Kwabaningi bethu, ukunyakaza kwamathumbu noma ukunyakaza kwamathumbu okukhululekile kuyinto evamile kakhulu futhi engakhululekile. Ngezinye izikhathi, uma kufanele uhambe uhambo olubalulekile noma ngenkathi usebenza, ukukhathazeka nokungakhululeki okuhambisana nalokhu kungaba nzima ukukuthwala. Ngakho-ke, ngalesi sikhathi, ungase ucele 'umuthi wokuvimba uhudo' ekhemisi ngethemba lokukhululeka ngokushesha. Namuhla, sikhuluma ngomuthi obizwa ngokuthi 'i-Loperamide' osetshenziswa abantu abaningi. Kunezinto ezimbalwa ezibalulekile okudingeka sizazi ngaphambi kokusebenzisa lokhu.
Kuyini i-Loperamide?
Kalula nje, i-loperamide umuthi osetshenziselwa ukwelapha isifo sohudo. Ingeqembu lemithi ebizwa ngokuthi i-antidiarrheal. Isebenza ngokunciphisa ijubane lokunyakaza kwamathumbu akho, okungakusiza uzizwe ulambile kancane futhi ungabi nesidingo sokuya endlini yangasese.
Into ebaluleke kakhulu ukuthi lo muthi wesikhashana . Akuyona umuthi okufanele uthathwe njalo izinsuku eziningi. Uvame ukwaziwa ngegama lomkhiqizo i-Imodium AD.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokusebenzisa i-loperamide, kufanele nakanjani wazise udokotela wakho uma unezinye zezimo ezilandelayo. Ukufihla lolu lwazi kungaba yingozi kakhulu empilweni yakho.
| Isimo sakho | Kungani kubalulekile kudokotela? |
|---|---|
| Uma kukhona igazi esitulweni noma uma isitulo simnyama | Lokhu kungaba uphawu lokutheleleka okukhulu, ukopha, noma esinye isimo emathunjini. I-Loperamide ingenza lesi simo sibe sibi kakhulu. |
| Uma unomkhuhlane omkhulu | Umkhuhlane uwuphawu lokuthi umzimba ulwa nokutheleleka. Uma unesifo sohudo kanye nomkhuhlane, imbangela idinga ukutholakala futhi yelashwe. |
| Uma unezinhlungu ezinkulu esiswini noma ukuqunjelwa | Lokhu kungaba izimpawu zesimo esibucayi, njengokuvaleka kwamathumbu. |
| Uma une-mucus endle yakho noma isimo esifana ne-colitis | Ezimweni ezinjalo, ukuyeka ukusebenza kwamathumbu kungalibazisa ukususwa kwamagciwane emzimbeni futhi kubhebhethekise lesi sifo. |
| Uma unesifo sesibindi | Lo muthi ususwa emzimbeni yisibindi. Uma isibindi sibuthakathaka, umuthi unganqwabelana emzimbeni futhi wandise imiphumela emibi. |
| Ukungalingani kwesigqi senhliziyo noma umlando wesifo senhliziyo | Ukuthatha i-loperamide eningi kakhulu kungathinta izinga lokushaya kwenhliziyo yakho. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Kulezi zimo, kubalulekile ukufuna iseluleko sezokwelapha ngaphambi kokuthatha noma yimuphi umuthi. |
Uyisebenzisa kanjani kahle le mithi?
Njengoba lo muthi uza ngesimo sokumiswa, udinga ukushukumisa ibhodlela kahle ngaphambi kokulisebenzisa . Lokhu kuzoqinisekisa ukuthi izithako ezikuwo umuthi zixutshwe kahle.
Sebenzisa kuphela isipuni noma inkomishi ephawulwe ngokukhethekile eza nomuthi ukuze uyilinganise. Ungalingani ngezipuni noma izipuni zasekhaya, ngoba zingase zingalingani kahle. Ukwenza kanjalo kungabangela ukuthi umthamo ube ngaphansi noma udlulele. Njalo thatha umuthi wakho njengoba nje kuqondiswe kwilebula lomuthi noma njengoba kuqondiswe udokotela wakho.
Kudingeka uqaphele kakhulu lapho unikeza lokhu izingane ezincane!
Odokotela bangase banikeze lo muthi izingane ezingaphezu kweminyaka engu-6 ezimweni ezithile ezikhethekile. Kodwa-ke, unganiki lo muthi izingane ezincane ngaphandle kweseluleko sezokwelapha. Imizimba yezingane ingase isabele ngendlela ehlukile kulokhu, ngakho-ke kudingeka uqaphele kakhulu ngakho.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Umthamo oweqile)
Lokhu kubaluleke kakhulu. Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungesabi futhi ngokusheshaShayela iNational Poison Information Centre eColombo National Hospital noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Lokhu kuyinto okungafanele ibambezeleke.
Ezinye izinto ezingase zihlangane nalo muthi
I-Loperamide ingasebenzisana neminye imithi oyithathayo, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
| Uhlobo lokusabela | Izinhlobo zemithi |
|---|---|
| Imithi okungafanele ithathwe ne-loperamide | |
| Kufanele kugwenywe ngokuphelele. | I-Alosetron |
| Eminye imithi engabangela izinkinga nge-loperamide | |
| Sebenzisa kuphela ngokwelulekwa ngudokotela. | Imithi efana ne-Cimetidine, i-Clarithromycin, i-Erythromycin, i-Gemfibrozil, i-Itraconazole, i-Ketoconazole, i-Quinidine, i-Quinine, i-Ranitidine, i-Ritonavir, ne-Saquinavir |
Lolu hlu aluphelele. Tshela udokotela wakho nganoma yimiphi imithi ye-Ayurvedic, amavithamini, nanoma yini enye oyiphuzayo.
Izinto okufanele uzicabangele lapho uthatha imithi
- Uma isifo sohudo singapheli ngemva kokusebenzisa lokhu izinsuku ezingaphezu kwezimbili , yeka ukukusebenzisa. Bheka udokotela ngokushesha.
- Uma unomkhuhlane, ubuhlungu obukhulu esiswini, ukuqunjelwa, ukuqunjelwa esiswini, noma indle enegazi noma emnyama, yeka ukuthatha umuthi bese ubona udokotela.
- Lomuthi ungakwenza uzizwe ulele futhi unesizungu . Ngakho-ke, gwema ukwenza imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, ngenkathi uthatha lo muthi.
- Njengoba kulahleka amanzi amaningi emzimbeni ngesikhathi sokuhamba kwamathumbu, kunengozi enkulu yokuphelelwa amanzi emzimbeni . Ngakho-ke , kubaluleke kakhulu ukuphuza uketshezi oluningi njengamanzi, ujusi kanye nephalishi.
- Uma uzizwa sengathi umlomo wakho womile, ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza. Uma lokhu kuqhubeka, tshela udokotela wakho .
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-loperamide ingabangela imiphumela emibi kwabanye abantu.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ulimi, ubuso noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, isiyezi, ukuquleka, ubuhlungu besifuba, kanye nobunzima bokuphefumula. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka (ngisho nangaphakathi emlonyeni). |
| Ubuhlungu obukhulu besisu noma ukuqunjelwa | Ngisho noma uhudo luyeka, ubuhlungu obukhulu esiswini noma ukungahambi kahle kwamathumbu izinsuku eziningi. |
| Ubunzima bokuchama | Ubunzima bokuchama noma ukuphuma komchamo okuncane. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ukuqunjelwa, ukuqunjelwa (ngemva kokuphela kohudo), isiyezi, ukozela, umlomo owomile, isicanucanu, ukuhlanza, ukubona okufiphele. | |
Umlayezo Wokuya Nawe Ekhaya
- I-Loperamide umuthi osetshenziselwa kuphela isifo sohudo esiphuthumayo, sesikhashana .
- Uma unezimpawu ezifana nomkhuhlane, igazi esitulweni sakho, noma indle emnyama , ungawuthathi lo muthi ngaphandle kweseluleko sikadokotela.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Phuza uketshezi oluningi (amanzi, ujusi) ukuze uvimbele ukuphelelwa amanzi emzimbeni ngesikhathi sohudo.
- Uma uthatha umuthi omningi kakhulu, iya eNational Poison Information Centre noma eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha.
- Uma isifo sohudo singapheli ngemva kwezinsuku ezimbili usebenzisa umuthi, yeka ukuthatha umuthi bese ubona udokotela.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Asetshenziselwani amaphilisi/amakapsuli e-Loperamide/Imodium?
Lona umuthi onamandla kakhulu wokulwa nohudo ongathengwa ngaphandle kwekhawunta (OTC) emakhemisi! Odokotela bavame ukunikeza leli philisi/ikhaphu ezigulini ebezikhipha indle ekhululekile nenamanzi isikhathi eside ukuze bayeke, banciphise ubuhlungu besisu, futhi benze isiguli sizizwe singcono ngokushesha.
💬 Ungayekisa kanjani isifo sohudo ngokushesha ngemva kokuthatha lo muthi (i-Loperamide)?
Lo muthi (ungowomndeni wama-opioid, kodwa awufinyeleli ebuchosheni) uhlasela imisipha emathunjini (ama-Mu-opioid receptors) ngokushesha nje lapho ungena emathunjini. Lapho amathumbu ehamba ngokushesha, amathumbu asunduza indle ngaphandle, futhi uma leli philisi lithathwa, liyehlisa/limisa leso sivinini/ukunyakaza ngo-100%. Bese kuthi, uma indle igcwele kakhulu emathunjini, imunce amanzi (Ukumunca) bese indle iqina, imise uhudo.
💬 Nakuba leli liphilisi elingcono kakhulu lohudo, kunini lapho kungafanele ulithathe khona nhlobo?
Uma unesifo sohudo esibangelwa yibhaktheriya elibi kakhulu (isib. iSalmonella, i-C. diff) elibangela isifo sohudo esigcwele igazi/amafinyila, noma uma unomkhuhlane omkhulu, ungalokothi uthathe leli philisi le-loperamide (Imodium)! Ngoba uma leli philisi livimba amathumbu, amagciwane abi kakhulu anganqwabelana emathunjini, okubangela ukuthi amathumbu aqhume futhi abulale isiguli (i-Toxic megacolon). Futhi, uma umthamo ukhushulwa, ungabangela ukuhlaselwa yinhliziyo (i-Torsades de pointes/Arrhythmias)!
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