Aspirin pa nthawi ya mimba

Ngakhale kuti kuchulukitsitsa ndi kupezeka, Aspirin sungatchulidwe mankhwala otetezeka. Podziwa izi, amayi ambiri oyembekezera nthawi zambiri amadera madokotala ngati zili zotheka kumwa Aspirin panthawi yomwe ali ndi mimba, ndipo nthawi zina mankhwalawo amaloledwa kutengedwa. Tiyeni tiyesere kuzilingalira, ndikuyankhira funso ngati Aspirin amathandizira kuthetseratu ululu wosiyanasiyana pa nthawi ya mimba.

Kodi choopsa chogwiritsa ntchito mankhwalawa n'chiyani pamene mwana akuyembekezera?

Malinga ndi malangizo, Aspirin m'nthawi yoyambirira (1 trimester), ali ndi pakati, sangagwiritsidwe ntchito. Kuletsedwa uku kumayambitsidwa ndi zotsatira zowononga thupi la mwana panthawi yopanga ziwalo za axial, zomwe zimachitika mpaka masabata khumi ndi awiri kuchokera pamene umuna umatuluka. Kugwiritsiridwa ntchito kwa Aspirin pa nthawi ya mimba mu 3 trimester ikudzaza ndi chiopsezo chokhala ndi magazi nthawi yobereka, mankhwalawa amakhudza kwambiri magazi, monga coagulability.

Ngakhale zilizonsezi, nthawi zina, ngati zotsatira za mankhwalawa zimakhala zovuta kuti mwanayo akhale ndi vuto, ngati kuli kotheka, mu 2 trimester ya mimba, Aspirin akhoza kuuzidwa ndi dokotala.

Komabe, kawirikawiri, podziwa kukula kwa mankhwala osokoneza bongo, madokotala amatipatsa mafananidwe otetezeka.

Kodi zotsatira zake ndi zotani zotsutsana ndi mankhwala?

Kugwiritsira ntchito Aspirin ndi zifaniziro zake (Aspirin UPCA, cardio), panthawi yomwe ali ndi mimba silololedwa mu gawo limodzi ndi kuthekera kwa zotsatira zake, zomwe zimapezeka nthawi zambiri:

• chitukuko;
• Matenda a Reye;
• leukopenia;
• magazi;
• kusokonezeka kwa chiwindi ndi impso;
• angioedema;
• Matenda otsekula (m'mimba);
• chisokonezo;
• ululu mmimba;
• edema;
• nephrite;
• bronchospasm;
• kuchepa kwa njala, ndi zina zotero.

Pankhani yotsutsana ndi kugwiritsa ntchito Aspirin panthawi yomwe ali ndi pakati, ndiye kuti, monga lamulo, zimagwirizana kwambiri ndi zovuta zomwe zimakhalapo m'mimba mwachinyamata komanso kuphwanya malamulo,

• zoopsa za matenda a m'mapapo ndi mtima;
• mimba yopitirira;
• kuchepetsa kukula kwa fetal;
• kupweteka kwachangu msanga.

Ndiyeneranso kuzindikira kuti asayansi omwe adapanga maphunziro pa zovuta zowopsya ndi Aspirin, adayambitsa kugwirizana pakati pa kugwiritsira ntchito mankhwala ndi chitukuko cha zizindikiro za anyamata.

Kodi ndi zotani zomwe zingatheke kupereka Aspirin pa nthawi ya mimba, komanso muyezo uti?

Tiyenera kuzindikira kuti kugwiritsa ntchito mankhwala osokoneza bongo sikuvomerezeka. Pankhaniyi pakakhala kusowa kwa magazi pakapita mimba, ndiye kuti aspirin iyi imayikidwa muzing'ono, zotchedwa microdosages.

Monga lamulo, madokotala samapereka mankhwala oposa 100 mg pa mankhwala tsiku lililonse. Ndalamayi ndi yokwanira kuti ayambe kulandira mankhwala, ndipo palibe zotsatira pa thupi la mwanayo. Zikatero pamene mlingo wa mankhwala tsiku lililonse umatha kufika 1500 mg, pali kuthekera kwa kulowa mamolekyu a mankhwala kudzera mu placenta ndi kuthamanga kwa magazi mpaka mwanayo.

Komanso, mankhwalawa akhoza kuuzidwa pamaso pa mitsempha ya varicose mwa amayi apakati. Komabe, pazochitika zoterezi, madokotala amayesa kugwiritsa ntchito fanizo lachilendo - Kurantil, lomwe liri losavuta, kwa mwanayo komanso kwa amayi ake.

Choncho, m'pofunika kunena kuti mtundu uwu wa mankhwala ungagwiritsidwe ntchito panthawi yobereka mwanayo atangokambirana ndi dokotalayo. Izi zidzateteza kukula kwa zotsatira zoipa zomwe tatchula pamwambapa.