Unoziva kuti mwana wako mudiki achada kutarisirwa kwakakosha nekuti akaberekwa nguva yake isati yakwana. Dzimwe nguva, tsinga diki yeropa iri mumoyo mevana vakadaro inogona kuramba yakavhurika mushure mekuzvarwa, iyo inofanira kunge yakavharwa. Nhasi, tiri kutaura nezvejekiseni remushonga rakakosha rinopihwa kurapa izvi. Zvakajairika kunzwa kutya uye kunetseka panguva yakaita seiyi. Asi kana wangoziviswa zvakanaka nezveizvi, unonzwa zororo guru.
Chii chinonzi Indomethacin?
Muchidimbu, indomethacin mushonga uri muboka remishonga inonzi non-steroidal anti-inflammatory drugs . Mukurapa, boka iri tinoridaidza kuti NSAID (Nonsteroidal Anti-inflammatory Drug) .
Chinangwa chikuru chemushonga uyu kurapa chirwere chaicho chinoitika mumoyo mevana vacheche vasati vasvika nguva. Tinodaidza chirwere ichi kuti Patent Ductus Arteriosus (PDA) . Fungidzira, kana mwana ari mudumbu, tsinga yeropa yakakosha mumoyo inovhara yega mumaawa mashoma ekutanga mushure mekuzvarwa. Asi mune vamwe vacheche vasati vasvika nguva, tsinga yeropa iyi inoramba yakavhurika. Saka, zvinoitwa nemushonga uyu we indomethacin kubatsira tsinga yeropa kuti ivhare.
Zvinhu zvakakosha zvekuudza chiremba usati wapa mwana wako mushonga uyu
Usati watanga kurapwa uku kwemwana wako, timu yezvekurapa ichaongorora zvakawanda nezvehutano hwemwana wako. Zvisinei, kana mwana wako aine chimwe chezvirwere zvinotevera, iva nechokwadi chekuzivisa chiremba.
- Matambudziko ekubuda ropa: Kana mwana aine dambudziko rekugwamba kweropa kana kuti ari panjodzi yekubuda ropa zviri nyore.
- Chirwere chemwoyo: Kana paine chimwe chirwere chemwoyo pamusoro pechirwere chePDA.
- Utachiona: Kana paine hutachiona mumuviri.
- Chirwere cheitsvo: Kana paine dambudziko pakushanda kweitsvo.
- Chirwere chechiropa: Kana paine kusashanda zvakanaka kwechiropa.
- Matambudziko ekugaya chikafu: Kana paine dambudziko rine chekuita neura.
- Kurwara kwawakamboita: Kana wakamborwara ne indomethacin, aspirin kana imwe NSAID, kana chero imwe mishonga kana chikafu.
Zvakare, zvakakosha zvikuru kuzivisa chiremba wako nezvematambudziko ehutano awakambosangana nawo panguva yekuzvitakura.
Mushonga uyu unopihwa sei kumwana?
Mushonga uyu unopinzwa zvishoma nezvishoma mutsinga kuburikidza ne cannula. Kurapa uku kunoitwa muchipatara, pasi pekutarisirwa kwakasimba kwevanachiremba nevanamukoti.Kazhinji, mushonga uyu unopiwa mwana muzvikamu zvitatu, zvakaparadzana nemaawa gumi nemaviri kusvika makumi maviri nemana.
Uyu mushonga unopihwa vacheche vachangoberekwa, kunyanya vacheche vanozvarwa nguva isati yakwana, nekuda kwezvikonzero zvekurapa chete. Hausi mushonga wekumba.
Chii chinoitika kana ukapa mushonga wakawandisa?
Sezvo mushonga uyu uchipiwa pasi pekutarisirwa kwakasimba kwechiremba muchipatara, haufanirwe kunetseka nezvekuwedzerwa kwemushonga zvakanyanya. Chikwata chekurapa chinongwarira zvikuru nezvazvo. Kana paine fungidziro yechinhu chakadaro, vanachiremba vanotora matanho anodiwa nekukasika. Kana zvichidikanwa, vanogona zvakare kufonera National Poisons Information Centre paColombo National Hospital kuti vawane mazano enyanzvi. Vakagadzirirawo kutumira mwana kuEmergency Treatment Unit (ETU) yechipatara kana paine emergency.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)
Indomethacin inogona kushanda pamwe chete nemimwe mishonga iri kutorwa nemwana wako, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kupa mwana wako.
| Rudzi rwemushonga | Tsananguro iri nyore |
|---|---|
| Aspirin nemishonga yakafanana | Mishonga yakaita seaspirin. |
| Mamwe maantibayotiki | Kunyanya mishonga inorwisa mabhakitiriya yeaminoglycoside. |
| Digoxin | Mushonga wezvirwere zvemwoyo. |
| Mishonga inobvisa mvura mumuviri | Mishonga inozivikanwa se "mapiritsi emvura" inobatsira muviri kubvisa mvura mumuviri. |
| Mishonga Inodzivisa Kubuda Kweropa | Mishonga yakaita seWarfarin. |
| Mamwe marudzi eNSAID | Mishonga inonyaradza marwadzo yakaita se ibuprofen kana naproxen. |
| MaSteroid | Mishonga yakaita sePrednisone kana Cortisone. |
Rondedzero iyi haina kukwana, saka iva nechokwadi chekuudza chiremba wako nezvemishonga, mavhitamini, kana mishonga yechivanhu yauri kupa mwana wako.
Migumisiro yatinofanira kuziva
Sezvinongoita chero mushonga upi zvawo, mushonga uyu unogona kukonzera mamwe matambudziko. Sezvo mwana wako ari muNightnatal Intensive Care Unit (NICU) kuchipatara, timu yezvekurapa ichagara ichitarisa zviratidzo izvi. Asi semubereki, zvakakosha kuti iwe uzive nezvazvo zvakare.
| Rudzi rwemhedzisiro yakaipa | Zvinhu zvekuchenjerera |
|---|---|
| Migumisiro yakaipa inofanira kuziviswa kuna chiremba kana nesi nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa; kuzvimba kwechiso, miromo kana rurimi. |
| Kubuda ropa | Tsvina nhema, yakamira; kurutsa kofi yakakuyiwa; mavanga matsvuku paganda; kubuda ropa kusingawanzoitiki mumhino nematadza. |
| Kukuvara kweitsvo | Kuderera kwehuwandu hweweti kana kuoma kuita weti. |
| Kukuvara kwechiropa | Kutsvuka kwemaziso kana ganda; weti yero/brown yakasviba; kurwadziwa kumusoro kwedumbu. |
| Chirwere chemwoyo kana kutadza kwemoyo | Kutadza kufema zvakanaka; kurova kwemoyo nekukurumidza, kusina kurongeka; kuwedzera uremu kamwe kamwe; kuzvimba kwezvitsitsinho netsoka. |
| Kukanganiswa kwakanyanya kweganda | Mavara matsvuku kana epepuru anoonekwa paganda, ayo anobva abuda mavanga kana kutsemuka. |
| Kurohwa | Kushaya simba kamwe kamwe, kusanzwa kumeso, ruoko, kana gumbo. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Matambudziko ekugaya chikafu | Manyoka, kurutsa, kurwadziwa mudumbu. |
| Kuomerwa nekunwa mukaka | Mwana anoramba kunwa mukaka kana kuti anonetseka kunwa mukaka. |
| Marwadzo panzvimbo yekubaiwa jekiseni | Kutsvuka kana kuzvimba panzvimbo inopinzwa kanula. |
Kunyangwe zvisingatauriki pane urongwa uhwu, kana ukaona chimwe chinhu chisina kujairika kana chakasiyana muhunhu kana chitarisiko chemwana wako, usazeza kuzivisa chiremba kana mukoti nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Indomethacin mushonga unoshandiswa kurapa chirwere chinonzi PDA, chinoitika mumoyo yevana vacheche vasati vasvika nguva.
- Kurapwa uku kunoitwa muchipatara chose, pasi pekutarisirwa kwakazara kwevanachiremba nevanamukoti.
- Zvakakosha kuzivisa chiremba nezvemamwe matambudziko emwana pamwe chete nemimwe mishonga iri kutorwa.
- Chikwata chevanachiremba chinonyatsoongorora mwana panguva yekurapwa.
- Semubereki, kana muine kusava nechokwadi kana zvinokunetsai nezvemwana wenyu, musatya kutaura nechikwata chevanachiremba nekukasika. Zvamunoona zvakakosha kwavari.
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