Phenergan (Promethazine) Zotsatira Zowonjezera ndi Njira Zowonjezereka
Zingakhale zokhumudwitsa kwambiri kusamalira mwana wosanza, onse kwa makolo ndi madokotala a ana. Mwana wanu akamasanza chifukwa chakuti ali ndi vuto lopweteka kapena m'mimba yosavuta, zimakhala zophweka kuti amveke kuti achite zinazake kuti asatope.
Phenergan (promethazine) ndi madokotala amodzi omwe akhala akugwiritsa ntchito kwa nthawi yaitali kusanza, koma adalandira machenjezo.
Phunzirani za zotsatira za Phenergan kwa ana komanso zomwe mungapezepo.
Phenergan (Promethazine) ya Vomiting
Phenergan (promethazine) ndi "antiemetic" yogwiritsidwa ntchito pa kusanza ndipo imapezeka ngati mapiritsi, suppositories, injection, kapena syrups. Ngakhale zikubwera pokonzekera zomwe zingagwiritsidwe ntchito ndi ana, siziyenera kugwiritsidwa ntchito kwa ana osapitirira zaka ziwiri, ndipo njira zina (onani m'munsimu) ziyenera kuonedwa kwa ana a zaka zapakati pazaka ziwiri chifukwa cha zomwe zingasokoneze.
Zotsatira Zoipa za Phenergan ndi Chenjezo
Palibe chimodzi koma machenjezo aakulu awiri ogwirizana ndi kugwiritsa ntchito Phenergan.
Chenjezo limodzi lofunika kwambiri kwa ana ndilo vuto la kupuma kwa maganizo komanso chifukwa chake mankhwalawa sayenera kugwiritsidwa ntchito kwa ana osapitirira zaka ziwiri. Mu 2005, chenjezo la boxed linawonjezeredwa ndi mankhwala a FDA akuti mankhwalawa akutsutsana (ayenera osagwiritsidwa ntchito) ana osapitirira zaka ziwiri ndipo ayenera kugwiritsidwa ntchito mochenjera kwa ana opitirira zaka ziwiri.
Chenjezo linaperekedwa pambuyo pa kupuma kwa maganizo komwe kumabweretsa apnea (kupuma kupuma) ndi kumangidwa kwa mtima kunapezeka ana angapo akumwa mankhwalawa. Kuwonjezera pa kupuma kwa kupuma, ntchito ya Phenergan yakhala ikugwirizanitsidwa ndi kusokonezeka, kulingalira, kugwidwa, ndi zomwe zimachitikira ana.
Zotsatirapo izi zimachitika pa mitundu yosiyanasiyana ya mankhwala.
Ngakhale mwana wanu alibe matenda ovutika maganizo, kugona komwe kumakhudzana ndi mankhwala kungapangitse cholinga chanu ndi kusanza. Ngati mwana wanu akugona, samamwa madzi ndipo akhoza kutaya madzi.
Mu 2009, chenjezo lina linaperekedwa pofuna kugwiritsa ntchito Phenergan. Mwa ichi, jekeseni ya Phenergan inkagwirizanitsidwa ndi kuvulala kwa minofu, nthawi zina imayamba kuphulika, yomwe imafuna kuchotsedwa.
Monga kholo, kuphunzira machenjezo amenewa kungakhale koopsa, koma pali njira zina zomwe zimawoneka ngati zotetezeka.
Njira Zina Kuti Phenergan
N'zovuta kuona mwana wanu akusanza, ndipo kutaya madzi kwa madzi kungakhale kovuta, koma pali njira zambiri zogwiritsira ntchito Phenergan. Izi zikuphatikizapo zinthu ziwiri zomwe mungadzipange nokha kunyumba ndi mankhwala osiyanasiyana.
Miyeso ya kunyumba ikhoza kukhala yothandiza kwambiri ndipo ikulimbikitsidwa ndi bungwe la World Health Organization. Ngati mwana wanu akutaya madzi akumwa, kugwiritsa ntchito mankhwala kapena chipatala chakumwa kwa madzi akuyenera kuganiziranso. Phunzirani za momwe mungadziwire ngati mwana wanu wataya madzi, ndipo ngati zili choncho, zingakhale zovuta bwanji. Momwe thupi lanu limataya madzi pang'ono, mwana wanu akhoza kukhala wodzulidwa ndi pakamwa.
Ndi kuchepa kwa madzi okwanira kapena koopsa mungathe kuona zochepa zowonongeka, maso otsekemera, kusowa misozi pamene akulira, ndi opanda pake.
Zothetsera Pakhomo pa Kugonjetsa Ana
Njira yoyamba yopita ku Phenergan yosanza ndiko kuyesa mankhwala omwe muli nawo. Njira zothetsera madzi m'thupi zimatha kugula kapena kupangidwa kunyumba ndipo ndi njira yobwezeretsa madzi okha koma electrolytes mu thupi la mwana wanu. Mukhoza kugula Enfalyte, Pedialyte, kapena Gatorade, kapena mmalo mwake mupangeni njira yanu yokonzanso mpumulo kuchokera ku zitsulo zakakhitchini yanu. Sikuti zokhazokha zothetsera zokhazokha zimakhala zofanana, koma zimakhala zotsika mtengo ndipo zimakulolani kuti musapeze zovala za zakudya zomwe zikupezeka mumagulu ambiri ogulitsidwa.
Imodzi mwa zolakwika zazikulu pakulimbikitsa mwana wanu kumwa zakumwa ndi kupereka mofulumira kwambiri. Zingathe kusokoneza mtima kuti mwana wanu asadye, makamaka ngati akuwoneka wodetsedwa kwambiri, koma kuchita zimenezo kumathandiza ngati mukuyembekeza kuti madzi akukhala "otsalira." Tikulimbikitseni kuti muyambe kupereka supuni imodzi supuni imodzi (supuni ya tiyi ya tiyi) ya yankho la electrolyte pamphindi iliyonse mphindi zisanu kapena khumi. Chiwerengero cha madzi omwe mwana wanu adzafunika chimadalira kuchuluka kwake kwa madzi okwanira m'thupi ndipo akhoza kuyembekezera ndi njira yosavuta.
Pamene mseru wa mwana wanu amakula, makamaka ngati ali ndi kutsekula m'mimba, mukhoza kulowera pang'ono kudya chakudya chake. Mungapereke zakudya monga mkate, mbatata, kapena mpunga komanso nyama yowonda, yogurt, zipatso, ndi masamba. Pewani zakudya zamtundu wa mafuta monga momwe zimakhalira zovuta kukumba. Ngati mwana wanu ali ndi kutsekula m'mimba, zakudya za BRAT (banki, mpunga, apuloauce, toast) zingathandize kulimbitsa chitsime, koma alibe zakudya zokwanira zomwe zingagwiritsidwe ntchito nthawi yaitali.
Mankhwala Osakaniza Othandizira Ana
Ngati mankhwala oletsa antiemétique ndi ofunikira, palinso njira zambiri.
Imodzi mwa mankhwala omwe amagwiritsidwa ntchito kwambiri kwa ana ndi Zofran (ondansetron.) Zofran amavomerezedwa kuti asamalidwe ndi mankhwala osokoneza bongo komanso mankhwala osanza koma nthawi zambiri amagwiritsidwa ntchito "off-label" pofuna kuchiza "chifuwa cha m'mimba" gastroenteritis kwa ana. Pogwiritsidwa ntchito kwa ana omwe ali ndi chimfine cha m'mimba, Zofran apezeka kuti kuchepetsa mwayi woti mwana amafunika madzi oopsa (hospitalization). Zofran ingagwiritsidwe ntchito ngakhale kwa ana aang'ono omwe Phenergan sakuvomerezedwa.
Zofran amabwera ndi chenjezo komanso (lingathe kupitirira nthawi yotchedwa QT kuwona pa electrocardiogram) koma izi ziri ndi mlingo waukulu kwambiri wofunikira kwa chemotherapy, osati mlingo umene umagwiritsidwa ntchito pa chimfine cha mmimba. Mankhwala angakhalenso okwera mtengo kwambiri.
Kodi Muyenera Kuitanira Dokotala Wanu Nthawi Yanji?
Ndikofunika kutchula dokotala wanu ngati mukuda nkhawa ndi kusanza kwa mwana wanu, mosasamala kanthu kuti ndi wofatsa kapena wovuta bwanji. Khulupirirani matumbo anu monga kholo. Ngati mwana wanu akusanza ndipo samamwa madzi amodzi kwa maola angapo, aitanani dokotala wanu. Matenda otsekemera kapena otsekemera magazi, komanso magazi alionse muchitetezo chake, ndi chifukwa chinanso choyitanira pomwepo. Kumva kupweteka kwa m'mimba ndi chifukwa china chofunsira chithandizo chamankhwala, ngakhale icho chikubwera ndi kupita ndipo sichiri chokhazikika.
Pansi pa Phenergan of Vomiting in Children
Kuphunzira za machenjezo ogwiritsira ntchito Phenergan ana kumakhala koopsa ngati kholo, koma pali njira zambiri zomwe sizikhala zoopsa zomwezo. Phindu la mankhwala aliwonse ayenera kuyeza pazowopsa. Ngati mwana wanu amatha kulekerera njira yothetsera madzi m'kamwa ndipo amatha kutenthetsa madzi pang'ono, mankhwalawa amathandiza kwambiri kupewa kutaya madzi mpaka atadutsa.
> Zotsatira:
> Fedorowicz Z, Jagannath VA, Carter B. Antiemetics pofuna kuchepetsa kusanza komwe kumakhudzana ndi gastroenteritis yovuta kwa ana ndi achinyamata. Dongosolo la Cochrane la Zosintha Zogwirizana . July 2011. doi: 10.1002 / 14651858.cd005506.pub5.
> Lorenzo C. Maphunziro a odwala: Nseru ndi kusanza kwa ana ndi ana (Kupitirira Zowona). Kupititsa patsogolo . Kusinthidwa 05/02/17.
> Tomasik E, Ziolkowski E, Kolodziej M, Szajewska H. Kukambitsirana Mwachidule ndi Meta-Analysis: Ondansetron for Vomiting in Children with Acute Gastroenteritis. Pharmacology and Medical Therapeutics . 2016. 44 (5): 438-46.