Ama-Painkillers Anamahloni Angabhekana Nezingane Ezibelethwe Ngama-Breastfed
Omama abahlengikazi bavame ukuba nokuphila okunjalo okumatasa kangangokuba lutho - hhayi ngisho nobuhlungu obuvela ekhanda elibuhlungu noma ukulimala okuqhubekayo - lunganciphisa. Ngenhlanhla, ukuthatha ama-painkillers ngenkathi ukondla kungenziwa ngokuphepha, nakuba imithi efanele nokuqapha ngokucophelela kuyadingeka ukuqinisekisa ukuphepha kwengane.
Imithi yobuhlungu, eyaziwa nangokuthi i-analgesics, ingaba ngaphezu kwe-counter (i-OTC) noma amandla kadokotela.
Ama-painkillers anesifo semithi ayinamandla kunezinguqulo ze-OTC, kodwa futhi aletha nezingozi ezingase zibe khona ezinganeni ezikhulelwe. Noma kunjalo, ama-analgesics e-OTC ayenawo ngaphandle kwezingozi noma. Ezinye izidakamizwa kuzo zombili izigaba zingabangela izinkinga zempilo ezinganeni ezisanda kuzalwa ngisho nezinkinga ezisongela ukuphila.
Omama abaningi abancancisayo bathola izeluleko ezinhle ezivela kwabanye ukuze bayeke ukunakekelwa uma bethatha imithi njalo. Kodwa ukuyeka ukuncelisa kungase kungadingekile, ngokwe-American Academy of Pediatrics (AAP), ekhuthaza kakhulu ukuthi izinsana zibelethwe kuze kube yilapho zingenani izinyanga ezingu-12 ubudala.
Ngokusho kwe-US Centers for Disease Control, cishe abantwana abangama-74% ngonyaka ka-2005 babebelethwe ngamabele isikhathi esithile; cishe amaphesenti angama-43 ayesabela ezinyangeni ezingu-6 ubudala kanye no-21% ngonyaka ongu-1.
Imithi eminingi ye-OTC idlula ubisi lwebele ngamanani amancane ukuthi izinsana azithintekile kakhulu, ngokusho kwe-AAP, kanti ngisho nokusetshenziswa kwe-painkiller kadokotela kungase kungavumeli ukuhlukanisa ubudlelwane obuhlengikazi.
Nansi incazelo yama-analgesics ahlukahlukene, kanye neziqondiso zezidakamizwa ezibhekwa ziphephile ngesikhathi sokuncelisa futhi okufanele zigweme. Hlola nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi ngenkathi ukondla.
Amaphilisi e-OTC ngokwabo afika ngezigaba ezimbili, ngokusekelwe kwisithako sabo esisebenzayo:
- I-Acetaminophen, isithako esebenzayo eTylenol, ngokuvamile kubhekwa njengokuphephile ekukhulelweni futhi kucwaningwe kahle. I-Acetaminophen isetshenziswa ngokuyinhloko ngenxa yekhanda, umkhuhlane, ama-aches, ubuhlungu nokuphuza komphimbo.
- Izidakamizwa eziphikisana nezidakamizwa (ama-NSAID) azibandakanya i-aspirin kanye ne-Advil noma i-Motrin (ibuprofen) ne-Aleve (naproxen). I-aspirin kufanele igwenywe ngabomama abahlengikazi ngoba izakhiwo zayo ezincane zegazi zingabangela ukuphazamiseka noma ukuphaphaza okungavamile kwezingane ezisencane. Ibuprofen ne naproxen, noma kunjalo, kubhekwa njengokuphephile komama nomntwana.
Ngezinye izikhathi iziguli zokuguliswa kwezidakamizwa zisetshenziselwa ubuhlungu obukhulu obubangelwa ukulimala, ukuhlinzwa, umsebenzi wamazinyo noma ikhanda le-migraine.
Ama-analgesics abhalwe ngokusemthethweni afaka i-codeine, i-OxyContin (i-morphine) noma i-Percocet (i-oxycodone ne-acetaminophen), i-Demerol (i-meperidine), i-Duragesic (i-fentanyl) ne-Vicodin (i-hydrocodone). Odokotela bavame ukuvumela ukusetshenziswa kwezidakamizwa ngokuncelisa abantwana uma izinzuzo zicacile kakhulu ezingozini ezingenzeka. Sicela ugcine engqondweni, noma kunjalo, ukuthi ukusetshenziswa kabi kwe-opioid kadokotela kuyinkinga ebanzi futhi akuvamile ukuthi ama-narcotics abekwe odokotela.
Kuzo zonke izidakamizwa, izingozi ezinganeni zokukhulelwa zihlanganisa ukulala, ukuphefumula nobunzima bokudla.
Ukusetshenziswa njalo kwama-opioids ngamama okuncelisa ukubeletha akukwaziswa.
Omama abahlengikazi kufanele njalo batshele noma yimuphi udokotela uma bebeletha, ikakhulukazi odokotela ababeka imithi ebuhlungu. Ngezinye izikhathi udokotela uzobeka okuthile ngaphandle kokuqaphela noma abuze ukuthi unina unakekela yini. Sicela ukhumbule ukuthi udokotela wakho ukhona ukukusiza uphendule imibuzo yakho. Kumele uzizwe ukhululekile ukwabelana nganoma yiluphi ulwazi oluhlobene nempilo nodokotela wakho, kufaka phakathi ukuthi uncelisa yini.
Imithombo
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"Ama-Painkillers angenalutho." kaiserpermanente.org . 30 Okthoba 2007. I-Kaiser Permanente Hospital Network. 9 Feb. 2009
"Imithi ye-OTC nendlela abasebenza ngayo." familydoctor.org . Mashi 2008. I-American Academy of Family Physicians. 3 Febhuwari 2009
"Imikhiqizo ye-OTC namaGciwane ahlukahlukene aphethwe." aafp.org . 2009. I-American Academy of Family Physicians. 3 Febhuwari 2009.
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"Ukusetshenziswa kwemikhiqizo yeCodeine kumama abahlengikazi." fda.gov . 17 Aug. 2007. Ukuphathwa Kwezokudla Nezidakamizwa zase-US. 10 Feb. 2009