Lactulose ni iki: Ibyo ikoreshwa, urugero rwo kuyifata, ingaruka zayo, n'ibindi

Lactulose ni umuti w'isukari y'ubwoko bwa sintetike, ukoreshwa mu kuvura imvune yo kutagira umwanya wo kwituma no kuvura indwara zimwe na zimwe z'umwijima. Umubiri wawe ntushobora gusya iyi sukari yihariye, bityo igenda ikagera mu mara manini aho ikurura amazi ikayashyira mu mvune, igatuma zorohera, bigatuma kwituma byoroha kandi bikaba byiza.

Uyu muti umaze imyaka myinshi ukoreshwa mu buryo bwizewe kandi ukora mu buryo bwa kamere n'imikorere y'umubiri wawe. Bitandukanye n'imiti ikaze ituma umuntu yituma, lactulose itanga ubufasha itabangamiye umubiri cyangwa ngo itere umuntu kwituma mu buryo butunguranye kandi butari bwiza.

Lactulose ikoreshwa mu kuvura iki?

Lactulose ikoreshwa cyane cyane mu kuvura imvune yo kutagira umwanya wo kwituma igihe kirekire, ikora ku buryo imvune zorohera kandi zikorohera kunyuramo. Ifasha cyane abantu bakeneye ubufasha bwo kutagira umwanya wo kwituma igihe kirekire batagize ibibazo biterwa n'imiti ituma umuntu yituma.

Uretse kutagira umwanya wo kwituma, lactulose igira uruhare runini mu kuvura hepatic encephalopathy, indwara ikomeye yo mu bwonko ishobora kwibasira abantu barwaye umwijima. Iyo umwijima wawe udakora neza, uburozi bushobora kwiyongera mu maraso yawe bugahungabanya imikorere y'ubwonko bwawe, bigatuma umuntu avurungana, imyumvire igahinduka, n'ibindi bimenyetso byo mu bwonko.

Muri hepatic encephalopathy, lactulose ifasha ihindura urugero rwa aside mu mara manini yawe, bigabanya umubare w'amoniya akorwa kandi akemerwa - kimwe mu bice by'ingenzi by'uburozi bugira ingaruka ku mikorere y'ubwonko. Ibi bituma uyu muti uba ngombwa ku bantu barwaye indwara z'umwijima zigeze kure.

Lactulose ikora ite?

Lactulose ikora nk'uko abaganga bita osmotic laxative, bivuze ko ikurura amazi mu mara yawe mu buryo bwa kamere. Tekereza nk'ikintu gikurura amazi mu buryo bworoshye - gikurura amazi mu mara manini yawe, bigatuma imvune zikora neza kandi zikorohera kunyuramo.

Uyu muti ufatwa nk'umuti woroshya urugero ruto kugeza ruciriritse. Muri rusange bitwara amasaha 24 kugeza kuri 48 kugira ngo ukore, ibyo bikaba bitinda ugereranije n'indi miti yoroshya, ariko nanone bigira urugero ruto ku mikorere y'igifu cyawe. Iyi mikorere yoroshye ifasha kwirinda kubabara no kwihutisha bishobora kuza hamwe n'imiti ikomeye.

Iyo bagiteri zo mu mara yawe manini zisenya lactulose, zikora aside zifasha kugabanya urugero rw'amoniya yica. Iyi mikorere ibiri ituma lactulose ifite agaciro cyane cyane ku bantu bafite indwara z'umwijima, kuko ikemura ikibazo cyo guhagarara kw'amara ndetse no gucunga uburozi icyarimwe.

Nkwiriye Gufata Lactulose Nte?

Fata lactulose nk'uko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi hamwe n'ikirahure cyuzuye cy'amazi. Urashobora kuyifata hamwe cyangwa utayifatanije n'ibiryo, ariko abantu benshi basanga byoroshye ku gifu cyabo iyo bafatanije n'ibiryo.

Urugero rw'amazi rushobora kuvangwa n'amazi, umutobe, cyangwa amata kugira ngo urusheho kuryoha, ibyo abantu bamwe bavuga ko biryoha cyane. Niba uyifata kubera guhagarara kw'amara, urashobora gutangira n'urugero ruto umuganga wawe azagenda yongera buhoro buhoro kugeza igihe ugize imyitwarire y'amara isanzwe kandi yoroshye.

Kubera hepatic encephalopathy, umuganga wawe ashobora gutegeka urugero rwinshi rufatwa inshuro nyinshi ku munsi. Ni ngombwa gupima lactulose y'amazi ukoresheje igikombe cyangwa ikiyiko kiza hamwe n'umuti wawe kugira ngo wemeze urugero rukwiye.

Gerageza gufata lactulose ku gihe kimwe buri munsi kugira ngo bifashe gushyiraho gahunda. Niba uri mushya kuri uyu muti, guma hafi y'urugo mu minsi mike ya mbere uko umubiri wawe wimenyereza impinduka mu myitwarire y'amara yawe.

Nkwiriye Gufata Lactulose Igihe Kingana Gite?

Igihe cyo kuvura na lactulose giterwa rwose n'uburwayi bwawe bwihariye n'uburyo umubiri wawe witwara. Ku guhagarara kw'amara kw'igihe kirekire, abantu bamwe barayikeneye mu byumweru bike gusa, mu gihe abandi bashobora kuyifata igihe kirekire bayobowe n'abaganga.

Niba ukoresha lactulose kubera hepatic encephalopathy, birashoboka ko uzayikenera nk'ubuvuzi buhoraho kugira ngo ifashe mu gucunga uburwayi bwawe bw'umwijima. Muganga wawe azakurikirana uko urimo uragenda kandi ahindure urugero uko bikwiye bitewe n'ibimenyetso byawe n'ibisubizo bya laboratori.

Ntuzigere uhagarika gufata lactulose ako kanya, cyane cyane niba uyifata kubera uburwayi bujyanye n'umwijima. Muganga wawe ashobora kwifuza kugabanya buhoro buhoro urugero rwawe cyangwa akaguherereza ubuvuzi butandukanye. Kugenzura buri gihe bifasha kumenya neza ko umuti ukomeza gukora neza ku byo ukeneye byihariye.

Ni Ibihe Bikorwa Bigaragara bya Lactulose?

Abantu benshi bafata lactulose neza, ariko nk'undi muti uwo ari wo wose, ushobora gutera ibikorwa bigaragara. Ibibazo bisanzwe bifitanye isano n'inzira yawe yo gutunganya ibiryo kandi akenshi birakosoka uko umubiri wawe uhinduka ukamenyera umuti.

Dore ibikorwa bigaragara ushobora guhura na byo, dutangiriye ku bisanzwe:

• Gasi no kubyimba, cyane cyane mu cyumweru cya mbere cy'ubuvuzi
• Kuribwa mu nda cyangwa kutumva neza mu nda
• Isesemi, cyane cyane igihe utangira gufata umuti
• Impiswi niba ufata nyinshi cyane cyangwa urugero rwawe rukeneye guhindurwa
• Uburyohe bwiza mu kanwa kawe bitewe n'isukari irimo

Ibi bikorwa bigaragara bisanzwe akenshi birashira uko inzira yawe yo gutunganya ibiryo yimenyereza umuti. Ariko, hariho ibikorwa bigaragara bitari ibisanzwe ariko bikomeye bisaba ubufasha bwihuse bw'abaganga.

Vugana n'umuganga wawe ako kanya niba uhuye no kumuka cyane, kuruka guhoraho, cyangwa ibimenyetso byo kutagira ibinyabutabazi nk'intege nke z'imitsi, umutima utagenda neza, cyangwa urujijo rukabije. Ibi bimenyetso ni bike ariko bishobora kuba bikomeye niba bitavuwe.

Ni Bande Batagomba Gufata Lactulose?

Lactulose ntabwo ikwiriye kuri buri wese, kandi uburwayi runaka cyangwa ibihe bituma bidatekanye kuyikoresha. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kwandika uyu muti.

Ntabwo ugomba gufata lactulose niba urwaye allergie yayo cyangwa niba ufite galactosemia, indwara ya genetique idasanzwe umubiri wawe udashobora gutunganya isukari zimwe na zimwe. Abantu bafite ibibazo byo guhagarika mu mara cyangwa kumuka cyane ntibagomba gukoresha uyu muti.

Muganga wawe azakoresha ubushishozi bwinshi mugihe yandika lactulose niba urwaye diyabete, kuko bishobora kugira ingaruka kumisemburo y'isukari mu maraso. Abantu bafite indwara yo mu mara, ibibazo bikomeye by'impyiko, cyangwa abari ku mirire ya galactose nke nabo bakeneye kwitabwaho by'umwihariko no gukurikiranwa.

Niba utwite cyangwa wonka, lactulose muri rusange ifatwa nkumutekano, ariko muganga wawe azagereranya inyungu n'ibishobora kuba byateza akaga kubibazo byawe byihariye.

Amazina ya Lactulose

Lactulose iboneka munsi yamazina menshi y'ubwoko, nubwo farumasi nyinshi zifite na verisiyo rusange. Amazina asanzwe y'ubwoko arimo Enulose, Generlac, na Constulose, byose bikubiyemo ibikoresho bimwe bikora.

Farumasi yawe irashobora guhita isimbura verisiyo rusange keretse muganga wawe asabye by'umwihariko izina ry'ubwoko. Lactulose rusange ikora neza nkuko verisiyo y'ubwoko ikora kandi akenshi ihendutse.

Mugihe ufata umuti wawe, genzura ko urimo kubona umubare ukwiye n'uburyo (amazi cyangwa ifu) muganga wawe yanditse. Niba ufite ibibazo bijyanye n'ibicuruzwa byawe byihariye, umufarumasiti wawe ashobora gutanga amakuru afasha.

Uburyo bwo gusimbura Lactulose

Imiti myinshi ishobora kuvura kubura kw'ifunguro, nubwo ikora mu buryo butandukanye na lactulose. Ibindi byongera amazi mu mara birimo polyethylene glycol (MiraLAX) nibicuruzwa bishingiye kuri magnesium, nabyo bikurura amazi mu mara.

Ifumbire yongerera imbaraga nk'icyatsi (Metamucil) cyangwa methylcellulose (Citrucel) ikora mugushyira ibintu byinshi mumyanda kandi ni amahitamo meza kubantu bakunda uburyo bwa kamere. Imitsi itera imitsi nka senna ikora vuba ariko irashobora gutera kuribwa cyane kandi ntikwiriye gukoreshwa igihe kirekire.

Ku bijyanye na hepatic encephalopathy, hariho uburyo buke bwo kubivura. Rifaximin ni umuti wica mikorobe ushobora gufasha kugabanya mikorobe zikora ammonia, ariko akenshi ukoreshwa hamwe na lactulose aho gukoreshwa nk'umusimbura.

Muganga wawe azahitamo uburyo bwiza bushingiye ku burwayi bwawe bwihariye, imiti indi urimo gufata, n'uko umubiri wawe witwara ku miti itandukanye.

Ese Lactulose iruta MiraLAX?

Zose uko ari ebyiri, lactulose na MiraLAX (polyethylene glycol) ni imiti ikurura amazi mu mara, ariko buri imwe ifite ibyiza byayo. Guhitamo “byiza” biterwa n'ibyo ukeneye byihariye n'uburwayi bwawe.

Lactulose itanga inyungu zidasanzwe ku bantu bafite ibibazo by'umwijima kuko igabanya urugero rwa ammonia uretse kuvura kubura kw'ifumbire. Ikoreshwa kandi mu buryo bwizewe mu myaka myinshi kandi ifatwa nk'ikwiriye gukoreshwa igihe kirekire iyo bibaye ngombwa mu buvuzi.

MiraLAX ikunda gukora vuba kandi ifite ingaruka nke nk'umwuka mubi no kubyimba. Irashobora kandi gushyirwa mu kinyobwa icyo aricyo cyose, bigatuma abantu bamwe bayikunda. Ariko, ntigira inyungu zo kugabanya ammonia zituma lactulose iba ngombwa ku barwayi b'umwijima.

Muganga wawe azagusaba umuti ukwiriye amateka yawe y'ubuvuzi, ibibazo byawe by'ubu, n'intego zo kuvurwa. Abantu bamwe bashobora no gukoresha imiti yombi mu bihe bitandukanye bitewe n'ibyo bakeneye bihinduka.

Ibikunze Kubazwa Kuri Lactulose

Ese Lactulose irakwiriye abarwayi ba diyabete?

Lactulose irashobora gukoreshwa n'abantu barwaye diyabete, ariko bisaba gukurikiranwa neza kuko bishobora kugira ingaruka ku rugero rw'isukari mu maraso. Nubwo umubiri wawe utanywa lactulose yose, ibice bito birashobora kwinjira mu maraso yawe kandi bikazamura urugero rwa glucose.

Muganga wawe ashobora kwifuza gukurikiranira hafi isukari yo mu maraso yawe igihe utangiye gufata lactulose, cyane cyane niba ufata doze nyinshi kubera indwara z'umwijima. Ushobora gukenera guhindura imiti ya diyabete cyangwa ibyo urya kugira ngo wite ku isukari iri muri lactulose.

Abantu benshi bafite diyabete bashobora gufata lactulose mu buryo bwizewe iyo bakurikiranwa neza. Inyungu zo kuvura kubura kw'ifumbire cyangwa hepatic encephalopathy akenshi ziruta impungenge zishobora guterwa n'isukari yo mu maraso, ariko kuganira neza n'ikipe yawe y'ubuvuzi ni ngombwa.

Nkwiriye gukora iki niba nanyweye lactulose nyinshi bitunguranye?

Kunywa lactulose nyinshi bitunguranye akenshi bitera impiswi, kuribwa cyane mu nda, ndetse no kumuka amazi. Niba bitunguranye ufata doze ebyiri, ntugahagarike umutima - nywa amazi menshi kandi ukurikiranire hafi ibimenyetso byawe.

Vugana na muganga wawe cyangwa umufarumasiti niba ugira impiswi ikabije, kuruka bidahagarara, cyangwa ibimenyetso byo kumuka amazi nk'isazi, umunwa wumye, cyangwa kugabanya kunyara. Ibi bimenyetso akenshi bikira iyo umuti w'ikirenga ukoreshejwe mu mubiri wawe.

Ku bijyanye na doze zizaza, garuka ku gahunda yawe isanzwe kandi ntugerageze "gukosora" kubera kunywa doze nyinshi ukoresheje kwirengagiza doze. Niba ukunda kwibagirwa cyangwa kuvurunganya doze zawe, tekereza gukoresha umuteguro w'imiti cyangwa gushyiraho ibyibutso kuri terefone yawe.

Nkwiriye gukora iki niba nirengagije gufata doze ya lactulose?

Niba wirengagije gufata doze ya lactulose, yifate ako kanya wibuka, keretse igihe cyo gufata doze yawe ikurikira kigeze. Muri icyo gihe, irengagize doze yirengagijwe ukomeze gahunda yawe isanzwe.

Ntuzigere ufata doze ebyiri icyarimwe kugira ngo ukosore doze yirengagijwe, kuko ibi bishobora gutera ingaruka zitishimira nk'kuribwa no gucibwamo. Niba ufata lactulose kubera hepatic encephalopathy, gufata imiti buri gihe ni ngombwa cyane, bityo gerageza gushyiraho gahunda igufasha kwibuka.

Niba ukunda kwibagirwa gufata imiti, ganira na muganga wawe ku buryo bwo kunoza imikoreshereze y'imiti. Ashobora guhindura gahunda yawe yo gufata imiti cyangwa akagusaba ibikoresho bifasha kwibuka imiti yawe.

Ni ryari nshobora kureka gufata Lactulose?

Ukwemera kureka Lactulose biterwa n'impamvu uyifata n'uko uburwayi bwawe burimo bwitwara. Ku kibazo cyo guhagarara kw'amara by'igihe gito, ushobora kureka umaze kubona imyenda yawe isanzwe, ariko ibi bikorwa buhoro buhoro hakurikijwe ubujyanama bwa muganga.

Niba ufata Lactulose kubera hepatic encephalopathy, kureka imiti bisaba kugenzurwa na muganga witonze. Muganga wawe azakenera gukurikirana ibimenyetso byawe kandi ashobora guhindura izindi nshuti mbere yo guhagarika Lactulose mu buryo bwizewe.

Ntuzigere ureka gufata Lactulose ako kanya, cyane cyane niba umaze kuyikoresha igihe kirekire. Muganga wawe ashobora gushaka kugabanya buhoro buhoro urugero rwawe cyangwa akemeza ko ufite izindi nshuti zisimbura kugirango wirinde ko ibimenyetso byawe bya mbere bigaruka.

Nshobora gufata Lactulose hamwe n'indi miti?

Lactulose irashobora guhura n'imiti imwe, cyane cyane iyongera urugero rwa electrolyte cyangwa isukari mu maraso. Ni ngombwa kubwira muganga wawe imiti yose, ibyongerera imbaraga, n'ibicuruzwa by'ibyatsi bifata.

Imiti imwe irashobora kutinjira neza iyo ifashwe hamwe na Lactulose, cyane cyane niba ugize impiswi. Muganga wawe ashobora gusaba gutandukanya urugero cyangwa guhindura igihe kugirango wemeze ko imiti yawe yose ikora neza.

Buri gihe genzura na farumasi mbere yo gutangira imiti mishya yo ku isoko mugihe ufata Lactulose. Bashobora gufasha kumenya imikoranire ishoboka no gutanga ibitekerezo byiza byo gufata imiti myinshi icyarimwe.