Phenergan (Promethazine) Nzira Dzakashata uye Zvimwe Zvimwe Zvekugadzirisa
Zvinogona kukanganisa zvikuru kutarisira mwana anotsuka, zvose kuvabereki nevanachiremba vevana. Apo mwana wako ari kurutsa nokuti ane strep throat kana chirwere chemuviri chisina nyore, zviri nyore kunzwa unomanikidzwa kuita chimwe chinhu kumuchengetedza kuti asava nemvura yakaoma.
Phenergan (promethazine) mumwe chiremba vanachiremba vakashandisa kwenguva refu mukurutsa, asi vakagamuchira nyevero.
Dzidza nezvemigumisiro yePhenergan yevana uye zvimwe zvingasarudzwa zviripo.
Phenergan (Promethazine) yeVomiting
Phenergan (promethazine) i "antiemetic" inoshandiswa mukurutsa uye inowanikwa sehwendefa, suppositories, injectables, kana syrups. Kunyangwe zvinouya mukugadzirira kunogona kushandiswa nevana vaduku, haifaniri kushandiswa muvana vasati vadarika makore maviri emakore, uye mamwe maitiro (ona pasi apa) inofanira kutaridzirwa kuvana vanopfuura makore maviri nekuda kwekukanganisa kusakanganiswa.
Phenergan Side Effects nekunyevera
Hapana imwe chete asi mbiri huru kunyevero inobatanidza nekushandiswa kwePhenergan.
Imwe nyevero inonyanya kukosha kuvana mukana wekudzivirira kupora uye kuti nei chirevo ichi chisingafaniri kushandiswa kune vana vasati vava nemakore maviri. Muna 2005 nhevero yebhokisi yakawedzerwa kune zvinodhaka neRDA inotaura kuti mushonga wacho unopesana (unofanira zvachose kusashandiswa) muvana vari pasi pemakore maviri uye inofanira kushandiswa nekuchenjerera kuvana vanopfuura makore maviri.
Nyevero yakapiwa mushure mokufema kuora mwoyo kunotungamirira kuapnea (kusapona kufema) uye kusungwa kwemwoyo kwakaitika muvana vanoverengeka vanotora mishonga. Mukuwedzera kune kuora mwoyo, kushandiswa kwePhenergan kwave kuchibatanidzwa nekunetseka, kukanganisa, kugumburwa, uye kuitika kwevyystonic kuvana.
Izvi zvinokonzerwa nemigumisiro yakaitika pane zvakasiyana-siyana zvemasero.
Kunyangwe kana mwana wako asina chirwere chakanyanya kufema, kusvota kunobatana nemishonga kunogona kupikisa chinangwa chako nekurutsa. Kana mwana wako ari kurara, haasi kunwa mvura uye inogona kuva yakanyanyisa mvura.
Muna 2009 imwe nyevero yakapiwa kushandisa Phenergan. Mune iyi, zvipembenene zvePhenergan zvakabatanidzwa nekukuvara kwechigunwe, dzimwe nguva zvichikonzera chigamba, chinoda kubviswa.
Somubereki, kudzidza kwezviyeuchidzo izvi kunogona kuva kunotyisa, asi kune dzimwe nzira dzinowanika dzinoita sekuti dzakachengeteka zvikuru.
Alternatives To Phenergan
Zvakaoma kuona mwana wako achirutsira, uye kushaya mvura yakaoma kunogona kuva yakakomba, asi kune dzimwe nzira dzakawanda pakushandiswa kwePhenergan. Izvi zvinosanganisira zvinhu zviviri iwe unogona kuzviita pamba uye mishonga yakasiyana.
Mishonga yepamusha inogona kubatsira uye inokurudzirwa neWorld Health Organization. Kana mwana wako ari kuora simba, kushandiswa kwemishonga kana kuti hospital hospital for intravenous fluids inofanirawo kufungwa. Dzidza nezvekuti ungaziva sei kana mwana wako achinaya mvura, uye kana zvakadaro, kuti zvakanyanya sei. Nekunyorovesa mvura, mwana wako anogona kuita nyota uye ave nemuromo wakaoma.
Nekunyanyisa kana kuoma kwakanyanya kwemvura iwe unogona kuona mashoma emvura, maziso akasviba, kusava nemisodzi paanochema, uye pasina.
Mishonga Yekumba Kwekugadzirisa Vana
Nzira yekutanga yePhenergan yekurutsa ndeyokuedza mishonga yemusha yaunayo. Zvigadziriswa zvemuviri zvinogona kuwanikwa kana kugadzirwa kumba uye inzira yekudzorera kwete mvura chete asi electrolytes mumuviri wemwana wako. Iwe unogona kuda kutenga Enfalyte, Pedialyte, kana Gatorade, kana kuti panzvimbo yako uite shanduko yako pachako yekugadzirisa mvura kubva kune zvigadzirwa mukicheni yako. Haisi kungozvigadzirisa zvinogadziriswa zvinokwana, asi zvinodhura uye zvinokubvumira kuti urege kudya dyes iripo mune dzakawanda dzezvitoro zvakatengwa.
Chimwe chezvikanganiso zvikuru mukukurudzira mwana wako kunwa mvura ndeyokupa zvakawandisa zvakanyanya. Zvinogona kuputsa mwoyo kuti udzivise mwana wako kudya, kunyanya kana achiita seanonyota nyota, asi kuita izvozvo kunobatsira kana iwe unotarisira kuva nemvura inonaya "kugara pasi." Zvinokurudzirwa kuti utange nekupa imwe teaspoon kusvika kune imwe yepuniko (matatu mashupuni) ehururo ye electrolyte remaminetsi mashanu kusvika kumaminitsi gumi. Kuwanda kwemvura inoshandiswa nemwana wako kuchadikanwa nehuwandu hwekushaya mvura uye kunogona kufungidzirwa nehuwandu husina kumira.
Sezvo chirwere chemwana wako chichivandudza, uye kunyanya kana ane chirwere, unogona kunge uchida kuisa zvishoma zvokudya mukati mokudya kwake. Iwe unogona kupa zvokudya sechingwa, mbatatisi, kana murairi pamwe chete nenyama yakaonda, yogurt, michero, nemiriwo. Dzivisa zvokudya zvakakura mumafuta sezvazvinenge zvakanyanya kuoma. Kana mwana wako anewo chirwere, chirongwa che BRAT (bhanana, rizi, applesauce, mbiriso) zvinogona kubatsira kusimbisa chigaro, asi hachina mishonga yakakwana inoshandiswa chero nguva yakareba.
Mishonga Inogona Kurapa Muvana
Kana chirwere chinorwisa antiemetic chichidikanwa, pane zvimwe zvingashandiswa.
Imwe yemishonga inowanzoshandiswa nemishonga yevana ndeyeZofran (ondansetron.) Zofran inogamuchirwa kuti irapwe chemotherapy-induced nausea uye kurutsa asi inowanzoshandiswa "off-label" yekurapa "chirwere chemimba, gastroenteritis muvana. Kana yakashandiswa nokuda kwevana vane chirwere chepamuviri, Zofran yakawanikwa kuchera mukana wekuti mwana achada mvura inopisa (hospitali). Zofran inogona kushandiswa kunyange muvana vaduku kuti ndiani Phenergan asina kukurudzirwa.
Zofran anouya nenyevero pamwe chete (inogona kupedzera nguva inonzi QT yakaonekwa pane electrocardiogram) asi izvi zvinowedzera kuwedzerwa kwemitambo inokwana chemotherapy, kwete maitiro anoshandiswa mudumbu remvura. Mishonga inogonawo kuva yakadhura.
Ndeipi Paunofanira Kudana Doctor Yako?
Zvakakosha kudana chiremba wako kana uine hanya nekurutsira kwemwana wako, zvisinei kuti uri munyoro kana wakaita sei. Vimba netariro yako semubereki. Kana mwana wako achirutsa uye achienda asina kunwa chero mvura ipi zvayo kwemaawa anopfuura maawa mashoma, dana chiremba wako. Chirwere chine ruvara-ruvara kana kuti chirwere cheropa, uye chero ropa chero ripi zvaro mumubhedha wake, chimwe chikonzero chekushevedza pakarepo. Dambudziko remuviri ndeimwe chikonzero chekutsvaga kurapwa, kunyange kana richiuya uye ichienda uye isingaiti nguva dzose.
Pasi Pano pa Phenergan Yokukurira Vana
Kudzidza pamusoro pekunyeverwa kwekushandiswa kwePhenergan muvana kunotyisa semubereki, asi kune zvakawanda zvezvimwe zvisingaiti nematambudziko akafanana. Kubatsirwa kwemishonga chero ipi zvayo inofanira kuyerwa nezvingangoita njodzi. Kana mwana wako achikwanisa kubvumira chirongwa chemugadziri wemvura uye inongova yakanyanyisa mvura, mishonga iyi yemumba inogona kuva yakanyanyisa mukudzivirira kupera simba kusvikira utachiona hwapfuura.
> Sources:
> Fedorowicz Z, Jagannath VA, Carter B. Antiemetics mukudzikisa kurutsira kwakabatana nehutu hwegastroenteritis kuvana nevechiri kuyaruka. Cochrane Database yekuongorora kwakarongeka . Nyakanga 2011. doi: 10.1002 / 14651858.cd005506.pub5.
> Lorenzo C. Dzidzo yevarwere: Nausea uye kurutsa mumucheche nevana (Beyond the Basics). UpToDate . Updated 05/02/17.
> Tomasik E, Ziolkowski E, Kolodziej M, Szajewska H. Ongororo Yedzemitemo neMeta-Kuongorora: Ondansetron yekugadzirisa muvana vane Acute Gastroenteritis. Alimentary Pharmacology uye Therapeutics . 2016. 44 (5): 438-46.