I-Antacids kunye ne-Proton Pump Inhibitors zokubonakalisa i-Heartburn Symptoms
Ukunyangwa kwentliziyo akusiyo inzululwazi ngqo; ngamanye amaxesha uzakufuna ukuzama iindlela ezahlukeneyo-ezinye ngeemithi kunye nabanye ngaphandle-ukufumana unyango osebenza kakuhle kuwe.
Xa uqala ixesha lokulinga-kunye nephutha elingakhokelela ekuncediseni, ugqirha wakho uya kufuna ukuphumeza indlela " engekho nonyango ", ekhethekileyo kodwa kunzima kunokuba ibandakanya ukuguqulwa kwendlela yokuphila kunye noshintsho lokutya. Kukho neendlela zasemakhaya ezingaxhomeki kwiimithi zonyango ukuphatha ukutshabalalisa, kwaye ezinye zazo zinokusebenzela.
Xa Isikhathi Sokuguqula Ukuguquka Kwemilenze
Ukuba awukwazi ukufumana uncedo ngeyiphi na le ndlela, unokuxoxa kunye nodokotela wakho iintlobo ezahlukeneyo zonyango ezinokunyanga iimpawu zakho. I-Antacids, i-H2 blockers, kunye neproton pump inhibitors (i-PPIs) ziintlobo zonke zeyeza zokunyusa, ngasinye sinciphisa ukutshisa ngeendlela ezahlukeneyo.
Yiyiphi iyeza elisebenzisayo liya kuxhomekeka kwiimeko ezininzi, kubandakanywa ubunzima beempawu zakho.
Uninzi lwamachiza ogugu lweengxaki luyafumaneka kwi-counter-the-counter (OTC) kodwa ungavumeli oku kukukhohlisa ukuba ucinge ukuba asebenzi kakuhle. Enyanisweni, xa u-Prilosec wokuqala ephuma, unokumiselwa kuphela ngabagqirha abazodwa kwizifo zokugaya, kwaye ke, ngokukhawuleza ixesha elifutshane. Imiphumo emibi ayiqhelekanga, nangona iyenzeka ngamanye amaxesha. Yintoni ebalulekileyo ukuyiqonda ukuba ukungaphathwa kakubi nokuphambana nokugqithiswa kwangaphantsi kunokubangela iingxaki ezinzulu , kwaye unyango olusebenzayo, ngamanye amaxesha kunye namayeza atholakala ngaphaya kwe-counter, anganciphisa le mngcipheko.
Kwakhona kubalulekile ukuqaphela ukuba ezininzi zala mayeza atholakalayo njengamabini angaphezu kwe-counter and the form. Amaxesha amaninzi umthamo wesigxina uphezulu, kodwa kungekho rhoqo. Ukongezelela, ezininzi zala mayeza athengiswa phantsi kwamagama amabini kunye namagama aphezulu. Oku kungadideka kwaye akuqhelekanga ukuba abantu bafumane ukuba basebenzisa amachiza amabini ngamagama ahlukeneyo, omnye umyalelo kunye nomnye-we-counter-counter, okanye enye yegama elilodwa kunye negama lomnye igama, elinesenzo esifanayo. Akukona nje kuphela oku kungasebenzi kodwa kunokukutyhila kwiqondo eligqithisileyo lamachiza.
Ukudibanisa i-Heartburn Medicines
Antacids
I-Antacids yindlela eqhelekileyo yokusetyenziswa kwimizi yokuguquka kwenhliziyo , kwaye mhlawumbi uye wazibona iintengiso zenza ukuba ziphumelele. Ziyintoni na ezo ntengiso zivakalisa; i-antacids iyakunciphisa ukunyamezela kunye nokunyanzelisa . Izithako ezisebenzayo kwi-antacids zinciphisa isisu esiswini, oko kukubangela intlungu.
Ii-Antacids zithengiswa phantsi kwegama lamanqaku alandelayo:
Qaphela ukuba izilungiso ezahlukeneyo ezinokuthi zinokuthi zibe neendlela ezifanayo okanye ezahlukeneyo.
I-Antacids ayifanelekanga ukuba isetyenziswe ixesha elide. Ukuba uthabatha i-antacids ixesha elide kuneveki ezimbini, ukukhwabanisa kunokubangelwa yinkinga enkulu yonyango. Buza udokotela wakho ukuba uphonononge kwakhona. Umele ubone ugqirha wakho ngokukhawuleza ukuba uhlangabezana naziphi iimpawu ezinzima ukuphazamisa indlela ophila ngayo.
Imiphumo emibi ekusebenziseni i-antacids iyakwenzeka xa ithatyathwa ixesha elide okanye kwizinga eliphezulu ngaphezu kokucetyiswa. Nangona kunjalo, ngenxa yokuba iziphumo ezinokuthi zenzeke, kubalulekile ukwazi ukuba ziphi na xa kufuneka uxoxe ngezilwanyana zakho neempawu zakho.
Imiphumo engaphantsi ayifuni imfuno yonyango ngaphandle kokuba iqhubeka okanye ixhalabisayo yile:
- Ukutyunjwa
- Isisu segesi
Bika ugqirha ngokukhawuleza ukuba unamava:
- Ukukhwabanisa isikhumba, ukubetha okanye ukuvuthwa, ukuvuvukala ubuso, imilomo, okanye ulwimi (kubonisa indlela yokuphendula)
- Ukudideka
- Intloko
- Ukutshatyalaliswa
- Isihlunu okanye ukuhlanza
- Ubuthakathaka obungachazwanga okanye ukhathala
H2 Blockers
I-block block ye-H2 (ebizwa ngokuba yi-H2-receptor antagonists) ngamayeza anciphisa inani le-asidi isisu esenza ngokukhusela umvelisi omnye obalulekileyo we-acid: i-histamine-2. Iiseli kwisithambiso esiswini, esibizwa ngokuba ngama-parietal cells, ukuvelisa i-asidi. Enye yeendlela iindlela ezi sele zivuselelwa ngayo ukuvelisa i-asidi ine-histamine. I-H2 I-Blockers iyanciphisa ukuveliswa kwe-asidi ngokuthintela iimpawu ezisuka kwi-histamine exelela isisu ukuba yenze i-asidi.
Iibhloko ze-H2 zithengiswa njengamaxabiso alandelayo:
Imiphumo emibi xa kuthatha i-block blockers i-H2 inqabile. Uninzi lwabantu lunyamezela i-H2 blockers kakuhle xa kuthathwa njengalathwayo. Ezinye iimeko zonyango okanye amayeza angakwandisa imingcipheko yokufumana imiphumo emibi.
Imiphumo emibi ekufuneka uyixelele ugqirha okanye uqeqesho lwezempilo:
- Ukuphendulela kwezilwanyana ezifana nokugqithisa kwesikhumba, ukubetha okanye ukuvuthwa, ukuvuvukala ubuso, imilomo, okanye ulwimi
- Ukuxhala, ukwethuka, ukudandatheka, ukuguquka
- Ukuvuvukala kwesisu, isisa
- Ukubomvu, ukuguquka, okanye ukukhangela kwesikhumba, kubandakanya ngaphakathi emlonyeni
- Umchamo omnyama
- Uhudo
- Intloko
- Isihlunu okanye ukuhlanza
- Ukuqhwala kwesikhumba okanye abamhlophe kwamehlo
Proton Pump Inhibitors (PPIs)
Umsebenzi weproton pump inhibitors (PPIs) usebenza ngokunqanda ngokupheleleyo ukuveliswa kwesisu esiswini. Benza oku ngokuvala umyalelo kwisisu esaziwa njengepompto pump.
Ipompo yeproton yilawulethi kwezinye iiseli "ezipompo" i-acid kwisisu. Kuthatha ion i-potassium ion ngaphandle kwesisu kwaye iyifake esikhundleni sayo nge-acidic hydrogen ion. Le i-hydrogen ion yinto eyenza izinto zenzeke. Ngokumisa isenzo sepom, ukuvalwa kwe-asidi kwisisu kuya kumiswa.
Oogqirha banquma ukuba i-PPIs ilawule abantu abanezifo zesifo se-reflux ye-gastroesophageal (GERD) , isifo sesilonda sezilonda , okanye ezinye izifo ezinokugaya ezinokubangela isisu esiswini esiswini.
Iproton pump inhibitors zithengiswa phantsi kwegama lamanqaku alandelayo:
- Prilosec (omeprazole)
- Prevacid (lansoprazole)
- IProsioni (pantoprazole)
- Nexium (esomeprazole)
- Aciphex (rabeprazole)
Umxhasi (dexlansoprazole)
Ii-PPI njengeklasi yeyeza kufuneka zithathwe phantsi kolawulo lwegqirha kwaye kuphela ixesha elincinci. Ukusetyenziswa okungapheliyo kwe-PPIs kuye kwadibaniswa nokuhlaselwa kwentliziyo, isifo sesifo, kunye nesifo sezinthambo.
Imiphumo emibi yokuthatha i-PPI ingenzeka. Jonga ugqirha wakho ukuba unayo nayiphi na le miphumo emibi:
- Intloko
- Uhudo
- Ukutyunjwa
- Isisu esimoshakele
- Ukuvutha
- Intlungu yesisu
- Isiqhamo
- Izimpawu zeCold
- Utywala
- Ukukhawuleza okulula
Bika ugqirha ngokukhawuleza ukuba unamava:
- Ikhumba elikhukhulayo likhawuleza okanye likhupha
- Iimbuzi
- Ukukhupha ubuso, umlomo, imilomo, okanye ulwimi
- Ukuvuvuka kwezandla, iinyawo, okanye iinyawo
- Ihudo lomzimba
- Ukuthuka
Imithombo:
IBhodiman, H., Delaney, B., no-S. Haag. Intsebenziswano ekuPhakanyisweni koLawulo lweMpawu zoLungiso: I-Algorithm ye-Treatment ye-Over-The-Counter Proton-Pump Inhibitors. Uphando lwezoPhando kunye neNgxelo . 2015. 31 (7): 1309-18.
Scarpignato, C., Gatta, L., Zullo, A. et al. I-Proton Pump ye-Inhibitor Treatment kwi-Acid-Related Diseases - Iphepha lePhepha elijongene neNzuzo kunye neZiphumo zokuHlaba kwe-Acid. BMC Medicine . 2016. 14 (1): 17.