{"id":7052,"date":"2015-02-04T20:29:47","date_gmt":"2015-02-04T12:29:47","guid":{"rendered":"http:\/\/drzubaidi.com\/blog\/?p=7052"},"modified":"2019-11-25T23:21:17","modified_gmt":"2019-11-25T15:21:17","slug":"kesan-ubat-escitalopram-lexapro-semasa-menyusukan-bayi","status":"publish","type":"post","link":"https:\/\/drzubaidi.com\/blog\/kesan-ubat-escitalopram-lexapro-semasa-menyusukan-bayi\/","title":{"rendered":"Kesan ubat escitalopram (lexapro) semasa menyusukan bayi"},"content":{"rendered":"<p><b>KESAN UBAT ESCITALOPRAM SEMASA MENYUSUKAN BAYI<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2015\/02\/lexapro.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"7055\" data-permalink=\"https:\/\/drzubaidi.com\/blog\/kesan-ubat-escitalopram-lexapro-semasa-menyusukan-bayi\/lexapro\/\" data-orig-file=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2015\/02\/lexapro.jpg?fit=625%2C393&amp;ssl=1\" data-orig-size=\"625,393\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;}\" data-image-title=\"lexapro\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2015\/02\/lexapro.jpg?fit=618%2C389&amp;ssl=1\" class=\"aligncenter size-medium wp-image-7055\" src=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2015\/02\/lexapro.jpg?resize=300%2C188&#038;ssl=1\" alt=\"lexapro\" width=\"300\" height=\"188\" srcset=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2015\/02\/lexapro.jpg?resize=300%2C188&amp;ssl=1 300w, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2015\/02\/lexapro.jpg?w=625&amp;ssl=1 625w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><i>\u201cAssalamualaikum doktor, saya ingin bertanya berkenaan kekeliruan yang saya hadapi. Saya adalah pesakit yang mempunyai penyakit panic attack. Saya telah berjumpa dengan doctor psychiatry \u00a0dan telah diberikan ubat Lexapro. Walaubagaimanapun saya masih menyusu anak yang berusia 6 bln. Adakah bahaya kalau saya teruskan penyusuan kerana doctor psychiatry \u00a0saya beritahu saya boleh membuat penyusuan pada sebelah petang memandangkan kesan ubat mungkin telah sedikit demi sedikit hilang. Saya juga ada membuat bacaan di internet mengatakan amat sedikit kesan ubat terhadap susu ibu. Mohon dr beri pencerahan\u201d<\/i><\/p>\n<p>&nbsp;<\/p>\n<p>WA ALAIKUM MUS SALAM<\/p>\n<p>&nbsp;<\/p>\n<p>Masalah kemurungan selepas melahirkan anak, atau dikenali sebagai \u201cPost Pasrtum Depression\u201dadalah suatu masalah yang sering berlaku. Ini kerana proses melahirkan itu sendiri, yang menyebabkan perubahan hormone yang ketara dan merangsangkan kecelaruan emosi dan menyebabkan kemurungan.<\/p>\n<p>&nbsp;<\/p>\n<p>Oleh itu ramai di antara mereka yang diberikan ubat escitalopram untuk merawat masalah \u201c<b><i>Major Depressive Disorder<\/i><\/b>\u201d (kemurungan) \u00a0ini. Ubat ini juga digunakan oleh doctor untuk merawat masalah \u201c<b><i>Generalized Anxiety Disorder<\/i><\/b>\u201d.<\/p>\n<p>&nbsp;<\/p>\n<p>Walau bagaimana jika ubat ini diberikan pada ibu yang menyusukan anak pada dos 20 mg sehari, mungkin terdapat sedikit kesan ubat ini di dalam susu ibu. Oleh itu harus berhati-hati jika mengambil ubat ini dalam masa yang sama menyusukan anak yang berusia bawah 6 bulan.<\/p>\n<p>&nbsp;<\/p>\n<p>Escitalopram adalah ubat pilihan yang baik berbanding dengan ubat yang hamper sama, iaitu citalopram, kerana ubat citalopram boleh masuk ke dalam susu ibu dengan lebih banyak kuantitinya dan memberikan kesan sampingan pada bayi dengan lebih banyak.<\/p>\n<p>&nbsp;<\/p>\n<p>Namun begitu kesan escitalopram dalam susu ibu berbeza bergantung kepada individu.<\/p>\n<p>&nbsp;<\/p>\n<p>Sebagai contoh dalam satu kajian yang diterbitkan dalam <b><i>\u201cBritish Journal Clinical \u00a0Pharmacology, 2006\u201d<\/i><\/b> menyebut bahawa kesan ubat yang dikesan apabila 8 orang ibu yang mengambil escitalopram escitalopram 10 atau 20 mg sehari, didapati darah bayi mereka mengandungi kesan ubat adalah terlalu kecil (&lt;1 mcg\/L). ia tidak memberikan kesan berbahaya.<\/p>\n<p>(Rampono J, Hackett LP, Kristensen JH et al. <b><i>Transfer of escitalopram and its metabolite demethylescitalopram into breastmilk<\/i><\/b>. Br J Clin Pharmacol. 2006;3:316-22)<\/p>\n<p>&nbsp;<\/p>\n<p>Begitu juga artikel yang diterbitkan dalam journal <b><i>Annals of Pharmacotherapy 2006. <\/i><\/b>Seorang ibu mengambil escitalopram 20 mg setiap pagi pada hari ke 15 selepas melahirkan anak dan dia menyusukan sepenuhnya bayi beliau dengan susu ibu. Pada usia 3 bulan, bayi itu dilaporkan sihat oleh pakar kanak-kanak.<\/p>\n<p>(Gentile S. <b><i>Escitalopram late in pregnancy and while breast-feeding<\/i><\/b>. Ann Pharmacother. 2006;40:1696-7).<\/p>\n<p>&nbsp;<\/p>\n<p>Kesan ubat ini juga boleh menjadi berbahaya seperti yang\u00a0 diterbitkan dalam <b><i>Journal of Perinatology, 2007<\/i><\/b>. \u00a0Dalam artikel itu menyebut seorang bayi yang berumur 5 hari telah dimasukkan semula ke NICU setelah disyaki mengalami masalah usu yang membengkak dan membusuk yang dinamakan \u201c<b>necrotizing enterocolitis<\/b>\u201d. Sebelum ini bayi tersebut telah dimasukkan ke dalam NICU kerana masalah pernafasan dan diberikan usu ibu. Ibu bayi ini mengaku telah mengambil ubat escitalopram 20 mg sehari sepanjang kehamilannya dan meneruskan pengambilannya semasa menyusukan anak. Para doctor menyangkakan bahawa ubat ini yang menjadi punca masalah usus yang dihadapi oleh bayi tersebut.<\/p>\n<p>&nbsp;<\/p>\n<p>(Potts AL, Young KL, Carter BS, Shenai JP. <b><i>Necrotizing enterocolitis associated with in utero and breast milk exposure to the selective serotonin reuptake inhibitor, escitalopram<\/i><\/b>. J Perinatol. 2007;27:120-2).<\/p>\n<p>&nbsp;<\/p>\n<p>Dalam satu penulisan pula dilaporkan seorang ibu yang mengambil escitalopram (dos dan jangkamasa pengambilan) tidak dinyatakan, dan menyusukan anak. Ibu itu mengadu bayinya sering kegelisahan dan menangis dengan kuat selama 2 jam setiap kali diberikan susu ibu. \u00a0Masalah bayi ini dapat dikurang apabila ibunya menggunakan susu formula sepenuhnya.<\/p>\n<p>(Schaefer C, Peters P, Miller RK, eds. <b><i>Drugs during pregnancy and lactation. Treatment options and risk assessment<\/i><\/b>, 2nd ed. Amsterdam; Boston: Elsevier Academic Press. 2007:714-5)<\/p>\n<p>&nbsp;<\/p>\n<p>Ubat escitalopram juga memberikan kesanpengeluaran susu ibu yang berbeza. Dalam <b><i>International Journal Psychiatry Medicine<\/i><\/b>, menyebut bahawa ubat ini akan meningkatkan hormone prolactin dan hormon galactorrhea yang menggalakkan pengeluaran susu ibu di kalangan wanita yang tidak hamil atau menyusukan anak.<\/p>\n<p>(Gulsun M, Algul A, Semiz UB et al. <b><i>A case with euprolactinemic galactorrhea induced by escitalopram<\/i><\/b>. Int J Psychiatry Med. 2007;37:275-8).<\/p>\n<p>&nbsp;<\/p>\n<p>Ada laporan yang menunjukkan bahawa ubat ini tidak meningkatkan hormone-hormon tersebut. Jadi pengeluaran susu ibu tidak bertambah dengan pengambilan ubat ini.<\/p>\n<p>(Mahasuar R , Majhi P, Ravan JR. <b><i>Euprolactinemic galactorrhea associated with use of imipramine and escitalopram in a postmenopausal woman<\/i><\/b>. Gen Hosp Psychiatry. 2010;32:341)<\/p>\n<p>&nbsp;<\/p>\n<p>Dalam satu kajian kecil yang diterbitkan dalam <b><i>Journal Clinical Endocrinol and Metabolisme<\/i><\/b> 2010, mendapati \u00a0wanita yang mengambil ubat untuk rawatan kemurungan seperti fluoxetine, citalopram, duloxetine, escitalopram, paroxetine atau sertraline mengalami masalah pengeluaran susu ibu, berbanding dengan mereka yang tidak mengambil ubat-ubatan itu.<\/p>\n<p>&nbsp;<\/p>\n<p>(Marshall AM, Nommsen-Rivers LA, Hernandez LL et al. <b><i>Serotonin transport and metabolism in the mammary gland modulates secretory activation and involution<\/i><\/b>. J Clin Endocrinol Metab. 2010;95:837-46)<\/p>\n<p>&nbsp;<\/p>\n<p>Begitu juga dengan kajian yang diterbitkan dalam \u00a0<b><i>Journal of Human Lactation<\/i><\/b> 2012, yang mengakui wanita yang mengambil ubat-ubat tersebut mengalami masalah pengeluaran susu ibu.<\/p>\n<p>&nbsp;<\/p>\n<p>(Gorman JR, Kao K, Chambers CD. <b><i>Breastfeeding among women exposed to antidepressants during pregnancy<\/i><\/b>. J Hum Lact. 2012;28:181-80).<\/p>\n<p>&nbsp;<\/p>\n<p>Walaupun tidak semua orang mengalami kemudaratan pada tahap yang sama, (ada yang banyak dan ada yang sedikit), saya percaya mengelakkan pemberian susu ibu mungkin langkah terbaik.<\/p>\n<p>&nbsp;<\/p>\n<p>Oleh itu saya mencadangkan agar puan mendapat bantuan khidmat ibu susuan bagi anak puan, bangi mengelak ubat yang puan gunakan masuk ke dalam susu ibu dan diminum oleh anak puan, yang akan memberikan yang memudaratkan.<\/p>\n<p>&nbsp;<\/p>\n<p>Alternatif lain, puan boleh menggunakan susu formula yang sesuai.<\/p>\n<p>&nbsp;<\/p>\n<p>Wallahu a\u2019lam.<\/p>\n<p>&nbsp;<\/p>\n<p>Bagi wanita yang mengalami masalah kitaran haid yang tidak menentu, dan bagi wanita yang baru melahirkan anak, saya mencadangkan suplemen, selain dari vitamin C dan E. <b>Boleh dapatkan produk<strong> Kacip Fatimah<\/strong> keluaran UTM dan vitamin E Tocotrienols di <a href=\"http:\/\/needsvenue.com.my\/Collections.aspx?sq6=kacip\">http:\/\/needsvenue.com.my<\/a><\/b><\/p>\n<p>Bagi individu yang mengalami kekeringan kulit, terutamanya eczema saya mencadangkan cream L<strong>abicea Revitalizing Moisturizer. <\/strong><strong>Info lanjut di <a title=\"mengekalkan kelembapan kulit yang kering\" href=\"https:\/\/www.facebook.com\/pages\/Labicea-Revitalizing-Moisturizer\/486696818067490\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.facebook.com\/Labicea-Revitalizing-Moisturizer-486696818067490\/<\/a><\/strong><\/p>\n<p>Untuk pembelian menggunakan kad kredit sila klik di bawah:<\/p>\n<figure id=\"attachment_10331\" aria-describedby=\"caption-attachment-10331\" style=\"width: 300px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/mailchi.mp\/d844d72c1f98\/ekf\" target=\"_blank\" rel=\"noopener\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"10331\" data-permalink=\"https:\/\/drzubaidi.com\/blog\/adakah-soaya-dan-produknya-memberikan-kesan-pada-kesuburan-lelaki\/ekf1\/\" data-orig-file=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2017\/05\/ekf1.jpg?fit=960%2C720&amp;ssl=1\" data-orig-size=\"960,720\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"ekf1\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Warisan tradisi silam kini dalam tangan anda&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2017\/05\/ekf1.jpg?fit=618%2C464&amp;ssl=1\" class=\"wp-image-10331 size-medium\" src=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2017\/05\/ekf1.jpg?resize=300%2C225&#038;ssl=1\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2017\/05\/ekf1.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2017\/05\/ekf1.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2017\/05\/ekf1.jpg?w=960&amp;ssl=1 960w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-10331\" class=\"wp-caption-text\">Warisan tradisi silam kini dalam tangan anda<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>KESAN UBAT ESCITALOPRAM SEMASA MENYUSUKAN BAYI &nbsp; \u201cAssalamualaikum doktor, saya ingin bertanya berkenaan kekeliruan yang saya hadapi. Saya adalah pesakit yang mempunyai penyakit panic attack. Saya telah berjumpa dengan doctor psychiatry \u00a0dan telah diberikan ubat Lexapro. Walaubagaimanapun saya masih menyusu anak yang berusia 6 bln. Adakah bahaya kalau saya teruskan penyusuan kerana doctor psychiatry \u00a0saya &hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1603,4,4732],"tags":[5084,4933,5121,4962,5085,5021,5103,4865,4903,5042,5082,5039,5000,803,273,2910,2246,5118,4765,369,4936,1945,911,4356,5152,2756,4859,181,5064,5041,5158,4885,4995,5051,5159,3820,417,4867,2716,4114,5086,4979,5169,4978,4069,4858,3487,3950,1914,4849,3547,4835,3774,2531,5050,3227,5014,4541,4516,4529,504,1459,3888,2814,787,3773,3151,16,2518,3324,3767,4989,1943,1706,1638,4883,1168,3362,4958,4998,2296,5029,4370,4930,4779,1453,4738,4124,1150,4959,5087,3584,4857,2089,4748,5069,3127,5110,175,4984,4985,3210,4306,3205,2799,3943,4747,510,4884,5151,5106,2872,4173,5124,3847,3997,4890,4972,4145,5094,4970,4182,4966,5028,2800,4907,4957,1413,4892,5111,711,3068,4868,370,1898,3495,5076,5007,129,4363,4745,4740,5067,5040,4965,5164,1438,5166,338,3155,3421,1376,923,846,3147,4305,4870,557,986,5100,1001,5471,1712,4982,5008,5160,5015,1279,4768,5010,4742,115,5057,4159,147,286,1887,5478,4899,4358,1465,1518,5003,2201,1403,1357,4409,5172,3884,24,5046,5127,1358,212,671,4910,4911,1481,5129,5020,201,5019,3800,5153,5154,603,3872,4850,421,4854,1608,3108,4852,4780,1697,4817,3993,2616,4536,2971,3619,4942,4943,4513,4056,2687,4514,4164,1560,5047,1477,2888,4994,639,624,4798,4373,4253,398,337,4743,1468,4840,4515,5473,3768,1581,967,285,925,3382,5474,4372,4853,4980,4935,4952,2986,4953,477,4520,3328,3902,4168,5115,4869,5066,4749,3383,743,4992,1984,2989,4052,4861,4913,3214,768,1388,3465,2337,5117,4931,3371,650,4838,4919,3959,4517,1539,4011,4917,29,1688,4889,593,4617,4160,230,4886,4523,5112,3202,3367,4882,4836,153,5009,215,5025,3906,4895,3325,3026,3585,1545,278,4837,2557,244,108,3512,1940,4887,3162,3708,4540,4954,1827,2614,434,229,3107,4374,4464,1806,1474,1991,1685,4453,3785,399,4744,748,5054,376,5095,5119,5089,4294,3504,4184,4781,2673,2174,4601,3769,2245,2849,4856,5032,1149,3061,4791,3717,4413,4932,5088,2599,3609,4680,163,3942,5043,4059,5101,2626,2568,40,5016,4961,5171,5081,3198,5131,4922,4511,4818,2433,2210,4381,1158,3165,4925,5090,1659,4875,2778,3805,3135,2805,3134,1631,4737,4918,2765,4987,5062,4968,2169,2193,144,5060,5105,4524,5077,5123,5122,4799,5138,478,2488,4896,4897,3225,1577,2957,2117,5002,4920,3776,3777,4996,5052,4872,2618,2500,1976,779,3901,5068,3775,4955,4894,5030,3545,2884,853,3196,2288,4960,5170,4304,4094,3715,1939,1803,3990,5091,5031,4417,5017,592,946,3643,4988,4981,3099,3863,3564,5080,5053,595,4999,456,5155,4519,3080,5023,4881,5022,2198,1339,2491,1338,4753,1319,4891,3466,4971,3673,4311,3716,4973,775,4975,2907,1391,3176,1744,1580,1515,3911,2469,3655,3372,4286,4729,5044,2706,2603,5006,1820,2327,5130,5098,1282,3845,4967,3921,2075,2067,1329,4217,5107,4938,5079,5063,5038,4908,2559,5168,5167,766,5096,3183,2847,101,5137,3693,385,5109,4906,365,4739,118,4983,5136,5135,438,4750,5120,4976,5165,1783,5027,4977,4939,4940,509,596,382,4751,597,5036,5045,1201,4937,5161,335,4905,5477,3571,1160,4991,3718,2104,4950,5078,3530,2463,5012,897,3787,2880,971,951,1864,4229,4927,1316,4916,5102,4345,4914,4928,4924,4741,5099,1809,5035,1119,4677,3855,5125,605,820,1299,1186,3508,1578,1164,69,1478,56,4990,5148,5004,4022,643,5048,5075,3369,3445,3031,4126,3141,1679,3770,648,3771,2504,5157,272,1409,2420,4236,3451,126,5070,3890,3105,4044,4380,4510,4521,1843,2852,5083,3164,3125,3772,5097,4974,4904,5049,5026,4951,104,308,5018,5156,4752,507,3891,5033,100,3106,159,1985,5055,3018,5113,4711,4235,178,5114,2717,3586,856,4096,1610,4165,2656,4873,4956,4586,4926,4876,5128,4877,4512,3797,2593,2507,2348,4909,4098,2078,2111,3844,4866,4860,2842,611,3206,4993,5034,5065,5092,4874,4921,3413,4929,4369,1853,2597,4764,4405,4964,1411,5126,5005,5163,4746,5093,4554,3428,1925,5061,2944,3259,2670,195,3153,4863,2657,622,3529,4371,3350,5011,3622,5116,2161,4997,746,4969,3379,1897,1975,827,857,3030,4915,5133,3566,4912,5001,3430,4855,1636,5147,4071,1317,594,4841],"class_list":["post-7052","post","type-post","status-publish","format-standard","","category-doktor-menjawab","category-farmasi","category-masa-berpantang","tag-357-nasal-spray","tag-40an","tag-abang","tag-abrupsio","tag-acai-berry-abc","tag-acid","tag-acta-racun-1952","tag-acupunture","tag-adakah-saya-hamil","tag-adhesion","tag-africa-black-ant","tag-ahli","tag-aids","tag-air","tag-air-mani","tag-air-suam","tag-aktif","tag-alat-sulit","tag-ali","tag-amalgam","tag-amlodepine","tag-anak","tag-anemia","tag-anesthesia","tag-ankyloglossia","tag-antacid","tag-antasid","tag-antibiotik","tag-antiphospholipid","tag-appencicitis","tag-areosol","tag-ari-ari","tag-arshat","tag-as-sauda","tag-asap","tag-asid","tag-asid-folik","tag-askar","tag-asma","tag-aspirin","tag-atika-beauty-renewal-cream","tag-atipikal","tag-attack","tag-atypical","tag-ayam","tag-ayperi","tag-bacaan","tag-badan","tag-bakteria","tag-balik","tag-bangun","tag-bangun-malam","tag-barah-hati","tag-barah-rahim","tag-barakah","tag-baring","tag-bartholian","tag-baru","tag-batin","tag-batu","tag-batu-karang","tag-batuk","tag-batuk-kering","tag-bau","tag-bayi","tag-beku","tag-belakang","tag-bengkak","tag-bengkakan","tag-benjol","tag-bentuk-badan","tag-berahi","tag-berak","tag-berat","tag-berat-badan","tag-berbuih","tag-berdebar-debar","tag-berdiri","tag-beret","tag-berita-harian","tag-berjalan","tag-berjangkit","tag-berjauhan","tag-berkabur","tag-berlubang","tag-bersalin","tag-bertahan","tag-besar","tag-bifidobacterium","tag-bilik","tag-bio-dream-gold","tag-biodex","tag-bishkek","tag-bius","tag-bleeding","tag-blighted","tag-block","tag-blok","tag-bmi","tag-bohsia","tag-bojan","tag-bra","tag-bradycardia","tag-breast","tag-buah-dada","tag-buang","tag-buang-rahem","tag-buasir","tag-buih","tag-bump","tag-burkaolderia-pseudomallei","tag-busuk","tag-c","tag-cabut","tag-cacat","tag-cair","tag-calender","tag-calonoscopy","tag-cancer","tag-candy-193","tag-canser","tag-catuaba","tag-cawan","tag-cdc","tag-cecair","tag-celaru","tag-ceret","tag-ceret-beret","tag-cervical","tag-cervical-os","tag-cervix","tag-cesarean","tag-china","tag-chorhexidine","tag-cialis","tag-cina","tag-cirit-berit","tag-clearblue","tag-clomid","tag-coli","tag-colon","tag-colonoscopy","tag-complete","tag-cuai","tag-cup","tag-cyfluthrin","tag-cyst","tag-d-phenothrin","tag-dc","tag-dada","tag-dara","tag-darah","tag-darah-beku","tag-darah-pekat","tag-darah-tinggi","tag-degupan","tag-delivery","tag-demam","tag-depression","tag-dexamethasone","tag-diabetes","tag-diabetes-mellitus","tag-diet","tag-dietilstilbestrol","tag-digital","tag-dimethyl-dichlorovynil-phosphate-ddvp","tag-dinding","tag-doktor","tag-dr-zubaidi","tag-dual-smart-sensor","tag-dubur","tag-duromine","tag-dydrogestrone","tag-e","tag-ecg","tag-eczema","tag-ed","tag-ekf","tag-ekf-acupunture","tag-ekor","tag-ekstrak","tag-ekstrak-kacip-fatimah","tag-emak","tag-emosi","tag-endometriosis","tag-erectile-dysfunction","tag-ereksi","tag-escitalopram","tag-esofagus","tag-estrogen","tag-etonogestrel","tag-extraction","tag-ezerex","tag-faraj","tag-farmasi-2","tag-fatimah","tag-feminine","tag-fibroid","tag-filling","tag-folic","tag-folic-acid","tag-folik","tag-formula","tag-frenotomy","tag-frenuloplasty","tag-frenulum","tag-gadis","tag-gastik","tag-gastrik","tag-gastritis","tag-gatal","tag-gaya-hidup","tag-gelusil","tag-gempal","tag-gemuk","tag-general","tag-gigi","tag-ginjal","tag-ginseng","tag-glucose","tag-glukos","tag-gluta","tag-glutathione-dos","tag-gold","tag-gugur","tag-gula","tag-gunung","tag-gusi","tag-habatus-sauda","tag-habbatus","tag-haid","tag-halia","tag-hamid","tag-hamil","tag-hamil-semula","tag-hari","tag-hari-kelepasan","tag-haus","tag-hba1c","tag-hcg","tag-hemoroid","tag-herba","tag-herpes","tag-hirudin","tag-hiv","tag-hodoh","tag-hormon","tag-hospital","tag-hpv","tag-hrt","tag-hubungan","tag-hubungan-intim","tag-hujung-minggu","tag-hulu","tag-humanpapilovirus","tag-hypercholestrole","tag-hyperhydrosis","tag-hypertension","tag-hyperthyroid","tag-hysterectomy","tag-iateri","tag-ibu","tag-ibu-dan-anak","tag-implanon","tag-incontinence","tag-induksi","tag-inevitable","tag-intermenstrual","tag-intim","tag-inzal","tag-ismail","tag-isteri","tag-jahitan","tag-jajan","tag-jamban","tag-jamu","tag-jangkitan","tag-janin","tag-jantung","tag-jari","tag-jarum","tag-jatuh-rahem","tag-jelas","tag-jernih","tag-jimak","tag-jogging","tag-jolok","tag-jom","tag-jumaat","tag-jururawat","tag-kabur","tag-kacip","tag-kahak","tag-kahwin","tag-kalender","tag-kalsium","tag-kambing","tag-kandungan","tag-kanser","tag-karang","tag-katil","tag-kawal-kencing","tag-kebas","tag-kecederaan","tag-kedut","tag-kegel","tag-keguguran","tag-kehamailan","tag-kehamilan","tag-kehamilan-15","tag-kelahiran","tag-kelendar","tag-kelenjar","tag-keluarga","tag-kembar","tag-kemoterapi","tag-kemurungan","tag-kemut","tag-kencing","tag-kencing-manis","tag-keputihan","tag-kerap","tag-keras","tag-keratoacanthoma","tag-kering","tag-kerja","tag-keruh","tag-kerusi-roda","tag-kesan-sampingan","tag-kesihatan","tag-kesuburan","tag-ketumbuhan","tag-keturunan","tag-kiataran-haid","tag-kira","tag-kitaran-haid","tag-kkm","tag-klimaks","tag-klinik","tag-klinik-kesihatan","tag-kolestrol","tag-kolestrole","tag-kolon","tag-kondom","tag-kontraksi","tag-kopi","tag-kopi-bagus-aaa","tag-kopi-kuat","tag-kopi-pahlawan","tag-kotor","tag-kualiti","tag-kuat","tag-kudis","tag-kulit","tag-kuman","tag-kurang","tag-kurang-menarik","tag-kurus","tag-kutu","tag-kyrgystan","tag-lactis","tag-lactobacillus","tag-lahir","tag-lali","tag-lama","tag-lambat","tag-lambat-baik","tag-lami","tag-lampin","tag-langsing","tag-lantai","tag-lebam","tag-lebih","tag-lekatan","tag-lelaki-2","tag-lemah-otot","tag-lembu","tag-lemon","tag-lendir","tag-lesihatan","tag-lewat","tag-lexapro","tag-li-long-mei-guo-bang","tag-lidah","tag-lignocaine","tag-lima-belas","tag-lintah","tag-local","tag-loya","tag-loya-dan-muntah","tag-lubang","tag-luka","tag-lutut","tag-lymphadenitis","tag-maajun-tenaga-herba-ubi-jaga","tag-madu","tag-mahu","tag-makan","tag-makanan","tag-malam","tag-mammogram","tag-mandi","tag-mandul","tag-mani","tag-manjkani","tag-marah","tag-marvelon","tag-masalah-kesihatan","tag-masuk","tag-mata","tag-mati","tag-mati-pucuk","tag-medical-termination","tag-melioidosis","tag-mellitus","tag-memulas","tag-mencabut","tag-mencanak","tag-mengira","tag-menjawab","tag-menopause","tag-menorrhagia","tag-mense","tag-menses","tag-mental","tag-merah","tag-mercilon","tag-meroyan","tag-mertua","tag-meruang","tag-mesra-alam","tag-mesra-tubuh","tag-metro","tag-min-syam","tag-minggu","tag-minuman","tag-minyak","tag-minyak-lintah","tag-miscarriage","tag-misi","tag-missed","tag-mood-yang-tidak-menentu","tag-ms","tag-mual","tag-mucormycosis","tag-mudah","tag-muka","tag-multiple-sclerosis","tag-mulut","tag-muntah","tag-munyah","tag-murung","tag-nadi","tag-nafas","tag-nafsu","tag-najis","tag-nanah","tag-nasi","tag-natasya-krim-herba","tag-necrotizing-enterocolitis","tag-negatif","tag-neural-tubal-defect","tag-neural-tube","tag-nicu","tag-nikah","tag-nordette","tag-noriday","tag-normal","tag-nurse","tag-nyamuk","tag-obat","tag-olive-oil","tag-omega-3","tag-online","tag-oophorectomy","tag-organophosphorus","tag-orgasme","tag-orthopaedic","tag-ortopedik","tag-osteoartritis","tag-osteomyelitis","tag-otak","tag-ovari","tag-ovary","tag-ovum","tag-pad","tag-panadol","tag-pancut-luar","tag-pandangan","tag-pangkal","tag-pangkal-rahim","tag-panik","tag-panjang","tag-pap","tag-pap-smear","tag-paps","tag-paracetamol","tag-paru-paru","tag-parut","tag-pati","tag-payudara","tag-pcos","tag-pe","tag-pedih","tag-pekak","tag-pekat","tag-pelangsing","tag-peluh","tag-pelvic","tag-pelvis","tag-pemakanan","tag-pembedagan","tag-pembedahan","tag-pemeriksaan","tag-pemutihan","tag-penawar-sendi-tulang","tag-pendarahan","tag-pendengaran","tag-penetrasi","tag-pengawet","tag-pengsan","tag-penyakit","tag-penyakit-kelamin","tag-perancang","tag-pericarditis","tag-perindopril","tag-peritoneum","tag-pernah-gugur","tag-perskripsi","tag-perubahan","tag-perut","tag-pewangi","tag-pewarna","tag-phytoestrogen","tag-phytoshape","tag-pil","tag-pil-hormone","tag-pil-perancang","tag-pill","tag-pinggang","tag-placenta","tag-plak","tag-plus","tag-pneumonia","tag-polyps","tag-ponstan","tag-porno","tag-post","tag-post-pill","tag-postinor","tag-postmenstrual","tag-power","tag-prakanser","tag-prallethrin","tag-pramatang","tag-prebiotik","tag-precancer","tag-prediabetic","tag-prediabetik","tag-prednisolone","tag-preeclampsia","tag-premature-ejaculation","tag-premenstrual","tag-prenatal-vitamins","tag-probiotic","tag-progestrin","tag-progestrone","tag-propanolol","tag-propoxur-carbamat","tag-prostaglandin","tag-proxeed","tag-proxeed-plus","tag-proxeedplus","tag-psoriasis","tag-puan","tag-puas","tag-puasa","tag-pucuk","tag-pulas","tag-pundi-kencing","tag-punggung","tag-pusat-kehitan","tag-pusat-kesihatan","tag-putih","tag-radioterapi","tag-rahem","tag-rahim","tag-rambut","tag-rancang","tag-random","tag-ranjang","tag-rapat","tag-rapuh-tulang","tag-rasa","tag-ratu","tag-rawak","tag-reactive","tag-rectum","tag-reepo","tag-remaja","tag-rhamnosus","tag-riadah","tag-ringan","tag-risiko","tag-root-canal","tag-rotavirus","tag-rsv","tag-ruam","tag-sabar","tag-saiz","tag-sakit","tag-sakit-jantung","tag-sakit-kepala","tag-sakit-payudara","tag-sakit-perut","tag-sakit-tuan","tag-salindah","tag-salphingectomy","tag-saluran","tag-saraf","tag-sauda","tag-scabies","tag-secretion","tag-sedekah","tag-sedih","tag-sedikit","tag-sejuk","tag-seks","tag-seksi","tag-seksual","tag-self-esteem","tag-sembuh","tag-semburan","tag-semen","tag-semput","tag-senaman","tag-senang","tag-sendi","tag-senggugut","tag-septic","tag-serangan","tag-serangan-jantung","tag-servik","tag-serviks","tag-sesak","tag-setubuh","tag-sex","tag-shampoo","tag-sidenafil","tag-siku","tag-simvastatin","tag-sintetik","tag-slimina-slimming-coffee","tag-smear","tag-soalan-ketidaksuburan-dan-kitaran-haid-acupunture","tag-softgel","tag-solgar","tag-songkok","tag-soya","tag-sperma","tag-spina-bifida","tag-spray","tag-staining","tag-steroid","tag-stethoscope","tag-streptococcus","tag-stress","tag-strok","tag-stroke","tag-suami","tag-subtotal","tag-subur","tag-sujud","tag-sukan","tag-sukar","tag-sukar-bernafas","tag-sukar-dikawal","tag-sukar-nafas","tag-sumbat","tag-suplemen","tag-susah","tag-susu","tag-susuk","tag-syahwat","tag-syampu","tag-tabah","tag-tahan","tag-tahap","tag-tak","tag-tampal","tag-tanya-doktor","tag-tapa","tag-tegang","tag-teh","tag-tekak","tag-tekanan-darah-tinggi","tag-tekanan-perasaan","tag-telan","tag-telur","tag-tenaga","tag-tengkuk","tag-tentera","tag-terapung","tag-tersumbat","tag-testosterone","tag-tetek","tag-thamby","tag-thermophilus","tag-threatened","tag-tia-amelia-krim-jaragat","tag-tidak","tag-tidak-berhenti","tag-tidak-lawas","tag-tidak-puasa","tag-tinggal","tag-tiroid","tag-toilet","tag-tongkat","tag-tonsil","tag-tonsillectomy","tag-tonsillitis","tag-tooth","tag-total","tag-transfluthrin","tag-transxenamic-acid","tag-tri-max","tag-tua","tag-tulang","tag-ubat","tag-ubat-gugur","tag-ujian","tag-ujian-darah","tag-ulser","tag-ultrasound","tag-ulu-hati","tag-umum-air","tag-umur","tag-upt","tag-urine","tag-urusan","tag-urut","tag-usia","tag-usus","tag-uterinal-prolpse","tag-utm","tag-utusan-malaysia","tag-vagina","tag-vaginismus","tag-vaginitis","tag-viagra","tag-viamax","tag-virus","tag-vitamin","tag-wad","tag-wangi","tag-wanita-15","tag-warna","tag-wash","tag-western-blot","tag-x-ray","tag-yahoo","tag-yasmin","tag-youtube","tag-zaitun","tag-zakar","tag-zat-iron","tag-zoster"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p10sZy-1PK","jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":5193,"url":"https:\/\/drzubaidi.com\/blog\/bahaya-darah-tinggi-ketika-hamil\/","url_meta":{"origin":7052,"position":0},"title":"Bahaya Darah Tinggi ketika Hamil","author":"drzubaidi","date":"29\/12\/2013","format":false,"excerpt":"\u201cAssalamu alaikum, doctor. Saya baru-baru ini disahkan mempunyai tekanan darah tinggi ketika hamil. Umur kehamilan saya 26 minggu. Saya hairan kerana tidak mengalami sakit kepala dan sebagainya. Perlukah saya meneruskan rawatan yang diberikan oleh doctor di Klinik Ibu dan Anak itu. Terima kasih?\u201d Walaikum mus salam. Saya bersimpati dengan masalah\u2026","rel":"","context":"In &quot;Doktor Menjawab&quot;","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":5818,"url":"https:\/\/drzubaidi.com\/blog\/hamil-perpanjangan-melebihi-40-minggu\/","url_meta":{"origin":7052,"position":1},"title":"Hamil berpanjangan melebihi 40 minggu","author":"drzubaidi","date":"28\/04\/2014","format":false,"excerpt":"\u201cAssalamu alaikum, doctor. Saya ingin bertanya. Baru-baru ini isteri saya dinasihatkan masukkan ke dalam wad bersalin kerana doctor memberitahu bahawa isteri saya telah melebih jangka usia kehamilan yang sepatutnya. Selalunya kehamilan hanya berlangsung sehingga 40 minggu saja, tetapi isteri saya telah melebihi 40 minggu. Langsung tiada rasa sakit. Adakah ini\u2026","rel":"","context":"In &quot;Doktor Menjawab&quot;","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":5912,"url":"https:\/\/drzubaidi.com\/blog\/adakah-selsema-yang-disebabkan-oleh-virus-berbahaya-kepada-wanita-hamil\/","url_meta":{"origin":7052,"position":2},"title":"Adakah selsema yang disebabkan oleh virus berbahaya kepada wanita hamil?","author":"drzubaidi","date":"14\/05\/2014","format":false,"excerpt":"\u00a0 Wanita yang hamil mempunyai daya tahan yang rendah (sebab perubahan fisiologi) menyebabkan mereka mudah disrang virus selsema. \u00a0 Wanita yang hamil diserang oleh virus selsema boleh cepat menjadi tenat akibat jangkitan pada paru-paru mereka. \u00a0 Bayi dalam rahem juga boleh mengalami masalah antaranya kelahiran pramatang. \u00a0 Selesema yang disebabkan\u2026","rel":"","context":"In &quot;Doktor Menjawab&quot;","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":5946,"url":"https:\/\/drzubaidi.com\/blog\/kesan-makan-mee-segera-pada-wanita-hamil-dan-bayi-dalam-rahem\/","url_meta":{"origin":7052,"position":3},"title":"Kesan Makan Mee Segera pada wanita hamil dan bayi dalam rahem","author":"drzubaidi","date":"24\/05\/2014","format":false,"excerpt":"Ramai yang ketagihan maggi. Kerisauan saya pada kanak-kanak dan wanita yang hamil yang kerap makan mee segera . Kanak-kanak yang berumur bawah 5 tahun akan mengalami masalah penyerapan nutrisi sekiranya dia mengambil mee segera lebih dari 3 kali seminggu. Pengambilan mee segera yang terlalu kerap bagi ibu mengandung juga boleh\u2026","rel":"","context":"In &quot;Doktor Menjawab&quot;","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2696,"url":"https:\/\/drzubaidi.com\/blog\/bayi-mendapat-jangkitan-hepatitis-b-ketika-ibu-hamil\/","url_meta":{"origin":7052,"position":4},"title":"Bayi Mendapat Jangkitan Hepatitis B Ketika Ibu Hamil","author":"admin","date":"04\/06\/2012","format":false,"excerpt":"BAYI MENDAPAT JANGKITAN HEPATITIS B KETIKA IBU HAMIL\u00a0 Ramai pesakit hepatitis B yang mengalami penyakit hepatitis B tanpa mengetahui bahawa mereka mengalami penyakit ini dan tidak mempunyai tanda-tanda yang jelas. \u00a0Bagi seorang wanita yang hamil, jangkitan virus ini boleh menjangkiti anak mereka. Penyakit ini boleh menyebabkan penyakit hati yang serius,\u2026","rel":"","context":"In &quot;Kehamilan&quot;","block_context":{"text":"Kehamilan","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/pregnancy\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2012\/06\/Hepatitis-B2-300x239.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":5814,"url":"https:\/\/drzubaidi.com\/blog\/pesakit-buah-pinggang-hamil-dengan-risiko\/","url_meta":{"origin":7052,"position":5},"title":"Pesakit buah pinggang hamil dengan risiko","author":"drzubaidi","date":"28\/04\/2014","format":false,"excerpt":"\u201cAssalamu alaikum doctor. Saya adalah pesakit sakit buah pinggang yang sedang menjalani rawatan hemodialisis 2 kali seminggu. Baru-baru ini saya disahkan hamil. Apakah ia akan memudaratkan diri saya dan kandungan? Mohon pencerahan\u201d WA ALAIKUM MUS SALAM. Saya merasa kagum dengan kekuasaan ALLAH kerana ramai wanita yang sihat tetapi tidak mampu\u2026","rel":"","context":"In &quot;Doktor Menjawab&quot;","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/7052","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/comments?post=7052"}],"version-history":[{"count":4,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/7052\/revisions"}],"predecessor-version":[{"id":11022,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/7052\/revisions\/11022"}],"wp:attachment":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/media?parent=7052"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/categories?post=7052"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/tags?post=7052"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}