Metoclopramide (Reglan), Domperidone (Motilium) le ho Apesa
Ha ho na meriana e fumanehang ka ho khetheha ho eketsa phepelo ea lebese la matsoele , empa ho na le lithethefatsi tsa ngaka tse etselitsoeng maemo a mang a sebelisetsoang morero oo.
Kamoo ba Sebetsang Kateng
Meriana ena e baka keketseho ea prolactin , hormone e ikarabellang bakeng sa tlhahiso ea lebese, kahoo e na le phello e lekaneng ea ho etsa lebese la matsoele.
Tlas'a tlhokomelo e tobileng le tlhokomelo ea ngaka, meriana ena e laetsoe ho thusa ho theha, ho tsosolosa kapa ho eketsa phepelo ea lebese la matsoele bakeng sa bo-'mè ba tlhokomelo.
Mabaka a Ngotsoe
- U ka rata ho anyesa ngoana ea amohelitsoeng
- U hlokometse ngoana oa hau 'me u ka rata ho qala ho hloela hape
- U ntse u phunya ngoana sepetlele 'me phepelo ea lebese ea hau e tlaase
Haeba u lekile ho eketsa tlhahiso ea lebese ka tlhaho le ka phekolo ea meriana, empa u se u e-na le katleho e fokolang kapa e se nang letho, buisana le ngaka ea hau ho bona hore na meriana ea ngaka e nepahetse ho uena.
Litla-morao tsa Meriana
Meriana eohle e na le litla-morao 'me e ka ba kotsi, kahoo u se ke ua qala meriana leha e le efe pele u bua ka eona le mofani oa hao oa tlhokomelo ea bophelo, haholo haeba u imme kapa u anyesa.
Haeba uena le ngaka ea hau le etsa qeto ea hore le tla rua molemo ka lengolo la ngaka, e-ba le bonnete ba hore le tla e nka feela joalokaha le laetsoe, 'me le latele ngaka ea hau kamehla.
Hape ke habohlokoa ho utloisisa hore meriana ka bobona ha ea lekana ho theha kapa ho eketsa tlhahiso ea lebese. Booki ba atisang ho ba teng hangata le / kapa ho phunyeletsa ho hlasimolla matsoele le ho tlosa lebese ho boetse ho hlokahala.
Meriana e tloaelehileng e ngotsoeng
Meriana e 'meli e tloaelehileng ka ho fetisisa e sebelisoang e le galactagogues ke metoclopramide (Reglan) le domperidone (Motilium).
Metoclopramide (Reglan)
- Metoclopramide ke meriana e sebelisoang ho phekola mathata a mala a kang reflux, nausea le ho hlatsa. Ke eona meriana e sebelisoang ka ho fetisisa bakeng sa ho kenya li-lactation le ho eketsa ho fokotsa lebese la matsoele United States.
- Liphello li ka bonoa matsatsing a 'maloa,' me hangata li tla qeta hafeela meriana e ntse e tsoela pele. Hangata thepa e theoha hang ha meriana e se e sa nkoa.
- Metoclopramide e ea ho lesea ka lebese la matsoele, empa ha e e-s'o bontšoe hore e baka mathata leha e le afe ho masea a anyesang.
- Litla-morao tse tloaelehileng tsa metoclopramide ke ho robala, ho otloa ke hlooho, kapa ho hloka botsitso. Tse ling tse sa tloaelehang, empa litla-morao tse matla li boetse li tlalehile ka tšebeliso ea meriana ena.
- Tsamaiso ea US Food and Drug Administration (FDA) e lemosa hore ho tepella maikutlo le dyskinesia ea nakoana, boemo bo bakang tic, ho thothomela kapa mekhoa e sa laoleheng ea sefahleho le 'mele, e ka bakoa ke ho nka metoclopramide ka tekanyo e phahameng ka nako e telele. Maemong a mang, mekhatlo e ikemetseng ha e rarolle esita le ka mor'a hore meriana e emisoe.
- Metoclopramide ha ea lokela ho nkoa ka nako e telele ho feta libeke tse 12, 'me ha hoa lokela ho sebelisoa ke mang kapa mang ea nang le bothata ba ho tetebela maikutlo, lefu la ho tšoaroa ke lefu la tšoaetso, lefu la asthma kapa khatello e phahameng ea mali.
Domperidone (Motilium)
- Domperidone , joaloka metoclopramide, e boetse e sebelisetsoa ho phekola mathata a gastric. Ha e fumanehe United States, empa e atisa ho sebelisoa Canada le linaheng tse ling ho etsa hore ho hlahisoe lebese la matsoele.
- Ka ntle ho US, domperidone ho lumeloa hore e sireletsehile ho feta metoclopramide, e nang le litla-morao tse fokolang bakeng sa bo-'mè ba tlhokomelo. E boetse e nkoa e sireletsehile ho nka nako e telele. Litla-morao tse kang hlooho, mesifa le molomo o omileng li ka etsahala, empa hangata ha li tloaelehe.
- United States, FDA ha e amohele domperidone bakeng sa boemo leha e le bofe. E fana ka temoso khahlanong le tšebeliso ea lithethefatsi tsena ho mang kapa mang, haholo-holo basali ba anyesang.
- Litlaleho tsa mathata a tebileng a pelo le lefu la tšohanyetso li 'nile tsa amahanngoa le tšebeliso ea meriana ena ea intravenous (IV), kahoo FDA e bone e sa sireletseha. Ka lebaka leo, ho US, ho sa lumelloe ke molao ho kenya, ho rekisa kapa ho kopanya domperidone ntle le bakeng sa bakuli ba khethehileng ba nang le mathata a matla a mpa, 'me feela ka mor'a hore ngaka e ise kōpo e khethehileng ho FDA.
Meriana e meng
Litebelisi tse kang chlorpromazine (Thorazine) le haloperidol (Haldol), le meriana ea khatello ea mali methyldopa (Aldomet) ke e meng ea litaelo tse ka eketsang boemo ba prolactin 'meleng' me li ka eketsa phepelo ea lebese la matsoele.
Leha ho le joalo, litla-morao tsa lithethefatsi tsena li ka ba kotsi haholo. Likotsi tsa meriana ena ho bo-'mè ba anyesang ho feta melemo, kahoo ha li sebelisoe ho ntlafatsa phepelo ea lebese.
Lisebelisoa:
Sekolo sa Amerika sa Pediatrics. Tataiso ea 'Mè e Mocha oa ho Breastfeeding. Bantam Books. New york. 2011.
Lawrence, Ruth A., MD, Lawrence, Robert M., MD. Ho Koetlisa Batsoali Tataiso ea Mosebetsi oa Bongaka Khatiso ea Botšelela. Mosby. Philadelphia. 2005.
Newman, Jack, MD, Pitman, Theresa. Buka ea ho qetela ea ho hlapala ea Likarabo. Tlhōlisano ea linōka tse tharo New york. 2006.
US Administration of Drug and Drug Administration. Domperidone. Lefapha la Bophelo le Lits'ebeletso tsa Botho tsa United States. Ka la 19 June, 2009. Ho fumanoe ka la 7 January, 2013: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm154914.htm
US Administration of Drug and Drug Administration. FDA e hloka tlhokomeliso ea likoti le thibelo ea kotsi kotsing ea Metoclopramide e nang le lithethefatsi. Lefapha la Bophelo le Lits'ebeletso tsa Botho tsa United States. La 26 February, 2009. Le fumaneha ka la 7 January, 2013: http://www.fda.gov/newsevents/newsroom/pressannouncements/ucm149533.htm
US Administration of Drug and Drug Administration. Leqephe la FDA la Puo: FDA e lemosa khahlanong le Basali ba sebelisa lithethefatsi tse sa amoheleheng, Domperidone, ho eketsa tlhahiso ea lebese. Lefapha la Bophelo le Lits'ebeletso tsa Botho tsa United States. La 28 July, 2009. Le fihlile ka la 7 January, 2013: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm173886.htm
US Administration of Drug and Drug Administration. Kamoo U ka Fumanang Domperidone. Lefapha la Bophelo le Lits'ebeletso tsa Botho tsa United States. La 1 October, 2008. Le fumaneha ka la 7 January, 2013: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm073070.htm