Kwezinye izimo, izidakamizwa ezingenakudingeka zingase zingadingekile noma zinganconywanga
I-antidiarrheal yisidakamizwa esetshenziselwa ukunciphisa noma ukuyeka izihlalo ezivulekile ( isifo sohudo ). Imithi yokulwa nokulwa nokulwa nokuthola imithi itholakala ezitolo eziningi zezidakamizwa noma ama-pharmacy noma ingahle yenziwe ngumdokotela. Ezimweni eziningi zesifo sohudo, ukuthatha imishanguzo yokulwa ne-antidiarrheal ngeke kusebenze imbangela eyimbangela, kodwa ingasetshenziswa ukusiza ngokungahambi kahle okuvela ekuqhumeni kokuhamba kwamathumbu amaningi.
Ngokuvamile, ukulwa namagciwane asetshenziselwa izimo eziyingozi, ezingenabungozi, njenge- gastroenteritis yegciwane .
Kubantu abaningi abadala, isifo sohudo senzeke izikhathi ezimbalwa ngonyaka bese sihamba sisodwa. Kulezi zimo, imishanguzo yokulwa ne-antidiarrheal cishe ayidingekile, ikakhulukazi uma imbangela yokuhuda ingaziwa. Kubantu abanesifo sokugaya, njengesifo sofuba esiswini (IBD) , kungase kubonakale kuwumqondo omuhle ukuthatha okuthile kuhudo, kodwa kwezinye izimo kungase kungasebenzi, futhi kungenzeka ukuthi kuyingozi. Hlola nodokotela wakho mayelana nokusebenzisa isidakamizwa sohudo uma kuqhubeka isikhathi esingaphezu kwezinsuku ezimbalwa noma uma kubangelwa ukungcola. Abantu abane-IBD kufanele bahlale bebuza udokotela ngaphambi kokusebenzisa imishanguzo yokulwa ne-antidiarrheal.
Mayelana nesifo sohudo
Ukuhuda isifo esijwayelekile esingaba nezimbangela ezihlukahlukene. Ezimweni eziningi, isifo sohudo sinquma ngokwakho ngemuva kwezinsuku ezimbalwa, futhi isizathu esiqondile singeke sitholakale.
Uma isifo sohudo sibangelwa ukutheleleka kwebhaktheriya , imishanguzo ye-antidiarrheal ngokuvamile ayikhuthazwa, ngoba umzimba uxosha amabhaktheriya ngokusebenzisa isifo sohudo. Ukusebenzisa imithi yokuzama ukunciphisa noma ukuyeka ukunyakaza kwamathumbu kuzokwenza ukuthi amabhaktheriya ahlale emzimbeni isikhathi eside, okuphambene nalokho okudingekayo ukukususa.
Ungathathi ama-antidiarrheal agents uma isifo sohudo sihambisana nomkhuhlane, ukugula okubi, ubuhlungu besisu, noma uma kukhona igazi noma i- pus (mucus) esitokisini. Uma isifo sohudo esivela ku-infection kungenzeka, sebenzisa kuphela izidakamizwa zokulwa nomzimba ngaphansi kokuqondiswa kochwepheshe bezempilo.
Mayelana nezidakamizwa zokulwa nokulwa
Izidakamizwa zokulwa negciwane ngokuvamile ayinqunyelwe ukuphatha i-IBD, ngoba lokhu akuphatheli ukuvuvukala okubangela ukuhuda. Ngokudonswa kwe-ulcerative ikakhulukazi, izidakamizwa ze-antidiarrheal ziye zaxhunyaniswa nesimo esingavamile kodwa esibi kakhulu esibizwa ngokuthi i-megacolon enobuthi . I-megacolon enobuhlungu ingavamile kakhulu kubantu abane-Crohn's disease. Ama-antidiarrals kufanele asetshenziswe kuphela ngabantu abane-IBD ngaphansi kokuqondiswa nokuqondiswa kwe- gastroenterologist .
Abantu ababenokuhlinzwa kwe- j-pouch bangacelwa ukuba basebenzise imishanguzo yokulwa ne-antidiarrheal, ikakhulukazi ngenkathi belulame kusukela ekuhlinzekeni kokugcina (ukuhlinzwa kokutholwa). Abanye abantu abanama-j-poche bangasebenzisa izidakamizwa esikhathini eside, kanti abanye bangase basebenzise njengoba kudingeka lapho behlangabezana nokunyakaza okuningi kwamathumbu ngosuku.
Izinhlobo Zokulwa Nezidakamizwa
Izinhlobo zemithi yokwelapha zihlanganisa:
- Imodium (loperamide). Imodium, engathengwa phezu kwe-counter, iyanciphisa ijubane nenani lezinqamulelo zamathumbu, ngaleyo ndlela igweme ukuhuda. Imiphumela emibi ye-loperamide ingafaka ubuhlungu besisu, umlomo owomile, ukulala, isizungu, ukuqothulwa, isicashu, nokuhlanza. Ngenxa yemiphumela emibi, abanye abantu bangase bathole ukuthi abakwazi ukushayela noma ukwenza imisebenzi efuna ukuhlushwa ngenkathi bethatha i-loperamide. Abantu abangajwayele ukuthatha le mithi njalo kumele baqaphele ukuthi kubathinta kanjani. Abanye abantu abanama-j-poche basebenzisa le mithi njalo, futhi bangase bathole udokotela wabo odokotela.
- I-Kaopectate, i-Pepto-Bismol (i-bismuth subsalicylate). I-subsalicylate ye-Bismuth iyayaziwa kangcono ngokuphathwa kabi kwesisu, kodwa isebenza njenge-antidiarral and anti-inflammatory, futhi ingalimaza ukusakazwa kwamanye amagciwane we-bacteria anciphisa isisu. Lo muthi unciphisa uhudo ngoba uvimbela inani lamanzi angena emathunjini. Imiphumela emibi ye-Pepto-Bismol ihlanganisa ukuqotshwa, izitshalo ezimnyama , noma ulimi olumnyama. Ukudlula i-Pepto-Bismol kungaba yingozi, ngakho-ke thola inani elibekiwe futhi ungabeki kabili ukulinganisa.
Izwi elivela
I-diarrhea eqhubeka isikhathi esingaphezu kwezinsuku ezimbalwa noma ihambisana nomkhuhlane, ubuhlungu obukhulu besisu, igazi noma i-pus esitokisini kuyimbangela yokubiza udokotela ngokushesha.
Ukungakwazi ukugcina noma yikuphi ukudla noma uketshezi phansi kukhona esinye isizathu sokufuna usizo lwezokwelapha ngokushesha. Ezimweni eziningi, igciwane noma amabhaktheriya azosula umzimba ezinsukwini ezimbalwa, nakuba kungathatha izinsuku eziningana ukubuyela emuva evamile. I-diarrhea akufanele ibe njalo, ngakho-ke uma iqhubeka isikhathi eside, sekuyisikhathi sokukhishwa.
Imithombo:
I-American Society of Health-System Pharmacists. "Loperamide." Ilabhulali Kazwelonke Yezokwelapha yase-US. 7 Julayi 2015.
I-American Society of Health-System Pharmacists. "I-Bismuth Subsalicylate." Ilabhulali Kazwelonke Yezokwelapha yase-US. 1 Feb 2011.