Tiyeni tiphunzire za mankhwala amadzimadzi otchedwa Metoclopramide, omwe amagwiritsidwa ntchito pochiza kutupa m'mimba ndi kusagaya bwino chakudya.

Kodi nthawi zina mumamva kukhuta mukatha kudya? Kapena mumakhala ndi nseru kapena kutentha pamtima? Anthu ena angamve kusasangalala kumeneku chifukwa chakudya chimayenda pang'onopang'ono m'matumbo. Pazochitika zotere, pamene mankhwala ena sathandiza, madokotala amalangiza mankhwala otchedwa Metoclopramide. Lero, tiyeni tikambirane za mankhwalawa mwatsatanetsatane.

Kodi mankhwalawa ndi chiyani? N’chifukwa chiyani akuperekedwa?

Mwachidule, metoclopramide ndi mankhwala omwe amathandiza kuwongolera mayendedwe a m'mimba mwanu. Amagwiritsidwa ntchito makamaka m'mikhalidwe iwiri:

1. Matenda a Reflux: Uwu ndi mkhalidwe womwe umachitika pamene chakudya chomwe timadya chibwerera kuchokera m'mimba kupita kukhosi, zomwe zimayambitsa kutentha pamtima ndi kupweteka pakhosi. Madokotala angakupatseni mankhwala awa ngati mankhwala ena alephera kulamulira vutoli.

2. Kuyenda pang'onopang'ono kwa chakudya kudzera m'mimba (Gastroparesis): Anthu ena ali ndi minofu ya m'mimba yomwe sigwira ntchito bwino, kotero chakudya chimayenda pang'onopang'ono m'matumbo. Izi zingayambitse zizindikiro monga kumva kukhuta, nseru, kusanza, ndi kupweteka m'mimba.

Chifukwa chake, chomwe mankhwala a metoclopramide awa amachita ndikupangitsa minofu m'thupi lanu kugwira ntchito bwino ndikuthandizira chakudya kudutsa mosavuta komanso mwachangu. Kenako zizindikiro zosasangalatsa monga kukhuta, nseru, ndi kutentha pamtima zomwe zatchulidwa kale zimachepa pang'onopang'ono. Nthawi zina mankhwala awa angagwiritsidwe ntchito ndi madokotala pazifukwa zina. Ngati muli ndi mafunso okhudza izi, funsani dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zofunika kuuza dokotala musanamwe mankhwala?

Musanayambe kumwa Metoclopramide, ndikofunikira kuuza dokotala kapena namwino wanu za vuto lililonse mwa zotsatirazi, chifukwa mankhwalawa angagwirizane ndi vutoli.

• Ngati muli ndi khansa ya m'mawere kapena munadwalapo kale.
• Ngati mukuvutika ndi kuvutika maganizo .
• Ngati muli ndi matenda a shuga .
• Ngati mumamwa mowa nthawi zonse .
• Ngati muli ndi vuto la mtima .
• Ngati muli ndi kuthamanga kwa magazi .
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Ngati muli ndi matenda a Parkinson kapena vuto lina lofanana ndi limeneli la kuyenda .
• Ngati muli ndi vuto monga pheochromocytoma (chotupa china chomwe chimapanga mu adrenal gland chomwe chingayambitse kutulutsa mahomoni ambiri).
• Ngati mudadwalapo khunyu kale.
• YanuNgati mwakhalapo ndi vuto la m'mimba, kutuluka magazi, kapena kubooka kwa m'mimba kapena pakadali pano.
• Ngati muli ndi vuto la ziwengo ku metoclopramide, mankhwala a procainamide, mankhwala a sulfite, mankhwala ena, zakudya, utoto wa chakudya , kapena zotetezera.
• Palibe vuto ngati muli ndi pakati kapena mukuyembekezera kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ndikofunikira kwambiri kuti chitetezo chanu chikhale chotetezeka kuuza dokotala wanu za zinthu izi.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa nthawi zambiri amabwera ngati madzi. Amamwedwa pakamwa.

• Imwani kuchuluka komwe dokotala wanu wakupatsani. Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala molondola.
• Nthawi zonse gwiritsani ntchito supuni yapadera kapena chikho choyezera kuti muyese kuchuluka kwenikweni kwa mankhwala. Funsani ogulitsa mankhwala anu ngati mulibe. N'zovuta kuyeza molondola ndi supuni wamba kunyumba, ndipo mutha kumwa mankhwala ambiri kapena ochepa kwambiri.
• Mankhwalawa ayenera kumwedwa mphindi 30 musanadye, pamimba yopanda kanthu. Pamenepo ndi pomwe mankhwalawa amagwira ntchito bwino.
• Yesetsani kumwa mankhwala anu pa nthawi yake, pafupifupi nthawi zomwezo tsiku lililonse .
• Musamwe mowa wochuluka kuposa momwe dokotala wanenera.
• Malo ogulitsa mankhwala adzakupatsani kabuku ka malangizo apadera kotchedwa ``MedGuide'' nthawi iliyonse mukatenga mankhwala awa. Muyenera kuwawerenga mosamala nthawi iliyonse mukagwiritsa ntchito mankhwalawa. Ali ndi mfundo zofunika.
• Muyenera kusamala kwambiri popereka mankhwalawa kwa ana. Lankhulani ndi dokotala wanu za izi ndipo funsani upangiri.
• Ngati mwamwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani dipatimenti yapafupi yadzidzidzi kapena malo owongolera poizoni nthawi yomweyo.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Dokotala wanu wapereka mankhwalawa kuti athetse zizindikiro zanu. Choncho, musapereke mankhwalawa kwa wina aliyense, chifukwa mwina sangawathandize.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaiwala kumwa mlingo, imwani. Imwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya. Kuchita izi kungapangitse kuti mlingowo uwonjezereke ndikuyambitsa zotsatirapo zoyipa.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Metoclopramide imatha kuyanjana ndi mankhwala ena, monga mowa, omwe angayambitse mavuto aakulu akamwedwa pamodzi. Chifukwa chake, ndikofunikira kuuza dokotala wanu za chilichonse mwa izi mukamwa mankhwalawa:

• Mowa
• Mankhwala oletsa chifuwa, chimfine, ndi ziwengo
• Atovaquone
• Atropine
• Bupropion (mankhwala ochizira kuvutika maganizo)
• Mankhwala ena oletsa nkhawa kapena tulo
• Mankhwala a mavuto a chikhodzodzo, monga Oxybutynin ndi Tolterodine
• Mankhwala ena ochizira kuvutika maganizo kapena matenda amisala
• Mankhwala ena a matenda a Parkinson
• Mankhwala a khunyu, monga Phenobarbital ndi Primidone
• Mankhwala a matenda am'mimba, monga Dicyclomine ndi Hyoscyamine
• Mankhwala monga Scopolamine a matenda oyenda
• Cyclosporine (mankhwala oletsa chitetezo cha mthupi)
• Digoxin (mankhwala a matenda a mtima)
• Fosfomycin (mankhwala opha tizilombo toyambitsa matenda)
• Mankhwala oletsa ululu monga Halothane, Isoflurane, Methoxyflurane, ndi Propofol, omwe amagwiritsidwa ntchito popangitsa munthu kugona panthawi ya opaleshoni.
• Insulin ndi mankhwala ena a matenda ashuga
• Ipratropium (mankhwala a matenda opumira)
• Mankhwala a MAOI (awa ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo, monga Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Mankhwala operekedwa kuti apumule minofu panthawi ya opaleshoni
• Mankhwala ochepetsa ululu a opioid (monga tramadol, morphine)
• Paroxetine (mankhwala ochizira kuvutika maganizo)
• Mankhwala a Phenothiazines (mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala, mwachitsanzo Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine)
• Posaconazole (mankhwala opha mavairasi)
• Quinidine (mankhwala a matenda a mtima)
• Sirolimus (mankhwala oletsa chitetezo chamthupi)
• Tacrolimus (mankhwala oletsa chitetezo cha mthupi)

Mndandanda uwu mwina sungakhale wokwanira. Choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse, zitsamba, mavitamini, ndi zowonjezera zakudya zomwe mukumwa. Muuzeninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo, chifukwa zinthu zina zingasokoneze mankhwalawa.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

Muyeneranso kusamala ndi zinthu izi mukamagwiritsa ntchito metoclopramide:

• Zingatenge milungu ingapo kuti ululu wanu wa m'mimba uyambe kutha. Komabe, musamwe mankhwalawa mosalekeza kwa milungu yoposa 12.Mukatenga mankhwalawa kwa nthawi yayitali, mukawamwa kwambiri, mumakhala ndi mwayi waukulu wokumana ndi zotsatirapo zoyipa. Izi ndi zoona makamaka ngati muli ndi zaka zoposa 65, ndinu akazi, kapena muli ndi matenda a shuga.
• Uzani dokotala wanu nthawi yomweyo ngati mwayamba kuchita zinthu zomwe simungathe kuzilamulira , monga kumenya milomo, kusuntha lilime mwachangu, kusuntha kwa maso, mutu, kapena mkono ndi mwendo mosasamala, kapena kugwedezeka kwa minofu. Izi zitha kukhala zizindikiro za matenda otchedwa Tardive Dyskinesia kapena Extrapyramidal Symptoms (EPS) . Izi nthawi zina zimatha kupitirira ngakhale mutasiya kumwa mankhwalawo.
• Inu ndi banja lanu muyenera kudziwa za kuvutika maganizo kulikonse komwe kukukulirakulira kapena malingaliro ofuna kudzipha. Komanso, ngati mukukumana ndi kusintha kwadzidzidzi kwa malingaliro anu, monga nkhawa kwambiri, kukwiya, kukwiya, kukwiya, kusakhazikika, kusangalala kwambiri, kapena vuto la kugona, lankhulani ndi dokotala nthawi yomweyo, makamaka mukayamba kumwa mankhwala kapena mutasintha mlingo.
• Ngati muli ndi malungo aakulu, musadzipatse mankhwala. Funsani upangiri kwa dokotala.
• Mungamve ngati muli ndi tulo kapena chizungulire. Choncho, mpaka mutadziwa momwe mankhwalawa amakukhudzirani, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala. Musayime kapena kukhala pansi mwadzidzidzi, makamaka ngati muli ndi zaka zoposa 65. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa. Kumwa mowa kungakupangitseni kumva ngati muli ndi tulo kapena chizungulire. Choncho, pewani kumwa mowa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, Metoclopramide ingayambitse mavuto ena mwa anthu ena. Si aliyense amene amalandira mankhwalawa, koma ena amalandira.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi , pitani kwa dokotala nthawi yomweyo:

• Matenda a ziwengo: Kutupa pakhungu, kuyabwa, kutupa, kutupa kwa nkhope, milomo, lilime, pakhosi (kungayambitse kupuma movutikira).
• Malungo aakulu, kuuma kwa minofu, kutuluka thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosasinthasintha, chisokonezo: Izi zitha kukhala zizindikiro za matenda oopsa otchedwa neuroleptic malignant syndrome. Uwu ndi matenda omwe amafunika chithandizo chadzidzidzi.
• Zizindikiro za kuchuluka kwa prolactin m'thupi: Kusakula bwino kwa mabere mwa amuna, kutuluka magazi ngati mkaka m'mabele mwa akazi, kusintha kwa chilakolako chogonana kapena kuchita bwino, komanso kusakhazikika kwa msambo mwa akazi.
• Kuwonjezeka mwadzidzidzi kwa kuthamanga kwa magazi.
• Kutupa kwa akakolo, manja, kapena mapazi.
• Maganizo ofuna kudzipha, kuipiraipira kwa maganizo, ndi kuvutika maganizo.
• Kusuntha thupi kosalamulirika, mobwerezabwereza, kuuma kwa minofu kapena kugwedezeka, kunjenjemera, kutayika kwa mphamvu, kusakhazikika, kukoka mapazi poyenda: Izi zitha kukhala zizindikiro za matenda omwe atchulidwa kale otchedwa extrapyramidal syndrome (EPS) .

Zotsatirapo zomwe simuyenera kuuza dokotala wanu nthawi zambiri, koma ziyenera kunenedwa ngati zikupitirira kapena zikukuvutitsani:

Izi nthawi zambiri sizimakhala zazikulu ndipo zimatha pakatha masiku ochepa. Komabe, ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu:

• Chizungulire
• Kugona tulo
• Kutopa/kutopa
• Mutu
• Kusowa tulo kapena kuvutika kugona

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati mukukumana ndi zina zachilendo kuwonjezera pa izi, funsani dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zoyipa.

Kodi muyenera kusunga bwanji mankhwala anu?

• Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius / madigiri 59 ndi 86 Fahrenheit). Musaziike mufiriji.
• Tetezani ku kuwala. Izi zikutanthauza kuti musaisunge pamalo omwe dzuwa limawalira mwachindunji.
• Tayani mankhwala omwe atha ntchito popanda kuwagwiritsa ntchito.

Chinthu chofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zinthu zofunika kwambiri zomwe muyenera kudziwa zokhudza mankhwala otchedwa Metoclopramide.

Kumbukirani, mankhwalawa ndi omwe ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala wakupatsani upangiri. Ngati muli ndi mafunso kapena simukudziwa chilichonse, musazengereze kufunsa dokotala wanu kapena wamankhwala. Musamwe mankhwala ochulukirapo kuposa omwe dokotala wanu wakuuzani kapena kugwiritsa ntchito kwa nthawi yayitali kuposa nthawi yomwe mwapatsidwa (masabata 12). Dziwani zotsatirapo zake. Thanzi lanu ndi lofunika kwambiri kwa inu. Khalani ndi thanzi labwino!

Metoclopramide , matenda a reflux, gastroparesis, nseru, kutentha pamtima, zotsatirapo zoyipa za mankhwala, kuyanjana ndi mankhwala