How many stages does vitiligo easily spread during treatment?

Many patients with vitiligo are worried about this problem after the onset of the disease. Will the leukoplakia spread? When will it spread? Once it spreads to other parts of the body, especially the parts exposed for a long time, it will make the patient’s mental stress even greater. Their daily lives are also more severely affected. So, what are the stages that vitiligo is prone to spread during treatment?   Intake a large amount of vitamin C   Clinical shows that the spread or recurrence of leukoplakia in some patients is due to the short-term consumption of a large amount of vitamin C tablets or foods rich in vitamin C, which hinders melanocytes Therefore, patients must pay attention to the scientific combination of diet. If a patient with reduced immunity develops other diseases during the illness, it is easy to cause abnormal body immunity, which will affect drug absorption or make the treatment effect cancel each other, resulting in the spread of white spots. Therefore, patients with vitiligo should usually exercise more to improve their own Immunity, as little as possible to get sick, especially to avoid systemic diseases.  Trauma unhealed    skin trauma (cut, scratch, scald, frostbite, etc.), on the one hand, the skin is prone to infection, causing the rapid production of melanocytes. On the other hand, if the leukoplakia is traumatized, it is prone to homomorphic reactions, leading to the spread of leukoplakia.  Pregnancy, breastfeeding  A series of physiological changes occur in the body of women during pregnancy and breastfeeding. For the development of the fetus and baby, pregnant women should not be too taboo during pregnancy and breastfeeding. For balanced and comprehensive nutrition, pregnant women can supplement trace elements, vitamins, folic acid, copper, iron and zinc under the correct guidance of a doctor. Warm reminder: Vitiligo is characterized by easy recurrence and rapid spread. Many patients with vitiligo will be very nervous when they see the spread of white spots, and are afraid of spreading to the whole body. Therefore, they are eager to cure the disease and go to the doctor in an emergency. It is unfavorable to the treatment of vitiligo, and even speeds up the spread of leukoplakia. Since everyone’s physique is different, the time of onset is not necessarily the same. In order to avoid the large-scale spread of leukoplakia, daily care and prevention work is very important. In addition to receiving systematic treatment, patients should pay attention to scientific care, especially in the above several periods.

Can I still breastfeed if I have a cold during lactation?

People eating whole grains can’t escape illness. As one of the common diseases in life, colds generally cannot make much waves. However, after a new mother who is breastfeeding catches a cold, there may be more questions to consider: Can I continue breastfeeding after I have a fever? Can I take medicine for a cold and fever? What kind of medicine is better? Today, Brother Miao will answer you one by one. Can I continue breastfeeding if I have a cold and fever? The mother had a cold and fever, and the family followed suit. The child’s aunt recommends that the baby be separated from the parturient first to avoid spreading a cold to the baby. The child’s aunt recommends to stop breastfeeding to prevent the virus from being transmitted to the baby through breast milk. Some people even worry about whether the temperature of the fever is high and the milk will be rotten… In fact, no matter how high the fever is, as long as the mother’s body is consumed, she can continue to breastfeed. Colds are mainly transmitted through respiratory droplets, not milk. Milk not only does not transmit the virus to the baby, but also delivers the mother’s antibodies against the cold to the baby, so that the baby can gain immunity. However, during breastfeeding, new mothers should wear masks, wash hands frequently, avoid kissing the baby, and prevent the virus that causes colds from being transmitted to the baby through the respiratory tract. Can I take medicine for a cold and fever? Colds are mostly caused by viral infections, and the disease is mostly self-limiting and heals itself in about a week. If the cold only caused mild symptoms such as sneezing, runny nose, sore throat, and low-grade fever, it is recommended that you do not need to take medicine, drink plenty of water, and take rest. However, if the fever temperature exceeds 38.5℃, it is recommended to go to the hospital and take some safe antipyretic and analgesic drugs, such as ibuprofen and acetaminophen. These two types are relatively safe antipyretic drugs during lactation. After the medicine does not affect breastfeeding. Remember, breastfeeding mothers who have a cold and fever should avoid using recurrent cold medicines (such as Xinkangtaike, Tylenol, etc.), because the drug ingredients are not safe and can affect the baby through breast milk. In addition, antibiotics are only needed when combined with bacterial infections. Antibiotics that can be used during lactation include cephalosporins, azithromycin, and penicillin. Taking these drugs generally does not affect the baby, and there is no need to stop breastfeeding.

The “signal light” for the safety of pregnancy medication for patients with rheumatoid (RA)

Rheumatoid (RA) is a high-risk disease in women. This chronic disease plagues many female patients of childbearing age. They often ask: Does RA affect pregnancy? Will it be inherited? Which medicines can be taken and which medicines can’t be taken? The editor compiled the domestic and foreign guide materials. Let us uncover the layers of RA and pregnancy for our female patients. 01 How does pregnancy affect RA? 70% of RA women can improve their condition during pregnancy, and most of them are relieved by the third month of pregnancy. Although some pregnant women may feel better in the early stages of pregnancy, the pregnancy does not reach the same remission state as medications. To control the disease, they may need to continue taking medications. During the period after delivery, RA is most likely to occur. Most patients with stable conditions during pregnancy relapse 8 weeks after delivery. This recurrence has nothing to do with breastfeeding and menstruation. Therefore, it is very important to have good disease control throughout pregnancy and closely follow the disease progression after delivery. This can reduce the risk of recurrence after delivery. How does 02RA affect pregnancy? If the disease is well controlled during pregnancy, it will generally not affect the fetus. However, if RA continues to be active, it may lead to a low birth weight, and severely uncontrolled RA may lead to premature delivery and thin baby. Will 03RA be inherited? Rheumatoid arthritis is not currently defined as a genetic disease, but there is still a certain genetic predisposition. The study found that if both parents have the disease, the incidence of children is 2%-5%; while the prevalence of people without a family history of rheumatoid arthritis is less than 1%. In addition to genetic prevalence, the reasons for the increased familial prevalence may also be affected by family status, nutritional status, living habits, and psychological conditions. Therefore, the onset of rheumatoid is the result of multiple factors. 04How to take medicine during pregnancy and lactation? The editor compiled the “Guidelines for Prescription Drugs During Pregnancy and Lactation” issued by the British Rheumatology Society and the British Association of Rheumatology Health Professionals in 2016 to provide guidance for RA patients during pregnancy and lactation. Pregnancy medication safety reminder green light drugs: Prednisolone or methylprednisolone drugs that can be used safely during pregnancy (pay attention to diabetes during pregnancy, which may increase the risk of infection, high doses may cause premature birth) hydroxychloroquinesulfazide Sulpyridine (folic acid 5mg/d) azathioprine (&lt.2mg/kg) cyclosporine (recommended to measure mother’s blood pressure, renal function, blood glucose and drug concentration) tacrolimus (recommended to measure mother’s blood pressure, renal function, blood glucose and Drug concentration) Certuzumab (limited use in the second and third trimesters) Yellow light drugs: drugs used with caution during pregnancy Non-steroidal anti-inflammatory drugs (NSAIDs): such as naproxen, ibuprofen, diclofenac, celex Cloth, indomethacin, and meloxicam should be stopped before the 28th week. Etanercept and adalimumab can continue to be used until the second trimester. Infliximab can continue to be used at the 16th week of pregnancy. Red light drugs: pregnancy period Drugs to avoid Women taking the following drugs should use appropriate contraception. Methotrexate ● Stop 3 months before trying to conceive ● May cause birth defects. If you are pregnant, stop using it immediately and contact a rheumatologist. Leflunomide ● may cause birth defects. If you are pregnant, please stop using it immediately and contact a rheumatologist. ●Consider cholestyramine eluting cyclophosphamide during pregnancy ●It can reduce the fertility of men and women ●It may cause birth defects and miscarriage ●Before trying to become pregnant Stop using rituximab 3-6 months ago ●Stop using it 6 months before trying to conceive ●It may cause birth defects. If you are pregnant, please stop using tocilizumab immediately and contact a rheumatologist ●Stop using tocilizumab 3 months before trying to become pregnant ●It may cause birth defects. If you are pregnant, please stop using it immediately and contact your rheumatologist. Lactation medication safety tips Green light drugs: drugs that can be used safely during lactation Non-steroidal anti-inflammatory drugs (NSAIDs) prednisolone or methylprednisone Longhydroxychloroquine sulfasalazine (folic acid 5mg/d) azathioprine (&lt.2mg/kg) Biological preparations: Etanercept, Adalimumab, Infliximab, Certolizumab Yellow light drugs : Drugs used with caution during breastfeeding, please consult a rheumatologist before using cyclosporine (limited use data during breastfeeding) Tacrolimus (limited use data during breastfeeding) Red light drugs: drugs to avoid during breastfeeding methotrexate

Mother is the greatest—prevention and treatment of stretch marks

&nbsp.&nbsp.&nbsp. Once the stretch marks are formed, they are permanent. No matter how advanced laser equipment or authoritative experts, it is impossible to promise that the treatment of stretch marks is exactly the same as that of normal skin. It can only be relieved and improved. Therefore, mothers also need to have a correct attitude towards the treatment of stretch marks. No matter how good the treatment is, it can only improve by 60%-80%. Therefore, prevent the trouble before it happens, instead of spending huge energy and money to treat stretch marks after the occurrence of stretch marks. It is better to take precautions during pregnancy. &nbsp.&nbsp.&nbsp.&nbsp.––––––Prevention methods–––––––&nbsp.&nbsp.&nbsp.&nbsp.Insist on applying oil and cream during pregnancy, and cooperate with massage: to maintain the moisture and elasticity of the abdominal skin , Do not leave the skin on the abdomen in a dry state; even if there are a few pink lines, don’t be nervous, stick to the application, there is a chance to repair it. In the second trimester, a small amount of pink lines may begin to appear on both sides of the belly. Should strengthen the application of oil, three times a day, with massage, stick to it, it is possible to make the lines disappear!&nbsp.&nbsp.&nbsp.&nbsp. Strictly control diet during pregnancy and control weight gain: the current scientific pregnancy is that a long pregnancy is not long. Meat, and even obstetricians, strictly require pregnant women to control their mouths, open their legs, and strictly control their weight throughout the pregnancy. Good weight control, not only makes it easy to have a baby, but also stretch marks are not related to them. Why not do it? &nbsp.&nbsp.&nbsp.&nbsp.––––––––Therapeutics––––––––&nbsp.&nbsp.&nbsp.&nbsp. Regarding mothers whose stretch marks have already grown, during pregnancy and lactation The mothers do not recommend laser treatment. Of course, it is because of the protection of the baby during pregnancy. It is not recommended to do during breastfeeding because it will affect the lactation, so you must wait until the end of the breastfeeding period to remove stretch marks. The best treatment period is to do the treatment as soon as possible after delivery. If the mothers who are not breastfeeding can choose this time for treatment as soon as possible, and the breastfeeding mothers should do it after the breastfeeding period. &nbsp.&nbsp.&nbsp.&nbsp.For more information about “Laser Removal of Stretch Marks”, you can ask me questions.

These conditions may lead to the spread of vitiligo! Be vigilant

Easily spreading is one of the characteristics of vitiligo. Some patients worry about the spread of leukoplakia after the treatment, so they are very careful in daily life and will also ask under what circumstances the vitiligo will spread. Next, let’s take a look: lifestyle Not paying attention: eating, working and resting, going out. Vitiligo should pay more attention to these three aspects. In daily life, regular work and rest is very important, staying up late is never advisable, and ensuring adequate sleep is very important. In terms of diet, avoid overeating, especially spicy and stimulating foods that are rich in vitamin C. Ensure a balanced nutrition and not picky eaters. When you go out, you must pay attention to sun protection. It is not that the more the sun, the better. Exposure to the sun can easily lead to the spread of vitiligo. Reduced immunity: Vitiligo patients should exercise properly to enhance their immunity. Abnormal immunity can easily affect the absorption of drugs or affect the effect of treatment, leading to the spread of leukoplakia. Women who are breastfeeding or pregnant: During pregnancy and breastfeeding, a series of physiological changes will occur in the body of a woman. For the healthy development of the fetus and baby, pregnant women should not take too many taboos during pregnancy and breastfeeding. To ensure a balanced and comprehensive nutrition, pregnant women can properly supplement nutrients under the correct guidance of a doctor. Unhealed period of trauma: When the skin is injured, on the one hand, the skin is easily infected, causing the rapid production of melanocytes. On the other hand, if the leukoplakia is traumatized, it will directly or indirectly affect the treatment effect, and may also cause the skin to appear new White spot.

Can’t take western medicine during breastfeeding? Can’t breastfeed after taking medicine? See what the clinical pharmacist said

I often consult with my mother, can I still breastfeed after taking cephalosporin? Breastfeeding mothers, because of their low resistance after childbirth and the busyness of bringing babies and breastfeeding, are prone to colds and fevers due to reduced resistance. At this time, some mothers may choose not to take medicine and fight against it! Some mothers stopped breastfeeding because they were worried about the effects of drugs! Some people say that during breastfeeding, if you need to take medicine because you are sick, you can’t take western medicine, but you should take traditional Chinese medicine. Is this statement correct? Let’s explore this issue today. Can I take western medicine during breastfeeding? Can’t breastfeed after taking western medicine? This view is too absolute! If you can’t breastfeed after taking all medicines, it must be a rumor. First of all, if the mother’s symptoms are not severe and the disease can be controlled by drinking plenty of water and a light diet, it’s okay not to take medicine, but if you can’t control it, you must take medicine, because even if it’s a small cold, The disease also has the risk of being transmitted to the baby through the respiratory tract and contact during breastfeeding. Secondly, not all drugs affect the baby through breast milk. For western medicine, the lactation drug risk grading system proposed by the American professor of pediatrics Thomas W. Hale, also known as the “L” classification of lactation medications, divides lactation medications into five levels, L1-L5, according to the degree of risk, which is also clinical A standard for breastfeeding medication that doctors often refer to. In addition, the World Health Organization and the American Academy of Pediatrics also have their own recommendations for breastfeeding medication. Taking the “L” classification of breastfeeding medications as an example, there are the following classifications of breastfeeding medications: (1) L1 is the safest. It has been confirmed by many studies that mothers who produce milk after taking the drug are not found to be dangerous to the baby, and may be of little harm or this The drug cannot be absorbed by infants orally. Such as antipyretic and analgesic drugs acetaminophen, antibiotics amoxicillin, amoxicillin clavulanate potassium, epinephrine and so on. (2) L2 level is safer. In a limited number of studies on breastfeeding medication, there is no evidence to prove that there are side effects, and there is little evidence of danger in use. Including antiviral drug acyclovir, antibiotic azithromycin, aztreonam and so on. (3) The level of L3 is moderately safe. There are no controlled studies in breastfeeding mothers, and there may be side effects; or the controlled studies have shown slight non-fatal side effects; and new drugs without relevant data. This drug needs to weigh the pros and cons before considering its use. Such as aminophylline, amphotericin B, aspirin and so on. (4) L4 level may be dangerous. There is no clear evidence that the drug will cause harm to the baby after breastfeeding. Generally, it is used when the mother is in a life-threatening situation and other safe drugs cannot be used. Such as minocycline, nitroglycerin and so on. (5) L5 level contraindications. There have been clear studies confirming drugs that have obvious harm or high risk of harm to babies. Including amantadine, levofloxacin and so on. Such drugs are contraindicated during breastfeeding. Conclusion From the above, we can see that, in fact, because of the lactation risk classification of western medicine, L1 and L2 medicines have certain clinical research evidence to support, we will even recommend that you give priority to L1 and L2 western medicines for lactation medicine. In the obstetrics department of many top three hospitals, women who take cephalosporin can still breastfeed. However, most of the research on traditional Chinese medicine is not clear in this regard, and the risk is unknown, unless it is a medicine with the same medicine and food, such as rock sugar Sydney, ginger, wolfberry and so on. If you really need to take risky drugs, you can suspend breastfeeding and resume breastfeeding under the guidance of a doctor after stopping the drug. A healthy and happy mother is the best company for her baby. (Some of the pictures in the article originate from the network, and the copyright belongs to the original author. I would like to express my gratitude to the author of the picture. If you find any infringement of your copyright, please contact me and I will delete it.)

How to treat anal fissure during lactation

Anal fissure is a small ulcer formed after a laceration of the skin layer of the anal canal below the dentate line. However, breastfeeding women are a high incidence group of anal fissures. This is because breastfeeding women have vaginal dilation and tearing during delivery, which involves the anus, and it is mainly caused by constipation. Survey data shows that 76.4% of women have postpartum constipation, and 70.6% of patients with anal fissure have constipation. So, what should I do with anal fissures during lactation?    Anal fissures during lactation: Anal fissures are periodic pains in the anus, that is, paroxysmal knife-like pain during defecation, which is relieved within a few minutes after stool, and then severe pain lasts for up to several hours. , Accompanied by habitual constipation, the main manifestation of bleeding in the stool. Women are weak after delivery. If there is anal fissure, they should pay attention to the following points in daily life:    1. Eat more or less fiber-rich foods such as vegetables and fruits after childbirth. Drink plenty of water to relieve the symptoms of constipation, thereby alleviating the symptoms of constipation The condition of anal fissure.   2. Although bed rest is required after childbirth, proper activities are needed to promote bowel movements to avoid the laxity of the abdominal wall and the decrease of abdominal pressure after delivery, so that the contents of the intestine can easily stay in the intestinal cavity and are difficult to discharge.

Is it true that you can’t eat or not during lactation?

Unconsciously, many pregnant mothers added to the original WeChat have unloaded and become novice moms. So, their question has become this: Can I eat ice cream during lactation? Can I drink coffee during lactation? Can I eat seafood during lactation? Can I eat spicy food during lactation? Can the hot pot be eaten, can’t help but eat soy products, leek and fennel? ·······In addition to those I listed, there are really too many dietary taboos during breastfeeding, not less than during pregnancy. In view of the above, I have selected some common problems to explain to you one by one. In the dietary guidelines for Chinese residents, the only taboos for breastfeeding are tobacco and alcohol (not cooking wine). Are there any foods that return milk? The key to successful breastfeeding is to have milk, so attention to return milk foods may be ranked first. Many mothers are very concerned about whether the food they eat will cause milk return, such as leek, fennel, barley, rye and so on. In fact, scientifically speaking, no kind of food will lead to a reduction in lactation, and more of these foods have a strong taste that caused our reverie. Can I drink coffee during lactation? When it comes to tea, coffee and cola, they have long been on the blacklist of nursing mothers’ diets because they all contain caffeine. Excess caffeine will indeed pass through the mother’s milk and cause some adverse effects on the baby, such as restlessness, intestinal colic, acid reflux and other symptoms. But if the daily intake of caffeine does not exceed 200 mg, there is no need to worry about affecting the baby. Nestle’s official website shows that the caffeine content of common instant coffee is 60-80mg/250ml (equivalent to 57-76mg/236ml). Most of the Starbucks hot drinks in the cup of coffee (such as latte, mocha, macchiato, cappuccino, etc.) have a caffeine content of about 75mg. Only the American concentrated and white coffee has a slightly higher caffeine content, but it will not exceed 150mg/medium cup; the caffeine content of the cold drink medium cup coffee is 150-280ml/medium cup (the highest content of cold extract coffee); the caffeine content of the medium cup non-caffeinated coffee is 20mg. Therefore, the daily coffee limit, 1-2 cups of 240 ml of instant coffee, or 2 cups of Starbucks common hot drinks, or 1 cup of Starbucks cold drink to control the intake of caffeine within a safe dose range, nursing mothers can fully enjoy this beauty Drinks. Can I drink cold drinks and eat ice cream or ice cream during lactation? The Chinese stomach and intestines are more used to warm food. If you eat too much cold food, especially mothers after childbirth, it may cause digestive disorders, causing abdominal pain and diarrhea; in addition, cold drinks, ice cream, and ice cream are not well sealed or stored during storage, transportation, and production. Poor control can easily lead to deterioration and bacterial contamination. Therefore, for many online remarks: you can’t eat cold drinks during lactation, otherwise it will cause the baby to have abdominal pain and accumulate food. What I want to say is: there is no problem with a small amount of cold drinks and ice cream; eating more will not cause baby’s abdominal pain, but mother’s abdominal pain! Can you eat chili during lactation? This question is very easy to answer. Think about the mothers in Chengdu, Chongqing, Hunan, Guizhou and other regions. There is no problem in eating chili itself. What everyone should worry about is whether they will eat too much oil and salt when eating hot pot or spicy hot pot. However, eating too spicy food may change the taste of milk. If you don’t like milk after a hot meal, you may need to order a slightly spicy taste next time. Can I eat spicy pepper, star anise, cinnamon, cumin and other spices during lactation? Spices refer to plant fruits, seeds, flowers, roots, stems, leaves, bark, whole plants and other botanical products or mixtures that can be used directly with the functions of flavoring, flavoring, and flavoring. The oldest spices are star anise, pepper, chilli, cinnamon, ginger and other traditional Chinese seasonings. The chili mentioned above is actually a kind of spice. In ancient times, humans have started to use some stimulating aromatic plants in the diet, which not only promotes appetite and improves the flavor of food, but also has antiseptic and antiseptic functions. It is now medically proven that these spices also have strong antioxidant activity. It can be said clearly that the spice itself is safe for the human body and has health benefits. Pregnant women and breastfeeding can eat it. However, during the production and circulation of spices, mold contamination and mycotoxin residues are common. Therefore, it is recommended that you buy spiced materials that are packaged and tested for food hygiene, rather than bulk, to avoid contamination of the spices

Are you clear about the relationship between increased prolactin and pituitary tumors?

  Some unmarried women have galactorrhea inexplicably. It feels strange. Some married women are very troubled because of infertility. After going to the hospital for examination, they found that these two conditions are actually related to increased prolactin.  What is prolactin?  Prolactin (PRL), also known as prolactin, is one of many hormones secreted by the pituitary gland. From the normal physiological point of view, women’s blood prolactin will begin to increase at 8 weeks of pregnancy to promote breast development and prepare for lactation. After childbirth, lactation is a unique physiological function of women, and women who have miscarried or induced labor after 3 months of pregnancy will also have lactation.   However, in normal times, the prolactin in the human body is very low and will not cause milk secretion. Under certain physiological conditions, serum prolactin can also be increased, such as ovulation and post-ovulation serum prolactin can be increased, tension, fatigue, and poor sleep are also caused, but this high prolactin will not cause lactation. So under normal circumstances, women will not experience lactation.   Normal serum prolactin (PRL) level should be lower than 25ng/ml, or lower than 1.14nmol/L, or lower than 500mIU/L. If the PRL content is higher than the normal value twice in a row, it is diagnosed as hyperprolactinemia. What are the symptoms caused by increased prolactin?   If prolactin rises slightly, no more than twice the normal value, it may slightly affect ovarian function, and may not show obvious clinical symptoms. Causes infertility, but it is easy to miscarry after pregnancy.  If prolactin is significantly increased, more than twice the normal value, it often affects ovarian function, and there are menstrual disorders, amenorrhea, galactorrhea, anovulation and infertility. About 20% of infertile patients in clinical examination found that prolactin increased to varying degrees.  What are the causes of increased prolactin?   Clinically, the causes of hyperprolactinemia are physiological, pathological and pharmaceutical. Physiological factors include too much or too little exercise, consumption of hormone foods, hypoglycemia, mental factors, etc. Pathological factors such as hypothalamic lesions and pituitary prolactinoma are common causes. In addition, long-term use of estrogen drugs, antihypertensive drugs, etc. can also cause the increase in prolactin.  It can be seen that pituitary prolactinoma is one of the causes of prolactin increase, so it cannot be said that prolactin increase is caused by pituitary tumor.  Clinically, if prolactin is greater than 100ng/ml, about 50% of patients can be found with pituitary prolactin microadenoma. If prolactin is greater than 200ng/ml, almost 100% of patients can be found with pituitary tumor. If prolactin is found to be> 50 ng/ml, pituitary tumors should be investigated by magnetic resonance imaging (MRI) of the pituitary gland. In general, the higher the PRL level, the larger the pituitary prolactinoma. So when unmarried women have galactorrhea and married women have infertility, when prolactin is increased, it is necessary to further investigate the possibility of pituitary tumors. If it is really caused by pituitary prolactin adenoma, don’t panic, because most The pituitary prolactinoma can be controlled or even cured by drugs.

Can nursing mothers take sleeping pills during lactation?

Wednesday, June 03, 2020, sunny! Insomnia is common in modern society, but the sleep quality of lactating mothers has received little attention. Nursing mothers are actually more prone to insomnia due to factors such as night-time breastfeeding, sudden postpartum hormone reduction, and a lot of energy and nutrients consumed by breast milk. Today, a clinical pharmacist in psychiatry came to talk to you about the problem of whether or not a sleeping mother can take sleeping pills. Let’s start with a patient who has served: Baoma, 36 years old, baby 4 months old, has trouble falling asleep, some doctors prescribed Sinuosi (Zolpidem tablets), but I checked on the Internet and said that breastfeeding cannot Yes, would you like to ask if Snorth is available during lactation? What needs attention? Do I need breast milk? Or are there other drugs recommended? I mainly have difficulty falling asleep, and it is reversed day and night. This is very troublesome in my life, and it is not conducive to me taking care of my baby. 1. My response to this patient on the spot became a mother. It was really hard work, and because you have to breast-feed, you should be more cautious about taking the medicine. I would like to give you a responsible attitude. You just said that the instructions in the instructions for lactation are: “There is a small amount of zolpidem in the milk. Therefore, it is not recommended to use zolpidem when the mother is breastfeeding”, so you will worry if you still take the medicine Will breastfeeding harm the baby, but the update of the drug information in our instructions is not fast enough, and there is a lag, so if you refer to our authoritative database information, the information data on the drug during lactation shows that the drug is in breast milk The content is very low, and the drug will be metabolized out of the body quickly, so the current view is that it will not adversely affect breast-fed babies. This medicine is suitable for your difficulty in falling asleep. If the baby has a long interval of night milk, it is possible to empty or not to feed again! If you observe abnormalities in your baby, such as drowsiness or poor appetite, you need to stop the medicine immediately! &nbsp.&nbsp.&nbsp.&nbsp. Generally for insomnia with difficulty falling asleep, we will recommend starting with self-regulation. Sleep hygiene education is also very important (such as creating a sleeping environment, etc.), but for younger months, the current day and night are reversed, and day and night need care For your baby, these can be tried, but if the effect is not obvious, we should not be anxious. If a small dose of zolpidem is effective, then take it in a small dose, do not increase the dose at will, and take the baby hard , Sleep is not enough, but still hope to relax psychologically first, rest properly during the day, and fall asleep as soon as possible at night! &nbsp. Two. Views on this issue in the field of pharmacy 1. What should we do with insomnia during lactation? (Although moms are a bit difficult to practice, I still hope you understand.) Insomnia problems, drugs are often not the first choice, even insomnia for lactating mothers. Cognitive behavioral therapy is one of the first-selected methods for treating chronic insomnia widely recognized and recommended worldwide. Its advantage is that after correcting the unreasonable beliefs and behavioral functions of insomnia, its efficacy can continue until 6-12 after the end of the intervention. Months, this is not available in medical treatment, and there are risks of abuse, dependence, and side effects. The 2016 American College of Physicians (ACP) Adult Chronic Insomnia Management Guidelines recommends that all adult patients with chronic insomnia should first receive cognitive behavioral therapy as the initial treatment. For adult patients with chronic insomnia who do not respond to cognitive behavioral therapy alone, Then the doctor and the patient will discuss and decide whether to use drug treatment. The implementation of cognitive behavioral therapy mainly includes: 1) Sleep hygiene education: avoid watching TV, brushing circle of friends, playing Weibo, and strenuous exercise before bedtime, limiting the intake of coffee, tea, and alcohol; reading books before bedtime is recommended, and listening Light music, let yourself gradually relax and go to sleep. 2) Cognitive Therapy: Some concepts are the culprit of the crime that causes insomnia: for example, “I didn’t sleep well the night before, and I will be mentally wrong when I go to work the next day.” “I don’t sleep enough for eight hours a day. . In fact, it is often these undesirable hints that the subconscious mind affects one’s sleep. 3)&nbsp. Relaxation training: Relaxation training. Through muscle relaxation, imagination exercises, abdominal breathing, meditation and hypnosis to help reduce tension and excessive alertness during sleep, calm the heart and relax the body, to achieve the purpose of reducing high arousal. People with long-term insomnia want to let their bodies go from anxiety to relaxation all at once

Breastfeeding husband interacts frequently with his ex-girlfriend, what do you think?

Author: Liu Yingya breast-feeding her husband frequently interact with the ex-girlfriend, how do you see? During breastfeeding, the woman accidentally found that her husband had frequent contact with her ex. Her husband said that she was looking for ex-girlfriends to discuss communication and parenting issues, and vowed to curse that she was in love with his wife and deleted WeChat. The woman said she couldn’t believe him. It is more difficult to believe. What kind of thoughts and feelings will a woman have from a man like this: First, do not love the woman herself. When a woman is breastfeeding, she does not have the same heart and soul to accompany the woman and take care of the child, but at this stage, when the woman’s energy and mind may be more on the child, he seeks contact and warmth alone. Second, lack of responsibility. During breastfeeding, there is no intention to bear the responsibilities of father and husband. And go in the opposite direction of protection and care. Third, the pattern is doubtful. When his wife looked around, he began to show his loyalty to his wife. The ex-girlfriend is already another woman’s wife, and his interruption is unjust to the ex-girlfriend. People with kindness cannot bear to hurt others, or even just the possibility of harm. This act will make women lose trust and security in this man. Instinctively, I will not bet on this kind of man instinctively, and I may instinctively find faults as soon as I get close, in order to defend myself from really relying on this man. For women, men’s predecessors are basically dead ends. If you move, the consequences are very serious. WeChat public account (psychological consultant Liu Yingya), the same name WeChat (psyajfz) & nbsp. & Nbsp.

How should HVP vaccine be given to women during pregnancy or lactation?

Pregnancy— & nbsp. Due to limited safety information, HPV vaccination during pregnancy is not recommended; however, there are more and more reassuring data about unintentional vaccination in this situation. Therefore, if a woman finds that she is pregnant after starting a series of vaccination, you can be clearly told that the existing evidence suggests that there is no increase in the risk of adverse pregnancy outcomes after vaccination, and you do n’t have to worry too much. Nonetheless, it is recommended that you should postpone the rest of the vaccine series until the child is born. Lactating women—In principle, subunit vaccines do not affect the safety of breastfeeding infants, so lactating women can be immunized with HPV series. However, the current tracking data is not enough, and the current product manual does not recommend vaccination during lactation, so it is recommended that you do not choose to vaccinate now. You can wait to stop breastfeeding before vaccinating. Don’t worry if you have already been vaccinated. Follow-up vaccines will not be vaccinated for a while, and you can continue to re-seed after the lactation period has passed.

girl! It ’s not that you do n’t love you when you fall asleep after your boyfriend climaxes!

Many girls have such questions: “Every time I finish talking, I refuse to talk to me more! I started snoring in 5 seconds, and I didn’t respect me at all …” Tool man? “Don’t be excited, girls, let me explain this phenomenon to you physiologically. You only saw the hard work and ecstasy of the men in the cake nest, and they saw their speechlessness and soon fell asleep after the “exercise”. As everyone knows: When a man is in a cake nest, many chemicals are released in his brain. These chemicals are mixed together to have an effect on their consciousness and body. What have you released? Too much, [adrenaline], [serotonin], [vasopressin], [nitrogen oxide], [prolantin], etc. Here, we focus on one of them [prolactin]. Attention, it is the “culprit” of your boyfriend falling asleep! Some real scientists have done experiments to inject [prolactin] into animals to observe its effect on the animals. The results of the experiment show that animals are very tired after being injected with prolactin. This experiment confirmed the close relationship between prolactin and sleep. After most men, the secretion of prolactin will increase significantly than usual. There is a big difference between men ’s and women ’s cake nests. Men end with she ’s essence, and they will overturn the clouds and rain in just a few seconds. Some operations are as fierce as a tiger. Like a 100-meter sprint race, they will sprint with full force towards the end. The feeling of hypoxia in the brain … until the sprint reaches the end, the body softens after she finishes, and there is a feeling of weakness and collapse. & nbsp. So, the phrase “it seems like the body was hollowed out” that men often hang in their mouths is not to say fun! The state after the end of the sprint sprint is the same as the state of the man after the sprint. The tiredness quickly captures the whole body, and the sleepiness can come! Therefore, women must understand and tolerate your boyfriend or husband more. If a boy falls asleep after a very painful crack, it is purely the instructions given by the body, not “relentless”, and whether he sleeps or not is not entirely determined by himself, but prolactin. Sleepy and unconsciously entangled, tired and sleepy, this situation, sometimes boys are quite guilty … & nbsp. & Nbsp.