類風濕關(guān)節(jié)炎母親用對藥,也能哺乳!
01
母乳喂養(yǎng)好處多多!
對小寶寶:
對家庭的好處:
最大的優(yōu)點不就是省了高價奶粉錢了嘛。
母乳喂養(yǎng)也能增加母親和嬰兒之間交流的機會,也有助于提升家庭的幸福感和親密感。
02
是什么原因讓類風濕關(guān)節(jié)炎母親
猶豫而不敢母乳喂養(yǎng)呢?
03
類風濕關(guān)節(jié)炎母親哺乳期可以用藥嗎?
傳統(tǒng)藥物中:糖皮質(zhì)激素、羥氯喹、環(huán)孢素等可用。
生物制劑中:包括培塞利珠單抗、阿達木單抗在內(nèi)的部分腫瘤壞死因子(TNF-α)抑制劑可用。
產(chǎn)后哺乳期,類風濕關(guān)節(jié)炎母親應(yīng)根據(jù)病情及實際需求選用對母子都安全且能有效控制病情的相關(guān)藥物:推薦使用低乳汁分泌的藥物。
參考文獻:
[1]. 劉喜紅. 母乳喂養(yǎng)的研究進展. [J] 中國當代兒科雜志,2016,18(10):921-925.
[2]. Victora CG, Horta BL, Loret de Mola C, et al. Association between breastfeeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil[J]. Lancet Glob Health, 2015, 3(4): e199-e205.
[3]. L?nnerdal B. Bioactive proteins in human milk: health, nutrition, and implications for infant formulas[J]. J Pediatr, 2016, 173 (Suppl): S4-S9.
[4]. 張力, 劉興會. 抗菌藥物在妊娠及哺乳期的合理應(yīng)用. [J]中國實用婦科與產(chǎn)科雜志,2008,246:407-409.
[5]. Hotham N and Hotham E. Drugs in breastfeeding. Aust Prescr. 2015;38(5):156?159.
[6]. Flint J,Panchal S,Hurrell A,et a1.BSR and BHPR guideline on prescribing dmgs in pregnancy and breastfeeding—Part I:stardard and biologic disease modifying anti—rheumatic drugs andcorticostemids[J].Rheumatology(Oxford),2016,55(9):1693—1697.
[7]. Skorpen GC, Hoeltzenbein M, Tincani A, Fischer-Betz R, Elefant E, Chambers C, et al. The EULAR Points to Consider for Use of Antirheumatic Drugs before Pregnancy, and During Pregnancy and Lactation. Ann Rheum Dis. 2016;75:795–810.
[8]. Clowse MEB, F?rger F, Hwang C, Thorp J, Dolhain RJEM, van Tubergen A et al. Minimal to no transfer of certolizumab pegol into breast milk: results from CRADLE: a prospective, postmarketing, multicentre, pharmacokinetic study. Ann Rheum Dis. 2017; 76(11):1890–1896.