Ingaba kuyingozi ukunika umntwana wakho i-paracetamol eninzi kakhulu? (Ityhefu ye-Acetaminophen) Masifumanise ukuba yintoni kanye kanye le!

Xa umntwana wakho enesifo somkhuhlane okanye ebuhlungu emzimbeni, sihlala simnika i-paracetamol, akunjalo? Nokuba uya kugqirha okanye uthenga amayeza kwikhemesti, uya kusoloko uyifumana le paracetamol. Enyanisweni, ukuba inikwe ngokuchanekileyo, ikhuselekile kwaye iluncedo. Nangona kunjalo, ubusazi ukuba ngamanye amaxesha, ngenxa yokungazi okanye impazamo encinci, ukuba umntwana ufumana i-paracetamol eninzi, inokubangela ingxaki enkulu? Yiloo nto siyibiza ngokuba yi-`(Acetaminophen Toxicity)` okanye i-paracetamol poisoning.

Yintoni le "Acetaminophen Toxicity"?

Ngamafutshane, i-paracetamol liyeza elinikwa oogqirha kubantwana abancinci ukunciphisa umkhuhlane kunye nokunciphisa iintlungu. Usenokuba ukhe weva ngayo njenge-"Tylenol®". Ikhuselekile kakhulu xa inikwa ngomlinganiselo ochanekileyo. Oogqirha bakhetha ukunika i-paracetamol endaweni ye-aspirin, kuba i-aspirin inokubangela imeko engaqhelekanga kodwa eyingozi ebizwa ngokuba yi-"Reye's syndrome" kwabanye abantwana (enokuthi ichaphazele ingqondo nesibindi somntwana).

Nangona kunjalo, ukuba nabani na, ingakumbi umntwana omncinci, uthatha ngaphezu kwesixa esicetyiswayo separacetamol, kulapho ingxaki iqala khona. Oko kukuthi, ukutyhefwa yiparacetamol (i-Acetaminophen Toxicity) kuyenzeka. Le yimeko eyingozi kakhulu . Uyazi ukuba kwenzeka ntoni? Isibindi sethu seso sihluza la mayeza kwaye sisuse izinto eziyingozi emzimbeni. Ngoko ke, xa uthatha iparacetamol eninzi ngaxeshanye, isibindi asikwazi ukumelana nayo. Ukuba umntwana uthatha iparacetamol eninzi kakhulu (okanye ukuba uthatha isixa esicetyiswayo ixesha elide), iityhefu ziqala ukuqokelelana emzimbeni. Le tyhefu inokubangela ukugabha, umonakalo wesibindi, kwanokufa . Ke ngoko, ukuba kwenzeka into efana nale, kubaluleke kakhulu ukwenza ngokukhawuleza.

Ungazi njani kanye kanye idosi efanelekileyo yeparacetamol (Tylenol) onokuyinika umntwana omncinci?

Lo ngumbuzo obaluleke kakhulu. Idosi enikwa umntwana ngamnye ayifani. Ixhomekeke kwizinto ezininzi:

• Ubunzima bomntwana kunye nobudala bakhe: Le yeyona nto ibalulekileyo.
• Indlela yokunika i-paracetamol: Oko kukuthi, njengolwelo, njengepilisi, okanye njengepilisi enyibilikayo.
• Amanye amayeza umntwana awasebenzisayo ngelo xesha: I-Paracetamol isenokungahambelani namanye amayeza, okanye idosi ingadinga ukutshintshwa.

Ngoko ke, wena nogqirha womntwana wakho niza kugqiba kunye idosi echanekileyo ye-paracetamol eniza kuyinika umntwana wenu.

Kubalulekile: Khumbula, amanye amayeza owanika umntwana wakho, ingakumbi amayeza omkhuhlane athengiswa ngaphandle kwemvume kagqirha, anokuba neparacetamol. Ngoko ke, qiniseka ukuba uyayifunda ilebheli ekwipakethi yamayeza omkhuhlane okanye e-sinus ukuze ubone ukuba ingakanani na iparacetamol equlethe.

Ngalo lonke ixesha unika umntwana wakho i-paracetamol, kungcono ukuba ubhale phantsi idosi nexesha oza kulisebenzisa ndaweni ithile.

Ixhaphake kangakanani le tyhefu ye-paracetamol?

Enyanisweni, ukugqithisela i-paracetamol kunye nobuthi zixhaphake kakhulu kunokuba unokucinga. Nabani na unokufumana iziphumo ezimbi ngokuthatha i-paracetamol eninzi. Kwilizwe elifana ne-United States, kuqikelelwa ukuba malunga nabantu abangama-50,000 ngonyaka baya kwigumbi likaxakeka beneengxaki ezibangelwa kukuthatha i-paracetamol eninzi. Le tyhefu ye-paracetamol yimbangela enkulu yomonakalo wesibindi (i-hepatotoxicity).

Abanye abantu basengozini enkulu yokonakala kwesibindi kunabanye. Umzekelo, iintsana nabantwana abancinci abasele benesifo sesibindi, okanye abane-hepatitis A, B, okanye C, banamathuba amaninzi okuba neempawu ezinzulu ukuba bathatha i-paracetamol eninzi. Isibindi sabo sinobunzima bokususa iyeza ngokufanelekileyo, nto leyo enokubangela ukuba isibindi singaphumeleli.

Zithini izizathu zokutyhefwa yi-paracetamol ebantwaneni abancinci?

Ngamafutshane, isibindi somntwana wakho sisebenza njengesihluzo somzimba. Sicoca amayeza kwaye sisuse ubuthi emzimbeni. Nangona kunjalo, ukuba isibindi somntwana wakho kufuneka sicoce amayeza amaninzi ngaxeshanye, okanye ukuba kufuneka sicoce amayeza rhoqo ixesha elide, isibindi sinokuyeka ukusebenza. Ukutyhefa ngeparacetamol kunokubangela umntwana wakho ukuba:

• Ukuba uthatha ngaphezu kwedosi emiselweyo, okanye ukuba uthatha iidosi ezininzi zilandelelana zisondelelene kakhulu.
• Ukuba uthatha idosi emiselweyo rhoqo kangangeentsuku ezininzi zilandelelana.

Zithini iimpawu zetyhefu yeparacetamol ebantwaneni abancinci?

Nokuba uthatha i-paracetamol eninzi kakhulu, iimpawu zisenokungaqali ngoko nangoko. Kungathatha ukuya kuthi ga kwiiyure ezingama-24 ukuba naziphi na iimpawu ziphele. Ke ngoko, kubaluleke kakhulu ukukhumbula ukuba wamnika nini umntwana wakho i-paracetamol kunye nendlela owamnika ngayo (nokuba yayilulwelo, ithebhulethi, okanye i-capsule/tablet ekhutshwa ngexesha).

Ezinye zeempawu zetyhefu yeparacetamol zezi:

• Ukucaphuka rhoqo kunye nokuhlanza .
• Ukuva iintlungu kwicala lasekunene lesisu, phantsi kweembambo .
• Ukutya akunancasa .
• Ukuziva udiniwe ngalo lonke ixesha (ukudinwa).
• Umchamo omnyama, mhlawumbi onegazi , okanye ukwehla kobungakanani okanye ukuphindaphindwa kokuchama.
• Ukudideka, ukozela, kunye nokulahlekelwa zingqondo .
• Ukutyheli kolusu namehlo (sikubiza ngokuba yi-jaundice).
• Ubunzima bokuphefumla .
• Umbono ofipheleyo .

Ukuba umntwana wakho unenye okanye ngaphezulu kwezi mpawu, kwaye unesikrokro sokuba kusenokwenzeka ukuba uthathe i-paracetamol eninzi, fowunela i-911 ngoko nangoko, okanye umse umntwana wakho kwisebe likaxakeka lesibhedlele elikufutshane. Okanye, fowunela iZiko loLawulo lweTyhefu lendawo yakho. ESri Lanka, ungafowunela iZiko loLwazi lweTyhefu likarhulumente.

Ziziphi iingxaki ezinokubakho ngenxa yetyhefu yeparacetamol?

Ukugqithisela iparacetamol yimeko engxamisekileyo esongela ubomi. Ukuba ukugqithisela iparacetamol akunyangelwanga ngokukhawuleza, oku kulandelayo kunokwenzeka:

• Ukonakala okukhulu kwesibindi kunye nokungasebenzi kakuhle kwesibindi .
• Ukungasebenzi kakuhle kwezintso .
• I-pancreatitis (ukudumba kwe-pancreas).
• Nokufa kunokwenzeka.

Oogqirha bafumanisa njani ukuba umntwana unetyhefu yeparacetamol?

Ugqirha uza kumxilonga umntwana wakho aze akubuze imibuzo malunga namayeza osandul’ ukuwasela. Umzekelo:

• Uthathe malini?
• Uyithathe ixesha elingakanani?
• Luhlobo luni lonyango olusele? (Njengolwelo, ipilisi, okanye uhlobo olunyibilika emanzini).

Ukuqinisekisa ukuba umntwana wakho akathathanga i-paracetamol eninzi, umntwana wakho uya kwenziwa uvavanyo lwegazi oluninzi. Olu vavanyo lwegazi luya kujonga oku kulandelayo:

• Amanqanaba e- paracetamol egazini lomntwana.
• Umsebenzi wesibindi , oko kukuthi, indlela esisebenza kakuhle ngayo isibindi.

Ziziphi iindlela zonyango zokutyhefa i-paracetamol?

Unyango luxhomekeke ekubeni kudlule ixesha elingakanani ukususela oko umntwana wakho wathatha idosi engalunganga. Ngokuxhomekeke ekubeni kwenzeke nini i-overdose, unyango lungabandakanya:

• Ukumpompa isisu sabo / Ukuhlamba isisu: Ukuba umntwana uza kunyangwa kungekapheli nemizuzu engama-30 emva kokusela amayeza, oogqirha baza kuzama ukususa amayeza esiswini somntwana. Oku kwenziwa ngokufaka ityhubhu emlonyeni aze ahlambe isisu. Oku kuphumelela kuphela ukuba umntwana uza kunyangwa kwangoko emva kokusela amayeza.
• I-activated charcoal: Kwiiyure ezine emva kokuthatha amayeza, oogqirha banokunika umntwana wakho i-activated charcoal (umgubo oxutywe nolwelo). Oku kubangela ukuba iikhemikhali ezinobungozi kwindlela yokugaya ukutya komntwana wakho zinamathele kwi-charcoal, nto leyo evumela ukuba zidlule emathunjini ziphume emzimbeni ngaphandle kokufunxwa.
• I-N-acetylcysteine ​​​​(NAC): Eli liyeza eliphambili elinokuthintela ukonakala kwesibindi ngenxa yokugqithisa i-paracetamol. Nangona kunjalo, alinakukubuyisela umva umonakalo wesibindi osele ukho. Ugqirha wakho angakunika eli yeza ngomlomo okanye ngemithambo (IV). Lisebenza kakhulu ukuba linikwa kwiiyure ezisibhozo emva kokugqithisa i-paracetamol. I-N-acetylcysteine ​​​​(NAC) inokubangela isicaphucaphu nokuhlanza. Umntwana wakho unokufuna ukuthatha iidosi ezininzi ze-NAC kangangexesha elimalunga neeyure ezingama-72. Idosi imiselwa ngamanqanaba e-paracetamol egazini lomntwana.
• Ukufakelwa kwesibindi:Ukuba umonakalo wesibindi unzima, umntwana wakho unokufuna ukufakelwa isibindi. Ugqirha uza kukuchazela iinkcukacha.

Injani imeko yempilo yabantwana abatyhefwe yi-paracetamol?

Ithemba lokuqhubeka kwesifo lixhomekeke ekubeni umntwana uthathe i-paracetamol engakanani kwaye unyango luqalwa ngokukhawuleza kangakanani. Abantwana abafumana unyango olukhawulezileyo ngenxa yetyhefu ye-paracetamol banamathuba amaninzi okuchacha ngaphandle kweengxaki zempilo ezihlala ixesha elide, ezifana nomonakalo wesibindi.

Ungayithintela njani ityhefu yeparacetamol ebantwaneni?

Ukuze uphephe iingozi zokunika i-paracetamol eninzi, landela idosi emiselweyo ngokuchanekileyo. Thetha nogqirha wakho malunga nedosi efanelekileyo yobunzima nobudala bomntwana wakho. Musa ukunika amayeza angaphezu kwelinye ane-paracetamol ngaxeshanye.

Nazi ezinye iindlela zokuthintela ityhefu yeparacetamol:

• Gcina amayeza kude nabantwana. Gcina amayeza kude nabantwana. Soloko ugcina isiciko esingenabantwana sivaliwe.
• Funda iilebheli. Musa ukunika ngaphezu kwedosi emiselweyo. Ezinye iimpawu ze-paracetamol ezingamanzi zinokuba namanqanaba ahlukeneyo. Ngoko ke funda ilebheli ekwibhotile nganye ngononophelo. Ukuba unemibuzo malunga nokuba kufuneka unike malini, buza ugqirha wakho.
• Kuphephe ukuthatha idosi ephindwe kabini . Amayeza amaninzi (afana namayeza abandayo) aqulethe i-paracetamol exutywe namanye amayeza. Funda ilebheli ukuze ubone ukuba iyeza sele linayo na i-paracetamol.
• Landela imiyalelo kagqirha wakho. Musa ukunika umntwana wakho i-paracetamol ixesha elide kunokuba ugqirha ecebisa. Musa ukushiya ixesha elide phakathi kweedosi, kwaye soloko ulandela imiyalelo yedosi echanekileyo. Xa unika amayeza olwelo, sebenzisa isixhobo sokulinganisa esibonelelweyo kwiphakheji ukuze ulinganise idosi echanekileyo.
• Bhala phantsi ulwazi malunga nomthamo. Gcina irekhodi yexesha elinikwe ngayo iyeza kunye nobungakanani obunikiweyo.
• Linganisa iyeza kwindawo ekhanyiswe kakuhle. Musa ukulinika eli yeza kwigumbi elimnyama. Ukuba wenza njalo, kunokwenzeka ukuba ulinike idosi engalunganga.

Ufanele uthethe nini nogqirha malunga nokutyhefwa yi-paracetamol?

Ukutyhefa iparacetamol yimeko engxamisekileyo esongela ubomi. Ukuba ucinga ukuba umntwana wakho usele i-paracetamol egqithisileyo, kufuneka utsalele umnxeba ku-911 ngoko nangoko (eSri Lanka, inombolo yongxamiseko efana no-1990), uye kwigumbi longxamiseko, okanye utsalele umnxeba kwiziko lolawulo lwetyhefu ngoko nangoko.

Oogqirha bacinga ukuba iTylenol liyeza elikhuselekileyo nelisebenzayo kumntwana wakho lokunciphisa iintlungu nokunciphisa umkhuhlane xa linikwa ngokwemiyalelo ekwiphakheji. Nangona kunjalo, ngenxa yokuba iTylenol ifumaneka kumayeza amaninzi, usenokuba unika umntwana wakho kakhulu ngaphandle kokuqaphela. Oku kunokuba yingozi. Ukusela iTylenol kakhulu kunokubangela umonakalo wesibindi kunye nokufa. Ukuba ucinga ukuba umntwana wakho usele iTylenol eninzi, nokuba kungempazamo, funa ingcebiso kagqirha ngoko nangoko. Umntwana wakho usenokungabi nazimpawu, kodwa kubalulekile ukufumana uncedo nangona kunjalo.

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Ngoko ke, nangona i-paracetamol iliyeza eliqhelekileyo esilisebenzisayo xa sinomkhuhlane neentlungu, kubaluleke kakhulu ukulisebenzisa ngokuchanekileyo nangononophelo. Ingakumbi xa ulinika abantwana abancinci, khumbula ukulinika kuphela kwidosi emiselweyo, ngexesha elimiselweyo, nangenani leentsuku ezimiselweyo njengoko ugqirha elimiselweyo. Kwakhona jonga ukuba amanye amayeza anayo na i-paracetamol.

Ukuba unesikrokro sokuba umntwana wakho usele i-paracetamol eninzi, ungathandabuzi ukumsa esibhedlele esikufutshane ngoko nangoko. Kuba unyango olukhawulezileyo lunokusindisa ubomi bomntwana kwaye luthintele umonakalo ongakumbi kwisibindi.

Sonke sinqwenela ukuba umntwana wakho abe sempilweni kwaye onwabe!

I- Paracetamol, i-acetaminophen, impilo yabantwana, ukutyhefwa ngamayeza, isibindi, idosi, ukhuseleko