Funda ukuthi yiziphi izidakamizwa ezingaphezu kwamakhompiyutha ongaphatha izinkinga zakho zokugaya ukudla
Uma unesifo se-celiac noma ukungazweli kwe- gluten okungewona i-celiac, ngokudabukisayo ungase ujwayele izimpikiswano zomzimba ezifana nesifo sohudo, ukuqothulwa, noma ukushaya inhliziyo. Izimpikiswano zeGluten zihlala zihamba ngezandla ngezinkinga zomathunjini.
Ngakho ungavula kuphi ukuphumula kwesinye isikhathi? Njengoba kuvela, kunezinhlobo eziningi zemithi yokwelashwa e-gluten-free, i-gluten-free-antacids, ne-gluten-free counteracid etholakala ngaphezu kwe-counter okungenzeka isize.
Ngeshwa, awukwazi nje ukungena ekhemisi bese ukhetha noma yikuphi umkhiqizo. Imithi eminingi eyaziwa kakhulu ngegama lomuthi yokuqothulwa, isifo sohudo, nokukhwabanisa akubhekwa njenge-gluten-free ngabakhiqizi bayo. Kodwa kunezinye izindlela ezinhle zokungena-gluten-ikakhulukazi ezitolo zomkhiqizo, kodwa imithi embalwa yegama lomkhiqizo, nayo iyatholakala ezitolo ngaphesheya kwe-United States.
Nansi umhlahlandlela we-gluten-free-counter-counter imithi yezindaba ezivamile zokugaya.
Imithi yokwelashwa e-Gluten-Free Anti-Diarrhea
I-diarrhea ingaba uphawu oluvame kakhulu lwesifo se-celiac , futhi luphawu oluvamile lokuzwela kwe-gluten . Abantu abaningi bathola isifo sohudo uma begcwala , futhi bangase bafune ukuzama imishanguzo yokulwa nesifo sohudo ukuze babone ukuthi kuyasiza yini izimpawu zabo.
Kungenzeka nokuthi isifo sakho sohudo singabangwa ngenye into ngaphandle kwe-gluten-mhlawumbe ngesifo somkhuhlane, noma ngokudla kwesifo somuthi . Kulezo zimo, imithi ehamba phambili kunayo ingasiza.
Kunezithako ezimbili eziyinhloko ezisetshenziswayo ezidakamizweni ezingaphezu kwe-anti-diarrhea: loperamide hydrochloride ne-bismuth subsalicylate.
I-Loperamide hydrochloride (etholakala i-Imodium) isebenza ngokunciphisa ukunyakaza emathunjini akho, okuvumela umzimba wakho ukuba uthathe uketshezi kusuka esitokisini sakho. I-subsalicylate ye-Bismuth (etholakala ku-Pepto-Bismol, i-liquid ejwayelekile e-pink, nakwezinye izipilisi) isebenza ukugqoka amathumbu emathumbu emathunjini nokuthukuthela okuzolile, futhi ivimbela uketshezi oluningi ukungena esitokisini sakho.
Imithi eyinhloko yokulwa nesifo sohudo ozoyithola kunoma iyiphi ikhemisi izoqukatha enye yalezi zithako ezimbili. Nansi i-rundown yamaketha athandwayo, kanye nokuthi yiziphi ezingenayo i-gluten.
Imishanguzo yokulwa nesifo sohudo engenalo i-Gluten ihlanganisa:
- Ukubhekela phezulu nokuphakama okuyi-5 ye-Symptom Digestive Relief liquid (30mL), ubukhulu obuyi-8-ounce . Lokhu kuqukethe isithako esisebenzayo esifana ne-Pepto-Bismol ne-Kaopectate. Bheka igama le-"gluten-free" eduze nePaneli yeDrug Facts ebhokisini.
- Ukubhekela phezulu nokuphakama (indlu yomkhiqizo) i-loperamide hydrochloride (2 mg) ama-caplets (loperamide hydrochloride iyisithako esisebenzayo ku-Imodium). Amabhokisi aphephile azoba negama elithi "gluten-free" eduze nephaneli leDrug Facts.
- I-Walgreens Brand Diarrhea I-capslet ye-Relief (262 mg) . Isithako esisebenzayo kulawa yi-bismuth subsalicylate. Bheka igama elithi "gluten-free" ebhokisini.
- I-Walgreens Brand loperamide hydrochloride (1 mg) ukumiswa ketshezi ku-flavor mint . Lena inguqulo evamile ye-Imodium. Bheka amabhokisi anegama elithi "gluten-free".
Lawa mithi-brand-anti-diarrhea akuyona gluten-free:
- Imodium: Yenziwe nguJohnson & Johnson, umzila we-Imodium wemikhiqizo uhlanganisa i-Imodium AD soft gels, i-imodium AD caplets, i-Imodium AD, Imodium yezingane kanye ne-Imodium Multi-Symptom Relief (iphinde iphathise amagesi, ama-cramps, nokubhubhisa). Imikhiqizo ayifaki izithako ze-gluten, kepha uJohnson noJohnson bathi akuqinisekisiwe ukuthi abanama-gluten. Ngakho-ke, khetha i-Target Up ne-Up loperamide hydrochloride caplets noma i-Walgreens Brand loperamide hydrochloride emaphakheji angabhala nge-gluten.
- I-Pepto-Bismol: I-liquid ejwayele i-pink, edayiswe yi-Procter & Gamble ukuphatha isifo sohudo, ukuguquka kwenhliziyo, ukuhlushwa kwegazi, ukugaya isisindo, igesi, ukugcoba, nokugcwala, kuqukethe i-subsalicylate ye-bismuth. I-Pepto-Bismol inikeza amaphilisi afanelekayo, ama-capsules, kanye nezinhlelo zezingane. Imikhiqizo ayiqukethe i-gluten, ngokusho komkhulumeli we-Procter & Gamble, kodwa ingase ibe ngaphansi kokungcoliswa kwe-gluten endaweni lapho zenziwe khona. Esikhundleni segama legama le-Pepto-Bismol, cabanga ngemikhiqizo equkethe i-subsalicylate ye-bismuth, njengama-caplets we-Walgreens Brand Diarrhea Relief noma i-Target Up ne-Up 5 Symptom Digestive Relief liquid.
- I-Kaopectate: Njenge-Pepto-Bismol, isithako esisebenzayo se-Kaopectate yi-subsismicylate ye-bismuth. Ifika ku-cherry, i-vanilla, i-peppermint, kanye ne-max (futhi i-peppermint) izinhlobo eziluhlaza, kanye nama-caplets aqoshiwe. Ngokomkhiqizi we-Chattem Inc., imikhiqizo ye-Kaopectate ayihlolwanga ukuze inqume okuqukethwe kwayo kwe-gluten. Ngakho-ke, kufanele ubeke enye yemikhiqizo engabhaliwe nge-gluten equkethe i-subsalicylate ye-bismuth.
Umgogodla wemithi yokwelapha e-gluten-free: I-imodium, i-Pepto-Bismol, ne-Kaopectate-ayibhekwa njengama-gluten, kodwa ezinye izindlela zokugcina izitolo zitholakala ku-Target nama-Walgreens.
I-Laxatives yama-Gluten-Free
Ukuze ugweme ukuqotshwa, kufanele uzame futhi ukwandise inani le-fiber oyidlayo. Ungakwenza lokhu ngokuqiniseka ukuthi uthole imithombo eminingi ye-futal-free fiber ekudleni kwakho njalo, noma ukusebenzisa isithasiselo se-fiber esingafani. Lezi zingasiza kakhulu ukubeka isitoreji sakho futhi kube lula ukudlula. Abanye abantu bathola nokuthi ama-probiotics abonakala ewasiza ukuwagcina njalo (qiniseka ukuthi ukhetha kuphela i-protiobics ye-gluten).
Kodwa-ke, uma usuqotshwe ngempela-kungakhathaliseki ukuqotshwa ngenxa yesifo se-celiac noma enye imbangela-unezinye izindlela eziningana kumakhemikhali angaphezu kwamakhompiyutha.
Abathengisi bezitsha, babhekwa njengama-laxatives abumnene kakhulu, basebenze ngokusiza umzimba wakho ukuxuba amanzi emgodini wakho, unciphisa isitulo futhi wenze kube lula ukudlula. Izidakamizwa ezisetshenziselwa ukunciphisa izitofu zifaka i-docusate.
Phakathi naleso sikhathi, okuthiwa ama-osmotic laxatives empeleni asiza ukuhambisa amanzi amaningi emathunjini nasesitokisini sakho, okuyinto (njengalabo abanciphisa izitofu) okwenza isitoreji siphumelele ukudlula. I-Polyethylene glycol nesisombululo se-magnesium hydroxide yizibonelo ezimbili ze-osmotic laxatives.
Okokugcina, izinhlayiya ezivusa amadlingozi empeleni zenza inkontileka yakho enkulu yamathumbu ukuhambisa isitokisi. Ngenxa yokuthi laxative ibhekwa njengesihluku futhi ingaba umlutha, akufanele uyisebenzise isikhathi esingaphezu kwezinsuku ezimbalwa nganoma isiphi isikhathi. I-Senna ne-bisacodyl yizibonelo ezimbili zama-laxatives ashukumisayo.
Nasi uhlu lwamakhemikhali abhekwa njenge-gluten-free:
- Hlanganisa: Lo mzila wezinhlayiya kanye nezithambisi zokunciphisa izitofu kuhlanganisa izinketho ezintathu: Hlanganisa amakhemikhali, ama-gel e-Colace Clear, namaphilisi e-Peri Colace. Colace and Colace Sula ngamunye uqukethe 100mg we-softener docusate sodium, kanti amaphilisi e-Peri Colace aqukethe kokubili i-docusate sodium kanye ne-senna evuselelayo. Ngokomkhiqizi, yonke imikhiqizo emithathu ayi-gluten-free, futhi i-Colace Clear iqinisekiswe nge-gluten-free yi-Celiac Support Association, okudinga ukuhlolwa kwemikhiqizo ukuqinisekisa ukuthi iqukethe izingxenye ezingaphansi kwezingu-5 ezigidini ezinezigidi.
- I-Senokot: Okunikezwe igama, ungabe ulungile uma ucabanga ukuthi lo mkhiqizo wenza ama-laxatives asekelwe ku-senna. Kunezinhlobo ezintathu ezihlukene zeSenokot ezitholakalayo: I-Senocot (isithako esisebenzayo sinama-8.6mg), i-Senocot-S (iqukethe kokubili ama-sennosides 8.6mg ne-docusate sodium 50mg), ne-SenocotXTRA (iqukethe ama-sennosides ngamandla amabili-17.2mg). Zonke izinguqulo ezintathu zeSenokot ziyi-gluten-free, ngokusho komkhulumeli womkhiqizi we-Purdue Products LP
- I-MiraLAX: I- MiraLAX iyatholakala kuphela njenge-powder ezinhlobonhlobo zamabhodlela ahlukahlukene, kanti isithako esisebenzayo yi-polyethylene glycol (17mg), i-laxative ye-osmotic. Ukusebenzisa i-MiraLAX, uyixuba emanzini noma kwenye isiphuzo. Ngokusho komkhiqizi waseBayer, i-MiraLAX ibhekwa njenge-gluten-free.
Laxatives la magama-brand akubhekwa njenge-gluten-free:
- I-Dulcolax: Leli gama, elenziwe nguSanofi, linikeza imikhiqizo ehlukene eyisikhombisa, kuhlanganise namaphilisi nama-laxatives aphatha ukuqotshwa kanye negesi. Labo ababizwa ngokuthi i-laxatives baqukethe i-bisacodyl, kuyilapho lezo ezibhalwe njengezintambo ezinamathele ziqukethe i-docusate sodium. Ngokusho komkhiqizi: "Asifaki i-gluten kunoma yimiphi imikhiqizo yethu, kodwa asikwazi ukuqinisekisa ukuthi ayinama-gluten" ngoba angase ahlangene nezinto ezihambisana ne-gluten ngesikhathi esithile ku-chain chain. Esikhundleni seDucolax, khetha enye imithi equkethe i-bisacodyl noma i-docusate sodium.
- I-Ex-Lax: Lexative, equkethe ama-sennosides njengezithako ezisebenzayo, iza ezincekwini ezifakwe nge-chocolate kanye namaphilisi. Azikho izinguqulo ezintathu ze-Ex-Lax ezibhekwa njenge-gluten-free, ngokusho komenzi. Ngakho-ke, kufanele ufinyelele i-laxative esekelwe yi-gluten-free, njengeSenokot.
- I-Phillips Milk yaseMagnesia nezinye imikhiqizo ye-Phillips: Phillips, inkampani yaseBayer, yenza i-Milk of Magnesia (isithako esisebenzayo: i-magnesium hydroxide) kanye namaqoqo e-Phillips Laxative (isithako esisebenzayo: i-magnesium oxide) kanye nama-Phillips Stool Softener liquid gels (isithako esisebenzayo: i-docusate sodium ). Ngokommeli wezinkampani zeBayer, "Asifaki i-gluten emikhiqizweni yethu, kodwa asikwazi ukuqinisekisa ukuthi bangamaphesenti angu-100 ngaphandle kwe-gluten ngoba imikhiqizo ikhiqizwa esakhiweni esingase sibe ne-gluten." Esikhundleni semikhiqizo ye-Phillips, zama isilulezi se-gluten-free se-stool njenge-Colace noma i-laxative yama-osmotic yama-gluten efana ne-MiraLAX.
Umgomo ophezulu we-laxatives-free-gluten: Uma ucabanga ukuthi uhamba ngokuzungezile ngokucophelela, ungathola i-laxative engenalo i-gluten equkethe isitoreji esitokisini, isidakamizwa se-osmotic, noma izidakamizwa ezisekelwe ku-senna. Noma kunjalo, futhi uzophinde udinge ukulungisa iminye imikhiqizo yegama lomkhiqizo.
I-Antacids yama-Gluten
Ungase ujwayelane nokushaya kwenhliziyo-akuyona into engavamile kubantu abanesifo se-celiac noma ubuzwe obuningi be-gluten bokuzwela ukuthi babhekene nokuzwa okuvuthayo esifubeni esingenhla. Eqinisweni, ucwaningo oluthile lubonisa ukuthi abantu abanesifo se-celiac bangase bahlushwa kakhulu nge-acid reflux noma i-GERD (isifo se-reflux se-gastroesophageal) uma sebengenalo i-gluten.
Uma une-heartburn noma utholakale ukuthi une-GERD, kunezinhlobo eziningi zemithi ongayithatha. Lezi zidakamizwa ziyaziwa njenge-antacids, ngoba zisebenza ukunciphisa inani le-asidi esiswini sakho, ngaleyo ndlela unciphise ukuzwa okuvuthayo.
Iqembu lemithi elibizwa ngokuthi i-H2 blockers linciphisa inani le-acids isisu sakho senza ngempela. Izithako ezisebenzayo ranitidine kanye ne-famotidine yizibonelo zama-block block H2. Izidakamizwa ezibizwa ngokuthi i-proton pump inhibitors, okwamanje, futhi zinciphisa i-asidi, kodwa ngendlela ehlukile esiswini. Izibonelo zeproton pump inhibitors zihlanganisa izithako ezisebenzayo omeprazole kanye ne-lansoprazole.
Okokugcina, i-calcium carbonate-based and magnesium hydroxide-based antacids iyanciphisa i-asidi esevele isesiswini sakho, esiza ukunciphisa ukukhathazeka okuhlobene ne-asidi.
Ngokuvamile, uma kuziwa kuma-antacids, kungaba nzima ukuthola igama lomuthi phezu kwe-counter-counter ukwelashwa okubizwa ngokuthi i-gluten. Noma kunjalo, kunezinhlobo eziningi zezindlela zokugcina esitolo.
Nansi i-rundown ye-antacids ehlukahlukene ye-gluten emakethe:
- I-Equate (i-Walmart) yamathebulethi anonya: Lawa aqukethe i-calcium carbonate, eyenza ukuthi afane ne-Tums. Zifika ezinhlobonhlobo ezihlukahlukene zama-flavour kanye namandla. Qinisekisa ukuthi ukhetha owodwa onencazelo "ye-gluten-free" elebula.
- I-Equate (i-Walmart) amaphilisi ama-famotidine (20mg): Lona uhlobo olujwayelekile lwe-Pepsid AC. Bheka igama le "gluten-free" ngaphansi kwephaneli le "Drug Facts" emaphaketheni.
- I-Equate (i-Walmart) amaphilisi e-brandmanti (150mg): Lona ngu-generic version ye-Zantac. Bheka igama le "gluten-free" ngaphansi kwephaneli le "Drug Facts" emaphaketheni. Amaphakheji athile e-Equity kuphela amakwe "awe-gluten-free," ngakho unamathela nalawo.
- Amathebulethi aphakanyisiwe phezulu Nama-brand antacid: Lezi antacids ezisekelwe nge-calcium carbonate zifana ne-Tums, futhi zifika ezinhlobonhlobo zama-flavour kanye namandla. Bheka igama elithi "gluten-free" ngemuva kwebhokisi.
- Target Up and Up brand antacid amathanga soft: Lezi cherry-flavored calcium carbonate antacids ziqinisekiswe gluten-free yi-Gluten-Free Certification Organization (GFCO), okudinga ukuhlolwa ezingxenyeni ezingaphansi kwezingu-10 ngezigidi ze-gluten. Bheka uphawu lwe-GFCO ngemuva kwephakheji.
- Target Up and Up brand 24-hour lansoprazole (15mg) amaphilisi: Lena inguqulo generic of Prevacid. Bheka igama elithi "gluten-free" ebhokisini elinemibala eduze ne-"Drug Facts" ingxenye yepakheji.
- Target Up and Up brand ranitidine (150mg) amaphilisi: Lena inguqulo generic of Zantac. Bheka igama elithi "gluten-free" ebhokisini elinemibala eduze ne-"Drug Facts" ingxenye yepakheji.
- Ama-Tums: Lona kuphela igama le-brand-antacid eyenza isimangalo sama-gluten. Amaphilisi e-Tums, aphuma ezinhlobonhlobo zama-flavour kanye namandla, aqukethe isithako esisebenzayo se-calcium carbonate futhi abhekwa njenge-gluten-free, ngokusho komkhiqizi.
- Ama-tablet we-Walgreens Brand amandla amaphilisi anamapayipi angaphezu kwamandla amathrekhi angokwemvelo : Lawa amaphilisi, ane 750mg we-calcium carbonate, inguqulo yesi-Tums. Zithwala ilebuli ye-gluten.
- Amaphilisi ama-Walgreens Brand lansoprazole (ama-15mg): Lona uhlobo olujwayelekile lwe-Prevacid. Bheka igama elithi "gluten-free" eliseduze ne "I-Drug Facts" emaphaketheni.
Lawa ma-antiacids amagama-brand awabhekwa njenge-gluten-free:
- I-Alka-Seltzer: Leli gama elithi "pop, pop, fizz, fizz" linikeza izixazululo eziningana ezihlukahlukene zokuphuza izinhliziyo kanye nezindlela zokuphuza i-gas relief effervescent. Kodwa-ke, okhulumela umkhiqizi uBayer uthi imikhiqizo yenziwe esakhiweni esabelwe imikhiqizo ene-gluten, futhi ayibhekwa njenge-gluten.
- I-Nexium: Eyaziwa ngokuthi "iphilisi elibomvu," i-Nexium iqukethe u-22.3mg we-esomeprazole, i-proton pump inhibitor. Umkhiqizi we-Pfizer, Inc. akaqinisekisi ukuthi umkhiqizo awunama-gluten.
- I-Pepsid: I- Pepsid AC iqukethe i-H2 blocker i-famotidine, kanti i-Pepsid Iphelele iqukethe i-famotidine kanye ne-acid reducers calcium carbonate ne-magnesium hydroxide. Noma kunjalo, umkhiqizi uMcNeil Consumer Pharmaceuticals, Inc., akaqinisekisi ukuthi imikhiqizo ayi-gluten.
- I-Prevacid: Lo mkhiqizo, owenziwe ngu-Takeda Pharmaceuticals USA, Inc., uqukethe i-proton pump inhibitor lansoprazole. I-Takeda ayiqinisekisi ukuthi umkhiqizo u-gluten-free.
- I-Prilosec: Yenziwe yi-Procter & Gamble, i-Prilosec iqukethe i-proton pump inhibitor omeprazole. Umkhiqizi walo akasho ukuthi ngabe umkhiqizo awunayo yini gluten noma cha.
- I-Zantac: Zantac, eyenziwe nguBoehringer Ingelheim, iqukethe i-ranitidine, i-H2 blocker. Njengamanye ama-brand-name drugs kule sigaba, i-Zantac ayiqinisekisiwe ukuthi ayi-gluten.
I-bottom line ye-antacids-gluten-free: Kune-substiten free-the-counter substitute generic cishe cishe wonke ama-brand-antacid atholakalayo, ngakho-ke uma kunesidingo ungazama eziningana ukuze uthole okusebenza kahle kuwe.
Izwi elivela
Kungakhathaliseki ukuthi udinga i-antacid, imishanguzo yokulwa nesifo sohudo, noma i-laxative, kunezinye izindlela ezingenayo i-gluten etholakalayo. Ngokuvamile, uzoba ngcono nge-generic version lomuthi wegama lomkhiqizo, ngoba zibhalwe ngokwethembeka "i-gluten-free." Kungase kudingeke uzothenge nxazonke, nakuba-hhayi zonke izitolo zezidakamizwa noma isitoreji esikhulu sebhokisi elikhulu lesizwe lizophatha yonke imithi ngenhlobo ye-gluten-free.
Okokugcina, lapho uthenga izidakamizwa ezingaphezu kwamakhomithi, qinisekisa ukuthi uhlola yonke iphakheji yegama elithi "gluten-free" isikhathi ngasinye . Nakuba izitolo ezifana ne-Target nama-Walgreens (futhi kancane kancane, i-Walmart) ziye zaqhubeka zithwala imikhiqizo engekho gluten, ukukhiqizwa komkhiqizo kungashintsha noma kunini. Njalo qinisekisa ukuthi yini oyithenga ngalolo suku iphephile.
> Imithombo:
> I-American Academy of Family Physicians. Ama-Antacids nama-Acid Reducers: I-OTC Relief ye-Heartburn ne-Acid sheet yangempela.
> I-American Academy of Family Physicians. Imithi yokuvimbela isifo sofuba: I-OTC Relief ye-Diarrhea fact sheet.
> I-American Academy of Family Physicians. Ama-laxatives: Imikhiqizo ye-OTC ye-Factory sheet.
> Nachman F. et al. Izimpawu ze-Reflux ze-gastroesophageal ezigulini ezinezifo ezibucayi kanye nemiphumela ye-Gluten-Free Diet. I-Gastroenterology Clinic ne-Hepatology. 2010 Jun 30 [Epub ngaphambi kokuphrinta].