{"id":551,"date":"2019-09-30T10:38:06","date_gmt":"2019-09-30T09:38:06","guid":{"rendered":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/?p=551"},"modified":"2019-09-30T10:38:06","modified_gmt":"2019-09-30T09:38:06","slug":"tractament-de-les-nausees-i-els-vomits-de-ladult-a-latencio-primaria","status":"publish","type":"post","link":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/tractament-de-les-nausees-i-els-vomits-de-ladult-a-latencio-primaria\/","title":{"rendered":"Tractament de les n\u00e0usees i els v\u00f2mits de l&#8217;adult a l&#8217;atenci\u00f3 prim\u00e0ria"},"content":{"rendered":"<p><img loading=\"lazy\" class=\"alignnone  wp-image-552 alignleft\" style=\"font-size: 16px\" src=\"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-content\/uploads\/sites\/5\/2019\/09\/imatge_article_bit-300x91.png\" alt=\"\" width=\"317\" height=\"95\" srcset=\"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-content\/uploads\/sites\/5\/2019\/09\/imatge_article_bit-300x91.png 300w, http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-content\/uploads\/sites\/5\/2019\/09\/imatge_article_bit.png 340w\" sizes=\"(max-width: 317px) 100vw, 317px\" \/><\/p>\n<p>Les n\u00e0usees i els v\u00f2mits s\u00f3n un motiu freq\u00fcent de consulta a l\u2019atenci\u00f3 prim\u00e0ria. Es tracta d\u2019un s\u00edmptoma que es pot\u00a0desencadenar per m\u00faltiples causes.\u00a0 En el darrer n\u00famero del <a href=\"http:\/\/medicaments.gencat.cat\/web\/.content\/minisite\/medicaments\/professionals\/butlletins\/butlleti_informacio_terapeutica\/documents\/arxius\/BIT.-Vol-30-num-4-2019.pdf\">Butllet\u00ed d&#8217;Informaci\u00f3 Terap\u00e8utica<\/a>\u00a0 s&#8217;actualitza la q\u00fcesti\u00f3 i es resumeix de manera clara i pr\u00e0ctica les causes m\u00e9s freq\u00fcents, els principals grups de f\u00e0rmacs que poden ser-ne causa, els tractaments disponibles, i les principals recomanacions en les diferents situacions cl\u00edniques. En destaquem alguns punts clau:<\/p>\n<p>Abans d\u2019iniciar un tractament antiem\u00e8tic espec\u00edfic \u00e9s recomanable recon\u00e8ixer la causa per evitar un retard en el diagn\u00f2stic.<\/p>\n<p>En la majoria de casos les n\u00e0usees i els v\u00f2mits solen millorar i desapar\u00e8ixer en 12-48 hores sense necessitat de tractament i no est\u00e0 clar el benefici d\u2019utilitzar antiem\u00e8tics sempre que es mantingui una bona hidrataci\u00f3.<\/p>\n<p>Els antiem\u00e8tics disponibles al nostre pa\u00eds es poden classificar en antihistam\u00ednics, fenotiazines, ortopramides i\u00a0antiserotonin\u00e8rgics:<\/p>\n<ul>\n<li>Els antihistam\u00ednics s\u00f3n \u00fatils en la cinetosi i altres n\u00e0usees causades per alteracions vestibulars;<\/li>\n<li>les fenotiazines (prometazina) s\u00f3n especialment \u00fatils en la prevenci\u00f3 de les n\u00e0usees i v\u00f2mits relacionats\u00a0amb processos neopl\u00e0stics i en l\u2019emesi per medicaments;<\/li>\n<li>les ortopramides (metoclopramida i domperidona)\u00a0s\u00f3n els antiem\u00e8tics m\u00e9s \u00fatils en les patologies gastrointestinals;<\/li>\n<li>els antiserotonin\u00e8rgics (ondansetr\u00f3 i granisetr\u00f3) estan indicats en la prevenci\u00f3 de les n\u00e0usees i els v\u00f2mits indu\u00efts per quimioter\u00e0pia moderada i altament\u00a0em\u00e8tica.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Les n\u00e0usees i els v\u00f2mits s\u00f3n un motiu freq\u00fcent de consulta a l\u2019atenci\u00f3 prim\u00e0ria. Es tracta d\u2019un s\u00edmptoma que es pot\u00a0desencadenar per m\u00faltiples causes.\u00a0 En el darrer n\u00famero del Butllet\u00ed d&#8217;Informaci\u00f3 Terap\u00e8utica\u00a0 s&#8217;actualitza la q\u00fcesti\u00f3 i es resumeix de manera &hellip; <a href=\"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/tractament-de-les-nausees-i-els-vomits-de-ladult-a-latencio-primaria\/\">Continua llegint <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[19],"tags":[431,437,429,439,242,433,425,435,416,427],"_links":{"self":[{"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/posts\/551"}],"collection":[{"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/comments?post=551"}],"version-history":[{"count":1,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/posts\/551\/revisions"}],"predecessor-version":[{"id":553,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/posts\/551\/revisions\/553"}],"wp:attachment":[{"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/media?parent=551"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/categories?post=551"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/tags?post=551"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}