Kodi kutenga Zoloft ndi kuyamwitsa kumakhudza mwana wanu?

Maphunziro a Zaumoyo Amayi Amayi

Nthawi ya postpartum ndi yovuta kwa amayi onse atsopano, koma ziribe kanthu zomwe mnzanu kapena apongozi anu akumakufotokozerani, kumva kuda nkhawa kwambiri kapena kukhumudwa mutabereka sizachilendo. Kusintha kwama mahomoni, kusintha kwakukulu kwa moyo, kupsinjika kwakukulu, komanso kufooka kwa tulo zonse zimatha kusongoka m'masabata oyambilirawo kuti zibweretse mphepo yamphamvu yamaganizidwe, kusiya amayi ena ali ndi zochulukirapo kuposa kungokhala chete.

Zokhudza 10% mpaka 15% ya amayi atsopano , matenda a postpartum (PPD) ndi nkhawa ya postpartum (PPA) ndizochitika zenizeni zamankhwala zomwe zimafunikira kulowererapo, kuthandizidwa, ndi chithandizo.

Ngati inu kapena wina amene mumamudziwa akuvutika atabereka, mankhwala amatha kuthandiza - koma amayi ambiri amafunikira mankhwala, nawonso. Kwa ena othandizira zaumoyo, Zoloft (sertraline) ndi woyenera kwambiri kuchiza amayi akuyamwitsa ali ndi nkhawa kapena nkhawa. Izi zikhoza kukhala chifukwa Zoloft ndi ochepa Njira zoopsa zochizira matendawa panthawi yapakati (moyang'aniridwa ndi woperekayo, inde).

Koma kodi Zoloft ndiotetezeka panthawi yoyamwitsa? Mungatenge zochuluka motani? Ndipo pali njira zina zochizira PPD ndi PPA mukamayamwitsa mwana wanu? Nazi zomwe muyenera kudziwa.

Kodi Zoloft ndi otetezeka kutenga pamene akuyamwitsa?

Nthawi zambiri, inde: Zoloft ndiwotetezedwa kuti atenge nthawi yoyamwitsa, malinga ndi G. Thomas Ruiz , MD, OB-GYN akutsogolera ku MemorialCare Orange Coast Medical Center.

Ngati mukuyenera kupereka mankhwala kwa munthu yemwe ali ndi vuto la postpartum kapena nkhawa [yemwenso akuyamwitsa], madokotala ambiri amapita ku Zoloft kaye, akutero. Ngati mukuyenera kugwiritsa ntchito mankhwala ochepetsa nkhawa pamenepo, ndiye otetezeka kwambiri.

Zachidziwikire, malangizowo achitetezo amabwera ndi chenjezo-monganso upangiri wina uliwonse kugwiritsa ntchito mankhwala ali oyembekezera kapena oyamwitsa . Chifukwa amayi apakati ndi oyamwitsa nthawi zambiri samachotsedwa pamayeso azachipatala, nthawi zambiri pamakhala umboni wochuluka womwe umaloza ku chitetezo cha mankhwala kapena kusowa kwake. Izi zikutanthauza kuti nthawi zonse pamakhala mwayi woti mankhwala angakhudze mwana wanu.

Pali [kuchepa] kwa chidziwitso chazomwe zimayambitsa mwana kuyamwa akuyamwitsa ali ku Zoloft, akutero Kecia Gaither , MD, OB-GYN yemwe ali ndi board iwiri komanso dokotala wazachipatala komanso wotsogolera ntchito zakuchipatala ku NYC Health + Hospitals / Lincoln.

Kwenikweni, palibe umboni uliwonse wovulaza ... koma palibenso maphunziro omwe akutsimikizira kuti mankhwalawa alidi otetezeka , mwina.

Izi sizikutanthauza kuti muyenera kuchita mantha ngati dokotala akuuzani kuti akupatseni Zoloft kuyang'anira PPD kapena PPA mukamayamwitsa. Zambiri zomwe zimadetsa nkhawa momwe Zoloft angakhudzire mwana wanu kapena mkaka wanu zilibe maziko.

• Palibe umboni wosonyeza kuti kugwiritsa ntchito kwa mayi Zoloft panthawi yoyamwitsa kumayambitsa kuchedwa kwachitukuko . Mankhwala ambiri samatsutsana kuti agwiritsidwe ntchito poyamwitsa , malinga ndi American Academy of Pediatrics (AAP).
• Palibe umboni uliwonse wa ubale pakati pa Zoloft ndi autism mwa makanda oyamwitsa. Kafukufuku wowerengeka wanena za ubale womwe ungakhalepo pakati pa Zoloft womwe umatengedwa panthawi yapakati komanso autism, koma maphunziro ena ambiri asokoneza kulumikizanaku -Ndipo palibe maphunziro awa omwe amayang'ana kuyamwitsa.
• Kawirikawiri, palibe chifukwa chokayikira kuti Zoloft ingakhudze mkaka wa mayi. Dr. Ruiz akunena kuti Zoloft imagwira ntchito limodzi ndi serotonin ya thupi lanu, yomwe ndi njira yosiyana kwambiri ndi mahomoni omwe thupi lanu limayamwitsa (monga, dongosolo lomwe limayendetsa kuchuluka kwa ma prolactin).

KU Ndemanga ya 2019 ya sertraline inanenedwa ku LactMed anapeza zochitika zochepa zovuta zogwirizana ndi kugwiritsa ntchito Zoloft panthawi yoyamwitsa; makamaka, zovuta zilizonse zomwe zidakumana nazo zidayankha zokha kapena mwina zidachitika pazinthu zina zomwe zidakhalapo.

Kodi Zoloft ndi otetezeka kutenga chiyani poyamwitsa?

Chimodzi mwazinthu zomwe amayi ambiri atsopanowo amakhala nazo zokhudzana ndi kuchuluka kwa mankhwala awo a Zoloft ndizokhudza kuchuluka kwa mankhwalawa kapena kuchuluka kwa mankhwalawa kudzera mkaka wa m'mawere kwa mwana. Komabe, palibe chomwe chinganene kuti kuopsa kotenga Zoloft kukuwonjezeka kapena kuchepa kutengera mulingo wanu; ngati dokotala akuwona kuti Zoloft ndi mankhwala abwino oti mugwiritse ntchito mukamayamwitsa, muyenera kugwira ntchito limodzi kuti mupeze mulingo womwe umathandiza kwambiri pazizindikiro za PPD kapena PPA.

Zoloft pang'ono zimatulutsidwa mkaka wa m'mawere, [koma ndizochepa] ndipo osati pamlingo womwe ungaganizidwe kuti ungavulaze mwanayo kapena zomwe zingayambitse mavuto a serotonin, Dr. Ruiz akuti.

M'malo mwake, a Kusanthula meta-2016 lofalitsidwa mu Zosungidwa Za Akazi Amisala Amankhwala akuwonetsa kuti Zoloft ndiye wopanikizika wosankha amayi amwino chifukwa cha momwe sertraline yaying'ono imaperekedwa kwa mwana kudzera mkaka wa m'mawere; m'maphunziro angapo, palibe mankhwala omwe amapezeka mwa makanda omwe amayi awo amawagwiritsa ntchito poyamwitsa.

Nanga bwanji zothana ndi kupsinjika maganizo… kodi ndizotheka kugwiritsa ntchito nthawi yoyamwitsa?

Malinga ndi Dr. Ruiz, ma SSRIs wamba (serotonin reuptake inhibitors) omwe amagwiritsidwa ntchito ngati mankhwala opatsirana amatha kutengedwa mukamayamwitsa-koma Zoloft ili ndi mbiri yabwino kwambiri, yomwe imapangitsa kuyamwitsa kwambiri. Ma SSRI ena awonedwa kuti amayambitsa kukwiya, colic, nseru, ndikuchepetsa kugona.

Nthawi yomweyo, palibe malingaliro owonjezera pazokhudza Chitetezo cha SSRIs kwa amayi oyamwitsa .

Kugawira amayi omwe ali ndi vuto la kupsinjika mtima kuyenera kuchitidwa mwanjira inayake, motsogozedwa ndi katswiri wazamisala, poganizira zaubwino wothandizidwa [ndi chithandizo china], akutero Dr. Gaither. Palibe njira yokhazikitsira miyala yomwe chithandizo chimagwira ntchito kwa iye.

Mwanjira ina, lankhulani ndi omwe amakuthandizani pa zaumoyo; ali ndi mwayi wowunika momwe mungapezere mankhwala aliwonse omwe mungafune mukamayamwitsa.

Njira zina zothanirana ndi kupsinjika kwa pambuyo pobereka ndi nkhawa

Ndiye mungadziwe bwanji ngati mankhwala anu a PPD kapena PPA amavomereza kuti agwiritse ntchito? Mwamwayi, inu simuyenera kudziwa konse-pali akatswiri omwe angakuthandizeni kudziwa njira yabwino kwambiri yothandizira.

Ngati inu kapena wokondedwa wanu ali ndi nkhawa ndi thanzi lanu lamankhwala mukakhala ndi mwana, pali zinthu zingapo zofunika kutsatira:

• Lankhulani ndi OB-GYN wanu, woyang'anira chisamaliro choyambirira, kapena ngakhale dokotala wa ana a mwana wanu. Onse opereka chithandizo chamankhwala amaphunzitsidwa kutero akazi pambuyo pobereka kwa zizindikilo za kukhumudwa ndi nkhawa.
• Sanjani nthawi yoti mudzaperekedwe upangiri waumoyo. Dr. Ruiz akuti chithandizo chazidziwitso zamankhwala (CBT) ndiye mankhwala othandiza kwambiri kwa PPD ndi PPA ndipo akuyenera kukhala njira yoyamba yodzitetezera kuchipatala.
• Pewani thandizo lina pomwe mungakwanitse. Malingana ngati palibe nkhawa zakuti mayi akhoza kukhala pachiwopsezo kwa iye kapena mwana wake, gawo lotsatira ndikuwunika momwe angathandizire, atero a Dr. Ruiz, omwe akuwonjezera kuti kuwonetsetsa kuti Amayi ali ndi wina wowazungulira pafupipafupi kuti amuthandize pabanja komanso akhanda ntchito za chisamaliro, komanso kuwunika thanzi lake lam'mutu, ndizofunikira.
• Imani kaye kuti muone momwe ntchito ikuyendera. Dr. Ruiz akuti nthawi zina, CBT ikuyenda bwino, kugwiritsa ntchito SSRI kumatha kupewedwa. Ngati mukumvabe kuti mukusowa thandizo lina, musazengereze kufotokoza izi.
• Ngati ndi kotheka, gwirani ntchito ndi asing'anga kuti musinthe mankhwala a Zoloft kapena SSRI ina. Kupeza mlingo woyenera kumafuna kuyesedwa; madokotala azamisala akudziwa kuthandiza odwala awo kuyamba mankhwala atsopano, sungani zovuta zilizonse , ndi kuwonjezera mlingo pakufunika kutero.
• Sungani ndandanda yanthawi zonse yothandizira. Zoloft yekha sangakupatseni zotsatira zofananira ndi Zoloft kuphatikiza CBT, kuphatikiza ma SSRIs ambiri amatenga milungu ingapo kuti agwire bwino ntchito (kutanthauza kuti mudzakhala ndi nthawi yomwe mankhwala akadali chithandizo chanu choyambirira).

Ngati inu kapena munthu wina amene mumamudziwa ali ndi malingaliro ofuna kudzipha, thandizo lilipo. Imbani Nambala Yodziletsa Yodzitchinjiriza ku 800-273-8255, pomwe akatswiri aima pafupi ndi 24/7 kuti alankhule ndi kuwalimbikitsa.