Vamwe Vanhu Vanotarisana NSAIDs Tora Proton Pump Inhibitor
Proton pump inhibitors, iyo inonziwo PPI zvinodhaka, ikirasi yemishonga inorayirwa kuti irope kupisa, GERD (gastroesophageal reflux chirwere), ulcers , kana zvimwe zviitiko zvinosangana nehuwandu hwemudumbu weAIDS. Proton pump inhibitors inoshanda nekuvhara enzyme inofanirwa kuita asidi mudumbu. Nokudzivirira enzyme, kubudisa asidi kunoderera.
Purogiramu yeProteton Inoshanda Sei?
Purotoni pamapuraneti inowanikwa mumamwe masero emudumbu (parietal cells). Kutevedzera semakemikari, proton pump inotora i-asidi acidic potassium ion ichibva mudumbu uye inoiisa ne acidic hydrogen ion. Nokuisa mahydrogen ions mudumbu mako, proton pump inowedzera asidi yemudumbu yako mukati. Dumbu reAIDS rinodikanwa kuti ribatsire kuputsa zvokudya uye kubatsira rubatsiro. Asi yakawanda asidi, kunyange zvakadaro, inogona kutsamwisa hutachiona, zvichiita kuti munhu arege kunyatsopisa kana kuora mwoyo, uye inogona kuderedza kuporesa kwemaronda emudumbu. Apo kupfurikidza asidi kunowanzova nechinetso, proton pump inhibitor zvinodhaka zvinowanzogadzwa kuti zvivhare purotoni pombi.
Chikonzero nei vamwe vanhu vane arthritis vakanyorwa maPIsiti
Vanhu vazhinji vane arthritis vanotora mishonga isingashandisi-kupisa zvinokonzera kupisa (NSAIDs) kudzivirira kutuka uye kurwadziwa kunobatana nehutano hwavo. Nepo NSAIDs inowanzobudirira kurapa arthritis, mishonga inobatanidza nehutachiona hwehutachiona.
Izvi zvinokonzerwa zvikuru ne prostaglandin inhibition neNSAIDs. Vanhu vanotora NSAID yakakura kana kuti NSAID dzakawanda, vanhu vakwegura, kana avo vane nhoroondo yechirwere chechirwere chepachiviri kana kubuda kwepamuviri vari pangozi yakakura yezvinetso kubva kuNSAIDs.
Kuti vaderedze njodzi yekugadzikana kwemimba, vanhu vane arthritis vanogona kurairwa kutora COX-2 inhibitor (kureva, Celebrex ), kana kuti NSAID yemaitiro (semuenzaniso, naproxen , ibuprofen ) ne misoprostol kana proton pump inhibitor.
Misoprostol inofanira kutorwa kazhinji pazuva, inogona kukonzera chirwere, uye inogona kukonzera kusakara, kushanda kwenguva pfupi, kana kusununguka kwezvakaberekwa-saka, zvinodhaka zvePPI zvinowanzodiwa. Panewo Vimovo , mushonga unosanganisira NSAID (naproxen) uye PPI (esomeprazole) mune rimwe piritsi.
Kusanganiswa kwechirongwa chePPI neNSAID hachisi chakanaka mumatambudziko ose. PPI zvinodhaka zvakanyatsoshandiswa. PPI zvinodhaka, zvakaparidzirwa uye zvakasimudzirwa kune vose vashandi uye vanachiremba, zvakashandiswa kurapa kugadzikana kwemudumbu kana kuora mwoyo apo kupfuura-the-remedies remedies, kusanganisira antacids (Maalox, Mylanta, TUMS) kana H2 blockers (Tagamet, Pepcid, uye Zantac ), zvingave zvakakwana.
Pane mitemo yakasimba inobatsira kuchengetedza NSAID kutyisa:
- Tora NSAID imwechete panguva imwe, kwete maNSAID akawanda.
- Shandisa mukana wepasi rose unoshanda wakaderera weNSAID uye kwenguva yakapfupika inogoneka.
- Usashandise NSAID apo dzimwe nzira dzokurapa dzinoshanda ( analgesics , intra-articular injection ).
- Tora NSAID yako nechikafu.
- Usarega kunyanya zviratidzo zvezviratidzo; kurukura nechiremba wako.
- Vanhu vane chirwere chisina kukwana, chirwere chechirwere chepachirwere, chirwere chemimba, aspirin / NSAID hypersensitivity, kusachengetedzwa kwehutachiona, kana chirwere chemwoyo kunofanira kudzivirira NSAIDs.
Kuwanika
PPI zvinodhaka zvinowanikwa zvose pamusoro-the-counter uye nemishonga chete, zvichienderana nezvamunosarudza. Maererano neVeumer Reports , mishonga iyi inonyanya kuenzana maererano nekubudirira uye kuchengeteka asi yakasiyana nemari.
- Omeprazole (Prilosec, Prilosec OTC)
- Lansoprazole (Prevacid, Prevacid 24 hr)
- Omeprazole / sodium bicarbonate (Zegerid, Zegerid OTC)
- Pantoprazole (Protonix)
- Esomeprazole (Nexium)
- Dexlansoprazole (Kapidex)
- Rabeprazole (Aciphex)
Kudzivirirwa Kunetseka
Kunze kwezvinhu zvinowanzovhiringidza (kuora musoro, chirwere), pane zvimwe zvinetso zvekuchengetedza zvakabatanidzwa nemishonga yePPI, zvakadai se:
- Nengozi yakawanda yehutachiona
- Kuwedzera kwehutachiwana hwehutachiona hwebhakitiriya Clostridium difficile inokonzera chirwere chakanyanya
- Kuwedzera kwengozi yechipfupa chemafupa, kusanganisira kuputika kwechiuno, nekushandiswa kwenguva refu
- Kubudirira kwehutano hwePlavix (clopidogrel) kuonda ropa
- Kubudirira kunogona kuitika uye kuperera kwakaderera kwemamwe madhiragi uye kuwedzera
The Bottom Line
Hapana zvakasiyana nedzimwe mimwe mishonga, zvikomborero uye njodzi dzePPIs zvinofanira kuyerwa munyaya imwe neimwe. Vamwe vanhu vangave vasingadi kuti mapiritsi ePPI aite zvinyoro zvishoma kusvika pakuenzanisa kuora mwoyo kana GERD, kunyange zvazvo vakagadzirirwa madhiragi. Usarega mishonga iyi pasina kukurukurirana newachiremba wako kutanga. Kuvhara kamwe kamwe kunogona kuwedzera zviratidzo.
Vanhu vane arthritis vanogona kugadzirisa njodzi yekudzivirira kwepamuviri inoshandiswa neNSAID kushandiswa pasina kutora PPI zvinodhaka. Yeuka, kunyange kana PPI zvinodhaka zvakafanirwa nemamiriro ako chaiwo, kushandiswa kwakachengeteka kunoreva kungotora mushonga wacho kwenguva yakareba kana zvichidiwa.
> Sources:
> Kushandisa Proton Pump Inhibitor Kurapa Kuora Kwemwoyo uye Dumbu reAcid Reflux. Consumer Reports. Yakavandudzwa muna July 2013.
> Rheumatoid Arthritis: Kutanga Kuongorora uye Kurapa. Kushi J et al. Dhidhiro yechitatu. Professional Communications, Inc. Copyright 2010.
> Ko maPPIs ane migumisiro yenguva refu here? Harvard Medical Chikoro Chetano Hwemhuri. February 2009.
> Proton Pump Inhibitor Information. US FDA. Updated 4/12/2016.