Metoclopramide (Reglan), Domperidone (Motallaum) da kuma nono
Babu ainihin magunguna waɗanda aka kera musamman domin haɓaka nono madara , amma akwai kwayoyi kwayoyi waɗanda aka tsara don sauran yanayin da ake amfani dasu don wannan dalili.
Yadda suke aiki
Wadannan magunguna suna haifar da karuwa a matakin prolactin , hormone da ke da alhakin samar da madara, don haka suna da sakamako na yin nono madara.
A karkashin kulawa da kulawa na likita, an tsara waɗannan magungunan don taimakawa wajen ƙirƙirar, sake kafa ko ƙara yawan wadatar da nono ga nono.
Dalilai An Yi Magana
- Kuna son nono jaririn jariri
- Kun yaye yaronku kuma kuna so ku fara sakewa
- Kuna yin famfo don jariri a asibiti kuma yawancin abincinku na kasa
Idan ka yi ƙoƙarin ƙara yawan samar da madararka ta jiki da magunguna, amma ka yi kadan ko babu nasara, ka yi magana da likitanka don ganin idan likitan magani ya dace maka.
Hanyoyin Wuta na Gida
Duk magunguna suna da lalacewar lalacewa kuma suna iya zama haɗari, don haka kada ka fara yin magani ba tare da fara tattauna shi ba tare da mai bada lafiyarka, musamman idan kana da ciki ko nono.
Idan kai da likitan ka yanke shawara cewa za ka amfana daga takardar sayan magani, ka tabbata ka ɗauka kamar yadda aka umurce ka, kuma ka biyo da likita a kai a kai.
Yana da mahimmancin fahimtar cewa magani a kan kansa bai isa ba don kafa ko ƙara yawan samar da madara naka. Kulawa da yawa da / ko yin famfo don motsa ƙirjin da kuma cire madara ya zama dole.
Magunguna marasa amfani
Magunguna biyu mafi mahimmanci da aka yi amfani da shi azaman galactagogues sune metoclopramide (Reglan) da domperidone (Motilum).
Metoclopramide (Reglan)
- Metoclopramide magani ne da ake amfani dasu don magance matsalolin ciki kamar reflux, tashin zuciya da zubar da ciki. Wannan shi ne mafi yawan maganin da ake amfani dashi don ƙaddamar da lactation da kuma kara ƙananan nono na madara nono a Amurka.
- Sakamakon yawancin ana iya gani a cikin 'yan kwanaki, kuma yawanci zai kasance idan dai ana ci gaba da magani. Rashin wadata yana ragewa sau ɗaya bayan da ba a karɓar magani ba.
- Metoclopramide yayi tafiya zuwa jaririn ta hanyar nono nono, amma ba a nuna shi ya haifar da wata matsala ba a cikin jarirai nono.
- Hanyoyin da ke tattare da ƙwayar ƙwayar ƙwayar cuta shine barcin zuciya, ciwon kai, ko rashin haushi. Kadan na kowa, amma mafi yawan cututtuka masu illa sune aka ruwaito tare da amfani da wannan magani.
- Cibiyar Abinci da Drugura ta Amurka (FDA) ta yi gargadin cewa damuwa da dyskinesia mai dadi, yanayin da ke haifar da tics, da raɗaɗi ko ƙungiyoyi marasa fuska na fuska da jiki, na iya haifar da karuwa a cikin ƙananan ƙwayoyi na tsawon lokaci. A wasu lokuta, ƙungiyoyi masu haɗaka ba su warware ko da bayan an dakatar da magani.
- Kada a dauki metoclopramide fiye da makonni 12, kuma wanda bala'i ya kamata ya yi amfani da shi daga ciwo, damuwa, fuka ko hawan jini.
Domperidone (Motalla)
- Domperidone , kamar metoclopramide, ana amfani dashi don magance matsalolin haɗari. Ba a samuwa a Amurka, amma ana amfani dashi a Kanada da sauran ƙasashe don tada aikin samar da madara nono.
- A waje da Amurka, ana ganin cewa domperidone ya fi aminci fiye da metoclopramide, tare da raƙuman sakamako ga mahaifiyarta. Har ila yau, an yi la'akari da cewa yana da aminci don ɗaukar lokaci mai tsawo. Sakamakon lalacewa irin su ciwon kai, ƙwaƙwalwar ciki da kuma bushe bakin iya faruwa, amma ayan kasancewa wanda ba a sani ba.
- A Amurka, FDA ba ta amince da domperidone ba saboda kowane yanayin. Ya gargadi kan amfani da wannan miyagun ƙwayoyi ga kowa, musamman mata masu shayarwa.
- Rahotan matsalolin zuciya mai tsanani da kuma mutuwa ta kwatsam an haɗa su tare da amfani da wannan maganin (IV), don haka FDA ta ɗauka rashin lafiya. Saboda haka, a Amurka, ba bisa doka ba ne don sayo, sayar ko fili domperidone sai dai ga marasa lafiya marasa lafiya tare da matsalolin ciki mai tsanani, kuma bayan likita ya mika takardar shaidar musamman ga FDA.
Wasu Magunguna
Tranquilizers irin su chlorpromazine (Thorazine) da haloperidol (Haldol), da kuma methyldopa magani na jini (Aldomet) wasu daga cikin wasu ka'idojin da zasu iya ƙara matakin prolactin cikin jiki kuma yana iya ƙara yawan samar da nono madara.
Duk da haka, sakamakon lalacewa daga waɗannan kwayoyi zai iya zama haɗari sosai. Rashin haɗarin waɗannan magungunan da ake yi wa iyaye masu tayar da hankali sun fi amfanin, don haka ba a amfani da su don inganta samar da madara ba.
Sources:
Cibiyar Harkokin Ilimin Harkokin Ilmin {asar Amirka. Sabon Gidan Jagora Ta Hanyar Yara. Bantam Books. New York. 2011.
Lawrence, Ruth A., MD, Lawrence, Robert M., MD. Yarayar Yarinyar Jagora Ga Harkokin Kiwon Lafiyar Harkokin Kiwon Lafiya. Mosby. Philadelphia. 2005.
Newman, Jack, MD, Pitman, Theresa. Littafin Ayyuka Mafi Girma na Answers. Rijiyoyin Rivers uku. New York. 2006.
Cibiyar Abinci da Drug. Domperidone. Ma'aikatar Lafiya ta Amurka da kuma Ayyukan Dan Adam. 19 ga Yuni, 2009. Samun dama ga Janairu 7, 2013: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm154914.htm
Cibiyar Abinci da Drug. FDA na buƙatar Jagoran Kayan Akwati da Tsarin Gwagwarmayar Risk don Metoclopramide-Dubuce-ƙari. Ma'aikatar Lafiya ta Amurka da kuma Ayyukan Dan Adam. 26 ga Fabrairu, 2009. An shiga cikin Janairu 7, 2013: http://www.fda.gov/newsevents/newsroom/pressannouncements/ucm149533.htm
Cibiyar Abinci da Drug. FDA Taron Fita: FDA ta yi gargadin magance mata ta hanyar amfani da kwayar cutar ta jiki, Domperidone, don ƙara yawan kayan aikin Milk. Ma'aikatar Lafiya ta Amurka da kuma Ayyukan Dan Adam. 28 ga Yuli, 2009. An shiga cikin Janairu 7, 2013: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm173886.htm
Cibiyar Abinci da Drug. Yadda Za a Sami Domperidone. Ma'aikatar Lafiya ta Amurka da kuma Ayyukan Dan Adam. Oktoba 1, 2008. Samun shiga Janairu 7, 2013: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm073070.htm