I-Metoclopramide (Reglan), i-Domperidone (i-Motilium) kunye nokuxiliswa
Kukho ngokwenene akukho zonyango ezifumanekayo zenziwe ngokukodwa ukwenzela ukwandisa ukunikezelwa kobisi lwebele , kodwa kukho izidakamizwa zonyango ezenzelwe ezinye iimeko ezisetyenziselwa loo njongo.
Indlela Abasebenza ngayo
Ezi zonyango zenza ukwanda kwinqanaba leprolactin , ihomoni ejongene nokuvelisa ubisi, ngoko ibe nefuthe elibi lokwenza ubisi lwebele.
Ngaphantsi kokulawulwa ngokuthe ngqo kunye nokubeka iliso ngugqirha, la mayeza anqunywe ukuba ancedise ukudala, ukuseka kwakhona okanye ukwandisa ubisi lwebele kubamano abahlengikazi.
Izizathu Zibhalwe
- Ungathanda ukumncelisa umntwana osandulweyo
- Unyulile umntwana wakho kwaye ungathanda ukuqala unesi
- Utshiza umntwana usesibhedlele kwaye ubonelelo lwakho lobisi luphantsi
Ukuba uzame ukwandisa ubisi lwakho ngokusesikweni kunye nangonyango lwamayeza, kodwa ungenayo impumelelo encinci okanye ungayiphumeli, xela ugqirha ukuba ubone ukuba imithi yonyango ifanelekile.
Imiphumo Yecala leMida
Zonke iyeza zineempembelelo kwaye zingaba yingozi, ngoko ungaze uqale nayiphi na imishanguzo ngaphandle kokuqala ukuxoxa ngayo nomboneleli wakho wezempilo, ngakumbi xa ukhulelwe okanye uncelisa.
Ukuba wena kunye nogqirha wakho nigqiba ukuba uya kuzuza kwi-prescription, qiniseka ukuba uyithatha njengento eyalwe, kwaye ulandele ugqirha wakho rhoqo.
Kwakhona kubalulekile ukuqonda ukuba amayeza ngokwabo akwanele ukuseka okanye ukwandisa ubisi bakho. Uongikazi ohlala rhoqo kunye / okanye ukupompa ukuvuselela amabele kunye nokususa ubisi kuyafuneka.
Amachiza aMiselwe ngokuqhelekileyo
Amachiza amabini aqhelekileyo asetyenziswa njenge- galactagogues yi-metoclopramide (Reglan) kunye ne- domperidone (i-Motilium).
I-Metoclopramide (Reglan)
- I-Metoclopramide yipilisi esetyenziselwa ukuphatha iingxaki zesisu ezifana ne-reflux, i-nausea kunye nokuhlanza. Yona nto isetyenziswa kakhulu ngamachiza okuchithwa kwee-lactation nokunyusa ubisi oluncinci lwase-United States.
- Iziphumo zidla ngokubonakala kwiintsuku ezimbalwa, kwaye ziza kuqhubeka ngokude nje kuphela ukuba unyango luqhubeka. Ukubonelela ngokuphindaphindiwe kuphinda kuphinde kwandiswe xa amayeza ayengasetyenziswa.
- I-Metoclopramide iya kwi-baby ngokusebenzisa ubisi lwebele, kodwa ayizange iboniswe ukuba ibangele nayiphi na ingxaki kwiintsana ezincelisayo.
- Iziphumo eziqhelekileyo zomphumo we-metoclopramide zilele, intloko, okanye ukungazinzi. Iziphumo eziqhelekileyo, kodwa iziphumo ezibi kakhulu ziye zabikwa kunye nokusetyenziswa kwale mayeza.
- I-US Food Management and Drug Administration (i-FDA) ilumkisa ukuba ukudandatheka kunye ne-tardive dyskinesia, imeko eyenza i-tics, intshukumo okanye ukunyanzeliswa okungalawulwayo ubuso kunye nomzimba, kunokubangelwa ukuthatha i-metoclopramide kwiqondo eliphezulu kwixesha elide. Kwezinye iimeko, ukunyanzelisa okungazibandakanyeki kungasombululi nangona emva kokuba unyango lugqityiwe.
- I-Metoclopramide ayifanele ithathwe ixesha elingaphezu kwamaviki angama-12, kwaye ayifanele isetyenziswe ngabani na abaneengxaki zokudakumba, ukuxhatshazwa kwegazi, i-asthma okanye uxinzelelo lwegazi.
Domperidone (Motilium)
- I-Domperidone , njenge-metoclopramide, isetyenziselwa ukuphatha iingxaki zesisu. Ayitholakali eUnited States, kodwa isetyenziswa kakhulu eCanada nakwamanye amazwe ukukhuthaza ukuvelisa ubisi lwebele.
- Ngaphandle kwe-US, i-domperidone ikholelwa ukuba ikhuselekile kune-metoclopramide, kunye nemiphumo embalwa yabangama-nursing. Kwakhona kuthathwa njengokhuselekile ukuba kuthathe ixesha elide. Iziphumo ezinjengeentloko, isisu kunye nomlomo owomileyo unokuvela, kodwa udla ukungaqhelekanga.
- E-United States, i-FDA ayizange ivume i-domperidone nayiphi na imeko. Ilu lumkisa malunga nokusetyenziswa kwesi sigulo kumntu nabanikazi, ngokukodwa abafazi abancinci.
- Iingxelo zeengxaki ezinzulu zeentliziyo kunye nokufa ngokukhawuleza ziye zadibaniswa nokusetyenziswa kweliyeza, (intayvenous (IV), ngoko i-FDA ibona ingakhuselekanga. Ngoko-ke, e-US, akukho mthethweni ukungenisa, ukuthengisa okanye ukwakha i-domperidone ngaphandle kwezigulane ezithile ezineengxaki zesisu, kwaye emva kokuba ugqirha ehambisa isicelo esisodwa kwi-FDA.
Amanye amayeza
Iingqungquthela ezifana ne-chlorpromazine (i-Thorazine) kunye ne-haloperidol (i-Haldol), kwaye imishanguzo yegazi ye-methyldopa (Aldomet) yileminye imimiselo enokunyusa izinga leprolactin emzimbeni kwaye inokunyusa ukunikezelwa kobisi lobisi.
Nangona kunjalo, iziphumo ezibi zivela kulezi zonyango zingabungozi kakhulu. Ubungozi bala mayeza anikezela kumama abangabongikazi ngaphezu kweenzuzo, ngoko azange zisetyenziselwe ukuphucula ubisi.
Imithombo:
I-American Academy yePediatrics. Isikhokelo sikaMama esitsha sokusondeza. Amabhuku eBantam. Inew york. 2011.
Lawrence, uRuth A., MD, Lawrence, uRobert M., MD. Ukusondeza Isikhokelo Esijongene NezobuGcisa I-Sixth Edition. Mosby. Philadelphia. 2005.
UNewman, Jack, MD, Pitman, Theresa. Incwadi Yokugqibela Yokusondeza Iimpendulo. Imithamo yeThutho emithathu. Inew york. 2006.
US Food and Drug Administration. Domperidone. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. NgoJuni 19, 2009. Ukufikelela ngoJanuwari 7, 2013: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm154914.htm
US Food and Drug Administration. I-FDA ifuna isilumkiso esinobhozo kunye nesicwangciso sokunciphisa ingozi yeMetoclopramide-enezidakamizwa. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. NgoFebruwari 26, 2009. Ukufikelela ngoJanuwari 7, 2013: http://www.fda.gov/newsevents/newsroom/pressannouncements/ucm149533.htm
US Food and Drug Administration. Iphepha leNtetho ye-FDA: I-FDA ixwayisa abaSetyhini basebenzise iMichiza engavumelekanga, i-Domperidone, Ukwandisa ukuveliswa koMlambo. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. NgoJulayi 28, 2009. Ukufikelela ngoJanuwari 7, 2013: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm173886.htm
US Food and Drug Administration. Indlela yokufumana i-Domperidone. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Oktobha 1, 2008. Ukufikelela ngoJanuwari 7, 2013: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm073070.htm