Isixazululo se-polyethylene glycol-electrolyte (PEG-ES)

-Delile

• Ngaphambi kokuthatha i-PEG-ES,
• I-PEG-ES ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha:

Isixazululo se-Polyethylene glycol-electrolyte (i-PEG-ES) sisetshenziselwa ukukhipha ikoloni (amathumbu amakhulu, amathumbu) ngaphambi kwe-colonoscopy (ukuhlola ingaphakathi lekholoni ukuhlola umdlavuza wekoloni nokunye okungajwayelekile) noma i-barium enema (isivivinyo lapho ikholoni ligcwele uketshezi bese kuthathwa ama-x-ray) ukuze udokotela abe nombono ocacile wezindonga zekholoni. I-PEG-ES isekilasini lemithi ebizwa ngama-osmotic laxatives. Isebenza ngokubanga isifo sohudo samanzi ukuze indle ikhishwe kukholoni. Imithi iqukethe nama-electrolyte ukuvimbela ukomisa amanzi neminye imiphumela emibi engadalwa wukulahleka koketshezi njengoba kukhishwa ikholoni.

Isixazululo se-Polyethylene glycol-electrolyte (i-PEG-ES) siza njengempuphu yokuxubana namanzi uthathe ngomlomo. Imikhiqizo ethile ye-PEG-ES nayo inganikezwa ngethambo le-nasogastric (ithubhu le-NG; ithubhu esetshenziselwa ukuthwala ukondla oketshezi kanye nemithi ngekhala iye esiswini kubantu abangakwazi ukudla ukudla okwanele ngomlomo). Imvamisa kuthathwa kusihlwa ngaphambi kanye / noma ekuseni kwenqubo. Udokotela wakho uzokutshela ukuthi kufanele uqale nini ukuthatha i-PEG-ES, nokuthi kufanele uyiphuze yonke imithi ngasikhathi sinye noma uyithathe njengemithamo emibili ehlukene. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-PEG-ES njengoba nje kuqondisiwe. Ungayithathi ngaphezulu noma ngaphansi kokuyalelwe ngudokotela wakho.

Awungeke udle noma yikuphi ukudla okuqinile noma uphuze ubisi ngaphambi nangesikhathi sokwelashwa kwakho nge-PEG-ES. Kufanele ube neziphuzo ezicacile kuphela. Udokotela wakho uzokutshela ukuthi kufanele uqale nini ukudla okucacile oketshezi futhi angakuphendula noma imuphi umbuzo wokuthi yiziphi iziphuzo ezivunyelwe. Izibonelo zoketshezi olucacile amanzi, ijusi yezithelo enemibala elula ngaphandle koginindela, umhluzi ocacile, ikhofi noma itiye ngaphandle kobisi, i-gelatin enamakha, i-popsicles neziphuzo ezibandayo. Ungaphuzi noma yiluphi uketshezi olubomvu noma onsomi. Uzodinga ukuphuza inani elithile leziphuzo ezicacile ngesikhathi sokwelashwa kwakho ukunciphisa amathuba okuthi uzophucwa amanzi emzimbeni njengoba kuthululwa ikholoni lakho. Tshela udokotela wakho uma unenkinga yokuphuza iziphuzo ezanele ngesikhathi sokwelashwa kwakho.

Uzodinga ukuxuba umuthi wakho namanzi asivivi ukuze ulungele ukuphuza. Funda izinkomba eziza nemithi yakho ukuze ubone ukuthi kufanele ungeze amanzi amangakanani kwimpuphu nokuthi kufanele uyixube esitsheni ebingene ngaso noma kwesinye isitsha. Landela lezi zinkomba ngokucophelela futhi uqiniseke ukuthi unyakazisa noma uvusa ingxube ukuze umuthi uxutshwe ngokulinganayo. Uma umuthi wakho uza namaphakethe okunambitheka, ungangeza okuqukethwe iphakethe elilodwa emithini yokwengeza ukunambitheka, kepha akufanele wengeze okunye ukunambitheka emthini. Ungayihlanganisi imithi yakho nanoma iluphi uketshezi ngaphandle kwamanzi, futhi ungazami ukugwinya impuphu yemithi ngaphandle kokuyixuba namanzi. Ngemuva kokuxuba imishanguzo yakho, ungayipholisa esiqandisini ukuze kube lula ukuyiphuza. Kodwa-ke, uma uzonikeza ingane usana, akumele uyiphoqe.

Udokotela wakho uzokutshela kahle ukuthi ungayithatha kanjani i-PEG-ES. Mhlawumbe uzotshelwa ukuthi uphuze ingilazi eyodwa ye-8 ounce (240 mL) ye-PEG-ES njalo ngemizuzu eyi-10 noma eyi-15, futhi uqhubeke nokuphuza kuze kube yilapho ukunyakaza kwakho kwamathumbu kucace futhi kungenakho okokusebenza okuqinile. Kuhle ukuphuza ingilazi ngayinye yomuthi ngokushesha esikhundleni sokuyiphuza kancane. Lahla noma imuphi umuthi osele owusebenzisela le ndlela yokwelapha.

Uzoba nokuhamba kwamathumbu amaningi ngesikhathi sokwelashwa kwakho nge-PEG-ES. Qiniseka ukuthi uhlala useduze nendlu yangasese kusukela ngesikhathi uthatha umthamo wakho wokuqala womuthi kuze kufike isikhathi sokuqokwa kwakho kwe-colonoscopy. Buza udokotela wakho ngezinye izinto ongazenza ukuze uhlale ukhululekile ngalesi sikhathi.

Ungahle uzwe ubuhlungu besisu nokuqunjelwa ngenkathi uthatha imithi yakho. Uma lezi zimpawu ziba nzima, phuza ingilazi ngayinye yemithi kancane noma unikeze isikhathi esithe xaxa phakathi kokuphuza izingilazi zemithi. Shayela udokotela wakho uma lezi zimpawu zingapheli.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) uma litholakalela uhlobo lwe-PEG-ES oyithathayo lapho uqala ukwelashwa ngalo muthi. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Ngaphambi kokuthatha i-PEG-ES,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-PEG-ES, noma imiphi eminye imithi, noma iziphi izithako kumkhiqizo we-PEG-ES owuthathayo. Buza usokhemisi wakho noma hlola imininingwane yomkhiqizi ngesiguli ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: alprazolam (Xanax); amiodarone (Cordarone, Pacerone); amitriptyline; i-angiotensin eguqula i-enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, eLotrel), captopril, enalapril (Epanid, Vasotec, in Vaseretic), fosinopril, lisinopril (Prinivil, Qbrelis, Zestril, in Zestoretic), moexipril, Prestalia), quinapril (Accupril, in Accuretic, Quinaretic), ramipril (Altace), kanye ne-trandolapril (eTarka); abamelene ne-angiotensin II receptor njenge-candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor nase Tribenzor), telmisartan (Micardis eMicardis HCT naseTwynsta), nase-valsartan (eDiovan, eBevalson, eDiovan HCT, e-Entresto, e-Exforge nase-Exforge HCT); i-aspirin neminye imishanguzo yokulwa nokuvuvukala efana ne-ibuprofen (Motrin) ne-naproxen (i-Aleve, iNaprosyn); i-desipramine (i-Norpramin); diazepam (Diastat, Valium); i-disopyramide (iNorpace); isisu (‘amaphilisi amanzi’); i-dofetilide (Tikosyn); i-erythromycin (i-E.E.S., i-Erythrocin); estazolam; phalazepam; i-lorazepam (Ativan); imishanguzo yokuquleka; i-midazolam (iVesi); moxifloxacin (Avelox); ipimozide (i-Orap); i-quinidine (i-Quinidex, ku-Nuedexta); i-sotalol (iBetapace, iBetapace AF, iSorine); thioridazine; noma i-triazolam (Halcion). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imithi eminingi ingase futhi ihlanganyele ne-PEG-ES, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• ungathathi amanye ama-laxatives ngesikhathi sokwelashwa kwakho nge-PEG-ES.
• uma uphuza noma imiphi eminye imithi ngomlomo, thatha okungenani ihora elilodwa ngaphambi kokuba uqale ukwelashwa nge-PEG-ES.
• Tshela udokotela wakho uma uvinjelwe emathunjini akho, imbobo kulwelwesi lwesisu noma amathumbu akho, i-megacolon enobuthi (ukunwetshwa okungathi sína noma okusongela ukuphila kwamathumbu), nanoma yisiphi isimo esidala izinkinga ngokukhipha isisu sakho noma amathumbu. Udokotela wakho uzokutshela ukuthi ungathathi i-PEG-ES.
• Tshela udokotela wakho uma uke waba nokushaya kwenhliziyo okungajwayelekile, isikhathi se-QT esihlala isikhathi eside (isimo esizuzwe njengefa esingadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa okungazelelwe), isifo senhliziyo esisanda kuvela, ubuhlungu besifuba, ukwehluleka kwenhliziyo, inhliziyo eyandisiwe, ukuquleka, i-acid reflux, ubunzima bokugwinya, isifo sokuvuvukala kwamathumbu (izimo ezibangela ukuvuvukala kolwelwesi lwamathumbu) njenge-ulcerative colitis (isimo esidala ukuvuvukala nezilonda kulwelwesi lwekholoni [amathumbu amakhulu] ne-rectum), i-G6 Ukushoda kwe-PD (isifo segazi esizuzwe njengefa), amazinga aphansi e-sodium, i-magnesium, i-potassium, noma i-calcium egazini lakho, noma isiphi isimo esandisa ingozi yokuthi uzominyanisa noma uphefumulele ukudla emaphashini akho, noma isifo sezinso. Uma uzosebenzisa iMoviprep^® noma uPlenvu^® uphawu lwe-PEG-ES, futhi utshele udokotela wakho uma une-phenylketonuria (PKU; isimo esizuzwe njengefa lapho kufanele kudliwe ukudla okhethekile ukuvimbela ukubambezeleka kwengqondo).
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa.

Udokotela wakho uzokutshela ukuthi yini ongayidla nokuphuza ngaphambi, ngesikhathi nangemva kokwelashwa kwakho nge-PEG-ES. Landela lezi zinkomba ngokucophelela.

Shayela udokotela wakho uma ukhohlwa noma ungakwazi ukuthatha le mithi ngendlela eqondiswe ngayo.

I-PEG-ES ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ubuhlungu besisu, amajaqamba, noma ukugcwala
• ukuqunjelwa
• ukucasuka kwe-rectal
• ubuthakathaka
• isilungulela
• ukoma
• indlala
• Ukugodola

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha:

• ukuqubuka
• isifuba
• ukulunywa
• ukuvuvukala kwamehlo, ubuso, umlomo, izindebe, ulimi, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukuhlanza
• isiyezi
• ikhanda
• ukuncipha kokuchama
• ukushaya kwenhliziyo okungajwayelekile
• isithuthwane
• ukopha ku-rectum

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ikhambi elihlanganisiwe esiqandisini. Uma usebenzisa i-Colyte^®, Ngokufanelekile^®, noma Trilyte^® izixazululo zomkhiqizo, zisebenzise kungakapheli amahora angama-48 ngemuva kokuxubeka. Uma usebenzisa iMoviprep^® Isixazululo somkhiqizo, sisebenzise kungakapheli amahora angama-24 ngemuva kokuxubeka. Uma usebenzisa iPlenvu^® Isixazululo somkhiqizo, sisebenzise kungakapheli amahora ayisithupha emva kokuxubeka.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho anga-oda izivivinyo ezithile zaselabhorethri ukuze ahlole impendulo yomzimba wakho ku-PEG-ES.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• CoLyte^®
• I-GOLYTELY^®
• Kancane kancane^®¶
• UMoviprep^®
• Ngokufanelekile^®
• Plenvu^®
• Inuzi^®¶
• Trilyte^®

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.