Amai Ehutano Hwepfungwa, Kuchengetedzwa Kwemishonga Ndezviitiko Zvinokosha
Amai vanotora pamuviri pavanotora kuora mwoyo vanomanikidzwa kuita chisarudzo chakaoma. Vanofanira kurega kutora mishonga yavo kuitira kuti vave nechokwadi chehutano hwemwana wavo, kana kuti vanofanira kuramba vachienda nevanorwara nehutano hwavo kuti vaone kuti havazoora mwoyo here? Pane hunobudirira uye hutsinye kune umwe neumwe.
Anodzvinyirira Dambudziko
Nepo SSRIs - kirasi yezvinodhaka zvinosanganisira zvinodhaka Prozac (fluoxetine), Zoloft (sertraline), Luvox (fluvoxamine), Paxil (paroxetine), Celexa (citalopram) uye Lexapro (escitalopram) - vakafungidzirwa zvakachengeteka panguva yekuzvitakura , kune humwe huchapupu huripo huripo husati huri panjodzi.
Chimwe chidzidzo chakabudiswa muFebruary 9, 2006, yeEngland Journal of Medicine yakatarisa vacheche vakaramba vachiramba vachiwedzera kupemha kwepenza, izvo, zvisingawanzoitika, zvinogona kuuraya. Vakaona kuti kana vachienzaniswa nevana vakanga vasingatauri kuwirirana uku, vanaamai vavo vainyanya kutora mishonga iyi panguva yekudzivirira kwekupedzisira. Vanyori vanoratidza kuti kufunga kuti ukama uhwu hunokonzera, vana vachipfuurirwa kuSRRIs pakuberekwa kwenguva pfupi kunowanikwa katanhatu kakawanda kuwedzera PPHN kudarika vana vasina kufanana. Kunyange zvazvo huwandu hwehuwandu hwehutachiwana hunokosha, hunoshandura huri pakati pematanhatu kusvika gumi nemaviri vacheche mu1000 kurwisana nevana vaviri kana vaviri mu 1000 kana SSRIs isisashandisi. Vanyori vanotaura kuti 99 muzana yevakadzi vakaratidzira kune rimwe remishonga iyi mushure mekuita pamuviri vachaburitsa mucheche asina kubatwa nePPHN.
Chimwe chidzidzo, chakabudiswa mumagazini yaFebruary 2006 yeApractice of Pediatrics uye Adolescent Medicine , yakawana kuti inenge chikamu chetatu chemangwana avo vanaamai vakatora SSRI panguva yavo yekudzivirira vakawana neonatal abstinence syndrome.
Vacheche vanoona chirwere ichi vane zviratidzo zvakadai sokukwirira, kuchema, kuvhiringidza kurara, matambudziko emimba, uye hypertonicity, iyo inowedzera kukura mumatauriri. Kunyange zvazvo pasina rubatsiro rwezvechiremba runodikanwa nokuda kwechirwere ichi, hachina kunetseka kumwana.
Kutsvakurudza kusvika ikozvino hazvirevi kuratidza chero njodzi yakawedzerwa yekukura kwema fetal mushure mekutsvaga kune maSRR kana zvimwe zvekare zvinorwisa vanodzvinyirira.
Kunyange zvazvo migumisiro yakave isinganzwisisiki, zvimwe zvidzidzo zvinoratidza kuwedzerwa kwehutachiwana hwechepasi kuberekwa uremu vana.
Kudzvinyirira Njodzi
Zviri pachena kuti pane zvimwe njodzi dzinosangana nehutachiona hunoshandiswa panguva yekuzvitakura, asi hutano hwemamai hunofanirwa kuonekwa zvakare. Apo apo pamuviri waimbofungidzirwa kuti unopa kudzivirirwa pakurwisana nekuora mwoyo, izvi zvave zvichiratidzwa kuti hazvisi zvechokwadi. Vakadzi vanorega mishonga yavo vanowanzoita kuti vadzokezve pakuora mwoyo kwavo kupfuura vakadzi vanoramba vari pamishonga yavo.
Vamwe vatsvakurudzi vanofungidzira kuti kuwedzerwa kwemahomoni anokonzera kushungurudzika kunogona kupa mungozi kumucheche anowedzera. Kutsvakurudza kwakaitwa paAmerican Academy of Child uye Adolescent Psychiatry yemusangano waSheila M. Marcus nevamwe vaishanda navo vakataura mubvunzo uyu muchikwata chevana makumi mashanu nevana vacheche.
Pakati pezvavakawana, sezvakataurwa muMedPage Nhasi:
- Vana vemadzimai vane kushushikana kukuru kwakaberekwa pamusvondo wevhiki makumi matatu nemakumi matatu nematanhatu zvichienzanisa nevhiki 39.4 nekuda kwevana vasina hupenyu hwekuora mwoyo.
- Rwonzi ropa revana vakaberekerwa vanaamai vakaora mwoyo raiva nehomoni yakawanda yecortisol, kunyange zvazvo musiyano pakati pematanda avo uye mazera evana vakaberekerwa vanaamai vanotambura vaisakanganiswa. Zvichipa kuti boka rekuedza rakanga riri duku, shanduro huru yevana inodiwa kuti uone kuti chii, kana chiripo, zvinoreva izvi zvingave.
- Kukura kwemotokari kwakaratidza kuva kwakaderera, kunyange zvakare haina kusvika pane inhamba inokosha.
Nekuora mwoyo kunouyawo mungozi yakawedzerwa yekuti amai vasatori kuzvitarisira zvakanaka kana kuzvifunga kuzviuraya. Susan (kwete zita rake chaiyo), nhengo yemusangano wevanhu vemunharaunda yedu, akanga akatsunga kuita zvose zvaikwanisika kuti ave nechokwadi chehupenyu hwake hwemwana. Aidya zvakanaka, akadzidzira, haana kunwa kana kusvuta, asina kumbosarudzwa kusarudzwa kwachiremba, uye akamira kutora varwere vake vanorwara "chero bedzi vangave vachikuvadza mwana".
Mumwedzi wechinomwe kubva pamuviri wake, akatanga kufunga kuti pamwe murume wake nechecheche vangadai vari nani kunze kwake. Panguva iyoyo, anoti, "Mifungo yangu yakagadziriswa. Ndakafunga kuti ndakanga ndiri mutoro kumurume wangu nekuda kwekuora mwoyo kwangu uye kuti mwana wangu aizova nani pakurerwa nemunhu asina matambudziko." Chirongwa chake, anoti, chaifanira kumirira kusvikira mwana aberekwa ozozviuraya. Mushure mokunge mwana aberekwa uye akanga atangazve kutora Prozac, akati, "Ndakashamisika kuti ndaigona kunge ndaifunga zvinhu zvakadaro uye ndakatenda kuti vaine pfungwa."
Unofanira Kurega Kutora Kuora Mwoyo Wako Here?
Panguva ino, hapana mhinduro yakajeka yomubvunzo uyu. Kuora mwoyo uye kusagadzikana kwepfungwa zvose zviripo zvinogona kuisa njodzi kune utano hwomwana. Chisarudzo chinofanirwa kuitwa pane imwe nyaya-ne-nheyo kana kuti kubatsirwa kwemai nehupenyu hwemwana kunopfurikidza chero njodzi dzinobva kune vanodzvinyirira. Amai vanofanira kubvunzurudza chiremba wavo pachavo kuti vawane ruzivo rwezvechiremba uye mazano asati aita chisarudzo. Amai vanosarudza kusiya mishonga yavo panguva yekuzvitakura vanofanira kutora chidzidzo kubva pane zvakaitika kuna Susan uye vave nechokwadi kuti vane rubatsiro runotsigirwa panzvimbo iyo kana vakaora mwoyo.
Sources:
Chambers, Christina D. et. al. "Selective Serotonin-Reuptake Inhibitors uye Njodzi yePisistent Pulmonary Hypertension yeMucheche." New England Journal of Medicine 354.6 (2006): 579-587.
Cohen LS, et. al. "Kudzoka kweMadambudziko ekudengenyeka panguva yekudzivirira muvakadzi Avo vanochengetedza kana Kuramba Kurapa Kunetseka." JAMA 295.5 (2006): 499-507.
Einarson, TRand A. Einarson "Vatsva Vanodzvinyirira Mukudzivirira uye Kubhadharwa Kwemaitiro Makuru: Meta-Kuongororwa Kwezvakanakira Kuenzanisa Zvidzidzo." Pharmacoepidemiol Drug Saf 14.12 (2005): 823-7.
Levinson-Castiel, Rachel, uye. al. "Neonatal Kushushikana Kwakaipisisa Mushure mekuita Utero Kunyoresa Kusarudzwa kweSerotonin Reuptake Inhibitors: Ichiri Kurwisana." Arch Pediatr Adolesc Med 160.2 (2006): 855-856.
Marcus SM, et al. "Perinatal Depression: Neuroendocrine uye Maitiro Anopindirana Neonate" American Academy of Child Nevana Vechidiki Psychiatry 33 (2006) A16.
Oberlander TF, et. al. "Migumisiro yeNeonatal Mushure mekuberekwa kwekuberekwa kwaSerotonin Reuptake Inhibitor Kushungurudzika uye Kutambudzika kweMadzimai Kushandiswa kwevanhu vanobatana nehutano hwehutano hwehutano." Arch Gen Psychiatry 63.8 (2006): 898-906.