Mimba ndi nthawi yokhala ndi mwana wanu, komanso chinthu chotsiriza chomwe mumachifuna ndi migraine. Koma, ngati ndinu wodwalayo, ndi mankhwala ati omwe adokotala angakupatseni pa nthawi ya mimba? Tiyeni tione bwinobwino.
Khungu pa Migraines mu Mimba
Migraines ndizofala kwambiri pamutu pa mimba. Kawirikawiri, migraines pa nthawi yoyembekezera imapezeka mobwerezabwereza ndipo ndi ochepa kwambiri kuposa omwe ali kunja kwa mimba-ngakhale izi zimawoneka mwa amayi omwe ali ndi migraine opanda aura kusiyana ndi amayi omwe amavutika ndi migraines ndi auras .
Si zachilendo kuti amayi apange migraines yatsopano pa nthawi ya mimba.
Musanayambe kupeza chithandizo chamagraine chonde, chonde onani kuti ngati mutu wanu mukakhala ndi pakati mutha kukumana ndi zotsatirazi, sizikuyenda bwino ndi njira zosavuta, kapena kutsatira ndondomeko yosiyana kuchokera kumutu wanu wamba, pitani kuchipatala nthawi yomweyo. Zizindikiro izi zingasonyeze chifukwa chachikulu cha mutu wanu.
- "Mutu woipitsitsa wa moyo wanga"
- Masomphenya a Blurry
- Zizindikiro za ubongo, monga kufooka kapena kusowa
- Kumutu ndi malungo
- Mutu wokhala ndi kuthamanga kwa magazi komanso / kapena kutupa kwa miyendo ndi mapazi (preeclampsia / eclampsia)
- Kumutu ndi kuuma kwa khosi
- Mutu ndi mphamvu
Information on Medication for (kapena ayi) Migraines mukutenga
Nazi njira zothandizira zamankhwala zothandizira migraines pa nthawi yomwe mayi ali ndi mimba zomwe dokotala angakulimbikitseni, makamaka kuchokera ku UptoDate-ntchito yogwiritsidwa ntchito kwambiri komanso yowonjezera umboni.
Chonde dziwani kuti zomwe zili m'munsizi sizitanthauza kukhala m'malo mwa malangizo a dokotala. Monga nthawi zonse, musamamwe mankhwala alionse popanda malangizo kwa dokotala wanu.
Tylenol (Acetaminophen) kawirikawiri amalimbikitsidwa kuti azipweteka mutu pamene ali ndi mimba. Ndi mankhwala a gulu B ndipo amawoneka otetezeka kwa mwanayo.
Ngati acetaminophen sagwira ntchito yokha, nthawi zina kuphatikizapo mankhwala osokoneza bongo wotchedwa Reglan (metoclopramide) ndi othandiza. Kuphatikizapo tylenol kumaphatikizapo tylenol-codeine, kapena caffeine-aspirin-butalbiltal (Fiorcet).
Chonde dziwani kuti ndi caffeine, American College of Obstetrics ndi Gynecology amalimbikitsa zosakwana 200mg za caffeine tsiku lililonse pamene ali ndi mimba.
Potsirizira pake, codeine iyenera kukhala yopanda malire mpaka masiku 9 pa mwezi ndi butalbital osapitirira masiku 4 mpaka 5 pamwezi popewera kumwa mankhwala mopweteka mutu.
Ma anti-inflammatories, kapena ma NSAID, monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve), ndi mankhwala achiwiri othandizira migraines mimba. Iwo ali otetezeka mu trimester yachiwiri. Pali umboni wochepa wosonyeza kuti NSAID ikhoza kugwirizanitsidwa ndi kuperewera kwa amayi ndi zina zolepheretsa kubereka m'miyezi itatu yoyamba. NSAID sayenera kugwiritsidwa ntchito mu trimester yachitatu.
Osiods-like oxycodone kapena morphine-ndi mankhwala achitatu a migraines mu mimba. Iwo sayenera kutengedwera kwa nthawi yaitali chifukwa cha chiopsezo cha chizoloŵezi ndi kukulitsa mankhwala osokoneza mutu komanso / kapena mutu wa mutu wa tsiku ndi tsiku . Palibenso chiopsezo chosiya kubereka mwana pamene mwana wanu wabadwa.
Pomaliza, ma opiods akhoza kuvulaza zizindikiro zina zomwe zimakhala ndi pakati, monga kunyoza ndi kudzimbidwa.
The triptan , sumatriptan, akuwerengedwanso kuti maphunziro a zinyama C omwe amatanthauza kuti ali ndi mimba amasonyeza zotsatira zovuta pa mwana wosabadwa koma palibe maphunziro okwanira kwa anthu, kotero chiopsezo sichinatulukidwe. Malingana ndi momwe zinthu zilili, sumatriptan ikhoza kuvomereza kwa amayi ena oyembekezera. Izi ziyenera kukambidwa mozama ndi dokotala wa munthu komanso mothandizidwa ndi katswiri wa zamaganizo kapena katswiri wa mutu.
Ergotamine ndi dihydroergotamine onsewa amatchulidwa ngati mimba X ndipo sayenera kugwiritsidwa ntchito panthawi yomwe ali ndi mimba kapena makamaka kwa amayi aliwonse amene akubala zaka omwe sakugwiritsa ntchito njira yoyenera yobereka.
Mawu ochokera
Kwa amayi ambiri, migraines amawongolera pamene ali ndi mimba. Koma ngati akukuvutitsani, musavutike. Lankhulani ndi dokotala wanu. Pali njira zambiri zosavuta, zowonongeka, komanso mankhwala ochepa (ngati akufunikira), zomwe zingakuthandizeni kudutsa nthawi ino.
Zotsatira
Digre, KB. Mutu pamimba. Clin Obstet Gynecol. 2013 Jun; 56 (2): 317-29.
Gilmore B, Magdalena M. Kuchiza kwa mutu wa mutu wa migraine. Am Phys Physician. 2011 Feb 1; 83 (3): 271-280.
Lee MJ, Guinn D, & Hickenbottom S. Kumutu kwa amayi omwe ali ndi pakati ndi omwe amatha kubereka. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2015.
MacGregor EA. Mutu m'mimba. Chipatala cha Neurol. 2012 Aug, 30 (3): 835-66
Nappi RE, Albani F, Masewera G, Terreno E, Brambilia E, & Polatti F. Kumutu kwa mimba panthawi yoyembekezera. Kupweteka kwa Mphuno Kumutu Mutu Rep. 2011 Aug; 15 (4): 289-94.