Ungayiphuza yini imishanguzo yokukhubazeka lapho ukhulelwe?

Imininingwane Yezidakamizwa

Owesifazane othola ukuthi unengane angalindela ukuzizwa ejabule, enovalo, ejabule, noma ecindezelekile kancane ngesikhathi ekhulelwe. Kodwa omama abaningi abalindele mhlawumbe abalindeli ukuzizwa becindezelekile. Noma kunjalo, izifundo zibonisa ukuthi abesifazane abakhulelwe baba sengozini enkulu kakhulu yokudangala lapho bengakhulelwe.

I- I-U.S. Preventive Services Task Force (USPSTF) ithi owesifazane oyedwa kwabayisikhombisa uzobhekana nokudangala noma ngesikhathi sokukhulelwa noma ngesikhathi sokubeletha, nokuthiukucindezeleka kwangemva kokubelethayizinkinga ezivame kakhulu zokukhulelwa nezokubeletha. Kepha kulungile ukwelapha ngenkathi ulindele? Ingabe ama-anti-depressants nokukhulelwa kuyinhlanganisela ephephile?

OKUSHIWO: Ama-anti-depressants kanye nokuncelisa ibele

Ziyini izimpawu zokudangala ngesikhathi sokukhulelwa?

Ukudangala komama kubukeka njengokucindezeleka komtholampilo, kusho uCrystal Clancy, umshado onelayisense nomelaphi womndeni ku I-IrisImpilo YengqondoImisebenzi Yezempilo Yokuzala eMinnesota. Umehluko phakathi kwengcindezi yangaphambi kokubeletha nokudangala komtholampilo ukuthi umama okhulelwe uvame ukuzwa amahloni ahambisana nokungazizwa kahle ngesikhathi ekhulelwe, kuchaza uClancy.

Izimpawu zokucindezeleka ekukhulelweni, ngokusho kwe- Inhlangano yaseMelika Yokukhulelwa , faka:

• Ngizizwa ngidabukile ngokungapheli
• Kunzima ukugxila, ngisho nasezintweni ozithandayo
• Izinguquko ekudleni noma ekulaleni
• Imicabango yokufa noma yokuzibulala

Uma ubona izimpawu zokucindezeleka ngenkathi ukhulelwe, isinyathelo sokuqala ukufuna usizo. Ungavumeli ukwesaba ukunikezwaumuthi olwa nokucindezelwaakuvimbe ekutholeni ukunakekelwa. Yize kuyinto ejwayelekile ukuba nokungabaza mayelanaukusetshenziswa kwemithingenkathi ukhulelwe, odokotela ngokuvamile bathi iizingozi ezingaba khonayokungathathi imishanguzo yokulwa nengcindezi kudlula izingozi zokuyiphuza.

Ukwelashwa kokucindezeleka ngesikhathi sokukhulelwa

Uma kungalashwa, ukudangala kungadala izingozi ezinkulu empilweni kumama okhulelwe nasenganeni engakazalwa, kufaka phakathi ukuzalwa kwangaphambi kokubeletha futhiisisindo sokuzalwa esiphansi, kuchaza uSal Raichbach, Psy.D., isazi sokusebenza kwengqondo ku Isikhungo Sokwelapha i-Ambrosia eFlorida.

Ama-anti-depressants nokukhulelwa

Ngokuvamile kuphephile ukuphatha ukucindezeleka ngei-serotonin reuptake inhibitors ekhethiwe(Ama-SSRIs), njenge UCelexa [citalopram], I-Prozac [i-fluoxetine], futhi Zoloft [sertraline] ngesikhathi sokukhulelwa, kusho uDkt. Raichbach. I-Paxil (i-paroxetine) enye i-SSRI ewela kuleli banga elifanayo, kepha ihlotshaniswa ne- a ingozi encane ukukhubazeka kokuzalwa njengokukhubazeka kwenhliziyo. Ukusetshenziswa kwayo kuvame ukudikibala ngesikhathi sokukhulelwa.

I-USPSTF yenze ucwaningo laphoabesifazane abakhulelweuthathe i-antidepressant umabhebhana (anI-SSRIkanye nohlobo olujwayelekile lweZoloft) kanye ne-placebo yokwelapha ukudangala kwabo. Ucwaningo luthole ukuthi abesifazane abathatheSertralinekunciphise ukuphindeka kwengcindezi uma kuqhathaniswa nabesifazane abathatha iphilisi le-placebo.

I-Serotonin-norepinephrine reuptake inhibitors (Ama-SNRIs), njenge ICymbalta , UKhedezla, futhi I-Effexor kuphephile futhi nge-abesifazane abakhulelwe. I-Lexapro (escitalopram) kungenye i-SNRI kulesi sigaba esifanayo. Ucwaningo kusikisela ukuthi kunengozi eyengeziwe yokopha ngemuva kokubeletha lapho ama-SNRIs ethathwa ekupheleni kokukhulelwa.

I-Wellbutrin (i-bupropion) uhlobo olwengeziwe lwe-antidepressant kwesinye isikhathi olusetshenziselwa ukusiza abantu bayeke ukubhema. Akuyona into yokuqala oyenzayo ngesikhathi sokukhulelwa, kodwa kuyindlela ephephile yokuxoxa nodokotela wakho uma amanye ama-anti-depressants engakusebenzelanga.

I-Tricyclic anti-depressants, efana ne-Pamelor ( nolwethu ), esinye isigaba se-anti-depressants esithathwa njengenketho yomugqa wesithathu ngesikhathi sokukhulelwa ngoba kuhlotshaniswa nokucasuka, ukudlikizela, noma ukuphuma kwegazi kwangemva kokubeletha.

Imithi yokwelashwa kwengcindezi

Kuvamile ukuthi abesifazane besabe ukuphuza imishanguzo yokukhubazeka ngesikhathi sokukhulelwa, kodwa kubalulekile ukuthi isiguli ngasinye sixoxe nomhlinzeki waso wezokwelapha ukuthi yikuphi ukwelashwa okungcono kakhulu enhlalakahleni yabo. Ezigulini ezimisele ukuzibophezela kolunye uhlelo lokwelashwa, kunezinketho ezingezona ezemithi. Ngokuvumelana ne isifundo esisodwa , amasu okungenelela okungewona amakhemikhali afaka (kepha awakhawulelwe):

• Ukuqokwa njalo kwe-psychotherapy
• Ukuya eqenjini lokwesekwa
• Ukwelashwa kokuziphatha kwengqondo (CBT), ngamaqembu, njengomuntu ngamunye, noma nasekhaya

Okomama abalindele abaneukucindezeleka okukhulu, noma omama abangakwazi ukuzibophezela ezinhlelweni ezihlukile, uClancy uthi, Kubaluleke kakhulu ukuthola umuntu oqeqeshwe ngokukhethekile ekunikezeleni [imishanguzo yokudambisa ingculaza] yeziguli ezikhulelwe nezisanda kuzala.

Okuqhamuka uma udla imishanguzoyeukusetshenziswa kwe-antidepressantngesikhathi sokukhulelwa

Kunemininingwane eminingi eyiphutha lapho ukuthi yini omama abangayithatha ngenkathi bekhulelwe futhi bencelisa. I- Inhlangano Yokukhathazeka Nokucindezeleka YaseMelika ithi yize kunezingozi ezihambisana nezidambisi zokukhulelwa nokukhulelwa, kufaka phakathi izingozi zeukukhubazeka kokuzalwa , izingozi ziphansi kakhulu. I- imiphumela emibi engaba khona ukuvezwa kokubeletha ngaphambi kwenyanga yesithathu futhi kufaka:

• Jitteriness
• Ukuthukuthela
• Ukudla okungafanele
• Ukucindezeleka kokuphefumula
• Ingcuphe encane kakhulu engaba khona ye-autism ne-ADHD

Kwabesifazane abathola ukuthi balindele futhi sebevele bekwi-anti-depressants, UJohn Hopkins Medicine weluleka ngokumelene neukuyekangemithi yakho, futhi uncoma ukuthi uthintane ngokushesha nomhlinzeki wakho wezokunakekelwa kwempilo. Futhi basikisela ukuthi uma uneukuphazamiseka kwemizwelofuthi ucabanga ukukhulelwa, ukuthi ubonane nodokotela wezifo zengqondo ngaphambi kokuzala.

UDkt Raichbach uthi Ngenkathi izingozi zokuphuza imishanguzo yokukhubazeka ngesikhathi sokukhulelwa zincane, odokotela bavame ukusikisela umthamo ophansi kakhulu wemithi osebenzela ukunciphisa izimpawu. Enye indlela ye-ukudangala okungalashwanokukhathazeka impela kunomthelela omubi ekukhuleni kombungu.

Kungcono ukukhuluma neyakhoudokotela wokubelethisamayelana nezinketho ezinhle zokunakekelwa kwakho. Impilo YengqondoMelika inikeza izinsiza nosizo kulabo abafuna iimpilo yengqondoochwepheshe.

Abesifazane abakhulelwe abanikezwe imishanguzo yokukhubazeka ngesikhathi sokukhulelwa baphakanyiswa ukuthi babhalise ku-National Pregnancy Registry for Antidepressants (NPRAD) ngokushayela u-844-405-6185.