Umbuzo: Ingabe Imithi Yokukhathazeka Evikelekile Ukusetshenziswa Ngesikhathi Ngisanda Ukukhulelwa?
Kuvamile ukuba abesifazane (futhi ngezinye izikhathi amadoda) bahlakulele isifo sokukhathazeka ngemva kokukhulelwa kwesisu. Kodwa kuphephile yini ukuthi abesifazane basebenzise izidakamizwa zokukhathazeka ukulawula izimpawu zokukhulelwa okulandelayo?
Impendulo:
Imizwa yokukhathazeka emva kokukhulelwa kwesisu ingase ikwazi ukukhathazeka ngokukhulelwa okusha noma ingakhathazeka ngokuphila ngokuvamile.
Abanye bangabhekana nokukhetha ukuthi ngabe bayayisebenzisa yini imishanguzo yokulwa nokukhathazeka ukulawula ukukhathazeka ngemva kokukhulelwa kwesisu. Emibhangqwana efuna ukuzama ukukhulelwa okusha, lokhu kuphakamisa umbuzo wokuthi lezi zidakamizwa ziphephile yini ekukhulelweni okulandelayo.
Ngeshwa, ucwaningo luyaphikisana nokuphepha kwemithi yengqondo ngesikhathi sokukhulelwa, kanti impendulo ayisobala ngaso sonke isikhathi. Nakhu esikwaziyo mayelana nezigaba ezithile zezidakamizwa:
Benzodiazepines
Njengamanje, odokotela abaningi abancoma ukuthi basebenzise leli klasi lezidakamizwa ngesikhathi sokukhulelwa. Ama-benzodiazepines, afana ne-Valium ne-Xanax, aye axhunyaniswe neminye imibiko engozini eyanda kakhulu yezikhwama ze-ofacal, i-hypotonia, i-apnea, nezinkinga zokudla ezinganeni.
Ezinye izifundo azitholanga ingozi yokusebenzisa i-benzodiazepines ngesikhathi sokukhulelwa, ngakho-ke lolu daba lusetshenziselwa impikiswano. Kodwa-ke odokotela bayobe beka benzodiazepines ngesikhathi sokukhulelwa lapho bezwa khona izinzuzo ezingaphezu kwezingozi.
I-Serotonin Reuptake Inhibitors Ekhethiwe (SSRIs)
Izidakamizwa esigabeni, njenge-Prozac (i-fluoxetine), zibhekwa ngokweqile njengezinkinga zokucindezeleka. Kodwa, ucwaningo luveza ukuthi bangasiza futhi ngokukhathazeka. Abacwaningi abavumelani nokuphepha kokusetshenziswa kwe-SSRI ngesikhathi sokukhulelwa; Ucwaningo oluthile alutholanga imiphumela yesikhathi eside, kodwa abanye bathole ubufakazi bokuthi kungenzeka izinkinga ze-neonatal ezinganeni ezivezwe kuma-SSRI ngesikhathi sokukhulelwa.
Njengamanje, i-American College of Obstetricians kanye namaGynecologists batusa ukuthi izinqumo mayelana nokusebenzisa i-SSRI ngesikhathi sokukhulelwa zenziwa ngesinye isinye kodwa zeluleka ngokusetshenziswa kwe-Paxil ngesikhathi sokukhulelwa, uma kungenzeka.
I-Tricyclic Antidepressants (TCAs)
Olunye ucwaningo luye lwathola ama-TCA, afana ne-Tofranil (imipramine), ukuze kusize ukukhathazeka kanye nokucindezeleka. Ucwaningo oluthile lubheke ukusetshenziswa kwe-tricyclics ngesikhathi sokukhulelwa, futhi akekho obuthole ubufakazi obucacile bezinkinga zesikhathi eside. Kodwa-ke, olunye ucwaningo lwango-2007 lwathola ubufakazi bokuthi ukusebenzisa ama-tricyclics noma i-SSRI ngesikhathi se-trimester yesithathu kwandisa ingozi yokubeletha kwangaphambi kwesikhathi kanye nezinkinga zomntwana lapho ezalwa.
Yenza Isinqumo Sikulungele Kuwe
Abesifazane abaningi bakhetha ukugwema izidakamizwa ngokuphelele ngesikhathi sokukhulelwa, kodwa ucwaningo lubonisa ukuthi ukukhathazeka okukhulu okungalawuleki ngesikhathi sokukhulelwa kungase kubangele nezinkinga ezinganeni. Ngakho, ngokuqinisekile kuba umbuzo wokulinganisa izingozi nezinzuzo. Abanye besifazane bakhetha ukufuna ukwelashwa kwengqondo-ukuziphatha noma ezinye izifo ezingezona izidakamizwa ezingezona izidakamizwa esikhundleni (noma ngaphambi kokuzama) izidakamizwa.
Kunoma yikuphi, ukukhetha ukuthi ungayisebenzisa yini imithi yokhathazeka ngesikhathi ukhulelwe kungukuthi wena nodokotela wakho.
Uma uhlushwa ukukhathazeka okukhulu emva kokukhulelwa kwesisu, lokhu kuyingxoxo ebalulekile okufanele ube nayo.
Imithombo:
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