Methotrexate ita ce maganin maganin cututtukan maganin cutar antirheumatic (DMARD) da ake amfani dasu don magance cututtuka na rheumatoid da wasu cututtuka na rheumatic. Ana amfani da kashi da aka yi amfani da shi wajen maganin arthritis na rheumatoid low. Haka kuma, ana amfani dashi wajen amfani da maganin ciwon ciwon daji da kuma a manyan ƙwayoyi don kawo cikas ga ciki.
Magana da fasaha, methotrexate wani mai hanawa ne na redoase wanda ya ɓad da purine metabolism.
Wannan ya ce, zai iya haifar da mahaukaci a ribonucleic acid da deoxyribonucleic acid kira. Methotrexate wata sananne ne da aka sani, wadda aka bayyana a matsayin wani abu, kwayar halitta, ko tsari wanda ke haifar da rashin lafiya a cikin tayin. Methotrexate na iya haifar da sifofin fuska mai dysmorphic, abubuwan da ke cikin hankula da ƙwayoyin hannu, rashin ci gaba, jinkiri na cigaba, da jinkirin tunanin hankali.
Rashin yiwuwar matsalolin tayi zai sa magungunan ya damu da wadanda suka tsufa, wadanda suke shirin yin juna biyu, musamman ma waɗanda suka yi juna biyu yayin da ake bi da su tare da matakan.
Rahoton Abun ciki da Raunin ciki tare da Methotrexate
Dole ne mata su fahimci hadarin tayi na tayi da kuma hasara ta ciki tare da hanya, ko da yake an yi la'akari da raunin tayi na tayi. A cikin binciken Faransanci, matan da ke fama da ciwo mai kumburi da aka magance su tare da ƙananan kashi a cikin farkon farkon shekara ta uku an tantance su.
Daga cikin sharuɗɗa 28 da aka bincikar, an kawo karshen daukan hotuna a gaban makonni takwas a cikin mata 26. Maza hudu sun yi rashin hasara, yayin da 5 suka yi ƙoƙari don ƙare ciki. Akwai yara 19 da aka haifa, wanda 3 suka kasance ba a kai ba. Masu bincike sunyi iyakacin cewa sakamakon su na goyan bayan ra'ayin cewa babu wata illa mai karfi da ke dauke da ƙananan ƙwayar cuta, wanda aka ba da magani ya tsaya a farkon lokacin ciki.
Wani binciken kuma yayi nazarin hanyoyi 8 da aka nuna. Akwai lokutta guda daya da aka gano da ake kira embryopathy. Wannan shi ne karo na farko da aka samu a tsakanin mutanen da ke dauke da ƙananan sau ɗaya mako na methotrexate (kashi na farko don cututtuka na rheumatic). Kodayake wannan al'amari ne kawai, masu bincike sun tabbatar da cewa tsammanin tsarin tsaro a low doses bai kasance ba.
Menene Game Da Mutum?
A cewar Drugs.com, ya kamata a kauce wa juna ciki ta hanyar mata ko abokin tarayya wanda ake bi da shi tare da hanya. Dole ne a kauce wa juna ciki a yayin da ake kulawa da kuma tsawon watanni 3 bayan jiyya ga marasa lafiya maza, da kuma yayin da ake kula da su kuma a kalla ɗaya daga cikin kwayoyin sake zagayowar bayan magani ga marasa lafiya.
Akwai yiwuwar illa ga maye gurbin kwayar cutar a cikin mazajen ɗaukar hanya, amma ba a tabbatar da ita ba. Har ila yau, bisa ga littafin Journal of Rheumatology , iyayencin iyayensu a lokacin tsarawa ba ze kawo damuwa da damuwa ga tayin ba.
Layin Ƙasa
Babu tsawon 100% na tsawon lokaci na nunawa ta hanyar jima'i zuwa hanya. Sakamakon sakamako ya zama abin ƙyama, a wani ɓangare saboda bambance-bambancen jinsin halitta a cikin ƙwayar hanzari da kuma fetal ga magunguna.
Bayan an nunawa ga hanya a farkon farkon shekaru uku, mahaifiya ya zaɓi ya ci gaba da ciki ya kamata ya san cewa akwai matsala mai wuya a cikin tayin (QJM: International Journal of Medicine).
A cewar Kelley's Textbook of Rheumatology , ana shawarci mata su dakatar da hanyoyi a kalla 3 watanni kafin suyi ciki. Dole ne a ci gaba da kariyar folic acid ta hanyar ciki. Cibiyar Kwalejin Rheumatology ta Amurka ta bada shawarar yin amfani da ƙwayar ƙwaƙwalwar ciki ta hanyar yin amfani da ita a yayin da ake bin ka'idoji kuma na tsawon watanni 3 bayan dakatar da hanyoyi.
Sources:
Methotrexate (Rheumatrex, Trexall). Kwalejin Amirka na Rheumatology. Michael Cannon, MD Mayu 2012.
http://www.rheumatology.org/Practice/Clinical/Patients/Medications/Methotrexate_(Rheumatrex,_Trexall)/
Hanyar ƙananan kashi a farkon farkon shekaru uku na ciki: sakamakon binciken hadin gwiwar Faransanci. Lewden B et al. Jaridar Rheumatology. Disamba 2004. http://www.ncbi.nlm.nih.gov/pubmed/15570635
Mutuwar ƙwaƙwalwar ƙarancin bayan bayan bayyanar zuwa ƙananan mako guda a cikin ƙwararru. Martin MC, et al. Hanyar ilimin haɓakawa ta jiki. 26 Oktoba, 2013. http://www.ncbi.nlm.nih.gov/pubmed/24513926
Hikima mai zurfi da kuma Gargaɗi na Yara. Drugs.com.
http://www.drugs.com/pregnancy/methotrexate.html
Abubuwan da ke nuna lafiyar juna a kan hanzari da ƙwarewar ciki. Jaridar Rheumatology. Beghin, et al. Janairu 15, 2011.
http://www.jrheum.org/content/early/2011/01/11/jrheum.100600
Sakamakon hanyoyin da za a yi ciki, haihuwa da kuma lactation. QJM: Jarida ta Labarai ta Duniya. 1999.
https://academic.oup.com/qjmed/article/92/10/551/1531030/The-effects-of-methotrexate-on-pregnancy-fertility
Kelley's Textbook na Rheumatology. Elsevier Saunders. Volume I. Tashin ciki a cikin cututtukan Rheumatic. Babi na 39. Page 552.