ICodeine kunye nokuNxiliswa

AmaMama amatsha afuna ukwazi ukuba ikhodidi kunye nokuncelisa kuyinkqubo ekhuselekileyo. I-Codeine yi-opiate esetyenziswe kwiimpawu zonyango. Ama-opiates ayenziwa ngamachiza avela kwi-opium poppy, kwaye udidi lwezinye iipilisi ezinomlutha ezinjengekhowudi, i-oxycodone kunye ne-fentanyl kwiziyobisi ezingekho mthethweni, ezifana ne-heroin. Ukusetyenziswa ngaphaya kweyiphi na izidakamizwa ze-opiate kunokukhokelela ekubeni umlutha kunye nokusetyenziswa kwe-opioid disorder.

Kwiifom zabo ezicocekileyo, baneempembelelo ezifanayo kwaye banomngcipheko onjalo kwiintsana ngokuncelisa. Nangona kunjalo, iziphakamiso ezisemthethweni malunga nokusetyenziswa kwabo ngabamama abancinci bahlukana, ngokusekelwe kuphando, kwimicimbi yokuphila yabasetyhini basebenzise nganye into, kunye nokuba amathuba oomama baya kukwazi ukulawula ukutywala kweziyobisi-nokuba ngabazithiba zabo , okanye ngokwazi izithako zento abazithathayo.

ICodeine

I-Codeine ifumaneka kwiimimiselo ezahlukahlukeneyo njengama-painkillers angaphezu kwe-counter, ama-syrups okukhwehlela, okanye, ngokuqhelekileyo kubambele abancinci, njengama-painkillers anesigxina emva kokuhambisa okanye icandelo-c.

Nangona i-codeine isicatshulwa ngokukhuselekileyo kumama okuncelisayo, kuyaziwa ukuba le nkunkuma iguqulwa ibe yi-morphine, eyadluliselwa kwi-breastmilk ukuya kwintsana, kwaye oku kunokukhokelela ekudakaleni kwenkqubo ye-nervous ne-apnea, enokuthi, Iimeko ezinqabileyo, ziyabulala.

Uphando olungakumbi lufunekayo ukuze kuqinisekiswe ukhuseleko lwekhowudi kwiintsana ezincelisayo, kwaye kukho ukudideka phakathi kwamagqirha malunga nokuba umthamo ophezulu usana luyiyo ngokwenene.

Nangona oogqirha bavame ukubala ikhodi kunye ne-codeine kunye ne-acetaminophen yokunyanga iintlungu emva kokubeleka, izifundo ezininzi zibonise ukuba ibuprofen inokusebenza ngokufanelekileyo ekulawuleni intlungu, kwaye iziphumo zempembelelo embalwa.

Nangona i-codeine "isisigxina" isicatshulwa, kuneneni nje ingozi kakhulu kunina nomntwana. Ukongezelela, ibuprofen okwangoku ithathwa njengesiyeza esilondekile kakhulu sokusetyenziswa ngexesha lokuncelisa.

Icebiso: Ukuba ufuna i-relief relief emva kokubeleka, ibuprofen iyona khetho olukhuselekileyo xa uluncelisayo, kwaye lusebenza njengendlela yekhowudi. Ugqirha wakho akakwazi ukuqonda oku.

Ukuba Unayo Imbali Yokusetyenziswa kwe-Opiate

Esinye isizathu sokuphepha i-codeine kukuba ukuba unomlando odlulileyo wokusebenzisa i-heroin okanye ukusetyenziswa kwesinye isidakamizwa se-opiate, ikhodiyini inokunyusa umngcipheko wokuphindaphinda. Ukongezelela, kusenokuba kusebenze kwii-doses ezicetyiswayo, ngenxa yokunyamezela kwakho kwangaphambili kwimeko efana neziyobisi. Ukuthatha ngaphezulu kweziyobisi kunokuba kuchazwe xa unyamezelo luya kubonisa umntwana wakho kumayeza aphezulu, ukwandisa umngcipheko.

Icebiso: Ukuba sele usebenzise i-heroin okanye ezinye i-opiates, kufuneka ugweme ii-opiate zemithi, kuquka ikhodidi. Ukuba awufuni ukuxubusha nokusetyenziswa kwakho kweziyobisi zangaphambili kunye nodokotela wakho, xelela nje ukuba awukhululekile ukuthabatha i-opiate narcotics kwaye unokukhetha uhlobo oluthile lwe-painkiller.

Xa iCodeine yiyo kuphela iOption

Unokufuna ikhodiyine ukuba awukwazi ukuthatha ibuprofen okanye i-acetaminophen.

Ukuba, emva kokuhlola ezinye iindlela, ikhowudi iyabonakala ngathi iyona nto ikhethekileyo, kufuneka uqaphele ukubeka umphumo kuwe nakwintsana yakho, kungabikho bani oza kukubona, bobabili, 24/7.

Uphando lubonisa ukuba uncinci loomama luguqulela ikhodidi enye kwi-morphine emizimbeni yabo, ukubeka abantwana babo emngciphekweni ophezulu weziphumo okanye ngisho nokufa. Iintsana ziyakhathazeka kakhulu kwimiphumo yeopiates kunabantwana abadala okanye abadala. Ngokuqhelekileyo, imiphumo yakho yesistim yomnxeba yentsholongwane iya kubonakalisa eyakho.

Iphulo: Ukuba uziva u-groggy okanye ulele usuka kumachiza, okanye ukuba umntwana wakho akasondli kakuhle, akavuki ukuba atywe, akayi kukhulula, okanye ahlambulukile, thabatha umntwana ukuba ahlolwe ngugqirha wakho. .

Yintoni eyandisa ingozi

Ezinye iimeko zinokunyusa umngcipheko umntwana wakho. Ingane yakho iya kucwangcisa i-morphine eyenziwa ngumzimba ukusuka kwi-codeine ngokucotha kancinci kunokuba ukwenze, ngokuncancisayo ngokuphindaphindiweyo ngelixa ikhowudi yakho kwinkqubo yakho ingabangela ukwakhiwa kwe-morphine kwinkqubo yomntwana, okwandisa ingozi. Umngcipheko ukwanda kakhulu emva kweentsuku ezine zokusebenzisa i-codeine.

Njengokuba kunamanye amayeza omnxeba, abanye abantu baqukumbela ikhodidi kwiirhafu ezahlukeneyo. Xa umama "i-metrolizerzer ultrarapid," uvelisa ngakumbi i-morphine xa ethatha ikhodiyine kuninzi lwabantu. Kule meko, iintsana ezisandul 'ukuzalwa zingase zibekwe kwiimpawu ezinobuthi be-morphine xa ziselisayo. Lo mngcipheko ungancitshiswa ngokuyeka ikhodiyini emva kweentsuku ezimbini ukuya kwiintsuku zokusetyenziswa kwaye uqaphela iimpawu zesohlwayo se-opioid kokubili kunye nomntwana wakho.

Abasetyhini abaguqula i-codeine enye kwi-morphine banokuphindaphinda kwe-gene encoding ye-cytochrome P450 2D6. Olu hlobo lwezinto eziphilayo lubonakala ngokuhlolwa kofuzo olukhoyo kwiimarike, nangona kungekho kwizibhedlele.

Iingcebiso

Imithombo:

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UMitchell, J. "Ukusetyenziswa kokukhwehlela kunye nokulungiselela okubandayo ngexesha lokuncelisa." Umbhalo we-Human Lactation 15: 347-9. 1999.

UPeter, E., Janssen, P., Grange, C., Douglas, M. "Ibuprofen kunye ne-acetaminophen kunye nekhowudi ye-codine yokukhupha intlungu emva kokubeleka: ityala elilawulwa ngokungapheliyo." CMAJ 165: 1203-1209. 2001.

Omncinci, M. "Morphine ebisi lobisi." Ngaba Unogqirha weNkathazi unokholo 53: 1005. 2007.