I-Propranolol (Infantile Hemangioma)

-Delile

• Ngaphambi kokunikeza isisombululo somlomo sepropranolol,
• I-Propranolol ingadala imiphumela emibi. Tshela udokotela wengane yakho uma enye yalezi zimpawu inzima noma ingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma ingane ihlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wengane ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Uma ingane yakho ihlangabezana nenye yalezi zimpawu, yeka ukunikeza i-propranolol bese ushayela udokotela wengane ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka:

Isixazululo somlomo sePropranolol sisetshenziselwa ukwelapha ukukhula kwe-infantile hemangioma (okuyingozi (okungenalo umdlavuza) noma izimila ezivela esikhunjeni noma ngaphansi kwesikhumba ngemuva nje kokuzalwa) ezinganeni ezinamasonto amahlanu kuya ezinyangeni ezinhlanu ubudala. I-Propranolol ikusigaba semithi esibizwa nge-beta blockers. Isebenza ngokunciphisa imithambo yegazi esivele yakhiwe nangokuvimbela emisha ukuthi ingakhuli.

I-Propranolol iza njengesisombululo somlomo (uketshezi) ukuthatha ngomlomo. Isixazululo somlomo sePropranolol sivame ukuthathwa kabili ngosuku (ukuhlukaniswa kwamahora ayi-9) ngesikhathi noma ngokushesha ngemuva kokudla. Nikeza isisombululo se-propranolol cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela ngokucophelela, bese ucela udokotela noma usokhemisi ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Nikeza i-propranolol njengoba iqondisiwe. Unganiki ingane yakho cishe noma ngaphansi kwayo noma uyiphuze kaningi kunalokho okuyalelwe ngudokotela.

Unganyakazisi isitsha sesixazululo somlomo ngaphambi kokusetshenziswa.

Uma ingane yakho ingakwazi ukudla noma ihlanza umthamo, yeqa umthamo bese uqhubeka neshejuli ejwayelekile yokudla lapho iphinda idla.

Landela izinkomba zomkhiqizi ukukala umthamo usebenzisa isirinji yomlomo enikezwe umuthi. Unganikeza ingane yakho ikhambi ngqo kusuka kusirinji yomlomo noma ungayixuba nenani elincane lobisi noma ujusi wezithelo bese ulinikeza ebhodleleni lengane. Buza usokhemisi noma udokotela uma unemibuzo mayelana nokuthi ungasisebenzisa kanjani isirinji yomlomo noma unikeze lo muthi.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokunikeza isisombululo somlomo sepropranolol,

• Tshela udokotela kanye nosokhemisi uma ingane yakho iguliswa yi-propranolol, noma yimiphi eminye imithi, noma iziphi izithako kusisombululo somlomo sepropranolol. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi ingane yakho ethathayo noma uma ungumama oncelisayo futhi uthatha noma uhlela ukuthatha noma imiphi imithi. Qiniseka ukuthi usho noma yikuphi kokulandelayo: i-corticosteroids efana ne-dexamethasone, i-methylprednisolone (i-Medrol), noma i-prednisone (i-Rayos); i-phenytoin (iDilantin, Phenytek); i-phenobarbital; noma i-rifampin (i-Rifadin, i-Rimactane, e-Rifamate, e-Rifater). Eminye imishanguzo eminingi ingaxhumana nepropranolol, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi ingane yakho eyiphuzayo (noma oyiphuzayo uma uncelisa), ngisho nalezo ezingabonakali kulolu hlu. Udokotela angadinga ukushintsha umthamo noma aqaphe ingane yakho ngokucophelela ngemiphumela emibi.
• Tshela udokotela ukuthi ngabe ingane yakho izalwe ngaphambi kwesikhathi futhi ingaphansi kweminyaka yobudala elungisiwe yamaviki ama-5, inesisindo esingaphansi kwama-4.5 lbs (2 kg), inengcindezi yegazi ephansi noma i-pulse rate, noma iyahlanza noma ayidli. Futhi, tshela udokotela uma ingane yakho inesifo somoya noma inezinye izinkinga zokuphefumula, i-pheochromocytoma (isimila esiswini esincane esiseduze nezinso ezibanga umfutho wegazi ophezulu), noma ukwehluleka kwenhliziyo. Udokotela mhlawumbe uzokutshela ukuthi unganiki i-propranolol solution yomlomo.

Ngaphandle kokuthi udokotela akutshele ngenye indlela, ingane kufanele iqhubeke nokudla okujwayelekile.

Uma uphuthelwa ukunikeza umthamo, weqa umthamo bese uqhubeka neshejuli ejwayelekile yokulinganisa. Unganikezi umthamo ophindwe kabili ukwenzela ongakutholanga.

I-Propranolol ingadala imiphumela emibi. Tshela udokotela wengane yakho uma enye yalezi zimpawu inzima noma ingapheli:

• izinkinga zokulala
• ukuhlanza
• isifo sohudo
• ukuyaluza
• izandla ezibandayo noma izinyawo

Eminye imiphumela emibi ingaba mibi. Uma ingane ihlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wengane ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuphefumula kanzima noma ukugwinya
• isifuba
• ukuphelelwa umoya
• ukushaya kwenhliziyo okuhamba kancane, okungajwayelekile
• ubuthakathaka obungazelelwe bengalo noma bomlenze

Uma ingane yakho ihlangabezana nenye yalezi zimpawu, yeka ukunikeza i-propranolol bese ushayela udokotela wengane ngokushesha noma uthole ukwelashwa okuphuthumayo:

• umbala wesikhumba okhanyayo, oluhlaza okwesibhakabhaka noma onsomi
• ukujuluka
• ukucasuka
• ukuncipha kokudla
• izinga lokushisa lomzimba eliphansi
• ubuthongo obungavamile
• ukuphefumula kuyama isikhathi esifushane
• isithuthwane
• ukulahlekelwa ukwazi

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile, nomswakama (hhayi endlini yangasese). Ungafrizi. Lahla noma isiphi isisombululo somlomo esisele se-propranolol ezinyangeni ezimbili ngemuva kokuqala ukuvula ibhodlela.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukushaya kwenhliziyo okusheshayo
• isifuba
• isithuthwane
• ukungahlaliseki
• ubunzima bokulala noma ukulala

Gcina wonke ama-aphoyintimenti nodokotela.

Ungavumeli noma ngubani omunye athathe lo muthi. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• IHemangeol^®