Bachon Ko Nebulizer Dete Waqt Kya Khayal Rakhein?

Mukhtasar jawab: Bachay ko nebulizer mein kaunsi dawai deni hai, kitni miqdar mein, din mein kitni baar aur kitne din, ye sirf bachay ka doctor (paediatrician) tay kar sakta hai. Ye bachay ki umar, wazan aur bimari par depend karta hai. Is article mein dawai ki miqdar nahi di gayi, balki nebulizer dene ka sahi tareeqa, hifazat aur khatre ki nishaniyan bataye gaye hain.

1. "Din mein kitni baar" ka koi aam qaida kyun nahi

Nebulizer mein alag alag dawaiyan hoti hain, jaise saans kholne wali dawai, sujan kam karne wali dawai (steroid) ya saline. Har ek ki miqdar, dene ka waqfa aur kitne din dena hai ye mukhtalif hota hai. Naye paida hue, chhote bachay aur bare bachon ki zaroorat bhi alag hoti hai. Isi liye internet par koi bhi "safe limit" wala jadwal aap ke bachay ke liye sahi nahi ho sakta. Ghalat miqdar ya ghalat waqfa bachay ke liye nuqsandeh ho sakta hai.

2. Doctor se ye baatein zaroor poochein

• Dawai ka naam kya hai aur bachay ko ye kyun di ja rahi hai?
• Ek baar mein kitni miqdar (ml ya ampule) daalni hai?
• Din mein kitni baar aur kitne din tak?
• Dawai saline ke saath milani hai ya akele?
• Nebulizer ya inhaler (spacer ke saath), bachay ke liye kaunsa behtar hai?
• Dawai dene se pehle ya baad mein khana khilana hai ya nahi?
• Dawai ke baad munh ya chehra saaf karna hai ya nahi?
• Kaun si alamaat par foran hospital aana hai?
• Halat bigre to ghar par kya karna hai?

In jawabat ko parchi ya kisi kaghaz par likhwa lein.

3. Dawai dalne ke usool

• Sirf wahi dawai dalein jo doctor ne likhi ho, aur utni hi dalein jitni likhi ho.
• Andaze se poori shishi na dalein. Zyada miqdar bachay ke liye nuqsandeh ho sakti hai.
• Ek se zyada dawai milani ho to pehle doctor ya pharmacist se pooch lein.
• Dawai ki expiry zaroor dekhein.
• Nebulizer ka cup, mask aur tube saaf rakhein.

Kya dalna hai aur kya kabhi nahi: Nebulizer mein kya dalna chahiye aur kya nahi.

4. Bachay ko tayyar karna

• Bachay ko pehle mutmain karein: rote hue bachay ko dawai kam milti hai kyunke wo gehri saans ke bajaye zor se rota hai aur dawai bahar nikal jati hai.
• Khilona ya cartoon: bachay ko kahani, khilona ya cartoon se mutmain rakhein.
• Pehle khud ya gudiya ko mask lagayein: bachay ko dikhayein ke ye dard nahi deta.
• Mask ko khel bana lein: usay "jahaz wala mask" ya "gubbara" ka naam de sakte hain.
• Sote hue dena: sote hue bachay ko aam tor par dawai kam pahunchti hai. Is ke baare mein bachay ke doctor se pooch lein.
• Zabardasti na karein: zabardasti se bachay ka darr barhta hai.

5. Sahi position

1. Bachay ko god mein seedha baithayein. Agar bachay ko lita dena parhe to sir thora ooncha rakhein.
2. Bachay ki peeth ko sahara dein taake saans lena aasan ho.
3. Mask bachay ke chehre par naak aur munh ko dhakte hue lagayein.
4. Bachay ka sir bohat peeche ya bohat aage jhuka hua na ho.
5. Machine ko sakht, hamwar jagah par rakhein, aur bachay ki pahunch se bijli ki taar door rakhein.

6. Mask ka sahi naap aur fit

• Bachon ke liye bachon ka mask ya sheer-khwar (infant) wala mask istemal karein. Bare mask se mist side se nikal sakti hai aur dawai kam pahunchti hai.
• Mask naak aur munh par achi tarah fit ho, lekin bohat tight na ho jo takleef de.
• Mask ko chehre se door (jaise "blow-by", yani chehre ke saamne hawa mein pakarna) rakhne se dawai bohat kam pahunchti hai. Mask ko chehre se laga kar rakhein.
• Bachay jaise jaise bare hote hain unka mask ka naap badalna parta hai. Agar mask tang ya dheela lage to naya lein.
• Bare bachay jo mouthpiece pakar sakein, un ke liye doctor se pooch lein ke mouthpiece munasib hai ya nahi.

Mask aur cup ki safai aur badalne ke baare mein: Nebulizer mask, cup aur pipe kab badlein.

7. Nebulizer dene ke qadam

1. Haath dho kar machine, pipe aur cup jorein.
2. Doctor ki batayi hui dawai doctor ki batayi hui miqdar mein cup mein dalein.
3. Bachay ko seedha god mein baithayein aur mask lagayein.
4. Machine on karein. Halki dhund (mist) nikalni chahiye.
5. Bachay ko aam saans lene dein. Zor se saans lene ki zaroorat nahi.
6. Jab dhund nikalna band ho jaye ya doctor ki batayi hui muddat poori ho jaye to machine band karein.
7. Bachay ka chehra saaf karein (khaas tor par agar steroid wali dawai di ho).
8. Cup, mask aur tube ko saaf karke khushk karein.

Mukammal tareeqa: Nebulizer machine kaise istemal karein.

8. Nebulizer ke dauran bachay ko dekhte rahein

Dawai ke dauran aur baad mein bachay ki halat par nazar rakhein. Ye cheezein dekhein:

• Saans ki raftar: aaram mein bohat tez saans ek ishara hai.
• Pasliyan aur pait: saans lete waqt pasliyan ya pait andar dhansna saans lene mein mushkil ka ishara hai.
• Naak ke nathne: saans lete waqt naak ke nathnon ka phoolna.
• Ajeeb awaz: saans ke saath seeti, shor ya kharkharahat.
• Rang: honth ya ungliyon ka neela hona.
• Hosh aur harkat: bachay ka bohat sust hona ya khelne mein dilchaspi na lena.
• Doodh ya khana: khana ya doodh peene mein dushwari.

Agar ye nishaniyan hon to nebulizer dene mein waqt zaya na karein, foran doctor ya hospital se rabta karein.

9. Nebulizer ke baad dekhbhal

• Bachay ka chehra saaf pani se dho dein aur munh bhi saaf karein agar doctor ne kaha ho.
• Bachay ko aaram karne dein aur pani ya doodh dein.
• Dil ki tez dhadkan, kaanpna ya be-chaini nazar aaye to doctor ko batayein.
• Bachay ke saans ki halat ko agle kuch ghante dekhte rahein.
• Nebulizer ke baad ki diary likhein (dawai, waqt, asar).

10. Chhote bachay aur sheer-khwar

• Naye paida hue aur bohat chhote bachon ko nebulizer sirf doctor ke mashware se dein.
• Inki saans ki nali chhoti hoti hai, isliye halka zukam bhi saans mein dushwari bana sakta hai.
• Inhein dawai dete waqt bohat narmi se mask lagayein aur zabardasti na karein.
• Doodh peete waqt saans phoolne ya doodh na pee sakne par foran doctor ko dikhayein.
• 3 mahine se kam umar ke bachay ko khansi ya saans ki takleef ho to foran doctor ko dikhayein.

11. School ya doosre ghar mein

• School ke liye doctor se likha hua note ya action plan le lein, jis mein dawai aur halat bigarne par kya karna hai likha ho.
• Teacher ya nigran ko bachay ki bimari aur dawai ke baare mein batayein.
• Bachay ka inhaler aur spacer school mein rakhne ke baare mein doctor aur school se baat karein.
• Aise ghar mein jahan nebulizer na ho, bachay ki dawai aur action plan saath bhejein.

12. Safar ke dauran

• Bachay ki dawai, parchi aur mask ke saath ek extra mask aur cup rakhein.
• Machine ki bijli ka intezam pehle se dekh lein.
• Bachay ki dawai ko garmi se bachayein.
• Safar ki jagah par qareebi hospital ka pata pehle se maloom kar lein.

13. Infection se bachne ke tareeqe

• Har bachay ka alag mask aur mouthpiece rakhein. Bhai behnon ke darmiyan share na karein.
• Har istemal ke baad cup, mask aur mouthpiece ko dho kar hawa mein khushk karein. Tafseel: Nebulizer machine clean kaise karein.
• Dawai dene se pehle apne haath dho lein.
• Geela mask band dabbe mein na rakhein.

14. Nebulizer ya inhaler: doctor se pooch lein

Kai bain-ul-aqwami rehnumaiyon mein bachon ke liye bhi spacer (aur chhote bachon ke liye mask wale spacer) ke saath inhaler ko tarjeeh di jati hai, aur zaroorat par nebulizer. Aap ke bachay ke liye kaunsa munasib hai, ye bachay ka doctor tay karega. Tafseel: Nebulizer aur inhaler mein farq.

15. Bachay ko mutmain rakhne ke tareeqe

• Mask ko pehle gudiya ya khud ko lagakar dikhayein.
• Mask ko khel bana lein: "jahaz ka mask", "astronaut ka mask" ya "gubbara".
• Bachay ka pasandeeda cartoon ya kahani saath chalayein.
• Bachay ki baar baar tareef karein.
• Zabardasti na karein. Rote hue bachay ko dawai kam milti hai, isliye pehle usay chup karayein.
• Jab doctor ne nebulizer likha ho to har baar ek hi tareeqa aur pursukoon mahol rakhein, taake bachay ko aadat ho jaye.

16. Rote hue ya sote hue bachay ka masla

• Rote hue bachay: rote waqt bachay ki saans tez aur uthli hoti hai, jis se dawai poori andar nahi jati. Pehle bachay ko chup karayein, phir nebulizer dein. Agar roz masla ho to doctor se pooch lein ke aap ke bachay ke liye behtar tareeqa kya hai (maslan spacer ke saath inhaler).
• Sote hue bachay: aam tor par jagte, shaant bachay ko dawai behtar milti hai. Bachay ko sote hue nebulizer dena ho to doctor se pooch lein ke is mein dawai kitni zaya hoti hai aur kya karna chahiye.
• Chhote sheer-khwar: inko dawai dene mein khaas ehtiyat chahiye. Doctor ya nurse se ek baar saamne seekh lein.

17. Nebulizer ki diary (walidain ke liye)

Ye record bachay ke doctor ko ilaaj ka asar samajhne mein madad deta hai. Dawai ka naam aur miqdar sirf parchi se utar kar likhein.

18. Aam ghalat fehmiyan

• "Nebulizer ki aadat par jati hai": nahi. Nebulizer dawai dene ka tareeqa hai. Kitni der aur kitni baar istemal karna hai ye doctor tay karta hai.
• "Nebulizer sab se taqatwar tareeqa hai": zaroori nahi. Inhaler (spacer ke saath) bhi kai bachon mein utna hi achha kaam karta hai. Dekhein: Nebulizer aur inhaler mein farq.
• "Dawai ki miqdar zyada dene se jaldi aaram aayega": nahi. Ghalat miqdar nuqsandeh hai.
• "Bachay ko roz nebulizer dena chahiye taake bimar na ho": nahi. Sirf doctor ki hidayat par.

19. Aam ghaltiyan

• Doctor ke baghair bachay ko nebulizer mein koi bhi dawai dena
• Dawai ki miqdar andaze se dalna
• Rote hue bachay ko zabardasti dawai dena
• Mask ko chehre se door pakarna
• Bachay ke liye bara mask istemal karna
• Bhai behnon mein ek hi mask share karna
• Saans ki shadeed takleef mein ghar par kai baar nebulizer dete rehna
• Mask aur cup ki safai na karna

20. Kab doctor ko dikhana zaroori hai

• Bachay ki khansi ya saans ki takleef nebulizer ke baad bhi kam na ho
• Bachay ko baar baar nebulizer ki zaroorat par rahi ho
• Dawai ke baad bachay ki dhadkan tez ho ya wo be-chain ho
• Bachay ko bukhar ke saath saans ki takleef ho
• Aap ko dawai ya miqdar ke baare mein shak ho

Bachay ko baar baar saans ki takleef ho to bachon ka doctor zaroorat par bachon ke chest specialist (paediatric pulmonologist) ke paas bhej sakta hai.

21. Aksar pooche jane wale sawal

Kya chhote bachay ko nebulizer de sakte hain?

Naye paida hue aur chhote bachon mein nebulizer sirf doctor ke mashware se dena chahiye, kyunke un ke liye dawai aur miqdar ka faisla bohat ehtiyat chahta hai.

Bachay ko nebulizer din mein kitni baar dein?

Ye aap ke bachay ka doctor batayega. Is ka jawab umar, wazan aur bimari ke hisaab se alag hota hai, isliye koi aam jadwal bharosemand nahi.

Bacha nebulizer lete waqt rota hai, kya karein?

Bachay ko god mein mutmain rakhein, pehle khud ko mask laga kar dikhayein, kahani ya cartoon dikhayein. Rote hue bachay ko dawai kam milti hai, pehle usay chup karayein. Zabardasti na karein.

Kya nebulizer aur inhaler mein se bachay ke liye kaunsa behtar hai?

Iska faisla bachay ka doctor umar aur bimari ke hisaab se karta hai. Khud se tabdeeli na karein.

Kya mask ko chehre se door rakh kar bhi dawai milti hai?

Mask ko chehre se door rakhne se dawai bohat kam pahunchti hai. Mask ko chehre par achi tarah lagana behtar hai.

Kya bachay ke sote hue nebulizer de sakte hain?

Sote hue bachay ko dawai theek se andar nahi jati. Doctor se pooch lein.

Mazeed parhein: Nebulizer mein kya dalna chahiye aur kya nahi | Zukam, khansi aur bronchitis mein nebulizer | Khansi mein ghar par kya karein

Tehreer: Dr Ali Shafiq (DHMS, NCH Reg. No. 171863).

Hawale (angrezi): MedlinePlus: How to use a nebulizer. Aur bachay ke doctor ki hidayat. Ye idaray is article ko review ya endorse nahi karte; ye sirf maloomat ke zarie hain. Hum koi device ya dawai nahi bechte.