Awọn atunṣe ko leewọ ati laaye ni igbaya

Akoonu

• Awọn àbínibí pé ìyá tí ń bọ́ ọmọ náà rárá le gba
• Kini lati ṣe ṣaaju ki o to mu oogun si ọmu?
• Awọn atunṣe wo ni a le lo lakoko fifun ọmọ
• Awọn oogun ka aabo ailewu ni lactation

Pupọ awọn oogun kọja sinu wara ọmu, sibẹsibẹ, ọpọlọpọ ninu wọn ni a gbe ni awọn iwọn kekere ati, paapaa nigba ti o wa ninu wara, o le ma gba ara ni inu ikun ati inu ọmọ. Sibẹsibẹ, nigbakugba ti o ba jẹ dandan lati mu oogun nigba fifun ọmọ, iya gbọdọ kọkọ ba dokita sọrọ, lati ni oye boya oogun yii lewu ati boya lati yago fun tabi boya o ṣe pataki lati dawọ igbaya ọmu duro.

Ni gbogbogbo, awọn iya ti n mu ọyan yẹ ki o yago fun lilo awọn oogun, sibẹsibẹ, ti o ba jẹ dandan, wọn yẹ ki o yan aabo julọ ati awọn ti o ti kawe tẹlẹ ati eyiti ko ni iyọ diẹ ninu wara ọmu, lati yago fun awọn eewu si iya naa. Awọn oogun fun lilo pẹ nipasẹ iya ni gbogbogbo gbe eewu nla fun ọmọ-ọwọ, nitori awọn ipele ti wọn le de ninu wara ọmu.

Awọn àbínibí pé ìyá tí ń bọ́ ọmọ náà rárá le gba

Awọn àbínibí atẹlelabẹ ọran kankan o yẹ ki wọn lo lakoko lactation. Sibẹsibẹ, ti o ba jẹ dandan lati ṣe itọju pẹlu eyikeyi ninu wọn, a gbọdọ da ọmu mu:

Ni afikun si awọn oogun wọnyi, ọpọlọpọ media itansan redio tun jẹ itọkasi tabi yẹ ki o lo pẹlu iṣọra lakoko lactation.

Kini lati ṣe ṣaaju ki o to mu oogun si ọmu?

Ṣaaju ki o to pinnu lati lo oogun lakoko lactation, obirin yẹ:

• Ṣe iṣiro pọ pẹlu dokita ti o ba jẹ dandan lati mu oogun, wiwọn awọn anfani ati awọn eewu;
• Fẹ awọn oogun ti a kẹkọ ti o ni ailewu ninu awọn ọmọde tabi ti o jẹ iyọkuro diẹ ninu wara ọmu;
• Fẹ awọn àbínibí fun ohun elo agbegbe, nigbati o ba ṣeeṣe;
• Ṣe alaye daradara awọn akoko lilo ti oogun, lati yago fun awọn oke giga ti ifọkansi ninu ẹjẹ ati wara, eyiti o ṣe deede pẹlu akoko ifunni;
• Jade, nigbati o ba ṣee ṣe, fun awọn oogun ti o ni nkan kan ti nṣiṣe lọwọ nikan, yago fun awọn ti o ni ọpọlọpọ awọn paati, gẹgẹbi awọn egboogi-aarun ayọkẹlẹ, fẹran lati tọju awọn aami aisan ti o han julọ, pẹlu paracetamol, lati ṣe iyọda irora tabi iba, tabi cetirizine lati tọju awọn aami aisan naa hín ati imu imu, fun apẹẹrẹ.
• Ti iya ba lo oogun kan, o gbọdọ kiyesi ọmọ naa lati le ri awọn ipa ẹgbẹ ti o le ṣee ṣe, gẹgẹ bi awọn iyipada ninu awọn ilana jijẹ, awọn ihuwasi oorun, riru tabi awọn rudurudu nipa ikun, fun apẹẹrẹ;
• Yago fun awọn àbínibí ti iṣe gigun, nitori wọn nira sii lati yọkuro nipasẹ ara;
• Ṣe afihan wara ni ilosiwaju ki o tọju rẹ sinu firisa lati fun ọmọ ni ifunni idiwọ igba diẹ ti igbaya. Kọ ẹkọ bi o ṣe le tọju wara ọmu ni deede.

Awọn atunṣe wo ni a le lo lakoko fifun ọmọ

Awọn oogun ti a ṣe akojọ rẹ si isalẹ ni a ṣe akiyesi ailewu ailewu lati lo lakoko lactation, sibẹsibẹ, ko si ọkan ninu wọn ti o yẹ ki o lo laisi imọran iṣoogun.

Gbogbo awọn oogun miiran ti a ko mẹnuba ninu atokọ atẹle, o yẹ ki o lo nikan ti awọn anfani ba ju awọn eewu lọ. Paapaa ninu awọn ọran wọnyi, wọn yẹ ki o lo pẹlu iṣọra ati labẹ itọsọna iṣoogun. Ni ọpọlọpọ awọn ọran, idaduro ti lactation le jẹ lare.

Awọn oogun ka aabo ailewu ni lactation

Awọn atẹle yii ni a ka ni ailewu ninu lactation:

• Àwọn abé̩ré̩ àje̩sára: gbogbo awọn abere ajesara ayafi ajesara lodi si anthrax, onigba-ara, ibà ofeefee, ibajẹ ati arun kekere;
• Anticonvulsants: valproic acid, carbamazepine, phenytoin, phosphenytoin, gabapentin ati magnẹsia imi-ọjọ;
• Awọn antidepressants: amitriptyline, amoxapine, citalopram, clomipramine, desipramine, escitalopram, fluoxetine, fluvoxamine, imipramine, nortriptyline, paroxetine, sertraline ati trazodone;
• Antipsychotics: haloperidol, olanzapine, quetiapine, sulpiride ati trifluoperazine;
• Anti-migraine: eletriptan ati propranolol;
• Hypnotics ati anxiolytics: bromazepam, cloxazolam, lormetazepam, midazolam, nitrazepam, quazepam, zaleplone ati zopiclone;
• Awọn apaniyan ati awọn oogun egboogi-iredodo: flufenamic tabi mefenamic acid, apazone, azapropazone, celecoxib, ketoprofen, ketorolac, diclofenac, dipyrone, fenoprofen, flurbiprofen, ibuprofen, paracetamol and piroxicam;
• Opioids: alfentanil, buprenorphine, butorphanol, dextropropoxyphene, fentanyl, meperidine, nalbuphine, naltrexone, pentosan ati propoxyphene;
• Awọn àbínibí fun itọju gout: allopurinol;
• Anesitetiki: bupivacaine, lidocaine, ropivacaine, xylocaine, ether, halothane, ketamine ati propofol;
• Awọn isinmi ti iṣan: baclofen, pyridostigmine ati suxamethonium;
• Awọn egboogi-egbogi: cetirizine, desloratadine, diphenhydramine, dimenhydrinate, fexofenadine, hydroxyzine, levocabastine, loratadine, olopatadine, promethazine, terfenadine and triprolidine;
• Awọn egboogi: gbogbo awọn pẹnisilini ati awọn itọsẹ pẹnisilini (pẹlu amoxicillin) ni a le lo, pẹlu imukuro cefamandole, cefditoren, cefmetazole, cefoperazone, cefotetan ati meropenem. Ni afikun, amikacin, gentamycin, kanamycin, sulfisoxazole, moxifloxacin, ofloxacin, azithromycin, clarithromycin, erythromycin, roxithromycin, clavulanic acid, clindamycin, chlortetracyclinein, spiramycin, furazolidone, lincomycin, oxcomycin,
• Antifungals: fluconazole, griseofulvin ati nystatin;
• Awọn egboogi: acyclovir, idoxuridine, interferon, lamivudine, oseltamivir ati valacyclovir;
• Anti-amebiasis, egboogi-giardiasis ati egboogi-leishmaniasis: metronidazole, tinidazole, meglumine antimoniate ati pentamidine;
• Alatako-iba: artemeter, clindamycin, chloroquine, mefloquine, proguanil, quinine, tetracyclines;
• Anthelmintics: albendazole, levamisole, niclosamide, pyrvinium tabi pyrantel pamoate, piperazine, oxamniquine po praziquantel po;
• Iko-ara: ethambutol, kanamycin, ofloxacin ati rifampicin;
• Ẹtẹtisi: minocycline ati rifampicin;
• Awọn egboogi ati awọn apakokoro: chlorhexidine, ethanol, hydrogen peroxide, glutaral ati soda hypochlorite;
• Diuretics: acetazolamide, chlorothiazide, spironolactone, hydrochlorothiazide ati mannitol;
• Awọn atunṣe fun awọn arun inu ọkan ati ẹjẹ: adrenaline, dobutamine, dopamine, obeypyramide, mexiletine, quinidine, propafenone, verapamil, colesevelam, cholestyramine, labetalol, mepindolol, propranolol, timolol, methyldopa, nicardipine, nifedipine, nimodipine, nitrogen, fetamiline, nitrogen, nitrenpine, nitren, nitren, nitren, nitren, nitrogen, nitrenpine, nitrogen, nitren, nitrogen, nitrenpine, nitrogen, nitrenpine, nitrogen, nitren, nitren, nitrenpine, yera
• Awọn atunṣe fun awọn arun ẹjẹ: folinic acid, folic acid, iron amino acid chelate, ferromaItose, ferrous fumarate, ferrous gluconate, hydroxycobalamin, iron glycinate chelate, ferrous oxide sucrate, ferrous sulphate, dalteparin, dicumarol, phytomenadione, heparin, lepirudine and pepidudine, poxy.
• Antiasthmatics: triamcinolone acetonide, adrenaline, albuterol, aminophylline, ipratropium bromide, budesonide, soda chromoglycate, beclomethasone dipropionate, fenoterol, flunisolide, isoetholine, isoproterenol, levalbuterol, nedocromyl, pyrbuterol;
• Awọn antitussives, mucolytics ati expectorants: acebrophylline, ambroxol, dextromethorphan, dornase po guaifenesin po;
• Ti imu decongestants: phenylpropanolamine;
• Awọn oludena iṣelọpọ Antacids / acid: iṣuu soda bicarbonate, kalisiomu kaboneti, cimetidine, esomeprazole, famotidine, aluminiomu hydroxide, magnẹsia hydroxide, nizatidine, omeprazole, pantoprazole, ranitidine, sucralfate po magnesium trisilicate;
• Antiemetics / gastrokinetics: alizapride, bromopride, cisapride, dimenhydrinate, domperidone, metoclopramide, ondansetron ati promethazine;
• Laxatives: agar, carboxymethylcellulose, gomu sitashi, ispagula, methylcellulose, hydrophilic psyllium muciloid, bisacodyl, iṣuu soda, epo alumọni, lactulose, lactitol ati magnẹsia imi-ọjọ;
• Antidiarrheal: Kaolin-pectin, loperamide ati racecadotril;
• Awọn irugbin Corticosteroids: gbogbo ayafi dexamethasone, flunisolid, fluticasone ati triamcinolone;
• Antidiabetics ati awọn insulins: glyburide, glyburide, metformin, miglitol ati awọn insulins;
• Awọn itọju tairodu: levothyroxine, lyothyronine, propylthiouracil ati thyrotropin;
• Oyun awọn itọju oyun yẹ ki o fẹ nikan pẹlu awọn progestogens;
• Awọn àbínibí àrùn egungun: pamidronate;
• Awọn atunṣe lati lo si awọ ara ati awọn membran mucous: benzyl benzoate, deltamethrin, sulfur, permethrin, thiabendazole, ketoconazole, clotrimazole, fluconazole, itraconazole, miconazole, nystatin, sodium thiosulfate, metronidazole, mupirocin, neomycin, bacitracin, potasiomu tetrahydate, potassium koltar ati dithranol;
• Vitamin ati ohun alumọni: folic acid, fluorine, soda fluoride, kalisiomu gluconate, nicotinamide, iyọ iyọ, tretinoin, Vitamin B1, B2, B5, B6, B7, B12, C, D, E, K ati zinc;
• Awọn atunṣe fun lilo ophthalmic: adrenaline, betaxolol, dipivephrine, phenylephrine, levocabastine ati olopatadine;
• Awọn itọju ara ẹni: Saint John ká eweko. Ko si awọn ẹkọ aabo fun awọn oogun oogun miiran.

Tun wa iru awọn tii ti gba laaye ati eewọ ni fifun ọmọ.