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首先要告诉大家的是:绝大多数药物都能通过乳汁分泌。所以,母亲无论吃什么药,只要喂奶,宝宝就会和妈妈同时服到药物。宝宝的肝肾功能尚未发育完全,对药物的代谢也差,所以,如果这种药物有副作用,就有可能伤及宝宝。但不同的药透过乳汁的浓度是不同的,透过浓度较少,对宝宝的伤害可能也会少;有些药物副作用较少,所以宝宝吃一些也没有太大关系。我向大家介绍一本书。书名为《药物与母乳喂养》,是美国Hale博士写的,已被翻译成中文,由人民卫生出版社出版。这本书也是一位乙肝妈妈给我提供的。在本书中,Hale博士将药物的哺乳危险性分为L1～L5五个等级:
The first thing to tell is that most drugs are secreted through the milk. Therefore, no matter what medicine to eat the mother, as long as breastfeeding, the baby and mother will be served at the same time. Baby’s liver and kidney function has not yet fully developed, the metabolism of the drug is also poor, so if this drug has side effects, it is possible to hurt the baby. However, the concentration of different drugs through the milk is different, through the concentration of less damage to the baby may be less; some less side effects of drugs, so the baby eat some not much. I introduce a book to you. Titled “Medication and Breastfeeding,” written by Dr. Hale in the United States, has been translated into Chinese and published by People’s Health Publishing House. This book is also provided to me by a hepatitis B mother. In this book, Dr. Hale divides the risk of breastfeeding into five levels L1 to L5: