Okufanele Kugweme Nalokho Ongakwenza Ngesikhathi Seviki Ezimbili
Ingabe ibuprofen ingabangela ukungasebenzi? Ingabe isiraphu yekhwehlela ingakusiza ukhulelwe? Ingabe kukhona imithi engaphezu kwe-counter (i-OTC) okufanele ungayithathi ngesikhathi seviki ezimbili ulinde ? Lezi imibuzo ezivamile abantu abanayo mayelana nemithi engavunyelwe futhi bazame ukukhulelwa.
Cishe uyazi ukuthi kudingeka uqaphele ukuthi yimiphi imithi oyithathayo uma ukhulelwe .
Kodwa ulwazi alucacile njengokuthi usazama .
Njengokwenza njalo, khuluma nodokotela wakho nganoma yikuphi ukukhathazeka onakho mayelana kokubili kokubhaliswa kanye nokungavunyelwanga. Khumbula ukuthi bobabili abesilisa nabesifazane kudingeka baxoxe ngemithi yabo nokuthi bangathinta kanjani ukwelashwa nomhlinzeki wabo wezempilo.
Ngalokho kusho, nansi isiqondiso emithi ye-OTC nokuzala.
Ingabe i-Ibuprofen noma i-NSAID ingabangela izinkinga zokuvota?
U-Ibuprofen uyisidakamizwa se-NSAID noma engeyona isifo esivimba ukuvuvukala, futhi kuyisidakamizwa esithandwa kakhulu. Kulabo besifazane abanenkinga enkulu , ama-NSAID angaba ngumsindisi wokuphila. Ngeshwa, zingase ziphazamise ukuvota . Leli klasi lemithi liwukuphela kwezidakamizwa ezingaphezu kwe-counter-the-counter eyenziwa ngokusekela umphumela ongalungile wokuzala.
"Angazi ubufakazi obucacile bokuthi noma yimiphi imithi ye-OTC iyanciphisa noma yenza ngcono amathuba okukhulelwa," kuchaza uDkt. Kevin Doody, isazi sezokwelapha ekupheleni kokuzala eDallas, eTexas.
"Okungafani nalokhu ukuthi siyazi ukuthi izidakamizwa ze-NSAID zamakilasi zingaphazamisa ukuphuka kobuciko nokukhululwa kweqanda. I-Indomethacin [i-NSAID yesiguli] ikhonjisiwe ngokuqondile ukuthi ibangele i-LUFS (i-follicle syndrome engenalutho). "I-LUFS yilapho iqanda liqala kodwa alikhululwa ku-follicle ekuvuthweni.
Kungani lokhu? Ukuvuthwa kuhilela u-follicle kuma-ovari avuleka futhi akhulule iqanda. Lena isenzo sokuvuvukala kwemvelo somzimba. Ngamanye amazwi, ngenkathi sicabanga ngokuvuvukala ngokuthi "kubi," kulesi simo, ukuvuvukala kubonakala kudingekile ukuvuthwa okunempilo, okujwayelekile. Ama-NSAID aqeda ukuvuvukala, ngisho nokuvuvukala "okuhle".
Kodwa ngaphambi kokuba ulahle yonke ibuprofen yakho, noma uyibeke icala ngenxa yokungasebenzi kwakho okwamanje, qaphela ukuthi umthamo wesikhathi esithile awunakwenzeka ukwenza umthelela omkhulu.
Uyini Ucwaningo ngama-NSAID naku-Ovulation?
Isivivinyo se-crossover esingakahleliwe sasinezingane ezingu-12 ezithatha u-800 mg we-ibuprofen kathathu ngosuku, izinsuku ezingu-10. Bathatha ubuhlungu bukhululekile phakathi nengxenye yokuqala yomjikelezo wabo, noma isigaba se-follicular ngaphambi kokuvuthwa kwenzeka. Abacwaningi bathola ukuthi ukuvuthwa kwezilwane kwakubambezeleka kakhulu kubesifazane abathatha ama-NSAID.
Nokho, lokhu kwakuyinkimbinkimbi encane, nabesifazane abangu-12 kuphela. Babuye bathatha ukulinganisa okukhulu kwezidakamizwa, esikhathini esithile sezinsuku ezimbalwa. Lokhu akumeli ukusetshenziswa okujwayelekile.
Ucwaningo olunzulu lubheke ukuthi ngabe ama-NSAID angasiza ekuvimbeleni ukuvuthwa ngaphambi kwesikhathi ngesikhathi se-IVF . (Uma i-ovulation ivele ngaphambi kokuba amaqanda abuyele, umjikelezo kufanele ukhanseliwe.) Lolu cwaningo olungaba ngu-1,800 imijikelezo lathola ukuthi izidakamizwa ze-NSAID zingasiza ekuvimbeleni ukuvuthwa kokuqala.
Kulokhu, ama-NSAID ayasiza. Basiza ekuvimbeleni ukukhansela kwe-IVF . Kodwa imiphumela ibonisa nokuthi kungenzeka ukuthi ama-NSAID angabambezela ukuvota, okungenzeka uma kungenakusizo kakhulu.
Akuwona wonke ucwaningo olubonisa ukuthi ama-NSAID ayalungile ukuvota. Esicwaningweni sokucwaninga, abacwaningi baqoqa idatha yabesifazane basebenzisa izinhlungu ezihlukahlukene zokuphulukisa ubuhlungu njengoba bevame ukukwenza nokuthi zingathinta kanjani amahomoni okuzala nokuvuna.
Abesifazane abangaba ngu-175, cishe amaphesenti angu-70 bathi basebenzise ukuphulukiswa kobuhlungu obukhulu kakhulu. U-Ibuprofen wayengumuthi ovelele kakhulu osetshenziswayo, ngamaphesenti angu-45 wesikhathi, elandelwa i-acetaminophen, i-aspirin, ne-naproxen.
Abesifazane ababika ukuthi basebenzise noma yimiphi imithi yokuphumula ebuhlungu ngesikhathi sokuqala komjikelezo wabo babengenaso ithuba lokuba nomjikelezo ovulekile. Ngamanye amazwi, imithi yokwelashwa ayizange iphuze ukuphela kwesibindi-ibonakala sengathi ihlotshaniswa nengozi ephansi yezinkinga ze-ovulatory . Kulesi simo, isidakamizwa se-OTD kungenzeka ukuthi sesisize ukuzala.
Ngakho, kufanele ucabangani? Ibuprofen noma i-NSAID engavamile ingabangela izinkinga zokuzala, kodwa cishe kungcono ukuyigwema, uma kungenzeka.
Ingabe i-Ibuprofen iyinkinga yokuzala komuntu?
I-NSAID ingase ingabi inkinga kuphela kwabesifazane. Kungase futhi kubangele izinkinga zesilisa zokuzala .
Esivivinyweni esincane somtholampilo, amadoda angu-31 avulelwe ama-ibuprofen ahlala isikhathi eside, aphezulu. Lokhu kwakuhloswe ukuphindaphindiwe ukuthi abagijimi besilisa bangathatha kanjani lesi sidakamizwa. Lolu cwaningo lwaba ngaphezu kwamasonto ayisithupha futhi luhilele ukuthatha 600 mg we-ibuprofen, kabili nsuku zonke.
Ngemuva kwezinsuku ezingu-14 kuphela zokusetshenziswa kwe-ibuprofen, amanye amadoda athatha ibuprofen athuthukisa isimo se-hypogonadism esikhoxisiwe. Yilapho isilinganiso sobufakazi be-testosterone kuya ku-HH hormone akuvamile. Lokhu kungase kuholele ekubaleni kwesidoda esiphansi.
Lolu cwaningo oluthile, noma kunjalo, aluzange luvivinye ukuhlolwa kwesibalo sowesilisa . Ngakho-ke, kufanele amadoda azama ukukhulelwa nabalingani bawo athathe ibuprofen?
"Ngicabanga ukuthi ukuthatha i-Advil ngezinye izikhathi kuhle," kusho uchwepheshe wezokwelapha kanye nomchwepheshe wesibalo sokubeletha uJames M. Hotaling of Reproductive Medicine Associates waseNew Jersey. "Umphumela wabonakala kuphela ngemuva kokuvezwa isikhathi eside. Kudingeka umsebenzi obengeziwe ngaphambi kokuba senze iziphetho eziqinile. "
Ngakanani ibuprofen kakhulu? "Ngicabanga ukuthi kufanele bakhathazeke uma bethatha i-ibuprofen noma i-Tylenol ephakeme isikhathi esithile, isikhathi esingaphezu kwamasonto amabili." Noma kunjalo, akuzona zonke izinkinga zokuphulukisa ubuhlungu obukhuni, ikakhulukazi izidakamizwa zemithi. "Amadoda akufanele athathe ama-narcotics ngenkathi ezama ukukhulelwa ngoba lokhu kungashintsha i-hormone e-axis yesilisa futhi kubangele izinkinga nge-sperm," kusho i-Hotaling.
Ingabe Umuthi Wokudla Ulungile Noma Ubi Ukuze Ukhule?
Uma ngabe uchithe isikhathi esithile kumafomamu okuzala noma amaqembu omphakathi, uzwile ukuthi i-expectorant guaifenesin ingasiza ukuzala kwakho. Ngokuqondile, abantu bathi kuthuthukisa ikhwalithi ye- mucus yomlomo wesibeletho .
Nokho, akukho ubufakazi obuncane bokuthi lokhu kuyiqiniso. "Umqondo wokuthi i-guaifenesin ingase ikhuthaze ukwanda ngokukhiqiza ukwanda komkhiqizo wesibeletho sekuye kwaphela amashumi eminyaka," kuchaza i-Doody. "Angazi noma yibuphi ubufakazi bokuthi lokhu kuyiqiniso. Angazi noma yimuphi ochwepheshe bokuzala abayincoma. "
Kukhona omunye umuthi wokukhwehlela okufanele ukwazi ngawo: dextromethorphan. Lokhu kungokuthi kufanele uhlale kude uma uzama ukukhulelwa. I-Dextromethorphan iyinkinga yokukhwehlela futhi itholakala eminye imithi ethandwa kakhulu. Le mithi ayinconywa ngesikhathi sokukhulelwa futhi ibhalwe yi-FDA njengesigaba C sokukhulelwa kwezidakamizwa. Lokho kusho ukuthi izilwane zezilwane ziye zathola izingozi ezingase zibe khona emntwaneni, kanti lokho akusho ukuthi ngokuqinisekile kuzoba nomthelela omubi ezinganeni zabantu, ukuba ziphephile, kungcono ukugwema ngesikhathi sokukhulelwa.
Ama-antihistamine no-Allergies: Ingabe Bangabangela Inkinga?
Okunye okunye okungenzeka ukuthi wabonayo emasimini okuzala kuyisiphakamiso sokugwema imishanguzo yokuphuza imithi, ikakhulukazi ama-antihistamine. Lokhu kungenxa yokuthi i-histamines yaziwa ukuthi inendima ethile esibelethweni. Akekho owazi ngempela ukuthi i-histamines ibalulekile kanjani ekukhulelwe, kodwa ukukhathazeka ukuthi ama-antihistamine angaphazamisa ukufakelwa kombungu.
Lokho kusho ukuthi okwamanje akukho bufakazi bokuthi ama-antihistamine anciphisa ukuzala. Lokhu akusho ukuthi abaphazamisi ukuzala. Kuphela ukuthi akukho cwaningo oluye lwafakazelwa ngenye indlela.
Okunye ukukhathazeka ukuthi imishanguzo eminingi yokungezwani komzimba yomisa i-mucus (ukuyeka impumu yakho egijima). Lokhu kusho ukuthi kungase futhi kuholele emgqonyeni wekhwalithi encane yomlomo wesibeletho. Okungenani, yilokho abantu abakushoyo. Futhi, akukho ubufakazi obukhuni bokuthi imishanguzo yokuthola imithi yokwelapha iphazamise ikhono lakho lokukhulelwa.
Ukuze ube ohlangothini oluphephile, ugweme imishanguzo yokuphuza imithi uma uzama ukukhulelwa, ikakhulukazi ngesikhathi ukwelashwa kokuzala, cishe kuhlakaniphile. Kodwa kungenzeka ukuthi akudingekile. Khuluma nodokotela wakho mayelana nokuthi yini engcono kuwe.
Izidakamizwa ze-OTC kanye namaviki amabili alinde: Yini okufanele uyenze?
Funda ilebuli yokuxwayisa cishe yonke imithi yokwelapha, futhi izosho into ethi, "Uma ukhulelwe noma uncelisa, khuluma nodokotela wakho." Lokhu kuyinkinga engokomthetho (bafuna ukugwema ukutholwa) , kodwa futhi ngoba asazi ngokuqinisekile ukuthi umthelela wazo wonke umuthi uzoba yini emntwaneni.
"Imithi yizinto ezingakaze zikhona emvelweni ngesikhathi sokuziphendukela kwemvelo," kuchaza i-Doody. "Akunakwenzeka ukuthi noma yimiphi imithi iyoba nenzuzo ngqo kulomntwana njengoba iqala. Ngakolunye uhlangothi, ama-molecule awela i-placenta ezindaweni ezincane angase abe nemiphumela engalindelekile. "
"Kuyiqiniso ukuthi lezi zidakamizwa ezivame ukusetshenziselwa i-OTC akunakwenzeka ukuthi zibe nomthelela omncane ngokushesha (isib. Ukukhubazeka okukhulu)," i-Doody iyaqhubeka. "Akunakwenzeka ukutadisha ngokwanele umthelela ongcolile ukuthi lezi zinto zingabangela. Isibonelo salokhu kungukuphikisana okwamanje okuzungezile ukusetshenziswa kweTylenol ngesikhathi sokukhulelwa. Ukulibaziseka kwenkulumo kuyinqaba. Izidakamizwa zohlobo lwe-NSAID nazo zibonakala zithinta ama-testic of fetus abesilisa. "
Lokhu kusebenza kanjani phakathi neviki ezimbili kulinde? Ngokusemthethweni, emva kokuvuthwa, uma iqanda likhulelwa, usuvele usuviki kathathu noma ezine ekukhulelwe kwakho. Ingabe kufanele wenze njengokuthi ukhulelwe ngesikhathi seviki ezimbili ulinde? UDkt Doody uthi yebo. "I-embryo cishe isengozini ngalesi sikhathi."
Konke okushiwo, nguwe kuphela nodokotela wakho onganquma ukuthi kungenzeka yini ukuthi izingozi zomuthi othile zingaphezu kwezinzuzo zayo. Uma okwamanje uthatha imithi, ikakhulukazi imithi kadokotela, ungayeki ukuthatha ngaphandle kokukhuluma nodokotela wakho kuqala. Kungaba yingozi ukuyeka imithi ethile kungazelelwe, futhi kungcono kuwe (kanye nengane yakho) ukuqhubeka-ngisho noma uzama ukukhulelwa noma ukhulelwe.
> Imithombo:
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> Ukukhuluma, uJames M. MD, MS, FECSM. Ama-Medicine Associate Associates aseNew Jersey (RMANJ.) Ingxoxo ye-imeyili. Ngo-February 20, 2018.
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> Matyas RA1, Mumford SL1, Schliep KC1, Ahrens KA1, Sjaarda LA1, Perkins NJ1, Filiberto AC1, Mattison D2, Zarek SM3, Wactawski-Wende J4, Schisterman EF5. "Imiphumela ye-anti-counter-counter-counter counter antigesic acid ekuzalweni kwamahomoni nokukhiqiza ama-ovulation kubesifazane abanempilo, be-premenopausal. "Uhlehlisiwe. 2015 Jul; 30 (7): 1714-23.