Kuphephile yini ukuthatha i-Effexor ngesikhathi sokukhulelwa?

Izindaba Zomama Zolwazi Lwezidakamizwa

Uma ukhulelwe, ufuna ukwenza konke okusemandleni ukuqinisekisa ukuthi ingane iphephile futhi iphilile. Ngasikhathi sinye, ufuna ukuzigcina unempilo, futhi. Abesifazane abaningi bathatha imishanguzo ngesikhathi sokukhulelwa ukuphatha izimo zezempilo eziqhubekayo, kepha wazi kanjani ukuthi baphephile?

Ngokuvumelana ne umbiko we-CDC , liyanda inani labantu abadala baseMelika abathatha imishanguzo yokulwa nengcindezi, ikakhulukazi kubantu besifazane. Cishe abesifazane abangu-18% bathi bathathe i-anti-depressant ngenyanga edlule uma kuqhathaniswa nabesilisa abangaphezudlwana kuka-8%.

I-Effexor (venlafaxine) i-antidepressant eyingxenye yeqembu lemithi ebizwa nge-serotonin ne-norepinephrine reuptake inhibitors (SNRIs). Ishintsha amakhemikhali obuchopho okungenzeka angalingani kubantu abanokudangala. Futhi kuvame ukunqunywa ekwakhiweni kokukhishwa okwandisiwe, okubizwa nge-Effexor XR. Ngaphandle kokudangala, i-Effexor nayo iyathathwa ukuyelapha ukukhathazeka nokuhlaselwa uvalo okuphindiwe. Uma uthatha i-Effexor futhi ukhulelwe noma uhlela ukukhulelwa, ungahle uzibuze ukuthi kuphephile yini ukuthatha i-Effexor, noma i-Effexor XR, ngesikhathi sokukhulelwa.

Ingabe ukuthatha i-Effexor kungenza kube nzima ukuthola noma ukuhlala ukhulelwe?

Bangu azikho izifundo njengamanje uhlola ukuthi i-Effexor ingadala yini ukungabi nenzalo kwabesilisa noma kwabesifazane noma kwengeze isikhathi esithathayo ukukhulelwa. Ucwaningo oluningi alukhombisanga ukuxhumana phakathi kwe-Effexor kanye nethuba eliphakeme lokukhulelwa kwesisu, kodwa isifundo esisodwa bathole ukuthi abesifazane abathatha i-Effexor basengozini yokuphuphunyelwa yisisu. Kukhona ingozi eyengeziwe yokuphuphuma kwesisu kubantu besifazane abanokudangala okungalashwa.

Ingabe i-Effexor iphephile ngesikhathi sokukhulelwa kwasekuqaleni?

Njengodokotela wezifo zengqondo, ngihlola abesifazane abaningi abacindezelekile nabakhathazekile abakhulelwe nabancelisayo,kusho uLeela Magavi, MD, udokotela wezifo zengqondo kanye nomqondisi wezokwelapha wesifunda I-Psychiatry Yomphakathi phakathiENingizimu California.I-Venlafaxine noma i-Effexor ingaba i-antidepressant ephephile ukukhomba izimpawu zemizwelo nokukhathazeka ngesikhathi sokukhulelwa.

Ucwaningo luxubene nokuthi ngabe i-Effexor iphakamisa amathuba okukhubazeka kokuzalwa noma ezinye izindaba zezempilo. UDkt Magavi uthi, ngokujwayelekile, bonke abesifazane abakhulelwe banamathuba ama-3% kuya ku-5% okuba nengane enenkinga yokuzalwa. Ukucwaninga kwabesifazane abangaphezu kwama-700 abathathe i-Effexor ngenkathi bekhulelwe kukhombisa ukuthi ubungozi babo babuzungeze ibanga elifanayo: 3% kuye ku-5%.

Olunye ucwaningo lukhombisa ukuthi i-Effexor iphephile ukuyithatha ngesikhathi se-trimester yokuqala. Kepha, isifundo esishicilelwe ku- I-JAMA Psychiatry izixhumanisi ezithatha i-Effexor ngesikhathi sokukhulelwa kwasekuqaleni nge ukukhubazeka okuningi kokuzalwa kunamanye ama-anti-depressants, kufaka phakathi ukukhubazeka kwe:

• Inhliziyo
• Ubuchopho
• Umqolo
• Umthondo (hypospadias)
• Udonga lwesisu (i-gastroschisis)
• Izindebe nophahla lomlomo (i-cleft lip ne-cleft palate)

Ababhali besifundo bayavuma ukuthi kudingeka olunye ucwaningo.

Ingabe i-Effexor iphephile ekukhulelweni sekwedlule isikhathi futhi ngenkathi uncelisa?

Abesifazane abathatha i-Effexor phakathi nokukhulelwa kwabo, kufaka phakathi i-trimester yesithathu, kanti ngenkathi ukuncelisa ibele kungaba nezingane ezinezimpawu ezinobuthi, ukuhoxa, kanye ne-serotonin syndrome, efana ne:

• Jitteriness
• Ukuthukuthela
• Izimo zethoni yemisipha (i-hypotonia noma i-hypertonia)
• Ukuthuthumela
• Ukuquleka
• Ukuphefumula okunenkinga nesikhumba esiluhlaza okwesibhakabhaka ngenxa yokushoda komoya-mpilo
• Ukuhlanza
• Ushukela wegazi ophansi
• Unenkinga yokudla nokulala
• Ekhala njalo
• Amaphethini wokulala angajwayelekile

Lezi zimpawu zingadinga ukulaliswa esibhedlela isikhathi eside, nezinye izinyathelo ezifana nokudla ngethambo nokwesekwa kokuphefumula.

Yimaphi ama-anti-depressants aphephile ukuwathatha ngenkathi ukhulelwe futhi unesi?

Abesifazane abakhulelwe bangasebenzisa iningi lama-anti-depressants ngokuphepha ngesikhathi sokukhulelwa . Kepha, I-Effexor ngokuvamile akuyona inketho yokuqala lapho uqala ukwelashwa kwe-antidepressant ngesikhathi sokukhulelwa,kusho uLeslie Southard, Pharm.D., umsunguli we Usokhemisi we-Lactation .

UDkt.Southard noDkt Magavi bayavumelana nalokho Zoloft (sertraline) kuyathandwa. Kubhekwa njengesinye sezidambisi eziphephe kakhulu kwabesifazane abakhulelwe njengoba besemakethe iminyaka engama-30 futhi sinedatha eningi ngemuva kwaso. Yize, iZoloft nayo ingafika nezinkinga. Qiniseka ukuthi uxoxa ngayo nomhlinzeki wakho wezokunakekelwa kwempilo.

OKUSHIWO: Kuphephile yini ukuthatha iZoloft ngesikhathi sokukhulelwa?

Umhlinzeki wakho wezokunakekelwa kwempilo angakusiza unqume ukuthi imuphi umuthi nomthamo ozosebenza kangcono ngokuya ngezidingo zakho kanye nempilo yomzimba nengqondo isiyonke.

Ungaqali noma umise i-anti-depressant ngaphambi kokuqala ukhulume nomhlinzeki wakho wezokunakekelwa kwempilo. Ukumisa ngokungazelelwe i-antidepressant empeleni kungadala ingozi enkulu kunokuyithatha. Lokhu kungahle kuholele ekuwohlokeni kwemizwelo nezimpawu zokukhathazeka, ezingathinta kabi umama nengane, kusho uDkt Magavi.

Uma uthatha isinqumo sokuyeka ukuthatha i-anti-depressant yakho ngesikhathi ukhulelwe, umhlinzeki wakho wezokunakekelwa kwempilo uzonciphisa umthamo ngokuhamba kwesikhathi. Bazobuye baxoxe ngezinye izindlela zokuphatha izimo zakho zempilo yengqondo.