Ke manaʻo nei ʻoe i ka piha ma hope o ka ʻai ʻana? A i ʻole he manaʻo nausea a ʻeha paha kou? Hiki i kekahi poʻe ke ʻike i kēia ʻeha no ka mea e neʻe mālie ana ka meaʻai ma o nā ʻōpū. I kēlā mau hihia, ke kōkua ʻole nā lāʻau lapaʻau ʻē aʻe, ua ʻōlelo ʻia e nā kauka kahi lāʻau i kapa ʻia ʻo Metoclopramide. I kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī.
He aha kēia lāʻau lapaʻau? No ke aha i hāʻawi ʻia ai?
I ka ʻōlelo maʻalahi, ʻo ka metoclopramide kahi lāʻau lapaʻau e kōkua i ka hoʻoponopono ʻana i kou neʻe ʻana o ka ʻōpū i kekahi ʻano. Hoʻohana nui ʻia ia i ʻelua mau kūlana:
1. Maʻi Reflux: ʻO kēia ke ʻano e kū mai ana i ka wā e hoʻi mai ai ka meaʻai a mākou e ʻai ai mai ka ʻōpū a i loko o ka puʻu, e hoʻoulu ai i ka ʻeha puʻuwai a me ka ʻeha o ka puʻu. Hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau inā ʻaʻole hiki i nā lāʻau lapaʻau ʻē aʻe ke kaohi i ke ʻano.
2. Ka neʻe lohi ʻana o ka meaʻai ma o ka ʻōnaehana hoʻoheheʻe (Gastroparesis): Loaʻa i kekahi poʻe nā ʻiʻo ʻōpū i hana pono ʻole, no laila neʻe mālie loa ka meaʻai i lalo o nā ʻōpū. Hiki i kēia ke hana i nā hōʻailona e like me ka manaʻo o ka piha, ka nausea, ka luaʻi, a me ka ʻeha o ka ʻōpū.
No laila, ʻo ka hana a kēia lāʻau metoclopramide, ʻo ia ka hoʻomaikaʻi ʻana i nā ʻiʻo o kāu ʻōnaehana hoʻoheheʻe a kōkua i ka hoʻohemo ʻana i ka meaʻai me ka maʻalahi a me ka wikiwiki. A laila e emi mālie ana nā hōʻailona maikaʻi ʻole e like me ka piha, ka nausea, a me ka ʻeha puʻuwai i ʻōlelo ʻia ma mua. Hiki i nā kauka ke hoʻohana i kēia lāʻau lapaʻau no nā kumu ʻē aʻe. Inā he mau nīnau kāu e pili ana i ia mea, e nīnau i kāu kauka a kauka lāʻau paha.
He aha nā mea nui e haʻi aku i ke kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe i ka Metoclopramide, he mea nui e haʻi i kāu kauka a kahu maʻi paha e pili ana i kekahi o nā kūlana ma lalo nei, no ka mea, hiki i kēia lāʻau lapaʻau ke launa pū me kēia mau kūlana.
- Inā loaʻa iā ʻoe a i loaʻa paha iā ʻoe ka maʻi ʻaʻai umauma .
- Inā ʻoe e ʻeha nei i ke kaumaha .
- Inā loaʻa iā ʻoe ka maʻi diabetes .
- Inā he mea inu mau ʻoe i ka waiʻona .
- Inā loaʻa iā ʻoe ka maʻi puʻuwai .
- Inā he koko kiʻekiʻe kou.
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe ka maʻi Parkinson a i ʻole kekahi maʻi neʻe like ʻē aʻe.
- Inā loaʻa iā ʻoe kahi kūlana e like me ka pheochromocytoma (kahi puʻupuʻu kikoʻī e hana ʻia i loko o ka kelepa adrenal e hiki ai ke hoʻoulu i ka hoʻokahe hormone nui).
- Inā ua loaʻa iā ʻoe nā ʻūlū ma mua.
- NāuInā loaʻa iā ʻoe a i ʻole ua loaʻa iā ʻoe ke ālai ʻana o ka ʻōpū, ke kahe ʻana o ke koko, a i ʻole ka perforation ma mua.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka metoclopramide, ka lāʻau lapaʻau procainamide, nā kemika sulfites, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala meaʻai , a i ʻole nā mea hoʻomalu.
- He mea maikaʻi inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai.
- Inā he makuahine hānai ʻoe.
He mea nui loa no kou palekana e hoʻomaopopo i kāu kauka e pili ana i kēia mau mea.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻO ka maʻamau, loaʻa kēia lāʻau lapaʻau ma ke ʻano he wai. Lawe ʻia ma ka waha.
- E lawe i ka nui pololei e like me ke kauoha a kāu kauka. E hahai pono i nā kuhikuhi ma ka lepili lāʻau lapaʻau.
- E hoʻohana mau i kahi puna kūikawā a i ʻole ke kīʻaha ana e ana i ka nui pololei o ka lāʻau lapaʻau. E nīnau i kāu hale kūʻai lāʻau inā ʻaʻohe āu. He paʻakikī ke ana pololei me nā tīpune maʻamau ma ka home, a hiki paha iā ʻoe ke lawe nui loa a liʻiliʻi paha i ka lāʻau lapaʻau.
- Pono e lawe ʻia kēia lāʻau lapaʻau ma kahi o 30 mau minuke ma mua o ka ʻai ʻana, ma ka ʻōpū ʻole. ʻO ia ka manawa e hana maikaʻi ai ka lāʻau lapaʻau.
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa kūpono, ma kahi o nā manawa like i kēlā me kēia lā .
- Mai inu ʻoe ma mua o ka mea a kāu kauka e ʻōlelo ai.
- E hāʻawi ka hale kūʻai lāʻau lapaʻau iā ʻoe i kahi pepa kuhikuhi kūikawā (MedGuide) i kēlā me kēia manawa āu e lawe ai i kēia lāʻau. Pono ʻoe e heluhelu pono iā ia i kēlā me kēia manawa āu e hoʻohana ai i ka lāʻau. Loaʻa iā ia ka ʻike koʻikoʻi.
- Pono e akahele loa i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. E kamaʻilio me kāu kauka e pili ana i kēia a e kiʻi i ka ʻōlelo aʻo.
- Inā lawe nui ʻoe: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ka ʻoihana pilikia o ka haukapila kokoke loa a i ʻole ke kikowaena kaohi lāʻau make.
He mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Ua kuhikuhi ʻia e kāu kauka e mālama i kāu mau hōʻailona. No laila, mai hāʻawi i kēia lāʻau lapaʻau i kekahi, no ka mea, ʻaʻole paha ia e kūpono iā lākou.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e hōʻalo iā ia. E lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole. ʻO ka hana ʻana pēlā e hoʻonui ai i ka lāʻau a hoʻoulu i nā hopena ʻaoʻao.
He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?
Hiki i ka Metoclopramide ke launa pū me nā lāʻau lapaʻau ʻē aʻe, e like me ka waiʻona, hiki ke hana i nā hopena ʻino ke lawe pū ʻia. No laila, he mea nui e haʻi i kāu kauka e pili ana i kekahi o kēia mau mea ke lawe ʻoe i kēia lāʻau lapaʻau:
- ʻAila
- Nā antihistamines no ke kuni, ke anu, a me nā maʻi ʻaleka
- ʻAtovaquone
- ʻAtropine
- ʻO Bupropion (kahi lāʻau lapaʻau no ke kaumaha)
- ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
- Nā lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi, e like me Oxybutynin lāua ʻo Tolterodine
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha a i ʻole ka maʻi noʻonoʻo
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi o Parkinson
- Nā lāʻau lapaʻau no ka hopu ʻana, e like me Phenobarbital lāua ʻo Primidone
- Nā lāʻau lapaʻau no nā pilikia ʻōpū, e like me Dicyclomine a me Hyoscyamine
- Nā lāʻau lapaʻau e like me Scopolamine no ka maʻi neʻe
- Cyclosporine (kahi lāʻau hoʻopau i ka pale ʻana)
- ʻO Digoxin (he lāʻau lapaʻau no ka maʻi puʻuwai)
- ʻO Fosfomycin (he lāʻau antibiotic)
- ʻO nā lāʻau anesthetic laulā e like me Halothane, Isoflurane, Methoxyflurane, a me Propofol, nā mea i hoʻohana ʻia e hoʻomoe i ka hiamoe i ka wā o ke ʻoki kino.
- ʻO ka insulin a me nā lāʻau ʻē aʻe no ka maʻi diabetes
- ʻO Ipratropium (he lāʻau lapaʻau no nā maʻi hanu)
- Nā lāʻau lapaʻau MAOI (ʻo kēia ke ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha, e like me Carbex, Eldepryl, Marplan, Nardil, Parnate)
- Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana
- Nā lāʻau ʻeha opioid (e like me tramadol, morphine)
- Paroxetine (he lāʻau lapaʻau no ke kaumaha)
- ʻO nā Phenothiazines (nā lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo, e.g. Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine)
- Posaconazole (he lāʻau antifungal)
- Quinidine (he lāʻau lapaʻau no ka maʻi puʻuwai)
- ʻO Sirolimus (kahi lāʻau hoʻopau i ka pale ʻana)
- ʻO Tacrolimus (kahi lāʻau hoʻopau i ka pale ʻana)
ʻAʻole paha i piha kēia papa inoa. No laila e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai āu e lawe nei. E haʻi pū i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai, no ka mea, hiki i kekahi mau mea ke launa pū me kēia lāʻau.
He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau?
Pono ʻoe e makaʻala e pili ana i kēia mau mea i ka wā e hoʻohana ai i ka metoclopramide:
- Hiki ke hala kekahi mau pule no ka hoʻomaikaʻi ʻana o kou ʻeha ʻōpū. Eia naʻe, mai lawe mau i kēia lāʻau lapaʻau no nā pule he 12 a ʻoi.ʻO ka lōʻihi o kou lawe ʻana i kēia lāʻau lapaʻau, ʻo ka nui o kou lawe ʻana, ʻo ka nui o ka loaʻa ʻana o nā hopena ʻaoʻao koʻikoʻi. He ʻoiaʻiʻo kēia inā ʻoe ma luna o 65 mau makahiki, he wahine, a he maʻi diabetes paha.
- E haʻi koke aku i kāu kauka inā hoʻomaka ʻoe e loaʻa nā neʻe ʻana hiki ʻole iā ʻoe ke kaohi , e like me ke kuʻi ʻana i nā lehelehe, ka neʻe wikiwiki ʻana o ke alelo, ka neʻe ʻana o ka maka, ke poʻo, a i ʻole ka lima a me nā wāwae i kāohi ʻole ʻia, a i ʻole ka ʻūlū ʻana o nā ʻiʻo. He mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo Tardive Dyskinesia a i ʻole Extrapyramidal Symptoms (EPS) . Hiki i kēia mau mea ke hoʻomau ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
- Pono ʻoe a me kou ʻohana e makaʻala i kekahi kaumaha e ʻoi aʻe ana a i ʻole nā manaʻo pepehi kanaka. Eia kekahi, inā ʻike ʻoe i kekahi mau loli koke i kou ʻano, e like me ka hopohopo nui, ka hoʻonāukiuki, ka huhū, ka huhū, ka impulsiveness, ka hoʻomaha ʻole, ka pīhoihoi nui, a i ʻole ka pilikia hiamoe, e kamaʻilio koke me kāu kauka, ʻoiai ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau a i ʻole ma hope o ka hoʻololi ʻana i ka dosage.
- Inā loaʻa iā ʻoe ke kuni kiʻekiʻe, mai hoʻōla ponoʻī. E ʻimi i ka ʻōlelo aʻo a ke kauka.
- Hiki paha iā ʻoe ke hiamoe a poniuniu paha. No laila, a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo pono. Mai kū koke a noho paha i luna, ʻoiai inā ʻoe ma luna o 65 mau makahiki. E hōʻemi kēia i ka pilikia o ka poniuniu a me ka hāʻule ʻana. Hiki i ka inu ʻana i ka waiʻona ke hoʻohiamoe iā ʻoe a poniuniu paha. No laila, e pale i ka inu ʻana i ka waiʻona.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka Metoclopramide ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā loaʻa i kekahi poʻe.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona , e ʻike koke i ke kauka:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, pehu ʻana, pehu ʻana o ka maka, nā lehelehe, ke alelo, ka ʻāʻī (hiki ke paʻakikī i ka hanu ʻana).
- Ke kuni nui, ka ʻoʻoleʻa o nā ʻiʻo, ka hoʻonui ʻia o ka hou ʻana, ka puʻuwai wikiwiki a ʻano ʻole paha, ka huikau: Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi weliweli i kapa ʻia ʻo neuroleptic malignant syndrome. He ʻano kēia e pono ai ka mālama ʻana i ka pilikia.
- Nā hōʻailona o nā pae prolactin kiʻekiʻe: Ka ulu ʻana o ka umauma i makemake ʻole ʻia i nā kāne, ka wai waiū mai nā nipples i nā wahine, nā loli i ka makemake moekolohe a i ʻole ka hana ʻana, a me nā pōʻaiapuni menstrual kūpono ʻole i nā wahine.
- Piʻi koke ke koko.
- Ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae.
- Nā manaʻo pepehi kanaka, ka ʻino ʻana o ke kūlana noʻonoʻo, a me nā manaʻo kaumaha.
- Nā neʻe kino hou ʻole i kaohi ʻia, ka ʻoʻoleʻa a i ʻole ka ʻūlū ʻana o nā ʻiʻo, nā haʻalulu, ka nalowale o ke kaulike, ka hoʻomaha ʻole, ka huki ʻana i nā wāwae i ka wā e hele ana: He mau hōʻailona paha kēia o ke kūlana i ʻōlelo ʻia ma mua i kapa ʻia ʻo extrapyramidal syndrome (EPS) .
Nā hopena ʻaoʻao ʻaʻole pono ʻoe e haʻi i kāu kauka , akā pono e hōʻike ʻia inā hoʻomau a hoʻopilikia paha lākou:
ʻAʻole koʻikoʻi kēia mau mea a e emi iho i loko o kekahi mau lā. Eia nō naʻe, inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:
- Pōʻino
- Hiamoe
- Luhi/luhi
- ʻEha poʻo
- ʻO ka hiamoe ʻole a i ʻole ka pilikia hiamoe
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kelepona i kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao.
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius / 59 a me 86 kekelē Fahrenheit). Mai hoʻopaʻahau.
- E pale mai ka mālamalama. ʻO ia hoʻi, mai waiho i ka lā pololei.
- E hoʻolei i ka lāʻau lapaʻau i pau me ka hoʻohana ʻole ʻana.
ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, ua kamaʻilio mākou e pili ana i nā mea nui e pono ai ʻoe e ʻike e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Metoclopramide.
E hoʻomanaʻo, he lāʻau lapaʻau kēia e hoʻohana wale ʻia ma lalo o ke aʻo a ke kauka. Inā he mau nīnau kāu a kānalua paha i kekahi mea, mai kānalua e nīnau i kāu kauka a kauka lāʻau paha. Mai lawe ʻoi aku ma mua o ka nui o kāu kauka e ʻōlelo ai iā ʻoe a hoʻohana paha no ka lōʻihi ma mua o ka manawa i kuhikuhi ʻia (12 mau pule). E makaʻala i nā hopena ʻaoʻao. He mea nui loa kou olakino iā ʻoe. E noho olakino!
ʻO Metoclopramide, maʻi reflux, gastroparesis, nausea, heartburn, nā hopena ʻaoʻao o ka lāʻau lapaʻau, nā pilina lāʻau
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