I-Lomotil (diphenoxylate / atropine)

-Delile

• Yini iLomotil?
• Ingabe iLomotil yinto elawulwayo?
• I-Lomotil ejwayelekile
• Isilinganiso seLomotil
• Amafomu wezidakamizwa namandla
• Isikali sohudo
• Umthamo wezingane
• Kuthiwani uma ngiphuthelwa umthamo?
• Ngabe kuzodingeka ngisebenzise lesi sidakamizwa isikhathi eside?
• Imiphumela emibi ye-Lomotil
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• Imininingwane yomphumela oseceleni
• Imiphumela emibi ezinganeni
• I-Lomotil isebenzisa
• I-Lomotil yohudo
• Lomotil nezingane
• Ukusetshenziswa kweLomotil nezinye izindlela zokwelapha
• Ezinye izindlela zeLomotil
• Ukuze uhudo, isikhathi esifushane noma isikhathi eside
• Ngesifo sohudo esibangelwa isimo sezokwelapha
• Ngokuhuda okubangelwa ukutheleleka kwamagciwane
• Ngokuhuda okubangelwa yimithi yezimo ezibucayi zezokwelapha
• I-Lomotil vs. Imodium
• Isebenzisa
• Amafomu wezidakamizwa nokuphathwa
• Imiphumela emibi kanye nezingozi
• Ukusebenza ngempumelelo
• Izindleko
• I-Lomotil notshwala
• Ukusebenzisana kweLomotil
• I-Lomotil neminye imithi
• I-Lomotil namakhambi nezithako
• Lomotil nokukhulelwa
• I-Lomotil nokuncelisa
• Izindleko zeLomotil
• Usizo lwezezimali nolomshuwalense
• Ungayithatha kanjani i-Lomotil
• Ukuthatha nini
• Ukuthatha iLomotil ngokudla
• Ngabe iLomotil ingachotshozwa, ihlukaniswe, noma ihlafunwe?
• Isebenza kanjani i-Lomotil
• Kuthatha isikhathi esingakanani ukusebenza?
• Imibuzo ejwayelekile ngeLomotil
• Ngabe iLomotil iyasiza ekwelapheni igesi nokuqunjelwa?
• Ngabe uLomotil uzodala ukuqunjelwa noma ubuhlungu esiswini sami?
• Ngabe kufanele ngithathe i-Lomotil uma nginohudo olusuka emkhuhlaneni wesisu?
• Ngingakwazi yini ukusebenzisa iLomotil ukwelapha isifo sohudo esivela ku-IBS?
• Ngabe i-Imodium neLomotil ingasetshenziswa ndawonye?
• Izinyathelo zokuqapha zeLomotil
• Ukudlula ngokweqile kweLomotil
• Izimpawu zokudlula ngokweqile
• Okufanele ukwenze uma kwenzeka ukweqisa ngokweqile
• UNaloxone: Usindise impilo
• Ukuphelelwa yisikhathi kweLomotil, ukugcina nokulahla
• Isitoreji
• Ukulahlwa
• Imininingwane yobuchwepheshe yeLomotil
• Izinkomba
• Indlela yokusebenza
• I-Pharmacokinetics ne-metabolism
• Izimo
• Ukusetshenziswa kabi nokuncika
• Isitoreji

Yini iLomotil?

I-Lomotil umuthi kadokotela osetshenziswa ukwelapha isifo sohudo. Kunqunywe njengokwengezwa kokwelashwa kwabantu abasenaso isifo sohudo noma ngabe sebelashelwe sona.

Uhudo lubanga indle evulekile noma enamanzi engahle ivele. I-Lomotil isetshenziselwa ukwelapha isifo sohudo esibi. Lesi isifo sohudo esihlala isikhashana (usuku olulodwa kuya kwezimbili). Uhudo olunamandla lungahlobene nokugula kwesikhashana okufana nesiphazamiso esiswini.

I-Lomotil ingasetshenziselwa ukwelapha isifo sohudo esingapheli (esihlala amasonto amane noma ngaphezulu). Lolu hlobo lohudo lungahlobene nesimo sokugaya (isisu).

ILomotil iza njengethebhulethi yomlomo. Kuvunyelwe ukusetshenziswa kubantu abadala nezingane ezineminyaka engu-13 nangaphezulu.

ILomotil ingeyesigaba semithi ebizwa ngama-anti-diarrhea. Iqukethe izidakamizwa ezimbili ezisebenzayo: i-diphenoxylate ne-atropine.

Ingabe iLomotil yinto elawulwayo?

ILomotil yinto elawulwa ngoHlelo V, okusho ukuthi inokusetshenziswa kwezokwelapha kepha ingasetshenziswa kabi. Iqukethe inani elincane lama-narcotic (ukuncipha kobuhlungu okunamandla okubizwa nangokuthi ama-opioid).

IDiphenoxylate, enye yezithako eziseLomotil, nayo iyinto elawulwa ngoHlelo II. Kodwa-ke, uma ihlanganiswe ne-atropine, esinye isithako eLomotil, ingozi yokusebenzisa kabi ingaphansi.

I-Lomotil ayithathwa njengomlutha emithamo enconyelwe isifo sohudo. Kodwa-ke, kubalulekile ukuthi ungathathi i-Lomotil engaphezulu kunalokho okuyalelwe udokotela wakho.

I-Lomotil ejwayelekile

Amaphilisi e-Lomotil ayatholakala njengegama lomuthi nomuthi ojwayelekile. Uhlobo olujwayelekile lubizwa nge-diphenoxylate / atropine, futhi futhi liza njengesisombululo samanzi osithatha ngomlomo.

I-Lomotil iqukethe izithako ezimbili ezisebenzayo zezidakamizwa: i-diphenoxylate ne-atropine. Akukho muthi otholakala njengomuthi ojwayelekile uwedwa.

Isilinganiso seLomotil

Umthamo weLomotil odonswa udokotela wakho uzoncika ezicini ezithile. Lokhu kufaka phakathi:

• uhlobo nobukhali besimo osisebenzisa ukwelapha iLomotil
• iminyaka yakho
• ezinye izimo zezokwelapha ongahle ube nazo

Imininingwane elandelayo ichaza imithamo esetshenziswa kakhulu noma enconywayo. Kodwa-ke, qiniseka ukuthatha isilinganiso udokotela wakho akubekela sona. Udokotela wakho uzonquma isilinganiso esihle kakhulu ukulingana nezidingo zakho.

Amafomu wezidakamizwa namandla

ILomotil iza njengethebhulethi. Ithebhulethi ngayinye iqukethe 2.5 mg we-diphenoxylate hydrochloride no-0.025 mg we-atropine sulfate.

Isikali sohudo

Lapho uqala ukusebenzisa iLomotil, udokotela wakho uzokunika amaphilisi amabili kane ngosuku. Ungathathi amaphilisi angaphezu kwesishiyagalombili (20 mg we-diphenoxylate) ngosuku. Qhubeka nomthamo kuze kube yilapho isifo sohudo siqala ukuthuthuka (indle iyaqina), okufanele kwenzeke kungakapheli amahora angama-48.

Lapho uhudo lwakho seluqala ukuthuthuka, udokotela wakho anganciphisa umthamo wakho ube ngaphansi kwamaphilisi amabili ngosuku. Uzoyeka ukuthatha iLomotil uma isifo sakho sohudo sesihambile ngokuphelele.

Uma uthatha i-Lomotil futhi isifo sakho sohudo asithuthuki zingakapheli izinsuku eziyi-10, yazisa udokotela wakho. Kungenzeka ukuthi uyeke ukusebenzisa iLomotil bese uzama enye indlela yokwelashwa.

Umthamo wezingane

Izingane ezineminyaka engu-13 kuya kwengu-17 ubudala zingathatha iLomotil. Umthamo uyefana nowabantu abadala (bheka isigaba esithi “Isikali sohudo” ngenhla).

Qaphela: Izingane ezingaphansi kweminyaka engu-13 akufanele zithathe amaphilisi e-Lomotil. (Yize lo muthi ungavunyelwe ezinganeni ezingaphansi kweminyaka engu-13 ubudala, kukhona isexwayiso esikhethekile sezingane ezingaphansi kweminyaka engu-6 ubudala. Bona i- "Side effect imininingwane" ukuthola eminye imininingwane.)

Izingane ezineminyaka engu-2 nangaphezulu zingathatha isisombululo somlomo se-diphenoxylate / atropine, esitholakala kuphela njenge-generic. Uma ungathanda ukuthi ingane yakho izame isisombululo se-diphenoxylate / atropine liquid, khuluma nodokotela wayo.

Kuthiwani uma ngiphuthelwa umthamo?

Uma uphuthelwa umthamo futhi kusondele isikhathi obekufanele usithathe, thatha umthamo. Uma kuseduze nomthamo wakho olandelayo, weqa lowo umthamo uthathe umthamo wakho olandelayo ngesikhathi esihleliwe njalo.

Ukusiza ukuqinisekisa ukuthi awuphuthelwa umthamo, zama ukusetha isikhumbuzi efonini yakho. Isikhathi semithi singasiza, futhi.

Ngabe kuzodingeka ngisebenzise lesi sidakamizwa isikhathi eside?

Uma wena nodokotela wakho nibona ukuthi iLomotil iphephile futhi iyasebenza kuwe, ungayithatha isikhathi esifushane noma isikhathi eside, kuya ngohlobo lohudo onalo.

Tshela udokotela wakho uma uthatha i-Lomotil futhi isifo sakho sohudo asithuthuki zingakapheli izinsuku eziyi-10. Bangakucela ukuthi uyeke ukusebenzisa iLomotil bese uzama enye indlela yokwelashwa.

Imiphumela emibi ye-Lomotil

I-Lomotil ingadala imiphumela emibi noma emibi. Uhlu olulandelayo luqukethe eminye yemiphumela emibi engase ivele ngenkathi uthatha iLomotil. Lezi zinhlu azibandakanyi yonke imiphumela emibi engaba khona.

Ukuthola eminye imininingwane ngemiphumela engemihle yeLomotil, khuluma nodokotela wakho noma usokhemisi. Bangakunika amathiphu okuthi ungabhekana kanjani nanoma yimiphi imiphumela emibi engase ikukhathaze.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile yeLomotil ingafaka:

• ikhanda
• ukuzizwa unesiyezi noma ukozela
• ukunwaya isikhumba noma ukuqubuka
• ubuhlungu besisu, isicanucanu, noma ukuhlanza
• isikhumba noma umlomo owomile
• ngizizwe ngingahlaliseki
• i-malaise (umuzwa ojwayelekile wobuthakathaka noma ukungakhululeki)
• ukulahlekelwa isifiso sokudla

Iningi lalemiphumela emibi ingahle ihambe ezinsukwini ezimbalwa noma emasontweni ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Imiphumela emibi ebucayi evela eLomotil ayijwayelekile, kodwa ingenzeka. 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 zabo zingafaka:

• Ukushintsha kwemizwelo. Izimpawu zingafaka:
  • uzizwe ucindezelekile (udabukile noma ungenathemba)
  • ukuzizwa ujabule (ujabule kakhulu noma ujabule)
• Ukusangana. Izimpawu zingafaka:
  • ukubona noma ukuzwa into engekho ngempela lapho
• Ubuthi obuvela ku-atropine (isithako eLomotil) noma imiphumela emibi ye-opioid evela e-diphenoxylate (isithako eLomotil). Izimpawu zingafaka:
  • izinga lokushaya kwenhliziyo eliphakeme
  • ngizizwa ngishisa kakhulu
  • inkinga yokuchama
  • isikhumba nomlomo owomile
• Ukusabela okweqile. Bona “Imininingwane yomthelela oseceleni” ngezansi ukuze ufunde kabanzi.
• Ukudangala kokuphefumula (ukuphefumula okuphuzile) noma ukucindezelwa kwesistimu yezinzwa eziphakathi * (ukulahleka kokusebenza kobuchopho) ezinganeni ezingaphansi kweminyaka engu-6 ubudala. Bona “Imininingwane yomthelela oseceleni” ngezansi ukuze ufunde kabanzi.

Imininingwane yomphumela oseceleni

Ungazibuza ukuthi kaningi kangakanani imiphumela emibi ethile eba khona ngalo muthi, noma ukuthi imiphumela ethile engemihle ihlobene nawo yini.Nayi imininingwane ngeminye imiphumela engemihle lo muthi ongadala noma ongabanga ngayo.

Ukusabela okweqile

Njengezidakamizwa eziningi, abanye abantu bangaba nokungezwani komzimba ngemuva kokuthatha iLomotil. Izimpawu zokuphendula okuncane komzimba zingabandakanya:

• ukuqubuka kwesikhumba
• ukulunywa
• ukuqhuma (ukufudumala nokubomvu esikhunjeni sakho)

Ukusabela okweqile okwedlulele akuvamile kodwa kungenzeka. Izimpawu zokuphendula okweqile kakhulu zingabandakanya:

• ukuvuvukala ngaphansi kwesikhumba sakho, imvamisa ezinkalweni zakho, izindebe, izandla, noma izinyawo
• ukuvuvukala kolimi lwakho, umlomo, umphimbo, noma izinsini
• inkinga yokuphefumula

Shayela udokotela wakho khona manjalo uma unesifo esibi somzimba kuLomotil. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha.

Ukozela

Ungazizwa ukozela ngenkathi uthatha iLomotil. Uma uthatha umthamo ojwayelekile weLomotil, noma ikuphi ukozela onakho kufanele kube mnene. Ukozela kungaba nzima kakhulu uma uthatha i-Lomotil eningi kunalokho okushiwo udokotela wakho.

Kubalulekile ukuthi ungathathi imishanguzo eminingi kunokuyalelwa ngoba kungaholela emiphumeleni emibi kakhulu. Ukuthatha imithi ethile kanye neLomotil noma ukuphuza utshwala ngenkathi uthatha iLomotil kungenza ukozela kube kubi kakhulu.

Kuze kube yilapho wazi ukuthi uzizwa kanjani ngenkathi uthatha i-Lomotil, ungashayeli ngenkathi uyithatha noma yenza eminye imisebenzi edinga ukuqapha noma ukugxila. Ngemininingwane engaphezulu, bheka izigaba ezingezansi ze- "Lomotil notshwala," "Ukusebenzisana kweLomotil," kanye ne "Lomotil overdose".

Shayela udokotela wakho ngokushesha uma uzizwa ukozela ngenkathi uthatha iLomotil. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha.

Isicanucanu

Ungase ube nesicanucanu noma uhlanze ngenkathi uthatha iLomotil. Ukuhlanza izikhathi eziningi ngosuku izinsuku ezingaphezu kwesisodwa noma ezimbili kungaholela ekuphelelweni amanzi emzimbeni (ukulahleka kwamanzi emzimbeni) kanye nokwehlisa isisindo. Le miphumela emibi yokuhlanza ingaba yimbi.

Ukusiza ukugwema ukuphelelwa ngamanzi emzimbeni ekuhlanzweni, phuza amanzi amaningi nolunye uketshezi olufana nejusi. Iziphuzo ezine-electrolyte (amavithamini namaminerali), njengeGatorade yabantu abadala noma iPedialyte yezingane, nazo zingasiza.

Udokotela wakho noma usokhemisi angakutshela ukuthi imiphi imithi engaphepha ukuyiphuza ukuze ube nesicanucanu ngenkathi uthatha iLomotil. Shayela udokotela wakho khona manjalo uma ulahlekelwa isisindo noma uhlanza kaningi ngosuku izinsuku ezingaphezu kwezimbili ngenkathi uthatha iLomotil. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha.

Ukucindezeleka kokuphefumula noma ukucindezeleka kwesistimu yezinzwa eziphakathi

I-Lomotil ingadala ukucindezeleka kokuphefumula (ukuphuza ukuphefumula) noma ukucindezelwa kwesistimu yezinzwa eziphakathi (ukulahleka kokusebenza kobuchopho) ezinganeni ezingaphansi kweminyaka engu-6 ubudala. Lokhu kungaholela enkingeni yokuphefumula, ikhoma nokufa. ILomotil ivunyelwe kuphela izingane ezineminyaka engu-13 nangaphezulu.

Uma ingane yakho ithatha i-Lomotil futhi iqala ukuba nezimpawu zokucindezeleka kokuphefumula (njengokuphefumula okuphuthumayo) noma ukucindezeleka kwesistimu yezinzwa (njengokuzwa ukozela), khuluma nodokotela wabo. Uma izimpawu zabo zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ukuqunjelwa (hhayi umphumela ohlangothini)

Ukuqunjelwa akuwona umphumela ohlangothini lweLomotil. I-Atropine, esinye sezithako eziseLomotil, ingadala ukuqunjelwa emazingeni aphezulu. Kodwa-ke, inani le-atropine liphansi kakhulu kumthamo ojwayelekile weLomotil ongeke ukwazi ukuqunjelwa.

Uma uzizwa uqunjelwe ngenkathi uthatha iLomotil, khuluma nodokotela wakho. Bangase behlise umthamo wakho.

Imiphumela emibi ezinganeni

Imiphumela emibi ezinganeni ifana nemiphumela emibi kubantu abadala. Amaphilisi eLomotil avunyelwe abantu abaneminyaka engu-13 nangaphezulu. I-Lomotil akufanele isetshenziswe ezinganeni ezineminyaka engaphansi kwengu-6 ngoba ingadala imiphumela emibi kakhulu. Lokhu kubandakanya ukuphefumula kanzima, ikhoma nokufa.

I-Lomotil isebenzisa

Ukuphathwa Kwezokudla Nezidakamizwa (i-FDA) kuvumela imishanguzo kadokotela efana neLomotil ukwelapha izimo ezithile.

I-Lomotil yohudo

I-Lomotil (diphenoxylate / atropine) ilapha isifo sohudo. Kunqunywa njengokwengezwa kokwelashwa lapho umuntu esenesifo sohudo yize vele ethatha okuthile ukuselapha. ILomotil ivunyelwe abantu abadala kanye nezingane ezineminyaka engu-13 nangaphezulu.

Uhudo lubanga indle evulekile noma enamanzi engahle ivele. Lapho isifo sohudo sithatha isikhathi esifushane (usuku olulodwa kuya kwezimbili), kubhekwa njengobucayi futhi kungahle kuhlotshaniswe nokugula kwesikhashana okufana nesiphazamiso esiswini. I-Lomotil ijwayele ukusetshenziselwa uhudo olubi.

I-Lomotil ingasetshenziselwa ukwelapha isifo sohudo esingapheli (esihlala amasonto amane noma ngaphezulu). Lolu hlobo lohudo lungahlobene nesimo sokugaya (isisu).

Uma unesifo sohudo, imisipha yakho yokugaya ukudla iyashesha ngokushesha. Lokhu kubangela ukuthi ukudla kudlule ngokushesha esiswini nasemathunjini, futhi umzimba wakho awukwazi ukumunca amanzi noma ama-electrolyte (amavithamini namaminerali). Njengoba, indle inkulu futhi inamanzi, okungaholela ekuphelelweni amanzi emzimbeni (ukulahleka kwamanzi emzimbeni).

I-Lomotil isebenza ngokwehlisa ukugayeka kokudla nokuxegisa imisipha yokugaya ukudla. Lokhu kuvumela ukudla ukuthi kuhamba kancane ngesisu nangamathumbu. Umzimba wakho ungamunca amanzi nama-electrolyte, okwenza indle ingabi namanzi amaningi futhi ingabi njalo.

Lomotil nezingane

ILomotil ivunyelwe ukusetshenziswa ezinganeni ezineminyaka engu-13 nangaphezulu. Izingane ezingaphansi kweminyaka engu-13 akufanele zithathe iLomotil. Yize lo muthi ungavunyelwe ezinganeni ezineminyaka engaphansi kwengu-13 ubudala, kukhona isixwayiso esikhethekile sezingane ezingaphansi kweminyaka engu-6 ubudala. Bona “Imininingwane yomthelela oseceleni” ukuthola eminye imininingwane.

Kukhona isixazululo soketshezi ngomlomo se-diphenoxylate / atropine (etholakala kuphela njenge-generic) engasetshenziswa ukwelapha isifo sohudo ezinganeni ezineminyaka engu-2 nangaphezulu.

Uma ungathanda ukuthi ingane yakho izame isisombululo se-diphenoxylate / atropine liquid, khuluma nodokotela wayo.

Ukusetshenziswa kweLomotil nezinye izindlela zokwelapha

I-Lomotil inqunywe njengokwengezwa uma umuntu esanesifo sohudo yize vele ethatha okuthile ukuselapha.

I-Lomotil ingadala ukuhlanza, okungaholela ekuphelelweni amanzi emzimbeni (ukulahleka kwamanzi emzimbeni). Isifo sohudo, isimo iLomotil esiphatha, naso singadala ukomisa.

Ukusiza ukugwema ukoma, phuza amanzi amaningi nolunye uketshezi olufana nejusi. Iziphuzo ezine-electrolyte (amavithamini namaminerali), njengeGatorade yabantu abadala noma iPedialyte yezingane, nazo zingasiza.

Khuluma nodokotela wakho noma usokhemisi uma ukhathazekile ngokuthola ukoma emzimbeni ngenkathi uthatha iLomotil. Bangase futhi bakwazi ukuphakamisa imithi yokuvimbela ukuhlanza ngenkathi uthatha iLomotil.

Ezinye izindlela zeLomotil

Eminye imishanguzo iyatholakala engelapha isifo sohudo. Abanye bangakulungela kangcono kuwe kunabanye ngokuya ngesizathu sohudo lwakho. Uma unentshisekelo yokuthola enye indlela yeLomotil, khuluma nodokotela wakho. Bangakutshela ngeminye imithi engakusebenzela kahle.

Qaphela: Eminye yemithi ebalwe lapha isetshenziselwa i-off-label ukwelapha izinhlobo ezahlukene zohudo. Ukusetshenziswa okungekho kwelebula kulapho umuthi ovunyelwe ukwelapha umbandela owodwa usetshenziselwa ukwelapha isimo esihlukile.

Ukuze uhudo, isikhathi esifushane noma isikhathi eside

Imithi iyatholakala ukwelapha izinhlobo zohudo ezingathi sína kangako. Eminye imithi itholakala ngisho nekhawunta (ngaphandle kwemithi kadokotela), kufaka phakathi:

• Imodium (loperamide). I-Imodium isetshenziselwa ukwelapha isifo sohudo esibuhlungu, kufaka phakathi uhudo lomhambi (uhudo kusuka ekudleni ukudla noma amanzi angcolile, imvamisa lapho uhambela kwelinye izwe). I-Imodium nayo ingasetshenziswa ngaphandle kwelebula lohudo olubangelwa yimithi yomdlavuza.
• I-Pepto-Bismol (i-bismuth subsalicylate). I-Pepto-Bismol isetshenziselwa ukwelapha isifo sohudo esibuhlungu, kufaka phakathi isifo sohudo. Ingasetshenziswa ngaphandle kwelebula ukwelashwa ngegciwane elibizwa ngokuthi I-Helicobacter pylori.
• I-Metamucil (psyllium). I-Metamucil ingasetshenziswa ngaphandle kwelebuli ukwelapha isifo sohudo. Ukusetshenziswa kwayo okuyinhloko ukuphatha ukuqunjelwa. Ingasetshenziswa futhi ngaphandle kwelebula ye-irritable bowel syndrome (IBS).

Ngesifo sohudo esibangelwa isimo sezokwelapha

Izimo ezithile ezifana ne-IBS zingadala isifo sohudo. Imithi efana neViberzi (eluxadoline) ingasetshenziswa ukwelapha i-IBS ngesifo sohudo.

Ngokuhuda okubangelwa ukutheleleka kwamagciwane

Uma isifo sohudo sivela ekuthelelekeni kwamagciwane esiswini noma emathunjini akho, njenge H. pylori noma AmaClostridioides difficile, udokotela wakho angakunika i-antibiotic. Izibonelo zama-antibiotic zifaka:

• i-ciprofloxacin (Cipro)
• i-vancomycin (Vancocin)
• i-metronidazole (Flagyl)

Uma ama-antibiotic abangela isifo sohudo, udokotela wakho anganciphisa umthamo wakho noma ashintshe imithi yakho. Eminye imithi elwa nohudo ingadala ukuthi ukugula kuhlale isikhathi eside, ngakho-ke kungadingeka ukuthi ulawule izimpawu zakho ngokudla kwakho. Khuluma nodokotela wakho noma usokhemisi mayelana nokuthi imiphi imishanguzo ephephile ukuyisebenzisa ukusiza ukukhulula izimpawu zakho.

Ngokuhuda okubangelwa yimithi yezimo ezibucayi zezokwelapha

Imithi ethile (ngokwesibonelo, imishanguzo yomdlavuza noma i-HIV) ingadala isifo sohudo njengomphumela oseceleni. Eminye imithi ingasetshenziswa ukwelapha isifo sohudo kulezi zimo. Isibonelo, i-crofelemer (Mytesi) isetshenziselwa ukwelapha isifo sohudo kubantu abane-HIV abathola ukwelashwa. I-Loperamide (Imodium) ingasetshenziswa ngaphandle kwelebula (ukusetshenziswa okungavunyelwe) kuhudo olubangelwa yimithi yomdlavuza.

I-Lomotil vs. Imodium

Ungazibuza ukuthi uLomotil uqhathanisa kanjani neminye imithi enqunyelwe ukusetshenziswa okufanayo. Lapha sibheka ukuthi i-Lomotil ne-Imodium zifana kanjani futhi zehlukile.

Isebenzisa

Kokubili iLomotil (diphenoxylate / atropine) ne-Imodium (loperamide) yelapha isifo sohudo.

I-Lomotil inqunywe njengokwengezwa kokwelashwa kwabantu abasenaso isifo sohudo yize sebethatha okuthile ukuselapha. I-Lomotil ijwayele ukusetshenziselwa uhudo olubi, kepha ingasetshenziswa ukwelapha nohudo olungamahlalakhona.

I-Imodium isetshenziselwa ukwelapha isifo sohudo esibuhlungu nesingapheli. Ingasetshenziselwa ukwelapha uhudo lomhambi (isifo sohudo ekudleni ukudla noma amanzi angcolile, imvamisa lapho uhambela kwelinye izwe). Ngaphezu kwalokho, ingasetshenziselwa ukunciphisa ukukhishwa kwesitokisi kusuka ku-ileostomy (ukuvulwa kokuhlinzwa okuxhumanisa amathumbu akho nodonga lwesisu ukukhipha indle noma imfucuza).

I-Imodium isetshenziswa ngaphandle kwelebula (ukusetshenziswa okungavunyelwe) kuhudo olubangelwa yimithi yomdlavuza.

ILomotil ivunyelwe abantu abadala kanye nezingane ezineminyaka engu-13 nangaphezulu.

I-Imodium ingasetshenziswa ngabantu abadala nezingane ezineminyaka engu-2 nangaphezulu. Kodwa-ke, ezinganeni ezineminyaka engu-2 kuya kwengu-5 ubudala, kunconywa ukuthi ukhulume nodokotela ngaphambi kokuzinika uketshezi lwe-Imodium. Futhi izingane ezineminyaka emibili kuya kwemihlanu akufanele zinikezwe amaphilisi e-Imodium.

I-Lomotil itholakala kuphela ngemithi kadokotela. I-Imodium itholakala kuphela ekhawunteni (ngaphandle kwemithi kadokotela).

Amafomu wezidakamizwa nokuphathwa

Kokubili iLomotil neImodium kuza njengephilisi oliphuza ngomlomo. I-Lomotil iyithebhulethi, kanti i-Imodium iyi-capsule egcwele uketshezi (i-softgel ne-caplet). I-Imodium nayo iza njengoketshezi.

Imiphumela emibi kanye nezingozi

ILomotil ne-Imodium zinemiphumela emibi efanayo nezinye ezihlukile. Ngezansi kunezibonelo zale miphumela emibi.

Imiphumela emibi ejwayelekile

Lezi zinhlu ziqukethe izibonelo zemiphumela emibi ejwayelekile engenzeka ngeLomotil, ne-Imodium, noma ngazo zombili izidakamizwa (uma zithathwa ngazinye njengengxenye yohlelo lokwelashwa kwesifo sohudo).

• Kungenzeka ngeLomotil:
  • ikhanda
  • ukunwaya isikhumba noma ukuqubuka
  • isikhumba noma umlomo owomile
  • ngizizwe ngingahlaliseki
  • i-malaise (umuzwa ojwayelekile wobuthakathaka noma ukungakhululeki)
  • ukulahlekelwa isifiso sokudla
• Kungenzeka nge-Imodium:
  • ukuqunjelwa
• Kungenzeka ngeLomotil ne-Imodium:
  • ukuzizwa unesiyezi noma ukozela
  • ubuhlungu besisu, isicanucanu, noma ukuhlanza

Imiphumela emibi kakhulu

Lezi zinhlu ziqukethe izibonelo zemiphumela emibi engaba khona neLomotil noma ngeLomotil ne-Imodium (lapho ithathwa ngazinye njengengxenye yohlelo lokwelashwa kwesifo sohudo).

• Kungenzeka ngeLomotil:
  • ukuguquka kwemizwelo, njengokucindezeleka noma injabulo (injabulo enkulu)
  • ukusangana (ukubona noma ukuzwa okuthile okungekho lapho)
  • ubuthi obuvela ku-atropine (isithako eLomotil) noma imiphumela emibi ye-opioid evela e-diphenoxylate (isithako eLomotil)
  • ukudangala kokuphefumula (ukuphuza ukuphefumula) noma ukucindezelwa kwesistimu yezinzwa eziphakathi (ukulahleka kokusebenza kobuchopho) ezinganeni ezingaphansi kweminyaka engu-6 ubudala
• Kungenzeka ngeLomotil ne-Imodium:
  • ukusabela okweqile
  • inkinga yokuchama

Ukusebenza ngempumelelo

Isifo sohudo yisona kuphela isimo esisetshenziswa ukwelapha i-Lomotil ne-Imodium.

Le mithi ayikaze iqhathaniswe ngqo ezifundweni zomtholampilo, kodwa izifundo ngazinye zithole ukuthi zombili iLomotil ne-Imodium ziyasebenza ekwelapheni uhudo.

Izindleko

Amaphilisi e-Lomotil ne-Imodium womabili atholakala njengegama lomkhiqizo nemithi ejwayelekile. Uhlobo olujwayelekile lweLomotil (diphenoxylate / atropine) nalo liza njengesisombululo soketshezi olithatha ngomlomo. Imithi enegama lomkhiqizo ivame ukubiza ngaphezu kwama-generic.

I-Lomotil itholakala kuphela ngemithi kadokotela. I-Imodium itholakala kuphela ekhawunteni (ngaphandle kwemithi kadokotela).

Ngokuya ngokulinganiselwa ku-GoodRx.com neminye imithombo, ngokusetshenziswa okufanayo, iLomotil ne-Imodium ngokuvamile kubiza ngokufana. Inani langempela ozolikhokhela iLomotil lizoya ngohlelo lwakho lomshuwalense, indawo okuyo nasekhemisi oyisebenzisayo.

I-Lomotil notshwala

I-Lomotil ingadala ukozela noma isiyezi. Ukuphuza utshwala ngenkathi uthatha iLomotil kungenza le miphumela emibi ibe mibi kakhulu. Gwema ukuphuza utshwala ngenkathi uthatha iLomotil.

Uma ukhathazekile ngokuphuza utshwala ngenkathi uthatha iLomotil, khuluma nodokotela wakho.

Ukusebenzisana kweLomotil

I-Lomotil ingasebenzisana neminye imithi eminingana.

Ukuxhumana okuhlukile kungadala imiphumela ehlukile. Isibonelo, ukuxhumana okuthile kungaphazamisa ukusebenza kwesidakamizwa. Okunye ukuxhumana kungakhuphula imiphumela emibi noma kuyenze ibe nzima kakhulu.

I-Lomotil neminye imithi

Ngezansi kunohlu lwemithi engasebenzisana neLomotil. Lolu hlu alunazo zonke izidakamizwa ezingasebenzisana neLomotil.

Ngaphambi kokuthatha iLomotil, khuluma nodokotela wakho nosokhemisi. Batshele ngayo yonke imishanguzo oyinikezwa ngudokotela, i-counter-counter, nezinye izidakamizwa oziphuzayo. Batshele futhi nganoma yimaphi amavithamini, amakhambi, nezithako ozisebenzisayo. Ukwabelana ngalolu lwazi kungakusiza ugweme ukuhlangana okungenzeka.

Izidakamizwa ezibangela ukucindezeleka kwesistimu yezinzwa eziphakathi

Kwezinye izimo, ukuthatha iLomotil kungadala ukucindezeleka kwesistimu yezinzwa eziphakathi (ukulahleka kokusebenza kobuchopho). Ukuthatha iLomotil ngeminye imithi engadala nokudana kwe-CNS kungenza lowo mphumela wecala uqine.

Izibonelo zamakilasi emithi angadala ukucindezeleka kwe-CNS afaka:

• ama-barbiturates, njenge-butabarbital (Butisol), elapha ukuphazamiseka kokulala
• i-anxiolytics, efana ne-buspirone ne-benzodiazepines (alprazolam, noma i-Xanax), elapha ukukhathazeka
• ama-opioid, afana ne-oxycodone (Oxycontin), elapha izinhlungu
• ama-antihistamine, njenge-diphenhydramine (Benadryl), elapha ukungezwani komzimba
• izidambisi zemisipha, njenge-carisoprodol (Soma), elapha ukuqina kwemisipha

Uma uthatha omunye wale mithi ongadala ukucindezeleka kwe-CNS, udokotela wakho angakuyekela ukuwuthatha bese ushintshela kwesinye isidakamizwa lapho uqala ukuthatha iLomotil. Noma bangahle bakunikeze enye indlela yokwelashwa okungeziwe esikhundleni seLomotil. Ngokuya ngokuthi imuphi umuthi owuthathayo, udokotela wakho angakwenza ukuthi uqhubeke uthatha yomibili imishanguzo futhi akuqaphele njalo ngemiphumela emibi.

Uma unemibuzo mayelana nokuhlangana kwezidakamizwa okungakuthinta, buza udokotela wakho noma usokhemisi.

I-Monoamine oxidase inhibitors

I-Monoamine oxidase inhibitors (MAOIs) efana ne-isocarboxazid (Marplan) noma i-phenelzine (Nardil) isetshenziselwa ukwelapha ukudangala. IDiphenoxylate, isithako eLomotil, ihlangana nalezi zidakamizwa futhi ingadala inkinga yomfutho wegazi ophezulu (umfutho wegazi ophakeme ngokweqile).

Uma uthatha i-MAOI, kungenzeka ukuthi udokotela wakho uyeke ukuyithatha bese ushintshela kwesinye isidakamizwa lapho uqala ukuthatha iLomotil. Noma bangahle bakunikeze enye indlela yokwelashwa okungeziwe esikhundleni seLomotil. Ngokuya ngemithi oyiphuzayo, udokotela wakho kungenzeka ukuthi uqhubeke uthatha yomibili imishanguzo futhi akuqaphele njalo ngemiphumela emibi.

I-Lomotil namakhambi nezithako

Awekho amakhambi noma izengezo ezibikwe ngokukhethekile ukuthi zisebenzisana neLomotil. Kodwa-ke, kusamele uhlole udokotela wakho noma usokhemisi ngaphambi kokusebenzisa noma iyiphi yale mikhiqizo ngenkathi uthatha iLomotil.

Lomotil nokukhulelwa

Ayikho idatha eyanele evela ezifundweni zabantu noma zezilwane ukwazi ukuthi kuphephile yini ukuthatha iLomotil ngesikhathi sokukhulelwa. Kodwa-ke, kubalulekile ukuthi wazi ukuthi lo muthi uqukethe isithako se-narcotic (diphenoxylate), futhi izidakamizwa ziboniswe ukuthi zidala ukulimala ngesikhathi sokukhulelwa.

Uma ukhulelwe noma uhlela ukukhulelwa, khuluma nodokotela wakho ngezinzuzo ezingaba khona nezingozi zokusebenzisa iLomotil ngenkathi ukhulelwe.

I-Lomotil nokuncelisa

Ayikho idatha eyanele evela ezifundweni zabantu noma zezilwane ukwazi ukuthi kuphephile yini ukuthatha iLomotil ngenkathi uncelisa. Kodwa-ke, zombili izithako (i-diphenoxylate ne-atropine) zingadlula zibe ubisi lwebele lomuntu.

Lo muthi uqukethe isithako se-narcotic (diphenoxylate), ngakho-ke kubalulekile ukuthi ungathathi iLomotil eningi kunalokho okuyalelwe ngudokotela wakho.

Uma uncelisa noma uhlela ukuncelisa, khuluma nodokotela wakho ngezinzuzo ezingaba khona nezingozi zokusebenzisa iLomotil ngenkathi uncelisa.

Izindleko zeLomotil

Njengayo yonke imithi, izindleko zeLomotil zingahluka.

Intengo yangempela ozoyikhokha incike ohlelweni lwakho lomshuwalense, indawo okuyo nasekhemisi oyisebenzisayo.

Usizo lwezezimali nolomshuwalense

Uma udinga ukwesekwa kwezezimali ukukhokhela iLomotil, noma uma udinga usizo lokuqonda ukutholakala komshwalense wakho, usizo luyatholakala.

UPfizer Inc., umkhiqizi weLomotil, unikela ngohlelo olubizwa ngePfizer RxPathways. Ukuthola eminye imininingwane nokuthola ukuthi ukulungele yini ukwesekwa, shayela ku-844-989-PATH (844-989-7284) noma vakashela iwebhusayithi yohlelo.

Ungayithatha kanjani i-Lomotil

Kufanele uthathe uLomotil ngokuya ngemiyalo kadokotela wakho noma yomhlinzeki wezokunakekelwa kwempilo.

Ukuthatha nini

Uma uqala ukusebenzisa iLomotil, thatha amaphilisi amabili kane ngosuku. Ungathathi amaphilisi angaphezu kwesishiyagalombili (20 mg we-diphenoxylate) ngosuku. Qhubeka nomthamo kuze kube yilapho isifo sohudo siqala ukuthuthuka (indle iyaqina), okufanele kwenzeke kungakapheli amahora angama-48. Lapho isifo sohudo sesiqala ukuthuthuka, isilinganiso sakho singase sehliswe sibe phansi ngamaphilisi amabili ngosuku. Uzoyeka ukuthatha iLomotil uma isifo sakho sohudo sesihambile ngokuphelele.

Uhudo lungadala ukoma (ukulahleka kwamanzi emzimbeni), ngakho-ke ungathatha iLomotil ngengilazi yamanzi ukusiza ukufaka uketshezi emzimbeni wakho.

Uma uhudo lwakho lungapheli phakathi kwezinsuku eziyi-10, khuluma nodokotela wakho. Kungenzeka ukuthi uyeke ukuthatha iLomotil bese uzama enye indlela yokwelashwa.

Ukuthatha iLomotil ngokudla

Ungathatha i-Lomotil ngokudla noma ngaphandle kokudla. Ukuthatha iLomotil ngokudla kungavimbela isisu esibuhlungu, ikakhulukazi ezinganeni. Uhudo lungadala ukoma, ngakho-ke ungathatha iLomotil ngengilazi yamanzi ukusiza ukufaka uketshezi emzimbeni wakho.

Ngabe iLomotil ingachotshozwa, ihlukaniswe, noma ihlafunwe?

Ulwazi lokumisela uLomotil alusho ukuthi amaphilisi angachotshozwa, ahlukaniswe, noma ahlafunwe. Ngakho-ke, mhlawumbe kungcono ukuwagwinya ephelele. Uma ungeke ugwinye amaphilisi, ungathatha isixazululo soketshezi lomlomo, esitholakala kuphela njenge-generic. Udokotela wakho noma usokhemisi angakutshela okuningi.

Isebenza kanjani i-Lomotil

ILomotil ingeyesigaba semithi ebizwa ngama-anti-diarrhea. Isebenza ngokubambezela ukugayeka kwesisu esiswini futhi ibuyisa nemisipha yokugaya (isisu).

Uhudo lubanga indle evulekile noma enamanzi engahle ivele. Lapho isifo sohudo sithatha isikhathi esifushane (usuku olulodwa kuya kwezimbili), kubhekwa njengokubi. Lokhu kungahle kuhlotshaniswe nokugula kwesikhashana okufana nesiphazamiso esiswini. I-Lomotil ijwayele ukusetshenziselwa uhudo olubi.

I-Lomotil ingasetshenziselwa ukwelapha isifo sohudo esingapheli (esihlala amasonto amane noma ngaphezulu). Lolu hlobo lohudo lungahlobene nesimo sokugaya (isisu).

Uma unesifo sohudo, imisipha yakho yokugaya ukudla iyashesha ngokushesha. Lokhu kubangela ukuthi ukudla kudlule ngokushesha esiswini nasemathunjini, futhi umzimba wakho awukwazi ukumunca amanzi noma ama-electrolyte (amavithamini namaminerali). Ngakho-ke, indle inkulu futhi inamanzi, okungaholela ekuphelelweni amanzi emzimbeni (ukulahleka kwamanzi emzimbeni).

I-Lomotil isebenza ngokwehlisa ukugayeka kokudla nokuxegisa imisipha yokugaya ukudla. Lokhu kuvumela ukudla ukuthi kuhamba kancane esiswini nasemathunjini. Umzimba wakho lapho-ke ungamunca amanzi nama-electrolyte, okwenza indle ingabi namanzi futhi ingabi njalo.

Kuthatha isikhathi esingakanani ukusebenza?

Isifo sohudo kufanele sithuthuke kungakapheli amahora angama-48 uqale iLomotil. Lokhu kusho ukuthi kufanele ube nezitulo eziqinile nezingajwayelekile. Uma isifo sohudo singakathuthuki ezinsukwini eziyi-10 kubantu abadala noma emahoreni angama-48 ezinganeni, khuluma nodokotela wakho. Kungenzeka ukuthi uyeke ukuthatha iLomotil bese uzama enye indlela yokwelashwa.

Imibuzo ejwayelekile ngeLomotil

Nazi izimpendulo zemibuzo ebuzwa njalo ngeLomotil.

Ngabe iLomotil iyasiza ekwelapheni igesi nokuqunjelwa?

ILomotil ayivunyelwe ukwelapha igesi nokuqunjelwa. Kodwa-ke, lezi kungaba yizimpawu zohudo, ezingalashwa yiLomotil. Ngokwelapha isifo sohudo, iLomotil nayo ingalapha igesi nokuqunjelwa okungenzeka uma uhanjiswa yisisu.

Ngabe uLomotil uzodala ukuqunjelwa noma ubuhlungu esiswini sami?

I-Lomotil ingadala ubuhlungu besisu nokungakhululeki. Isifo sohudo, isimo uLomotil alapha ngaso, naso singadala ukucinana nobuhlungu besisu. Uma izinhlungu zakho zesisu ziba zimbi kakhulu futhi zingapheli ngemuva kwezinsuku ezimbalwa, shayela udokotela wakho. Bangakwazisa uma udinga ukuthatha omunye umuthi noma uma bedinga ukukubona.

Ngabe kufanele ngithathe i-Lomotil uma nginohudo olusuka emkhuhlaneni wesisu?

Cha, iLomotil akufanele isetshenziselwe uhudo olubangelwa ukutheleleka kwesisu kwegciwane (isibonelo, AmaClostridioides difficile). Ukuthatha iLomotil uma unalolu hlobo lokutheleleka esiswini kwamagciwane kungadala i-sepsis, isifo esibi kakhulu nesongela impilo.

Uma uthatha iLomotil uma unegciwane lesisu elincane, lingenza ukuthi ukutheleleka kuhlale isikhathi eside. Shayela udokotela wakho uma ucabanga ukuthi ungaba nomkhuhlane wesisu. Bangakutshela ukuthi kufanele uyiphathe kanjani ekhaya noma uma bedinga ukukubona.

Ngingakwazi yini ukusebenzisa iLomotil ukwelapha isifo sohudo esivela ku-IBS?

Yebo, iLomotil ingasetshenziselwa ukwelapha isifo sohudo esibangelwe yisifo samathumbu (IBS). Kodwa-ke, iLomotil kufanele isetshenziswe ngokuqapha uma unesifo samathumbu esivuthayo (IBD).

I-IBS ingabangelwa ukucindezeleka, ukudla okuthile, noma imishanguzo futhi imvamisa ayibi kakhulu. I-IBD ifaka phakathi izimo ezibucayi ezifana nesifo sikaCrohn kanye ne-ulcerative colitis. Uma une-ulcerative colitis, ukuthatha iLomotil kungadala i-megacolon enobuthi, isifo esingajwayelekile kodwa esibi kakhulu.

Khuluma nodokotela wakho ngezinketho zakho zokwelashwa uma unesifo sohudo esibangelwa yi-IBS noma i-IBD. Uma uLomotil ekufanele, bangaqapha ukwelashwa kwakho.

Ngabe i-Imodium neLomotil ingasetshenziswa ndawonye?

Khuluma nodokotela wakho ngaphambi kokuthatha i-Imodium neLomotil ndawonye. Ukusebenzisa le mithi ndawonye kungakhuphula imiphumela emibi efana nesiyezi kanye nokozela. Gwema ukuphuza utshwala noma ukwenza imisebenzi edinga ukuqapha noma ukugxila (ngokwesibonelo, ukushayela) uze wazi ukuthi uzizwa kanjani ngenkathi uthatha yomibili le mithi.

Izinyathelo zokuqapha zeLomotil

Ngaphambi kokuthatha iLomotil, khuluma nodokotela wakho ngomlando wakho wezempilo. ILomotil kungenzeka ingakulungeli uma unezimo ezithile zezempilo noma ezinye izinto ezithinta impilo yakho. Lokhu kufaka phakathi:

• Ubudala. Amaphilisi e-Lomotil kufanele asetshenziswe kuphela ngabantu abadala nezingane ezineminyaka eyi-13 nangaphezulu. I-Lomotil ingadala imiphumela emibi kakhulu ezinganeni ezingaphansi kweminyaka engu-6. Bona ulwazi olumayelana nokudangala kokuphefumula kanye nokudangala kohlelo lwesistimu yezinzwa esigabeni esithi "Side effect imininingwane".
• I-Down syndrome (ezinganeni). I-Lomotil iqukethe i-atropine yezidakamizwa. Kungadala ubuthi be-atropine ezinganeni ezine-Down syndrome. Udokotela wakho angakutshela okuningi.
• Ukutheleleka esiswini. I-Lomotil akufanele isetshenziselwe isifo sohudo esibangelwa izifo ezithile zebhaktheriya (ngokwesibonelo, IClostridium difficile).Ukuthatha iLomotil uma unalolu hlobo lokutheleleka esiswini kwamagciwane kungadala i-sepsis, isifo esibi kakhulu nesongela impilo.
• I-ulcerative colitis. Uma une-ulcerative colitis (uhlobo lwesifo samathumbu esivuthayo), khuluma nodokotela wakho ngaphambi kokusebenzisa iLomotil. Ukusetshenziswa kweLomotil kothile one-ulcerative colitis kungadala ukutheleleka okungajwayelekile kepha okubi kakhulu okubizwa nge-megacolon enobuthi.
• Isibindi noma isifo sezinso. Uma unesifo sezinso noma isifo sesibindi, khuluma nodokotela wakho ngaphambi kokusebenzisa iLomotil.
• Ukungezwani komzimba okunzima. Akufanele uthathe i-Lomotil uma uxabana nenye yezithako zayo (diphenoxylate noma i-atropine).
• Ukuphela kwamanzi emzimbeni. Uma une-dehydration enkulu (ukulahleka kwamanzi emzimbeni), akufanele uthathe iLomotil. Indlela uLomotil esebenza ngayo emathunjini akho ingadala ukuthi umzimba wakho ugcine uketshezi, okungenza ukomisa komzimba kube kubi kakhulu.
• Ukukhulelwa. Ayikho idatha eyanele evela ezifundweni zabantu noma zezilwane ukwazi ukuthi kuphephile yini ukuthatha iLomotil ngesikhathi sokukhulelwa.Ukuze uthole olunye ulwazi, bheka isigaba esithi "Lomotil nokukhulelwa" ngenhla.
• Ukuncelisa ibele. Ayikho idatha eyanele evela ezifundweni zabantu noma zezilwane ukwazi ukuthi kuphephile yini ukuthatha iLomotil ngenkathi uncelisa.Ukuze uthole olunye ulwazi, bheka isigaba se- "Lomotil nokuncelisa ibele" ngenhla.

Qaphela: Ukuthola eminye imininingwane ngemiphumela emibi engaba khona yeLomotil, bheka isigaba "Semiphumela emibi yeLomotil" ngenhla.

Ukudlula ngokweqile kweLomotil

Ukusebenzisa okungaphezu kwesilinganiso esinconyiwe seLomotil kungaholela emiphumeleni emibi, kufaka phakathi ukuquleka, ikhoma, noma ngisho nokufa.

Izimpawu zokudlula ngokweqile

Izimpawu zokudlula ngokweqile zingabandakanya:

• unenkinga yokuphefumula
• ukukhathala ngokweqile nobuthakathaka
• ngizizwa ngifudumele
• izinga lokushaya kwenhliziyo
• isikhumba esomile
• ngizizwe ngifuthumele
• unenkinga yokucabanga nokukhuluma
• izinguquko ngosayizi wabafundi bakho (ichashazi elimnyama maphakathi kwamehlo)

Okufanele ukwenze uma kwenzeka ukweqisa ngokweqile

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha. Uma unezimpawu ezithile ezinjengokudangala kokuphefumula (ukuphuza ukuphefumula), unganikezwa umuthi obizwa nge-naloxone (Narcan). Ungashayela ne-American Association of Poison Control Centers ku-800-222-1222 noma usebenzise ithuluzi labo eliku-inthanethi uma kungesona isimo esiphuthumayo.

UNaloxone: Usindise impilo

I-Naloxone (i-Narcan, i-Evzio) yisidakamizwa esingahlehlisa ngokushesha ama-overdoses avela kuma-opioid, kufaka phakathi i-heroin. Ukudlula ngokweqile kwe-opioid kungenza kube nzima ukuphefumula. Lokhu kungabulala uma kungalashwa ngesikhathi.

Uma wena noma umuntu omthandayo esengozini yokweqiwa i-opioid, khuluma nodokotela wakho noma usokhemisi nge-naloxone. Bacele bachaze izimpawu zokweqisa izidakamizwa futhi bakubonise wena nabathandekayo bakho ukuthi ungayisebenzisa kanjani i-naloxone.

Ezifundazweni eziningi, ungathola i-naloxone ekhemisi ngaphandle kwemithi kadokotela. Gcina umuthi usesandleni ukuze ukwazi ukuwuthola kalula uma kwenzeka ukweqisa ngokweqile.

Ukuphelelwa yisikhathi kweLomotil, ukugcina nokulahla

Uma uthola iLomotil ekhemisi, usokhemisi uzokwengeza usuku lokuphelelwa yisikhathi kwilebula esebhodleleni. Lolu suku luvame ukuba unyaka owodwa kusukela ngosuku abanikeze ngalo umuthi.

Usuku lokuphelelwa yisikhathi lusiza ukuqinisekisa ukuthi umuthi uzosebenza ngalesi sikhathi. Isimo samanje se-Food and Drug Administration (i-FDA) ukugwema ukusebenzisa imishanguzo ephelelwe yisikhathi. Uma usebenzise umuthi ongasetshenziswanga osudlulile esikhathini sokuphelelwa yisikhathi, khuluma nosokhemisi wakho mayelana nokuthi usengakwazi yini ukuwusebenzisa.

Isitoreji

Ukuthi umuthi uhlala ulungile isikhathi eside kangakanani kungancika ezintweni eziningi, kufaka phakathi ukuthi uwugcina kanjani futhi kuphi umuthi.

Amaphilisi weLomotil kufanele agcinwe ekamelweni lokushisa esitsheni esivalwe ngci kude nokukhanya. Gwema ukugcina lo muthi ezindaweni lapho ungathola khona umanzi noma ube manzi, njengezindlu zangasese.

Ukulahlwa

Uma ungasadingi ukuthatha iLomotil futhi unemithi esele, kubalulekile ukuyilahla ngokuphepha. Lokhu kusiza ukuvimbela abanye, kufaka phakathi izingane nezilwane ezifuywayo, ekuthatheni lesi sidakamizwa ngengozi. Kuyasiza futhi ukugcina umuthi ungalimazi imvelo.

Iwebhusayithi ye-FDA inikeza amathiphu amaningi awusizo ngokulahlwa kwemithi. Ungabuza futhi usokhemisi wakho imininingwane yokuthi ungayilahla kanjani imithi yakho.

Imininingwane yobuchwepheshe yeLomotil

Imininingwane elandelayo inikezwa odokotela nabanye ochwepheshe bezempilo.

Izinkomba

Amaphilisi e-Lomotil akhonjiswa isifo sohudo ngaphezu kwezinye izindlela zokwelashwa kubantu abaneminyaka engu-13 nangaphezulu.

Indlela yokusebenza

I-Lomotil inciphisa ukunyakaza kwamathumbu nokusebenza kwamathumbu. Iphinde yehlise imisipha yamathumbu ukuvimbela ukuphazamiseka.

I-Pharmacokinetics ne-metabolism

Kuthatha cishe amahora amabili ukufinyelela emazingeni aphezulu e-plasma, kanti isiqingatha sempilo yokuqeda cishe amahora angama-12 kuye kwayi-14.

Izimo

I-Lomotil iyaphikiswa ku:

• iziguli ezingaphansi kweminyaka engu-6, njengoba kungadala ukucindezeleka kokuphefumula nokudangala kohlelo oluphakathi lwezinzwa
• iziguli ezinesifo sohudo ngenxa yamagciwane akhiqiza i-enterotoxin afana IClostridium difficile, njengoba ingadala izingqinamba zamathumbu ezifana ne-sepsis
• iziguli ezinokungezwani komzimba noma i-hypersensitivity to diphenoxylate noma i-atropine
• iziguli ezine-jaundice evimbelayo

Ukusetshenziswa kabi nokuncika

I-Lomotil yinto elawulwa ngeSheduli V. IDiphenoxylate, isithako eLomotil, iyinto elawulwa ngeSheduli II (ehlobene ne-narcotic meperidine), kepha i-atropine isiza ekwehliseni ubungozi bokusebenzisa kabi. ILomotil ayiluthisi ngemithamo enconyelwe isifo sohudo kepha ingadala ukuluthwa nemiphumela efana ne-codeine ngemithamo ephezulu kakhulu.

Isitoreji

Gcina iLomotil ngaphansi kwama-77˚F (25˚C).

Ukuzikhulula: IMedical News Namuhla yenze yonke imizamo yokuqinisekisa ukuthi yonke imininingwane iyiqiniso, iphelele futhi ihambisana nesikhathi. 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.