Nchiyani kwenikweni chimapangitsa icho mu mkaka wa m'mawere?

Maphunziro a Zaumoyo

Iyi ndi gawo la mndandanda wa kuyamwitsa mothandizidwa ndi Mwezi Woyamwitsa Wadziko Lonse (Ogasiti). Pezani zolemba zonse Pano .

Amayi oyamwitsa amadziwa kuti chilichonse chomwe mumayika mthupi lanu chimatha kukhudza mwana wanu kudzera mkaka wa m'mawere. Mumayesetsa kukhala ndi thanzi labwino komanso kuthirira madzi m'thupi kuti mudyetse mwana wanu chakudya chabwino kwambiri.

Nanga bwanji zinthu zopanda chakudya zomwe mumadya? Makamaka, mankhwala akuchipatala ndi mowa. Kodi ndizabwino kuti amayi oyamwitsa azinyamula? Kodi ndi zinthu zingati zomwe zimalowa mkaka wanu? Tinayendera akatswiri ena kuti adziwe.

Mankhwala akuchipatala mukamayamwitsa

Kodi ndibwino kumwa mankhwala mankhwala mukamayamwitsa ? Yankho losavuta nthawi zambiri. Malinga ndi a lipoti lachipatala la American Academy of Pediatrics , mankhwala ambiri ndi katemera ndi otetezeka kugwiritsa ntchito nthawi yoyamwitsa ndipo sizimamupweteketsa mwana wanu.

Mankhwala oyenera ambiri ndi otetezeka kwa mwana wathanzi [akamamwa ndi mayi woyamwitsa], atero a Rachael Martin, namwino wovomerezeka ku Bowie, Maryland. Akupitiliza kunena kuti madotolo ambiri, madotolo a ana, komanso akatswiri azamankhwala alibe chidziwitso chokwanira chokhudza mankhwala ndi kuyamwitsa, choncho ndibwino kuyankhula ndi mlangizi wa zamayamidwe kapena aphunzitsi omwe amachita izi.

Ndipo, zachidziwikire, si mankhwala onse omwe amapangidwa ofanana.

Mankhwala amasiyana kwambiri kutengera mtundu wa mankhwala ndi kapangidwe kake ka mankhwala, atero a Kelly Kendall, namwino wovomerezeka ndi mlangizi wa lactation ku Crofton, Maryland.

Izi zikutanthauza kuti wothandizira zaumoyo wanu ayenera kuyeza maubwino ndi zoopsa za mankhwalawa asanaperekedwe kwa amayi oyamwitsa. Malinga ndi lipoti la AAP, zina zofunika kuziganizira ndi izi:

• chosowa cha amayi cha mankhwala.
• zotsatira za mankhwalawa pakupanga mkaka.
• zaka za khanda.
• kuchuluka kwa mkaka wa m'mawere womwe mwana amalandira patsiku.
• kuchuluka kwa mankhwala omwe atulutsidwa mkaka wa m'mawere.
• kuchuluka kwa mayamwa amkamwa ndi khanda loyamwitsa.
• zovuta zoyipa zilizonse pa khanda loyamwitsa.

Tiyeni tiwone bwinobwino zipolopolo zitatu zomalizazi. Kodi mungadziwe bwanji kuchuluka kwa mankhwala omwe amasungidwa mkaka wa m'mawere, kenako ndikulowetsedwa ndi mwana wanu? Chofunika koposa, mungadziwe bwanji ngati mankhwalawo atha kuvulaza mwana wanu?

Zimatengera mankhwalawo komanso momwe amapangidwira ndi kusungunuka, komanso theka la moyo wake, Martin akutero. Chitetezo cha mankhwala oyamwitsa chafufuzidwa bwino kwambiri ndi Dr. Thomas Hale.

Buku la Dr. Hale, Mankhwala ndi Mkaka wa Amayi , wolemba ndi Dr. Hilary E. Rowe, Pharm.D., pakadali pano ali munyimbo yake ya 17. Ikuwerengedwa kuti ndiyo njira yoyambira pachitetezo cha mankhwala mukamayamwitsa.

Olembawo amapereka gulu lowopsa la lactation (LRC) ku mankhwala osiyanasiyana pogwiritsa ntchito zinthu zingapo. Choyamba, amadziwa kuti mankhwalawa ndi owopsa bwanji. Mankhwala ena ali ndi poizoni wochepa, monga penicillin, sulfas, ndi NSAIDs (monga ibuprofen). Koma zina ndizoopsa kwambiri, monga mankhwala a khansa ndi ma antimetabolites. Nthawi zambiri, sipakhala maphunziro owongoleredwa omwe amapezeka kuti apereke chidziwitso cha mkaka wa m'mawere pamankhwalawa. Poterepa, olembawo amadalira mankhwala a pharmacokinetics, omwe amaphatikizapo kuyamwa kwake pakamwa, kuchuluka kwa plasma, ndi theka la moyo. Pogwiritsa ntchito izi, olembawo amalingalira za LRC yake.

Sizingatheke kuti tisiye izi zonse pazithandizo zilizonse zomwe mungalandire positi limodzi la blog. Komabe, mutha kupeza zambiri zamankhwala ena ku Chiwopsezo Cha Ana , ntchito ina ya Dr. Hale's. Pakatikati pali hotline yomwe mungaitane ndi mafunso okhudzana ndi chitetezo cha mankhwala mukamayamwa.

Mowa ndi kuyamwitsa

Zikafika ku mowa ndi kuyamwitsa , mayankho ake ndi osiyana pang'ono. Amayi amatha kusangalala ndi mowa mosapitirira malire, akutero Kendall. Lamulo labwino la chala chachikulu ndikuti ngati simumatha kuyendetsa galimoto, ndibwino kuyamwitsa.

Akatswiri ambiri, kuphatikiza American Academy of Pediatrics ndi Malo Othandizira Kuletsa ndi Kupewa Matenda , amalangiza kuti amayi oyamwitsa samwa zakumwa zoledzeretsa zosaposera chimodzi kapena ziwiri pa sabata (ndipo anena kuti kusamwa konse ndi kotetezeka, inde). Unamwino uyenera kuchitika patatha maola awiri kapena kupitilira pomwe kumwa mowa, kuti muchepetse kuwonekera kwa mwana. Koma kafukufuku pa nkhaniyi akutsutsana.

Mowa umasakanizidwa ndi mkaka wa m'mawere mofanana ndi magazi. Mwanjira ina, ngati mowa wanu uli ndi 0,08% mutamwa magalasi atatu a vinyo, zomwe zingakupatseni malire oyendetsera galimoto m'maiko ambiri, ndiye kuti mkaka wanu ndi 0.08% mowa.

Pofuna kuyerekezera, iliyonse ya magalasi a vinyo mwina anali 10-20% mowa. Chifukwa chake mkaka womwe mwana wanu amamwa uli ndi mowa wochepa kwambiri kuposa chakumwa chanu. M'malo mwake, malinga ndi kafukufuku wazachipatala m'nyuzipepalayi Basic Clinical Pharmacology ndi Toxicology , kuchuluka kwa mowa womwe amamwa ndi makanda oyamwa kudzera mkaka wa m'mawere ndi pafupifupi 5-6% ya kuchuluka kwa zomwe mayi amamwa. Ngakhale pakakhala zakumwa zakumwa zoledzeretsa, ana sangapatsidwe mowa wambiri pachipatala, malinga ndi kafukufukuyu. Ana obadwa kumene amapukusa mowa pafupifupi theka la anthu achikulire.

Mosiyana ndi zomwe anthu ambiri amakhulupirira kwa zaka zambiri, palibe chifukwa chopopera ndi kutaya. Monga momwe mowa umadutsa mkaka wa m'mawere, umadutsanso kunja pamlingo wofanana ndi magazi anu. Momwe mowa wanu wamagazi umatsikira, momwemonso mowa womwe mumakhala mumkaka wanu. Ngati mukuganiza kuti mwakhala ndi zakumwa zambiri kuti muyamwitse mwana wanu, ingodikirani pang'ono (nthawi zambiri maola awiri kapena atatu ayenera kukhala okwanira) mukakhala oledzera. Ndipo musataye golide wamadzimadzi uja!

Ngati muli ndi mafunso okhudza chitetezo cha mowa kapena mankhwala oyamwitsa mukamayamwitsa, lankhulani ndi mlangizi wa lactation, OB-GYN wanu, kapena dokotala wa ana a mwana wanu