Phenobarbital kwa ana obadwa kumene

Mwana wakhanda watsopano amasangalala ndi maonekedwe a makolo, koma nthawi zambiri zimakhala kuti pa tsiku lachiwiri khungu la mwana limasanduka chikasu ndipo madokotala amalankhula za jaundice. Chikhalidwe ichi cha mwana chimayambitsidwa ndi zenizeni za bilirubin metabolism. Izi zimachitika kuti normalize chiwerengero cha bilirubin m'magazi a seramu sichipezeka ndi kawirikawiri kugwiritsa ntchito pachifuwa, ndiye madokotala amapereka kukonzekera kwapadera kwa ana kuphatikizapo phenobarbital.

M'makono a ana amakono, pali zokambirana zautali zokhudzana ndi kugwiritsa ntchito mankhwala kwa ana, koma phenobarbital sasiya kulembedwa kwa jaundice, choncho m'nkhani ino tikambirana momwe ntchito yogwiritsira ntchito mankhwala ndi mankhwala amachitira.

Ntchito ya Phenobarbital

Mankhwala otchedwa phenobarbital amachokera ndipo amachititsa kuchepetsa, kusokoneza komanso kupweteka kwa anticonvulsant. Kuonjezera apo, mankhwalawa amachititsa kuti chiwindi chiwonongeke, ndikuthandizira kumasula thupi la poizoni. Mankhwalawa amagwiritsidwa ntchito kuchiza:

• tetanasi;
• kugwidwa koopsa, kuphatikizapo makanda;
• khunyu (monga mankhwala aakulu);
• Hyperbilirubinemia kapena jaundice ya makanda.

Mlingo wa Phenobarbital

Mankhwalawa amapangidwa ndi ufa, mapiritsi ndi elixir. Matenda osiyanasiyana omwe amatha kuchiritsidwa ndi mankhwala, phenobarbital imaperekedwa payekha ndi dokotala, ndipo pochitira ana makanda, mankhwalawa ndi mankhwalawa muzinthu zoyenera.

Phenobarbital kwa ana obadwa ndi jaundice akulamulidwa

• ana mpaka miyezi 6 - mlingo umodzi wa 0.005 g (tsiku lililonse - 0.01 g);
• kuchokera miyezi 6 mpaka chaka - 0.01 g (tsiku lililonse - 0.02 g).

Komanso, mlingo umodzi umachulukitsidwa ndi 0.01 g kwa ana a chaka chilichonse cha moyo. Mlingo wovomerezeka wa tsiku ndi tsiku ukuwerengedwa, kuwonjezera mlingo umodzi ndi nthawi ziwiri. Zidzakhala bwino kuti makolo adziwe kuti supuni ya supuniyi ili ndi 0.01 g yokonzekera, supuni ya mchere ndi 0.02 g ndi chipinda chodyera 0.03 g wa phenobarbital.

Mankhwala a phenobarbital ali ndi zotsutsana, zomwe zimaphatikizapo matenda a chiwindi ndi impso, kutupa mphumu yowonongeka, mimba ndi msinkhu wa ana. Ngakhale zotsutsana zomwe zingagwiritsidwe ntchito muunyamata, wopanga amapereka mlingo woonekera wa phenobarbital kwa ana a zaka zosiyanasiyana, kuphatikizapo ana obadwa.

Kodi ndi zoopsa zanji phenobarbital?

Monga mankhwala ena onse opangira, phenobarbital ingabweretse zotsatira zoyipa: zotsatira zowopsya, kufooka kwathunthu ndi kugona, zimapangitsa kuti thupi likhale ndi matenda opatsirana. Ngati pali zowononga, sizikuyenera kuti mwadzidzidzi musiye kugwiritsa ntchito mankhwalawa, chifukwa ichi mukuyenera kukaonana ndi dokotala yemwe adzalemba ndondomeko yowonjezereka. Nthaŵi zambiri, kuchotsa phenobarbital kumachitika pochepetsa mlingo.

Gwiritsani ntchito phenobarbital iyenera kukhala mosamalitsa, kutsatira mosamala malangizo ndi malangizo kuti musamadzidwitse kwambiri zomwe zimayambitsa kumwa mowa kwambiri. Zizindikilo za kuwonjezera pa madzi siziwonekera nthawi yomweyo, kawirikawiri pambuyo pa maola 4-6, kapena atagwiritsa ntchito mankhwalawa nthawi yaitali. Mwanayo akhoza kukhala ndi ubongo ndi kugona, kuponderezedwa kwa chidziwitso, kufooka kapena kusowa kwa malingaliro, kayendetsedwe ka maso kawirikawiri kapena kuchepa kwa ophunzira. Pankhaniyi, muyenera kutchula ambulansi mwamsanga, chifukwa vuto loledzeretsa kwambiri ndi phenobarbital lingayambitse kupuma ndi mtima.

Kugwiritsidwa ntchito kwa phenobarbital kwa makanda kungasokoneze ntchito ya kuyamwa komanso chisamaliro chonse, motero malinga ndi chiwerengero ku Ulaya, mankhwalawa sanagwiritsidwe ntchito pochizira zakudya zaka 15.