Dzimwe Proton Pump Inhibitors Dzinowanika Pamusoro-The-Counter
Mishonga inowanikwa yakawanda inoshandiswa pakurapa Gastroesophageal Reflux Disease (GERD) ndeyeproton pump inhibitors (PPIs).
Proton pump inhibitors vane reducer acid. Vanachiremba vanoronga PPIs kuti vabate vanhu vane mitemo yakawanda kusanganisira:
- Kuora mwoyo (gastroesophageal reflux disease)
- Zvironda zvemuviri kana mumukaka
- Mushonga weHelicobacter pylori
- Kuwedzera kwemudumbu asidi ( Zollinger-Ellison Syndrome )
Mashandiro anoita mapiritsi
Chimwe chezvikonzero nei proton pump inhibitors inorayirwa kazhinji ndeyokuti vanoita kuti vabudirire kugadzirisa kuora mwoyo.
Dumbu rako rinobudisa asidi kubatsira kubvisa zvokudya kuitira kuti zvive nyore kudya. Mune mamwe mamiriro ezvinhu, iyi asidi inogona kutsamwisa bhandi yemudumbu mako uye duodenum (zita rezvechiremba kune chikamu chepamusoro chemukati mako mudumbu) zvichikonzera kuora mwoyo uye kunyange zvironda.
Dumbu rine pombi, inonzi gastric acid pump, inobereka mudumbu asidi. PPI inodzivirira secretion ye acid mukati mudumbu nekusunga pamapombi acho. Kuderedza chiyero chemuviri weAIDS kunogona kubatsira zvipembenene kuporesa uye kusafuratira kuisa pasi.
Inowanika PPI Mishonga
Heano maPIs manomwe anowanika, mamwe pane-the-counter uye mamwe nemishonga chete:
- Aciphex (Rabeprazole)
- Nexium (Esomeprazole)
- Prevacid (Lansoprazole) -available over-the-counter
- Prilosec (Omeprazole) -available over-the-counter
- Protonix (Pantoprazole)
- Dexilant (Dexlansoprazole)
- Zegrid (omeprazole / sodium bicarbonate) -vawanikwa pane-the-counter
PPIs Mukubatwa GERD
Kana chiremba wako achikurudzira PPI yekutarisa GERD, zviri pachena kuti akave akarayira mararamiro ehupenyu sekurasikirwa kwekurema (kana kuwandisa kana kuwedzera), kusimudzira musoro wemubhedha wako usiku, uye usingadyi maawa maviri kusvika matatu asati avata.
PPIs inowanzotorwa kamwe chete zuva rega rega kusvika pamaminitsi makumi matatu kusvika makumi matanhatu isati yasvika, uye inotorwa kwemavhiki anenge masere, panguva iyo chiremba wako achaongororazve kuti uri kunzwa sei. Kana iwe ukavandudzwa, chiremba wako anogona kuderedza chiremba chako kana kutomesa mishonga yako. Nekupindura kwakasarura, chiremba wako anogona kuwedzera dose yako kaviri pazuva. Kana iwe uchigere kuwana kuwana zororo kune GERD yako, chiremba wako angangokutaurira kune nyanzvi (gastroenterologist) kana kuti kuongororazve kuongorora.
PPI chirwere hachirevi kutorwa kwenguva yakareba, saka chinangwa ndechokuti uchitore pamwero wakaderera pane imwe nguva shoma iyo inogona kugadzirisa kuora mwoyo kwako uye kudzivirira zvinetso sekurapa. Ichi ndicho chikonzero kufambidzana kwakakwana nechiremba wako kunokosha-saka chirongwa chekunyatsoronga chinogona kugadziriswa nekuchinjwa sezvinodiwa.
Zvaunofanira Kuziva Usati Watora PPIs
Muna 2012, FDA yakapa nyevero kune vashandi vanoshandisa maPPIs vangave vachibatanidzwa nehuwandu hwehutachiwana hwehutachiona, hwakaita sepneumonia, uyewo chirwere chinosangana neClostridium difficile. Kuvharirwa neBacterium Clostridium difficile inokonzera maruva emvura, kurwadziwa mumimba, uye fivhiri.
Mukuwedzera, maPPIs ave achibatanidzwa nekuderedzwa kamuviri kamuviri uye kuwedzerwa kwengozi yemapfupa ekuputika (mune vanhu vakatora mazinga akawanda ePPIs-zvinoreva kanopfuura kamwe pazuva uye kwegore kana kwenguva refu).
Inosanganiswawo nekuderedza kupisa kwemagesium mumatumbo, saka chiremba wako angangotarisa urusi hwemagesium nguva nenguva.
Shoko Rinobva
Zvakakosha kutora mishonga ipi zvayo, kusanganisira proton pump inhibitors, pasi pekutungamirirwa kwachiremba, kunyange kana iripo pane-the-counter. Izvi ndezvekuita kuti proton pump inhibitor inotorwa nenzira yakarurama uye nokuda kwechikonzero chakanaka-kuongorora kwakakodzera ndiko kwakakosha, sezvo kune huwandu hwehutano hunogona kutevedzera GERD.
Sources:
> American College of Gastroenterology. (June 2008). Zvinowanzoitika GI Matambudziko Bhuku 1: Kunzwisisa Dzimwe Mishonga Inowanzonyorwa kune GERD & Ulcers.
> Johnson, T. (June 2014). US Food and Drug Administration: Kushandiswa kweProto Pump Inhibitors uye Njodzi yeBet Fractures muVakuru.
> Katz, PO, Gerson, LB, Vela MF Nhungamiro yehutano uye hutachiwana hwegastroesophageal reflux chirwere. Am J Gastroenterol. 2013 Mar; 108 (3): 308-28.
> Lanza, FL, Chan, FK, Quigley, EM, Practice Parameters Komiti yeAmerican College of Gastroenterology. Mirayiridzo yekudzivirira zvinetso zveNSAID zvine chokuita nesonda. Am J Gastroenterol. 2009 Mar; 104 (3): 728-38.
> US Food and Drug Administration. (February 2012). FDA Mishonga Yekuchengetedzwa Kwemishonga Kukurukurirana: Clostridium difficile-mararamiro akabatanidzwa anogona kubatanidza nemudumbu weAidri mishonga inozivikanwa seproton pump inhibitors (PPIs).