Shin yana da lafiya ga mata masu juna biyu don shan magunguna?
Kwanan nan, an yi magana da yawa game da cinyewar magungunan shan magani a lokacin daukar ciki. Wadannan magunguna sun hada da Tylenol (Tylenol) da NSAIDs kamar Motrin (ibuprofen) da aspirin (acetylsalicylic acid). Musamman, lokacin da aka ɗauka a lokacin ciki, magungunan magani na OTC sun danganta da abubuwa daban-daban da kuma sakamakon da jaririn ya samu, ciki har da ADHD, cututtuka na zuciya (wanda ba a rufe ba tukunyar ƙwayar maɓallin patent), da kuma rashin kuskure.
Ɗaya daga cikin mummunar tasiri na magunguna na OTC shine cryptorchidism, ko gazawar kwayoyin jariri don sauka a cikin karamin.
Kodayake ba mu fahimci yadda aspirin da NSAID za su iya haifar da gwajin ba tare da jimawa ba, bisa ga binciken da aka yi a cikin dabbobi, masu bincike sunyi tunanin cewa yana da wani abu dangane da rushewar hormone a lokacin lokaci na gestation. Don Allah a tuna cewa dabbobi sun bambanta da mutane, kuma ba dukkanin maganin kwayoyi da aka gani a cikin dabbobi ba dole ne a fassara su akan tasirin mutane. Duk da haka, nazarin dabba na iya ba mu ra'ayoyi game da tasiri akan mutane kuma sau da yawa shine mataki na farko a koyo game da tasirin miyagun ƙwayoyi akan mutum.
Tylenol da NSAIDs su ne masu hana ingancin cyclooxygenase kuma ta haka suna tsoma baki tare da prostaglandin kira. Prostaglandins na iya taka muhimmiyar rawa a cikin inrogene da testosterone kira. A lokacin daukar ciki, ƙarfafawa ta irin waɗannan nau'o'in ya zama wajibi don gwaji don sauko da kyau a cikin karamin.
Yawancin lokaci ta tsawon watanni tara, ƙwararrun jariri na yaro ya sauka a cikin karamin. Turar da ba za a iya ɗauka ba zai iya haifar da rashin lafiya da kuma ciwon daji. Lokacin da jaririn jaririn bai sauko ba, ana iya magance shi da hormones ko tiyata.
A shekarar 2010, masu bincike na Danish sun wallafa sakamakon daga binciken da ke nazarin dangantakarsu tsakanin aspirin, acetaminophen da ibuprofen amfani da iyayen mata da cryptorchidism a cikin 'ya'yansu maza.
Wadannan masu bincike sun samo asali daga jerin bayanai na haifuwar maza da mata 47,400 a tsakanin 1996 zuwa 2002 ta haka ne gano masu dauke da kwayoyin cutar 980 na yara. Don tantance cinyewar magunguna a lokacin daukar ciki, masu bincike sunyi amfani da tambayoyin tambayoyi da tambayoyin da suka dace da kuma tambayoyi don neman bayanin daga mahaifiyar masu ciki.
Masu bincike sun gyara don yiwuwar rikicewar rikice-rikice ciki har da shekaru masu juna biyu, taba cigaba, da rashin haihuwa. Bugu da ƙari, masu bincike sun hada da cryptorchidism wanda ya faru a cikin yara bayan binciken ya ƙare. Saboda cryptorchidism na iya gabatarwa daga baya a ƙuruciya, masu bincike sunyi amfani da bincike don magance rikice-rikice don kiyasta bayanan gabatar da gwaji maras dacewa.
Masu binciken sun sami karamin karami a cikin hadarin cryptorchidism a cikin iyaye masu daukan Tylenol-amma ba NSAIDs-a lokacin farko da na biyu ba. Wannan haɗari ya kasance mafi girma a cikin matan da suka dauki adaminar na tsawon makonni hudu.
A watan Janairu na 2015, FDA ta bincika binciken da ake ciki kuma tana da nauyin shan magani na likitanci zuwa ga iyaye mata da 'ya'yansu ba a haifa ba. FDA ta gano cewa wadannan nazarin "suna da iyakancewa a cikin kayayyakinsu, wani lokaci kuma binciken da aka yi a kan wani batu ya ƙunshi sakamakon rikice-rikice wanda ya hana mu zartar da tabbaci mai dadi." A wasu kalmomi, FDA ta ƙaddara cewa akwai kawai bai isa ya zama shaida mai kyau ba a can-watau ciki har da nazarin Danish akan cryptorchidism - don tabbatar da cewa OTC da maganin likita masu guba suna da haɗari ga iyaye mata da jarirai.
Idan kai ko wanda kake ƙauna suna cikin ciwo da buƙatar daukar ko dai OTC ko maganin magani a lokacin daukar ciki, don Allah tuntuɓi likitanka na farko-musamman ma idan ka dauki wadannan magunguna akai-akai. Jin ciwo mai tsanani a lokacin daukar ciki zai iya haifar da tashin hankali, damuwa, da hawan jini kuma yana buƙatar kula da lafiya. Duk da haka, dole ne a kula da magungunan likita masu magungunan zafi a kan kowane mummunan hadarin.
A bayanin ƙarshe, don Allah a tuna cewa shan maganin likitancin OTC yau kowace rana alama ce ta matsala mafi tsanani. Pain zai iya zama alama ce ta wani abu mafi tsanani - batun da ke buƙatar kula da lafiya.
Ko mai ciki ne ko a'a, idan kana shan magani kullum, don Allah sanar da likitanka. Kwararren likitanku na farko za su iya ƙayyade ko kana buƙatar magani na musamman da kuma mayar da kai zuwa likita idan an buƙata. Ko da yake an sayar da kwayoyi da yawa ba tare da takardar sayan magani ba, wannan ba yana nufin cewa suna lafiya. Dukkan kwayoyi suna da tasiri.
Sources:
Jensen MS, et al. Amfani da iyaye na Acetaminophen, Ibuprofen, da Acetylsalicylic Acid A lokacin Ciki da Hadarin da Cryptorchidism. Epidemiology. 2010; 21: 779-85.
Saura A, et al. NSAID da ke tsara Kariya. Aminiya na Yammacin Amirka. Disamba 15, 2009.