Ndi mankhwala ati omwe ali otetezeka kumwa panthawi yapakati?

Nkhani Za Amayi Zokhudza Mankhwala Osokoneza bongo

Kuyambira pomwe mumalandira nkhani yosangalatsa-kuti ndinu kholo loyembekezera-choyambirira chanu ndichomwe zikuchitira mwana wanu zabwino. Mbali yofunikira yosungitsa mwana wokula wathanzi nthawi yapakati ndikuphunzira mankhwala omwe ali oyenera kumwa.

Zolepheretsa kubadwa zimachitika pakati pa 3 mpaka 5 mwa 100 aliwonse apakati. Izi zimatchedwa zakumbuyo. Mankhwala omwe amaonedwa kuti ndi otetezeka panthawi yapakati ndi omwe sakhulupirira kuti amachulukitsa chiwopsezo cha kubadwa.

Ndikofunika kuzindikira: Simuyenera kutenga zilizonse mankhwala (ngakhale amodzi omwe atchulidwa pansipa ngati otetezeka) popanda kufunsa dokotala kapena wazamankhwala. Zaumoyo wa aliyense ndizosiyana. Ngati muli ndi zina mwazomwe zili pansipa mukakhala ndi pakati, kapena pamene mukuyesera kutenga pakati, katswiri wazachipatala adzalangiza njira yabwino yochizira pazochitika zanu.

Kodi ndimankhwala otani ochepetsera kunyowa omwe ali otetezeka panthawi yapakati?

Mankhwala otetezedwa ndi nseru pa nthawi yapakati ndi omwe amapatsidwa mankhwala a Zofran (ondansetron) komanso owonjezera owonjezera pa vitamini B6-mwa ena.

Mankhwala oteteza ku nseru

Diclegis (doxylamine succinate-pyridoxine hydrochloride): Kafukufuku wazovuta zakubadwa pakati pa amayi apakati sanapeze chilichonse chosonyeza kuti kumwa Diclegis kumawonjezera ngozi yakubala. [ Amayi Kwa Khanda ]

Zofran (ondansetron): Kafukufuku wa 2018 adapeza kuti amayi apakati omwe adalamulidwa Zofran kuti azichiza matenda am'mawa sanasonyeze mwayi wokhala ndi mwana wobadwa wolumala. [ Malo Otetezera Matenda ]

Mankhwala otetezedwa osagwiritsa ntchito nseru

Vitamini B6 ndi Unisom: Kuphatikiza kwa mavitamini B6 (pyridoxine) osagwiritsa ntchito poizoni komanso thandizo la ogona ku Unisom (doxylamine) nthawi zina kumachepetsa nseru mwa amayi apakati. [ Osakwatira ]

Mankhwala oletsa kunyansidwa kuti mupewe

Pepto-Bismol, Kaopectate, ndi mankhwala ena omwe ali ndi bismuth subsalicylate: Ma salicylates amatha kuyambitsa vuto la mtima pakupanga fetus. Palibe kafukufuku amene wasonyeza kuti ali otetezeka kutenga nthawi yapakati. [ Mankhwala osokoneza bongo.com ]

Ndi mankhwala ati opweteka omwe amakhala otetezeka panthawi yapakati?

Mankhwala otetezeka kwambiri pamimba ndi acetaminophen, omwe amagulitsidwa ngati Tylenol (pakati pa mayina ena). Acetaminophen ingathenso kuperekedwa ndi dokotala wanu.

Komabe, Kafukufuku waposachedwa awonetsa kuti kugwiritsa ntchito acetaminophen kumatha kulumikizidwa ndi zovuta zina zobadwa . Lankhulani ndi dokotala wanu kuti akuwone kuopsa ndi phindu lakumwa mankhwala opweteka.

Mankhwala opweteka a mankhwala

Acetaminophen: Ngati mukumva zowawa panthawi yapakati, dokotala wanu angakulimbikitseni acetaminophen.

Mankhwala otetezera opweteketsa

Tylenol: Madokotala amati nthawi zambiri zimakhala bwino kutenga Tylenol yomwe imakhala ndi mankhwala opangira acetaminophen. Gwiritsani ntchito mlingo woyenera kwambiri kwa kanthawi kochepa, ndipo samalani pophatikiza Tylenol ndi mankhwala ozizira omwe amathanso kukhala ndi acetaminophen. [ Kaiser Permanente ]

Mankhwala opweteka omwe muyenera kupewa

Ma NSAID kuphatikiza aspirin ndi ibuprofen: Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) ndi gulu lomwe limaphatikizapo aspirin ndi ibuprofen. Kafukufuku akuwonetsa kuti azimayi omwe amamwa mankhwalawa amatha kubereka ana omwe ali ndi vuto la mtima. [ CDC ]

Mankhwala opioid opweteka monga codeine, oxycodone, hydrocodone, ndi morphine: Kutenga mankhwalawa kumalumikizidwa ndi zovuta zakubadwa zomwe zimakhudza ubongo, mtima, matumbo, komanso zizindikiritso za ana obadwa kumene. [ CDC ]

Kodi ndi mankhwala otani omwe amakhala otetezeka panthawi yapakati?

Pomwe alipo kuthekera kochepa kwa zolepheretsa kubadwa komwe kumakhudzana ndi kugwiritsa ntchito SSRIs , azachipatala amawona ma SSRIs otetezeka panthawi yapakati. Ma SSRI ena, monga paroxetine, atha kukhala pachiwopsezo chachikulu kuposa ena. Monga nthawi zonse, odwala amafunika kukaonana ndi dokotala kuti awonetsetse kuti mankhwala awo a SSRI ndi otetezeka.

Mankhwala nkhawa zomwe muyenera kupewa

Paxil (paroxetine hydrochloride): Kafukufuku akuwonetsa chiopsezo chowonjezeka cha kubadwa kwa mtima kwa ana akhanda omwe ali ndi vutoli panthawi yoyamba ya mimba. [ FDA ]

Kodi ndi mankhwala otani kapena zothandizira kugona zomwe zili zotetezeka panthawi yapakati?

Pakati pa mankhwalawa, antihistamine Benadryl (diphenhydramine) amadziwika kuti ndiwowopsa kwa amayi apakati komanso makanda omwe akukula.

Palibe njira iliyonse yotetezedwa kwathunthu. Ambien (zolpidem tartrate) nthawi zina amaperekedwa panthawi yapakati, chifukwa sichimagwirizana kwenikweni ndi zolepheretsa kubadwa. Komabe, alipo chiopsezo chokhudzana ndi kugwiritsa ntchito Ambien m'gawo lachitatu la mimba .

Mankhwala ogwiritsira ntchito mosavutikira ndi zothandizira kugona

Benadryl (diphenhydramine): Benadryl ndi antihistamine yomwe imayambitsa kugona. Kafukufuku waposachedwa akuwonetsa kuti ma antihistamine samalumikizidwa ndi zoopsa zazikulu kwa amayi kapena makanda awo. [ CDC ]

Mankhwala omwe amalembedwa nthawi zina ali ndi pakati

Zambiri (zolpidem tartrate): Kafukufuku sanawonetse mgwirizano pakati pa kugwiritsidwa ntchito kwa Ambien ndi zovuta zazikulu zobadwa. Komabe, kugwiritsidwa ntchito mu trimester yachitatu ya mimba kwakhala kukukumana ndi mavuto a kupuma mwa akhanda. [ FDA ]

Zoyeserera ndi zothandizira kugona kuti mupewe

Xanax (alprazolam): Kutenga Xanax panthawi yoyembekezera kumatha kubweretsa zovuta za fetus kuphatikiza zovuta za kupuma komanso zizindikiritso zakubadwa pambuyo pobadwa. [ FDA ]

Valium (diazepam): Valium imalumikizidwa ndi zolepheretsa kubadwa komanso zovuta zina. [ FDA ]

Kodi ndimankhwala ati amtundu wa magazi omwe ndi otetezeka panthawi yapakati?

Mankhwala otetezedwa ndi magazi atakhala ndi pakati amaphatikizapo mankhwala omwe amapezeka ngati beta blockers, calcium channel blockers, ndi diuretics.

Mankhwala otetezedwa ndi kuthamanga kwa magazi

Oletsa Beta monga Lopressor ndi Toprol-XL (metoprolol), Corgard (nadolol) ndi Tenormin (atenolol): Kafukufuku waposachedwa adatsimikiza kuti chiwopsezo cha kubadwa koyambirira kwa trimester kokhudzana ndi beta blockers. Komabe, pakhoza kukhala zowopsa zathanzi pakubereka, onetsetsani kuti madotolo anu akudziwa ngati mukumwa mankhwalawa. [ American College of Cardiology ]

Oletsa ma calcium kuphatikiza Norvasc (amlodipine), Cardizem, Tiazac, ndi ena (diltiazem), Adalat CC ndi Procardia (nifedipine) ndi Verelan ndi Calan (verapamil): Kafukufuku wambiri samawonetsa kulumikizana pakati pa kugwiritsidwa ntchito kwa CCB ndi zovuta zazikulu zobadwa. [ Wachipatala waku Canada ]

Ma diuretics monga Diuril (chlorothiazide), Bumex (bumetanide) ndi Midamor (amiloride): Kafukufuku akuwonetsa kuti palibe chiwopsezo chowonjezeka cha zolephereka kubadwa pakati pa amayi omwe amatenga okodzetsa. [ Wachipatala waku Canada ]

Mankhwala otetezedwa a kuthamanga kwa magazi

Palibe mankhwala ovomerezeka a FDA omwe amagwiritsidwa ntchito pothandizira kuti athetse kuthamanga kwa magazi kwa amayi apakati.

Mankhwala a magazi omwe mungapewe

ACE inhibitors kuphatikiza Vasotec ndi Epaned (enalapril), Prinivil, Zestril, ndi Qbrelis (lisinopril), ndi Altace (ramipril): Awonetsedwa kuti amayambitsa zolakwika m'mitunda itatu yonse yapakati. [ American Mtima Association ]

Angiotensin II receptor blockers (ARBs) kuphatikiza Diovan (valsartan) ndi Cozaar (losartan): Ma ARB awonetsedwa kuti amachulukitsa chiopsezo cha impso za fetus kapena kupita padera. [ Obstetrics ndi Gynecology International ]

Renin inhibitors kuphatikiza Tekturna (aliskiren): Renin inhibitors amalumikizidwa ndi zovuta zazikulu, zobadwa zobadwa. Azimayi omwe amatenga mankhwala oteteza ku matenda a renin ayenera kupewa kutenga mimba. [ Kaiser Permanente ]

Kodi ndi mankhwala otani otenthetsa kutentha omwe ali otetezeka panthawi yapakati?

Mankhwala otsekemera otsekemera kwa amayi apakati amaphatikizapo mankhwala osokoneza bongo a metoclopramide, ndi mankhwala owonjezera monga antacids (Tums, Rolaids), proton pump inhibitors (Nexium, Prilosec), ndi H2 blockers (Zantac).

Mankhwala oteteza kutentha pa chifuwa

Reglan (metoclopramide): Powunikiranso zomwe zilipo, palibe umboni kuti kugwiritsa ntchito metoclopramide kumayambitsa chiwopsezo chowonjezeka cha zopunduka zazikulu zobadwa, kuperewera padera, kapena kubadwa kwa ana obadwa kumene. [ Zolemba pa American Medical Association ]

Mankhwala otenthetsa m'munda otetezeka

Maantacids ambiri kuphatikiza Mylanta, Rolaids, Tums: Ngakhale kafukufuku wina akuwonetsa kuwopsa kwakubadwa kopunduka komwe kumakhudzana ndi kugwiritsa ntchito maantibayotiki m'nthawi ya trimester yoyamba, pali umboni wochepa wosonyeza kuti maantacids ndi owopsa kwa mwana wosabadwa. Zolepheretsa kubadwa zomwe zimakhudzana ndi calcium ndi magnesium yomwe imakhala ndi ma antiacids nthawi zambiri amawawona ngati osowa, makamaka akamamwa mankhwalawo.

Proton pump inhibitors kuphatikizapo Prevacid 24HR (lansoprazole), Nexium 24HR (esomeprazole), Prilosec (omeprazole magnesium): Kafukufuku wamkulu sanawulule mgwirizano uliwonse pakati pa ma proton pump inhibitors ndi zovuta zakubadwa. [ American Journal of Gastroenterology ]

Oletsa H2 kuphatikiza Zantac (ranitidine): Kufufuza kwa kafukufuku kunawonetsa kuti palibe zopindika zazikulu zakubadwa zomwe zimakhudzana ndi kugwiritsa ntchito ma H2 blocker panthawi yapakati. [ Matenda Akumimba ndi Sayansi ]

Mankhwala otenthetsa chifuwa kupewa

Alka-Seltzer (sodium bicarbonate): Zitha kuyambitsa kuchuluka kwa madzimadzi osatetezeka panthawi yapakati. [ Yunivesite ya Michigan ]

Ndi mankhwala ati omwe ali otetezeka panthawi yapakati?

Mankhwala osokoneza bongo a anti-antihistamine monga Zyrtec, Clarinex, ndi Allegra, amaganiza kuti ndiwotheka kugwiritsa ntchito amayi apakati. Mankhwala opatsirana ndi mankhwala omwe mukuyenera kulandira ayenera kumwedwa ndi dokotala.

Mankhwala otetezedwa ndi mankhwala osokoneza bongo

Singulair (montelukast): Kugwiritsa ntchito montelukast panthawi yoyembekezera pochiza mphumu sikuwoneka kuti kumawonjezera chiopsezo cha zolephera zazikulu zobadwa. [ Kupititsa Patsogolo Kwa Matenda Opuma ]

Zowopsa ziwombankhanga (immunotherapy): Amawona ngati otetezeka kupitiliza kuwombera kwanu panthawi yapakati. Aloleni omwe amakuthandizani kuti adziwe kuti muli ndi pakati ndipo azisamala mosamala kuchuluka kwanu.

Mankhwala oteteza ku ziweto otetezedwa

Antihistamines monga Zyrtec Allergy (cetirizine), Clarinex (desloratadine), Allegra Allergy (fexofenadine): Kafukufuku akuwonetsa kuti palibe chiopsezo chilichonse chaziphuphu zakubadwa zomwe zimakhudzana ndi ntchito ya antihistamine ya amayi apakati. [ Wachipatala waku America ]

Mankhwalawa amafunika kupewa

Mankhwala ambiri omwe amachiza chifuwa chachikulu amabwera ndi zoopsa kwa mwana wosabadwayo. Koma amayi amafunikanso kukhala athanzi, choncho kuopsa kwake kungapitirire phindu la thanzi la mayiyo. Aliyense amene ali ndi chifuwa chachikulu ayenera kupanga dongosolo la chithandizo ndi dokotala wake ali ndi pakati.

Kodi ndi mankhwala otani am'mimba omwe ali otetezeka panthawi yapakati?

Mankhwala otsekemera am'mimba mukakhala ndi pakati amaphatikizapo mafuta ogulitsira komanso opukuta monga Kukonzekera H.

Mankhwala otupa a hemorrhoid

Mankhwala amphamvu a hemorrhoid atha kukhala ndi zoopsa kwa mwana wanu amene akukula. Dokotala wanu adzakuthandizani kupeza njira yothandizira ngati ma hemorrhoids anu ali okwanira mokwanira kuti mupeze mankhwala akuchipatala.

Mankhwala otsekemera a hemorrhoid otetezeka

Mafuta opangira pa counter ndi zopukuta monga Kukonzekera H ndizotheka kugwiritsa ntchito amayi oyembekezera. Zomwe zimagwiritsidwa ntchito pazinthu izi (anesthetic, corticosteroids, ndi anti-inflammatory agents) sizimagwirizanitsidwa ndi zolepheretsa kubadwa kapena nkhani zobereka. [ Wachipatala waku Canada ]

Mankhwala a hemorrhoid omwe muyenera kupewa

Ngakhale kuli kotheka kugwiritsa ntchito mankhwala owonjezera a hemorrhoid monga akuwuzira, pewani kugwiritsa ntchito mopitirira muyeso komwe kumatha kuchepa khungu lanu. [ Chipatala cha Mayo ]

Kodi ndi mankhwala ozizira ati omwe ali otetezeka panthawi yapakati?

Mankhwala ozizira otetezedwa ndi Mucinex ndi Robitussin (guaifenesin) kuti athetse kusokonezeka ndi Tylenol (acetaminophen), chifukwa cha ululu. Samalani kuti mupewe mankhwala ozizira omwe amakhala ndi zosakaniza zingapo, chifukwa zina mwa izi zitha kukhala zosatetezeka mukakhala ndi pakati.

Mankhwala ozizira otetezedwa

Kuzizira kulikonse komwe kuli kovuta kwambiri kupita kukaonana ndi dokotala mukakhala ndi pakati kudzafunika njira yapadera yothandizira. Zizindikiro zanu zozizira zitha kuwonetsa vuto lalikulu kwambiri, ndipo inu ndi dokotala muyenera kuyambiranso kuopsa kwa mankhwala osiyanasiyana musanasankhe njira yothandizira.

Mankhwala ozizira otetezedwa

Mucinex ndi Robitussin (guaifenesin): Kufufuza kwakukulu kwa amayi apakati sikuwonetsa chilichonse chosonyeza kuti mankhwalawa amakhala pachiwopsezo kwa mwana wosabadwayo.

Tylenol (acetaminophen), chifukwa cha ululu: Acetaminophen amaganiza kuti ndi mankhwala otetezeka kwambiri othetsa ululu kwa amayi apakati.

Mankhwala ozizira omwe muyenera kupewa

Alka-Seltzer (sodium bicarbonate): Pali umboni wina womwe ungayambitse madzimadzi osatetezeka panthawi yapakati. Alka-Seltzer Plus, yomwe imapangidwira kuzizira ndi chimfine, imakhala ndi phenylephrine, yomwe atha kukhala ndi chiopsezo chowonjezeka cha zopunduka zobadwa . [ Yunivesite ya Michigan ]

Mankhwala alionse ozizira omwe amaphatikizapo aspirin kapena ibuprofen: Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) ndi gulu lomwe limaphatikizapo aspirin ndi ibuprofen. Kafukufuku akuwonetsa kuti amayi omwe adamwa mankhwalawa amatha kubereka ana omwe ali ndi vuto la mtima. [ CDC ]

Kutayika (pseudoephedrine) m'nthawi ya trimester yoyamba: Kafukufuku wina wasonyeza chiopsezo chowonjezeka cha zolepheretsa kubadwa zomwe zimakhudzana ndi kugwiritsidwa ntchito kwa pseudoephedrine nthawi yoyamba ya mimba. [ Amayi Kwa Khanda ]

Ndi mankhwala ati omwe sakhala otetezeka panthawi yapakati?

Mankhwala omwe muyenera kupewa mukakhala ndi pakati ndi aspirin, ibuprofen, opioids, Xanax, ndi Valium.

Aspirin ndi ibuprofen: Gawo la mankhwala omwe amatchedwa NSAID, awa amakhala ndi chiopsezo chachikulu cha kupunduka kwa mtima.

Opioids: Kugwiritsa ntchito opioid panthawi yoyembekezera kumalumikizidwa ndi zovuta zazikulu, zobadwa zobadwa.

Xanax ndi Valium: Mankhwalawa amathandizidwa ndi chiopsezo chowonjezeka cha zovuta zina zobadwa.