Njira yothetsera polyethylene glycol-electrolyte (PEG-ES)

Zamkati

• Musanatenge PEG-ES,
• PEG-ES itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo kapena pitani kuchipatala:

Njira yothetsera polyethylene glycol-electrolyte (PEG-ES) imagwiritsidwa ntchito kutulutsa m'matumbo (matumbo akulu, matumbo) pamaso pa colonoscopy (kuyesa mkati mwa coloni kuti muwone ngati pali khansa ya m'matumbo ndi zina zachilendo) kapena barium enema (mayeso omwe m'matumbo mumadzaza ndimadzimadzi kenako ma x-ray amatengedwa) kuti adotolo azitha kuwona bwino makoma am'matumbo. PEG-ES ali mgulu la mankhwala otchedwa osmotic laxatives. Zimagwira ntchito poyambitsa matenda otsekula m'madzi kuti chimbudzi chitulutsidwe m'matumbo. Mankhwalawa amakhalanso ndi ma electrolyte opewera kuchepa kwa madzi m'thupi ndi zovuta zina zoyipa zomwe zingayambitsidwe ndi kutayika kwamadzimadzi m'mene amatulutsira m'matumbo.

Polyethylene glycol-electrolyte solution (PEG-ES) imabwera ngati ufa wosakaniza ndi madzi ndikumwa. Zida zina za PEG-ES zitha kuperekedwanso kudzera mu chubu ya nasogastric (NG chubu; chubu chomwe chimagwiritsidwa ntchito kunyamula zakudya zamadzi ndi mankhwala kudzera m'mphuno kupita m'mimba kwa anthu omwe sangadye chakudya chokwanira ndi pakamwa). Nthawi zambiri amatengedwa madzulo asanafike / kapena m'mawa. Dokotala wanu angakuuzeni nthawi yomwe muyenera kuyamba kumwa PEG-ES, komanso ngati muyenera kumwa mankhwala onse nthawi imodzi kapena kumwa mankhwala awiri osiyana. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani PEG-ES ndendende monga momwe adauzira. Musatenge zochuluka kapena zochepa kuposa momwe adalangizire dokotala.

Simungadye zakudya zilizonse zolimba kapena kumwa mkaka musanadye komanso mukamamwa mankhwala a PEG-ES. Muyenera kukhala ndi zakumwa zomveka bwino zokha. Dokotala wanu angakuuzeni nthawi yoyambira zakudya zamadzi zomveka bwino ndipo akhoza kuyankha funso lililonse zakumwa zomwe zimaloledwa. Zitsanzo zamadzimadzi omveka ndi madzi, msuzi wobiriwira wonyezimira wopanda zamkati, msuzi wowoneka bwino, khofi kapena tiyi wopanda mkaka, gelatin, popsicles, ndi zakumwa zozizilitsa kukhosi. Musamwe madzi aliwonse ofiira kapena ofiirira. Muyenera kumwa zakumwa zoonekeratu panthawi yamankhwala anu kuti muchepetse mwayi woti mudzasowe madzi m'thupi mukamatulutsidwa m'matumbo. Uzani dokotala wanu ngati mukuvutika kumwa zakumwa zokwanira bwino mukamalandira chithandizo.

Muyenera kusakaniza mankhwala anu ndi madzi ofunda kuti mukhale okonzeka kumwa. Werengani malangizo omwe amabwera ndi mankhwala anu kuti muwone kuchuluka kwa madzi omwe muyenera kuthira mu ufa komanso ngati muyenera kusakaniza mu chidebe chomwe chidalowamo kapena chidebe china. Tsatirani malangizowa mosamala ndipo onetsetsani kuti mukugwedeza kapena kusakaniza chisakanizo kuti mankhwala asakanike mofanana. Ngati mankhwala anu amabwera ndi mapaketi amakomedwe, mutha kuwonjezera zomwe zili paketi imodzi pamankhwala kuti mumve kukoma, koma simuyenera kuwonjezera zonunkhiritsa zina zamankhwala. Osasakaniza mankhwala anu ndi madzi ena onse kupatula madzi, ndipo musayeseze kumeza ufa wa mankhwalawo osasakaniza ndi madzi. Mukasakaniza mankhwala anu, mutha kuwazizira mufiriji kuti zikhale zosavuta kumwa. Komabe, ngati mupereka mankhwalawa kwa khanda, simuyenera kuziziritsa.

Dokotala wanu angakuuzeni momwe mungatengere PEG-ES. Mwinanso mudzauzidwa kumwa kapu imodzi (8 mL) ya PEG-ES kamodzi mphindi 10 kapena 15, ndikupitilizabe kumwa mpaka matumbo anu akamveka bwino. Ndi bwino kumwa tambula iliyonse yamankhwala mwachangu m'malo mowamwa pang'onopang'ono. Chotsani mankhwala aliwonse otsala omwe mungagwiritse ntchito pochiza.

Mudzakhala ndi matumbo ambiri mukamalandira chithandizo cha PEG-ES. Onetsetsani kuti mwakhala pafupi ndi chimbudzi kuyambira nthawi yomwe mumamwa mankhwala anu oyamba kufikira nthawi yomwe mwasankha. Funsani dokotala wanu pazinthu zina zomwe mungachite kuti mukhale omasuka panthawiyi.

Mutha kumva kupweteka m'mimba ndikudzimbidwa mukamamwa mankhwala anu. Ngati zizindikirozi zikukulirakulira, imwani kapu iliyonse ya mankhwala pang'onopang'ono kapena musakhale ndi nthawi yochulukirapo pakati pa magalasi akumwa. Itanani dokotala wanu ngati izi sizikutha.

Dokotala wanu kapena wamankhwala angakupatseni pepala lazidziwitso zaopanga (Medication Guide) ngati lingapezeke pamtundu wa PEG-ES womwe mumamwa mukamayamba kumwa mankhwalawa. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Musanatenge PEG-ES,

• uzani adotolo ndi wamankhwala anu ngati mukugwirizana ndi PEG-ES, mankhwala ena aliwonse, kapena zina zilizonse pazomwe mukugwiritsa ntchito PEG-ES. Funsani wamankhwala wanu kapena onani zambiri za wopanga kuti adziwe mndandanda wa zosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: alprazolam (Xanax); amiodarone (Cordarone, Pacerone); kutchinjiriza; angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Epanid, Vasotec, mu Vaseretic), fosinopril, lisinopril (Prinivil, Qbrelis, Zestril, in Zestoretic), moexipril, Prestalia), quinapril (Accupril, mu Accuretic, Quinaretic), ramipril (Altace), ndi trandolapril (ku Tarka); Otsutsana ndi angiotensin II monga candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor ndi Tribenzor), telmisartan (Micardis ku Micardis HCT ndi Twynsta), ndi valsartan (Diovan, ku Byvalson, Diovan HCT, Entresto, Exforge, ndi Exforge HCT); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa monga ibuprofen (Motrin) ndi naproxen (Aleve, Naprosyn); desipramine (Norpramin); diazepam (Diastat, Valium); disopyramide (Norpace); okodzetsa ('mapiritsi amadzi'); dofetilide (Tikosyn); erythromycin (EES, Erythrocin); estazolam; malowa; lorazepam (Ativan); mankhwala okomoka; midazolam (Ndime); moxifloxacin (Avelox); pimozide (Orap); quinidine (Quinidex, mu Nuedexta); sotalol (Betapace, Betapace AF, Sorine); thioridazine; kapena triazolam (Halcion). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi PEG-ES, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• musamamwe mankhwala ena alionse akamamwa mankhwala a PEG-ES.
• ngati mukumwa mankhwala ena aliwonse pakamwa, imwani ola limodzi musanamwe mankhwala ndi PEG-ES.
• Uzani dokotala wanu ngati muli ndi chotupa m'matumbo mwanu, dzenje m'mimba mwanu kapena m'matumbo, megacolon wa poizoni (kufutukuka koopsa kapena koopsa kwa m'matumbo), kapena vuto lililonse lomwe limayambitsa mavuto ndikutsitsidwa kwa m'mimba mwanu. kapena matumbo. Dokotala wanu angakuuzeni kuti musatenge PEG-ES.
• auzeni adotolo ngati mwakhala mukugunda pamtima mosafunikira, nthawi yayitali ya QT (mkhalidwe wobadwa nawo womwe ungayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), matenda amtima aposachedwa, kupweteka pachifuwa, kulephera kwa mtima, mtima wokulitsidwa, khunyu, asidi reflux, kuvutika kumeza, matenda opatsirana (zotupa zomwe zimayambitsa kutupa kwa matumbo) monga ulcerative colitis (vuto lomwe limayambitsa kutupa ndi zilonda pakatikati [m'matumbo akulu] ndi rectum), G6 Kuperewera kwa -PD (matenda obadwa nawo m'magazi), kuchepa kwa sodium, magnesium, potaziyamu, kapena calcium m'magazi anu, chilichonse chomwe chimawonjezera chiwopsezo choti chidzatsamwitsa kapena kupumira chakudya m'mapapu anu, kapena matenda a impso. Ngati mukugwiritsa ntchito Moviprep^® kapena Plenvu^® mtundu wa PEG-ES, uzani dokotala wanu ngati muli ndi phenylketonuria (PKU; cholowa chomwe mungalandire chakudya chapadera kuti muchepetse kuchepa kwamaganizidwe).
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa.

Dokotala wanu angakuuzeni zomwe mungadye ndi kumwa musanagwiritse ntchito mankhwala a PEG-ES. Tsatirani malangizowa mosamala.

Itanani dokotala wanu mukaiwala kapena simungathe kumwa mankhwalawa monga momwe adanenera.

PEG-ES itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kupweteka m'mimba, kukokana, kapena kukhuta
• kuphulika
• kukwiya kwammbali
• kufooka
• kutentha pa chifuwa
• ludzu
• njala
• kuzizira

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo kapena pitani kuchipatala:

• zidzolo
• ming'oma
• kuyabwa
• kutupa kwa maso, nkhope, pakamwa, milomo, lilime, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma kapena kumeza
• kusanza
• chizungulire
• mutu
• kuchepa pokodza
• kugunda kwamtima kosasintha
• kugwidwa
• magazi kuchokera kumatumbo

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Sungani zosakanizazo mufiriji. Ngati mukugwiritsa ntchito Colyte^®, Mwamwayi^®, kapena Trilyte^® zothetsera mtundu, zigwiritseni ntchito pasanathe maola 48 mutasakaniza. Ngati mukugwiritsa ntchito Moviprep^® Yankho lanu, ligwiritseni ntchito pasanathe maola 24 mutatha kusakaniza. Ngati mukugwiritsa ntchito Plenvu^® Yankho lanu, ligwiritseni ntchito pasanathe maola 6 mutatha kusakaniza.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labotale kuti aone momwe thupi lanu likuyankhira PEG-ES.

Musalole kuti aliyense azimwa mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• CoLyte^®
• NDIPONSO^®
• Chosangalatsa^®¶
• Moviprep^®
• Mwamwayi^®
• Plenvu^®
• Nyukiliya^®¶
• Zamgululi^®

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.