So wo nso wotaa nya komayare? So wote nka sɛ acid wɔ wo menewam bere a wudidi anaa wonom no? Eyi yɛ ɔhaw a ɛhyɛ nnipa binom abufuw kɛse. Mpɛn pii no, yɛfrɛ eyi ``( GERD )`` anaasɛ yare a ɛne yafunu mu acid san ba esophagus mu. Enti, ɛnnɛ yɛrebɛka aduru bi a wɔde ma wɔ dodow kakraa bi mu ma tebea horow a ɛtete saa, nanso bere a ayaresa afoforo ntumi nyɛ yiye nkutoo ho asɛm. Ɛno ne aduru a wɔde yɛ nsu a wɔnom a wɔfrɛ no ``Cisapride``.
Dɛn ne Cisapride? Dɛn nti na ɛyɛ soronko saa?
Sɛ yɛbɛka no tiawa a, Cisapride yɛ aduru a wɔde sa komayare ne yafunu mu akisikuru (GERD) . Nanso, ade a ɛho hia sɛ yɛhyɛ no nsow wɔ ha ne sɛ saa aduru yi nyɛ obiara dea, bere nyinaa.
Nokwarem no, esiane sɛ saa aduru yi betumi de asiane ahorow bi a emu yɛ den aba nti , sɛ asetra mu nsakrae ne nnuru afoforo antumi amfa ahotɔ mma nkutoo a nnuruyɛfo si gyinae sɛ wɔbɛkyerɛw ama obi. Kae sɛ wɔde eyi di dwuma sɛ ɔkwan a etwa to nkutoo .
Nokwasɛm titiriw foforo ne sɛ, wonnya nnyaa saa aduru yi wɔ nnurutɔnbea ahorow fi August 2000. Sɛ wuhia saa aduru yi a, ɛsɛ sɛ wo duruyɛfo no kyerɛw ne din wɔ adwumakuw a wɔyɛ nnuru no mu na odu gyinapɛn titiriw bi ho na ama wo saa aduru yi. Eyi kyerɛ sɛ eyi nyɛ aduru a wɔde sa yare bi kɛkɛ. Sɛ wopɛ sɛ wuhu eyi ho nsɛm pii a, nea ɔyɛe no de nɔma a wontua hwee ama wɔ (877) 795-4247 (ebia eyi yɛ nɔma a wɔde bedi dwuma wɔ United States).
Wobetumi de saa aduru yi nso adi dwuma ama tebea afoforo, enti sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo .
Edin a agye din a wɔde frɛ saa aduru yi ne `(Propulsid)`.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom aduru yi!
Ansa na wo duruyɛfo bɛkyerɛw Cisapride no, ɛho hia sɛ wuhu w’ayaresa ho abakɔsɛm nyinaa. Nea enti a ɛte saa ne sɛ ebia nnipa binom a wɔwɔ ayaresa tebea horow bi rentumi nnom saa aduru yi. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo :
- Sɛ nhwɛso no, adidi mu haw ahorow, anorexia (adidi yiye esiane aduan ho akɔnnɔ a wonni nti ) anaa bulimia ( adidi akyi a wɔtew ho ).
- Koma mu yare anaaKoma a entumi nyɛ adwuma yiye tebea horow.
- Koma mu nnyigyei ho haw ahorow.
- Koma mu ntini ho haw ahorow.
- Sɛ woanya calcium, potassium, anaa magnesium a ɛba fam wɔ wo nipadua mu pɛn a.
- Asaabo mu yare.
- Mmɛn mu yare.
- Ahurututu mu yare.
- Yafunu mu mogya a ɛretu, asiw, anaasɛ akuru.
- Sɛ woanya Cisapride, nnuru afoforo, nnuan, kɔla a wɔayɛ anaa nneɛma a wɔde siesie nneɛma a ɛyɛ soronko anaasɛ wo ho yɛ wo hyew pɛn a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
- Sɛ woyɛ ɛna a ɔma nufu a.
Ɛho hia paa ma w’ankasa ahobammɔ sɛ wobɛka akyerɛ oduruyɛfo no a womfa saa nneɛma yi nsie!
Ɔkwan bɛn so na wode aduru yi di dwuma yiye?
Eyi yɛ anom aduru a wɔde gyina hɔ. Sɛ wo duruyɛfo kyerɛw eyi ma wo a, ɛsɛ sɛ wofa sɛnea wɔakyerɛw wɔ krataa no so no pɛpɛɛpɛ.
- Wosow toa no yiye ansa na wode adi dwuma.
- Sɛ woresusuw w’aduru no a, ɛsɛ sɛ wode nsenia anaa kuruwa a ɛwɔ susudua soronko bi di dwuma. Sɛ wunni bi a, bisa wo nnuruyɛfo bi ma ɔmma wo bi. Mfa teaspoons a wɔde di dwuma daa nni dwuma, a ɛnyɛ pɛpɛɛpɛ.
- Ɛsɛ sɛ wɔnom saa aduru yi bere a yafunu da mpan . Ɛne sɛ, anyɛ yiye koraa no, simma 15 ansa na woadidi anaa ansa na woada anadwo.
- Mma nnnom nnuru pii nsen nea oduruyɛfo no akyerɛ wo, anaa nnom no mpɛn pii nsen nea woakyerɛw ama wo no.
So ɛsɛ sɛ wɔde aduru yi ma mmofra nkumaa?
Ɛsɛ sɛ wo ne wo mmofra oduruyɛfo kasa fa saa aduru yi a wode bɛma mmofra ho. Ebia ɛho behia sɛ wɔhwɛ yiye titiriw.
Na sɛ menom nnuru pii nso ɛ? (`Nnuru a wɔde ma boro so`)
Sɛ wususuw sɛ woanom nnuru pii a, frɛ beae a wɔhwɛ awuduru so anaa ayaresabea dan a ɛhwɛ ntɛmpɛ a ɛbɛn wo no ntɛm ara.
Nsɛm a ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mma nnkyɛ obi foforo biara esiane biribiara nti.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien anaa nea ɛboro so da.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Interactions) .
Eyi yɛ ɔfã a ɛsɛ sɛ wokenkan no yiye paa. Cisapride yɛ aduru a ebetumi de ɔhaw ahorow a emu yɛ den aba bere a wɔde ka nnuru afoforo bi ho no.Enti, ɛho hia sɛ woka nnuru afoforo a worenom kyerɛ wo duruyɛfo.
Mfa Cisapride nka nnuru a edidi so yi mu biara ho:
- Alfuzosin `(alfuzosin)`
- Nnuru a wɔde ko tia HIV anaa AIDS
- Apomorphine `(apomorphine)`
- Aprepitant a wɔde di dwuma
- Arsenic trioxide `(arsenic trioxide)`
- Nnuru bi a ekum ɔyare mmoawa: sɛ nhwɛso no, ciprofloxacin, clarithromycin, dalfopristin;quinupristin, erythromycin, gatifloxacin, gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, ofloxacin, pentamidine, sparfloxacin, telithromycin, troleandomycin
- Kokoram nnuru ahorow bi: sɛ nhwɛso no, daunorubicin, doxorubicin
- Nnuru bi a wɔde sa adwenemhaw, dadwen, anaa adwenemyare afoforo: sɛ nhwɛso no, clozapine, haloperidol, isoniazid, pimozide, risperidone, ziprasidone
- Nnuru bi a wɔde sa nna mu ɔhaw: Sɛ nhwɛso no, sildenafil, tadalafil, vardenafil
- Nnuru bi a wɔde sa fungal yare: Sɛ nhwɛso no, fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole
- Nnuru bi a wɔde sa koma a ɛbɔ a ɛnteɛ: sɛ nhwɛso no, amiodarone, bretylium, disopyramide, dofetilide, dronedarone, flecainide, ibutilide, procainamide, propafenone, quinidine, sotalol
- Chloroquine `(kloroquine)`
- Cimetidine `(cimetidine)`
- Conivaptan a wɔde yɛ aduru
- Cyclobenzaprine a wɔde di dwuma
- Cyclosporine a wɔde di dwuma
- Danazol `(danazol)`
- Diltiazem `(asɛmfua a ɛyɛ den)`
- Dolasetron `(dolasetron)`
- Droperidol `(aduru a wɔde hyɛ nipadua mu)`
- Nnuru a wɔde kum nipadua no nyinaa ne nea ɛwɔ mpɔtam hɔ
- Grapefruit nsuo - Eyi ho hia paa!
- Halofantrine a wɔde yɛ aduru
- Hawthorn `(hawthorn)` (nhabannuru a wɔde yɛ aduru) .
- Imatinib `(imatinib)`
- Isoniazid (aduru a wɔde sa nsamanwaw, a wɔaka ho asɛm nso wɔ ha) .
- Methadone a wɔde di dwuma
- Mifepristone `(mifepristone)`
- Nicardipine `(nicardipine)`
- Octreotide a wɔde yɛ aduru
- Nnuru afoforo a ɛka koma no nnyigyei (ɛma koma bɔ a ɛnteɛ - ɛma `QT ntamgyinafo` no kyɛ) .
- Palonosetron `(palonosetron)`
- Phenothiazine: Sɛ nhwɛso no, chlorpromazine, fluphenazine, mesoridazine, perphenazine, prochlorperazine, promethazine, thioridazine, trifluoperazine
- Quinine a wɔde di dwuma
- Ranolazine a wɔde yɛ nnuru
- Sodium phosphates a wɔde yɛ nneɛma
- Tacrolimus a wɔde di dwuma
- Verapamil `(verapamil)`
- Zafirlukast `(zafirlukast)`
- Zileuton `(zileuton)`
Saa aduru yi nso betumi ne nnuru a edidi so yi adi nkitaho:
- Diuretics (nnuru a ɛma nsu pii fi nipadua mu) .
- Insulin (asikreyare aduru) .
Ebia nkitahodi ahorow a ebetumi aba nyinaa nka saa din a wɔahyehyɛ yi ho. Enti, ka nnuru, nhabannuru, vitamin, ne nnuru a wɔde ka aduan ho a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo. Nneɛma bi betumi ne w’aduru no adi nkitaho.
Dɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho bere a merenom aduru yi?
Kɔ wo duruyɛfo nkyɛn daa na hwɛ w’akwahosan na hwɛ sɛ aduru no reyɛ adwuma. Ɛho hia sɛ woyɛ nsakrae bi wɔ w’asetra mu na ama saa aduru yi ayɛ adwuma yiye.
- Mma nnidi pii bere koro mu, di nnuan nketenkete .
- Sɛ woda a, ma wo ti so bɛyɛ nsateakwaa 6 kosi 8.
- Tew nnuan a srade wom, chocolate, nsa, sigaretnom, caffeine (te sɛ kɔfe), ne anonne a carbonated (te sɛ soda) so anaasɛ yi fi hɔ . Eyinom betumi ama wo GERD no ayɛ kɛse.
Kɔkɔbɔ a egye ntɛmpɛ! Sɛ wo ho tɔ wo, wo koma bɔ ntɛmntɛm, anaasɛ wo koma bɔ ntɛmntɛm a, gyae aduru yi nom ntɛm ara na kɔ wo duruyɛfo nkyɛn.
Ade foforo a ɛho hia: Nnom bobe nsu bere a worenom aduru yi. Grapefruit nsu betumi ama asiane a ɛwɔ hɔ sɛ aduru yi benya nkɛntɛnso bɔne a anibere wom no ayɛ kɛse.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?
Nneɛma bɔne bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa akwahosan ho ɔbenfo ntɛm ara sɛ ɛba sɛ ɛba a:
- Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw anaa akisikuru, anim, anofafa anaa tɛkrɛma a ɛho ahonhon.
- Ɔhome mu haw ahorow.
- Ɔtotɔ piti, ɔte nka sɛ wayɛ mmerɛw, na ɔhwe ase.
- Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ daa.
- Ɔyɛ mmerɛw na wabrɛ wɔ ɔkwan soronko so.
- Ɔfe a wɔfe.
Nsunsuanso bɔne a mpɛn pii no enhia sɛ wunya aduruyɛ mu afotu, nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ:
- Atiridiinini anaasɛ akisikuru.
- Tipaeɛ.
- Abofono.
- Yafunu mu yaw.
- Hwene a ayɛ mmerɛw.
Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Wo ne wo duruyɛfo nkasa na ɔmma wo aduruyɛ mu afotu wɔ nneɛma bɔne a efi mu ba ho. Wubetumi nso abɔ amanneɛ akyerɛ FDA (nɔma: 1-800-FDA-1088, eyi yɛ nɔma a ɛwɔ United States).
Ɛhe na ɛsɛ sɛ mede saa aduru yi sie?
- Fa sie baabi a mmofra ntumi nkɔ.
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15 kosi 30 / digrii Fahrenheit 59 ne 86 ntam).
- Bɔ ho ban fi hann ho.
- Tow nnuru a wɔmfa nni dwuma a ne bere atwam no gu.
Hyɛ no nsow: Asɛm yi yɛ nsɛm a wɔaboaboa ano nkutoo. Ebia emu nsɛm no nyinaa nni mu. Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo nkasa.
Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae
Okay, enti yɛaka Cisapride ho asɛm pii. Nea ɛho hia sen biara ne sɛ eyi yɛ aduru soronko koraa a wɔabara. Ɛnyɛ biribi a wubetumi akɔ nnurutɔnbea kɛkɛ na woanya.
- Fa di dwuma sɛnea wo duruyɛfo kyerɛ no nkutoo.
- Ka nnuru biara a wonom ne yare biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Asetra mu nsakrae (ɛho hia yiye ma GERD).
- Sɛ wuhu sɛ nneɛma bɔne bi a anibere wom a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Mfa saa aduru yi nkyerɛ afoforo da.
W’akwahosan ho hia wo te sɛ yɛn nso. Enti, ma w’ani da hɔ na fa asɛyɛde to wo ho so bere nyinaa.
` Cisapride, GERD, komayare, Propulsid, anom a wɔde siw ano, nnuru no mu nsunsuanso bɔne, nnuru a ɛne ne ho di nkitaho, yafunu mu ɔfe, yafunu mu nsu a ɛsan kɔ nipadua no mu, nnuru no mu nsunsuanso bɔne
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