Isiraphu "nimulid": imiyalelo ukusetyenziswa kwabantwana, analogs, ncomo

Body usana susceptibility eliphezulu kwizifo ezininzi ngenxa okukwazi ayakhekanga ngokupheleleyo. bahlale kunye nokusingqongileyo kwandisa umngcipheko zizifo ukudumba, ngoko yonke mama kufuneka uziqhelanise kunye nendawo yokugcina amachiza eziya kunceda litshitshiswe sifo ngokwakho. Kufuneka kukhunjulwe ukuba naliphi na ichiza emiselweyo umntwana eyedwa akakwazi kuyo nayiphi na imeko. Kuyimfuneko ukuba libonisane kulo mba kunye udokotela.

Kutheni kukho intlungu kunye nomkhuhlane?

ukudumba Acute emzimbeni ibithethwa ephelekwa iimpawu luphawu, iintlungu kakhulu iqapheleka kunye nomkhuhlane. Ukuba bamphazamise umntwana, ngaloo ndlela eyenza inani kuyimfuneko of non-steroidal amachiza-ukudumba. Kodwa kutheni zenzeka ezi mpawu? Bona ezinxulumene kuyondelelaniswe nangakumbi prostaglandins, ezo metabolites ze CD. It prostaglandins - kwabenzi intlungu nangecesina, kwaye bomvu kwindawo ebushushwini babo. Bona kuchaphazela kukuthathwa umlawuli angxamele intlungu ukuya neuron, ukomeleza nokukhawulezisa ngayo. Ukongezelela koko, ngenxa ingqalelo olongeziweyo ion ze-hydrogen inyama asha, oku kukhokelela utshintsho pH kunye nempembelelo olongezelelweyo phezu kwalapho, nto leyo iphucula ngakumbi iintlungu. Ukongeza, prostaglandins kuba nefuthe ngqo kwi imithambo yegazi, ukutshintsha ithoni kunye permeability. Ngenxa yoko, kukho ububomvu zasekuhlaleni kunye nangecesina, kodwa ngenxa yokukhula permeability nokudumba kuvela. Ngale ndlela, kwaye kukho iimpawu eziphambili.

Amandla ukudumba ixhomekeke factor etiological kunye ukuxhathisa. Nangona ukudumba eqhelekileyo xa ufunyansiwe ukuzithethelela kwaye ibonisa kumzabalazo lomzimba, kufuneka avumele ukuba ufumana olukhulu kakhulu. Kuyimfuneko ukuba ukulawula kunye namayeza.

I onoxanduva kakhulu kufuneka bahlangane unyango abantwana, njengoko siyobisi anti-ukudumba ukuba contraindicated esemncinane. Phakathi amayeza owamkelekileyo - isiraphu "nimulid" (imiyalelo zokusetyenziswa abantwana ibonelelwa ngezantsi).

Ziintoni iimpawu ze ichiza?

Kokwabo nesteroidnyhm amachiza anti-ukudumba, oko kukuthi abangaphangeliyo iimpawu nangokurhala, ifiva, kunye nokunciphisa iintlungu. Medicine "nimulid 'ekhuselekileyo ngokupheleleyo abantwana, ukubala idosi ixhomekeke ubunzima umntwana waza wenza professional ngokungqongqo. Le into esebenzayo (nimesulide) ukusebenza cyclooxygenase enzyme, uvimba kuyo. Ngenxa yale tshintsho lwe CD ukutya - ezi Webhsayithi conversion cyclooxygenase umendo, apho ngokuqhelekileyo kwasekwa prostaglandins.

Elidlulileyo kwaye adlale indima ebonakalayo kwinkqubo ye ukudumba, eyethisa, siwasebenzise ngenxa ifuthe imithambo yegazi, kwakunye nobushushu. "Nimulid" abantwana ukucutha ubuninzi prostaglandins. Ngenxa yoko ukuncitshiswa kwezi mpawu zingasentla. bezifo abaninzi bacebisa "nimulid 'ncomo ngayo kakhulu ezintle.

kunikezelo

Ichiza ifumaneka ngeendlela ezininzi - a isiraphu (okanye ukumiswa), ye-tenofovi kunye neepilisi. Eyokuqala ithathwa njengeyona ndlela elula abantwana njengoko na incasa ezimnandi kunye uzinzo elifunekayo. Gel - ifomu ukusetyenziswa zangaphandle, ngamanye kufuneka isetyenziswe enyameni ebushushwini babo. Iindlela Kwathi lula nge njengomqobo kolusu linamandla ngokukhawuleza neziphumo zayo, ukuphucula imeko wosana. Nangona kunjalo, lo gel kufuneka isetyenziswe kuphela phantsi kweliso zonyango olungqongqo. azipilisi sisebenza kuphela izigulane abadala ngaphezu kweminyaka 12.

Kutheni ukusetyenziswa "nimulid"?

Isixhobo lubanesiphumo ngokukhawuleza, oko enoluhlu olubanzi izicelo. Advantageously, isiraphu kunye neepilisi "nimulid" (ithamo ngamnye) ezisetyenziswa izifo iphecana eliphezulu zemiphunga. Ezi ntlobo ichiza kufuneka ezimiselweyo lizinyo ebantwaneni, kwakunye sokubuyisa ixesha ekuphulukenwe nalo emva imisebenzi ethile. Ukwenzakala kwakhona bangabanye ezibonisa ukuba ukusetyenziswa kweziyobisi - kule meko ukuba naluphi na uhlobo. Le gel zingasetyenziswa izifo yokukrala inkqubo musculoskeletal - myalgia, samathambo. Kulo mzekelo, ichiza nje ukunciphisa ubushushu, kodwa kunciphisa ukudumba kunye neentlungu.

Ingaba kukho naziphi na iziphumo ebezingalindelekanga?

Ingozi yeziphumo ebezingalindelekanga kuba ncinci, ngoko ungakhathazeki. Ukuba bathe anawo, kufuneka udibane nge wabantwana bakho, baya kufundisa ukuba atshintshe okanye alungise umthamo ichiza.

Uluhlu yeziphumo ebezingalindelekanga:

• ziyabagulisa;
• isicaphucaphu;
• sorhudo kunye nokugabha;
• nokudinwa;
• nesiyezi;
• ukuphazamiseka kokulala.

Izimo

Uhlolisiso yaqinisekisa ukuba ichiza kukhuselekile ngokupheleleyo abantwana babo bonke ubudala, kodwa ngaphambi kokuba ukusetyenziswa, qinisekisa ukuba akukho mngundo kuyo. Ukuba emva kokuba ukusetyenziswa yokuqala yabangxamayo okanye ukurhawuzelela, kufuneka uyeke unyango "nimulid". Sezifo khetha nasiphi na isiyobisi ukuba ukusebenza ngendlela efanayo. Kwakhona Izimo ziquka hepatic kwaye ukusilela kwezintso obunzima.

libanda

Xa edlula ithamo ubuninzi ngokubonakala waphawula (okanye inzuzo) iziphumo ebezingalindelekanga ngasentla, kodwa asivelanga isiphumo zinetyhefu emzimbeni. Kwimeko libanda, ukuba lavage nangoko esiswini.

Isiraphu "nimulid": imiyalelo zokusetyenziswa (abantwana)

Ukusetyenziswa ichiza kuvunyelwa kuphela ngengcebiso igqirha ukuya, oya kugqiba oyidlayo. Medicine ngohlobo isiraphu lisetyenziswa ngomlomo kunye ukubalwa iidosi kuxhomekeke ubunzima bomzimba wosana. Le lusebenze yi 1-3 mg ngamnye ubunzima bomzimba kg. Idosi iphezulu - 5 mg / kg. Ngaloo ibalwa yonke imihla mabaphakelwe ichiza, kufuneka yahlulwe yaba amathamo-2 okanye ezi-3.

"Nimulid": ncomo

Njengoko kuchaziwe abathengi zibonakalisa indlela? Isiraphu "nimulid" ubushushu ufumana ncomo becala HIV. Abazali athi ukuphucuka ngokukhawuleza usana kunye nezinga eliphezulu achache. Le isiraphu kulula ukuba kwetyiswe, yaye ngenxa yoko isiphumo uza ngokukhawuleza kakhulu. Ichiza ngokukhawuleza kangangoko kunokwenzeka kunciphisa lobushushu nokuphelisa intlungu. Ucwaningo, amatyala komzimba zinqabile kakhulu, kwakunye nezinye iziphumo ebezingalindelekanga. Yiloo nto bebaninzi ukhethe isiraphu "nimulid" (imiyalelo ukusetyenziswa abantwana uchazwe apha ngasentla).

analogs

Eli qela libandakanya iziyobisi neziphumo ezifanayo nezinyangayo. Asingabo bonke ifanele ngenxa yezizathu eziliqela ukuba 'nimulid "(ixabiso ingaphezulu ngaphezu koko amayeza afanayo, silubone komzimba). Analogs kukunceda ukusombulula le ngxaki.

"Nimesil"

Eli chiza isithako esebenzayo efanayo njenge "nimulid", kodwa ezinye iimpawu ezinxulumene ukungenisa abantwana. Abanye abaphengululi bakholelwa ukuba ichiza kuchaphazela imeko nezintso nomhlehlo wesibindi, kodwa ezi data azikhange iqinisekisiwe. Ingozi yeziphumo ebezingalindelekanga xa ukuthatha eli chiza ingaphezulu xa usebenzisa 'nimulid ". Umzekelo, ukuba ichonge inani elikhulu negazi, nezibhaliweyo amatyala iyangongoza yintliziyo, ukuba nochuku (okanye ubuthathaka), ukubila. Ngokusekelwe zonke ngasentla, kungcono ukuba zincede zikhethe 'nimulid ".

"Nemuleks"

Eli chiza ukusebenza anti-ukudumba, kodwa ayisetyenziselwa abantwana abaselula. Ukutyunjwa "Nemuleksa" kuvunyelwa kuphela iminyaka eli-12, yaye yaveliswa ngokohlobo granules, kusetyenziswa ukulungiselela ukunqunyanyiswa. Uluhlu ezibonisa iyafana naleyo i "nimulid".

Ngaphambi kokuba olu nyango kufuneka bawuqhele uluhlu Izimo, njengoko inani labo likhulu kakhulu. Ukongeza komzimba kunye ukusilela kwezintso / isibindi phakathi Izimo - ingxaki igazi ekunqandeni, kwakunye namathuba ophezulu kakhulu ngenxa yobukho izilonda. "Nemuleks" into contraindicated kwi ukusilela entliziyweni.

Kufuneka wazi ukuba akayi kuvunyelwa ngethuba lokukhulelwa zisanyisa, njengoko kukho umngcipheko imiphumo ebuhlungu nesiyobisi kumacandelo umbungu lo. Kufuneka kwakhona babe balumke ekwenzeni ichiza phambi isifo sentliziyo, isifo seswekile.

Ukubuyekezwa Umsebenzisi we "Nemulekse"

Ichiza ngempumelelo attenuates intlungu yaye kunciphisa ubushushu, njengoko kuqatshelwe ngabathengi. Isiphumo waphawula bobabini esihlunwini, kwaye ziintlungu amazinyo.

Intsebenziswano kunye namanye amachiza

"Nimulid" (nelo kakhulu) inxulumene non-steroidal amachiza-ukudumba. inkalo yayo ezizodwa ukuyilwa ibhondi iiproteni plasma, ngoko ke, kukho ingozi yokuba kancinane xa zidityaniswe ne valproic acid kunye salicylic, "tolbutamide". Noko ke, "nimulid" (analogue kwakhona enze) ukunciphisa isiphumo umchamo ezinye amachiza - ezi ziquka "Furosemide" yaye "Warfarin". yolwamkelo engasebenziyo uthetha iqela kunye coagulants.

"Nimulid" sisixhobo kakhulu ukuba unyango lwezifo ukudumba ebantwaneni, kodwa kumele kuqikelelwe ekukhetheni iintlobo ukukhululwa kunye balawule. Iindlela angamisela wabantwana kuphela. Akufuneki uxhomekeke kuphela kwayo kunye nomzi ukufumana 'nimulid "(ixabiso kuxhomekeke kwindawo obuyithenge kunye nomthamo nemiqulu engange-100 ukuya kuma-250), njengoko kubangelwa iyeza ixhomekeke ngokupheleleyo kumntwana ngamnye.

Nangona iimeko ezizodwa negazi kunye neziphumo ebezingalindelekanga, kokubonisana oyingcali iyafuneka. Ukuba ukhetho wawa isiraphu imiyalelo 'nimulid "zokusetyenziswa abantwana kufuneka ifundwe ngenyameko.