Okushiwo yi-FDA mayelana ne-syrups yokukhwehlela kwezingane
Ukukhetha umuthi wokukhwehlela wezingane ezifanele kungaba nzima ngabazali ngoba ukukhwehlela kwabantwana kungenye yezimpawu ezikhungathekisayo zokuphatha.
Akukona kuphela ukuthi ukukhwehlela kugcina izingane zakho ubusuku bonke, kungabathumela nabo ekhaya bevela esikoleni uma ukukhwehlela kuphazamisa kakhulu kwabanye abafundi ekilasini. Kodwa abazali bavame ukungena enkingeni lapho bezama ukuthola isiraphu yokukhwehlela ukuze bathule ukukhwehlela kwengane yabo.
Izixwayiso Zamaqanda Namakhaza
Ngeshwa, i-FDA yokwelulekwa kwezempilo emphakathini mayelana nama-syrups ebandayo nokukhwehlela athi "kuphakanyiswe imibuzo mayelana nokuphepha kwale mikhiqizo nokuthi ngabe izinzuzo zivumela noma yiziphi izingozi ezingase zivele ekusetshenziseni le mikhiqizo ezinganeni, ikakhulukazi ezinganeni ezingaphansi kweminyaka emibili ubudala. "
Ukuxwayiswa emakhazeni asebandayo nokukhwehlela kuthiwa akufanele banikwe izingane ezingaphansi kweminyaka emine. Kusukela ukukhululwa komeluleki, i-FDA ikhumbuze abazali ukuba banganiki izingane ezincane noma izinsana imikhiqizo yabantwana abanda futhi bekhwehlela ehlala emakethe futhi yenzelwe izingane ezindala. Izingane ezineminyaka engaphansi kweminyaka emibili akufanele zinikezwe imikhiqizo ebanda futhi ekhwehlela ngama-decongestants nama-antihistamine, ngaphandle kokuqala ukuthola usizo lwezokwelapha.
I-FDA ibika ukuthi izinkinga eziningi ezinamahlumela abanda futhi ezikhwehlela zenzeka uma "kusetshenziselwa imali engaphezu kwesilinganiso esinconywayo, uma kunikezwa kaningi, noma uma kunomkhuhlane owodwa nomuthi obandayo oqukethe isithako esifanayo esetshenziswayo." Kodwa njengoba kukhona ubufakazi obuncane bokuthi lemithi empeleni isebenza, ochwepheshe batusa ukuthi abazali bawagweme.
Ama-Syrups e-Cough
Imithi edingekayo ukusiza ukukhwehlela okuthulile (imithi ephikisayo) ngokuvamile ihlanganisa eyodwa noma ngaphezulu yalezi zithako, kubandakanya:
- I-Benadryl (i-antihistamine)
- I-Dextromethorphan (i-'DM 'ngokukhwehlela ama-syrups)
- I-Codeine noma i-hydrocodone (ukucindezela ukukhwehlela kwama-narcotic)
Ama-syrups amaningi ekhwehlela nawo aqukethe utshwala.
Izimpawu eziningi ezibandayo kanye nokukhwehlela i-syrups zingase zine-decongestant, expectorant, noma ubuhlungu kanye nokunciphisa umkhuhlane.
Imithi evame ukukhwehlela futhi ukukhwehlela i-syrups ihlanganisa:
- Robitussin DM
- Delsym
- Triaminic yezingane
- I-PediaI-Cough Long-Acting Cough
I-syrups ye-cough ne-codeine ne-hydrocodone iyatholakala kuphela ngomuthi.
Ingabe Ama-Syrups E-Cough asebenza?
Esinye sezici ezinkulu kule mpikiswano mayelana nokusetshenziswa kwamaqhwa abandayo nokukhwehlela kubantwana ubufakazi, noma ukungabi nobufakazi, ukuthi empeleni basebenza.
Nakuba abazali abaningi nabahlengikazi bezingane bevame ukuqiniseka ukuthi ama-syrups abanda futhi abamba ukukhwehlela asebenza ngempela lapho ingane ikhwehlela, okuvame ukusekelwe ebufakazini obungaphambilini futhi hhayi ngokusekelwe ocwaningweni lwesayensi.
Kodwa kuthiwani ngabo bonke ubufakazi obonisa ukuthi imithi yokukhwehlela ayisebenzi? Ngeshwa, iningi lalo akulona lokho okuhle. Okunye ukubuyekezwa okukhulu kwalezi zifundo ezivela kuComrane Ukuphetha kwaphetha ngokuthi "abukho ubufakazi obuhle noma ngokumelene nokuphumelela kwemithi ye-OTC ngokukhwehlela okukhulu.
Imiphumela yalokhu kubuyekezwa kufanele ihunyushwe ngokucophelela ngoba inani lezifundo esigabeni ngasinye sokulungiselela ukukhwehlela sasincane. Ucwaningo oluningi lwaluyikhwalithi ephansi futhi luhluke kakhulu komunye nomunye, okwenza kube nzima ukuhlolisisa ukusebenza okuphelele. "
Enye inkinga ukuthi izingane zikhwehlela ngezizathu eziningi ezahlukene. Isibonelo, bangase babe nokukhwehlela uma behluma , okuvame ukubonakala kunzima ukulawula, i-bronchitis, i-asthma, i-allergies noma ibanda elivamile .
Njengoba kubonakala sengathi abazali basebenzisa le syrups ezibandayo nokukhwehlela, ngisho nezixwayiso, ngethemba lokuthi, ucwaningo olungaphezulu lungenziwa ukuze lubone ukuthi luyasiza yini ezinye izingane. Khona-ke, kungenziwa umsebenzi omkhulu ukuze ubenze ephephile kubo bonke abantwana.
Ezinye izindlela
Ngakho uma ingane yakho ikhwehlela futhi kufanele usebenzise isiraphu ebanda futhi ekhwehlela ingane yakho encane, yini okufanele uyenze?
Ezinye izindlela zokwelapha ukusebenzisa isiraphu yokukhwehlela okungase kube usizo zihlanganisa:
- I-cool humidifier yomoya
- Ukuphuza uketshezi oluthe xaxa
- Ukuphumula nokunciphisa umsebenzi, ikakhulukazi ukugwema umsebenzi ongokomzimba ongenza ukukhwehlela kube nzima
- Amaconsi omzimba we-saline, ne-aspiration for the newborns kanye nezingane
- Isikhukhula sehlela izingane ezingaphezu kweminyaka engama-4 noma 5 lapho zingekho ingozi yokukhipha
Shayela udokotela wakho wezingane uma ingane yakho inomkhuhlane kanye nokuphefumula ukuphefumula, ukukhwehlela okungenqamuki, ukukhwehlela, nomkhuhlane omkhulu, noma ukukhwehlela okungahambi noma ukuphucula emva kwezinsuku eziyisihlanu kuya kweziyisikhombisa.
Ukuhlukunyezwa
Ngeshwa, izingane eziningi zisebenzisa kabi izidakamizwa. Futhi kulezi zinsuku, kuhamba kakhulu kunezidakamizwa "zendabuko," njengobunikazi, utshwala, ukucwenga, i-cocaine ne-heroin.
Intsha eningi manje empeleni ihlukumeza i-dextromethorphan (ebizwa nangokuthi i-DXM), etholakala ku-syrups ekhwehlela. Noma bangase bahlukumeze imithi yokwelapha efana ne-Coricidin HBP Cough and Cold, eyaziwa nangokuthi "i-Triple C."
Ngaphandle kwe-dextromethorphan, i-Coricidin HBP Cough and Cold nayo iqukethe i-antihistamine. Amanani amakhulu angabangela intsha ukuthi ibe nemibono neminye imiphumela emibi kakhulu. Kube khona nemibiko yokufa kwabantwana abahlukumeza i-DXM ne-Coricidin.
Imithombo:
Isitatimende senqubomgomo ye-AAP. Ukusetshenziswa kweCodeine- kanye ne-Dextromethorphan-Ephethe izixazululo zeCough ku-Children. I-PEDIATRICS Vol. 99 No. 6 Juni 1997, iphe. 918-920.
I-FDA I-Public Health Advisory on NonPrescription Cough and Cold Medicine Sebenzisa Ezinganeni. Kubuyekezwe ngo-Okthoba 10, 2008.
I-Gadomski A, Horton L Isidingo sokwelashwa okunengqondo ekusetshenzisweni kokukhwehlela nomuthi obandayo ezinganeni. Izingane zokwelapha. 1992; 89: 774-776
Imithi eminingi yokukhwehlela okunzima ezinganeni nakubantu abadala ezindaweni zokuthungatha. I-Cochrane Database Syst Rev 2004; (4): CD001831
Smith MBH, Feldman W Imithi ebandayo yokubanda. Ukubuyekezwa okubucayi kokuhlolwa kwamakliniki phakathi kuka-1950 no-1991. I-JAMA. 1993; 269: 2258-2263.