Mavitamini ena a Proton Pump Akupezeka Pa-The-Counter
Mankhwala omwe amagwiritsidwa ntchito pochiza Matenda a Reflux (GERD) ndi proton pump inhibitors (PPIs).
Proton pump inhibitors ndi ochepetsa asidi. Madokotala amapatsa PPIs kuti azichitira anthu zinthu zosiyanasiyana kuphatikizapo:
- Kutentha kwa magazi (matenda a reflux a gastroesophageal)
- Zilonda zamimba kapena matumbo
- Kuchiza kwa Helicobacter pylori
- Kuchulukitsa m'mimba acid ( Zollinger-Ellison Syndrome )
Momwe PPIs imagwirira ntchito
Chimodzi mwa zifukwa zomwe proton kupopera mankhwala amathandizira nthawi zambiri ndi chifukwa amatha kuthetsa kupweteka kwa mtima.
Mimba yanu imapanga asidi kuti athandize kuswa zakudya kuti zikhale zosavuta kuzimba. Nthawi zina, asidi amatha kukhumudwitsa chifuwa cha m'mimba ndi duodenum (dzina lachipatala kumtunda wa m'mimba mwako) zomwe zimayambitsa kupsa mtima komanso zilonda.
Mimba ili ndi mpope, yotchedwa kuti chapamimba cha asidi pampu, yomwe imabala mimba ya asidi. Mankhwalawa amalepheretsa kusungunuka kwa asidi m'mimba mwakumanga mapampu. Kuchepetsa kuchuluka kwa mimba ya asidi kungathandize zilonda kuti zichiritse komanso kuti reflux iwonongeke.
Amapezeka mankhwala a PPI
Pano pali ma PPI asanu ndi awiri omwe alipo, ena pamsika ndi ena mwa mankhwala okha:
- Aciphex (Rabeprazole)
- Nexium (Esomeprazole)
- Prevacid (Lansoprazole) -kupezeka pa-counter
- Prilosec (Omeprazole) -kupezeka pa-counter
- Protonix (Pantoprazole)
- Dexilant (Dexlansoprazole)
- Zegrid (omeprazole / sodium bicarbonate) -kupezeka pa-counter
Ma PPI Mu GERD Yotetezedwa
Ngati dokotala wanu akulangiza PPI kuti ayang'anire GERD, mwinamwake iye analimbikitsanso kusintha kwa moyo monga kulemera kwa thupi (ngati kunenepa kwambiri kapena kunenepa), kukweza mutu wa bedi wanu usiku, osadya kwa maola awiri kapena atatu asanagone.
Ma PPI amachotsedwa kamodzi tsiku lililonse pamaminiti 30 mpaka 60 musanadye chakudya cham'mawa, ndipo amatengedwa kwa masabata pafupifupi asanu ndi atatu, pomwe adokotala adzayambiranso momwe mumamvera. Ngati mutakhala bwino, dokotala wanu akhoza kuchepetsa mlingo wanu kapena ngakhale kusiya mankhwala anu. Pogwiritsa ntchito yankho lapadera, dokotala wanu akhoza kuwonjezera mlingo wanu kawiri pa tsiku. Ngati simunapeze mpumulo kwa GERD wanu, dokotala wanu akhoza kukuwuzani kwa katswiri (gastroenterologist) kapena kuyambiranso kufufuza.
Thandizo la PPI silinatengeke nthawi yaitali, choncho cholinga chake ndikutenga mlingo wotsika kwambiri kwa nthawi yochepa kwambiri yomwe ingathe kuchepetsa kupweteka kwa mtima ndikupewa mavuto ngati zilonda zam'mimba. Ichi ndi chifukwa chake kuyang'anitsitsa pafupi ndi dokotala n'kofunika-choncho dongosolo lokonza mosamala likhoza kukonzedwa ndikusinthidwa ngati kuli kofunikira.
Zimene Muyenera Kudziwa Musanayambe PPIs
Mu 2012, a FDA adachenjeza ogwiritsa ntchito kuti kugwiritsa ntchito PPI akhoza kukhala ndi chiopsezo chowonjezereka cha matenda, ngati chibayo, komanso kutsegula m'mimba komwe kulipo Clostridium difficile. Kutengera ndi bakiteriya Clostridium difficile amachititsa madzi, ululu m'mimba, ndi malungo.
Kuonjezera apo, ma PPIs agwirizanitsidwa ndi kuchepa kwa kashiamu komanso kuopsa kwa mafupa a mafupa (mwa anthu amene anatenga mlingo waukulu wa PPIs-kutanthauza kangapo patsiku, chaka chimodzi kapena kuposerapo).
Amagwirizananso ndi kuchepetsa mphamvu ya magnesium m'matumbo, kotero dokotala wanu akhoza kuyang'ana mlingo wanu wa magnesium nthawi ndi nthawi.
Mawu Ochokera
Ndikofunika kwambiri kumwa mankhwala aliwonse, kuphatikizapo proton pump inhibitors, motsogoleredwa ndi dokotala, ngakhale atapezeka pa-counter-counter. Izi ndizowonjezera kuti proton pump inhibitor imatengedwa molondola komanso chifukwa choyenera-kupezetsa bwino ndikofunika, popeza pali mavuto ambiri azaumoyo omwe angatsanzire GERD.
Zotsatira:
> American College of Gastroenterology. (June 2008). Matenda a GI ambiri Buku 1: Kumvetsetsa Ena mwa mankhwala omwe nthawi zambiri amalembedwa kwa GERD & Ulcers.
> Johnson, T. (June 2014). US Food and Drug Administration: Kugwiritsira ntchito Proto Pump Inhibitors ndi ngozi ya mafupa a mafupa a anthu akuluakulu.
> Katz, PO, Gerson, LB, Vela MF Malangizo othandizira kudziwa ndi kusamalira matenda a reflux a gastroesophageal. Am J Gastroenterol. 2013 Mar; 108 (3): 308-28.
> Lanza, FL, Chan, FK, Quigley, EM, Komiti ya Practice Parameters ya American College of Gastroenterology. Malangizo othandizira kupewa matenda a zilonda zokhudzana ndi zilonda za NSAID. Am J Gastroenterol. 2009 Mar; 104 (3): 728-38.
> Utsogoleri wa US Food and Drug Administration. (February 2012). Kulankhulana kwa Drug Safety Drug: Matenda a Clostridium difficile- omwe amatha kutsekula m'mimba amatha kugwiritsidwa ntchito ndi mankhwala omwe amadziwika kuti proton pump inhibitors (PPIs).