Nā lāʻau e pono ai ʻoe e hōʻalo i ka wā o ka hāpai ʻana
Anter
- Ke maʻi a hāpai ʻoe
- ʻO Chloramphenicol
- ʻO Ciprofloxacin (Cipro) a me levofloxacin
- Primaquine
- Sulfonamides
- ʻO Trimethoprim (Primsol)
- Codeine
- Ibuprofen (Advil, Motrin)
- Warfarin (Coumadin)
- ʻO Clonazepam (Klonopin)
- Lorazepam (Ativan)
- ʻŌnaehana lepili FDA hou
- Hapai keiki
- Lactation
- Nā wahine a me nā kāne o ka hiki ke hānau
- Ke laina lalo
Ke maʻi a hāpai ʻoe
Me nā lula e pili ana i nā lāʻau hāpai hāpai e loli mau nei, hiki iā ia ke manaʻo nui loa e ʻike i ka mea e hana ai ke maʻi ʻoe.
E iho maʻamau i ke kaupaona ʻana i nā keu pono no ka makuahine me ke kūlana olakino - ʻoi aku ka maʻalahi o ka ʻeha poʻo - e kūʻē i nā pilikia kūpono i kāna pēpē ulu.
ʻO ka pilikia: ʻAʻole hiki i nā ʻepekema ke hana kūpono i ka hoʻāʻo ʻana i ka lāʻau i ka wahine hāpai. ʻAʻole pololei ka ʻōlelo ʻana he 100 pakeneka ka palekana o kahi lāʻau no kahi wahine hāpai (maʻalahi no ka mea ʻaʻole i aʻo ʻia a hoʻokolohua ʻia).
I ka wā ma mua, hāʻawi ʻia nā lāʻau i. ʻO ka mahele A ka mahele palekana ʻoi loa o nā lāʻau e lawe. ʻAʻole hiki ke hoʻohana ʻia nā lāʻau i ka wā X i ka wā hāpai.
I ka 2015, ua hoʻomaka ka Food and Drug Administration (FDA) e hoʻokō i kahi ʻōnaehana lepili hou no nā lāʻau.
Ma lalo iho kahi laʻana o kekahi o nā lāʻau i ʻike mākou i nā wahine hāpai e hōʻalo.
Maopopo iā ʻoe?Hoʻopili pinepine ʻia nā antibiotic i nā hopena maikaʻi ʻole i nā wahine hāpai.
ʻO Chloramphenicol
ʻO Chloramphenicol kahi antibiotic i hāʻawi mau ʻia ma ke ʻano he injection. Hiki i kēia lāʻau ke kumu i nā maʻi koko koʻikoʻi a me ka maʻi hina pēpē hina.
ʻO Ciprofloxacin (Cipro) a me levofloxacin
ʻO Ciprofloxacin (Cipro) a me levofloxacin kekahi ʻano o nā antibiotic.Hiki i kēia mau lāʻau ke hana i nā pilikia me ka mākala o ka pēpē a me ka ulu ʻana o ka iwi e like me ka ʻeha ami a me ka hōʻino ʻia o ke aʻa i ka makuahine.
ʻO Ciprofloxacin a me levofloxacin he mau antibiotic fluoroquinolone lāua ʻelua.
Hiki iā Fluoroquinolones. Hiki i kēia ke hopena i ke kahe hoʻoweliweli ola. ʻO ka poʻe me ka mōʻaukala o nā aneurysms a i ʻole kekahi mau maʻi puʻuwai e hopohopo nui nei i nā hopena ʻaoʻao.
Hiki paha i nā Fluoroquinolones ke hoʻonui i nā manawa o ka hāʻule ʻana o ka hāpai keiki, e like me kahi noi 2017.
Primaquine
ʻO Primaquine kahi lāʻau i hoʻohana ʻia e mālama i ka malaria. ʻAʻole nui ka ʻikepili e pili ana i nā kānaka i lawe i kēia lāʻau i ka wā hāpai, akā hōʻike nā noiʻi holoholona he mea hōʻino ia i ka hoʻomohala fetus. Hiki iā ia ke hōʻino i nā huna koko i loko o kahi fetus.
Sulfonamides
ʻO Sulfonamides kahi hui o nā lāʻau antibiotic. Ua kapa ʻia lākou he mau lāʻau sulfa.
Hoʻohana ʻia ka hapa nui o kēia ʻano lāʻau e hoʻomake i nā mikamina a mālama i nā maʻi bacteria. Hiki iā lākou ke kumu i ka jaundice i nā keiki hānau hou. Hiki paha i nā Sulfonamides ke hoʻonui i nā manawa o ka hāʻule ʻana o ka hānau ʻole.
ʻO Trimethoprim (Primsol)
ʻO Trimethoprim (Primsol) kahi ʻano antibiotic. Ke lawe ʻia i ka wā o ka hāpai ʻana, hiki i kēia lāʻau ke hoʻonā i nā kīnā neural tube. Hoʻopili kēia mau kīnā i ka ulu ʻana o ka lolo i kahi pēpē e ulu ana.
Codeine
ʻO Codeine kahi lāʻau lapaʻau i hoʻohana ʻia e hōʻoluʻolu i ka ʻeha. I kekahi mau mokuʻāina, hiki ke kūʻai ʻia i ka codeine me ka ʻole o ka lāʻau i kuhikuhi ʻia ma ke ʻano he lāʻau kahe. He hiki i ka lāʻau ke lilo i mea hana maʻamau. Hiki iā ia ke alakaʻi i ka haʻalele ʻana i nā ʻōuli ma nā keiki hānau hou.
Ibuprofen (Advil, Motrin)
Hiki i nā koina kiʻekiʻe o kēia OTC hōʻoluʻolu ʻeha ke kumu i nā pilikia koʻikoʻi he nui, e like me:
- hāʻule hāʻule
- lohi ka hoʻomaka ʻana o ka hana
- pani paʻa o ka fetal ductus arteriosus, kahi aʻa nui
- ʻōmaʻomaʻo ʻōiwi
- hemorrhaging no nā makuahine a me nā pēpē
- Enterrotrotol necrotizing, a i ʻole hōʻino i ka uhi o nā ʻōpū
- oligohidamnios, a i ʻole nā pae haʻahaʻa o ka wai amniotic
- kernelterus fetal, kahi ʻano ʻino o ka lolo
- ʻeleʻele wikamina K pae
ʻAe ka hapanui o ka poʻe loea i ka palekana o ka ibuprofen e hoʻohana ai i ka liʻiliʻi a me ka liʻiliʻi o nā kaha i ka hāpai mua ʻana.
He mea nui ia e hōʻalo i ka ibuprofen i ka manawa o ke kolu o ka trimester o ka hāpai ʻana, eia nō naʻe. I kēia wā o ka hāpai ʻana, ʻoi aku ka hopena o ka ibuprofen i nā kīnā o ka naʻau i kahi pēpē e ulu ana.
Warfarin (Coumadin)
ʻO Warfarin (Coumadin) kahi wīwī o ke koko e hoʻohana ʻia e mālama ai i ke koko a me ka pale ʻana iā lākou. Hiki iā ia ke kumu i nā kīnā hānau.
E hōʻalo ʻia ia i ka wā hāpai inā ʻaʻole ʻoi aku ka weliweli o ka ʻōpū o ke koko ma mua o ka makaʻu o ka pēpē.
ʻO Clonazepam (Klonopin)
Hoʻohana ʻia ʻo Clonazepam (Klonopin) i mea e pale aku ai i ka hopu ʻana a me nā maʻi panic. Kau ʻia ia i kekahi manawa e mālama i ka hoʻouka hopohopo a i ʻole ka weliweli weliweli.
Lawe iā clonazepam i ka wā hāpai hiki ke alakaʻi i ka haʻalele ʻana i nā ʻōuli i nā keiki hānau hou.
Lorazepam (Ativan)
ʻO Lorazepam (Ativan) kahi lāʻau maʻamau i hoʻohana ʻia no ka hopohopo a i ʻole nā maʻi olakino ʻē aʻe. Hiki iā ia ke kumu i nā kīnā o ka hānau ʻana a i ʻole nā ʻōlelo haʻalele i ke ola i ka pēpē ma hope o ka hānau ʻana.
ʻŌnaehana lepili FDA hou
E hoʻopau loa ʻia nā lepili lāʻau papa inoa i nā papa palapala hāpai hāpai.
ʻO kahi memo koʻikoʻi e pili ana i ka ʻōnaehana lepili hou ʻaʻole ia e hoʻopili iki i nā lāʻau lapaʻau over-the-counter (OTC). Hoʻohana wale ia no nā lāʻau lapaʻau.
Hapai keiki
ʻO ka māhele mua o ka lepili hou i kapa ʻia ʻo "hāpai keiki."
Hoʻopili kēia ʻāpana i nā ʻikepili pili e pili ana i ka lāʻau, ka ʻike e pili ana i nā pilikia, a me ka ʻike e pili ana i ka hopena o ka lāʻau i ka hana a me ka lawe ʻana. Inā loaʻa kekahi no ka lāʻau, e hoʻopili pū ʻia ka ʻike e pili ana i ke kākau inoa (a me nā mea i loaʻa ʻia) i kēia ʻāpana.
ʻO nā mea hoʻopaʻa inoa hāpai hāpai e hōʻiliʻili i ka ʻike e pili ana i nā lāʻau ʻokoʻa a me nā hopena e hiki ai i nā wahine hāpai, nā wahine hānai, a me kā lākou pēpē. ʻAʻole alakaʻi ʻia kēia mau registries e ka FDA.
ʻO nā wahine e hoihoi i ke komo ʻana i kahi papa inoa hāpai hāpai hiki ke manawaleʻa, akā ʻaʻole koi ʻia ke komo ʻana.
Lactation
ʻO ka mahele ʻelua o ka lepili hou i kapa ʻia ʻo "Lactation."
Aia kēia ʻāpana o ka lepili i ka ʻike no nā wahine e hānai waiū ana. ʻO nā ʻike e like me ka nui o ka lāʻau e hiki mai ana i ka waiū umauma a me nā hopena e hiki ai i ka lāʻau i ke keiki hānai hānai i hāʻawi ʻia i kēia ʻāpana. Hoʻopili pū ʻia ka ʻikepili kūpono.
Nā wahine a me nā kāne o ka hiki ke hānau
ʻO ke kolu o ka mahele o ka lepili hou i kapa ʻia ʻo "Wahine a me nā kāne o ka hiki ke hānau."
Aia kēia ʻāpana i ka ʻike e pili ana i nā wahine e hoʻohana nei i ka lāʻau e pono i nā hoʻokolohua hāpai ʻana a i ʻole hoʻohana i nā ʻano kikoʻī o ka hana pale keiki. Hoʻopili pū ʻia me ka ʻike e pili ana i ka hopena o ka lāʻau i ka momona.
Ke laina lalo
Inā ʻaʻole ʻoe e maopopo inā palekana kahi lāʻau e lawe i ka wā hāpai, e nīnau i kāu kauka. Eia kekahi, e nīnau e pili ana i nā loiloi hou, e like me ka hiki ke hoʻololi i nā lepili lāʻau hāpai me ka noiʻi hou.
ʻO Chaunie Brusie, BSN, kahi kahu hānai i hoʻopaʻa inoa ʻia i ka hana a me ka lawe ʻana, mālama koʻikoʻi, a me kahi kahu hānai wā lōʻihi. Noho ʻo ia ma Michigan me kāna kāne a me kāna mau keiki ʻehā a ʻo ia ka mea kākau o “Nā Laina Uliuli Tiny. ”