Izvo zvinonzi FDA nezvevana vanogunzva
Kusarudza mishonga yakarurama yekurapa kwechirwere kunogona kuva kwakaoma kuvabereki sezvo chifukidziro muvana chimwe chezvinhu zvinoodza mwoyo zviratidzo zvokurapa.
Haisi kungofukidzwa chete nekuchengetedza vana vako usiku hwose, zvinogona kuvaita kuti vatumire kumba kubva kuchikoro kana kukwezva kuchivhiringidza kune vamwe vadzidzi mukirasi. Asi vabereki vanowanzomhanyira mumatambudziko apo vachiedza kuwana sirafu yekukanganiswa kuti vanyarare kukohwa kwomwana wavo.
Cold uye Girasi Mavara Mazano
Zvinosuruvarisa, mazano ehutano hwehutano hwehutano pamusoro pehutano hwevana uye hukomba hurasi inotaura kuti "mibvunzo yakasimudzirwa pamusoro pekuchengetedzwa kwezvigadzirwa izvi uye kana zvikomborero zvinokonzera njodzi dzingangodaro dzinoshandiswa kubva mukushandiswa kwezvinhu izvi muvana, kunyanya muvana vari pasi pemakore maviri age. "
Manyevero ari kunotonhorera uye nekukanganiswa kwemakumbo anotaura kuti haafaniri kupa vana vasati vava nemakore mana. Sezvo mazano ari kusunungurwa, FDA yakakurudzira vabereki kuti vasapa vana vaduku kana vacheche vana vane hutano hwehutano uye hwekukanda dziri mumusika uye dzakagadzirirwa vana vakwegura. Vana vaduku vari pasi pemakore maviri havafanirwi kupiwa kunotonhora nekukanganiswa kwemishonga nema decongestants uye antihistamines, pasina kutanga kutsvaga mazano ekurapwa.
Dhiyabhorosi inoshuma kuti dzakawanda zvinetso zvinotonhora uye nekukanganiswa kwemapurosipiti zvinowanikwa apo "zvinodarika mari yakarongedzerwa inoshandiswa, kana ichipiwa kakawanda, kana kana kupfuura kukwira kamwechete uye mishonga inotonhora ine chinhu chakafanana chinoshanda chiri kushandiswa." Asi sezvo pane uchapupu hushoma hwokuti mishonga iyi inoshanda chaizvo, nyanzvi dzinokurudzira kuti vabereki vadzivise.
Cough Syrups
Mishonga inofanirwa kubatsira rubatsiro runyararo (mishonga inorwisa) inowanzobatanidza imwe kana zvimwe zvezvivako izvi, kusanganisira:
- Benadryl (an antihistamine)
- Dextromethorphan (iyo 'DM' mukukanganiswa kwemakwenzi)
- Codeine kana hydrocodone
Maitiro akawanda okukanganiswa anewo doro.
Mazhinji-chiratidzo zvirwere zvinotonhora nekukanganiswa zvinogonawo kuva nedongestestant, expectorant, kana kurwadziwa uye kuderedza fever.
Kazhinji inoshandiswa kwemishonga yekukanganiswa uye kusvuta mashizha anosanganisira:
- Robitussin DM
- Delsym
- Vana Triaminic
- PediaCare Long-Acting Cough
Sirasi yakagadzirwa ne codeine uye hydrocodone inowanikwa chete nemishonga.
Ko Mishonga Yakakosha Inoshanda Here?
Chimwe chezvinhu zvikuru muhurukuro pamusoro pekushandiswa kwebandonho uye nekukanganiswa kwemishuruti muvana chiratidzo, kana kusasha kwehuchapupu, kuti chaizvoizvo vanoshanda.
Kunyange zvazvo vabereki vakawanda nevanachiremba vana vanoziva kuti kutonhora uye kukwepa mashizha anoshanda chaizvo kana mwana achikandira, izvo zvinowanzoenderana nehupupuriro hwehutachiona uye husingafambi nekutsvakurudza kwesayenzi.
Asi zvakadini nehumwe humwe humwe humwe humwe hunotaura kuti kukwepa mishonga hakubatsiri? Zvinosuruvarisa, zvizhinji zvacho hazvisi izvo zvakanaka. Chimwe chekudzokororwa kukuru kwezviongorori izvi kubva kuChrourane Reviews zvakagumisa kuti "hapana humwe uchapupu hunobatsira kana hunoenderana nekubudirira kwemishonga yeTTC mukukanganiswa kukuru.
Migumisiro yezvekuongorora uku inofanirwa kududzirwa nekuchenjerera nokuti nhamba yezvidzidzo muzvikamu zvega zvekukanganiswa kwekukanganiswa yaiva shoma. Ongororo dzakawanda dzaive dzakaderera uye dzakasiyana kwazvo kubva kune umwe, zvichiita kuti kuongororwa kwehutano huve nyore. "
Chimwe chinetso ndechokuti vana vakagumburwa nekuda kwezvikonzero zvakawanda zvakasiyana. Somuenzaniso, vangave vaine chifuva kana vachinge vachinge, izvo zvinowanzonzi zvakaoma kutonga, bronchitis, asthma, zvipembenene kana hutano huripo .
Sezvo vabereki vachiri kuratidzika sevari kushandisa izvi zvinotonhorera uye zvinokonzera chifukidziro, kunyange kunyeverwa, tarisiro, tsvakurudzo dzakawanda dzinogona kuitwa kuti dzione kana dzichibatsira kune vamwe vana. Uyezve, mamwe mabasa anogona kuitwa kuti aite kuti vave nerunyararo kune vose vana.
Alternatives
Saka kana mwana wako achikanganiswa uye iwe unofanirwa kushandisa sora uye chifukidziro chechifu kune mwana wako muduku, chii chaunofanirwa kuita?
Mamwe maitiro akasiyana ekushandisa sirafu yekukanganiswa iyo inogona kubatsira inosanganisira:
- Cool air humidifier
- Kunwa mvura inowedzera
- Zororo uye yakaderedza basa, kunyanya kudzivisa kuita basa rinoita kuti chifukidzi chiwedzere
- Saline nasal madonhe, ane kutsva kwebhuru kwevana vatsva uye vacheche
- Mvura inodonha yevana vanopfuura makore mana kana mashanu iyo iyo isiri yengozi
Dana mwana wako kana mwana wako ane chifuva uye dambudziko rokufema, kukanganwa kusina kumira, chifukidziro, uye fever high, kana chifukidziro chisingaendi kana kuva nani kana mushure memazuva mashanu kusvika manomwe.
Kushungurudza
Zvinosuruvarisa, vana vakawanda vanoshandisa zvinodhaka. Uye mazuva ano, inoenda kure kupfuura "mishonga" yemishonga, yakadai semambuju, doro, kufara, cocaine, uye heroin.
Vechidiki vakawanda iye zvino vari kukuvadza dextromethorphan (inonziwo DXM), iyo inowanikwa mukukanganiswa kwemakumbo. Kana kuti vanogona kushandisa zvisina kufanira mishonga inobatanidza inotonhora seCoricidin HBP Cough uye Cold, iyo inozivikanwawo se "Triple C."
Mukuwedzera kune dextromethorphan, Coricidin HBP Cough uye Cold inewo antihistamine. Maitiro makuru anogona kuita kuti vechidiki vave nemafungiro uye mamwe matambudziko makuru. Ikoko kwakatove nenyaya dzekufa kubva kuvana vanoshungurudza DXM naCoricidin.
Sources:
AAP Policy Statement. Kushandisa Codeine- uye Dextromethorphan-Iine Zvirwere Zvokudya muvana. PEDIATRICS Vol. 99 Nha. 6 June 1997, peji 918-920.
FDA Inharaunda yehutano yehutano pamusoro pekunyoreswa kusina kunyorwa uye kukora Mishonga Shandisa muvana. Yakaperedzwa Gumiguru 10, 2008.
Gadomski A, Horton L Kudiwa kwemazano ekurapa mukushandiswa kwekukanganiswa nemishonga inotonhora mumucheche. Pediatrics. 1992; 89: 774-776
Kupfuura-the-counter mishonga yekukanganiswa kukuru mukati mevana nevakuru mumagariro ekumbidzika. Cochrane Database Syst Rev 2004; (4): CD001831
Smith MBH, Feldman W Kupedza mishonga yemvura inotonhora. Kubvunzurudza kwakakosha kwemakiriniki ekuedza pakati pe 1950 ne1991. JAMA. 1993; 269: 2258-2263.