Izinto ezenziwayo kunye nezingenziwayo ekunyangeni isicaphucaphu ngexa lokukhulelwa

Imfundo yezeMpilo Imiba yooMama

Uninzi lwabasetyhini abaye bakhulelwa bayaziqhelanisa noloyiko, isicaphucaphu esihlala siza nokuthwala umntwana.

Isicaphucaphu ngexa lokukhulelwa sesinye seempawu eziqhelekileyo nezingathandekiyo ezichaphazela ama-70% abasetyhini abakhulelweyo, utshilo uJanelle Luk, MD, umlawuli wezonyango kunye nomseki-mbumba Ukuzala okulandelayo kwisiXeko saseNew York.

Yintoni ebangela isicaphucaphu ngexa lokukhulelwa?

I-nausea inxulunyaniswa ne-hormone yokukhulelwa (i-chorionic gonadotropin [okanye i-HCG] hormone), ekhutshwa xa iqanda elichumileyo linamathela kumbindi wesibeleko, utshilo uGqirha Luk.

Yiyiphi iveki yokukhulelwa eqala isicaphucaphu?

Isicaphucaphu sinjalo ihlala inzima kakhulu ngexesha lokukhulelwa kwasekuqaleni kwi-trimester yokuqala (ebandakanya ukuya kuthi ga kwiveki ye-13 yokukhulelwa), kwaye inokudityaniswa nokugabha. Ngethamsanqa, iimpawu kufuneka ziqale ukunyamalala kwikota yesibini yesibini emva kokuba ihomoni yeHCG inyukile. Ngelishwa kubafazi abathile, isicaphucaphu sokukhulelwa sinokuhlala iinyanga ezilithoba. Mhlawumbi ulivile ixesha lokugula kwasekuseni, kodwa lelo ligama elingalunganga. Kufanelekile ukuba kubizwe ukugula kwemini yonke kuba inyani kukuba inokubetha nanini na emini okanye ebusuku . Kwaye kunzima kakhulu.

Iindaba ezimnandi zezi, isicaphucaphu esiqhelekileyo kunye nokugabha okunxulumene notshintsho lwehomoni olufumanekayo ngexesha lokukhulelwa akunakulimaza umntwana wakho . Ukuba isicaphucaphu nokugabha kunzima kangangokuba awukwazi ukugcina nakuphi na ukutya okanye ulwelo phantsi-imeko eyaziwa njenge Hyperemesis ukhulelwe Ingqwalaselo yezonyango kufuneka ifumaneke ukusukela ukuba ayishiywanga inganyangwa inokuba yingozi kumntwana okhulayo. Okungakumbi koku kancinci. Ngaphandle kwale meko inqabileyo, ukukhulelwa sisicaphucaphu kunye nokugabha akunabungozi. Emntwaneni.

Kumama wosana, kukuyekelela okungapheliyo okukwenza ufune ukufihla ebhedini imini yonke (ukuba nje kukho igumbi lokuhlambela kufutshane). Nantsi indlela onokuthi ulwe ngayo.

Iindlela zokuphila kunye neendlela zendalo zokunyanga isicaphucaphu ukuzama

Ngaphandle kokukhulelwa, isicaphucaphu sinokubalekela kwikhemesti ukuze ufumane isisombululo kwi-OTC. Nangona kunjalo, Ukukhetha iziyobisi kufuna ingcinga engaphezulu xa uphethe encinci.

Rhoqo, abasetyhini abakhulelweyo banakho ukulawula isicaphucaphu sabo ngokwabo, ngokwe URebecca Berens, MD , unjingalwazi oncedisayo kumayeza osapho kunye noluntu eBaylor College of Medicine eHouston.

Unyango lwasekhaya olunamashwamshwam amancinci amancinci, aqhelekileyo, afana ne-saltine crackers [anokwanela], utshilo uGqirha Berens. Iilekese ezinzima ezifana nepepermints, iilekese ezimuncu, kunye neemveliso zorhwebo ezinje ‘ IPreggie Pops ’Isenokusebenza. Iimveliso eziqukethe ijinja ziyaziwa ukuba ziluncedo, njenge ijinja iilekese kunye nee-ginger teas.

Ingcali yomongikazi wosapho kunye nomnini we Ukhathalelo lweStaunton Primary eCincinnati, uCiara Staunton uyavuma. Ukwathi ukuthintela isicaphucaphu kubalulekile.

Imizekelo yezinye izinto zibandakanya amagumbi agcweleyo, ivumba (umzekelo, iziqholo, iikhemikhali, ukutya, umsi), ubushushu, ukufuma, ingxolo, kunye nokubonakala okanye ukunyakaza komzimba, utshilo uStaunton. Ukutshintsha ngokukhawuleza kwezikhundla kunye nokungafumani kuphumla / ukulala ngokwaneleyo kunokwandisa iimpawu. Ukulala phantsi nje emva kokutya kunye nokulala kwicala lasekhohlo zizinto ezinokubangela ukuba mandundu. Ucacisa ukuba oku kunokucothisa ukwetyisa kunye nokugcina ukutya esiswini ixesha elide.

Nalu uluhlu lokujonga lwezonyango zendalo ukuzama ukuba ufumana isicaphucaphu ngelixa ukhulelwe:

• Ukutya ukutya okuncinci okanye i-bland snacks (njengama-candies anzima okanye i-toast eyomileyo)
• Ukuzama iimveliso zejinja (njengamaqebengwana ejinja, iti yeginger, okanye ijinja ale)
• Ukunciphisa ukutya okune-asidi okanye okuneziqholo
• Ukuphepha amagumbi agcweleyo okanye ivumba elinamandla
• Ukuphumla ngokwaneleyo
• Ukunxiba amabhanti e-anti-nausea

Unokuzama amayeza e-homeopathic njenge-acupressure, kodwa qiniseka ukuba ufuna ugqirha onamava okunyanga abaguli abakhulelweyo.

Zeziphi iindlela zonyango lwe-OTC onokuzithatha ukuba ube nesicaphucaphu ngexa lokukhulelwa?

Iingcali zethu zithi ukuba olo ngenelelo lusilele ukunciphisa isicaphucaphu, lixesha lokuba uthethe nomboneleli wakho. Kukho i-OTC kunye nonyango olunokunceda-kwaye ezinye kufuneka uziphephe.

Inkqubo ye- I-FDA icebisa ngokuchasene nokusetyenziswa kwePepto Bismol (bismuth subsalicylate) ngexesha lokukhulelwa. Ngokwokuphononongwa kutsha nje kwiphephancwadi Ugqirha waseMelika waseMelika , Abafazi abakhulelweyo ngokukodwa akufuneki ukuba bathathe eli yeza kwitrimes yesibini okanye yesithathu ngenxa yomngcipheko okhulayo weengxaki zokopha.

UNauzene, ukuhlafuna kwesisu okuxhaphakileyo, kudwelisiwe kwiCandelo lokukhulelwa le-FDA kwiCandelo C . Oku kuthetha ukuba izifundo ezilawulwayo kwizilwanyana zibonise ukuba ichiza linokulimaza usana olungekazalwa xa luthathwe ngexesha lokukhulelwa, kodwa oogqirha banokucebisa ukuba izibonelelo zempilo zingaphezulu komngcipheko.

Okona kubheja kwakho sisicaphucaphu, utshilo uStaunton, sisongezo sevithamini B6: Vitamin B6, 50-100 mg ngomlomo kube kanye yonke imihla, ayinabungozi kwaye inokunceda ezinye izigulana. Ukuba i-vitamin yakho yokubeleka sele iqulethe i-vitamin B6, eyaziwa ngokuba yi-pyridoxine, qhagamshelana nomboneleli wakho wezempilo ngaphambi kokuba uthathe izongezelelo ezongezelelweyo. Uninzi lwevithamini B6 lunokubangela ukonakala kwemithambo-luvo kunye nokuba ndindisholo.

Ugqirha Berens utsho Unisom (doxylamine 25mg) lelinye ichiza elikhuselekileyo kwaye ngamanye amaxesha liyasebenza ekunyangeni isicaphucaphu kunye nokugabha ngexesha lokukhulelwa. Ngapha koko, i-FDA ivume amayeza amiselweyo ukuba asetyenziswe ngexesha lokukhulelwa elidityaniswa neVitamin B6 kunye ne-Unisom. Ibizwa njalo Diclegis Le kuphela kwonyango olwamkelweyo lwe-FDA lokunyanga isicaphucaphu nokugabha ngexa lokukhulelwa.

Fumana ikhadi lesaphulelo esisodwa

Iziphumo ezifanayo zinokwenzeka, kwaye zitshiphu kakhulu, ngokuthenga [iVitamin B6 kunye nedoxylamine] kwikhawuntari, utshilo uGqirha Berens. Oogqirha abaninzi bacebisa ukuzama iVitamin B6 kuphela kuqala, emva koko ukongeza idoxylamine, ekwaluncedo lokulala, ukuba uVitamin B6 kuphela ayisebenzi. Iziphumo zokuthomalalisa i-doxylamine zisenokunganqwenelwa libhinqa kwinyanga yokuqala yalo esele lidiniwe! Enye indlela yokuthintela iziphumo ezingafunekiyo ze-doxylamine-kodwa nokuvuna izibonelelo zokulwa isicaphucaphu! -Ukuyithatha kuqala ngexesha lokulala kwaye ulinde ukubona ukuba iyasinciphisa isicaphucaphu sasemini.

Abaphandi Awuqinisekanga ngokupheleleyo ukuba kutheni indibaniselwano ye-Unisom / Vitamin B6 isebenza ukunyanga ukugula kwasekuseni. Kungenxa yokuba indibaniselwano yeziyobisi ibhloka ii-neurotransmitters ezithumela imiqondiso yokunyanyekelwa kwengqondo yakho. Okanye kunokwenzeka ukuba iphazamise iinkqubo zakho zomzimba ezikhokelela ekugabheni.

Ukuhlanza kunye nesicaphucaphu esiqatha ngexesha lokukhulelwa

Abanye abantu basetyhini bafumana isicaphucaphu esikhulu kunye nokugabha ngexesha lokukhulelwa elingenakulawulwa ngotshintsho lokutya okanye amayeza e-OTC; Oku kwaziwa njenge Hyperemesis gravidarum . Ukuba ngaba kunjalo kuwe, thetha nomboneleli wakho ukuba uqale uqiniseke ukuba azikho ezinye iimeko zonyango ezichaphazelekayo kwaye uphonononge amanye amayeza amiselweyo anokunceda.

Ngugqirha Berens, Ukuphelelwa ngamanzi emzimbeni okunxulunyaniswa Hyperemesis gravidarum … Inganobuzaza kwaye ifuna unyango olukhawulezileyo.

Zininzi iindlela zonyango amayeza anokukhetha kuzo ukunyanga isicaphucaphu nokugabha, kodwa ngelishwa iimvavanyo zeklinikhi zihlala zingabandakanyi abasetyhini abakhulelweyo, nto leyo eyenza ukuba kube nzima ukuqonda ngokupheleleyo ukuba ngaba kunokwenzeka ingozi xa isetyenziswa ngexesha lokukhulelwa. Ukusebenza nomboneleli wakho wezempilo, kubalulekile ukulinganisa umngcipheko onokubakho wokushiya isicaphucaphu kunye nokugabha kunganyangekiyo kunye nezibonelelo zokuvavanya la mayeza kwimeko nganye.