Ngatidzidzei nezvemushonga wemvura unonzi Metoclopramide, unoshandiswa pakurapa kuzvimba kwemudumbu uye kusagadzikana kwekugaya chikafu.

Dzimwe nguva unonzwa wakaguta here mushure mekudya? Kana kuti unonzwa kuda kurutsa kana chirungurira? Vamwe vanhu vanogona kunzwa kusagadzikana uku nekuti chikafu chinofamba zvishoma nezvishoma nemudumbu. Muzviitiko zvakadaro, kana mimwe mishonga isingabatsire, vanachiremba vanokurudzira mushonga unonzi Metoclopramide. Nhasi, ngatitaurei nezvemushonga uyu zvakadzama.

Mushonga uyu chii? Sei uchipihwa?

Muchidimbu, metoclopramide mushonga unobatsira kudzora mafambiro edumbu kusvika pamwero wakati. Unonyanya kushandiswa mumamiriro maviri:

1. Chirwere cheReflux: Ichi ndicho chirwere chinoitika kana chikafu chatinodya chikadzoka kubva mudumbu chichipinda muhuro, zvichikonzera chirungurira nekurwadziwa pahuro. Vanachiremba vanogona kunyora mushonga uyu kana mimwe mishonga ikatadza kudzora chirwere chacho.

2. Kufamba zvishoma nezvishoma kwechikafu kuburikidza nedumbu (Gastroparesis): Vamwe vanhu vane tsandanyama dzemudumbu dzisingashande zvakanaka, saka chikafu chinofamba zvishoma nezvishoma mudumbu. Izvi zvinogona kukonzera zviratidzo zvakaita sekunzwa kuguta, kuda kurutsa, kurutsa, uye kurwadziwa mudumbu.

Saka, mushonga uyu wemetoclopramide unoita kuti tsandanyama dziri mudumbu rako dzishande zviri nani uye kubatsira chikafu kuti chibude zviri nyore uye nekukurumidza. Zvadaro zviratidzo zvisingafadzi zvakaita sekuguta, kuda kurutsa, uye chirungurira zvataurwa pakutanga zvinodzikira zvishoma nezvishoma. Mushonga uyu unogona kushandiswawo navanachiremba nekuda kwezvimwe zvikonzero. Kana uine mibvunzo nezvazvo, bvunza chiremba wako kana wemishonga.

Ndezvipi zvinhu zvakakosha zvekuudza chiremba usati watora mushonga?

Usati watanga kutora Metoclopramide, zvakakosha kuudza chiremba wako kana nesi nezve chero chimwe chezvirwere zvinotevera, sezvo mushonga uyu ungakanganisa mamiriro aya.

• Kana wakambova nekenza yemazamu kana kuti wakambova nayo.
• Kana uri kutambura nekuora mwoyo .
• Kana uine chirwere cheshuga .
• Kana uchinwa doro nguva dzose .
• Kana uine chirwere chemwoyo .
• Kana uine BP yakakwira .
• Kana uine chirwere cheitsvo .
• Kana uine chirwere chechiropa .
• Kana uine chirwere cheParkinson kana chimwe chirwere chekufamba chakafanana nacho.
• Kana uine chirwere chakadai sepheochromocytoma (bundu rakasiyana rinoumbwa muadrenal gland rinogona kukonzera kubudiswa kwemahormone akawanda).
• Kana wakambobatwa nepfari kare.
• YenyuKana wakambova kana kuti wakambova nedumbu rakavharika, kubuda ropa, kana kuti rakaboorwa kare.
• Kana uine allergy nemetoclopramide, mushonga weprocainamide, makemikari esulfites, mimwe mishonga, chikafu, madhayi echikafu , kana zvinochengetedza.
• Hazvina kuipa kana uine pamuviri kana kuti uchitarisira kubata pamuviri.
• Kana uri amai vanoyamwisa.

Zvakakosha zvikuru kuti muve vakachengeteka kuzivisa chiremba wenyu nezvezvinhu izvi.

Ndinofanira kushandisa mushonga uyu sei?

Mushonga uyu unowanzo wanikwa uri muchimiro chemvura. Unotorwa nemuromo.

• Tora huwandu hwacho sezvawakarairwa nachiremba wako. Tevedzera mirayiridzo iri papepa remushonga nemazvo.
• Shandisa chipunu chakakodzera kana kapu yekuyera kuti uverenge huwandu chaihwo hwemushonga. Bvunza pharmacy yako kana usina. Zvakaoma kuyera nemazvo nemateaspoon akajairika kumba, uye unogona kuzopedzisira watora mushonga wakawandisa kana mushoma.
• Mushonga uyu unofanira kutorwa maminetsi makumi matatu usati wadya, usina chinhu mudumbu. Ndipo panonyatsoshanda mushonga uyu.
• Edza kunwa mushonga wako nenguva, panguva dzakafanana zuva rega rega .
• Usambofa wakanwa zvinopfuura zvawakaudzwa nachiremba wako.
• Kemisiti ichakupa gwaro remirayiridzo (MedGuide) pese paunotora mushonga uyu. Unofanira kuriverenga nokungwarira pese paunoshandisa mushonga uyu. Rine ruzivo rwakakosha.
• Kungwarira kwakanyanya kunofanira kutorwa pakupa mushonga uyu kuvana. Taura nachiremba wako nezvenyaya iyi uye uwane mazano.
• Kana ukatora mushonga wakawandisa: Kana uchifunga kuti watora mushonga uyu wakawandisa, fonera dhipatimendi rekukurumidzira rechipatara chiri pedyo kana nzvimbo yekudzivirira chepfu nekukasika.

Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Wakanyorerwa nachiremba wako kuti arape zviratidzo zvako. Saka, usape mumwe munhu mushonga uyu, nekuti ungasavakodzera.

Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?

Kana ukakanganwa kutora mushonga, siya mushonga wacho. Tora mushonga unotevera panguva yakatarwa. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakarasikirwa nawo. Kuita izvi kunogona kuwedzera mushonga wacho uye kukonzera migumisiro yakaipa.

Ndezvipi zvimwe zvinhu zvinogona kupindirana nemushonga uyu?

Metoclopramide inogona kusangana nemimwe mishonga, yakaita sedoro, iyo inogona kukonzera migumisiro yakaipa kana ikatorwa pamwe chete. Saka, zvakakosha kuudza chiremba wako nezvechero chipi zvacho chezvinotevera paunenge uchitora mushonga uyu:

• Doro
• Mishonga inorwisa mabhakitiriya yekurwisa kukosora, dzihwa, uye allergies
• Atovaquone
• Atropine
• Bupropion (mushonga wekuderedza kushushikana)
• Mimwe mishonga yekuzvidya mwoyo kana kurara
• Mishonga yematambudziko edundira, akadai seOxybutynin neTolterodine
• Mimwe mishonga yekurapa kuora mwoyo kana chirwere chepfungwa
• Mimwe mishonga yekurapa chirwere cheParkinson
• Mishonga yekurapa pfari, yakadai sePhenobarbital nePrimidone
• Mishonga yematambudziko emudumbu, akadai seDicyclomine neHyoscyamine
• Mishonga yakaita seScopolamine yekurapa kurwara nekufamba
• Cyclosporine (mushonga unodzvinyirira masoja emuviri)
• Digoxin (mushonga wezvirwere zvemwoyo)
• Fosfomycin (mushonga unorwisa mabhakitiriya)
• Mishonga inokonzeresa marwadzo yakaita seHalothane, Isoflurane, Methoxyflurane, uye Propofol, inoshandiswa kukurudzira hope panguva yekuvhiyiwa.
• Insulin nemimwe mishonga yekurapa chirwere cheshuga
• Ipratropium (mushonga wezvirwere zvekufema)
• Mishonga yeMAOI (iyi imhando yemishonga inoshandiswa kurapa kuora mwoyo, yakadai seCarbex, Eldepryl, Marplan, Nardil, Parnate)
• Mishonga inopiwa yekuzorodza tsandanyama panguva yekuvhiyiwa
• Mishonga yekurwadziwa kweOpioid (semuenzaniso tramadol, morphine)
• Paroxetine (mushonga wekuderedza kushushikana)
• Phenothiazines (mishonga inoshandiswa kurapa zvirwere zvepfungwa, semuenzaniso Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine)
• Posaconazole (mushonga wefungal)
• Quinidine (mushonga wezvirwere zvemwoyo)
• Sirolimus (mushonga unodzvinyirira masoja emuviri)
• Tacrolimus (mushonga unodzvinyirira masoja emuviri)

Rondedzero iyi ingasave yakakwana. Saka iva nechokwadi chekuudza chiremba wako nezvemishonga yese, miriwo, mavhitamini, uye zvekudya zvauri kutora. Udzawo chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo, sezvo zvimwe zvinhu zvinogona kukanganisa mushonga uyu.

Ndezvipi zvinhu zvekungwarira pakushandisa mushonga uyu?

Unofanirawo kungwarira nezvezvinhu izvi pakushandisa metoclopramide:

• Zvinogona kutora mavhiki akati wandei kuti marwadzo emudumbu atange kupora. Zvisinei, usatore mushonga uyu nguva dzose kwemavhiki anopfuura gumi nemaviri.Kana ukagara uchitora mushonga uyu, ndipo paunonyanya kuutora, ndipo panogona kuva nemigumisiro yakaipa. Izvi zvinonyanya kuitika kana uine makore anopfuura 65, uri mukadzi, kana kuti une chirwere cheshuga.
• Udza chiremba wako nekukasika kana ukatanga kuita mafambiro ausingakwanise kudzora , akadai sekurova miromo, kufamba-famba kwerurimi nekukurumidza, kufamba-famba kwemaziso, musoro, kana ruoko nemakumbo, kana kugwinha kwetsandanyama. Izvi zvinogona kuva zviratidzo zvechirwere chinonzi Tardive Dyskinesia kana Extrapyramidal Symptoms (EPS) . Izvi zvinogona kuramba zviripo kunyangwe mushure mekumira kushandisa mushonga.
• Iwe nemhuri yako munofanira kuziva nezvekuwedzera kwekuzvidya mwoyo kana kufunga kuzviuraya. Uyewo, kana mukasangana nekuchinja kamwe kamwe mumanzwiro enyu, akadai sekuzvidya mwoyo zvakanyanya, kusagadzikana, kushatirwa, hasha, kusazvidzora, kushaya zororo, kufara zvakanyanya, kana kunetseka kurara, taurai nachiremba wenyu nekukasika, kunyanya kana matanga kutora mushonga kana mushure mekuchinja dose.
• Kana uine fivha yakanyanya, usazvirape. Tsvaga rubatsiro kubva kuna chiremba.
• Unganzwa hope kana dzungu. Saka, kusvika waziva kuti mushonga uyu unokubatsira sei, usatyaira motokari, kushandisa michina, kana kuita chero chinhu chinoda kutarisisa. Usamira kana kugara wakamuka kamwe kamwe, kunyanya kana uine makore anopfuura 65 ekuberekwa. Izvi zvinoderedza njodzi yedzungu nekudonha. Kunwa doro kunogona kuita kuti unzwe hope kana dzungu. Saka, dzivisa kunwa doro.

Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?

Kufanana nemishonga yese, Metoclopramide inogona kukonzera migumisiro yakaipa kune vamwe vanhu. Havasi vese vanoiwana, asi vamwe vanoiwana.

Migumisiro yaunofanira kuudza chiremba wako nezvayo nekukasika:

Kana ukaona chimwe chezviratidzo izvi , enda kuna chiremba nekukasika:

• Kurwara nepfungwa: Mapundu eganda, kuvaviwa, kuzvimba, kuzvimba kwechiso, miromo, rurimi, pahuro (zvinogona kukonzera kufema kuomera).
• Fivha yakanyanya, kuomarara kwetsandanyama, kudikitira kwakanyanya, kurova kwemoyo nekukurumidza kana kusina kurongeka, kuvhiringidzika: Izvi zvinogona kuva zviratidzo zvechirwere chine njodzi chinonzi neuroleptic malignant syndrome. Ichi chirwere chinoda kurapwa nekukurumidza.
• Zviratidzo zvehuwandu hweprolactin hwakakwira: Kukura kwemazamu kusingadiwe muvarume, kubuda kwemukaka muzamu muvakadzi, kuchinja kwechido chebonde kana kushanda zvakanaka, uye kutenderera kwemwedzi kusingaenderane nezvinodiwa nevakadzi.
• Kukwira kamwe kamwe kweropa.
• Kuzvimba kwezvitsitsinho, maoko, kana tsoka.
• Pfungwa dzekuzviuraya, kuora kwepfungwa, uye kunzwa kuora mwoyo.
• Kufamba-famba kwemuviri kusingadzoreki, kuomesa tsandanyama kana kugwinha, kudedera, kurasikirwa nepfungwa dzakadzikama, kushaya zororo, kukwenya tsoka pakufamba: Izvi zvinogona kunge zviri zviratidzo zvechirwere chambotaurwa chinonzi extrapyramidal syndrome (EPS) .

Migumisiro yausingawanzo taurira chiremba wako nezvayo , asi inofanira kutaurwa kana ikaramba iripo kana kuti ichikunetsa:

Izvi hazviwanzo kuva zvakakomba uye zvinopera mumazuva mashoma. Zvisinei, kana zvikaramba zvichikunetsa, udza chiremba wako:

• Dzungu
• Kurara
• Kuneta/kuneta
• Musoro
• Kushaya hope kana kuoma kurara

Rondedzero iyi ingasave nemhedzisiro yese. Kana ukasangana nechimwe chinhu chisingawanzoitika pamusoro peizvi, taura nachiremba wako kuti akupe mazano ekurapa nezvemigumisiro yacho.

Unofanira kuchengeta sei mushonga wako?

• Chengeta mushonga uyu kure nevana nezvipfuyo .
• Chengeta patembiricha yemumba (pakati pe15 ne30 degrees Celsius / 59 ne86 degrees Fahrenheit). Usaomese.
• Dzivirirai kubva kuchiedza. Izvi zvinoreva kuti musaichengete muzuva rakananga.
• Rasa mushonga wapera basa usina kuushandisa.

Chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura nezvezvinhu zvakakosha zvaunofanira kuziva nezvemushonga uyu unonzi Metoclopramide.

Yeuka, uyu mushonga unofanirwa kushandiswa chete uchirairwa nachiremba. Kana uine mibvunzo kana usina chokwadi nezvechimwe chinhu, usazeza kubvunza chiremba wako kana wemishonga. Usambofa wakatora zvinopfuura huwandu hwawakaudzwa nachiremba wako kana kuushandisa kwenguva yakareba kupfuura nguva yakatarwa (mavhiki gumi nemaviri). Ziva migumisiro. Hutano hwako hwakakosha kwauri. Ramba uine hutano!

Metoclopramide , chirwere che reflux, gastroparesis, kuda kurutsa, chirungurira, migumisiro yemishonga, kusangana kwemishonga