Lactulose: nws yog dab tsi, cov lus qhia thiab tshuaj xyuas

Lactulose yog laxative uas ua rau muaj kev hloov pauv ntawm cov ntoo ntawm cov nyuv (nce ntxiv ntawm cov lactobacilli), uas ua rau muaj qhov nce ntawm acidity hauv lub lumen ntawm cov nyuv thiab txhawb nws cov peristalsis. Nrog rau qhov no, qhov ntim nce thiab cov quav muag.

Dab tsi yog qhov no Lactulose yog cov ntxhiab tsw dawb, dawb, thiab lwm yam khoom tsis zoo. Nws tuaj yeem txig rau hauv cov kua. Nws yog tsim los ntawm mis nyuj qab zib thiab yog dej num li oligosaccharides (qhov no yog subclass ntawm disaccharides).

Pharmacological action - hyperosmotic, laxative effect, txhawb lub plab hnyuv kom zoo, txhim kho kev nqus ntawm phosphates thiab Ca2 + ntsev, txhawb kev ua kom zoo rau ntawm ammonium ions.

Hauv qab ntawm tshuaj, Lactobacillus acidophilus, Lactobacillus bifidus ntau ntxiv nyob rau hauv txoj hnyuv, hauv qab ntawm qhov uas Lactulose txhawm rau tsim lactic acid (feem ntau) thiab qee cov kua thiab acetic acids. Hauv qhov no, lub siab osmotic nce thiab pH hauv qhov lumen ntawm txoj hnyuv loj zuj zus, uas ua rau kev tsiv teb tsaws chaw ntawm ammonia los ntawm cov ntshav mus rau hauv txoj hnyuv, ntxiv rau qhov nce ntawm qhov ntim ntawm cov quav thiab cov peristalsis ntau ntxiv.

Qhov kev txiav txim tshwm sim 24-48 teev tom qab kev tswj hwm (kev ua kom qeeb yog vim tau hla dhau ntawm txoj hnyuv plab).

Kev kho mob nrog Lactulose txo lub siab ntawm ammonium ions nyob rau hauv cov ntshav los ntawm 25-50%, txo qhov mob hnyav ntawm hepatic encephalopathy, txhim kho lub hlwb kev xav thiab normalizes EEG. Tsis tas li ntawd txo cov kev tsim tawm ntawm salmonella.

Cov tshuaj tsub kom qhov ntau npaum li cas ntawm cov quav thiab muaj qhov mob tso quav. Cov tshuaj tsis cuam tshuam rau cov leeg thiab cov hnyuv thiab plab hnyuv plab.

Kev ntsuas rau siv

Dab tsi pab tau Lactulose? Raws li cov lus qhia, cov tshuaj yog tshuaj hauv cov kis hauv qab no:

• cem quav ntev
• hepatic encephalopathy,
• salmonellosis (tshwj tsis yog daim ntawv dav dav dav),
• lub plab zom zaub mov cuam tshuam nrog putrefactive cov txheej txheem raws li kev noj zaub mov (hauv cov menyuam mos thiab menyuam yaus hnub nyoog qis dua 10 xyoo).

Cov lus qhia rau kev siv Lactulose, ntau npaum li cas

Kev noj tshuaj ntau dua yog xaiv tau ib tus zuj zus, nyob ntawm lub hnub nyoog thiab ntsuas. Lactulose yog qhov zoo tshaj plaws nrog noj mov ua sawv ntxov.

Cov qauv tshuaj raws li cov lus qhia:

• Nrog quav tawv - 15 - 45 ml rau 3 hnub. Tom qab ntawd 15 - 25 ml ib hnub.
• Nrog rau mob hepatic encephalopathy - 30-50 ml, 3 zaug ib hnub. Qhov tshuaj ntau ntau txhua hnub yog 190 ml. Rau kev tiv thaiv, noj 40 ml 3 zaug ib hnub.
• Hauv kev mob plab hnyuv muaj mob los ntawm tus kab mob salmonella - 15 ml 3 zaug ib hnub. Lub sijhawm siv sijhawm yog 10 mus rau 12 hnub. Nws yog qhov tsim nyog los haus 2 - 3 chav kawm nrog so rau ib lub lim tiam. Thaum lub chav kawm thib peb, noj 30 ml 3 zaug ib hnub.

Txhawm rau tiv thaiv kev loj hlob ntawm hepatic coma rau cov neeg mob uas muaj lub siab ua rau lub siab puas tsuaj, cov tshuaj yog tshuaj 25 ml 3 zaug hauv ib hnub. Yog tias tsis muaj txiaj ntsig, nws raug nquahu kom siv kev sib xyaw ntawm lactulose thiab neomycin.

Nrog salmonellosis - 15 ml 3 zaug hauv ib hnub rau 10-12 hnub, tom qab so 7-hnub, kev kho mob yog rov qab ua dua. Yog tias tsim nyog, chav kawm thib peb ntawm txoj kev kho tuaj yeem nqa tau hauv qhov ntau npaum ntawm 30 ml 3 zaug hauv ib hnub.

Rau cov menyuam yaus, cov kua qab zib tuaj yeem tov nrog dej lossis kua txiv.

Cov koob tshuaj ntawm Lactulose rau cov menyuam yaus:

• li ntawm 7 mus rau 14 xyoos - ua ntej 15 ml ntawm kua dej, tom qab ntawd 10 ml ib hnub,
• txog 6 xyoo - 5 txog 10 ml ib hnub,
• los ntawm rau lub hlis txog 1 xyoos - 5 ml ib hnub.

Siv nrog ceev faj nyob rau hauv cov neeg mob nrog gastrocardial syndrome. Thaum zoo li no, txoj kev kho yuav tsum pib nrog cov tshuaj qis thiab nce lawv kom maj mam kom tsis txhob muaj kev loj hlob.

Nws yuav tsum tsis txhob siv rau mob plab, xeev siab, ntuav yam tsis muaj pov thawj ntawm kev kuaj mob.

Sab sij huam

Cov kev qhia ceeb toom txog qhov ua tau rau muaj kev mob tshwm sim tom qab thaum kho Lactulose:

• nyob rau qee kis, xeev siab, ntuav, tsis nco qab (tsis muaj qab los noj mov) tau pom.

Thawj thawj koob tshuaj lactulose hauv kev kho mob plab, mob plab thiab mob pob zeb (tsub zuj zuj ntawm cov roj hauv plab) yuav tshwm sim. Cov tshwm sim no feem ntau ploj 48 teev tom qab txhaj tshuaj thawj zaug.

Cov Yuav Tsum Muaj

Lactulose yog contraindicated nyob rau hauv cov teeb meem hauv qab no:

• qhov quav los ntshav
• kab mob tiv thaiv kab mob: lactase deficiency, lactose intolerance, qabzib-galactose malabsorption, galactosemia,
• colostomy lossis ileostomy,
• ob leeg plob tsis so tswj,
• txhawj tsam mob hnyuv tws
• kev siv tshuaj tiv thaiv kom lactulose.

Ceev faj yuav tsum tau siv rau hauv cov neeg mob ntshav qab zib mellitus thiab mob plab.

Yeeb tshuaj sib cuam tshuam

Nrog rau kev siv txau ntawm cov tshuaj tua kab mob sab-spectrum, qhov txo qis hauv kev kho mob ua tau zoo ntawm lactulose yog ua tau.

Nrog rau kev siv lactulose tib lub sijhawm tuaj yeem cuam tshuam kev tso tawm ntawm cov tshuaj lom neeg los ntawm kev npaj ua ke nrog kev tiv thaiv pH tso tawm vim pH tso tawm vim nws txo qis pH ntawm cov hnyuv.

Noj ntau dhau

Yog tias muaj kev noj ntau dhau, mob plab (raws plab) tuaj yeem tshwm sim, uas yuav tsum tsis ua tiav cov tshuaj tiav. Kev mob plab zom zis tuaj yeem ua rau poob kua dej, vim li no, yuav tsum kho cov dej-electrolyte tsis txaus.

Cov tshuaj ntawm Lactulose, tus nqi hauv cov chaw muag tshuaj

Yog tias tsim nyog, koj tuaj yeem hloov Lactulose nrog cov tshuaj analogue hauv kev kho mob - cov no yog cov tshuaj:

Thaum xaiv cov tshuaj analogues, nws yog ib qho tseem ceeb kom nkag siab tias cov lus qhia rau kev siv Lactulose, tus nqi thiab tshuaj xyuas cov tshuaj uas muaj cov txiaj ntsig zoo sib xws tsis siv. Nws yog ib qho tseem ceeb kom kws kho mob sab laj thiab tsis txhob hloov pauv cov tshuaj ywj siab.

Tus nqi hauv cov khw muag tshuaj Lavxias: Poslabin lactulose ntsiav tshuaj 500 mg 30 pcs. - los ntawm 91 txog 119 rubles, nyob rau hauv daim ntawv ntawm phoov, cov tshuaj pheej pheej yig yog Lactusan phoov 300 ml - los ntawm 300 rubles, raws li 591 lub tsev muag tshuaj.

Txav mus cuag cov menyuam yaus ntawm qhov ntsuas kub tsis tshaj + 25 ° C. Txee lub neej yog 2 xyoos.

Cov Tshuaj Hauv Tshuaj

Lactulose yog pom los ntawm cov nyhuv hyperosmotic laxative. Tsis tas li, cov tshuaj no ua kom zoo dua ntawm cov tshuaj ammonium ions, muaj qhov zoo cuam tshuam rau kev nqus ntawm calcium ntsev thiab phosphates, ua kom lub plab hnyuv kom ua lub zog.

Lactulose tawg nyob rau hauv txoj hnyuv vim muaj kev cuam tshuam rau lub plab hnyuv hauv nroog, ua rau muaj cov roj tsawg tshaj li cov organic acids, uas ua rau muaj kev nce siab ntawm osmotic thiab txo pH. Qhov tsim nyog ntawm qhov no yog qhov nce ntawm qhov ntim ntawm cov hnyuv. Cov teebmeem no txhawb cov txheej txheem ntawm peristalsis hauv plab hnyuv thiab ua rau muaj qhov quav tas li. Cov tshuaj muab rov ua kom tshwm sim ntawm kev xav lub cev ntawm txoj hnyuv laus.

Hauv cov neeg mob uas muaj tus kab mob hepatic precoma / coma thiab hepatic encephalopathy, cov nyhuv yog vim qhov inhibition ntawm kev ua si ntawm cov kab mob tiv thaiv kab mob proteolytic, vim los ntawm kev muaj ntau ntawm cov kab mob acidophilic (piv txwv, lactobacilli), kev hloov pauv ntawm ammonia rau hauv daim ntawv ionic vim yog acidification ntawm cov ntsiab lus ntawm lub plab hnyuv loj, thiab lub plab nyhuv. thiab txo qis pH hauv txoj hnyuv, ntxiv rau txo qis cov tshuaj lom nitrogen-nrog cov co toxins los ntawm kev ua kom cov haujlwm ntawm cov kab mob me me zmov nqa ammonia rau ub ntawm cov kab mob protein synthesis txheej txheem.

Lactulose yog ib qho prebiotic uas ua kom muaj kev loj hlob ntawm cov kab mob tau txais txiaj ntsig (lactobacillus thiab bifidobacteria), uas ua rau tiv thaiv kev loj hlob ntawm cov kab mob tseem ceeb (Escherichia coli, Clostridium) thiab pab txhim kho kev sib npaug ntawm cov plab hnyuv muaj. Cov tshuaj muaj peev xwm inhibit qhov kev loj hlob thiab rov ua dua ntawm shigella thiab salmonella, tsis txo qhov kev nqus ntawm cov vitamins, thiab nws siv tsis dhau los ua kev tiv thaiv. Lactulose pib ua yeeb yam 24–48 teev tom qab kev tswj hwm, uas tau piav qhia los ntawm kev tso tawm cov tshuaj los ntawm cov hnyuv.

Cov Tshuaj Pharmacokinetics

Qhov ntsuas ntawm kev nqus ntawm lactulose thaum dhau los ntawm kev mob plab yog qhov tsawg. Tsuas yog 3% ntawm cov koob tshuaj noj tau tawm ntawm lub raum. Yog tias tsis muaj kev nqus, cov tshuaj mus txog rau txoj hnyuv, qhov twg nws faib los ntawm lub plab hnyuv muaj. Lactulose yog metabolized yuav luag 100% thaum noj hauv ib koob li ntawm 40-75 ml. Thaum muab tshuaj rau hauv cov tshuaj ntau dua, cov tshuaj yeeb tshuaj yog raug qee nrog cov quav nrog quav tsis pauv.

Cov Yuav Tsum Muaj

• Rectal los ntshav
• Cov kab mob muaj mob: lactase deficiency, lactose intolerance, qabzib-galactose malabsorption, galactosemia,
• Colostomy lossis ileostomy,
• Txoj hnyuv tawm,
• Hnov mob hnyuv tws,
• Kev siv tshuaj tiv thaiv mob rau lactulose.

Raws li cov lus qhia, Lactulose yuav tsum siv nrog ceev faj hauv cov neeg mob ntshav qab zib mellitus, mob plab.

Cov lus qhia rau kev siv Lactulose: txoj kev thiab ntau npaum li cas

Lactulose phoov yog noj ntawm qhov ncauj, yog tias xav tau, nws tuaj yeem nchuav nrog dej lossis kua txiv.

Cov koob tshuaj txhua hnub thiab cov sijhawm kho mob yog kho los ntawm tus kws kho mob raws li kev kuaj mob.

• Cem quav: thawj koob tshuaj rau cov neeg mob laus - 15-45 ml rau thawj 3 hnub, txij nkawm - 10-25 ml, thawj koob rau cov menyuam muaj hnub nyoog 7-14 xyoo - 15 ml, txij nkawm - 10 ml. Qhov pib thiab saib xyuas qhov koob tshuaj Lactulose phoov rau cov menyuam yaus hnub nyoog 1-6 xyoo - 5-10 ml, los ntawm 1.5 hli txog 1 xyoo - 5 ml. Cov tshuaj yuav tsum noj 1 zaug nyob rau ib hnub thaum noj tshais,
• Hepatic encephalopathy: 30-50 ml 2-3 zaug ib hnub, kom ua tiav qhov kev soj ntsuam, nce ntxiv txog 190 ml ib hnub yog ua tau. Txhawm rau tiv thaiv kev loj hlob ntawm hepatic coma, cov neeg mob uas muaj lub siab ua rau lub siab puas tsuaj yog tsim los 25 ml ntawm syrup 3 zaug hauv ib hnub,
• Salmonellosis: 15 ml 3 zaug ib hnub, lub sijhawm nkag yog 10-12 hnub. Tom qab so (7 hnub), txoj kev kawm yuav tsum rov ua dua. Yog tias tsim nyog, chav kawm thib peb ntawm kev kho yog ua tau ntawm koob tshuaj 30 ml 3 zaug ib hnub.

Sab sij huam

Kev siv cov Lactulose tuaj yeem ua rau tsis muaj qhov cuam tshuam:

• Lub plab zom mov: muaj - ua tsis haum pa (feem ntau thaum pib kho, tom qab ntawd maj mam ploj mus), mob hauv plab, raws plab, cuam tshuam ntawm cov dej-electrolyte tshuav nyiaj (thaum noj ntau), tsis tshua muaj - xeev siab,
• Tej leeg hauv tshee: tsis tshua muaj - kiv taub hau, mob taub hau, cramps,
• Lwm yam: tej zaum - kev txhim kho ntawm kev ua xua, tsis tshua muaj - tsis muaj zog, myalgia, arrhythmia, qaug zog.

Noj ntau dhau

Thaum noj Lactulose Syrup ntau heev, raws plab thiab mob plab tuaj yeem tshwm sim. Hauv qhov no, qhov koob tshuaj ntawm lactulose raug txo los yog txiav tsis ua tiav. Ntuav lossis zawv plab tuaj yeem ua rau lub cev tsis muaj kua txaus, yog li ntawd, yuav tsum tau kho cov teeb meem hauv dej-electrolyte sib npaug.

Cov lus qhia tshwj xeeb

Thaum cev xeeb tub thiab kev pub niam mis, kev siv tshuaj kua muaj peev xwm siv tau rau kev qhia txog kev kuaj mob.

Koj tuaj yeem siv tsis tau cov tshuaj yam tsis tau tsim kev kuaj mob tseeb yog tias koj hnov ​​mob xeev siab, mob plab lossis ntuav.

Txhawm rau tiv thaiv txoj kev loj hlob ntawm flatulence nyob rau hauv cov neeg mob nrog gastrocardial syndrome, thawj zaug kev noj tshuaj yuav tsum qis dua qhov kev pom zoo, nws yuav tsum tau nce ntau zuj zus, coj mus rau qhov tshuaj kho kom zoo.

Yog tias mob raws plab, Lactulose yuav tsum tsis ua mus ntxiv.

Cov tshuaj yog siv tshwj xeeb ua tib zoo siv rau cov mob txhab ntawm txoj hnyuv hauv cov neeg mob ntshav qab zib mellitus.

Hauv cov neeg mob noj cov tshuaj no ntau dua 6 lub hlis, nws raug nquahu kom soj ntsuam theem ntawm poov tshuaj, carbon dioxide thiab chlorine hauv cov ntshav ntshav.

Yeeb tshuaj sib cuam tshuam

Cov txiaj ntsig kev soj ntsuam ntawm cov tshuaj tuaj yeem txo los ntawm cov tshuaj tua kab mob ntau. Cov nyhuv ntawm lactulose txo cov pH ntawm cov hnyuv hauv lub plab, yog li ntawd, thaum noj nrog cov tshuaj enteric-soluble nrog pH-tso tawm, kev tso tawm ntawm lawv cov tshuaj nquag yuav raug mob.

Cov Lus Cim ntawm Lactulose yog: Dufalac, Goodluck, Livolyuk-PB, Romfalak, Portalac, Normase, Forlax, Dinolak, Exportal thiab lwm yam.

Tus nqi ntawm Lactulose hauv cov chaw muag tshuaj

Thaum lub sijhawm, tus nqi ntawm Lactulose tseem tsis tau paub, vim tias cov tshuaj tsis muag rau hauv cov chaw muag tshuaj. Tus nqi ntawm cov tshuaj txig, Dufalac phoov, nws txawv ntawm 270 txog 346 rubles rau 200 ml lub raj mis, los ntawm 465 txog 566 rubles rau 500 ml lub raj mis, los ntawm 845 txog 1020 rubles rau 1000 ml lub raj mis.

Kev piav qhia thiab muaj pes tsawg leeg

Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm pob tshab, muaj kua, uas tuaj yeem tsis muaj kob lossis daj nrog lub ntsej muag daj.
Ua cov tshuaj nquag, cov tshuaj muaj lactulose. Ntxiv rau nws, cov tshuaj muaj pes tsawg leeg suav nrog citric acid thiab dej rau txhaj raws li cov khoom xyaw pabcuam.

Pharmacological pawg

Lactulose yog qhov mob plab uas muaj cov nyhuv osmotic. Thaum kho, kev mob plab hnyuv tau txhawb, thiab kev nqus ntawm phosphates thiab calcium txhim kho. Cov tshuaj ua rau nrawm tshem tawm ntawm ammonium ions.

Nyob rau hauv kev cuam tshuam ntawm lub plab hnyuv microflora, lactulose tawg rau hauv cov kua roj me me ntawm cov organic acids, vim li ntawd, pH poob qis thiab lub siab osmotic nce, uas ua rau muaj qhov nce hauv ntim ntawm cov quav. Txhua yam no ua rau kev txhawb nqa ntawm txoj hnyuv thiab qhov hloov pauv ntawm cov quav. Nrog kev pab ntawm cov tshuaj, nws yog ib qho ua tau kom rov mob physiological atherosclerosis ntawm khoob.

Nrog rau mob hepatic encephalopathy, precoma thiab coma, cov nyhuv ntawm cov tshuaj cuam tshuam nrog kev tsub tawm ntawm cov kab mob proteolytic thiab kev nce ntxiv ntawm cov kab mob acidophilic, piv txwv, lactobacilli. Vim tias kev tswj hwm tshuaj, cov ntsiab lus hauv plab hnyuv yog acidified, thiab ammonia nkag mus rau hauv ionic daim ntawv, qhov ntau ntawm nitrogen-muaj cov tshuaj lom neeg tsawg tsawg, qhov no yog vim muaj kev cuam tshuam ntawm cov kab mob uas siv cov tshuaj ammonia rau cov tshuaj tua kab mob protein.

Lactulose yog ib qho tshuaj prebiotic. Nws txhawb txoj kev loj hlob ntawm cov kab mob muaj txiaj ntsig, xws li bifidobacteria thiab lactobacilli, thiab lawv, nyeg, inhibit qhov kev loj hlob ntawm cov kab mob muaj peev xwm: E. coli thiab clostridia.

Cov tshuaj tiv thaiv kev loj hlob thiab ua kom muaj tus mob shigella thiab salmonella, tsis cuam tshuam nrog kev nqus ntawm cov vitamins, thiab tsis muaj yees.

Kev ua kom zoo ntawm kev siv tshuaj yog pom 24–48 teev tom qab nws cov thawj coj (ncua kev laxative los ntawm cov tshuaj yog cuam tshuam nrog nws cov kis los ntawm kev zom zaub mov).

Kev nqus ntawm cov tshuaj tsis tshua muaj, txog li 3% ntawm qhov koob tshuaj coj los ua tawm ntawm lub raum. Cov khoom sib xyaw ua haujlwm ncav cuag txoj hnyuv, qhov chaw uas nws tau faib los ntawm microflora. Cov tshuaj, qhov ntau npaum li cas ntawm 40-75 ml ntawm qhov tshuaj, yog qhov tshuaj tiav tag nrho; thaum siv ntau dua, cov tshuaj tau tawm qee qhov hauv cov kua tsib tsis hloov.

Rau cov laus

• nrog cem quav, thiaj li yuav tswj tau lub cev ua pa ntawm txoj hnyuv khoob khoob,
• rau muag cov quav rau kev kho mob nrog hemorrhoids, nyob rau lub sijhawm tom qab ntawm kev phais mob ntxiv rau txoj hnyuv lossis hauv qhov quav,
• mob hepatic encephalopathy txhawm rau kho thiab tiv thaiv tsis txhob mob hepatic coma thiab precoma.

Raws li kev ntsuas, cov tshuaj yuav siv tau rau hauv menyuam yaus txij thawj hnub ntawm lub neej. Kev kho mob rau cov neeg mob hnub nyoog qis dua 18 xyoo yuav tsum tau nqa tawm tsuas yog nyob ntawm kev saib xyuas ntawm tus kws kho mob thiab tshwj tsis yog.

Rau cev xeeb tub thiab lactating

Thaum cev tes taw thiab lactation, lactulose phoov yuav siv tau raws li kev taw qhia.

Cov Yuav Tsum Muaj

Cov tshuaj yog contraindicated yog tias tus neeg mob tau qhia tawm ib yam ntawm cov kev pathologies hauv qab no:

• kev tsis qaug rau kev sib xyaw ntawm cov tshuaj:
• galactosemia,
• ob leeg plob tsis so tswj,
• qhov quav los ntshav
• intolerance rau galactose, txiv hmab txiv ntoo qab zib, tsis muaj lactase, malabsorption ntawm disaccharides,
• colostomy thiab ileostomy.

Lactulose yog contraindicated nyob rau hauv cov neeg mob xav tias mob hnyuv tws, thiab yuav tsum tau kho nrog ceev faj rau cov neeg mob ntshav qab zib mellitus.

Dosage thiab Administration

Rau cov laus

Lactulose yog siv ntawm qhov ncauj, nrog lossis tom qab noj mov.

Kev noj tshuaj txhua hnub tuaj yeem noj 1 zaug lossis muab faib ua 2 zaug.

Kev kho mob yog xaiv rau txhua kis ntawm tus kheej. Thaum sau ntawv ntawm ib koob tshuaj ib hnub, cov tshuaj yuav tsum noj nyob rau tib lub sijhawm, piv txwv li, thaum noj tshais.

Txhawm rau tshem tawm cem quav, cov tshuaj nyob rau hauv thawj 3 hnub yuav tsum noj 15-45 ml ib hnub twg, tom qab ntawd txhua hnub noj tshuaj yog txo mus rau 10-30 ml.

Tom qab noj cov tshuaj, hnyuv mus kuaj tau pom nyob rau thawj 2 hnub. Lub chav kawm ntawm kev kho mob tuaj yeem yog 4 lub lis piam txog 3-4 hlis.

Rau cov neeg mob kev txom nyem los ntawm hepatic coma, precoma, encephalopathy, cov tshuaj yog kws kho 30–45 ml ib hnub. Tom ntej no, kev xaiv cov koob tshuaj yog li kom lub plab hnyuv txav 2-3 zaug ib hnub. Lub sijhawm kho mob yuav yog 3 hli lossis ntau dua.

Tom qab phais mob, cov tshuaj tau sau nrog 10-30 ml 3 zaug ib hnub. Nws yog ib qho tsim nyog kom haus cov tshuaj tom qab 18-24 teev tom qab kev zov me nyuam rau 3-5 hnub.

Rau cov menyuam yaus, ntau npaum ntawm cov tshuaj tau xaiv ib tus zuj zus nyob ntawm qhov ntsuas thiab hnub nyoog ntawm tus me nyuam.

Txhawm rau kom tshem tawm cem quav rau cov menyuam yaus ntawm thawj xyoo ntawm lub neej, cov tshuaj yog sau tseg nyob rau hauv cov tshuaj txhua hnub 5 ml, rau cov neeg mob hnub nyoog 1-6 xyoo ib hnub tuaj yeem muab los ntawm 5 txog 10 ml ib hnub, rau cov neeg mob hnub nyoog 7-14 xyoo - 15 ml ib hnub.

Rau cov menyuam muaj hnub nyoog 14 xyoos nce hauv, cov tshuaj yog tawm hauv cov tshuaj rau cov laus.

Tom qab kev phais mob, cov menyuam yaus hnub nyoog qis dua ib xyoos tau sau rau ib koob tshuaj 5 ml, tshaj ib xyoos 5-10 ml. Kev ntau ntau ntawm kev coj ua 2-3 zaug ib hnub. Nws yog ib qho tsim nyog yuav tau noj cov tshuaj tom qab 18-24 teev rau 3-5 hnub.

Rau cev xeeb tub thiab lactating

Thaum cov kabmob ntawm cov menyuam hauv plab thiab kev pub niam mis, Lactulose phoov yog siv li qub.

Kev cuam tshuam nrog lwm yam tshuaj

Thaum siv Lactulose kua qab zib hauv kev kho mob hauv kev sib xyaw nrog lwm cov tshuaj, kev sib cuam tshuam tshuaj tsis pom, tab sis, txawm hais tias qhov no, lawv tsis tas yuav haus cawv tib lub sijhawm (qhov tsawg kawg nkaus ntawm kev txhaj tshuaj yuav tsum yog 2 teev).

Cov tshuaj tua kab mob thiab tshuaj tua kab mob txo cov nyhuv txo qis. Lactulose hloov pH-tso kev tso tawm ntawm cov tshuaj lom solic.

Cia rau cov neeg mob

Cov tshuaj yuav tsum khaws cia hauv qhov chaw tsaus, qhov chaw nkag tsis tau ntawm qhov kub ntawm 5-25 degrees. Lub txee lub neej ntawm Lactulose phoov yog 3 xyoos, tom qab uas nws tsis tuaj yeem yuav haus cawv, nws yuav tsum muab pov tseg.

Koj tuaj yeem yuav cov tshuaj yam tsis muaj daim ntawv sau yuav tshuaj los ntawm kws kho mob, tab sis kev noj nws yam tsis tau sab laj nrog kws kho mob tsis pom zoo.

Ntxiv rau Lactulose phoov, ntau yam ntawm nws cov analogues yog muag:

1. Normase yog ua tiav cov tshuaj tiv thaiv ntawm Lactulose phoov. Kev tso quav yog muag hauv phoov, uas tuaj yeem kho rau cov neeg mob ntawm txhua lub hnub nyoog, suav nrog thaum cev xeeb tub thiab lactation.
2. Dufalac muaj lactulose ua cov tshuaj nquag. Ib yam tshuaj yog tsim hauv cov kua dej, uas tuaj yeem siv rau hauv menyuam yaus ntawm thawj xyoo ntawm lub neej, cov pojniam nyob hauv txoj haujlwm thiab kev pub niam mis.
3. Dinolak yog cov tshuaj nquag, cov tshuaj muaj lactulose thiab simethicone. Cov tshuaj raug muag hauv emulsion rau kev tswj hwm qhov ncauj, nws tuaj yeem raug kho rau cov menyuam yaus hnub nyoog, cev xeeb tub thiab lactating.
4. Transulose yog ib qho tshuaj pleev rau Fabkis uas yog tsim nyob rau hauv daim ntawv ntawm lub ntsej muag. Kev ua kom zoo ntawm kev siv tshuaj yog piav qhia los ntawm paraffin thiab lactulose. Laxative tuaj yeem raug kho rau cov neeg laus xwb. Transulose yog contraindicated rau cov poj niam hauv txoj hauj lwm thiab txhawb kev pub niam mis.
5. Senadexen yog phytopreparation, uas yog hloov chaw rau cov kua txiv Lactulose hauv pawg kho mob. Ib qho tshuaj yog tsim hauv cov ntsiav tshuaj uas tso cai rau menyuam yaus los ntawm ib xyoos thiab cov neeg mob xeeb tub. Cov tshuaj ua haujlwm nquag ntawm cov tshuaj tawm hauv cov kua mis thiab tuaj yeem ua rau mob plab hauv menyuam, yog li thaum kho koj yuav tsum hloov tus menyuam mus rau qhov sib tov.

Hloov chaw los ntawm kev noj kua txiv Lactulose, ib qho tshuaj kab mob tau tso cai tsuas yog tom qab sab laj tus kws tshaj lij.

Tus nqi ntawm Lactulose yog li ntawm 435 rubles. Tus nqi yog li ntawm 111 txog 967 rubles.