I-Guttasil "ye-Laxative: izibuyekezo, ukwakheka, okufanayo

Iyini injongo yomuthi "Guttasil"? Imiyalo yokusetshenziswa, ukubuyekezwa mayelana nomuthi kuzochazwa ngezansi. Futhi uzothola ngesimo lapho kukhishwa khona izidakamizwa ezicutshungulwayo, yiziphi izinto eziqukethe, kungakhathaliseki ukuthi kukhona ukuphikisana nalesi sidakamizwa nemiphumela emibi.

Ifomu lemithi, ukupakisha kwayo nokubunjwa

Uyini uhlobo lomuthi "Guttasil"? Ukubuyekezwa kwesidakamizwa kuthi kungathengwa ngendlela yamaconsi okuphatha ngomlomo. Ingxenye esebenzayo yale nsizakalo i-sodium picosulphate monohydrate. Ngokuphathelene nezakhi ezisizayo, zihlanganisa u-sorbitol, isisombululo se-hydrochloric acid, i-methyl parahydroxybenzoate ne-water for injection.

Luhlobo luni lwephakheji eyenza umuthi "Guttasil" (amaconsi) abe nawo? Impendulo evela kwalabo abaye bawasebenzisa ngokuphindaphindiwe lesi sidakamizwa, bathi lo mkhiqizo uthengiswa ebhodleleni le-polyethylene nge-dispenser ekhethekile, uphawu ngesembozo esinophawu (ukulawulwa kwe-autopsy yokuqala). Isidakamizwa sifakwa ebhokisini elikhazimulayo lebhodibhodi. Isiqukathi singaqukatha izidakamizwa ezingu-15, 30 no-7.5 ml.

Incazelo yokulungiselela

Isidakamizwa esithi "Guttasil", esizochazwa ngokuqhubekayo, isilawuli esicacile nesingenambala. Ngezinye izikhathi lo mkhiqizo une-tint ephuzi elikhanyayo.

Izici zezemvelo

Iyini i-Guttasil? Ukubuyekezwa mayelana nalomuthi kuyamangalisa. Ngokuqondene nemiyalelo enamathiselwe, ngokusho kwalo, le mithi iyi-laxative.

Isimiso sesenzo salo ukuthi into esemqoka, engena emzimbeni, iqala ukusebenza emathunjini amakhulu. Lokhu kwenzeka ngaphansi kwesenzo se-bacterial sulfatases. Izinto ezikhishwa phakathi nale nqubo zivuselela ukuphela kwezinzwa zomzimba zamathumbu, ngaleyo ndlela ziqinisa ukwenziwa komzimba.

Kumele kuqatshelwe ngokukhethekile ukuthi ukusetshenziswa kwesidakamizwa esibuzwayo akuhambisani nezindawo zokuphazamiseka kanye nezibilini zamathumbu. Ngakho-ke, ingasetshenziswa ngaphandle kokwesaba imiphumela engathandeki.

Pharmacokinetics yemithi

Ingabe i- "Guttasil" ye-laxative yanyathele? Ukubuyekezwa kochwepheshe kuqukethe ulwazi lokuthi emva kokungenisa isidakamizwa sifinyelela emathunjini (obukhulu) ngaphandle kokungenwa. Kulo, ngaphansi kwethonya le-bacterial flora, lesi sidakamizwa sinamathele, okuholela ekwakheni uhlobo olusebenzayo lwe-bis (p-hydroxyphenyl) -pyridyl-2-methane.

Kwenzeka kanjani ukuba umphumela we-laxative ngokushesha ngemva kokuthatha imithi ye-Guttasil? Ukwakhiwa kwalesi sidakamizwa kungukuthi isiguli sizwa umphumela wayo ngemuva kokuphela kwamahora angu-7-12. Kumele kuqashelwe ukuthi ukuqina komphumela we-laxative akuhambelani nezinga le-bis (p-hydroxyphenyl) -pyridyl-2-methe egazini.

Omunye akanakusiza ukusho ukuthi iGittasil ayihambisani nokuphindaphinda kwamathumbu emathumbu.

Izinkomba zokusetshenziswa

Iyini injongo yomuthi "Guttasil"? Ukusetshenziswa kwale mithi kuboniswa ukuqotshwa okungapheli, okumele kubangele ukukhwabanisa kwekhaloni, kanye ne-hypotension.

Ngaphezu kwalokho, i-ejenti embuzweni ingahle ibekwe udokotela ukuba alungise isitoreji se-proctitis, ama-hemorrhoids, noma ama-fissures angama-anal. Ngokuvamile, lesi sidakamizwa sisetshenziselwa ukulungiselela ukuhlinzwa, kanye nezifundo ze-radiographic kanye nezinsimbi.

Ukungahambisani nokusetshenziswa kwezidakamizwa ze-laxative

Kuziphi izimo ezingavunyelwe ukunikeza isiguli umuthi "Guttasil"? Ochwepheshe bathi umuthi onjalo awukwazi ukusetshenziselwa ukuvinjelwa kwamathumbu emathunjini, i-peritonitis, i-hernia ecacisiwe, i-appendicitis enamandla kanye ne-ulcerative colitis. Futhi, lesi sidakamizwa siyaphambana nokuphuma kwegazi emithonjeni yesisu, ubuhlungu obukhulu esiswini esiswini esingaziwa kuhambisane nesicathulo kanye nokuhlanza, kanye nokuphuma kwegazi, i-cystitis, ukuqothulwa kwe-spastic, kanye nabantwana abangaphansi kweminyaka engama-4 nasesigabeni sokuqala sokukhulelwa.

Ngaphezu kwalokho, izidakamizwa ezibuzwayo azikhuthazwa iziguli ezinokuphelelwa amandla ngokweqile kwegazi kanye ne-hypersensitivity kwi-picosulphate ye-sodium nezinye izingxenye zalesi sidakamizwa.

I-laxative eqondile

Kuziphi izimo umuthi "Guttasil" onqunywe ngokuqapha? Ama-analog of the drug okucatshangelwayo kanye nemithi ngokwayo kufanele ithathwe ngaphansi kokuqondiswa udokotela asebekhulile, kanye ne-hypokalemia, okwenyuka okuqukethwe kwe-magnesium egazini, ukuba khona kwe-asthenia, ku-2rd and 3rd trimester yokukhulelwa.

Ukulawulwa kwezidakamizwa ngesikhathi sokukhulelwa futhi ngesikhathi sokukhulelwa

Ukuphepha kokusetshenziswa kwesidakamizwa esibuzwayo ngesikhathi sokukhulelwa, kanye nesikhathi sokuncelisa ingane akuqondi kahle. Kodwa-ke, ochwepheshe bathi i-trimester yokuqala le mithi iphikisana. Ngokuphathelene ne-2 nd no-3 rd, ngalesi sikhathi imithi inokwenzeka kuphela uma inzuzo kumama ingaphezu kwengozi ye-intrauterine disorders ekuthuthukiseni i-fetus.

Kumele kuqashelwe ukuthi ingxenye esebenzayo yamaconsi (i-picosulfate ye-sodium) ayikwazi ukukhonjiswa kanye nobisi lwebele. Kodwa-ke, uma udinga ukusebenzisa umuthi "Guttasil" ngesikhathi sokudla komntwana, ukukhwabanisa kumele kumiswe ngokushesha.

Isilinganiso semithi kanye nendlela esetshenziselwa ngayo

Indlela yokusebenzisa kahle amaconsi we "Guttasil"? Ngokwemiyalelo, le mithi kumele ithathwe ngaphakathi kuphela. Futhi kunconywa ukwenza lokhu ebusuku. Yile ndlela eyokwenza ukuthi amathumbu asuswe ekuseni ngakusasa.

Isidakamizwa "Guttasil" senziwa ngumhlinzeki okhethekile womenzi. Umthamo wayo kufanele uzimisele ngokuvumelana nesikhathi soguli. Isibonelo, abadala nabantwana abaneminyaka engaphezu kwengu-10 banqunywe ama-14-28 amaconsi noma ama-5-10 mg. Izingane ezineminyaka engama-4 kuya kwengu-10 kufanele zinikezwe ngamaconsi angu-8-14 (noma 2.5-5 mg).

Ngokuphathelene nezingane ezineminyaka engaphansi kwezingu-4, izidakamizwa ziphikisana nazo. Nakuba kwezinye izimo, odokotela bezingane basayimisa. Ukuze wenze lokhu, umthamo ubalwa ngokusekelwe kwesisindo somzimba wengane - 250 mg ngalunye u-1 kg (ie amaconsi amabili nge 3 kg).

Njengomthetho, izingane zengezwa emtholampilo. Kubo, imithi eyodwa ibhekwa njengempumelelo. Uma kunesidingo, inkambo yokwelashwa kwengane inganda. Noma kunjalo, kungcono ukuyikhawulela ezinsukwini ezintathu kuphela.

Ukuqeda ukuqothulwa kwezigulane zomdlavuza othola imithi enkulu yama-opioid, kufanele uxhumane nodokotela wakho. Ukuziphathisa izidakamizwa ezimweni ezinjalo akuvunyelwe.

Ukudlula ngokweqile komuthi

Uma kwenzeka ukungenwa okungafanele nokungalawulwa kwemithi, isiguli singase sikhule izibonakaliso ezinjalo zokudlula ngokweqile: ukunyakaza kwamathumbu amakhemikhali, ukuphazamiseka okukhulu kwamanzi-electrolyte, ama-spasms kanye ne-colic esiswini, i-hypokalemia, ukulahlekelwa kwamanzi, neschemical of the mucosa emathunjini amakhulu.

Omunye akanakusiza ukusho ukuthi ukudlula isikhathi eside kungaholela ekuthuthukiseni ubuhlungu obukhulu besisu, isifo sohudo esingapheli, i-hyperaldosteronism yesibili, i-alkalosis yemithi, ukulimala kwezinso, i-nephrolithiasis kanye nobuthakathaka bemisipha.

Indlela yokuphatha lesi simo? Okokuqala, isiguli sidinga ukugeza isisu. Khona-ke unikezwa ukwamukela ama-enterosorbents (isibonelo, amalahle asebenzayo), futhi aphinde asebenze ukwelashwa okuyisimangaliso (hlela ukulinganisela kwamanzi-electrolyte, ubeke ama-antispasmodics, njll).

Imiphumela emibi emva kokuthatha imithi

Ngokusho kokubuyekezwa kodokotela neziguli, ngokusebenzisa isikhathi esifushane izidakamizwa, imiphumela emibi ayifani kakhulu. Ngokusebenzisa isikhathi eside izidakamizwa ezinyangeni eziphakeme, ukwephulwa kungenzeka, okubalwe ngezansi:

• Isikhumba: ukuqhuma, ukushaywa kanye nokusikeka.
• Ukulinganisela kwamanzi-electrolyte: ukulahlekelwa kwe-sodium, i-potassium namanye ama-electrolyte. Ukuphelelwa amandla kwamanzi nakho kungenzeka.
• Indlela yokugaya ukudla: ukuhlanza, isifo sohudo, isifo sohudo, isicanucanu, ubuhlungu besisu, izikhonda zesisu, ukwanda kwamathumbu emathunjini, i-flatulence, ubuhlungu ku-anus. Njengomthetho, le mibi yenzeke ngokushesha ngemuva kokuyeka imithi.
• Amasosha omzimba: ukusabela kwe-allergen, kanye ne-angioedema.
• Uhlelo lwezinzwa: ukukhathala okwandayo, ikhanda, ukulala nokugubha.

Ukusebenzisana nezinye izindlela

Ukungalingani kwe-electrolyte, okwakusuka ngemuva kokuthatha isidakamizwa esibuzwayo, kungaholela kalula ekunciphiseni komzimba ukubekezela kwe-glycosides yenhliziyo.

I-GCS, kanye nama-diuretics ukwandisa ubukhulu be-hypokalemia, obangelwa ukusetshenziswa kwesidakamizwa "iGuttasil" emasethweni aphezulu.

Ukwelashwa kanyekanye ngezidakamizwa zokulwa namagciwane kunganciphisa umphumela we-laxative wesidakamizwa.

Imiyalo ekhethekile yokuthatha isidakamizwa se-laxative

Njengezinye izidakamizwa ezenzelwe ukusheshisa amathumbu emathunjini, umuthi "Guttasil" awunconywa ukuba uthathwe nsuku zonke nangesikhathi eside.

Uma udinga ukudla nsuku zonke kwesidakamizwa, kufanele uthole ukuthi imbangela yangempela yokuqothulwa. Ukusetshenziswa kakhulu kwama-laxatives ngokuvamile kuholela ekungalingani kwe-electrolyte, kanye ne-hypokalemia. Ngaphezu kwalokho, umuthi onjalo ungase ube umlutha. Ngokulandelayo, isiguli siyoba nokuqina okuqinile (umphumela we-ricochet).

Le mithi ibeka phansi izigulane ezigulini ezinomdlavuza othola ama-opioid amakhulu. Kodwa kulokhu, lesi sidakamizwa kufanele senziwe kuphela udokotela oya khona.

I-Guttasil ye-laxative iqukethe i-sorbitol. Kule ndaba, abantu abanokungahambisani nhlobo ne-fructose ukuyisebenzisa akuvumelekile.

Ukufana kwezidakamizwa

Yini engashintsha umuthi "Guttasil"? Ama-analog of this laxative atholakala kuwo wonke ama-pharmacy. Phakathi kwabo, imithi elandelayo ingabonakala: "Laxigal", "Guttalax", "Slabikap", "Laxigal-Teva", "Picosulphate-AKOS", "Picosulphate-AKOS", "Picosulphate Sodium", "Regulax Picosulfate", "Slabilen" nabanye.

Ukubuyekeza mayelana nomuthi

Manje uyazi ukuthi umuthi "Guttasil" ungubani. Ukubunjwa (ukubuyekezwa ngakho esizoyicabangela khona manje) yalesi sidakamizwa kungukuthi kuthonya kahle imvelo yamathumbu, ukukhulula konke okukuyo.

Ngokusho kokubuyekezwa kweziguli, i-laxative yehla ngaphansi kokucubungula ngokuphumelelayo iqede ngisho nokuqothulwa okunamandla kakhulu. Ngesikhathi esifanayo, akusizi kahle ngendlela ye-spasms nobuhlungu besisu. Noma kunjalo, kufanele kuqashelwe ukuthi kunesigaba sabantu abathi le mithi ibangele inani elikhulu lemiphumela emibi (bheka ngenhla). Ngokuvamile lokhu kungenxa yokuphathwa okungalungile kwesidakamizwa. Ngakho-ke, ngaphambi kokusebenzisa amakhemikhali, kufanele uxhumane nodokotela wakho futhi ufunde imiyalelo enamathiselwe.