I-Phenergan (Promethazine) Iimpembelelo zangasese kunye nezinye iindlela zokuVothela
Kunokukhathazeka kakhulu ukunyamekela umntwana ohlanza, kokubili kubazali kunye nezingane. Xa umntwana wakho ehlanza ngenxa yokuba une-throp throat okanye igciwane lesisu esilula, kulula ukuziva ucinezelekile ukuba wenze into ekumncedayo ukuba angagcini.
I-Phenergan (promethazine) yonyango elinye lonyango lisebenzise ixesha elide lokuhlanza, kodwa lifumene izilumkiso.
Funda malunga nemiphumo emibi ye-Phenergan kubantwana kunye nokuba zeziphi ezinye iindlela ezikhoyo.
I-Phenergan (Promethazine) yokuLungisa
I-Phenergan (promethazine) yi-"antiemetic" esetyenziselwa ukuhlanza kwaye ikhona njengamacwecwe, i-suppositories, injectables, okanye i syrups. Nangona kuza kumalungiselelo angasetyenziswa ngabantwana abancinci, akufanele kusetshenziswe kwabantwana abangaphantsi kweminyaka emi-2 ubudala, kunye nezinye iindlela (jonga ngezantsi) kufuneka ziqwalaselwe kwabantwana abangaphezu kweminyaka emi-2 ngenxa yeempendulo ezingabonakaliyo.
Iimpembelelo zecala kunye nezilumkiso
Akukho nanye kodwa isilumkiso esibalulekileyo esinxulumene nokusetyenziswa kwePhenergan.
Esinye isilumkiso esibaluleke kakhulu kubantwana kungengozini yokuphefumula ukuphefumula kwaye kutheni akufuneki isetyenziswe isilwanyana kubantwana abangaphantsi kweminyaka engama-2. Ngo-2005 isilumkiso sebhokisi songezwa kwisiza nge-FDA esichaza ukuba isicatshulwa siyaphikisana (kufuneka ayinakusetyenziswa ngokupheleleyo) kwabantwana abangaphantsi kweminyaka engama-2 kwaye kufuneka basebenziswe ngokucophelela kubantwana abangaphezu kweminyaka emi-2.
Isilumkiso sanikezwa emva kokudandatheka okuphefumulayo okubangelwa kukuphefumula (ukungaphefumliyo) kunye nokubanjwa kwentliziyo kwenzeke kubantwana abaningana abathwala iziyobisi. Ukongezelela kokudandatheka kokuphefumula, ukusetyenziswa kwePhenergan kuye kwadibaniswa nokuphazamiseka, ukukhwabanisa, ukuthatha umonakalo kunye nokuphendula kwama-dystonic kubantwana.
Ezi ziphumo zecala zenzeka kwiindidi ezahlukeneyo zamanani.
Nangona umntwana wakho akanalo ukunyamezeleka okuphefumulayo, ubuthongo obunxulumene neyeza lungahambelana nomgomo wakho ngokuhlanza. Ukuba umntwana wakho ulele, akaphuzi umbane kwaye unokukwazi ukuphelelwa amanzi.
Ngo-2009 esinye isilumkiso sanikwa ukusetyenziswa kwePhenergan. Kulo, iilenki zePenergan zazidibene nokulimala kweethambo, ngezinye izihlandlo zenza i-gangrene, efuna ukuhluthwa.
Njengomzali, ukufunda kwezi zi lumkiso kunokusongela, kodwa kukho ezinye iindlela ezibonakalayo zikhuselekileyo.
Eminye indlela yokuPhenergan
Kunzima ukubona ukuhlanza komntwana wakho, kunye nokunyanzeliswa kwamanzi kungabonakali, kodwa kukho iindlela ezininzi zokusetyenziswa kwePhenergan. Ezi ziquka zombini izinto ozenzayo ekhaya kunye neyeza ezahlukeneyo.
Amanyathelo asekhaya anokunceda kakhulu kwaye acetyiswa yiNhlangano yezeMpilo yeSizwe. Ukuba umntwana wakho uya kuguqulwa, ukusetyenziswa kwemichiza okanye ukulaliswa esibhedlele ngamanzi amachiza kufuneka kuqwalaselwe. Funda malunga nendlela onokujonga ngayo ukuba umntwana wakho ungciniweyo, kwaye ukuba kunjalo, nokuba nzima kangakanani. Ngomngcipheko omncinci, umntwana wakho unokoma kwaye unomlomo owomileyo.
Ngomdaka ophantsi okanye okhuselekileyo ungabona iincwecwe ezimanzi ezincinci, amehlo anelisiweyo, ukungabi ninyembezi xa ekhala, kunye nokungabikho nto.
Izilwanyana zaseKhaya zokuVothela kwabantwana
Indlela yokuqala eya kwi-Phenergan yokuhlanza kukuzama ukusebenzisa izilwanyana zasemakhaya ozilahlile. Isisombululo se-Oral rehydration can be bought or made up home and are a way to restore only the fluids but electrolytes emzimbeni womntwana wakho. Unokuba unqwenela ukuthenga i-Enfalyte, iPedialyte, okanye i-Gatorade, okanye endaweni yoko yenza isisombululo sakho sokuvuselela izixhobo kwiikhikhini yakho. Akunjalo kuphela izisombululo ezizenzekelayo, kodwa zithengwa kwaye zivumela ukuba ugweme idayi yokudla ekhoyo kwiinkampu ezininzi ezithengiweyo.
Enye yeephosiso eziphambili ekukhuthazeni umntwana ukuba aphuze umbane kukunikela ngokukhawuleza kakhulu. Ingakwazi ukuphulaphula intliziyo ukwenzela ukunciphisa intlawulo yomntwana wakho, ngakumbi xa ebonakala enxaniwe kakhulu, kodwa ukwenza oko kunceda ukuba unethemba lokufumana ama-fluids "uhlale phantsi." Kunconywa ukuba uqale ngokunika itaspoon enye kwipunipoon enye (iispuni ezintathu) zesisombululo somlomo se-electrolyte yonke imizuzu emihlanu ukuya kweyimizuzu. Inani elipheleleyo lomntwana wakho oza kuyimfuneko lixhomekeke kwisilinganiso sakhe sokungcoliswa kwamanzi kwaye kunokuqikelelwa ngefomula elula.
Njengokuba isisulu somsana wakho siphucula, kwaye ngokukodwa ukuba unesifo sohudo, unokuba unqwenela ukuzisa ngokukhawuleza ukutya ekudleni kwakhe. Unokunika ukutya njengesonka, amazambane, okanye ilayisi kunye nomzimba onobuhlungu, i-yogurt, izithelo kunye nemifuno. Gwema ukutya okuninzi kwioli kuba nzima ukugaya. Ukuba umntwana wakho unesifo sohudo, ukutya kwe- BRAT (ubhanana, ilayisi, i-applesauce, isambatho) kunokuncedisa ukuqinisa isihlalo, kodwa akanalo izondlo ezaneleyo ezisetyenziselwa naluphi ubude bexesha.
Ezinye iiMedizo zokuLawulwa kwabantwana
Ukuba kukho imfuneko yonyango ye-antiemetic, kukho ezinye iindlela ezininzi.
Esinye seziyeza eziqhelekileyo ezisetyenziswayo ngabantwana nguZofran (ondansetron.) UZofran uvunyiwe ukuba unyango lwe-cerebral-stimulated nausea kunye nokuhlanza kodwa ngokuqhelekileyo kusetyenziswa "ngaphandle kwelebula" ekuphatheni "isifo somzimba" gastroenteritis kubantwana. Xa isetyenziselwa abantwana abaneentsholongwane zesisu, i-Zofran ifunyenwe ukunciphisa ithuba lokuba umntwana uya kufuna iimfudu zamanzi (ukulaliswa kwezibhedlele). I-Zofran ingasetyenziselwa kwanabantwana abancinci ukuba ngubani uPhenergan ongenconywa.
UZofran uza nesilumkiso kunye (inokuyandisa ixesha elibizwa ngokuba yi-QT ibonwe kwi-electrocardiogram) kodwa oku kungaphezulu kwamanani aphezulu afunekayo kwi-chemotherapy, kungekhona amanani asetyenziswe isifo somkhuhlane. Amachiza angabiza kakhulu.
Xa Ufanele Ubize Ugqirha Wakho?
Kubalulekile ukubiza ugqirha wakho ukuba unenkxalabo yokuhlanza komntwana wakho, kungakhathaliseki ukuba bubuhlungu okanye bunzima bubonakala ngathi. Yithemba umthambo wakho njengomzali. Ukuba umntwana wakho uhlamba kwaye uhamba ngaphandle kokusela naluphi na umbane ngaphezu kweeyure ezimbalwa, biza ugqirha wakho. Ukuhlanjululwa okuluhlaza okanye ukuhlanza igazi, kunye naliphi na igazi kwisigxina sakhe, esinye isizathu sokubiza ngokukhawuleza. Intlungu yesisu isinye isizathu sokufuna unyango, nangona liza kwaye lihamba kwaye alihlali.
Ngaphantsi kwi-Phenergan yokuLawulwa kwabantwana
Ukufunda malunga nezilumkiso zokusetyenziswa kwe-Phenergan kubantwana kubethusa njengomzali, kodwa kukho izinto ezininzi ezingenayo ingozi efanayo. Inzuzo yonyango nawuphi na amachiza kufuneka alinganiswe nemingcipheko engozi. Ukuba umntwana wakho unako ukunyamezela isisombululo somlomo kunye nokupheliswa kwamanzi ngokukhawuleza, le miyeza yasemakhaya inokusebenza kakuhle ekukhuseleni ukungcoliswa kwamanzi kuze kube yintsholongwane.
> Imithombo:
> I-Fedorowicz Z, uJagannath VA, uCarter B. Antiemetics ekunciphiseni ukuhlanza okuhlobene ne-gastroenteritis enzima kubantwana nakwishumi elivisayo. I-Cochrane Database yeeNkqubo eziPhezulu . Julayi 2011. Ithenda: 10.1002 / 14651858.cd005506.pub5.
> Lorenzo C. Imfundo yesineke: Ukukhathazeka nokuhlanza kwiintsana kunye nezingane (ngaphaya kwezinto ezisisiseko). UpToDate . Ukuhlaziywa 05/02/17.
> Tomasik E, Ziolkowski E, Kolodziej M, Szajewska H. Ukuphononongwa ngokuHlanganisiweyo kunye ne-Meta-Analysis: i-Ondansetron yokuVothela kwi-Children ene-Gastroenteritis eyiyo. I-Pharmacology kunye neeTherapeutics . 2016. 44 (5): 438-46.