Dzidza kuti ndezvipi zve-zvinodhaka zvinodhaka zvinogona kubata zvinetso zvako zvekudya
Kana uine chirwere chechiliac kana kuti kwete-celiac gluten senitivity , iwe zvinosuruvarisa ungave wakambojairira zvirwere zvepamuviri zvakadai sedhara, kuvhara, kana kuora mwoyo. Nhau dzeGluten dzinogara dzichienda-mu-ruoko nemazino emimba.
Saka iwe unogona kuenda kupi kune imwe nguva kuzorora kwechiratidzo? Sezvarinoitika, kune marwena akawanda-asingabhadharwi mishonga yemararamiya, maruti asina gluten-free, uye anoguten-asina-antacids anowanikwa pane-the-counter iyo inogona kubatsira.
Zvinosuruvarisa, zvakadaro, haugoni kungosiya mu pharmacy uye kutora chero marashi. Zvizhinji zvezvinonyanya kuzivikanwa nezita remishonga-mavara zvekudzivirira, kuora, uye kuora mwoyo hazvibvunzwi se-gluten-pasina nevadziki varo. Asi kune nzira dzakanaka dzisina guten-zvikuru mabhizimisi ekuchengetedza, asi mazita mashomanana emishonga emishonga, uyewo-anowanikwa mune zvitsuwa kudarika United States.
Heino mutevedzeri weGamuten-pasina-mishonga yemishonga yezvinowanzogadzirisa zvirwere.
Gluten-Free Anti-Diarrhea Mishonga
Diarrhea ingangodaro inowanzoonekwa zvirwere zvechiliac zvirwere , uye inowanzonzwikawo senzwi rehutano . Vakawanda vanoita zvirwere kana vakagwinya , uye vangada kuedza mishonga inorwisa-diarrhea kuona kana ichibatsira zviratidzo zvavo.
Zvinogonawo kuti chirwere chako chinogona kukonzerwa nechimwe chinhu kunze kwekuguten-zvichida nedumbu rechirwere, kana nehupfu hwekudya . Mune zviitiko izvi, kune-over-the-counter mishonga inogonawo kubatsira.
Iko kune miviri miviri inoshandiswa inoshandiswa mu-over-the-counter anti-diarrhea mishonga: loperamide hydrochloride uye bismuth subsalicylate.
Loperamide hydrochloride (inowanika muImodium) inoshanda nekuderedza kufamba mumatumbo ako, iyo inobvumira muviri wako kuti uwane mvura kubva muchitsigiro chako. Bismuth subsalicylate (inowanikwa muPepto-Bismol, iyo inozivikanwa inopisa mvura, uye mune mamwe mapiritsi) inoshandisa kupfeka mazamu ako emukati uye kudzikama kuputika, uye inodzivirirawo mvura yakawandisa kupinda muchigaro chako.
Iyo miviri yepamusoro-in-anti-diarrheal mishonga yaunowana mune chero mapeji ega inenge iine imwe yezvinhu zviviri izvi. Heino chikwata chezvikwata zvakakurumbira, pamwe chete izvo zvinonzi gluten-zvisina.
Mishonga yeGruten-isina anti-diarrhea inosanganisira:
- Target Up and Up 5 Symptom Digestive Relief liquid (30mL), 8-ounce size . Izvi zvinoshandiswa zvakafanana zvinoshandiswa sePepto-Bismol uye Kaopectate. Tsvaga iyo "gluten-isina" mazita pedyo neDrug Facts pane bhokisi.
- Target Up and Up (house brand) loperamide hydrochloride (2 mg) caplets (loperamide hydrochloride ndiyo inoshandiswa muImodium). Mabhokisi akachengeteka achava ne "gluten-isina" mazita pedyo neDrug Facts panel.
- Walgreens Brand Diarrhea Zvidhori zvekudzivirira (262 mg) . Iyo inoshandiswa inoshandiswa mune izvi ibismuth subsalicylate. Tsvaga iyo "gluten-free" zita rebhokisi.
- Walgreens Brand loperamide hydrochloride (1 mg) kusimwa kwemvura mune mint flavour . Iri ihanduro ye generic yeImodium. Tarisa mabhokisi ane "gluten-free" mazita.
Aya mazita-zita-anti-anti-diarrhea mishonga haisi yeguten-isina:
- Imodium: Yakagadzirwa naJohnson & Johnson, iyo Imodium yezvigadzirwa zvinosanganisira Imodium AD soft gels, Imodium AD caplets, Imodium AD mvura, Imodium yevana uye Imodium Multi-Symptom Relief (inobatawo gasi, makumbo, uye kubvisa). Zvinhu izvi hazvibatanidzi zvinokonzera gluten, asi Johnson naJohnson vanoti havakwanisi kuve vasina guten. Nokudaro, sarudza Target Up uye Up loperamide hydrochloride caplets kana Walgreens Brand loperamide hydrochloride mumagumbeti ane guten-asina kunyorwa.
- Pepto-Bismol: Mvura inozivikanwa yepiniki, inotengeswa neMutter & Gamble kuti iite chirwere, kuora mwoyo, indigestion, kushungurudza, gesi, kubata, nekuzara, zvine bismuth subsalicylate. Pepto-Bismol inopawo mahwendefa anocheka, makutu, uye vana. Zvigadzirwa hazvina gluten, maererano nechitauriri cheMutter & Gamble, asi inogona kuiswa pasi pekusvibiswa kwe-gluten panzvimbo yavanoita. Panzvimbo pezita rezita rinonzi Pepto-Bismol, funga nezvezvinhu zvinosanganisira bismuth subsalicylate, zvakadai saWalgreens Brand Diarrhea Relief caplets kana Target Up uye Up 5 Symptom Digestive Relief liquid.
- Kaopectate: Sezvakaita Pepto-Bismol, Kaopectate's active ingredient is bismuth subsalicylate. Iyo inouya mu cherry, vanilla, peppermint, uye max (uyewo peppermint) mvura yakasiyana-siyana, pamwe chete nemapukete akavharidzirwa. Maererano nemugadziri weChattem Inc., Kaopectate mishonga haisati yaongororwa kuti ione mararamiro ayo. Nokudaro, iwe unofanirwa kushandisa chimwe chezvinhu zvinokonzerwa ne gluten-free-label izvo zvine bismuth subsalicylate.
Chinonyanya kukoshesa pamishonga ye-gluten-ine-anti-diarrhea: Inonyanya kuzivikanwa mazita emishonga-Imodium, Pepto-Bismol, neKaopectate-haifaniri kufungidzirwa kuti haina gluten-asiri, asi dzimwe nzira dzekuchengetedza mabhizimusi dzinowanika mu Target uye Walgreens.
Mafuta ekuGermuten-Free
Kuti udzivise kuvhiringidzwa, iwe unofanira kuedza uye kuwedzera muwandu we fiber iwe unopedza. Iwe unogona kuita izvi nekuita kuti uwane zvakawanda zve-gluten-free fiber sources mune zvekudya zvako nguva dzose, kana kuti kushandisa gluten-isina fiber supplement. Izvi zvinogona kubatsira kukurira chigaro chako uye kuita kuti zvive nyore kupfuura. Vamwe vanhu vanoonawo kuti maitiro anonzi probiotics anoita seanovabatsira kuchengetedza nguva dzose (iva nechokwadi chekusarudza chete protiobics ye gluten-free).
Zvisinei, kana iwe wakanyatsodzivirirwa-kana kuvharwa nekuda kwechirwere chechiliac kana chimwe chinokonzera-une nzira dzakasiyana-siyana mune-over-the-remedies.
Chifukidzo chevadziviriri, vanofunga sevanonyanyisa vanyoro, vanoshanda kuburikidza nekubatsira muviri wenyu kusanganisa mvura mukati mechigaro chenyu, kunoderedza chigaro uye kuita kuti zvive nyore kudarika. Mishonga inoshandiswa sechigaro chekunyorera inosanganisira docusate.
Panguva iyo, izvo zvinodanwa kuti osmotic laxatives chaizvoizvo zvinobatsira kuwedzera huwandu mumatumbo ako uye chigaro chako, icho (sekunge chigaro chegadziridzi) chinoita kuti chibato chive nyore kupfuura. Polyethylene glycol uye magnesium hydroxide solution ndiwo mienzaniso miviri yeasmotic laxatives.
Pakupedzisira, zvipembenene zvinokurudzira zvinokonzera chibvumirano chako chikuru chemukati chekutora chigaro. Nemhaka yekuti mavara aya anonzi akaoma uye anogona kuiswa muropa, haufaniri kuashandisa kwemazuva mashomanana panguva ipi zvayo. Senna uye bisacodyl mienzaniso miviri yezvinokonzera mishonga.
Heino urongwa hwemarara anonzi gluten-asina:
- Shingairira: Uyu mutsara wemadziro uye mabheti anoderedza zvinosanganisira zvitatu zvinoshandiswa: Colace capsules, Colace Clear soft gels, uye mapiritsi ePeri Colace. Colace uye Colace Bvisa chimwe nechimwe chine 100mg chesafuti softener docusate sodium, nepo Peri Colace mahwendefa ane zvose docusate sodium uye stimulant senna. Maererano nemugadziri, zvinhu zvose zvitatu zvinonzi gluten-free, uye Colace Clear inozivikanwa ne-gluten-isina neCeliac Support Association, inoda kuongororwa kwemiti kuti ione kuti ine zvishoma pane zvikamu zvishanu pamamiriyoni e gluten.
- Senokot: Anopa zita racho, iwe unenge wakarurama mukufungidzira kuti ichi chinokonzera sora-based based laxatives. Kune zvitatu zvakasiyana siyana zveSenokot zvinowanikwa: Senocot (inoshandiswa inoshandiswa inosvika 8.6mg), Senocot-S (inosanganisira zvose zvinokwana 8.6mg uye docusate sodium 50mg), uye SenocotXTRA (inoshandisa sennosides muviri simba-17.2mg). Zvose zvitatu zveSenokot hazvina maturo, maererano nemutauri wezvigadzirwa zvePurdue Products LP
- MiraLAX: MiraLAX inowanikwa chete seupfu mumabhodhoro akasiyana-siyana akasiyana-siyana, uye iyo inoshandiswa inoshandiswa ipo polyethylene glycol (17mg), isosmotic laxative. Kuti ushandise MiralaX, unoisanganisa mumvura kana imwe soro. Maererano nemugadziri Bayer, MiraLAX inonzi gluten-isina.
Aya mazita-mazita e-laxatives haafungi sejuten-asina:
- Dulcolax: Iri zita rechigadzirwa, rakagadzirwa naSanofi, rinopa zvinhu zvinomwe zvakasiyana-siyana, kusanganisira mapiritsi nemarara anogadzira kuvimbiswa uye gasi. Avo vakanyorwa sevasiyumu vane bhaacodyl, asi izvo zvakanyorwa sechigaro chinodzivirira zvine docusate sodium. Maererano nemugadziri: "Hatina kuwedzera gluten kune chero ipi zvayo yemishonga yedu, asi hatigoni kuvimbisa kuti havana gluten-vasina" nekuti vanogona kusangana nezvinhu zvinokonzera gluten pane imwe nguva mumaketani ekugadzira. Panzvimbo yeDucolax, sarudza imwe mishonga ine bhaacodyl kana docusate sodium.
- Ex-Lax: Izvi zvinokonzera, izvo zvinosanganisira sennosides sechinhu chinoshanda, chinouya muchokoti-flavored zvidimbu uye mapiritsi. Hapana chetatu yeEx-Lax shanduro inonzi inonzi gluten-isina, maererano nemuti. Saka, iwe unofanira kusvika kune gluten-isina seni-based laxative, yakadai seSenokot.
- Phillips Milk yeMagnesia nemimwe michina yePillips: Phillips, kambani yeBayer, inogadzira Misi yeMagnesia (inoshandiswa pakuita: magnesium hydroxide) pamwe nePhillips Laxative caplets (inoshandiswa pakugadzira: magnesium oxide) uye Phillips Stool Softener liquid gels (inoshanda: docusate sodium ). Maererano nomumiririri webasa reBayer, "Hatina kuwedzera gluten kune zvigadzirwa zvedu, asi isu hatigoni kuvimbisa kuti ivo vane zana muzana yeguten-pasina nokuti zvigadzirwa zvinogadzirwa mune imwe nzvimbo inogona kunge ine gluten." Panzvimbo pePillips zvigadzirwa, edza gluten-free slack softener seClace kana kuti gluten-isina musmotic laxative seMiralaX.
Chinhu chinokosha pamusoro pezvinokonzerwa ne-gluten-free-free: Unofunga kuti iwe unotengesa zvakanyatsonaka, unogona kuwana gluten-isina-laxative ine shato yakanyorova, doro re osmotic, kana sena-based drug. Zvisinei, zvakare iwe unoda kuisa pachena kune mamwe mazita-marikisi emiti.
Gluten-Free Antacids
Iwe unogona kunge uchiziva kushungurudza-hazvisi zvisizvo kune vanhu vane chirwere chechiliac kana kuti kwete-celiac gluten senzwi kuvhiringidzwa nekunzwa kunopisa mubhokisi repamusoro. Kutaura zvazviri, kumwe kutsvakurudza kunoratidza kuti vanhu vane chirwere chechiliac vangangodaro vanotambura kubva kune asidi reflux kana GERD (chirwere chegastroesophageal reflux) kana vachinge vasisina gluten-vasina.
Kana iwe uine kuora mwoyo kana wakamboonekwa neGERD, kune vazhinji ve-over-the-counter mishonga yaunogona kutora. Iyi mishonga inonzi inozivikanwa sean antacids, sezvo inoshanda kuderedza uwandu hweasiti mumudumbu mako, nokudaro kuderedza kutsva kwekunzwa.
Rimwe boka rezvinodhaka rinonzi H2 blockers kuderedza chiyero chechidimbu dumbu rako rinowanzoita. Iyo inoshandiswa zvinoshandiswa ranitidine uye famotidine mienzaniso yeH2 blockers. Mishonga iyi inonzi proton pump inhibitors, panguva iyo, uye inoderedza asidi, asi kuburikidza nenzira yakasiyana mudumbu. Mienzaniso yeproton pump inhibitors inosanganisira zvinoshandiswa zvinogadzirwa omeprazole uye lansoprazole.
Pakupedzisira, calcium carbonate-based uye magnesium hydroxide-based antacids inoita kuti asidi iyo inenge iri mudumbu rako, zvichibatsira kuderedza kushungurudzika kwakasangana neAsiri.
Kazhinji kutaura, kana zvinosvika kune zvinoputika, zvinogona kuva zvakaoma kuwana zita rekare pane-the-counterrapi iro rakanyorwa sa gluten-isina. Zvisinei, pane zvakawanda zvekuchengetedza mabhii.
Heino mhirizhonga yemarudzi akasiyana-siyana anonzi gluten-free antacids pamusika:
- Equate (Walmart) mahwendefa ane mishonga yakakosha: Aya ane calcium carbonate, inoita kuti ive yakafanana neTums. Vanouya nenzira dzakasiyana-siyana dzakasiyana uye simba. Ita chokwadi chekusarudza imwe ine "gluten-free" zita pachirairo.
- Equate (Walmart) maruva famotidine (20mg) mahwendefa: Ichi ndicho chimiro chechipiri chePepsid AC. Tsvaga iyo "gluten-free" mazita pasi pe "Drug Facts" panhovo.
- Equate (Walmart) marimi rantidine (150mg) mahwendefa: Ichi ndicho chidimbu cheZantac. Tsvaga iyo "gluten-free" mazita pasi pe "Drug Facts" panhovo. Icho chete Equate pakapaka inonzi "gluten-isina," saka inonamatira kune iyo.
- Target Up uye Up mararamiro emapiritsi anonyanyisa: Aya calcium carbonate-based antacids akafanana neTums, uye anouya mumhando dzakasiyana-siyana uye simba. Tsvaga ye "gluten-free" mazita kumucheto kwebhokisi.
- Target Up uye Up brand antiacid soft chews: Aya cherry-flavored calcium carbonate antacids anozivikanwa nejuten-isina neG Gluten-Free Certification Organisation (GFCO), inoda kuongororwa kusvika pasi pezvikamu 10 pamamiriyoni e gluten. Tarisa chiratidzo cheGFCO kumashure kwepakiti.
- Target Up uye Up brand 24-hour lansoprazole (15mg) mapiritsi: Ichi ndicho chimiro che generic cha Prevacid. Tsvaga iyo "gluten-isina" mazita mubhokisi rine mavara pedyo ne "Drug Facts" chikamu chekuvhara.
- Target Up uye Up brand ranitidine (150mg) mapiritsi: Ichi ndicho chinonzi generic version yeZantac. Tsvaga iyo "gluten-isina" mazita mubhokisi rine mavara pedyo ne "Drug Facts" chikamu chekuvhara.
- Tumasi: Ichi ndicho chete chinonzi brand-name antacid chinoita kudai kweguten-pasina. Mahwendefa emasera, ayo anouya mumhando dzakasiyana-siyana dzevhenekeri uye simba, ane chigadzirwa chinoshanda che calcium carbonate uye chinonzi gluten-isina, maererano nemuumbi.
- Walgreens Chirwere chekuwedzera-simba mapiritsi emadhakidhi mumusango berry mhuka: Mahwendefa aya, ane 750mg ye calcium carbonate, inowanzoita maTums. Vanotakura tsamba ye-gluten-isina.
- Walgreens Brand lansoprazole (15mg) mapiritsi: Ichi ndicho chinyorwa chekutanga chePevacid. Tsvaga iyo "gluten-isina" mazita pedyo ne "Drug Facts" pahutanda.
Aya mazita anonzi antiacids haafaniri kutaridzwa kuti gluten-isina:
- Alka-Seltzer: Iyi "pop, pop, fizz, fizz" zita rechigadzirwa rinopa zvakasiyana-siyana zvakasiyana-siyana uye gesi relief relief remvura. Zvisinei, mutauriri wemuumbi weBayer anoti zvigadzirwa zvinogadzirwa mune imwe nzvimbo yakagoverwa nezvinhu zvinokonzera gluten, uye hazvibvunzwi sejuten-isina.
- Nexium: Inonzi "piritsi yepepuru," Nexium ine 22.3mg ye esomeprazole, proton pump inhibitor. Mutumbi Pfizer, Inc. haisi chivimbo chokuti chigadzirwa chacho hachina kusarudzwa.
- Pepsid: Pepsid AC ine H2 blocker famotidine, nepo Pepsid Izere ine famotidine pamwe ne acid reducers calcium carbonate uye magnesium hydroxide. Zvisinei, mhizha McNeil Consumer Pharmaceuticals, Inc., haisi chivimbo chekuti michina yacho haina gluten-isina.
- Prevacid: Ichi chigadzirwa, chakagadzirwa naTaceda Pharmaceuticals USA, Inc., chine proton pump inhibitor lansoprazole. Takeda haisi chivimbo chokuti chigadzirwa chacho hachikwanisi.
- Prilosec: Yakagadzirwa neMutter & Gamble, Prilosec ine proton pump inhibitor omeprazole. Muumbi wayo haatauri kuti kana kwete icho chigadzirwa chacho ndecheguten-isina.
- Zantac: Zantac, yakagadzirwa naBoehringer Ingelheim, ine ranitidine, neH2 blocker. Kungofanana nedzimwe zita-mazita madhiragi mune izvi, Zantac haisimbiswi kuva guten-isina.
Chinhu chinokosha pamusoro pevaracids isina gluten: Pane guten-isina-over-the-counter generic substitut kune anenge mazita ose-mararamiro anonyanya kuwanika, saka kana zvichidikanwa unogona kuedza vanoverengeka kuti uwane imwe inoshanda zvakanaka kwauri.
Shoko Rinobva
Zvichida iwe unoda antiacid, anti-diarrheal mishonga, kana kuti laxative, kune dzimwe nzira dzisina gluten dziripo. Kazhinji, iwe uchange uri nani nehuwandu hwechirongwa chezita remishonga, sezvo vakanyatsodanwa kuti "gluten-isina." Iwe unogona kutengesa kuzotenderera, kunyange-kwete yese redu rekushandisa zvinodhaka kana kuti guru rebhokisi rekuchengetedza mabhokisi rinotakura mishonga yose muhurukuro isina-gluten.
Pakupedzisira, kana uchitenga-----mishonga yemishonga, ita kuti iwe uone mapepa ose e "gluten-free" zita rimwe nerimwe . Kunyange zvazvo inosara se Target uye Walgreens (uye nechepakati, Walmart) yakaramba ichitakura zvinhu zvisingabhadhari, zvigadzirwa zvinogadzirwa zvinogona kuchinja chero nguva. Nguva dzose iva nechokwadi chokuti uri kutenga zuva iroro rakachengeteka.
> Sources:
> American Academy of Family Physicians. Antacids uye Acid Reducers: OTC Relief ye Heartburn uye Acidx Reflux fact sheet.
> American Academy of Family Physicians. Anti-diarrheal Mishonga: OTC Relief yeDhiarrhea zvirokwazvo pepa.
> American Academy of Family Physicians. Marexatives: OTC Products for Constipation fact sheet.
> Nachman F. et al. Gastroesophageal Reflux Zviratidzo Muvarwere NeCeliac Disease uye Migumisiro yeG Gluten-Free Diet. Clinical Gastroenterology uye Hepatology. 2010 Jun 30 [Epub mberi kwekudhinda].