Yini i-Lactulose: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Lactulose iyisidakamizwa sikashukela esithambile, esenziwe ngendlela yokwenziwa esisiza ukwelapha ukuqunjelwa kanye nezimo ezithile zesibindi. Umzimba wakho awukwazi ukugaya lo shukela okhethekile, ngakho-ke uhamba uye emathunjini akho amakhulu lapho udonsa khona amanzi futhi uthambisa indle, okwenza ukuhamba kwamathumbu kube lula futhi kube nokunethezeka.

Lo muthi usetshenziswe ngokuphepha amashumi eminyaka futhi usebenza ngokwemvelo nezinqubo zomzimba wakho. Ngokungafani nezidakamizwa ezinzima zokukhulula ukuqunjelwa, i-lactulose inikeza impumuzo ngaphandle kokudala ukuncika noma ukubangela ukuphuthuma okungaletheki, okungakhululeki.

Yini i-Lactulose Esetshenziselwa Yona?

I-Lactulose ngokuyinhloko iphatha ukuqunjelwa okungamahlalakhona ngokwenza indle yakho ithambe futhi ibe lula ukudlula. Ilusizo ikakhulukazi kubantu abadinga ukukhululeka kokuqunjelwa kwesikhathi eside ngaphandle kwezingozi eziza nezidakamizwa ezikhuthazayo.

Ngaphandle kokuqunjelwa, i-lactulose idlala indima ebalulekile ekuphatheni i-hepatic encephalopathy, isimo esibucayi sobuchopho esingathuthuka kubantu abanezifo zesibindi. Lapho isibindi sakho singasebenzi kahle, ubuthi bungakha egazini lakho futhi buthinte ukusebenza kobuchopho bakho, okubangela ukudideka, izinguquko zemizwa, nezinye izimpawu zemizwa.

Ku-hepatic encephalopathy, i-lactulose iyasiza ngokushintsha izinga le-asidi emathunjini akho amakhulu, okunciphisa ukukhiqizwa nokumuncwa kwe-ammonia - enye yezinto eziyinhloko ezinobuthi ezithinta ukusebenza kobuchopho. Lokhu kuyenza ibe yisidakamizwa esibalulekile kubantu abanezifo zesibindi eziphambili.

Isebenza Kanjani i-Lactulose?

I-Lactulose isebenza njengalokho odokotela abakubiza ngokuthi i-osmotic laxative, okusho ukuthi idonsa amanzi emathunjini akho ngokwemvelo. Cabanga ngayo njengozibuthe othambile wamanzi - idonsa uketshezi emathunjini akho amakhulu, okuthambisa indle eqinile futhi kwenze kube lula ukudlula.

Lo muthi uthathwa njengomuthi wokuthambisa onamandla alula kuya kwamaphakathi. Ngokuvamile kuthatha amahora angama-24 kuya kwangama-48 ukusebenza, okushesha kancane kunezinye izithambisi kodwa futhi kunomusa ohlelweni lwakho lokugaya ukudla. Isenzo esihamba kancane sisiza ekuvikeleni ukuqaqamba nokushesha okungase kuze nemithi enamandla.

Lapho amagciwane emathunjini akho amakhulu echitha i-lactulose, akha ama-asidi asiza ekunciphiseni amazinga e-ammonia ayingozi. Lesi senzo esiphindwe kabili senza i-lactulose ibaluleke ikakhulu kubantu abanezimo zesibindi, njengoba ibhekana nokuqunjelwa nokuphathwa kwama-toxin ngasikhathi sinye.

Kufanele Ngiyithathe Kanjani I-Lactulose?

Thatha i-lactulose njengoba nje udokotela wakho ekuyala ngayo, ngokuvamile kanye noma kabili ngosuku ngengilazi yamanzi egcwele. Ungayithatha ngaphandle kokudla noma ngaphandle kokudla, kodwa abantu abaningi bakuthola kulula esiswini sabo uma kuthathwa nokudla.

Ifomu eliwuketshezi lingaxutshwa namanzi, ijusi, noma ubisi ukuze kuthuthukiswe ukunambitheka, okuchazwa abanye abantu njengokumnandi kakhulu. Uma uyithatha ngenxa yokuqunjelwa, ungaqala ngomthamo ophansi odokotela bakho abawukhulisayo kancane kancane kuze kube yilapho unokunyakaza kwamathumbu okuvamile, okunethezekile.

Nge-hepatic encephalopathy, udokotela wakho cishe uzoqoka imithamo ephezulu ethathwa izikhathi eziningi ngosuku. Kubalulekile ukukala i-lactulose ewuketshezi ngendebe yokulinganisa noma isipuni esiza nomuthi wakho ukuze kuqinisekiswe ukulinganisa okunembile.

Zama ukuthatha i-lactulose ngesikhathi esifanayo nsuku zonke ukuze usize ukusungula umkhuba. Uma umusha kulo muthi, hlala eduze nekhaya izinsuku ezimbalwa zokuqala njengoba umzimba wakho uzivumela ezinzuzweni ekunyakazeni kwamathumbu akho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Lactulose?

Ubude bokwelashwa nge-lactulose buqondene ngokuphelele nesimo sakho esithile nokuthi umzimba wakho usabela kanjani. Ngenxa yokuqunjelwa okungamahlala-khona, abanye abantu bayayidinga amasonto ambalwa nje, kanti abanye bangayithatha isikhathi eside ngaphansi kokuqondisa kwezokwelapha.

Uma usebenzisa i-lactulose ye-hepatic encephalopathy, cishe uzoyidinga njengokwelashwa okuqhubekayo ukusiza ukuphatha isimo sesibindi sakho. Udokotela wakho uzoqapha inqubekela phambili yakho futhi alungise umthamo njengoba kudingeka ngokuya ngezimpawu zakho nemiphumela yelabhorethri.

Ungayeki ukuthatha i-lactulose ngokuzumayo, ikakhulukazi uma uyithatha ngezimo ezihlobene nesibindi. Udokotela wakho angase afune ukunciphisa umthamo wakho kancane kancane noma akuqhubekisele ekwelashweni okuhlukile. Ukuqapha njalo kusiza ukuqinisekisa ukuthi imithi iyaqhubeka nokusebenza ngempumelelo ngezidingo zakho ezithile.

Yiziphi Imiphumela Eceleni Ye-Lactulose?

Abantu abaningi bayayibekezelela kahle i-lactulose, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi. Izinkinga ezivame kakhulu zihlobene nohlelo lwakho lokugaya ukudla futhi zivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Nansi imiphumela emibi ongase uyithole, kusukela kweyivamile kakhulu:

• Igesi nokuqunjelwa, ikakhulukazi ngesonto lokuqala lokwelashwa
• Ukugcwala kwesisu noma ukungakhululeki kwesisu
• Isicanucanu, ikakhulukazi lapho uqala umuthi
• Ukuqunjelwa uma uthatha okuningi kakhulu noma umthamo wakho udinga ukulungiswa
• Ukunambitheka okumnandi emlonyeni wakho ngenxa yokuqukethwe ushukela

Le miphumela emibi ejwayelekile ivame ukushabalala njengoba uhlelo lwakho lokugaya ukudla lujwayela umuthi. Kodwa-ke, kunezinye imiphumela emibi engavamile kodwa ebucayi edinga ukunakekelwa kwezokwelapha ngokushesha.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nokuphelelwa amanzi emzimbeni okukhulu, ukuhlanza okuqhubekayo, noma izimpawu zokungalingani kwe-electrolyte njengobuthakathaka bemisipha, ukushaya kwenhliziyo okungajwayelekile, noma ukudideka okukhulu. Lezi zimpawu azivamile kodwa zingaba zimbi uma zingelashwa.

Ubani Ongafanele Athathwe I-Lactulose?

I-Lactulose ayifanele wonke umuntu, futhi izimo ezithile zezokwelapha noma izimo zenza kungaphephile ukuyisebenzisa. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokubhala lo muthi.

Akufanele uthathe i-lactulose uma unenkinga yokungezwani nayo noma uma une-galactosemia, isimo esingavamile sezakhi zofuzo lapho umzimba wakho ungenakukwazi ukucubungula ushukela othile. Abantu abanezithiyo zamathumbu noma ukoma okukhulu akufanele futhi basebenzise lo muthi.

Udokotela wakho uzosebenzisa ukuqapha okwengeziwe lapho ebeka i-lactulose uma unesifo sikashukela, njengoba kungathinta amazinga kashukela egazini. Abantu abanezifo zamathumbu ezivuvukalayo, izinkinga ezinzima zezinso, noma labo abakudla okune-galactose ephansi nabo badinga ukucatshangelwa okukhethekile nokuqapha.

Uma ukhulelwe noma uncelisa, i-lactulose ngokuvamile ithathwa njengephephile, kodwa udokotela wakho uzolinganisela izinzuzo ezingozini ezingaba khona zesimo sakho esithile.

Amagama Omkhiqizo we-Lactulose

I-Lactulose itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba amakhemisi amaningi futhi ethwala izinguqulo ezivamile. Amagama ajwayelekile omkhiqizo afaka i-Enulose, i-Generlac, ne-Constulose, konke okuqukethe isithako esifanayo esisebenzayo.

Ikhemisi lakho lingashintsha ngokuzenzakalelayo inguqulo ejwayelekile ngaphandle uma udokotela wakho ecela ngokuqondile igama lomkhiqizo. I-Lactulose ejwayelekile isebenza ngempumelelo njengezinguqulo zegama lomkhiqizo futhi ivame ukubiza kancane.

Lapho uthatha umuthi wakho, hlola ukuthi uthola ukugxila okulungile kanye nefomu (uketshezi noma impushana) udokotela wakho ayalile. Uma unemibuzo mayelana nomkhiqizo wakho othile, usokhemisi wakho angakunikeza ulwazi oluwusizo.

Ezinye izindlela ze-Lactulose

Eminye imithi eminingi ingelapha ukuqunjelwa, nakuba isebenza ngendlela ehlukile kune-lactulose. Ezinye izinto ezithambisa amathumbu ze-osmotic zifaka i-polyethylene glycol (MiraLAX) kanye nemikhiqizo esekelwe ku-magnesium, okudonsa amanzi emathunjini.

Izithasiselo ze-fiber ezifana ne-psyllium (Metamucil) noma i-methylcellulose (Citrucel) zisebenza ngokwengeza ubuningi esitulweni futhi ziyizinketho ezinhle kubantu abakhetha indlela yemvelo. Izinto ezithambisa amathumbu ezikhuthazayo njenge-senna zisebenza ngokushesha kodwa zingabangela ukuqaqamba okwengeziwe futhi azifanele ukusetshenziswa isikhathi eside.

Nge-hepatic encephalopathy, kukhona ezinye izindlela ezimbalwa. I-Rifaximin iyisibulala-magciwane esingasiza ukunciphisa amagciwane akhiqiza i-ammonia, kodwa ngokuvamile isetshenziswa kanye ne-lactulose kunokuba ithathe indawo yayo.

Udokotela wakho uzokhetha inketho engcono kakhulu ngokusekelwe esimweni sakho esithile, eminye imithi oyithathayo, nokuthi umzimba wakho usabela kanjani ekwelashweni okuhlukene.

Ingabe i-Lactulose Ingcono Kune-MiraLAX?

Kokubili i-lactulose ne-MiraLAX (polyethylene glycol) ziyizithambisi ezinamandla ezisebenza ngokudonsa amanzi emathunjini, kodwa ngamunye unokuhle okuhlukile. Ukukhetha okungcono kuncike ezidingweni zakho ezithile kanye nesimo sezempilo.

I-Lactulose inikeza izinzuzo eziyingqayizivele kubantu abanezimo zesibindi ngoba inciphisa amazinga e-ammonia ngaphezu kokwelapha ukuqunjelwa. Iphinde yasetshenziswa ngokuphepha amashumi eminyaka futhi ithathwa njengefanele ukusetshenziswa isikhathi eside lapho kudingeka ngokwezokwelapha.

I-MiraLAX ivame ukusebenza ngokushesha futhi inemiphumela emibi embalwa efana negesi nokuqunjelwa. Ayinambitheki futhi ingaxutshwa kunoma yisiphi isiphuzo, okwenza kube mnandi kakhulu kwabanye abantu. Kodwa-ke, ayinikezi izinzuzo zokunciphisa i-ammonia ezenza i-lactulose ibaluleke ezigulini zesibindi.

Udokotela wakho uzoncoma umuthi ohambisana kangcono nomlando wakho wezokwelapha, izimo zamanje, kanye nemigomo yokwelashwa. Abanye abantu bangase basebenzise ngisho nemithi yomibili ngezikhathi ezihlukene ngokusekelwe ezidingweni zabo ezishintshayo.

Imibuzo Evame Ukubuzwa Nge-Lactulose

Ingabe i-Lactulose Iphephile Kubantu Abanesifo Sikashukela?

I-Lactulose ingasetshenziswa ngabantu abanesifo sikashukela, kodwa idinga ukuqapha ngokucophelela ngoba ingathinta amazinga kashukela egazini. Noma ngabe umzimba wakho awuyithathi ngokugcwele i-lactulose, amanani amancane angase angene egazini lakho futhi angase akhulise amazinga e-glucose.

Udktela wakho cishe uzofuna ukuqapha ushukela wakho wegazi eduze uma uqala ukuthatha i-lactulose, ikakhulukazi uma uthatha imithamo ephezulu yezimo zesibindi. Ungase udinge ukulungisa imithi yakho yesifo sikashukela noma ukukhetha kokudla ukuze kubalwe okuqukethwe ushukela ku-lactulose.

Abantu abaningi abanesifo sikashukela bangayisebenzisa ngokuphepha i-lactulose uma iqashwe kahle. Izinzuzo zokwelapha ukuqunjelwa noma i-hepatic encephalopathy ngokuvamile zidlula izinkinga ezingaba khona zikashukela wegazi, kodwa ukuxhumana okuvulekile nethimba lakho lezempilo kubalulekile.

Kufanele ngenzeni uma ngithatha i-Lactulose eningi ngengozi?

Ukuthatha i-lactulose eningi ngokuvamile kubangela isifo sohudo, amajaqamba esiswini esibi, futhi okungenzeka ukuthi ukushoda kwamanzi emzimbeni. Uma ngengozi uthatha umthamo ophindwe kabili, ungangeni ekuqhumeni - phuza amanzi amaningi futhi uqaphele izimpawu zakho eduze.

Xhumana nodokotela wakho noma usokhemisi uma uba nesifo sohudo esibi, ukuhlanza okuqhubekayo, noma izimpawu zokushoda kwamanzi emzimbeni njengokugajeka, umlomo owomile, noma ukuncipha komchamo. Lezi zimpawu zivame ukuxazululwa uma imithi eningi isebenza ngohlelo lwakho.

Ukuze uthole imithamo yesikhathi esizayo, buyela esimisweni sakho esivamile futhi ungazami ukuthi "ukwenza" ukweqisa ngokweqa imithamo. Uma uvame ukukhohlwa noma ukudida imithamo yakho, cabangela ukusebenzisa umhleli wamaphilisi noma ukusetha izikhumbuzi zocingo.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Lactulose?

Uma uphuthelwa umthamo we-lactulose, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuyisikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe futhi uqhubeke nesimiso sakho esivamile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungabangela imiphumela engathandeki efana nama-cramping nesifo sohudo. Uma uthatha i-lactulose ye-hepatic encephalopathy, ukulinganisa okuqhubekayo kubaluleke kakhulu, ngakho zama ukusungula inqubo ekusiza ukuthi ukhumbule.

Uma uvame ukweqa imithamo, khuluma nodokotela wakho mayelana namaqhinga okuthuthukisa ukunamathela emithi. Bangase balungise isimiso sakho sokulinganisa noma batusa amathuluzi okukusiza ukuthi ukhumbule imithi yakho.

Ngingayeka nini ukuthatha i-Lactulose?

Isinqumo sokuyeka i-lactulose sincike ekutheni uyithatheleni nokuthi isimo sakho siphendula kanjani. Ukuqunjelwa kwesikhashana, ungase uyeke uma ukuhamba kwamathumbu akho kubuyela kokujwayelekile, kodwa lokhu kufanele kwenziwe kancane kancane ngaphansi kokuqondiswa kwezokwelapha.

Uma uthatha i-lactulose ye-hepatic encephalopathy, ukuyeka imithi kudinga ukugadwa kwezokwelapha ngokucophelela. Udokotela wakho uzodinga ukuqapha izimpawu zakho futhi mhlawumbe alungise ezinye izindlela zokwelapha ngaphambi kokuyeka i-lactulose ngokuphepha.

Ungalokothi uyeke ukuthatha i-lactulose ngokuzumayo, ikakhulukazi uma ubusuyisebenzisa isikhathi eside. Udokotela wakho angase afune ukunciphisa kancane kancane umthamo wakho noma aqinisekise ukuthi unezinye izindlela zokwelapha ukuvimbela izimpawu zakho zokuqala ukubuya.

Ngingayithatha i-Lactulose neminye imithi?

I-Lactulose ingasebenzisana neminye imithi, ikakhulukazi lezo ezithinta ukulinganiswa kwe-electrolyte noma amazinga kashukela egazini. Kubalulekile ukutshela udokotela wakho ngayo yonke imithi, izithasiselo, nemikhiqizo yezitshalo oyithathayo.

Eminye imithi ingase ingamuncwa kahle uma ithathwa ne-lactulose, ikakhulukazi uma uba nohudo. Udokotela wakho angase atuse ukuhlukanisa imithamo noma ukulungisa isikhathi ukuze kuqinisekiswe ukuthi yonke imithi yakho isebenza ngempumelelo.

Njalo hlola nomuthi wakho ngaphambi kokuqala imithi emisha engaphandle kwe-counter ngenkathi uthatha i-lactulose. Bangasiza ukuhlonza ukusebenzisana okungenzeka futhi batusa isikhathi esingcono sokuthatha imithi eminingi ndawonye.