Shin yana da lafiya a dauki Zoloft yayin daukar ciki?

Bayanin Magungunan Maganin Maternal

Wani muhimmin bangare na kasancewa mai tsammanin iyaye shine kiyaye lafiyar yaranku. Hakan ya haɗa da koyon waɗanne irin magani ne ake ɗauka lokacin daukar ciki — kamar su magungunan antidepressant . Kuma yayin shan antidepressant kamar Sertraline (Zoloft) a lokacin daukar ciki ba shi da hadari 100%, yin ciki tare da bakin ciki mara magani na iya zuwa da hadari.

A zahiri, da Kwalejin likitan mata da na mata ta Amurka (ACOG) ya ce baƙin ciki a lokacin daukar ciki na iya haifar da mummunar illa ga lafiyar mai-ciki da jariri. Wannan ya hada da matsaloli game da ci gaban tayi,lokacin haihuwa, rashin nauyin haihuwa, da rikitarwa bayan haihuwa.

Yanke shawara ko ci gaba da shan maganin rage damuwa yayin daukar ciki wani abu ne da kuke buƙatar tattaunawa tare da mai ba da lafiyar ku. Anan akwai abubuwan yau da kullun da kuke buƙatar sani.

Dangantaka: Menene Zoloft? | Samu takardun shaida na Zoloft

Shin yana da lafiya a dauki Zoloft yayin daukar ciki?

Zoloft sunan suna ne na sertraline na miyagun ƙwayoyi, wanda ke cikin rukunin masu maganin ƙwaƙwalwar ƙwaƙwalwa waɗanda ake kira masu hana serotonin reuptake inhibitors (SSRIs). Wadannan kwayoyi suna aiki ta hanyar kara adadin serotonin, mai canzawar kwakwalwa, a cikin kwakwalwa. Ana amfani da SSRI don magance baƙin ciki, rikicewar tsoro, rikicewar rikice-rikice, rikicewar tashin hankali na zamantakewar al'umma, da rikicewar tashin hankali bayan tashin hankali.

Iyalan SSRIs, musamman Zoloft, ana ɗaukarsu ɗayan amintattun zaɓuɓɓuka na masu ta da hankali a lokacin ɗaukar ciki, in ji Sherry Ross , MD, OB-GYN, da kuma masaniyar lafiyar mata a Providence Saint John’s Health Center a Santa Monica, California.

Koyaya, ga wasu uwaye masu zuwa, Dr. Ross ya ce yanke shawarar ci gaba da SSRI yayin daukar ciki a ƙarshe ya sauko don auna haɗarin da fa'idodi.

Kodayake illolin shan SSRI yayin da masu juna biyu ba su da yawa, Dokta Ross ya ce akwai wasu illoli masu illa ga jariri idan shan magani a cikin watanni uku na ƙarshe. Wadannan sun hada da jitters, irritability, rashin cin abinci mara kyau, karfin motsa jiki, karancin suga cikin jini, sautin tsoka mara kyau, amai, kamuwa, da matsalar numfashi a lokacin watan farko na rayuwa.

Cibiyoyin Kula da Rigakafin Cututtuka na Amurka (CDC) karatu ya gano cewa duk da ƙara yawan haɗarin da ke tattare da wasu lahani na haihuwa daga wasu SSRIs (paroxetine ko fluoxetine), ainihin haɗarin da ke tsakanin jariran da mata suka haifa ɗayan waɗannan magungunan maganin har yanzu yana da ƙasa ƙwarai. Wannan labari ne mai dadi ga iyayen da zasu dauki sertraline tunda binciken bai lura da wata alaka tsakanin larurar haihuwa da wannan maganin ba.

Wasu mata suna mamakin idan amfani da SSRI, kamar Zoloft, na iya sa ya zama da wahala a sami ciki ko ƙara haɗarin ɓarin ciki da zarar sun sami ciki. Kodayake duk wani maganin da aka rubuta yana zuwa da hadari, a halin yanzu babu wani karatun da zai magance matsalar rashin haihuwa.

Hakanan akwai ƙaramin bayani game da haɗarin ɓarin ciki. Daya karatu gano cewa haɗarin ɓarin ciki ya kasance daidai tsakanin matan da aka fallasa su a cikin SSRI yayin da suke da ciki da kuma matan da suka daina jinyar SSRI kafin ciki.

Dangantaka: Sakamakon illa na Zoloft

Shin ya kamata ku daina shan Zoloft lokacin da kuka gano cewa kuna da ciki?

Idan kuna la'akari da zuwan Zoloft a lokacin daukar ciki, yana da mahimmanci ku daina dakatar da shi kwatsam. Idan kuna kan babban maganin Zoloft kuma kun dakatar da shi kwata-kwata, kuna iya fuskantar mummunar illa da kuma janyewa, in ji shi Julian Lagoy , MD, likita mai tabin hankali a Community Psychiatry, a San Jose, California. Abin da ya sa ba ya ba da shawarar tsayawa ba zato ba tsammani ba tare da yin magana da mai ba ku ba.

Kodayake ya fi zama lafiya kada a sha wani magani na maganin rage damuwa yayin daukar ciki, Dr. Lagoy ya ce yana iya zama mafi muni ga uwa da jariri su daina magunguna kamar Zoloft a lokacin daukar ciki tunda wannan na iya haifar da mummunan yanayi da alamun damuwa. Tare da wannan a zuciya, yana da mahimmanci tattauna wannan batun tare da ƙungiyar kiwon lafiyar ku kafin yanke shawara game da magunguna. Za su iya ba ku shawara game da mafi aminci zaɓuɓɓuka don cikinku.

Nawa ne Zoloft amintacce a ɗauka yayin ɗaukar ciki?

A cewar Dokta Ross, wani amintaccen kuma gwargwado na shawarar Zoloft yana farawa ne daga 25 MG zuwa 50 MG kowace rana. Don matsakaici zuwa mai tsananin damuwa, Dr. Ross ya ce allurai har zuwa 200 MG ana ɗauka amintattu don amfani yayin ciki.

Yayinda yake kula da magungunan rigakafin ciki yayin daukar ciki, Dr. Lagoy yace yana kokarin bada mafi karancin maganin da zai yiwu. Tunda homoni da yanayi na iya canzawa a duk lokacin da suke ciki da kuma a wasu yankuna daban-daban, zai iya zama ruwan dare a canza allura a duk lokacin daukar ciki (kodayake ba koyaushe ake buƙatar sauya allurai a kowane watanni ba), in ji Dokta Lagoy. Za'a iya yin la'akari da allurai masu hadari mafi ƙarancin kashi wanda zai iya zama mahimmin magani.

Shin lafiyayyar Zoloft za a sha yayin shayarwa?

Baƙon abu ba ne a yi tambayoyi da damuwa game da lafiyarku da yadda yake yin tasiri ga jaririnku a lokacin haihuwa. Wannan shine dalilin da ya sa yawancin iyaye mata da yawa suna mamakin idan shan Zoloft da shayarwa ana ɗauka lafiya.

Labari mai dadi shine ana la'akari dashi gaba ɗaya amintacce don ɗaukar Zoloft yayin shayarwa . Aramin magani kaɗan ne kawai zai iya shiga cikin nono, don haka haɗarin da ke cikin jaririn kaɗan ne. Dangane da rubutattun matakai masu saurin yaduwa yayin shayarwa, sakamakon binciken daga meta-bincike Ya ƙaddara cewa sertraline magani ne na farko don mata masu shayarwa.

Waɗanne sauran maganin ƙwaƙwalwar ajiya ne amintattu a ɗauka yayin ciki da yayin shayarwa?

Akwai magungunan rigakafin da yawa wadanda ba su da amfani a yayin ciki, amma Dokta Lagoy ya ce sertraline tana da mafi kyawun bayanan bincike game da aminci a cikin ciki.

Baya ga Zoloft, sauran magungunan kashe kuzari waɗanda aka tsara a lokacin daukar ciki da lokacin haihuwa sun hada da SSRIs Celexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine) da Prozac (fluoxetine). Hakanan likitan ku na iya magana da ku game da maganin hana yaduwar maganin serotonin-norepinephrine (SNRIs) kamar Cymbalta (duloxetine) da Effexor (venlafaxine).

Ya kamata koyaushe ku tattauna haɗari da fa'idodi tare da mai ba ku sabis game da ɗayan waɗannan magungunan yayin da kuke ciki ko lokacin lokacin haihuwa.