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5) در مورد داروهای ضدّافسردگی آیا می دانید؟ - سایت انجمن ترویج تغذیه با شیر مادر

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ورود به حساب کاربری

نام کاربری *
رمز عبور *
مرا به خاطر بسپار.

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سایت انجمن ترویج تغذیه با شیر مادر


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5) در مورد داروهای ضدّافسردگی آیا می دانید؟

تهیه مطلب: نسرین بلیر - کارشناس مامایی

ترجمه : دکتر ناهید عزالدین زنجانی - مدیرعامل انجمن ترویج تغذیه با شیرمادر

تجربه و تحلیل داده های اخیر که به چاپ هم رسیده اند نشان می دهد در مورد ضدّ افسردگی هایی که در شیردهی به کار می روند، عبور فلوکسیتین ار شیرمادر بالاترین سطح و سپس سیتالوپرام در درجه بعد قرار دارد؟
بیشترین نسبت( 22%) سطح شیرخواری مربوط به فلوکسیتین است که بیش از 10% متوسط سطح مادری است. در مورد سیتالوپرام این مقدار 17% است . خلاصه گزارشات عبارت است از: نورتریپتیلین، پاروکستین و سرترالین در خانم هایی که شیر می دهند انتخاب ارجحی است و اگر سیتالوپرام با حداقل دوز مصرف شود ممکن است کمک کننده باشد .
مورد جدیدی از سمّیّت فلوکسیتین در یک شیرخوار پرترم به صورت یک Automatism حرکتی واضح و تظاهرات پوستی ( به دلیل مواجهه با فلوکسیتین در دوران جنینی) گزارش شده است .
افت سطح فلوکسیتین در 96 ساعت بعد از تولد 92 نانوگرام در میلی لیتر بود که همسطح درمانی در بزرگسالان است . نشانه های عصبی در روز هفتم تولد برطرف شد و پیگیری در 4 ماهگی نشان داد که تست های تکامل عصبی طبیعی است .

2015 AAP  مصرف فلوکسیتین و سیتالوپرام را در دوران شیردهی منع نمی کند ولی باید با احتیاط مصرف شود و شیرخوار تحت نظر باشد .

شعارهای هفته جهانی شیرمادر


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کتابچه آموزشی

فصلنامه شیرمادر