Kaya amasankha chipatala kapena malo obadwira, amayi apakati ali ndi zambiri zoti aganizire pokonzekera kubadwa kwa mwana.
Koma pali chinthu chinanso chomwe akuwonjezera pamndandanda wazovuta zawo: opioids.
Madokotala ambiri amapereka mankhwala opioid kwa amayi kuti athetse ululu wa pambuyo pobereka, makamaka ngati akubereka mwa opaleshoni.
Koma amayi ambiri atsopano - pafupifupi 9 mwa amayi 10 aliwonse - ali ndi nkhawa ndi kumwa mankhwalawa panthawi yobereka komanso pambuyo pobereka, malinga ndi kafukufuku waposachedwapa wa Moms Meet wa amayi atsopano 1 ndi amayi omwe adzakhalepo.
Ali ndi chifukwa chodera nkhawa, adatero Dr. Alyssa Dweck, OB-GYN ku Scarsdale, New York. Opioids amatha kukhala ndi zotsatira zoyipa zomwe zingasokoneze kuthekera kwa amayi kusamalira mwana wake wakhanda.
"Amayi ambiri amakhala olimba kwambiri ndipo amagwa m'mimba, zomwe zimapangitsa kuti thupi likhale lolimba kale," adatero Dweck. “Akazi amafuna kukhala omasuka komanso okhoza kusamalira ana awo paokha. Safuna kukhala mumkhalidwe wosokonezeka. »
Kuonjezera apo, ma opioids amasokoneza kwambiri ndipo kwa amayi ambiri apakati, nthawi yobereka komanso yobereka ingakhale nthawi yoyamba yomwe amamwa mankhwalawa.
Kaya mayi akufunika opioid kapena mankhwala ena opha ululu zimatengera zomwe wakumana nazo panthawi yobereka komanso pambuyo pake.
Ndipo kuchuluka kwa zowawa zomwe amayi amamva pambuyo pobereka zimasiyanasiyana malinga ndi momwe anaberekera nyini kapena gawo la C komanso ngati panali zovuta zilizonse.
Koma mankhwala osokoneza bongo si njira yokhayo yothetsera ululu.
Zamkatimu
Zosankha zakale ndi zatsopano zothandizira ululu
Kuphatikiza kwa mankhwala osagwiritsidwa ntchito poletsa kutupa, monga ibuprofen ndi acetaminophen nthawi zambiri kumakhala kokwanira kuthetsa ululu pambuyo pa kubadwa kwa nyini, adatero Dweck.
Pamene Dell Medical School ku yunivesite ya Texas ku Austin ndi zipatala zonse za Seton Healthcare Family zinagwiritsa ntchito kuphatikiza kwa acetaminophen ndi ibuprofen monga mankhwala opweteka a amayi obereka posachedwa, kugwiritsa ntchito kwawo opioids kuchipatala akuti kunatsika ndi 40%.
Amayi amathanso kudalira njira zina zothandizira kuthana ndi vuto la kubereka, adatero Dweck.
Kafukufuku wina ku Brazil adawonetsa kuti mvula yotentha ndi masewera olimbitsa thupi amatha kuchepetsa ululu ndi nkhawa mwa amayi omwe akubereka.
"Amayi ambiri amagwiritsa ntchito njira zopumula, Lamaze ndi Bradley. Kulowa m'dera la kulingalira - kugwiritsa ntchito njira zopumira ndi kupuma kwa minofu - zakhala zikuyenda bwino kwa amayi ambiri. Timagwiritsanso ntchito mafuta ofunikira kuchipatala changa, "adatero.
Ngakhale kubereka kosavutikira kwa ukazi kumakhala kothandiza pothana ndi ululu wosagwiritsa ntchito ma opioid, amayi obereka popanga chiberekero ayenera kuyembekezera kulandira mankhwala osokoneza bongo panthawiyi komanso pambuyo pake.
Kafukufuku wina anapeza kuti 91% ya amayi obadwa mwa opaleshoni amafunikira opioids kuti athe kupirira ululu.
M'mawu ake aposachedwa okhudza chithandizo cha ululu pambuyo pobereka, a American College of Obstetricians and Gynecologists amalimbikitsa kuti madokotala azidziwitsa odwala ndi mabanja awo pamene amayi akusowa opioid za kuopsa kwa mankhwalawa ku thanzi la amayi ndi makanda.
"Palibe amene amayembekeza kuti muchite opaleshoni yaikulu popanda mankhwala opweteka - ndizopanda umunthu," adatero Dweck. Koma ndizomveka kugwiritsa ntchito mankhwala ena kuphatikiza kapena m'malo mwa opioid. »
Nthawi zambiri amagwiritsa ntchito jekeseni wochepetsetsa, wotchedwa bupivacaine, pa malo a C-section incision kuti apatse odwala ululu pambuyo pa opaleshoni kwa masiku angapo. Mankhwalawa amabweretsa kuchepa kwa 78% kwa opioid, malinga ndi wopanga mankhwala Pacira Pharmaceuticals.
Kuonjezera apo, kuyang'anira zomwe odwala ndi madokotala amayembekezera za ululu wa postpartum akhoza kupita kutali kuchepetsa kudalira opioid, adatero Dweck.
“Kalelo, tinaphunzitsidwa kuti anthu asavutike. Cholinga chinali zero ululu. Koma tsopano tikulangiza odwala kuyembekezera ululu wathanzi. Anthu omwe amapita kusukulu ya zamankhwala masiku ano adzakhala ndi malingaliro osiyana ndi omwe ndinali nawo zaka 20 zapitazo - zimasintha pakapita nthawi, "adatero.
Lankhulani ndi dokotala
Palibe njira imodzi yokha yochepetsera ululu wa amayi akatha kubereka. Ichi ndi chisankho chaumwini chomwe amayi ayenera kupanga mogwirizana ndi dokotala wawo.
Ngakhale kuti amayi amada nkhawa kwambiri ndi mankhwala oledzeretsa, 11 peresenti yokha ya omwe adafunsidwa adanena kuti adakambirana njira zothetsera ululu wosagwiritsa ntchito opioid ndi dokotala asanakhale ndi mwana.
“Itha kukhala nkhani yosaloledwa. Azimayi akhoza kuchita mantha kufunsa mafunso okhudza kuchepetsa ululu. Ndipo amayi ndi madotolo ali ndi nthawi yochepa, zomwe zitha kukankhira zinthu pansi, "adatero Dweck. "Koma timayamba kuyankhula za izi nthawi zambiri. »
Kukambitsirana kosavuta kungathandize kuchepetsa kuchuluka kwa ma opioid omwe anthu amapatsidwa, omwe angapulumutse miyoyo.
Malinga ndi National Institute on Drug Abuse, opioid overdose amapha anthu opitilira 115 ku United States tsiku lililonse. Kuchepetsa kugwiritsa ntchito opioid pakati pa amayi kungakhale sitepe yoyenera polimbana ndi vutoli, adatero Dweck.
Zomwe zimapezeka m'maboma ena, monga Virginia ndi Maryland, zikuwonetsa kuti kugwiritsa ntchito mankhwala osokoneza bongo komanso kumwa mopitirira muyeso ndizomwe zimayambitsa kufa kwa amayi omwe ali ndi pakati kapena mkati mwa chaka chimodzi.
Iye anati: “[Kubereka] nthaŵi zina kumakhala koyamba kwa mkazi kudwala mankhwala opha ululu, chifukwa chakuti atsikana ambiri, athanzi sakhala m’chipinda chochitira opaleshoni kaŵirikaŵiri,” iye anatero.
Kafukufuku wina anapeza kuti pafupifupi amayi 1 mwa 300 aliwonse omwe sanagwiritsepo ntchito mankhwala oledzeretsa amatha kukhala wogwiritsa ntchito ma opioid mosalekeza pambuyo pobereka.
Kuopsa kwa ma opioid kumatha kukhudza ngakhale anthu omwe sanapatsidwe mankhwalawo. Pakafukufuku wina, amayi oposa 95 pa XNUMX aliwonse amene anapatsidwa mankhwala opioid atachitidwa opaleshoni analibe mapiritsi owonjezera, zomwe zinawasiya iwo ndi apabanja awo ali pachiopsezo chogwiritsiridwa ntchito molakwa kapena kuchitiridwa nkhanza.
“Kuonjezera apo, amayi ndi amene ali polowera m’dziko la umoyo wa mabanja awo. Kaŵirikaŵiri ndi amene amapangira zosankha ana awo ndi abwenzi awo. Chifukwa chake ndikofunikira kwambiri kuti aphunzire za kuopsa kwa opioids, "adatero Dweck.
Mliri wa opioid sizikutanthauza kuti amayi atsopano sayenera kupeweratu ululu woterewu. Komabe, kuchepetsa chiwerengero cha ma opioid omwe amalembedwa ndikugwiritsa ntchito njira zina zothandizira kupweteka kungatanthauze kuti amayi ochepa amakhala odalira opioid kapena ayenera kuthana ndi zotsatira za mankhwalawa.
