Isifo sikashukela i-mellitus sivame ukuholela ekunciphiseni kwe-peristalsis kanye nokuthuthukiswa kokuqunjelwa. Kukholelwa ukuthi indlela engcono kakhulu yokwenza i-stool ejwayelekile ukulawula i-glycemia. Kodwa kunezimo lapho ngisho nangezinga elijwayelekile likashukela egazini, isiguli sihlushwa ukuqunjelwa okungapheli.
Izinkomba zokuthatha umuthi
Isifo sikashukela mellitus sazo zombili izinhlobo zokuqala nesesibili sikhula njengesifo esisehlelweni, okungukuthi, ukulimala kwazo zonke izitho nezinhlelo kwenzeka.
Ngohlobo 1 sikashukela, ngokumelene nesizinda sokuntuleka kwe-insulin, kukhona ukwanda kokuxineka koshukela egazini, okungenakungena kumaseli ngaphandle kwe-insulin. I-glucose yamahhala ijikeleza ngegazi kuwo wonke umzimba, iba nomphumela olimazayo kumaseli nasekupheleni kwezinzwa. Uhlelo lokugaya nalo luhlukile.
Izinqubo ezilandelayo ziholela ekuqunjelweni:
- Ukuncipha noma ukuntuleka kwe-peristalsis emathunjini amancane, okuholela ekukhuleni kwe-dysbiosis;
- Ukufakwa kwamanzi okwandayo kusuka emathunjini kuya egazini, njengoba ukugcwala okukhulu koshukela kudonsa amanzi;
- Ukuncipha kwe-peristalsis emathunjini amakhulu.
Isimo sandisa ukwanda kokudla, okungenye yezimpawu zesifo sikashukela. Futhi, iziguli zikhathazekile ngokwanda okomileyo, okuvela ngenxa yokuphelelwa ngamanzi emzimbeni, kepha amanzi avela emathunjini amunca ngokuphelele futhi akhishwa yizinso, kanye noshukela omningi. Isiguli kungenzeka singazi ngokuxilongwa kwakhe, futhi ukuqunjelwa on the isizinda se-hyperglycemia sekuzomkhathaza.
Uhlobo 1 sikashukela lungakhula nganoma yisiphi isikhathi, kepha impilo ayipheli lapho. Abesifazane abanesifo sikashukela bathola ukwanda kokuqunjelwa ngesikhathi sokukhulelwa. Ngokuphikisana nesizinda sokwanda kokuhlushwa kwe-progesterone, i-hormone yokukhulelwa, isithintelo esengeziwe semetabolism yamathumbu kwenzeka.
Isifo sikashukela sohlobo 2 sinezinye izimbangela. I-Hyperglycemia yakheka ngemuva kwesizinda sokubona okungalungile ngamaseli womzimba wamangqamuzana e-insulin. Lesi simo sibizwa ngokuthi yi-insulin ukumelana. Iglucose ikhuphuka egazini, kepha ngaphandle kokuntuleka kwe-insulin.
Ukuqunjelwa kuba ngenxa yezizathu eziningana:
- Yehlisa ukuhamba kwamathumbu ngenxa yesifo sikashukela se-neuropathy;
- Ukwanda kokufakelwa uketshezi kusuka kumathumbu nokuphelelwa ngamandla komzimba;
- Ukukhuluphala nokuphila nje kokuzenzela, ukuntuleka komzimba;
- I-Aduction Metformin - indlela yokwelashwa kwesifo sikashukela sohlobo 2;
- I-Concomitant pathology - umfutho wegazi ophakeme, i-thyroid pathology, ingakhulisa ukuqunjelwa;
- Ukudla okuphezulu kumazambane, isinkwa, okusanhlamvu futhi okuphansi ku-fiber.
Ngokuqunjelwa ngezikhathi ezithile, odokotela batusa ukuthi kusungulwe umbuso wokuphuza futhi uguqule ekudleni, futhi ngokuqunjelwa okungapheli, ukwelashwa kuphela nge-laxatives kuzosiza.
Indlela yokusebenza
Umkhiqizo uqukethe i-lactulose kumthamo wama-gramu angama-66.7, oncibilikisiwe emanzini. Ngokubukeka, umuthi uyindlela elusobala ye-liquid ye-viscous engaguquki yezidakamizwa.
Isithako esisebenzayo singena emathunjini futhi empeleni asimunwa lapho. I-Lactulose icutshungulwa yi-microflora yamathumbu, okuholela ekunciphiseni kwe-acidity ku-lumen yamathumbu. Ngokwemithetho ye-osmosis, uketshezi oluvela egazini lugelezela emathunjini futhi kukhuphuka umthamo wezindunduma. Ukuvumelana kwesitulo kuba uketshezi futhi kuhamba kalula esiswini esikhulu.
Ngaphezu kwalokho, i-Dufalac ivuselela imisipha ebushelelezi yesisu futhi i-normalist peristalsis. Ukuwohloka komzimba kuyabuyiselwa.
I-Dufalac kwisifo sikashukela nayo ilungile ngoba kukhona ukubuyiselwa kwe-microflora yamathumbu nge-dysbiosis. I-Lactulose ivuselela ukukhula nokukhiqizwa kabusha kwe-bifidobacteria futhi ivimbela ukukhula kwamagciwane.
Kukholelwa ukuthi i-lactulose ayivunyelwe kwiziguli ezinesifo sikashukela. Eqinisweni, lapho umuthi uphuzwa ngomlomo ngethamo elingaphansi kwama-70 ml, into ayifakwa egazini futhi ayikwazi ukugcotshwa emzimbeni. Esiswini esikhulu kuphela lapho i-lactulose ivele ibe yi-asidi, ekhishwe kanye nezindunduma.
Indlela yokuphatha kanye nemithamo yesifo sikashukela
Uma lokhu kungasizi noma ukuqunjelwa kudalwa yisifo esididiyela ingqondo, lapho-ke udinga ukulandela izidingo ezithile lapho uthatha iDufalac:
- Ngesikhathi sokulashwa, ama-laxatives adinga ukuphuza okungenani amalitha angama-2,5- amanzi ngosuku, ngoba lokhu kuzovikela ukwakheka komzimba.
- Kumele njalo uthathe ikhambi ngasikhathi sinye. Uma kuthathwa ekuseni, isihlalo sizoba kusihlwa, lapho sithathwa ebusuku, usihlalo uzoba ekuseni.
- Umthamo kufanele ulinganiswe nge-cap elinganiswe ngokuqinile, eza ngokuphelele nomuthi.
- Umthamo odingekayo ungathathwa ngesimo esimsulwa noma uhlanjululwe ngamanzi.
- Umuthi nawo ufanele ukwelapha ukuqunjelwa ezinganeni.
Iziguli ezineminyaka engaphezu kwengu-15 ubudala zinconywa ukuba zithathe kuze kufike ku-45 ml ngosuku njengethamo lokuqala. Ngaphezu kwalokho, inani lokugcina lomuthi lingaba ngu-30 ml. Izingane zineminyaka engu-7-14 ubudala kuze kube ngu-15 ml ngosuku. Ukusuka kunyaka owodwa kuya eminyakeni eyi-6, kunconywa ukuthatha u-5-10 ml.
Kumele kukhunjulwe ukuthi ukuqunjelwa kwisifo sikashukela kuwuphawu lwe-hyperglycemia, ngakho-ke ukuthatha i-Dufalac kuyindlela elandelwayo yokwelashwa. Ungaqeda le nkinga kuphela ngemuva kokuqokwa kokwelashwa okwenele ngama-insulin noma ama-hypoglycemic agents.
Umphumela wecala
Ngokuphikisana nesizinda sokuthatha i-Dufalac, lokhu kuvezwa okungathandeki kungalandela:
- Ukuqhakaza nokugcoba;
- Izinsini emathunjini;
- Isifo sohudo, esivame ukukhula lapho sithatha umthamo omkhulu womuthi;
- Isicanucanu nokuhlanza ezimweni ezingavamile kakhulu;
- Ukwephulwa kwesilinganiso sezinto ezilandelwayo.
Uma kwenzeka kuba ne-overdose kanye nokukhula kohudo, udinga ukuyeka ukuthatha lo muthi, vumela amathumbu kanye nesilinganiso se-electrolyte egazini ukuthi silulame. Ukunquma ukuthi izingane zixolile kufanele kwenziwe ngaphansi kokuhlolwa kwe-endocrinologist.
Kunezimo lapho, ngokumelene nesizinda sokuthatha i-Dufalac, kuvela i-candidiasis noma, ngamagama alula. Iziguli ezinesifo sikashukela zinesiphetho kulokhu kungenwa yileli fungal. Lapho uthatha i-osmotic laxative, kungavela ukwanda. Kulokhu, udinga ukukhansela i-Dufalac bese uzama elinye ikhambi.
Contraindication ngesifo sikashukela
Akunconywa ukuthatha umuthi kulezi zimo ezilandelayo:
- Ngokubekezelela ifa lokuthola i-lactose - galactosemia;
- Izimpawu zokuphazamiseka kwamathumbu kwamathumbu;
- Ukusabela komzimba we-lactose.
Kumele kukhunjulwe ukuthi isifo sikashukela akuyona inkambiso yokuthatha i-Dufalac. Ngokuphikisana nesizinda salesi sifo, kanye nesifo sokunamathela esijikelezayo, kungenzeka ukuthi ukungena kwamathumbu kungenzeka. Lesi simo sisongela impilo futhi sidinga ukwelashwa esibhedlela sokuhlinzwa. Ukuthatha i-laxative kungadala ukuqhekeka kodonga lwamathumbu nokwakheka kwe-peritonitis.
Ukukhulelwa nokukhulelwa
Abesifazane abasezikhundleni bavame ukuqunjelwa kusukela emasontweni okuqala. Lokhu kusungulwa ngokwanda kokukhiqizwa kweprogesterone, okokuqala yi-corpus luteum yokukhulelwa, bese kuba yi-placenta. Ngokuphikisana nesizinda saleli hormone, ukugcabiseka kwemisipha ebushelelezi kuyancipha, lokhu kuyadingeka ukuvimbela ukwanda kwezwi lesibeletho kanye nokukhula kwesisu esibi.
Kepha ngaphezu kwezicubu ezibushelelezi ze-uterine, i-progesterone isebenza kumaseli abushelelezi wesisu. Kulesi simo, i-peristalsis yehlisa ijubane, indlela yokudlalwa kwamafulegi iyama namafomu okuqunjelwa. Kwabesifazane abanesifo sikashukela sohlobo 1, ukuqunjelwa kubi kakhulu ngemuva kokukhulelwa.
Ukuthatha i-laxative eyodwa kungenzeka kunganikeli imiphumela, ngakho-ke udinga ukulandela izincomo:
- I-Normalization yamazinga kashukela egazini;
- Umbuso wokuphuza ufinyelela kumalitha angama-2,5 ngosuku;
- Umsebenzi womzimba;
- Ukusetshenziswa kwe-kiwi, izithelo ezomisiwe, ama-beet;
- Ukwemukelwa uDufalak njalo kumthamo wesondlo kulo lonke ukhulelwe.
Njengoba i-lactulose ingagxilwanga emathunjini iye egazini, umphumela kumntwana osakhulelwe ngesikhathi sokukhulelwa unqunyelwe. Umuthi ubekelwe abesifazane abakhulelwe, kungakhathalekile ukuthi i-concomitant pathology.
Izincomo ezikhethekile
Iziguli ezinohlobo 1 nohlobo 2 lwesifo sikashukela zingamalungu eqembu lokuqapha lapho zithatha i-Dufalac. Lokhu kungenxa yokuthi ukweqa umthamo ovumelekile womuthi kuholela ekufakweni komuthi.
Egazini, i-lactulose isetshenziswa kushukela olulula, olungandisa i-glycemia. Ngakho-ke, kwenqatshelwe ngokuqinile ukwedlula umthamo ovumelekile. Yize iziguli ezingenaso isifo sikashukela zingathatha i-Duphalac ngamanani amakhulu ngokwehluleka kwesibindi.
Ebuntwaneni, futhi udinga ukusebenzisa i-osmotic laxative ngokuqapha. Lokhu kungenxa yokuthi kunzima ukukhetha umthamo ofanele wokunyakaza kwamathumbu. Futhi, izingane zingaba nezinkinga ngokukhanya kokuhamba kwamathumbu.
Ama-laxatives ama-Osmotic ayinsindiso kwiziguli eziningi ezinesifo sikashukela. Kepha udinga ukukhumbula ukuthi i-Dufalac ingumuthi futhi udinga ukuyithatha ngokungananazi izinkomba ku-dosage enconyiwe futhi ngaphansi kokuqondisa kwe-endocrinologist.
