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

I-Loperamide iyikhambi elithambile, elingathengwa ngaphandle kwemvume kadokotela elisiza ukunciphisa ukusebenza kwesistimu yakho yokugaya ukudla uma isifo sohudo sesiqala. Ungase liyazi kangcono ngegama layo lomkhiqizo elithi Imodium, futhi seliyikhambi elithenjwayo amashumi eminyaka ukusiza abantu ukuthi babuyele ekuzizweni bejwayelekile uma isisu sabo singaphilile.

Lo muthi usebenza ngokuthulisa imisipha emathunjini akho, unike umzimba wakho isikhathi sokumunca amanzi nokwakha izitulo eziqinile. Lusiza ikakhulukazi ngalezo zikhathi ezingakhululekile lapho isifo sohudo siphazamisa impilo yakho yansuku zonke, kungakhathaliseki ukuthi sivela esifweni sesisu, ukuzwela kokudla, noma izinkinga zokugaya ukudla ezihlobene nokuhamba.

Yini i-Loperamide?

I-Loperamide iyikhambi elilwa nesifo sohudo elingaphansi kwezigaba zemithi ebizwa ngokuthi ama-opioid receptor agonists. Ungakhathazeki nokho - ngokungafani namanye ama-opioid, i-loperamide ayiweli ebuchosheni bakho, ngakho ngeke ikwenze uzizwe ukozela noma idale izinkinga zokuncika uma isetshenziswa njengoba kuyalelwe.

Lo muthi uza ngezinhlobo eziningana ezihlanganisa amaphilisi, amaphilisi, nezixazululo eziwuketshezi. Yenzelwe ukusebenza endaweni ethile emathunjini akho, ikakhulukazi iqondise imisipha elawula ukunyakaza kwamathumbu. Lesi senzo esiqondiswe ngqo senza sisebenze kahle esifweni sohudo ngenkathi sinciphisa imiphumela emzimbeni wakho wonke.

Ungathola i-loperamide emashalofini ekhemisi ngaphandle kwemvume kadokotela, okwenza itholakale uma udinga ukukhululeka okusheshayo. Kodwa-ke, ngenxa yokuthi iyatholakala ngaphandle kwemvume kadokotela akusho ukuthi kufanele uyisebenzise ngokunganaki - ukulinganisa okufanele nesikhathi kusabalulekile ekuphepheni kwakho nasekuphumeleleni.

Yini i-Loperamide Esizenzelwe Yona?

I-Loperamide ikakhulukazi iphatha isifo sohudo esibukhali, okusho izitulo ezithambile noma ezinamanzi eziqala ngokuzumayo ezivame ukuhlala izinsuku ezimbalwa. Yisinqumo sakho uma ubhekene nokuphazamiseka kokugaya ukudla ngezikhathi ezithile okuvela ezintweni ezihlukahlukene njengokuphuziswa kokudla okuncane, amagciwane esisu, noma ukudla okuthile okungakuvumelananga.

Lo muthi usiza futhi ngohudo olungamahlala-mandla ezimweni ezithile, ikakhulukazi isifo samathumbu esivuvukalayo uma sisetshenziswa ngaphansi kokuqondisa kwezokwelapha. Abanye abantu abanesifo samathumbu esicasulayo basithola silusizo ekuphatheni izimpawu ezibonakala ngohudo, nakuba lokhu kufanele kuxoxwe nodokotela.

Uhudo oluhlobene nokuhamba, oluvame ukubizwa ngokuthi uhudo lwabahambi, luphendula kahle ku-loperamide uma ubhekene nezimpawu ezilula kuya kwezilingene. Kungakusiza ukuthi uzizwe ukhululekile ngenkathi umzimba wakho uzivumelanisa nokudla okusha noma imithombo yamanzi ngesikhathi sohambo.

Ngaphezu kwalokho, i-loperamide ngezinye izikhathi isiza ukunciphisa imvamisa yokuhamba kwamathumbu kubantu abaye bahlinzwa amathumbu athile noma izinqubo zezokwelapha ezithinta ukugaya okuvamile.

Isebenza Kanjani I-Loperamide?

I-Loperamide isebenza ngokubopha kuma-receptors e-opioid odongeni lwakho lwamathumbu, okunciphisa ukuncipha kwemisipha ethutha ukudla ngohlelo lwakho lokugaya ukudla. Cabanga ngayo njengokucindezela inkinobho yokumisa kancane emathunjini akho, uwanike isikhathi sokumunca amanzi amaningi emsamo.

Lo muthi uthathwa njengonamandla ngokulingene ngenjongo yokulwa nohudo - unamandla kunezinguquko zokudla ezilula kodwa uthambile kunezithako zokwelapha ezi-odwe. Ngokuvamile iqala ukusebenza kungakapheli amahora angu-1-3 ngemva kokuyithatha, nemiphumela ephezulu yenzeka cishe ngemva kwamahora angu-2-5.

Ukuqeda ukusheshisa kusiza amathumbu akho ukuthi akhe izitulo eziqinile ngenkathi kunciphisa umuzwa ophuthumayo ovame ukuza nohudo. Ngokungafani neminye imithi emane imaski izimpawu, i-loperamide empeleni ibhekana nesizathu somshini wezitulo ezixekile ngokushintsha indlela amathumbu akho asebenza ngayo.

Okuhlukile nge-loperamide ukuthi ayifaki igazi lakho ngamanani amakhulu, ngakho isebenza endaweni ethile emathunjini akho ngaphandle kokuthinta ubuchopho bakho noma ezinye izitho. Lesi senzo esiqondiwe yiso esenza ukuthi ngeke uzwe ukozela noma eminye imiphumela engemihle yesistimu ejwayelekile ngeminye imithi ye-opioid.

Kumele Ngiyithathe Kanjani I-Loperamide?

Thatha i-loperamide ngengilazi yamanzi egcwele, futhi ungayithatha nokudla noma ngaphandle kokudla - noma yini ezizwa ikhululekile esiswini sakho. Abantu abaningi bakuthola kulula ukuyithatha nesnakhi esincane uma bezizwa benesicanucanu, kodwa akudingekile ukuthi umuthi usebenze ngempumelelo.

Umthamo ovamile wabaqalayo kubantu abadala yi-4mg (ngokuvamile amaphilisi amabili angu-2mg noma amathebhulethi) ekuqaleni, kulandelwe i-2mg ngemuva kwesitulo ngasinye esixekethile. Kodwa-ke, ungeqi i-8mg esikhathini samahora angu-24 ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze ngenye indlela.

Isikhathi sibalulekile nge-loperamide - yithathe ngokushesha nje lapho uqaphela izimpawu zokuqala zohudo. Ngokushesha uqala ukwelashwa, kulapho kuvame ukusebenza kangcono. Uma ulinda kuze kube yilapho izimpawu ziba zimbi, kungase kuthathe isikhathi eside ukuzwa ukukhululeka.

Akudingeki ukuthi uthathe i-loperamide nobisi noma okunye ukudla okuthile, kodwa ukuhlala unamanzi kubalulekile uma ubhekene nohudo. Qhubeka uphuza uketshezi olucacile njengamanzi, ama-broths acacile, noma izixazululo ze-electrolyte usuku lonke ukuvimbela ukoma.

Ngefomu eliwuketshezi, sebenzisa idivayisi yokulinganisa eza nomuthi kunokuba usebenzise izipuni zasendlini, njengoba ukulinganisa okunembile kusiza ekuqinisekiseni kokubili ukuphepha nokusebenza kahle.

Kumele Ngiyithathe Isikhathi Eside Kangakanani I-Loperamide?

Abantu abaningi badinga i-loperamide izinsuku eziyi-1-2 kuphela lapho belapha uhudo oluqinile, njengoba izimpawu ngokuvamile zithuthuka ngokushesha lapho imbangela eyisisekelo ixazululwa. Uma uhudo lwakho luqhubeka ngaphezu kwamahora angu-48 ngenkathi uthatha i-loperamide, sekuyisikhathi sokuxhumana nomhlinzeki wakho wezempilo.

Ezikhathini eziqinile, yeka ukuthatha i-loperamide uma izitulo zakho zibuyela ekuvumelaneni okujwayelekile noma uma ungabi nokuhamba kwamathumbu amahora angu-12. Akunasidingo sokuqhubeka nomuthi uma izimpawu sezixazululiwe, njengoba uhlelo lwakho lokugaya ukudla luzobuyela ngokwemvelo esigqigqini salo esijwayelekile.

Uma usebenzisa i-loperamide ezimweni ezingamahlalakhona njenge-inflammatory bowel disease, udokotela wakho uzokunikeza isiqondiso esiqondile ngesikhathi sokwelashwa kanye nokulinganisa umthamo. Ezimweni ezinjalo, ukwelashwa kungase kube isikhathi eside kodwa kufanele ngaso sonke isikhathi kuqashwe ngudokotela.

Ungalokothi uthathe i-loperamide isikhathi esingaphezu kwamahora angama-48 ngaphandle kweseluleko sezokwelapha, ngisho noma izimpawu ziqhubeka. Isifo sohudo eside singabonisa izimo ezingathi sína ezidinga ukuhlolwa kochwepheshe kunokwelashwa okuqhubekayo ngokwakho.

Yiziphi Imiphumela Eceleni ye-Loperamide?

Abantu abaningi bayayibekezelela i-loperamide kahle, kodwa njenganoma imuphi umuthi, ingabangela imiphumela eceleni kwabanye abantu. Izindaba ezinhle ukuthi imiphumela eceleni engathi sína ayivamile uma umuthi usetshenziswa njengoba uqondisiwe.

Imiphumela eceleni ejwayelekile ongase uyithole ihlanganisa:

• Ukuqunjelwa (umphumela oceleni ovamile kakhulu)
• Ukugcwala kwesisu okuncane noma ukungakhululeki esiswini
• Ukucasuka noma ukuzwa ukungakhululeki kancane
• Isiyezi, ikakhulukazi uma usukuma ngokushesha
• Umlomo owomile
• Ukukhathala okuncane noma ukuzizwa ukhathele

Le miphumela ejwayelekile ivame ukuba mnene futhi iyazixazulula yona lapho umzimba wakho ujwayela umuthi noma uma uyeka ukuwuthatha.

Imiphumela eceleni engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha ihlanganisa:

• Ukuqunjelwa okukhulu okuthatha izinsuku ezingaphezu kwezingu-3
• Ubuhlungu obukhulu besisu noma ukuqunjelwa
• Umkhuhlane ovela ngenkathi uthatha umuthi
• Igazi ezitulweni
• Ukuphalaza okuqhubekayo
• Izimpawu zokuphelelwa amanzi emzimbeni okukhulu njengokuncipha kokuchama noma ukoma okukhulu

Imiphumela eceleni engavamile kodwa engathi sína ingenzeka, ikakhulukazi ngemithamo ephezulu noma ukusetshenziswa isikhathi eside:

• Izinkinga zesigqi senhliziyo (ukushaya kwenhliziyo okungajwayelekile, ubuhlungu besifuba)
• Ukungezwani komzimba okukhulu (ukuqubuka, ubunzima bokuphefumula, ukuvuvukala)
• I-Toxic megacolon (izinkinga ezinzima zamathumbu)
• Imiphumela yohlelo lwezinzwa oluphakathi uma ithathwa ngamanani amaningi

Uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo noma uma imiphumela emibi iphazamisa imisebenzi yakho yansuku zonke, xhumana nomhlinzeki wakho wezempilo ngokushesha ukuze uthole isiqondiso.

Obani okungafanele basebenzise i-Loperamide?

Abantu abathile kufanele bagweme i-loperamide noma bayisebenzise ngaphansi kokuqondiswa kwezokwelapha kuphela ngenxa yengozi eyengeziwe yezinkinga. Ukuphepha kwakho kuza kuqala, ngakho kubalulekile ukwazi ukuthi ungena kunoma iyiphi yalezi zigaba.

Akufanele usebenzise i-loperamide uma une:

• Indle enegazi noma emnyama
• Umkhuhlane ophezulu (ngaphezu kuka-101°F noma 38.3°C)
• I-ulcerative colitis ebukhali noma ezinye izimo zamathumbu ezivuvukalayo ngesikhathi sokugqashuka
• Izifo zamagciwane emathunjini
• I-pseudomembranous colitis ehlobene nokusetshenziswa kwama-antibiotic
• Ukungezwani okwaziwayo ne-loperamide noma yiziphi izithako emuthini

Izingane ezingaphansi kweminyaka emi-2 ubudala akufanele neze zithole i-loperamide, njengoba izinhlelo zazo zokugaya ukudla zingavuthiwe ngokwanele ukubhekana nomuthi ngokuphepha.

Ukuqapha okukhethekile nokuqondiswa kwezokwelapha kuyadingeka uma une:

• Isifo sesibindi noma ukungasebenzi kahle kwesibindi
• Ukuphazamiseka kwesigqi senhliziyo noma isifo senhliziyo
• Izinkinga zezinso
• I-HIV/AIDS noma ezinye izifo zesimiso somzimba sokuzivikela
• Isimo sokuguga (ngaphezu kweminyaka engama-65 ubudala)
• Ukukhulelwa noma ukuncelisa
• Umlando wokusebenzisa izidakamizwa

Lezi zimo akudingeki zikuvimbele ekusebenziseni i-loperamide, kodwa udokotela wakho udinga ukulinganisa izinzuzo ngokumelene nezingozi ezingaba khona futhi angase ancome ukwelashwa okuhlukile noma ukushintshwa kwemithamo.

Amagama e-Brand e-Loperamide

I-Loperamide yaziwa kakhulu ngegama lomkhiqizo i-Imodium, ozolithola emathunjini amaningi kanye nezitolo zokudla. I-Imodium A-D iyinguqulo etholakala ngaphandle kwemvume kadokotela etholakala kalula ngaphandle kwemvume kadokotela.

Uzothola futhi i-loperamide ngaphansi kwamagama ahlukahlukene ajwayelekile kanye nemikhiqizo yesitolo, equkethe isithako esifanayo esisebenzayo kodwa ngokuvamile ibiza ngaphansi kwezinguqulo zegama lomkhiqizo. I-Loperamide ejwayelekile isebenza ngempumelelo njengemikhiqizo yegama lomkhiqizo.

Amanye amagama omkhiqizo afaka i-Kaopectate II, i-Maalox Anti-Diarrheal, kanye nemikhiqizo yesitolo ethile yamakhemisi efana ne-CVS, Walgreens, noma imikhiqizo ye-Target. Hlola njalo uhlu lwesithako esisebenzayo ukuze uqinisekise ukuthi uthola i-loperamide.

Ezinye izinhlanganisela zemikhiqizo zifaka i-loperamide kanye ne-simethicone (yokusiza igesi) noma ezinye izithako. Le mikhiqizo ehlanganisiwe ingasiza uma ubhekene nezimpawu eziningi zokugaya ukudla, kodwa qiniseka ukuthi uyaqonda ukuthi uthathani.

Ezinye izindlela ze-Loperamide

Ezinye izinketho eziningi zingasiza ekuphatheni isifo sohudo uma i-loperamide ingakulungele noma uma ukhetha izindlela ezihlukene. Indlela ngayinye esebenza ngayo ihlukile futhi inezinzuzo zayo kanye nezinto okufanele zicatshangelwe.

I-Bismuth subsalicylate (Pepto-Bismol) iyindlela ethandwayo engagcini nje ukunciphisa isifo sohudo kodwa futhi inezindawo ezilwa nokuvuvukala kanye ne-antimicrobial. Ilusizo ikakhulukazi esifweni sohudo lwabahambi futhi inganciphisa isicanucanu nesisu esibuhlungu.

Ama-Probiotics anikeza indlela enobumnene, yemvelo ngokubuyisela amagciwane amathumbu anempilo angasiza ukujwayela ukunyakaza kwamathumbu. Zilusizo ikakhulukazi uma isifo sakho sohudo silandela ukusetshenziswa kwama-antibiotic noma uma ukhetha izinketho ezingezona imithi.

Ezinye izindlela zokwelapha zifaka i-diphenoxylate/atropine (Lomotil) ezimweni ezinzima kakhulu, noma imithi ethile yezimo ezingaphansi njengesifo samathumbu esivuvukalayo. Lokhu kudinga ukuqashwa kwezokwelapha futhi ngokuvamile kugcinelwe izimo ezingapheli noma ezinzima.

Izindlela zokudla ezifana nokudla kwe-BRAT (obhanana, ilayisi, i-applesauce, isinkwa esosiwe) zingasiza ekuphatheni isifo sohudo esincane, ngenkathi izixazululo zokuphinda amanzi ngomlomo zibhekana nesidingo esibalulekile sokufaka uketshezi olulahlekile nama-electrolyte.

Ingabe i-Loperamide ingcono kune-Pepto-Bismol?

Kokubili i-loperamide kanye ne-Pepto-Bismol (i-bismuth subsalicylate) ziyimithi ephumelelayo yokulwa nohudo, kodwa zisebenza ngezindlela ezihlukene futhi zivelela ezimweni ezihlukene. Ukukhetha okuthi "kungcono" kuncike ezimpawini zakho kanye nezimo zakho.

I-Loperamide ngokuvamile isebenza kahle kakhulu ekumeni ngqo uhudo ngoba iqondisa ngqo ukuncipha kwemisipha yamathumbu. Ngokuvamile isebenza ngokushesha futhi inikeze ukukhululeka okuhlala isikhathi eside ezitulweni ezixekethile, okuyenza ilungele uma okukhathazayo okuyinhloko kuyizinyathelo zamathumbu ezivamile.

I-Pepto-Bismol inikeza ukukhululeka kwezimpawu ezibanzi, isiza ngesicanucanu, isisu esibuhlungu, nobuhlungu besisu obuncane ngaphezu kohudo. Futhi inezakhiwo ze-antimicrobial ezingasiza uma uhudo lwakho lubangelwa amagciwane athile, okwenza kube ukukhetha okuhle kuhudo lwabahambi.

Ngohudo olulula, oluqinile ngaphandle kwezinye izimpawu, i-loperamide ivame ukuba yindlela ekhethiweyo eqondiwe futhi esebenzayo. Kodwa-ke, uma ubhekene nesicanucanu, ubuhlungu besisu, noma usola ukuthi uhudo lwakho lungase luvele ekudleni noma emanzini angcolile, i-Pepto-Bismol ingase ifaneleke kakhulu.

Awukwazi ukuthatha yomibili imithi ngasikhathi sinye, ngakho khetha ngokuya ngezimpawu zakho eziyinhloko noma uthintane nomkhemisi noma umhlinzeki wokunakekelwa kwezempilo uma ungaqiniseki ukuthi yikuphi okungase kusebenze kangcono esimweni sakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Loperamide

Ingabe i-Loperamide iphephile ezigulini zenhliziyo?

I-Loperamide ingaphepha ezigulini zenhliziyo uma isetshenziswa njengoba kuqondisiwe, kodwa idinga ukuqapha okwengeziwe ngenxa yemiphumela engaba khona yenhliziyo ngemithamo ephezulu. Umuthi ungathinta ukushaya kwenhliziyo, ikakhulukazi uma uthatha ngaphezu kwenani elinconyiwe noma unezimo zenhliziyo ezikhona.

Uma unesifo senhliziyo, i-arrhythmias, noma uthatha imithi yenhliziyo, thintana nodokotela wakho ngaphambi kokusebenzisa i-loperamide. Bangase bancomise umthamo ophansi noma baphakamise ukwelashwa okuhlukile okungathwali izingozi zenhliziyo.

Ungadluli umthamo onconyiwe uma unezinkinga zenhliziyo, futhi funa usizo lwezokwelapha ngokushesha uma uzwa ubuhlungu besifuba, ukushaya kwenhliziyo okungajwayelekile, noma isiyezi ngenkathi usebenzisa i-loperamide.

Kufanele Ngenzeni Uma Ngisebenzisa I-Loperamide Eningi Ngengozi?

Uma uthathe i-loperamide eningi kunaleyo enconyiwe, ungangeni ekuvaleni, kodwa yithathe ngokungathi sína lesi simo. Xhumana nomhlinzeki wakho wezempilo noma isikhungo sokulawula ubuthi ngokushesha, ikakhulukazi uma uthathe okuningi kakhulu kunomkhawulo wansuku zonke ongu-8mg.

Izimpawu zokweqisa kwe-loperamide zingabandakanya ukuqunjelwa okukhulu, ubuhlungu besisu, ukozela, ubunzima bokuphefumula, noma izinkinga zesigqi senhliziyo. Lezi zimpawu zingase zingaveli ngokushesha, ngakho-ke iseluleko sezokwelapha esichwepheshile sibalulekile ngisho noma uzizwa ulungile ekuqaleni.

Ngenkathi ulindele isiqondiso sezokwelapha, ungazami ukuzenza uhlanze noma uthathe eminye imithi ukuze ulwe ne-loperamide. Hlala unamanzi futhi uzihlolele noma yiziphi izimpawu ezikhathazayo.

Gcina ukupakishwa komuthi unawe lapho ufuna ukunakekelwa kwezempilo, ngoba lokhu kusiza abahlinzeki bezempilo ukuthi baqonde kahle ukuthi uthatheni futhi uthathe malini.

Kufanele Ngenzeni Uma Ngedlula Umthamo We-Loperamide?

Ngokungafani nemithi ethathwa ngeshejuli ejwayelekile, i-loperamide ithathwa njengoba kudingeka ngezimpawu zohudo, ngakho-ke asikho isimo esivamile

Ungayeka ukuthatha i-loperamide ngokushesha nje lapho isifo sakho sohudo siphela futhi ukuchama kwakho kwamathumbu kubuyela esimweni esijwayelekile. Akunasidingo sokuyeka kancane kancane noma ukuqeda inkambo ephelele njengoba kwenzeka ngama-antibiotics.

Uma ungakabi nokuchama kwamathumbu amahora angu-12 noma izitulo zakho zibuyele esimweni esijwayelekile, sekuyisikhathi sokuyeka umuthi. Ukuqhubeka nokuthatha i-loperamide ngemva kokuthi izimpawu ziphelile kungaholela ekuqineni kwamathumbu.

Kubantu abaningi ababhekene nesifo sohudo esibukhali, lokhu kusho ukuyeka phakathi kwezinsuku ezingu-1-2. Uma usahlaselwa yisifo sohudo ngemva kwamahora angu-48 okwelashwa, yeka i-loperamide bese uthintana nomhlinzeki wakho wezempilo ukuze uthole ukuhlolwa okuqhubekayo.

Ngingayithatha i-Loperamide Neminye Imithi?

I-Loperamide ingasebenzisana neminye imithi, ngakho kubalulekile ukuxhumana nomkhemisi wakho noma umhlinzeki wezempilo uma uthatha eminye imithi njalo. Ezinye izindlela zokusebenzisana zingakhuphula ingozi yemiphumela emibi noma zinciphise ukusebenza.

Imithi engasebenzisana ne-loperamide ihlanganisa ama-antibiotics athile (njenge-erythromycin), imithi elwa nesikhunta, imithi ye-HIV, kanye neminye imithi yokushaya kwenhliziyo. Lokhu kungakhuphula amazinga e-loperamide emzimbeni wakho, okungase kuholele emiphumeleni emibi eyengeziwe.

Njalo yazisa umhlinzeki wakho wezempilo ngayo yonke imithi, izithasiselo, nemikhiqizo yezitshalo oyithathayo ngaphambi kokuqala ukuthatha i-loperamide. Lokhu kuhlanganisa imithi etholakala ngaphandle kwemvume kadokotela, njengoba eminye ingathinta indlela i-loperamide esebenza ngayo emzimbeni wakho.

Uma uthatha imithi eminingi, umkhemisi wakho angahlola ngokushesha ukuthi akukho yini ukusebenzisana futhi anikeze isiqondiso ngesikhathi esiphephile noma ezinye izinketho uma kudingeka.