Umbhali: Randy Alexander
Umhla Wokudalwa: 2 Utshazimpuzi 2021
Hlaziya Umhla: 12 Eyomdumba 2025
Anonim
NCLEX Prep (Pharmacology): Diphenoxylate/Atropine (LoMotil)
Ividiyo: NCLEX Prep (Pharmacology): Diphenoxylate/Atropine (LoMotil)

Umxholo

Yintoni iLomotil?

I-Lomotil sisiyobisi esinegama lebrendi elisetyenziselwa ukunyanga urhudo. Imiselwe njengonyango olongezelelekileyo kubantu abasenesifo sorhudo nangona sele bephethwe ngalo.

Urhudo lubangela ilindle elingenamanzi okanye elinamanzi elinokuthi liqhubeke rhoqo. I-Lomotil isetyenziselwa ukunyanga isifo sohudo. Esi sisifo sorhudo esihlala ixesha elifutshane (usuku olunye ukuya kwezimbini). Urhudo olunamandla lunokudibana nokugula okwethutyana okufana nesisu sesisu.

I-Lomotil inokusetyenziselwa ukunyanga urhudo olungapheliyo (oluhlala iiveki ezine okanye nangaphezulu). Olu hlobo lwesifo sohudo lunokuthi luhambelane nesimo sokutya (isisu).

I-Lomotil iza njengecwecwe lomlomo. Yamkelwe ukusetyenziswa kubantu abadala kunye nabantwana abaneminyaka eli-13 nangaphezulu.

I-Lomotil ikudidi lwamayeza abizwa ngokuchasene norhudo. Iqulethe amachiza amabini esebenzayo: diphenoxylate kunye atropine.

Ngaba iLomotil yinto elawulwayo?

I-Lomotil sisixhobo esilawulwayo seShedyuli V, oko kuthetha ukuba sinokusetyenziswa kwezonyango kodwa sinokusetyenziswa gwenxa. Inezinto ezincinci ze-narcotic (ezinamandla zokunciphisa iintlungu ezibizwa ngokuba zii-opioids).


I-Diphenoxylate, esinye sezithako eziseLomotil, nayo iyinto elawulwa yiShedyuli II. Nangona kunjalo, xa idityaniswe neatropine, esinye isithako eLomotil, umngcipheko wokusetyenziswa gwenxa usezantsi.

I-Lomotil ayithathwa njengomlutha kwiidosi ezikhuthazwayo kurhudo. Nangona kunjalo, kubalulekile ukuba ungathathi ngaphezulu kweLomotil kunokuba ugqirha ugqirha.

Lomotil generic

Amacwecwe eLomotil ayafumaneka njengegama lophawu kunye nonyango oluqhelekileyo. Inguqulelo yohlobo oluqhelekileyo ibizwa ngokuba yi-diphenoxylate / atropine, kwaye iza nesisombululo solwelo osithathayo ngomlomo.

I-Lomotil inezithako ezibini ezisebenzayo zeziyobisi: i-diphenoxylate kunye ne-atropine. Akukho nalinye ichiza elifumaneka njengohlobo oluthile ngokwalo.

Umthamo weLomotil

Umthamo weLomotil ogqitywa ngugqirha wakho uya kuxhomekeka kwizinto ezininzi. Oku kubandakanya:

  • uhlobo kunye nobunzima bemeko oyisebenzisayo eLomotil ukunyanga
  • iminyaka yakho
  • ezinye iimeko zonyango onokuba nazo

Olu lwazi lulandelayo luchaza iidosi eziqhelekileyo ezisetyenziswayo okanye ezicetyiswayo. Nangona kunjalo, qiniseka ukuthatha idosi ekumisela ugqirha wakho. Ugqirha wakho uya kugqiba eyona milinganiselo ilungele iimfuno zakho.


Iifom zamachiza kunye namandla

I-Lomotil iza njengecwecwe. Ithebhulethi nganye ine-2.5 mg yediphenoxylate hydrochloride kunye ne-0.025 mg ye-atropine sulfate.

Isisombululo sohudo

Xa uqala ukusebenzisa iLomotil, ugqirha wakho uya kumisela iipilisi ezimbini amaxesha amane ngosuku. Musa ukuthatha iipilisi ezingaphezulu kwesibhozo (i-20 mg yediphenoxylate) ngosuku. Qhubeka nale dosi de kube urhudo lwakho luqale ukuphucula (isitulo siqine), ekufanele ukuba kwenzeke ngaphakathi kweeyure ezingama-48.

Emva kokuba isifo sohudo siqala ukuphucula, ugqirha wakho unokunciphisa umyinge wakho kumgangatho ophantsi njengeepilisi ezimbini ngosuku. Uya kuyeka ukuthatha iLomotil xa urhudo lwakho luphelile.

Ukuba uthatha iLomotil kwaye urhudo lwakho aluphuculanga kwiintsuku ezili-10, yazisa ugqirha wakho. Banokuyeka ukusebenzisa iLomotil kwaye uzame olunye unyango.

Idosi yabantwana

Abantwana abaneminyaka eli-13 ukuya kweli-17 ubudala bangathatha iLomotil. Umthamo uyafana nowabantu abadala (jonga “Umthamo wotyatyazo” kwicandelo elingentla).

Phawula: Abantwana abangaphantsi kweminyaka eli-13 akufuneki bathathe iipilisi zeLomotil. .


Abantwana abaneminyaka emi-2 nangaphezulu banokuthatha isisombululo samanzi se-diphenoxylate / atropine, efumaneka kuphela njenge-generic. Ukuba ungathanda ukuba umntwana wakho azame isisombululo se-diphenoxylate / atropine liquid, thetha nogqirha wakhe.

Kuthekani ukuba ndiphose idosi?

Ukuba uphose idosi kwaye ikufutshane nexesha ekufuneka ulithathile, thatha idosi. Ukuba ikufutshane nedosi yakho elandelayo, tsiba idosi kwaye uthathe idosi yakho elandelayo ngexesha elimiselweyo.

Ukukunceda uqiniseke ukuba awuphosi idosi, zama ukuseta isikhumbuzi kwifowuni yakho. Ixesha leyeza linokuba luncedo, nalo.

Ngaba kuya kufuneka ndisebenzise eli chiza ixesha elide?

Ukuba wena nogqirha ugqibe ukuba iLomotil ikhuselekile kwaye iyasebenza kuwe, ungayithatha ixesha elifutshane okanye ixesha elide, kuxhomekeke kuhlobo lwesifo sorhudo onaso.

Tshela ugqirha wakho ukuba uthatha iLomotil kwaye urhudo lwakho aluphucuki kwiintsuku ezili-10. Banokucela ukuba uyeke ukusebenzisa iLomotil kwaye uzame olunye unyango.

Iziphumo ebezingalindelekanga zeLomotil

I-Lomotil inokubangela iziphumo ebezingalindelekanga ezinobulali okanye ezinobuzaza. Olu luhlu lulandelayo luqulathe ezinye zeziphumo ebezingalindelekanga ezinokubakho ngelixa uthatha iLomotil. Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga ezinokubakho.

Ngolwazi oluthe kratya malunga neziphumo ebezingalindelekanga zeLomotil, thetha nogqirha wakho okanye usokhemesti. Banokukunika iingcebiso malunga nendlela yokujongana nayo nayiphi na imiphumela emibi enokuthi ikhathaze.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo ezichaphazelekayo zeLomotil zingabandakanya:

  • intloko ebuhlungu
  • uziva unesiyezi okanye uyozela
  • ukurhawuzelela ulusu okanye irhashalala
  • isisu esibuhlungu, isicaphucaphu, okanye ukugabha
  • ulusu olomileyo okanye umlomo
  • ndiziva ndingonwabanga
  • i-malaise (ukuziva ubuthathaka okanye ukungonwabi)
  • Ukuphelelwa ngumdla wokutya

Uninzi lweziphumo ebezingalindelekanga zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Iziphumo ezibi kakhulu ezivela eLomotil aziqhelekanga, kodwa zinokwenzeka. Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka.

Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya:

  • Imood iyatshintsha. Iimpawu zingabandakanya:
    • Ndiziva ndidandathekile (ndibuhlungu okanye ndingenathemba)
    • Ndiziva ndonwabile (ndonwabe kakhulu okanye ndonwabile)
  • Ukuba nemibono. Iimpawu zingabandakanya:
    • ukubona okanye ukuva into engekhoyo ngenene
  • Ityhefu evela kwiatropine (isithako eLomotil) okanye iziphumo ebezingalindelekanga ezivela kwi-diphenoxylate (isithako eLomotil). Iimpawu zingabandakanya:
    • izinga eliphezulu lentliziyo
    • ndiziva ndishushu kakhulu
    • ingxaki yokuchama
    • ulusu olomileyo nomlomo
  • Ukuphendula ngokuchaseneyo. Jonga "Iinkcukacha zempembelelo esecaleni" apha ngezantsi ukuze ufunde ngakumbi.
  • Uxinzelelo lokuphefumla (ukuphefumla okucothayo) okanye ukudakumba kwenkqubo ye-neva * (ukuphulukana nokusebenza kwengqondo) kubantwana abangaphantsi kweminyaka eyi-6. Jonga "Iinkcukacha zempembelelo esecaleni" apha ngezantsi ukuze ufunde ngakumbi.

Iinkcukacha zesiphumo

Unokuzibuza ukuba zenzeka kangaphi iziphumo ebezingalindelekanga ngeli chiza, okanye nokuba ngaba ezinye iziphumo ebezingalindelekanga zinxulumene nalo. Nazi ezinye iinkcukacha kwezinye zeziphumo ebezingalindelekanga ezinokubangelwa okanye ezingabangelwa zezi ziyobisi.

Ukuphendula ngokuchaseneyo

Njengokuba kuninzi lweziyobisi, abanye abantu banokuphendula emva kokuthatha iLomotil. Iimpawu zokuphendula kancinci kunokubandakanya:

  • irhashalala
  • ukucheba
  • ukucoca (ukufudumala nokubomvu kwesikhumba sakho)

Impendulo eyingozi kakhulu inqabile kodwa inokwenzeka. Iimpawu zokungaziphathi kakuhle kunokubandakanya:

  • ukudumba phantsi kolusu lwakho, ikakhulu kwiinkophe zakho, imilebe, izandla, okanye iinyawo
  • ukudumba kolwimi lwakho, umlomo, umqala, okanye iintsini
  • ingxaki yokuphefumla

Tsalela umnxeba kwangoko ukuba uneempendulo ezigwenxa kwiLomotil. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka.

Ukozela

Unokuziva usozela ngelixa uthatha iLomotil. Ukuba uthatha idosi eqhelekileyo yeLomotil, nakuphi na ukozela onako kufuneka kube mnene. Ukozela kunokuba nzima kakhulu ukuba uthatha iLomotil engaphezulu kunokuba umiselwe ngugqirha.

Kubalulekile ukuba ungathathi ngaphezulu amayeza kunokuba umiselwe kuba oko kunokukhokelela kwiziphumo ebezingalindelekanga ezibi. Ukuthatha amayeza athile kunye neLomotil okanye ukusela utywala ngelixa uthatha iLomotil kunokubangela ukozela okungakumbi.

Kude kube uyazi ukuba uziva njani ngelixa uthatha iLomotil, musa ukuqhuba ngelixa usithatha okanye wenze eminye imisebenzi efuna ukuphapha okanye ukugxila. Ngolwazi oluthe kratya, jonga i "Lomotil kunye notywala," "ukusebenzisana kweLomotil," kunye ne "Lomotil overdose" yecandelo elingezantsi.

Biza ugqirha wakho ngoko nangoko ukuba uziva usozela kakhulu ngelixa uthatha iLomotil. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka.

Isicaphucaphu

Unokufumana isicaphucaphu okanye ukugabha ngelixa uthatha iLomotil. Ukuhlanza amaxesha amaninzi ngemini ngaphezulu kwentsuku ezimbini okanye ezimbini kunokukhokelela ekuphelelweni ngamanzi emzimbeni (ukulahleka kwamanzi emzimbeni) kunye nokwehla kobunzima. Iziphumo ebezingalindelekanga zokugabha zinokuba nzulu.

Ukunceda ukunqanda ukuphelelwa ngamanzi emzimbeni ekugabheni, sela amanzi amaninzi kunye nolunye ulwelo olufana nejusi. Iziselo ezinee-electrolyte (iivithamini kunye neeminerals), njengeGatorade yabantu abadala okanye iPedialyte yabantwana, nazo zinokunceda.

Ugqirha wakho okanye usokhemesti angakuxelela ukuba ngawaphi amayeza anokukhuseleka xa usiya kwi-Lomotil. Biza ugqirha wakho ngoko nangoko ukuba ulahla ubunzima okanye ugabhe amaxesha amaninzi ngemini ngaphezulu kweentsuku ezimbini ngelixa uthatha iLomotil. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka.

Uxinzelelo lokuphefumla okanye ukudakumba kwenkqubo ye-nervous system

I-Lomotil inokubangela uxinzelelo lokuphefumla (ukucothisa ukuphefumla) okanye ukudakumba kwenkqubo ye-nervous system (ukulahleka kwengqondo) kubantwana abangaphantsi kweminyaka emi-6 ubudala. Oku kunokukhokelela kwingxaki yokuphefumla, isiqaqa kunye nokufa.ILomotil yamkelwe kuphela kubantwana abaneminyaka eli-13 nangaphezulu ubudala.

Ukuba umntwana wakho uthatha iLomotil kwaye uqala ukuba nazo naziphi na iimpawu zoxinzelelo lokuphefumla (njengokuphefumla okucothayo) okanye ukudakumba kwenkqubo ye-nervous system (njengokuziva usozela), thetha nogqirha wabo. Ukuba iimpawu zabo zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane.

Ukuqunjelwa (hayi isiphumo esisecaleni)

Ukuqunjelwa asiyompembelelo yeLomotil. I-Atropine, esinye sezithako eziseLomotil, sinokubangela ukuqhina kwiidosi eziphezulu. Nangona kunjalo, inani le-atropine liphantsi kakhulu kumthamo oqhelekileyo weLomotil ongenakufane uqunjwe.

Ukuba uziva ubanjiwe ngelixa uthatha iLomotil, thetha nogqirha wakho. Banokunciphisa idosi yakho.

Iziphumo ebezingalindelekanga ebantwaneni

Iziphumo ebezingalindelekanga ebantwaneni ziyafana neziphumo ebezingalindelekanga kubantu abadala. Amacwecwe eLomotil avunyiwe kubantu abaneminyaka eli-13 nangaphezulu. I-Lomotil akufuneki isetyenziswe kubantwana abangaphantsi kweminyaka emi-6 kuba inokubangela iziphumo ezibi kakhulu. Oku kubandakanya ukuphefumla nzima, isiqaqa kunye nokufa.

Ukusetyenziswa kweLomotil

Ulawulo lokutya kunye neziyobisi (i-FDA) livuma amayeza amiselweyo anjengeLomotil ukunyanga iimeko ezithile.

I-Lomotil yokuhambisa

I-Lomotil (diphenoxylate / atropine) inyanga isifo sorhudo. Inikwe njengonyango olongezayo xa umntu esenesifo sohudo nangona sele ethatha into yokuyinyanga. ILomotil yamkelwe kubantu abadala nakubantwana abaneminyaka eli-13 nangaphezulu.

Urhudo lubangela ilindle elingenamanzi okanye elinamanzi elinokuthi liqhubeke rhoqo. Xa urhudo luhlala ixesha elifutshane (usuku olunye ukuya kwiintsuku ezimbini), luthathwa njengolunamandla kwaye lunokunxulunyaniswa nokugula okwethutyana okunjengebug yesisu. I-Lomotil isetyenziselwa isifo sohudo.

I-Lomotil inokusetyenziselwa ukunyanga urhudo olungapheliyo (oluhlala iiveki ezine okanye nangaphezulu). Olu hlobo lwesifo sohudo lunokuthi luhambelane nesimo sokutya (isisu).

Xa unorhudo, ikhontrakthi yakho yokugaya ukutya ikhawuleza kakhulu. Oku kubangela ukuba ukutya kuhamba ngokukhawuleza ngesisu nangamathumbu, kwaye umzimba wakho awunako ukufunxa amanzi okanye ii-electrolyte (iivithamini kunye neeminerali). Njengokuba, ilindle likhulu kwaye linamanzi, elinokukhokelela ekuphelelweni ngamanzi emzimbeni (ukulahleka kwamanzi emzimbeni).

I-Lomotil isebenza ngokunciphisa ukucola kunye nokuphucula izihlunu zokugaya. Oku kuvumela ukutya ukuba kuhamba kancinci ngesisu nangamathumbu. Umzimba wakho unokufunxa amanzi kunye nee-electrolyte, ezenza izitulo zingabi manzi kwaye zingaphantsi rhoqo.

Lomotil kunye nabantwana

I-Lomotil ivunyiwe ukuba isetyenziswe kubantwana abaneminyaka eli-13 nangaphezulu. Abantwana abangaphantsi kweminyaka eli-13 akufuneki bathathe iLomotil. Nangona eli chiza lingavunyelwanga abantwana abangaphantsi kweminyaka eli-13 ubudala, kukho isilumkiso esikhethekileyo kubantwana abangaphantsi kweminyaka emi-6 ubudala. Jonga "Iinkcukacha zeziphumo ebezingalindelekanga" ngolwazi oluthe kratya.

Kukho isisombululo solwelo somlomo se-diphenoxylate / atropine (ifumaneka kuphela njenge-generic) enokusetyenziselwa ukunyanga isifo sorhudo kubantwana abaneminyaka emi-2 nangaphezulu.

Ukuba ungathanda ukuba umntwana wakho azame isisombululo se-diphenoxylate / atropine liquid, thetha nogqirha wakhe.

Ukusetyenziswa kweLomotil kunye nezinye iindlela zonyango

I-Lomotil imiselwe njengonyango olongezayo xa umntu esenesifo sohudo nangona sele ethatha into yokuyinyanga.

I-Lomotil inokubangela ukugabha, okungakhokelela ekuphelelweni ngamanzi emzimbeni (ukulahleka kwamanzi emzimbeni). Urhudo, imeko eLomotil ephathayo, inokubangela nokuphelelwa ngamanzi emzimbeni.

Ukukunceda ukuphepha ukomisa amanzi emzimbeni, sela amanzi amaninzi kunye nolunye ulwelo olufana nejusi. Iziselo ezinee-electrolyte (iivithamini kunye neeminerals), njengeGatorade yabantu abadala okanye iPedialyte yabantwana, nazo zinokunceda.

Thetha nogqirha wakho okanye usokhemesti ukuba ukhathazekile malunga nokuphelelwa ngamanzi emzimbeni ngelixa uthatha iLomotil. Banokukwazi ukucebisa amayeza okuthintela ukugabha ngelixa uthatha iLomotil.

Eminye yeLomotil

Amanye amachiza akhoyo anokunyanga urhudo. Abanye banokuba ngcono ngokulunge ngakumbi kuwe kunabanye kuxhomekeke kwisizathu sohudo lwakho. Ukuba unomdla wokufumana enye indlela eya eLomotil, thetha nogqirha wakho. Banokukuxelela ngamanye amayeza anokukusebenzela.

Phawula: Amanye amachiza adweliswe apha asetyenziswa ngaphandle kwelebheli ukunyanga iintlobo ezahlukeneyo zorhudo. Ukusetyenziswa kwelebula engekho xa kusebenze iyeza elamkelweyo ukunyanga imeko enye lisetyenziselwa ukunyanga imeko eyahlukileyo.

Uhudo, ixesha elifutshane okanye ixesha elide

Amayeza ayafumaneka ukunyanga iindlela zesisu ezibi kakhulu. Amanye amayeza afumaneka nakwikhawuntari (ngaphandle kommiselo), kubandakanya:

  • Imodium (loperamide). I-Imodium isetyenziselwa ukunyanga urhudo oluqatha, kubandakanya urhudo lwabahambi (urhudo ekutyeni ukutya okanye amanzi angcolileyo, ngesiqhelo xa usiya kwelinye ilizwe). I-Imodium inokusetyenziselwa ngaphandle kwelebheli yesifo sorhudo esibangelwa lunyango lomhlaza.
  • I-Pepto-Bismol (ibismuth subsalicylate). I-Pepto-Bismol isetyenziselwa ukunyanga isifo sohudo esiqatha, kubandakanya urhudo lomhambi. Ingasetyenziselwa ngaphandle kwelebheli ukunyanga usulelo lwebacteria olubizwa ngokuba Helicobacter pylori.
  • IMetamucil (psyllium). I-Metamucil ingasetyenziselwa ngaphandle kwelebula ukunyanga isifo sohudo. Ukusetyenziswa kwayo okuphambili kukunyanga ukuqhina. Ingasetyenziselwa ngaphandle kwelebula yesifo sengqondo sesifo esiswini (IBS).

Urhudo olubangelwa yimeko yonyango

Iimeko ezithile ezinje nge-IBS zinokubangela urhudo. Amayeza anje ngeViberzi (eluxadoline) anokusetyenziselwa ukunyanga i-IBS ngotyatyazo.

Isifo sohudo esibangelwa yintsholongwane

Ukuba urhudo lwakho luvela kusulelo lwebacteria esiswini sakho okanye emathunjini, anje H. pylori okanye Clostridioides ezahlukeneyo, ugqirha wakho unokukunika iyeza lokubulala iintsholongwane. Imizekelo ye-antibiotics ibandakanya:

  • ciprofloxacin (Cipro)
  • vancomycin (Vancocin)
  • Imetronidazole (Flagyl)

Ukuba i-antibiotics ibangela isifo sohudo, ugqirha wakho unokunciphisa umthamo wakho okanye utshintshe amayeza akho. Amanye amayeza alwa norhudo anokubangela ukuba isigulo sihlale ixesha elide, kungafuneka ulawule iimpawu zakho ngokutya kwakho. Thetha nogqirha wakho okanye usokhemesti malunga nokuba ngawaphi amayeza anokukhuseleka ukukunceda ekunciphiseni iimpawu zakho.

Isifo sohudo esibangelwa ngamayeza kwiimeko ezinzima zonyango

Amayeza athile (umzekelo, amachiza omhlaza okanye i-HIV) anokubangela urhudo njengesiphumo esibi. Amanye amayeza anokusetyenziselwa ukunyanga urhudo kwezi meko. Umzekelo, i-crofelemer (Mytesi) isetyenziselwa ukunyanga urhudo kubantu abane-HIV abafumana unyango. I-Loperamide (i-Imodium) ingasetyenziselwa ngaphandle kwelebula (ukusetyenziswa okungavunyelwanga) kwisifo sohudo esibangelwa yimithi yomhlaza.

I-Lomotil vs.Imodium

Unokuzibuza ukuba uLomotil uthelekisa njani namanye amayeza amiselwe ukusetyenziswa okufanayo. Apha sijonga indlela iLomotil kunye neImodium ezifanayo kunye ezahlukeneyo.

Sebenzisa

Zombini iLomotil (diphenoxylate / atropine) kunye neImodium (loperamide) inyanga isifo sorhudo.

I-Lomotil imiselwe njengonyango olongezelelekileyo kubantu abanesifo sohudo nangona sele bethatha into yokuyinyanga. I-Lomotil isetyenziselwa isifo sohudo, kodwa ingasetyenziselwa ukuphatha isifo sohudo esingapheliyo.

I-Imodium isetyenziselwa ukunyanga isifo sohudo esibuhlungu nesingapheliyo. Ingasetyenziselwa ukunyanga utyatyazo lomhambi (urhudo ekutyeni ukutya okungcolileyo okanye amanzi, ngesiqhelo xa usiya kwelinye ilizwe). Ukongeza, inokusetyenziselwa ukunciphisa ukuphuma kwesitulo kwi-ileostomy (ukuvulwa kotyando oludibanisa amathumbu akho kunye nodonga lwesisu ukukhupha isitulo okanye inkunkuma).

I-Imodium isetyenziswa ngaphandle kwelebheli (ukusetyenziswa okungavunyelwanga) kurhudo olubangelwa lunyango lomhlaza.

ILomotil yamkelwe kubantu abadala nakubantwana abaneminyaka eli-13 nangaphezulu.

I-Imodium ingasetyenziswa ngabantu abadala kunye nabantwana abaneminyaka emi-2 nangaphezulu. Nangona kunjalo, kubantwana abaneminyaka emi-2 ukuya kwemi-5 ubudala, kuyacetyiswa ukuba uthethe nogqirha ngaphambi kokuba ubanike ulwelo lweImodium. Kwaye abantwana abaneminyaka emi-2 ukuya kwemi-5 akufuneki banikwe iifomsile ze-Imodium.

I-Lomotil ifumaneka kuphela ngonyango. Imodium ifumaneka kuphela kwikhawuntara (ngaphandle kommiselo).

Iifom zeziyobisi kunye nolawulo

Zombini iLomotil kunye neImodium ziza njengepilisi oyithatha ngomlomo. I-Lomotil yithebhulethi, kwaye i-Imodium yicapsule egcwele ulwelo (i-softgel kunye ne-caplet). Imodium nayo iza njengamanzi.

Iziphumo kunye neengozi

I-Lomotil kunye ne-Imodium zineziphumo ezifanayo kunye nezinye ezahlukileyo. Apha ngezantsi kunemizekelo yeziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Olu luhlu lunemizekelo yeziphumo ebezingalindelekanga ezinokubakho ngeLomotil, kunye neImodium, okanye zombini iziyobisi (xa zithathwa ngokwahlukeneyo njengenxalenye yesicwangciso sonyango kurhudo).

  • Inokwenzeka ngeLomotil:
    • intloko ebuhlungu
    • ukurhawuzelela ulusu okanye irhashalala
    • ulusu olomileyo okanye umlomo
    • ndiziva ndingonwabanga
    • i-malaise (ukuziva ubuthathaka okanye ukungonwabi)
    • Ukuphelelwa ngumdla wokutya
  • Ngaba kunokwenzeka nge-Imodium:
    • ukuqhina
  • Inokwenzeka kunye neLomotil kunye neImodium:
    • uziva unesiyezi okanye uyozela
    • isisu esibuhlungu, isicaphucaphu, okanye ukugabha

Iziphumo ebezingalindelekanga ezimandundu

Olu luhlu lunemizekelo yeziphumo ebezingalindelekanga ezinokubakho neLomotil okanye zombini iLomotil kunye neImodium (xa zithathwa ngokwahlukeneyo njengenxalenye yesicwangciso sonyango kurhudo).

  • Inokwenzeka ngeLomotil:
    • Utshintsho lweemvakalelo, ezinje ngokudakumba okanye uvuyo (ulonwabo olukhulu)
    • ukubona izinto ezingekhoyo (ukubona okanye ukuva into engekhoyo)
    • ityhefu evela kwiatropine (isithako esiseLomotil) okanye iziphumo ebezingalindelekanga ezivela kwi-diphenoxylate (isithako esiseLomotil)
    • uxinzelelo lokuphefumla (ukuphefumla ngokucothayo) okanye ukudakumba kwenkqubo ye-nervous system (ukuphulukana nokusebenza kwengqondo) kubantwana abangaphantsi kweminyaka emi-6 ubudala
  • Inokwenzeka kunye neLomotil kunye neImodium:
    • negazi lakho
    • ingxaki yokuchama

Ukusebenza ngempumelelo

Urhudo kuphela kwemeko esetyenziselwa ukunyanga iLomotil kunye neImodium.

La machiza awathelekiswanga ngokuthe ngqo kwizifundo zeklinikhi, kodwa izifundo ezizodwa zifumene zombini iLomotil kunye neImodium ukuba isebenze ekunyangeni isifo sohudo.

Iindleko

Amacwecwe eLomotil kunye neImodium zombini ziyafumaneka njengegama lophawu kunye neziyobisi eziqhelekileyo. Inguqulelo yesiqhelo yeLomotil (diphenoxylate / atropine) nayo iza njengesisombululo solwelo osithathayo ngomlomo. Amayeza egama leBrand ahlala exabisa ngaphezu kwegeneric.

I-Lomotil ifumaneka kuphela ngonyango. Imodium ifumaneka kuphela kwikhawuntara (ngaphandle kommiselo).

Ngokwengqikelelo yeGoodRx.com kunye neminye imithombo, ngokusetyenziswa okufanayo, iLomotil kunye neImodium ngokubanzi zibiza malunga nokufanayo. Elona xabiso uza kulihlawula iLomotil liya kuxhomekeka kwisicwangciso sakho seinshurensi, indawo okuyo, kunye nekhemesti oyisebenzisayo.

Lomotil kunye notywala

I-Lomotil inokubangela ukozela okanye ukuba nesiyezi. Ukusela utywala ngelixa uthatha iLomotil kunokwenza ezi ziphumo zibi ngakumbi. Kunqabe ukusela utywala ngelixa uthatha iLomotil.

Ukuba ukhathazekile ngokusela utywala ngelixa uthatha iLomotil, thetha nogqirha wakho.

Unxibelelwano lweLomotil

I-Lomotil inokusebenzisana namanye amayeza.

Unxibelelwano olwahlukileyo kunokubangela iziphumo ezahlukeneyo. Umzekelo, unxibelelwano oluthile lunokuphazamisa ukusebenza kakuhle kwesiyobisi. Olunye unxibelelwano lunokunyusa iziphumo ebezingalindelekanga okanye lubenze bube nzima ngakumbi.

Lomotil kunye namanye amayeza

Apha ngezantsi kukho uluhlu lwamayeza anokusebenzisana neLomotil. Olu luhlu alunazo zonke iziyobisi ezinokuthi zisebenzisane neLomotil.

Ngaphambi kokuba uthathe iLomotil, thetha nogqirha wakho kunye nosokhemesti. Baxelele ngawo onke amayeza kagqirha, ekhawuntareni, kunye nezinye iziyobisi ozithathayo. Baxelele malunga nazo naziphi na iivithamini, amayeza esintu kunye nezixhasi ozisebenzisayo. Ukwabelana ngolu lwazi kunokukunceda uphephe unxibelelwano olunokubakho.

Iziyobisi ezibangela ukudakumba kwenkqubo ye-nervous system

Ngamanye amaxesha, ukuthatha iLomotil kunokubangela ukudakumba kwenkqubo (CNS) (ukulahleka kwengqondo). Ukuthatha iLomotil kunye namanye amayeza anokubangela uxinzelelo lwe-CNS kunokwenza ukuba icala libe namandla.

Imizekelo yeeklasi zamayeza ezinokubangela uxinzelelo lwe-CNS zibandakanya:

  • i-barbiturates, njenge-butabarbital (Butisol), ephatha ukuphazamiseka kokulala
  • i-anxiolytics, efana ne-buspirone kunye ne-benzodiazepines (alprazolam, okanye i-Xanax), ephatha uxinzelelo
  • iiopioid, ezinje nge-oxycodone (Oxycontin), ephatha iintlungu
  • i-antihistamines, enje nge diphenhydramine (Benadryl), enyanga ukwaliwa
  • izihlunu eziphumlayo, ezinje ngecarisoprodol (Soma), ephatha ukungqubana kwezihlunu

Ukuba uthatha elinye lalamanye amayeza anokubangela uxinzelelo lwe-CNS, ugqirha wakho unokuyeka kwaye uthathe utshintsho kwichiza elahlukileyo xa uqala ukuthatha iLomotil. Okanye banokumisela unyango olongezelelweyo okongeziweyo endaweni yeLomotil. Kuxhomekeke kweliphi iyeza olithathayo, ugqirha wakho unokuhlala uzithatha zombini iziyobisi kwaye ujonge wena rhoqo kwiziphumo ebezingalindelekanga.

Ukuba unemibuzo malunga nokunxibelelana kweziyobisi okunokuchaphazela, buza ugqirha wakho okanye usokhemesti.

I-Monoamine oxidase inhibitors

I-Monoamine oxidase inhibitors (i-MAOIs) enjenge-isocarboxazid (Marplan) okanye i-phenelzine (Nardil) isetyenziselwa ukunyanga uxinzelelo. I-Diphenoxylate, isithako esiseLomotil, inxibelelana nala machiza kwaye inokubangela ingxaki yoxinzelelo lwegazi (uxinzelelo lwegazi oluphezulu kakhulu).

Ukuba uthatha i-MAOI, ugqirha wakho angayeka ukuyithatha kwaye utshintshele kwichiza elahlukileyo xa uqala ukuthatha iLomotil. Okanye banokumisela unyango olongezelelweyo okongeziweyo endaweni yeLomotil. Kuxhomekeke kunyango olithathayo, ugqirha wakho unokuhlala uzithatha zombini iziyobisi kwaye ujonge wena rhoqo kwiziphumo ebezingalindelekanga.

I-Lomotil kunye nemifuno kunye nezongezelelo

Akukho nanye imifuno okanye izongezo ezichazwe ngokukodwa ukuba zisebenzisane neLomotil. Nangona kunjalo, kuya kufuneka ujonge nogqirha wakho okanye usokhemesti ngaphambi kokusebenzisa nayiphi na kwezi mveliso ngelixa uthatha iLomotil.

Lomotil nokukhulelwa

Akukho datha yaneleyo kwizifundo zabantu okanye zezilwanyana ukwazi ukuba kukhuselekile na ukuthatha iLomotil ngexesha lokukhulelwa. Nangona kunjalo, kubalulekile ukuba uqaphele ukuba eli yeza liqulethe isithako se-narcotic (diphenoxylate), kwaye i-narcotic ibonakalisiwe ukuba ibangela ingozi ngexesha lokukhulelwa.

Ukuba ukhulelwe okanye ucwangcisa ukukhulelwa, thetha nogqirha wakho malunga nezibonelelo ezinokubakho kunye nemingcipheko yokusebenzisa iLomotil ngelixa ukhulelwe.

I-Lomotil kunye nokuncancisa

Akukho datha yaneleyo kwizifundo zabantu okanye zezilwanyana ukwazi ukuba kukhuselekile na ukuthatha iLomotil ngelixa uncancisa. Nangona kunjalo, zombini izithako (i-diphenoxylate kunye ne-atropine) zinokudlula kubisi lwebele lomntu.

Eli yeza liqulathe isithako se-narcotic (diphenoxylate), ke kubalulekile ukuba ungathathi i-Lomotil ngaphezulu kunokuba ugqirha ugqirha.

Ukuba uncelisa okanye uceba ukuncelisa, thetha nogqirha wakho malunga neenzuzo kunye neengozi zokusebenzisa iLomotil ngelixa uncelisa.

Iindleko zeLomotil

Njengawo onke amayeza, iindleko zeLomotil ziyahluka.

Ixabiso langempela oza kulihlawula lixhomekeke kwisicwangciso sakho seinshurensi, indawo okuyo, kunye nekhemesti oyisebenzisayo.

Uncedo lwezezimali kunye neinshurensi

Ukuba ufuna inkxaso yemali ukuhlawula iLomotil, okanye ukuba ufuna uncedo lokuqonda i-inshurensi yakho, uncedo luyafumaneka.

I-Pfizer Inc., umenzi weLomotil, unikezela ngenkqubo ebizwa ngokuba yiPfizer RxPathways. Ngolwazi oluthe kratya kunye nokufumanisa ukuba uyilungele na inkxaso, tsalela umnxeba ku-844-989-PATH (844-989-7284) okanye undwendwele iwebhusayithi yenkqubo.

Ungayithatha njani i-Lomotil

Kuya kufuneka uthathe uLomotil ngokogqirha wakho okanye ngemiyalelo yezempilo.

Nini ukuthatha

Xa uqala ukusebenzisa iLomotil, thatha iipilisi ezimbini amaxesha amane ngemini. Musa ukuthatha iipilisi ezingaphezulu kwesibhozo (i-20 mg yediphenoxylate) ngosuku. Qhubeka nale dosi de kube urhudo lwakho luqale ukuphucula (isitulo siqine), ekufanele ukuba kwenzeke ngaphakathi kweeyure ezingama-48. Nje ukuba urhudo lwakho luqale ukuphucula, idosi yakho inokuhla iye ezantsi njengeepilisi ezimbini ngosuku. Uya kuyeka ukuthatha iLomotil xa urhudo lwakho luphelile.

Urhudo lunokubangela ukuphelelwa ngamanzi emzimbeni (ukulahleka kwamanzi emzimbeni), kungoko ungathatha iLomotil ngeglasi yamanzi ukunceda ukubuyisela ulwelo emzimbeni wakho.

Ukuba urhudo lwakho aluyeki kwiintsuku ezili-10, thetha nogqirha wakho. Banokuyeka ukuthatha iLomotil kwaye uzame olunye unyango.

Ukuthatha iLomotil ngokutya

Ungathatha iLomotil kunye okanye ngaphandle kokutya. Ukuthatha iLomotil ngokutya kunokuthintela isisu esibuhlungu, ngakumbi ebantwaneni. Urhudo lunokubangela ukuphelelwa ngamanzi emzimbeni, kungoko ungathatha iLomotil ngeglasi yamanzi ukunceda ukubuyisela ulwelo emzimbeni wakho.

Ngaba iLomotil inokutyunyuzwa, ukwahlulwa, okanye ukuhlafunwa?

Ulwazi olumisela uLomotil alukhankanyi nokuba iipilisi zinokutyunyuzwa, zahlulwe, okanye zihlafunwe. Ke, kungcono kungcono ukuziginya ziphelele. Ukuba awukwazi ukuginya iipilisi, ungathatha isisombululo solwelo somlomo, esifumaneka kuphela njengesiqhelo. Ugqirha wakho okanye usokhemesti angakuxelela ngakumbi.

Usebenza njani uLomotil

I-Lomotil ikudidi lwamayeza abizwa ngokuchasene norhudo. Isebenza ngokunciphisa ukucola ukutya esiswini kwaye iphinde ibuyise ukwetyisa (isisu) izihlunu.

Urhudo lubangela ilindle elingenamanzi okanye elinamanzi elinokuthi liqhubeke rhoqo. Xa urhudo luhlala ixesha elifutshane (usuku olunye ukuya kwezimbini), luthathwa ngokuba lubi. Oku kunokuhambelana nokugula okwethutyana okufana nesisu sesisu. I-Lomotil isetyenziselwa isifo sohudo.

I-Lomotil inokusetyenziselwa ukunyanga urhudo olungapheliyo (oluhlala iiveki ezine okanye nangaphezulu). Olu hlobo lwesifo sohudo lunokuthi luhambelane nesimo sokutya (isisu).

Xa unorhudo, ikhontrakthi yakho yokugaya ukutya ikhawuleza kakhulu. Oku kubangela ukuba ukutya kuhamba ngokukhawuleza ngesisu nangamathumbu, kwaye umzimba wakho awunako ukufunxa amanzi okanye ii-electrolyte (iivithamini kunye neeminerali). Ke ngoko, ilindle likhulu kwaye linamanzi, elinokukhokelela ekuphelelweni ngamanzi emzimbeni (ukulahleka kwamanzi emzimbeni).

I-Lomotil isebenza ngokunciphisa ukucola kunye nokuphucula izihlunu zokugaya. Oku kuvumela ukutya ukuba kuhamba kancinci ngesisu nangamathumbu. Umzimba wakho unokufumana amanzi kunye ne-electrolyte, eyenza izitulo zingabi namanzi kwaye zingaphantsi.

Kuthatha ixesha elingakanani ukusebenza?

Urhudo kufuneka luphuculwe kwiiyure ezingama-48 ukuqala kweLomotil. Oku kuthetha ukuba kuya kufuneka uqinise kwaye ungaphantsi rhoqo izitulo. Ukuba urhudo aluphuculanga kwiintsuku ezili-10 zabantu abadala okanye iiyure ezingama-48 kubantwana, thetha nogqirha wakho. Banokuyeka ukuthatha iLomotil kwaye uzame olunye unyango.

Imibuzo eqhelekileyo malunga neLomotil

Nazi iimpendulo kwimibuzo ebuzwa rhoqo malunga neLomotil.

Ngaba iLomotil iyanceda ukunyanga igesi kunye nokuqunjelwa?

I-Lomotil ayivunyelwanga ukunyanga igesi kunye nokudumba. Nangona kunjalo, ezi zinokuba ziimpawu zorhudo, ezinokunyangwa nguLomotil. Ngokunyanga isifo sohudo, iLomotil inokunyanga igesi kunye nokudumba okunokwenzeka xa unorhudo.

Ngaba iLomotil iya kubangela ukuxinana okanye iintlungu esiswini sam?

I-Lomotil inokubangela iintlungu zesisu kunye nokuphazamiseka. Urhudo, imeko eLomotil ephathayo, inokubangela ukuba umntu abambe isisu kunye nentlungu esiswini. Ukuba isisu sakho siba sibi kakhulu kwaye asihambi emva kweentsuku ezimbalwa, tsalela ugqirha wakho. Banokukwazisa ukuba ufuna ukuthatha elinye iyeza okanye ukuba bafuna ukukubona.

Ngaba kufanelekile ukuba ndithathe i-Lomotil ukuba ndinesifo sorhudo esiswini somkhuhlane?

Hayi, iLomotil akufuneki isetyenziselwe urhudo olubangelwa yintsholongwane esiswini (umzekelo, Clostridioides ezahlukeneyo). Ukuthatha iLomotil xa unolu hlobo losulelo lwesisu sebhaktiriya kunokubangela i-sepsis, isifo esibi kakhulu kwaye esisongela ubomi.

Ukuba uthatha iLomotil xa unentsholongwane yesisu esiswini, inokwenza ukuba usulelo luhlale ixesha elide. Biza ugqirha wakho ukuba ucinga ukuba unokuba nesifo somkhuhlane esiswini. Banokukuxelela ukuba uyiphatha njani ekhaya okanye ukuba bafuna ukukubona.

Ngaba ndingasebenzisa uLomotil ukunyanga urhudo oluvela kwi-IBS?

Ewe, iLomotil inokusetyenziselwa ukunyanga urhudo olubangelwa sisifo samathumbu esibuhlungu (IBS). Nangona kunjalo, iLomotil kufuneka isetyenziswe ngononophelo olukhulu ukuba unesifo samathumbu esivuthayo (IBD).

I-IBS inokubangelwa luxinzelelo, ukutya okuthile, okanye amayeza kwaye ihlala ingekho mbi kakhulu. I-IBD ibandakanya iimeko ezinzulu ezinje ngesifo sikaCrohn kunye nesifo sokukrala kwezilonda. Ukuba une-ulcerative colitis, ukuthatha iLomotil kunokubangela i-megacolon enetyhefu, isifo esinqabileyo kodwa esibi kakhulu.

Thetha nogqirha wakho malunga nokhetho lwakho lonyango ukuba unesifo sohudo esibangelwa yi-IBS okanye i-IBD. Ukuba iLomotil ilungile kuwe, banokujonga unyango lwakho.

Ngaba i-Imodium neLomotil zinokusetyenziswa kunye?

Thetha nogqirha wakho ngaphambi kokuba uthathe i-Imodium kunye neLomotil kunye. Ukusebenzisa la machiza ngokudibeneyo kunokunyusa iziphumo ebezingalindelekanga ezinje ngokuba nesiyezi kunye nokozela. Gwema ukusela utywala okanye ukwenza imisebenzi efuna ukuphaphama okanye ukugxila (umzekelo, ukuqhuba) de uyazi indlela oziva ngayo ngelixa uthatha amayeza omabini.

Izilumkiso zeLomotil

Ngaphambi kokuba uthathe uLomotil, thetha nogqirha wakho malunga nembali yakho yezempilo. I-Lomotil isenokungakulungeli ukuba uneemeko ezithile zonyango okanye ezinye izinto ezichaphazela impilo yakho. Oku kubandakanya:

  • Ubudala. Amacwecwe eLomotil kufuneka asetyenziswe kuphela ngabantu abadala kunye nabantwana abaneminyaka eli-13 nangaphezulu. I-Lomotil inokubangela iziphumo ebezingalindelekanga ezibi kubantwana abangaphantsi kweminyaka emi-6. Jonga ulwazi malunga nokudakumba ngokuphefumla kunye nokudakumba kwenkqubo ye-nervous system kwicandelo "Iinkcukacha zesiphumo sendawo" kwicandelo elingasentla.
  • I-Down syndrome (kubantwana). I-Lomotil iqulethe i-atropine yeziyobisi. Ingabangela ityhefu ye-atropine kubantwana abane-Down syndrome. Ugqirha wakho unokukuxelela ngakumbi.
  • Usulelo lwesisu. I-Lomotil akufuneki isetyenziselwe urhudo olubangelwa zizifo ezithile ezibangelwa ziintsholongwane (umzekelo, IClostridium difficile). Ukuthatha iLomotil xa unolu hlobo losulelo lwesisu sebhaktiriya kunokubangela i-sepsis, isifo esibi kakhulu kwaye esisongela ubomi.
  • Ukudumba okwenziwa sisilonda sikabhobhosi. Ukuba une-ulcerative colitis (uhlobo lwesifo samathumbu esivuthayo), thetha nogqirha wakho ngaphambi kokusebenzisa iLomotil. Ukusetyenziswa kweLomotil kumntu one-ulcerative colitis kunokubangela isifo esinqabileyo kodwa esibi kakhulu esibizwa ngokuba yi-megacolon enetyhefu.
  • Isibindi okanye isifo sezintso. Ukuba unesifo sezintso okanye isifo sesibindi, thetha nogqirha wakho ngaphambi kokusebenzisa iLomotil.
  • Ukugula kakhulu. Akufanele uthathe iLomotil ukuba unobungozi kwizithako zayo (diphenoxylate okanye atropine).
  • Ukuphelelwa ngamanzi emzimbeni. Ukuba unesiphene emzimbeni (ukulahleka kwamanzi emzimbeni), akufanele uthathe iLomotil. Indlela iLomotil esebenza ngayo emathunjini akho inokubangela ukuba umzimba wakho ugcine ulwelo, olunokuthi lwenze ukuba kubi emzimbeni.
  • Ukukhulelwa. Akukho datha yaneleyo kwizifundo zabantu okanye zezilwanyana ukwazi ukuba kukhuselekile na ukuthatha iLomotil ngexesha lokukhulelwa.Ukufumana ulwazi oluthe kratya, jonga icandelo le- "Lomotil kunye nokukhulelwa" apha ngasentla.
  • Ukuncancisa. Akukho datha yaneleyo kwizifundo zabantu okanye zezilwanyana ukwazi ukuba kukhuselekile na ukuthatha iLomotil ngelixa uncancisa.Ukufumana ulwazi oluthe kratya, jonga icandelo le- "Lomotil kunye nokuncancisa" apha ngasentla.

Phawula: Ngolwazi oluthe kratya malunga neziphumo ezibi ezinokubakho zeLomotil, jonga icandelo le "Iziphumo zeLomotil" apha ngasentla.

Libanda, lomotil

Sebenzisa ngaphezulu komthamo ocetyiswayo weLomotil kunokukhokelela kwiziphumo ebezingalindelekanga ezibi, kubandakanya ukuxhuzula, isiqaqa, okanye nokufa.

Iimpawu libanda

Iimpawu zokudlula ngaphezulu zinokubandakanya:

  • unengxaki yokuphefumla
  • ukudinwa kakhulu kunye nokuba buthathaka
  • ndiziva ndishushu
  • izinga eliphezulu lentliziyo
  • isikhumba esomileyo
  • ndiziva ndinobushushu
  • unengxaki yokucinga nokuthetha
  • utshintsho kubungakanani babafundi bakho (ichaphaza elimnyama embindini wamehlo)

Kufuneka wenze ntoni xa uthe wagqithisa?

Ukuba ucinga ukuba uthathe kakhulu eli chiza, tsalela ugqirha wakho. Kodwa ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko. Ukuba uneempawu ezithile ezinje ngoxinzelelo lokuphefumla (ukuphefumla okucothayo), unokunikwa iyeza elibizwa ngokuba yi-naloxone (Narcan). Ungabiza uMbutho waseMelika wamaZiko oLawulo lweTyhefu kwi800-222-1222 okanye usebenzise isixhobo sabo kwi-Intanethi ukuba ayisiyongxamiseko.

Naloxone: Usindise ubomi

I-Naloxone (i-Narcan, i-Evzio) sisiyobisi esinokuguqula ngokukhawuleza ii-overdoses kwii-opioids, kubandakanya ne-heroin. Ukugqithisa kwe-opioid kunokwenza kube nzima ukuphefumla. Oku kunokuba yingozi xa kunganyangwa ngexesha.

Ukuba wena okanye umntu omthandayo usemngciphekweni wokugqithisa i-opioid, thetha nogqirha wakho okanye usokhemesti malunga ne-naloxone. Bacele ukuba bachaze imiqondiso yokugqithisa komzimba kwaye babonise wena kunye nabantu obathandayo indlela yokusebenzisa naloxone.

Kwimimandla emininzi, unokufumana i-naloxone kwikhemesti ngaphandle kommiselo. Gcina iyeza ngesandla ukuze ube nokufikelela ngokulula kwimeko yokugqithisa.

Ukuphelelwa lixesha kweLomotil, ukugcinwa kunye nokulahlwa

Xa ufumana iLomotil ekhemesti, usokhemesti uya kongeza umhla wokuphelelwa kwileyibhile esebhotileni. Lo mhla uqhelekile ukuba ube ngunyaka omnye ukusukela kumhla wokuhambisa kwabo amayeza.

Umhla wokuphelelwa unceda ekuqinisekiseni ukuba amayeza aya kusebenza ngeli xesha. Isimo sangoku soLawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) kukuphepha ukusebenzisa amayeza aphelelwe lixesha. Ukuba awusebenzisanga iyeza elidlulileyo kumhla wokuphelelwa kwalo, thetha nosokhemesti wakho malunga nokuba unganako na ukuyisebenzisa.

Ukugcina

Ukuhlala ixesha elingakanani iyeza lihlala lilungile kunokuxhomekeka kwizinto ezininzi, kubandakanya ukuba uligcina phi kwaye phi na iyeza.

Iipilisi zeLomotil kufuneka zigcinwe kubushushu begumbi kwisitya esitywinwe ngokuqinileyo kude nokukhanya. Gwema ukugcina eli yeza kwiindawo ezinokuthi zifumane ukufuma okanye zimanzi, ezinje ngezindlu zangasese.

Ukulahla

Ukuba akusafuneki ukuthatha iLomotil kwaye unamayeza ashiyekileyo, kubalulekile ukulahla ngokukhuselekileyo. Oku kunceda ukuthintela abanye, kubandakanya abantwana kunye nezilwanyana zasekhaya, ekubeni bathathe iyeza ngengozi. Kuyanceda ukugcina ichiza lingonzakalisi okusingqongileyo.

Iwebhusayithi ye-FDA ibonelela ngeengcebiso ezininzi eziluncedo ngokulahla amayeza. Unokucela ikhemesti yakho ukuba ikwazi ukuba ulahla njani na amayeza akho.

Ulwazi lobungcali lweLomotil

Olu lwazi lulandelayo lubonelelwe ngoochwephesha kunye nabanye abaqeqeshi bezempilo.

Iimpawu

Amacwecwe eLomotil aboniswa kurhudo ukongeza kwezinye iindlela zonyango kubantu abaneminyaka eli-13 nangaphezulu.

Indlela yokusebenza

I-Lomotil icothisa intshukumo yesisu kunye nokusebenza kwamathumbu. Ikwahlaziya izihlunu zesisu ukukhusela i-spasms.

I-Pharmacokinetics kunye ne-metabolism

Kuthatha malunga neeyure ezimbini ukufikelela kumanqanaba aphezulu eplasma, kunye nesiqingatha sobomi bokuphelisa malunga neeyure ezili-12 ukuya kwezi-14.

Ukungqinelana

I-Lomotil iyaphikiswa kwi:

  • abaguli abangaphantsi kweminyaka emi-6 ubudala, njengoko kunokubangela uxinzelelo lokuphefumla kunye nokudakumba kwenkqubo ye-nervous system
  • izigulana ezinesifo sorhudo ngenxa ye-enterotoxin evelisa iintsholongwane ezinje nge IClostridium difficile, njengoko inokubangela imiba yesisu njenge-sepsis
  • izigulana ezibangelwa kukwalana komzimba okanye i-hypersensitivity to diphenoxylate okanye atropine
  • izigulane ezine-jaundice ezithintelayo

Ukusetyenziswa gwenxa kunye nokuxhomekeka

I-Lomotil sisixhobo esilawulwayo seShedyuli V. I-Diphenoxylate, isithako esiseLomotil, sisixhobo esilawulwayo seShedyuli II (enxulumene ne-narcotic meperidine), kodwa i-atropine inceda ukunciphisa umngcipheko wokusetyenziswa gwenxa. I-Lomotil ayisiyobisi kumthamo ocetyiswayo kurhudo kodwa inokubangela ukuba likhoboka kunye neziphumo ezinjengekhowudi kwiidosi eziphezulu kakhulu.

Ukugcina

Gcina iLomotil ngezantsi kwe-77˚F (25˚C).

Iphepha elichazayo ukuba awusenanto oyifunayo: Iindaba zezoNyango namhlanje zenze zonke iinzame zokuqinisekisa ukuba zonke iinkcukacha zichanekile, zibanzi kwaye zihlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.

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