"Zombo Phospho-koloko": malangizo ntchito kwenikweni Anzawo

Nkosafuna kunena, ndondomeko amatchedwa "colonoscopy" - si osangalatsa kwambiri. Komabe, ngati iye kuchititsa pali kufunika, ndipo anatumidwa ndi dokotala nawo, ndiye muli kukonzekera thupi lanu pa kafukufuku kuti azigwira. Kwa zaka zingapo, kuti akonzekere m'matumbo mwa colonoscopy, zachipatala amalangiza odwala ntchito medicament zamakono "zombo Phospho-koloko." Malangizo Ntchito nthawi ngati mwapang'onopang'ono Mankhwalawa osmotic kwenikweni.

The Gawo ndipo Mbali

The medicament ndi njira yothetsera makonzedwe m'kamwa. Yopangidwa mu polyethylene vayozi wa 45 ml, mu makatoni mtolo - 2 mbale. Waukulu yogwira zigawo zikuluzikulu za yokonza - disodium mankwala dodecahydrate ndi sodium wochuluka dihydrogen mankwala dihydrate. 1 ml ya wothandizila mankhwala zili motero 240 ndi 542 mg. Palinso ena zigawo zina.

Cholinga cha mankhwala "zombo Phospho koloko" - ntchito achire atawapempherera kuti ayeretsedwe, ngati mukufuna kulowa mu matumbo ndi m'matumbo pamaso pa opaleshoni adziwitse kapena mayeso zolinga matenda (X-ray, endoscopy).

Pharmacodynamics ndi Pharmacokinetics

The medicament ndi saline mankhwala ofewetsa tuvi tolimba. Mfundo ntchito yake imakhala pa kuchulukitsa buku la nkhani madzi mu lumen wa intestine, chimene kumapangitsa ndi olimbikitsa a chopondapo ndi kumasula m'matumbo. Kuwonjezeka mu buku la madzimadzi mu ileum ndi yotithandiza peristalsis.

"Zombo Phospho-koloko" ali yekha amadza m'deralo. Si odzipereka mu m'magazi ndipo mochitika osati odzipereka kapepala kakuti m'mimba (mayamwidwe pang'ono ayoni soda ndi mankwala zimadalira mlingo wa medicament). Komabe, kusintha madzi a electrolyte mu madzi a m'magazi unkachitika, koma zilibe tanthauzo lililonse matenda ndi Mwamsanga pambuyo maola 12-24.

Amene sayenera kumwa mankhwala?

contraindications mankhwala aliwonse. Osati kupatulapo ndi "zombo Phospho-koloko." Malangizo ntchito mankhwala linachenjeza cha kukhalapo kwa zinthu zina umene ntchito yake ndi zosayenela. Choyamba, pamaso pa hypersensitivity ku chachikulu ndi mbali wothandiza medicament. Kenako: sanawalole kugwiritsa ntchito mankhwala kwa odwala amene anapezeka ndi tsankho kapena wathunthu kutsekeka m'matumbo. N'zosatheka perekani mankhwala pamaso pa (ndipo ngakhale amaganiziridwa) mavuto monga siudzalandilidwa ngathi lamulo umphumphu m'mimba, matenda yotupa ya chiwalo chilichonse. Nseru, kusanza, kupweteka kwa dera m'mimba komanso ndi chifukwa chokwanira kuti akukana kuvomereza "zombo".

Komanso, "zombo Phospho-koloko" malangizo ntchito salola ndi mtima ndi aimpso insufficiency. Makamaka mosamala m'pofunika kutenga mankhwala odwala achikulire akudwala wosakhazikika angina mu mawonekedwe a pachimake m'mnyewa wamtima infarction. osafunika kwambiri cholinga cha wothandizila izi odwala osaposera zaka 15 ndi akazi pa gestation mimba ndi mkaka wa m'mawere. Kulingalira chikhalidwe chake pa mankhwala ndi mankhwala ofewetsa tuvi tolimba ayenera kukhala oleza mtima, chidwi mchere-free zakudya.

chingachitike mbali ya

Nthawi zambiri, za lokonzekera "a zombo Phospho-koloko" ndemanga ndi odwala positive. Childs, mankhwala bwino analekerera. Komabe, nthawi zina, komabe panali zotsatira zina zoyipa. Koma zochita za dongosolo mtima, mungathe kumva za maonekedwe a ululu pachifuwa, kayimbidwe kotani matenda mtima, mu nthawi zina kwambiri angathe m'mnyewa wamtima infarction.

GI mungachite maonekedwe a ululu m'dera epigastric, kusanza, kutsekula m'mimba, bloating. N'zotheka kupotozedwa zotsatira za colonoscopy lapansi.

Anaona zochita chokhwima kwa medicament ndi kagayidwe lapansi. Apa, tinganene kuti madzi m'thupi (madzi m'thupi, kuchepetsa kuchuluka kwa madzimadzi thupi pansipa ponseponse physiologically chofunika), tetany (kupweteka chifukwa cha matenda a kagayidwe kashiamu), kagayidwe kachakudya acidosis (kuchuluka acidity m'thupi chifukwa kudzikundikira katundu acidic mu zimakhala ndi osakwanira kwa kumangako awo ogwira ndi chiwonongeko) . Komanso, "zombo Phospho-koloko" kungakhale kuwonjezeka woipa plasma ya soda ndi potaziyamu phosphates ndi kuchepetsa calcium.

zochita zotheka wa chapakati mantha dongosolo ndi ziwalo zotumphukira akhoza kukhala mutu, chizungulire, imfa ya chikumbumtima, paresthesia (dzanzi, kumva kulasalasa, zikhomo ndi masingano), zimandilimbikitsa kupweteka.

Pakhoza kukhala thupi lawo siligwirizana monga urticaria, pruritus, matupi awo sagwirizana dermatitis. Kuwonjezera pa pamwamba ananena kuti zochitika zosasangalatsa, nthawi zina odwala kunena za kufooka ambiri, kuzizira, mkhutu aimpso ntchito. N'zotheka chitukuko cha nephrocalcinosis (kudzikundikira salt wa madipoziti kashiamu mu impso).

Ndi chitukuko cha zovuta zilizonse muyenera yomweyo siyani kumwa mankhwala ndi dokotala.

Mlingo kwambiri, mankhwala

Kulandira Mlingo unacceptably lalikulu medicament ndi odwala matenda kutsekeka m'matumbo zingachititse zolakwika kwambiri electrolyte bwino (madzi m'thupi, hypernatremia, hyperphosphatemia, hypokalemia, hypocalcemia). Mukalandira yambiri mankhwala "zombo Phospho-koloko" (Bukuli akuchipatala weniweni amatsimikizira nkhani iyi) angayambe tachycardia, kusiya magazi ndi mfundo zoopsa, maonekedwe a ululu pamimba.

Pangakhale nkhawa chifukwa chosadziwika, maganizo lability. Ngati mukumwa mankhwala kutsazikana ndi mlingo adzapitiriza kukula izo kungachititse kuti kulephera mtima, chitukuko cha mkhalidwe wa mantha, kukokana kwa minofu kupanda kupuma ntchito ndi wodwala manjenjeyo ileus.

Pa nthawi, Kukhalapo kwa tingatani kuti malangizo "zombo Phospho-koloko 'ntchito si inanena, ndi kwina. Ntchito yaikulu kuthetsa mavuto kwambiri kuposa mlingo chovomerezeka ndi kubwezeretsa ndi kuthandizana mlingo woyenera wa madzi ndi bwino electrolyte. miyezo chithandizo ayenera kumwedwa pa maziko a kuchipatala. Ngati digiri kuledzera mkulu zokwanira, mungafunike kuchititsa ntchito umalimbana yokonza a dongosolo mtima ndi kupuma. Zingakhalenso kofunikira pa supplementation pambuyo (i.v.) calcium.

Ntchito: The mode, mlingo

Ngati cholinga cha ntchito mankhwala - pokonzekera colonoscopy, "zombo Phospho-koloko," muyenera kuyamba kutenga tsiku asanapite kuchipatala. Kufika nthawi kuchipatala (woyamba kapena theka lachiwiri la tsiku) n'kofunika monga zingamvekere mlingo chakudya.

Pa mlingo m'mawa (dzana matenda) "kadzutsa" kutenga madzi iliyonse poyela kuchuluka kwa nozzle chimodzi (madzi, madzi, tiyi, khofi).

Komanso, m'pofunika kuti atenge mlingo woyamba wa medicament (45 ml ya njira ya medicament ndi 125 ml ya madzi) ndi kumwa madzi ozizira (250 ml kapena zambiri). Masana ankadya osachepera 750 ml ya madzi bwino (3 makapu), pa chakudya - magalasi umodzi kapena kuposerapo. Kumapeto kwa chakudya chachiwiri chimadyedwa mankhwala ofewetsa tuvi tolimba mlingo (1 nsupa ya medicament (45 ml) kwa 125 ml ya madzi), ndipo m'pofunika kusamba pansi galasi china cha madzi. Mpaka pakati pa usiku, ndi zofunika kugwiritsa ntchito Kuwonjezera madzi. Kawirikawiri defecation kumachitika mu nthawi ya maola kuchokera 0.5 kuti 6.

Ngati matenda amasankhidwa mu theka lachiwiri la tsiku, limakupatsani kutenga chakudya kuwala kwa chakudya (kupatula chakudya chotafuna) dzana ndondomeko. M'malo chakudya ankadya 250 ml ya (kungakhale zikuluzikulu) madzi ndiye zofunika kutenga mlingo woyamba ndiyeno kumwa madzi mankhwala ofewetsa tuvi tolimba "zombo Phospho-koloko." Maphunziro akupitiriza madzulo usiku ndi kulandira osachepera 750 ml ya madzi.

7 koloko tsiku matenda kumwa 250 ml ya madzi. Komanso ndikofunikira Preia 1 vial mankhwala ofewetsa tuvi tolimba (sitimadzipereka mu 125 ml ya madzi) ndi galasi kapena madzi yozizira. Phwando la chakudya chotafuna akhoza adapitiriza pambuyo matenda kapena patapita ena nthawi pambuyo opaleshoni.

Choti?

Mankhwala ofewetsa tuvi tolimba "zombo Phospho-koloko" malangizo ntchito limaletsa kuthetsa mavuto ndi kudzimbidwa. Ndi kukonzekera bwino anatumizidwa odwala debilitated ndi anthu okalamba kudwala matenda osiyana siyana mtima, yaikulu, odwala ndi ntchito mkhutu aimpso amene asunga chakudya otsika mu mchere.

Iwo ali osavomerezeka ntchito mankhwalawa pa mimba, pamene palibe uthenga zokhudza mmene zotsatira zake poizoni pa mwana wosabadwayo ndi / kapena kuthekera kupangira nthenda chitukuko intrauterine. Ngati mukufuna amachita kulandira "zombo Phospho-koloko," mankhwala akupezeka akazi lactating ayenera kusiya kuyamwitsa kwa nthawi yonse imene ntchito mankhwala ofewetsa tuvi tolimba, ndi wina mawola 24 mlingo lomaliza. Ichi ndi chifukwa chakuti ndi sodium mankwala akhoza kuyima mu mkaka wa m'mawere.

Olakwika odwala kuti ngati inu kumwa botolo ziwiri nthawi imodzi, nthawi imodzi - mankhwala ntchito efficiently. zili matumbo yekha thinned, koma chiyeretso sizichitika. Ngati wodwalayo kusankha: "Fortrans" kapena "zombo Phospho-koloko," ndiyeno iye ayenera kudziwa kuti mankhwala yamasika sikutanthauza nthawi yaitali osadya, ndi tanthauzo lake sumabala nkhawa kwambiri madzi pa thupi kwa nthawi yochepa (1 lita imodzi madzimadzi 1 ora).

Mogwirizana ndi mankhwala ena

"Zombo Phospho-koloko" malangizo Buku (ndemanga madokotala kutsimikizira mfundo) akuonetsa osamala kwambiri anaika zikufanana ndi okodzetsa, NSAIDs, Mankhwalawa ndi zina mankhwala lifiyamu. Ndi osafunika ntchito zikufanana "zombo" ndi mankhwala akhoza kuonjezera QT-imeneyi.

Komanso, "zombo Phospho-koloko" angathe kuchepetsa mphamvu ya kulera m'kamwa ndi zina wothandizila hypoglycemic, mankhwala kuchiza khunyu, ena mankhwala.

Mankhwala - analogues

Mankhwalawa osmotic chikoka tsopano opangidwa ndithu kwambiri. Komabe, nthawi zambiri, pamene izo zifika kukonzekera colonoscopy ndi, odwala akulimbikitsidwa kugwira njira kukonzekera ntchito "Fortrans" mankhwala. Ngati Tikayerekeza ndi "zombo Phospho-koloko", ndemanga odwala amavomereza kuti mankhwala onse ndi cholinga chofanana, zomwe sizodabwitsa chifukwa iwo anafuna kuti cholinga chomwecho. Komabe, mu ndondomeko ya kulandira "Fortrans" sitingakhoze kutenga chakudya, ndi buku la madzimadzi kuti ayenera kumwedwa zimadalira kulemera kwa wodwalayo. Kuti ali, aliyense makilogalamu 20 a thupi ayenera kumwa okwanira 1 njira ndi onse buku kofunika madzi m'pofunika ntchito pazipita nthawi 2, ndi bwino - wina. Ngati wodwala lolemera, kukonzekera kuti njira yodziwira amakhala mabvuto.

Komanso, "zombo Phospho-koloko" kukonzekera yokha amatanthauza gulu la zinthu zoti zikhoza kukhala thandizo kwambiri kwa odwala matenda atony matumbo. Kumaphatikizaponso (ndipo akhoza ankaona zonse kunachitika mankhwala anzawo) "Parnassia palustris", "Kalimin forte", "glycyram" - mapiritsi 0,05 ga

Wina mankhwala sizachilendo kwa matumbo pokonzekera ndondomeko colonoscopy imatengedwa "Lavacolla" imene ili chimodzimodzi mogwira ntchito ankati ntchito ya malangizo, motero zinamulepheretsa kangapo poyerekeza ndi "zombo Phospho-koloko."

Opinion odwala ndi proctologist

Monga mankhwala alionse, "zombo Phospho-koloko" ali ndemanga zabwino ndi zoipa odwala. Ambiri ndemanga zoipa chifukwa mtengo wa mankhwala, munthu sanali kukoma kwa mankhwala. Kwa ena odwala nseru analipo ndipo panali ululu mu matumbo a. chiwerengero cha ndemanga zabwino chimapambana pa negative. Mankhwala kwambiri mogwira ambiri owerenga musati chifukwa zochitika chilichonse chowawa ndi zokumana chowawa.

Odwala amene m'mbuyomu ntchito "Fortrans" Chiyerekezo "a zombo Phospho-koloko" kukhala yopindulitsa: chifukwa aliyense angathe kumwa nthawi imodzi 4-5 malita a madzimadzi.

Akatswiri proctologist komanso kulankhula za zinthu zabwino kwambiri za mankhwala "zombo Phospho-koloko" (analogues zace, ndi njira, si nthawi zonse pamene ogwira): matumbo kutsukidwa mwangwiro, odwala kawirikawiri kudandaula mavuto. Ngati munthu umachitika ntchito kukonzekera mogwirizana ndi malangizo ntchito mankhwala, kawirikawiri pa nthawi ya matenda palibe mavuto. Tcheru dokotala kupeza malo onse za m'mimba ndi mtima "dzanja woyamba" mukhoza kupeza mfundo zolondola za mthupi mwawo thanzi.