Pamene Mwana Wanu Ali ndi Mimba Yam'mimba
Ngati mwana wanu posachedwa ali m'chipinda chodzidzimutsa chifukwa anali kusanza ndi kutaya madzi, amatha kupatsidwa mlingo wa Zofran (ondansetron). Mungadabwe kuti chifukwa chiyani mankhwalawa omwe amagwiritsidwa ntchito poyambitsa matenda a khansa amagwiritsidwa ntchito kwa ana omwe ali ndi chimfine cha m'mimba. Zakhala zowonongeka mu malo osungirako opaleshoni kwapadera gastroenteritis (m'mimba ya chimfine).
Zofran vs. Phenergan
Phenergan (promethazine) amagwiritsidwa ntchito pofuna kuchepetsa kusuta ndi kusanza, koma mu 2006 a FDA analimbikitsa kuti lisagwiritsidwe ntchito kwa ana osapitirira zaka ziwiri. Mankhwalawa amakhala ndi chiopsezo chochepetsera kapena kupuma kupuma kwa ana ndi makanda. Kwa ana achikulire, Phenergan nthawi zambiri amachititsa kugona kumene ana ambiri a ana sakonda kuigwiritsa ntchito. Ngakhale mwana wanu asasanza, ngati ali ndi tulo todwala ngati ali ndi kachilombo ka m'mimba, ndiye kuti akadakomoka.
Zofran ali ndi chenjezo lake, komabe, poyerekeza ndi miyeso yapamwamba imene nthawiyina inkapweteketsa ndi kusanza yogwirizana ndi chemotherapy. Izi zinatsatira phunziro lomwe linapeza kuti mlingo umodzi wokha wa mamiligalamu 32 ukhoza kusokoneza kayendedwe ka mtima, komwe kumapangitsa kutalika kwa nthawi ya QT. Komabe, mlingo umenewu sungapezeke ndipo uli wapamwamba kwambiri kuposa ma milligrams 2 mpaka 8 milligrams omwe ana ndi achinyamata amalembedwa.
Zofran kwa Fluu Flu
Ngakhale kuti Zofran amavomerezedwa kuti asatengeke ndi kusanza ndi kusanza kwa odwala omwe angakhale ndi mankhwala enaake kapena opaleshoni, mankhwala ambiri amaperekedwa kulembela kwa zina. Pankhaniyi, pali zofukufuku zambiri zomwe zimasonyeza kuti Zofran zingakhale zothandizira kuchiza ndi kuteteza kusanza komwe kumachitika ndi gastroenteritis.
Kufufuza kwa Cochrane kumatsimikizira kuti oral ondansetron inathandiza ana ndi achinyamata kuti asiye kusanza ndi kuchepetsa kufunika koti abwezeretsedwe ndi kuchipatala. Phunziro la 2014 linati Zofran anapatsidwa theka la ana omwe ali ndi chimfine cha m'mimba omwe anapita ku chipinda chodzidzimutsa ku United States Phunziroli linatsimikizira kuti madokotala ayenera kuganizira zopereka mankhwala kwa ana omwe ali pachiopsezo chotaya madzi, sangathe kulephera kulankhula zamadzimadzi, ndipo akhoza kufunikira madzi osakaniza.
Zofran kwa Ana
Ngakhale akatswiri ambiri akupeza Zofran akuthandizira mu chipinda chodzidzimutsa pofuna kupewa ndi kuchiza kusanza kuchokera ku gastroenteritis, dokotala wanu wa ana sangathe kuulongosola pambali pokhapokha. Zotsatira zamakono zamakono, kuphatikizapo za American Academy of Pediatrics, musawononge kugwiritsa ntchito mankhwala kuti asiye kusanza. Palibe kafukufuku wowonjezera omwe amathandiza kuti izi zigwire ntchitoyi pomwe maphunziro onse achitika mu chipinda chodzidzimutsa. Ngati kufufuza kwina kukuthandizira, mwinamwake madokotala angagwiritse ntchito kwambiri kwa ana omwe ali ndi chimfine cha mmimba.
> Zotsatira:
> Cheng A. Ntchito yowonjezera yachipatala ya oral oral ondansetron kwa kusanza kwamtundu wa gastroenteritis kwa ana ndi ana. Mankhwala ndi Matenda a Ana . 2011; 16 (3): 177-179.
> 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.
> Freedman SB, Hall M, Shah SS, et al. Zotsatira za Kuwonjezeka kwa Ntchito Zogwiritsidwa Ntchito pa Zotsatira za Zipatala kwa Ana Odwala Gastroenteritis. JAMA Matenda . 2014; 168 (4): 321. lembani: 10.1001 / jamapediatrics.2013.4906.