Medicine 'metoclopramide'. Yokusetshenziswa

Medicine "metoclopramide" (amaphilisi) ubhekwa siyasebenza ngempela (ngokuvumelana Izibuyekezo) usizo ekunciphiseni retching ku ngemuva izifo emathunjini. Imithi oboniswa kokubili abadala kanye nezingane. Ngokuvamile, izidakamizwa kwamukeleka kahle impela.

Kusho "metoclopramide" Ukufundiswa ku isicelo siphathelene antiemetic, prokinetic, protivoikotnym izidakamizwa.

Lesi sidakamizwa sisiza ukuze sikhuthaze locomotor umsebenzi futhi ukuzinza motor umsebenzi esigabeni engenhla wokugaya ukudla, ukulawulwa ithoni aphansi contactor ngomphimbo (sphincter) kuphela. Imithi kwandisa amplitude nesimo esiswini Kufinyeta (ikakhulukazi antral) by eziphumulele le sphincter, isibani duodenal kanye pyloric, kwandisa peristalsis futhi ngesivinini bethulula esiswini. Lapho ethola nemithi "metoclopramide" Bile evamile (ngokwandisa ingcindezi esinyeni futhi Bile imbobo), isinye nenyongo isuswe dyskinesia, kanye spasm encishisiwe ye sphincter ka Oddi.

Njengoba i antiemetic izidakamizwa iphumelela for ukuhlanza nesicanucanu imvelo ezahlukene zenzeka. uthi ezinjalo kungenzeka ukuthi umataniswe nge nokuvimbela umdlavuza ngamakhemikhali okwamenza, ukuphazamiseka (iphutha) Ukudla, ukukhulelwa ( "ukuhlanza yokukhulelwa"), ukuhlukumezeka craniocerebral, pathologies kwezinso futhi hepatic, imiphumela engemihle yemithi, izinzwa.

Sebenzisa imithi lapho hiccups imvelo ezahlukene imvelaphi, iziyaluyalu ukusebenza ukugaya, gastro-oesophageal Reflux isifo, exacerbation of peptic isilonda isifo.

Kusho "metoclopramide" imfundo manual futhi uchaza njengenhlangano nomuthi aphumelele migraine (ukuvimbela isicanucanu, ukukhuthazwa ukuncela antimigraine amalungiselelo ukusetshenziswa temlomo).

Ukusetshenziswa kwezidakamizwa kanye belungiselela izinyathelo zokuxilonga ku pheshana emathunjini.

Kufanele kuqashelwe ukuthi umuthi ayikwazi ukuhlanza uhlamvu vestibular.

Esibonisa ukulungiselela "metoclopramide", yokusetshenziswa eveza khona ezakhiweni zakhe abacindezela isinyathelo neuropathy ephakathi ye apomorphine, agqamise prolactin, avuse ukukhuphuka lezivakashi emazingeni aldosterone (kucagela esifushane uketshezi nokugcinwa). Lapho ethola izidakamizwa Uphawula ukwanda nokuzwela acetylcholine.

Isixazululo ukulungiselela "metoclopramide" (ampoules) nge emthanjeni umjovo siqala isebenze ngemva umzuzu owodwa noma ezintathu ngemuva ujove esicutshini - imizuzu eyishumi nanhlanu. Lapho iqondiswa ngomlomo (TEMLOMO) umphumela waphawula ngemva imizuzu engamashumi amathathu kuya ayisithupha. Isikhathi isenzo - cishe ingxenye eyodwa emahoreni amabili.

Izimo imanuwali izidakamizwa "metoclopramide" imfundo uyalandisa stenosis pyloric, ukopha emathunjini ipheshana, hypersensitivity, noma perforation esiswini odongeni emathunjini. Engamiswanga nomuthi e-glaucoma, isithuthwane (ngokuqondene okungenzeka inzuzo imvamisa nobukhali nokuquleka), pheochromocytoma, isifo i-Parkinson nezinye izifo extrapyramidal nemvelo. Akunconyelwe imithi "metoclopramide" ngesikhathi izimila prolaktinozavisimyh, kanye engu-iminyaka emibili.

Umthamo lwemithi

Umuthi 'metoclopramide "okunqunyiwe ngaphakathi kathathu ngosuku 5-10 mg ngaphambi kokudla. Ukuphatha i-intravenous noma esicutshini Kunconywa isamba 10 angu. Isikali iyunithi kumele singeqi angu amabili ngelanga - angu ayisithupha.

Ukuze izingane ezindadlana kuka kweminyaka emibili, umthamo kunqunywa udokotela, ngokobudala.

Ngaphambi kokusebenzisa umkhiqizo "metoclopramide" kufanele kudokotela.