Ama-Antacids kanye ne-Proton Pump Inhibitors yezibonakaliso zokuphefumula
Ukwelapha ukuphuza inhliziyo akuyona isayensi eqondile; ngezinye izikhathi kuzodingeka uzame izinketho ezahlukene-ezinye ngezokwelapha nabanye ngaphandle-ukuthola imithi ehamba kahle kuwe.
Uma uqala isikhathi sesilingo nesiphambeko esingaholela ekusizeni, udokotela wakho cishe uzofuna ukusebenzisa indlela " engekho imithi ", okukhethwa kodwa kuyinkimbinkimbi ngoba ihilela ukuguqulwa kwendlela yokuphila kanye nezinguquko zokudla. Kunezindlela zokwelapha ekhaya ezingathembeki emithini yokwelapha ukuphatha ukushaya kwenhliziyo, kanti ezinye zazo zingase zikusebenzele.
Uma Isikhathi Sokuguqula Imishanguzo Yokucindezeleka
Uma ungeke uthole ukukhululeka nganoma iyiphi yalezi zindlela, ungaxoxa nodokotela wakho izinhlobo ezahlukene zemithi ezingase ziphathe izimpawu zakho. Ama-antacids, i-H2 blockers, ne-proton pump inhibitors (i-PPIs) yizo zonke izinhlobo zemithi yokuphuza, ngamunye elula ukushisa ngezindlela ezahlukene.
Uhlobo luni lwemithi oyisebenzisayo luzoxhomeka ezintweni eziningana, kuhlanganise nobukhulu bezimpawu zakho.
Imithi eminingi yokukhwabanisa manje iyatholakala phezu kwe-the-counter (OTC) kodwa ungavumeli lokhu kukukhohlise ekucabangeni ukuthi akuphumelelanga kakhulu. Eqinisweni, lapho u-Prilosec ephuma kuqala, kungenziwa kuphela odokotela abaye bazikhethela izifo zokugaya, bese kuthi, isikhathi esifushane. Imiphumela emibi ayijwayelekile, nakuba ikhona ngezikhathi ezithile. Okubalulekile ukuqonda ukuthi ukuguquka kwenhliziyo okungaphenduliwe nokungapheli kungaholela ezinkingeni eziningana ezinzima , kanti ukwelashwa okuphumelelayo, ngezinye izikhathi nemithi kuphela etholakala ngaphezu kwe-counter, kunganciphisa lezi zingozi.
Kubuye kubalulekile ukuqaphela ukuthi eziningi zalezi mithi ziyatholakala njengama-formulations angaphezu kwe-counter and the prescription. Izikhathi eziningi umthamo wokugulisa uphakeme, kodwa hhayi njalo. Ngaphezu kwalokho, eziningi zala mithi zidayiswa ngaphansi kokubili amagama omkhiqizo namagama ajwayelekile. Lokhu kungadideka futhi kuyinto engavamile ukuba abantu bathole ukuthi basebenzisa imithi emibili ngamagama ahlukene, umshini owodwa kadokotela kanye ne-one-counter-counter, noma eyodwa igama lomkhiqizo kanye negama elilodwa lomkhiqizo, elinesenzo esifanayo. Akukona lokhu kuphela okungafani kodwa kungakuveza emthamo owodwa wezokwelapha.
Ukuhlangabezana nemithi yokwelapha
Ama-Antacids
I-Antacids iyimithi ejwayele ukusetshenziselwa ukushaya inhliziyo , futhi cishe uke wabona amathengi enza konke okusebenzayo. Lokho ukukhangisa okukhangisa kuyiqiniso; ama-antacids anganciphisa ukugubha kwenhliziyo nokuhlukumeza ngezikhathi ezithile . Izithako ezisebenzayo ezincelweni ze-antacids zinciphisa isisu se-stomach, okuyinto ebangela ubuhlungu.
Ama-Antacids athengiswa ngaphansi kwamagama alandelayo alandelayo:
- Rolaids
- I-Maalox
- I-Mylanta
- I-Tums
- I-Gaviscon
- Chooz
Qaphela ukuthi amalungiselelo ahlukene e-antiacid angaba nezithako ezifanayo noma ezahlukene.
Ama-antacids akufanele ahloselwe ukusetshenziswa isikhathi eside. Uma uthatha ama-antiacids isikhathi eside kunamaviki amabili, ukushaya kwenhliziyo kungabangelwa inkinga yokwelashwa engathà sina. Xhumana nodokotela wakho ukuze uthole olunye ulwazi. Kufanele ubone udokotela wakho ngokushesha uma ubhekana nanoma yimiphi izimpawu ezinzima ngokwanele ukuphazamisa indlela yakho yokuphila.
Imiphumela emibi evela ekusebenziseni ama-antacids cishe kungenzeka uma kuthathwe izinkathi ezinde noma ngezilinganiso eziphezulu kunokunconywa. Kodwa-ke, ngoba imiphumela emibi ingase ivele, kubalulekile ukwazi ukuthi bangubani futhi uma kufanele uxoxe nodokotela wakho ngezimpawu zakho.
Imiphumela emibi ngokuvamile ayidingi ukunakekelwa kwezokwelapha ngaphandle kokuthi iqhubeka noma ihlupha:
- Ukuqokwa
- Igesi lesisu
Bika udokotela wakho ngokushesha uma uthola:
- Ukuqhaqhazela isikhumba, ukucheka noma ukuvuthwa, ukuvuvukala kobuso, izindebe, noma ulimi (kubonisa indlela yokuphikisa)
- Ukudideka
- Izinwele
- Ukuthukuthela
- Ukudabuka noma ukuhlanza
- Ubuthakathaka obungacacisiwe noma ukukhathala
H2 Blockers
Abakhi be-H2 (okuthiwa yi-H2-receptor antagonists) yimithi eyanciphisa inani le-asidi isisu esisenza ngokuvimbela umkhiqizi oyedwa obalulekile we-acid: i-histamine-2. Amaseli esithombeni esiswini, okuthiwa ama-parietal cells, akhiqiza i-asidi. Enye yezindlela lezi amangqamuzana ezikhuthazwayo ukukhiqiza i-asidi ine-histamine. H2 Abavimbela ukunciphisa ukukhiqizwa kwe-acid ngokuvimbela izimpawu ezivela kumlando we-histamine othi isisu senze i-asidi.
Ama-block block e-H2 athengiswa njengezinto ezilandelayo:
Imiphumela emibi uma uthatha i-H2 blockers ayidlangalaleni. Iningi labantu libekezelela kahle i-H2 blockers uma kuthathwa njengokuqondiswa. Ezinye izimo zezokwelashwa noma imithi ingakhuphula izinkinga zokubhekana nemiphumela emibi.
Imiphumela emibi okufanele uyibike kudokotela wakho noma ochwepheshe bezempilo:
- Ukusabela okwenziwe okwenziwe okwephuza njengokwenyama isikhumba, ukuvuza noma ukuvuthwa, ukuvuvukala kobuso, izindebe noma ulimi
- Ukudumala, ukwesaba, ukucindezeleka, ukucabangela
- Ukuvuvukala kwesisu, isisa
- Ukubomvu, ukubhoboza, noma ukukhanda isikhumba, kufaka phakathi nomlomo
- Umchamo omnyama
- Uhudo
- Izinwele
- Ukudabuka noma ukuhlanza
- I-Yellowing yesikhumba noma abamhlophe bamehlo
I-Proton Pump Inhibitors (i-PPIs)
I- proton pump inhibitors (PPIs) isebenza ngokuvimbela ngokuphelele ukukhiqizwa kwesisu esiswini. Benza lokhu ngokuvala isistimu esiswini esaziwa ngokuthi ipompo yeproton.
Ipompo ye-proton iyi-molecule emangqamuzaneni athile athi "amaphampu" i-asidi esiswini. Kuthatha ion potassium ion non-acidic esiswini bese uyifaka esikhundleni se-acidic hydrogen ion. Le i-hydrogen ion yenza izinto zenzeke. Ngokumisa isenzo sepompo, ukufihla kwe-asidi esiswini kuyayeka.
Odokotela bahlinzekela ama-PPIs ukuthi baphathe abantu abane- reflux isifo se-gluroesophageal (GERD) , isifo sesilonda se-peptic , noma ezinye izinkinga zokugaya ezingase zenze isidumbu esiningi ngokweqile.
Ama-proton pump inhibitors athengiswa ngaphansi kwamagama alandelayo alandelayo:
- I-Prilosec (i-omeprazole)
- I-Prevacid (i-lansoprazole)
- I-Protonix (i-pantoprazole)
- I-Nexium (esomeprazole)
- I-Aciphex (i-rabeprazole)
I-Dexilant (dexlansoprazole)
I-PPIs njengeklasi yezokwelapha zenzelwe ukuthathwa ngaphansi kokuqondiswa udokotela futhi kuphela isikhathi esilinganiselwe. Ukusetshenziswa okungapheli kwama-PPIs kuye kwahlotshaniswa nokuhlaselwa kwenhliziyo, isifo sezinso, kanye ne-bone fractures.
Imiphumela emibi yokuthatha i-PPIs ingenzeka. Bheka udokotela wakho uma ubhekana nanoma iyiphi yalezi zingozi ezingase zibe khona:
- Izinwele
- Uhudo
- Ukuqokwa
- Isisu esibuhlungu
- Ukuvota
- Ubuhlungu besisu
- Isikhukhula
- Izimpawu zamakhaza
- Isizungu
- Ukushisa okuncane
Bika udokotela wakho ngokushesha uma uthola:
- Isikhumba esinamandla siqhuma ngokuvuvukala noma ukucubungula
- I-Hives
- Ukuvuvukala ubuso, umlomo, izindebe, noma ulimi
- Ukuvuvukala kwezandla, izinyawo, noma izinyawo
- Uhudo olukhulu
- Ukuthuthumela
Imithombo:
IBhodiman, H., Delaney, B., no-S. Haag. Ukubambisana ekwenzeni ukuphathwa kwe-Reflux Izimpawu: I-algorithm yokwelapha ye-Over-the-Counter iProte-Pump Inhibitors. Ucwaningo Lwezokwelapha Namanje . 2015. 31 (7): 1309-18.
Scarpignato, C., Gatta, L., Zullo, A. et al. I-Proton Pump Inhibitor Therapy Ephumelelayo Nezifo Ezihlobene Ne-Acid-Related - Iphepha Lokumelana Nezinzuzo Nezikhwama Ezenzekayo Zokunciphisa I-Acid. BMC Medicine . 2016. 14 (1): 17.