Umwijima ni kimwe mu bice by'ingenzi mu mubiri wacu. Hari igihe, iyo umwijima udakora neza, ntushobora gukurura neza uburozi bwangiza mu maraso. Ubu burozi bushobora kujya mu bwonko bugatera ibibazo nko gutakaza ubwenge, impinduka mu myitwarire, no kutamenya neza. Ibi nibyo mu buvuzi twita hepatic encephalopathy. Muri bene ibyo bihe, umuti w'ingenzi cyane abaganga bakunze gutanga ni amazi yitwa lactulose. Reka tumenye byinshi kuri ibi uyu munsi.
Iyi lactulose ni iki?
Mu magambo make, lactulose ni ubwoko bw'isukari yakozwe mu buryo bw'ubukorano. Ariko, ntabwo yinjizwa n'umubiri nk'isukari dusanzwe turya. Inshingano yayo nyamukuru ni ukugabanya uburozi buva mu maraso, cyane cyane ibintu nka ammonia, umwijima utashoboye gukuramo, nk'uko byavuzwe mbere.
Tekereza, iyo uyu muti ugiye mu mara, bagiteri z’ingirakamaro ziwukoresha kugira ngo wongere aside mu bidukikije. Kubera iyi aside, amoniya mbi iri mu mara isubizwa mu mara. Hanyuma ivanwa mu mubiri hamwe n’imyanda. Binyuze muri ibi, uyu muti ugabanya ingaruka ku bwonko kandi ukagenzura ibimenyetso.
Hari abantu babizi nk'umuti uvura impatwe. Yego, ikoreshwa nabyo. Ariko ku bijyanye n'indwara y'umwijima, imikorere yayo irushaho kuba igoye.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Mbere yuko muganga wawe akwandikira uyu muti, ni ngombwa cyane kumuha ibisobanuro byuzuye ku buzima bwawe. Menya neza ko wavuze ibi bikurikira by'umwihariko:
- Niba muganga yagugiriye inama yo gukurikiza indyo idafite ubwoko bw'isukari yitwa galactose.
- Niba warateganyije kubagwa mu gihe kizaza.
- Niba warigeze kugira ubwivumbure kuri lactulose cyangwa indi sukari iyo ari yo yose, umuti, ibiryo, cyangwa ibara ry'ibiryo.
- Niba utwite cyangwa witeze gusama vuba.
- Niba uri umubyeyi wonsa.
Ashingiye kuri aya makuru, muganga azagena niba uyu muti ukubereye cyangwa utagukwiriye hamwe n'ingano ugomba gutangwa.
Ni gute neza neza ukoresha uyu muti?
Uyu muti ubusanzwe utangwa nk'amazi yo kunywa ukoresheje umunwa. Gerageza gufata igipimo muganga akubwira gufata, mu gihe kimwe buri munsi, no mu gihe kimwe buri munsi.
Icy'ingenzi kurushaho: Ntugakoreshe utuyiko two mu rugo cyangwa ibiyiko byo gupima ingano y'imiti.Kubera ko badashobora gupima ingano nyayo ya mililitiro (ml) bagenewe gupima. Koresha seringi, igikombe, cyangwa ikiyiko cyanditseho mililitiro (ml) bizana umuti cyangwa bitangwa na farumasi.
Mu bihe bimwe na bimwe bikomeye, muganga wawe ashobora kandi kukugira inama yo gutanga uyu muti mu buryo bwo gukaraba amenyo. Niba ari uko bimeze, uzahabwa amabwiriza yihariye aturutse kwa muganga. Kurikiza ayo mabwiriza neza.
Wakora iki niba urenze urugero rw'imiti?
Niba utekereza ko wafashe ikinini kirenze urugero, ntugatinye ahubwo jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Bite se nintakaza dose?
Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe (zikuba kabiri) kugira ngo wishyure dose yabuze.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, lactulose ishobora gutera ingaruka zimwe na zimwe. Nubwo inyinshi muri zo atari mbi, hari ibintu bimwe na bimwe ugomba kwitondera.
| Ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse | |
| Indwara zikomeye zo kwangirika | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa mu muhogo, kugorwa no guhumeka. Niba hari kimwe muri ibi kibayeho, jya kwa ETU ako kanya. |
| Ingaruka mbi ubusanzwe zitari mbi, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Impiswi | Ibi ni ibisanzwe iyo utangiye gufata umuti bwa mbere.Ariko niba bikomeye cyangwa bikamara iminsi myinshi, bwira muganga wawe. Igipimo gishobora kuba ngombwa guhindura. |
| Gazi | Ibi kandi bikunze kugaragara mu ntangiriro kandi bizashira nyuma y'iminsi mike. |
| Isesemi no kubabara mu gifu | Ibi bishobora kugabanuka iyo ufashe umuti hamwe n'ibiryo. Niba bikomeje, menyesha muganga wawe. |
| Kuruka | Bishobora kubaho gake cyane. Niba bikomeje, shaka inama kwa muganga. |
Ni gute wabika kandi ukita ku muti?
- Kubika: Bika ahantu abana n'amatungo batagera. Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25). Ntukigere ubika muri firigo.
- Guhinduka kw'ibara: Kubera ko iki ari isukari, ibara ry'amazi ari mu icupa rishobora guhinduka umukara wijimye gato uko igihe kigenda gihita. Ibi ni ibisanzwe kandi ntibigira ingaruka ku bwiza bw'umuti. Ariko , niba ibara ryabaye umukara cyane kandi rikaba ryarahindutse umukara, baza muganga wawe mbere yo kuwukoresha.
- Indi miti: Bwira muganga wawe niba ufata imiti igabanya aside ivura indwara ya gastritis, imiti imwe n'imwe nka Neomycin, n'indi miti yoroshya ubwo ufata lactulose. Ishobora kugira ingaruka ku buryo lactulose ikora.
- Nywa amazi: Nywa amazi menshi igihe cyose unywa umuti wawe.
- Igihe cyo kurangira: Niba ukeneye gukuraho imiti yarangije igihe cyangwa itagikenewe, gana muganga wawe cyangwa umufarumasiye. Ntukayisuke mu musarani cyangwa ngo uyijugunye mu myanda kubera impamvu iyo ari yo yose.
Ubutumwa bwo kujyana mu rugo
- Lactulose ni umuti w'ingenzi cyane ukoreshwa mu kurwanya indwara z'umwijima, indwara igira ingaruka ku bwonko bitewe n'indwara z'umwijima.
- Fata igipimo cyatanzwe na muganga wawe, ukoresheje igikoresho gipima neza, ku gihe gikwiye. Ntugakoreshe ibiyiko byo mu rugo.
- Menyesha muganga wawe indi miti yose, vitamine, n'imiti gakondo ufata.
- Nubwo ingaruka mbi nko kubabara mu gifu ari nyinshi, shaka ubufasha bwa muganga ako kanya niba ubonye ibimenyetso bikomeye by’ubwivumbure.
- Ntureke gufata imiti utabanje kugirwa inama na muganga. Ni ngombwa gukomeza kuyifata kugira ngo ugenzure ibimenyetso.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.