Potso: Na meriana e thibelang ho tšoenyeha e sireletsehile ho e sebelisa nakong ea bokhachane ba ka bo latelang?
Ho tloaelehile hore basali (le ka linako tse ling banna) ba hlaolele lefu la ho tšoenyeha ka mor'a ho senyeheloa ke mpa. Empa na ho sireletsehile hore basali ba sebelise lithethefatsi tse tšoenyang ho laola matšoao a bokhachane bo latelang?
Karabo:
Maikutlo a ho tšoenyeha ka mor'a ho senyeheloa ke mpa e ka 'na eaba e totobetse ho tšoenyeha ka ho ima ha mocha kapa ho tšoenyeha ka bophelo ka kakaretso.
Ba bang ba ka 'na ba tobana le khetho ea hore na ba sebelise meriana e thibelang ho tšoenyeha ho laola ho tšoenyeha ka mor'a ho senyeheloa ke mpa. Bakeng sa banyalani ba batlang ho etsa bokhachane, sena se kopa potso ea hore na lithethefatsi tsena li sireletsehile joang nakong ea bokhachane bo latelang.
Ka bomalimabe, lipatlisiso li hanyetsana ka ts'ireletso ea meriana ea mafu a kelello nakong ea bokhachane, 'me karabo ha e hlake kamehla. Mona ke seo re se tsebang ka mefuta e tobileng ea lithethefatsi:
Benzodiazepines
Hona joale, lingaka tse ngata ha li buelle ho sebelisa sehlopha sena sa lithethefatsi nakong ea bokhachane. Benzodiazepines, tse kang Valium le Xanax, li 'nile tsa hokahanngoa ke litlaleho tse ling ho kotsi e eketsehileng ea likhohlopo tsa orofacial, hypotonia, apnea, le mathata a ho fepa masea.
Liphuputso tse ling ha li fumane kotsi ea ho sebelisa benzodiazepine nakong ea bokhachane, kahoo taba e ntse e le bakeng sa moqoqo. Leha ho le joalo, lingaka tse ling li tla fana ka litaelo tsa benzodiazepines nakong ea bokhachane ha li ikutloa li le molemo ho feta maemo a kotsi.
Selectional Serotonin Reuptake Inhibitors (SSRIs)
Lithethefatsi tse sehlopheng, tse kang Prozac (fluoxetine), li na le lintlha tse nkoang li loantšana le khatello ea kelello. Empa, patlisiso e bontša hore ba ka boela ba thusa ka ho tšoenyeha. Bafuputsi ha ba lumellane ka ts'ireletso ea tšebeliso ea SSRI nakong ea bokhachane; liphuputso tse ling ha li fumane liphello tsa nako e telele, empa tse ling li fumane bopaki ba mathata a ka bang teng nakong ea bokhachane bakeng sa bana ba pepesetsoeng li-SSRI nakong ea bokhachane.
Hona joale, Koleji ea Amerika ea Litsela tsa Boipelaetso le ea Gynecologists e khothalletsa hore liqeto tsa ho sebelisa SSRI nakong ea bokhachane li etsoe ka bomong empa li eletsa khahlanong le tšebeliso ea Paxil nakong ea bokhachane, ha ho khoneha.
Tricyclic Ho tepella maikutlo (TCAs)
Lipatlisiso tse ling li boetse li fumane li-TCA, tse kang Tofranil (imipramine), e ka ba thuso bakeng sa matšoenyeho hammoho le ho tepella maikutlong. Liphuputso tse ngata li 'nile tsa sheba tšebeliso ea li-tricyclic nakong ea bokhachane,' me ha ho ea fumaneng bopaki bo tiileng ba mathata a nako e telele. Leha ho le joalo, phuputso e 'ngoe ea 2007, e fumane bopaki ba hore ho sebelisa tricyclics kapa SSRIs nakong ea boraro ea trimester ho ekelitse kotsi ea ho fana ka pele ho nako le mathata a ho hlaha ha lesea.
Etsa Qeto e Ntle ho Uena
Basali ba bangata ba khetha ho qoba lithethefatsi ka ho feletseng nakong ea bokhachane, empa lipatlisiso li bontša hore ho ba le matšoenyeho a matla nakong ea bokhachane ho ka 'na ha baka mathata ho ngoana. Ka hona, e fetoha potso ea ho lekanya likotsi le melemo. Basali ba bang ba khetha ho batla phekolo ea ts'oaetso-boitšoaro kapa mekhoa e meng e sa sebeliseng lithethefatsi ho e-na le (kapa pele ba leka) meriana.
Leha ho le joalo, khetho ea ho sebelisa meriana ea matšoenyeho nakong ea bokhachane ke ho uena le ngaka ea hau.
Haeba u e-na le matšoenyeho a matla ka mor'a ho senyeheloa ke mpa, ena ke puisano ea bohlokoa e lokelang ho ba le eona.
Lisebelisoa:
Koleji ea Amerika ea Bo-rasaense le Ma-Gynecologists, "Lintlha tsa Maikutlo a ACOG ka SSRI Tšebeliso e Ntle ea Mathata Nakong ea Bokhachane." 1 Mar 2006. O fumaneha ka la 22 Mphalane 2008.
Barekisi ba libuka, Evalien, Anneloes Van Baar, Victor JM Pop, "Matšoenyeho a bakhachane nakong ea bokhachane le ntlafatso ea bana." Boitšoaro ba Bana le Ntšetso-pele 2001. Fihletsoeng ka la 22 Mayi 2008.
Chambers, Christina D., Sonia Hernandez-Diaz, Linda J. Van Marter, Martha M. Werler, Carol Louik, Kenneth Lyons Jones le Allen A. Mitchell, "Selective Serotonin-Reuptake Inhibitors le Kotsing ea Phekolo ea Hypertension ea Phallo ea Masoana . " New England Journal of Medicine 9 Feb 2006. Ho fihleloa ka la 22 May, 2008.
Chokroverty, Sudhansu, "Boitsebiso ba mokuli: boroko." Tlhalosa ho bakuli ka 15 Jan 2008. Ho fumanoa ka la 22 May 2008.
Davis, Robert L., David Rubanowice, Heather McPhillips, Marsha A. Raebel, Susan E. Andrade, David Smith, Marianne Ulcickas Yood, Richard Plat, "Likotsi tsa ho hlaseloa ha malinyane le liketsahalo tsa borokoana ka masea a pepesehetse meriana e loantšang maikutlo nakong ea bokhachane." Pharmacoepidemiology le Tšireletso ea Lithethefatsi Aug 2007. Ho fihlella ka la 22 Mayi 2008.
Kulin, Nathalie A., Anne Pastuszak, Suzanne R. Sage, Betsy Schick-Boschetto, Glenda Spivey, Marcia Feldkamp, Kelly Ormond, Doreen Matsui, Amy K. Stein-Schechman, Lola Cook, Joanne Brochu, Michael Rieder, le Gideon Koren , Phello ea Bokhachane Ka Tšebeliso ea Bakhachane ba Li-Inhibitors tsa New Selective Seleotonin Reuptake. " JAMA Feb 1998. Fihletsoeng ka la 17 Mayi 2008.
Ormond, Kelly, le Pergament ea Eugene, "Phetolelo: Benzodiazepines nakong ea Bokhachane." Illinois Teratogen Information Service . E fihliloe ka la 22 Mphalane 2008.
Ward, Randy K. le Mark A. Zamorski, "Melemo le likotsi tsa meriana ea mafu a kelello nakong ea bokhachane - Phekolo e sebetsang." Ngaka ea Meriana ea Amerika 15 Aug 2002. E fihliloe ka la 17 Mayi 2008.