Yini i-Metoclopramide: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Metoclopramide iyimithi kadokotela esiza ukulawula isicanucanu, ukuhlanza, nezinkinga zokugaya ngokusebenza ebuchosheni bakho nasezithweni zokugaya ukudla. Ungase uyazi ngegama layo lomkhiqizo elithi Reglan, futhi ivame ukunqunywa uma ubhekene nokugula kwasekuseni okukhulu, imiphumela emibi ye-chemotherapy, noma izinkinga ezithile zesisu ezenza kube nzima ukugcina ukudla phansi.

Le mithi isisize abantu bazizwe ngcono amashumi eminyaka, futhi ngenkathi ivikelekile ngokuvamile uma isetshenziswa ngendlela efanele, kubalulekile ukuqonda ukuthi isebenza kanjani nokuthi yini ongayilindela. Ake sihambe kukho konke okudingeka ukwazi nge-metoclopramide ukuze uzizwe uqiniseka ngemithi yakho.

Yini i-Metoclopramide?

I-Metoclopramide ingeyeqembu lemithi ebizwa ngokuthi ama-dopamine receptor antagonists. Ngamagama alula, ivimba amasignali amakhemikhali athile ebuchosheni bakho abangela isicanucanu nokuhlanza ngenkathi futhi isiza imisipha yesisu sakho ukuthi isebenze ngempumelelo.

Cabanga ngesistimu yakho yokugaya ukudla njengomugqa wokuhlanganisa ohlanganiswe kahle. Uma izinto zingahambi kahle, ukudla kungase kubhajwe noma kuhambe kancane kakhulu, kubangele ukungakhululeki nesicanucanu. I-Metoclopramide isebenza njengomphathi omuhle, isiza ukubuyisela ukunyakaza okuvamile nokuxhumana kuyo yonke indlela yakho yokugaya ukudla.

Umuthi uza ngesimo samaphilisi ukuze usetshenziswe ngomlomo, okwenza kube lula ukuwuthatha ekhaya. Udokotela wakho uzoqoka amandla afanele kanye nohlelo lokulinganisa olususelwe esimweni sakho esithile nokuthi umzimba wakho usabela kanjani emithini.

Isetshenziselwani i-Metoclopramide?

I-Metoclopramide iphatha izimo eziningana ezithinta uhlelo lwakho lokugaya ukudla futhi zibangele izimpawu ezinzima. Udokotela wakho angase akunqume uma ukwelashwa okujwayelekile kungazange kunikeze ukukhululeka okwanele.

Nawa amanye amakhambi i-metoclopramide esiza ukuphatha:

• I-Gastroparesis (ukuhamba kancane kwesisu) - uma imisipha yesisu sakho ingaqinisi kahle
• Isicanucanu esibi nokuhlanza ngesikhathi sokukhulelwa (i-hyperemesis gravidarum)
• Isicanucanu nokuhlanza okubangelwa yi-chemotherapy noma i-radiation therapy
• Isifo se-Gastroesophageal reflux (GERD) uma ezinye izindlela zokwelapha zingasebenzanga
• Isicanucanu ngemva kokuhlinzwa noma izinqubo zezokwelapha

Umhlinzeki wakho wezempilo uzohlola ngokucophelela izimpawu zakho nomlando wakho wezokwelapha ngaphambi kokuncoma i-metoclopramide. Lokhu kuqinisekisa ukuthi umuthi uyisinqumo esifanele esimweni sakho esithile.

Isebenza Kanjani I-Metoclopramide?

I-Metoclopramide isebenza ngezindlela ezimbili eziyinhloko emzimbeni wakho. Okokuqala, ivimba ama-dopamine receptors ebuchosheni bakho obangela ukuhlanza, okusiza ukunciphisa izimpawu ezikwenza uzizwe unesiyezi.

Okwesibili, ithuthukisa ukuqina kwemisipha okuvamile emathunjini akho. Lokhu kusiza ukudla ukuthi kuhambe kahle kusuka esiswini sakho kuya emathunjini amancane, kunciphisa umuzwa wokugcwala nokungakhululeki okungabangela isicanucanu.

Njengoba imithi ihamba, i-metoclopramide ithathwa njengeqinile ngokulinganisela. Inamandla kunezinketho ezingaphandle kwe-counter kodwa ithambile kunezinye izidakamizwa zokulwa nesicanucanu. Lokhu kuyenza isebenze kubantu abaningi ngenkathi igcina iphrofayili yomphumela okhona uma isetshenziswa ngendlela efanele.

Kufanele Ngiyithathe Kanjani I-Metoclopramide?

Thatha i-metoclopramide ngendlela eqondile udokotela wakho ayiyalile ngayo, ngokuvamile imizuzu engama-30 ngaphambi kokudla nangaphambi kokulala. Lesi sikhathi sisiza umuthi ukuthi usebenze lapho uhlelo lwakho lokugaya ukudla lusebenza kakhulu.

Ungathatha i-metoclopramide ngaphandle noma ngaphandle kokudla, nakuba ukuyithatha ngemali encane yokudla kungasiza ukunciphisa ukuphazamiseka kwesisu uma uhlangabezana nanoma yini. Gwinya ithebhulethi yonke ngenkomishi yamanzi egcwele - ungayichobozi, uyihlafune, noma uyiphule.

Uma uthatha i-metoclopramide ngenxa yesicanucanu esihlobene ne-chemotherapy, ithimba lakho lezempilo lizokunika imiyalelo ethile mayelana nokuyihlela nesheduli yakho yokwelashwa. Nge-gastroparesis, ukuhlela ngesikhathi sokudla kubaluleke kakhulu ukuze uthole imiphumela engcono kakhulu.

Qhubeka nokuthatha umuthi ngisho noma uqala ukuzizwa ungcono, ngaphandle uma udokotela wakho ekutshela ukuthi uyeke. Ukuyeka ngaphambi kwesikhathi kungase kuvumele izimpawu zakho ukuthi zibuye ngaphambi kokuba isimo sakho sithuthuke ngokugcwele.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Metoclopramide?

Ubude bokwelashwa nge-metoclopramide buxhomeke esimweni sakho esithile nokuthi usabela kanjani emuthini. Abantu abaningi bayithatha amasonto ambalwa kuya ezinyangeni eziningana, nakuba ezinye izimo zingase zidinge ukwelashwa isikhathi eside.

Ngesicanucanu esihlobene nokukhulelwa, ukwelashwa ngokuvamile kuqhubeka kuze kube yilapho izimpawu zithuthuka noma uze ufinyelele iphuzu ekukhulelweni lapho isicanucanu sincipha ngokwemvelo. Nge-gastroparesis, ungase udinge ukwelashwa isikhathi eside ukuze ulawule izimpawu eziqhubekayo.

Udokotela wakho uzohlola njalo ukuthi wenza kanjani futhi angase ashintshe uhlelo lwakho lokwelashwa njengoba kudingeka. Bazocabangela izinto ezinjengokuthuthuka kwezimpawu, imiphumela emibi, nempilo yakho yonke lapho benquma ukuthi kufanele uqhubeke isikhathi esingakanani ukuthatha i-metoclopramide.

Ungalokothi uyeke ukuthatha i-metoclopramide ngokuzumayo ngaphandle kokukhuluma nomhlinzeki wakho wezempilo kuqala. Bangase bafune ukunciphisa kancane kancane umthamo wakho ukuze bavimbele noma yiziphi izimpawu zokubuyela emuva.

Yiziphi Imiphumela Emibi Ye-Metoclopramide?

Njengayo yonke imithi, i-metoclopramide ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imnene futhi iyanyamalala njengoba umzimba wakho ujwayela umuthi.

Imiphumela emibi evamile ongase uyibone ihlanganisa:

• Ukozela noma ukukhathala
• Ukungazinzi noma ukuzizwa unovalo
• Isiyezi
• Ikhanda
• Ukuqunjelwa noma izinguquko ekuhambeni kwamathumbu
• Ukuqaqamba kwamabele noma ukukhiqizwa kobisi (kokubili kwabesilisa nabesifazane)

Lezi zinto ezilandelayo zivame ukuba zesikhashana futhi ziba ngaphansi uma uqhubeka nokwelashwa. Uma ziqhubeka noma ziba yizinkinga, khuluma nodokotela wakho mayelana nezixazululo ezingenzeka.

Imiphumela emibi kakhulu ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ukunyakaza kwemisipha okungalawuleki, izinguquko ezinzima zemizwa, noma izimpawu zokuphendula komzimba ngendlela yokungezwani nezinto ezithile njengokuqubuka, ukuvuvukala, noma ubunzima bokuphefumula.

Enye imiphumela emibi engavamile kodwa ebalulekile yi-tardive dyskinesia - ukunyakaza okungazithandeli okungase kuvele ngokusebenzisa isikhathi eside. Yingakho udokotela wakho ezokuqapha eduze futhi ngokuvamile anciphise ubude bokwelashwa uma kungenzeka.

Ubani Ongafanele Athathe I-Metoclopramide?

I-Metoclopramide ayiphephile kuwo wonke umuntu, futhi izimo ezithile zezempilo zenza ingafaneleki noma idinga izinyathelo zokuzivikela ezikhethekile. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokuyinika.

Akufanele uthathe i-metoclopramide uma une:

• Umlando we-tardive dyskinesia noma ezinye izifo zokunyakaza
• Isifo sikaParkinson noma izimo ezinjalo ze-neurological
• Isithuthwane noma izifo zokuhlaselwa
• Ukuphuma kwegazi noma ukuvaleka kwamathumbu
• I-Pheochromocytoma (ithumba elingavamile le-adrenal gland)
• Ukungezwani okwaziwayo ne-metoclopramide

Ukuqapha okukhethekile kuyadingeka uma unezifo zezinso, izinkinga zesibindi, umfutho wegazi ophezulu, noma ukucindezeleka. Udokotela wakho angase adinge ukulungisa umthamo wakho noma akuqaphe eduze uma unezimo ezinjalo.

Abesifazane abakhulelwe nabancelisayo badinga ukucatshangelwa ngokucophelela. Ngenkathi i-metoclopramide ingasetshenziswa ngesikhathi sokukhulelwa ngenxa yesicanucanu esibi, umhlinzeki wakho wezempilo uzolinganisela izinzuzo ngokumelene nezingozi ezingaba khona kuwe nomntwana wakho.

Amagama Omkhiqizo we-Metoclopramide

I-Metoclopramide yaziwa kakhulu ngegama layo lomkhiqizo elithi Reglan e-United States. Lena yinguqulo ongase uhlangane nayo emathunjini amaningi lapho udokotela wakho ekunika i-metoclopramide.

Izinhlobo ezivamile ze-metoclopramide nazo ziyatholakala futhi zisebenza ngendlela efanayo nenguqulo yegama lomkhiqizo. Umkhemisi wakho angase ashintshe ngokuzenzakalelayo inguqulo ejwayelekile ngaphandle uma udokotela wakho ecela ngokuqondile igama lomkhiqizo.

Amanye amagama omkhiqizo akhona emazweni ahlukene, kodwa i-Reglan ihlala iyigama elaziwa kakhulu eNyakatho Melika. Noma ngabe uthola igama lomkhiqizo noma inguqulo ejwayelekile, isithako esisebenzayo nokusebenza kahle kuyafana.

Ezinye izindlela ze-Metoclopramide

Eminye imithi eminingi ingelapha izimo ezifanayo ne-metoclopramide, ngalinye linenzuzo yalo nokucatshangelwa kwalo. Udokotela wakho angase aphakamise ezinye izindlela uma i-metoclopramide ingakulungele noma inganikezi ukukhululeka okwanele.

Ezinye izindlela ezivamile zihlanganisa:

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• Ondansetron (Zofran) - isebenza kahle ikakhulukazi ekuhlanzeni okubangelwa i-chemotherapy
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• Promethazine (Phenergan) - ilungele ukugula kokunyakaza nokuhlanza okujwayelekile
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• Domperidone - ifana ne-metoclopramide kodwa inemiphumela emincane engqondweni
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• Prochlorperazine (Compazine) - isebenza kahle ekuhlanzeni okukhulu nokuhlanza
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• Erythromycin - ngezinye izikhathi isetshenziselwa i-gastroparesis
\n

Izindlela ezingezona zemithi nazo zingasiza, okuhlanganisa izinguquko zokudla, izithasiselo zikajinja, i-acupressure, noma izinguquko zokuphila. Umhlinzeki wakho wezempilo angakusiza ukuthi uhlole lezi zinketho kanye noma esikhundleni semithi.

Enye indlela engcono kakhulu incike esimweni sakho esithile, ezinye izinto zezempilo, nokuthi usabele kanjani ekwelashweni kwangaphambilini. Udokotela wakho uzosebenza nawe ukuthola inketho esebenza kahle kakhulu nephephile.

Ingabe i-Metoclopramide ingcono kune-Ondansetron?

I-Metoclopramide ne-ondansetron (Zofran) yomibili imithi ephumelelayo yokulwa nokuhlanza, kodwa isebenza ngendlela ehlukile futhi igqama ezimweni ezihlukene. Akukho ngisho neyodwa e

I-Metoclopramide inenzuzo yokuthuthukisa ukusebenza kwemisipha yesisu, okwenza kube usizo ikakhulukazi nge-gastroparesis kanye nezimo lapho ukwehla kwesisu okuhamba kancane kunomthelela emuzweni wokucasuka. Futhi ngokuvamile ibiza kancane kune-ondansetron.

I-Ondansetron, ngakolunye uhlangothi, ivame ukukhethwa ngoba i-chemotherapy-induced nausea ngoba yakhelwe ngqo ukuvimba amasignali amakhemikhali abangela lolu hlobo lomuzwa wokucasuka. Futhi inemiphumela emincane ehlobene nokunyakaza kuno-metoclopramide.

Udokotela wakho uzocabangela izinto ezinjengesimo sakho esiyisisekelo, eminye imithi oyithathayo, umlando wakho wezokwelapha, nemiphumela engaba khona lapho ekhetha phakathi kwalezi zinketho. Ngezinye izikhathi bangase batusa nokusebenzisa yomibili imithi ndawonye ukuze kutholakale ukusebenza kahle okuphezulu.

Imibuzo Evame Ukubuzwa Mayelana ne-Metoclopramide

Ingabe i-Metoclopramide iphephile ku-Diabetes?

Yebo, i-metoclopramide ngokuvamile iphephile kubantu abanesifo sikashukela futhi empeleni ingaba usizo nge-diabetic gastroparesis. Lesi simo senzeka lapho amazinga kashukela egazi aphezulu alimaza imizwa elawula imisipha yesisu, okuholela ekuhambeni kwesisu okubambezelekile.

Nokho, uzodinga ukusebenzisana eduze nethimba lakho lezempilo ukuze uqaphe amazinga kashukela egazini lakho. I-Metoclopramide ingathinta ukuthi umzimba wakho umunca ngokushesha kangakanani ukudla nemithi, okungase kuthinte ukulawulwa kukashukela egazini lakho nesikhathi se-insulin.

Udokotela wakho angase adinge ukulungisa imithi yakho yesifo sikashukela noma isikhathi sokudla uma uqala i-metoclopramide. Ukuqapha njalo ushukela wegazi kubaluleke nakakhulu emasontweni ambalwa okuqala okwelashwa.

Ngingenzani uma ngiphuthelwa ngisebenzisa i-Metoclopramide eningi kakhulu?

Uma ngengozi uthatha i-metoclopramide eningi kakhulu kunaleyo ebekiwe, xhumana nomhlinzeki wakho wezempilo noma isikhungo sokulawula ubuthi ngokushesha. Ungalindi ukubona ukuthi ngabe izimpawu ziyavela yini - ukuthola iseluleko sezokwelapha ngokushesha kubalulekile.

Izimpawu zokweqisa umthamo zingabandakanya ukozela okukhulu, ukudideka, ukuqina kwemisipha, ukunyakaza okungalawuleki, noma ubunzima bokuphefumula. Le miphumela ingaba yingozi futhi idinga ukunakekelwa kwezokwelapha ngokushesha.

Okwamanje, ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ochwepheshe bezokwelapha. Gcina ibhodlela lemithi nawe ukuze abahlinzeki bezempilo bakwazi ukubona kahle ukuthi uthathe ini nokuthi uthathe kangakanani.

Kufanele Ngenzeni Uma Ngeqe Umthamo We-Metoclopramide?

Uma weqa umthamo we-metoclopramide, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo owuqeqile bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo owuqeqile. Lokhu kungakhuphula ingozi yakho yemiphumela emibi ngaphandle kokuhlinzeka ngomvuzo owengeziwe. Ukuthatha imithamo emibili kungaba yinkinga ngokuqondile nge-metoclopramide ngenxa yemiphumela yayo ekhemistri yobuchopho.

Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukusebenzisa umhleli wamaphilisi. Isikhathi esiqhubekayo sisiza i-metoclopramide ukuthi isebenze ngempumelelo enkulu, ikakhulukazi uma uyithatha ngaphambi kokudla.

Ngingayeka Nini Ukuthatha I-Metoclopramide?

Kufanele uyeke kuphela ukuthatha i-metoclopramide uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Noma ngabe uzizwa ungcono kakhulu, ukuyeka ngokushesha kungavumela izimpawu zakho ukuthi zibuye ngaphambi kokuthi isimo sakho esingaphansi sithuthuke ngokugcwele.

Umhlinzeki wakho wezempilo uzohlola izici eziningana ngaphambi kokuncoma ukuthi uyeke ukwelashwa, okuhlanganisa ukuthi usuthatha isikhathi esingakanani, ukuthi izimpawu zakho zilawulwa kahle kangakanani, kanye nengozi yakho yokuthuthukisa imiphumela emibi yesikhathi eside.

Abanye abantu bangadinga ukunciphisa kancane kancane umthamo wabo kunokuyeka kungazelelwe. Lokhu kusiza ukuvimbela noma yiziphi izimpawu zokubuyela emuva futhi kuvumela umzimba wakho ukuthi uzivumelanise ngokushelela nokusebenza ngaphandle komuthi.

Ngingashayela Ngenkathi Ngithatha I-Metoclopramide?

Kufanele uqaphele ngokuqhuba imoto lapho uqala ukuthatha i-metoclopramide, njengoba ingabangela ukozela, isiyezi, noma eminye imiphumela engase ikhinyize ikhono lakho lokuqhuba ngokuphepha.

Naka ukuthi umuthi ukuthinta kanjani ezinsukwini ezimbalwa zokuqala zokwelashwa. Uma uhlangabezana nokozela okukhulu, isiyezi, noma yimiphi imiphumela engemihle ehlobene nokunyakaza, gwema ukuqhuba imoto kuze kube yilapho le miphumela iphela.

Abantu abaningi bathola ukuthi noma yikuphi ukozela noma isiyezi kuthuthuka ngemva kwezinsuku ezimbalwa njengoba umzimba wabo ujwayela umuthi. Uma uswazi ukuthi i-metoclopramide ikuthinta kanjani wena siqu, ungenza izinqumo ezinolwazi mayelana nokuthi kuphephile nini ukuqhuba imoto.