Zonke izifo zesistim sokutya zidibene nokudakalisa kwemisebenzi yokusebenza kunye nokukhutshwa kwemathumbu amancinci amakhulu, isisu kunye nesisu. Le ngxaki ibaluleke ngokukhethekileyo kwi-dyspepsia, i-biysary dyskinesia kunye nesifo se-reflux se-gastroesophageal. Kwonyango lweprotinetics ezinjalo zezizukulwana ezisetyenziswayo - amayeza avumela ukubuyisela ukusebenza ngokuqhelekileyo kwindlela yokuxhamla esiswini.
Prokinetics zanamhlanje
Iipropathi zeprokine zineenkompo ezininzi zamakhemikhali, kuquka iiproptide ze-hormonal, i-antibiotic-type macrolide kunye ne-opiate receptor antagonists. Kodwa kufuneka sikhethe izidakamizwa ezenza imisebenzi elandelayo:
- ukwanda kwithoni ye-sphincter esezantsi;
- ukuphuculwa kokucocwa kwamanzi;
- ukwandisa isisu esiswini;
- kuncipha kwinani lokutshatyalaliswa kwamanzi kunye nexesha loqhagamshelwano lwe-mucosa yesisu kunye nokuqukethwe kwesisu;
- ukupheliswa kokukhawuleza ukukhutshwa kokuqukethwe kwesisu.
Namhlanje, iqela leprokine lisetyenziselwa kakhulu, elichaphazela ukusebenza kwiphepha eliphezulu lesisu:
- itopride;
- metoclopramide;
- cisapride;
- domperidone.
Makhe siwaqwalasele ngokubanzi.
Yiyiphi iprokinetics engcono?
Ipripride okanye itopride i-hydrochloride yinto esebenzayo eyenza imiphumo emibili esisodwa:
- ukwanda kokukhutshwa kwamamolekyuli e-acetylcholine;
- ukuvuselelwa kwama-receptor muscarinic.
Iingzuzo ze-tiotropium yiphumo layo elihle kwi-sphincter ye-esophageal, okwandisa ithoni ye-gallbladder kunye nomsebenzi wemoto yeengxube zesisu esincinci nesincinci. Ngaloo ndlela, iziyobisi ezisekelwe kwisicatshulwa esinikeziweyo zingasetyenziselwa kwisifo sengqondo somsindo esiswini kunye nentsebenziswano ye-dyspepsia kunye nokuqhaqha. Ukongezelela, i-compound iphucula kakhulu intsebenzo enkonzweni engxenyeni yesisu, ikhuthaza ukunyamalala kwe-reflux ye-duodenogastric kwaye ivelise i-antiemetic effect.
Iprokinetics yesizukulwana esitsha ngesiseko se-ticopride:
- Ganaton;
- Idibeneyo;
- Primer.
Zifumaneka kwiipilisi kunye nomyinge osebenzayo ofanayo wama-50 mg.
Umgca olandelayo weziyobisi yi-metoclopramide. Leli qela leziyobisi linempumelelo kakhulu ngenxa yeendlela ezininzi ezenziwa ngayo, enye yazo kukunyanzeliswa ngokuthe ngqo kweengcambu ezihamba kakuhle ze-tube digestive.
Kubalulekile ukuba uqaphele ukuba i-metoclopramides imiselwe kuphela kwiimeko apho kufuneka ikhosi emfutshane yonyango kunye nesidingo sokuphumeza iziphumo ngokukhawuleza. Oku kubangelwe kubukho benani elikhulu lemiphumo emibi. Phakathi kwabameli beli qela siyaphawula:
- I-Raglan;
- Cery.
I-Cisapride ithathwa njengenye yemichiza ephumelelayo yoluhlobo oluchazwe. Uphawu lwazo olukhethekileyo kukuba kusebenze uhlobo olutsha lwe-serotonin receptors, ezikhoyo kwiindawo ezixhamlayo zeesondon, isisu kunye nomathumbu. Amayeza ale qela afaka:
- Ulungelelaniso;
- Ukucandwa.
Ngexesha elifanayo, i-cisaprial prokinetics kwiipilisi ikhupha ukuphuhliswa kweemiphumo ezibi kakhulu kwi-cardiovascular
Isidakamizwa esithandwa kakhulu kwaye sithengiweyo seqela elichazwe yi-domperidone (i-Motilium). Impumelelo yayo yokuphulukisa ayinakugqithisa ukusebenza kwe-metoclopramide, kodwa ayibangeli imiphumo emibi. I-drawback kuphela ye-Motilium ibonakaliswe ngeesifundo esikwinkqubo yokufumana ixesha elide ngendlela yokwandisa izinga le-hormone prolactin.
Iprokinetic engcono
Ukuqwalasela zonke iipropati ezichazwe apha ngasentla zamachiza enkqubo yeprokinetic, kungagqitywa ukuba izidakamizwa ezikhethiweyo ziyimali esekelwe kwipopride.