Ukukhulelwa yisihlandlo sokunyusa umntwana wakho-nokuba, into yokugqibela oyifunayo ngumgudu. Kodwa, ukuba ungumlondolozo, yiyiphi iyeza elingacebisa ugqirha wakho ngexesha lokukhulelwa? Masiqwalasele ngakumbi.
I-Skinny kwi-Migraines ekukhulelweni
I-Migraines yintloko eqhelekileyo xa ukhulelwa. Ngokuqhelekileyo, i-migraines ngexesha lokukhulelwa lenzeke ngaphantsi kwaye lincinci kunabo abangaphandle kokukhulelwa-nangona oku kubonakala ngokuqhelekileyo kubasetyhini abane- migraine ngaphandle kwe-aura kunabesifazana abanesifo se-migraines ne-auras .
Akuqhelekanga kubafazi ukuhlakulela imitha emitha ngexesha lokukhulelwa.
Ngaphambi kokuba uhlalutye kwiinkqubo zonyango olunokwenzeka, nceda uqaphele ukuba ukuba intloko yakho ngexesha lokukhulelwa idibana nayo nayiphi na imigaqo engezantsi, ayikuphucula ngamanyathelo alula, okanye ilandela iphethini eyahlukileyo kwiintsholongwane zakho eziqhelekileyo, zifuna unyango ngokukhawuleza. Le miqondiso ingabonisa isizathu esibalulekileyo sentloko yakho.
- "Intloko ebuhlungu ebomini bam"
- Umbono ogqabileyo
- Izimpawu ze-neurological, njengobuthakathaka okanye ubunzima
- Intloko nge fever
- Intloko enegazi eliphezulu kunye / okanye ukuvuvukala kwemilenze kunye neenyawo (preeclampsia / eclampsia)
- Intloko ngentamo yentamo
- Intloko kunye nokusebenza
Ulwazi malunga neMilisi (okanye kungekhona) iMigraines ekukhulelweni
Nazi iindlela zokwelapha ezinokuthi zithathe i-migraines ngexesha lokukhulelwa apho ugqirha wakho angasincoma, athathwe ngokubanzi kwi-UptoDate-isistim esisisetyenziswa ngokubanzi kunye nobuchule obusekelwe kwisiseko.
Nceda uqaphele ukuba ulwazi olungezantsi aluthatyathwa ukuba lube yingxenye yeluleko lakho logqirha. Njengamaxesha onke, musa ukuthatha nawaphi na amayeza ngaphandle kweengcebiso kumgqirha wakho.
I-Tylenol (i-Acetaminophen) isicetyiswa ngokuqhelekileyo ukuba unyange iintloko ekukhulelwe. Liyilungu le-B kwaye libhekwa njengekhuselekile kumntwana.
Ukuba i-acetaminophen ayisebenzisi yodwa, ngamanye amaxesha idibanisa kunye neyeza zokulwa nesiciso sokusasazela isifo esibizwa ngokuthi i-Reglan (metoclopramide) inceda. Ezinye iintlobo ze-tylenol ziquka i-tylenol-codeine, okanye i-caffeine-aspirin-butalbiltal (Fiorcet).
Nceda uqaphele ukuba nge-caffeine, i-American College ye-Obstetrics kunye ne-Gynecology icebisa ngaphantsi kwe-200mg ye-caffeine imihla ngemihla ngexesha lokukhulelwa.
Ekugqibeleni, ikhodi ye-codeine ayifanele ibe yimihla engama-9 ngenyanga okanye i-butalbital ingabi ngaphezu kweentsuku ezi-4 ukuya kwezi-5 ngenyanga ukwenzela ukuba ugweme unyango olungaphezulu kweentloko.
I-antisteroidal anti-inflammatories, okanye i-NSAID, njenge-ibuprofen (Advil, Motrin) okanye i-naproxen (i-Aleve), unyango lwesibini lwezonyango zemigraines ekukhulelweni. Zikhuselekileyo kwi-trimester yesibini. Kukho ubungqina obunqinqiweyo bokuthi ii-NSAID zinokudityaniswa nokukhulelwa kwesisu kunye neziphene ezithile zokuzalwa kwi-trimester yokuqala. I-NSAID ayifanele isetyenziswe kwi-trimester yesithathu.
I-opiods-like oxycodone okanye i-morphine-yindlela yokwelapha yesithathu kwimigraines ekukhulelweni. Akufanele bathathwe ixesha elide ngenxa yengozi yokulutha umlutha kunye nokuphuhlisa iyeza zonyango kunye kunye / okanye iintsholongwane ezingapheliyo zonke iintsuku . Kukho umngcipheko wokuhoxiswa kwe-neonatal xa umntwana wakho ezalwa.
Ekugqibeleni, i-opiods inokudambisa ezinye iimpawu zokukhulelwa eziqhelekileyo, njengencyulo kunye nokuqhaqha.
I- triptan , i-sumatriptan, isacinga ukuba ukukhulelwa kwesigaba C-intsingiselo yezilwanyana ezibonisa intsingiselo embi kumntwana kodwa akukho zifundo ezaneleyo ebantwini, ngoko ingozi ayinakukhutshwa. Ngokuxhomekeke kwimeko, i-sumatriptan ingamkeleka kwabasetyhini abathile abakhulelweyo. Oku kuya kufuna ukuxoxwa ngokucophelela ngogqirha womntu kunye ngoncedo lwe-neurologist okanye ingcali yekhanda.
I-Ergotamine kunye ne-dihydroergotamine zibini zibalulwe njenge-X class pregnancy kwaye akufanele zisetyenziswe ngexesha lokukhulelwa okanye ngokwenene nawuphi na umfazi oneminyaka yokubeletha ongasebenziyo ukukhulelwa ngokufanelekileyo.
ILizwi
Kwininzi yabasetyhini, i-migraines iphucula ngexesha lokukhulelwa. Kodwa ukuba zibuhlungu kuwe, ungakhathazeki. Thetha nogqirha wakho. Kukho iindlela ezininzi ezilula, ezinokuzimela, kunye nemithi embalwa (ukuba kuyimfuneko), enokukunceda ufikelele ngeli xesha.
Imithombo
Digre, KB. Inwele ngexesha lokukhulelwa. I-Clin Obstet Gynecol. 2013 Juni; 56 (2): 317-29.
UGilmore B, uMagdalena M. Ukunyanga kwe-headache migraine entloko. I-Phys Physician. 2011 Feb 1; 83 (3): 271-280.
U-Lee MJ, uGuinn D, noHickenbottom S. Intloko emabhinqa abakhulelweyo nabasemva. Ku: U-UpToDate, iBasow DS (Ed), UpToDate, i-Waltham, MA, 2015.
MacGregor EA. Intloko ekhulelwe. Neurol Clin. Ngo-Agasti ka-2012; 30 (3): 835-66
I-Nappi RE, iAlbani F, amaG G, i-Terreno E, i-Brambilia E, ne-Polatti F. Iintsholongwane ngexesha lokukhulelwa. I-Curr Pain Headache Ngo- 2011 Agasti; 15 (4): 289-94.