Okufanele ukwenze nokungafanele ukwenziwe ukwelapha isicanucanu ngesikhathi sokukhulelwa

Imfundo Yezempilo Izinkinga Zomama

Iningi labesifazane abake bakhulelwa bajwayelene naleyo nkinga, isicanucanu esihlala isikhathi eside esiza nokuphatha ingane.

Isicanucanu ngesikhathi sokukhulelwa singesinye sezimpawu ezivame kakhulu nokungakhululeki ezithinta cishe ama-70% wabesifazane abakhulelwe, kusho uJanelle Luk, MD, umqondisi wezokwelapha kanye nomsunguli Ukuzala Okulandelayo kweGeneration eNew York City.

Yini ebangela isicanucanu ngesikhathi sokukhulelwa?

I-nausea ixhunyaniswe ne-hormone yokukhulelwa (i-human chorionic gonadotropin [noma i-HCG] hormone, ekhishwa lapho iqanda elikhulelisiwe linamathela kulayini wesibeletho, kusho uDkt Luk.

Isicanucanu siqala liphi isonto lokukhulelwa?

Isicanucanu sinjalo imvamisa inzima kakhulu ngesikhathi sokukhulelwa kwangaphambi kwe-trimester yokuqala (okubandakanya kuze kube yisonto le-13 lokukhulelwa), futhi kungahle kuhlotshaniswe nokuhlanza. Ngenhlanhla, izimpawu kufanele ziqale ukunyamalala ku-trimester yesibili ngemuva kokuthi i-HCG hormone isiqhume. Ngeshwa kwabanye besifazane, isicanucanu sokukhulelwa singahlala zonke izinyanga eziyisishiyagalolunye. Cishe uke walizwa igama elithi ukugula kwasekuseni, kepha lelo igama elingalungile. Kufanele kubizwe ngempela ukugula kosuku lonke ngoba iqiniso ukuthi kungashayisa noma ngasiphi isikhathi sasemini noma sebusuku . Futhi kuzwakala kabi.

Izindaba ezimnandi ukuthi, isicanucanu esijwayelekile nokuhlanza okuhlobene nokushintshwa kwama-hormone okwenzeka ngesikhathi sokukhulelwa mancane amathuba okuthi ulimaze ingane yakho . Uma isicanucanu nokuhlanza kunzima kangangokuba awukwazi ukugcina noma yikuphi ukudla noma uketshezi phansi — isimo esaziwa njenge hyperemesis ukhulelwe - ukunakekelwa kwezokwelapha kufanele kutholakale ngoba uma kuyekwa kungalashwa kunamandla okuba yingozi kumntwana okhulayo. Okuningi kulokhu kancane. Ngaphandle kwalesi simo esingajwayelekile kakhulu, isicanucanu sokukhulelwa nokuhlanza akunangozi. Enganeni.

Kumama wengane, kungumaqa ongapheli owenza ukuthi ufune ukucasha embhedeni usuku lonke (inqobo nje uma kukhona indlu yokugezela eduzane). Nakhu ukuthi ungalwa kanjani.

Izinguquko zokuphila kanye namakhambi wokuhlanza wemvelo ukuzama

Ngaphandle kokukhulelwa, isicanucanu kungenzeka ukuthi ugijimele ekhemisi ukuthola isisombululo se-over-the-counter (OTC). Noma kunjalo, ukukhetha izidakamizwa kudinga ukucatshangelwa okwengeziwe lapho uphethe okuncane.

Imvamisa, abesifazane abakhulelwe bayakwazi ukuphatha isicanucanu sabo bebodwa URebecca Berens, MD , uprofesa ongumsizi wemithi yomndeni neyomphakathi eBaylor College of Medicine eHouston.

Izindlela zokwelapha ekhaya ezinokudla okulula, okuvamile, okungamanyala, njengamaqhekeza kasawoti [kungenzeka kwanele], kusho uDkt. Berens. Oswidi abanzima njengopelepele, oswidi abamuncu, nemikhiqizo yezentengiselwano enjenge ‘ UPreggie Pops ’Kungasebenza futhi. Imikhiqizo equkethe ujinja yaziwa njengelusizo, njenge ujinja amaswidi netiye zejinja.

Udokotela ongumhlengikazi nomnikazi we Ukunakekelwa okuyisisekelo kweStaunton eCincinnati, uCiara Staunton uyavuma. Uphinde athi ukugwema izimbangela zesicanucanu kubalulekile.

Izibonelo zezinye izimbangela zifaka amakamelo agcwele izinto, iphunga (isb. Amakha, amakhemikhali, ukudla, intuthu), ukushisa, umswakama, umsindo, nokunyakaza okubonakalayo noma komzimba, kusho uStaunton. Ukushintsha izikhundla ngokushesha nokungatholi ukuphumula / ukulala ngokwanele nakho kungakhulisa izimpawu. Ukulala phansi ngemuva nje kokudla nokulala ohlangothini lwesobunxele yizinto ezingezelelweyo ezingaba namandla. Uyachaza ukuthi lokhu kunganciphisa ukugayeka kokudla bese kugcina ukudla esiswini sakho isikhathi eside.

Nalu uhlu lokuhlola lwamakhambi wemvelo ongazama uma uhlangabezana nesicanucanu ngenkathi ukhulelwe:

• Ukudla ukudla okuncane noma ukudla okulula (njengamaswidi aqinile noma ubhontshisi owomile)
• Ukuzama imikhiqizo ye-ginger (njengamaswidi e-ginger, ama-ginger teas, noma i-ginger ale)
• Ukunciphisa ukudla okune-asidi noma okubabayo
• Ukugwema amakamelo agcwele noma iphunga elinamandla
• Ukuphumula ngokwanele
• Ukugqoka amabhande esihlakala okulwa nesicanucanu

Ungazama futhi amakhambi we-homeopathic njenge-acupressure, kepha qiniseka ukuthi ufuna udokotela onolwazi lokwelapha iziguli ezikhulelwe.

Yiziphi izindlela zokwelashwa ze-OTC ongazithatha ukuze ube nesicanucanu ngesikhathi sokukhulelwa?

Ochwepheshe bethu bathi uma lokho kungenelela kwehluleka ukunciphisa isicanucanu sakho, sekuyisikhathi sokukhuluma nomhlinzeki wakho. Kukhona i-OTC nemithi kadokotela engasiza — futhi eminye kufanele uyigweme.

I- I-FDA incoma ngokungasebenzisi iPepto Bismol (bismuth subsalicylate) ngesikhathi sokukhulelwa. Ngokusho kokubuyekezwa kwakamuva kumagazini Udokotela Womndeni waseMelika , abesifazane abakhulelwe ikakhulukazi akufanele bawuthathe lo muthi kuma-trimesters wesibili noma wesithathu ngenxa yengozi eyengeziwe yezinkinga zokopha.

UNauzene, ukuhlafuna kwesisu okucasukile, kubhalwe ohlwini esigabeni sokukhulelwa se-FDA Isigaba C . Lokhu kusho ukuthi izifundo ezilawulwayo ezilwaneni zikhombisile ukuthi umuthi ungalimaza umbungu uma uthathwe ngesikhathi sokukhulelwa, kepha odokotela bangase bancome uma izinzuzo zezempilo zidlula ubungozi.

Ukubheja kwakho okuhle kunakho konke ukucanuzela kwenhliziyo, kusho uStaunton, izithasiselo zikavithamini B6: UVitamin B6, 50-100 mg ngomlomo kanye ngosuku, ayinabuthi futhi ingasiza ezinye iziguli. Uma i-vitamin yakho yokubeletha isivele ine-vitamin B6, eyaziwa nangokuthi i-pyridoxine, thintana nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuthatha izengezo ezingeziwe. Uvithamini B6 omningi kakhulu ungadala ukulimala kwemizwa nobuthakathaka.

UDkt. Berens ukusho lokho Unisom (doxylamine 25mg) ngomunye umuthi ophephile futhi kwesinye isikhathi osebenzayo ekwelapheni isicanucanu nokuhlanza ngesikhathi sokukhulelwa. Eqinisweni, i-FDA ivume umuthi kadokotela ongawusebenzisa ngesikhathi sokukhulelwa oyingxube ye-Vitamin B6 ne-Unisom. Ibizwa I-Diclegis .Lona ukuphela kwemithi evunyelwe yi-FDA yokwelapha isicanucanu nokuhlanza ngesikhathi sokukhulelwa.

Thola ikhadi lesaphulelo le-SingleCare

Umphumela ofanayo kungenzeka, futhi ushibhile, ngokuthenga i- [Vitamin B6 ne-doxylamine] ekhawunteni, kusho uDkt. Berens. Odokotela abaningi bancoma ukuthi kuzanywe u-Vitamin B6 wedwa kuqala, bese bengeza i-doxylamine, nayo eyinsiza yokulala, uma i-Vitamin B6 iyodwa ingasebenzi. Imiphumela emibi yokudambisa ye-doxylamine kungenzeka ingafuneki kowesifazane ose-trimester yakhe yokuqala osevele ephelelwe amandla! Enye indlela yokugwema amandla wokuhlala phansi okungafuneki we-doxylamine-kodwa futhi nokuthola izinzuzo zokulwa nesicanucanu! —Ukuyithatha kuqala ngesikhathi sokulala futhi ilinde ukubona ukuthi iyayinciphisa yini inkanuko yasemini.

Abaphenyi abaqiniseki ngokuphelele ukuthi kungani inhlanganisela ye-Unisom / Vitamin B6 isebenza ukwelapha ukugula kwasekuseni. Kungenzeka ukuthi inhlanganisela yezidakamizwa ivimba ama-neurotransmitters athumela izimpawu zesicanucanu ebuchosheni bakho. Noma kungenzeka ukuthi iphazamisa nje inqubo yakho yomzimba eholela ekuhlanzeni.

Ukuhlanza nokuhlanza okukhulu ngesikhathi sokukhulelwa

Abanye besifazane babhekana nesicanucanu esikhulu nokuhlanza ngesikhathi sokukhulelwa okungalawulwa ngokushintshwa kokudla noma ngemithi ye-OTC; lokhu kwaziwa njenge i-hyperemesis gravidarum . Uma kunjalo kuwe, khuluma nomhlinzeki wakho ukuze uqale uqiniseke ukuthi azikho ezinye izimo zezokwelapha ezihilelekile futhi uhlole eminye imishanguzo kadokotela engasiza.

NgoDkt. Berens, Ukwehla kwamanzi emzimbeni okuhambisana ne- i-hyperemesis gravidarum … Kungaba kubi futhi kudinga ukwelashwa okuphuthumayo.

Kunezinketho eziningi zemithi kadokotela etholakalayo yokwelapha isicanucanu nokuhlanza okwedlulele, kodwa ngeshwa izivivinyo zokwelashwa zivame ukungabandakanyi abesifazane abakhulelwe, okwenza kube nzima ukuqonda ngokugcwele uma kukhona ingozi ekhona lapho isetshenziswa ngesikhathi sokukhulelwa. Ukusebenza nomhlinzeki wakho wezokunakekelwa kwempilo, kubalulekile ukukala izingozi ezingaba khona zokushiya isicanucanu nokuhlanza kungalashwa ngezinzuzo zokuzama le mishanguzo ngamacala ngamacala.