Batsira Kuziva, Kuongorora, uye Kubata Zviratidzo Zvokurega
Pamusana pokuputika kwenhamba yevana vakaberekwa vakapindwa muropa nezvinodhaka nekuda kwekushandiswa kwamaivo pavanenge vane pamuviri, vanachiremba uye zvipatara vakapiwa mirayiridzo yakagadziriswa yekucherechedza, kuongorora, nekurapa vacheche vachiparadzaniswa nemapirisa uye mamwe mishonga mudumbu.
IAmerican Academy of Pediatrics (AAP) mirayiridzo inopindura kune izvo boka rinodana kukura kunotyisa kwevana vatsva vanodhakwa.
Mune dzimwe nzvimbo, kusvika kumapfumbamwe makumi maviri nemashanu kubva muzana muvana neonatal vane maitiro ekuchengetedza zvakanyanya vari kurapwa nekuda kwezvinodhaka zvinodhaka.
Chirwere Chirwere Chekushandisa Dhirase Chirwere
Nemhaka yokuti kushandiswa kwezvinodhaka kwezvinodhaka kwakawedzerwa mubhodhi munyika yose, vazhinji veavo vanokanganisa opioid painkillers vanosanganisira vakadzi vane pamuviri. Nokudaro, kwave kune kuwedzera kunowirirana muwandu hwevaya vakaberekwa vatsva vanopindwa muropa nezvinodhaka.
Vamwe vana vanoberekwa vakagadzirirwa nokuti vanaamai vari kugamuchira kurapwa kwemishonga yekushandisa zvinodhaka nemethadone kana buprenorphine . Vamwe vanaamai vanodhakwa neha heroin, cocaine, kana zvimwe zvinodhaka zvisina kukodzera.
Asi mushure mekurwadziwa kwepilisi-kupirisa chirwere, vana vakawanda vanozviratidza zvinodhaka kuzviratidza zviratidzo mushure mekunge vazvarwa vanoita kudaro nokuti amai vavo vari kushungurudza kana vanopindwa muropa nemishonga yepamusoro painkillers. ICentral for Disease Control inoshuma kuti kusashandiswa kwechiremba kwemaawa opioids kwave kwakasvika dambudziko rakawanda muUnited States mumakore mashanu akapfuura.
Nhungamiro Itsva Yakabudiswa
Vamwe vana vaduku vanoratidzwa nemishonga muchizvaro havana kuwana zviratidzo zvekuregera zvachose, nhoroondo yeAAP yakati; vamwe vane zviratidzo zvishoma zvemakiriniki zvekuregera, asi vamwe vane zvakawanda zvakanyanya kurega , izvo mumamiriro ezvinhu akawandisa zvinogona kuuraya.
Kuti ave nechokwadi chokuti izvi zvinokanganisa vana vatsva zvinoratidzwa uye zvinopa kurapa kwakakodzera, AAP yakabudiswa mitsva inotsanangurwa mumagazini yePediatrics .
Iyi mirayiridzo inosanganisira "mazano-based based approaches kune vatungamiri vechipatara vacheche vanoda kusvimha misodzi kubva kune analgesics kana sedatives."
IAAP inokurudzira kuti zvipatara zvose zvigadzirire chirongwa chekuona vakadzi kuti vashandise zvinodhaka uye vana vanozvarwa patsva nokuda kwekuvapo kwezvinodhaka nekuongorora mucheche mwana uye meconium.
Zviratidzo zveMucheche Zvinodhaka Kurasikirwa
Zvirwere zvinodhaka zvekupindwa muropa zvinogona kusanganisira:
- Kusvibiswa
- Kutuka
- Kugumburwa
- Kudzora
- Kufara kuchema
Zviratidzo zvenguva refu zvinogona kusanganisira kukanganisa kuberekwa, kuwedzera kukura, uye zvinetso zvekuita.
Range of Treatment Options
Mishonga inoshandiswa inotsanangurwa nemitungamiri inobva pakuita kuti mwana wacho anzwe wakasununguka - kuderedza kusvibiswa kune chiedza uye chine njere, kana kusungirirwa uye kutengesa-kushandisa mishonga yekudzikisa kuenzanisa kusvika pakukurumidza zviratidzo zvekusiya.
Kana mwana achangoberekwa asingabvumi kunotsigirwa nekunyaradzwa uye anoratidza zviratidzo zvekuregererwa kana zvakakomba kuzviratidzira, AAP inokurudzira kurapwa kwemishonga yekudzivirira kupisa, kuora muviri, uye kukanganisa.
Maererano neAAP, vanachiremba vakabata zvinodhaka kuzvidzora zviratidzo muvana vachangoberekwa nemhando dzakasiyana-siyana dzokugadzira mishonga, kusanganisira opioids (tincture ye opium, neonatal morphine solution, methadone, uye paregoric), barbiturates (phenobarbital), benzodiazepines (diazepam, lorazepam), clonidine , uye phenothiazines (chlorpromazine).
Kurapa Kwemishonga Hakusi Nguva Yakanakisisa Kwazvo
Zvisinei, mirayiridzo inonyevera kuti kurapwa kwemafarisi hakusi nguva dzose yakanakisisa nokuti inowedzera kushandiswa kwemishonga yemwana uye inoita kuti chipatara chirambe chiripo, icho chinogona kukanganisa kubatana kwevana vacheche.
Kushandisa mishonga kunobata zvirwere zvekuchechera kwevana zvinogonawo kusimbisa maitiro aamai kuti vatarise zvinodhaka kuti vabate kushungurudzika kwemwana kana tsika dzinoshungurudza, AAP inonyevera.
Nzira dzeAAP dzinotsanangura kuti iyo chete inobatsira yekushandisa mushonga wepamusoro pemishonga nevana vane mishonga inopindwa muropa ndeyekusunungurwa kwenguva pfupi kwekuregererwa kwezviratidzo.
Mark Hudak, MD, munyori anotungamirira wemitemo yakawedzerwa, akati dambudziko rinotarisana nevana vezvechipatara riri kuwana mishonga yakakwana yemishonga yekudzivirira zviratidzo zvecheche uye kurwadziwa pasina kuvapa mishonga yakawandisa zvokuti vanova mishonga.
Mitsara yakazara inowanika paIndaneti muPdf format.
Pfuma: Hudak, ML, et al. "Kurapa Kwemishonga Inorambidza Dambudziko." Pediatrics . 30 January 2012.