Loperamide ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Loperamide ni umuti woroshye, ugurishwa utagomba uruhushya, ufasha kugabanya umuvuduko w'igogora iyo impiswi zije. Ushobora kuwuzi neza ku izina ry'ubucuruzi rya Imodium, kandi umaze imyaka myinshi wizewe mu gufasha abantu gusubirana kumva bameze neza iyo inda zibabaye.

Uyu muti ukora utuza imitsi yo mu mara, uha umubiri wawe umwanya wo gukurura amazi no gukora imyanda ikomeye. Bifasha cyane mu bihe bitari byiza iyo impiswi zihungabanya ubuzima bwawe bwa buri munsi, haba biturutse ku ndwara yo mu nda, ibyo utihanganira kurya, cyangwa ibibazo byo mu igogora bijyanye no gutembera.

Loperamide ni iki?

Loperamide ni umuti urwanya impiswi wo mu cyiciro cy'imiti yitwa opioid receptor agonists. Nyamara ntugire impungenge - bitandukanye n'izindi opioids, loperamide ntijya mu bwonko bwawe, bityo ntizagutera gusinzira cyangwa guteza ibibazo byo kwigwizaho iyo ukoreshejwe nk'uko byategetswe.

Uyu muti uza mu buryo butandukanye burimo ibinini, ibinini byo kumira, n'imiti y'amazi. Yagenewe gukora ahantu hato mu nzira yawe y'igogora, by'umwihariko ikagera ku misitsi igenzura imyitwarire y'amara. Iki gikorwa cyibanze gituma gifasha mu kurwanya impiswi mu gihe kigabanya ingaruka ku bindi bice by'umubiri wawe.

Ushobora kubona loperamide ku masherufu ya farumasi utagombye uruhushya, bituma iboneka igihe uyikeneye. Ariko, kuba iboneka utagomba uruhushya ntibisobanura ko ugomba kuyikoresha nabi - urugero rwo gufata neza n'igihe cyo gufata biracyakomeye ku mutekano wawe no gukora neza.

Loperamide ikoreshwa mu iki?

Loperamide ikoreshwa cyane mu kuvura impiswi zikomeye, bivuze imyanda yoroshye cyangwa y'amazi itunguka mu buryo butunguranye isanzwe imara iminsi mike. Ni uburyo bwawe bwo gufata iyo uhanganye n'ibibazo byo mu igogora rimwe na rimwe biturutse ku mpamvu zitandukanye nk'uburozi buto bw'ibiryo, virusi zo mu nda, cyangwa kurya ikintu kitagukundiye.

Uyu muti ufasha kandi mu kurwanya impiswi ziramba mu bihe bimwe na bimwe, cyane cyane indwara zifata amara iyo ukoreshejwe hakurikijwe inama z’abaganga. Abantu bamwe bafite ikibazo cy’amara yitwa irritable bowel syndrome babona ko bifasha mu kugabanya ibimenyetso by’impiswi, nubwo ibi byagombye kuganirwaho n’umuganga.

Imiswi iterwa no gutembera, akenshi yitwa impiswi y’abagenzi, ikira neza iyo ukoresheje loperamide iyo ufite ibimenyetso byoroheje cyangwa bicye. Birashoboka ko bigufasha kumva umeze neza mu gihe umubiri wawe ukimenyereza ibiryo bishya cyangwa amazi mashya mu gihe uri mu rugendo.

Byongeye kandi, loperamide rimwe na rimwe ifasha kugabanya umubare w’imyenda mu bantu bagiye babagwa mu mara cyangwa bafite uburyo bwo kuvura bwagize ingaruka ku igogora risanzwe.

Loperamide ikora ite?

Loperamide ikora igifatana n’uturemangingo twa opioid mu rukuta rw’amara yawe, bigatuma imitsi igabanya umuvuduko wo gukura ibiryo mu mubiri wawe. Bitekereze nk’aho ukanda buto yo guhagarika amara yawe, ukayaha umwanya wo gukuramo amazi menshi mu myanda.

Uyu muti ufatwa nk’ukomeye ku rugero ruciriritse mu kurwanya impiswi - ukomeye kurusha impinduka zoroheje mu mirire ariko woroshye kurusha imiti yandikwa na muganga. Akenshi itangira gukora mu isaha imwe kugeza ku isaha eshatu nyuma yo kuyifata, ingaruka zikomeye zikagaragara mu masaha abiri kugeza ku masaha atanu nyuma yo kuyifata.

Ingaruka zo kugabanya umuvuduko bifasha amara yawe gukora imyenda ikomeye mu gihe bigabanya kumva ufite ubushake bwo kwituma akenshi biza hamwe n’impiswi. Bitandukanye n’imiti imwe n’imwe ihisha gusa ibimenyetso, loperamide ikora mu buryo bwo gukemura icyateye imyenda yoroshye ihindura uburyo amara yawe akora.

Igituma loperamide idasanzwe ni uko itinjira mu maraso yawe ku rugero rugaragara, bityo ikora ahantu honyine mu nzira yawe yo mu igogora itagize ingaruka ku bwonko bwawe cyangwa izindi ngingo. Iyi ngaruka yihariye niyo ituma utazumva uburwayi cyangwa izindi ngaruka z’imiti isanzwe ya opioid.

Nkwiriye Gufata Loperamide Nte?

Fata loperamide ukoresheje ikirahure cyuzuye amazi, kandi urashobora kuyifata hamwe n'ibiryo cyangwa utabifite - icyo cyose cyumvikana neza mu gifu cyawe. Abantu benshi basanga byoroshye gufata hamwe n'akantu gato bafite isesemi, ariko ntibisabwa kugira ngo imiti ikore neza.

Dose isanzwe yo gutangira ku bantu bakuru ni 4mg (muri rusange ibinini bibiri bya 2mg cyangwa ibinini) mbere na mbere, ikurikirwa na 2mg nyuma ya buri gishishwa kirekire. Ariko, ntugomba kurenza 8mg mu masaha 24 keretse muganga wawe akubwiye mu buryo bwihariye.

Igihe ni ingenzi kuri loperamide - uyifate ako kanya ubonye ibimenyetso bya diyare bitangiye. Vuba na bwangu utangiye kuvurwa, ni ko bikunda kugira akamaro. Niba utegereje kugeza ibimenyetso bikomeye, birashobora gutwara igihe kirekire kugira ngo wumve ko wivuyeho.

Ntugomba gufata loperamide hamwe n'amata cyangwa ibiryo byihariye, ariko kuguma ufite amazi ni ngombwa iyo ufite diyare. Komeza kunywa amazi meza nk'amazi, amasupu meza, cyangwa ibisubizo bya electrolyte umunsi wose kugira ngo wirinde kumuka amazi.

Kubijyanye n'ifishi y'amazi, koresha igikoresho gipima kiza hamwe n'umuti aho gukoresha ibiyiko byo mu rugo, kuko gupima neza bifasha kumenya umutekano n'ubushobozi.

Nkwiriye Gufata Loperamide Igihe Kingana Gite?

Abantu benshi bakeneye loperamide mu minsi 1-2 gusa mugihe bavura diyare ikaze, kuko ibimenyetso mubisanzwe bikosoka vuba iyo impamvu yihishe ikemutse. Niba diyare yawe ikomeje kurenza amasaha 48 mugihe ufata loperamide, ni igihe cyo kuvugana n'umuganga wawe.

Kubijyanye n'ibihe bikaze, reka gufata loperamide mugihe ibishishwa byawe bisubiye mu buryo busanzwe cyangwa mugihe utagize urugendo rw'amara mu masaha 12. Ntabwo ari ngombwa gukomeza imiti iyo ibimenyetso bikemutse, kuko sisitemu yawe yo mu gifu izasubira mu buryo busanzwe.

Niba ukoresha loperamide kubera indwara zirambye nka indwara ya inflammatory bowel, muganga wawe azaguha ubuyobozi bwihariye ku gihe cyo kuyikoresha n'uburyo bwo kuyifata. Muri ibi bihe, kuvurwa birashobora kumara igihe kirekire ariko bigomba gukorwa na muganga.

Ntuzigere ufata loperamide mu gihe kirenze amasaha 48 utabanje kugisha inama muganga, kabone n'iyo ibimenyetso bikomeje. Impiswi zirambye zirashobora kugaragaza indwara zikomeye zikeneye isuzuma ry'umwuga aho kwivura wenyine.

Ni Ibihe Bikorwa Bigaragara Byatewe na Loperamide?

Abantu benshi bakira neza loperamide, ariko nk'indi miti yose, irashobora gutera ibikorwa bigaragara ku bantu bamwe. Inkuru nziza ni uko ibikorwa bigaragara bikomeye bidakunze kubaho iyo umuti ukoreshwa uko byategetswe.

Ibikorwa bisanzwe ushobora guhura nabyo birimo:

• Kuguma mu nda (igikorwa gikunze kubaho cyane)
• Kubabara mu nda cyangwa kutumva neza mu nda
• Kuruka cyangwa kumva umeze nabi
• Kuribwa umutwe, cyane cyane iyo uhagurutse vuba
• Umunwa wumye
• Kunanirwa gake cyangwa kumva unaniwe

Ibi bikorwa bisanzwe akenshi biba byoroheje kandi bikivana byonyine igihe umubiri wawe wimenyereza umuti cyangwa igihe uvuze kuwufata.

Ibikorwa bitabaho kenshi ariko bikwiye kwitabwaho na muganga birimo:

• Kuguma mu nda bikomeye kumara iminsi irenga 3
• Kubabara mu nda cyane cyangwa kubyimba
• Gushyushywa umubiri igihe ufata umuti
• Amashyira mu musarani
• Kuruka bikomeza
• Ibimenyetso byo kumisha amazi menshi nk'ukugabanuka k'inkari cyangwa inyota ikabije

Ibikorwa bidasanzwe ariko bikomeye birashobora kubaho, cyane cyane iyo ufata doze nyinshi cyangwa ukoresha igihe kirekire:

• Ibibazo by'umutima (umutima utera nabi, kubabara mu gituza)
• Urugero rukabije rw'uburwayi (uruhu rurashya, guhumeka bigoranye, kubyimba)
• Toxic megacolon (ibibazo bikomeye byo mu mara)
• Ingaruka ku mikorere y'imitsi yo hagati iyo ifashwe mu bwinshi bukabije

Niba wumva ibimenyetso bibangamiye cyangwa niba ingaruka ziterwa n'umuti zikubuza gukora imirimo yawe ya buri munsi, vugana n'umuganga wawe vuba na bwangu kugira ngo akugire inama.

Ninde Utagomba Gufata Loperamide?

Abantu bamwe na bamwe bagomba kwirinda loperamide cyangwa bakayikoresha bayobowe n'abaganga kubera ibyago byiyongera byo guhura n'ibibazo. Umutekano wawe niwo uza imbere, bityo ni ngombwa kumenya niba uri mu cyiciro icyo aricyo cyose muri ibi.

Ntugomba gufata loperamide niba ufite:

• Umusarani uvuye amaraso cyangwa wuzuye ibara ryirabura
• Urubura rwinshi (rurenze 101°F cyangwa 38.3°C)
• Ulcerative colitis ikaze cyangwa izindi ndwara zifata amara zifite ubushyuhe bwinshi
• Udukoko twa bagiteri mu mara
• Pseudomembranous colitis ijyanye no gukoresha imiti yica udukoko
• Allergie izwi kuri loperamide cyangwa ibindi bintu bigize umuti

Abana bari munsi y'imyaka 2 ntibagomba na rimwe guhabwa loperamide, kuko sisitemu yabo yo mu mara itarashyikira neza kugira ngo bakoreshe umuti mu buryo bwizewe.

Ubwitange bwihariye n'ubuyobozi bw'abaganga birakenewe niba ufite:

• Indwara y'umwijima cyangwa imikorere y'umwijima idahagije
• Uburwayi bwo mu mutima butunganye neza cyangwa indwara y'umutima
• Ibibazo by'impyiko
• HIV/AIDS cyangwa izindi ndwara zifata ubudahangarwa bw'umubiri
• Ubukure (imyaka irenga 65)
• Gusama cyangwa konsa
• Amateka yo gukoresha ibiyobyabwenge

Izi ngingo ntizigutera guhagarika gukoresha loperamide, ariko muganga wawe agomba gupima inyungu n'ibishobora kuvukamo ibyago kandi ashobora gushyiraho izindi miti cyangwa guhindura urugero rwo kuyifata.

Amazina y'ubwoko bwa Loperamide

Loperamide izwi cyane ku izina ry'ubwoko rya Imodium, urwo uzasanga muri farumasi nyinshi no mu maduka acuruza ibiribwa. Imodium A-D ni verisiyo itangwa nta uruhushya rwa muganga, iboneka ku isoko.

Uzabona kandi loperamide munsi y'amazina atandukanye ya rusange n'amazina y'amabanki, arimo ibintu bikora kimwe ariko akenshi bihendutse kurusha ubwoko bw'amazina. Loperamide ya rusange ikora neza nk'ibicuruzwa by'amazina.

Andi mazina y'amabanki arimo Kaopectate II, Maalox Anti-Diarrheal, n'amabanki atandukanye y'amavuriro nka CVS, Walgreens, cyangwa amabanki ya Target. Buri gihe genzura urutonde rw'ibintu bikora kugirango wemeze ko urimo kubona loperamide.

Ibicuruzwa bimwe bivanga birimo loperamide hamwe na simethicone (kugirango igabanye gasi) cyangwa ibindi bintu. Ibi bicuruzwa bivanga birashobora gufasha niba urimo guhangana n'ibimenyetso byinshi byo mu gifu, ariko menya neza icyo urimo gufata.

Uburyo bwo gusimbuza Loperamide

Uburyo butandukanye bushobora gufasha gucunga impiswi niba loperamide itagukwiriye cyangwa niba ukunda uburyo butandukanye. Buri buryo busimbuza bukorera mu buryo butandukanye kandi bufite inyungu n'ibitekerezo byabwo.

Bismuth subsalicylate (Pepto-Bismol) ni uburyo buzwi cyane butagabanya gusa impiswi ahubwo bufite n'ubushobozi bwo kurwanya umubiri no kurwanya mikorobe. Bifasha cyane impiswi z'abagenzi kandi birashobora koroshya isesemi no kuribwa mu gifu.

Probiotics itanga uburyo bworoshye, karemano binyuze mu gusubiza mikorobe nziza mu gifu zishobora gufasha gusubiza ibikorwa by'amara mu buryo busanzwe. Zifite akamaro cyane niba impiswi yawe yakurikiye gukoresha imiti yica mikorobe cyangwa niba ukunda uburyo butari imiti.

Uburyo bwo gusimbuza buvuzwa na muganga burimo diphenoxylate/atropine (Lomotil) kubibazo bikomeye, cyangwa imiti yihariye kubibazo by'ibanze nka indwara yo mu gifu. Ibi bisaba kugenzurwa na muganga kandi akenshi bigenewe ibibazo bihoraho cyangwa bikomeye.

Uburyo bwo kurya nk'ibiryo bya BRAT (ibitoki, umuceri, applesauce, toast) birashobora gufasha gucunga impiswi yoroheje, mugihe ibisubizo byo kongera amazi mu kanwa bikemura icyifuzo cyingenzi cyo gusimbuza amazi na electrolytes yataye.

Ese Loperamide iruta Pepto-Bismol?

Loperamide na Pepto-Bismol (bismuth subsalicylate) zombi ni imiti ikora neza yo guhagarika impiswi, ariko zikora mu buryo butandukanye kandi zikora neza mu bihe bitandukanye. Guhitamo

Ntugasumbe urugero rwasabwe niba ufite ibibazo by'umutima, kandi usabe ubufasha bw'ubuvuzi bwihuse niba wumva ububabare mu gituza, umutima utera nabi, cyangwa isereri mugihe ukoresha loperamide.

Nigute nzakora niba nkoresheje loperamide nyinshi bitunguranye?

Niba wamaze gufata loperamide nyinshi kuruta uko byasabwe, ntugahagarike umutima, ariko fata icyo kibazo nk'ikintu gikomeye. Vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, cyane cyane niba wamaze gufata nyinshi cyane kuruta urugero rwa buri munsi rwa 8mg.

Ibimenyetso byo kurenza urugero rwa loperamide birimo guhagarara gukabije, kubabara mu nda, gusinzira, kugorwa no guhumeka, cyangwa ibibazo by'umutima. Ibi bimenyetso birashobora kutagaragara ako kanya, bityo inama z'ubuvuzi z'umwuga ni ingenzi kabone niyo wumva umeze neza mbere na mbere.

Mugihe utegereje ubuyobozi bw'ubuvuzi, ntugerageze kwivugisha cyangwa gufata indi miti yo kurwanya loperamide. Guma wihaze amazi kandi wigenzure niba hari ibimenyetso bibangamiye.

Bika ibikoresho by'imiti hamwe nawe mugihe ushaka ubuvuzi, kuko ibi bifasha abaganga gusobanukirwa neza icyo wafashe n'ingano yacyo.

Nigute nzakora niba nciweho urugero rwa loperamide?

Bitandukanye n'imiti ifatwa buri gihe, loperamide ifatwa uko bikwiye kubera ibimenyetso bya diyare, bityo nta

Ushobora kureka gufata loperamide igihe cyose impiswi zawe zikize kandi imyanda yawe igasubira mu buryo busanzwe. Ntabwo bisaba kugabanya umubare wawo cyangwa kurangiza umuti wose nk'uko bikorwa ku ntanga za antibiyotike.

Niba utarimo kugira imyanda mu masaha 12 cyangwa imyanda yawe yarasubiye mu buryo busanzwe, ni igihe cyo guhagarika umuti. Gukomeza gufata loperamide nyuma yuko ibimenyetso bikize bishobora gutera kubura imyanda.

Ku bantu benshi bafite impiswi zikomeye, ibi bisobanura guhagarika mu minsi 1-2. Niba ukirimo kugira impiswi nyuma y'amasaha 48 yo kuvurwa, reka gufata loperamide maze uvugishe umuganga wawe kugira ngo akugire inama.

Nshobora gufata Loperamide hamwe n'indi miti?

Loperamide ishobora guhura n'indi miti, bityo ni ngombwa kuganira na farumasiye cyangwa umuganga wawe niba ufata indi miti buri gihe. Ubwo buhuzwe bushobora kongera ibyago byo kugira ingaruka mbi cyangwa kugabanya imikorere.

Imiti ishobora guhura na loperamide irimo antibiyotike zimwe na zimwe (nka erythromycin), imiti irwanya imyanda, imiti ya SIDA, n'imiti imwe na rimwe y'umutima. Ibi bishobora kongera urwego rwa loperamide mu mubiri wawe, bishobora gutera ingaruka mbi nyinshi.

Buri gihe menyesha umuganga wawe ku miti yose, ibyongerera imbaraga, n'ibicuruzwa by'ibyatsi ufata mbere yo gutangira gufata loperamide. Ibi birimo imiti itangwa nta cyangombwa, kuko imwe na rimwe ishobora kugira ingaruka ku buryo loperamide ikora mu mubiri wawe.

Niba ufata imiti myinshi, farumasiye yawe ashobora gukora isuzuma ryihuse ry'ubuhuzwe kandi agatanga ubuyobozi ku gihe cyiza cyangwa uburyo bwo guhitamo niba bibaye ngombwa.