Kodi nthawi zambiri mumamva kutentha pachifuwa panu ndi kukoma kowawa pakhosi panu? Timatchanso izi gastritis. Kunena zoona, izi zitha kukhala chifukwa cha matenda otchedwa `(Gastroesophageal Reflux Disease)` kapena `(GERD)`. Chifukwa chake, mankhwala apadera omwe amaperekedwa pamavuto otere ndi `(Cisapride)`. Koma awa si mankhwala omwe amaperekedwa kwa aliyense ndipo amatha kugulidwa mosavuta ku pharmacy. Chifukwa cha zoopsa zina zazikulu zomwe zimachitika, madokotala amangopereka izi kwa iwo omwe kutupa pachifuwa sikunathe ngakhale atasintha moyo wawo komanso kugwiritsa ntchito mankhwala ena. Lero, tiyeni tikambirane zambiri za `(Cisapride)`.

Kodi mankhwala awa ndi `(Cisapride)` otani?

Mwachidule, `(Cisapride)` ndi mankhwala omwe amathandiza kuwongolera ntchito ya m'mimba mwanu mpaka pamlingo winawake . Makamaka, amagwiritsidwa ntchito pochiza kutentha pamtima, vuto lomwe limayamba chifukwa cha acid reflux m'mimba, lotchedwa `(GERD)`.

Koma chofunika kwambiri apa ndichakuti chifukwa cha zotsatirapo zina zoyipa (makamaka zomwe zimakhudza kugunda kwa mtima) , mankhwalawa sagulitsidwanso poyera m'ma pharmacy. Pambuyo pa Ogasiti 2000, mankhwalawa amapezeka kwa madokotala olembetsedwa mwapadera okha. Izi zikutanthauza kuti dokotala ayenera kulembetsedwa ndi kampani yomwe imapanga mankhwalawa ndikukwaniritsa zofunikira. Kupanda kutero, sizophweka kupeza. Izi ziyenera kukupatsani lingaliro la momwe mankhwalawa ayenera kugwiritsidwira ntchito mosamala.

Madokotala angaperekenso mankhwala awa pa matenda ena, choncho ngati muli ndi mafunso, funsani dokotala wanu kapena wamankhwala.

Dzina lodziwika bwino la mankhwalawa ndi `(Propulsid)`.

Ndi zinthu ziti zomwe ndiyenera kuuza dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?

Musanayambe kumwa Cisapride, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Musabise zinthuzi, chifukwa zingakhudze thanzi lanu.

• Kodi muli ndi vuto la kudya? Mwachitsanzo, matenda monga `(Anorexia)` (osadya) kapena `(Bulimia)` (kudya ndi kusanza).
• Kodi muli ndi matenda a mtima kapena kulephera kwa mtima ?
• Kodi muli ndi vuto la mtima?
• Kodi muli ndi vuto la mtima ?
• Kodi muli ndi mbiri yotsika ya calcium, potaziyamu, kapena magnesium m'thupi lanu ?
• Kodi muli ndi matenda a impso ?
• Kodi muli ndi matenda a chiwindi ?
• Kodi muli ndi matenda a m'mapapo ?
• Kodi muli ndi vuto la kutuluka magazi m'mimba, kutsekeka, kapena zilonda ?
• Kodi muli ndi vuto la ziwengo chifukwa cha Cisapride, mankhwala ena, zakudya, mitundu yopangira, kapena zosungira?
• Kodi muli ndi pakati? Kapena mukufuna kutenga mimba?
• Kodi ndinu mayi woyamwitsa?

Mukauza dokotala wanu zonsezi, iye akhoza kusankha ngati mankhwala awa ndi oyenera kwa inu kapena ayi, komanso momwe angawaperekere.

Kodi ndingagwiritse ntchito bwanji mankhwalawa molondola?

Mankhwalawa ayenera kumwedwa pakamwa, ndi kapu ya madzi. Tsatirani malangizo omwe ali pa chizindikiro cha mankhwalawo molondola.

Chofunika kwambiri: Mankhwalawa ayenera kumwedwa pamimba yopanda kanthu. Izi zikutanthauza kuti, mphindi 15 musanadye komanso musanagone usiku .

Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera.

Ngati mupereka mankhwalawa kwa ana: Lankhulani ndi dokotala wanu za izi. Chisamaliro chapadera chingafunike.

Kuchuluka kwa mankhwala: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.

Dziwani: Mankhwalawa ndi a inu nokha. Musagawane ndi ena, ngakhale atakhala ndi zizindikiro zomwezo monga inu.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Nayi mfundo yofunika kusamala nayo kwambiri. Cisapride ingayambitse mavuto aakulu, makamaka matenda a mtima, ngati itengedwa limodzi ndi mankhwala ena. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, komanso mankhwala ochepetsa ululu .

Pali mndandanda wa mankhwala omwe sayenera kumwedwa ndi `(Cisapride).` Ena mwa iwo ndi awa:

• Mankhwala oletsa mavairasi a HIV kapena Edzi
• Mankhwala ena a matenda a bowa (monga, `(Fluconazole)`, `(Ketoconazole)`, `(Itraconazole)`)
• Mitundu ina ya `(Maantibayotiki)` (monga `(Clarithromycin)`, `(Erythromycin)`)
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala (monga Haloperidol, Pimozide)
• Mankhwala ena a kugunda kwa mtima kosakhazikika (monga Amiodarone, Quinidine, Sotalol)
• Mankhwala ena a khansa (monga `(Imatinib)`)
• Madzi a mphesa (Iyi si mphesa yomwe timadya, ndi chipatso chapadera chotchedwa Grapefruit. Izi sizofala ku Sri Lanka, koma ndibwino kudziwa.)
• Mankhwala ena omwe amatalikitsa nthawi ya `QT interval` (ndiko kuti, amakhudza kapangidwe ka magetsi ka kugunda kwa mtima).

Mndandandawu si wokwanira, choncho ndibwino kuuza dokotala wanu za mankhwala onse omwe mumamwa.

Kuphatikiza apo, Cisapride ikhoza kuyanjana ndi izi:

• Mankhwala ochepetsa kukodza (mankhwala omwe amayambitsa kukodza kwambiri)
• `(Insulini)`

Uzani dokotala wanu ngati mukusuta fodya, kumwa mowa, kapena kumwa mankhwala ena osokoneza bongo. Zinthu zina zingasokoneze mankhwala anu.

Ndi zinthu zina ziti zomwe ndiyenera kusamala nazo ndikamamwa mankhwalawa?

Pitani kwa dokotala nthawi zonse kuti muone ngati muli ndi thanzi labwino. Kuti mankhwalawa agwire ntchito bwino, muyenera kusintha moyo wanu.

• Chepetsani kuchuluka kwa chakudya chomwe mumadya pa chakudya chimodzi.
• Mukagona, sungani mutu wa bedi pamwamba pa mainchesi 6 mpaka 8. Mutha kugwiritsa ntchito pilo yowonjezera pa izi.
• Chepetsani kudya zakudya zamafuta ambiri, chokoleti, mowa, kusuta fodya, zakumwa zokhala ndi caffeine monga khofi, ndi zakumwa zokhala ndi carbonated (monga soda) . Musadye kwambiri usiku ndipo mugone msanga.

Chofunika kwambiri: Ngati mukumva chizungulire, mukuvutika kupuma, kapena mukumva kuti kugunda kwa mtima kwanu kukuthamanga kapena kosasinthasintha pamene mukumwa mankhwalawa, siyani kumwa mankhwalawa nthawi yomweyo ndipo pitani kwa dokotala.

Musamwe madzi a mphesa mukamamwa mankhwalawa. Madzi a mphesa angapangitse kuti pakhale zotsatirapo zoyipa kwambiri chifukwa cha mankhwalawa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, Cisapride ingayambitse zotsatirapo zina.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu kapena katswiri wa zaumoyo nthawi yomweyo:

• Kuvuta kupuma
• Kutupa kapena kugwa
• Kugunda kwa mtima mofulumira kapena kosasinthasintha
• Kumva kufooka kwambiri kapena kutopa
• Kusanza

Ndikofunikira kufunafuna upangiri wa dokotala mwachangu chifukwa izi zitha kukhala zoopsa.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

• Kudzimbidwa kapena kudzimbidwa
• Mutu (kupweteka mutu)
• Kumva ngati kusanza (kumva ngati kusanza)
• Kupweteka m'mimba
• Kutsekeka kwa mphuno

Mndandandawu suli ndi zotsatirapo zonse zoyipa. Ngati mukukumana ndi zizindikiro zina zachilendo, funsani dokotala wanu za izo.

Kodi mapiritsi awa ndiyenera kuwasunga bwanji?

• Sungani pamalo omwe ana sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius). Tetezani ku kuwala.
• Tayani mankhwala otha ntchito.

Pomaliza, zinthu zingapo zoti muzikumbukira

Nkhaniyi imangopereka chidule cha mankhwala `(Cisapride)`. Sili ndi mfundo zonse. Ngati muli ndi mafunso okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Kumbukirani, `(Cisapride)` ndi mankhwala omwe ayenera kugwiritsidwa ntchito mosamala kwambiri, pokhapokha ngati malangizo a dokotala alephera, komanso pokhapokha ngati mankhwala ena onse alephera. Chifukwa cha izi ndikuti angayambitse zotsatirapo zoyipa kwambiri. Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola ndikumuuza za mankhwala ena onse omwe mukumwa. Chitetezo chanu chiyenera kukhala choyamba.

Cisapride , cisapride, kutupa pachifuwa, GERD, gastroesophageal reflux, zotsatirapo zake, mankhwala, mankhwala