Antacids ndi Proton Pump Zizindikiro Zopweteka
Kuthetsa kupweteka kwa mtima sikuli yeniyeni yeniyeni; nthawi zina muyenera kuyesa njira zosiyanasiyana-ena mwa mankhwala ndi ena popanda-kupeza chithandizo chomwe chimakupindulitsani.
Poyambitsa nthawi yoyesera ndi yolakwika yomwe ingathandize kuti muthandizidwe, dokotala wanu ayenera kuyesetsa kugwiritsa ntchito njira yopanda mankhwala , yomwe ndi yovuta koma imakhala yovuta kwambiri chifukwa imakhudza kusintha kwa moyo ndi kusintha kwa zakudya. Palinso mankhwala osamalidwa kunyumba omwe samadalira mankhwala kuti athetse kupweteka kwawo, ndipo ena mwa iwo akhoza kukuthandizani.
Nthawi Yotembenukira ku Ma ARV
Ngati simungapeze mpumulo ndi njira iliyonseyi, mukhoza kukambirana ndi adokotala mankhwala osiyanasiyana omwe angapangitse zizindikiro zanu. Antacids, H2 blockers, ndi proton pump inhibitors (PPIs) ndi mitundu yonse ya mankhwala osokoneza bongo, omwe amathetsa kutentha m'njira zosiyanasiyana.
Kodi ndi mankhwala ati omwe mumagwiritsa ntchito adzadalira zifukwa zingapo, kuphatikizapo kukula kwa zizindikiro zanu.
Mankhwala ambiri otha kupweteketsa mtima tsopano alipo pa-the-counter (OTC) koma musalole kuti izi zikupusitseni kuganiza kuti sizili zogwira mtima. Ndipotu, Prilosec atatulukira koyamba, amatha kulembedwa ndi madokotala omwe amadziwika kwambiri ndi matenda opatsirana, ndipo kenako, kwa nthawi yochepa chabe. Zotsatira zake si zachilendo, ngakhale zimachitika nthawi zina. Chofunika kumvetsetsa ndi chakuti kupweteka kwa mtima kosagwidwa ndi kupwetekedwa mtima kungayambitse mavuto ambiri , ndipo mankhwala othandiza, nthawi zina ndi mankhwala omwe alipo pokhapokha, akhoza kuchepetsa ngozizi.
Ndikofunika kuzindikira kuti mankhwala ambiriwa alipo ponseponse komanso pamagulu. Kawirikawiri mlingo wa mankhwalawo ndi wapamwamba, koma osati nthawi zonse. Kuonjezerapo, mankhwala ambiriwa amagulitsidwa pansi pa mayina a mayina komanso maina achiyero. Izi zikhoza kukhala zosokoneza ndipo si zachilendo kuti anthu adziwe kuti akhala akugwiritsa ntchito mankhwala awiri ndi mayina osiyanasiyana, mankhwala amodzi ndi makina amodzi, kapena ojambula amodzi, omwe ali ndi zomwezo. Izi sizingatheke koma zingakuwonetseni mankhwala owonjezera.
Gwiritsani Ntchito Mankhwala Osokoneza Bongo
Antacids
Antacids ndi mankhwala omwe amagwiritsidwa ntchito popweteka , ndipo mwinamwake mukuwona malonda akuwathandiza. Zomwe malondawa amalengeza ndi zoona; ma antiacids angachepetse kukhumudwa nthawi ndi nthawi. Zosakaniza zomwe zimagwira ntchito m'ma antiacids zimapangitsa kuti asidi am'mimba asokonezeke.
Antacids amagulitsidwa pansi pa mayina awa:
Zindikirani kuti kukonzekera kwa mankhwalawa kumakhala ndi zofanana kapena zosiyana.
Antacids sayenera kugwiritsidwa ntchito nthawi yaitali. Ngati mukugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yaitali kuposa milungu iwiri, ndiye kuti kupweteketsa mtima kungayambitse matenda aakulu kwambiri. Funsani dokotala wanu kuti mudziwe zambiri. Muyenera kuonana ndi dokotala mwamsanga ngati mukukumana ndi zizindikiro zilizonse zomwe zingathe kusokoneza moyo wanu.
Zotsatira zoyipa pogwiritsira ntchito mankhwala osokoneza bongo zimakhala zovuta kuchitika pamene zimatengedwa kwa nthawi yayitali kapena mlingo waukulu kusiyana ndi zomwe zatchulidwa. Komabe, chifukwa zotsatira zake zingayambe, ndizofunika kudziŵa zomwe ziri komanso pamene muyenera kukambirana ndi dokotala wanu.
Zotsatira zomwe sizikusowa chithandizo chamankhwala pokhapokha ngati zikupitirira kapena zimakhala zovuta ndi izi:
- Kutsekedwa
- Mimba yam'mimba
Limbani kwa adokotala mwamsanga ngati mukumva:
- Kuthamanga kwa khungu, kuyabwa kapena ming'oma, kutupa kwa nkhope, milomo, kapena lirime (kumasonyeza kuti palibe vuto)
- Kusokonezeka
- Mutu
- Kukhumudwa
- Nsowa kapena kusanza
- Zofooka zosadziwika kapena kutopa
H2 Odziletsa
Mankhwala a H2-omwe amatchedwanso kuti H2-receptor antagonists) ndi mankhwala omwe amachepetsa kuchuluka kwa asidi m'mimba imabweretsa mwachindunji chimodzi chofunika kwambiri cha acid: histamine-2. Maselo m'mimba m'mimba, amatchedwa maselo a parietal, amapanga asidi. Njira imodzi yomwe maselowa amalimbikitsira kupanga asidi ndi histamine. H2 Odziletsa amachepetsa kupanga mankhwala a asidi poletsa zizindikiro kuchokera ku histamine zomwe zimanena kuti m'mimba kuti azipanga asidi.
H2 blockers amagulitsidwa monga zotsatirazi:
Zotsatira zoyipa mukatenga H2 blockers ndizochepa. Anthu ambiri amalekerera bwino H2 blockers pamene atengedwa monga momwe amachitira. Matenda ena azachipatala kapena mankhwala akhoza kuonjezera mavuto omwe amakumana nawo.
Zotsatira zoyenera zomwe mungauze dokotala wanu kapena katswiri wa zaumoyo:
- Kuthamanga kwa mankhwala ngati khungu, kuyabwa kapena ming'oma, kutupa kwa nkhope, milomo, kapena lirime
- Kusokonezeka, mantha, kupsinjika maganizo, kulingalira
- Kutupa kwa ubweya, chifundo
- Kufiira, kuthamanga, kapena kupukuta khungu, kuphatikizapo mkati mwa pakamwa
- Mtsinje wakuda
- Kutsekula m'mimba
- Mutu
- Nsowa kapena kusanza
- Khungu la khungu kapena azungu a maso
Proton Pump Inhibitors (PPIs)
Ntchito ya proton pump inhibitors (PPIs) imalepheretseratu kupanga mpweya wa m'mimba. Amachita zimenezi potseka njira m'mimba yotchedwa proton pump.
Pulotoni ya pulotoni ndi kamolekyu m'maselo ena omwe "amapumpha" asidi m'mimba. Zimatengera ion osasiyamu ya potaziyamu kuchokera mmimba ndikuiika ndi acidic hydrogen ion. Iyi hydrogen ion ndi yomwe imapangitsa zinthu kukhala zovuta. Mwa kuimitsa ntchito ya pampu, kupyolera kwa asidi mmimba kumayimitsidwa.
Madokotala amapatsa PPIs kuti athetse anthu omwe ali ndi matenda a reflux a gastroesophageal (GERD) , matenda a zilonda zam'mimba , kapena matenda ena osokoneza ubongo omwe angayambitse kupweteka kwambiri m'mimba.
Proton pump inhibitors amagulitsidwa pansi pa mayina awa:
- Prilosec (omeprazole)
- Prevacid (lansoprazole)
- Protonix (pantoprazole)
- Nexium (esomeprazole)
- Aciphex (rabeprazole)
Dexilant (dexlansoprazole)
Ma PPI monga kalasi ya mankhwala amayenera kutengedwa pansi pa kuyang'aniridwa ndi dokotala komanso kwa nthawi yochepa chabe. Kugwiritsidwa ntchito kosagwiritsidwa ntchito kwa PPI kwagwirizanitsidwa ndi matenda a mtima, matenda a impso, ndi mafupa a mafupa.
Zotsatira zoyipa za kutenga PPI zikhoza kuchitika. Onani dokotala wanu ngati mukukumana ndi zotsatirazi:
- Mutu
- Kutsekula m'mimba
- Kutsekedwa
- Zimakhumudwa m'mimba
- Kuthamanga
- Kupweteka kwa m'mimba
- Kukuda
- Zizindikiro zoopsa
- Chizungulire
- Kuthamanga pang'ono
Limbani kwa adokotala mwamsanga ngati mukumva:
- Khungu lolimba limathamanga ndi kutupa kapena kupukuta
- Mikoko
- Kutupa kwa nkhope, pakamwa, milomo, kapena lirime
- Kutupa kwa manja, mapazi, kapena mabotolo
- Kutsekula m'mimba
- Kusokonezeka
Zotsatira:
Boardman, H., Delaney, B., ndi S. Haag. Kugwirizanitsa Kukhazikitsa Maganizo a Zizindikiro za Reflux: Chithandizo cha Algorithm cha Over-The-Counter Proton-Pump Inhibitors. Zofufuza Zamakono Zamakono ndi Maganizo . 2015. 31 (7): 1309-18.
Scarpignato, C., Gatta, L., Zullo, A. et al. Pulogalamu ya Proton Pulogalamu Yopindulitsa ndi Yopetezeka Mu Matenda Okhudzidwa ndi Acid - A Paper Powonjezera Ubwino ndi Zowonjezera Zowonongeka kwa Acid Kudula. BMC Medicine . 2016. 14 (1): 17.