Icyo Domperidone ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Domperidone ni umuti ufasha kugenzura isesemi no kuruka mu gihe kandi anongera uburyo igifu cyawe cyimura ibiryo binyuze mu nzira yo mu gifu. Bifasha cyane abantu bahanganye n'ibibazo byo mu gifu bituma bumva barwaye cyangwa bigatuma bagira umubyibuho utari mwiza no kumva bahaze.

Uyu muti woroshye ariko ufite akamaro ukora mu kubuza ibimenyetso bimwe na bimwe mu mubiri wawe bitera isesemi. Abantu benshi babona ko bifitiye akamaro cyane iyo indi miti irwanya isesemi itagize icyo ikora neza kuri bo cyangwa yateje ingaruka zitifuzwa.

Domperidone ni iki?

Domperidone ni umwe mu itsinda ry'imiti yitwa dopamine receptor antagonists. Ikora mu kubuza dopamine receptors mu gifu cyawe no mu gice cy'ubwonko bwawe bugenzura isesemi no kuruka.

Bitandukanye n'indi miti irwanya isesemi, domperidone ntijya yinjira mu bwonko bwawe mu bwinshi. Ibi bivuze ko ishobora kuvura neza isesemi ifitanye isano n'igifu itateje byinshi mu ngaruka zo gusinzira cyangwa urujijo ushobora guhura nazo hamwe n'indi miti isa nayo.

Uyu muti uza mu buryo bw'ibinini kandi ufashwe mu kanwa. Yakoreshejwe neza n'abantu babarirwa muri za miliyoni ku isi hose mu myaka mirongo kugira ngo icunge ibibazo bitandukanye byo mu gifu n'ibibazo bifitanye isano n'isesemi.

Domperidone ikoreshwa mu iki?

Domperidone ivura ibibazo bitandukanye bifitanye isano n'inzira yo mu gifu cyawe no kugenzura isesemi. Muganga wawe ashobora kukwandikira iyo igifu cyawe kitimura ibiryo neza cyangwa iyo urimo guhura n'isesemi ihoraho no kuruka.

Dore ibibazo nyamukuru domperidone ishobora gufasha, dutangiriye ku byo ikoreshwa cyane:

• Gastroparesis (gutinda mu nda) - iyo inda yawe itinda gusohora ibyo wariye
• Uburwayi bwo kuruka no kuribwa biturutse ku mpamvu zitandukanye zirimo imiti cyangwa ubuvuzi
• Dyspepsia ikora - kutumva neza inda nta mpamvu isobanutse
• Indwara ya gastroesophageal reflux (GERD) - iyo aside yo mu nda isubira mu muhogo wawe
• Kuribwa no kuruka nyuma yo kubagwa
• Kuribwa biturutse ku miti, cyane cyane imiti imwe yo kurwanya ububabare cyangwa imiti ivura kanseri

Mu bindi bihe, abaganga bashobora no kwandika domperidone kubera ibibazo bitamenyerewe nko kongera umukamo ku babyeyi bonka. Ariko, iyi mikoreshereze isaba ubugenzuzi bw'abaganga kandi si yo ntego nyamukuru y'uyu muti.

Domperidone ikora ite?

Domperidone ikora ibuza imyakura ya dopamine mu turere tubiri tw'ingenzi tw'umubiri wawe. Iyi ngaruka yo kubuza ifasha sisitemu yawe yo mu gifu gukora neza mugihe igabanya kumva uribwa.

Mu nda yawe n'amara, domperidone ifasha imitsi gukora neza. Tekereza nk'uko uha sisitemu yawe yo mu gifu umuvuduko wo gushyira ibiryo neza. Iyi ngaruka ifasha kugabanya kubyimba, guhaga, no kumva utameze neza ko ibiryo biri mu nda yawe.

Muri icyo gihe, domperidone ibuza imyakura ya dopamine muri zone itera kuribwa. Iri ni agace gato mu bwonko bwawe gasanga uburozi kandi gatuma uribwa nk'igisubizo cyo kwirinda. Mu kubuza iyi myakura, domperidone irashobora kugabanya cyane kuribwa no kuruka.

Uyu muti ufata nk'ukomeye ku rugero ruciriritse - ukora neza kurusha ibintu byoroshye byo hanze ariko woroshye kurusha izindi nyunganizi zandikwa. Abantu benshi bamenya impinduka mu bimenyetso byabo mu minota 30 kugeza ku masaha 2 nyuma yo kuwufata.

Nkwiriye gufata gute Domperidone?

Fata domperidone uko umuganga wawe abikwandikiye, akenshi iminota 30 mbere yo kurya no kuryama. Kuyifata mbere yo kurya bifasha umuti gukora neza cyane n'inzira zisanzwe zo mu mubiri zawe zo gutunganya ibyo kurya.

Mimina ibinini byose hamwe n'ikirahure cyuzuye cy'amazi. Ushobora gufata domperidone urya cyangwa utarya, ariko kuyifata mbere yo kurya akenshi bitanga ibisubizo byiza ku bimenyetso byo mu gifu. Niba ubonye ikibazo icyo aricyo cyose cyo mu gifu, kuyifata hamwe n'ibiryo bicye ni byiza rwose.

Dose isanzwe y'abantu bakuru iri hagati ya 10mg na 20mg, ifatwa inshuro eshatu cyangwa enye ku munsi. Umuganga wawe azagena dose ikwiriye ashingiye ku burwayi bwawe bwihariye n'uko witwara ku muti. Ntukarenze dose yanditswe, kuko ibipimo birebire ntibiba bikora neza kandi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti.

Gerageza gufata imiti yawe ku gihe kimwe buri munsi kugira ngo ugumane urwego rwawo ruzigama mu mubiri wawe. Niba uyifata kubera gastroparesis cyangwa ibibazo byo mu gifu, kuyitegura mbere y'ibiryo byawe by'ingenzi birashobora gufasha cyane.

Nzamara Igihe Kingana Iki Ndafata Domperidone?

Igihe cyo kuvura na domperidone giterwa n'uburwayi bwawe bwihariye n'uko witwara ku muti. Abantu benshi bayifata iminsi mike kugeza ku byumweru byinshi, nubwo indwara zimwe na zimwe zidakira zishobora gusaba igihe kirekire cyo kuvurwa.

Kubera isesemi n'umuriro bikaze, ushobora gukenera domperidone iminsi mike gusa kugeza igihe ibimenyetso byawe bikemukiye. Niba urimo guhangana na gastroparesis cyangwa ibibazo bidakira byo mu gifu, umuganga wawe ashobora kugusaba kuyifata ibyumweru byinshi cyangwa amezi menshi mugihe uvura icyateye icyo kibazo.

Umuganga wawe azagenzura buri gihe iterambere ryawe kandi ashobora guhindura gahunda yawe yo kuvura uko bikwiye. Bazatekereza ibintu nk'uko ibimenyetso byawe byateye imbere, niba urimo kugira ingaruka ziterwa n'umuti, niba kandi uburwayi bwateye icyo kibazo bwavuwe neza.

Ntugasize gufata domperidone ako kanya utabanje kuvugana na muganga wawe, cyane cyane niba umaze igihe kinini uyifata. Bashobora kugusaba kugabanya urugero rwawe buhoro buhoro kugira ngo wirinde ibimenyetso byongera kugaruka.

Ni Ibihe Bimenyetso Bigaragara Byatewe na Domperidone?

Abantu benshi bafata domperidone neza, ariko nk'imiti yose, ishobora gutera ibimenyetso ku bantu bamwe. Inkuru nziza ni uko ibimenyetso bikomeye bidakunze kubaho, kandi abantu benshi ntibagira ibimenyetso na gato.

Reka dutangire n'ibimenyetso bisanzwe ushobora guhura nabyo, akenshi bigira ingaruka ku bantu batarenze 1 kuri 10:

• Umutwe - akenshi woroshye kandi w'igihe gito
• Umunwa wumye - kuguma wihaza amazi birashobora gufasha
• Urubavu rworoshye rw'inda cyangwa kutumva neza
• Impiswi cyangwa impinduka mu myitwarire y'amara
• Umunaniro cyangwa kumva urushye kurusha uko bisanzwe

Ibi bimenyetso bisanzwe akenshi biragenda bikosoka uko umubiri wawe wimenyereza umuti, akenshi mu minsi mike ya mbere yo kuvurwa.

Ibimenyetso bitagaragara cyane ariko bikomeye birashobora kubaho, bigira ingaruka ku bantu batarenze 1 kuri 100:

• Umutima utera nabi cyangwa umutima ukubita cyane
• Umuzungero cyangwa kumva ureremba
• Urubavu rw'amabere cyangwa kwiyongera kwa yo
• Impinduka mu gihe cy'imihango
• Urugo rw'uruhu cyangwa kurigata
• Kutagira umutuzo cyangwa guhangayika

Vugana na muganga wawe niba ubonye ibimenyetso byose bitagaragara cyane, cyane cyane niba bikomeje cyangwa bikiyongera uko igihe kigenda.

Ibimenyetso bidakunze kubaho ariko bikomeye bisaba ubufasha bwihuse bwa muganga kandi bigira ingaruka ku bantu batarenze 1 kuri 1000:

• Umutima utera nabi cyane cyangwa kubabara mu gituza
• Imyitwarire y'imitsi idashobora kugenzurwa cyangwa guhinda umushyitsi
• Urugero rukomeye rw'uburwayi bw'ubwoko bwose hamwe no guhumeka bigoranye cyangwa kubyimba
• Gutangira guhubuka kw'urujijo cyangwa kutamenya aho uri
• Urubavu rukomeye rw'inda cyangwa kuruka bidahagarara

Niba wumva ibi bibazo bitazwiho, genda kwa muganga ako kanya. Nubwo ibi bibazo bitabaho kenshi, bisaba ubufasha bwihuse bw'inzobere.

Ninde utagomba gufata Domperidone?

Domperidone ntabwo ikwiriye buri wese, kandi ibibazo by'ubuzima cyangwa ibihe runaka bituma bidatekanye kuyikoresha. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugutangira uyu muti.

Ntugomba gufata domperidone niba ufite ibibazo by'umutima runaka cyangwa ibintu bishobora gutuma uyu muti akugiraho ingaruka mbi:

• Ibibazo bizwi by'umutima cyangwa umutima utera nabi
• Umutima udakora neza cyangwa umutima ugabanya imikorere cyane
• Urwego ruto rwa potasiyumu cyangwa magineziyumu mu maraso yawe
• Indwara ikomeye y'umwijima cyangwa umwijima wananiwe gukora
• Allergie izwi kuri domperidone cyangwa ibindi byose bigize uyu muti
• Amara ava cyangwa gutoboka kw'amara

Ibi bibazo bishobora kongera ibyago byo kugira ingaruka zikomeye, cyane cyane impinduka ziteye akaga mu mutima.

Byongeye kandi, domperidone isaba kwitonda cyane cyangwa ntikwiriye niba ufite:

• Indwara y'impyiko cyangwa imikorere y'impyiko yagabanutse
• Amateka ya kanseri y'ibere cyangwa ibibyimba byumva imisemburo
• Indwara ya Parkinson cyangwa izindi ndwara zigenda
• Epilepsi cyangwa indwara zo gufatwa
• Umunaniro cyangwa izindi ndwara zo mu mutwe

Niba ufite kimwe muri ibi bibazo, muganga wawe azagereranya neza inyungu n'ibyago mbere yo kugutangira domperidone. Bashobora kugusaba imiti itandukanye cyangwa bagusabe gukurikiranwa neza niba ufata uyu muti.

Amazina y'ubwoko bwa Domperidone

Domperidone iboneka mu mazina atandukanye y'ubwoko ku isi hose, nubwo uko iboneka bitandukana bitewe n'igihugu. Amazina y'ubwoko asanzwe arimo Motilium, izwi cyane mu bihugu byinshi.

Izindi nshuti z'amazina ushobora guhura nazo zirimo Domperix, Domperon, n'uburyo butandukanye bwa rusange. Mu bihugu bimwe na bimwe, domperidone iboneka nk'umuti ugurishwa utagomba uruhushya, mugihe mu bindi, bisaba uruhushya rwa muganga.

Buri gihe jya ureba umufarumasiti wawe cyangwa muganga ku bijyanye n'izina ryihariye cyangwa uburyo babandikira. Abakora imiti batandukanye bashobora kugira ibintu bitandukanye bitagira akamaro, bishobora kugira akamaro niba ufite allergie cyangwa ibintu byihariye.

Izindi Miti ya Domperidone

Niba domperidone itagukwiriye cyangwa itatanga ubufasha buhagije, imiti myinshi isimbura irashobora gufasha hamwe n'ibimenyetso bisa. Muganga wawe ashobora gufasha kumenya uburyo bushobora gukora neza kubera ibintu byihariye byawe.

Kubijyanye no kuruka no kuruka, izindi miti isanzwe irimo:

• Ondansetron - cyane cyane ikora neza kubijyanye no kuruka biterwa na chimiothérapie
• Metoclopramide - isa na domperidone ariko ishobora gutera ingaruka nyinshi
• Promethazine - ifasha kandi kubijyanye no kurwara urugendo
• Granisetron - indi nzira yo kuruka cyane

Kubijyanye na gastroparesis n'ibibazo byo gutembera mu igogora, izindi miti zirimo:

• Metoclopramide - ifasha gusukura igifu ariko ifite ingaruka nyinshi z'imitsi
• Erythromycin - umuti wica mikorobe kandi utuma igifu gitembera neza
• Cisapride - ikoreshwa gake kubera impungenge zifitanye isano n'umutima

Muganga wawe azatekereza ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'indi miti mugihe asaba izindi miti. Icyakora neza gishobora gutandukana cyane ku muntu ku muntu.

Ese Domperidone iruta Metoclopramide?

Domperidone na metoclopramide ni imiti yombi ikora neza kubijyanye no kuruka n'ibibazo byo mu igogora, ariko bafite itandukaniro rikomeye rishobora gutuma imwe ikwiriye kuruta iyindi kubera ibintu byawe.

Domperidone akenshi itera ingaruka nke zo mu bwonko kuko ntijyana mu bwonko byoroshye nka metoclopramide. Ibi bivuze ko bidashoboka ko wumva uburwayi bwo gusinzira, urujijo, cyangwa ingaruka zifitanye isano n'imitsi ya domperidone.

Ariko, metoclopramide irashobora gukora neza ku bwoko bumwe bwo kuruka, cyane cyane iyo kuruka biturutse mu bwonko aho guturuka mu gifu. Ikindi kandi, imaze igihe kinini iboneka kandi ifite ubushakashatsi bwinshi bushingiye ku mikoreshereze yayo mu ngorane zimwe na zimwe.

Guhitamo hagati y'iyi miti akenshi biterwa n'ibimenyetso byawe byihariye, amateka yawe y'ubuvuzi, n'uko wabyitwayemo ku bundi buvuzi. Muganga wawe azatekereza ibintu nk'imyaka yawe, izindi ngorane z'ubuzima, n'imikoranire y'imiti ishoboka mugihe afata iki cyemezo.

Ibibazo Bikunze Kubazwa Kuri Domperidone

Ese Domperidone irakwiriye indwara z'umutima?

Domperidone isaba kwitonda cyane niba ufite indwara z'umutima, kuko ishobora kugira ingaruka ku mutima wawe. Uyu muti ushobora gutera QT prolongation, ni ukuvuga impinduka mu bikorwa by'amashanyarazi by'umutima wawe bishobora gutera umutima utagenda neza.

Niba ufite indwara z'umutima zisanzweho, muganga wawe azasuzuma neza niba domperidone ikwiriye kuri wowe. Bashobora kugusaba gukora electrocardiogram (ECG) mbere yo gutangira kuvurwa no gukurikiranwa buri gihe mugihe urimo gufata uyu muti.

Abantu bafite umutima udakora neza cyane, indwara zikomeye zo mu mutima, cyangwa ibitagenda neza bya electrolyte bakwiriye kwirinda domperidone. Ariko, niba ufite indwara zoroheje z'umutima kandi muganga wawe akemeza ko inyungu ziruta ibyago, urashobora kuyifata ukurikiranwa neza.

Nigira iki niba nkoresheje domperidone nyinshi mu buryo butunganye?

Niba wanyoye domperidone nyinshi kuruta uko byagutegetswe, vugana n'umuganga wawe, umufarumasiti, cyangwa ikigo gishinzwe ubumara ako kanya. Kunywa nyinshi bishobora kongera ibyago byo kugira ingaruka zikomeye, cyane cyane ibibazo by'umutima.

Ibimenyetso byo kunywa domperidone nyinshi bishobora kuba isesemi ikabije, kuruka, gusinzira cyane, urujijo, cyangwa umutima utera nabi. Niba wumva ububabare mu gituza, isereri ikabije, cyangwa guhumeka bigoye nyuma yo kunywa nyinshi, shakisha ubufasha bwihutirwa bw'ubuvuzi ako kanya.

Ntugerageze kwivuruguta keretse niba ubitegetswe n'umuganga. Bika icupa ry'umuti hamwe nawe kugira ngo abaganga babone neza icyo wanyoye n'ingano yacyo.

Nkwiriye gukora iki niba nciwe urugero rwa domperidone?

Niba waciwe urugero rwa domperidone, unywe ako kanya wibuka, keretse igihe cyo kunywa urugero rukurikira kigeze. Muri icyo gihe, reka urugero waciwe ukomeze gahunda yawe isanzwe yo kunywa imiti.

Ntunywe urugero rurenzeho kugira ngo usimbure urugero waciwe, kuko ibi byongera ibyago byo kugira ingaruka. Niba ukunda kwibagirwa kunywa imiti, tekereza gushyiraho ibyibutso kuri terefone yawe cyangwa ukoreshe igikoresho cyo gutegura imiti kugira ngo bigufashe kuguma ku murongo.

Niba waciwe urugero rwinshi cyangwa utazi neza igihe cyo kunywa urugero rukurikira, vugana n'umuganga wawe cyangwa umufarumasiti kugira ngo baguhe ubujyanama. Kunywa imiti buri gihe bifasha kugumisha urugero rwawo mu mubiri wawe kugira ngo ukore neza.

Nshobora guhagarika ryari kunywa domperidone?

Ubusanzwe ushobora guhagarika kunywa domperidone igihe ibimenyetso byawe bikize kandi umuganga wawe yemeye ko bikwiye guhagarika kuvurwa. Kubibazo bikomeye nk'isesemi ry'igihe gito, ibi bishobora kuba nyuma y'iminsi mike gusa.

Niba unywa domperidone kubibazo bihoraho nk'indwara ya gastroparesis, umuganga wawe azasuzuma iterambere ryawe buri gihe kandi amenye igihe byemewe guhagarika cyangwa kugabanya urugero rwawe. Bazatekereza ibintu nk'imikorere y'ibimenyetso niba impamvu ziri inyuma zaravuzwe.

Ntugahagarike gufata domperidone ako kanya utabanje kubiganiraho na muganga wawe, cyane cyane niba umaze ibyumweru byinshi cyangwa amezi uyifata. Muganga wawe ashobora kugusaba kugabanya urugero rwawe buhoro buhoro kugira ngo wirinde ibimenyetso byagaruka.

Nshobora gufata Domperidone ntwite?

Gukoresha domperidone utwite bisaba kubitekerezaho neza kandi bikwiye gufatwa gusa hakurikijwe ubugenzuzi bwa muganga. Nubwo ubushakashatsi butaragaragaza ibimenyetso bifatika byo kwangiza abana bakiri bato, nta makuru ahagije yo kwemeza neza umutekano wayo utwite.

Niba utwite cyangwa ufite gahunda yo gutwita, ganira ku byo watekereza byose na muganga wawe. Bashobora kugusaba imiti yindi ifite umutekano mwinshi utwite, cyangwa bashobora gufata icyemezo cyuko inyungu za domperidone zirenze ibyago bishobora kubaho mu bihe byawe byihariye.

Niba utwite ukoresha domperidone, vugana na muganga wawe ako kanya. Ntuhagarike gufata umuti ako kanya, ariko korana n’umuganga wawe kugira ngo utegure gahunda y’imiti ifite umutekano kurusha iyindi kuri wowe n’umwana wawe.