Reka twige ku muti w'amazi witwa Metoclopramide, ukoreshwa mu kubyimba no kutagira ingano mu gifu.

Ese rimwe na rimwe wumva wuzuye nyuma yo kurya? Cyangwa wumva ufite isesemi cyangwa kuribwa mu gifu? Hari abantu bashobora kugira ubu burwayi kuko ibiryo bigenda buhoro buhoro mu mara. Muri ibyo bihe, iyo indi miti idafashije, abaganga bagusaba umuti witwa Metoclopramide. Uyu munsi, reka tuganire kuri uyu muti mu buryo burambuye.

Uyu muti ni iki? Kuki utangwa?

Muri make, metoclopramide ni umuti ufasha mu kugena uburyo amara akoresha mu buryo runaka. Ukoreshwa cyane cyane mu bihe bibiri:

1. Indwara yo kuruhuka mu muhogo: Iyi ni indwara ibaho iyo ibiryo turya biva mu nda bijya mu muhogo, bigatera kuribwa mu gifu no kubabara mu muhogo. Abaganga bashobora kuguha uyu muti mu gihe indi miti yananiwe kugenzura iyo ndwara.

2. Gutembera buhoro kw'ibiryo mu buryo bw'igogora (Gastroparesis): Hari abantu bafite imitsi yo mu nda idakora neza, bityo ibiryo bigenda buhoro cyane mu mara. Ibi bishobora gutera ibimenyetso nko kumva byuzuye, isesemi, kuruka, no kubabara mu gifu.

Rero, icyo uyu muti wa metoclopramide ukora ni ugutuma imitsi yo mu gifu cyawe ikora neza kandi igafasha ibiryo gutambuka byoroshye kandi byihuse. Hanyuma ibimenyetso bibi nko kuzura, isesemi, no kuribwa mu gifu byavuzwe haruguru biragabanuka buhoro buhoro. Uyu muti rimwe na rimwe ushobora gukoreshwa n'abaganga kubera izindi mpamvu. Niba ufite ikibazo kuri wo, baza muganga wawe cyangwa umufarumasiye.

Ni ibihe bintu by'ingenzi ugomba kubwira muganga mbere yo gufata umuti?

Mbere yo gutangira gufata Metoclopramide, ni ngombwa kubwira muganga wawe cyangwa umuforomo wawe ibyerekeye indwara zikurikira, kuko uyu muti ushobora kugira ingaruka kuri izi ndwara.

• Niba wararwaye cyangwa warigeze kurwara kanseri y'ibere .
• Niba urwaye indwara yo kwiheba .
• Niba urwaye diyabete .
• Niba ukunda kunywa inzoga buri gihe .
• Niba ufite ikibazo cy'umutima .
• Niba ufite umuvuduko w'amaraso ukabije .
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Niba ufite indwara ya Parkinson cyangwa indi ndwara isa nayo yo kugenda .
• Niba ufite indwara nka pheochromocytoma (ikibyimba cyihariye kiba mu gasabo k'intanga ngore gishobora gutuma habaho imisemburo myinshi).
• Niba warigeze kugira ibisebe mbere.
• IbyaweNiba warigeze cyangwa warazibye igifu, kuva amaraso, cyangwa gutobora mu bihe byashize.
• Niba ufite ikibazo cy’ubwivumbure kuri metoclopramide, umuti wa procainamide, imiti ya sulfite, indi miti, ibiryo, amarangi y’ibiribwa , cyangwa imiti irinda ubushyuhe.
• Nta kibazo niba utwite cyangwa wifuza gusama.
• Niba uri umubyeyi wonsa.

Ni ingenzi cyane ku mutekano wawe kumenyesha muganga wawe ibi bintu.

Uyu muti nkwiye kuwukoresha nte?

Uyu muti ubusanzwe uza mu ishusho y'amazi. Unyobwa mu kanwa.

• Fata ingano nyayo nk'uko muganga wawe yabigutegetse. Kurikiza amabwiriza ari ku rupapuro rwa muganga neza.
• Buri gihe koresha ikiyiko cyabugenewe cyangwa igikombe cyo gupimisha kugira ngo upime ingano nyayo y'umuti. Baza farumasi yawe niba udafite. Biragoye gupima neza ukoresheje ikiyiko gisanzwe mu rugo, kandi ushobora gufata umuti mwinshi cyangwa muto cyane.
• Uyu muti ugomba gufatwa iminota 30 mbere yo kurya, mu nda irimo ubusa. Icyo gihe ni bwo umuti ukora neza.
• Gerageza gufata imiti yawe ku gihe, hafi amasaha amwe buri munsi .
• Ntuzigere unywa ibirenze ibyo muganga wawe akubwira.
• Farumasi izaguha agapapuro k'amabwiriza yihariye (MedGuide) igihe cyose ufata uyu muti. Ugomba kuwusoma witonze igihe cyose ukoresha umuti. Urimo amakuru y'ingenzi.
• Ugomba kwitonda cyane mu gihe uha abana uyu muti. Vugana na muganga wawe kuri ibi kandi ugire inama.
• Niba ufata imiti myinshi: Niba ubona ko wafashe uyu muti urenze urugero, hamagara ishami ryihutiyeho ryita ku bitaro cyangwa ikigo gishinzwe kurwanya uburozi ako kanya.

Icy'ingenzi: Uyu muti wagenewe wowe gusa. Wagenewe na muganga wawe kugira ngo avure ibimenyetso byawe. Kubwibyo, ntugahe undi muntu uwo ari we wese uyu muti, kuko ushobora kuba utabereye.

Wakora iki niba wabuze dose y'umuti?

Niba wibagiwe gufata dose, yireke. Fata dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose wabuze. Kubikora bishobora kongera dose no guteza ingaruka mbi.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti?

Metoclopramide ishobora kugira ingaruka mbi ku yindi miti, nka alcool, ishobora gutera ingaruka mbi zikomeye iyo uyifashe hamwe. Kubwibyo, ni ngombwa kubwira muganga wawe ibi bikurikira mugihe ufata uyu muti:

• Inzoga
• Antihistamines ku ndwara z'inkorora, ibicurane, na allergies
• Atovaquone
• Atropine
• Bupropion (umuti uvura indwara yo kwiheba)
• Imiti imwe n'imwe ivura imihangayiko cyangwa ibitotsi
• Imiti ivura ibibazo by'inkari, nka Oxybutynin na Tolterodine
• Imiti imwe n'imwe ivura indwara zo mu mutwe cyangwa ihungabana
• Imiti imwe n'imwe ivura indwara ya Parkinson
• Imiti ivura indwara zo mu mutwe, nka Phenobarbital na Primidone
• Imiti ivura ibibazo byo mu gifu, nka Dicyclomine na Hyoscyamine
• Imiti nka Scopolamine ivura indwara yo kugenda
• Cyclosporine (umuti ugabanya ubudahangarwa bw'umubiri)
• Digoxin (umuti uvura indwara z'umutima)
• Fosfomycin (umuti urwanya udukoko)
• Imiti igabanya ububabare muri rusange nka Halothane, Isoflurane, Methoxyflurane, na Propofol, ikoreshwa mu gutera ibitotsi mu gihe cyo kubagwa.
• Insulini n'indi miti ivura diyabete
• Ipratropium (umuti uvura indwara z'ubuhumekero)
• Imiti ya MAOI (iyi ni ubwoko bw'imiti ikoreshwa mu kuvura ihungabana, nka Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Imiti itangwa kugira ngo imitsi iruhure mu gihe cyo kubagwa
• Imiti igabanya ububabare ya Opioid (urugero: tramadol, morphine)
• Paroxetine (umuti uvura indwara yo kwiheba)
• Phenothiazine (imiti ikoreshwa mu kuvura indwara zo mu mutwe, urugero: Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine)
• Posaconazole (umuti urwanya udukoko)
• Quinidine (umuti uvura indwara z'umutima)
• Sirolimus (umuti ugabanya ubudahangarwa bw'umubiri)
• Tacrolimus (umuti ugabanya ubudahangarwa bw'umubiri)

Uru rutonde rushobora kuba rutuzuye. Rero menya neza ko wabwiye muganga wawe imiti yose, ibyatsi, vitamine, n'inyongeramusaruro urimo gufata. Bibwire kandi muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko, kuko hari ibintu bishobora kugira ingaruka kuri uyu muti.

Ni ibihe bintu ugomba kwitondera mu gihe ukoresha umuti?

Ugomba kandi kwitondera ibi bintu mu gihe ukoresha metoclopramide:

• Bishobora gufata ibyumweru bike kugira ngo ububabare bwo mu gifu butangire kugabanuka. Ariko, ntugafate uyu muti buri gihe mu gihe kirenze ibyumweru 12.Uko umara igihe kirekire ufata uyu muti, niko urushaho kugira ibyago bikomeye byo kugira ingaruka mbi. Ibi ni ukuri cyane cyane niba ufite imyaka irenga 65, uri umugore, cyangwa urwaye diyabete.
• Bwira muganga wawe ako kanya niba utangiye kugira ingendo udashobora kugenzura , nko gukubita iminwa, kugenda ururimi vuba, kugenda mu maso, umutwe, cyangwa amaboko n'amaguru bidacungwa, cyangwa imitsi ihindaguritse. Ibi bishobora kuba ibimenyetso by'indwara yitwa Tardive Dyskinesia cyangwa Extrapyramidal Symptoms (EPS) . Ibi rimwe na rimwe bishobora gukomeza ndetse na nyuma yo guhagarika imiti.
• Wowe n'umuryango wawe mugomba kumenya niba hari ikibazo cyo kwiheba cyangwa gutekereza kwiyahura kirushaho kwiyongera. Nanone, niba uhuye n'impinduka zitunguranye mu byiyumvo byawe, nko guhangayika cyane, guhangayika, kurakara, umujinya, guhubuka, kubura amahoro, gushyuha cyane, cyangwa gusinzira nabi, vugana na muganga wawe ako kanya, cyane cyane iyo utangiye gufata umuti bwa mbere cyangwa nyuma yo guhindura urugero.
• Niba ufite umuriro mwinshi, ntukivure. Shaka inama kwa muganga.
• Ushobora kumva usinziriye cyangwa uzumva. Rero, kugeza igihe umenye uko uyu muti ukugiraho ingaruka, ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kwitonda. Ntugahagarare cyangwa ngo wicare gitunguranye, cyane cyane niba ufite imyaka irenga 65. Ibi bizagabanya ibyago byo kuzumva no kugwa. Kunywa inzoga bishobora gutuma wumva uzumva uzumva cyangwa uzumva. Rero, irinde kunywa inzoga.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, Metoclopramide ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Si bose bazibona, ariko hari n'abazibona.

Ingaruka mbi ugomba guhita ubibwira muganga wawe:

Niba ubonye kimwe muri ibi bimenyetso , hita ubonana na muganga:

• Indwara zo kugira ubwivumbure: Gushyuha k'uruhu, kuribwa, kubyimba, kubyimba mu maso, iminwa, ururimi, mu muhogo (bishobora gutera kugorwa no guhumeka).
• Umuriro mwinshi, imitsi igoramye, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, urujijo: Ibi bishobora kuba ibimenyetso by'indwara iteje akaga yitwa neuroleptic malignant syndrome. Iyi ni indwara isaba ubuvuzi bwihutirwa.
• Ibimenyetso by'urugero rwinshi rwa prolactine: Kumera nabi kw'amabere ku bagabo, kuva amaraso mu mabere y'abagore asa n'amata, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina, ndetse n'ukwezi kudasanzwe kw'abagore.
• Ukwiyongera gutunguranye k'umuvuduko w'amaraso.
• Kubyimba utubuto, amaboko, cyangwa ibirenge.
• Ibitekerezo byo kwiyahura, imitekerereze irushaho kumera nabi, n'ibyiyumvo byo kwiheba.
• Ingendo z'umubiri zidasubirwaho, zisubiramo, imitsi igoramye cyangwa ihindaguritse, gutitira, gutakaza uburinganire, kubura ituze, gukurura ibirenge mu gihe ugenda: Ibi bishobora kuba ibimenyetso by'indwara yavuzwe haruguru yitwa extrapyramidal syndrome (EPS) .

Ingaruka mbi udakunze gukenera kubwira muganga wawe , ariko zigomba kumenyeshwa niba zikomeje cyangwa zikubangamiye:

Ibi akenshi ntabwo ari bikomeye kandi bizashira mu minsi mike. Ariko, niba bikomeje cyangwa bikakubangamira, bwira muganga wawe:

• Kuzungera
• Gusinzira
• Umunaniro/umunaniro
• Umutwe
• Kubura ibitotsi cyangwa kugorwa no gusinzira

Uru rutonde rushobora kuba rudafite ingaruka mbi zose. Niba uhuye n'ikintu kidasanzwe usibye ibi, hamagara muganga wawe kugira ngo akugire inama ku ngaruka mbi.

Ukwiye kubika gute imiti yawe?

• Bika uyu muti ahantu abana n'amatungo batagera .
• Bika ahantu hashyushye mu cyumba (hagati ya dogere selisiyusi 15 na 30 / dogere selisiyusi 59 na 86). Ntubikonjeshe.
• Irinde urumuri. Ibyo bivuze ko utarushyira ku zuba ryinshi.
• Tara umuti warengeje igihe utawukoresheje.

Ikintu cy'ingenzi cyo kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, twavuze ku bintu by'ingenzi ugomba kumenya kuri uyu muti witwa Metoclopramide.

Wibuke ko uyu ari umuti ugomba gukoreshwa gusa ubanje kugirwa inama na muganga. Niba ufite ikibazo cyangwa hari icyo utazi neza, ntugatinye kubaza muganga wawe cyangwa umufarumasiye wawe. Ntuzigere ufata ibirenze ibyo muganga wawe akubwira cyangwa ngo uwukoreshe igihe kirekire kirenze igihe cyagenwe (ibyumweru 12). Menya ingaruka mbi. Ubuzima bwawe ni ingenzi cyane kuri wewe. Komeza ubuzima bwiza!

Metoclopramide , indwara yo kuruhuka mu nda, gastroparesis, isesemi, kuribwa mu gifu, ingaruka mbi ku miti, ingaruka mbi ku miti