Mankhwala Omwe Muyenera Kuwapewa Mimba

Zamkati

• Mukamadwala komanso kukhala ndi pakati
• Chloramphenicol
• Ciprofloxacin (Cipro) ndi levofloxacin
• Chiyambi
• Sulfonamides
• Chingwe (Primsol)
• Codeine
• Ibuprofen (Advil, Motrin)
• Warfarin (Coumadin)
• Clonazepam (Klonopin)
• Chilala (Ativan)
• Njira yatsopano yolembera ya FDA
• Mimba
• Mkaka wa m'mawere
• Amuna ndi akazi omwe angathe kubereka
• Mfundo yofunika

Mukamadwala komanso kukhala ndi pakati

Ndi malamulo okhudzana ndi mankhwala apakati omwe amasintha nthawi zonse, zimatha kukhala zopweteka kudziwa zomwe mungachite mukadwala.

Nthawi zambiri zimafika poyesa phindu kwa mayi yemwe ali ndi thanzi labwino - ngakhale losavuta ngati mutu - motsutsana ndi zomwe zingayambitse mwana wake yemwe akukula.

Vuto: Asayansi sangayese kuyesa kuyesa pakati pa mayi wapakati. Sizolondola kunena kuti mankhwala ndi 100% otetezeka kwa mayi wapakati (chifukwa chakuti sanaphunzirepo kapena kuyesedwa).

M'mbuyomu, mankhwala amapatsidwa. Gawo A ndilo gulu lotetezeka kwambiri la mankhwala omwe angatenge. Mankhwala osokoneza bongo m'gulu X sanayenera kugwiritsidwa ntchito ali ndi pakati.

Mu 2015, Food and Drug Administration (FDA) idayamba kukhazikitsa njira yatsopano yolembera mankhwala.

Pansipa pali zitsanzo za mankhwala ochepa omwe timadziwa kuti amayi apakati ayenera kupewa.

Maantibayotiki nthawi zambiri amalumikizidwa ndi zovuta za amayi apakati.

Chloramphenicol

Chloramphenicol ndi mankhwala omwe amaperekedwa ngati jakisoni. Mankhwalawa amatha kuyambitsa matenda akulu am'magazi komanso imvi ya mwana.

Ciprofloxacin (Cipro) ndi levofloxacin

Ciprofloxacin (Cipro) ndi levofloxacin nawonso ndi mitundu ya maantibayotiki.Mankhwalawa atha kubweretsa mavuto pakukula kwa minofu ndi mafupa a mwana komanso kupweteka kwa mafupa komanso kuwonongeka kwa mitsempha mwa mayi.

Ciprofloxacin ndi levofloxacin onse ndi mankhwala a fluoroquinolone antibiotics.

Fluoroquinolones amatha. Izi zitha kubweretsa magazi owopsa. Anthu omwe ali ndi mbiri yokhudzana ndi zotupa kapena matenda ena amtima atha kukhala pachiwopsezo chowopsa cha zotsatirapo.

Fluoroquinolones amathanso kuwonjezera mwayi wokhala ndi padera, malinga ndi kafukufuku wa 2017.

Chiyambi

Primaquine ndi mankhwala omwe amagwiritsidwa ntchito pochiza malungo. Palibe zambiri pa anthu omwe adamwa mankhwalawa ali ndi pakati, koma kafukufuku wazinyama akuwonetsa kuti ndizowopsa pakupanga fetus. Ikhoza kuwononga maselo amwazi m'mimba mwa mwana wosabadwa.

Sulfonamides

Sulfonamides ndi gulu la mankhwala opha tizilombo. Amadziwikanso kuti mankhwala a sulfa.

Ambiri mwa mitundu iyi ya mankhwala amagwiritsidwa ntchito kupha majeremusi ndikuthandizira matenda a bakiteriya. Amatha kuyambitsa matenda a chikasu m'mimba mwa ana obadwa kumene. Sulfonamides amathanso kuwonjezera mwayi wopita padera.

Chingwe (Primsol)

Trimethoprim (Primsol) ndi mtundu wa maantibayotiki. Mukamamwa panthawi yapakati, mankhwalawa amatha kuyambitsa ziphuphu za neural tube. Zolakwika izi zimakhudza kukula kwaubongo mwa mwana yemwe akukula.

Codeine

Codeine ndi mankhwala omwe amagwiritsidwa ntchito pochepetsa ululu. M'mayiko ena, codeine imatha kugulidwa popanda mankhwala ngati mankhwala a chifuwa. Mankhwalawa amatha kukhala chizolowezi chopanga. Zitha kubweretsa kuti ana akhanda azidzuka.

Ibuprofen (Advil, Motrin)

Kuchuluka kwamankhwala ochepetsa ululu a OTC kumatha kubweretsa mavuto ambiri, kuphatikizapo:

• kupita padera
• kuchedwa kuyamba kwa ntchito
• Kutseka msanga kwa fetus ductus arteriosus, mtsempha wofunikira
• jaundice
• Kutaya magazi kwa amayi ndi mwana
• necrotizing enterocolitis, kapena kuwonongeka kwa matumbo
• oligohydramnios, kapena kuchepa kwa amniotic madzimadzi
• fetal kernicterus, mtundu wa kuwonongeka kwa ubongo
• misinkhu ya vitamini K yachilendo

Akatswiri ambiri amavomereza kuti ibuprofen mwina ndiyotetezeka kugwiritsa ntchito muyeso wocheperako poyerekeza ndi pakati.

Ndikofunikira kwambiri kupewa ibuprofen panthawi yachitatu ya mimba, komabe. Munthawi imeneyi yamimba, ibuprofen imatha kuyambitsa zofooka zamtima mwa mwana yemwe akukula.

Warfarin (Coumadin)

Warfarin (Coumadin) ndi magazi ochepetsa magazi omwe amagwiritsidwa ntchito pochiza magazi komanso kuwaletsa. Zitha kupangitsa kupunduka.

Ziyenera kupewedwa panthawi yoyembekezera pokhapokha ngati chiwopsezo chokhala ndi magazi chili chowopsa kuposa chiopsezo cha mwana.

Clonazepam (Klonopin)

Clonazepam (Klonopin) amagwiritsidwa ntchito popewa kugwidwa ndi mantha. Nthawi zina amalembedwa kuti athetse nkhawa kapena mantha.

Kutenga clonazepam panthawi yoyembekezera kumatha kubweretsa zizindikiritso za ana akhanda.

Chilala (Ativan)

Lorazepam (Ativan) ndi mankhwala wamba omwe amagwiritsidwa ntchito kutulutsa nkhawa kapena matenda ena amisala. Zitha kupangitsa kuti mwana abadwe pambuyo pobadwa.

Njira yatsopano yolembera ya FDA

Zolemba zamankhwala omwe amalembetsa mndandanda wama kalata oyembekezera adzathetsedweratu.

Chidziwitso china chofunikira chadongosolo latsopanoli ndikuti silimakhudza konse mankhwala a pa-counter (OTC) konse. Zimangogwiritsidwa ntchito ngati mankhwala akuchipatala.

Mimba

Gawo loyambirira la dzina latsopanoli limatchedwa "Mimba."

Gawo ili lili ndi chidziwitso chokhudzana ndi mankhwalawa, zambiri zowopsa, komanso momwe mankhwalawa angakhudzire ntchito kapena kubereka. Ngati pali mankhwalawa, zambiri zolembedwa (ndi zomwe zapezedwa) ziphatikizidwanso m'chigawo chino.

Olembetsa oyembekezera ndi maphunziro omwe amapeza zambiri zamankhwala osiyanasiyana ndi zomwe zingachitike kwa amayi apakati, azimayi oyamwitsa, ndi makanda awo. Zolembetsa izi sizimayendetsedwa ndi FDA.

Amayi omwe ali ndi chidwi chochita nawo kaundula wa amayi omwe ali ndi pakati atha kudzipereka, koma kutenga nawo mbali sikofunikira.

Mkaka wa m'mawere

Gawo lachiwiri la dzina latsopanoli limatchedwa "Mkaka wa m'mawere."

Gawoli limaphatikizaponso chidziwitso cha azimayi omwe akuyamwitsa. Zambiri monga kuchuluka kwa mankhwala omwe adzakhalepo mkaka wa m'mawere ndi zomwe zingachitike chifukwa cha khanda loyamwitsa zimaperekedwa m'gawo lino. Zambiri zofunikira zimaphatikizidwanso.

Amuna ndi akazi omwe angathe kubereka

Gawo lachitatu la dzina latsopanoli limatchedwa "Akazi ndi amuna omwe angathe kubereka."

Gawoli limaphatikizaponso zidziwitso zakuti amayi omwe amagwiritsa ntchito mankhwalawa ayenera kuyezetsa mimba kapena kugwiritsa ntchito njira zakulera. Zimaphatikizaponso zambiri zakomwe mankhwala amakhudzira chonde.

Mfundo yofunika

Ngati simukudziwa ngati mankhwala ali oyenera kumwa panthawi yomwe muli ndi pakati, funsani dokotala wanu. Komanso, funsani za maphunziro omwe asinthidwa, popeza zolemba zamankhwala osokoneza bongo zimatha kusintha ndikufufuza kwatsopano.

Chaunie Brusie, BSN, ndi namwino wovomerezeka pa ntchito ndi yobereka, chisamaliro chofunikira, ndi unamwino wanthawi yayitali. Amakhala ku Michigan ndi amuna awo ndi ana ang'onoang'ono anayi ndipo ndiye wolemba "Mizere Yaying'ono ya Buluu. ”