Ukukhulelwa lixesha elihle nelinika ithemba. Kodwa iintlungu, umqolo, kunye nentloko ebuhlungu ezihambisana nako zinokuba yingxaki. Kuqhelekile ukuba ezi ntlungu zintsha zenzeke ngenxa yotshintsho lweehomoni kunye nesisu sakho esikhulayo. Ngoko ke, ngamaxesha anje, usenokuba ucinga, "Owu, ndingathanda ukuba ndithathe i-painkiller." Kodwa uyazi ukuba kufuneka uhlale ujongana nogqirha wakho ngaphambi kokuba uthathe naliphi na iyeza xa ukhulelwe . Ngaba kufuneka ubuze nangee-painkillers ezithengiswa ngaphandle kwekhawuntara? Impendulo elula yile: Ewe, kufuneka. Nangona zinokubonakala zingenabungozi ngosuku oluqhelekileyo, imithetho iyatshintsha xa uthwele umntwana.
I-Acetaminophen - i-paracetamol esiyaziyo sonke
Eli liyeza esilisebenzisa rhoqo kwizinto ezinje ngomkhuhlane, intloko ebuhlungu, kunye nentlungu yamalungu. Abantu abaninzi kwilizwe lethu bayayazi le nto ngegama elithi Paracetamol . Ungalithenga eli yeza kwikhemesti wedwa okanye ulixube namanye amayeza.
Uninzi lwabasetyhini abakhulelweyo alunangxaki yokuthatha i-paracetamol ukuba ugqirha uyayivumela. Enyanisweni, yeyona nto idla ngokunikwa abafazi abakhulelweyo ngoogqirha.
Nangona kunjalo, ukuba une-allergy kule yeza, unesifo sesibindi , okanye ugqirha wakho uthi ayifanelekanga, kufuneka uhlale kude ne-paracetamol ngokupheleleyo.
Nokuba ugqirha uthi kulungile ukuthatha i-paracetamol, eyona nto ibalulekileyo ekufuneka uyikhumbule kukusebenzisa kuphela xa kuyimfuneko, kwidosi ephantsi kangangoko, kwaye ngexesha elifutshane kangangoko .
I-Paracetamol ayinxulunyaniswanga nokuphuphuma kwesisu okanye iziphene ezinzulu zokuzalwa, kodwa ezinye izifundo zifumanise umngcipheko omncinci.
- Olunye uphando lubonisa ukuba ukuthatha i-paracetamol imihla ngemihla ixesha elide (iintsuku ezingama-28 nangaphezulu) kunokunyusa kancinci umngcipheko we- attention deficit hyperactivity disorder (ADHD) okanye ukulibaziseka okuncinci kokukhula komntwana ongekazalwa.
- Ezinye izifundo zibonise ukuba ukuthatha i-paracetamol yonke imihla ngexesha lesiqingatha sesibini sokukhulelwa kwandisa umngcipheko wokuba umntwana afumane izifo ezifana nokuphefumla okanye i-asthma.
Nangona kunjalo, akukho nanye kwezi zifundo eqinisekisile ukuba ezi ngxaki zibangelwa yi-paracetamol. Kufuneka uphando oluthe kratya ukuze kuqondwe ngokupheleleyo olu lwalamano. Nangona kunjalo, kububulumko ukuphepha ukuthatha amayeza ngokungeyomfuneko.
Ii-NSAID (amayeza angengo-steroidal alwa nokuvuvukala) - kufuneka ulumke kakhulu ngezi zinto!
Mhlawumbi sele usele i-ibuprofen eninzi ebomini bakho. Kodwa xa ukhulelwe, ugqirha wakho mhlawumbi uya kukuxelela ukuba usebenzise enye indlela ekhuselekileyo yomkhuhlane, iintloko ezibuhlungu, kunye neentlungu zemisipha. Ezi zibizwa ngokuba zii-non-steroidal anti-inflammatory drugs (NSAIDs), kwaye azikhuselekanga kakhulu kubasetyhini abakhulelweyo. Amayeza afana ne-Ibuprofen, i-Naproxen, i-Aspirin, kunye ne-Diclofenac awela kolu luhlu.
Kutheni ii-NSAID ziyingozi?
- Ukukhulelwa kwangethuba: Ezinye izifundo zifumanise ukuba ukuthatha ii-NSAID kwangethuba ekukhulelweni kunokunyusa kancinci umngcipheko wokuphuphuma kwesisu . Ezinye izifundo zikwabonisa umngcipheko omncinci wokuzalwa kweziphene entliziyweni yomntwana okanye kwinkqubo yesisu. Nangona olu nxibelelwano lungekaqinisekiswa ngokuqinisekileyo, oogqirha bacebisa ukuba bakhethe ukhetho olukhuselekileyo njenge-paracetamol endaweni yokuthatha umngcipheko.
- Kwiinyanga ezi-3 zokugqibela zokukhulelwa: Ii-NSAID azikhuthazwa ngeli xesha. Oku kungenxa yokuba zinokubangela ukuba umthambo wegazi obalulekileyo entliziyweni yomntwana wakho (i-ductus arteriosus) uvaleke ngaphambi kokuba azalwe. Oku kunokubangela uxinzelelo lwegazi oluphezulu emiphungeni yomntwana.
Akuphelelanga apho, ukuthatha ii-NSAID kunokukwenza kube nzima ukuba ubeleke kwaye kunciphise inani le-amniotic fluid esibelekweni esijikeleze usana lwakho. Ngenxa yezi zizathu, ukuba usebenzisa i-NSAID, kufuneka yenziwe kuphela phantsi kweliso elibukhali likagqirha .
| Uhlobo lweziyobisi | Ukhuseleko ngexesha lokukhulelwa |
|---|---|
| I-Acetaminophen/i-Paracetamol | Kuqhelekile ukuba kukhuselekile ukuthatha amayeza phantsi kwengcebiso kagqirha, kodwa kuphela xa kuyimfuneko, kwidosi ephantsi kangangoko, ngexesha elifutshane kangangoko. |
| Ii-NSAID (umz. i-Ibuprofen, i-Diclofenac) | Akukhuthazwa. Kuyingozi kakhulu, ingakumbi kwiinyanga ezi-3 ezidlulileyo. Akufuneki ithathwe ngaphandle kolwalathiso lukagqirha. |
Iipilisi zokuphelisa iintlungu ezinamandla zohlobo lwe-opioid
Ezi ziipilisi zokuthomalalisa iintlungu ezinamandla kakhulu ezinikwe oogqirha. Imizekelo iquka iCodeine, iMorphine, kunye neOxycodone .
Ezinye izifundo zibonisa ukuba ukusebenzisa olu hlobo lwamayeza ngexesha lokukhulelwa kunokunyusa umngcipheko weengxaki ezithile zokuzalwa, ingakumbi isifo sentliziyo, kumntwana. Kunokunyusa nomngcipheko wokuzalwa ngaphambi kwexesha, ukuzala kwangethuba, okanye ukuzalwa komntwana eswelekile.
Ukuba ubusebenzisa ii-opioids ngenxa yengxaki yempilo ngaphambi kokuba ukhulelwe, ukuyeka ngequbuliso xa ukhulelwe kunokuba yingozi kuwe nakumntwana wakho. Ke ngoko, ugqirha wakho uhlala enciphisa umthamo wakho kancinci kancinci ukuqinisekisa ukuba ukhuselekile kuwe nakumntwana wakho.
Oku kubaluleke kakhulu: Ukuba umama usela amayeza e-opioid ngexesha lokukhulelwa, umntwana unokuba likhoboka lawo esibelekweni. Ekubeni umntwana engafumani amayeza emva kokuzalwa, umntwana uya kuba 'neempawu zokurhoxa'. Oku sikubiza ngokuba yi -'Neonatal Abstinence Syndrome' (NAS) . Le inokuba yimeko enzima kakhulu. Inokubangela iingxaki ezifana nobunzima obuphantsi bokuzalwa kunye nobunzima bokuphefumla.
Umyalezo Wokuya Ekhaya
- Musa ukusebenzisa nayiphi na i-painkillers kuyo nayiphi na intlungu oyifumanayo ngexesha lokukhulelwa ngaphandle kokubonisana nogqirha wakho. Lo mthetho awutshintshi nokuba liyeza elithengiswa ngaphandle kwemvume kagqirha.
- Oogqirha badla ngokucebisa i-acetaminophen (i-paracetamol) kuphela, kodwa ukuba kuyimfuneko, kungcono ukuyithatha ngedosi ephantsi kangangoko kwaye ngexesha elifutshane kangangoko .
- Ii-NSAID (umz., i-Ibuprofen, i-Diclofenac) zinokuba yingozi kakhulu, ingakumbi kwiinyanga ezi-3 zokugqibela zokukhulelwa. Akufanele zithathwe ngaphandle kweliso likagqirha.
- Iipilisi zokuphelisa iintlungu ze-opioid , nokuba zimiselwe ngugqirha, zinokubangela iingxaki ezinkulu kumntwana. Ukuba sele uzisebenzisa, okanye ukuba uneentlungu eziqatha, thetha nogqirha wakho ngoko nangoko ukuze nixoxe ngeyona ndlela ikhuselekileyo.
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