Uyazi ukuthi ingane yakho encane izodinga ukunakekelwa okukhethekile ngoba yazalwa ngaphambi kwesikhathi. Ngezinye izikhathi, umthambo wegazi omncane enhliziyweni yabantwana abanjalo ungahlala uvulekile ngemva kokuzalwa, obekufanele uvaleke. Namuhla, sikhuluma ngomjovo okhethekile wokwelapha lokhu. Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane ngesikhathi esinjengalesi. Kodwa uma usunolwazi olufanele ngalokhu, uzozizwa ukhululekile kakhulu.
Iyini i-Indomethacin?
Kalula nje, i-indomethacin umuthi ongoweqembu lemithi ebizwa ngokuthi imithi engeyona eye-steroidal anti-inflammatory . Ngokwezokwelapha, leli qembu silibiza ngokuthi i-NSAID (Nonsteroidal Anti-inflammatory Drug) .
Inhloso eyinhloko yalo mjovo ukwelapha isimo esithile esenzeka enhliziyweni yezingane ezizalwa ngaphambi kwesikhathi. Lesi simo sisibiza ngokuthi i-Patent Ductus Arteriosus (PDA) . Cabanga nje, lapho umntwana esesibelethweni, umthambo wegazi okhethekile enhliziyweni uvala ngokuzenzakalelayo emahoreni ambalwa okuqala ngemva kokuzalwa. Kodwa kwezinye izingane ezizalwa ngaphambi kwesikhathi, lo mthambo wegazi uhlala uvulekile. Ngakho-ke, lokho okwenziwa yilo mjovo we-indomethacin ukusiza lowo mthambo wegazi ukuvala.
Izinto ezibalulekile okufanele uzitshele udokotela ngaphambi kokunikeza ingane yakho lo muthi
Ngaphambi kokuqala lokhu kwelashwa kwengane yakho, ithimba lezokwelapha lizohlola okuningi ngempilo yengane yakho. Kodwa-ke, uma ingane yakho inezinye zezimo ezilandelayo, qiniseka ukuthi uyazisa udokotela.
- Izinkinga zokopha: Uma ingane inezinkinga zokubopha igazi noma isengozini yokopha kalula.
- Isifo senhliziyo: Uma kukhona esinye isifo senhliziyo ngaphezu kwesimo se-PDA.
- Ukutheleleka: Uma kukhona ukutheleleka emzimbeni.
- Isifo sezinso: Uma kukhona inkinga ngokusebenza kwezinso.
- Isifo sesibindi: Uma kukhona ukukhubazeka kokusebenza kwesibindi.
- Izinkinga zesistimu yokugaya ukudla: Uma kukhona inkinga ehlobene namathumbu.
- Ukungezwani komzimba kwangaphambilini: Uma uke waba nokungezwani komzimba ne-indomethacin, i-aspirin noma enye i-NSAID, noma yimuphi omunye umuthi noma ukudla.
Futhi, kubaluleke kakhulu ukwazisa udokotela wakho nganoma yiziphi izinkinga zempilo oye waba nazo ngesikhathi sokukhulelwa.
Uyinika kanjani ingane lo muthi?
Lomuthi unikezwa ngokufaka kancane kancane emthanjeni nge-cannula. Lokhu kwelashwa kwenziwa esibhedlela ngokuphelele, ngaphansi kokuqashwa okuseduze kodokotela nabahlengikazi.Ngokuvamile, lo muthi unikezwa ingane ngemithamo emithathu, ehlukaniswe amahora ayi-12 kuya kwangu-24.
Lokhu ukwelashwa okunikezwa izinsana ezisanda kuzalwa, ikakhulukazi izinsana ezizalwa ngaphambi kwesikhathi, kuphela ngezizathu ezithile zezokwelapha. Akuyona ikhambi lasekhaya.
Kwenzekani uma unikeza umuthi omningi kakhulu?
Njengoba lo muthi unikezwa ngaphansi kokuqashwa okuqinile kwezokwelapha esibhedlela, akudingeki ukhathazeke ngokudlula umthamo ngokweqile. Ithimba lezokwelapha liyaqaphela kakhulu ngakho. Uma kukhona okusolakala ngento enjalo, odokotela bathatha izinyathelo ezidingekayo ngokushesha. Uma kudingeka, bangashayela neNational Poison Information Centre eColombo National Hospital ukuze bathole iseluleko sochwepheshe. Bakulungele futhi ukudlulisela umntwana e -Emergency Treatment Unit (ETU) yesibhedlela uma kwenzeka kuba nesimo esiphuthumayo.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
I-Indomethacin ingasebenzisana neminye imithi ingane yakho eyithathayo, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyinika ingane yakho.
| Uhlobo lwesidakamizwa | Incazelo elula |
|---|---|
| I-aspirini nemithi efanayo | Imithi efana ne-aspirin. |
| Amanye ama-antibiotic | Ikakhulukazi ama-antibiotic e-aminoglycoside. |
| I-Digoxin | Umuthi wesifo senhliziyo. |
| Imithi yokuhlanza | Imithi eyaziwa ngokuthi “amaphilisi amanzi” isiza umzimba ukukhipha uketshezi. |
| Ama-anticoagulant | Imithi efana neWarfarin. |
| Ezinye izinhlobo ze-NSAID | Izibulala-zinhlungu ezifana ne-ibuprofen noma i-naproxen. |
| Ama-steroid | Imithi efana ne-Prednisone noma i-Cortisone. |
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma ngisho nemithi yendabuko oyinika ingane yakho.
Imiphumela emibi okudingeka siyiqaphele
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi. Njengoba ingane yakho isegumbini lokunakekela izingane ezisanda kuzalwa (i-NICU) esibhedlela, ithimba lezokwelapha lizohlala liqapha lezi zimpawu. Kodwa njengomzali, kubalulekile ukuthi nawe uziqaphele lezi zimpawu.
| Uhlobo lomphumela ongemuhle | Izici okufanele uziqaphele |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela noma kumhlengikazi ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa; ukuvuvukala kobuso, izindebe noma ulimi. |
| Ukopha | Indle emnyama, ephuzi; ukuhlanza okusanhlamvu kwekhofi; amabala abomvu esikhumbeni; ukuphuma kwegazi okungajwayelekile ekhaleni noma ezinsinini. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo noma ubunzima bokuchama. |
| Ukulimala kwesibindi | Ukuphuzi kwamehlo noma isikhumba; umchamo ophuzi/onsundu omnyama; ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu. |
| Isifo senhliziyo noma ukwehluleka kwenhliziyo | Ubunzima bokuphefumula; ukushaya kwenhliziyo okusheshayo nokungajwayelekile; ukukhuluphala ngokuzumayo; ukuvuvukala kwamaqakala nezinyawo. |
| Ukusabela okukhulu kwesikhumba | Kuvela amabala abomvu noma ansomi esikhumbeni, abese ephuma amabala noma ehlubuka. |
| Isifo sohlangothi | Ubuthakathaka obungazelelwe, ukungazweli ebusweni, engalweni, noma emlenzeni. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Uhudo, ukuhlanza, ubuhlungu besisu. |
| Ubunzima bokuphuza ubisi | Umntwana uyenqaba ukuphuza ubisi noma unenkinga yokuphuza ubisi. |
| Ubuhlungu endaweni yokujova | Ubomvu noma ukuvuvukala lapho kufakwa khona i-cannula. |
Ngisho noma kungashiwongo kulolu hlu, uma ubona noma yini engavamile noma ehlukile ekuziphatheni noma ekubukekeni kwengane yakho, ungangabazi ukwazisa udokotela noma umhlengikazi ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Indomethacin umuthi osetshenziselwa ukwelapha isimo esithile esibizwa ngokuthi i-PDA, esenzeka enhliziyweni yezingane ezizalwa ngaphambi kwesikhathi.
- Lokhu kwelashwa kwenziwa esibhedlela ngokuphelele, ngaphansi kokuqondisa okugcwele kodokotela nabahlengikazi.
- Kubalulekile ukwazisa udokotela ngezinye izimo zezempilo zomntwana kanye neminye imithi ayithathayo.
- Ithimba lezokwelapha liqapha umntwana ngokucophelela ngesikhathi sokwelashwa.
- Njengomzali, uma unemibuzo noma ukukhathazeka ngomntwana wakho, ungesabi ukukhuluma nethimba lezokwelapha ngokushesha. Ukuqaphela kwakho kubaluleke kakhulu kubo.
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