Isisombululo se-polyethylene glycol-electrolyte (PEG-ES)

Umxholo

• Ngaphambi kokuba uthathe i-PEG-ES,
• I-PEG-ES inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane uncedo lonyango olungxamisekileyo:

Isisombululo se-Polyethylene glycol-electrolyte (i-PEG-ES) sisetyenziselwa ukukhupha ikholoni (amathumbu amakhulu, amathumbu) ngaphambi kwe-colonoscopy (kuvavanywa ngaphakathi kwikholoni ukujonga umhlaza wekolon kunye nokunye okungahambi kakuhle) okanye i-barium enema (uvavanyo apho ikholoni igcwele ulwelo emva koko kuthathwe i-ray) ukuze ugqirha abe nembono ecacileyo yeendonga zekholoni. I-PEG-ES ikudidi lwamayeza abizwa ngokuba yi-osmotic laxatives. Isebenza ngokubangela urhudo lwamanzi ukuze isitulo sikhutshwe kwikholoni. Amayeza aqulathe ii-electrolyte ukunqanda ukomisa amanzi kunye nezinye iziphumo ebezingalindelekanga ezinokubangelwa kukuphulukana nolwelo njengoko ikholoni ikhutshwa.

Isisombululo se-Polyethylene glycol-electrolyte (i-PEG-ES) iza njengomgubo wokudibanisa namanzi kwaye uthathe ngomlomo. Ezinye iimveliso ze-PEG-ES zinokunikwa ngombhobho we-nasogastric (ityhubhu ye-NG; ityhubhu esetyenziselwa ukuhambisa ukutya okunesondlo kunye namayeza ngeempumlo ukuya esiswini kubantu abangakwaziyo ukutya ukutya okwaneleyo ngomlomo). Ihlala ithathwa ngorhatya lwangaphambili kunye / okanye kusasa kwenkqubo. Ugqirha wakho uya kukuxelela ukuba kuya kufuneka uqale nini ukuthatha i-PEG-ES, nokuba uyawathatha onke amayeza ngaxeshanye okanye uwathabathe njengamanani amabini ahlukeneyo. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-PEG-ES ngqo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kunokuba umiselwe ngugqirha wakho.

Awungekhe utye ukutya okuqinileyo okanye usele ubisi ngaphambi nangexesha lonyango lwakho nge-PEG-ES. Kufuneka ube nolwelo olucacileyo. Ugqirha wakho uza kukuxelela ukuba uqale nini ukutya okucacileyo okungamanzi kwaye unokuphendula nawuphi na umbuzo malunga nokuba loluphi ulwelo oluvumelekileyo. Imizekelo yolwelo olucacileyo ngamanzi, incindi yeziqhamo enemibala ekhanyayo ngaphandle kwempuphu, umhluzi ocacileyo, ikofu okanye iti ngaphandle kobisi, i-gelatin enencasa, iipopu, kunye neziselo. Musa ukusela nayiphi na into engamanzi ebomvu okanye emfusa. Uya kudinga ukusela isixa esithile solwelo olucacileyo ngexesha lonyango lwakho ukunciphisa amathuba okuba uphelelwe ngamanzi njengoko ikholoni yakho ithululwa. Tshela ugqirha wakho ukuba unengxaki yokusela ulwelo olucacileyo ngokwaneleyo ngexesha lonyango lwakho.

Kuya kufuneka uxube iyeza lakho kunye namanzi adikidiki ukuze ube ukulungele ukusela. Funda izikhombisi eziza kunye nonyango lwakho ukuze ubone ukuba ungakanani amanzi ekufuneka uwongeze kumgubo kunye nokuba ungawuxuba kwisikhongozeli esangena okanye kwesinye isitya. Landela le miyalelo ngononophelo kwaye uqiniseke ukuba uyashukumisa okanye uvuselele umxube ukuze amayeza axutywe ngokulinganayo. Ukuba amayeza akho eza neepakethe zencasa, unokongeza imixholo yepakethi enye amayeza ukuphucula incasa, kodwa akufuneki ukongeze naziphi na ezinye izinongo amayeza. Sukuxuba amayeza akho kunye nolunye ulwelo ngaphandle kwamanzi, kwaye ungazami ukuginya ipowder yonyango ngaphandle kokuyixuba namanzi. Emva kokuxuba amayeza akho, unokuyipholisa kwifriji ukwenza kubelula ukusela. Nangona kunjalo, ukuba uza kube ulunika usana iyeza, akufuneki ulipholise.

Ugqirha wakho uya kukuxelela ngqo ukuba ungayithatha njani i-PEG-ES. Uya kuthi uxelelwe ukuba usele iglasi enye ye-PEG-ES iglass enye ye-8 (240 mL) rhoqo emva kwemizuzu eli-10 okanye eli-15, kwaye uqhubeke nokusela de kube intshukumo yakho yolwelo icacile kwaye ingenazinto ziqinileyo. Kungcono ukusela iglasi nganye yamayeza endaweni yokuba uyiphuze kancinci. Lahla nawaphi na amayeza aseleyo owasebenzisela olu nyango.

Uya kuba neentshukumo ezininzi zamathumbu ngexesha lonyango lwakho nge-PEG-ES. Qiniseka ukuba uhlala kufutshane nendlu yangasese ukusukela ngexesha uthatha idosi yakho yokuqala yeyeza de kube lixesha lokuqeshwa kwakho kwe-colonoscopy. Buza ugqirha wakho ngezinye izinto onokuzenza ukuze uhlale ukhululekile ngeli xesha.

Unokufumana iintlungu zesisu kunye nokudumba ngelixa uthatha amayeza akho. Ukuba ezi mpawu ziba nzima, sela iglasi nganye yeyeza kancinci okanye unike ixesha elingakumbi phakathi kokusela iiglasi zamayeza. Biza ugqirha wakho ukuba ezi mpawu azihambi.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) ukuba luyafumaneka uphawu lwe-PEG-ES oyithathayo xa uqala unyango ngaleyeza. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

Ngaphambi kokuba uthathe i-PEG-ES,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-PEG-ES, nawaphi na amanye amayeza, okanye naziphi na izithako kwimveliso yePEG-ES oyithathayo. Buza usokhemesti wakho okanye ujonge ulwazi lomenzi wesigulana uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: alprazolam (Xanax); amiodarone (Cordarone, Pacerone); umgca wendlela; I-angiotensin yokuguqula i-enzyme (ACE) inhibitors enjenge benazepril (Lotensin, eLotrel), captopril, enalapril (Epanid, Vasotec, in Vaseretic), fosinopril, lisinopril (Prinivil, Qbrelis, Zestril, in Zestoretic), moexipril, Prestalia), quinapril (Accupril, in Accuretic, Quinaretic), ramipril (Altace), kunye ne-trandolapril (eTarka); ii-angiotensin II receptor antagonists ezinje nge candesartan (Atacand, e Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, e Avalide), losartan (Cozaar, e Hyzaar), olmesartan (Benicar, e Azor nase Tribenzor), telmisartan (Micardis eMicardis HCT naseTwynsta), nasevalsartan (eDiovan, eBevalson, eDiovan HCT, e-Entresto, e-Exforge nase-Exforge HCT); i-aspirin kunye nezinye iyeza ezichasayo ezifana ne-ibuprofen (Motrin) kunye ne-naproxen (Aleve, Naprosyn); desipramine (Norpramin); diazepam (Diastat, Valium); iDisopyramide (iNorpace); umchamo ('iipilisi zamanzi'); dofetilide (iTikosyn); i-erythromycin (i-EES, i-Erythrocin); estazolam; iiflazepam; I-lorazepam (Ativan); amayeza okubamba; midazolam (iVesi); moxifloxacin (Avelox); ipimozide (Orap); quinidine (Quinidex, kwiNuedexta); i-sotalol (iBetapace, iBetapace AF, iSorine); thioridazine; okanye i-triazolam (Halcion). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza amaninzi anokusebenzisana ne-PEG-ES, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• musa ukuthatha naziphi na ezinye izinto zokuhambisa ngexesha lonyango lwakho nge-PEG-ES.
• ukuba uthatha amanye amayeza ngomlomo, thatha ubuncinci iyure enye ngaphambi kokuba uqale unyango lwakho nge-PEG-ES.
• xelela ugqirha wakho ukuba unqabile emathunjini akho, umngxunya kwisisu sakho okanye emathunjini, i-megacolon enetyhefu (eyandisayo okanye esongela ubomi emathunjini), okanye nayiphi na imeko ebangela iingxaki ukuphuma kwesisu sakho okanye amathumbu. Ugqirha wakho uya kukuxelela ukuba ungathathi i-PEG-ES.
• xelela ugqirha wakho ukuba ukhe wabethwa yintliziyo ngendlela engaqhelekanga, ixesha elide le-QT (imeko ezuzwe njengelifa enokubangela ukubetha kwentliziyo ngokungaqhelekanga, ukutyhafa, okanye ukufa ngesiquphe), isifo sentliziyo esandula ukwenzeka, iintlungu esifubeni, ukusilela kwentliziyo, intliziyo eyandisiweyo, ukuxhuzula, i-asidi, i-asidi, ubunzima bokuginya, isifo sokudumba (iimeko ezibangela ukudumba kwethambo lamathumbu) ezinje nge-ulcerative colitis (imeko ebangela ukudumba kunye nezilonda kumngxunya wekholoni [amathumbu amakhulu] kunye ne-rectum), G6 -Ukusilela kwe-PD (isifo esifa njengelifa), amanqanaba asezantsi esodiyam, imagniziyam, i-potassium, okanye ikhalsiyam egazini lakho, nayiphi na imeko eyonyusa umngcipheko wokukrwitsha okanye wokungenisa ukutya kwimiphunga yakho, okanye isifo sesifo. Ukuba uza kusebenzisa iMoviprep^® okanye iPlenvu^® uphawu lwe-PEG-ES, xelela ugqirha wakho ukuba une-phenylketonuria (PKU; imeko efunyanwa njengelifa apho ukutya okukhethekileyo kufuneka kulandelwe ukuthintela ukudodobala kwengqondo).
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa.

Ugqirha wakho uya kukuxelela ukuba ungatya ntoni kwaye usele ntoni ngaphambi, ngexesha nasemva konyango lwakho nge-PEG-ES. Landela le miyalelo ngononophelo.

Biza ugqirha wakho ukuba uyalibala okanye awukwazi ukuthatha la mayeza ngokuchanekileyo njengoko kuyalelwe.

I-PEG-ES inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• isisu esibuhlungu, iicramps, okanye ukugcwala
• ukudumba
• ukucaphuka komlomo
• ubuthathaka
• isilungulela
• unxano
• indlala
• Ukugodola

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane uncedo lonyango olungxamisekileyo:

• irhashalala
• urhwebo
• ukurhawuzelela
• ukudumba kwamehlo, ubuso, umlomo, imilebe, ulwimi, iingalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
• ubunzima bokuphefumla okanye ukugwinya
• ukugabha
• isiyezi
• intloko ebuhlungu
• ukuncipha kokuchama
• ukubetha kwentliziyo ngokungaqhelekanga
• ukuxhuzula
• ukopha kwi-rectum

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Gcina isisombululo esixubileyo kwifriji. Ukuba usebenzisa iColyte^®Ngokufanelekileyo^®, okanye iTilyte^® Izisombululo zebrendi, zisebenzise ngaphakathi kweeyure ezingama-48 emva kokuxubeka. Ukuba usebenzisa iMoviprep^® Isisombululo sophawu, sisebenzise ngaphakathi kweeyure ezingama-24 emva kokuxuba. Ukuba usebenzisa iPlenvu^® Isisombululo sophawu, sisebenzise ngaphakathi kweeyure ezingama-6 emva kokuxubeka.

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho angayalela iimvavanyo ezithile zaselebhu ukujonga impendulo yomzimba wakho kwi-PEG-ES.

Musa ukuvumela nabani na ukuba athathe amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• CoLyte^®
• NGOKUQHELEKILEYO^®
• Ngobubele^®¶
• UMoviprep^®
• Ngokufanelekileyo^®
• Plenvu^®
• Inyukliya^®¶
• UTilyte^®

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.