanga, i-antihistamines ngokukhethekileyo. Oku kungenxa yokuba iidamamine zaziwa ngokuba nenxaxheba ethile kwisibeleko. Akukho mntu uyazi ukuba iimbali ze-histamines zibalulekile ukukhulelwa, kodwa inkxalabo kukuba i-antihistamine inokuphazamisa ukufakelwa kombungu.
Oko kwathiwa, akukho nangobu bungqina bokuba ama-antihistamines anciphisa ukuzala. Oko akuthethi ukuba abaphazamisi ukuzala. Kuphela ukuba akukho uphando olwenziwe ngenye indlela.
Enye inkxalabo kukuba imithi eninzi yokuphuza imithi iyomisa i-mucus (ukumisa impumlo yakho). Oku kuthetha ukuba kunokukhokelela kumgangatho omncinci wokuvuthwa komlomo wesibeleko. Ubuncinane, yiloo nto abantu bathethayo. Kwakhona, akukho bungqina obunzima bokuthi imishanguzo yokuphuza imithi iphazamise ukukwazi kwakho ukukhulelwa.
Ukuze ube kwicala elikhuselekileyo, ugweme unyango lwezonyango xa uzama ukukhulelwa, kwaye ngokukodwa ngexesha lokunyanga, mhlawumbi ubulumko. Kodwa kungenokuba kuyimfuneko. Thetha ugqirha wakho malunga nento efanelekileyo kuwe.
I-OTC izidakamizwa kunye neeveki ezimbini zimele: Yintoni okufanele uyenze?
Funda iilebuli ezilumkiso malunga neyeza zonke izilwanyana, kwaye iya kuthetha into efana nale nto, "Ukuba ukhulelwe okanye uncelise, xela ugqirha wakho." Le nxalenye ingumthetho wezomthetho (bafuna ukuphepha ukugwetywa) , kodwa nangenxa yokuba asazi ngokuqinisekileyo ukuba yintoni impembelelo yawo onke amayeza aya kuba ngumntwana.
"Imithi yinto engazange ibe khona kwimeko ngexesha lokuziphendukela kwemvelo," kuchaza iDoody. "Akunakwenzeka ukuba naluphi na unyango luya kuba luncedo oluqondile kumntwana njengoko lukhula. Ngakolunye uhlangothi, iimlekyuli eziwela i-placenta kwiziphumo ezinokubangela ukuba zibe nefuthe elingalindelekanga. "
"Kuyinyaniso ukuba ezi zixhobo eziqhelekileyo ezisetyenziswayo nge-OTC akunakwenzeka ukuba zibe nempembelelo ebonakalayo ngokukhawuleza (umz. Ukukhubazeka okukhulu)," I-Doody iyaqhubeka. "Akunakwenzeka ukufundela ngokwaneleyo iimpembelelo ezifihlakeleyo ezi zinto zingabangela. Umzekelo wale nto ingqubuzana ejikeleza ngoku ukusetyenziswa kweTylenol ngexesha lokukhulelwa. Ukulibaziseka kokuthetha kuyinto efihlakeleyo. Inkunkuma ye-NSAID ifana nayo ichaphazela ama-testic of fetus fetus. "
Oku kusebenza njani ngeli veki ezimbini? Ngokusemthethweni, emva kokuvuthwa, xa iqanda litsalwa, usuve ngeveki ezintathu okanye ezine zokukhulelwa kwakho. Ngaba ufanele wenze njengokuthi ukhulelwe ngeliveki ezimbini? UDkt Doody uthi yebo. "Umbungu usenokuba usengozini ngeli xesha."
Konke okuthethileyo, nguwe kuphela ugqirha wakho unokugqiba ukuba ngaba ingozi ekhoyo yonyango ethile ingaphezu kweenzuzo zayo. Ukuba ngoku uthabatha iyeza, ingakumbi isicatshulwa semithi, musa ukuyithatha ngaphandle kokuthetha nodokotela wakho kuqala. Kungaba yingozi ukunqumla imithi ngokukhawuleza, kwaye kungcono kuwe (kunye nosana lwakho) ukuba uqhubeke-nokuba uzama ukukhulelwa okanye ukhulelwe.
> Imithombo:
> Doody, uKevin J. MD. Isiko soNxibelelwano oluNcedisiweyo NgoFebruwari 25, 2018.
> Ukutshisa, uJames M. MD, MS, FECSM. I-Associate Medicine Associates yaseNew Jersey (i-RMANJ.) Ingxoxo ye-imeyile. NgoFebruwari 20, 2018.
> Kawachiya S1, Matsumoto T, Bodri D, Kato K, Takehara Y, Kato O. "Ixesha elifutshane, i-dose ephantsi, i-non-steroidal anti-inflammatory drug application iyanciphisa i-ovulation engaphambi kokujikeleza kwe-IVF." I-Reprod Biomed Online. 2012 Mar; 24 (3): 308-13.
> Kristensen DM1,2, Desdoits-Lethimonier C2, Mackey AL3,4, Dalgaard MD5, De Masi F5, Munkbøl CH6, Styrishave B6, Antignac JP7, Le Bizec B7, Platel C8, Hay-Schmidt A9, Jensen TK10, Lesné L2, Mazaud-Guittot S2, Kristiansen K11,12, Brunak S13, Kjaer M3,4, uJuul A9, Jégou B14. "Ibuprofen ishintsha i-physiological testicular to produce a state of hypogonadism. "Proc Natl Acad Sci US A. 2018 Jan 23; 115 (4) >: E715-E724.
> Matyas RA1, Mumford SL1, Schliep KC1, Ahrens KA1, Sjaarda LA1, Perkins NJ1, Filiberto AC1, Mattison D2, Zarek SM3, Wactawski-Wende J4, Schisterman EF5. "Iimpembelelo zokusetyenziswa kwee-analgesic kwi-hormone yokuzala kunye ne-ovulation kubasetyhini abasemgangathweni, abafazi be-premenopausal. "Uhlambalaza. 2015 Jul; 30 (7): 1714-23.