Kodi nthawi zina mumamva kukhuta, kudzimbidwa, kapena nseru mukatha kudya? Kodi mumamva ngati chakudya chatsekedwa m'mimba mwanu? Chifukwa cha izi chingakhale chakuti m'mimba mwanu mukugwira ntchito pang'onopang'ono. Mu zamankhwala, timatcha izi gastroparesis. Chifukwa chake, mankhwala apadera omwe amaperekedwa pochiza vutoli ndi mankhwala opopera m'mphuno otchedwa Metoclopramide, omwe tikulankhula lero.
Mwachidule, kodi Metoclopramide ndi chiyani?
Metoclopramide ndi mankhwala omwe amathandiza kuti kugaya chakudya m'mimba mwanu, makamaka m'mimba mwanu, kusuntha chakudya m'mimba mwachangu. Taganizirani izi ngati apolisi akusuntha magalimoto angapo mumsewu wodzaza magalimoto. M'mimba mwanu mukakhala wopanda chakudya, zizindikiro zanu zokhuta, nseru, ndi kutentha pamtima zimachepa kwambiri.
Madokotala nthawi zina angakupatseni mankhwala awa pa matenda ena, choncho ngati muli ndi mafunso ena okhudza izi, ndi bwino kufunsa dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kugwiritsa ntchito mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse, makamaka ngati muli ndi vuto lililonse mwa zotsatirazi.
- Khansa ya m'mawere
- Kuvutika maganizo kapena matenda ena amisala
- Matenda a shuga
- Ngati mumakonda kumwa mowa pafupipafupi
- Kulephera kwa mtima
- Kuthamanga kwa magazi
- Matenda a impso kapena chiwindi
- Matenda a Parkinson kapena vuto lina la kuyenda
- Matenda otchedwa Pheochromocytoma
- Kugwidwa ndi khunyu
- Kutsekeka kwa m'mimba, kutuluka magazi, kapena kubooka
- Ngati muli ndi vuto la ziwengo ku Metoclopramide, Procainamide kapena mankhwala ena aliwonse, chakudya, kapena utoto
- Ngati muli ndi pakati kapena mukufuna kutenga mimba
- Ngati ndinu mayi woyamwitsa
Kudziwa zinthu izi kungathandize dokotala wanu kupanga chisankho cholondola chokhudza ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso mlingo woti mupereke.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Uwu ndi mankhwala opopera m'mphuno.Chokha. Musamwe pakamwa pazifukwa zilizonse. Tsatirani malangizo a dokotala wanu molondola. Musagwiritse ntchito mopitirira muyeso womwe mwapatsidwa. Ngati simukudziwa momwe mungagwiritsire ntchito mankhwala opopera amphuno awa, funsani dokotala wanu kachiwiri.
Kawirikawiri, mukapatsidwa mankhwala awa, mudzalandira kabuku kapadera (`MedGuide`) kokhudza izi. Werengani kabuku kameneka mosamala nthawi iliyonse mukamwa mankhwalawo. Ndikofunikira kwambiri.
Kodi mungachite chiyani ngati mutenga mlingo wowonjezera (overdose)?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe muyenera kukhalira, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani. Imwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Metoclopramide imatha kuyanjana ndi mankhwala ena ndi zinthu zina. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Gome ili pansipa likuwonetsa zina mwa zinthu zomwe zingagwirizane ndi mankhwalawa.
| Mtundu wa mankhwala kapena mankhwala | Zinthu zoti muganizire |
|---|---|
| Mowa | Zingayambitse kugona kwambiri komanso chizungulire. Siyani kwathunthu. |
| Mankhwala a ziwengo, chifuwa, ndi chimfine (Antihistamines) | Zingawonjezere kugona. |
| Mankhwala ochizira kuvutika maganizo, nkhawa, ndi kusowa tulo | Zotsatirapo zake zingachuluke. Uzani dokotala wanu. |
| Mankhwala ochepetsa ululu (makamaka opioids) | Mankhwalawa angakhudze momwe amagwirira ntchito. |
| Mankhwala a shuga (kuphatikizapo insulin) | Mlingo ungafunike kusinthidwa chifukwa ungakhudze kuchuluka kwa shuga m'magazi. |
| Mankhwala a matenda a Parkinson | Kagwiridwe ka ntchito ka zonsezi kangakhudzidwe. |
Mndandandawu sunathe, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Mfundo zapadera zomwe muyenera kuzidziwa mukamamwa mankhwala
Chofunika kwambiri: Musagwiritse ntchito mankhwalawa kwa milungu yoposa 8 nthawi imodzi. Ngati mumwa mankhwalawa kwa nthawi yayitali, chiopsezo cha zotsatirapo zoyipa chimakhala chachikulu kwambiri.
- Kusuntha kosalamulirika: Anthu ena angakumane ndi kusuntha kosalamulirika akamamwa mankhwalawa. Timatcha izi kuti "Zizindikiro za Extrapyramidal (EPS)". Mwachitsanzo, kumenya milomo, lilime kutuluka pafupipafupi, kusuntha kosalamulirika kwa maso, mutu, miyendo, ndi minofu. Ngati muwona chilichonse chonga ichi, uzani dokotala wanu nthawi yomweyo. Chiwopsezochi chimakhala chachikulu mwa anthu opitirira zaka 65, akazi, komanso anthu odwala matenda ashuga.
- Thanzi la maganizo: Dziwani thanzi lanu la maganizo pamene mukumwa mankhwalawa. Ngati mukumva kuti kuvutika maganizo kwanu kukukulirakulira, mukuganiza zodzipha, kapena ngati mwadzidzidzi mukumva kuda nkhawa, kukwiya, kapena kuvutika kugona, lankhulani ndi dokotala nthawi yomweyo.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musadzuke mwadzidzidzi mutakhala. Kumwa mowa kungapangitse kuti kugonako kukhale kovuta kwambiri.
- Malungo: Ngati zizindikiro monga kutentha thupi kwambiri, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima mofulumira, ndi kusokonezeka mwadzidzidzi zionekera, zitha kukhala chizindikiro cha matenda oopsa otchedwa `Neuroleptic Malignant Syndrome`. Chifukwa chake, musakhale panyumba ndikumwa paracetamol panthawi yotereyi, koma funsani upangiri wa dokotala nthawi yomweyo.
Ndi zotsatirapo ziti zomwe mungakumane nazo?
Monga mankhwala ena aliwonse, Metoclopramide ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusuntha kosalamulirika (EPS) | Milomo ikugwedezeka, lilime likutuluka kunja, kugwedezeka kosalamulirika kwa miyendo, ndi kupsinjika kwa minofu. |
| Matenda a Malignant a Neuroleptic | Malungo aakulu, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima kosakhazikika, komanso kusokonezeka maganizo. |
| Kusintha kwa maganizo | Maganizo ofuna kudzipha, kuvutika maganizo kwambiri. |
| Kuthamanga kwa magazi | Kuwonjezeka mwadzidzidzi kwa kuthamanga kwa magazi. |
| Kutupa kwa thupi | Kutupa kwa akakolo, manja, kapena mapazi. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Mutu | Mutu waukulu. |
| Kutopa | Kumva kutopa m'thupi. |
| Sinthani kukoma | Kumva kusintha kwa kukoma kwa pakamwa. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto linalake losiyana, lankhulani ndi dokotala wanu za vutoli.
Kodi ndiyenera kusunga bwanji mankhwalawo?
Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire. Ndi bwino kuwasunga kutentha kwa chipinda (pakati pa madigiri 15-30 Celsius). Tayani mankhwala aliwonse omwe atsala m'botolo mutatsegula milungu inayi.
Uthenga Wopita Nawo Kunyumba
- Mankhwala otchedwa Metoclopramide Nasal Spray ndi mankhwala otsukira m'mphuno omwe amagwiritsidwa ntchito pochiza gastroparesis, vuto lomwe m'mimba mumachepetsa kugwira ntchito.
- Pewani kugwiritsa ntchito mankhwalawa kwa milungu yoposa 8 nthawi imodzi.
- Musanamwe mankhwala, uzani dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa.
- Ngati mukumva kusuntha kosalamulirika monga kunjenjemera kwa miyendo kapena kugwedezeka kwa milomo, funsani upangiri wa dokotala nthawi yomweyo.
- Pewani kuyendetsa galimoto ndi zinthu zina zomwe zimafuna kukhala maso chifukwa tulo tingayambe. Musamwe mowa.
- Ngati pali vuto lililonse, musazengereze kufunsa dokotala wanu malangizo.
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