Masifunde ngeyeza elilulwelo iMetoclopramide, elisetyenziselwa ukudumba kwesisu kunye nokungagaywa kakuhle kokutya.

Ngaba ngamanye amaxesha uziva uhluthi emva kokutya? Okanye uziva unesicaphucaphu okanye isitshiso? Abanye abantu banokuziva bengonwabanga kuba ukutya kuhamba kancinci emathunjini. Kwiimeko ezinjalo, xa amanye amayeza engancedi, oogqirha bayacebisa iyeza elibizwa ngokuba yiMetoclopramide. Namhlanje, masithethe ngale yeza ngokweenkcukacha.

Yintoni le yeza? Kutheni inikwa?

Ngamafutshane, i-metoclopramide liyeza elinceda ekulawuleni ukuhamba kwamathumbu akho ukuya kwinqanaba elithile. Lisetyenziswa kakhulu kwiimeko ezimbini:

1. Isifo sokubuyela umva kwesisu: Le yimeko eyenzeka xa ukutya esikutyayo kubuya esiswini kungene emqaleni, nto leyo ebangela isitshiso sentliziyo kunye nomphimbo obuhlungu. Oogqirha banokukunika eli yeza ukuba amanye amayeza ayasilela ukulawula le meko.

2. Ukuhamba kancinci kokutya kwinkqubo yokwetyisa (Gastroparesis): Abanye abantu banezihlunu zesisu ezingasebenzi kakuhle, ngoko ke ukutya kuhamba kancinci kakhulu emathunjini. Oku kunokubangela iimpawu ezifana nokuziva ugcwele, isicaphucaphu, ukuhlanza, kunye nentlungu yesisu.

Ngoko ke, into eyenziwa leli yeza le-metoclopramide kukwenza izihlunu kwinkqubo yakho yokugaya ukutya zisebenze ngcono kwaye zincede ukutya kudlule ngokulula nangokukhawuleza. Emva koko iimpawu ezingathandekiyo ezifana nokugcwala, isicaphucaphu, kunye nesitshiso sentliziyo esikhankanyiweyo ngaphambili ziyehla kancinci kancinci. Eli yeza ngamanye amaxesha linokusetyenziswa ngoogqirha ngezinye izizathu. Ukuba unemibuzo ngalo, buza ugqirha wakho okanye ikhemisti.

Zeziphi izinto ezibalulekileyo ekufuneka uzixelele ugqirha ngaphambi kokuba usebenzise amayeza?

Ngaphambi kokuba uqale ukusebenzisa iMetoclopramide, kubalulekile ukuxelela ugqirha wakho okanye umongikazi ngayo nayiphi na kwezi meko zilandelayo, njengoko eli yeza lisenokudibana nezi meko.

• Ukuba ukhe waba nomhlaza webele okanye wakha waba nawo.
• Ukuba unesifo sokudakumba .
• Ukuba unesifo seswekile .
• Ukuba usela utywala rhoqo .
• Ukuba unesifo sentliziyo .
• Ukuba une- high blood pressure .
• Ukuba unesifo sezintso .
• Ukuba unesifo sesibindi .
• Ukuba unesifo sikaParkinson okanye esinye isifo esifanayo sokuhamba .
• Ukuba unemeko efana ne -pheochromocytoma (ithumba elithile elenzeka kwi-adrenal gland elinokubangela ukukhutshwa kweehomoni ezininzi).
• Ukuba ukhe waxhuzula ngaphambili.
• EyakhoUkuba ukhe wazivalela okanye wakha wavaleka isisu, wopha, okanye wagqobhoka ngaphambili.
• Ukuba une-allergy kwi-metoclopramide, iyeza i-procainamide, ii-sulfites zamakhemikhali, amanye amayeza, ukutya, iidayi zokutya , okanye izithinteli.
• Kulungile ukuba ukhulelwe okanye unethemba lokukhulelwa.
• Ukuba ungumama oncancisayo.

Kubaluleke kakhulu ukuxelela ugqirha wakho ngezi zinto ukuze ukhuseleke.

Ndingayisebenzisa njani le yeza?

Eli yeza lidla ngokuza likwimo yolwelo. Lithathwa ngomlomo.

• Thatha umlinganiselo ochanekileyo njengoko ugqirha wakho ewuchazile. Landela imiyalelo ekwileyibhile kagqirha ngqo.
• Soloko usebenzisa icephe elikhethekileyo okanye ikomityi yokulinganisa ukulinganisa ubungakanani obuchanekileyo beyeza. Buza ikhemesti yakho ukuba awunayo na. Kunzima ukulinganisa ngokuchanekileyo ngeecephe eziqhelekileyo ekhaya, kwaye ungagqibela usela amayeza amaninzi okanye amancinci kakhulu.
• Eli yeza lifanele lithathwe malunga nemizuzu engama-30 ngaphambi kokutya, ungenanto esiswini. Kulapho ke iyeza lisebenza kakuhle khona.
• Zama ukuthatha amayeza akho ngexesha, malunga namaxesha afanayo yonke imihla .
• Ungaze usele ngaphezu kokuba ugqirha wakho ekuxelele.
• Ikhemesti iza kukunika incwadana yemiyalelo ekhethekileyo (iMedGuide) ngalo lonke ixesha usela eli yeza. Ufanele ulifunde ngononophelo ngalo lonke ixesha usebenzisa eli yeza. Liqulethe ulwazi olubalulekileyo.
• Kufuneka kuqatshelwe ngokukodwa xa kunikwa abantwana eli yeza. Thetha nogqirha wakho ngale nto uze ufumane ingcebiso.
• Ukuba uthatha kakhulu: Ukuba ucinga ukuba uthathe kakhulu eli yeza, fowunela isebe likaxakeka lesibhedlele elikufutshane okanye iziko lolawulo lwetyhefu ngoko nangoko.

Kubalulekile: Eli yeza limiselwe wena wedwa. Limiselwe ngugqirha wakho ukunyanga iimpawu zakho. Ngoko ke, musa ukunika omnye umntu eli yeza, kuba lisenokungafaneleki kuye.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ukuba ulibele ukuthatha idosi, yiyeke. Thatha idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi ephosiweyo. Ukwenza njalo kunokunyusa idosi kwaye kubangele iziphumo ebezingalindelekanga.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

I-Metoclopramide inokunxibelelana nezinye iziyobisi, ezifana notywala, ezinokubangela iziphumo ebezingalindelekanga ezibi xa zisetyenziswa kunye. Ngoko ke, kubalulekile ukuxelela ugqirha wakho ngazo naziphi na ezi zinto zilandelayo xa usebenzisa ezi ziyobisi:

• Utywala
• Ii-antihistamines zokukhwehlela, umkhuhlane, kunye ne-allergies
• I-Atovaquone
• I-Atropine
• I-Bupropion (iyeza lokudakumba)
• Amanye amayeza okunyanga ixhala okanye ukulala
• Amayeza eengxaki zesinyi, njenge-Oxybutynin kunye neTolterodine
• Amanye amayeza okudakumba okanye ukugula ngengqondo
• Amanye amayeza esifo sikaParkinson
• Amayeza okuxhuzula, afana nePhenobarbital kunye nePrimidone
• Amayeza eengxaki zesisu, njengeDicyclomine kunye neHyoscyamine
• Amayeza afana neScopolamine okuthintela isicaphucaphu
• I-Cyclosporine (iyeza elithintela amajoni omzimba)
• I-Digoxin (iyeza lesifo sentliziyo)
• I-Fosfomycin (i-antibiotic)
• Ii-anesthetics eziqhelekileyo ezifana neHalothane, Isoflurane, Methoxyflurane, kunye nePropofol, ezisetyenziselwa ukukhuthaza ubuthongo ngexesha lotyando.
• I-insulin kunye neminye imithi yesifo seswekile
• I-Ipratropium (iyeza lezifo zokuphefumla)
• Amayeza e-MAOI (la luhlobo lwamayeza asetyenziselwa ukunyanga ukudakumba, afana neCarbex, iEldepryl, iMarplan, iNardil, iParnate)
• Amayeza anikwa ukuphumza izihlunu ngexesha lotyando
• Amayeza eentlungu e-opioid (umz. i-tramadol, i-morphine)
• I-Paroxetine (iyeza lokudakumba)
• IiPhenothiazines (amayeza asetyenziselwa ukunyanga izifo zengqondo, umz. iChlorpromazine, iMesoridazine, iProchlorperazine, iThioridazine)
• I-Posaconazole (iyeza lokulwa nentsholongwane)
• I-Quinidine (iyeza lesifo sentliziyo)
• I-Sirolimus (iyeza elithintela amajoni omzimba)
• I-Tacrolimus (iyeza elithintela amajoni omzimba)

Olu luhlu lusenokungaphelelanga. Ngoko ke qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iziqholo, iivithamini, kunye nezongezo zokutya ozithathayo. Kwakhona xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni, njengoko ezinye izinto zinokuchaphazela eli yeza.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa iyeza?

Kufuneka ulumke nangezi zinto xa usebenzisa i-metoclopramide:

• Kungathatha iiveki ezininzi ukuba iintlungu zesisu sakho ziqale ukuphucuka. Nangona kunjalo, musa ukuthatha eli yeza rhoqo kangangeeveki ezingaphezu kwe-12.Okukhona usela eli yeza ixesha elide, kokukhona ulisela ngakumbi, kokukhona unokuba nemiphumo emibi kakhulu. Oku kuyinyani ngakumbi ukuba ungaphezulu kweminyaka engama-65, ungumfazi, okanye unesifo seswekile.
• Xelela ugqirha wakho ngoko nangoko ukuba uqala ukuba neentshukumo ongenakukwazi ukuzilawula , ezinje ngokubetha imilebe, iintshukumo zolwimi ngokukhawuleza, iintshukumo zamehlo ezingalawulekiyo, intloko, okanye ingalo nemilenze, okanye ukushukuma kwemisipha. Ezi zisenokuba ziimpawu zemeko ebizwa ngokuba yiTardive Dyskinesia okanye iExtrapyramidal Symptoms (EPS) . Ezi ngamanye amaxesha zinokuqhubeka nokuba sele uyekile ukusebenzisa amayeza.
• Wena nosapho lwakho kufuneka niqaphele naluphi na uxinezeleko oluya lusiba mandundu okanye iingcinga zokuzibulala. Kwakhona, ukuba ufumana naluphi na utshintsho olukhawulezileyo kwimo yakho, olufana nokuxhalaba okugqithisileyo, ukucaphuka, ukucaphuka, umsindo, ukungabi namdla, ukungazinzi, uvuyo olugqithisileyo, okanye ubunzima bokulala, thetha nogqirha wakho ngoko nangoko, ingakumbi xa uqala ukuthatha amayeza okanye emva kokutshintsha umthamo.
• Ukuba unomkhuhlane ophezulu, musa ukuzinyanga. Funa ingcebiso kugqirha.
• Ungaziva ulele okanye unesizungu. Ngoko ke, de wazi ukuba eli yeza likuchaphazela njani, musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuqwalaselo. Musa ukuma okanye ukuhlala ngequbuliso, ingakumbi ukuba uneminyaka engaphezu kwama-65 ubudala. Oku kuya kunciphisa umngcipheko wokuba nesiyezi kunye nokuwa. Ukusela utywala kunokukwenza uzive ulele okanye unesiyezi. Ngoko ke, kuphephe ukusela utywala.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengazo zonke iziyobisi, iMetoclopramide inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu ozifumanayo, kodwa abanye abantu bayazifumana.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu , bona ugqirha ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba, ukudumba kobuso, imilebe, ulwimi, umqala (kunokubangela ubunzima bokuphefumla).
• Umkhuhlane ophezulu, ukuqina kwemisipha, ukubila okukhulu, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukudideka: Ezi zinokuba ziimpawu zemeko eyingozi ebizwa ngokuba yi-neuroleptic malignant syndrome. Le yimeko efuna unyango olungxamisekileyo.
• Iimpawu zokuphakama kwamanqanaba e-prolactin: Ukukhula kwamabele okungafunekiyo kumadoda, ukuphuma kobisi oluvela kwiingono kubafazi, utshintsho kwiminqweno okanye ukusebenza ngokwesondo, kunye nomjikelo wokuya exesheni ongaqhelekanga kubafazi.
• Ukunyuka ngequbuliso koxinzelelo lwegazi.
• Ukudumba kwamaqatha, izandla, okanye iinyawo.
• Iingcinga zokuzibulala, imeko yengqondo ewohlokayo, kunye neemvakalelo zokudakumba.
• Iintshukumo zomzimba ezingalawulekiyo neziphindaphindayo, ukuqina kwemisipha okanye ukushukuma, ukungcangcazela, ukulahlekelwa kukulinganisela, ukungazinzi, ukurhuqa iinyawo xa uhamba: Ezi zisenokuba ziimpawu zemeko ekhankanyiweyo ngaphambili ebizwa ngokuba yi -extrapyramidal syndrome (EPS) .

Iziphumo ebezingalindelekanga oqhele ukuxelela ugqirha wakho ngazo , kodwa ekufuneka zixelwe ukuba ziyaqhubeka okanye ziyakukhathaza:

Ezi zifo azibalulekanga kangako kwaye ziya kuphela emva kweentsuku ezimbalwa. Nangona kunjalo, ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho:

• Isiyezi
• Ukozela
• Ukudinwa/ukudinwa
• Intloko ebuhlungu
• Ukungalali okanye ubunzima bokulala

Olu luhlu lusenokungazibandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana nantoni na engaqhelekanga ukongeza kwezi, nxibelelana nogqirha wakho ukuze ufumane ingcebiso yezonyango malunga neziphumo ebezingalindelekanga.

Ufanele uwagcine njani amayeza akho?

• Gcina eli yeza kude nabantwana kunye nezilwanyana zasekhaya .
• Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius / 59 kunye ne-86 degrees Fahrenheit). Musa ukuyiqandisa.
• Zikhusele ekukhanyeni. Oko kuthetha ukuba ungayigcini elangeni ngqo.
• Lahla iyeza eliphelelwe lixesha ngaphandle kokulisebenzisa.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe ngezinto ezibalulekileyo ekufuneka uzazi ngale yeza elibizwa ngokuba yiMetoclopramide.

Khumbula, eli liyeza elifanele lisetyenziswe kuphela phantsi kwengcebiso kagqirha. Ukuba unemibuzo okanye awuqinisekanga ngayo nantoni na, ungathandabuzi ukubuza ugqirha wakho okanye ikhemisti. Ungaze uthathe ngaphezu kwesixa esichazwe ngugqirha wakho okanye usisebenzise ixesha elide kunexesha elimiselweyo (iiveki ezili-12). Qaphela iziphumo ebezingalindelekanga. Impilo yakho ibaluleke kakhulu kuwe. Hlala usempilweni!

I- Metoclopramide, isifo se-reflux, i-gastroparesis, isicaphucaphu, isitshiso sentliziyo, iziphumo ebezingalindelekanga zamayeza, ukusebenzisana kwamayeza