Yeka ukuthi i-Antacid elula inganciphisa kanjani ukwelashwa kwakho kwe-HIV
Ukuphuza isisu kuvamile kubantu abaphila negciwane lesandulela ngculazi njengoba kubalwa abantu abaningi. Ngenkathi kunezinhlobo eziningi zokwelashwa okusebenzayo kanye nezixazululo ezingaphezu kokushaya izinhlungu zokuphuza inhliziyo, ezinye ziyaziwa ukuthi zisebenzisana nemishanguzo yegciwane lesandulela ngculaza , ngokuvamile ziyancipha ukutholakala kwazo (ukutholakala kwegazi).
Lokhu kungenziwa uma izidakamizwa zithathwa ngesikhathi esifanayo.
Lokhu kungenxa yokuthi amasheya ngayinye ahamba ngendlela efanayo njengoba asakazwa emzimbeni. Lo mncintiswano ngezinye izikhathi unganciphisa izinga lezidakamizwa ze-HIV emgodleni wegazi, okusho ukuthi kunezidakamizwa ezincane ezitholakalayo zokuvimbela igciwane elijikelezayo ngokukhululekile.
Kwezinye izimo, okungahambisani nakho kungabangela ukwanda kokutholakala kokutholakala kokudla kanye nokunyuka kokushukela nemiphumela emibi.
Ukuqonda Ukushaya Inhliziyo
Ukuguquka kwesifo-isibonakaliso sesimo sezokwelapha esaziwa ngokuthi isifo se-reflux ye-gastroesophageal (GERD) -bangelwa lapho isisu se-acids siphindela emuva (refluxes) esiqwini. Ngaphandle kwenhliziyo, izimpawu zeGERD zingabandakanya:
- Umphimbo obuhlungu
- Ukuphindaphinda
- Ukunambitheka okunamandla emlonyeni
- Umzwelo wephunga emqaleni
- Ukukhwehlela okungapheli, okungenakukhiqiza
- Ukwesaba noma ukushaywa yisifo
Uma umuntu enenhliziyo ngenxa ye-GERD, izinhlobo ezithile zezidakamizwa zingahle zibekwe, kubandakanya i-proton pump inhibitors nama-block block H2 anciphisa i-acast gastric, kanye nama-antacids omlomo okusiza ukunciphisa i-acid.
Ukusebenzisana kwe-Proton Pump Inhibitor
I-Proton pump inhibitors (i-PPIs) yiyona ndlela eyinhloko yokwelashwa kokuphuza futhi ifaka ama-agent afanekayo njengalokhu:
- I-Aciphex (i-rabeprazole)
- I-Nexium (esomeprazole)
- I-Prevacid (i-lansoprazole)
- I-Protonix (i-pantoprazole)
- I-Prilosec (i-omeprazole)
Wonke ama-proton pump inhibitors ayaziwa ukwehlisa amazinga kaReyataz (atazanavir), i-Edurant (rilpivirine), ne-Crixivan (indinavir).
Ngokuphambene, bangakwazi ukwandisa amazinga e-Isentress (raltegravir).
Ngaphezu kwalokho, i-Prilosec inganciphisa amazinga we-Viracept (nelfinavir), i-Intelence (etravirine), ne-Invirase (saquinavir).
Ukuxhunyaniswa kwe-Block H2
Abavimba be-Histamine 2 (H2) abaphumelelanga njengama-PPI kodwa banganikeza usizo olwanele kwabanye abantu. Izinketho ezidumile zihlanganisa:
- I-Axid (nizatidine)
- I-Pepcid (i-famotidine)
- I-Tagamet (i-cimetidine)
- I-Zantac (ranitidine)
Wonke ama-block block H2 ayaziwa ngamazinga aphansi kaReyataz (atazanavir) no-Edurant (rilpivirine). Ama-block block angama-H2 angakhuphula amazinga e-Isentress (raltegravir).
I-Tagamet, okwamanje, inganciphisa amazinga e-Viramune (nevirapine) futhi mhlawumbe i-Prezista (darunavir) ngenkathi ikhula amazinga we-Lexiva (fosamprenavir).
Ngokufanayo, i-Zantac inganciphisa i-Prezista (fosamprenavir) ne-Kaletra (lopinavir / ritonavir).
Ukusebenzisana okungaxhunyiwe
Ngezinye izikhathi ama- Antacids asetshenziselwa ama-PPIs ukuze anikeze ukuphumula kokuphuza okunye. Lawa mithi ehamba phambili ejwayelekile ithathwa efomini eliketshezi noma eliphathekayo. I-may noma i-calcium-based noma i-magnesium-isekelwe futhi ifaka:
- I-Maalox
- I-Mylanta
- I-Tums
- Rolaids
Zonke izidakamizwa zinganciphisa amazinga e-Edurant (rilpivirine). Kungase futhi kunciphise amazinga kaReyataz (atazanavir), Lexiva (fosamprenavir), ne-Aptivus (tipranavir).
Amaphilisi a-calcium afana ne-Tums angaphinda afake i-inhibitors ye-integrase futhi aphazamise indlela asebenza ngayo.
Ukugwema ukusebenzisana kwezidakamizwa
Ezimweni eziningi, ukuxhumana phakathi kwe-heartburn nemithi ye-HIV kungagwenywa ngokuhlukanisa ukulinganisa okungenani amahora amane. Kwezinye izimo, amanani angase adinge ukuhlukaniswa amahora ayisithupha noma ngaphezulu ngokususelwa kwezinye izinhlobo zezidakamizwa ongase uthathe.
Uma uthatha noma yimiphi imithi yokushaya inhliziyo, kungakhathaliseki ukuthi inqunywe ngaphezu kwe-counter, vumela udokotela wakho we-HIV wazi ukuthi unikezwa imiyalelo ecacile esekelwe ekuhlanganiseni kwezidakamizwa ozithathayo.
> Imithombo:
> Lewis, J .; Stott, K .; Monnery, D. et al. Ukusebenzisana kwezidakamizwa nezidakamizwa kanye nokubandakanya kwabo ekuphathweni kwemithi. " I-Int J STD AIDS. 2016; 27 (2): 105-9. I-DOI: 10.1177 / 0956462415574632.
> Thompson, T .; Lee, M .; U-Clarke, T. et al. "Ukuvama kwamabonakaliso emathunjini phakathi kweziguli zegciwane lesandulela ngculazi nokulawula abantu." Ann Gastroenterol . 2012; 25 (3): 243-8.