Ukukhulelwa yisikhathi esihle nesinethemba. Kodwa izinhlungu ezihambisana nalokhu, izinhlungu zomhlane, kanye nekhanda kungaba yinkinga. Kuvamile ukuthi lezi zinhlungu ezintsha zenzeke ngenxa yezinguquko zamahomoni kanye nesisu sakho esikhula. Ngakho-ke, ngezikhathi ezinjengalezi, ungase ucabange, "O, ngifisa sengathi ngingaphuza umuthi wokuqeda izinhlungu." Kodwa uyazi ukuthi kufanele uhlale ubuza udokotela wakho ngaphambi kokuthatha noma yimuphi umuthi uma ukhulelwe . Ingabe kufanele ubuze nangemithi yokuqeda izinhlungu ethengiswa ngaphandle kwemithi kadokotela? Impendulo elula ithi: Yebo, kufanele. Nakuba zingase zibonakale zingenangozi ngosuku olujwayelekile, imithetho iyashintsha uma ukhulelwe umntwana.
I-Acetaminophen - i-paracetamol esiyaziyo sonke
Lona umuthi esivame ukuwusebenzisela izinto ezifana nomkhuhlane, ikhanda elibuhlungu, kanye nobuhlungu bamalunga. Abantu abaningi ezweni lethu bayazi lokhu ngegama elithi Paracetamol . Ungawuthenga lo muthi ekhemisi kuphela noma uxutshwe neminye imithi.
Iningi labesifazane abakhulelwe alinankinga ngokuthatha i-paracetamol uma udokotela wabo evuma. Eqinisweni, iwumuthi wokuqeda izinhlungu ovame ukunqunywa odokotela kwabesifazane abakhulelwe.
Kodwa-ke, uma une-allergy kulo muthi, unesifo sesibindi , noma udokotela wakho ethi awufaneleki, kufanele ugweme ngokuphelele ukusebenzisa i-paracetamol.
Ngisho noma udokotela ethi kulungile ukuthatha i-paracetamol, into ebaluleke kakhulu okufanele uyikhumbule ukuyisebenzisa kuphela uma kudingeka ngempela, ngesilinganiso esiphansi kakhulu, futhi ngesikhathi esifushane kakhulu .
I-Paracetamol ayihlotshaniswanga nokuphuphuma kwesisu noma ukukhubazeka okukhulu kokuzalwa, kodwa ezinye izifundo zithole ingozi encane.
- Olunye ucwaningo lubonisa ukuthi ukuthatha i-paracetamol nsuku zonke isikhathi eside (izinsuku ezingu-28 noma ngaphezulu) kungandisa kancane ingozi yokuphazamiseka kokungakwazi ukugxilisa ingqondo (ADHD) noma ukubambezeleka okuncane kokukhula enganeni engakazalwa.
- Ezinye izifundo zikhombisile ukuthi ukuthatha i-paracetamol nsuku zonke phakathi nengxenye yesibili yokukhulelwa kwandisa ingozi yokuba umntwana abe nezimo ezifana nokuphefumula noma i-asthma.
Kodwa-ke, akukho noyedwa kulezi zifundo oqinisekisile ukuthi lezi zinkinga zibangelwa yi-paracetamol. Kudingeka ucwaningo olwengeziwe ukuze kuqondwe ngokugcwele lobu budlelwano. Kodwa-ke, kuwukuhlakanipha ukugwema ukuthatha umuthi ngokungadingekile.
Ama-NSAID (imithi elwa nokuvuvukala engeyona eye-steroidal) - udinga ukuqaphela kakhulu ngalezi!
Cishe usuthathe i-ibuprofen eningi empilweni yakho. Kodwa uma ukhulelwe, udokotela wakho cishe uzokutshela ukuthi usebenzise enye indlela ephephile yokwelapha umkhuhlane, ikhanda elibuhlungu, kanye nobuhlungu bemisipha. Lezi zibizwa ngokuthi izidakamizwa ezingezona eze-steroidal anti-inflammatory (NSAIDs), futhi aziphephile kakhulu kwabesifazane abakhulelwe. Izidakamizwa ezifana ne-Ibuprofen, i-Naproxen, i-Aspirin, ne-Diclofenac ziwela kulesi sigaba.
Kungani ama-NSAID eyingozi?
- Ukukhulelwa kusenesikhathi: Ezinye izifundo zithole ukuthi ukuthatha ama-NSAID kusenesikhathi sokukhulelwa kungandisa kancane ingozi yokuphuphuma kwesisu . Ezinye izifundo ziphakamisa nengozi encane yokukhubazeka kokuzalwa enhliziyweni yengane noma ohlelweni lokugaya ukudla. Nakuba lokhu kuxhumana kungakafakazelwa ngokuqinile, odokotela batusa ukukhetha inketho ephephile njenge-paracetamol kunokuthatha ingozi.
- Phakathi nezinyanga ezintathu zokugcina zokukhulelwa: Ama-NSAID awanconywa phakathi nalesi sikhathi. Lokhu kungenxa yokuthi angabangela ukuthi umthambo wegazi obalulekile enhliziyweni yengane yakho (i-ductus arteriosus) uvaleke ngaphambi kokuzalwa. Lokhu kungaholela ekucindezelekeni kwegazi okuphezulu emaphashini engane.
Akukhona lokho kuphela, ukuthatha ama-NSAID kungenza kube nzima ngawe ukuthi ube nesikhathi sokubeletha futhi kunciphise inani le-amniotic fluid esibelethweni esizungeze ingane yakho. Ngenxa yalezi zizathu, uma uthatha i-NSAID, kufanele kwenziwe kuphela ngaphansi kokuqashwa okuseduze kukadokotela .
| Uhlobo lwesidakamizwa | Ukuphepha ngesikhathi sokukhulelwa |
|---|---|
| I-Acetaminophen/i-Paracetamol | Ngokuvamile kuphephile ukuthatha iseluleko sikadokotela, kodwa kuphela uma kudingeka, ngesilinganiso esiphansi kakhulu, isikhathi esifushane kakhulu. |
| Ama-NSAID (isib. i-Ibuprofen, i-Diclofenac) | Akukhuthazwa. Kuyingozi kakhulu, ikakhulukazi ezinyangeni ezi-3 ezedlule. Akufanele nanini kuthathwe ngaphandle kokuqashwa ngudokotela. |
Imithi yokubulala izinhlungu enamandla yohlobo lwe-opioid
Lezi ziyimithi yokubulala izinhlungu enamandla kakhulu enikezwa odokotela. Izibonelo zifaka phakathi i-Codeine, i-Morphine, ne-Oxycodone .
Ezinye izifundo zisikisela ukuthi ukusebenzisa lolu hlobo lomuthi ngesikhathi sokukhulelwa kungandisa ingozi yokukhubazeka okuthile kokuzalwa, ikakhulukazi isifo senhliziyo, enganeni. Kungandisa nengozi yokuzalwa ngaphambi kwesikhathi, ukubeletha kusenesikhathi, noma ngisho nokuzalwa komntwana eseshonile.
Uma ubusebenzisa ama-opioid ngenxa yesimo sezokwelapha ngaphambi kokuba ukhulelwe, ukuwayeka ngokuzumayo uma usukhulelwe kungaba yingozi kuwe nakumntwana wakho. Ngakho-ke, udokotela wakho uvame ukunciphisa umthamo wakho kancane kancane ukuqinisekisa ukuthi uphephile kuwe nakumntwana wakho.
Lokhu kubaluleke kakhulu: Uma umama ephuza imithi ye-opioid ngesikhathi sokukhulelwa, umntwana angaba umlutha wayo esibelethweni. Njengoba umntwana engawutholi umuthi ngemva kokuzalwa, umntwana uzoba 'nezimpawu zokuhoxa'. Lokhu sikubiza ngokuthi 'i-Neonatal Abstinence Syndrome' (NAS) . Lokhu kungaba yisimo esibi kakhulu. Kungabangela izinkinga ezifana nesisindo esiphansi sokuzalwa kanye nobunzima bokuphefumula.
Umlayezo Wokuya Nawe Ekhaya
- Ungasebenzisi noma yiziphi izidakamizwa zokunciphisa ubuhlungu obuzwayo ngesikhathi sokukhulelwa ngaphandle kokubonisana nodokotela wakho. Lo mthetho awushintshi noma ngabe umuthi otholakala ngaphandle kwemithi kadokotela.
- Odokotela bavame ukuncoma i-acetaminophen (i-paracetamol) kuphela, kodwa uma kudingeka, kungcono ukuyithatha ngesilinganiso esiphansi kakhulu futhi ngesikhathi esifushane kakhulu .
- Ama-NSAID (isib., i-Ibuprofen, i-Diclofenac) angaba yingozi kakhulu, ikakhulukazi ezinyangeni ezintathu zokugcina zokukhulelwa. Akufanele athathwe ngaphandle kokuqondisa kukadokotela.
- Amaphilisi okubulala izinhlungu e-opioid , noma ngabe anikezwe udokotela, angabangela izinkinga ezinkulu enganeni. Uma usuvele uwasebenzisa, noma uma usezinhlungwini ezinzima, khuluma nodokotela wakho ngokushesha ukuze nixoxe ngenketho ephephile.
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