Ipropranolol (usana lweHemangioma)

Umxholo

• Ngaphambi kokuba unike isisombululo somlomo sepropranolol,
• Ipropranolol inokubangela iziphumo ebezingalindelekanga. Xelela ugqirha womntwana wakho ukuba ngaba ezinye zeempawu zinzima okanye azimki:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba umntwana ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko ugqirha okanye ufumane unyango olungxamisekileyo:
• Ukuba umntwana wakho unazo naziphi na kwezi mpawu, yeka ukunika ipropranolol kwaye ubize ugqirha womntwana ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

Isisombululo somlomo sepropranolol sisetyenziselwa ukunyanga ukukhula kweentsana zehemangioma (ukukhula okungenabungozi) okanye amathumba avela okanye ngaphantsi kolusu kungekudala emva kokuzalwa) kwiintsana iiveki ezintlanu ukuya kwiinyanga ezintlanu ubudala. Ipropranolol ikudidi lwamayeza abizwa ngokuba yi-beta blockers. Isebenza ngokunciphisa imithambo yegazi esele yenziwe kunye nokuthintela ezintsha ukuba zikhule.

Ipropranolol iza njengesisombululo somlomo (ulwelo) ukuthatha ngomlomo. Isisombululo somlomo sepropranolol sihlala sithathwa kabini yonke imihla (iiyure ezingama-9 ukwahlukana) ngexesha okanye kwangoko emva kwesidlo. Nika isisombululo seprranolol ngexesha elifanayo (okanye) yonke imihla. Landela umkhombandlela kwileyibhile yonyango ngocoselelo, kwaye ubuze ugqirha okanye usokhemesti ukuba achaze naliphi na icandelo ongaliqondiyo. Nika ipropranolol ngokuchanekileyo njengoko kuyalelwe. Musa ukunika umntwana wakho ngaphezulu okanye ngaphantsi okanye umthathe rhoqo kunokuba umiselwe ngugqirha.

Musa ukushukumisa isisombululo somlomo ngaphambi kokusetyenziswa.

Ukuba umntwana wakho akanakutya okanye ugabha idosi, tsiba idosi kwaye uqhubeke neshedyuli yedosi eqhelekileyo xa besitya kwakhona.

Landela umkhombandlela womenzi ukulinganisa idosi usebenzisa isirinji yomlomo enikezelwe ngonyango. Ungasinika isisombululo umntwana wakho ngqo kwisirinji yomlomo okanye ungasidibanisa nenani elincinci lobisi okanye incindi yeziqhamo kwaye usinike kwibhotile yosana. Buza usokhemesti okanye ugqirha ukuba unayo nayiphi na imibuzo malunga nendlela yokusebenzisa isirinji yomlomo okanye unike eli yeza.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba unike isisombululo somlomo sepropranolol,

• xelela ugqirha kunye nosokhemesti ukuba umntwana wakho akaliwa yi-propranolol, nawaphina amayeza, okanye naziphi na izithako kwisisombululo somlomo sepropranolol. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• xelela ugqirha kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye neemveliso zamayeza ezenziwa ngumntwana wakho okanye ukuba ungumama oncelisayo kwaye uthatha okanye uceba ukuthatha amayeza. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-corticosteroids enje nge-dexamethasone, methylprednisolone (Medrol), okanye i-prednisone (iRayos); phenytoin (iDilantin, iPhenytek); phenobarbital; okanye i-rifampin (iRifadin, iRimactane, eRifamate, eRifater). Amanye amayeza amaninzi anokuphinda asebenzisane nepropranolol, ngoko qi Ugqirha unokufuna ukutshintsha idosi okanye ukubeka esweni umntwana wakho ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha ukuba ngaba umntwana wakho wazalwa ngaphambi kwexesha kwaye umncinci kuneminyaka elungisiweyo yeeveki ezi-5, unobunzima obungaphantsi kwe-4.5 lbs (2 kg), unoxinzelelo lwegazi olusezantsi okanye ukubetha kwentliziyo, okanye uyagabha okanye angatyi. Kwakhona xelela ugqirha ukuba umntwana wakho unayo okanye uneasthma okanye ezinye iingxaki zokuphefumla, pheochromocytoma (ithumba kwincindi encinci kufutshane nezintso ezibangela uxinzelelo lwegazi), okanye ukusilela kwentliziyo. Ugqirha uya kukuxelela ukuba unganiki isisombululo somlomo sepropranolol.

Ngaphandle kokuba ugqirha ukuxelele ngenye indlela, umntwana kufuneka aqhubeke nokutya okuqhelekileyo.

Ukuba uyaphoswa kukunika idosi, tsiba idosi kwaye uqhubeke neshedyuli yokuthatha idosi rhoqo. Musa ukunika idosi ephindwe kabini ukuyenzela eyaphosiweyo.

Ipropranolol inokubangela iziphumo ebezingalindelekanga. Xelela ugqirha womntwana wakho ukuba ngaba ezinye zeempawu zinzima okanye azimki:

• iingxaki zokulala
• ukugabha
• urhudo
• ukuphazamiseka
• izandla ezibandayo okanye iinyawo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba umntwana ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko ugqirha okanye ufumane unyango olungxamisekileyo:

• ubunzima bokuphefumla okanye ukugwinya
• ukuvutha
• ukuqhawukelwa ngumphefumlo
• ukucotha, ukubetha kwentliziyo okungaqhelekanga
• ukuba buthathaka ngesiquphe kwengalo okanye umlenze

Ukuba umntwana wakho unazo naziphi na kwezi mpawu, yeka ukunika ipropranolol kwaye ubize ugqirha womntwana ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• umbala okhanyayo, bhlowu okanye mfusa
• ukubila
• ukucaphuka
• ukunciphisa ukutya
• ubushushu bomzimba obuphantsi
• ukulala okungaqhelekanga
• Ukuphefumla kuyeka okwexeshana
• ukuxhuzula
• ukulahleka kwengqondo

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nokukhanya, ubushushu obungaphaya, kunye nokufuma (hayi kwigumbi lokuhlambela). Musa ukubanda. Lahla nasiphi na isisombululo somlomo esisele ngeenyanga ezi-2 emva kokuba uvule ibhotile kuqala.

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• ukushukuma okungalawulekiyo kwilungu lomzimba
• ukubetha kwentliziyo ngokukhawuleza
• ukuvutha
• ukuxhuzula
• ukungazinzi
• ubunzima bokulala okanye ukulala

Gcina lonke ixesha lokuya kugqirha.

Sukuvumela nabani na ongomnye athathe la mayeza. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• IHemangeol^®