When people eat grain grains, they will inevitably be sick.In the obstetrics clinic of maternal and child health centers, pregnant women often come to consult with the problem of medication during pregnancy:
"As soon as I took a cold medicine, I found that I was pregnant! Can this child ask?"
"I took contraceptives, but I still found that I was pregnant! Can the child ask?"
"I got sick during ovulation, can this child ask?"
"I have diabetes, I am pregnant, can I still take blood sugar medicine?"
Many people have taken drugs because they accidentally took drugs during pregnancy, and they started to "flow" or "leave" for this child.There are also many pregnant mothers who are always worried that medication during pregnancy will affect the baby, and she will endure hardships when she is sick.
So, will taking medicine during pregnancy affect the baby?Should I take medicine during pregnancy?What kind of medicine should I take?We invited Wang Huan, chief physician of the obstetrics and child health care hospital of Xuzhou City, introduced how to use reasonable medication during pregnancy.
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Drugs during pregnancy depends on whether the fetus affects the fetus
Dr. Wang Huan said that drugs during pregnancy can affect the mother’s endocrine and metabolism, indirectly affect embryos and fetuses, and can also directly affect the fetus through the placenta.However, the effect of drugs on the fetus is affected by many factors, and the period of embryonic development is different, and the role of the drug is different.
The early stage of the medicine for the early bed has little effect on the embryo
In the early stage of bed, it refers to the period when the egg is fertilized to the fertilization of the eggs before the endometrium before the endometrium. It refers to within 2 weeks after the essence. This period has little effect on the child.
Because the fertilized eggs during this period have not been in contact with the mother tissue, and the fertilized eggs are still in the vessel or liquid fluid.The necessary condition for drugs to affect the embryo is that the drug must enter a certain amount of secretion to work.If the drug is more toxic to the embryo sac, it can cause an early abortion.
Therefore, at the stage of 2 weeks to 4 weeks, the impact of most drugs on embryos follows the principle of "all or no", either leading to the natural abortion of the embryo, or no impact on the embryo, and generally does not increase the risk of deformity.
After the early embryo bed — about 12 weeks, the teratogenic sensitivity period of the drug
At this stage of 4 weeks to 12 weeks, the main organs of embryos and fetuses are in the stage of high degree of differentiation, rapid development, and constant formation.If you take medicine during this period, it is easy to cause fetal tissue or organs.
After 12 weeks of pregnancy, the teratogenic effect of drugs is weakened
After 12 weeks of pregnancy, at the stage of delivery, the organs of the fetus have been formed, and the drug effect is obviously weakened.It is continuously differentiated, so the effect of drugs on the nervous system can always exist.
The medication during childbirth should also consider whether it will have an impact on the upcoming newborns.
Can’t you take medicine during pregnancy?of course not!
So, what should I do if I get sick during pregnancy?Can’t you take medicine?of course not!
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Dr. Wang Huan said that not all drugs have teratogenic risks.Moreover, if you are sick during pregnancy, the disease itself will not only damage the health of the pregnant woman, and it may also affect the fetus, and even have a premature birth.
Therefore, after pregnancy, you need to go to a regular hospital for treatment in time, and you must not carry non -treatment.There are also some basic diseases, and those who need to take medicine for a long time cannot stop the medicine because of pregnancy.
For example, after pregnancy, patients with diabetes cannot be stopped without permission. They should go to the hospital for specialist or obstetricians to adjust the drug inspection of relatively safe fetuses. Patients with mental illness must not stop the drug during pregnancy because after pregnancy, due to pregnancy, due to pregnancy, due to pregnancy, due to pregnancy, due to pregnancy, because of pregnancyIn the influence of hormone levels in the body, normal people will have emotional fluctuations, may be depressed or postpartum depression, and patients with mental illness may be more likely to develop.
How to judge which drugs are safe during pregnancy?
So, how should pregnant mothers judge which medicine is safe and which drug is not safe during pregnancy?
The FDA of the US Food and Drug Administration divides drugs into A, B, C, D, X: Class A and B during pregnancy, and use Class C with caution without D, X.
"Take the antibiotics we are familiar with as an example. Common penicillin, cephalosporins and erythromycin, stagnomycin, and metronidazole commonly used in trichomicine are category B drugs." These pregnant women can be used.
"And Nonone, named" Some Sococian Star ", belongs to Class C," pregnant women need to use it with caution.
"Tetsells can cause baby’s enamel destruction. Ryromycin can damage the baby’s hearing, and it belongs to the D drug." It cannot be used during pregnancy;
"Anti -virus, such as Libawelin, belongs to Class C," need to be used with caution during pregnancy;
"Most of the stability of sedation and abnormality belongs to the D -level," cannot be used during pregnancy.
Our common painkillers are aspirin. If small doses are used in small doses, it belongs to C -level. It should be used with caution, but long -term use is a class D, which is never recommended.
Having said so much, how can you remember to live!Pregnant mothers may be dizzy.Then let’s summarize it briefly.
Eight principles of medication during pregnancy:
Regarding medication during pregnancy, Dr. Wang Huan reminded everyone to persist in the eight principles.
1. The principle of medication for maternal medicine must be clearly indicated to avoid unnecessary medication;
2. Under the guidance of a doctor, take medicine and do not use the medicine without authorization;
3. Can use a drug to avoid combined medication;
4. Using the drugs that have a positive effect, avoid drugs that have not yet determined to have adverse effects on the fetus;
5. Can use small doses of drugs to avoid using large doses of drugs;
6. Strictly control the dosage and medication of the drug, and stop the drug in time for duration;
7. If the condition permits in the early pregnancy, try to postpone the reuse of the middle and late pregnancy;
8. If the disease needs of pregnant women, there must be teratogenic drugs for embryo fetus in the early pregnancy, and pregnancy and re -medication should be terminated, such as tumor chemotherapy.
Of course, pregnant mothers should also pay attention to balanced diet, appropriate exercise, cold prevention and warmth, avoid contact with toxic and harmful substances, regular production inspections, maintain less health and less illness, use less medicine, and welcome the baby’s arrival.
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Correspondent Zhang Tong
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