Loperamide

Qanacsan

• Kahor qaadashada loperamide,
• Loperamide wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Haddii adiga ama qof qaadanaya loperamide aad la kulanto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn caafimaad oo degdeg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Loperamide wuxuu sababi karaa isbeddello halis ah ama naf-gooyn ah wadnahaaga, gaar ahaan dadka qaatay in ka badan inta lagu taliyey. U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa qaadatay qadar dheeri ah oo QT ah (dhibaato wadno dhif ah oo u horseedi karta garaaca wadnaha oo aan joogto ahayn, suuxdin, ama geeri lama filaan ah), garaaca wadnaha oo gaabis ah ama aan caadi ahayn, ama heer ka hooseeya oo ah dhiigga dhiiga. Sidoo kale u sheeg dhakhtarkaaga haddii aad qaadanaysid ama qorsheyneyso inaad qaadato mid ka mid ah daawooyinka soo socda: amiodarone (Nexterone, Pacerone), chlorpromazine, haloperidol (Haldol), methadone (Dolophine, Methadose), moxifloxacin (Avelox), pentamidine (Nebupent, Pentam) , procainamide, quinidine (in Nuedexta), sotalol (Betapace, Betapace AF), thioridazine, iyo ziprasidone (Geodon). Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan loperamide haddii aad qaadanayso mid ka mid ah daawooyinkan ama haddii aad leedahay mid ka mid ah xaaladahaas. Haddii aad isku aragto mid ka mid ah astaamahan soo socda inta aad qaadanaysid loperamide, wac dhakhtarkaaga isla markiiba ama u sheeg saaxiib ama daryeel bixiye inuu waco adeegyada gurmadka degdegga ah ee 911: dhakhso, aan caadi ahayn, ama garaaca wadnaha oo garaaca; dawakhaad; madax wareer; jawaab celin la'aan; ama suuxdin.

Qaadashada in ka badan xaddiga lagu taliyey ee loo yaqaan 'loperamide' waxay sababi kartaa dhibaatooyin xagga wadnaha ah oo khatar ah ama sababi kara dhimasho. Ha qaadan qadar ka weyn, qaad inta badan, ama ha qaadan muddo dheer oo ka badan inta uu dhakhtarkaagu kuu qoray ama sida ku qoran baakadka.

Loperamide waa inuu maahan la siiyo ilmo ka yar 2 sano jir khatarta neefsashada daran iyo dhibaatooyinka wadnaha.

Lopramide aan dib loo qorin (miiska laga iibsado) loperamide waxaa loo isticmaalaa in lagu xakameeyo shubanka ba'an (saxaro dabacsan oo si lama filaan ah u yimaada oo badanaa qaata wax ka yar 2 toddobaad), oo ay ku jiraan shuban-biyoodka socdaalka. Daawada daawada ee loo yaqaan 'loperamide' ayaa sidoo kale loo isticmaalaa in lagu xakameeyo shubanka ba'an iyo sidoo kale shubanka socda ee la xiriira cudurka mindhicirka ee caabuqa (IBD; xaalad ah in dahaarka dhammaan ama qayb ka mid ah xiidmaha ay bararaan, xanaaqa, ama nabarro yeeshaan). Daawada rijeetada ee loo yaqaan 'loperamide' ayaa sidoo kale loo isticmaalaa in lagu yareeyo qadarka dareeraha dadka qaba ileostomies (qalliin si loo abuuro meel loogu talagalay qashinka inuu jidhka uga tago caloosha). Loperamide waxay ku jirtaa nooc daawooyin ah oo loo yaqaan wakiilada shubanka. Waxay ku shaqeysaa iyadoo la yareeyo qulqulka dareerayaasha iyo elektrolytes-ka caloosha iyo iyadoo la yareeyo dhaqdhaqaaqa mindhicirka si loo yareeyo tirada dhaqdhaqaaqa caloosha.

Loperamide wuxuu u yimaadaa kiniin ahaan, kaabsol, iyo ganaax ama xal (dareere) afka lagu qaato. Lopramide aan dib loo qorin (miiska lagu iibsado) badanaa waxaa la qaataa isla markiiba ka dib dhaqdhaqaaq kasta oo saxaro dabacsan laakiin aan ka badnayn 24ka saac ee ugu badan ee lagu sharraxay calaamadda. Daawada daawada ee loo yaqaan 'loperamide' ayaa mararka qaarkood lagu qaataa jadwal (hal jeer ama ka badan maalintii). Raac tilmaamaha ku qoran baakadka ama warqadda daawada ee si taxaddar leh, oo weydii dhakhtarkaaga ama farmashiistaha inuu kuu sharraxo qayb kasta oo aadan fahmin. Qaado loperamide sida saxda ah ee lagu faray.

Haddii aad siinayso loperamide ilmahaaga, si taxaddar leh u akhri calaamadda xirmada si aad u hubiso inay tahay wax soo saarka ku habboon da'da ilmaha. Loperamide waa inuu maahan la siiyo ilmo ka yar 2 sano jir. Hubi calaamadda baakadka si aad u ogaato inta daawo ee ilmuhu u baahan yahay. Haddii aad ogtahay inta uu le'eg yahay culeyska ilmahaagu, ku sii qaddarka u dhigma miisaankaas jaantuska. Haddii aadan aqoon culeyska ilmahaaga, sii qaddarka u dhigma da'da ilmahaaga. Weydii dhaqtarka ilmahaaga haddii aadan ogeyn inta daawada ah ee la siinayo ilmahaaga.

Haddii aad qaadaneyso dareeraha loperamide, ha u isticmaalin qaadada guriga si aad u cabirto qiyaastaada. U isticmaal koobka cabirka ee la yimid daawada ama u isticmaal qaaddo loo sameeyay gaar ahaan cabbirka daawada dareeraha ah.

Haddii aad u qaadanayso loperamide shuban-biyood ba'an astaamahaaguna ay ka sii darayaan ama haddii shuban-biyoodkaagu sii soconayo in ka badan 48 saacadood, jooji qaadashada daawadan una wac dhakhtarkaaga.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada loperamide,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay loperamide, daawooyin kale, ama wax ka mid ah waxyaabaha ku jira alaabta loperamide. Hubi calaamadda baakada liiska waxyaabaha ay ka kooban tahay.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: antibiyootigyada sida clarithromycin (Biaxin, PrevPac) iyo erythromycin (E.E.S., Ery-Tab, Eryc, kuwa kale); antifungals qaarkood sida itraconazole (Onmel, Sporanox) iyo ketoconazole; cimetidine (Tagamet), gemfibrozil (Lopid); quinine (Qualaquin), ranitidine (Zantac), ritonavir (Norvir, Kaletra), ama saquinavir (Invirase). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa qabtid ulcerative colitis (xaalad ay nabarro ku soo baxaan mindhicirada oo keena xanuun iyo shuban). ama xiidmaha (bararka xiidmaha ee ay sababto bakteeriyada qaarkood). Sidoo kale, u sheeg dhakhtarkaaga haddii aad leedahay qandho, dhiig ama xabka saxarada, saxarada madow, ama calool xanuun aan shuban lahayn. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan loperamide ama siin ilmahaaga haddii aad leedahay mid ama in ka badan oo ka mid ah xaaladahaas.
• u sheeg dhakhtarkaaga haddii aad qaadatay cilladda difaaca jirka (AIDS) ama haddii aad qabto ama aad waligaa cudurka beerka qabtid.
• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanaysid loperamide, wac dhakhtarkaaga.
• waa inaad ogaataa in daawadani kaa dhigi karto mid hurdo iyo wareer. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daroogadani kuu saameyneyso.

Cab biyo fara badan ama cabitaanno kale oo saafi ah si aad u beddesho dheecaannada lumay intaad shubanaysid.

Haddii aad qaadanayso qiyaasta loo qorsheeyay ee loperamide, qaado qiyaasta la seegay isla marka aad xusuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Loperamide wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• calool istaag
• daal

Haddii adiga ama qof qaadanaya loperamide aad la kulanto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn caafimaad oo degdeg ah:

• finan
• guduudasho, xoqid ama maqaarka nabarro leh
• finan
• cuncun
• taahid
• neefsashada oo adkaata
• qandho
• calool xanuun ama barar
• saxara dhiig leh

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222.Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• lallabbo
• kaadi la'aan
• miyir beelid
• dhakhso, garaacid, ama wadno garaac aan caadi ahayn
• jawaab celin la'aan
• jahwareer
• yareynta ardayda
• neefsasho gaabis ah
• neefta oo ku qabata

Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto qaadashada dawadan.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Imodium^®
• Imodium^® AD
• Imotil^®
• K-Pek II^®
• Kao-Paverin^®
• Kaopectate 1-D^®
• Maalox^® Kahortaga Shubanka
• Pepto^® Xakamaynta Shubanka

• Imodium^® Relief-Multi Symptom Relief (oo ay ku jirto Loperamide, Simethicone)