I-Loperamide

I-Loperamide

I-Loperamide umuthi osetshenziselwa ukwelapha isifo sohudo, kungakhathaliseki ukuthi kuyinkinga yesikhashana, ehlobene nesifo samathumbu esicasulayo (IBS), noma esihlotshaniswa nezimo ezingapheli njengesifo sika-Crohn, i-ulcerative colitis, nesifo samathumbu amancane. Ukwengeza, abantu abane-colostomy bangasebenzisa i-loperamide ukuze bajiye indle yabo ngokunciphisa ukudlula kokudla ngomgudu wamathumbu.

Lo muthi utholakala ekhawuntani emakhemisi nasezitolo ezinkulu futhi ungatholakala nencwadi kadokotela yezimo ezithile zamathumbu. I-Loperamide iza ngezinhlobo ezahlukene, okuhlanganisa amaphilisi, amaphilisi ancibilikayo (i-Imodium Instant noma i-Imodium Instant Melts), amaphilisi, kanye noketshezi olunikezwa udokotela kuphela.

Kulabo abaphethwe isifo sohudo esihambisana nokuqunjelwa kwesisu okubuhlungu nokuqunjelwa, i-loperamide ingahlanganiswa ne-simeticone, umuthi obhekana nokuqunjelwa noma igesi eningi. Inhlanganisela ye-loperamide ne-simethicone itholakala emikhiqizweni efana ne-Imodium Plus Caplets kanye ne-Imodium Plus Comfort Tablet, enikeza ukukhululeka kohudo nezimpawu ezihambisanayo.

Yiziphi izici zokusetshenziswa kwe-Loperamide?

I-Loperamide isetshenziselwa ikakhulukazi ukwelapha isifo sohudo, futhi ingaba yinzuzo ezinhlotsheni ezahlukene zohudo, okuhlanganisa:

• Uhudo Lwesikhathi Esifushane: I-Loperamide iyasebenza ekunikezeni impumuzo eziqephuni ezibuhlungu noma zesikhashana zohudo, ngokuvamile okubangelwa izifo, izinkinga zokudla, noma ezinye izici zesikhashana.
• I-Irritable Bowel Syndrome (IBS): Ingasetshenziselwa ukuphatha isifo sohudo esihambisana ne-irritable bowel syndrome (IBS), isifo esingelapheki esibonakala ngobuhlungu besisu kanye nokushintsha kwemikhuba yamathumbu.
• Uhudo Olungalapheki Oluvela Ezimeni Zamathumbu: I-Loperamide isetshenziselwa isifo sohudo esiphindaphindayo noma esihlala isikhathi eside esihambisana nezimo zamathumbu ezingamahlalakhona njengesifo sika-Crohn, i-ulcerative colitis, nesifo samathumbu amafushane.
• I-Thickening Stool ku-Colostomy Iziguli: Abantu abane-colostomy (imbobo esiswini yokuqoqa indle) bangasebenzisa i-loperamide ukuze bajiye indle yabo, okuwusizo kakhulu ekulawuleni lesi simo.
• Kuhlanganiswe ne-Simeticone ye-Flatulence: I-Loperamide ngezinye izikhathi ihlanganiswa ne-simeticone ukuze kubhekwane nesifo sohudo esihambisana namajaqamba esiswini kanye nokuqunjelwa. Le nhlanganisela itholakala emikhiqizweni efana ne-Imodium Plus Caplets kanye ne-Imodium Plus Comfort Tablets.

Ungayithatha kanjani futhi nini i-Loperamide?

Umthamo ojwayelekile we-Loperamide wezingane uyahlukahluka kuye ngeminyaka yazo nesisindo. Hlala unamathela emiyalweni yelebula lapho unikeza ingane i-Loperamide. 

Thatha i-Loperamide nengilazi egcwele amanzi. Umzimba wakho ungase ulahlekelwe ama-electrolyte kanye noketshezi ngenxa yohudo. Ngakho zigcine uhlanzekile uma unesifo sohudo. 

• Uma uthatha i-capsule, qiniseka ukuthi ithathwe iphelele
• Shake ukumiswa ngomlomo ngaphambi komthamo ngamunye ngaphambi kokuwuthatha. Futhi, sebenzisa imishini yokukala umthamo wemithi 
• Amandla okwenziwa koketshezi okuhlukahlukene kwe-Loperamide ayahluka. Ngakho-ke, bhekisisa zonke izikhombisi-ndlela zomthamo wemithi yakho.

Iyini imiphumela emibi ye-Loperamide?

Lokhu okulandelayo yimiphumela emibi ye-Loperamide:

• Ubunzima bokukhipha umchamo
• Amabhamuza, ukuxebuka, ukuxega kwesikhumba
• Ukuncipha kokuchama 
• Ukushaya kwenhliziyo okungajwayelekile noma okunensa
• Ukushaya kwenhliziyo okusheshayo, ukushaya ngamandla, noma okungavamile
• Ukuvota
• Ukuphelelwa amandla
• Ukugodola nokukhwehlela
• Ubuhlungu besifuba noma ukungakhululeki
• Ukuqubuka, ukulunywa, isifuba
• Ukuma kwenhliziyo
• Ubuthakathaka obungajwayelekile kanye nobuthakathaka obudlulele

I-Loperamide ingabangela ukwanda kwengozi yesisu noma izinkinga zamathumbu. Lo muthi ungase futhi ubangele ukungezwani okukhulu komzimba, okuhlanganisa i-anaphylaxis evame ukubeka impilo engozini futhi edinga ukunakekelwa kwezokwelapha. Hlala ubonana nodokotela uma unomkhuhlane, ungakuthandi ukudla, uphalaza noma unesicanucanu, noma unobuhlungu besisu.  

Yiziphi izinyathelo zokuphepha okufanele zithathwe?

Gwema ukuyisebenzisa uma uguliswa yi-Loperamide noma uqaphela izimpawu ezilandelayo:

• IBD enezilonda
• Indle enamathelayo, ebomvu noma emnyama
• Amajaqamba esiswini ngaphandle kokuqaqamba kwesisu
• Uhudo kanye nezinga lokushisa eliphezulu
• Isifo sohudo esibangelwa ukutheleleka ngamagciwane

Futhi, thintana nomhlinzeki wakho wezempilo ngaphambi kokusebenzisa i-Loperamide ukwelapha isifo sohudo esibangelwa ama-antibiotics. Ngaphezu kwalokho, i-Loperamide akufanele inikezwe izingane ezingaphansi kweminyaka emibili. 

Ngaphezu kwalokho, thintana no-a udokotela noma usokhemisi mayelana nokuphepha kokusebenzisa i-Loperamide uma unokulandelayo -

• Fever
• Isifo sesibindi
• arrhythmia
• Indle yakho iqukethe amafinyila

Ukukhulelwa nokuncelisa: Uma ukhulelwe noma uncelisa, thintana nodokotela ngaphambi kokusebenzisa le mithi.

Amafomu omthamo weLoperamide

I-Loperamide itholakala ngamafomu emithamo ahlukahlukene ukuze kuhlangatshezwane nezinto ezithandwayo nezidingo zesiguli. Amafomu omthamo ojwayelekile afaka:

• Amathebhulethi: Amaphilisi e-Loperamide ayifomu elijwayelekile futhi elisetshenziswa kabanzi. Zithathwa ngomlomo ngamanzi futhi zitholakala ngamandla ahlukene.
• Melt Tablets: Okunye ukwakheka kuza ngendlela yamaphilisi ancibilika olimini.
• Amaphilisi Abonayo: I-Loperamide iyatholakala futhi ngefomu le-capsule, eligwinywa ngamanzi. Amaphilisi angase abe namafomu athile okulawula ukukhululwa komuthi.
• I-Liquid: Ukwakhiwa okuwuketshezi kwe-loperamide kuyatholakala, ngokuvamile ukuze kusetshenziswe incwadi kadokotela. Ifomu eliwuketshezi liwusizo ezimweni lapho ukugwinya amaphilisi noma amaphilisi kungase kube inselele, ikakhulukazi ezinganeni noma kubantu abanobunzima bokugwinya.

Kuthiwani uma ngiphuthelwe umthamo we-Loperamide?

Uma uphuthelwa umthamo we-Loperamide, yithathe ngokushesha ngangokunokwenzeka. Kodwa uma isikhathi sakho somthamo olandelayo sisondela, qhubeka nomthamo wakho ohleliwe wansuku zonke futhi weqe ogejiwe. Kodwa-ke, gwema ukuphuthelwa umthamo wokwelapha okungcono. Futhi, khumbula ukuthi ungaphindi umthamo. 

Kuthiwani uma ngisebenzisa ngokweqile i-Loperamide?

I-Loperamide ingcono kakhulu uma ithathwa njengoba kushiwo. I-Loperamide eningi kakhulu ingabangela izinkinga zenhliziyo. Ngohudo oluyingozi noma olungapheli, isilinganiso esivamile sabantu abadala se-Loperamide singama-4 mg ngemva kwendle yokuqala exegayo kanye no-2 mg ngemva kokuquleka ngakunye okungakakhiwe. Akufanele kuthathwe ngaphezu kwe-16 mg noma ama-capsules ayi-8 ngosuku.

Yiziphi izimo zokugcina i-Loperamide?

I-Loperamide kufanele igcinwe esitsheni esivaliwe ekamelweni lokushisa. Gcina umuthi kude nokushisa, umswakama, kanye nelanga eliqondile. Futhi, gwema ukugcina umuthi ezingeni lokushisa elibandayo. 

Isexwayiso ngeminye imithi

Ukuthatha i-Loperamide neminye imithi nakho kungabangela ukulimala. Ukusebenzisana ne-Loperamide neminye imithi kungandisa ingozi yokushaya kwenhliziyo okungavamile noma i-arrhythmia. 

I-Loperamide ibonisa ngokushesha kangakanani imiphumela?

I-Loperamide isebenza kungakapheli imizuzu engama-30 ngemuva kokuyithatha futhi ingasebenza amahora angama-8-12. Ngakho-ke, ukuthatha i-Loperamide imizuzu engama-30 ngemuva kokudla kungcono. Nokho, isikhathi esifanele sizobekwa udokotela. 

Loperamide Vs Ofloxacin

Uma uthatha i-Loperamide, kufanele uyithathe njengokusho kukadokotela. Kungase kubangele imiphumela emibi kakhulu uma ithathwe ngaphandle kwencwadi kadokotela. Futhi, uma isifo sohudo singayeki ngemva kokuthatha lokhu, ungakhulisi umthamo wedwa. Khuluma nodokotela wakho kuqala. 

Faqs

1. Ingabe i-loperamide iphephile ukuyiphuza nsuku zonke?

I-Loperamide ngokuvamile ibhekwa njengephephile ukusetshenziswa kwesikhashana ukuze kudambise izimpawu zohudo. Nokho, ukuyisebenzisa nsuku zonke isikhathi eside kungase kungafaneleki ngaphandle kokugadwa udokotela. Ukusetshenziswa isikhathi eside ngaphandle kokuxazulula imbangela eyinhloko yohudo kungase kufihle izinkinga zempilo ezingaba khona. Kubalulekile ukuthintana nochwepheshe bezokunakekelwa kwempilo ukuze uthole isiqondiso mayelana nobude besikhathi esifanele kanye nemvamisa yokusetshenziswa kwe-loperamide.

2. Ngingakwazi yini ukuthatha i-loperamide ngaphandle kokudla?

I-Loperamide ingathathwa ngokudla noma ngaphandle kokudla, njengoba ivame ukubekezelelwa kahle. Kodwa-ke, izimpendulo zomuntu ngamunye zingase zihluke, futhi uma ukucasuka kwesisu kwenzeka, ukukuthatha nokudla kungase kube ngcono.

3. Ingabe i-loperamide ingasetshenziselwa i-irritable bowel syndrome (IBS)?

I-Loperamide ngezinye izikhathi isetshenziselwa ukuphatha isifo sohudo esihambisana ne-irritable bowel syndrome (IBS). Kodwa-ke, ukusetshenziswa kwayo kwe-IBS kufanele kube ngaphansi kokuqondisa kochwepheshe bezempilo, njengoba ngokuyinhloko ibhekana nezimpawu zohudo futhi ingase ingafaneleki kubo bonke abantu abane-IBS, ikakhulukazi labo abanezimpawu ezivame kakhulu zokuqunjelwa.

4. Ingabe i-loperamide ingathathwa nama-antibiotics?

I-Loperamide ayaziwa ukuthi isebenzisana kabi nama-antibiotics. Kodwa-ke, kubalulekile ukubonisana nochwepheshe bezempilo ukuze uqinisekise ukuthi akukho ukuphikisana okuqondile noma ukusebenzisana nemithi ethile elwa namagciwane ebekiwe.

5. Ingabe i-loperamide ne-Ofloxacin zombili ziyefana?

Cha, i-loperamide ne-Ofloxacin imithi ehlukene esetshenziswa ngendlela ehlukile. I-Loperamide iyimithi elwa nohudo esetshenziselwa ukwelapha isifo sohudo, kuyilapho i-Ofloxacin iyisibulala-magciwane esisebenza ngempumelelo ekulweni nezifo ezihlukahlukene ezibangelwa amagciwane. Afeza izinhloso ezehlukene futhi awashintsheki. Ngaso sonke isikhathi landela imithi enqunyiwe nemithamo enikezwa uchwepheshe wezempilo.

References:

https://www.nhs.uk/medicines/Loperamide/#:~:text=Loperamide%20is%20a%20medicine%20to,colitis%20and%20short%20bowel%20syndrome. https://medlineplus.gov/druginfo/meds/a682280.html

Umshwana wokuzihlangula: Ulwazi olunikezwe lapha alwenzelwe ukufaka iseluleko esivela kuchwepheshe wezokunakekelwa kwempilo. Ulwazi aluhloselwe ukumboza konke ukusetshenziswa okungenzeka, imiphumela engemihle, izinyathelo zokuphepha, nokusebenzisana kwezidakamizwa. Lolu lwazi aluhloselwe ukuphakamisa ukuthi ukusebenzisa umuthi othile kufanelekile, kuphephile, noma kuyasebenza wena noma omunye umuntu. Ukungabi bikho kwanoma yiluphi ulwazi noma isexwayiso mayelana nomuthi akufanele kuhunyushwe njengesiqinisekiso esicacile esivela enhlanganweni. Sikweluleka ngokuqinile ukuthi uthintane nodokotela uma kukhona okukukhathazayo ngomuthi futhi ungalokothi usebenzise umuthi ngaphandle kwencwadi kadokotela.