Icyo Diphenoxylate na Atropine ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Diphenoxylate na atropine ni umuti wandikirwa na muganga ufasha kugenzura impiswi mu kugabanya umuvuduko w'amara yawe. Uyu muti uvanga ibintu bibiri bikora neza - diphenoxylate ikora akazi nyamukuru ko kugabanya impiswi, mugihe atropine yongerwamo mu gipimo gito cyane kugirango birinde ikoreshwa nabi. Ushobora kumenya uyu muti ku izina ry'ubucuruzi rya Lomotil, kandi akenshi wandikirwa iyo izindi miti itagurishwa ku isoko itatanze umuti uhagije.

Icyo Diphenoxylate na Atropine ari cyo?

Diphenoxylate na atropine ni umuti ugengwa n'amategeko wo mu cyiciro cy'imiti yitwa antidiarrheals. Igice cya diphenoxylate ni ikinyabutabuzi gifitanye isano na opioid gikora by'umwihariko mu gihe cyo gusya ibiryo, mugihe atropine ari ikintu gihindura imikorere y'imitsi yongerwamo mu bwinshi bito cyane cyane nk'ikizitira gukoreshwa nabi.

Uyu muti ushyirwa mu cyiciro cya Schedule V cy'ibiyobyabwenge bigengwa n'amategeko kuko diphenoxylate ifitanye isano na opioids, nubwo itatanga ingaruka zimwe iyo ikoreshwa nkuko byategetswe. Uyu muti uvanga ibintu bibiri uza mu buryo bw'ibinini kandi bisaba uruhushya rwa muganga wawe.

Bitandukanye n'imiti isanzwe igurishwa ku isoko yo kurwanya impiswi, uyu muti uvanga ibintu bibiri ubikirwa mu gihe impiswi ikomeje cyangwa ikaze ikeneye ubufasha bukomeye. Muganga wawe akenshi azatekereza kuri iyi nzira iyo izindi miti zitagize icyo zikora.

Diphenoxylate na Atropine bikoreshwa kubera iki?

Uyu muti cyane cyane wandikirwa kuvura impiswi ikaze n'impiswi idakira ku bantu bakuru n'abana bafite imyaka irenga 13. Bifasha cyane cyane iyo ufite imyitwarire y'amara ihoraho, ifunguka, cyangwa amazi agendagenda mu mara akabangamira imibereho yawe ya buri munsi.

Muganga wawe ashobora kukwandikira uyu muti wo kuribwa urwara ruterwa n'indwara zitandukanye, harimo indwara ya irritable bowel syndrome, indwara ya inflammatory bowel disease, cyangwa indwara zatewe n'udukoko twanze gukira nubwo hakoreshejwe izindi miti. Rimwe na rimwe kandi ukoreshwa mu kuvura indwara zimwe na zimwe zo mu gifu aho kugenzura imyitwarire y'amara ari ingenzi ku bw'ihumure ryawe n'ubuzima.

Ariko, uyu muti uvura ibimenyetso byo kuribwa urwara aho kuvura icyateye indwara. Umuganga wawe azakorana nawe kugira ngo amenye kandi avure indwara yateye kuribwa urwara mu gihe akoresha uyu muti kugira ngo agufashe kugabanya ibimenyetso.

Ni ingenzi kumenya ko uyu muti udakwiye gukoreshwa mu kuribwa urwara guterwa n'indwara zatewe n'udukoko tw'amoko amwe na mwe, kuko kugabanya umuvuduko w'amara yawe bishobora gutuma izo ndwara zirushaho kuba mbi mu kubuza umubiri wawe gukuraho udukoko twangiza.

Diphenoxylate na Atropine bikora gute?

Diphenoxylate ikora igabanya umuvuduko w'amara yawe, ibyo bituma umubiri wawe ufata amazi menshi mu mwanda kandi bigabanya inshuro yo kwituma. Bitekereze nk'ugushyiraho feri zoroheje ku mikorere isanzwe y'igifu cyawe.

Uyu muti wifatanya n'uturemangingo twa opioid mu mara yawe, ibyo bigabanya umuvuduko w'ibiryo n'imyanda binyura mu gifu cyawe. Uyu muvuduko muto utuma amazi menshi afatwa, bigatuma umwanda uba mwinshi kandi bigabanya ubushake n'inshuro zo kwituma.

Atropine ifite akamaro kabiri - yongeraho ingaruka zimwe na zimwe zo kurwanya imitsi kugira ngo ifashe gutuza imitsi y'amara, kandi ikindi kintu cy'ingenzi, ifasha kwirinda gukoresha nabi uyu muti. Umubare wa atropine urabarwa neza kugira ngo utere ingaruka zitishimira niba umuntu yafata imiti myinshi.

Ibi bifatwa nk'umuti ukomeye wo kurwanya impiswi, ukomeye kurusha imiti igurishwa itagomba uruhushya rwa muganga nka loperamide, ariko yagenewe gukora cyane cyane mu igogora ryawe aho kugira ingaruka ku mubiri wawe wose nk'imiti ikomeye ya opioid.

Nkwiriye Gufata Nte Diphenoxylate na Atropine?

Fata uyu muti nk'uko wabisabwe na muganga wawe, akenshi utangira n'ibinini 2 mu ntangiriro, bikurikirwa n'ikindi kinini 1 nyuma ya buri gishishwa kirekuye. Urugero rwo hejuru rwa buri munsi ni akenshi ibinini 8 mu gihe cy'amasaha 24, nubwo muganga wawe ashobora kubihindura bitewe n'uko ubuzima bwawe bumeze.

Ushobora gufata ibi binini hamwe cyangwa utabifatanije n'ibiryo, ariko kubifata hamwe n'ibiryo bito bishobora gufasha kugabanya ibibazo byo mu nda. Mimina ibinini byose hamwe n'ikirahure kinini cy'amazi - ntukabikoremo agahombo, ntukabumire, cyangwa ngo ubimenagure kuko ibi bishobora kugira ingaruka ku buryo umuti ukora.

Nibyiza gufata uyu muti ku kimenyetso cya mbere cy'impiswi kandi ugakomeza nk'uko byategetswe n'umuganga wawe. Guma ukurikira umubare w'ibinini umaze gufata buri munsi kugirango wirinde kurenga urugero rwo hejuru rwasabwe.

Mugihe ufata uyu muti, gerageza kuguma ufite amazi ahagije unywa amazi menshi meza nk'amazi, amasupu meza, cyangwa ibisubizo bya electrolyte. Irinde inzoga rwose mugihe ukoresha uyu muti, kuko bishobora kongera ibyago byo kugira ingaruka zikomeye.

Mbonye Gufata Diphenoxylate na Atropine Igihe Kingana Gite?

Abantu benshi bafata uyu muti iminsi mike kugeza ku cyumweru kubera impiswi zikomeye, nubwo igihe nyacyo giterwa n'ubuzima bwawe bwihariye n'uburyo ibimenyetso byawe bikira vuba. Muganga wawe azatanga ubuyobozi bugaragara ku gihe ukwiriye gukomeza kuwufata.

Kubera impiswi zikomeye, akenshi uzahagarika gufata umuti igihe imyitwarire yawe yo mu mara isubiye mu buryo busanzwe kandi ikagaruka kenshi. Ibi akenshi bibaho muminsi 2-3 nyuma yo gutangira kuvurwa, nubwo bishobora gutwara icyumweru mubibazo bimwe.

Niba ukoresha uyu muti uvura impiswi zihoraho ziterwa n’indwara irimo gukomeza, muganga wawe ashobora kuwugushyiriraho igihe kirekire. Ariko, azagukurikiranira hafi kandi agasuzuma buri gihe niba gukomeza kuwukoresha ari ngombwa kandi bifitiye akamaro.

Ntuzigere ukomeza gufata uyu muti igihe kirenze icyo wagombaga kuwufata, kandi ntuzawuhagarike ako kanya niba umaze kuwufata igihe kirekire. Muganga wawe ashobora gukenera kugabanya buhoro buhoro urugero rw'umuti ukoresha kugira ngo wirinde ibimenyetso byo kuwuhagarika, nubwo ibyo bitajyenda bibaho iyo ukoresha umuti uko bikwiye.

Ni Ibihe Bimenyetso Bigaragara Biterwa no Gukoresha Diphenoxylate na Atropine?

Kimwe n'indi miti yose, diphenoxylate na atropine bishobora gutera ibimenyetso bigaragara, nubwo abantu benshi bahura n'ibyoroshye cyangwa ntibagire icyo bumva. Kumenya icyo witegura bishobora kugufasha kwitegura neza kandi ukamenya igihe wakwibutsa umuganga wawe.

Ibimenyetso bigaragara cyane ushobora guhura nabyo birimo gusinzira, kuribwa umutwe, umunwa wumye, no kuruka gake. Ibi bimenyetso mubisanzwe biroroshye kandi akenshi biragenda bikosoka uko umubiri wawe wimenyereza umuti mu minsi mike ya mbere yo kuwufata.

Dore ibimenyetso bigaragara kenshi bigaragara ku bantu bamwe:

• Gusinzira cyangwa kumva unaniwe
• Kuribwa umutwe cyangwa kumva uribwa
• Umunwa wumye
• Kuruka cyangwa kutumva neza mu gifu
• Kuribwa umutwe
• Kureba nabi
• Kugira umwanda (cyane cyane niba impiswi zihagaze burundu)

Ibi bimenyetso bigaragara bisanzwe bikunze gucungwa kandi ntibiramba. Kuguma ufata amazi ahagije, kugenda gahoro iyo uhinduye imyanya, no kwirinda gutwara imodoka kugeza umenye uko umuti ukugiraho ingaruka bishobora kugufasha kugabanya ibi bimenyetso.

Abantu bamwe bashobora guhura n'ibimenyetso bitagaragara cyane ariko biteye impungenge bikaba bisaba ubufasha bw'abaganga. Ibi birimo kugira umwanda ukomeye umaze iminsi irenga mike, kuribwa cyane mu nda cyangwa kubyimba, kugorwa no kunyara, cyangwa ibimenyetso byo kwibasirwa n'umubiri.

Ingaruka zidakunze ariko zikomeye zirashobora kubaho, cyane cyane niba ufata imiti myinshi cyangwa ufite indwara zimwe na zimwe zikomeye:

• Kubabara bikabije bifatanye n'ububabare mu nda no kubyimba
• Kugorana guhumeka cyangwa guhumeka gahoro
• Gusinzira cyane cyangwa urujijo
• Umutima utera cyane cyangwa umutima utera nabi
• Urugero rwo kwibasirwa n'umubiri bikabije bifatanye n'impyiko, kubyimba, cyangwa kugorana guhumeka
• Ibimenyetso bya toxic megacolon (ububabare bukomeye mu nda no kubyimba)

Niba ubonye izi ngaruka zikomeye, shakisha ubufasha bwihuse bw'abaganga. Nubwo izi ngorane zitamenyerewe iyo imiti ikoreshwa nkuko byategetswe, ni ngombwa kuzimenya no gukora vuba niba bibaye.

Ninde utagomba gufata Diphenoxylate na Atropine?

Amatsinda menshi y'abantu agomba kwirinda uyu muti cyangwa bakawukoresha gusa bayobowe n'abaganga. Muganga wawe azasuzuma amateka yawe y'ubuzima n'ubuzima bwawe bwa none kugirango amenye niba uyu muti ari mwiza kuri wewe.

Ntabwo ugomba gufata uyu muti niba ufite ubwoko bumwe bwa diyare, cyane cyane iziterwa n'indwara ziterwa na bagiteri nka Salmonella, Shigella, cyangwa E. coli. Kugabanya imyenda yawe mu rwego rwo mu nda muri ibi bihe byashobora gufata bagiteri zangiza mu mubiri wawe no gutuma ubwandu burushaho kuba bubi.

Abantu bafite indwara zimwe na zimwe bagomba kwirinda uyu muti rwose:

• Indwara ikomeye y'umwijima
• Indwara ikomeye y'impyiko
• Myasthenia gravis (indwara yo kunanirwa kw'imitsi)
• Glaucoma (umuvuduko wiyongereye mu maso)
• Ulcerative colitis ikomeye cyangwa izindi ndwara zifata urwungano rw'igifu mu gihe cyo kwibasirwa bikabije
• Kubangamirwa cyangwa kubangamirwa mu rwungano rw'igifu
• Allergie izwi kuri diphenoxylate, atropine, cyangwa imiti ifitanye isano

Uyu muti ntusabwa kandi ku bana bari munsi y'imyaka 13, kuko bafite ubushobozi bwo kwibasirwa n'ingaruka zawo kandi bashobora guhura n'ingorane zikomeye nubwo bafata imiti isanzwe.

Abagore batwite n'abonsa bakwiye kwirinda gukoresha uyu muti keretse inyungu zishobora kuza zigaragaza neza ko ziruta ibyago. Niba utwite, ufite gahunda yo gutwita, cyangwa wonsa, ganira n'umuganga wawe ku bijyanye n'ubundi buryo bwo kuvura.

Abantu bafite amateka yo gukoresha ibiyobyabwenge cyangwa inzoga bakwiye gukoresha uyu muti bitonze cyane, kuko urimo ikinyabutabazi gifitanye isano na opiyoide gishobora gutuma umuntu abigiraho umuco, nubwo igice cya atropine gituma gukoresha nabi bitashoboka.

Amazina y'ubwoko bwa Diphenoxylate na Atropine

Izina rizwi cyane ry'uyu muti ni Lomotil, umaze imyaka myinshi ukoreshwa kandi ukaba wemewe n'abaganga ndetse n'abarwayi. Ubu bwoko burimo ibintu bikora kimwe mu gipimo kimwe n'ubwoko rusange.

Ubwoko rusange bwa diphenoxylate na atropine buraboneka kandi burimo ibintu bikora kimwe n'ibicuruzwa by'izina ry'ubwoko. Ubu bwoko rusange akenshi burahendutse mugihe butanga ingaruka zimwe zo kuvura ndetse n'umutekano.

Niba wakira izina ry'ubwoko cyangwa ubwoko rusange akenshi biterwa n'ubwishingizi bwawe, ibyo amavuriro akunda, n'ibitekerezo by'ikiguzi. Ubwoko bwombi bugira akamaro kimwe iyo bukoreshejwe nkuko byategetswe n'umuganga wawe.

Uburyo bwo gusimbuza Diphenoxylate na Atropine

Imiti myinshi isimbura irashobora gufasha kugenzura impiswi, kandi muganga wawe ashobora gutekereza kuri ubu buryo bitewe n'uko ubuzima bwawe bumeze, amateka yawe y'ubuzima, n'uburyo wihanganira uburyo butandukanye bwo kuvura.

Loperamide (Imodium) ni uburyo busanzwe bwo kuvura butagurishwa ku isoko bukora kimwe no kugabanya urugendo rw'amara. Akenshi igeragezwa mbere na mbere kubera impiswi yoroheje kugeza hagati kuko iboneka byoroshye kandi ifite imbogamizi nkeya kuruta uburyo bwo kwandika.

Uburyo bundi bwo kwandika muganga wawe ashobora gutekereza burimo:

• Bismuth subsalicylate (Pepto-Bismol) ku mpiswi zoroheje n'igifu kitameze neza
• Cholestyramine ku mpiswi ziterwa no kutumvikana neza kwa aside ya bile
• Rifaximin ku bwoko bumwe bwo kwiyongera kwa bagiteri
• Probiotics nk'ubuvuzi bufasha gusubiza bagiteri nziza mu mara
• Imiti yihariye igamije kuvura indwara zishingiye ku mpamvu nk'indwara yo mu mara irimo kubyimba

Uburyo bwo guhitamo bukurikira icyateye impiswi zawe, uko ibimenyetso byawe bikomeye, n'izindi ndwara ushobora kuba ufite. Umuganga wawe azakorana nawe kugirango abone uburyo bwo kuvura bukwiye kandi bufite akamaro.

Ese Diphenoxylate na Atropine biruta Loperamide?

Imiti yombi ikora igabanya imigendere y'amara, ariko ifite itandukaniro rikomeye rituma buri imwe ikwiriye mu bihe bitandukanye. Guhitamo hagati yabyo biterwa n'uburemere bw'impiswi zawe n'ibyo umubiri wawe ukeneye.

Diphenoxylate na atropine muri rusange bifatwa nk'ibikomeye kurusha loperamide kandi bikoreshwa cyane cyane ku mpiswi zikomeye cyangwa zihoraho zitashoboye kuvurwa neza n'imiti itagurishwa ku gasoko. Bisaba uruhushya rwa muganga no kugenzurwa hafi na muganga.

Loperamide ifite ibyiza bimwe - iboneka ku gasoko, ifite imiti mike ivurana, kandi ntigira imbogamizi z'ibintu bigenzurwa. Akenshi nicyo gihitamo cya mbere ku mpiswi zoroheje kugeza ku ziciriritse kandi birashobora kugira akamaro kanini ku bantu benshi.

Ariko, diphenoxylate na atropine birashobora kugira akamaro kanini ku mpiswi zikomeye cyangwa iyo loperamide itatanze ubufasha buhagije. Kongeramo atropine birashobora gufasha kandi kurwanya kuribwa no kutumva neza mu nda rimwe na rimwe bijyana n'impiswi zikomeye.

Muganga wawe azatekereza ku bintu nk'uburemere bw'ibimenyetso byawe, impamvu zabyo, indi miti urimo gufata, n'amateka yawe y'ubuzima mugihe cyo gufata icyemezo cy'uburyo bwiza kuri wowe.

Ibibazo Bikunze Kubazwa ku Diphenoxylate na Atropine

Ese Diphenoxylate na Atropine birakwiriye ku bantu barwaye indwara z'umutima?

Abantu barwaye indwara z'umutima akenshi bashobora gukoresha iyi miti neza, ariko bisaba gukurikiranwa neza no gusuzuma uko umutima wawe umeze. Igice cya atropine rimwe na rimwe gishobora kugira ingaruka ku mutima n'umuvuduko wawo, bityo muganga wawe azagomba gusuzuma ibyago n'inyungu.

Niba ufite uburwayi bw'umutima butandukanye, urugero umutima wanze gukora neza cyangwa umaze igihe gito ufite ikibazo cy'umutima, muganga wawe ashobora guhitamo izindi miti. Ariko, ku bantu benshi bafite indwara z'umutima zidakomeye, iyi miti irashobora gukoreshwa neza iyo inyungu ziruta ibyago.

Buri gihe menyesha umuganga wawe ibyerekeye indwara z'umutima ufite, imiti ufata ku mutima wawe, n'ibimenyetso byose nk'ububabare mu gituza, umutima utera nabi, cyangwa guhumeka bigoranye mugihe ukoresha iyi miti.

Ninkora iki niba mfashe Diphenoxylate na Atropine nyinshi bitunguranye?

Niba ufata nyinshi kuruta uko byategetswe, vugana n'umuganga wawe cyangwa ikigo gishinzwe ubumara ako kanya, kabone niyo utiyumva urwaye. Kubona doze nyinshi bishobora gutera ibibazo bikomeye bishobora kutagaragara ako kanya.

Ibimenyetso byo kubona doze nyinshi birimo gusinzira cyane, urujijo, guhumeka bigoranye, umutima utera gake, guhagarara cyane, cyangwa kutagira ubwenge. Niba ubonye kimwe muri ibi bimenyetso, shakisha ubufasha bwihutirwa bw'ubuvuzi ako kanya.

Kunywa atropine nyinshi bishobora gutera ibindi bimenyetso nk'uruhu rutukura, umuriro, umutima utera cyane, cyangwa kwibeshya. Ntukigere ugerageza kwivuza wenyine - isuzuma ry'ubuvuzi ry'umwuga n'imiti ni ngombwa.

Ninkora iki niba nirengagije gufata doze ya Diphenoxylate na Atropine?

Niba wibagiwe urugero, urufate uko wibuka, ariko gusa niba ukigaragaza impiswi. Ntukagire urugero wibagiwe urufata niba imyitwarire yawe mu bwoko bwawe yagarutse mu buryo busanzwe cyangwa niba igihe cyo gufata urugero rukurikira rwegereje.

Ntuzigere ufata urugero ebyiri icyarimwe kugirango usimbure urugero wibagiwe, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti no kurenza urugero. Uyu muti ukoreshwa uko bikwiye kubera ibimenyetso, bityo kwibagirwa urugero ntibiba ari ikibazo gikomeye.

Niba utazi neza niba ugomba gufata urugero wibagiwe, vugana n'umuganga wawe cyangwa umufarumasiti kugirango bagufashe. Bashobora kugufasha kumenya uburyo bwiza bwo gukora bushingiye ku miterere yawe yihariye n'imiterere y'ibimenyetso.

Ni ryari nshobora kureka gufata Diphenoxylate na Atropine?

Ubusanzwe ushobora kureka gufata uyu muti igihe imyitwarire yawe mu bwoko bwawe isubiye mu buryo busanzwe n'ubutumwa, akenshi mu minsi mike nyuma yo gutangira kuvurwa. Ntabwo bisaba kugabanya urugero buhoro buhoro mugihe gito.

Niba umaze icyumweru kirenga ufata uyu muti cyangwa kubera indwara idakira, ganira na muganga wawe mbere yo kureka. Bashobora gushaka kugabanya urugero rwawe buhoro buhoro cyangwa kugukurikiranira hafi mugihe cyo guhinduka.

Ntukomeze gufata umuti igihe impiswi yawe imaze gukira, kuko ibi bishobora gutera guhagarara kw'imyitwarire mu bwoko bwawe n'izindi ngorane. Ariko, niba ibimenyetso bigarutse, ushobora kongera kuwufata nkuko byategetswe n'umuganga wawe.

Nshobora gutwara imodoka nkanwa Diphenoxylate na Atropine?

Wagombye kwirinda gutwara imodoka cyangwa gukoresha imashini kugeza umenye uko uyu muti ukugiraho ingaruka, kuko ushobora gutera gusinzira, kuribwa umutwe, no kutabona neza. Izi ngaruka zishobora kubuza ubushobozi bwawe bwo gutwara neza.

Abantu benshi basanga izi ngaruka zoroheje kandi zikagenda neza nyuma y'urugero rwa mbere, ariko buri wese yitwara mu buryo butandukanye. Abantu bamwe bashobora kwitwara cyane kuri izi ngaruka kurusha abandi.

Niba ugomba gutwara imodoka, tega kugeza umaze gufata imiti mike kandi wizeye ko utagira ibimenyetso byo gusinzira cyane cyangwa kuribwa umutwe. Mu gihe ushidikanya, teganiriza uburyo bwo gutwara imodoka butandukanye kugeza wizeye ko umuti utagira ingaruka ku bushobozi bwawe bwo gutwara imodoka neza.