Prokinetics: Nyora chizvarwa chitsva zvinodhaka

Pari, mhaka zvinowanzovapo kushanyira vanachiremba - Ndiwo matambudziko ari nemudumbu. Zvinenge nomumwe wavo dzinoratidzwa kutyorwa injini ishande. Zvisinei, vanogona kuratidza sezvo zviratidzo chirwere asina chokuita zvomudumbu maitiro. Chero zvazvingava, haagoni kuita pasina zvinodhaka boka prokinetics. List zvinodhaka muboka iri hakusi kudzvinyirira framework. Naizvozvo, chiremba ose anosarudza kugadzirira kwavo, zvichienderana chirwere. Next, kunyatsotarisisa, chii prokinetics, ndandanda itsva-chizvarwa zvigadzirwa, zvinowanzoshandiswa kuti anorapwa.

Prokinetics: mukuru unhu

Zvinodhaka kuti kuchinja injini basa intestinal turakiti uye mhanyisa chikafu dzaifanoiswa uye nokuisa chichiitwa, chete ndezvaJehovha boka iri.

Sezvataurwa pamusoro apa, munhu chete mazita mishonga izvi gastroenterology mabhuku haako. chiremba ose pano zvinosanganisira mazita zvinodhaka. Izvi zvinosanganisira zvinodhaka, uye mamwe mapoka, dzakadai antiemetics, antidiarrheals, uye vamwe macrolide nemishonga, hormone peptides. Kutanga uzive chii pharmacological zviito boka iri zvinodhaka.

chiito prokinetic

Kutanga vachagara chiwedzere motility ari zvomudumbu turakiti, uyewo nhaka antiemetic kushanda. gadziriro yakadaro kuwedzera Kuburitswa mu mudumbu uye ura, kuvandudza tsandanyama inzwi racho zvomudumbu turakiti, tunodzivisa pyloric uye oesophageal reflux. Prokinetics raitongwa sezvo monotherapy kana akabatana nevamwe zvinodhaka. Vanogona kukamurwa kuva marudzi akawanda maererano nheyo chiito.

mhando prokinetic

Nheyo kushanda kuti zvikamu zvakasiyana-siyana nemudumbu rakasiyana zvinodhaka zvakadai prokinetics. List zvinodhaka anofanira kukamurwa marudzi anotevera:

1. blockers pamusoro dopamine receptors:

• Vanosarudza 1st uye 2nd chizvarwa.
• Nonselective.

2. mhandu 5-HT3 receptors.

3. agonists 5-HT3 receptors.

Zvino zvose zvakawanda pamusoro mapoka aya.

Dopamine Kanotokonya blockers

Zvinodhaka muboka iri vari rakakamurwa vanosarudza uye non-haangotongi. Zvazvinoita ndechokuti inotokonya injini kushanda mudumbu uye nhaka antiemetic zvivako. Chii prokinetic? pamazita zvinodhaka sezvinotevera:

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

Huru achishingaira chirungiso - metoclopramide, akarishandisa kwenguva refu. The vaite sezvinotevera:

• Vakawedzera basa repasi esophageal sphincter.
• Kumhanyisa pamusoro gastric Kuburitswa mu.
• Kuwedzera mwero kufamba zvokudya achishandisa ura diki uye muura.

Zvisinei, mishonga asiri zvokusarudza kungamutsawo zvakakomba nemishonga.

Pane rinozivikanwa chizvarwa rokutanga prokinetics. List zvinodhaka:

• "Reglan".

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

Mumwe zvainovhiringidzawo ndiyo kukwanisa kukonzera zviratidzo uye zviratidzo Parkinson nehosha mune vakuru uye kuvana dyskinetic chirwere, kumwedzi zvirwere vakadzi.

By vanosarudza wechipiri-chizvarwa mishonga ndivo zvinodhaka yezviri fuma domperidone. zvinodhaka izvi regai kukonzera zvakakomba nenjodzi, asi kunogona kuitika:

• Hope.
• Kuneta.
• Kuzvidya Mwoyo.
• Headache.

Chikonzero ichi kuti zvinodhaka yezviri fuma domperidone - yakanakisisa prokinetics. List zvinodhaka:

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

Chizvarwa chitsva prokinetics

By kusarudza chizvarwa yechipiri prokinetic yomuchipatara zvinosanganisira basa fuma itopride hydrochloride. Mari yakadaro akawana kuzivikanwa kunokwana vakaisvonaka kuchirapa kushanda uye pasina nemishonga, kunyange kushandiswa kwenguva refu. Kakawanda, vanachiremba akarayira:

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

Izvi zvinogona kutsanangurwa zvakanaka ehupfumi itopride hydrochloride:

1. Improvement kuti injini uye kubvisa kushanda mudumbu.
2. basa yakawedzera kubva nduru dundira.
3. Kuwedzera agility uye mataurire zviduku ura tsandanyama.
4. Kurudzirai kubviswa pakati duodenal reflux.

gastrointestinal prokinetics

Izvi zvinosanganisira prokinetics - agonists 5-HT3 receptors. The rinoita fuma - tegaserod. It kunobatsirawo pamusoro injini uye kubvisa kushanda muura uye ura diki. Zvinoita kuti normalization rwecheya, zvinoderedza zviratidzo tsamwa bowel.

It haakonzeri kuwedzera kuitiswa asina maturo kumwoyo. Zvisinei, pane vakawanda nemishonga zvakakwana. Pane kanoverengeka kunowedzera ngozi sitiroko, angina pectoris, pamusoro anginal kurwisa. Parizvino, zvinodhaka yezviri fuma kubviswa kurimwa munyika yedu uye mune dzimwe nyika mamwe zvidzidzo. Izvi zvinosanganisira zvinotevera prokinetics (zvinodhaka mazita):

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

Mhandu 5-NTZ receptors

Prokinetics boka iri akakodzera mishonga uye kudzivirira svoto uye kurutsa. At kugamuchirwa kwavo zvinoderedza yakagara nguva zvokudya mudumbu, ikawanda zvokudya dzaifanoiswa nokukurumidza kuburikidza ura, normalizes mataurire muura.

Pane acetylcholine kusunungurwa, uye nani gwenya kushanda nemudumbu. Parizvino pane kudiwa kukuru pavarwere uye n'anga nhasi prokinetics. List itsva chizvarwa zvinodhaka:

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

Zvinofanira kucherechedzwa kuti mhandu 5-NTZ receptors havana muviri chaizvoizvo, kana kurutsa kunokonzerwa apomorphine.

zvinodhaka izvi zvakanaka akashivirira, kunyange vane nemishonga:

• Headache.
• Kupatira.
• Flushing.
• Hot kupenya.

Chimwe ndinoiitawo zvinodhaka izvi - havasi vane kunyaradza chaizvoizvo, regai kushamwaridzana nevamwe mishonga regai kukonzera kwemakemikari anobudiswa kuchinja kuti murege kutyora injini basa.

Ndezvipi zvirwere kugadza

Sezvinotsanangurwa apa, prokinetics zvaishandiswa monotherapy kana pachiimbwa nemishonga. Vanachiremba vanoziva kuti pane zvirwere umo kugadzwa prokinetic kanoverengeka anowedzera kubudirira kurapwa. In boka iri:

1. Zvirwere zvomudumbu maitiro pamwe havachanyatsogoni motokari basa.
2. Gastroezofagelnuyu reflux chirwere.
3. Dumbu urikanwi (duodenal urikanwi).
4. Idiopathic gastroparesis.
5. Kurutsa.
6. Kupatira.
7. Kusagadzikana Bowel Syndrome.
8. Shuga gastroparesis.
9. Flatulence.
10. Svoto kunokonzerwa zvinodhaka uye nemwaranzi kurapa, utachiona, chadzo zvirwere, kushaya zvokudya zvinovaka muviri.
11. Dyspepsia.
12. Biliary dyskinesia.

Ndiani anofanira kutora

For kugadzirirwa prokinetics pane contra-zviratidzo:

• Hypersensitivity kuti zvinoshingaira fuma.
• Dumbu kana intestinal kubuda ropa.
• Perforation mudumbu kana muura.
• Ileus.
• Chenjera chiropa kukundikana, itsvo zvirwere.

Not varumbidzwa kugamuchirwa, kana basa zvinoda zvikuru chinangwa uye mumisasa, uyewo vaya anodzinga motokari. With kutarisira varwere prokinetics vakwegura.

Ane mimba navanoyamwisa

A mashoko mashoma Ndinoda kutaura pamusoro kushandisa zvinodhaka panguva yepamuviri. Ongororo dzakaratidza kuti prokinetics vane tsika kupinda mu mukaka, saka nguva kurapwa pamwe mishonga izvi hazvifaniri kuramba achiyamwa.

Mune trimester pamuviri vakadzi rinowanzoshandiswa kurutsa uye svoto wokutanga. Muchiitiko chino, unogona kuvapa mishonga iyi sezvo prokinetics. List mishonga kuvakadzi vane mimba It kuchasanganisira chete avo kuti urege vangangokukuvadza upenyu mukadzi pamuviri uye azvarwa.

Kubatsira zviri kusapfuudza zvose zvinobvira njodzi. Prokinetics metoklopromid pamwe yezviri mumiririri kungashandiswa kubva boka iri chete mushonga. In akazotevera trimesters pamuviri prokinetiki harigadzwi.

Pari, boka iri zvinodhaka panguva pamuviri hakuratidzwi nokuda vazhinji nemishonga.

Prokinetics vana

Prokinetics anoshanda kune basa chinoita metoclopramide Vana vanofanira sobenno ngwarira, sezvo paine njodzi panowanikwa dyskinetic syndrome. Zvinonzi ushandiswe zvichienderana uremu wemwana.

Kana chiremba kugadza prokinetics, "Motilium" rinowanzoshandiswa kuiswawo pakati pemazita. Ari zvakanaka akashivirira uye ane zvizhinji nyaya dzinovaka. Asi unogona kupiwa dzimwe prokinetics. List zvinodhaka vana vanogona ane inotevera zita asi:

• "Domperidone".
• "Metoklopromid".

Zvinokosha kucherechedza kuti vana pasi 5 makore kugadzirira "Motilium" varumbidzwa kushandiswa ari muchimiro kuturika. The mushonga ari ushandiswe zvichienderana uremu mwana, mwero 2,5 Rine mamiririta por 10 makirogiramu bodyweight. Kana zvakakodzera, kuti dose inogona zvawanda asi chete vana vakura pane gore rimwe. Uyewo, kuti mushonga ukasunungurwa muchimiro lozenges.

Prokinetics vana ushandiswe kana mwana wenyu ane:

• Kurutsa.
• Svoto.
• Esophagitis.
• Slow kugaya.
• Dyspeptic zviratidzo.
• Kakawanda regurgitation.
• Gastro-esophageal reflux.
• Dysmotility of nemudumbu.

Zvinofanira kucherechedzwa kuti mumwedzi zvoupenyu rokutanga muviri wemwana uye zvose zvayo mabasa asina yakatanga chaizvo, saka kuti mishonga zvose zvinofanira kutorwa pasi zvachose pokudzora uye kudzora chiremba. Kana ovhadhozi prokinetics kungaita chetsinga divi migumisiro vari vacheche nevana vaduku.

Very akakurumbira pakati vabereki kwevacheche anoshandisa mishonga gadziriro, izvo kunonatsiridza kugaya uye anoderedza flatulence. It inonyanya pachishandiswa zvibereko fennel "Plantex".

Kuchitaura mashoko mashomanana pamusoro chirimwa prokinetic.

dzinongoitika vabatsiri

Saka nyika kuti mushonga upi chirwere chinogona kuwanikwa zvimwe zvirimwa, chete kuziva - mune chii. Nokudaro, anozivikanwa chirimwa prokinetics, izvo inotokonya nemudumbu injini chaitika. Heano mamwe acho:

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

List zvinomera kubatsira kuvandudza motility ari nemudumbu, rinosanganisira vazhinji dzimwe mhando kasvisto. Zvinofanira kurangarirwa kuti dzimwe michero nemiriwo vane zvimwechetezvo:

• Rutabaga.
• Nwiwa.
• Cabbage.
• Makarotsi.
• Beets.
• Nhanga.
• Cranberries.
• Grapes.

prokinetic ehupfumi anozviratidza zvakanaka mune muriwo izvi, kana kuti kuvatora takagadzirira itsva facial.

Zvinokosha kucherechedza kuti arege kutsiva zvinodhaka chirimwa zvirwere panguva yatinenge exacerbation uye pasina kubvunza chiremba.

nemishonga

Zvakakosha chaizvo kuti chizvarwa chitsva prokinetics vane kure vashoma nemishonga pane vomuzana chizvarwa zvinodhaka yezviri chirungiso metoclopramide. Zvisinei, uye mishonga mitsva zvikuru pane marwadzo:

• Headache.
• Kugumbuka.
• Dry muromo, nyota.
• Spasm pakati anotsvedzerera tsandanyama ari nemudumbu.
• Mikoko, mapundu, kuvaviwa.
• Hyperprolactinemia.
• Nendumure anogona kuratidza extrapyramidal zviratidzo.

Pashure discontinuation rutivi zvinodhaka Marwadzo zvachose.

Kana chiremba prescribes munhu prokinetic, zvinodhaka nyora ingasanganisira zvinodhaka akawanda nemazita akasiyana asi pamwe chete vachishingaira fuma. Panyaya iyi nemishonga zvichava zvakafanana.

Zvinoumba kushandiswa prokinetic

Very kunyatsoongorora zvinofanira kupiwa prokinetic vanhu vane chiropa nokukundikana uye murombo itsvo chaitika. Vanaamai vakadaro vanofanira kuva pasi kuzviomesera zvokurapa achitarisirwa.

With Kushandisa varwere prokinetic kwenguva refu kunofanira kushanyira chiremba wako kakawanda. With kungwarira kushandiswa prokinetics kuvana vaduku, kunyanya kusvika gore rimwe.

Kungwarira kunodiwa kuti taurira zvinodhaka mune boka iri varwere vakwegura.

Pakurapa prokinetic havafaniri kuita basa rinoda kugadziriswa uye kukurumidza kuita.

Asati kupinza vanofanira nguva dzose bvunza chiremba. Kubva izvi kunoenderana utano hwako. Harisi mishonga zvakakodzera kuti kutsiva ayo analogue chirimwa pasina kutanga kubvunza chiremba wako.