Prokinetics: mndandanda wa m'badwo watsopano wa mankhwala

Panopa, chifukwa wamba kupita kwa madokotala - izi ndi mavuto kapepala kakuti m'mimba. Pafupifupi aliyense wa iwo yodziwika ndi kuphwanya ntchito galimoto. Komabe, iwo akhoza kusonyeza monga zizindikiro za matenda omwe si kugwirizana ndi kachitidwe m'mimba. Mulimonsemo, simungakhoze kuchita popanda prokinetics mankhwala gulu. Mndandanda wa mankhwala gulu ili si opanikiza chimango. Choncho, dokotala aliyense amasankha kukonzekera awo, malingana ndi matenda. Kenako, tione, zimene prokinetics, mndandanda wa zatsopano-m'badwo, nthawi zambiri ntchito mankhwala.

Prokinetics: makhalidwe ambiri

Mankhwala kuti kusintha galimoto ntchito pa mundawo matumbo ndipo imathandizira polumikizira chakudya ndi kutaya ndondomeko, monga a gulu.

Monga tanena mndandanda limodzi la mankhwala amenewa gastroenterology mabuku kulibe. Dokotala aliyense apa zikuphatikizapo mndandanda wa mankhwala. Zikuphatikizapo mankhwala, ndiponso magulu ena, monga antiemetics, antidiarrheals, ndi zina mankhwala macrolide, mahomoni mapeputisayidi. Kuyamba tikupeza zomwe ziri kanthu pharmacological wa gulu la mankhwala.

kanthu prokinetic

Choyamba iwo kumapangitsanso motility pa mundawo m'mimba, komanso adzalandira zotsatira antiemetic. zinthuzi imathandizira Ndikudzikhuthula kwa m'mimba ndipo matumbo, kusintha minofu kamvekedwe thirakiti m'mimba, ziletsa pyloric ndi oesophageal Reflux. Prokinetics kutumikiridwa monga monotherapy kapena limodzi ndi mankhwala ena. Iwo akhoza kugawidwa mitundu yambiri malinga ndi mfundo ya kanthu.

mitundu prokinetic

Mfundo ntchito kwa mbali zosiyanasiyana za kapepalako m'mimba ndi osiyana ndi mankhwala monga prokinetics. Mndandanda wa mankhwala ayenera ogaŵikana mitundu zotsatirazi:

1. blockers ya maselo dopamine:

• Kusankha 1 ndi m'badwo 2.
• Nonselective.

2. muzikangana ya maselo 5-HT3.

3. agonists ya maselo 5-HT3.

Ndipo tsopano mwatsatanetsatane za magulu awa.

Dopamine cholandilira blockers

Mankhwala gulu anawagawa kusankha sanali kusankha. mmene ndi iwo Zimachititsa galimoto ntchito ya m'mimba ndi kutenga katundu antiemetic. prokinetic ndi chiyani? mndandanda wa mankhwala chiri motere:

• "Metoclopramide".
• "Bromopride".
• "Domperidone".
• "Dimetpramid".

Waukulu yogwira pophika - metoclopramide, ntchito kwa nthawi yaitali. kanthu ndi motere:

• Kuchuluka ntchito za esophageal sphincter m'munsi.
• Mathamangitsidwe wa Ndikudzikhuthula muzituluka.
• Kuwonjezeka mlingo wa kayendedwe ka chakudya kudzera intestine ang'ono ndi m'matumbo.

Komabe, mankhwala si kusankha lingachititse zotsatira zina zoyipa.

Pali odziwika m'badwo woyamba wa prokinetics. Mndandanda wa mankhwala:

• "Reglan".

• "Raglan".
• "Perinorm".
• "Tseruglan".

Chimodzi mwa zovuta ndi luso chifukwa zizindikiro ndi matenda a Parkinson akuluakulu ndi ana dyskinetic matenda, matenda kusamba mu akazi.

Ndi mankhwala wachiwiri m'badwo kusankha mankhwala ndi yogwira mankhwala domperidone. mankhwala amenewa si chifukwa chaukali zochita zoipa, koma kumachitika kwambiri:

• Kugona.
• Kufooka.
• Nkhawa.
• Mutu.

Ndi chifukwa chake mankhwala ndi yogwira mankhwala domperidone - prokinetics bwino. Mndandanda wa mankhwala:

1. "Motilium".
2. "Domidon".
3. "Motinorm".
4. "Motoriks".
5. "Gastropom".

A mbadwo watsopano wa prokinetics

Ndi m'badwo kusankha yachiwiri wothandizila prokinetic zikuphatikizapo yogwira mankhwala itopride hydrochloride. ndalamazo kuti wabweza kuzindikira chifukwa cha achire zotsatira zabwino ndiponso kusapezeka mavuto, ngakhale ntchito yaitali. Nthawi zambiri, madokotala mankhwala:

• "Itomed".
• "Ganatom".
• "Itopride."

Izi zingathe kufotokozedwa ndi katundu zabwino itopride hydrochloride:

1. Kupititsa patsogolo maphunziro a galimoto ndi kuthawa ntchito ya m'mimba.
2. Kuchuluka ntchito za chikhodzodzo ndulu.
3. Kuonjezera see ndi mmene ang'ono ndi lalikulu minofu intestine.
4. Imalimbikitsa anthu onse a Reflux mmatumbo.

prokinetics m'mimba

Zikuphatikizapo prokinetics - agonists ya maselo 5-HT3. The yogwira thunthu - tegaserod. Iwo ali ubwino galimoto ndi kuthawa ntchito ya m'matumbo ndipo intestine yaing'ono. Imathandiza kuti normalization wa mpando, kuchepetsa zizindikiro za matumbo kukwiya.

Sayambitsa kuwonjezeka kuthamanga alibe mphamvu pa dongosolo mtima. Komabe, pali okwanira mavuto. Pa kangapo kumaonjezera ngozi ya matenda opha ziwalo, angina pectoris, kuukira anginal. Pakali pano, mankhwala ndi mankhwala yogwira kuchotsedwa kupanga dziko lathu ndi mayiko ena kuwonjezera maphunziro. Izi zikuphatikizapo prokinetics zotsatirazi (mndandanda mankhwala):

• "Tegaserod."
• "Zelmak".
• "Fractal".

Muzikangana 5-NTZ zolandilira

Prokinetics gulu ili yabwino kwa mankhwala ndi kupewa kunyansidwa ndi kusanza. Pa phwando awo amachepetsa zogona nthawi ya chakudya mmimba, kuchulukitsidwa chakudya polumikizira liwiro kudzera matumbo, normalizes kamvekedwe ya m'matumbo.

Pali acetylcholine kumasulidwa, ndi bwino galimoto ntchito pa mundawo m'mimba. Panopa kufunika kwakukulu pakati pa odwala ndi madokotala lero prokinetics. Mndandanda wa mankhwala mbadwo watsopano:

• "Tropisetron."
• "Osetron".
• "Ondansetron".
• "Silansetron".

Tikumbukenso kuti muzikangana 5-NTZ zolandilira alibe zotsatira achire, ngati kusanza chifukwa cha apomorphine.

Mankhwalawa bwino analekerera, ngakhale kuti ndi mavuto:

• Mutu.
• Kudzimbidwa.
• Ankatenthetsa.
• Hot kwakekwake.

kuphatikiza wina wa mankhwala - alibe zotsatira sedative, musati kucheza ndi mankhwala ena osati chifukwa kusintha endocrine kuti sakutsutsana ndi injini ntchito.

Amene matenda akapitawo

Monga tafotokozazi, prokinetics ntchito monotherapy kapena molumikizana ndi mankhwala. Madokotala tikudziwa kuti pali matenda amene poika kangapo prokinetic kumawonjezera mphamvu ya mankhwala. Mu gulu ili ndi:

1. Matenda a dongosolo m'mimba ndi ntchito mkhutu galimoto.
2. Gastroezofagelnuyu Reflux matenda.
3. M'mimba chilonda (mmatumbo chilonda).
4. Idiopathic gastroparesis.
5. Kusanza.
6. Kudzimbidwa.
7. Azitsegula.
8. Ashuga gastroparesis.
9. Flatulence.
10. Nseru chifukwa cha mankhwala ndi cheza mankhwala, kachirombo ka HIV, matenda zinchito, kutupikana.
11. Dyspepsia.
12. Biliary dyskinesia.

Amene sayenera kumwa

Pokonzekera wa prokinetics pali contra-zikuonetsa:

• Hypersensitivity kwa thunthu yogwira.
• M'mimba kapena magazi m'mimba.
• Perforation a m'mimba kapena m'matumbo.
• Ileus.
• Pachimake chiwindi kulephera, matenda a impso.

Osavomerezeka phwando, ngati ntchito pamafunika kuganizira kwambiri ndi ndende, komanso anthu amene amayendetsa galimoto. Mosamala mankhwala prokinetics okalamba.

Apakati ndi unamwino amayi

A mawu ochepa ine ndikufuna kunena za mankhwala osokoneza bongo pa mimba. Kafukufuku wasonyeza kuti prokinetics ali ndi chizolowezi kudutsa mu mkaka wa m'mawere, choncho nthawi ya mankhwala ndi mankhwala amenewa sayenera kupitiriza yoyamwitsa.

Mu trimester wa mimba akazi kawirikawiri kusanza ndi nseru. Pankhaniyi, mungathe perekani mankhwala monga prokinetics. Mndandanda wa mankhwala kwa amayi apakati Chidzaphatikiza okhawo amene si chinthu choopsa pa moyo wa mayi oyembekezerayo ndi mwana wosabadwayo.

Athandize ndi upambana mavuto n'kotheka. Prokinetics metoklopromid ndi woukitsa akhoza kugwiritsidwa ntchito ndi gulu limeneli yekha mankhwala. Mu trimesters ina ya mimba prokinetiki osankhidwa.

Panopa, gulu la mankhwala pa mimba si anasonyeza chifukwa cha kuchuluka kwa mavuto.

Prokinetics ana

Prokinetics ntchito kwa yogwira pophika metoclopramide ana ayenera sobenno kusamala, ngati pali chiopsezo zosayembekezereka wa syndrome dyskinetic. Iwo Kwalamulidwa malinga ndi kulemera kwa mwanayo.

Ngati dokotala anaika prokinetics, "Motilium" nthawi zambiri m'gulu mndandanda. Iye bwino analekerera ndipo ali ambiri ndemanga yothandiza. Koma awerenge prokinetics ena. Mndandanda wa mankhwala kwa ana angathe muli dzina izi komabe:

• "Domperidone".
• "Metoklopromid".

Dziwani kuti ana osaposa zaka 5 kukonzekera "Motilium" akulimbikitsidwa kugwiritsa ntchito mu mawonekedwe a kuyimitsidwa a. mankhwala Kwalamulidwa malinga ndi kulemera kwa mwana, mlingo wa 2.5 ml ya pa 10 makilogalamu bodyweight. Ngati ndi kotheka, mlingo akhoza ziwonjezeke, koma kwa ana okulirapo kuposa chaka chimodzi. Komanso, mankhwala adzamasulidwa mu mawonekedwe a lozenges.

Prokinetics ana Kwalamulidwa ngati mwana wanu ali:

• Kusanza.
• Nseru.
• Esophagitis.
• Wosakwiya chimbudzi.
• Dyspeptic zizindikiro.
• Pafupipafupi regurgitation.
• Gastro-esophageal Reflux.
• Dysmotility pa mundawo m'mimba.

Tikumbukenso kuti mu miyezi yoyambirira ya moyo thupi la mwanayo ndi ntchito zake zonse sunayambe kwambiri, kotero kuti mankhwala onse ayenera kumwedwa kuyang'aniridwa okhwima ndi kulamulira kwa dotoloyo. Mu nkhani ya prokinetics ambiri osokoneza akhoza kuyambitsa zotsatira ubongo mbali mu makanda ndi ana aang'ono.

wotchuka kwambiri pakati pa makolo a makanda amagwiritsa yokonza mankhwala, amene bwino chimbudzi ndipo kumachepetsa flatulence. Iwo limafotokoza pamaziko a zipatso za fennel "Plantex".

M'pofunikanso n'kunena mawu ochepa za mbewu prokinetic.

athandizi zachilengedwe

Choncho dziko kuti mankhwala a matenda aliwonse angapezeke ena zomera, muyenera kudziwa - zomwe. Choncho, kudziwika chomera prokinetics, zomwe Zimachititsa m'mimba thirakiti galimoto ntchito. Nawa ena mwa iwo:

• Fennel.
• Chamomile.
• Sambucus nigra.
• Katsabola.
• Oregano.
• Motherwort.
• Dandelion.
• Melissa.
• Cudweed.
• Plantain.
• Buckthorn olhovidnaya.

Mndandanda wa zomera kuthandiza kusintha motility pa mundawo m'mimba, zikuphatikizapo ambiri mitundu ina ya zomera. Tiyeneranso adzanyamula kukumbukira kuti ena zipatso ndi ndiwo zamasamba ndi cholinga chofanana:

• Rutabaga.
• Vwende.
• Kabichi.
• Kaloti.
• Beets.
• Dzungu.
• Cranberries.
• Mphesa.

katundu prokinetic zimapezeka bwino mu masamba awa, pamene kuwatenga okonzeka mwatsopano timadziti.

Dziwani kuti sayenera m'malo matenda mankhwala chomera pa nyengo exacerbation ndi popanda kufunsa dokotala.

zotsatira zoyipazi

Nkofunika kuti mbadwo watsopano wa prokinetics ndi zotsatira yochepa kwambiri mbali kuposa mankhwala loyamba m'badwo ndi yogwira pophika metoclopramide. Komabe, mankhwala ambiri atsopano pali mavuto:

• Mutu.
• Irritability.
• Youma pakamwa, ludzu.
• Kuphipha minofu yosalala thirakiti m'mimba.
• Ming'oma, zotupa, kuyabwa.
• Hyperprolactinemia.
• Ana angasonyeze zizindikiro extrapyramidal.

Pambuyo discontinuation ya mavuto mankhwala kwathunthu.

Ngati dotolo n'kukulemberani ndi prokinetic, mankhwala mndandanda zikuphatikizapo mankhwala angapo ndi mayina osiyanasiyana koma ndi chinthu chimodzi yogwira. Pankhaniyi mavuto adzakhala yemweyo.

Features ntchito ya prokinetic

mosamala kwambiri ayenera kuperekedwa anthu prokinetic ndi kulephera chiwindi ndi impso ntchito osauka. odwala zimenezi ayenera moyang'aniridwa okhwima zachipatala.

Ndi ntchito nthawi yaitali odwala prokinetic ayenera kukaonana ndi adokotala anu zambiri. Ndi ntchito prokinetics kusamala ana, makamaka kwa chaka chimodzi.

Chenjezo m'pofunika mankhwala mankhwala mu gulu la odwala okalamba.

Mankhwalawa prokinetic sayenera kugwira ntchito kuti amafuna chisamaliro ndi sanafike msanga.

Tisanayambe inayenera kukaonana ndi dokotala. Kuyambira izi zimatengera thanzi lanu. Si mankhwala zofunika m'malo mbewu yake analogue popanda choyamba adokotala anu.