I-Lactulose, Isixazululo Somlomo

-Delile

• Yini i-lactulose?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Lactulose
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Lactulose ingaxhumana neminye imithi
• Izidakamizwa okungafanele uzisebenzise ne-lactulose
• Ukusebenzisana okungenza ukuthi imishanguzo yakho ingasebenzi kahle
• Ungayithatha kanjani i-lactulose
• Amafomu namandla
• Isikali sokuqunjelwa
• Isilinganiso se-portal-systemic encephalopathy (isifo sesibindi)
• Isikali izixwayiso
• Thatha njengoba kuqondisiwe
• Izindleko ze-Lactulose
• Ukucatshangelwa okubalulekile kokuthatha lo muthi
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuzilawula
• Ukuqapha komtholampilo
• Umshuwalense
• Ingabe zikhona ezinye izindlela?
• Izexwayiso ezibalulekile
• Izexwayiso ze-Lactulose
• Isexwayiso somzimba
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu

Okuvelele kwe-lactulose

1. Isixazululo somlomo se-Lactulose siyatholakala njengokubili njengomuthi ojwayelekile futhi njengezidakamizwa ezinegama lomkhiqizo. Amagama omkhiqizo: i-Enulose ne-Generlac.
2. I-Lactulose iyatholakala njengesisombululo se-rectal. Isixazululo se-rectal sinikezwa kuphela njenge-enema ngumhlinzeki wezokunakekelwa kwempilo.
3. Isixazululo somlomo se-Lactulose sisetshenziselwa ukwelapha ukuqunjelwa. Ibuye isetshenziselwe ukwelapha inkinga yobuchopho ebizwa nge-portal-systemic encephalopathy. Le nkinga iyinkinga yesifo esinzima sesibindi.

Yini i-lactulose?

Isixazululo somlomo se-Lactulose umuthi kadokotela otholakala njengezidakamizwa ezinegama lomkhiqizo Enulose futhi Generlac. Iphinde itholakale njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza kancane. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengezinguqulo zegama lomkhiqizo.

I-Lactulose nayo iza njengesisombululo se-rectal. Leli fomu linikezwa kuphela njenge-enema ngumhlinzeki wezokunakekelwa kwempilo.

Kungani kusetshenziswa

Isixazululo somlomo se-Lactulose sisetshenziselwa ukwelapha ukuqunjelwa. Ibuye isetshenziselwe ukwelapha inkinga yobuchopho ebizwa nge-portal-systemic encephalopathy. Le nkinga iyinkinga yesifo esinzima sesibindi.

Lesi sidakamizwa singasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokhu kusho ukuthi ungadinga ukuyithatha neminye imithi.

Isebenza kanjani

I-Lactulose ingeyesigaba semithi ebizwa ngama-laxatives. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Lactulose ushukela owenziwe (owenziwe ngabantu). Iphuka emathunjini akho amakhulu bese idonsela amanzi emathunjini. Lokhu kuthambisa indle yakho, esiza ukuqeda ukuqunjelwa.

I-Lactulose nayo isetshenziselwa ukwelapha amazinga aphezulu e-ammonia egazini ngenxa yesifo sesibindi. Izinga eliphakeme le-ammonia lingaholela ku-portal-systemic encephalopathy. Lesi sidakamizwa sisebenza ngokudweba i-ammonia egazini lakho iye emathunjini akho amakhulu. Amathumbu akho amakhulu asusa i-ammonia esitokisini sakho.

Imiphumela emibi ye-Lactulose

Isixazululo somlomo se-Lactulose asibangeli ukozela. Noma kunjalo, kungadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile ye-lactulose ingafaka:

• ukubhoboza
• igesi
• isicanucanu
• amajaqamba noma yikuphi emzimbeni

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Uhudo olunzima. Lokhu kungadala ukoma (amazinga amanzi aphansi kakhulu emzimbeni wakho).
• Ukungaphatheki kahle esiswini noma ubuhlungu
• Ukuhlanza

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

I-Lactulose ingaxhumana neminye imithi

Isixazululo somlomo se-Lactulose singasebenzisana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zemithi engadala ukuhlangana ne-lactulose zibalwe ngezansi.

Izidakamizwa okungafanele uzisebenzise ne-lactulose

Ungathathi le mithi nge-lactulose. Izibonelo zale mithi zifaka:

• Ama-antiacid: Akufanele uthathe ama-antacids ane-lactulose. Ama-Antacids angavimbela i-lactulose ekusebenzeni kahle.

Ukusebenzisana okungenza ukuthi imishanguzo yakho ingasebenzi kahle

Uma isetshenziswa ne-lactulose, le mithi ingenza i-lactulose ingasebenzi kahle. Lokhu kusho ukuthi ngeke kusebenze nokuphatha isimo sakho. Izibonelo zale mithi zifaka:

• Imithi elwa namagciwane efana neomycin: Le mithi ingamisa ukuwohloka kwe-lactulose emathunjini akho amakhulu. Udokotela wakho uzokubheka eduze uma uthatha i-lactulose nge-antibiotic.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Ungayithatha kanjani i-lactulose

Lolu lwazi lokulinganisa olwesisombululo somlomo se-lactulose. Yonke imithamo engenzeka kanye namafomu ezidakamizwa kungenzeka angafakwa lapha. Umthamo wakho, ifomu lesidakamizwa, nokuthi uwuthatha kangaki umuthi kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Amafomu namandla

Umkhiqizo: IGenerlac

• Ifomu: Isixazululo somlomo
• Amandla: 10 g / 15 ml

Okujwayelekile: I-Lactulose

• Ifomu: Isixazululo somlomo
• Amandla: 10 g / 15 ml

Umkhiqizo: Enulose

• Ifomu: Isixazululo somlomo
• Amandla: 10 g / 15 ml

Isikali sokuqunjelwa

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso esivamile: Izipuni eziyi-1-2 (noma u-15-30 ml) kanye ngosuku.
• Umthamo omkhulu: 4 wezipuni (60 mL) ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akuqinisekisiwe ukuthi lo muthi uphephile futhi uyasebenza ezinganeni ezineminyaka engaphansi kwengu-18 ubudala ukwelashwa kokuqunjelwa.

Isilinganiso se-portal-systemic encephalopathy (isifo sesibindi)

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso esivamile: Izipuni eziyi-2-3 (noma 30-45 mL) kathathu noma kane ngosuku.
• Ukulungiswa kwesilinganiso: Udokotela wakho angalungisa isilinganiso sakho nsuku zonke noma ezinye izinsuku kuze kube yilapho ungakhiqiza izitulo ezimbili noma ezintathu ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

• Isilinganiso sokuqala: 2.5-10 mL ethathwa ngomlomo usuku ngalunye ngemithamo emithathu noma emine ehlukanisiwe.
• Isilinganiso siyakhuphuka ezinganeni ezindala nasebusheni: Udokotela wengane yakho angakhuphula umthamo wengane yakho uye kuma-40-90 ml ngosuku uthathwe ngemithamo emithathu noma emine ehlukanisiwe.

Isikali izixwayiso

Uma umthamo wokuqala wengane yakho ubangela isifo sohudo, udokotela wabo kufanele anciphise umthamo wabo zisuka nje. Uma isifo sohudo siqhubeka, udokotela wabo cishe uzobayekisa ukuthatha le mithi.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

I-Lactulose isetshenziselwa ukwelashwa kwesikhashana kokuqunjelwa. Isetshenziselwa ukwelashwa kwesikhashana noma kwesikhathi eside kwe-portal-systemic encephalopathy. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha umuthi ngokungazelelwe noma ungawuthathi nhlobo:

• Okokuqunjelwa: Ukuqunjelwa kwakho kungahle kungabi ngcono noma kungahle kube kubi kakhulu.
• Okwe-portal-systemic encephalopathy:Amazinga e-ammonia egazini lakho angakhuphukela emazingeni ayingozi. Lokhu kungadala ukuthi ungene kwikhoma.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Izimpawu zokweqisa izidakamizwa zalesi sidakamizwa zingafaka:

• isifo sohudo esibi
• isisu esiqinile

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma funa ukuholwa yi-American Association of Poison Control Centers ku-800-222-1222 noma ngethuluzi labo eliku-inthanethi. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Thatha umthamo wakho ngokushesha nje lapho ukhumbula. Uma ukhumbula amahora ambalwa ngaphambi komthamo wakho olandelayo, thatha umthamo owodwa kuphela. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza:

• Okokuqunjelwa: Kufanele uqale ukuba nokuhamba kwamathumbu okujwayelekile. Kungathatha amahora angama-24-48 ukuthi lo muthi usebenze.
• Okwe-portal-systemic encephalopathy: Kufanele ube nezitulo ezithambile ezimbili noma ezintathu ngosuku. Amazinga aphezulu e-ammonia abangelwa yilesi simo ayasuswa emzimbeni wakho ngesihlalo sakho. Lesi sidakamizwa singaqala ukusebenza kungakapheli amahora angama-24, kepha kwesinye isikhathi asiqali ukusebenza amahora angama-48 noma ngaphezulu.

Izindleko ze-Lactulose

Ukucatshangelwa okubalulekile kokuthatha lo muthi

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunikeza isisombululo somlomo se-lactulose.

Jikelele

• Ungathatha lesi sidakamizwa ngokudla noma ngaphandle kokudla.
• Thatha lo muthi ngesikhathi (izi) esinconywe ngudokotela wakho.

Isitoreji

• Gcina i-lactulose esiqandisini noma ekamelweni lokushisa. Yigcine phakathi kuka-36 ° F no-86 ° F (2 ° C no-30 ° C).
• Ungawuqandi lo muthi.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuzilawula

Uma kudingeka, ungaxuba i-lactulose ngenani elincane lezithelo, amanzi, noma ubisi. Phuza ingxube ngokushesha. Ungayilondolozi ngokuzayo.

Ukuqapha komtholampilo

Udokotela wakho angenza ukuhlolwa kwegazi ukuhlola amazinga akho e-electrolyte ngesikhathi sokwelashwa kwakho nalesi sidakamizwa. Udokotela wakho angakwenza lokhu uma ngabe uphuze lo muthi izinyanga ezingaphezu kwezingu-6. Lokhu kuqapha kungasiza ekuqinisekiseni ukuthi amazinga akho aphakathi kobubanzi udokotela wakho acabanga ukuthi kungcono kuwe, nengozi ephansi kakhulu yemiphumela emibi.

Umshuwalense

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokhu kusho ukuthi udokotela wakho angadinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Izexwayiso ezibalulekile

• Isexwayiso sohudo: Lesi sidakamizwa singadala isifo sohudo futhi siholele ekuphelelweni amanzi emzimbeni okukhulu. Shayela udokotela wakho ngokushesha uma unesifo sohudo esibi ngenkathi usebenzisa lesi sidakamizwa.
• Isixwayiso se-Galactose ne-lactose: Lesi sidakamizwa siqukethe i-galactose ne-lactose (ushukela wobisi). Buza udokotela wakho ukuthi ngabe lo muthi uphephile yini kuwe uma ungabekezeleli i-lactose, udla ukudla okune-galactose ephansi, noma unesifo sikashukela.

Izexwayiso ze-Lactulose

Isixazululo somlomo se-Lactulose siza nezixwayiso eziningana.

Isexwayiso somzimba

I-Lactulose ingadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• inkinga yokuphefumula
• ukuvuvukala komphimbo wakho noma ulimi

Uma uthola ukusabela okweqile, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi ngokushesha. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanezinkinga zokugaya i-galactose: Lesi sidakamizwa siqukethe i-galactose (ushukela wobisi). Buza udokotela wakho ukuthi lo muthi uphephile yini kuwe.

Kubantu abanesifo sikashukela: Lesi sidakamizwa singakhuphula amazinga kashukela egazini lakho. Buza udokotela wakho ukuthi lo muthi uphephile yini kuwe.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: I-Lactulose yisigaba B somuthi wokukhulelwa. Lokho kusho izinto ezimbili:

• Ukucwaninga ngezilwane akubonisanga ubungozi embungwini lapho umama ethatha umuthi.
• Azikho izifundo ezanele ezenziwe ebantwini ukukhombisa ukuthi umuthi ubeka engcupheni yini embungwini.

Khuluma nodokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Izifundo zezilwane azihlali zibikezela indlela abantu abazophendula ngayo. Ngakho-ke, lo muthi kufanele usetshenziswe kuphela ekukhulelweni uma kudingeka ngokusobala. Shayela udokotela wakho ngokushesha uma ukhulelwa ngenkathi uthatha lo muthi.

Kwabesifazane abancelisayo: I-Lactulose ingadlulela ebisini lwebele futhi idale imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho mayelana nokuncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha le mithi.

Okwezingane: Akuqinisekisiwe ukuthi lesi sidakamizwa siphephile futhi sisebenza ekwelapheni ukuqunjelwa ezinganeni ezingaphansi kweminyaka engu-18 ubudala.

Uma ingane yakho ithatha lesi sidakamizwa ngenxa yezinkinga zesifo sesibindi, udokotela wazo uzozibheka eduze ngesikhathi sokwelashwa ukuze aqiniseke ukuthi okungenani unezitulo ezithambile ezimbili kuya kwezintathu usuku ngalunye. Lokhu kungenxa yokuthi i-ammonia isuswa emzimbeni wengane yakho ngesihlalo sayo. Udokotela wengane yakho naye uzobheka imiphumela emibi, efana nohudo.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.