Kusanza ndi kusanza komwe kumachitika m'miyezi yoyamba ya mimba kumatchedwa ' Morning Sickness '. Ngakhale dzinalo limasonyeza kusanza kwa m'mawa, kumatha kuchitika nthawi iliyonse ya tsiku. Kwa amayi ena, kumatha kukhala koopsa kwambiri. Mutha kusanza kwambiri kotero kuti simungathe kuletsa chilichonse. Chifukwa chake, nthawi ngati izi, dokotala wanu angakupatseni mankhwala otchedwa Zofran. Lero, tiyeni tikambirane za zomwe Zofran ndi, momwe zilili zotetezeka, komanso zomwe muyenera kudziwa za izo.
Kodi Zofran (Ondansetron) ndi chiyani?
Mwachidule, Zofran ndi dzina la mankhwala otchedwa Ondansetron. Poyamba ankagwiritsidwa ntchito poletsa nseru ndi kusanza komwe kumachitika chifukwa cha mankhwala a chemotherapy mwa odwala khansa. Amagwira ntchito poletsa ntchito ya mankhwala otchedwa serotonin muubongo mwathu. Serotonin iyi ndi yomwe imathandiza kuwongolera zinthu monga chilakolako chathu, kugaya chakudya, komanso momwe timamvera.
Kuwonjezera pa chithandizo cha khansa, madokotala amagwiritsa ntchito mankhwalawa m'mikhalidwe ina ingapo.
- Kusanza chifukwa cha mankhwala oletsa ululu
- Kwa kusanza komwe kumachitika chifukwa cha chithandizo cha radiation
- Pambuyo pa opaleshoni ina
Pakadali pano, kugwiritsa ntchito mankhwalawa pochiza kusanza kwambiri panthawi ya mimba, komwe kumadziwikanso kuti 'Morning Sickness', kwakhala kotchuka kwambiri. Malinga ndi malipoti ena, mankhwalawa amalimbikitsidwa kwa amayi apakati m'modzi mwa anayi aliwonse. Mankhwalawa amatha kuchepetsa chiopsezo cha kutaya madzi m'thupi komanso kuchepa thupi akamasanza kwambiri.
Zofran ingaperekedwe m'njira zitatu. Nthawi zambiri imaperekedwa ngati piritsi laling'ono lomwe limasungunuka pansi pa lilime. Kuphatikiza apo, ingaperekedwe ngati jakisoni mu minofu kapena kudzera m'mitsempha (IV) ndi saline ngati pakufunika.
Kodi kugwiritsa ntchito Zofran panthawi ya mimba n'kotetezeka?
Ili ndiye vuto lalikulu lomwe anthu ambiri ali nalo. Ngakhale kuti bungwe la US Food and Drug Administration (FDA) lavomereza mankhwalawa kuti agwiritsidwe ntchito pochiza anthu odwala khansa, silinavomereze kuti agwiritsidwe ntchito pochiza anthu omwe ali ndi pakati . Koma musachite mantha. Ngakhale dokotala atakana kugwiritsa ntchito mankhwalawa pa vuto linalake, amadziwa bwino ubwino wa mankhwalawa ndipo amalimbikitsa kugwiritsa ntchito pa vuto lina, lomwe limatchedwa "kugwiritsa ntchito mankhwala osakhala ndi chizindikiro."
Kafukufuku wambiri wasonyeza kuti kumwa mankhwalawa mu trimester yoyamba ya mimba sikuwonjezera chiopsezo cha zilema zazikulu zobadwa nazo .
- Kafukufuku wochitidwa ndi CDC ku United States adawonetsa kuti amayi omwe adatenga Zofran analibe chiopsezo chowonjezeka cha zilema zazikulu zobadwa nazo.
- Kafukufuku wamkulu yemwe adachitika ku Denmark mu 2013 adawonetsa kuti mankhwalawa sawonjezera chiopsezo cha zotsatirazi:
- Kubadwa ndi kulemera kochepa
- Kutumiza nthawi isanakwane
- Kukula kwa mwana kukuchepa.
- Zilema zazikulu zobadwa nazo
- Kubereka mwana wosafa
- Kutaya Pathupi
Koma pali chinthu chaching'ono. Kafukufukuyu akuwonetsa chiopsezo chochepa kwambiri. Izi zikutanthauza kuti, pakhoza kukhala chiopsezo chochepa kwambiri cha kusweka kwa mkamwa ndi zilema zina za mtima mwa ana omwe ali ndi Zofran. Malinga ndi ziwerengero, chiopsezochi ndi chochepera 3 mwa ana 10,000 obadwa kwa amayi omwe amatenga Zofran. Chifukwa chake izi ndizosowa kwambiri. Kafukufukuyu akunenanso kuti kafukufuku wowonjezereka akufunika pa izi.
Chinthu china chofunika ndichakuti mu 2011, FDA inachenjeza kuti Zofran ikhoza kuyambitsa mavuto ena a mtima wa mayi. Makamaka, matenda otchedwa QT prolongation ndi torsade de pointes . Izi ndi matenda omwe amayambitsa kugunda kwa mtima kosasinthasintha. Chiwopsezochi ndi chochepa kwambiri, koma ngati muli ndi vuto la mtima, muyenera kuuza dokotala wanu za izi musanamwe mankhwalawa.
Kodi zotsatirapo zake ndi ziti?
Monga mankhwala ena aliwonse, Zofran akhoza kukhala ndi zotsatirapo zina zazing'ono. Tiyeni tiwone zomwe zili. Mutha kumvetsetsa izi bwino kuchokera patebulo lomwe lili pansipa.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatira zoyipa zofala (nthawi zambiri si zoopsa) |
|
| Zotsatirapo zoyipa (funsani upangiri wa dokotala nthawi yomweyo!) |
Ngati mukukumana ndi zotsatirapo zoyipa izi, imbani dokotala wanu nthawi yomweyo . Ngati n'kotheka, pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi. Izi ndizofunikira kwambiri.
Kodi palibe njira zina zosavuta zothandizira kusanza?
Inde, ilipo ndithu. Musanayambe kugwiritsa ntchito mankhwala ngati Zofran, dokotala wanu adzakulangizani kuti muyesere zinthu zosavuta izi.
Sinthani zakudya
Nthawi zambiri, mungakhale mukusanza chifukwa cha zakudya zina. Kupewa zakudya zamafuta, zokometsera, komanso zonunkhira kwambiri kungakupatseni mpumulo waukulu. Kafukufuku akusonyeza kuti amayi 9 mwa 10 apakati amatha kuchepetsa kusanza mwa kuchepetsa zakudya zawo okha.
Vitamini B6
Vitamini B6 ndi chinthu chomwe chimathandiza kuchepetsa nseru. Koma muyenera kumwa kokha malinga ndi mlingo womwe dokotala wanu wakuuzani. Nthawi zambiri si bwino kumwa mamiligalamu oposa 100 (100mg) patsiku. Chifukwa kutero kungayambitse kuwonongeka kwakanthawi kwa mitsempha.
Ginger
Ginger ndi wabwinonso pochiza nseru. Kumwa tiyi wa ginger kapena kugwiritsa ntchito mankhwala achilengedwe okhala ndi ginger kungathandize kuchepetsa ululu.
Uthenga Wopita Nawo Kunyumba
- Zofran (Ondansetron) ndi mankhwala omwe ayenera kuperekedwa ndi dokotala. Musamwe mankhwalawa popanda upangiri wa dokotala.
- Ngakhale kuti kafukufuku wambiri watsimikizira kuti ndi yotetezeka, dziwani zoopsa zazing'ono koma zazikulu zomwe zingachitikire mwana ndi mayi. Lankhulani ndi dokotala wanu za izi momasuka.
- Ndikofunikira kudziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo (makamaka matenda a mtima) kapena mankhwala ena omwe mukumwa.
- Musanagwiritse ntchito mankhwala ochizira kusanza kwambiri, yesani njira zosavuta monga kusintha zakudya, vitamini B6, ndi ginger motsogozedwa ndi dokotala wanu.
- Ngati mukukumana ndi zotsatirapo zoyipa mutamwa mankhwala, funsani upangiri wa dokotala nthawi yomweyo.











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