Ukukhulelwa yisikhathi sokunakekela ingane yakho-futhi, into yokugcina oyidingayo i-migraine. Kodwa, uma ungumgogodla, yiziphi izidakamizwa ezingase zincome udokotela wakho ngesikhathi ukhulelwe? Ake sihlole.
The Skinny on Migraines in Ukukhulelwa
I-Migraines iyinhloko ekhanda kakhulu ekhulelwe. Ngokuvamile, i-migraines ngesikhathi sokukhulelwa iyenzeka njalo futhi ingaphansi kakhulu kunelabo abangaphandle kokukhulelwa-nakuba lokhu kubonakala kuvame kakhulu kwabesifazane abane- migraine ngaphandle kwe-aura kunabesifazane abahlushwa yi- migraines ne-auras .
Akuvamile ukuthi abesifazane bahlakulele ama-migraines amasha ngesikhathi sokukhulelwa.
Ngaphambi kokuba uhlolwe ukuthi ungaba nemithi yokwelapheka, sicela uqaphele ukuthi uma ikhanda lakho lokukhulelwa ngesikhathi ukhulelwe lihlangabezana nanoma yiziphi izindlela ezingezansi, alitholi kangcono ngezinyathelo ezilula, noma ulandela iphethini ehlukile kusuka ekhanda lakho elivamile, funa ukunakekelwa kwezempilo ngokushesha. Lezi zimpawu zingabonisa imbangela enkulu kakhulu yekhanda lakho.
- "Ukuhlukunyezwa okubi komphefumulo wami"
- Umbono ogqamile
- Izimpawu ze-neurological, njengobuthakathaka noma obunzima
- Inhloko ngomkhuhlane
- Insizwa ephethe umfutho wegazi ophakeme kanye / noma ukuvuvukala kwemilenze nezinyawo (preeclampsia / eclampsia)
- Ukukhanda ikhanda ngenkani yentamo
- Inhloko ngokuzikhandla
Ulwazi ngemithi (noma cha) Imigraines ekukhulelweni
Nazi izindlela zokwelashwa ezingase zibe khona ze-migraines ngenkathi ukhulelwe udokotela wakho angasincoma, ethathwe ikakhulukazi kusuka ku-UptoDate-isisetshenziswa esivela kakhulu sochwepheshe kanye nobufakazi.
Sicela uqaphele ukuthi imininingwane engezansi ayifuni ukufaka esikhundleni seseluleko sikadokotela. Njengoba njalo, ungathathi imithi ngaphandle kweseluleko esivela kudokotela wakho.
I-Tylenol (i-Acetaminophen) ivame ukuphakanyiswa ukuphatha ikhanda lokukhulelwa. Kuyinto imithi B isigaba futhi ngokuvamile kubhekwe ephephile for the fetus.
Uma i-acetaminophen ingasebenzi yodwa, ngezinye izikhathi ihlanganisa nayo imithi elwa ne-nausea ebizwa nge-Reglan (metoclopramide) iyasiza. Ezinye izinhlanganisela ze-tylenol zifaka i-tylenol-codeine, noma i-caffeine-aspirin-butalbiltal (i-Fiorcet).
Sicela uqaphele ukuthi nge-caffeine, i-American College of Obstetrics ne-Gynecology incoma ngaphansi kuka-200mg we-caffeine nsuku zonke ngesikhathi ukhulelwe.
Okokugcina, i-codeine kufanele ingabe isenqunyelwe futhi izinsuku eziyi-9 ngenyanga kanye ne-butalbital engapheli izinsuku ezingu-4 kuya kwezingu-5 ngenyanga ukugwema imithi yokwelapha ngokweqile.
Ama-anti-inflammatories, noma i-NSAID, njenge-ibuprofen (Advil, Motrin) noma i-naproxen (i-Aleve), imithi yokwelapha yesibili ye-migraines ekukhulelwe. Ziphephile kakhulu ku-trimester yesibili. Kunobufakazi obunqunyiwe bokuthi ama-NSAID angase ahlotshaniswe nokukhulelwa kwesisu nokunye ukukhubazeka kokuzalwa ku-trimester yokuqala. Ama-NSAID akufanele asetshenziswe ku-trimester yesithathu.
I-oxycodone efana ne-opiods noma i-morphine-iyindlela yokwelapha yesithathu ye-migraines ekukhulelwe. Akufanele bathathwe isikhathi eside isikhathi eside ngenxa yobungozi bokulutha umlutha nokuthuthukisa imithi yokwelashwa ngokweqile kanye / noma ikhanda elingapheli nsuku zonke . Kukhona futhi ingozi yokuhoxiswa kwe-neonatal lapho ingane yakho izalwa.
Okokugcina, ama-opiods angalimaza ezinye izimpawu zokukhulelwa ezivamile, njengenhlanhla nokuqothulwa.
I- triptan , i-sumatriptan, isacatshangwa ukuthi ukukhulelwa kwesigaba C-okushiwo izilwane zesilwane kubonakele umphumela omubi emntwaneni kodwa ayikho izifundo ezanele kubantu, ngakho ingozi ayikhishwa. Ngokuya ngesimo, i-sumatriptan ingase yamukeleke kwabanye besifazane abakhulelwe. Lokhu kudinga ukuxoxwa ngokucophelela nodokotela womuntu futhi ngosizo lwe-neurologist noma ochwepheshe bekhanda.
I-Ergotamine ne-dihydroergotamine bobabili babalwe njengohlobo lokukhulelwa isigaba X futhi akufanele neze basebenzise ngesikhathi sokukhulelwa noma ngempela kunoma yimuphi owesifazane oneminyaka yokubeletha engasebenzisanga ukubeletha okufanele.
Izwi kusuka
Kwabaningi besifazane, i-migraines ithuthukisa ngesikhathi sokukhulelwa. Kodwa uma bebuhlungu kuwe, ungakhathazeki. Khuluma nodokotela wakho. Kukhona izinyathelo eziningi ezilula, ezizimele, kanye nemithi embalwa (uma kudingeka), engakusiza ukuba ufike ngalesi sikhathi.
Imithombo
I-Digre, KB. Ukukhanda ikhanda ngesikhathi ukhulelwe. I-Clin Obstet Gynecol. 2013 Jun; 56 (2): 317-29.
U-Gilmore B, uMagdalena M. Ukwelashwa kwekhanda eliyinkimbinkimbi ye-migraine. Am Fam Physician. 2011 Feb 1; 83 (3): 271-280.
U-Lee MJ, u-Guinn D, noHickenbottom S. Insizwa emakhondweni abesifazane abakhulelwe nabasemuva. Ku: UpToDate, iBasow DS (Ed), UpToDate, Waltham, MA, 2015.
MacGregor EA. Ukukhanda ikhanda ngesikhathi ukhulelwe. I-Neurol Clin. 2012 Aug; 30 (3): 835-66
I-Nappi RE, i-Albani F, ama-G, i-Terreno E, i-Brambilia E, & i-Polatti F. Insizwa yesikhumba ngesikhathi sokukhulelwa. Isikhwama sekhanda se-Curr Pain 2011 Aug; 15 (4): 289-94.