Medicine 'metoclopramide'. Mirayiridzo yokushandisa

Medicine "metoclopramide" (Mahwendefa) anonzi kuti kunobatsira chaizvo (maererano wongororo) vabatsirwe nokuda mukuderedza retching pamusoro pakanyorwa intestinal zvirwere. Mishonga waizoitirwa vakuru nevana. Kazhinji, mushonga wacho akashivirira kwazvo.

Rinoreva "metoclopramide" Kuraira pamusoro chikumbiro chokuita antiemetic, prokinetic, protivoikotnym zvinodhaka.

The mushonga unobatsira kukurudzira locomotor basa uye normalization kuti gwenya basa iri repamusoro Chikamu zvomudumbu ezvinhu, mutemo mataurire rezasi esophageal contactor (sphincter) oga. Mishonga kunowedzera amplitude uye matauriro mudumbu sunga (kunyanya antral) kuburikidza vakazorora ari sphincter, duodenal girobhu racho uye pyloric, anowedzera peristalsis uye Inowedzera gastric Kuburitswa mu. Kana kugamuchira mushonga "metoclopramide" Zvinoitika bile (nokuwedzera kumanikidzwa vari dundira uye bile mutsinga dzinofamba nemukaka), nduru dundira yabviswa dyskinesia, uyewo kwakaderedza spasm pamusoro sphincter pakati oddi.

Sezvo ane antiemetic zvinodhaka unoshanda kuti kurutsa uye svoto zvakasiyana hunhu kuitika. inoti kwakadaro kunogona chokuita kudzivirira kenza mishonga, nyonganyonga (kukanganisa) zvokudya, pamuviri ( "kurutsa pamuviri"), craniocerebral kunotevera, renal uye hepatic pathologies, divi zvinokonzerwa mishonga, yokutindivadza.

Shandisa mishonga kana hiccups siyana zvakaita mavambo, chadzo zvirwere zviri kugaya, gastro-oesophageal reflux chirwere, exacerbation pamusoro peptic urikanwi chirwere.

Rinoreva "metoclopramide" mirayiridzo Chinyorwa rinorondedzerawo sechinhu medicament kubudirira migraine (kudzivirira kuda kurutsa, kurudziro kubvisa antimigraine kugadzirira nemumuromo kushandiswa).

Kushandiswa kwezvinodhaka uye kugadzirira chirwere matanho pamusoro nemudumbu.

Zvinofanira kucherechedzwa kuti mushonga uri basa iri kurutsa vestibular hunhu.

Zvinoratidza gadziriro "metoclopramide", mirayiridzo kushandiswa zvichiratidza ehupfumi ake kudzvanyirira peripheral uye nechepakati kuitwa apomorphine, kuatsanangura prolactin, kutsamwisa mumwe zvinopfuura kuwedzera kwevari aldosterone (fungidzira pfupi nguva Urume chengetedzo). Kana muchigamuchira mushonga anotiwo nokuwedzera aikanganiswa acetylcholine.

Kugadzirisa gadziriro "metoclopramide" (ampoules) pamwe intravenous jekiseni rinotanga kushanda pashure mumwe kana zvitatu maminitsi pashure intramuscular jekiseni - gumi kusvika gumi maminitsi. Kana achiita nomuromo (dzinogamuchidzanwa) Chaizvoizvo kwakacherechedzwa pashure matatu kusvika makumi matanhatu maminitsi. Duration chiito - vanenge munhu maawa maviri.

Contraindications kuti mushonga "metoclopramide" mirayiridzo Chinyorwa anorondedzera pyloric stenosis, ropa ari nemudumbu, hypersensitivity, kana gastric perforation intestinal rusvingo. Haungopiwi medicament mu yemaziso, pfari (maererano mukana pfuma maitikiro nekuomarara pfari), pheochromocytoma, Parkinson nehosha uye zvimwe zvirwere zviri extrapyramidal hunhu. Not akakurudzira mushonga "metoclopramide" panguva prolaktinozavisimyh namamota, uyewo makore maviri.

dosing zvaiitwa

The mushonga "metoclopramide" ushandiswe mukati katatu pazuva 5-10 MG pamberi kudya. Intravenous kana intramuscular Kutarisirwa inokurudzirwa mune imwe mari 10 milligrams. Chipimo chemushonga chikwata haafaniri kupfuudza milligrams makumi maviri pazuva - matanhatu milligrams.

Nokuti vana vakuru nemakore maviri, ari dose vakatsunga nachiremba, maererano zera.

Asati kushandisa chigadzirwa "metoclopramide" vanofanira kubvunza chiremba.