Dziwani kuti ndi mankhwala ati omwe angagwiritse ntchito mankhwala osokoneza bongo
Ngati muli ndi matenda a celiac kapena osadzikongoletsera, zimakhala zovuta kuti mukhale ndi vuto la m'mimba monga kutsegula m'mimba, kudzimbidwa, kapena kupweteka kwa mtima. Matenda a chiphuphu amatenga nthawi ndi nthawi zokhudzana ndi m'mimba.
Ndiye kodi mungapeze kuti mpumulo wa nthawi zina? Pamene zikuwoneka, pali mankhwala ambiri oletsa kutsekula m'mimba, mavitamini a gluten, ndi mankhwala osokoneza bongo omwe alipo pamwamba pake omwe angathe kuthandizira.
Koma mwatsoka, simungakhoze kungoyima pa pharmacy ndikunyamula mtundu uliwonse. Mankhwala amodzi odziwika bwino dzina la kudzimbidwa, kutsegula m'mimba, ndi kutsekemera kwapakati saganiziridwa ndi gluten ndi opanga awo. Koma pali njira zabwino zopanda thanzi-makamaka mankhwala osungirako mankhwala, koma mankhwala ochepa a dzina labwino, omwe amapezeka m'masitolo kudutsa United States.
Pano pali chithandizo cha mankhwala osokoneza bongo a gluten omwe amakhudzidwa kwambiri.
Mankhwala Osakaniza Kutsekula kwa Gluten
Kutsekula m'mimba kungakhale chizindikiro chodziwika kwambiri cha matenda a celiac , komanso ndi chizindikiro chodziwika bwino cha kutengeka kwa gluten . Anthu ambiri amatsekula m'mimba ngati atakhala ndi mimba , ndipo akhoza kuyesa mankhwala oletsa kutsekula m'mimba kuti awone ngati akuthandiza zizindikiro zawo.
N'zotheka kuti kutsekula m'mimba kungayambitsedwe ndi chinthu china osati gluten-mwinamwake ndi chimfine cha m'mimba, kapena poizoni wa zakudya . Pazochitikazi, mankhwala owonjezera omwe angathandizidwe nawo angathandizenso.
Pali zigawo zikuluzikulu ziwiri zomwe zimagwiritsidwa ntchito pa mankhwala ochepetsa kutsekula m'mimba: loperamide hydrochloride ndi bismuth subsalicylate.
Loperamide hydrochloride (yomwe imapezeka ku Imodium) imagwira ntchito pochepetsa kuchepa kwa m'matumbo anu, zomwe zimapangitsa thupi lanu kuti lizimwa zamadzimadzi kuchokera kuchipinda chanu. Bismuth subsalicylate (yomwe imapezeka mu Pepto-Bismol, yomwe imadziwika bwino ya pinki, ndi mapiritsi ena) imagwira ntchito kuti idye matumbo anu ndi kutupa kutupa, komanso imalepheretsanso madzi kuti asalowe m'thumba lanu.
Mankhwala akuluakulu oletsa kutsekula m'mimba omwe mumapeza mu pharmacy aliwonse ali ndi chimodzi mwa zinthu ziwirizi. Pano pali mndandanda wa makina otchuka, pamodzi ndi omwe ali osasuka.
Mankhwala oletsa kutsekula m'mimba omwe alibe Gluten ndi awa:
- Kuwongolera ndi Kupita 5 Chizindikiro Chakumadzimadzi madzi othandizira (30mL), kukula kwa 8-ounce . Izi zili ndi chogwirizanitsa chomwecho monga Pepto-Bismol ndi Kaopectate. Fufuzani "mawonekedwe opanda" a gluten "pafupi ndi Drug Facts m'bokosi.
- Zokwera ndi Kupita (nyumba yachitsulo) loperamide hydrochloride (2 mg) caplets (loperamide hydrochloride ndi mankhwala opangira mu Imodium). Mabokosi otetezeka adzakhala ndi "mawu opanda" a gluten pafupi ndi gulu la Zolemba Zamankhwala.
- Walgreens Brand Matenda a m'magazi (262 mg) . Zosakaniza zokhudzana ndi izi ndi bismuth subsalicylate. Fufuzani "mawonekedwe a" gluten "pa bokosi.
- Walgreens Brand loperamide hydrochloride (1 mg) kusungunuka madzi mumadzi ozizira . Uwu ndiwo mtundu wa Imodium. Fufuzani mabokosi okhala ndi "mayina opanda" gluten ".
Mankhwala awa otchedwa anti-diarrhea si a gluten:
- Imodium: Yopangidwa ndi Johnson & Johnson, mzere wa Imodium wa mankhwalawa umaphatikizapo magetsi a imodium AD, Imodium AD caplets, madzi a Imodium AD, Imodium kwa ana ndi Imodium Multi-Symptom Relief (amachitira ndi mpweya, mavulala, ndi bloating). Zakudya siziphatikizapo zopangira za gluten, koma Johnson ndi Johnson akunena kuti sali otsimikiziridwa kukhala opanda mimba. Choncho, sankhani mapepala otchulidwa pamwamba ndi apamwamba a loperamide hydrochloride kapena Walgreens Brand loperamide hydrochloride m'maphukusi opanda pake a gluten.
- Pepto-Bismol: Madzi okongola a pinki, ogulitsidwa ndi Procter & Gamble kuti athetse kutsegula m'mimba, kupweteka kwa mtima, indigestion, khunyu, gas, belching, ndi fullness, ili ndi bismuth subsalicylate. Pepto-Bismol imaperekanso mapiritsi osungunuka, makapulisi, ndi ana. Zakudyazi sizimakhala ndi gluten, malinga ndi oyankhula ndi Procter & Gamble, koma akhoza kukhala ndi vuto lopweteka kwa gluten pamalo omwe amapangidwira. M'malo mwa dzina la Pepto-Bismol, ganizirani mankhwala omwe ali ndi bismuth subsalicylate, monga Walgreens Brand Mitsempha yotsegula kapletseni kapena Target Up ndi Zipangizo 5 za Madzi Amadzimadzi Othandizira.
- Kaopectate: Monga Pepto-Bismol, kapangidwe ka Kaopectate ndi bismuth subsalicylate. Zimabwera mu cherry, vanilla, peppermint, ndi max (komanso peppermint) mitundu ya madzi, pamodzi ndi zikhotakhotayo. Malinga ndi wopanga Chattem Inc., mankhwala a Kaopectate sanayesedwe kuti adziwe kuti ali ndi zakudya zotani. Choncho, muyenera kulowetsa limodzi mwa mankhwala omwe ali ndi gluten omwe ali ndi bismuth subsalicylate.
Mfundo yaikulu pa mankhwala osamalidwa otsegula m'mimba a gluteni: Mankhwala omwe amadziwika bwino kwambiri-Imodium, Pepto-Bismol, ndi Kaopectate-samawonekeratu kuti ndi opanda gluten, koma njira zina zopezera magetsi zimapezeka ku Target ndi Walgreens.
Ma laxatives Osapanga Gluten
Kuti muchotse kudzimbidwa, muyenera kuyesa kuchulukitsa kuchuluka kwa fiber yomwe mumadya. Mungathe kuchita izi poonetsetsa kuti mumapeza zakudya zambiri zosapatsa thanzi, kapena kuti mugwiritsire ntchito mankhwala osokoneza bongo. Izi zingathandizire zambiri kuchitapo kanthu ndipo zikhale zosavuta kudutsa. Anthu ena amapezanso kuti ma probiotics amawoneka kuti amathandiza kuti azikhala nawo nthawi zonse (onetsetsani kuti mukusankha protiobics yokha ya gluten).
Komabe, mutakhala ovomerezeka-kaya ndikutsekemera chifukwa cha matenda a leliac kapena chifukwa china-muli ndi njira zingapo pazothetsera mankhwala.
Zosakaniza zitsulo, zimagwiritsidwa ntchito ngati laxatives wofatsa kwambiri, kugwira ntchito mwa kuthandiza thupi lanu kusakaniza madzi m'thumba lanu, kuchepetsa chipika ndikupangitsa kuti zikhale zosavuta kudutsa. Mankhwala omwe amagwiritsidwa ntchito ngati otetezera mbado ndi docusate.
Pakalipano, otchedwa osmotic laxatives kwenikweni amathandiza kusuntha madzi ambiri m'matumbo anu ndi malo anu, omwe (monga momwe amathandizira otsika) amachititsa kuti chovalacho chikhale chosavuta kudutsa. Puloteni ya polyethylene glycol ndi magnesium hydroxide yankho ndi zitsanzo ziwiri za mankhwala osakaniza osmotic.
Potsirizira pake, mankhwala ofewetsa mphamvu amachititsa kuti mgwirizano wanu wamkati utuluke. Chifukwa chakuti mankhwalawa amachitidwa kuti ndi owopsa ndipo akhoza kukhala oledzera, sayenera kuwagwiritsa ntchito masiku angapo pa nthawi iliyonse. Senna ndi bisacodyl ndi zitsanzo ziwiri za mankhwala ofewetsa mphamvu.
Pano pali mndandanda wa mankhwala osokoneza bongo omwe amaonedwa kuti alibe gluten:
- Chomera: Mzerewu wa mankhwala osokoneza bongo ndi ochepetsera pansi umaphatikizapo zinthu zitatu zomwe mungachite: Kokani makapulisi, Mafuta Ophikira Odzola, ndi mapiritsi a Peri Colace. Chomera ndi Chomera Chotsani chilichonse chokhala ndi 100mg wa stool softenza docusate sodium, pamene mapiritsi a Peri Colace ali ndi docusate sodium komanso stimulant senna. Malingana ndi wopanga zinthu, zinthu zitatuzi ndizosauka, ndipo Colace Clear ndi ya gluten yodzitetezera ndi Celiac Support Association, yomwe imafuna kuyesa mankhwala kuti zisawonongeke kusiyana ndi magawo asanu ndi atatu a gluten.
- Senokot: Pogwiritsa ntchito dzina, mungakhale wolondola poganiza kuti mtundu uwu umapanga mankhwala osokoneza bongo a senna. Pali mitundu itatu yosiyanasiyana ya Senokot yomwe ilipo: Senocot (chogwiritsira ntchito chaching'ono chimayambira 8.6mg), Senocot-S (imakhala ndi 8.6mg ndi docusate sodium 50mg), ndipo SenocotXTRA (imakhala ndi mphamvu zambirimbiri 17.2mg). Senokot onse atatu ali opanda gluten, malinga ndi woimira wopanga Purdue Products LP
- MiraLAX: MiralaX imapezeka ngati ufa wambiri m'mabotolo osiyanasiyana, ndipo chogwiritsira ntchito ndi polyethylene glycol (17mg), ndi laxative osmotic. Kuti mugwiritse ntchito MiralaX, muzisakaniza mumadzi kapena chakumwa china. Malingana ndi wopanga Bayer, MiraLAX imatengedwa ngati wopanda gluten.
Ma laxatives awa amatchulidwa kuti alibe -gluten:
- Dulcolax: Dzina limeneli, lopangidwa ndi Sanofi, limapereka mankhwala asanu ndi awiri osiyana, kuphatikizapo mapiritsi ndi mankhwala ophera mankhwala omwe amachiza kudzimbidwa ndi mafuta. Anthu omwe amatchedwa mankhwala osokoneza bongo ali ndi bisacodyl, pomwe awo omwe amatchedwa softolerers ali ndi docusate sodium. Malinga ndi wopanga: "Sitikuwonjezera gluten ku zogulitsa zathu zilizonse, koma sitinganene kuti ali ndi gluten" chifukwa angagwirizane ndi zipangizo zamagulutini panthawi ina. Mmalo mwa Ducolax, sankhani mankhwala ena omwe ali ndi bisacodyl kapena docusate sodium.
- Kuthamanga Kwambiri: Zakudya zamadzimadzizi, zomwe zimakhala ndi majekeseni monga chogwiritsidwa ntchito, zimabwera mu zidutswa za mapulogalamu a chokoleti ndi mapiritsi. Palibe limodzi lamasulidwe atatu a Ex-Lax amaonedwa kuti alibe gluten, malingana ndi wopanga. Choncho, muyenera kufikako mankhwala osokoneza bongo a senna, monga Senokot.
- Phillips Milk ya Magnesia ndi mankhwala ena a Phillips: Phillips, kampani ya Bayer, imapanga Mkaka wa Magnesia (chogwiritsira ntchito: magnesium hydroxide) pamodzi ndi mapuloteni a Phillips Laxative (chogwiritsidwa ntchito: magnesium oxide) ndi Phillips Stool Softener madzi amadzi (zomwe zimagwira ntchito: docusate sodium ). Malinga ndi woimira wogwira ntchito ku Bayer, "Sitiwonjezera ma gluten ku zogulitsa zathu, koma sitingatsimikizire kuti ndizopanda makoswe chifukwa mankhwalawa amapangidwa ku malo omwe amakhala ndi gluten." M'malo mwa mankhwala a Phillips, yesani kuchepetsa kusungunuka kwa gluten monga chofewa kapena mankhwala osakanikirana a gluten monga MiraLAX.
Mfundo yaikulu pa mankhwala otupa a gluteni: Poganiza kuti mumagula mozungulira mosamala, mungapeze laxative ya gluten yomwe imakhala ndi chochepetseratu chotsitsa, mankhwala osokoneza bongo, kapena mankhwala osokoneza bongo. Komabe, muyeneranso kuchotsa zolemba zina za dzina.
Antacids Opanda Gluten
Mwinamwake mumadziwika ndi kupweteka kwa mtima-si zachilendo kwa anthu omwe ali ndi matenda a chililiac kapena sensibisitini omwe amatha kuvutika ndi chiwombankhanga chakumtunda. Ndipotu, kafukufuku wina amasonyeza kuti anthu omwe ali ndi matenda a leliac akhoza kukhala odwala aclux kapena GERD (matenda a reflux a gastroesophageal) atakhala opanda gluten.
Ngati muli ndi kupweteka kwa mtima kapena mwapezeka kuti muli ndi GERD, pali mankhwala ambirimbiri omwe mungatenge. Mankhwala awa amadziwika ngati antacids, chifukwa amagwira ntchito kuti achepetse kuchuluka kwa asidi m'mimba mwako, motero kuchepetsa kutentha.
Gulu la mankhwala lotchedwa H2 blockers limachepetsa kuchuluka kwa kuchuluka kwa mimba yanu kumapanga kwenikweni. Zosakaniza zokwanira ranitidine ndi famotidine ndi zitsanzo za H2 blockers. Mankhwalawa amatchedwa proton pump inhibitors, panthawiyi, amachepetsanso asidi, koma kudzera mu njira zosiyanasiyana m'mimba. Zitsanzo za proton pump inhibitors zimaphatikizapo zowonjezera zowonjezera omeprazole ndi lansoprazole.
Potsirizira pake, mankhwala a calcium carbonate ndi magnesium hydroxide-based antacids amachititsa kuti asidi omwe ali kale m'mimba mwako, athandizidwe kuchepetsa kusokonezeka kwa ma acid.
Kawirikawiri, pankhani ya mankhwala osokoneza bongo, zingakhale zovuta kupeza dzina la mankhwala pamtundu wotengera mankhwala omwe amalembedwa kuti alibe gluten. Komabe, pali njira zambiri zogulitsa masitolo.
Pano pali phokoso la mitundu yosiyanasiyana ya mankhwala osakaniza a gluten pamsika:
- Ekhale (Walmart) mapiritsi a antiacid: Awa ali ndi calcium carbonate, omwe amawapangitsa kukhala ofanana ndi Tums. Amabwera m'njira zosiyanasiyana zosiyanasiyana. Onetsetsani kuti musankhe omwe ali ndi "mayina a gluten" pa chizindikirocho.
- Ekhale (Walmart) mtundu wa famotidine (20mg) mapiritsi: Izi ndizochokera kwa Pepsid AC. Fufuzani "mawonekedwe a" gluten "pamunsimu pazithunzi za" Zolemba Zamankhwala "pamapangidwe.
- Equate (Walmart) mapulogalamu a rantidine (mapiritsi 150mg): Awa ndiwo malemba a Zantac. Fufuzani "mawonekedwe a" gluten "pamunsimu pazithunzi za" Zolemba Zamankhwala "pamapangidwe. Phukusi lokha la Equate limatchulidwa "wopanda gluten," kotero kumamatira ndi iwo.
- Kuwongolera ndi Kupiritsa mapiritsi a antiacid brand: Mankhwalawa amtundu wa calcium carbonate ali ofanana ndi Matenda, ndipo amadzala ndi zokopa ndi mphamvu zosiyanasiyana. Fufuzani "mawonekedwe" a gluten kumbuyo kwa botolo.
- Kuwongolera ndi Kupanga mtundu wa mtundu wofewa wofewa: Mitundu yamakono yotchedwa calcium carbonate antacids yamatope ndi yamtengo wapatali yowonjezera ndi Gluten-Free Certification Organisation (GFCO), yomwe imayesa kuti iyesedwe pansi pa magawo 10 mwa gluten miliyoni. Fufuzani chizindikiro cha GFCO kumbuyo kwa phukusi.
- Kuwongolera ndi Kupita mapiritsi a lansoprazole (15mg) a maola 24: Awa ndiwowonjezera wa Prevacid. Fufuzani "mawonekedwe a" gluten "mu bokosi lachikuda pafupi ndi gawo la" Zolemba Zachidakwa "gawolo.
- Kukonzekera ndi Kupita brand ranitidine (150mg) mapiritsi: Awa ndiwo malemba a Zantac. Fufuzani "mawonekedwe a" gluten "mu bokosi lachikuda pafupi ndi gawo la" Zolemba Zachidakwa "gawolo.
- Malamu: Awa ndiwo mankhwala okhawo omwe amachititsa kuti pakhale kutengeka kwa gluten. Mapiritsi a ma Tumm, omwe amabwera ndi mitundu yosiyanasiyana yowonetsera ndi mphamvu, ali ndi mankhwala othandizira calcium carbonate ndipo amawonedwa kuti alibe gluten, malingana ndi wopanga.
- Walgreens Brand zowonjezera mphamvu zamapiritsi a antacid mu kukoma kwa mabulosi apamwamba: Mapiritsiwa, omwe ali ndi 750mg a calcium carbonate, ndiwo mavitamini a ma Tumm. Amanyamula malaya opanda gluten.
- Walgreens Brand lansoprazole (mapiritsi 15mg): Awa ndiwowonjezera wa Prevacid. Fufuzani "chizindikiro" cha "gluten" pafupi ndi "Zolemba Zamankhwala" podula.
Zina zotchedwa antacids sizikutengedwa kuti ndizopanda gluten:
- Alka-Seltzer: Dzina limeneli la "pop, pop, fizz, fizz" limapereka mankhwala osiyanasiyana omwe amachititsa kupweteka kwa mtima komanso mankhwala opatsirana pogwiritsa ntchito mpweya. Komabe, wolankhulira wokonza Bayer akuti mankhwalawa amapangidwira mu malo ogwiritsidwa ntchito ndi mankhwala a gluten, ndipo samatengedwa kuti alibe gluten.
- Nexium: Amadziwika kuti "mapiritsi a piritsi," Nexium ili ndi 22.3mg ya esomeprazole, proton pump inhibitor. Wopanga Pfizer, Inc. satsimikiziranso kuti mankhwalawa ndi a gluten.
- Pepsid: Pepsid AC ili ndi H2 blocker famotidine, pamene Pepsid Yodzaza ili ndi famotidine kuphatikizapo acid reducers calcium carbonate ndi magnesium hydroxide. Komabe, wojambula McNeil Consumer Pharmaceuticals, Inc., satsimikizira kuti mankhwalawa ndi opanda gluten.
- Prevacid: Chida ichi, chopangidwa ndi Takeda Pharmaceuticals USA, Inc., chili ndi proton pump inhibitor lansoprazole. Takeda sichikutsimikizira kuti mankhwalawa ndi opanda thoteni.
- Prilosec: Wopangidwa ndi Procter & Gamble, Prilosec ali ndi proton pump inhibitor omeprazole. Zomwe zimapangidwira sizimanena ngati mankhwalawa ndi osapanga kapena ayi.
- Zantac: Zantac, yopangidwa ndi Boehringer Ingelheim, ili ndi ranitidine, H2 block. Mofanana ndi mankhwala ena otchulidwa m'gulu lino, Zantac sikutsimikiziridwa kukhala opanda mimba.
Mfundo yofunika pa ma antiacids opanda thotutini: Pali cholowa chamalokosi chamagetsi chosagwiritsidwa ntchito m'malo mwake, pafupifupi ngati maina onse otchulidwapo dzina lake, kotero ngati kuli kotheka mungayesere angapo kuti mupeze imodzi yomwe imakuyenderani bwino.
Mawu Ochokera
Kaya mukusowa mankhwala osokoneza bongo, mankhwala oletsa kutsekula m'mimba, kapena mankhwala osokoneza bongo, pali njira zina zopanda thanzi zomwe zilipo. Nthaŵi zambiri, mumakhala bwino ndi mankhwala omwe amachititsa kuti azitchulidwa, chifukwa iwo amadziwika kuti ndi "a gluten." Mungafunikire kugula pafupi, ngakhale-osati sitolo iliyonse ya mankhwala kapena sitolo yaikulu ya bokosi idzayendetsa mankhwala onse mu tsamba la gluten.
Potsiriza, pamene mukugula mankhwala osokoneza bongo, onetsetsani kuti muyang'ane phukusi lirilonse la mayina "opanda gluten" nthawi iliyonse . Ngakhale malo ogulitsa monga Target ndi Walgreens (ndi pang'ono, Walmart) akhala akunyamula katundu wopanda gluten, zopanga mankhwala akhoza kusintha nthawi iliyonse. Nthawi zonse onetsetsani zomwe mukugula tsiku limenelo ndi lotetezeka.
> Zotsatira:
> American Academy of Family Physicians. Antacids ndi Acid Reducers: OTC Relief for Heartburn ndi acid Reflux mfundo pepala.
> American Academy of Family Physicians. Mankhwala oletsa kutsekula m'mimba: OTC Thandizo la Kutsekula m'mimba.
> American Academy of Family Physicians. Mafuta: OTC Products for Constipation pepala lolemba.
> Nachman F. et al. Zizindikiro za Reflux Zizindikiro za Odwala Amene Ali Ndi Matenda Osautsa ndi Zotsatira za Zakudya Zakudya za Gluten. Clinical Gastroenterology ndi Hepatology. 2010 Jun 30 [Epub patsogolo pa kusindikiza].