Pano pali mankhwala omwe mungatenge popanda mankhwala
Mmawa mutatha kudya madzulo a lasagna, cabernet, ndi cheesecake, mumadzuka ndikumva chisoni - ndi vuto lopweteketsa mtima. Kulumikizana, "Sindikukhulupirira kuti ndadya chinthu chonsecho," mumapita kuchipatala. Koma mankhwala ambiri oposa-o-counter (OTC) angakhale okwanira kuti akupatseni mutu, nayenso. Nazi zizindikiro zina.
Antacids Over-the-Counter
Zosakaniza zogwira ntchito: Sodium bicarbonate (soda), calcium carbonate, aluminium hydroxide, magnesium carbonate ndi / kapena magnesium hydroxide
Mayina omwe amagwiritsidwa ntchito pafupipafupi : Mavitamini a Tums ndi Maalox omwe amatha kukhala ndi calcium carbonate, Maalox zamadzimadzi (aluminium hydroxide ndi magnesium hydroxide yomwe imakhala ndi mpweya wabwino) komanso Ultra Xcid (calcium carbonate ndi magnesium hydroxide)
Momwe amagwirira ntchito: Antacids amatsitsa zizindikiro m'mimba mwako chifukwa cha mpumulo wamphindi, womwe umakhala wochepa.
Mlingo wochuluka: Calcium carbonate imatengedwa mu mawonekedwe apiritsi. Mlingo wokhazikika womwe ulipo ndi mapiritsi 1 mpaka 4 pa nthawi (mpaka 2,000 mg pa mlingo), koma mapiritsi osapitirira 15 patsiku, malingana ndi chizindikiro. Mlingo umodzi wa Maalox madzi ndi ofanana ndi masipuni 2 mpaka 4 ndipo sayenera kukhala osapitirira masipuni 16 pa tsiku. Ultra Xcid, mankhwala atsopano, ndi ofewa ndipo amatha kufalikira mosavuta mu chubu kupita ku supuni yapamwamba yowonongeka; Masapuni 1 mpaka 2 ndi mlingo wokwanira woperekedwa pa tsiku.
Mfundo yofunika kwambiri: Calcium carbonate ingayambitse kudzimbidwa ndi kuchepetsa zotsatira za mankhwala ena.
Aluminium hydroxide sangakhale chisankho chabwino kwa odwala a impso.
H2 Odziletsa
Maina a mankhwala osokoneza bongo: Famotidine, cimetidine, ranitidine
Mayina omwe amagwiritsidwa ntchito: Common Pepcid (famotidine), Tagamet (cimetidine), Zantac (ranitidine)
Momwe amagwirira ntchito: H2 blockers amachepetsa kuchuluka kwa asidi mimba yanu imathandiza kupewa kutentha kwa mtima kapena kupereka pang'onopang'ono, koma mpumulo wamuyaya mu zochitika zofatsa.
Mlingo wamtundu: Mapiritsi imodzi kapena anayi pa tsiku, malingana ndi chizindikiro, kuti athetse kukhumudwa kwa mtima ngati pakufunikira.
Mfundo yofunika: Ngati muli ndi vuto la chiwindi kapena impso, funsani dokotala wanu asanayambe famotidine. Uzani dokotala ngati muli ndi matenda a chiwindi kapena matenda a chiwindi, matenda a shuga, mphumu, masewera a chitetezo cha mthupi komanso / kapena kupsereza mafupa a mafupa musanatenge cimetidine. Yang'anirani ndi dokotala musanatenge ranitidine ngati muli ndi impso kapena matenda a chiwindi, kapena njira iliyonse yamanjenje ndi matenda a khungu omwe amatchedwa porphyria.
Kutenga mankhwala osokoneza bongo mkati mwa ora limodzi la kunywa famotidine kungachepetse mphamvu zake. Mlingo wapamwamba H2, monga Zantac Maximum Strength (ranitidine), ndi kupweteka kwa mtima kumene kwapita patsogolo kuposa kuchepa. Kuphatikiza kwina, monga Pepcid Complete, kuphatikizapo H2 blocker (famotidine) ndi antacid (calcium carbonate ndi magnesium hydroxide) pofuna kupuma msanga komanso kwa nthawi yaitali.
Ngati muli ndi vuto la kupweteka kwa mtima mutatenga mlingo waukulu wa antacids kapena H2 blockers kwa masabata awiri, funsani dokotala wanu mankhwala.
Proton pump inhibitors (PPIs)
Zosakaniza zokhazikika : Omeprazole
Mayina omwe amagwiritsidwa ntchito pafupipafupi : Prilosec OTC ndi omwe sali ovomerezeka PPI.
Momwe amagwirira ntchito: Amapewa kutentha kwapakati pa thupi, kusunga thupi kutulutsa asidi ambiri.
Omeprazole ndi mankhwala othandiza kwambiri pa chithandizo cha kupweteka kwa mtima, malinga ndi National Heartburn Alliance.
Mlingo wochuluka: Tengani mapiritsi limodzi tsiku lililonse kwa masabata awiri kuti muthe kutentha kwa mtima. Nthawi yoyamba mutatenga omeprazole, ikhoza kukhalapo masiku angapo musanaone zotsatira zake. Ikhoza kutengedwa mogwirizana ndi antacids kuti athandize mwamsanga. Ngakhale mutakhala bwino, muyenera kupitiriza maphunziro onse a masiku 14 kuti mupitirize kupewa.
Mfundo yofunika: Ngati mukufuna kubwereza regimen ya masabata awiri mobwerezabwereza kuposa miyezi inayi iliyonse, muyenera kuwona dokotala wanu.
Kuti mudziwe zambiri zokhudza mgwirizano pakati pa PPIs, monga Nexium, ndi chiopsezo cha zophulika, onani nkhaniyi.
Omeprazole imayankhula molakwika ndi mankhwala ambiri ndi zinthu zina, kuphatikizapo ochepa magazi a Coumadin (warfarin); nkhaŵa ndi kusowa tulo tetewetsa, Valium (diazepam); mankhwala osokoneza bongo, Dilantin (phenytoin); ndi zowonjezera zitsulo.
Pomaliza, pali chinthu chachinai chomwe chimapezeka mu Pepto-Bismol ndi Kaopectate (mwachitsanzo, bismuth subsalicylate), yomwe nthawi zina imagwiritsidwa ntchito pofuna kupweteka kwa mtima. Funsani ndi mzimayi wanu wa mankhwala ngati simukudziwa kuti mankhwala otsekemera a mtima wa OTC angatenge kapena ngati muli ndi mafunso okhudza zotsatira zovulaza kapena mankhwala osokoneza bongo.
Nkhani yoyamba yokonzedwa ndi Naveed Saleh, MD, MS, pa 2/28/2016.
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