Kodi ndingayambitsidwe chimfine ndili ndi pakati?

Maphunziro a Zaumoyo Amayi Amayi

Mabuku oyembekezera atha kukhala mndandanda wazakudya ndi zinthu zomwe sizabwino kwa amayi oyembekezera. Sushi? Ayi. Mkaka wosasamalidwa? Sizingatheke. Zida zosamalira khungu zomwe zimakhala ndi retinol? U-a. Pali zinthu zambiri zofunika kuzipewa, zingakhale zovuta kuti muzitsatira zomwe zimaloledwa. Ndi nyengo ya chimfine yomwe ikuyandikira, amayi apakati ambiri akhoza kudabwa, Kodi ndingayambitsidwe chimfine ndili ndi pakati? Yankho lalifupi? Mwamtheradi. Nazi mafunso asanu ndi awiri ofala.

1. Kodi ndikotetezeka kuyamwa chimfine muli ndi pakati?

Zomwe Zimayambitsa Kuletsa ndi Kuteteza Matenda (CDC) imalimbikitsa kuti amayi apakati atenge katemera wa chimfine kuti adziteteze komanso ana awo ku kachilombo ka fuluwenza, ngakhale atakhala kuti ali ndi pakati. Pali fayilo ya chiwerengero cha maphunziro asayansi omwe amawunika chitetezo cha katemera nthawi yapakati. Ma data ochuluka kwambiri akuti katemera wa chimfine ndiwotheka pa trimester iliyonse yamimba.

Ndipo, kafukufuku akuwonetsa kuti kuopsa kwa ayi Katemera wa fuluwenza ndi wamkulu kwa amayi apakati. Chimfine chimatha kutsogolera kudwala kwambiri (nthawi zina zimawopseza moyo) - monga chibayo - panthawi yapakati. Kuphatikiza apo, imatha kuchuluka mwayi wopita padera , kubadwa msanga, kupunduka, ndi kulemera pang'ono. Katemera chaka chilichonse amachepetsa chiopsezo chotenga kachirombo ka chimfine, komanso amachepetsa zovuta ngati muli ndi kachilomboka.

ZOKHUDZA: Kodi ndi mavitamini ati a prenatal omwe mukufuna?

2. Kodi ndiyenera kudwala chimfine ndili ndi pakati?

Osati kokha angathe Amayi apakati amatenga chimfine, koma ayenera patsogolo kudwala chimfine. Kafukufuku wasonyeza kuti amayi apakati omwe amadwala chimfine amakhala ndi zovuta zambiri komanso amakhala pachiwopsezo chogona kuchipatala poyerekeza ndi amayi omwe alibe, akutero Danielle Raiman Plummer, Pharm.D., Mlengi wa HG Wamankhwala , chida cha amayi omwe ali ndi vuto la hyperemesis gravidarum ( kunyansidwa kwambiri ndikusanza panthawi yapakati ). Ubwino wolandira katemera wa chimfine muli ndi pakati umakhala ndi chiopsezo chochepa cha zotupa za neural tube zomwe zimayambitsidwa ndi malungo, chizindikiro chodziwika kwambiri cha chimfine. A Kafukufuku wa 2018 wa CDC adawonetsa kuti kulandira katemera wa fuluwenza kumachepetsa chiopsezo cha mayi wapakati kuti agonekere mchipatala ndi 40% pafupifupi.

3. Ndi chimfine chiti chomwe chili choyenera kwa amayi apakati?

Chimodzi mwa zinthu zomwe zimayambitsa nkhawa kwa odwala ndi thimerosal, mankhwala osungira mankhwala a mercury omwe akhala akugwiritsidwa ntchito mu katemera wina kwazaka zambiri.

Palibe umboni kuti kuwombera chimfine komwe kuli ndi thimerosal ndikowopsa, atero a Tangela Anderson Tull, MD, OB-GYN Hoffman ndi Associates ku Baltimore, Maryland. Koma pali akatemera opanda chimfine opanda tiyi ngati zingakupangitseni kukhala omasuka.

Katemera wa chimfine amene muyenera kupewa mukakhala ndi pakati, Dr. Anderson Tull akuti ndi FluMist , katemera wa chimfine cha m'mphuno.

4. Kodi zotsatira zoyipa za matenda a chimfine ndi zotani ali ndi pakati?

Pulogalamu ya mavuto obwera chifukwa cha chimfine ndi chimodzimodzi kwa amayi apakati monga kwa aliyense amene amalandira katemera wa chimfine. Nthawi zambiri sizowopsa, ndipo zimatha kuphatikiza:

• Zilonda kapena kufiira pamalo obayira
• Kukomoka
• Mutu
• Malungo
• Kupweteka kwa minofu
• Nseru
• Kutopa

Anthu ambiri omwe amadwala chimfine samakumana ndi izi. Ngati zotulukapo zimachitika, amayamba atalandira katemerayu ndipo amatha tsiku limodzi kapena awiri. Nthawi zambiri, anthu amatha kudwala chimfine. Ngati muli ndi chifuwa chachikulu (monga dzira), kambiranani ndi omwe amakuthandizani musanatenge chimfine.

Chimfine chinawombera sangakudwalitse, ali ndi pakati, kapena nthawi ina iliyonse. Lingaliro lina lolakwika ndikuti katemera amatha kuyambitsa matenda a Autism mwa ana. Komabe, American College of Obstetricians ndi Gynecologists akuti palibe umboni wa sayansi pankhaniyi.

5. Kodi chimfine chidzavulaza mwana wanu wosabadwa?

Onse awiri Dr. Raiman Plummer ndi Dr. Anderson Tull amatsimikizira kuti chimfine chili bwino ndipo chimateteza mwana wakhanda, yemwe amathandiza mwana wanu pobadwa.

Ma antibodies amapita kuchokera kwa mayi kupita kwa mwana m'mimba, Dr. Raiman Plummer akufotokoza. Popeza khanda silingalandire katemera wa chimfine mpaka miyezi isanu ndi umodzi, ndikofunikira kuti mwana abadwe ndi ma antibodies. Makanda omwe amadwala chimfine amakhala pachiwopsezo chowonjezeka chazovuta, ndipo katemerayu amateteza kuteteza chimfine m'miyezi ingapo yoyambirira ya moyo.

ZOKHUDZA: Pezani mankhwala abwino kwambiri osungira chimfine

6. Kodi ana amafunikira liti chimfine?

Ngakhale ma antibodies amateteza msanga msanga, ndikofunikira kuti ana opitilira miyezi isanu ndi umodzi ayambe kudwala chimfine. Ma antibodies omwe amadutsa mu placenta ndi mkaka wa m'mawere sateteza kwambiri ngati chimfine, ndipo sayenera kuchitidwa m'malo mwa chimfine mwana akangofika msinkhu wake, amachenjeza Dr. Anderson Tull.

Mfundo yofunika kwambiri ndi kuti pali zambiri zomwe zimathandizira chitetezo ndi kufunikira kwa katemera wa chimfine mukakhala ndi pakati — ndipo mutha kuthandizanso pakufufuza komwe kukupitikaku.

Wopanga aliyense… amakhala ndi kaundula wotulutsa pathupi, Dr. Raiman Plummer akufotokoza. Registry iyi imasonkhanitsa ndikuwunika zomwe zimachitika mukakhala ndi pakati ndikuyang'anira zochitika zachitetezo. Mayi aliyense wapakati ndiolandilidwa kutenga nawo mbali.

Pezani zambiri zamalumikizidwe olembetsa pa Tsamba la FDA .

7. Kodi chimfine chimakhala chotetezeka mukamayamwitsa?

Chiwombankhanga ndi chotetezeka, ndipo chilimbikitsidwa kwa amayi omwe akuyamwitsa, malinga ndi CDC . Sikuti imangoteteza amayi, imagawana chitetezo chokwanira ndi mwana kudzera mkaka wa m'mawere. Khanda likadakwanitsa miyezi isanu ndi umodzi, ana amatha kudwala chimfine.