![\"Koji](\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/still-life-positive-pregnancy-test_23-2150621809-1024x682.jpg\")
<\/figure>\n\n\n\nMogu li trudnice uzimati lijekove<\/h2>\n\n\n\n
No\u0161enje djeteta je jedan od najva\u017enijih perioda u \u017eivotu \u017eene, kada kao nikada prije mora paziti na sebe kako bi se dijete rodilo zdravo. Ali trudno\u0107a traje 9 kalendarskih mjeseci i tokom tog perioda te\u0161ko je ne suo\u010diti se barem jednom sa zdravstvenim problemima. Stoga, re\u0107i da je uzimanje lijekova tokom trudno\u0107e strogo zabranjeno, ne bi bilo istina. <\/p>\n\n\n\n
Postoji niz pravila koja treba po\u0161tovati prilikom uzimanja lijekova:<\/p>\n\n\n\n
- \n
- tokom trudno\u0107e bilo kojeg trajanja, lijekove treba uzimati samo prema preporuci ljekara u skladu s njegovim indikacijama;<\/li>\n\n\n\n
- prilikom izbora lijekova, treba davati prednost samo onima s dokazanom u\u010dinkovito\u0161\u0107u;<\/li>\n\n\n\n
- nepo\u017eeljno je primjenjivati kombiniranu terapiju, dok bi monoterapija – kori\u0161tenje samo jednog lijeka – trebala biti prioritetna;<\/li>\n\n\n\n
- po\u017eeljnija je lokalna primjena lijekova nego sistemska.<\/li>\n<\/ul>\n\n\n\n
![\"Koji](\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-casual-clothes-take-pills-bed-home-baby-expectation-health-care-prenatal-vitamins-pregnancy-time-illness-medicine-while-pregnancy_11zon-1024x656.jpg\")
<\/figure>\n\n\n\nKako se lije\u010diti tokom trudno\u0107e<\/h2>\n\n\n\n
Lijekovi za trudnice se dijele na:<\/p>\n\n\n\n
- \n
- Opasni – kategorija D. Za fetus njihova primjena podrazumijeva odre\u0111eni rizik, ali je mogu\u0107e propisivanje po \u017eivotnim indikacijama (diklofenak, antikonvulzivi, doksiciklin, kanamicin). Apsolutni tabu – kategorija X, sredstva koja su kontraindicirana tokom trudno\u0107e.<\/li>\n\n\n\n
- Relativno nesigurni \u2013 kategorija C. Lijekovi su pokazali embriotoksi\u010dne ili teratogene efekte tokom testiranja. Ovo uklju\u010duje antiparkinsonske lijekove, izoniazid, antidepresive i druge. Propisuju se samo kada je efikasnost vi\u0161a od potencijalnog rizika.<\/li>\n\n\n\n
- Relativno sigurni lijekovi – kategorija B, istra\u017eivanja nisu pokazala teratogene efekte (amoksicilin, heparin, insulin, aspirin, metronidazol). Zabranjeni su u prvom trimestru.<\/li>\n\n\n\n
- Sigurni – kategorija A. Testiranja nisu pokazala rizik za (paracetamol, folna kiselina, magnezijum sulfat, levotiroksin natrijum).<\/li>\n<\/ul>\n\n\n\n
![\"Koji](\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/top-view-hands-with-pregnancy-test-pills_23-2149308823-1024x682.jpg\")
<\/figure>\n\n\n\nPrehlada, bol u grlu<\/h3>\n\n\n\n
Prehlade su \u010desta stanja tokom trudno\u0107e, posebno zimi i u me\u0111usezoni. Zato je va\u017eno znati koje lijekove uzimati tokom trudno\u0107e ako se kod trudnice pojave simptomi prehlade – grlobolja, curenje nosa. S lijekovima protiv prehlade je jednostavno: za trudnice su sigurni lijekovi koji se koriste za lije\u010denje djece od ro\u0111enja do 3 godine. Minimalne doze nisu opasne za budu\u0107u bebu. Kapi za nos koje sadr\u017ee morsku vodu – poput Aqualor, Aquamaris i sli\u010dno, pomo\u0107i \u0107e u uklanjanju za\u010depljenja nosa.<\/p>\n\n\n\n
Ako se tokom trudno\u0107e pojavi bol u grlu, potrebno je utvrditi njenu etiologiju kako bi se isklju\u010dila angina i tonzilitis. Za uobi\u010dajene prehlade djelotvorno je ispiranje grla Miramistinom, toplim rastvorom kamilice ili 0,1% rastvorom hlorheksidina. Me\u0111u lijekovima za grlobolju su laripront i lizobakt. Njih se mo\u017ee rastvarati 3-4 puta dnevno po 2 komada.<\/p>\n\n\n\n
Trovanje, problemi sa crijevima, stolicom<\/h3>\n\n\n\n
Neprijatan i prili\u010dno opasan problem \u2013 trovanje hranom tokom trudno\u0107e. Lije\u010denje propisuje samo ljekar. Me\u0111utim, dobar izbor enterosorbenta u ovom periodu je Polisorb. Njegova u\u010dinkovitost i sigurnost potvr\u0111eni su brojnim istra\u017eivanjima. Blago uklanja otrove i toksine, ne ulaze\u0107i u krvotok niti uti\u010du\u0107i na organe. Doziranje zavisi od te\u017eine \u017eene.<\/p>\n\n\n\n
Tokom trudno\u0107e \u010desto mu\u010de i zatvori. Za stabilizaciju stolice dozvoljena su sigurna sredstva, kao \u0161to su:<\/p>\n\n\n\n
- \n
- glicerinske supozitorije \u2013 brzodjeluju\u0107a sredstva, prili\u010dno u\u010dinkoviti, ali ih ne treba koristiti pre\u010desto, oprez je potreban i u prvom tromjese\u010dju te ako postoji prijetnja poba\u010daja;<\/li>\n\n\n\n
- probiotici \u2013 na primjer, kapsule Probiolog ili Linex;<\/li>\n\n\n\n
- blagi lijekovi, koji se u ve\u0107ini slu\u010dajeva dozvoljavaju kao laksativi tokom trudno\u0107e – sirupi Duphalac ili Normase, Mukofalk, Forlax.<\/li>\n<\/ul>\n\n\n\n
Alergija, pritisak<\/h3>\n\n\n\n
Mnogo neprijatnosti trudnicama donosi i alergija. Lije\u010denje mo\u017ee prepisati samo ljekar, kao i u drugim slu\u010dajevima, nakon posebnog istra\u017eivanja tipa alergena. Na osnovu rezultata \u0107e biti odabran odgovaraju\u0107i lijek. Jedan od naj\u010de\u0161\u0107ih i najsigurnijih antialergijskih sredstava je Suprastin, koji se mo\u017ee uzimati kod akutnih simptoma.<\/p>\n\n\n\n
Uzrok lo\u0161eg zdravstvenog stanja kod trudnica mo\u017ee biti i povi\u0161en krvni pritisak. Ovo je opasno stanje za budu\u0107u majku i razvijaju\u0107u bebu, koje zahtijeva obaveznu konsultaciju s ljekarom radi propisivanja lije\u010denja. Samolije\u010denje nije dopu\u0161teno. Obi\u010dno se propisuju lijekovi koji se smatraju dozvoljenim, kao \u0161to su Dopehit, Papazol, Egilok i drugi preparati iz ove kategorije.<\/p>\n\n\n\n
![\"Koji](\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/cold-pregnant-woman-sitting-with-thermometer-bed-with-tablets-wipes_11zon-1024x683.jpg\")
<\/figure>\n\n\n\nNesanica, glavobolja<\/h3>\n\n\n\n
Ako trudnicu mu\u010di nesanica, ne treba ostavljati problem bez pa\u017enje. Zdrav san je osnova dobrog osje\u0107anja budu\u0107e majke, a time i njenog djeteta. Iako stru\u010dnjaci jednoglasno savjetuju izbjegavanje lijekova koji poma\u017eu u borbi protiv nje, u te\u0161kim slu\u010dajevima, kada budu\u0107a majka gubi snagu i osje\u0107a se lo\u0161e, mogu biti propisani Pasiflora, Valerijana, Glicin, Magne B-6, Nervokhel, Valerijanokhel. Ova sredstva nisu lijekovi za spavanje u pravom smislu rije\u010di; njihovo djelovanje je usmjereno na stabilizaciju nervnog sistema i pobolj\u0161anje uspavljivanja. Propisati ih mo\u017ee samo ljekar.<\/p>\n\n\n\n
Ni\u0161ta manje opasna nije ni glavobolja, \u010dije nastajanje mo\u017ee imati mnogo uzroka.<\/p>\n\n\n\n
Njihovo utvr\u0111ivanje omogu\u0107ava doktoru da odredi listu lijekova koje trudnica treba uzimati kako bi olak\u0161ala stanje. Tako se, u zavisnosti od trimestra, kod migrene propisuje uzimanje paracetamola ili ibuprofena.<\/p>\n\n\n\n
![\"Koji](\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/sick-woman-ill-young-unhealthy-girl-pain-lying-home-sofa-couch_231208-1260-1024x682.jpg\")
<\/figure>\n\n\n\nHormonalni preparati<\/h3>\n\n\n\n
Smatra se da se tokom trudno\u0107e ne propisuju i ne uzimaju hormonalni lijekovi. Me\u0111utim, manjak progesterona – glavnog hormona tokom trudno\u0107e \u2013 u prvom trimestru je glavni uzrok poba\u010daja. Da bi se nadoknadio ovaj manjak, ljekar mo\u017ee trudnici propisati uzimanje umjetnih analoga progesterona \u2013 Utrogestan ili Duphaston. <\/p>\n\n\n\n
Prvi – prirodni progesteron, dobijen iz biljne sirovine, drugi – umjetno sintetizirani analog prirodnog hormona. Duphaston smanjuje rizik od prijevremenog poro\u0111aja, smanjuje rizik pojave fetoplacentarne insuficijencije dva puta. Osim toga, mnogo rje\u0111e se bilje\u017ee o\u0161te\u0107enja mozga zbog hipoksije kod novoro\u0111en\u010dadi. Utrogestan obnavlja hormonalnu ravnote\u017eu i pozitivno uti\u010de na razvoj djeteta. Koji lijek \u0107e \u017eena koristiti \u2013 odlu\u010duje ljekar.<\/p>\n\n\n\n
Lijekovi protiv gljivi\u010dne infekcije<\/h3>\n\n\n\n
Vulvovaginalna kandidijaza ili gljivi\u010dna infekcija je jedna od naj\u010de\u0161\u0107ih infekcija \u017eenskih spolnih organa, potaknuta trudno\u0107om. Osje\u0107aj pe\u010denja, svrab u podru\u010dju genitalija, sirasti iscjedak zahtijevaju konzultaciju s lije\u010dnikom. Na izbor lijeka koji \u0107e vam propisati utje\u010de trajanje trudno\u0107e, individualna osjetljivost na sastojke. <\/p>\n\n\n\n
Me\u0111utim, stanje trudno\u0107e ne predvi\u0111a primjenu tradicionalne terapije, stoga lije\u010dnik obi\u010dno propisuje sigurnije \u010depi\u0107e u ovom periodu:<\/p>\n\n\n\n
- \n
- \u201eKandid\u201c – ima \u0161iroko protugljivi\u010dno djelovanje.<\/li>\n\n\n\n
- \u201eLivarol\u201c – s protugljivi\u010dnim djelovanjem;<\/li>\n\n\n\n
- \u201ePolygynax\u201c – kombinirani preparat koji sadr\u017ei polimiksin B, neomicin, nistatin;<\/li>\n\n\n\n
- \u201eHexicon\u201c – univerzalno sredstvo s aktivnom komponentom – klorheksidinom, antiseptikom koji ubija ve\u0107inu patogenih mikroorganizama;<\/li>\n\n\n\n
- \u00abDiflucan\u00bb – sadr\u017ee flukonazol, djelotvoran protiv razli\u010ditih vrsta gljiva.<\/li>\n<\/ul>\n\n\n\n
Koji lijekovi mogu na\u0161koditi djetetu<\/h2>\n\n\n\n
Efikasnost farmakolo\u0161kog uticaja ve\u0107ine lijekova na organizam trudnice i njenog budu\u0107eg djeteta nije dovoljno prou\u010dena. Stoga su trudno\u0107a i dojenje navedeni u listi kontraindikacija u uputstvima za mnoge preparate.<\/p>\n\n\n\n
Njihove aktivne supstance mogu imati teratogeni i toksi\u010dni efekat, sposobni su izazvati ozbiljne poroke u razvoju ploda, kao i njegovu smrt. <\/p>\n\n\n\n
Na popisu lijekova koje trudnice ne smiju piti nalaze se neki vitaminski preparati, hormonalni lijekovi. Tako\u0111er, budu\u0107e mame trebaju biti oprezne s ovim lijekovima:<\/p>\n\n\n\n
- \n
- antidepresivima;<\/li>\n\n\n\n
- hipotenzivnim preparatima (hlortiazid, rezerpin);<\/li>\n\n\n\n
- nekim grupama antibiotika (tetraciklin, streptomicin);<\/li>\n\n\n\n
- analgeticima (indometacin, aspirin);<\/li>\n\n\n\n
- vitaminom A, dnevni unos koji prelazi dozu od 10000 IU.<\/li>\n<\/ul>\n\n\n\n
![\"Koji](\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/09\/pregnant-woman-receiving-ultrasound-scan-stomach_107420-63777-1024x682.jpg\")
<\/figure>\n\n\n\nRezime tabela odobrenih lijekova<\/h2>\n\n\n\n
Medicinska istra\u017eivanja su utvrdila koje lijekove tokom trudno\u0107e mo\u017eete uzimati jer se smatraju sigurnim:<\/p>\n\n\n\n
Grupe lijekova<\/td> Najsigurniji lijekovi<\/td><\/tr> Antihistaminici <\/td> Loratadin, cetirizin<\/td><\/tr> Analgetici<\/td> NSAID (osim blizu termina poroda), paracetamol, narkoti\u010dki analgetici (kratkoro\u010dno)<\/td><\/tr> Antidepresivi<\/td> Trazodon, venlafaksin, fluoksetin, <\/td><\/tr> Antibiotici<\/td> Klindamicin, cefalosporini, aminopenicilini, trimetoprim (osim prvog trimestra), makrolidi (\u201eVilprafen\u201c), azitromicin, eritromicin, metronidazol (osim prvog trimestra), penicilini<\/td><\/tr> Antihipertenzivni <\/td> Hidralazin, B-blokatori, prazosin, metildopa <\/td><\/tr> Antidijaroi\u010dni <\/td> Loperamid<\/td><\/tr> Tablete protiv povra\u0107anja <\/td> Prohlorperazin, antacidi, vitamin B, doksilamin, prometazin<\/td><\/tr> Antivirusni<\/td> Aciklovir, amantadin<\/td><\/tr> Antidijabeti\u010dki<\/td> Insulin<\/td><\/tr> Antituberkulozni<\/td> Izoniazid, etambutol, <\/td><\/tr> Za lije\u010denje kardiovaskularnih oboljenja<\/td> Nitroglicerin, beta-blokatori, digoksin, blokatori kalcijumskih kanala<\/td><\/tr> Lijekovi za lije\u010denje bolesti probavnog trakta<\/td> Metoklopramid, sukralfat<\/td><\/tr> Antiastmati\u010dni\/antialergijski<\/td> Teofilin, epinefrin, inhalacioni bronhodilatatori <\/td><\/tr> Lijekovi protiv zatvora<\/td> Metilceluloza, bisakodil<\/td><\/tr> Tireoidhormoni<\/td> Liotironin, levotiroksin<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n <\/p>\n","protected":false},"excerpt":{"rendered":"
Budu\u0107a majka i plod tokom cijele trudno\u0107e predstavljaju nerazdvojiv, jedinstven i uskla\u0111eno funkcioni\u0161u\u0107i sistem. Zato je veoma va\u017eno po\u0161tovati uvjete za\u0161tite zdravlja jo\u0161 nero\u0111enog djeteta…<\/p>\n","protected":false},"author":11,"featured_media":7528,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","tstyn_error":""},"categories":[839,821],"tags":[],"class_list":["post-12869","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-trudnoca-bs","category-zensko-zdravlje-bs"],"yoast_head":"\n
Koji lijekovi su dozvoljeni u trudno\u0107i: odobreni i zabranjeni<\/title>\n<meta name=\"description\" content=\"Uzimanje lijekova tokom trudno\u0107e treba donijeti korist budu\u0107oj majci i biti bezopasno za fetus. Kako prona\u0107i taj te\u0161ki balans, u kojim slu\u010dajevima i \u0161ta uzimati, objasni\u0107e stru\u010dnjak.\" \/>\n<meta name=\"robots\" content=\"index, nofollow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/momslab.app\/blog\/bs\/koji-lijekovi-su-dozvoljeni-u-trudnoci-kada-i-sta-mozete-uzimati\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Koji lijekovi su dozvoljeni u trudno\u0107i \u2013 kada i \u0161ta mo\u017eete uzimati\" \/>\n<meta property=\"og:description\" content=\"Uzimanje lijekova tokom trudno\u0107e treba donijeti korist budu\u0107oj majci i biti bezopasno za fetus. 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