Ingane esanda kuzalwa enhle iyathokozisa ngokubonakala kwabazali, kodwa ngokuvamile kwenzeka ukuthi ngosuku lwesithathu lwesilwane isikhumba somntwana siphenduka ophuzi kanti odokotela bakhuluma nge-jaundice yemvelo. Lesi simo somntwana sibangelwa izici eziphawulekayo ze-bilirubin metabolism. Kwenzeka ukuthi ukugcina izinga le-bilirubin e-serum yegazi akutholakali ngokufaka isicelo njalo esifubeni, bese odokotela bebeka amalungiselelo akhethekile kubantwana kuhlanganise ne-phenobarbital.
Ezinganeni zanamuhla, zikhona izingxoxo ezinde mayelana nokuphakanyiswa kokusebenzisa lesi sidakamizwa ezinsaneni, kodwa phenobarbital ayiyekanga ukuba imiswe ukuba i-jaundice, ngakho-ke kulesi sihloko sizocubungula izici zokusetshenziswa nokusebenza kwemithi yesidakamizwa.
Isicelo sePhenobarbital
Isidakamizwa phenobarbital sinemvelaphi yokwenza futhi sinomphumela wokutholisa, wokucabangela kanye ne-anticonvulsant. Ngaphezu kwalokho, lesi sidakamizwa sandisa umsebenzi we-detoxification wesibindi, esiza ukukhulula umzimba wezinto ezinobuthi. Isidakamizwa sisetshenziselwa ukuphatha:
- i-tetanus;
- ama-seizures acile, kuhlanganise nasezinsaneni;
- isithuthwane (njengesidakamizwa esiyinhloko);
- I-hyperbilirubinemia noma i-jaundice yabantwana abasha.
Isilinganiso sePhenobarbital
Isidakamizwa sikhiqizwa nge-powder, amaphilisi kanye ne-elixir. Izifo eziningi ezihlukahlukene ezingaphathwa izidakamizwa, i-phenobarbital inqunywe ngabanye udokotela, futhi uma ukwelapha izinsana, ukwelashwa nalesi sidakamizwa ezimweni ezimilayo kuyadingeka.
I-Phenobarbital yezingane ezisanda kuzalwa nge-jaundice inqunywe
- izingane ezinyangeni ezingu-6 - isilinganiso esisodwa se-0.005 g (nsuku zonke - 0.01 g);
- kusuka ezinyangeni ezingu 6 kuya ngonyaka - 0.01 g (nsukuzonke - 0.02 g).
Ngaphezu kwalokho, umthamo owodwa ukwanda ngo-0.01 g wabantwana bonyaka ngamunye wokuphila. Umthamo wansuku zonke ovunyelwe ubalwa, ukwandisa umthamo owodwa ngezikhathi ezimbili. Kuzoba usizo kubazali ukwazi ukuthi ithisipuni ejwayelekile iqukethe u-0.01 g wokulungiselela, i-dessert spoon ingu-0.02 g negumbi lokudlela 0.03 g we-phenobarbital.
Isidakamizwa phenobarbital sinokuphikisana okunye okumele kusetshenziswe, kuhlanganise nesibindi nesifo sezinso, isifo sokuphefumula kwesisu, ukukhulelwa nengane yengane. Naphezu kokuphikisana okushiwo ukuthi usetshenziswe ebuntwaneni, umkhiqizi unikeza umthamo ocacile we-phenobarbital kubantwana bamaqembu ahlukene, kuhlanganise nezinsana.
Yini eyingozi nge-phenobarbital?
Njengazo zonke izidakamizwa zokwenziwa, i-phenobarbital ingabangela imiphumela emibi kakhulu: ukusabela okweqile, ubuthakathaka obuningi nokulala, kwandisa ukutholakala kwemvelo ekutheleleni kwamagciwane. Uma kunemiphumela emibi, akukhuthazwa ukuyeka ngokushesha ukusetshenziswa komuthi, ngoba lokhu udinga ukubonisana nodokotela ozoklama uhlelo oluningiliziwe. Ngokuvamile, ukususwa kwe-phenobarbital kwenziwa ngokuncipha umthamo.
Sebenzisa i-phenobarbital kufanele ihlolisise ngokucophelela, ulandele ngokucophelela izincomo nemiyalelo yokugwema ukudlula ngokweqile okubangela ukudakwa okukhulu komzimba.
Ukusetshenziswa kwe-phenobarbital ezinganeni kungaphazamisa umsebenzi wokuncelisa nenhlalakahle jikelele, ngakho-ke ngokusho kwezibalo eYurophu, lesi sidakamizwa asizange sisetshenziselwe ukwelapha i-jelly iminyaka engu-15.