Children are the core of most Chinese families. If children have birth defects, this family will be covered with a shadow in the future.
The two questions about taking medicine during pregnancy are: "I took medicine when I was pregnant, can children still ask?" "Can you take medicine when you are pregnant? Do you have to carry it hard?"
Today, Dr.X will come and answer this question:
The impact of drugs on different development stages:
Within 2 weeks after fertilization
This stage is called: early embryo (early bed), that is, within 2 weeks after fertilization, that is, 14 to 28 days of the last menstrual period.
The effect of drugs on the embryo at this stage shows "all or no".
In other words, either is abortion, or everything is normal, and the probability of deformity is very small.
-1 14-16 days after fertilization
This stage is called: embryonic period (organ formation period), that is, 28-70 days after menopause.
At this stage, the cells have been divided rapidly, and the organ of the embryo is in the stage of development and formation.Prone to super serious structural malformations.
For example: 15-25 days of concerting system: Brain malformations, brainless children, spinal bulletin, etc. may occur.The heart is 20-40 days of conception: various congenital heart disease.The limbs are 24-46 days of conception: the abnormalities of the limbs, even without arms and legs.
In the last century, the "Saliamide" widely used in the world, its drug name is "reaction stop".
As the name suggests, it can reduce the reaction during pregnancy, but it will hinder the supply of pregnant women on the fetus.
At that time, a large number of "seal deformities" were caused. For a long time, people could not find the cause of this fetus.It wasn’t until this century that people slowly realized that the adverse effects of this drug were completely banned from "reaction stop"!
后 After 3 months of pregnancy
This stage is called: fetal period
At this time, most organs have been formed, and teratogenic drugs have a weaker impact on most organs, causing relatively small possibilities for deformities.At this time, the tolerance for drugs is relatively strong.
However, it can have an impact on reproductive organs and central systems, such as deafness, blindness, and low intelligence.
Therefore, you must first look at the time of taking the medicine. If it is early in the embryo and the fetal stage, the fetal stage is relatively safe and the risk of embryo period is the highest.
The US Food and Drug Administration (FDA) divides drugs into five levels: A, B, C, D, and X.
Table: FDA pregnancy drug classification
When you find that you are pregnant after the medication, if you use drugs such as A or B, you usually do not need to worry. These drugs are relatively safe. If there are controversial drugs such as C and D levels, you needConsider to evaluate.
① normal cold
Cold is the general term of the viral upper respiratory tract infection and is a self -limited disease that can heal itself.The role of cold medicines is mostly to relieve symptoms.
The ingredients of the cold medicine are Class B for acetaminol, caffeine, etc., while diampolia, pseudohadine, and right Medica are Class C.
Pregnancy C -level drugs are usually clearly toxic in animal research, but inadequate human research.
Therefore, such drugs still need to be used with caution.What’s more important is that they cannot treat colds, just to relieve symptoms.
Especially in early pregnancy, risks are not recommended.
It should be carried, and you have to carry it.
If you must use medicine, simple "acetaminol" is safer, and compound preparations, Chinese medicine, must be carefully selected.
In particular, Chinese medicines are by no means "there is no side effects of Chinese medicine". Most of the instructions say that "side effects are unknown", don’t try medicine with your body!
Antibiotics do not need to be used when a general cold infection is related to complications.
Tonic infections, pneumonia, etc. may need to use antibiotics.Pineromycin and most cephalosporin antibiotics are Class B. It is relatively safe and can be used.
However, chloramphenicol and chlorophytone (such as diarrhea commonly used) and amino glycoside (such as Kanamycin) are not available.
③ virus infection
Libaweilin is likely to cause teratogenic and embryo death.
Moreover, once childcare women use such medicines, they need to wait 6 months to get pregnant!
Back to the previous question,
Do you want to take medicine when you are pregnant?
the answer is:
No absolute cannot be or absolute.Only the risk is large, or small.
Pregnancy is simple to some families, but it is difficult for some families. Even if they tell them, the risk of birth defects is higher than that of ordinary people, and they will resolutely leave their children.
Doctors can evaluate the risk of risk based on the three factors mentioned earlier, but the right to decide is still in the hands of parents.
However, we must think clearly that no matter how much risks, it is either or not.
Life is like this.