Kupuma kwa Prilosec, Prevacid, Nexium, Aciphex ndi Protonix
Matenda a Proton Pump (PPIs) amagwiritsidwa ntchito kwambiri mankhwala ochizira matenda a reflux (GERD) , matenda a zilonda zam'mimba , komanso chithandizo cha matenda. Mankhwala a PPI amachititsa kuti asiye mapampu am'mimba m'mimba, zomwe zimapangitsa kuti asidi asapangidwe, ndipo amathandiza kwambiri pochiza matenda osiyanasiyana a m'mimba.
Pali proton pump inhibitors yomwe ilipo pamsika, kuphatikizapo omeprazole (Prilosec), esomeprazole (Nexium), pantoprazole (Protonix), rabeprazole (Aciphex) ndi lansoprazole (Prevacid). Kawirikawiri, ma PPI ndi mankhwala otetezeka kwambiri. Izi ndi chifukwa chake omeprazole ndi lansoprazole zimapezeka pa-counter-counter / popanda mankhwala (monga tsiku limene likulembedwa, esomeprazole, pantoprazole, ndi rabeprazole zimapezeka kokha ndi mankhwala).
Kuzindikira Zotsatira Zopuma kwa Proton Pump Inhibitors
Zomwe zimachititsa kuti proton pump inhibitors zisamayende bwino sizodziwika koma zimachitika. Zambiri mwa zochitikazi ndi urticaria , mphumu, komanso anaphylaxis . Kawirikawiri zimakhala zovuta kudziwa kuti PPI ndi chifukwa cha mankhwala osokoneza bongo chifukwa mankhwala ena, kuphatikizapo NSAIDs ndi mankhwala opha tizilombo monga penicillin , amaperekedwa pamodzi ndi ma PPI kuti athandize zilonda za m'mimba kapena kuchiza matenda a Helicobacter pylori .
Kafukufuku wosiyanasiyana wachitidwa kwa anthu omwe adamva zowawa chifukwa chotenga proton pump inhibitors. Kuyezetsa khungu , kuphatikizapo njira zowonongeka komanso zopanda ntchito, zakhala zikugwiritsidwa ntchito pogwiritsa ntchito PPI (ndi mankhwala ena omwe munthuyo adatenga) zomwe zingachititse kuti ayambe kuchitapo kanthu.
Kuyeza kwa khungu uku kunawoneka kukhala kothandiza pozindikira chomwe chimayambitsa vutoli, makamaka pamene PPI inali chifukwa. Mavuto ovomerezeka pogwiritsa ntchito wolakwa PPI amachititsa kuti zizindikiro zisamayesedwe pakayesedwa khungu. Komabe, anthu omwe anali ndi mayeso oipa a khungu sakanatha kulekerera PPI mufunso panthawi yachitsutso.
Mmene Zidzakhalira Pakati pa Pulogalamu ya Proton Pump
Mitundu isanu ya proton pump inhibitors siimagwirizana ndi mankhwala omwewo, omwe amasonyeza kuti ngati munthu ali ndi vuto linalake la PPI, imodzi kapena zina zambiri za PPI zikhoza kuloledwa. Kafukufuku amene anachita pa proton pump inhibitors apeza kuti anthu omwe amatsutsana ndi omeprazole nthawi zambiri amatha kuthamangitsidwa mpaka pantoprazole (ndi mosiyana), ndipo anthu omwe amatsutsana ndi lansoprazole nthawi zambiri amadwala rabeprazole (komanso mosiyana). Izi zimatheka chifukwa chofanana pakati pa ma PPI ena; kusowa kwa mapiritsi pakati pa ma PPI ena kungalole kuti munthu ali ndi vuto linalake la PPI kulekerera wina PPI. Mwachitsanzo, anthu omwe amatsutsana ndi omeprazole kapena pantoprazole amatha kutenga lansoprazole kapena rabeprazole, ndipo omwe amatha kudwala lansoprazole kapena rabeprazole amatha kutenga omeprazole kapena pantoprazole.
Kwa anthu amene asokonezeka chifukwa cha kutenga puloteni wina wotchedwa proton pump inhibitor, kuyezetsa khungu kungakhale kothandiza kutsimikizira kuti akudwala matendawa. Ngati kuyezetsa khungu kwa wolakwa PPI kuli koyenera, ndiye kuyezetsa khungu kwa PPI osagwira ntchito mosavuta kungayesedwe pofuna kupeza PPI yomwe munthuyo angathe kupirira. Komabe, vuto la pamlomo, lomwe limachitidwa motsogoleredwa ndi zachipatala, liyenera kuchitidwa ndi osalumikiza PPI (osayesedwa khungu) kuti atetezedwe bwino.
Phunzirani zambiri za matendawa ndi mankhwala a mankhwala osokoneza bongo .
> Zotsatira:
> Bonadonna P, ndi al. Mankhwala osokoneza bongo kwa Proton Pump Inhibitors: Kuwona Koyenera kwa Koyesera Khungu Poyerekezera ndi Mayeso Otsutsa Ovomerezeka. J Zachilombo Zamtundu wa Immunol. 2012; 130 (2): 547-9.
> Chang YS. Kutengera kwa Hypergenitivity kwa Proton Pump Inhibitors. Makondomu Opin Odwala Clinic Immunol. 2012; 12: 348-53.
> Lobera T, ndi al. Milandu 9 ya Omeprazole Matenda. Mmene Zidzakhalira Pakati pa Pulogalamu ya Proton Pump. J Kufufuza Allergol Clin Immunol. 2009; 19: 57-60.
Perez Pimiento AJ, et al. Hypersensitivity kwa Lansoprazole ndi Rabeprazole ndi Kupirira kwa Other Proton Pump Inhibitors. 2006; 117 (3): 707-8.