Reka tumenye neza ibinini bya Metoclopramide bivura ibibazo byo mu gifu cyawe.

Ese hari igihe wumva wuzuye udafite ibyo kurya? Cyangwa ugira ububabare nko kumva ushyushye mu gatuza cyangwa isesemi? Metoclopramide ni umuti abaganga rimwe na rimwe batanga ku ndwara nk'izo. Uyu munsi, reka tuvuge ku bintu by'ingenzi ugomba kumenya kuri uyu muti.

Uyu muti witwa Metoclopramide ukoreshwa mu ki?

Muri make, metoclopramide ni umuti ufasha sisitemu yawe y'igogora gukora neza. Ukoreshwa cyane cyane mu bihe bibiri.

1. Indwara yo kuzura mu gifu (GERD): Iyi ni indwara twese tuzi itera ibimenyetso nko kuribwa mu gifu no kuryoherwa mu muhogo. Abaganga bashobora kuguha uyu muti niba indi miti idashoboye kugenzura iyo ndwara.

2. Gastroparesis: Iyi ni indwara aho ibiryo bitava mu nda neza bikamara igihe kirekire. Tekereza, wumva uhaze nyuma yo kurya, kandi ibi bishobora gutera isesemi no kuruka. Iyi ndwara ikunze kugaragara cyane ku bantu barwaye diyabete.

Rero, icyo uyu muti ukora ni ugufasha imitsi yo mu gifu cyawe gukora neza no kwimura ibiryo mu gifu vuba. Hanyuma ibimenyetso byavuzwe haruguru nko kubyimba, isesemi, no kuribwa mu gifu biragabanuka buhoro buhoro.

Uretse ibi, muganga ashobora no gukoresha uyu muti mu bindi bihe. Kubwibyo, niba warahawe uyu muti ku yindi mpamvu iyo ari yo yose, ni byiza kubaza muganga wawe cyangwa umufarumasiye ibyawo.

Ni ibihe bintu ugomba kubwira muganga wawe mbere yo gufata uyu muti?

Mbere yo gutangira gufata uyu muti, hari ibintu bimwe na bimwe ugomba kubwira muganga wawe. Ibi biterwa nuko hari abantu bafite indwara zimwe na zimwe bashobora kuba batakwiriye uyu muti, cyangwa bakaba bakeneye ingamba zidasanzwe zo kwirinda. Reba niba ibi bikureba:

• Niba urwaye kanseri y'ibere.
• Niba urwaye indwara yo kwiheba.
• Niba urwaye diyabete (Diabetes Mellitus).
• Niba ukunda kunywa inzoga buri gihe.
• Niba ufite ikibazo cy'umutima nko kunanirwa k'umutima.
• Niba ufite umuvuduko w'amaraso ukabije.
• Niba ufite indwara y'impyiko.
• Niba ufite indwara y'umwijima.
• Niba ufite indwara ya Parkinson cyangwa izindi ndwara zo kwimuka.
• Niba ufite ikibyimba kidasanzwe cyitwa pheochromocytoma.
• Niba warigeze kugira ibisebe mbere.
• Niba ufite ikibazo nko kuziba igifu, kuva amaraso, cyangwa gutobora.
• Niba ufite ikibazo cy'ubwivumbure kuri metoclopramide, procainamide, indi miti, ibiryo, amarangi cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita.
• Niba uri umubyeyi wonsa.

Niba ufite kimwe muri ibi bintu, ni ngombwa cyane kubibwira muganga wawe kugira ngo agufashe neza.

Ni gute ukoresha uyu muti neza?

Ugomba gufata uyu muti n'ikirahure cy'amazi. Ugomba gukurikiza amabwiriza ari ku rupapuro rwa muganga waguhaye neza.

Igikuru ni ukunywa uyu muti iminota 30 mbere yo kurya, mu nda irimo ubusa. Icyo gihe ni bwo umuti ukora neza.

Fata imiti yawe ku gihe cyagenwe no ku gihe cyagenwe. Ntukigere ufata imiti irenze urugero rwagenwe cyangwa ngo uhagarike kuyifata mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora guteza ingaruka mbi.

Iyo ubonye uyu muti muri farumasi, hamwe na buri muganga kandi iyo uwurangije, baguha agatabo kihariye kitwa MedGuide. Ugomba gusoma amakuru arimo witonze buri gihe. Urimo amakuru menshi y'ingenzi kuri wewe.

Niba uha abana uyu muti, ugomba kubibwira muganga wawe. Ushobora gusaba ubwitonzi bwihariye.

Wakora iki niba ufashe imiti myinshi?

Nyamuneka, niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse.

Ikindi kandi, uyu muti ni uwawe gusa. Ntuwusangire n'undi muntu uwo ari we wese, sibyo?

Wakora iki iyo usibye gahunda yo gufata imiti?

Niba wibagiwe gufata dose, yireke. Fata dose ikurikira ku gihe gisanzwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose yabuze.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti? (Imikoranire)

Hari ibintu bishobora "gukorana" n'uyu muti. Ni ukuvuga ko bishobora kugira ingaruka kuri buri kimwe muri byo. Rero ni ngombwa cyane kubwira muganga wawe ibyo urimo gufata byose. Reba niba hari kimwe muri ibi bintu urimo gufata:

• Inzoga
• Ubwoko bw'imiti igabanya ububabare mu mubiri (antihistamines) ivura indwara z'ubwivumbure, inkorora n'ibicurane
• Atovaquone
• Atropine
• Bupropiyoni
• Imiti imwe n'imwe ivura imihangayiko cyangwa ibitotsi
• Imiti imwe n'imwe ivura ibibazo by'inkari (urugero: Oxybutynin, Tolterodine)
• Imiti imwe n'imwe ivura indwara zo mu mutwe cyangwa izindi ndwara zo mu mutwe
• Imiti imwe ikoreshwa mu kuvura indwara ya Parkinson
• Imiti imwe n'imwe ikoreshwa mu kuvura indwara zo mu mutwe (urugero: phenobarbital, primidone)
• Imiti imwe n'imwe ivura ibibazo byo mu gifu (urugero: dicyclomine, hyoscyamine)
• Imiti imwe ikoreshwa mu kuvura indwara yo mu mutwe (urugero: Scopolamine)
• Cyclosporine
• Digoxin
• Fosfomycin `(Fosfomycin)`
• Imiti igabanya ububabare (urugero: Halothane, Isoflurane)
• Insulini n'indi miti ivura diyabete
• Ipratropium
• MAOIs (urugero: Carbex, Eldepryl)
• Imiti itangwa kugira ngo imitsi iruhure mu gihe cyo kubagwa
• Umuti ugabanya ububabare wa Opioid
• Paroxetine
• Phenothiazine (urugero: chlorpromazine, prochlorperazine)
• Posaconazole `(Posaconazole)`
• Quinidine
• Sirolimus
• Tacrolimus

Uru rutonde rushobora kuba rudahagije. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, ibikomoka ku bimera, vitamine), ndetse niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Hari ibintu bishobora kugira ingaruka kuri uyu muti.

Ni ibihe bintu ugomba kwitondera mu gihe ukoresha uyu muti?

Bishobora gufata ibyumweru bike kugira ngo ububabare bwo mu gifu bwawe burusheho koroha. Ariko, ntugafate uyu muti mu gihe kirenze ibyumweru 12. Uko ufata uyu muti igihe kirekire, kandi uko ufata dose nyinshi, niko urushaho kugira ingaruka mbi zikomeye. Ufite ibyago byinshi cyane byo kugira ingaruka mbi zikomoka kuri uyu muti niba ufite imyaka irenga 65, niba uri umugore, cyangwa niba urwaye diyabete .

Niba ugize ingendo zidasobanutse neza mu gihe ufata uyu muti (nk'ukurya iminwa, ururimi rugenda hano na hariya, ingendo zidasobanutse z'amaso, umutwe, cyangwa amaguru, cyangwa imitsi ihindagura cyangwa ihindagura), ibi byitwa ibimenyetso bya extrapyramidal (EPS) . Niba ugize kimwe muri ibi, ugomba kubimenyesha muganga wawe vuba .

Nanone, niba wowe cyangwa abagize umuryango wawe mubonye ko kwiheba kwanyu kurimo kwiyongera, mukaba mufite ibitekerezo byo kwiyahura, cyangwa mu buryo butunguranye mu gihe mutekereza (urugero: kumva muhangayike igihe cyose, kurakara vuba, kumva mudatuje, kugorwa no gusinzira), cyane cyane iyo mutangiye gufata imiti cyangwa nyuma yo guhindura ingano, bwira muganga wawe.

Niba ufite umuriro mwinshi, ntugerageze kuwuvura ubwawe. Shaka inama kwa muganga wawe.

Uyu muti ushobora gutuma usinziriza kandi ukagira isereri.Ushobora kumva uzuzuzuzuzuzuzuzu. Kubwibyo, ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kuba maso kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka. Ntugahagarare cyangwa ngo wicare gitunguranye, cyane cyane niba ugeze mu zabukuru. Ibi bizagabanya ibyago byo kuzu ...

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti? (Ingaruka mbi)

Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi si mbi cyane.

Ingaruka mbi ugomba guhita ubibwira muganga wawe:

Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe vuba bishoboka:

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Indwara y’indwara y’imitsi ishobora kuba ikubiyemo: umuriro mwinshi, imitsi igoramye, ibyuya byinshi, umutima utera vuba cyangwa utari umeze neza, ndetse no kwitiranya ibintu.
• Ibimenyetso by'urugero rwinshi rwa prolactine: Gukura amabere mu buryo budakenewe, kuva amaraso mu mabere, impinduka mu byifuzo cyangwa imikorere y'imibonano mpuzabitsina, hamwe n'ukwezi kudasanzwe kw'abagore.
• Ubwiyongere bw'umuvuduko w'amaraso.
• Kubyimba utubuto, amaboko, cyangwa ibirenge.
• Gutekereza kwiyahura cyangwa kwigirira nabi, kugabanuka k'imiterere y'imitekerereze, kumva wihebye.
• Ibimenyetso byo mu bwoko bwa Extrapyramidal (EPS): Ibimenyetso nko kutagira aho bigarukira no gusubira inyuma kw'umubiri, gukomera kw'imitsi cyangwa guhindagura, guhinda umushyitsi, gutakaza uburinganire, kubura ituze, no kubyimba ibirenge mu gihe ugenda.

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga (ariko zigomba kumenyeshwa muganga niba zikomeje cyangwa zibangamiye):

• Kuzungera
• Gusinzira
• Umunaniro
• Umutwe
• Kugorwa no gusinzira

Uru rutonde rushobora kuba rudafite ingaruka mbi zose. Niba ubonye ikintu kidasanzwe, baza muganga wawe.

Ni gute wabika uyu muti mu buryo butekanye?

Bika uyu muti ahantu abana n'amatungo batagera .

Bika ku bushyuhe bw'icyumba (dogere selisiyusi 20 kugeza kuri 25, dogere selisiyusi 68 kugeza kuri 77), birinzwe n'urumuri, kandi ubike icupa mu kintu gifunze neza mu kintu kidapfukirana umwuka. Taga umuti wose warengeje igihe.

Hari ibintu mbona ari ingenzi kuri wewe (Ubutumwa bwo kujyana mu rugo)

Metoclopramide ni umuti ushobora gufasha mu bibazo bimwe na bimwe by’igogora ryawe. Ariko hari ibintu bimwe na bimwe ugomba kwitondera mu gihe ukoresha.

• Buri gihe fata imiti yawe neza nk'uko muganga wawe akubwira. Kurikiza neza igipimo, igihe, n'igihe cy'ubuvuzi bwawe.
• Menya neza ko wabwiye muganga wawe izindi ndwara zose ufite hamwe n'indi miti yose ufata.
• Menya ingaruka mbi, cyane cyane niba uhuye n'ingendo zidasubirwaho (EPS) cyangwa impinduka zo mu mutwe, bwira muganga wawe ako kanya.
• Irinde inzoga burundu mu gihe ufata uyu muti.
• Ntugakoreshe uyu muti buri gihe mu gihe kirenze ibyumweru 12, keretse muganga wawe yabigutegetse by’umwihariko.

Niba ufite ikindi kibazo kuri uyu muti, nyamuneka ntutindiganye kubaza muganga wawe, umufarumasiye cyangwa umuvuzi wawe. Ubuzima bwawe ni ingenzi cyane kuri wewe!

Metoclopramide , gastroparesis, reflux, kubyimba mu gituza, isesemi, ingaruka mbi, amakuru ku miti