I-Phenergan (Promethazine) Imiphumela engezansi kanye nezinye izindlela zokuvota
Kungakhathaza kakhulu ukunakekela ingane yokuhlanza, kokubili abazali nabahlengikazi. Uma ingane yakho ihlanza ngoba ine-strep throat noma igciwane lesisu esilula, kulula ukuzizwa ucindezelekile ukwenza okuthile ukuze umvimbe ekungangeni emanzini.
I-Phenergan (promethazine) yilapha odokotela abaye basebenzisa isikhathi eside sokuhlanza, kodwa bathole izixwayiso.
Funda ngemiphumela emibi ye-Phenergan yezingane nokuthi yiziphi ezinye izinketho ezitholakalayo.
I-Phenergan (Promethazine) Yokuvota
I-Phenergan (promethazine) iyi-"antiemetic" esetshenziselwa ukuhlanza futhi itholakala njengeziphilisi, i-suppositories, injectables, noma i-syrups. Nakuba kuziwa emalungiselelweni angasetshenziswa izingane ezincane, akufanele neze zisetshenziswe ezinganeni ezingaphansi kweminyaka emibili ubudala, kanti ezinye izindlela (bheka ngezansi) kufanele zibhekwe ezinganeni ezingaphezu kweminyaka emibili ngenxa yokuphendula okungalungile.
Imiphumela emibi ye-Phenergan kanye nezixwayiso
Asikho esinye isixwayiso esikhulu esisodwa esihlobene nokusetshenziswa kwe-Phenergan.
Isixwayiso esisodwa esibaluleke kakhulu kubantwana kuyingozi yokucindezeleka ukuphefumula futhi kungani isidakamizwa akufanele sisetshenziselwe izingane ezingaphansi kweminyaka engama-2. Ngo-2005 isilumkiso sebhokisi senezelwa kwisidakamizwa i-FDA esho ukuthi lesi sidakamizwa siyaphikisana (kufanele akufanele isetshenziswe) ezinganeni ezingaphansi kweminyaka emibili futhi kufanele zisetshenziswe ngokucophelela ezinganeni ezingaphezu kweminyaka emibili.
Isixwayiso sanikezwa emva kokucindezeleka kokuphefumula okuholela ekuphefumuleni (ukungaphefumuli) nokuboshwa komzimba kwenzeka ezinganeni eziningana ezithatha izidakamizwa. Ngaphezu kokucindezeleka kokuphefumula, ukusebenzisa i-Phenergan kuye kwahlotshaniswa nokuhlukumezeka, ukucabangela, ukuhlukunyezwa, nokuziphendulela kwama-dystonic ezinganeni.
Le miphumela emibi yenzeke ngezidakamizwa ezihlukahlukene.
Ngisho noma ingane yakho ingabi nokucindezeleka okukhulu kokuphefumula, ukulala okuhlobene nemithi kungaphambana nomgomo wakho ngokuhlanza. Uma ingane yakho ilele, akaphuzi uketshezi futhi angase aphelelwe amandla nakakhulu.
Ngo-2009 esinye isixwayiso sanikezwa ukusetshenziswa kwePhenergan. Kulo, ama-Phenergan ahlotshaniswa nokulimala kwezicubu, ngezinye izikhathi abangela ukugqwabanisa, okudinga ukuthunjwa.
Njengomzali, ukufunda lezi zixwayiso kungesabisa, kodwa kunezinye izindlela ezitholakala ukuthi zivikelekile kakhulu.
Okunye Okungaholela Ku-Phenergan
Kunzima ukubona ukuhlanza kwengane yakho, nokuphelelwa amandla kwamanzi kungabi sína, kodwa kunezinye izindlela eziningi zokusebenzisa i-Phenergan. Lokhu kufaka phakathi kokubili izinto ongakwenza wena ekhaya nasemithini ehlukene.
Izindlela zasekhaya zingasiza kakhulu futhi zinconywa yi-World Health Organization. Uma ingane yakho ikhulelwa amandla, ukusetshenziswa kwemithi noma ukunakekelwa kwezidakamizwa ukuze kusetshenziswe amanzi okugcoba kufanele kubhekwe. Funda mayelana nendlela yokunquma ukuthi ngabe ingane yakho idibene kanjani, futhi uma kunjalo, ukuthi kungaba nzima kanjani. Ngokuphefumula okuncane, ingane yakho ingabe isomile futhi ibe nomlomo owomile.
Ngokuphelelwa amanzi ngokweqile noma okunzima ungabona amathole ambalwa amanzi, amehlo aqhekekile, ukungabikho kwezinyembezi lapho ekhala, futhi engenalutho.
Izixazululo zasekhaya zokuvotela ezinganeni
Okokuqala okunye ku-Phenergan yokuhlanza ukuzama ukwelashwa kwamakhaya onawo. Izixazululo ze-Oral rehydration zingathengwa noma zenziwe ekhaya futhi ziyindlela yokubuyisela hhayi kuphela uketshezi kodwa ama-electrolyte emzimbeni wengane yakho. Ungase ufise ukuthenga i-Enfalyte, i-Pedialyte, noma i-Gatorade, noma esikhundleni salokho yenza isisombululo sakho sokuvuselelwa kabusha kusuka ezitsheni ekhishini lakho. Akuzona kuphela izixazululo ezenziwe ngokwezifiso ezilinganayo, kodwa zithengeka kakhulu futhi zikuvumela ukuba ugweme ama-dyes wokudla avela ezinkingeni eziningi ezithengwa ngesitolo.
Enye yeziphambeko ezinkulu ekukhuthazeni ingane yakho ukuphuza uketshezi ukunikela ngokusheshisa kakhulu. Kungaba ukuhlukumeza inhliziyo ukunciphisa ukudla kwengane yakho, ikakhulukazi uma ibonakala isomile kakhulu, kodwa ukwenza kanjalo kuyasiza uma unethemba lokuba nezimpukane "zihlale phansi." Kunconywa ukuthi uqale ngokunikeza ithisipuni elilodwa isipuni esisodwa (izipuni ezintathu) zesisombululo somlomo we-electrolyte njalo imizuzu emihlanu kuya kweyishumi. Ingqikithi yetshezi ingane yakho eyoyidinga ixhomeke kwizinga layo lokukhulelwa kwamanzi futhi lingalinganiselwa ngefomula elula.
Njengoba isicanucanu sezingane yakho sithuthuka, futhi ikakhulukazi uma unesifo sohudo, ungase ufise ukuletha kancane kancane ukudla ekudleni kwakhe. Unganika ukudla okufana nesinkwa, amazambane, noma irayisi kanye nenyama enomzimba, i-yogurt, izithelo nemifino. Gwema ukudla okunamafutha amaningi njengoba kunzima ukugaya. Uma ingane yakho nayo isifo sohudo, ukudla kwe- BRAT (ubhanana, irayisi, i-appleauce, isobho) kungasiza ukuqinisa isitokisi, kodwa ayinayo izakhi ezanele zokusetshenziselwa ubude besikhathi.
Imithi Ehlukile Yokuvota Kwezingane
Uma kudingeka imishanguzo ye-antiemetic, kunamathuba amaningi manje.
Omunye wemithi ejwayelekile kakhulu esetshenziselwa izingane yiZofran (ondansetron.) UZofran uvunyelwe ukwelashwa kwe-chemotherapy-induced nausea nokuhlanza kodwa ngokuvamile isetshenziswa "off-label" ekuphatheni "isisu somkhuhlane," ngokwemithi eyaziwa njenge- acute i-gastroenteritis ezinganeni. Uma isetshenziselwa izingane ezinezifo zomkhuhlane, iZofran itholakale ukunciphisa amathuba okuthi ingane izodinga uketshezi oluthile (ukufakwa esibhedlela). I-Zofran ingasetshenziswa ngisho nasezinganeni ezincane ukuthi ngubani uPhenergan ongeke anconywe.
I-Zofran iza nesixwayiso futhi (singenza isikhathi eside sibizwa ngokuthi i-QT sibone ku-electrocardiogram) kodwa lokhu kunamazinga aphezulu kakhulu adingekayo e-chemotherapy, hhayi amanani asetshenziselwa isisu somkhuhlane. Imithi ingaba yabiza kakhulu.
Kufanele Ubize Udokotela Wakho Nini?
Kubalulekile ukubiza udokotela wakho uma ukhathazekile ngokuhlanza kwengane yakho, kungakhathaliseki ukuthi ubumnene noma bunzima kangakanani kubonakala. Thembela emathunjini akho njengomzali. Uma ingane yakho ihlanza futhi ingahambi ngaphandle kokuphuza noma yikuphi uketshezi ngaphezu kwamahora ambalwa, shayela udokotela wakho. Ukuhlanzwa okuhlaza okwesibhakabhaka noma ukuhlunga igazi, kanye nanoma yiliphi igazi esitokisini sakhe, kungenye isizathu sokubiza ngokushesha. Ubuhlungu besisu kukhona esinye isizathu sokufuna ukunakekelwa kwezekwelapha, ngisho noma kufika futhi kuhamba futhi kungabi njalo.
Ngezansi ku-Phenergan Yokuvota Kwezingane
Ukufunda mayelana nezixwayiso zokusetshenziswa kwe-Phenergan ezinganeni kunesabisa njengomzali, kodwa kunezinye izindlela eziningi ezingenayo izingozi ezifanayo. Ukuzuza kwanoma yimiphi imithi kudingeka ilinganiswe nezingozi ezingenzeka. Uma ingane yakho ikwazi ukubekezelela isisombululo sokumisa kabusha emzimbeni futhi iyancipha kancane kancane, lezi zindlela zokwelapha ekhaya zingasebenza kakhulu ekuvimbeleni ukuphelelwa amandla kwamanzi kuze kube yilapho igciwane lidlula.
> Imithombo:
> Fedorowicz Z, Jagannath VA, uCarter B. Antiemetics ekunciphiseni ukuhlanza okuhlobene ne-gastroenteritis enzima ezinganeni nasebancane. I-Cochrane Database yezibuyekezo ezihleliwe . Julayi 2011. i-doi: 10.1002 / 14651858.cd005506.pub5.
> Lorenzo C. Imfundo yokubekezela: Ukukhathazeka nokuhlanza ezinganeni nasezinganeni (Ngaphandle kwezingqalasizinda). UpToDate . Kubuyekezwe 05/02/17.
> Tomasik E, Ziolkowski E, Kolodziej M, Szajewska H. Ukubuyekezwa okuhlelekile nge-Meta-Analysis: Ondansetron yokuvotela kwezingane ezine-Gastroenteritis ejulile. I-Pharmacy ejwayelekile kanye Nezokwelapha . 2016. 44 (5): 438-46.