Propranolol (Infantile Hemangioma)

Zamkati

• Musanapereke mankhwala amkamwa a propranolol,
• Propranolol imatha kuyambitsa mavuto. Uzani dokotala wa mwana wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mwanayo akukumana ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Ngati mwana wanu akukumana ndi izi, siyani kupereka propranolol ndikuimbira foni dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo:

Njira yothetsera Propranolol m'kamwa imagwiritsidwa ntchito pochizira kufalikira kwa khanda la hemangioma (zotupa zosafunikira) kapena zotupa zomwe zimawonekera pakhungu kapena pansi pakhungu atangobadwa) m'makanda milungu isanu mpaka miyezi isanu. Propranolol ali mgulu la mankhwala otchedwa beta blockers. Zimagwira ntchito pochepetsa mitsempha yamagazi yomwe idapangidwa kale ndikuletsa yatsopano kukula.

Propranolol imabwera ngati yankho lakumwa (madzi) kuti mutenge pakamwa. Yothetsera pakamwa ya Propranolol nthawi zambiri imamwedwa kawiri tsiku lililonse (maola 9 kupatula) nthawi kapena mutangotha ​​kudya. Perekani yankho la propranolol nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe amalembedwa pachipatala mosamala, ndipo funsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Perekani propranolol ndendende momwe mwalangizira. Musamapatse mwana wanu zocheperapo kapena muzimwa nthawi zambiri kuposa momwe dokotala ananenera.

Musagwedeze chidebe chakumwa musanagwiritse ntchito.

Ngati mwana wanu akulephera kudya kapena akusanza mlingowo, tulukani mlingowo ndikupitiliza dongosolo la dosing nthawi zonse akamadyanso.

Tsatirani malangizo a wopanga kuti ayese mlingo pogwiritsa ntchito syringe ya pakamwa yoperekedwa ndi mankhwala. Mutha kupereka yankho kwa mwana wanu molunjika kuchokera ku syringe ya mkamwa kapena mutha kuyisakaniza ndi pang'ono mkaka kapena msuzi wazipatso ndikupatsani mu botolo la mwana. Funsani wamankhwala kapena dokotala ngati muli ndi mafunso aliwonse amomwe mungagwiritsire ntchito jakisoni wam'kamwa kapena mankhwalawa.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanapereke mankhwala amkamwa a propranolol,

• uzani dokotala ndi wamankhwala ngati mwana wanu sagwirizana ndi mankhwala a propranolol, mankhwala aliwonse, kapena zosakaniza zilizonse za propranolol oral solution. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo ndi asakatiridwe mankhwala amtundu wa mankhwala omwe simukulembera, mavitamini, zowonjezera zakudya, ndi zitsamba zomwe mwana wanu akutenga kapena ngati ndinu mayi woyamwitsa ndipo mukumwa kapena mukukonzekera kumwa mankhwala aliwonse. Onetsetsani kuti mwatchulapo izi: corticosteroids monga dexamethasone, methylprednisolone (Medrol), kapena prednisone (Rayos); phenytoin (Dilantin, Phenytek); phenobarbital; kapena rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater). Mankhwala ena ambiri amathanso kulumikizana ndi propranolol, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala omwe mwana wanu akutenga (kapena mukumwa ngati akuyamwitsa), ngakhale omwe sapezeka pamndandandawu. Dokotala angafunikire kusintha mlingo kapena kuyang'anira mwana wanu mosamala pazotsatira zake.
• uzani adotolo ngati mwana wanu adabadwa msanga ndipo ali wochepera zaka zakubadwa zisanu, akulemera osakwana 4.5 lbs (2 kg), ali ndi kuthamanga kwa magazi kapena kuthamanga kwa magazi, kapena akusanza kapena sakudya. Komanso, muuzeni adotolo ngati mwana wanu ali ndi mphumu kapena mavuto ena opuma, pheochromocytoma (chotupa pa kansalu kakang'ono pafupi ndi impso zomwe zimayambitsa kuthamanga kwa magazi), kapena mtima kulephera. Dokotala mwina angakuwuzeni kuti musapereke mankhwala amkamwa a propranolol.

Pokhapokha dokotala atakuwuzani zina, mwanayo ayenera kupitiriza kudya zakudya zabwino.

Ngati mwaphonya kupereka mlingo, tulukani mlingowo ndikupitiliza dongosolo la dosing. Osapereka mlingo wowirikiza kuti ukhale wosowa.

Propranolol imatha kuyambitsa mavuto. Uzani dokotala wa mwana wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mavuto ogona
• kusanza
• kutsegula m'mimba
• kubvutika
• manja ozizira kapena mapazi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mwanayo akukumana ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• kuvuta kupuma kapena kumeza
• kupuma
• kupuma movutikira
• pang'onopang'ono, kugunda kwamtima kosasintha
• kufooka kwadzidzidzi kwa mkono kapena mwendo

Ngati mwana wanu akukumana ndi izi, siyani kupereka propranolol ndikuimbira foni dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

• wotumbululuka, mtundu wabuluu kapena wofiirira
• thukuta
• kupsa mtima
• kuchepa kudya
• kutentha thupi
• kugona kwachilendo
• kupuma kumaima kwakanthawi kochepa
• kugwidwa
• kutaya chidziwitso

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri, ndi chinyezi (osati kubafa). Osazizira. Chotsani njira yotsala ya propranolol pakamwa pakatha miyezi iwiri mutangotsegula botolo.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kugunda kwamtima mwachangu
• kupuma
• kugwidwa
• kusakhazikika
• kuvuta kugona kapena kugona

Sungani nthawi zonse ndi dokotala.

Musalole kuti wina aliyense amwe mankhwalawa. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwalawo.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Hemangeol^®