Ngaba kukhuselekile ukuthatha iZoloft ngexesha lokukhulelwa?

Imiba yoLwazi loMama

Inxalenye ebalulekileyo yokuba ngumzali olindeleyo kukugcina umntwana wakho esempilweni. Oko kubandakanya ukufunda ukuba yeyiphi imigqaliselo ekhuselekileyo yokuyithatha ngexesha lokukhulelwa- njenge amayeza antidepressant . Kwaye ngelixa uthatha i-anti-depressant efana ne-Sertraline (Zoloft) ngexesha lokukhulelwa ayisiyi-100% yokungabinabungozi, ukuya ekukhulelweni koxinzelelo olunganyangekiyo kunokuza neengozi ezingakumbi.

Ngapha koko, Ikholeji yaseMelika yoNyango kunye neeGynecologists (I-ACOG) ithi ukudakumba ngexesha lokukhulelwa kunokuba nefuthe elibi kwimpilo yabo bobabini umama nosana. Oku kubandakanya iingxaki ngokukhula komntwana,ukuzalwa ngaphambi kwexesha, ubunzima bokuzalwa okuphantsi, kunye neengxaki emva kokuzalwa.

Ukuthatha isigqibo sokuba uqhubeke nokuthatha uxinzelelo ngexesha lokukhulelwa yinto ekufuneka uyixoxe nomboneleli wakho wezempilo. Nazi izinto ezisisiseko ekufuneka uyazi.

Ezinxulumene: Yintoni iZoloft? | Fumana amatikiti eZoloft

Ngaba kukhuselekile ukuthatha iZoloft ngexesha lokukhulelwa?

I-Zoloft ligama lophawu lwe-sertraline yeziyobisi, eyiklasi ye-anti-depressants ebizwa ngokuba yi-serotonin reuptake inhibitors ekhethiweyo (SSRIs). La machiza asebenza ngokwandisa inani le-serotonin, i-neurotransmitter yendalo, kwingqondo. Ii-SSRI zisetyenziselwa ukunyanga uxinzelelo, ukuphazamiseka kwovalo, ukuphazamiseka okungafunekiyo, ukuphazamiseka koxinzelelo kwezentlalo, kunye noxinzelelo lwasemva koxinzelelo.

Intsapho yee-SSRIs, ngakumbi iZoloft, ithathwa njengenye yezona zixhobo zikhuselekileyo zokuxinezeleka ngexesha lokukhulelwa, USherry Ross , MD, OB-GYN, kunye nengcali yezempilo yabasetyhini kwiziko lezeMpilo e-Providence Saint John eSanta Monica, eCalifornia.

Nangona kunjalo, kwabanye oomama, uGqirha Ross uthi isigqibo sokuqhubeka kwe-SSRI ngexesha lokukhulelwa ekugqibeleni siyehla ekulinganiseni umngcipheko xa kuthelekiswa nezibonelelo.

Nangona iziphumo ebezingalindelekanga zokuthatha i-SSRI ngelixa ukhulelwe zihlala zincinci, uGqirha Ross uthi kunokubakho iziphumo ebezingalindelekanga ezinokubakho emntwaneni ukuba uthatha iyeza kwitrimester yokugqibela. Oku kubandakanya i-jitters, ukuba nochuku, ukungondleki kakuhle, i-hyperactive reflexes, iswekile esezantsi yegazi, ithoni yemisipha engaqhelekanga, ukugabha, ukuxhuzula, kunye uxinzelelo lokuphefumla kwinyanga yokuqala yobomi.

Amaziko ase-US oLawulo lweNtsholongwane kunye noThintelo (CDC) ukufunda ifumanise ukuba nangona umngcipheko ukonyuka kancinci kokukhubazeka okuthile kokuzalwa kwezinye ii-SSRI (i-paroxetine okanye i-fluoxetine), owona mngcipheko phakathi kweentsana ezizelwe ngabafazi abathatha enye yezi zinto zichasayo usezantsi kakhulu. Ezi ziindaba ezimnandi zoomama abaza kuthatha i-sertraline okoko isifundo asibonanga naluphi na unxibelelwano phakathi kweziphene zokuzalwa kunye neli chiza.

Abanye abantu basetyhini bayazibuza ukuba ukusetyenziswa kwe-SSRI, njengoZoloft, kunokwenza kube nzima ukukhulelwa okanye kwandise umngcipheko wokukhulelwa kwesisu xa bekhulelwe. Nangona naliphi na iyeza likagqirha liza nomngcipheko, okwangoku akukho zifundo zijongana nomba wokuzala.

Kukho nolwazi oluncinci malunga nomngcipheko wokuphuma kwesisu. Nye ukufunda ifumanise ukuba umngcipheko wokukhulelwa kwesisu wawufana phakathi kwabasetyhini abachazwe kwii-SSRI ngexesha lokukhulelwa kwasekuqaleni kunye nabasetyhini abayeka unyango lwe-SSRI ngaphambi kokukhulelwa.

Ezinxulumene: Iziphumo ebezingalindelekanga zeZoloft

Ngaba uyeke ukuthatha uZoloft xa ufumanisa ukuba ukhulelwe?

Ukuba ucinga ukuphuma kwiZoloft ngexesha lokukhulelwa, kubalulekile ukuba ungayeki ukuyithatha ngequbuliso. Ukuba ukwidosi ephezulu yeZoloft kwaye uyeke ngokupheleleyo, unokufumana iziphumo ebezingalindelekanga ezibi kunye nokurhoxa, utsho UJulian Lagoy , MD, ugqirha wezifo zengqondo kwi-Community Psychiatry, eSan Jose, California. Kungenxa yoko le nto engacebisi ukuyeka ngesiquphe ngaphandle kokuthetha nomboneleli wakho.

Nangona kukhuselekile ukungathathi naliphi na iyeza lokuthintela uxinzelelo ngelixa ukhulelwe, ugqirha uLagoy uthi kunokuba kubi kakhulu kubo bobabini umama nosana ukuyeka amayeza afana noZoloft ngexesha lokukhulelwa kuba oko kungakhokelela ekonyukeni kweemvakalelo kunye neempawu zoxinzelelo. Unoko engqondweni, kubalulekile ukuxoxa ngalo mbandela neqela lakho lokhathalelo lwempilo ngaphambi kokwenza nasiphi na isigqibo malunga namayeza. Baya kuba nakho ukukucebisa ngezona ndlela zikhuselekileyo zokukhulelwa kwakho.

Zingakanani iZoloft ezikhuselekileyo ukuthatha ngexesha lokukhulelwa?

NgokukaGqirha Ross, idosi ekhuselekileyo nekhuthazwayo yeZoloft iqala kwi-25 mg ukuya kwi-50 mg ngosuku. Ukumodareyitha ukuya koxinzelelo olukhulu, uGqirha Ross uthi idosi ukuya kuthi ga kwi-200 mg zithathwa njengekhuselekileyo ukuba zisetyenziswe ngexesha lokukhulelwa.

Xa ulawula amayeza okulwa noxinzelelo ngexa lokukhulelwa, uGqirha uLagoy uthi uzabalazela ukunika idosi encinci enokwenzeka. Kuba iihormone kunye neemood zinokutshintsha kulo lonke ixesha lokukhulelwa nakwiitrimester ezahlukeneyo, kunokuba yinto eqhelekileyo ukutshintsha idosi ngalo lonke ixesha lokukhulelwa (nangona kungasoloko kuyimfuneko ukutshintsha idosi kwitrimester nganye), ucacisa uGqr. Amayeza akhuselekileyo anokuqwalaselwa njengeyona dosi iphantsi kunokwenzeka ukuba lunyango olusebenzayo.

Ngaba iZoloft ikhuselekile ukuthatha ngelixa usancancisa?

Akuqhelekanga ukuba nemibuzo kunye neenkxalabo malunga nempilo yakho kunye nendlela echaphazela ngayo umntwana wakho ngexesha lokubeleka. Kungenxa yoko le nto oomama abaninzi abatsha bezibuza ukuba ukuthatha iZoloft kunye nokuncancisa kuthathwa njengokukhuselekileyo.

Iindaba ezimnandi ziqwalaselwe ngokubanzi kukhuselekile ukuthatha iZoloft ngelixa uncancisa . Inani elincinci kakhulu leziyobisi elinokudlula kubisi lwebele, ke umngcipheko kusana lwakho mncinci. Ngenxa yamanqanaba asezantsi oxeliweyo okuvezwa ngexesha lokuncancisa, iziphumo ezivela kwi- Uhlalutyo lweemeta uqukumbele ngelithi i-sertraline sisiyobisi kumqolo wokuqala wokuncancisa abasetyhini.

Zeziphi ezinye izinto ezichasayo ezikhuselekileyo zokuthatha ngexesha lokukhulelwa kunye nokuncancisa?

Kukho uninzi lwee-anti-depressants ezikhuselekileyo zokusebenzisa ngexesha lokukhulelwa, kodwa uGqirha uLagoy uthi i-sertraline ineyona datha iphambili yophando ngokubhekisele kukhuseleko lokukhulelwa.

Ukongeza kwiZoloft, ezinye izinto ezichasayo ngexesha lokukhulelwa kunye nexesha lasemva kokubeleka zibandakanya ii-SSRIs UCelexa (ikitalopram), ILexapro (escitalopram), Paxil (paroxetine) kunye Iprozac (fluoxetine). Ugqirha wakho usenokuthetha nawe malunga ne-serotonin-norepinephrine reuptake inhibitors (SNRIs) efana ICymbalta (duloxetine) kunye Umncedisi (venlafaxine).

Kuya kufuneka usoloko uxoxa ngomngcipheko kunye nezibonelelo kunye nomnikezeli wakho ngokubhekisele kulo naliphi na la mayeza ngelixa ukhulelwe okanye ngexesha lokubeleka.