Momma yensua aduru a ɛyɛ nsu a wɔfrɛ no Metoclopramide a wɔde sa yafunu mu ɔfe ne aduan a wontumi nnya no ho ade.

Ɛtɔ mmere bi a, wote nka sɛ wo ho atɔ wo bere a woadi awie no? Anaasɛ wote nka sɛ wo ho yɛ wo yaw anaa wo koma yɛ wo yaw? Ebia nnipa binom benya saa ɔhaw yi efisɛ aduan fa dwensɔtwaa mu nkakrankakra. Wɔ tebea horow a ɛtete saa mu no, sɛ nnuru afoforo mmoa a, nnuruyɛfo kamfo aduru bi a wɔfrɛ no Metoclopramide kyerɛ. Ɛnnɛ, momma yɛnka aduru yi ho asɛm nkɔ akyiri.

Dɛn ne aduru yi? Dɛn nti na wɔde rema?

Sɛ yɛbɛka no tiawa a, metoclopramide yɛ aduru a ɛboa ma wo dwensɔtwaa yɛ yiye kodu baabi. Wɔde di dwuma titiriw wɔ tebea abien mu:

1. Reflux disease: Eyi ne tebea a ɛba bere a aduan a yedi no san ba soro fi yafunu mu kɔ menewam, na ɛde komayare ne menewa mu yaw ba. Nnuruyɛfo betumi akyerɛw saa aduru yi sɛ nnuru afoforo ntumi nni tebea no so a.

2. Aduan a ɛfa aduan mu brɛoo (Gastroparesis): Nnipa binom wɔ yafunu mu ntini a ɛnyɛ adwuma yiye, enti aduan kɔ brɛoo paa wɔ dwensɔtwaa no mu. Eyi betumi de sɛnkyerɛnne ahorow te sɛ nea ɔte nka sɛ ne ho ayɛ no ma, akisikuru, ɔfe, ne yafunu mu yaw aba.

Enti, nea metoclopramide aduru yi yɛ ne sɛ ɛma ntini a ɛwɔ wo aduan mu no yɛ adwuma yiye na ɛboa ma aduan kɔ fam ntɛmntɛm na ɛboa ma ɛkɔ fam ntɛmntɛm. Afei sɛnkyerɛnne a ɛnyɛ dɛ te sɛ mayɛ, akisikuru, ne komayare a yɛadi kan aka ho asɛm no so tew nkakrankakra. Ɛtɔ mmere bi a nnuruyɛfo betumi de saa aduru yi adi dwuma esiane nneɛma afoforo nso nti. Sɛ wowɔ nsɛmmisa bi fa ho a, bisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma bɛn na ɛho hia a ɛsɛ sɛ woka kyerɛ oduruyɛfo no ansa na woanom aduru no?

Ansa na wubefi ase anom Metoclopramide no, ɛho hia sɛ woka tebea horow a edidi so yi mu biara ho asɛm kyerɛ wo duruyɛfo anaa ɔyarehwɛfo, efisɛ saa aduru yi betumi ne tebea horow yi adi nkitaho.

• Sɛ woanya nufu mu kokoram anaasɛ woanya bi a .
• Sɛ worehu amane wɔ adwenemhaw ho a .
• Sɛ wowɔ asikreyare a .
• Sɛ woyɛ obi a ɔnom nsa daa a .
• Sɛ wowɔ komayare a .
• Sɛ wowɔ mogya mmoroso a .
• Sɛ wowɔ asaabo mu yare a .
• Sɛ wowɔ mmerɛbo mu yare a .
• Sɛ wowɔ Parkinson yare anaa ɔhaw foforo a ɛte saa ara a ɛma wotumi keka wo ho a .
• Sɛ wowɔ tebea bi te sɛ pheochromocytoma (akisikuru pɔtee bi a ɛba wɔ adrenal gland no mu a ebetumi ama hormone a ɛboro so aba).
• Sɛ woanya akisikuru pɛn a.
• Wo deɛSɛ wo yafunu mu asiw, mogya atu wo, anaasɛ woatoto wo bere bi a atwam no mu anaasɛ woanya pɛn a.
• Sɛ wo ho yɛ wo hyew wɔ metoclopramide, aduru a wɔfrɛ no procainamide, nnuru a wɔfrɛ no sulfites, nnuru afoforo, nnuan, nnuan a wɔde yɛ nneɛma , anaa nneɛma a wɔde sie ho a.
• Sɛ woanyinsɛn anaasɛ wowɔ anidaso sɛ wubenyinsɛn a, ɛnyɛ hwee.
• Sɛ woyɛ ɛna a ɔma nufu a.

Ɛho hia paa ma w’ahobammɔ sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ saa nneɛma yi ho.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?

Saa aduru yi taa ba wɔ nsu mu. Wɔnam ano na wɔfa.

• Fa dodow no pɛpɛɛpɛ sɛnea wo duruyɛfo akyerɛ wo no. Di akwankyerɛ a ɛwɔ nnuru a wɔkyerɛw ma no so no akyi pɛpɛɛpɛ.
• Fa nsenia titiriw anaa kuruwa a wɔde susuw ade di dwuma bere nyinaa fa susuw nnuru dodow pɔtee. Bisa wo nnurutɔnbea sɛ wunni bi anaa. Ɛyɛ den sɛ wode teaspoons a wɔnom daa susuw ho pɛpɛɛpɛ wɔ fie, na ebia wubewie a wobɛnom nnuru pii anaasɛ kakraa bi.
• Ɛsɛ sɛ wɔnom saa aduru yi bɛyɛ simma 30 ansa na wɔadi, wɔ yafunu a hwee nni mu. Ɛno ne bere a aduru no yɛ adwuma yiye.
• Bɔ mmɔden sɛ wobɛnom w’aduru no bere ano, bɛyɛ bere koro no ara mu da biara .
• Mma nnom pii nsen nea wo duruyɛfo ka kyerɛ wo da.
• Nnurutɔnbea no bɛma wo akwankyerɛ krataa soronko bi a wɔfrɛ no ``MedGuide'' bere biara a wobɛnom saa aduru yi. Ɛsɛ sɛ wokenkan no yiye bere biara a wode aduru no bedi dwuma no. Nsɛm a ɛho hia wom.
• Ɛsɛ sɛ wɔhwɛ yiye titiriw bere a wɔde aduru yi rema mmofra no. Wo ne wo duruyɛfo nka eyi ho asɛm na nya afotu.
• Sɛ wonom pii a: Sɛ wususuw sɛ woanom aduru yi pii a, frɛ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ anaa beae a wɔhwɛ awuduru so a ɛbɛn wo ntɛm ara.

Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Wo duruyɛfo akyerɛw ama wo sɛ wɔmfa nsa wo yare no ho sɛnkyerɛnne ahorow. Enti, mma saa aduru yi mma obi foforo, efisɛ ebia ɛremfata wɔn.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Sɛ wo werɛ fi sɛ wobɛnom dose bi a, twa so. Fa dodow a edi hɔ no wɔ bere a wɔahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a woayera no. Saa a wobɛyɛ no betumi ama dodow a wɔde ma no akɔ soro na ɛde ɔhaw ahorow aba.

Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?

Metoclopramide betumi ne nnuru afoforo te sɛ nsa adi nkitaho, na sɛ wɔka bom a, ebetumi de ɔhaw ahorow a emu yɛ den aba. Enti, ɛho hia sɛ woka nea edidi so yi mu biara ho asɛm kyerɛ wo duruyɛfo bere a worenom aduru yi:

• Nsaden
• Nnuru a ekum akisikuru a wɔde sa ɔfe, atiridiinini, ne akisikuru
• Atovaquone a wɔde yɛ aduru
• Atropine a wɔde di dwuma
• Bupropion (aduru a wɔde sa adwenemhaw) .
• Nnuru bi a wɔde sa dadwen anaa nna
• Nnuru a wɔde sa akisikuru ho haw, te sɛ Oxybutynin ne Tolterodine
• Nnuru bi a wɔde sa adwenemhaw anaa adwenemyare
• Nnuru bi a wɔde sa Parkinson yare no
• Nnuru a wɔde sa akisikuru, te sɛ Phenobarbital ne Primidone
• Nnuru a wɔde sa yafunu mu haw, te sɛ Dicyclomine ne Hyoscyamine
• Nnuru te sɛ Scopolamine a wɔde sa kankyee yare
• Cyclosporine (aduru a ɛma nipadua no tumi ko tia nyarewa) .
• Digoxin (aduru a wɔde sa komayare) .
• Fosfomycin (aduru a ekum ɔyare mmoawa) .
• Nnuru a wɔde kum nipadua no nyinaa te sɛ Halothane, Isoflurane, Methoxyflurane, ne Propofol, a wɔde ma obi da bere a wɔreyɛ oprehyɛn no.
• Insulin ne nnuru afoforo a wɔde sa asikreyare
• Ipratropium (aduru a wɔde sa ɔhome mu nyarewa) .
• MAOI nnuru (eyinom yɛ nnuru bi a wɔde sa adwenemhaw, te sɛ Carbex, Eldepryl, Marplan, Nardil, Parnate) .
• Nnuru a wɔde ma de ma ntini ahorow dwo bere a wɔreyɛ oprehyɛn no
• Opioid nnuru a wɔde sa ɛyaw (sɛ nhwɛso no, tramadol, morphine) .
• Paroxetine (aduru a wɔde sa adwenemhaw) .
• Phenothiazines (nnuru a wɔde sa adwenemyareɛ, s.e. Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine) .
• Posaconazole (aduru a ɛko tia fungal) .
• Quinidine (aduru a wɔde sa komayare) .
• Sirolimus (aduru a ɛma nipadua no tumi ko tia nyarewa) .
• Tacrolimus (aduru a ɛma nipadua no tumi ko tia nyarewa) .

Ebia saa nsɛm a wɔahyehyɛ yi renwie pɛyɛ. Enti hwɛ hu sɛ wobɛka nnuru, nhabannuru, vitamin, ne aduannuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo, efisɛ nneɛma bi betumi ne aduru yi adi nkitaho.

Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde aduru no redi dwuma no?

Ɛsɛ sɛ wohwɛ yiye nso wɔ saa nneɛma yi ho bere a wode metoclopramide redi dwuma no:

• Ebia ebegye adapɛn pii ansa na wo yafunu mu yaw no afi ase ayɛ yiye. Nanso, nnom saa aduru yi bere nyinaa bɛboro adapɛn 12.Dodow a wonom aduru yi kyɛ no, dodow no ara na wonom no, dodow no ara na ɛda adi sɛ wubenya ɔhaw ahorow a emu yɛ den. Eyi te saa titiriw sɛ woadi boro mfe 65, woyɛ mmea, anaa wowɔ asikreyare a.
• Ka kyerɛ wo duruyɛfo ntɛm ara sɛ wufi ase nya nneɛma a wuntumi nni so , te sɛ anofafa a wobɛbɔ, tɛkrɛma a ɛkeka wo ntɛmntɛm, aniwa, ti, anaa nsa ne nan a wuntumi nhyɛ so, anaa ntini a ɛtwetwe a. Ebia eyinom yɛ tebea bi a wɔfrɛ no Tardive Dyskinesia anaa Extrapyramidal Symptoms (EPS) ho sɛnkyerɛnne . Ɛtɔ mmere bi a eyinom tumi tra hɔ bere a wɔagyae aduru no mpo akyi.
• Ɛsɛ sɛ wo ne w’abusua hu adwenemhaw anaa adwene biara a ɛne sɛ wubekum wo ho a ɛreyɛ kɛse. Afei nso, sɛ wuhu nsakrae biara a ɛba wo nkate mu mpofirim, te sɛ dadwen a ɛboro so, basabasayɛ, abufuw, abufuw, ahopere, ahomegye, anigye a ɛboro so, anaa nna mu haw a, wo ne wo duruyɛfo nkasa ntɛm ara, titiriw bere a edi kan a wufi ase nom aduru no anaasɛ bere a woasesa dodow no akyi no.
• Sɛ wowɔ atiridiinini kɛse a, nnyɛ wo ho aduru. Hwehwɛ afotu fi oduruyɛfo hɔ.
• Ebia wobɛte nka sɛ woada anaasɛ wo ho ayɛ wo yaw. Enti, kosi sɛ wubehu sɛnea aduru yi ka wo no, nka kar, mfa mfiri nni dwuma, anaa nyɛ biribiara a ɛhwehwɛ sɛ wode w’adwene si biribi so. Nnyina hɔ anaa ntra ase mpofirim, titiriw sɛ woadi boro mfe 65 a. Eyi bɛma asiane a ɛwɔ hɔ sɛ obi betu akisikuru na wahwe ase no so atew. Sɛ wonom nsa a, ebetumi ama woada anaa wo ho atɔ wo. Enti, kwati nsa a wobɛnom.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ nnuru nyinaa no, Metoclopramide betumi de ɔhaw ahorow aba nnipa binom so. Ɛnyɛ obiara na onya bi, nanso nnipa binom nya bi.

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a , kɔ oduruyɛfo nkyɛn ntɛm ara:

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw, ɛho ahonhon, anim, anofafa, tɛkrɛma, menewa a ɛho ahonhon (ebetumi ama ayɛ den sɛ ɔbɛhome).
• Atiridiinini kɛse, ntini a ɛyɛ den, fifiri a ɛkɔ soro, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwene a ɛyɛ basaa: Eyinom betumi ayɛ tebea bi a asiane wom a wɔfrɛ no neuroleptic malignant syndrome ho sɛnkyerɛnne. Eyi yɛ tebea a ehia sɛ wɔsa no ntɛm ara.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ prolactin dodow kɔ soro: Nufu a wɔmpɛ wɔ mmarima mu, nufusu a efi nufu mu ba wɔ mmea mu, nsakrae a ɛba nna ho akɔnnɔ anaa adwumayɛ mu, ne brayɛ a ɛnkɔ so daa wɔ mmea mu.
• Mogya mmoroso a ɛkɔ soro mpofirim.
• Asen, nsa, anaa anan a ɛho ahonhon.
• Adwene a ɛne sɛ obekum ne ho, adwene mu tebea a ɛyɛ den, ne adwenemhaw ho nkate.
• Nipadua a wontumi nni so, a ɛkeka ne ho mpɛn pii, ntini a ɛyɛ den anaasɛ ɛtwetwe, wosow, kari pɛ a ɛnkari pɛ, ahomegye, nan a ɛtwetwe bere a ɔnam: Eyinom betumi ayɛ tebea a yɛadi kan aka ho asɛm a wɔfrɛ no extrapyramidal syndrome (EPS) no ho sɛnkyerɛnne .

Nneɛma bɔne a ɛho nhia sɛ woka ho asɛm kyerɛ wo duruyɛfo , nanso sɛ ɛkɔ so anaasɛ ɛhaw wo a, ɛsɛ sɛ wobɔ ho amanneɛ:

Mpɛn pii no, eyinom nyɛ aniberesɛm na ɛbɛbrɛ ase wɔ nna kakraa bi mu. Nanso, sɛ wɔkɔ so anaasɛ wɔhaw wo a, ka kyerɛ wo duruyɛfo sɛ:

• Adwene a ɛyɛ basaa
• Dae a ɛma obi da
• Ɔbrɛ/ɔbrɛ
• Tipaeɛ
• Dae a wontumi nna anaasɛ ɛyɛ den sɛ ɔbɛda

Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhyia biribi a ɛyɛ soronko ka eyinom ho a, kɔ wo duruyɛfo nkyɛn kɔhwehwɛ aduruyɛ mu afotu wɔ nea efi mu ba ho.

Ɔkwan bɛn so na ɛsɛ sɛ wode w’aduru sie?

• Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ .
• Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15 kosi 30 / digrii Fahrenheit 59 ne 86 ntam). Mma nnyɛ nwini.
• Bɔ ho ban fi hann ho. Ɛno kyerɛ sɛ mma ɛntra owia hann tẽẽ mu.
• Tow nnuru a ne bere atwam a womfa nni dwuma.

Ade a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti yɛaka nneɛma a ɛho hia paa a ɛsɛ sɛ wohu fa saa aduru yi a wɔfrɛ no Metoclopramide ho asɛm.

Kae sɛ eyi yɛ aduru a ɛsɛ sɛ wɔde di dwuma wɔ oduruyɛfo afotu nkutoo ase. Sɛ wowɔ nsɛmmisa bi anaasɛ wunnim biribiara a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo. Mfa nea ɛboro dodow a wo duruyɛfo ka kyerɛ wo no da anaasɛ mfa nni dwuma nkyɛ nsen bere a wɔakyerɛw ama wo (adapɛn 12). Hwɛ nneɛma bɔne a efi mu ba no yiye. W’akwahosan ho hia wo paa. Kɔ so nya apɔwmuden!

` Metoclopramide, reflux yare, gastroparesis, akisikuru, komayare, nnuru a ɛde ba, nnuru a ɛne ne ho di nkitaho