Antacids uye Proton Pump Inhibitors yeChirangaridzo Chekushaya Mwoyo
Kurapa kunetseka hakusi chaiyo yesayenzi; dzimwe nguva iwe uchada kuedza zvakasiyana-siyana-mamwe nemishonga uye vamwe vasina-kuwana mushonga unoshanda zvakanaka iwe.
Paunotanga nguva yekuedza-uye-kukanganisa iyo inogona kutungamirira mukuzorodzwa, chiremba wako angangoda kushandisa " hapana mishonga " nzira, iyo inofanirwa asi yakaoma zvikuru nokuti inosanganisira mararamiro ekuchinja uye kudya kwekudya. Kunewo mishonga yemusha isingavimbi nemishonga yekurapa kugadzikana kwepfungwa, uye imwe yeiyo inogona kukushandira iwe.
Apo Inguva Yokutendeuka Kukonzera Mwoyo Mishonga
Kana iwe usingakwanisi kuwana zororo nemumwe wevamwe nzira idzi, unogona kukurukura nachiremba wako mhando dzakasiyana dzemishonga inogona kubata zviratidzo zvako. Antacids, H2 blockers, uye proton pump inhibitors (PPIs) ndiwo marudzi ose ekurapa kwepfungwa, rimwe nerimwe rinoderedza kupisa nenzira dzakasiyana.
Ipi mishonga yemishonga yaunoshandisa ichatarisira pane zvimwe zvinhu, kusanganisira kuoma kwezviratidzo zvako.
Mishonga yakawanda yekushungurudza ikozvino inowanikwa pamusoro pe-the-counter (OTC) asi usarega ichi ichikunyengedzera iwe kuti ufunge kuti haisi kunyatsobudirira. Zvechokwadi, apo Prilosec akatanga kubuda, iyo inogona kungorongedzerwa nevarapi vanoziva mune zvirwere zvekudya, uye ipapo, kwenguva pfupi chete. Migumisiro yakaipa haisati yakakurumbira, kunyange zvazvo ichiitika pane dzimwe nguva. Chinokosha kunzwisisa ndechekuti kusatendeuka uye kupererwa kwepfungwa kunogona kukonzera zvinetso zvakakomba zvakanyanya , uye kurapa kwakanaka, pane dzimwe nguva nemishonga inowanikwa pane-the-counter, inogona kuderedza ngozi idzi.
Zvakakoshawo kuziva kuti dzakawanda dzemishonga iyi dzinowanikwa se-over-the-counter uye mishonga inorongwa. Kakawanda nguva yemirasi yepamutemo yakakwirira, asi kwete nguva dzose. Mukuwedzera, mazhinji emishonga iyi inotengeswa pasi pemazita maviri ezita uye mazita evanhu. Izvi zvinogona kuvhiringidza uye hazvishamisi kuti vanhu vaone kuti vave vachishandisa mishonga miviri nemazita akasiyana-siyana, imwe mishonga uye imwe ye-over-the-counter, kana imwe yemazita uye rimwe zita rezita, iro rine chiito chakafanana. Kwete izvi chete hazvina maturo asi zvinogona kukutsanangurira kuwandisa kwemishonga yemishonga.
Kurana Nemishonga Yekushaya Mwoyo
Antacids
Antacids ndiyo inowanzoshandiswa mishonga yekuora mwoyo , uye iwe wakangodaro wakaona mabhizimisi achiita kuti ibudirire. Izvo zvinotengeswa izvi ndezvechokwadi; Zvirwere zvinogona kupedza nguva nenguva kuora mwoyo uye kusazvipira . Izvo zvinoshandiswa zvinoshandiswa muzvirwere zvinotapisa simba remuviri asiri, izvo ndizvo zvinokonzera marwadzo.
Antacids inotengeswa pasi pemazita aya anotevera:
Cherechedza kuti maitiro akasiyana-siyana anogadziriswa angave ane zvimwe zvakafanana kana zvakasiyana-siyana.
Antacids haifaniri kutarisirwa kwenguva refu. Kana uri kutora antiacids kwenguva yakareba kupfuura mavhiki maviri, ipapo kunetseka kunogona kukonzerwa nechinetso chakakomba chorwere. Tsvaga chiremba wako kuti awedzere kuongorora. Iwe unofanirwa kuona chiremba wako nekukurumidza kana iwe uine zviratidzo zvipi zvese zvakakwana zvokuti zvinopindira nemararamiro ako.
Zvimwe zvinokonzerwa nekushandisa zvinopisa zvinowanzoitika kana zvichitorwa kwenguva yakareba kana pakukura kwepamusoro kudarika kukurudzirwa. Zvisinei, nokuti migumisiro yemigumisiro inogona kuitika, zvinokosha kuti uzive zvavari uye apo unofanirwa kukurukura zviratidzo zvako nechiremba wako.
Migumisiro inowanzosingadi kurapa kurapwa kunze kwekuti inopfuurira kana kuve kunetseka ndeyikuti:
- Constipation
- Dumbu remhepo
Taurira chiremba wako pakarepo kana iwe uchiona:
- Kushanda kweganda, kuchenesa kana mikoko, kupfupa kwechiso, miromo, kana rurimi (rinoratidza kuora kwemaitiro)
- Kusanganiswa
- Headache
- Kusvibiswa
- Nausea kana kurutsa
- Kusanzwisiswa kusina simba kana kuti kuneta
H2 Blockers
H2 blockers (anonziwo H2-receptor vanopikisa) mishonga inoderedza huwandu hwesidumbu mudumbu inobereka nekuvhara imwe mukoti unokosha we acid: histamine-2. Masero ari mudumbu rekumusoro, anonzi parietal cells, anogadzira asidi. Imwe nzira iyo masero aya anokurudzirwa kubudisa asidi ine histamine. H2 Zvidziviriro zvinoderedza kushandiswa kweaiti kuburikidza nekudzivirira zviratidzo kubva ku histamine inotaurira mudumbu kuita acid.
H2 blockers inotengeswa sezvikwata zvinotevera:
Zvimwe zvikanganiso kana uchitora H2 blockers hazviwanzoitiki. Vanhu vazhinji vanovhiringidza H2 blockers zvakanaka pavanotorwa sezvinorayirwa. Mimwe mishonga yemishonga kana mishonga inogona kuwedzera maitiro ehupenyu huri nemigumisiro.
Zvikanganiso zvaunofanira kuudza kune chiremba wako kana unyanzvi hwehutano hwehutano:
- Allergic reactions sezvinongoita ganda, kushiva kana mikoko, kutuka kwechiso, miromo, kana rurimi
- Kushungurudzika, kutya, kuora mwoyo, kufungidzira
- Chirwere chekudzikama, unyoro
- Rurefu, kubvongodza, kana kutarisa ganda, kusanganisira mukati memuromo
- Mvura yakasviba
- Diarrhea
- Headache
- Nausea kana kurutsa
- Kupenya kweganda kana vatsvene vemaziso
Proton Pump Inhibitors (PPIs)
Iproton pump inhibitors (PPIs) inoshanda nekudzivisa zvachose kugadzirwa kwemuviri acid. Vanoita izvi nekuvhara chirongwa mumudumbu chinonzi proton pump.
Iproton pump iyo imwe molecule mune mamwe masero ayo "mapumpu" acid mukati mudumbu. Zvinotora i-non-acidic potassium ion kubva mudumbu uye inoiisa iyo ne acidic hydrogen ion. Iyi hydrogen ion ndiyo inoita kuti zvinhu zviitike. Nokumisa chiito chepombi, kusvibisa asidi mukati mudumbu kunomiswa.
Vanachiremba vanopa PPIs kuti vabate vanhu vane gastroesophageal reflux chirwere (GERD) , chirwere chechirwere chechirwere , kana zvimwe zvinetso zvekudya zvinogona kukonzera kudarika muviri mudumbu.
Proton pump inhibitors inotengeswa pasi pemazita aya anotevera:
- Prilosec (omeprazole)
- Prevacid (lansoprazole)
- Protonix (pantoprazole)
- Nexium (esomeprazole)
- Aciphex (rabeprazole)
Dexilant (dexlansoprazole)
PPIs sekirasi yemishonga inofanirwa kuendeswa pasi pekutarirwa kwechiremba uye kwechinguva chiduku. Kushandiswa kwenguva refu kwePPIs kwave kuchibatanidzwa nehutano hwemwoyo, chirwere chepfungwa, uye mapfupa emapfupa.
Zvimwe zvikanganiso zvekutora PPIs zvinogona kuitika. Ona chiremba wako kana ukaona chero ipi zvayo yemigumisiro yemigumisiro:
- Headache
- Diarrhea
- Constipation
- Kushungurudza mudumbu
- Kudzora
- Dumbu remarwadzo
- Kukosora
- Zviratidzo zvinotyisa
- Chizutu
- Kushanda kwakasimba
Taurira chiremba wako pakarepo kana iwe uchiona:
- Ganda rakanyanyisa rinoputika nekuputika kana kuputika
- Hives
- Kutamba kwechiso, muromo, miromo, kana rurimi
- Kutamba kwemaoko, tsoka, kana maziso
- Dharare yakanyanya
- Hoarseness
Sources:
Boardman, H., Delaney, B., uye S. Haag. Kubatana Mukugadzirisa Kutungamirirwa kweMafungiro Akasiyana-siyana: A Treatment Algorithm ye Over-The-Counter Proton-Pump Inhibitors. Research Current Medical and Opinion . 2015. 31 (7): 1309-18.
Scarpignato, C., Gatta, L., Zullo, A. et al. Kubudirira uye Kuchengeteka Proton Pump Inhibitor Therapy muAidid-Related Diseases - A Position Paper Kutaura Nezvipo uye Zvimwe Zvimwe Zvokudya zveAicid Suppression. BMC Medicine . 2016. 14 (1): 17.