Eyona >> Ulwazi Lweziyobisi >> Ngaba kukhuselekile ukuthatha iCymbalta ngelixa ukhulelwe?

Ngaba kukhuselekile ukuthatha iCymbalta ngelixa ukhulelwe?

Ngaba kukhuselekile ukuthatha iCymbalta ngelixa ukhulelwe?Imiba yoLwazi loMama

Ukukhulelwa kunokuba nzima. Kukho utshintsho emzimbeni wakho, kuhlala kukho isicaphucaphu, kunye noxinzelelo lokulungiselela ukuba ngumzali. Kwaye kubafazi abathatha amayeza, nokuba impilo yabo yengqondo okanye ukuphelisa iintlungu, omnye umbuzo ungena kule nxaki, Ngaba amayeza am akhuselekile kusana lwam?





Ukuthatha iRx ngexesha lokukhulelwa akuqhelekanga— ngokwe-FDA , 50% yabasetyhini abakhulelweyo bathatha okungenani iyeza elinye. Kodwa, ayizizo zonke iziyobisi ezikhuselekileyo kwabasetyhini abakhulelweyo nabancancisayo.



ICymbalta sisiyobisi se-serotonin-norepinephrine reuptake inhibitor (SNRI) esisetyenziselwa ukunyanga uxinzelelo kunye noxinzelelo, kunye nentlungu engapheliyo. Ngexesha lokukhulelwa, uxinzelelo kunye noxinzelelo kunokunyuka , okwenza ukuba kubaluleke ngakumbi kubafazi ukuba bazi ukhetho lwabo.

Ngaba kukhuselekile ukuthatha iCymbalta ngexesha lokukhulelwa?

Impendulo emfutshane yile: Kuxhomekeka. Njengawo onke amayeza, kubalulekile ukuba ubonane nodokotela ngokukhawuleza ukuba ukhona okanye uceba ukukhulelwa. Ukusetyenziswa kwe ICymbalta Ngexesha lokukhulelwa kuhlala kugqitywe kwimeko-ngamatyala. Ngokuqhelekileyo ayisetyenziselwa ukukhulelwa ngaphandle kokuba izibonelelo zigqithise kakhulu umngcipheko kumntwana, ngokutsho UKecia Gaither , MD, MPH, i-OB-GYN kunye nomlawuli weeNkonzo zePerinatal kwizibhedlele ze-NYC zezeMpilo + naseLincoln.

Kukho uphando oluncinci kwiCymbalta kunye nokukhulelwa kunezinye izinto ezichasayo, ezinje Zoloft . Kukho amathuba okuba neziphumo ezibi, kwaye kuyaphikiswa kwikota yesithathu. Ukuba isigulana besithatha iCymbalta yoxinzelelo okanye yoxinzelelo ngaphambi kokukhulelwa, kwaye isebenza kakuhle kubo, ndingacebisa ukuba baqhubeke bayithatha, uthi UCarly Synder , MD, ugqirha wezifo zengqondo wokuzala kunye nokuzalwa komntwana ngokuzimeleyo kwi-NYC. Ukuba azikho ezinye iindlela zonyango, kubandakanya amanye amayeza, ukhathalelo lwakho lwempilo lunokucebisa ukuba uqhubeke nokuthatha iCymbalta, ngaphandle kweziphumo ezibi ezinokubakho. Ukuphulukana nempilo yengqondo ngexesha lokukhulelwa kubeka umngcipheko omkhulu kunina nakumntwana ongekazalwa.



Ngale nto ithethwayo, iCymbalta kungenzeka ukuba ayililo iyeza lokuqala eliza kunconyelwa ngugqirha wakho ukuba uqala ukufumana iimpawu zoxinzelelo ngexesha ukukhulelwa. Intsingiselo, akufuneki uqale ukusebenzisa iCymbalta okokuqala ngexesha lokukhulelwa. I-serotonin reuptake inhibitors ekhethiweyo (ii-SSRIs) ezinje ngeZoloft okanye iCelexa zixhaphake kakhulu kuba kukho uphando oluninzi olubonisa ukhuseleko lwabo.

Buphi ubungozi beCymbalta kunye nokukhulelwa?

Kuba idatha yeli chiza inomda, umngcipheko awaziwa. Uphando olukhoyo lubonisa ukuba iintsana ezivezwe kwii-SNRI kwi-trimester yesithathu zinokuba neziphumo ebezingalindelekanga ezinje nge-cyanosis, i-apnea, uxinzelelo lokuphefumla, ukuxhuzula, ukungazinzi kweqondo lobushushu, ubunzima bokutya, i-hypoglycemia, i-jitteriness, ukucaphuka, ukukhala rhoqo, okanye ukungcangcazela. Kukho iingxelo ezimbalwa zomsebenzi wangaphambi kwexesha, ukuphuphuma kwesisu, kuncinci ukukhulelwa kweentsana, kunye neengxaki zokukhulelwa ezinje ngoxinzelelo lwegazi-nangona kunjalo, nokuba kungenxa yeyeza okanye hayi kuyekwe kuthelekelelwa, utshilo uGqirha Gaither.

Ukudakumba kuthathwe kwikota yesithathu Ingabonisa umngcipheko wokuba umntwana afumane iimpawu zokurhoxa okwethutyana ukuya kuthi ga kwinyanga emva kokubeleka. Ezi mpawu zokurhoxa okwethutyana, ezaziwa njenge ukungalungelelani kakuhle kweempawu zokubeleka , zinokubandakanya ukungxama, ukungazinzi, ukucaphuka, ukwanda kwethoni yemisipha, kunye nokuphefumla ngokukhawuleza kwaye zenzeke ngama-25% ukuya kuma-30% abantwana abazelwe ngabasetyhini kwii-SNRIs nakwii-SSRI. Ngelixa kuvakala kusoyikisa, uGqirha Snyder uqinisekisa abaguli ukuba kudlulile ngokupheleleyo. Nangona kunjalo, kwezinye iimeko kunokubangela ukwamkelwa kwe-ICU, ukuphazamisa ukubopha kwabazali, okanye ukuphazamisa ukuncancisa.



Uphando alubonisi ukuba ukuyeka ukusetyenziswa kwe-antidepressant ngexesha lekota yokugqibela kunciphisa ukubakho kwezi mpawu. Ukucutha okanye ukuyeka ngokupheleleyo amayeza kubeka umama emngciphekweni wokutshona kwakhona ukudakumba okanye ukufumana amanqanaba okuxhalaba aphezulu kwiinyanga zokugqibela zokukhulelwa ukuya kwixesha lasemva kokubeleka. Ukuba uthatha iCymbalta kwaye ukhulelwe, cwangcisa ukubonisana nodokotela wezifo zengqondo malunga neengcebiso zonyango.

Ngaba kufuneka utshintshe idosi ngexesha lokukhulelwa?

Phakathi kweenguqu ezininzi umzimba womfazi ohamba ngexesha lokukhulelwa ukwanda kwevolumu yegazi. Ngolu tshintsho, ukucinga okuqhelekileyo kunokuba kukonyusa idosi yeCymbalta, kodwa uGqirha Synder ucacisa ukuba, kwiimeko ezininzi, abaguli abadingi kulungelelanisa idosi yabo, kodwa ngamanye amaxesha bayayenza. Kungenxa yoko le nto kubaluleke kakhulu ukuba usebenze nogqirha wakho ukuze ufumanise ukuba yintoni esebenzayo kuwe.

Ngaba kukhuselekile ukuncancisa iCymbalta?

Njengokukhulelwa, kukho idatha encinci kusetyenziso lweCymbalta ngexesha lokuncancisa. Kuya kufuneka ulinganise ubungozi obunokubakho kusana lwakho kunye nomboneleli wakho wezempilo. Ngenxa yedatha encinci, uninzi lwabasetyhini kunye nababoneleli banokuthi bakhethe enye indlela. Nangona kunjalo, uphando olukhoyo lubonisa ukuba ithamo kubisi lwebele iphantsi kakhulu.



Ngokubanzi, akukhuthazwa ukuba uqale ukuthatha iCymbalta okokuqala ngexa uncancisa. UGqirha Snyder ucebisa ukuba kugcinwe ukungaguquguquki phakathi kokukhulelwa kunye nexesha lokuzala. Ukuba umama uthatha into ngexesha lokukhulelwa, utsho, kulungile ngexesha lokuncancisa, ngakumbi ukuba umama wenza kakuhle ngalo. Kubalulekile ukubeka esweni usana ukozela kunye nokondla ngokwaneleyo, ukutyeba, kunye nokukhula okubalulekileyo, ngakumbi ukuba bancancisa kuphela. Kwaye, nxibelelana nogqirha wakho ukuba kukho izinto ezixhalabisayo.

Khumbula ukubeka phambili ukuzikhathalela emva kokubeleka

Ubomi njengomzali omtsha bunokuba nzima. Kodwa ukuzikhathalela linyathelo lokuqala lokuba ukwazi ukukhathalela umntwana wakho. Kwaye oko kubandakanya ukugcina i ishedyuli engaguquguqukiyo ngamayeza akho, ngakumbi amayeza athatyathelwe impilo yengqondo. Zama ibhokisi yeepilisi, sebenzisa izilumkiso kwifowuni yakho, okanye usebenze neqabane lakho ukwenza inkqubo yokuphendula esebenza kwishedyuli yakho entsha njengomama.



Ukuba ufumana uxinzelelo okanye uxinzelelo ngexesha lokukhulelwa, kubalulekile ukuba ukhumbule ukuba awuwedwa. Thetha nomboneleli wakho kwaye ufumane isisombululo esiza kulungela wena nosana lwakho.