Ezinye i-proton Pump Inhibitors ziyafumaneka kwi-Over-The-Counter
Imichiza eqhelekileyo yonyango esetyenziselwa unyango lwe-Gastroesophageal Reflux Disease (GERD) yiproton pump inhibitors (PPIs).
Iproton pump inhibitors i-acid reducers. Oogqirha banquma ukuba iPPIs ilawule abantu ngeemeko ezininzi kuquka:
- Ukuguquka kwesifo (isifo se-reflux gastroesophageal)
- Izilonda zesisu okanye amathumbu
- Unyango lweHelicobacter pylori
- Ukugqithisa isisu esiswini ( iZollinger-Ellison Syndrome )
Indlela iPPIs isebenza ngayo
Esinye sezizathu zokuba kutheni ama-proton pump inhibitors anqunywe rhoqo kukuba banamathuba okuphucula ngempumelelo intlungu.
Isisu sakho senza i-asidi ukuze kusize ukuphuka ukutya ukuze kube lula ukugaya. Kweemeko ezithile, le asidi ingamcaphukisa umbane wesisu sakho kunye ne-duodenum (igama lezonyango engxenyeni ephezulu yamathumbu akho amancinci) obangela ukutshabalalisa kunye nezilonda.
Isisu sinompu, obizwa ngokuba ngumpompo we-acast acid, ovelisa isisu esiswini. I-PPI ivimba ukukhutshwa kwe-asidi kwisisu ngokubophelela kule mibompu. Ukunciphisa inani lesisu le-asidi kunokunceda izilonda ziphilise kwaye zihlaziyeke.
Imithi ekhoyo yePPI
Nazi ezinye ii-PPIs ezisixhenxe ezifumanekayo, ezinye ze-counter-counter-nezinye kunye nomyalelo kuphela:
- Aciphex (Rabeprazole)
- Nexium (Esomeprazole)
- I-Prevacid (i-Lansoprazole) -yatholakala kwi-counter-counter
- I-Prilosec (i-Omeprazole) -yatholakala kwi-counter-counter
- IProsix (i-Pantoprazole)
- Umxhasi (Dexlansoprazole)
- Zegrid (omeprazole / sodium bicarbonate) -yatholakala kwi-counter-counter
Ii-PPIs kwiGERD ephathwayo
Ukuba ugqirha wakho uncoma i-PPI ekulawuleni i-GERD, mhlawumbi uye wancoma utshintsho lwezinto zokuphila ezifana nokulahlekelwa kwesisindo (xa ungaphezu komzimba okanye ukugqithisa), ukuphakamisa intloko yebhedi yakho ebusuku, ungadli iiyure ezimbini ukuya kwethathu ngaphambi kokulala.
Ii-PPI zidlalwa rhoqo emva kwemizuzu engama-30 ukuya kwangama-60 ngaphambi kokutya kwasekuseni, kwaye zithathwa malunga neeveki ezisibhozo, apho ugqirha wakho uza kuphinda ahlalutye indlela ovakalelwa ngayo. Ukuba uphuculwe, ugqirha wakho unokunciphisa umthamo wakho okanye unqande unyango lwakho. Ngempendulo ekhethekileyo, ugqirha wakho unokunyusa idosi yakho kabini ngosuku. Ukuba awufumani ukhululo lwe-GERD yakho, ugqirha wakho uya kukwenza ukutshekisela kwingcali (igastroenterologist) okanye ukuphonononga kwakhona ukuxilongwa.
Ulwaphulo lwe-PPI aluhloswanga ukuthathwa ixesha elide, ngoko ke injongo kukuthabatha kwiqondo eliphantsi kwexesha elincinci elingasenokuba lula ukunciphisa nokukhusela iingxaki ezifana nezilonda. Kungenxa yoko ukulandelelana okufutshane kunye nodokotela wakho kubalulekile-ngoko icebo lokunyamekela lingaqulunqwa kwaye litshintshwe njengoko kufuneka.
Oko Okumele Uyazi Ngaphambi kokuba uthathe ii-PPIs
Ngo-2012, i-FDA ikhishwe isilumkiso kubasebenzisi abasebenzisa ii-PPI banokudityaniswa nobungozi bokungenwa kwezifo, njengemiphunga ye-pneumonia kunye ne-diarrhea ehambisana neClostridium difficile. Ukusulelwa kwintsholongwane ne-britrium Clostridium difficile ibangela izibilini zamanzi, iintlungu zesisu, kunye nomkhuhlane.
Ukongezelela, ii-PPIs ziye zahanjiswa kunye nokunciphisa i-calcium kunye nokunyuka kweengxowankulu zethambo (kubantu abathwala ama-PPIs aphezulu-kuthetha okungaphezu kwesinye ngosuku kunye nonyaka okanye ngaphezulu).
Kudibene nokunciphisa i-magnesium emathunjini, ngoko ugqirha wakho unokuzijonga ngezinga lakho le-magnesium ngexesha.
ILizwi
Kubaluleke kakhulu ukuthatha nawaphi na amayeza, kuquka iproton pump inhibitors, phantsi kolawulo lugqirha, nokuba lufumaneka kwi-counter-counter. Oku kukuqinisekisa ukuba iproton pump inhibitor ithathwa ngokuchanekileyo kwaye ngenxa yezizathu ezifanelekileyo-ukuxilongwa ngokufanelekileyo kukubalulekileyo, njengoko kukho inkalo yeengxaki zezempilo ezinokulinganisa i-GERD.
Imithombo:
> Ikholeji yaseMerika yaseGastroenterology. (NgoJuni 2008). Iingxaki eziqhelekileyo ze-GI Umqulu 1: Ukuqonda ezinye zeMithi edlalwa rhoqo kwi-GERD & Ulcers.
> Johnson, T. (Juni 2014). US Ulawulo Lokutya Nezidakamizwa: Ukusetyenziswa kweProto Pump Inhibitors kunye neengozi yeZitheko zeThambo kwiBantu abadala.
> Katz, PO, Gerson, LB, Vela MF Izikhokelo zokuxilongwa kunye nokulawulwa kwezifo ze-reflux zesifo se-gastroesophageal. Am J Gastroenterol. 2013 Mar; 108 (3): 308-28.
> Lanza, FL, Chan, FK, Quigley, EM, iKomiti yokuSebenza yeParameters ye-American College of Gastroenterology. Izikhokelo zokuthintela iingxaki zezilonda ezinxulumene ne-NSAID. Am J Gastroenterol. 2009 Mar; 104 (3): 728-38.
> Ulawulo lweZiko lokuTya kunye neDrug. (NgoFebruwari 2012). I-FDA Inxibelelwano loKhuseleko lweDrug: I- Clostridium difficile- isifo sohudo sinokudibaniswa nezidakamizwa ze-acid zesisu ezibizwa ngokuba yiproton pump inhibitors (PPIs).