Umntwana osandul 'ukuzalwa onomdla uyavuya ngokubonakala kwabazali, kodwa ngokuqhelekileyo kwenzeka ukuba ngosuku lwesibini iintsuku zobomi besikhumba lujika kwimizi kwaye oogqirha bakhuluma nge-jaundice yomzimba. Eli lizwe lentsana libangelwa ziziganeko ze-bilirubin metabolism. Kwenzeka ukuba ukulungelelanisa umgangatho we-bilirubin kwi-serum yegazi ayifumaneki kwisicelo esifana nesiqhelo, ngoko oogqirha banika amalungiselelo akhethekileyo kubantwana kuquka ne-phenobarbital.
Kwizonyango zanamhlanje, zikhona iingxoxo ezide malunga nokucebisa ukusebenzisa izidakamizwa kwiintsana, kodwa i-phenobarbital ayiyekanga ukumiselwa i-jaundice, ngako-ke kweli nqaku siya kuqwalasela iimpawu zokusetyenziswa kunye nezenzo ze-pharmacological zesilwayo.
Isicelo sePhenobarbital
Isiza se-phenobarbital sinemvelaphi yokuvelisa kwaye sinomtsalane, i-hypnotic kunye ne-anticonvulsant effect. Ukongezelela, isichengisiso sandisa umsebenzi we-detoxification wesibindi, unceda ukukhulula umzimba wezinto ezinobuthi. Isiza sisetyenziselwa ukunyanga:
- tetanus;
- izibilini ezinzima, kuquka nabantwana;
- ukuhluthwa (njengelisisiseko esibalulekileyo);
- I-Hyperbilirubinemia okanye i-jaundice yeintsana.
IsiPhenobarbital Isisombululo
Isilwanyana senziwe nge powder, amaphilisi kunye ne-elixir. Uluhlu olubanzi lwezifo ezinokuphathwa ngonyango, i-phenobarbital imiselwe ngabodwa ngugqirha, kwaye xa unyanga abantwana, unyango kunye nale nkunkuma kwiimeko ezimileyo zifunwa.
I-Phenobarbital yabantwana abasanda kuzalwa ne-jaundice imiselwe
- abantwana ukuya kwiinyanga ezili-6 - i-dose enye ye-0.005 g (imihla ngemihla - 0.01 g);
- ukususela kwiinyanga ezi-6 ukuya kunyaka - 0.01 g (imihla ngemihla - 0.02 g).
Ukongeza, enye idoloji yanda ngo-0.01 g kubantwana bonyaka ngamnye wobomi. Imilinganiselo yemvume yemihla ngemihla ibalwa, ukwandisa umthamo owodwa ngamaxesha ama-2. Kuya kuba luncedo kubazali ukwazi ukuba i-teaspoon ephezulu iqukethe i-0.01 g yokulungiselela, i-dessert spoon yi-0.02 g kunye negumbi lokudlela 0.03 g ye-phenobarbital.
Isiza se-phenobarbital sinokuphikisana nokusetyenziswa, kubandakanywa nesibindi kunye nesifo sesifo, isifo se-asthma, ukukhulelwa kunye nobudala bomntwana. Nangona kukho ukuchaswa okuchazwe ukuba kusetyenziswe ebuntwaneni, umenzi unikeza umlinganiselo ocacileyo we-phenobarbital kubantwana bamaqela ahlukeneyo, kuquka iintsana.
Yintoni eyingozi malunga ne phenobarbital?
Njengawephi na izidakamizwa zokwenza izinto, i-phenobarbital inokubangela iziphumo ezibi kakhulu: ukuphendula okuphambeneyo, ubuthathaka obukhulu kunye nokulala, kunyusela ukukhutshwa komzimba kwiintsholongwane zentsholongwane. Xa kukho imiphumo emibi, akucebisi ukuba unqunyulwe ngokukhawuleza ukusetyenziswa kweziyobisi, ngenxa yoko kufuneka udibane nodokotela oza kudala isicwangciso esicacisiweyo. Ngokuqhelekileyo, ukususwa kwe phenobarbital kwenziwa ngokunciphisa umyinge.
Sebenzisa i-phenobarbital kufuneka ibe ngononophelo, ngokulandela ngokucokisekileyo iziphakamiso kunye nemiyalelo yokuphepha ukugqithisa okubangela ukuxiliswa komzimba.
Ukusetyenziswa kwe-phenobarbital kwiintsana kunokuchaphazela kakhulu umsebenzi wokusana kunye nentlalo-jikelele, ngoko ngoko ngokulandelelana kweYurophu, le nkunkuma ayichange isetyenziswe ukuphatha i-jelly iminyaka eyi-15.