Ganizirani za chitetezo cha mankhwala pa zovuta za usinkhu
Ngati muli ndi vuto la kugona pa nthawi ya mimba, mungafunike kuphunzira za chithandizo cha mankhwala. Zinthu zina monga kusowa tulo ndi matenda osapumitsa miyendo (RLS) zingachitike mobwerezabwereza pa nthawi ya mimba. Matenda ena ogona monga matenda osokoneza bongo ndi makhalidwe ogona omwe amadziwika kuti parasomnias angapitirize kupyolera mimba ndipo amafuna chithandizo. Ndikofunika kumvetsetsa momwe kugwiritsa ntchito mankhwala moyenera pa nthawi ya mimba kumatsimikiziridwa.
Kenaka, mungaganizire zomwe dokotala angakhale nazo kuti athetse vuto lanu ndikuthandizani kugona bwino. Dziwani kuti ndi mankhwala ati omwe angagwiritsidwe ntchito kuti athetse vuto la kugona mimba.
Sungani Chidziwitso cha Mankhwala
Chisankho choyamba chothetsera matenda ogona m'kati mwa mayi ndikumagwiritsa ntchito kusintha kwa moyo kuti zithandize kuthetsa vutoli ndi kupewa mankhwala onse. Kwa iwo omwe akudwala matenda ogona, chithandizo chodziŵika ndi chidziwitso cha khalidwe la kusowa tulo (CBTi) chingakhale chogwira ntchito. Ngakhale mu RLS, kusintha kwakukulu kungayambitse kupuma popanda kugwiritsa ntchito mankhwala.
Muzovuta, mankhwala ena ayenera kugwiritsidwa ntchito mosamala. Chodetsa nkhaŵa ndi chakuti mankhwala ambiri sanayesedwe ndi amayi ambiri. Palibe amene akufuna kupanga chilema chobadwa. Mankhwala osokoneza bongo omwe amatero amatchedwa teratogenic (literally translated "monster forming"). Choncho, maphunziro ambiri samapezeka mwa amayi omwe ali ndi pakati chifukwa ngakhale chiopsezo chochepa sichiri chovomerezeka.
Komabe, zochitika ndi maphunziro pa zinyama zatipatsa malangizo pa mankhwala otetezeka mu mimba.
Zotsatira zotsatirazi za zotsatira za mankhwala panthawi yomwe ali ndi pakati zimagwiritsidwa ntchito:
- Gulu B : Maphunziro a zinyama sanawonetseke kuti ali ndi chiopsezo cha mwana koma palibe maphunziro ophunzitsidwa kwa amayi apakati omwe alipo, kapena maphunziro a zinyama asonyeza zotsatira zovuta za mwana zomwe sizimatsimikiziridwa mu maphunziro olamuliridwa mwa amayi m'zaka zitatu zoyambirira. Palibe umboni mu trimesters yotsatira.
- Gawo C : Kafukufuku wa zinyama asonyeza zochitika zovuta za mwana wamwamuna, koma palibe maphunziro ophunzitsidwa mwa amayi apakati alipo, kapena maphunziro mwa anthu ndi zinyama sapezeka; motero, mankhwala amaperekedwa ngati phindu lopambana likhoza kupambana pangozi.
- Gawo D : Kuopsa kwa mwana wakhanda kulipo, koma phindu likhoza kupitirira pangozi ngati matenda ali oopsa kapena oopsa alipo.
- Gulu X : Kuphunzira pa zinyama kapena anthu kumasonyeza kusabereka kwa mwana; mankhwalawa amatsutsana ndi amayi apakati.
Choncho, mankhwala amawoneka kuti ndi otetezeka pamene kufufuza kwina kumathandizira chitetezo mwa anthu kulipo. Komabe, chiopsezo cha munthu payekha kugwiritsa ntchito mankhwala alionse chingapangitse zotsatira zosavomerezeka.
Mankhwala Amagwiritsira Ntchito Matenda a Kugona
Pogwiritsira ntchito ndondomeko zomwe tazitchula pamwambapa, mankhwala ochiritsira matenda ambiri ogona pa nthawi ya mimba akhoza kugawidwa. Zinthu izi zikuphatikizapo kugona, RLS, matenda osokoneza bongo, ndi parasomnias. Kupewa kwa mankhwala kumachepa pamene mukuchoka ku Gawo B kupita ku C C kupita ku Category D ndipo potsiriza, ku Gawo X. Taganizirani za mankhwala ogona omwe alipo panthawi yomwe ali ndi pakati pazifukwa izi:
Kusagona
Gulu B
Zochitika ndi Zosokoneza (Benzodiazepines): Wopusa , Diphenhydramine
Gawo C
Zochitika ndi Zosokoneza (Benzodiazepines): Zaleplon
Anticonvulsants: Gabapentin
Osauka Maganizo ndi Opanikizika: Amitriptyline, Doxepin, Trazodone
Gawo D
Zomwe Zimadziwika ndi Zosokoneza Bongo (Benzodiazepines): Alcohol , Alprazolam, Diazepam, Lorazepam, Midazolam, Secobarbital
Gulu X
Zomwe Zimagwiritsidwa Ntchito Ndiponso Zosokoneza Bongo (Benzodiazepines): Mowa (ngati amagwiritsidwa ntchito nthawi yambiri kapena nthawi yaitali), Estazolam, Flurazepam, Quazepam, Temazepam, Triazolam
Matenda Osalimba Opanda Matenda kapena Matenda a Willis-Ekbom
Gulu B
Agulu la Antiparkinsonian (Dopaminergics): Bromocriptine, Cabergoline
Mankhwala Osokoneza Bongo Agonist Analgesics (Opioids) (onani D): Meperidine, Oxymorphone, Methadone, Oxycodone
Gawo C
Central Analgesics: Clonidine
Anticonvulsants: Gabapentin, Lamotrigine
Agulu la Antiparkinsonian (Dopaminergics): Carbidopa, Levodopa, Pramipexole , Ropinirole
Mankhwala Osokoneza Bongo Agonist Analgesics (Opioids) (onani D): Codeine, Morphine, Propoxyphene, Hydrocodone Opatsirana Maganizo ndi Opanikizika: Amitriptyline, Doxepin, Trazodone
Gawo D
Anticonvulsants: Clonazepam, Carbamazepine
Mankhwala Osokoneza Bongo Agonist Analgesics (Opioids) (ngati amagwiritsidwa ntchito nthawi yayitali kapena pa mlingo waukulu): Meperidine, Oxymorphone, Methadone, Oxycodone, Codeine, Morphine, Propoxyphene, Hydrocodone
Gulu X
Zomwe Zimadziwika ndi Zosokoneza (Benzodiazepines): Estazolam, Flurazepam, Quazepam, Temazepam, Triazolam
Kusagwedezeka
Gulu B
Zolimbikitsa: Caffeine, Permoline
Kugonjetsa ndi Kupsinjika Maganizo: Kutentha kwa Sodium (Xyrem)
Gawo C
Matenda Opatsirana Maganizo ndi Osautsa Mtima: Fluoxetine, Paroxetine, Protriptyline, Venlafaxine
Zolimbikitsa: Dextroamphetamine, Mazindol, Methamphetamine, Methylphenidate, Modafinil
Gawo D
Palibe
Gulu X
Palibe
Parasomnias (Zochita Zogona)
Gulu B
Palibe
Gawo C
Odala ndi Opatsirana Maganizo: Imipramine, Paroxetine, Sertraline, Trazodone
Gawo D
Zotsalira ndi Zosokoneza (Benzodiazepines): Diazepam
Anticonvulsants: Clonazepam, Carbamazepine
Gulu X
Palibe
Mmene Mungasankhire Mankhwala
Pambuyo pokambirana mndandanda wa mankhwala omwe angapangidwe kuti mukhale ndi vuto la kugona pa nthawi ya mimba, muyenera kukambirana bwino ndi dokotala wanu. Mudzafuna kuganizira kuopsa kwa zizindikiro zanu. Kodi mukufunikira chithandizo chamankhwala kapena chikhalidwe chidzatha paokha? Ngati n'kotheka, muyenera kuyamba kuyesa mankhwala osamalidwa ndi mankhwala kuphatikizapo kusintha kwa moyo. Ngati mungathetse vutoli, musinthe zakudya zanu, kapena mukhale ndi moyo wabwino ndi kuchita masewero olimbitsa thupi, mwina simungaganizire mankhwala omwe angakhale oopsa.
Ngati mutasankha kumwa mankhwala pa nthawi ya mimba, kambiranani za mavuto omwe mungakumane nawo ndi dokotala komanso wamankhwala kuti mudziwe bwino zotsatira zake. Mukhoza kukhala woyang'anira bwino, inu nokha ndi mwana wanu wosabadwa.
Chitsime:
Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." ExpertConsult , edition lachisanu, 2011, p. 1581.