Metoclopramide (Reglan), Domperidone (Motilium) uye Breastfeeding
Ichokwadi kuti hapana mishonga inowanika inonyanya kugadzirwa kuti iwedzere kupiwa kwemukaka wamazamu , asi kune mishonga yemishonga inogadzirirwa kune mamwe mamiriro ayo anoshandiswa nokuda kwechinangwa ichocho.
Maitiro Avanoita
Iyi mishonga inokonzera kuwedzera kwehuwandu hweprolactin , hormone inokonzerwa nekugadzirwa kwemukaka, saka inobatsira pakuita mukaka wemvere.
Pasi pekutarisana zvakananga uye kuongororwa kwachiremba, mishonga iyi yakagadzirirwa kubatsira kusika, kugadzirisa zvakare kana kuwedzera kupiwa kwemukaka wamazamu kune vanamukoti.
Zvikonzero Zvavakanyorerwa
- Unoda kunwisa mwana anogamuchirwa
- Iwe wakurumura mwana wako uye unoda kutanga ukoti zvakare
- Iwe uri kuputira mwana muchipatara uye mukaka wako unopa huri pasi
Kana iwe wakaedza kuwedzera mukaka wako kupa zvakasununguka uye nemishonga yemishonga, asi wakamboita zvishoma kana kuti hauna kubudirira, taura nachiremba wako kuti uone kana mishonga yemishonga yakakosha iwe.
Mishonga Pamwe Mhinduro
Yese mishonga ine madhara uye inogona kuva nengozi, saka usambotanga chero mishonga pasina kutanga uchitaura nezvayo nemushandi wako wehutano, kunyanya kana uri pamuviri kana kunyamwa.
Kana iwe uye chiremba wako uchisarudza kuti iwe unobatsirwa kubva mune chiremba, iva nechokwadi chokuti uchatora sezvakarayirwa, uye uchitevera nachiremba wako nguva dzose.
Zvakakoshawo kunzwisisa kuti mishonga pachayo haikwanise kusimbisa kana kuwedzera mukaka wako. Mukoti anowanzogara uye / kana kupomha kuti akurudzire mazamu uye kubvisa mukaka inokoshawo.
Kazhinji Mishonga Inorondedzerwa
Mishonga miviri yakajairika inoshandiswa segalactagogues ndiyo metoclopramide (Reglan) uye domperidone (Motilium).
Metoclopramide (Reglan)
- Metoclopramide mishonga inoshandiswa kugadzirisa nyaya dzomudumbu dzakadai sokurwisana, kusuruvara uye kurutsa. Iyo ndiyo inonyanya kushandiswa mishonga yeakisi inotengesa uye kuwedzera kuderera kwemukaka wamazamu muUnited States.
- Migumisiro inowanzoonekwa mumazuva mashomanana, uye inowanzopedza chero bedzi mishonga ichienderera mberi. Izvo zvinowanzopera zvakare apo mishonga haisati yatorwa.
- Metoclopramide inoenda kumwana kuburikidza nemukaka wemvere, asi haina kuratidzika kuti inokonzera matambudziko mumwana akayamwisa.
- Izvozvo zvinowanzovhiringidza zve metoclopramide ndezvokurara, kuora musoro, kana kusagadzikana. Zvisingasvikiki, asi zvakanyanya kuoma nemigumisiro zvakare zvakataurwa nechishandiso chemishonga iyi.
- IU.S. Food and Drug Administration (FDA) inonyevera kuti kuora mwoyo uye tardive dyskinesia, mamiriro ezvinhu anokonzera tic, kudengenyeka kana kutadza kusadzora kutarisana kwechiso nemuviri, zvinogona kuguma nokutora metoclopramide mumatunhu akakwirira kwenguva yakareba. Mune zvimwe zviitiko, kushamwaridzana hakuzvigadziri kunyange mushure mokunge mishonga ikamira.
- Metoclopramide haifaniri kutorwa kwenguva refu kupfuura masvondo gumi nemaviri, uye haifaniri kushandiswa nemumwe munhu anotambura nekuora mwoyo, chirwere chekutsvaira, chirwere cheputi kana kuwedzerwa kweropa.
Domperidone (Motilium)
- Domperidone , kufanana nemasoclopramide, inoshandiswawo kubata chirwere chegastur. Hazviwanikwi muUnited States, asi inowanzoshandiswa muKanada nedzimwe nyika kusimbisa kugadzirwa kwemukaka wemvere.
- Kunze kweU.S., domperidone inofungidzirwa kuva yakachengeteka kudarika metoclopramide, ine madhara mashoma kune vanamukoti. Inofungidzirwawo kuti yakachengeteka kutora nguva refu. Zvimwe zvikanganiso zvakadai sepamuviri, mimba dzomumakumbo uye muromo wakaoma zvinogona kuitika, asi zvinowanzova zvisingawanzoitiki.
- MuUnited States, FDA haina kubvumirana domperidone chero mamiriro ezvinhu. Inonyevera nezvekushandiswa kwechirwere ichi kune ani zvake, kunyanya vakadzi vanoyamwisa.
- Mishumo yezvinetso zvakakomba zvemoyo uye kufa kamwe kamwe kwakabatanidzwa nekushandiswa kwemishonga iyi (IV) (IV), saka FDA yakarangarira isina kuchengeteka. Saka, muU.S., hazvisi pamutemo kutengesa, kutengesa kana kubatanidza domperidone kunze kwevamwe varwere vane nhamo dzakaoma dzemudumbu, uye mushure mekunge chiremba achiisa chikumbiro chakanaka kune FDA.
Mimwe Mishonga
Zvigadzirisheni zvakadai se chlorpromazine (Thorazine) uye haloperidol (Haldol), uye ropa remishonga yemishonga methyldopa (Aldomet) ndeimwe yemimwe mitemo inogona kuwedzera huwandu hweprolactin mumuviri uye inogona kuwedzera kupiwa kwemukaka wamazamu.
Zvisinei, migumisiro yemigumisiro yemishonga iyi inogona kunge ine ngozi zvikuru. Njodzi idzi mishonga inosangana navanaamai vanoyamwisa kupfuura zvikwereti, naizvozvo haisi kushandiswa kuwedzera kukwaniswa kwemukaka.
Sources:
American Academy of Pediatrics. Bhuku raMadzimai Idzva Kupa Breastfeeding. Bantam Books. New York. 2011.
Lawrence, Ruth A., MD, Lawrence, Robert M., MD. Kuberekera Mufambiro Kune Chiremba Chiremba Sixth Edition. Mosby. Philadelphia. 2005.
Newman, Jack, MD, Pitman, Theresa. Bhuku Rokupedzisira Rokuzora Bhuku reMhinduro. Three Rivers Press. New York. 2006.
US Food and Drug Administration. Domperidone. Dhipatimendi reUnited Health Health and Human Services. June 19, 2009. Yakasvika musi waJanuary 7, 2013: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm154914.htm
US Food and Drug Administration. FDA Inoda Kushongedzwa Bhokisi uye Nengozi Kuderedza Nzira ye Metoclopramide-ine Zvinodhaka. Dhipatimendi reUnited Health Health and Human Services. February 26, 2009. Yakasvika musi waJanuary 7, 2013: http://www.fda.gov/newsevents/newsroom/pressannouncements/ucm149533.htm
US Food and Drug Administration. FDA Pepa Rokutaura: FDA Inonyevera Vakadzi Vanoshandisa Dhirairi Risingagamuchirwi, Domperidone, Kuwedzera Kubudisa Miri. Dhipatimendi reUnited Health Health and Human Services. Musi waJuly 28, 2009. Yakasvika musi waJanuary 7, 2013: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm173886.htm
US Food and Drug Administration. Nzira Yokuwana Domperidone. Dhipatimendi reUnited Health Health and Human Services. Gumiguru 1, 2008. Yakasvika musi waJanuary 7, 2013: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm073070.htm