Amayeza ekufuneka uwaphephe ngexesha lokukhulelwa

Umxholo

• Xa ugula kwaye ukhulelwe
• I-chloramphenicol
• I-Ciprofloxacin (Cipro) kunye nelevofloxacin
• Intshayelelo
• Isulfonamides
• ITrimethoprim (iPrimsol)
• Ikhowudi
• Ibuprofen (Advil, Motrin)
• IWarfarin (Coumadin)
• IClonazepam (iKlonopin)
• ILorazepam (Ativan)
• Inkqubo entsha yokuphawula i-FDA
• Ukukhulelwa
• Lactation
• Abafazi kunye nabesilisa abanamandla okuzala
• Umgca wezantsi

Xa ugula kwaye ukhulelwe

Ngemithetho malunga nokukhulelwa kwamayeza ngokutshintsha rhoqo, kunokuziva kunzima ukukwazi ukuba wenzeni xa uziva ugula.

Ihlala iyehla ekulinganiseni izibonelelo kumama onempilo-nokuba enye ilula njengentloko - ngokuchasene nomngcipheko onokubakho kusana lwakhe olukhulayo.

Ingxaki: Oososayensi abanakho ukwenza uvavanyo lokuziphatha kweziyobisi kumfazi okhulelweyo. Akuchanekanga ukuthi iyeza likhuselekile kwiipesenti ezili-100 kumfazi okhulelweyo (kuba nje khange kufundwe okanye kuvavanywe).

Kwixesha elidlulileyo, amayeza abelwa. ICandelo A yayilelona candelo likhuselekileyo lamachiza emalithathwe. Iziyobisi kwiCandelo X zazingaze zisetyenziswe ngexesha lokukhulelwa.

Ngo-2015, uLawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) laqalisa ukumilisela inkqubo entsha yokuphawula iziyobisi.

Apha ngezantsi kukho isampulu ezimbalwa zamachiza esaziyo ukuba abafazi abakhulelweyo mabaphephe.

Amayeza okubulala iintsholongwane ahlala enxulunyaniswa nokusabela gwenxa kwabasetyhini abakhulelweyo.

I-chloramphenicol

I-chloramphenicol yintsholongwane eqhele ukunikwa njengenaliti. Esi sidakamizwa sinokubangela ukuphazamiseka kwegazi kunye ne-grey baby syndrome.

I-Ciprofloxacin (Cipro) kunye nelevofloxacin

I-Ciprofloxacin (Cipro) kunye ne-levofloxacin nazo ziindidi zentsholongwane.La machiza anokubangela iingxaki kwimisipha yomntwana kunye nokukhula kwamathambo kunye nentlungu edibeneyo kunye nokonakala kwethambo kumama.

I-Ciprofloxacin kunye ne-levofloxacin zombini ziyi-fluoroquinolone antibiotics.

Iifluoroquinolones zinako. Oku kunokubangela ukopha okusongela ubomi. Abantu abanembali ye-aneurysms okanye izifo ezithile zentliziyo banokuba semngciphekweni owandayo weziphumo ebezingalindelekanga.

I-Fluoroquinolones inokunyusa amathuba okuphuma kwesisu, ngokophando luka-2017.

Intshayelelo

Iprimaquine sisiyobisi esisetyenziselwa ukunyanga isifo seengcongconi. Akukho datha ininzi ebantwini abathathe eli chiza ngexa lokukhulelwa, kodwa izifundo zezilwanyana zibonisa ukuba kuyingozi ekukhuleni kwemveku. Ingonakalisa iiseli zegazi kwimveku engekazalwa.

Isulfonamides

I-Sulfonamides liqela lamayeza okubulala iintsholongwane. Ziyaziwa njengeziyobisi zesulfa.

Uninzi lwezi ndidi zamachiza zisetyenziselwa ukubulala iintsholongwane kunye nokunyanga usulelo lwebacteria. Bangabangela i-jaundice kwiintsana ezisanda kuzalwa. I-Sulfonamides inokunyusa namathuba okuba uphulukane nesisu.

ITrimethoprim (iPrimsol)

I-Trimethoprim (Primsol) luhlobo lwe-antibiotic. Xa usiwe ngexesha lokukhulelwa, eli chiza linokubangela iziphene kwi-neural tube. Ezi ziphene zichaphazela ukukhula kwengqondo kumntwana okhulayo.

Ikhowudi

I-Codeine sisiyobisi esisetyenziselwa ukunciphisa iintlungu. Kwamanye amazwe, i-codeine inokuthengwa ngaphandle kommiselo njengeyeza lokukhohlela. Iyeza linakho ukwenza imikhwa. Ingakhokelela kwiimpawu zokurhoxa kwiintsana.

Ibuprofen (Advil, Motrin)

Iidosi eziphezulu zokuthomalalisa iintlungu ze-OTC kunokubangela iingxaki ezininzi, kubandakanya:

• ukuphuma kwesisu
• ukulibaziseka ukuqala kwabasebenzi
• ukuvalwa kwangaphambi kwexesha komntwana okhulelweyo okwethutyana, umthambo obalulekileyo
• inyongo
• Ukopha kokubini kunina nosana
• necrotizing enterocolitis, okanye ukonakala kwimigca yamathumbu
• i-oligohydramnios, okanye amanqanaba asezantsi e-amniotic fluid
• I-kernicterus yomntwana, uhlobo lokonakala kwengqondo
• amanqanaba e-vitamin K angaqhelekanga

Uninzi lweengcali ziyavuma ukuba ibuprofen ikhuselekile ukuba ingasetyenziswa kwiidosi ezincinci ukuya kumodareyitha ekukhulelweni kwasekuqaleni.

Kubaluleke ngakumbi ukunqanda ibuprofen ngexesha lesithathu lokukhulelwa, nangona kunjalo. Ngeli nqanaba lokukhulelwa, ibuprofen kunokwenzeka ukuba ibangele iziphene zentliziyo kumntwana okhulayo.

IWarfarin (Coumadin)

IWarfarin (Coumadin) ligazi elincinanana elisetyenziselwa ukunyanga amahlwili egazi kunye nokuthintela. Ingabangela iziphene zokuzalwa.

Kufuneka ithintelwe ngexa lokukhulelwa ngaphandle kokuba umngcipheko we-clot yegazi uyingozi ngaphezu komngcipheko wengozi kusana.

IClonazepam (iKlonopin)

IClonazepam (iKlonopin) isetyenziselwa ukuthintela ukuxhuzula kunye nokuphazamiseka. Ngamanye amaxesha imiselwe ukunyanga uhlaselo loxinzelelo okanye uloyiko.

Ukuthatha i-clonazepam ngexesha lokukhulelwa kunokukhokelela kwiimpawu zokurhoxa kwiintsana.

ILorazepam (Ativan)

ILorazepam (Ativan) liyeza eliqhelekileyo elisetyenziselwa uxinzelelo okanye ezinye iingxaki zempilo yengqondo. Inokubangela iziphene zokuzalwa okanye ezisongela ubomi kwiimpawu zokurhoxa kusana emva kokuzalwa.

Inkqubo entsha yokuphawula i-FDA

Iilebheli zeziyobisi ezidwelisa iindidi zeeleta zokukhulelwa ziya kususwa ngokupheleleyo.

Inqaku elinye elibalulekileyo malunga nenkqubo entsha yeelebheli kukuba ayichaphazeli amayeza e-counter-the-counter (OTC) konke konke. Isetyenziselwa kuphela amayeza kagqirha.

Ukukhulelwa

Icandelo lokuqala lelebheli entsha linesihloko esithi "Ukukhulelwa."

Eli solotyana libandakanya idatha efanelekileyo malunga neziyobisi, ulwazi malunga nemingcipheko, kunye nolwazi malunga nokuba ichiza linokuchaphazela njani ukusebenza okanye ukuhanjiswa. Ukuba ikhona ichiza, ulwazi olukwirejista (kunye neziphumo zalo) ziya kubandakanywa kweli candelwana.

Iirejista zokuvezwa kokukhulelwa zizifundo eziqokelela ulwazi malunga namayeza ahlukeneyo kunye nefuthe elinokubakho kwabasetyhini abakhulelweyo, abasetyhini abancancisayo, kunye neentsana zabo. Olu bhaliso aluqhutywa yi-FDA.

Abasetyhini abanomdla ekuthatheni inxaxheba kwirejista yokuvezwa kokukhulelwa banokuzivolontiya, kodwa ukuthatha inxaxheba akufuneki.

Lactation

Icandelo lesibini lelebheli entsha linesihloko esithi "Lactation."

Eli candelo lelebhile libandakanya ulwazi kwabasetyhini abancancisayo. Ulwazi olufana nesixa sechiza esiza kubakho kubisi lwebele kunye nefuthe elinokubakho leziyobisi kusana lokuncancisa linikiwe kweli candelo. Idatha efanelekileyo ikwabandakanyiwe.

Abafazi kunye nabesilisa abanamandla okuzala

Icandelo lesithathu lelebhile entsha linesihloko esithi "Abafazi kunye nabesilisa abanamandla okuzala."

Eli candelo libandakanya ulwazi malunga nokuba ngabafazi abasebenzisa iziyobisi kufuneka benziwe uvavanyo lokukhulelwa okanye basebenzise iindlela ezithile zokuthintela ukukhulelwa. Ikwabandakanya ulwazi malunga nefuthe leziyobisi kukuchuma.

Umgca wezantsi

Ukuba awuqinisekanga ukuba ngaba unyango lukhuselekile na xa ukhulelwe, cela ugqirha wakho. Kwakhona, buza malunga nezifundo ezihlaziyiweyo, njengoko iilebheli zamachiza okukhulelwa zinokutshintsha ngophando olutsha.

UChaunie Brusie, i-BSN, ngumongikazi obhalisiweyo kwezabasebenzi nasekuhambiseni, ukhathalelo olubalulekileyo, kunye nokonga ixesha elide. Uhlala eMichigan nomyeni wakhe nabantwana abane abancinci kwaye umbhali we “Imigca Emincinci Eblue. ”