Yini i-Sodium Phosphate Dibasic kanye ne-Sodium Phosphate Monobasic (Indlela ye-Rectal)? Ukusetshenziswa, Imiphumela, & Ukuphepha

I-Sodium phosphate dibasic kanye ne-sodium phosphate monobasic enikezwa ngendlela ye-rectal iyilaxative yezokwelapha esetshenziselwa ukuhlanza amathumbu akho ngaphambi kwezinqubo ezithile. Le nhlanganisela isebenza njenge-enema noma isixazululo se-rectal esidonsa amanzi emathunjini akho, okusiza ukuthambisa indle futhi kuqale ukunyakaza kwamathumbu ngemizuzu kuya emahoreni.

Yini isixazululo se-sodium phosphate dibasic kanye ne-sodium phosphate monobasic rectal?

Lo muthi uyilaxative ye-saline ehlanganisa izinhlobo ezimbili zikasawoti we-phosphate ukudala umphumela onamandla wokuhlanza amathumbu. Uma ifakwe ngendlela ye-rectal, isebenza ngokudonsa amanzi emzimbeni wakho emathunjini akho ngenqubo ebizwa nge-osmosis. Cabanga ngayo njengesiponji esidonsa umswakama ukuthambisa nokuhambisa imfucuza ngohlelo lwakho.

Abahlinzeki bezempilo ngokuvamile banikeza lo muthi ngaphambi kwe-colonoscopies, ukuhlinzwa okuthile, noma izinqubo ze-X-ray ezidinga amathumbu ahlanzekile ngokuphelele. Indlela ye-rectal ivumela umuthi ukuthi usebenze ngqo emathunjini akho aphansi lapho idingeka khona kakhulu.

Kuzizwa kanjani ukusebenzisa lesi sixazululo se-rectal?

Abantu abaningi bazizwa benesifiso sokuba nokunyakaza kwamathumbu phakathi kwemizuzu emi-2 kuya kwengu-15 ngemva kokusebenzisa i-enema. Ungase uzwe ukugcwala okuthile noma ingcindezi esiswini sakho esingezansi njengoba amathumbu akho esabela emuthini. Lo muzwa ujwayelekile futhi ukhombisa ukuthi ukwelashwa kuyasebenza.

Ukunyakaza kwamathumbu okulandelayo ngokuvamile kukhululekile futhi kunamanzi, okuyilokho kanye okuhloswe ngakho ukulungiselela amathumbu. Ungase udinge ukuhlala eduze kwendlu yokugezela amahora ambalwa ngemva kokusetshenziswa, njengoba ukunyakaza kwamathumbu okuningi kuvamile futhi kulindelekile.

Yini ebangela isidingo salo muthi?

Udktela wakho unika lo muthi wokwelapha ngomlomo uma amathumbu akho edinga ukuba alahle konke okungcolile. Lokhu kuhlanzeka okujulile kuvumela ochwepheshe bezokwelapha ukuba babone kahle ngesikhathi sokuhlinzwa futhi kunciphisa ingozi yezinkinga.

Izimo eziningana zezokwelapha zidinga leli zinga lokulungiswa kwamathumbu:

• Ukuhlolwa kwe-Colonoscopy ukuhlola umdlavuza wamathumbu noma ukuhlola izimpawu zokugaya ukudla
• Ukulungiswa kokuhlinzwa kwamathumbu ukunciphisa ingozi yokutheleleka
• Ezinye izinqubo ze-X-ray njenge-barium enemas ezidinga ukubonakala okucacile
• Ukuqunjelwa okukhulu okungaphendulanga ekwelashweni okulula
• Izimo eziphuthumayo zezokwelapha ezidinga ukukhishwa kwamathumbu ngokushesha

Ithimba lakho lezempilo lizinquma ukuthi le ndlela enamandla iyadingeka yini ngokusekelwe ezidingweni zakho zezokwelapha kanye nenqubo ozenzayo.

Yiziphi izimo ezingase zidinge lokhu kwelashwa ngomlomo?

Lo muthi usetshenziswa ikakhulukazi ezinqubweni zezokwelapha kunokwelapha izimo zempilo eziqhubekayo. Kodwa-ke, izimo ezithile zenza lokhu kulungiswa kwamathumbu okujulile kubalulekile ekuphepheni kwakho nasekuthuthukisweni kokunakekelwa kwakho kwezokwelapha.

Izimo ezivamile zezokwelapha zihlanganisa:

• Ukuhlolwa komdlavuza we-Colorectal nge-colonoscopy
• Ukuqapha nokwelashwa kwesifo samathumbu esivuvukalayo
• Ukuhlolwa nokuphathwa kwe-Diverticulitis
• Ukuqhubeka kokopha ngomlomo
• Ukulungiswa kwamathumbu ngaphambi kokuhlinzwa kokusebenza kwesisu
• Ukuqunjelwa okukhulu okungaphenduli emithini yomlomo

Ngokuvamile, lokhu kwelashwa kungase kudingeke ezimweni ezingavamile ezifana nokuhlolwa kokuvinjelwa kwamathumbu noma ukususwa okuphuthumayo kwama-toxin emathunjini aphansi.

Ingabe imiphumela yalo muthi ingaphela ngokwemvelo?

Yebo, imiphumela yalesi sixazululo se-rectal ingeyesikhashana futhi izonyamalala ngokwemvelo lapho umzimba wakho usuliwe imithi futhi uphendula esenzweni sayo. Abantu abaningi baba nokuhamba kwamathumbu okusebenzayo amahora angu-2 kuya kwangu-6 ngemva kokusetshenziswa, bese bebuyela ekusebenzeni kwamathumbu okuvamile.

Umzimba wakho uzomunca kancane kancane amanzi amaningi adonswe emathunjini akho, futhi isigqi sakho esivamile sokugaya ukudla ngokuvamile sibuyela phakathi kwamahora angu-24 kuya kwangu-48. Nokho, ungase uzizwe womile kancane noma ukhathele ngemva kokuhlanza amathumbu okukhulu, yingakho ukuhlala unamanzi kubalulekile.

Kufanele le mithi ye-rectal isetshenziswe kanjani ekhaya?

Umhlinzeki wakho wezempilo uzokunikeza imiyalelo ethile yokusebenzisa le mithi ngokuphepha ekhaya. Ukulandela le miyalelo ngqo kubalulekile kokubili ukusebenza kahle nokuphepha kwakho.

Nansi inqubo evamile abantu abaningi abayilandelayo:

1. Fudumeza isixazululo se-enema sibe izinga lokushisa legumbi ngokuvumela ukuthi sihlale ngaphandle imizuzu engama-30
2. Lala ngohlangothi lwakho lwesobunxele ngamadolo akho adonselwe esifubeni sakho
3. Faka ngobumnene ithiphu elishaywe ngamafutha ngaphambili e-rectum yakho cishe ngamasentimitha angu-2 kuya kwangu-3
4. Cindezela kancane isitsha ukuze ukhulule isixazululo ngaphezu kwemizuzu engu-1 kuya kwengu-2
5. Zama ukubamba isixazululo imizuzu engu-2 kuya kwengu-5 ngaphambi kokukhulula
6. Hlala eduze kwegumbi lokugezela amahora ambalwa alandelayo

Khumbula ukuphuza uketshezi oluningi olucacile ngaphambi nangemva kokusetshenziswa ukuze uvimbele ukoma. Udokotela wakho angase futhi ancome imikhawulo ethile yokudla ngaphambi kokusebenzisa le mithi.

Yini indlela yokwelapha yezokwelapha ngale mithi?

Abahlinzeki bezempilo basebenzisa lesi sixazululo se-rectal njengengxenye yomthetho ophelele wokulungiselela amathumbu. Indlela yokwelapha incike kunqubo ethile onayo nezidingo zakho zezokwelapha.

Ukuqondiswa kwezokwelapha ngokuvamile kuhilela ukuqapha impendulo yakho emuthini nokuqinisekisa ukuthi awuthuthukisi izinkinga ezinjengokuphelelwa amanzi emzimbeni okukhulu noma ukungalingani kwama-electrolyte. Abanye abantu bangase badinge imithamo eyengeziwe noma amalungiselelo ahlukile uma ukwelashwa kokuqala kungafinyeleli ekuhlanzeni amathumbu okwanele.

Kubantu abathile abasengozini enkulu, udokotela wakho angase ancome ukusebenzisa lo muthi endaweni yezokwelapha lapho bengaqapha khona izimpawu zakho ezibalulekile kanye nokulinganisela kwamanzi ngaso sonke isikhathi senqubo.

Kufanele ngithintane nini nodokotela wami ngalo muthi?

Kufanele uxhumane nomhlinzeki wakho wezempilo uma uhlangabezana nezimpawu ezinzima noma ezikhathazayo ngesikhathi noma ngemva kokusebenzisa leli khambi le-rectal. Ngenkathi ukungakhululeki okuthile kujwayelekile, izimpawu ezithile zidinga ukunakekelwa kwezokwelapha ngokushesha.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu:

• Ubuhlungu obukhulu besisu noma ukuqaqamba okungathuthuki
• Izimpawu zokuphelelwa amanzi emzimbeni njengokugajezela, ukushaya kwenhliziyo okusheshayo, noma ukuncipha komchamo
• Isicanucanu nokuhlanza okukuvimbela ukuthi ugcine uketshezi phansi
• Ukuphuma kwegazi emathunjini ngaphandle kokubona okuncane
• Akukho ukunyakaza kwamathumbu kungakapheli amahora angu-2 ngemva kokusebenzisa i-enema
• Umkhuhlane noma izimpawu zokutheleleka

Lezi zimpawu zingase zibonise izinkinga ezidinga ukuhlolwa kwezokwelapha okusheshayo nokwelashwa.

Ziyini izici eziyingozi zezinkinga ngalo muthi?

Izimo ezithile zezempilo nezici zomuntu siqu zingakhuphula ingozi yakho yokuhlangabezana nemiphumela emibi noma izinkinga ezivela kulo muthi we-rectal. Ukuqonda lezi zici eziyingozi kukusiza wena nethimba lakho lezempilo ukuthi nithathe izinyathelo ezifanele.

Izici eziyingozi eziphezulu zihlanganisa:

• Isifo sezinso noma ukuncipha komsebenzi wezinso
• Izimo zenhliziyo, ikakhulukazi ukuhluleka kwenhliziyo
• Ukungalingani kwama-electrolyte noma ukushoda kwamanzi emzimbeni
• Isifo samathumbu esivuvukalayo njengesifo sikaCrohn noma i-ulcerative colitis
• Ukuhlinzwa kwamathumbu kwakamuva noma ukuvinjelwa kwamathumbu
• Ubudala obuthuthukile (ngaphezu kweminyaka engama-65) noma isimo sempilo esibuthakathaka
• Imithi ethile efana nama-ACE inhibitors noma ama-diuretics

Udokotela wakho uzozihlola ngokucophelela umlando wakho wezokwelapha kanye nesimo sempilo yakho yamanje ukuze anqume ukuthi lo muthi uphephile yini ukuthi uwusebenzise.

Yiziphi izinkinga ezingase zibe khona zalo muthi osetshenziswa ngendlela ye-rectal?

Ngenkathi abantu abaningi bewuthola kahle lo muthi, ezinye izinkinga zingenzeka, ikakhulukazi kulabo abasengozini enkulu. Ukuqonda lezi zinkinga ezingaba khona kukusiza ukuthi ubone ukuthi nini okufanele ufune usizo lwezokwelapha.

Izinkinga ezivamile zihlanganisa:

• Ukushoda kwamanzi emzimbeni ngenxa yokulahlekelwa uketshezi okukhulu
• Ukungalingani kwama-electrolyte okuthinta ukushaya kwenhliziyo noma ukusebenza kwemisipha
• Ukugcwala okukhulu noma ubuhlungu besisu
• Isicanucanu nokuhlanza
• Ubuthakathaka besikhashana noma isiyezi

Izinkinga ezingavamile kodwa ezingathi sína zingahlanganisa ukulimala kwezinso, ukuphazamiseka okukhulu kwama-electrolyte okudinga ukulaliswa esibhedlela, noma ukugqobhoza kwamathumbu kubantu abanezimo zamathumbu ezingaphansi. Lezi zinkinga ezingathi sína azivamile uma umuthi usetshenziswa ngendlela efanele ngaphansi kokuqondisa kwezokwelapha.

Ingabe lo muthi ulungele isimo sami esithile?

Ukufaneleka kwalo muthi we-rectal kuncike esimweni sakho sempilo, inqubo oyenzayo, kanye nekhono lakho lokubekezelela ukulungiswa kwamathumbu okukhulu. Umhlinzeki wakho wezempilo uzohlola izici eziningi ngaphambi kokuncoma lokhu kwelashwa.

Lo muthi uvame ukufaneleka kubantu abadinga ukuhlanza amathumbu ngokucophelela futhi abangakwazi ukubhekana nezidingo zomzimba zenqubo yokulungiselela. Kodwa-ke, kungenzeka ukuthi akufaneleki uma unezinkinga ezithile zezinso, izifo zenhliziyo, noma izifo zamathumbu ezivuthayo.

Udokotela wakho uzocabangela ezinye izindlela zokulungiselela amathumbu uma lo muthi ungalungile esimweni sakho, eqinisekisa ukuthi uthola ukwelashwa okuphephile nokusebenzayo kakhulu ezidingweni zakho.

Yini imiphumela yalo muthi engase ididaniswe nayo?

Imiphumela yalo muthi we-rectal ngezinye izikhathi ingadidaniswa nezinye izimo zokugaya ukudla, ikakhulukazi uma ungalindele umsebenzi onamandla wamathumbu olandela ukusetshenziswa kwawo. Ukuqonda ukuthi yini ejwayelekile kukusiza ukuthi uhlukanise phakathi kwemiphumela elindelekile nezinkinga ezingaba khona.

Ukugcwala nokuhamba kwamathumbu okuphuthumayo kungase kuqale kuzizwe njengokudla okunobuthi noma isifo sesisu, kodwa lezi zimpawu kufanele zithuthuke njengoba amathumbu akho ekhishwa. Izihlalo ezinamanzi zijwayelekile ngokuphelele futhi zilungelwe, ngokungafani nezinguquko ezikhathazayo ongase uzibone ngezifo noma ezinye izinkinga zokugaya ukudla.

Abanye abantu badida ubuthakathaka besikhashana noma isiyezi ngesifo esingahlobene, kuyilapho empeleni kuyisibonakaliso sokushintsha kwamanzi okwenzeka emzimbeni wakho ngesikhathi senqubo yokulungiselela amathumbu.

Imibuzo evame ukubuzwa ngalo muthi we-rectal

Kufanele ngihlale isikhathi esingakanani ngiseduze nendlu yangasese ngemva kokusebenzisa lo muthi?

Kufanele uhlele ukuhlala eduze nendlu yangasese okungenani amahora angu-3 kuya kwangu-4 ngemva kokusebenzisa isixazululo se-rectal. Abantu abaningi bathola imiphumela enamandla kakhulu ngaphakathi kwamahora amabili okuqala, kodwa ukuhamba kwamathumbu kungaqhubeka amahora amaningi. Kuhle ukuhlanza uhlelo lwakho lonke usuku ukuze uvumele umzimba wakho ukuthi uqedele inqubo yokuhlanza ngokunethezeka.

Ngingadla noma ngiphuze ngenkathi ngisebenzisa lokhu kulungiselela amathumbu?

Udktela wakho uzonikeza imiyalelo ethile yokudla, kodwa ngokuvamile uzodinga ukulandela ukudla okungamanzi acacile futhi ugweme ukudla okuqinile isikhathi esithile ngaphambi nangemva kokusebenzisa umuthi. Kufanele uphuze uketshezi oluningi olucacile njengamanzi, umhluzi ocacile, noma izixazululo ze-electrolyte ukuvimbela ukoma. Gwema uketshezi olubomvu noma olunsomi olungase luphazamise inqubo yakho ezayo.

Ngingenzani uma umuthi ungabonakali usebenza?

Uma ungakabi nokuphuma kwamathumbu kungakapheli amahora angu-2 ngemva kokusebenzisa i-enema, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso. Ungasebenzisi imithamo eyengeziwe ngaphandle kokuqondiswa kwezokwelapha, ngoba lokhu kungaholela ezinkingeni eziyingozi. Udktela wakho angase ancome izindlela ezingezinye noma afune ukuhlola ukuthi ngabe kukhona yini udaba olungaphansi oluvimbela umuthi ukuthi usebenze kahle.

Ingabe kuyinto ejwayelekile ukuzwa ubuthakathaka noma isiyezi ngemva kokusebenzisa lo muthi?

Ubuthakathaka obuncane noma isiyezi kungaba okujwayelekile ngenxa yokulahlekelwa uketshezi kanye nezidingo zomzimba zokulungiselela amathumbu okukhulu. Kodwa-ke, isiyezi esikhulu, ukuquleka, noma ukushaya kwenhliziyo okusheshayo kungase kubonise ukoma noma ukungalingani kwe-electrolyte okudinga ukunakekelwa kwezokwelapha. Phumula, phuza uketshezi olucacile, futhi uthinte umhlinzeki wakho wezempilo uma lezi zimpawu zinzima noma ziba zimbi.

Ngingabuyela nini emisebenzini ejwayelekile ngemva kokusebenzisa lo muthi?

Abantu abaningi bangabuyela kancane kancane emisebenzini ejwayelekile kungakapheli amahora angu-24 kuya kwangu-48 ngemva kokuthi ukulungiswa kwamathumbu kuqediwe. Kodwa-ke, ungase uzizwe ukhathele noma ubuthakathaka kancane usuku olulodwa noma ezimbili njengoba umzimba wakho ululama enqubweni yokuhlanza okukhulu. Landela imiyalelo ethile kadokotela wakho mayelana nokuthi ungaqala nini ukudla okuvamile, imithi, nemisebenzi ngokusekelwe enqubweni yakho ezayo nempilo yonke.