Kodi ndizotheka kutenga Zoloft panthawi yoyembekezera?

Nkhani Za Amayi Zokhudza Mankhwala Osokoneza bongo

Gawo lofunikira pokhala kholo loyembekezera ndikusunga mwana wanu kukhala wathanzi. Izi zimaphatikizapo kuphunzira kuti ndi mankhwala ati omwe ali oyenera kulandira panthawi yapakati - monga mankhwala opatsirana pogonana . Ndipo ngakhale mutatenga mankhwala opatsirana pogonana monga Sertraline (Zoloft) panthawi yoyembekezera si 100% yopanda chiopsezo, kupitilira pathupi ndi kutaya mtima kosathandizidwa kumatha kubweretsa zoopsa zambiri.

M'malo mwake, American College of Obstetricians ndi Gynecologists (ACOG) ikunena kuti kukhumudwa panthawi yapakati kumatha kukhala ndi zovuta kwa mayi wokhala ndi mwana. Izi zikuphatikizapo mavuto ndi kukula kwa mwana wosabadwayo,kubadwa msanga, kuchepa thupi, komanso zovuta pambuyo pobadwa.

Kusankha kupitiriza kumwa mankhwala opatsirana mukakhala ndi pakati ndichinthu chomwe muyenera kukambirana ndi omwe amakuthandizani. Nazi zofunikira zomwe muyenera kudziwa.

ZOKHUDZA: Kodi Zoloft ndi chiyani? | Pezani ma coupon a Zoloft

Kodi ndizotheka kutenga Zoloft panthawi yoyembekezera?

Zoloft ndi dzina la sertraline, lomwe limakhala m'gulu la mankhwala opatsirana pogonana omwe amatchedwa serotonin reuptake inhibitors (SSRIs). Mankhwalawa amagwira ntchito powonjezera kuchuluka kwa serotonin, neurotransmitter wachilengedwe, muubongo. SSRIs imagwiritsidwa ntchito kuthana ndi kukhumudwa, mantha amantha, kukakamira kuchita zinthu mopanikizika, kusokonezeka kwamalingaliro, komanso kupsinjika kwakanthawi koopsa.

Banja la SSRIs, makamaka Zoloft, limaonedwa kuti ndiimodzi mwazisankho zotetezeka kwambiri panthawi yapakati, akuti Chithunzi © Sherry Ross , MD, OB-GYN, ndi akatswiri azaumoyo azimayi ku Providence Saint John's Health Center ku Santa Monica, California.

Komabe, kwa amayi ena omwe adzakhale nawo, Dr. Ross akuti lingaliro loti apitilize SSRI panthawi yoyembekezera pamapeto pake lidzafika poti aone kuopsa kwake motsutsana ndi maubwino ake.

Ngakhale zovuta zoyipa kutenga SSRI uli ndi pakati nthawi zambiri zimakhala zochepa, Dr. Ross akuti pakhoza kukhala zovuta zina zomwe zingachitike kwa mwana ngati atamwa mankhwalawa mu trimester yomaliza. Izi zikuphatikiza jitters, kukwiya, kusadya bwino, kusinthasintha kwamaganizidwe, shuga wotsika magazi, kamvekedwe kachilendo, kusanza, khunyu, ndi kupuma mavuto m'mwezi woyamba wamoyo.

Malo Otsatira ndi Kupewa Matenda a U.S. kuphunzira adapeza kuti ngakhale chiwopsezo chowonjezeka cha zovuta zina zobadwa kuchokera ku ma SSRIs (paroxetine kapena fluoxetine), chiwopsezo chenicheni mwa ana obadwa ndi amayi omwe amamwa mankhwalawa ndi ochepa kwambiri. Iyi ndi nkhani yabwino kwa amayi omwe adzatenge sertraline popeza kafukufukuyu sanaone kulumikizana kulikonse pakati pa zolemala zobadwa ndi mankhwalawa.

Amayi ena amadzifunsa ngati kugwiritsa ntchito SSRI, monga Zoloft, kungapangitse kuti zikhale zovuta kutenga pakati kapena kuwonjezera chiopsezo chotenga padera akakhala ndi pakati. Ngakhale mankhwala amtundu uliwonse amabwera ndi zoopsa, pakadali pano palibe maphunziro omwe akuthetsa vuto la kusabereka.

Palinso zambiri zochepa paziwopsezo zotenga padera. Chimodzi kuphunzira adapeza kuti chiwopsezo chotenga padera chinali chofanana pakati pa azimayi omwe amapezeka ndi SSRIs ali ndi pakati komanso amayi omwe adasiya chithandizo cha SSRI asanatenge mimba.

ZOKHUDZA: Zotsatira za Zoloft

Kodi muyenera kusiya kumwa Zoloft mukazindikira kuti muli ndi pakati?

Ngati mukuganiza zobwera kuchokera ku Zoloft mukakhala ndi pakati, ndikofunikira kuti musasiye kuzitenga mwadzidzidzi. Ngati muli ndi Zoloft kwambiri ndipo mumayimitsa kotheratu, mutha kukhala ndi zovuta zoyipa ndikuchoka, akuti Julian Lagoy , MD, katswiri wazamisala ku Community Psychiatry, ku San Jose, California. Ndicho chifukwa chake samalimbikitsa kuti muime mwadzidzidzi osalankhula ndi omwe amakupatsani.

Ngakhale ndizotetezeka kwambiri osamwa mankhwala aliwonse oletsetsa kupanikizika ali ndi pakati, Dr.Lagoy akuti zitha kukhala zoyipa kwambiri kwa mayi ndi mwana kusiya mankhwala ngati Zoloft panthawi yoyembekezera chifukwa izi zitha kuchititsa kuti matenda azisintha. Poganizira izi, ndikofunikira kukambirana nkhaniyi ndi gulu lanu lazachipatala musanapange chisankho chokhudza mankhwala. Adzakuthandizani pazomwe mungachite kuti mukhale ndi pakati.

Kodi Zoloft ndi otetezeka kutenga nthawi ingati ali ndi pakati?

Malinga ndi Dr. Ross, mlingo woyenera komanso wovomerezeka wa Zoloft umayamba pa 25 mg mpaka 50 mg patsiku. Pofuna kukhumudwa pang'ono, Dr. Ross akuti mankhwala opitilira 200 mg amaonedwa kuti ndi abwino kugwiritsidwa ntchito panthawi yapakati.

Poyang'anira mankhwala opatsirana pogonana panthawi yapakati, Dr. Lagoy akuti akuyesetsa kupereka mlingo wocheperako momwe angathere. Popeza mahomoni ndi momwe amasinthira zimatha kusintha pakati pathupi komanso masitepe osiyanasiyana, zimatha kukhala zachizolowezi kusintha kwa dosing nthawi yonse yomwe ali ndi pakati (ngakhale sizofunikira kusintha mulingo uliwonse mu trimester iliyonse), a Dr. Lagoy akufotokoza. Mlingo otetezeka kwambiri ungaganizidwe kuti ndi wochepetsetsa kwambiri womwe ndi mankhwala othandiza.

Kodi Zoloft ndi otetezeka kutenga pamene akuyamwitsa?

Si zachilendo kukhala ndi mafunso komanso nkhawa zokhudzana ndi thanzi lanu komanso momwe zimakhudzira mwana wanu nthawi yobereka. Ndicho chifukwa chake amayi ambiri atsopano amadabwa ngati kutenga Zoloft ndi kuyamwitsa kumaonedwa ngati kotetezeka.

Nkhani yabwino ndiyakuti imaganiziridwa nthawi zambiri otetezeka kutenga Zoloft poyamwitsa . Mankhwala ochepa okha ndi omwe angadutse mkaka wa m'mawere, choncho kuopsa kwa khanda lanu kuli kochepa. Chifukwa chazidziwitso zochepa panthawi yoyamwitsa, zotsatira kuchokera ku kusanthula meta adamaliza kuti sertraline ndi mankhwala oyamba omwe amayamwitsa azimayi.

Ndi mankhwala ena otani opatsirana omwe ali bwino omwe angatenge nthawi yapakati komanso poyamwitsa?

Pali mitundu ingapo yothana ndi kupsinjika mtima yomwe ndiyabwino kugwiritsa ntchito panthawi yapakati, koma Dr.Lagoy akuti sertraline ili ndi chidziwitso chabwino kwambiri chokhudza chitetezo pathupi.

Kuphatikiza pa Zoloft, mankhwala ena opatsirana opatsirana omwe amaperekedwa panthawi yoyembekezera komanso pambuyo pobereka akuphatikizapo SSRIs Celexa (citalopram), Lexapro (kupuma), Paxil (paroxetine) ndi Prozac (fluoxetine). Dokotala wanu amathanso kulankhula nanu za serotonin-norepinephrine reuptake inhibitors (SNRIs) ngati Cymbalta (duloxetine) ndi Kuchita (venlafaxine).

Nthawi zonse muyenera kukambirana za kuwopsa ndi zopindulitsa ndi omwe amakupatsani chithandizo chokhudza mankhwala aliwonse omwe ali ndi pakati kapena panthawi yobereka.