Tiyeni tidziwe bwino mapiritsi a Metoclopramide omwe ndi othandiza pa mavuto anu am'mimba.

Kodi nthawi zina mumamva kukhuta popanda kugaya chakudya? Kapena mumamva kusasangalala monga kutentha pachifuwa kapena nseru? Metoclopramide ndi mankhwala omwe madokotala nthawi zina amakulemberani pa matenda otere. Lero, tiyeni tikambirane mfundo zofunika zomwe muyenera kudziwa zokhudza mankhwalawa.

Kodi mankhwala otchedwa Metoclopramide amagwiritsidwa ntchito pa chiyani?

Mwachidule, metoclopramide ndi mankhwala omwe amathandiza kuti kugaya chakudya kugwire bwino ntchito. Amagwiritsidwa ntchito makamaka m'njira ziwiri.

1. Matenda a Gastroesophageal Reflux Disease (GERD): Ili ndi vuto lomwe tonse tikudziwa kuti limayambitsa zizindikiro monga kutentha pamtima komanso kukoma kowawa pakhosi. Madokotala angakupatseni mankhwala awa ngati mankhwala ena sangathe kuwongolera vutoli.

2. Gastroparesis: Iyi ndi vuto lomwe chakudya sichimatuluka bwino m'mimba mwanu ndipo chimakhalabe m'mimbamo kwa nthawi yayitali. Tangoganizirani, mukumva kukhuta mukatha kudya, ndipo izi zingayambitse zinthu monga nseru ndi kusanza. Vutoli limapezeka makamaka mwa anthu omwe ali ndi matenda a shuga.

Choncho, chomwe mankhwalawa amachita ndikuthandiza minofu ya m'mimba mwanu kugwira ntchito bwino ndikuyendetsa chakudya m'mimba mwachangu. Kenako zizindikiro zomwe zatchulidwazi monga kudzimbidwa, nseru, ndi kutentha pamtima zimachepa pang'onopang'ono.

Kupatula izi, dokotala angagwiritse ntchito mankhwalawa nthawi zina. Chifukwa chake, ngati mwapatsidwa mankhwalawa pazifukwa zina, ndi bwino kufunsa dokotala wanu kapena wamankhwala za izi.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa?

Musanayambe kumwa mankhwalawa, pali zinthu zina zomwe muyenera kuuza dokotala wanu. Izi zili choncho chifukwa anthu ena omwe ali ndi matenda ena sangakhale oyenera kugwiritsa ntchito mankhwalawa, kapena angafunike njira zina zodzitetezera. Onani ngati izi zikukukhudzani:

• Ngati muli ndi khansa ya m'mawere.
• Ngati mukuvutika ndi kuvutika maganizo.
• Ngati muli ndi matenda a shuga (Diabetes Mellitus).
• Ngati mumamwa mowa nthawi zonse.
• Ngati muli ndi vuto la mtima monga kulephera kwa 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 matenda ena oyenda.
• Ngati muli ndi chotupa chosowa chotchedwa pheochromocytoma.
• Ngati mudadwalapo khunyu kale.
• Ngati muli ndi vuto monga kutsekeka kwa m'mimba, kutuluka magazi, kapena kubooka.
• Ngati muli ndi vuto la ziwengo chifukwa cha metoclopramide, procainamide, mankhwala ena, zakudya, utoto kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ngati muli ndi chilichonse mwa zinthuzi, ndikofunikira kwambiri kuuza dokotala wanu kuti akuthandizeni bwino.

Kodi mumagwiritsa ntchito bwanji mankhwalawa moyenera?

Muyenera kumwa mankhwalawa ndi kapu ya madzi. Muyenera kutsatira malangizo omwe ali pa mankhwala omwe dokotala wanu wakupatsani.

Chofunika kwambiri ndikumwa mankhwalawa mphindi 30 musanadye, muli ndi mimba yopanda kanthu. Pamenepo ndi pomwe mankhwalawa amagwira ntchito bwino.

Imwani mankhwala anu pa nthawi yolembedwa komanso nthawi yolembedwa. Musamwe mankhwala ochulukirapo kuposa omwe mwapatsidwa kapena siyani kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zotsatirapo zoipa.

Mukalandira mankhwala awa ku pharmacy, pamodzi ndi mankhwala aliwonse omwe mwalandira komanso mukadzazanso, amakupatsirani kabuku kapadera kotchedwa MedGuide. Muyenera kuwerenga mosamala zomwe zili mmenemo nthawi zonse. Kali ndi zambiri zofunika kwa inu.

Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wanu za mankhwalawa. Angafunike chisamaliro chapadera.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Chonde, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.

Chinanso, mankhwalawa ndi a inu nokha. Musagawire wina aliyense, chabwino?

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

Ngati mwaiwala kumwa mlingo, imwani. Imwani mlingo wotsatira nthawi yanthawi zonse. Musamwe mlingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa? (Kuyanjana)

Zinthu zina zimatha "kugwirizana" ndi mankhwalawa. Izi zikutanthauza kuti, zimatha kukhudza wina ndi mnzake. Chifukwa chake ndikofunikira kwambiri kuuza dokotala wanu zonse zomwe mukumwa. Yang'anani ngati mukumwa chilichonse mwa izi:

• Mowa
• Mitundu ya mankhwala oletsa chifuwa, chifuwa, ndi chimfine
• Atovaquone
• Atropine
• Bupropion
• Mankhwala ena oletsa nkhawa kapena tulo
• Mankhwala ena a matenda a chikhodzodzo (monga Oxybutynin, Tolterodine)
• Mankhwala ena a kuvutika maganizo kapena matenda ena amisala
• Mankhwala ena omwe amagwiritsidwa ntchito pa matenda a Parkinson
• Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu (monga phenobarbital, primidone)
• Mankhwala ena a matenda am'mimba (monga dicyclomine, hyoscyamine)
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda oyenda (monga Scopolamine)
• Cyclosporine
• Digoxin
• Fosfomycin `(Fosfomycin)`
• Mankhwala oletsa ululu (monga Halothane, Isoflurane)
• Insulin ndi mankhwala ena a matenda ashuga
• Ipratropium
• MAOIs (monga Carbex, Eldepryl)
• Mankhwala operekedwa kuti apumule minofu panthawi ya opaleshoni
• Mankhwala ochepetsa ululu a opioid
• Paroxetine
• Phenothiazines (monga chlorpromazine, prochlorperazine)
• Posaconazole `(Posaconazole)`
• Quinidine
• Sirolimus
• Tacrolimus

Mndandanda uwu sungakhale wokwanira. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingakhudze mankhwala awa.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

Zingatenge milungu ingapo kuti ululu wanu wa m'mimba ukhale bwino. Komabe, musamwe mankhwalawa kwa milungu yoposa 12. Mukamamwa mankhwalawa kwa nthawi yayitali, komanso mlingo wake ukakhala wokwera, mumakhala ndi mwayi waukulu wokhala ndi zotsatirapo zoyipa. Muli pachiwopsezo chachikulu cha zotsatirapo zoyipa kuchokera ku mankhwalawa ngati muli ndi zaka zoposa 65, ngati ndinu mkazi, kapena ngati muli ndi matenda a shuga .

Ngati mukumva kusuntha kosalamulirika mukumwa mankhwalawa (monga kumenya milomo, kusuntha lilime uku ndi uku, kusuntha kosalamulirika kwa maso, mutu, kapena miyendo, kapena kugwedezeka kwa minofu), izi zimatchedwa zizindikiro za extrapyramidal (EPS) . Ngati mukukumana ndi chilichonse mwa izi, muyenera kuuza dokotala wanu nthawi yomweyo .

Komanso, ngati inu kapena achibale anu mukuona kuti kuvutika maganizo kwanu kukukulirakulira, mukuyamba kuganiza zodzipha, kapena mwadzidzidzi mukukumana ndi kusintha kwakukulu m'maganizo mwanu (monga, kukhala ndi nkhawa nthawi zonse, kukwiya msanga, kusakhazikika, kuvutika kugona), makamaka mukayamba kumwa mankhwala kapena mutasintha mlingo, uzani dokotala wanu.

Ngati muli ndi malungo aakulu, musayese kudzichiritsa nokha. Funsani dokotala wanu malangizo.

Mankhwalawa angakupangitseni kugona komanso kuzunguzika mutu.Mungamve chizungulire. Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala tcheru mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa. Kumwa mowa kungapangitse kuti kugona ndi chizungulire kukhale koipa. Choncho pewani kumwa mowa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa? (Zotsatirapo Zake)

Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Ena ndi oopsa, ena si oopsa kwambiri.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, uzani dokotala mwamsanga:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Matenda a Neuroleptic Malignant Syndrome angaphatikizepo: kutentha thupi kwambiri, kuuma kwa minofu, thukuta kwambiri, kugunda kwa mtima mofulumira kapena kosakhazikika, komanso kusokonezeka maganizo.
• Zizindikiro za kuchuluka kwa prolactin m'thupi: Kukula kosafunikira kwa mawere, kutuluka kwa madzi m'mabele, kusintha kwa chilakolako chogonana kapena ntchito yake, komanso kusakhazikika kwa msambo mwa akazi.
• Kuthamanga kwa magazi kokwera.
• Kutupa kwa akakolo, manja, kapena mapazi.
• Maganizo odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, kuvutika maganizo.
• Zizindikiro za Extrapyramidal (EPS): Zizindikiro monga kuyenda kosalamulirika komanso kobwerezabwereza kwa thupi, kuuma kwa minofu kapena kugwedezeka, kunjenjemera, kutayika kwa mphamvu, kusakhazikika, komanso kukoka mapazi poyenda.

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

• Chizungulire
• Kugona tulo
• Kutopa
• Mutu
• Kuvuta kugona

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo, funsani dokotala wanu za icho.

Kodi mumasunga bwanji mankhwalawa kukhala otetezeka?

Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .

Sungani kutentha kwa chipinda (20 mpaka 25 digiri Celsius, 68 mpaka 77 digiri Fahrenheit), chotetezedwa ku kuwala, ndipo sungani botololo litatsekedwa bwino mu chidebe chopanda mpweya. Tayani mankhwala aliwonse omwe atha ntchito.

Zinthu zina zomwe ndikuganiza kuti ndizofunikira kwa inu (Uthenga Wopita Nawo Kunyumba)

Metoclopramide ndi mankhwala omwe angathandize pa mavuto ena a m'mimba. Komabe, pali zinthu zina zomwe muyenera kusamala nazo mukamazigwiritsa ntchito.

• Nthawi zonse imwani mankhwala anu monga momwe dokotala wanu wanenera. Tsatirani mlingo, nthawi, ndi nthawi ya chithandizo chanu molondola.
• Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa.
• Dziwani zotsatirapo zake. Makamaka ngati mukukumana ndi mayendedwe osalamulirika (EPS) omwe tawatchula kale kapena kusintha kwa maganizo, uzani dokotala wanu nthawi yomweyo.
• Pewani kumwa mowa kotheratu mukamamwa mankhwalawa.
• Musagwiritse ntchito mankhwalawa mosalekeza kwa milungu yoposa 12, pokhapokha ngati dokotala wanu wakuuzani mwachindunji.

Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu, wamankhwala kapena wopereka chithandizo chamankhwala. Thanzi lanu ndi lofunika kwambiri kwa inu!

Metoclopramide , gastroparesis, reflux, kutupa pachifuwa, nseru, zotsatirapo zake, zambiri za mankhwala