Metoclopramide ni iki: Ibikoresho, Uburyo bwo gufata, Ingaruka ziterwa n'ibindi

Metoclopramide ni umuti wandikirwa na muganga ufasha kugenzura isesemi, kuruka, n'ibibazo byo mu gifu ukora ku bwonko bwawe no mu gifu. Ushobora kuwuzi ku izina ry'ubucuruzi rya Reglan, kandi akenshi wandikirwa iyo urwaye indwara yo mu gitondo ikaze, ingaruka ziterwa na shimi, cyangwa ibibazo bimwe na bimwe byo mu gifu bituma bigoranye kugumana ibiryo.

Uyu muti umaze imyaka myinshi ufasha abantu kumva bameze neza, kandi nubwo muri rusange ari mutekano iyo ukoreshejwe neza, ni ngombwa gusobanukirwa uko ukora n'icyo wakwitega. Reka tunyuremo ibyo ukeneye kumenya byose kuri metoclopramide kugirango wumve ufite icyizere ku buvuzi bwawe.

Metoclopramide ni iki?

Metoclopramide ni mu itsinda ry'imiti yitwa dopamine receptor antagonists. Mu magambo yoroheje, ifunga ibimenyetso bimwe na bimwe bya shimi mu bwonko bwawe bitera isesemi no kuruka mugihe gifasha imitsi yo mu gifu cyawe gukora neza.

Tekereza urugero rw'igifu cyawe nk'umurongo wo guteranya ukorana neza. Iyo ibintu bitagenda neza, ibiryo birashobora guhagarara cyangwa bigenda gake cyane, bigatera kutumva neza no kurwara isesemi. Metoclopramide ikora nk'umugenzuzi w'ubugwaneza, ifasha kugarura imigendekere isanzwe no guhuza mu gifu cyawe.

Uyu muti uza mu buryo bwa tablet kugirango ukoreshwe mu kanwa, bituma byoroha kuwufata uri murugo. Muganga wawe azagena imbaraga zikwiye n'igihe cyo gufata umuti bitewe n'uburwayi bwawe bwihariye n'uko umubiri wawe witwara ku buvuzi.

Metoclopramide ikoreshwa kubera iki?

Metoclopramide ivura indwara nyinshi zifata igifu cyawe kandi zikatera ibimenyetso bibangamiye. Muganga wawe ashobora kukwandikira iyo imiti isanzwe itatanze ubufasha buhagije.

Aha hari indwara nyamukuru metoclopramide ifasha gucunga:

• Gastroparesis (gutinda mu nda gutinda gushira ibyo kurya) - iyo imitsi yo mu nda yawe itagikora neza
• Uburwayi bukomeye bwo kuruka no kuribwa mu gihe cyo gutwita (hyperemesis gravidarum)
• Kuribwa no kuruka biterwa na chemotherapy cyangwa radiation therapy
• Indwara ya gastroesophageal reflux (GERD) iyo izindi nshuti zitagikora
• Kuribwa nyuma yo kubagwa cyangwa ibikorwa by'ubuvuzi

Umuvuzi wawe azasuzuma neza ibimenyetso byawe n'amateka yawe y'ubuvuzi mbere yo kugusaba metoclopramide. Ibi bituma umuti uba wo gukoresha neza mu bihe byawe.

Metoclopramide ikora ite?

Metoclopramide ikora hakoreshejwe uburyo bubiri bukuru mu mubiri wawe. Mbere na mbere, ifunga imitsi ya dopamine mu bwonko bwawe, bifasha kugabanya ibimenyetso bituma wumva uribwa.

Icya kabiri, yongera imitsi isanzwe ikora mu nzira yawe yo mu gifu. Ibi bifasha ibyo kurya kugenda neza mu gifu cyawe no mu mara mato, bigabanya kumva wuzuye no kutumva neza bishobora gutera kuribwa.

Mugihe imiti igenda, metoclopramide ifatwa nk'ikomeye. Irusha imbaraga ibintu byo hanze ariko iroroshye kurusha imiti imwe yo kuribwa. Ibi bituma bikora neza kubantu benshi mugihe bakoreshwa neza.

Nkwiriye gufata metoclopramide nte?

Fata metoclopramide nkuko muganga wawe abikwandikiye, mubisanzwe iminota 30 mbere yo kurya no kuryama. Iki gihe gifasha umuti gukora igihe sisitemu yawe yo mu gifu ikora cyane.

Urashobora gufata metoclopramide hamwe cyangwa nta biryo, nubwo kuyifata n'ibiryo bito bishobora gufasha kugabanya kuribwa niba hari icyo ubonye. Mimina ikinini cyose hamwe n'ikirahure cy'amazi yuzuye - ntukoreshe, ntukore, cyangwa uyice.

Niba ufata metoclopramide kubera isesemi ziterwa na chimiothérapie, itsinda ry'abaganga bakuvura bazaguha amabwiriza yihariye yerekeye igihe cyo kuyifata ukurikije gahunda yawe y'ubuvuzi. Ku bijyanye na gastroparesis, gufata umuti mu gihe gihuye n'amafunguro ni ingenzi cyane kugira ngo ubashe kubona ibisubizo byiza.

Komeza gufata umuti n'ubwo watangira kumva umerewe neza, keretse muganga wawe akubwiye kubihagarika. Guhagarika kare bishobora gutuma ibimenyetso byawe bisubira mbere y'uko uburwayi bwawe bukira neza.

Nzakoresha Metoclopramide Igihe Kingana Gite?

Igihe cyo kuvura na metoclopramide giterwa n'uburwayi bwawe bwihariye n'uburyo wumva neza ku muti. Abantu benshi bawufata mu byumweru bike kugeza ku mezi menshi, nubwo uburwayi bumwe bushobora gusaba kuvurwa igihe kirekire.

Ku bijyanye n'isesemi ziterwa no gutwita, kuvurwa bikunze gukomeza kugeza igihe ibimenyetso bigabanuka cyangwa kugeza igihe ugeze mu gihe cyo gutwita isesemi zisanzwe zigabanuka. Ku bijyanye na gastroparesis, ushobora gukenera kuvurwa igihe kirekire kugira ngo ucunge ibimenyetso bikomeza.

Muganga wawe azajya agenzura uko umeze kandi ashobora guhindura gahunda yawe y'ubuvuzi uko bikwiye. Bazatekereza ibintu nk'uko ibimenyetso bigenda bigabanuka, ingaruka ziterwa n'umuti, n'ubuzima bwawe muri rusange mugihe bamenya igihe ukwiye gukomeza gufata metoclopramide.

Ntuzigere uhagarika gufata metoclopramide ako kanya utabanje kuvugana n'umuganga wawe. Bashobora gushaka kugabanya buhoro buhoro urugero rwawe kugira ngo birinde ibimenyetso byose byagaruka.

Ni Iyihe Ngaruka Ziterwa na Metoclopramide?

Kimwe n'indi miti yose, metoclopramide ishobora gutera ingaruka ziterwa n'umuti, nubwo atari buri wese uzibona. Ingaruka nyinshi ziterwa n'umuti zoroheje kandi zigenda uko umubiri wawe wimenyereza umuti.

Ingaruka zisanzwe ushobora kubona zirimo:

• Gusinzira cyangwa kunanirwa
• Kutagira umutuzo cyangwa kumva uhungabanye
• Kuribwa umutwe
• Impiswi cyangwa impinduka mu myitwarire y'amara
• Urubavu rworoshye cyangwa umukamo w'amabere (ku bagabo n'abagore)

Ibi bikorwa akenshi birabanza kandi bigenda bigabanuka uko ukomeza kuvurwa. Niba bikomeje cyangwa bikaba bibangamiye, ganira n'umuganga wawe ku bisubizo bishoboka.

Ingaruka zikomeye ziragabanuka ariko zisaba ubufasha bwihuse bw'abaganga. Izi zirimo imitsi idafite igenzura, impinduka zikomeye z'amarangamutima, cyangwa ibimenyetso byo kwibasirwa n'umubiri nk'uruhu, kubyimba, cyangwa guhumeka bigoranye.

Ingaruka imwe idasanzwe ariko y'ingenzi ni tardive dyskinesia - imitsi idashaka gukora ishobora kwigaragaza mugihe gikoreshejwe igihe kirekire. Ibi nibyo bituma muganga wawe azakugenzura neza kandi akenshi akagabanya igihe cyo kuvurwa mugihe bishoboka.

Ninde utagomba gufata Metoclopramide?

Metoclopramide ntibishoboka kuri buri wese, kandi ibibazo by'ubuzima bimwe na bimwe bituma bitabereye cyangwa bisaba kwitonda byihariye. Muganga wawe azasuzuma amateka yawe y'ubuzima neza mbere yo kubyandika.

Ntabwo ugomba gufata metoclopramide niba ufite:

• Amateka ya tardive dyskinesia cyangwa izindi ndwara z'imitsi
• Indwara ya Parkinson cyangwa ibibazo by'imitsi bisa
• Epilepsy cyangwa indwara zo gufatwa
• Gusohoka amaraso cyangwa guhagarika mu gifu
• Pheochromocytoma (umururumba udasanzwe w'urugingo rw'imisemburo)
• Allergie izwi kuri metoclopramide

Kwitonda byihariye birakenewe niba ufite indwara y'impyiko, ibibazo by'umwijima, umuvuduko ukabije w'amaraso, cyangwa agahinda. Muganga wawe ashobora gukenera guhindura urugero rwawe cyangwa akagukorera igenzura riri hafi niba ufite ibi bibazo.

Abagore batwite kandi bonka bagomba kwitonderwa cyane. Mugihe metoclopramide ishobora gukoreshwa mugihe cyo gutwita kubera isesemi ikabije, umuganga wawe azagereranya inyungu n'ibishobora kuba byatera wowe n'umwana wawe.

Amazina ya Metoclopramide

Metoclopramide akenshi izwi ku izina ryayo rya Reglan muri Leta Zunze Ubumwe. Iyi ni verisiyo ushobora guhura nayo muri farumasi nyinshi mugihe muganga wawe yanditse metoclopramide.

Ubundi bwoko bwa metoclopramide buraboneka kandi bukora kimwe neza nk'ubwoko bw'izina ry'ubucuruzi. Umuganga wawe w'imiti ashobora guhita asimbuza ubwoko rusange keretse muganga wawe asabye byihariye izina ry'ubucuruzi.

Andi mazina y'ubucuruzi araboneka mu bindi bihugu, ariko Reglan iracyari izina rizwi cyane muri Amerika ya Ruguru. Uko wakwakira izina ry'ubucuruzi cyangwa ubwoko rusange, ibikoresho bikora n'ubushobozi birasa.

Izindi Miti Zisimbura Metoclopramide

Imiti myinshi ishobora kuvura ibibazo bisa na metoclopramide, buri imwe ifite inyungu zayo n'ibitekerezo byayo. Muganga wawe ashobora gutanga izindi nzira niba metoclopramide itagukwiriye cyangwa itatanga ubufasha buhagije.

Izindi nzira zisanzwe zirimo:

• Ondansetron (Zofran) - ifasha cyane mu kurwanya isesemi iterwa na chimiothérapie
• Promethazine (Phenergan) - byiza ku ndwara zo mu ngendo no kusesemwa muri rusange
• Domperidone - isa na metoclopramide ariko ifite ingaruka nke zerekeye ubwonko
• Prochlorperazine (Compazine) - ifasha mu kuresesemwa no kuruka bikabije
• Erythromycin - rimwe na rimwe ikoreshwa kuri gastroparesis

Uburyo butari ubw'imiti bushobora gufasha, harimo guhindura imirire, ibiyobyabwenge bya ginger, acupressure, cyangwa guhindura imibereho. Umuganga wawe ashobora kugufasha gushakisha izi nzira hamwe cyangwa aho imiti.

Uburyo bwiza bushingiye ku kibazo cyawe cyihariye, izindi ngingo z'ubuzima, n'uburyo witwaye ku miti yabanje. Muganga wawe azakorana nawe kugirango abone uburyo bufite akamaro kandi bwizewe.

Ese Metoclopramide iruta Ondansetron?

Metoclopramide na ondansetron (Zofran) zombi ni imiti ikora neza mu kurwanya isesemi, ariko zikora mu buryo butandukanye kandi zikora neza mu bihe bitandukanye. Nta na rimwe ryose ryiza - guhitamo biterwa n'ibyo ukeneye byihariye n'uburwayi bwawe.

Metoclopramide ifite akamaro ko kongera imikorere y'imitsi yo mu gifu, bigatuma ifasha cyane mu kurwanya gastroparesis n'ibibazo aho gutinda kw'igifu gutuma umuntu agira isesemi. Ikindi kandi, akenshi ihendutse kurusha ondansetron.

Ku rundi ruhande, ondansetron akenshi ikoreshwa cyane mu kurwanya isesemi iterwa na chimiothérapie kuko yagenewe guhagarika ibimenyetso bya chimique bitera ubwo bwoko bwa isesemi. Ikindi kandi, ifite ingaruka nke zijyanye n'imitsi ugereranyije na metoclopramide.

Muganga wawe azatekereza ku bintu nk'uburwayi ufite, imiti yindi urimo gufata, amateka yawe y'ubuzima, n'ingaruka zishobora guterwa n'iyo miti mu gihe ahitamo hagati y'izo mpuzanganda. Rimwe na rimwe bashobora no kugusaba gukoresha imiti yombi icyarimwe kugira ngo bigire akamaro kanini.

Ibibazo Bikunze Kubazwa Kuri Metoclopramide

Ese Metoclopramide irakwiriye abarwayi ba diyabete?

Yego, metoclopramide muri rusange irakwiriye abantu barwaye diyabete kandi ishobora no gufasha abarwaye gastroparesis ya diyabete. Iki kibazo kibaho iyo isukari yo mu maraso iri hejuru yangiza imitsi igenzura imitsi yo mu gifu, bigatuma igifu gitinda gusohora ibyo kirimo.

Ariko, uzakenera gukorana bya hafi n'ikipe yawe y'ubuzima kugira ngo ukurikirane urugero rw'isukari yo mu maraso yawe. Metoclopramide ishobora kugira ingaruka ku buryo umubiri wawe wunguka ibiryo n'imiti, ibyo bishobora kugira ingaruka ku kugenzura isukari yo mu maraso yawe n'igihe cyo gufata insuline.

Muganga wawe ashobora gukenera guhindura imiti ya diyabete cyangwa igihe cyo gufata ibiryo iyo utangiye gufata metoclopramide. Gukurikirana isukari yo mu maraso buri gihe birushaho kuba by'ingenzi mu byumweru bya mbere by'imiti.

Ninkora iki niba nifashe metoclopramide nyinshi bitunguranye?

Niba ufata metoclopramide nyinshi kuruta uko byategetswe, vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya uburozi ako kanya. Ntukegere ngo urebe niba ibimenyetso bigaragara - kubona inama z'ubuvuzi vuba ni ingenzi.

Ibimenyetso byo kurenza urugero birimo gukanguka cyane, urujijo, umubiri uguma, imyitwarire idafite umutekano, cyangwa guhumeka bigoranye. Ibi bishobora kuba bikomeye kandi bisaba ubufasha bwihuse bw'abaganga.

Muri icyo gihe, ntugerageze kuruka keretse niba ubisabwe n'abaganga. Bika urupapuro rw'umuti hamwe nawe kugira ngo abaganga babone neza icyo wafashe n'ingano yacyo.

Nkwiriye gukora iki niba nciweho urugero rwa Metoclopramide?

Niba ucikanweho urugero rwa metoclopramide, uyifate uko wibuka, keretse igihe cyegereye urugero rwawe ruteganyijwe. Muri icyo gihe, reka urugero rwakucitseho ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugira ngo usimbure urugero rwakucitseho. Ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti utagira akamaro. Gufata urugero rurenzeho bishobora kuba ikibazo gikomeye kuri metoclopramide kubera ingaruka zayo ku mikorere y'ubwonko.

Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha umuteguro w'imiti. Igihe gihamye gifasha metoclopramide gukora neza cyane, cyane cyane iyo uyifata mbere yo kurya.

Nshobora guhagarika ryari gufata Metoclopramide?

Ugomba guhagarika gufata metoclopramide gusa iyo muganga wawe akubwiye ko byemewe. N'ubwo waba wumva umeze neza cyane, guhagarika kare bishobora gutuma ibimenyetso byawe bisubira mbere y'uko indwara yawe ikira neza.

Umuvuzi wawe azasuzuma ibintu bitandukanye mbere yo kugusaba guhagarika kuvurwa, harimo igihe umaze uyifata, uburyo ibimenyetso byawe bigenzurwa, n'ibyago byo kugira ingaruka zirambye.

Abantu bamwe bashobora gukenera kugabanya buhoro buhoro urugero rwabo aho guhagarara ako kanya. Ibi bifasha kwirinda ibimenyetso byose byo gusubira inyuma kandi bituma umubiri wawe uhinduka neza ukora utariho umuti.

Nshobora gutwara imodoka nkanwa Metoclopramide?

Ugomba kwitonda mu gihe utwaye imodoka igihe ugitangira gufata metoclopramide, kuko bishobora gutera gusinzira, kuribwa umutwe, cyangwa izindi ngaruka zishobora kugutera kutabasha gutwara neza.

Witondere uko umuti ukugiraho ingaruka mu minsi mike ya mbere yo kuwufata. Niba ubonye gusinzira cyane, kuribwa umutwe, cyangwa izindi ngaruka zerekeye imyitwarire, irinde gutwara imodoka kugeza igihe izo ngaruka zigabanutse.

Abantu benshi basanga gusinzira cyangwa kuribwa umutwe bigabanuka nyuma y'iminsi mike umubiri wabo umaze kumenyera umuti. Igihe umaze kumenya uko metoclopramide ikugiraho ingaruka ku giti cyawe, ushobora gufata icyemezo gifatika cyo kumenya igihe byemewe gutwara imodoka.