▶ What are the precautions for medication during pregnancy?What kind of medication should expectations should be paid attention to?
After pregnancy, some enzymes in pregnant women have changed, which has a certain impact on the metabolic process of certain drugs.Drugs are not easy to detoxify metabolism and excretion, and may have accumulated poisoning. When the formation of fetal organs in the early pregnancy, the drug has a certain effect on the fetus, so it is best not to take medicine.
Everything is divided into two, and pregnant women have a certain risk, not completely unhelpful.The impact of some diseases on the fetus and mothers far exceeds the medicine. At this time, we should weigh the advantages and disadvantages. Under the guidance of a doctor, we should take reasonable medication.
The pregnancy period is divided into 4 periods, the first phase is the early stage, the second phase is the organ formation period, the third phase is the growth and development period, and the fourth phase is the childbirth period.Pregnant women’s medication is directly related to the physical and mental health of the next generation, especially the first 2 to 3 periods.In the first three months, try to avoid medication, especially the drugs that determine or suspect the teratogenic effect.The first 3 months of pregnancy are the differential period of fetal organs, and the most vulnerable to drugs will cause deformities.If the reaction stops can cause fetal limbs, ear, skeletal malformations; estrogen, androgen and progesterone often cause fetal sexual development; anticancer oxyate can cause fetal skull and facial deformity, cleft palate, etc.Cancer drugs can cause abnormalities in the fetal urogenic system and finger toe deformed; antiepile epilepsy (such as sodium phenyto, tritethylone, etc.), anticoagulant (such as sodium Huafarin), alcohol, etc. can cause fetal malformations.
Pay attention to medication during pregnancy:
(1) Pregnant women should not use non -prescription drugs casually, all medication should be carried out under the guidance of a doctor.
(2) Drugs that are harmful to embryos and fetuses should be selected.
(3) Use the minimum effective dose and shortest effective course to avoid large doses of large doses and long -term use, and avoid combined medication.
(4) Non -disease must be avoided as much as possible in early pregnancy.
(5) If the local medication can be effective, the whole body should be avoided.
(6) Read the "Drug Manual" in detail before taking the medicine, and try to use medicines that are not used as "pregnant women with caution" and "maternal taboos".
(7) If the mother’s disease makes the fetus infection, the drug concentration of the fetus and amniotic fluid should be selected with a safe drug that is close to the mother’s drug concentration.
(8) Drugs that are widely used in pregnant women for many years should be used. Try to avoid the use of drugs with adverse effects on embryos, fetuses, and newborns. Only drugs that are theoretically evaluated are used carefully.
(9) In the nearby period of delivery or medication, the impact of drugs on the fetus and newborns after birth through the placenta and newborn during birth.
(10) It can be distinguished by DNA detection technology and what kind of drugs can be used safely during this period.
The principle of medication before and during pregnancy is:
(1) Women who are preparing to get pregnant and women who have not contraceptive childcare should think of the possibility of pregnancy during the period.At this time, if you have discomfort, you should use the medicine carefully.
(2) Generally speaking, the earlier the medication time, the longer the continuous medication time, the greater the dose of medication, and the greater the impact on the fetus.In principle, try to take as little medicine or no medicine in early pregnancy.
(3) When the medication must be used for various reasons, you should choose those drugs that have no impact or small impact on the fetus under the guidance of a doctor.It can use one medicine to solve the problem, and never choose a variety of medicines; use more Chinese medicine and use less western medicine.
(4) If severe complications occur, if you do not treat life, you must not care about it.Even if the use of medicine is harmful to the fetus, we should weigh the advantages and disadvantages under the guidance of the doctor, take reasonable medication, and then consider whether to terminate the pregnancy.
▶ Which common medication pregnant women cannot be used
Which common drugs cannot be used?
Pregnant women with teratogenic drugs cannot be used, such as hormone drugs, anti -tumor drugs, antiepileptic drugs, antibiotic drugs; pregnant women who can cause abortion cannot be used, such as rye, motherwort, posterior pituitary lobe, oxytocin, quinine, quinine, quinine, quinine, and quinineWait, and most of the blood -promoting blood stasis in traditional Chinese medicine; pregnant women who can cause urban smooth muscle contraction cannot be used, such as Ba Doudou, Ergun, Lead powder, mercury, halberds, Achyranthes, musk, crickets and other Chinese medicine.
People know that pregnant women must be cautious, and pregnant women may cause tears and death in the abdomen.And he is also facing the danger of abortion and life, but which drug pregnant women cannot use it?It is very important to understand which drugs cannot be used in time.
Foreign drugs that are dangerous to pregnancy are divided into 5 levels (A, B, C, D, X):
Class A: Observed by clinical control, no damage to the fetus is seen, which is the safest category.
Class B: No damage to fetal livestock was seen in animal tests, but lack of clinical control observation information; or observed damage to fetal livestock was observed in animal tests, but clinical control observation research failed to confirm.
A. Class B drugs are drugs that are not or almost harmless to fetuses and pregnant women, and can generally be used safely during pregnancy.Such as a variety of vitamins and calcium, as well as some antibiotics, such as penicillin, cephalosporins, etc.
Class C: There are none of the observation of animal experiments and clinical control; or damage to animals and livestock, but lack of clinical control observation information.The selection of such drugs is the most difficult, and many commonly used drugs during pregnancy belong to this category.
Class D: There are certain clinical data to indicate that drugs are damaged to the fetus, but disease treatment is very needed and lacks alternative drugs. At this time, it can weigh the severity of its harmfulness and the severity of clinical indications.
C. Class D drugs are harmful to the fetus (teratogenic or abortion), but it is good for pregnant women.Such as some antibiotics and hormones.
Class X: Animal experiment results and clinical data descriptions are highly harmful to the fetus, and generally exceeded the beneficial benefits of the treatment application, which is a drug disabled during pregnancy; this type of drug is seriously harmful to the fetus.Cancer drugs, sex hormones (estrogen, synthetic progesterone), etc.
However, A and B -level drugs cannot be guaranteed to be absolutely safe because pregnant women have individual differences.And due to the limitation of foundation and clinical research conditions, many medicines have not yet been classified.
(1) Central inhibitory or nerve injury.
Pregnant women take sedatives, stability, anesthesia, analgesic, antibody amine or other central nervous inhibitory drugs during pregnancy, which can inhibit the fetal nerve activity and change the development of the brain.Use anesthesia (such as ether, chloroform, etc.), analgesic drugs (such as morphine, chilididine), and stable drugs for pregnant women during the birth process, which can cause fetal central nervous nerve inhibitory or nervous system damage., Low temperature, respiratory suppression or circulating failure.
(2) Hemoly dissolving.
Pregnant women use certain drugs, such as antimalarial drugs, sulfa, nitro-amuflavios, anti-heat-relieving and analgesic drugs such as aminopolin, large doses of fat-soluble vitamin K, etc., which can cause some red blood cells to lack glucose -6-The newborn hemolytic hemolysis.
Pregnant women in the later pregnancy use bisperin cinellin anticoagulant, large -dose phenobarbuk, or aspirin for a long time, can cause severe fetal bleeding or even dead fetuses.
(4) Organization of organ function.
Amino glycoside antibiotics such as chaincin, scacomycin, and galcinin can cause permanent deafness or kidney damage to the fetus; after 5 months of pregnancy, tetracycline can make the babies born in babiesDevelopment and bone growth disorders; antiminacete chlorine chlorine can cause fetal optic nerve damage, intellectual obstacles, and convulsions; long -term use of chlorobylzine can cause infant retinal lesions; anti -methylene drugs such as sully sulfanidine, metalazole, and iodine can affectThe thyroid dysfunction of the fetus causes the dead tire, congenital thyroid dysfunction, or the tire goiter, and even compress the respiratory tract caused by suffocation; the use of chloroptercin to cause newborn cycle disorders and ash baby syndrome.
▶ Can pregnant women insomnia be stable?
Can I take stability during pregnancy?
Each embryonic organs began to be formed within 3 months of pregnancy. During this period, it was easy to cause fetal congenital malformations.When pregnant women are delivered, taking stability will directly affect the temperature regulation of the newborn body temperature, and extend their physiological jaundice period, and even cause hyperbilylin ledine.All of this is due to stability that cannot be metabolized in the liver and small intestine.Therefore, it is not appropriate to take stability in the early stages of pregnancy and at the time of childbirth, nor should it be not suitable for taking chloroval (Lian Ning Ning), methamphetamine (Sleepylon) and other sleeping pills.
Pregnant woman Xiao Chen was stable for a long time due to insomnia. As a result, the fetus had congenital malformations, and she regretted that she did not listen to the doctor’s advice.
Insomnia of expectant mothers is more common, especially in the last three months of pregnancy, as many as 90%of expectant mothers reflect more or less the trouble of insomnia.wait.
The expectant mothers are not completely going to say "no" to sleeping pills.
Different periods of pregnancy are the key to deciding whether to use medication.The sensitivity of the fetus to the drug in different periods is different. Among them, the early pregnancy is the most sensitive and most harmful period of the fetus. Generally, the drugs are used.If the expectant mothers need to use sedative hypnotic pills to treat insomnia, can they take it like an ordinary person and "careless"?The answer is: No.Even if insomnia mothers have to use drugs for treatment, there are many places to pay attention to in terms of treatment details and skills.
For expectant mothers, drugs that can be used to treat insomnia, except for non -benzi nitrogen receptor agonist hypnotic drugs, such as stable sleeping pills, are generally contraindicated, especially in early pregnancy.
Non -phenyl nitrogen receptor agonist hypnotic drugs, such as Pippihtan and Tazla Polon, are less harmful to the fetus. Under the guidance of professional doctors, they can be used for mothers in the middle and late pregnancy.
Drug usage and dosage
The dosage of expectant mothers should be individualized, try to use the minimum effective dose, and should be used for short -term medication. After insomnia cure, consider gradually stopping the drug.Generally speaking, the initial treatment dosage should be small.It can be 1/3 to 1/2 of ordinary adults. If the effect is not good, the dosage of drugs will be gradually increased.
In addition, expectant mothers can take sedative hypnotic pills on demand.General expectant mothers do not have long -term and stubborn insomnia every night. Sleeping is often good and bad, and some will sleep well or sleep relatively at night.The expectant mothers can not take sleeping pills in the days when insomnia relieves or improves, or they can only be taken when they can’t fall asleep after going to bed for 30 minutes; or encounter a certain life event during the day, and it is expected to fall asleep.Take medicine.
Specific mothers insomnia, preventing the rule of presence
Many expectant mothers sleep well in the early stages of pregnancy. This is because they want to bred and protect the fetus, so they feel tired.As the fetal age increases, the size of the fetus becomes larger, the abdomen of the expectant mother gradually bulges, and it is difficult to find a suitable posture during sleep, so it is easy to sleep well.Adjusting the appropriate sleeping posture will help sleep and reduce medication for sleep.
▶ Why is it appropriate for pregnant women to take aspirin
Aspirin is a commonly used heat -relieving analgesic medicine. Can pregnant women use a cold and headache and brain heat?
It is not suitable for mild colds, only sneezing, runny nose, and mild cough. Do not need medication. Pay attention to rest, drink plenty of water, keep warm, and you can cure it.If the symptoms are still not improved, oral Chinese medicines such as cold heat and clearing granules or sheet blue root granules.Those who have high fever are heavier in colds. In addition to general treatment, the body temperature should be controlled as soon as possible -using physical cooling methods, such as the ice cubes and wet towels, cold compresses, 30%to 35%alcohol (or double wine and water are doubled)Wipe the necks and armpits on both sides; you can also choose to cool with drugs.
I have a female friend who causes a cold at 24 weeks of pregnancy.The family claimed that she took aspirin.That night, she felt stomachache, nausea, and vomiting. When she went to the hospital, the doctor asked her for the medical history and told her that pregnant women should not take aspirin.
Aspirin (chemical names acetylsal salicylic acid) is a kind of heat -relieving analgesic drug. The common amount of ordinary people will have a lot of harmful effects on pregnant women and her babies in her belly.It is in danger of postpartum bleeding and newborn bleeding.In addition, there is also the possibility of extending pregnancy and extending postpartum production process.In addition, aspirin belongs to water salicylic acid drugs, analyzed salicylic acid in the stomach, stimulating the gastric mucosa, causing nausea, and even ulcers. If pregnant women take vitamin B1 at the same time, the salicylic acid precipted by aspirin in the stomach will accumulate and poison.EssenceAspirin may also reduce the use of vitamin B12 and affect the function of hematopoietic function.Aspirin can reduce the content of vitamin C in platelets, white blood cells, and plasma during metabolism, increase the discharge of vitamin C in urine, and weaken the effect of vitamin C.
Pregnant women should be cautious about any medicine during pregnancy, otherwise the consequences will be unimaginable.When choosing an analgesic agent, we must avoid the use of drugs such as pregnant women, fetuses and newborns, such as aspirin drugs such as aspirin.
Generally speaking, all drugs are disabled in the first 3 months of pregnancy, because the first 3 months are the critical period of embryo formation. If it is mild cold, the symptoms are not particularly heavy, and non -drug therapy can be adopted, such as massage, acupuncture massage, physical therapy, physical therapy, physical therapy, Qigong conditioning, etc.Can be treated with symptoms: Drink more water, drink more ginger sugar water, eat light diet, eat more fruits and fruits, keep stools smooth, or take a hot bath, which will help your body recover and safer.When pregnant women have a cold and fever, they may wish to choose some Chinese herbal medicines with less poison and side reactions.Banlangen, forsythia, livelihood, honeysuckle, etc., which have the effects of clearing heat and detoxifying and antiviral effects, have good effects.Chinese medicines and their preparations such as silver -thorium detoxification pills, tablets, particles, compound large green leaves injection solution, silver yellow oral solution, etc. can be used.In addition, pregnant women must pay attention to preventing colds, reasonable nutrition, enhance physical fitness, and when the weather changes warmth, pay attention to keep warm.Winter and spring is the season of colds. It is recommended that pregnant women avoid contact with cold patients, and less people go to place where they are more concentrated to reduce the number of travel trips. This is an effective method to avoid infectious diseases such as influenza.