Kuphephile yini ukuthatha iZoloft ngesikhathi sokukhulelwa?

Izindaba Zomama Zolwazi Lwezidakamizwa

Ingxenye ebalulekile yokuba umzali okhulelwe ukugcina ingane yakho iphilile. Lokho kubandakanya ukufunda ukuthi yimiphi imiyalo ephephile ongayithatha ngesikhathi ukhulelwe — njenge imishanguzo elwa nokudangala . Futhi ngenkathi ukuthatha i-anti-depressant efana ne-Sertraline (Zoloft) ngesikhathi sokukhulelwa akuyona i-100% engenangozi, ukuhamba ngokukhulelwa nokucindezeleka okungalashwa kungahle kube nezingozi eziningi.

Eqinisweni, i- I-American College of Obstetricians kanye neGynecologists (I-ACOG) ithi ukucindezeleka ngesikhathi sokukhulelwa kungaba nemiphumela emibi yezempilo kubo bobabili umama ozayo nomntwana. Lokhu kufaka phakathi izinkinga ngokukhula kombungu,ukuzalwa ngaphambi kwesikhathi, isisindo sokuzalwa esiphansi, kanye nezinkinga ngemuva kokuzalwa.

Ukunquma ukuthi uzoqhubeka yini ukuthatha i-anti-depressant ngesikhathi sokukhulelwa kuyinto okudingeka uyixoxe nomhlinzeki wakho wezokunakekelwa kwempilo. Nazi izisekelo okudingeka wazi.

OKUSHIWO: Kuyini iZoloft? | Thola amakhuphoni kaZoloft

Kuphephile yini ukuthatha iZoloft ngesikhathi sokukhulelwa?

I-Zoloft yigama lomkhiqizo le-sertraline yezidakamizwa, engekilasi lama-anti-depressants abizwa ngokuthi yi-selective serotonin reuptake inhibitors (SSRIs). Le mithi isebenza ngokwandisa inani le-serotonin, i-neurotransmitter yemvelo, ebuchosheni. Ama-SSRIs asetshenziselwa ukwelapha ukudangala, ukuphazamiseka kovalo, ukuphazamiseka okucindezela ngokweqile, ukuphazamiseka kokukhathazeka komphakathi, kanye nokuphazamiseka kwangemva kokuhlukumezeka kwengqondo.

Umndeni wama-SSRIs, ikakhulukazi iZoloft, uthathwa njengenye yezindlela eziphephe kunazo zonke zokulwa nokucindezeleka ngesikhathi sokukhulelwa, uthi USherry Ross , MD, OB-GYN, kanye nochwepheshe wezempilo yabesifazane eProvidence Saint John's Health Centre eSanta Monica, eCalifornia.

Kodwa-ke, kwabanye omama, uDkt. Ross uthi isinqumo sokuqhubeka ne-SSRI ngesikhathi sokukhulelwa ekugcineni sehla ukukala ubungozi kanye nezinzuzo.

Yize imiphumela emibi yokuthatha i-SSRI ngenkathi ukhulelwe imincane kakhulu, uDkt Ross uthi kungaba nemiphumela emibi engaba khona enganeni uma uthatha umuthi ku-trimester edlule. Lokhu kufaka phakathi ama-jitters, ukucasuka, ukungondli kahle, ukucabanga okungajwayelekile, ushukela wegazi ophansi, ithoni yemisipha engavamile, ukuhlanza, ukuxhuzula, kanye ukucindezeleka kokuphefumula ngenyanga yokuqala yokuphila.

Izikhungo ze-U.S. Zokulawulwa Nokuvimbelwa Kwezifo (CDC) funda ithole ukuthi yize kunokwanda okuthe xaxa kokukhubazeka okuthile kokuzalwa okuvela kuma-SSRI athile (i-paroxetine noma i-fluoxetine), ingozi yangempela ezinganeni ezizalwe ngabesifazane ezithatha enye yalezi zidambisi zengqondo isephansi kakhulu. Lezi yizindaba ezinhle komama abazothatha i-sertraline ngoba isifundo asibonanga ukuxhumana phakathi kokukhubazeka kokuzalwa nalesi sidakamizwa.

Abanye besifazane bayazibuza ukuthi ukusetshenziswa kwe-SSRI, njengoZoloft, kungenza kube nzima yini ukukhulelwa noma ukwandisa ingozi yokukhulelwa kwesisu uma sebekhulelwe. Yize noma imuphi umuthi kadokotela uza nobungozi, okwamanje azikho izifundo ezibhekisisa inkinga yokungabi nenzalo.

Kukhona nemininingwane emincane mayelana nobungozi bokukhulelwa kwesisu. Eyodwa funda bathole ukuthi ingozi yokukhulelwa kwesisu yayifana phakathi kwabesifazane abachayeke kuma-SSRI ngesikhathi sokukhulelwa kwasekuqaleni kanye nabesifazane abayeka ukwelashwa kwe-SSRI ngaphambi kokukhulelwa.

OKUSHIWO: Imiphumela emibi ye-Zoloft

Ngabe kufanele uyeke ukuthatha uZoloft lapho uthola ukuthi ukhulelwe?

Uma ucabanga ukuphuma kuZoloft ngesikhathi sokukhulelwa, kubalulekile ukuthi ungayeki ukuyithatha ngokuzumayo. Uma usezingeni eliphezulu le-Zoloft futhi ulimisa ngokuphelele, ungahle ube nemiphumela emibi nokuhoxa, kusho UJulian Lagoy , MD, udokotela wezifo zengqondo eCommunity Psychiatry, eSan Jose, eCalifornia. Yingakho engakhuthazi ukuma ngokungazelelwe ngaphandle kokukhuluma nomhlinzeki wakho.

Yize kuphephe kakhulu ukungathathi noma yimiphi imishanguzo yokulwa nengcindezi ngenkathi ukhulelwe, uDkt.Lagoy uthi kungaba kubi kakhulu ukuthi bobabili umama nengane bayeke imishanguzo efana neZoloft ngesikhathi sokukhulelwa ngoba lokhu kungahle kuholele ekwandeni kwemizwelo nezimpawu zokukhathazeka. Unalokho engqondweni, kubalulekile ukuxoxa ngalolu daba nethimba lakho lokunakekelwa kwezempilo ngaphambi kokwenza noma isiphi isinqumo mayelana nemithi. Bazokwazi ukukululeka ngezindlela eziphephe kakhulu zokukhulelwa kwakho.

Zoloft iphephe kangakanani ukuthatha ngesikhathi sokukhulelwa?

NgokukaDkt. Ross, umthamo ophephile futhi onconyiwe weZoloft uqala ku-25 mg kuye ku-50 mg ngosuku. Ngokudangala okulingene ukuya kokulingene, uDkt Ross uthi imithamo efinyelela ku-200 mg ithathwa njengephephile ukuyisebenzisa ngesikhathi sokukhulelwa.

Lapho elawula imishanguzo yokulwa nengcindezi ngesikhathi sokukhulelwa, uDkt. Lagoy uthi ulwela ukunikeza umthamo omncane ongaba khona. Njengoba ama-hormone nemizwelo ingashintsha kukho konke ukukhulelwa nakuma-trimesters ahlukene, kungajwayelekile ukushintsha imithamo kukho konke ukukhulelwa (yize kungenasidingo ngaso sonke isikhathi ukushintsha imithamo ku-trimester ngayinye), kuchaza uDkt. Imithamo ephephe kakhulu ingabhekwa njengomthamo ophansi kunayo yonke futhi oyindlela ephumelelayo yokwelapha.

Ingabe iZoloft iphephile ukuyithatha ngenkathi incelisa?

Akuvamile ukuba nemibuzo nokukhathazeka ngempilo yakho nokuthi kuyithinta kanjani ingane yakho ngesikhathi sokubeletha. Yingakho omama abaningi abasha bezibuza ukuthi ukuthatha iZoloft nokuncelisa kubhekwa njengokuphephile yini.

Izindaba ezinhle ukuthi kubhekwa kakhulu kuphephile ukuthatha iZoloft ngenkathi uncelisa . Inani elincane kakhulu lomuthi ongadlula ubisi lwebele, ngakho-ke ingozi enganeni yakho incane. Ngenxa yamazinga aphansi okuchayeka ngesikhathi sokuncelisa ibele, okutholakele kusuka ku- ukuhlaziywa kwe-meta uphethe ngokuthi i-sertraline iyisidakamizwa somugqa wokuqala sabesifazane abancelisayo.

Yimaphi amanye ama-anti-depressants aphephile ukuwathatha ngesikhathi sokukhulelwa nangesikhathi sokuncelisa?

Kunezidambisamagciwane eziningana eziphephile ukuzisebenzisa ngesikhathi sokukhulelwa, kepha uDkt Lagoy uthi i-sertraline inedatha engcono kakhulu yocwaningo mayelana nokuphepha ekukhulelweni.

Ngaphezu kweZoloft, amanye ama-anti-depressants anikezwe ngesikhathi sokukhulelwa nangesikhathi sokubeletha afaka ama-SSRIs UCelexa (citalopram), I-Lexapro (escitalopram), I-Paxil (paroxetine) kanye I-Prozac (i-fluoxetine). Udokotela wakho futhi angakhuluma nawe mayelana ne-serotonin-norepinephrine reuptake inhibitors (SNRIs) efana ICymbalta (duloxetine) kanye I-Effexor (venlafaxine).

Kufanele uxoxe njalo ngobungozi kanye nezinzuzo nomhlinzeki wakho maqondana nanoma iyiphi yale mithi ngenkathi ukhulelwe noma ngesikhathi sokubeletha.