青霉素

一点小麻烦。

妈妈有颗牙很早就有问题,当时犯懒没处理,到怀我的时候更严重了,但牙医杨大夫不建议妊娠期动牙,所以就一直拖着。直到上周突然加重,吃起饭必须细嚼慢咽一吃就是一个小时,妈妈觉得必须得处理了。

考虑到上次诊所杨大夫态度就很坚决不建议孕期拔牙,所以今天去Amcare看看他们是否更有经验。但去了以后发现其实也没更好的办法:牙已经纵裂到牙床以下,不能保留,今天先磨牙减缓疼痛,后面再约时间拔牙。拔牙时的局麻是免不了的,抗生素和止痛片要看情况使用。

医生的看法是局麻对哺乳没有影响,青霉素与布洛芬也同样很少有报告通过乳汁分泌引起幼儿不良反应,这和我们在《西尔斯育儿百科》和网络上中查到的一致:

Summary of Use during Lactation

Penicillin V is acceptable to use during breastfeeding. Limited information indicates that single maternal doses of penicillin V of 1320 mg produce low levels in milk that are not expected to cause adverse effects in breastfed infants. Occasionally, disruption of the infant’s gastrointestinal flora, resulting in diarrhea or thrush, has been reported with penicillins, but these effects have not been adequately evaluated.

Summary of Use during Lactation

Because of its extremely low levels in breastmilk, short half-life and safe use in infants in doses much higher than those excreted in breastmilk, ibuprofen is a preferred choice as an analgesic or antiinflammatory agent in nursing mothers.

《西尔斯育儿百科》中的安全服药指南

但是,《用药助手》里却有“哺乳期禁用”的标识,不知是否靠谱。

芬必得服药谨记

所以最后,虽然还有略有焦虑,但爸妈还是决定长痛不如短痛。

剩下的问题就是要提前给我存粮食,在手术及用药后避免母乳喂养,降低乳汁中可能存在的泌出物含量。

 

题图:Panicillin

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