Ukubeletha kunconywa yi-American College of Obstetrics and Gynecology (ACOG) kanye ne-American Academy of Pediatrics (AAP). Kodwa uma u-migraineur, ungase ukhathazeke ngokutshela ingane yakho emusha imishanguzo ye-migraine.
Ake sihlole indima ye- migraine esikhathini sokuhamba kwesikhathi nokuthi yimiphi imithi ingase iphephile uma ibeletha.
Sicela uqaphele ukuthi uma uncelisa futhi uhlushwa yi-migraines, khuluma nodokotela wakho mayelana nezingozi nezinzuzo ngesikhathi sakho sesithathu sesithathu nangemva kokubeletha. Lesi sihloko esiyinkimbinkimbi futhi sidinga indlela yomuntu ngamunye-okusho okulungile ukuthi omunye umuntu angakulungele.
I-Migraines Phakathi Nesikhathi Se-postpartum
Abesifazane abaningi abane-migraines bayaqaphela ukuhlaselwa kwabo ngesikhathi sokukhulelwa. Kodwa kuthiwani ngesikhatsi se-postpartum? Futhi ukubeletha kukuvikela yini ekutholeni imithi? Ubufakazi buyinto ephikisanayo.
Isibonelo, esinye isifundo esifundelwe eCephalalgia sihlolisise abesifazane abangama-49 abane-migraine abakhulelwe. Kulaba besifazane, amaphesenti angu-34 abhekana nesiguli ngemuva kokubeletha phakathi nesonto lokuqala kanti amaphesenti angama-55 abhekana nenyanga eyodwa. Ukubeletha kubonakala sengathi kuvikela ukuphindaphindiwe kwe-migraine ngesikhathi sokuhamba kwesikhathi.
Omunye umfundi ozofunda e -Journal of Headache and Pain of 208 migraineurs naye wembule ukwanda okukhulu kwekhanda ngesonto lokuqala ngemuva kokuqala.
Kodwa ngaphandle kwalokhu, ukutholakala kwezinsizwa phakathi kwamasonto ayisithupha okuqala ngemva kokubeletha akufani nokukhulelwa. Uma abesifazane bezwa ikhanda ngesikhathi se-postpartum, babe namandla kakhulu futhi bahlala isikhathi eside kunalezo ngesikhathi sokukhulelwa. Kulesi sifundo, ukuncelisa ukubeletha akuzange kudlale indima noma kuthinte ubukhona bekhanda ngesikhathi sokuhamba kwesikhathi.
Imithi Engacatshangelwa Yilondekile
Ucwaningo olwenziwe ngekhanda elibizwa ngokuthi: "Ukusetshenziswa kweMithi Ejwayelekile Yokwelashwa Kwezinsana Ezimeni Zokudla Kwabesifazane: Isifingqo Sezincomo" imishanguzo yokucwaninga i-migraine odokotela abangasikhuthaza ngokuphepha iziguli zabo zokuncelisa ibele, besebenzisa imithombo emine eyaziwa kakhulu, enhle kakhulu:
- Isitatimende senqubomgomo ye-American Academy of Pediatrics (AAP): Ukudluliswa kwezidakamizwa nezinye izidakamizwa zibe ngumthambo wabantu.
- Imithi kanye noMama Wamama kaThomas Hale, PhD (edition lwesi-14, 2010)
- Izidakamizwa ekukhulelweni nase-Lactation: Umhlahlandlela Wokubhekisela Emngciphekweni We-Fetal and Neonatal kaGerald Briggs et al (edition 9).
- I-National Library of Medicine kanye neLactation Database (LactMed)
Nansi umlayezo wemithi embalwa engase ibhekwe njengophephile ngesikhathi sokulahlwa kanye "nokulinganisa" kwabo. Khumbula, ungalokothi uthathe imithi ye-migraine yakho lapho uncelisa ngaphandle kokubonisana nodokotela wakho kuqala.
I-AAP imelela i-American Academy of Pediatrics. I-LRC imele isigaba se-Lactation Risk nemigqa kusuka kuL1 kuya ku-L5 no-L1 njengeyona ephephile futhi i-L5 ingqinelani.
- "I-Acetaminophen (i-Tylenol): Iyahambisana nokuncelisa i-AAP. LRC L1. Isigaba se-Brigg: sihambisana."
- "Ibuprofen (Motrin): Iyahambisana nokuncelisa nge-AAP. LRC L1. Isigaba se-Brigg: sihambisana."
- I-Eletriptan (Relpax): Le mithi ayizange ibuyekezwe yi-AAP. LRC L2. Isigaba se-Brigg: sihambisana. "
- Sumatriptan: Iyahambisana nokuncelisa nge-AAP. LRC L3. Isigaba se-Briggs: cishe iyahambisana.
Amanye ama-Tidbits amaningi emidlalweni ye-Migraine
- Idatha kwi- triptans , imithi ejwayelekile ye-migraine inomkhawulo ekunceliseni abantwana besisu.
- Imithi iphikisana ngenkathi ukuncelisa i- dihydroergotamine ne-ergotamine.
- Kukhona ukukhathazeka mayelana nama-opioids okwenza umntwana ahlale ekhulelwe, apnea, ukuqothulwa, noma impendulo empofu yokuncelisa.
- Imithi yokuvimbela i-Migraine ebizwa ngokuthi i-L1 futhi "ehambisanayo," i-magnesium ne- riboflavin .
Thatha umlayezo wasekhaya
Khuluma neqembu lakho labodokotela ku-trimester yakho yesithathu mayelana necebo lakho lokuphatha imigraines ngenkathi ibeletha. Ngenhlanhla, kunezinsiza ezinhle kakhulu lapho ukuze kukusize wena nodokotela bakho banqume ukuthi yini enhle wena nomntanakho.
Imithombo:
Hutchinson S, Marmura MJ, Calhoun A, Lucas S, Silberstein S, Peterlin BL. Ukusetshenziswa kweMithi ejwayelekile ye-Migraine ku-Abesifazane-Ukudla Abesifazane: Isifinyezo sezincomo. Izinwele. 2013, 53 (4): 614-27.
UKvisvik EV, uStevner LJ, uHelde G, et al. Amakhanda kanye ne-migraine ngesikhathi sokukhulelwa kanye ne-puerperium: Ucwaningo lwe-MIGRA. I-J Headache Pain . 2011; 12: 443-451.
Lay CL, i-Broner SW. Ukucabangela okukhethekile ekwelapheni i-migraine kwabesifazane. Semin Neurol. 2006; 26: 217-22.
Amaqembu G, Granella F, Nappi RE, et al. Inkambo ye-migraine ngesikhathi sokukhulelwa kanye nokuhamba kwesikhathi: Ukufundwa okuzokwenzeka. I-Cephalalgia . 2003; 23: 197-205.