Mimwe Mishonga Inogona Kukonzera Matambudziko Mumudumbu
Kune vamwe vanhu, mamwe mishonga kana kupfuura-the-counter mishonga inogona kukonzera kusuruvara kunorwadza, kurwadziwa, kana kutsamwa. Kune vanhu vane chirwere chinoputika (IBD) , kudzivisa mishonga inogona kutungamirira kumatambudziko nedumbu kunokosha, kunyanya kana pane imwe nhoroondo yemishonga inokonzera kutsamwa kwemudumbu. Kunyange zvazvo zvinetso zvepamu dzimwe nguva zvinokonzera zviratidzo, zvinogonawo kuvapo asi zvisingaiti chero zviratidzo zvacho zvachose.
Mimwe yemishonga inozivikanwa kuti inokonzera matambudziko emudumbu inosanganisira kwete-steroidal anti-inflammatory drugs (NSAIDs), antacids, anticholinergics, uye H2 zvinopesana nevatsigiri.
NSAIDs
Zvichida nokuti iyo inowanzoshandiswa mukurwadziwa kwezuva nezuva uye inogona kutengwa pamusoro pe-the-counter, NSAIDs ndiyo mishonga inowanzokonzera kutsamwa kwemudumbu. Chikonzero chikonzero nei iyo NSAID inobata chigadziko chemuviri, mucosa. NSAIDs dzinoshanda kuderedza marwadzo nekuputika nokuti dzinobatsira pakuita zvinopesana nekugadzirwa kwemakemikari anonzi prostaglandin . Prostaglandins inobatanidzwa mukuvhiringidza, saka pasina ivo, kurwadziwa nekuputika kunoderedzwa. Kunyange zvakadaro, iyo ihwowo inokosha kune imwe nzira inokosha inoenderera mberi mudumbu: kusikwa uye kuchengetedza mukati mukati memudumbu, iyo inonzi mucosa.
Mucosa ine masero anokonzera muto , tsvina yakachena yakachena yakatsvuka inopfeka mudumbu uye inodzivirira kubva pakushata kwejusi.
NSAIDs zvinokanganisa kubudiswa kwemukoko, izvo zvinotungamirira ku utera mune mucosa. Izvi zvishoma nezvishoma zvinokonzera kuti zvirwere zvinokonzera kudya zvinokanganisa kana kupisa chigadziko chemuviri. Kana pane kuvhuvhuta mudumbu rekumusoro, inonzi gastritis . Kana kutuka kuchipfuurira kunogona kutungamirira kubuda ropa, zvipembenene (maronda mukati mudumbu rekumusoro), kana zvisingaiti, kupera (chirongo mudumbu).
Vamwe vanhu vari pangozi yekukurumidza kuvhiringidzika mushure mushure mekutora NSAIDs, uye izvi zvinosanganisira vanhu vakwegura kana avo vane kare vane matambudziko emudumbu. Vanhu vakwegura vanotora NSAID nguva dzose marwadzo nekuputika kubva muArthritis kana mamwe mamiriro ezvinhu vari pangozi yekutsamwa kwemudumbu. Nhoroondo yezvironda zvepasta kana gastritis inosanganiswawo nehutano hukuru hwezvinetso pashure pokutora NSAIDs. Mune zvimwe zviitiko, mishonga inogona kunyorwa inogona kubatsira kuchengetedza dumbu rekumatenga kubva pamagumisiro akaipa eNSAIDs.
Zviratidzo zvekutsamwa kwemvura kubva kuNSAID zvinogona kusanganisira:
- Ropa muhangu
- Ropa mumarutsi
- Kupisa kunzwa mukati mudumbu kana kumashure
- Diarrhea
- Kuora mwoyo (indigestion)
- Pain in the stomach
- Tarry kana matema matema
Mazano anobatsira kudzivirira kukanganisa kwemimba kubva pakutora NSAID inosanganisira:
- Kwete kunwa doro panguva yekutora NSAIDs
- Kuratidzira kuyerwa kweroyo uye kusatora zvinopfuura zvinorehwa
- Tora NSAID pamwe chete nezvokudya, mukaka, kana mvura
- Tora NSAIDs gare gare pazuva (tarisa nechiremba kutanga)
- Tora mahwendefa eNSAID akavhara (chengeta nachiremba kutanga)
Delayed Gastric Emptying
Mamwe mhando dzakawanda dzemishonga dzinogona kukonzera kunonoka kwechigumbu kubudisa. Kuderedza gastric kubuda kunoreva kuti mutsva mumudumbu iyo inokonzera kubvisa inonoka, uye zvokudya hazvibudisi kunze kwemudumbu kune chiyero icho chinofanira.
Kune vanhu vanoonekwa kuti vane gastroparesis , iyo chirwere chinokonzera dumbu kuti rinonoke kubudisa, zvinodhaka zvinowedzera kukanganisa uku kunogona kukonzera matambudziko makuru.
Mimwe yemhando yemishonga inogona kukonzera kunonoka kwekudya kudurura kubva mudumbu kunosanganisira:
- Aluminium hydroxide. Zvimwe zvinoputika zvine aluminium hydroxide seimwe yezvinhu zvakasimba zvinoshandiswa. Antacids inoshanda kwenguva pfupi, maminetsi makumi matatu nemakumi matatu, uye kune chikonzero chekugadzirisa mushure mokunge yapera, uko kune dzimwe musimba asidi inobudiswa. Mishonga inenge ichi chirwere ichi inogonawo kutungamirira kuzvidzivirira kana yakashandiswa kwenguva refu.
- Anticholinergic drugs. Iyi mishonga inoshandiswa kurapa kuora mwoyo, kukonzera kurara, uye incontinence. Zvimwe zvezvinodhaka zvinosanganisira Benadryl (diphenhydramine) , tricyclic vanodzvinyirira, barbiturates, tsvina yekudzivirira, uye benzodiazepines.
- H2 vanopikisana nevatori . Mimwe yemishonga iri mukirasi iyi yemishonga, iyo inoshandiswa kurapa gastroesophageal reflux chirwere (GERD) , inogona kuderedza kudya kwekubuda kubva mudumbu. Zvisinei, vamwe vanopikisa H2 vanogona kunge vane chinopesana uye vanowedzera mukana wekuti zvokudya zvinobuda kubva mudumbu. Mhedzisiro chaiyo yemunhu mumwe nemishonga muchikoro ichi achiri pasi pekudzidza.
Tsananguro Inobva
Ikoko kunogona kuva nengozi nemishonga chero ipi, kunyange iyo inowanika pane-the-counter. Ndicho chikonzero nei zvakakosha kuti chiremba azive mishonga yose inoshandiswa, kunyange iyo yatinofunga seyakanaka, kana kuti isu tinokanganwa pamusoro pedu nokuti tinovatenga muchitoro chemishonga uye tinovatora kakawanda. Kune vanhu vazhinji, NSAIDs uye zvinodhaka zvekurwadziwa hazvizokonzeri nyaya huru, asi kana zvirwere zvemudumbu zvinomera mbeu, kana kushandiswa kwezvinodhaka izvi nguva dzose, zvinogona kunge zvichinyatsoziva kuti chii chingakonzera zviratidzo .
> Sources:
> American College of Gastroenterology. "Gastroparesis." Patient Education & Resource Center. 2015.
> Wallace JL. "Maitiro, kudzivirira uye kukiriniki zvinoreva kusagadzikana kwezvinodhaka zvinodhaka." World J Gastroenterol . 2013 March 28; 19: 1861-1876. doi: 10.3748 / wjg.v19.i12.1861