Mwinanso aliyense wamakono wakumana ndi mavuto a kudzimbidwa ndi dysbiosis. Poyang'ana koyamba, sizikuwoneka zowopsa, koma kutalika kwake kumatha kusokoneza kwambiri moyo komanso kupangitsa kuti matenda ena azitukuka.
Mankhwala omwe amathandizira kuyeretsa thupi ndikupangitsa matumbo microflora kuthandizira kuthana nawo. Chimodzi mwa chothandiza kwambiri komanso chotetezeka pakati pawo ndi mankhwala a Lactulose, omwe ndi analogue ya lactose.
Koma zimakhudza bwanji thupi la munthu, momwe angatengere molondola, ndipo ali ndi zotsutsana ndi zoyipa? Mafunso awa ayenera kudzifotokozera nokha musanayambe kumwa mankhwalawa.
Katundu
Lactulose ndi disaccharide yomwe imakhala mamolekyu awiri a fructose ndi galactose monosaccharides. Chofunikira chake ndikuti sichimasokoneza malo achitetezo cham'mimba ndipo sichimalowa m'matumbo ang'onoang'ono amunthu.
Izi ndichifukwa choti munthu satulutsa ma enzyme omwe amatha kuphwanya Lactulose pazinthu zake zosavuta, motero amamwa chinthuchi. Katunduyu wa Lactulose amampatsa mphamvu zothetsera thupi komanso kuthekera koyeretsa thupi la poizoni ndi poizoni.
Imapopa kuthamanga kwa osmotic m'matumbo a wodwalayo ndikutunga madzi m'matumbo a lumen. Izi zimathandizira kukulitsa kuchuluka kwa ndowe ndikusintha kusasinthasintha kwake, ndikupangitsa kuti ikhale yamadzi komanso pulasitiki. Zotsatira zake, kuchuluka kwamatumbo kumachitika, komwe kumatsuka thupi pang'ono.
Koma Lactulose akulimbikitsidwa kuti angotengeka kuti musangodzimbidwa, komanso kuthandizira dysbiosis. Chowonadi ndi chakuti kulowa m'matumbo akulu a munthu, imasandulika malo opindulitsa a lactobacilli ndi bifidobacteria, omwe amatha kuyamwa.
Munthawi ya metabolic iyi, mabakiteriya amabisalira zinthu zomwe zimachulukitsa pH m'matumbo akulu, zomwe zimalepheretsa kukula kwa tizilombo toyambitsa matenda. Izi zimathandiza kusintha matumbo microflora ndikuthana kwathunthu ndi chizindikiro cha dysbiosis.
Kusuntha pH ya sing'anga ku mbali ya acidic sikungowononga mabakiteriya oyipa, komanso kumenya nkhondo motsutsana ndi zomwe zimachitika m'matumbo amunthu. Izi zimakuthandizani kuti muchepetse kuchuluka kwa poizoni womwe umapangidwa pakudya chokwanira, kuphatikiza ammonia, yomwe imadzetsa thanzi.
Koma ngati kuchuluka pang'ono kwa ammonia ndi poizoni wina womwe umapezeka m'matumbo a wodwalayo, amakhalabe osavulaza thupi. Izi ndichifukwa choti acid pH ionize mamolekyulu ammonia, omwe sangathe kulozeredwa m'magazi a anthu, chifukwa chake amakhala ndi vuto la ziwalo zamkati ndi zimakhala.
Katunduyu wa Lactulose amayamikiridwa kwambiri pochiza matenda a chiwindi.
Ubwino wa Lactulose wa thupi:
- Amathandizira kupirira ngakhale kudzimbidwa kwambiri;
- Zimathandizira kuwonjezera kuchuluka kwa lactobacilli opindulitsa ndi bifidobacteria;
- Amathandizira thupi kuyamwa bwino calcium ndi magnesium yofunika mafupa ndi mano athanzi;
- Zimapangitsa secretion wa bile, bwino magwiridwe a chiwindi ndi ndulu chikhodzodzo;
- Zimathandizira kuchotsa zinthu zapoizoni ndi zopweteka m'thupi.
Ndikofunika kudziwa kuti Lactulose ndi mankhwala osagwiritsidwa ntchito pompopompo ndipo zomwe zimayambitsa makonzedwe ake nthawi zambiri zimangowonekera patsiku lachiwiri la chithandizo.
Komabe, imakhala yofatsa kwambiri m'thupi ndipo, ikagwiritsidwa ntchito moyenera, imathandiza kuthetsa kudzimbidwa popanda zomverera zosasangalatsa.
Malangizo ogwiritsira ntchito mankhwalawa
Lactulose imapezeka m'mitundu itatu, monga manyumwa, mapiritsi ndi ufa. Lactulose Syrup ali ndi mtundu wachikaso wopepuka komanso kukoma kosangalatsa kosangalatsa komwe kumakopa ngakhale kwa ana aang'ono. Itha kugulidwa ku pharmacy mu botolo la pulasitiki la 200, 500 ndi 1000 ml. Kuti musenzetse kumwa, muzipeza kapu yapadera.
Powder Lactulose ndi ufa wabwino kwambiri wamtundu woyera, womwe umanenedwanso kukoma. Amapangidwa kuti azikonzekera kuyimitsidwa, komwe kuchuluka kwa mankhwalawo kuyenera kusungunuka pang'ono ndi madzi ndikusakaniza bwino mpaka tinthu timene timasungunuka kwathunthu.
Mapiritsi a Lactulose ndiwo mtundu wosavuta kwambiri wamankhwala, chifukwa amatha kumwedwa osati kunyumba, komanso kuntchito, kusukulu ngakhale pa mayendedwe. Ndizoyenera makamaka kwa achikulire ndi achinyamata opitirira zaka 12.
Komabe, ziyenera kutsimikiziridwa kuti Lactulose mu mawonekedwe amadzimadzi ndiosavuta komanso kuyamwa mwachangu ndi thupi. Chifukwa chake, nthawi zambiri mankhwalawa amagulitsidwa mu mawonekedwe a madzi, omwe ndi oyenera kwa odwala azaka zonse kuyambira ana obadwa kumene komanso amayi oyembekezera mpaka okalamba.
Zisonyezero zogwiritsa ntchito Lactulose:
- Kudzimbidwa aakulu kapamba, matumbo;
- Kudzimbidwa mwa akazi nthawi yapakati;
- Kupweteka kwakatikati kwamatumbo kayendedwe ka odwala omwe ali ndi ma hemorrhoids (zakumwa zam'madzi ndipo zimathandizira kayendedwe ka matumbo);
- Nthawi yochira pambuyo pakuchita opaleshoni pa anus, colon kapena rectum ndikuchotsa zotupa;
- Hepatic encephalopathy;
- Hepatic chikomokere ndi khosi;
- Dysbiosis wamkati;
- Hyperammonemia (kuphwanya kuchotsedwa kwa ammonia waulere m'thupi ndi kulowa kwake m'magazi);
- Salmonellosis ndi salmonellosis;
- Enteritis yoyambitsidwa ndi shigella;
- Putrefactive dyspepsia syndrome (zotsatira za poyizoni wa chakudya mwa ana aang'ono).
Malinga ndi malangizo a Lactulose pakuchiza kudzimbidwa, akuyenera kugwiritsidwa ntchito motere:
- Makanda kuyambira mwezi umodzi mpaka chaka chimodzi - 5 ml .;
- Ana kuyambira chaka chimodzi mpaka zaka 6 - 5-10 ml .;
- Ana a zaka zoyambira 7 mpaka 14 - 15 ml m'masiku atatu oyamba, 10 ml m'masiku otsatirawa ;;
- Akuluakulu - m'masiku atatu oyamba, 15-45 ml., M'masiku otsatirawa, 10-25 ml.
Kuti mankhwalawa amve bwino kwambiri, mankhwalawa amalimbikitsidwa kumwa m'mawa pakudya kadzutsa. Simuyenera kugwiritsa ntchito pamimba yopanda kanthu, komanso madzulo musanagone.
Mukadwala salmonella, Lactulose iyenera kuperekedwa kwa wodwala pamiyeso yotsatirayi:
- Njira yoyamba kuloledwa masiku 10, 15 ml iliyonse. katatu patsiku;
- Kupuma kovomerezeka - masiku 7;
- Njira yachiwiri - masiku 12 a 15 ml. katatu patsiku;
- Njira yachitatu (kusankha, kudwala ngati akudwala kwambiri) - masiku 10, 30 ml aliyense. katatu patsiku.
Odwala ndi kwa chiwindi encephalopathy ayenera kulandira Lactulose madzi mu Mlingo wotsatira:
- Ndi ofatsa komanso olimbitsa a chiwindi encephalopathy - 30-50 ml. katatu patsiku;
- Woopsa matenda - mpaka 65 ml katatu patsiku;
- Pofuna kupewa chitukuko cha hepatic precoma ndi chikomokere mu odwala omwe amawononga chiwindi ndi zakumwa zoledzeretsa - 25 ml iliyonse. katatu patsiku.
Amayi oyembekezera komanso amayi oyamwitsa amaloledwa kutenga Lactulose Syrup kokha malinga ndi dokotala. Mankhwalawa alibe vuto kwa mwana, komabe, monga mankhwala aliwonse, ali ndi zotsutsana ndi zoyipa.
Chifukwa chake, ndikofunikira kwambiri kuti amayi omwe ali ndi mwayi wofunsidwa ndi katswiri yemwe adzawasankhire mlingo wabwino wa mankhwalawo ndikuwathandiza kupewa zovuta.
Zotsatira zoyipa:
- Kuchokera m'mimba thirakiti - kuchuluka kwa mapangidwe a gasi, kupweteka kwam'mimba, kutsegula m'mimba, nseru;
- Kuchokera kumbali yamanjenje - mutu, chizungulire;
- Zina - thupi lawo siligwirizana, kutopa, palpitations.
Zoyipa:
- Kusalolera payekha kwa Lactulose;
- Kutupa kwa appendicitis;
- Matumbo kutsekereza;
- Kutuluka magazi (kupatula kutulutsa magazi ndi zotupa);
- Colostomy kapena ileostomy;
- Glucose-galactose malabsorption;
- Lactase akusowa;
- Ziwengo kuti fructose kapena galactose;
- Pachimake yotupa njira pamimba.
Lactulose amaletsedwanso kuti azigwiritsa ntchito kukonza thupi. Mwanjira imeneyi, kuchepa thupi kumatheka chifukwa chakuchotsa madzi ambiri mthupi, omwe angayambitse gawo lowopsa lamadzi.
Kuphatikiza apo, ndi matenda am'mimba, thupi limataya zinthu zambiri zofunikira, kuphatikizapo michere yofunika.
Zotsatira zake, wodwalayo amatha kusokoneza ntchito zam'magazi komanso zamanjenje, zomwe pakapita nthawi zingayambitse matenda oyipa.
Mtengo
Masiku ano, manyuchi a Lactulose angagulidwe ku malo ogulitsa mankhwala m'mizinda ya Russia pamtengo wotsika.
Mtengo wa mankhwalawa m'malo osiyanasiyana amdzikoli umasiyanasiyana ma ruble 100-120. Pazifukwa izi, Lactulose amadziwika kuti ndi imodzi mwazinthu zodula zomwe amapatsa ana ndi akulu.
Kupeza kwa Lactulose Syrup analogues kumawononga wodwala kwambiri. Mitengo ya iwo imachokera ku ma ruble 140 mpaka 850.
Pafupifupi, analogue ya laxative iyi imawononga kuchokera 300 mpaka 450 rubles.
Katswiri mu kanema munkhaniyi alankhula za njira zochizira kudzimbidwa.