Ian Paul, pulofesa wa za ana pa Pennsylvania State College of Medicine, anati n’zochititsa manyazi makolo kuyang’ana ana awo akamatsokomola, akuyetsemula, ndi kukhala maso usiku, motero amawapatsa mankhwala oziziritsa akale abwino. Ndipo nthawi zambiri mankhwalawa "amayesedwa" ndi makolo okha, iwo okha adamwa mankhwalawa, ndipo amatsimikiza kuti angathandize mwanayo kuthana ndi matendawa.
Ofufuzawa adayang'ana zambiri ngati mankhwala osiyanasiyana omwe amagulitsidwa m'malo ogulitsira, othamanga komanso ozizira amagwira ntchito, komanso ngati angayambitse vuto.
"Makolo nthawi zonse amakhala ndi nkhawa kuti chinachake choipa chikuchitika ndipo ayenera kuchita chinachake," anatero Dr. Mieke van Driel, pulofesa wa zochitika zonse komanso wamkulu wa gulu lachipatala chachipatala ku yunivesite ya Queensland ku Australia.
Amamvetsa kufulumira kwa makolo kupeza chinthu chochepetsera kuvutika kwa ana awo. Koma, mwatsoka, pali umboni wochepa wosonyeza kuti mankhwalawa amagwiradi ntchito. Ndipo kafukufuku amatsimikizira izi.
Dr van Driel adati makolo ayenera kudziwa kuti kuopsa kwa ana pogwiritsa ntchito mankhwalawa ndi kwakukulu. Bungwe la Food and Drug Administration poyamba linkatsutsa mankhwala aliwonse otere omwe amagulitsidwa kwa ana osakwana zaka 6. Opanga modzifunira atakumbukira zinthu zogulitsidwa kwa makanda ndikusintha zilembo zomwe zimalangiza kuti asapereke mankhwala kwa ana aang'ono, ofufuza adapeza kutsika kwa chiwerengero cha ana ofika m'zipinda zangozi pambuyo pa zovuta ndi mankhwalawa. Mavutowo anali masomphenya, arrhythmias ndi mlingo wachisokonezo wa chikumbumtima.
Pankhani ya mphuno kapena chifuwa chomwe chimagwirizana ndi chimfine, malinga ndi Pediatrics and Community Health Doctor Shonna Yin, "zizindikirozi zimadziletsa." Makolo angathandize ana awo osati mwa kuwapatsa mankhwala, koma mwa kupereka madzi ambiri ndi uchi kwa ana okulirapo. Njira zina zingaphatikizepo ibuprofen ya kutentha thupi ndi madontho a m'mphuno amchere.
"Kafukufuku wathu wa 2007 adawonetsa kwa nthawi yoyamba kuti uchi unali wothandiza kwambiri kuposa dextromethorphan," adatero Dr. Paul.
Dextromethorphan ndi antitussive yomwe imapezeka mu mankhwala monga Paracetamol DM ndi Fervex. Mfundo yaikulu ndi yakuti palibe umboni wosonyeza kuti mankhwalawa ndi othandiza pochiza zizindikiro za chimfine.
Kuyambira nthawi imeneyo, kafukufuku wina wasonyeza kuti uchi umachepetsa chifuwa ndi kusokonezeka kwa kugona. Koma timadzi ta organic agave, m'malo mwake, timangokhala ndi placebo.
Kafukufuku sanasonyeze kuti mankhwala oletsa chifuwa amathandiza ana kutsokomola kapena kuti antihistamines ndi decongestants amawathandiza kugona bwino. Mankhwala omwe angathandize mwana yemwe ali ndi mphuno yothamanga kuchokera ku chifuwa cha nyengo sangathandize mwana yemweyo pamene akuzizira. Njira zoyambira ndizosiyana.
Dr. Paul akunena kuti ngakhale kwa ana okulirapo ndi achinyamata, umboni wosonyeza kuti mankhwalawa ndi othandiza siwolimba kwa mankhwala ambiri ozizira, makamaka akamwedwa kwambiri.
Dr. Yin akugwira ntchito yothandizidwa ndi FDA yokonza zolembera komanso malangizo amankhwala a chifuwa cha ana ndi chimfine. Makolo akadali osokonezeka ponena za zaka zomwe mankhwalawa amaganiziridwa, zosakaniza zogwira ntchito, ndi mlingo wake. Ambiri mwa mankhwalawa ali ndi mankhwala osiyanasiyana, kuphatikizapo opondereza chifuwa, antihistamines, ndi ochepetsa ululu.
“Ndikuwatsimikizira makolo kuti ichi ndi chimfine, chimfine ndi matenda odutsa, tili ndi chitetezo champhamvu chomwe chingawasamalire. Ndipo zidzatenga pafupifupi mlungu umodzi,” akutero Dr. van Driel.
Madokotala amenewa nthawi zonse amauza makolo zomwe angachite, polankhula za zizindikiro zomwe zimasonyeza kuti pali chinachake choopsa kwambiri kuposa chimfine. Vuto lililonse la kupuma mwa mwana liyenera kuonedwa mozama, choncho mwana amene akupuma mofulumira kapena movutikira kuposa masiku onse ayenera kufufuzidwa. Muyeneranso kupita kwa dokotala ngati muli ndi malungo ndi zizindikiro zilizonse za chimfine, monga kuzizira ndi kupweteka kwa thupi.
Ana omwe ali ndi chimfine omwe sakhala ndi zizindikirozi, m'malo mwake, amafunika kudya ndi kumwa, akhoza kukhala okhudzidwa komanso amatha kusokoneza, monga kusewera.
Mpaka pano, tilibe mankhwala abwino ochizira chimfine, ndipo kuchiza mwana ndi chinthu chomwe chingagulidwe kwaulere ku pharmacy ndikoopsa kwambiri.
“Mukapatsa anthu chidziŵitso ndi kuwauza zoyenera kuyembekezera, kaŵirikaŵiri amavomereza kuti safunikira mankhwala,” anamaliza motero Dr. van Driel.
Choncho, ngati mwana wanu akutsokomola ndi kuyetsemula, simuyenera kumupatsa mankhwala. Mpatseni madzi okwanira, uchi ndi zakudya zabwino. Ngati muli ndi zizindikiro zambiri kuposa chifuwa ndi mphuno, onani dokotala wanu.