So ɛtɔ mmere bi a wote nka sɛ wo ho ayɛ wo ma a wunnyam aduan? Anaasɛ wowɔ ɔhaw te sɛ wo koko a ɛyɛ hyew anaasɛ wo ho yɛ wo yaw? Metoclopramide yɛ aduru a ɛtɔ mmere bi a nnuruyɛfo kyerɛw ma nyarewa a ɛtete saa. Ɛnnɛ, momma yɛnka nokwasɛm ahorow bi a ɛho hia a ɛsɛ sɛ wuhu fa aduru yi ho.
Dɛn na wɔde saa aduru a wɔfrɛ no Metoclopramide yi di dwuma?
Sɛ yɛbɛka no tiawa a, metoclopramide yɛ aduru a ɛboa ma wo aduan mu nhyehyɛe yɛ adwuma yiye. Wɔde di dwuma titiriw wɔ tebea abien mu.
1. Gastroesophageal Reflux Disease (GERD): Eyi yɛ tebea a yɛn nyinaa nim sɛ ɛde sɛnkyerɛnne te sɛ komayare ne dɛ a ɛyɛ yaw wɔ menewa mu ba. Nnuruyɛfo betumi akyerɛw saa aduru yi sɛ nnuru afoforo ntumi nni tebea no so a.
2. Gastroparesis: Eyi yɛ tebea a aduan ntumi nkɔ wo yafunu mu yiye na ɛtra mu bere tenten. Fa no sɛ, wote nka sɛ wo ho ayɛ wo ma bere a woadi awie no, na eyi betumi ama nneɛma te sɛ akisikuru ne ɔfe aba. Saa tebea yi taa ba nnipa a wɔwɔ asikreyare so titiriw.
Enti, nea aduru yi yɛ ne sɛ ɛboa ntini a ɛwɔ wo aduan mu no ma ɛyɛ adwuma yiye na ɛma aduan kɔ fam ntɛmntɛm. Afei sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm te sɛ ahurututu, akisikuru, ne komayare no so tew nkakrankakra.
Sɛ eyi da nkyɛn a, ebia oduruyɛfo no de saa aduru yi bedi dwuma wɔ nsɛm afoforo bi mu nso. Enti, sɛ biribi foforo bi nti na wɔakyerɛw saa aduru yi ama wo a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo no ho asɛm.
Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi?
Ansa na wubefi ase anom aduru yi no, nneɛma bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ampa. Eyi te saa efisɛ ebia nnipa binom a wɔwɔ ayaresa tebea horow bi mfata mma saa aduru yi, anaasɛ ebia ebehia sɛ wɔyɛ ahwɛyiye soronko. Hwɛ sɛ saa nneɛma yi fa wo ho anaa:
- Sɛ wowɔ nufu mu kokoram a.
- Sɛ worehu amane wɔ adwenemhaw ho a.
- Sɛ wowɔ asikreyare (Diabetes Mellitus) a.
- Sɛ woyɛ obi a ɔnom nsa daa a.
- Sɛ wowɔ komayare bi te sɛ koma a entumi nyɛ adwuma yiye a.
- Sɛ wowɔ mogya mmoroso a.
- Sɛ wowɔ asaabo mu yare a.
- Sɛ wowɔ mmerɛbo mu yare a.
- Sɛ wowɔ Parkinson yare anaa ntini mu haw afoforo a.
- Sɛ wowɔ akisikuru bi a ɛntaa nsi a wɔfrɛ no pheochromocytoma a.
- Sɛ woanya akisikuru pɛn a.
- Sɛ wowɔ tebea bi te sɛ yafunu a ɛsiw, mogya a ɛretu, anaasɛ tokuru a.
- Sɛ wowɔ akisikuru wɔ metoclopramide, procainamide, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma anaa nneɛma a wɔde sie ho a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
- Sɛ woyɛ ɛna a ɔma nufu a.
Sɛ wowɔ saa nneɛma yi bi a, ɛho hia yiye sɛ woka kyerɛ wo duruyɛfo sɛnea ɛbɛyɛ a obetumi asa wo yare yiye.
Ɔkwan bɛn so na wode aduru yi di dwuma yiye?
Ɛsɛ sɛ wode saa aduru yi ka nsu kuruwa biako ho. Ɛsɛ sɛ wudi akwankyerɛ a ɛwɔ nnuru a wo duruyɛfo de ama wo no so pɛpɛɛpɛ.
Ade a ɛho hia sen biara ne sɛ wobɛnom saa aduru yi bɛyɛ simma 30 ansa na woadi, bere a wo yafunu da mpan. Ɛno ne bere a aduru no yɛ adwuma yiye.
Nom w’aduru no wɔ mmere a wɔakyerɛw ama wo ne bere a wɔakyerɛw ama wo no mu. Nnom nnuru a ɛboro dodow a wɔakyerɛw ama wo no da anaasɛ nnyae nnuru no nom mpofirim a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi de ɔhaw ahorow aba.
Sɛ wonya saa aduru yi fi nnurutɔnbea hɔ a, ne nnuru biara a wɔkyerɛw ma wo na sɛ wosan hyɛ mu ma a, wɔma wo nhomawa titiriw bi a wɔfrɛ no MedGuide. Ɛsɛ sɛ wokenkan nsɛm a ɛwɔ mu no yiye bere biara. Nsɛm pii a ɛho hia ma wo wom.
Sɛ wode saa aduru yi rema mmofra a, ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ho. Ebia ebehia sɛ wɔhwɛ so yiye.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?
Yɛsrɛ sɛ, sɛ wususuw sɛ woanom aduru yi dodo a, frɛ beae a wɔhwɛ awuduru so anaa baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara.
Ade foforo nso, saa aduru yi yɛ wo nkutoo dea. Mfa nkyɛ obi foforo, ɛyɛ?
Sɛ woankɔ bere a wopɛ sɛ wonom nnuru a, dɛn na woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom dose bi a, twa so. Fa dodow a edi hɔ no wɔ bere a wotaa fa no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a woayera no.
Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho? (Nkitahodi ahorow) .
Nneɛma bi tumi ne saa aduru yi "di nkitaho". Ɛne sɛ, wobetumi aka wɔn ho wɔn ho. Enti ɛho hia paa sɛ woka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo. Hwɛ sɛ worenom saa nneɛma yi bi anaa:
- Nsaden
- Nnuru ahorow a wɔde kum akisikuru a wɔde sa akisikuru, ɔfe, ne atiridiinini
- Atovaquone a wɔde yɛ aduru
- Atropine a wɔde di dwuma
- Bupropion a wɔde di dwuma
- Nnuru bi a wɔde sa dadwen anaa nna
- Nnuru bi a wɔde sa akisikuru ho haw (e.g., Oxybutynin, Tolterodine) .
- Nnuru bi a wɔde sa adwenemhaw anaa adwenemyare afoforo
- Nnuru bi a wɔde sa Parkinson yare no
- Nnuru bi a wɔde di dwuma ma akisikuru (e.g., phenobarbital, primidone) .
- Nnuru bi a wɔde sa yafunu mu haw (e.g., dicyclomine, hyoscyamine) .
- Nnuru bi a wɔde sa kankyee yare (e.g., Scopolamine) .
- Cyclosporine a wɔde di dwuma
- Digoxin a wɔde di dwuma
- Fosfomycin `(Fosfomycin)`
- Nnuru a wɔde ma obi dwensɔ (sɛ nhwɛso no, Halothane, Isoflurane) .
- Insulin ne nnuru afoforo a wɔde sa asikreyare
- Ipratropium a ɛyɛ aduru a wɔfrɛ no Ipratropium
- MAOI ahorow (sɛ nhwɛso no, Carbex, Eldepryl) .
- Nnuru a wɔde ma de ma ntini ahorow dwo bere a wɔreyɛ oprehyɛn no
- Opioid aduru a wɔde kum ɛyaw
- Paroxetine a wɔde yɛ aduru
- Phenothiazines (sɛ nhwɛso no, chlorpromazine, prochlorperazine) .
- Posaconazole `(Posaconazole)`
- Quinidine a wɔde ma
- Sirolimus a wɔfrɛ no sirolimus
- Tacrolimus a wɔde di dwuma
Ebia saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti, ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo (a wɔakyerɛw ama wo, nea wɔtɔn wɔ aduruyɛdan mu, nhabannuru, vitamin ahorow), ne sɛ wonom sigaret, wonom nsa, anaa wode nnuru afoforo di dwuma a. Nneɛma bi betumi ne aduru yi adi nkitaho.
Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde aduru yi redi dwuma no?
Ebia ebegye adapɛn kakraa bi ansa na wo yafunu mu yaw no ayɛ yiye. Nanso, nnom saa aduru yi bɛboro adapɛn 12. Dodow a wonom aduru yi kyɛ, na dodow a wonom no dɔɔso no, dodow no ara na ɛda adi sɛ wubenya ɔhaw ahorow a emu yɛ den. Sɛ woadi boro mfe 65, sɛ woyɛ ɔbea, anaasɛ wowɔ asikreyare a, wowɔ asiane mu titiriw sɛ aduru yi benya nsunsuanso bɔne .
Sɛ wote nka sɛ wo ho yɛ wo hyew a wuntumi nni so bere a worenom aduru yi (te sɛ anofafa a ɛbɔ, tɛkrɛma a ɛkeka wo ha ne ha, aniwa, ti, anaa akwaa a ɛkeka wo ho a wuntumi nhyɛ so, anaa ntini a ɛtwetwe anaa ɛtwetwe) a, wɔfrɛ eyi extrapyramidal symptoms (EPS) . Sɛ wuhyia eyinom mu biara a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara .
Afei nso, sɛ wo anaa w’abusua mufo hu sɛ w’adwenemhaw no reyɛ kɛse, worenya adwene sɛ wubekum wo ho, anaasɛ worenya nsakrae kɛse mpofirim wɔ wo adwene mu (sɛ nhwɛso no, wote nka sɛ wo ho yeraw wo bere nyinaa, wo bo fuw ntɛm, wote nka sɛ wo ho nyɛ wo hyew, wo ho yɛ den wɔ nna mu), titiriw bere a wudi kan fi ase nom aduru no anaa bere a woasesa dodow no awie no, ka kyerɛ wo duruyɛfo.
Sɛ wowɔ atiridiinini kɛse a, mmɔ mmɔden sɛ w’ankasa wobɛsa. Hwehwɛ afotu fi wo duruyɛfo hɔ.
Ebia saa aduru yi bɛma woada na w’adwene atu afra.Ebia wobɛte nka sɛ wo ho ayɛ wo yaw. Enti, nnka kar, mfa mfiri nni dwuma, anaa nyɛ biribiara a ehia sɛ woma w’ani da hɔ kosi sɛ wubehu sɛnea aduru yi ka wo ankasa. Nnyina hɔ anaa ntra ase mpofirim, titiriw sɛ woabɔ akwakoraa a. Eyi bɛma asiane a ɛwɔ hɔ sɛ obi betu akisikuru na wahwe ase no so atew. Nsã a wɔnom betumi ama saa nna ne adwenemhaw yi asɛe kɛse. Enti kwati nsa a wobɛnom.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba? (Nsunsuanso bɔne) .
Te sɛ nnuru nyinaa no, eyi betumi anya nkɛntɛnso bɔne bi. Ebi yɛ aniberesɛm, ebi nso nyɛ aniberesɛm saa.
Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ wo duruyɛfo ntɛm ara sɛnea wubetumi:
- Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
- Neuroleptic Malignant Syndrome no betumi ayɛ: atiridiinini kɛse, ntini a ɛyɛ den, fifiri a ɛboro so, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa, ne adwene a ɛyɛ basaa.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ prolactin dodow kɔ soro: Nufu mu nyin a wɔmpɛ, nufu mu nsu a ɛba, nsakrae a ɛba nna ho akɔnnɔ anaa dwumadi mu, ne brayɛ a ɛnkɔ so daa wɔ mmea mu.
- Mogya mmoroso a ɛkɔ soro.
- Asen, nsa, anaa anan a ɛho ahonhon.
- Adwene a ɛne sɛ wubekum wo ho anaasɛ wobɛpira wo ho, adwene mu tebea a ɛbɛsɛe, adwenemhaw ho nkate.
- Extrapyramidal Symptoms (EPS): Nsɛnkyerɛnne te sɛ nipadua a wontumi nni so na ɛyɛ mpɛn pii, ntini a ɛyɛ den anaasɛ ɛtwetwe, wosow, kari pɛ a ɛnkari pɛ, ahomegye, ne nan a ɛtwetwe bere a ɔnam no.
Nneɛma bɔne a mpɛn pii no enhia sɛ wonya aduruyɛ mu afotu (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo ):
- Adwene a ɛyɛ basaa
- Dae a ɛma obi da
- Ɔbrɛ
- Tipaeɛ
- Ɛyɛ den sɛ wobɛda
Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu biribi a ɛyɛ soronko a, bisa wo duruyɛfo no ho asɛm.
Wobɛyɛ dɛn akora saa aduru yi so yiye?
Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ .
Fa sie baabi a ɛhɔ yɛ hyew (digrii Celsius 20 kosi 25, digrii Fahrenheit 68 kosi 77), a wɔabɔ ho ban afi hann ho, na fa toa no to ade a mframa ntumi nkɔ mu mu denneennen. Tow aduru biara a ne bere atwam gu.
Nneɛma bi a misusuw sɛ ɛho hia wo (Take-Home Message) .
Metoclopramide yɛ aduru a ebetumi aboa wɔ wo aduan mu haw ahorow bi ho. Nanso, nneɛma bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode redi dwuma no.
- Fa w’aduru no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ bere nyinaa. Di dodow, bere, ne bere tenten a wode bɛyɛ w’ayaresa no akyi pɛpɛɛpɛ.
- Hwɛ hu sɛ wobɛka nyarewa foforo biara a wowɔ ne nnuru foforo biara a wonom ho asɛm akyerɛ wo duruyɛfo.
- Hu nneɛma bɔne a efi mu ba, titiriw sɛ wunya nkankyee a wontumi nni so (EPS) anaa adwene mu nsakrae a yɛadi kan aka ho asɛm no a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Kwati nsa koraa bere a worenom aduru yi.
- Mfa saa aduru yi nni dwuma bere nyinaa bɛboro adapɛn 12, gye sɛ wo duruyɛfo no akyerɛ wo pɔtee.
Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, yɛsrɛ wo ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo, nnuruyɛfo anaa akwahosan ho ɔyaresafo. W’akwahosan ho hia wo paa!
` Metoclopramide, gastroparesis, reflux, koko mu ɔfe, akisikuru, nsunsuanso bɔne, nnuru ho nsɛm
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