Zvakachengeteka here kutora Zoloft panguva yepamuviri?

Zvinodhaka Info Maternal Matters

Chikamu chakakosha chekuve mubereki anotarisira chiri kuchengetedza mwana wako akagwinya. Izvi zvinosanganisira kudzidza kuti ndeapi matsamba akachengeteka kutora panguva yekuzvitakura - senge mishonga inodzvinyirira . Uye kana uchitora mushonga wekudzvinyirira senge Sertraline (Zoloft) panguva yekuzvitakura haisi 100% isina njodzi, kuenda nepamuviri nepfungwa isina kurapwa kunogona kuuya nenjodzi zhinji.

Muchokwadi, iyo American College yeVadzvinyiriri uye Gynecologists (ACOG) inoti kushushikana panguva yekuzvitakura kunogona kuve nemhedzisiro yehutano kune vese amai vanozove uye mwana. Izvi zvinosanganisira matambudziko nekukura kwe 'fetus',kuzvarwa nguva isati yakwana, huremu hwekuzvarwa, uye matambudziko mushure mekuberekwa.

Kusarudza kuti urambe uchitora antidepressant panguva yekuzvitakura chinhu chaunofanira kukurukura nemupi wako wezvehutano. Hezvino zvinhu zvekutanga zvaunofanira kuziva.

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Zvakachengeteka here kutora Zoloft panguva yepamuviri?

Zoloft izita rechiratidzo remushonga sertraline, iri yekirasi yemishonga yekudzvinyirira inonzi selective serotonin reuptake inhibitors (SSRIs). Iyi mishonga inoshanda nekuwedzera huwandu hweserotonin, yakasikwa neurotransmitter, muuropi. SSRIs inoshandiswa kurapa kushushikana, kuvhunduka kusagadzikana, obsessive-inomanikidza kusagadzikana, kusagadzikana kwevanhu kusagadzikana, uye kunetseka-kwekushungurudzika kusagadzikana kusagadzikana.

Mhuri yeSSRIs, kunyanya Zoloft, inoonekwa seimwe yesarudzo dzakachengeteka dzeanodzvinyirira panguva yekuzvitakura, Sherry Ross , MD, OB-GYN, uye nyanzvi yehutano hwevakadzi kuProvidence Saint John's Health Center muSanta Monica, California.

Nekudaro, kune vamwe amai-vanozove, Dr Ross vanoti danho rekuenderera mberi neSSRI panguva yekuzvitakura pakupedzisira rinodzika kuyera njodzi maringe nezvakanakira.

Kunyangwe iyo mhedzisiro mhedzisiro yekutora SSRI uchiri nepamuviri kazhinji ishoma, Dr. Ross anoti panogona kuve nemimwe mhedzisiro mhedzisiro kumwana kana achitora mushonga mune yekupedzisira trimester. Izvi zvinosanganisira jitters, kugumbuka, kudya zvisina tsarukano, hyperactive reflexes, yakaderera ropa shuga, isina kujairika mhasuru toni, kurutsa, kufenda, uye mweya wekufema mumwedzi wekutanga wehupenyu.

Nzvimbo dzeU.S. dzeDzidziso Kudzora uye Kudzivirira (CDC) kudzidza vakawana kuti kunyangwe paine njodzi yakawedzera yekumwe kuremara kwekuberekwa kubva kune mamwe maSSRI (paroxetine kana fluoxetine), iyo chaiyo njodzi pakati pevacheche vanozvarwa nevakadzi vanotora imwe yeaya antidepressants ichiri yakaderera kwazvo. Idzi inhau dzakanaka kumama-kune-vanozotora sertraline sezvo chidzidzo chisina kuona chero hukama pakati pehurema hwekuzvarwa uye uyu mushonga.

Vamwe vakadzi vanoshamisika kana SSRI inoshandisa, saZoloft, inogona kuita kuti zvive zvakaoma kutora nhumbu kana kuwedzera njodzi yavo yekuparara kana vangova nepamuviri. Kunyangwe chero mushonga wekurapa uchiuya nenjodzi, parizvino hapana zvidzidzo zvinoongorora nyaya yekushaya mbereko.

Iko kune zvakare kushoma ruzivo nezve njodzi yekuparara. Poshi kudzidza vakaona kuti njodzi yekuparara nhumbu yakanga yakafanana pakati pevakadzi vanooneswa maSSRIs panguva yekuzvitakura kwekutanga uye vakadzi vakarega kurapwa kweSSRI vasati vazvitakura.

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Unofanira kurega kutora Zoloft paunoona kuti une pamuviri?

Kana iwe uri kufunga kuuya kubva kuZoloft panguva yekuzvitakura, zvakakosha kuti usamire kuitora kamwe kamwe. Kana iwe uri pane yakakwira dosi yeZoloft uye iwe ukaimisa zvachose, unogona kusangana nemhedzisiro mhedzisiro uye kurega, anodaro Julian Lagoy , MD, chiremba wepfungwa kuCommunity Psychiatry, muSan Jose, California. Ndicho chikonzero nei asingakurudziri kumira pakarepo pasina kutaura nemupi wako.

Kunyangwe iri yakachengeteka kusatora chero mishonga yekudzvinyirira uchiri nepamuviri, Dr.Lagoy anoti zvinogona kuve zvakaipisisa kuti vese amai nemwana vasiye mishonga seZoloft panguva yekuzvitakura nekuti izvi zvinogona kutungamira mukuwedzera mweya uye zviratidzo zvekushushikana. Uine izvozvo mupfungwa, zvakakosha kuti ukurukure nyaya iyi neboka rako rezvehutano usati waita chero sarudzo maererano nemishonga. Ivo vanozokwanisa kukuraira iwe pane dzakachengeteka nzira dzaunogona kuve nepamuviri.

Yakawanda sei Zoloft yakachengeteka kutora panguva yekuzvitakura?

Sekureva kwaDr. Ross, yakachengeteka uye yakakurudzirwa dhizaini yeZoloft inotanga pa25 mg kusvika 50 mg pazuva. Zvekudzikisira kusvika pakuora moyo zvakanyanya, Dr. Ross anoti madosi anosvika mazana maviri emamiriyoni anoonekwa akachengeteka kushandisa panguva yepamuviri.

Pakugadzirisa mishonga yekudzvinyirira panguva yekuzvitakura, Dr.Lagoy anoti anovavarira kupa yakaderera dhosi inokwanisika. Sezvo mahormone nemanzwiro zvichichinja panguva yese yepamuviri uye mumatanhatu akasiyana, zvinogona kuve zvakajairika kushandura dosing panguva yese yepamuviri (kunyangwe zvisingawanzo kuve zvichikosha kuchinja doses mune yega trimester), Dr.Lagoy anotsanangura. Iyo yakachengeteka mibairo inogona kutariswa seyakaderera dhosi inogoneka iyo zvakare iri inoshanda kurapwa.

Zoloft yakachengeteka here kutora uchiyamwisa?

Hazvisi zvisingazivikanwi kuva nemibvunzo uye kunetseka pamusoro pehutano hwako uye kuti zvinokanganisa sei mwana wako panguva yekuberekwa. Ndosaka amai vazhinji vatsva vachinetseka kana kutora Zoloft uye kuyamwisa kunoonekwa sekuchengetedzeka.

Nhau dzakanaka ndidzo dzinowanzo fungidzirwa zvakachengeteka kutora Zoloft uchiyamwisa . Chishoma chete chidiki chemushonga chinogona kupfuura mukaka wemukaka, saka njodzi kumwana wako ishoma. Nekuda kwezvakanyorwa zvakaderera zviyero zvekuburitswa panguva yekuyamwisa, zvakawanikwa kubva ku meta-ongororo akagumisa kuti sertraline mushonga wekutanga mutsara wevakadzi vanoyamwisa.

Ndezvipi zvimwe zvinodzvinyirira zvakachengeteka kutora panguva yekuzvitakura uye panguva yekuyamwisa?

Kune akawanda antidepressants ayo akachengeteka kushandisa panguva yekuzvitakura, asi Dr.Lagoy anoti sertraline ine yakanyanya kunaka tsvagiridzo maererano nezve kuchengetedzeka pakubata.

Pamusoro peZoloft, mamwe mishonga yekudzvinyirira yakatemwa panguva yekuzvitakura uye nguva yekusununguka inosanganisira iyo SSRIs Celexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine) uye Prozac (fluoxetine). Chiremba wako anogona zvakare kutaura newe nezve serotonin-norepinephrine reuptake inhibitors (SNRIs) senge Cymbalta (duloxetine) uye Effexor (venlafaxine).

Iwe unofanirwa kugara uchikurukura nezve njodzi uye mabhenefiti nemupi wako maererano nechero ipi yemishonga iyi kana uine pamuviri kana panguva yekuzvara.