Matenda onse a dongosolo la m'mimba amagwirizanitsidwa ndi kuwonongeka kwa magalimoto ntchito ndi kusamuka kwa matumbo aang'ono ndi aakulu, m'mimba ndi m'mimba. Vutoli ndilofunika kwambiri pa ntchito ya dyspepsia, biliary dyskinesia ndi matenda a reflux a gastroesophageal. Pochiza matenda oterewa amayamba kugwiritsidwa ntchito - mankhwala omwe amalola kubwezeretsanso ntchito yamatumbo.
Prokinetics zamakono
Zakudya zamakono zili ndi mankhwala ambiri, kuphatikizapo mavitamini a pepad, ma antibayotiki ndi opiate receptor antagonists. Koma tiyenera kusankha mankhwala omwe amagwira ntchito zotsatirazi:
- kuwonjezeka kwa kamvekedwe kakang'ono ka sophageal sphincter;
- Kupititsa patsogolo kuyeretsa kuchepa;
- kuwonjezeka kwa chapamimba motility;
- kuchepa kwa chiwerengero cha kuchepa kwa kuchepa kwa nthawi ndi nthawi ya kukhudzana ndi mucosa wa mimba ndi zomwe zili mmimba;
- kuthetseratu kuthamangitsidwa kuchotsedwa kwa chapamimba.
Masiku ano, gulu la prokinetic limagwiritsidwa ntchito makamaka, likukhudzidwa ndi ntchito ya m'mimba pamatope:
- tchalitchi;
- metoclopramide;
- cisapride;
- domperidone.
Tiyeni tiwaganizire mwatsatanetsatane.
Ndi ma prokinetics ati abwino?
Itopride kapena itopride hydrochloride ndi mankhwala othandiza omwe amapanga zotsatira ziwiri zomwe zimagwirizanitsa panthawi yomweyo:
- kuwonjezeka kwa kutulutsidwa kwa ma molecule a acetylcholine;
- zokopa za rececarorous muscarinic.
Ubwino wa tiotropium ndi zotsatira zake zabwino pamtenda wotchedwa sophgeal sphincter, kuwonjezera liwu la ndulu ndi magalimoto opangira matumbo akuluakulu ndi aang'ono. Choncho mankhwala osokoneza bongo amatha kugwiritsidwa ntchito m'maganizo a kutupa kwa m'mimba kuphatikizapo kugwira ntchito kwa dyspepsia ndi kudzimbidwa. Komanso, makompyutawa amathandiza kwambiri kuti mgwirizano ukhale wabwino kwambiri m'mimba, imathandizira kuti thupi la reflux liwonongeke komanso limapangitsa kuti thupi likhale lopweteka.
Prokinetics wa m'badwo watsopano pa maziko a ticopride:
- Ganaton;
- Kutambasula;
- Choyamba.
Amapezeka m'mapiritsi omwe ali ndi mankhwala ofanana a 50 mg.
Mzere wotsatira wa mankhwala ndi metoclopramide. Gulu la mankhwalawa ali ndi mphamvu kwambiri chifukwa cha njira zingapo zomwe zimagwiritsidwa ntchito, ndipo imodzi mwazimenezi ndizowonjezera mitsempha yosalala ya digestive digestive tube.
Ndikoyenera kudziwa kuti metoclopramides imatchulidwa pokhapokha ngati padzafunika njira yaying'ono yochiritsira ndikufunika kukwaniritsa zotsatira mwamsanga. Izi zimachitika chifukwa cha kuchuluka kwa zotsatira zovuta. Pakati pa oimirira a gulu lino timaona kuti:
- Tsamba;
- Akulira.
Cisapride imatengedwa kuti ndiyo imodzi mwa mankhwala ogwiritsidwa ntchito kwambiri omwe akufotokozedwa. Chida chawo chapadera ndi kuyambitsa mtundu watsopano wa mapepala a serotonin, omwe amapezeka m'madera ozungulira m'mimba, m'mimba ndi m'mimba. Mankhwala a gulu ili ndi awa:
- Kukonzekera;
- Kukonzekera.
Panthaŵi imodzimodziyo, ma prokinetics a cisaprial m'mapiritsi amachititsa kuti pakhale zotsatira zoopsa za mtima
Mankhwala otchuka komanso otsika mtengo a gulu lofotokozedwa ndi domperidone (Motilium). Mphamvu zake zothandizira sizidutsa mphamvu ya metoclopramide, koma sizimayambitsa mavuto. Chokhacho chokha cha Motilium chikuwonetseredwa ndi maphunziro ochulukirapo a phwando monga kuwonjezeka kwa mlingo wa prothectin.
Yabwino prokinetic
Pokumbukira zonse zomwe tatchula pamwambapa za mankhwala amachitidwe apakono, tingathe kuganiza kuti mankhwala abwino kwambiri ndiwo ndalama zochokera ku itopride.