I kekahi manawa, ma hope o ka ʻai ʻana i kahi mea ʻala, loaʻa iā ʻoe kahi ʻano wela i loko o kou umauma, ʻeā? A i ʻole ke manaʻo nei ʻoe he ʻoluʻolu ʻole me he mea lā ua piʻi aʻe ka waikawa o kou ʻōpū a ke piʻi nei i loko o kou puʻu? ʻO nā mea pale H2 kahi ʻano lāʻau lapaʻau a ka poʻe he nui e hoʻohana ai i nā manawa e like me kēia. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia mau mea pale H2, pehea lākou e hana ai i loko o ko mākou kino, a me nā mea nui e pono ai mākou e ʻike i ka wā e hoʻohana ai iā lākou.
He aha kēia mau mea pale H2?
I ka ʻōlelo maʻalahi, ʻo nā mea pale H2 (i kapa ʻia hoʻi he H2 antagonists) he ʻano lāʻau lapaʻau e kaohi ai a hōʻemi paha i ka hana ʻana o ka waikawa i loko o kou ʻōpū.
He mea nui ka waikawa o ka ʻōpū no ka hoʻoheheʻe ʻana i ka meaʻai a kākou e ʻai ai. Akā inā nui loa kēia waikawa, hiki iā ia ke hōʻino i ka uhi o kou ʻōpū gastrointestinal. Hiki i kēia ke alakaʻi i nā hōʻailona e like me ka ʻeha o ka ʻōpū a me ka heartburn. Hiki ke ʻoluʻolu ʻole e like me ka mihi ʻana i ka ʻai hope loa āu i ʻai ai.
Inā ʻoe e ʻike nei i ka ʻoluʻolu ʻole ma muli o ka hoʻonui ʻia o ka waikawa o ka ʻōpū, makemake paha ʻoe e noʻonoʻo e hoʻohana i kahi mea pale H2.
He aha nā kūlana e hoʻohana ʻia ai nā mea pale H2?
Hoʻohana nui ʻia nā mea pale H2 e mālama i nā kūlana e pili ana i ka hana nui ʻana o ka waikawa o ka ʻōpū. Eia nō naʻe, he mea nui e hoʻomanaʻo e hiki i kēia mau lāʻau lapaʻau ke nalowale mālie i ko lākou pono ke hoʻohana mau ʻia no ka manawa lōʻihi.
Inā loaʻa iā ʻoe kahi maʻi mau loa, hiki i kāu kauka ke ʻōlelo aku i kahi ʻano lāʻau i kapa ʻia ʻo Proton Pump Inhibitor (PPI) ma kahi o nā mea pale H2. ʻOiai ʻoi aku ka lōʻihi o ka hana ʻana o nā PPI, hiki iā lākou ke kāohi i ka hana ʻakika me ka ʻoi aku ka maikaʻi ma mua o nā mea pale H2. Hiki nō hoʻi ke hoʻohana ʻia no ka wā lōʻihi.
Aia ma lalo kekahi o nā kūlana nui i mālama ʻia me nā mea pale H2.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Nā ʻōpū ʻeha | Hiki i ka waikawa keu i hana ʻia ke hōʻino i ka uhi o ka ʻōpū a hoʻoulu i nā ʻōpū. ʻO ka hōʻemi ʻana i ka waikawa me nā mea pale H2 e hāʻawi i kēlā mau ʻōpū i ka manawa a me ke kaiapuni e pono ai lākou e ho'ōla. |
| Nā ʻeha Duodenal | Hiki i ka waikawa o ka ʻōpū ke piʻi i luna i ka ʻāpana mua o ka ʻōpū liʻiliʻi (duodenum) a hoʻoulu i nā ʻeha ma laila. Hiki ke mālama ʻia kēia ʻano me nā mea pale H2, ʻoiai ʻoi aku ka maikaʻi o nā PPI. |
| ʻAkika reflux | Hoʻi hou ka waikawa o ka ʻōpū i loko o ka esophagus a me ka puʻu, e hoʻoulu ai i ka ʻāʻī. Hiki i kēia ke hana i ka esophagitis. He hopena maikaʻi ka mea pale H2 no kēia maʻi i kekahi manawa. Akā inā hana pinepine ʻia kēia (GERD), ʻoi aku ka kūpono o ka PPI. |
| ʻO ka maʻi Zollinger-Ellison | He kūlana kākaʻikahi loa kēia. ʻO kekahi mau puʻupuʻu e hana ʻia ana i kēia kūlana e hoʻoulu ai i ka ʻōpū e hana i ka nui o ka waikawa. ʻOiai hiki i nā mea pale H2 ke kōkua i ka kaohi ʻana i kēia kūlana, paipai pinepine nā kauka i nā PPI. |
Kōkua nā mea pale H2 i ka hōʻoluʻolu ʻana i nā hōʻailona e pili ana i kēia mau kūlana:
- ʻAʻai ʻole
- ʻEha ʻōpū
- ʻEha ka umauma a me ka ʻāʻī ʻeha
- Ka luaʻi a me ka luaʻi
- ʻŌpū ʻawaʻawa
Pehea e hana maoli ai kēia lāʻau lapaʻau i loko o ke kino?
He mea maʻalahi loa ia. ʻO kekahi inoa no nā mea pale H2 ʻo ia nā histamine-2 (H2) antagonists. Ua aʻo mākou ma ke kula he mea hoʻopilikia ka 'antagonist' i loko o kahi moʻolelo? ʻĀ, ʻo ka mea a kēia mau mea hoʻopilikia H2 e hana ai, ʻo ia ke hoʻopilikia i ke kaʻina hana o ka hana ʻana i ka waikawa i loko o ka ʻōpū.
E noʻonoʻo i kēia ʻano. Ma hope o kā mākou ʻai ʻana, hoʻokuʻu ko mākou kino i kahi kemika i kapa ʻia ʻo H2. Hele kēia H2 a hoʻopili i nā mea loaʻa H2 ma nā paia o ka ʻōpū. Ua like ia me ke kī e hoʻokomo ana i kahi laka. ʻO kēia mea hoʻopili ka mea e haʻi aku ai i ka ʻōpū, "ʻAe, e hana i ka waikawa i kēia manawa."
Ke lawe ʻoe i kahi mea pale H2, hele ka lāʻau a hoʻopaʻa i kēlā mau mea loaʻa H2 (nā laka) a "ālai" iā lākou. Ma kēlā ʻano, ʻaʻole loaʻa i ka H2 (nā kī) ka manawa e hele mai a hoʻopaʻa i nā mea loaʻa. Ke pau ka hōʻailona e hana i ka waikawa, emi ka waikawa o ka ʻōpū.
ʻAʻole kēia e hoʻopilikia i kāu kaʻina hana hoʻoheheʻe. Hoʻomalu wale ia i ka nui o ka waikawa keu i hana ʻia e hoʻoulu ai i ka ʻeha a me ka ʻoluʻolu ʻole.
He aha nā lāʻau lapaʻau H2 blocker i loaʻa?
Aia kekahi mau ʻano o nā mea pale H2. Hiki ke kūʻai ʻia kekahi ma luna o ke kauka kūʻai (OTC), aʻo kekahi e pono ai ke kauoha mai ke kauka.
| Inoa o ka lāʻau lapaʻau | He hōʻailona i ʻike pinepine ʻia | Pehea e loaʻa ai |
|---|---|---|
| ʻO Cimetidine | Tagamet® | Kūʻai ma luna o ke kūʻai aku a me ke kauka (OTC & Rx) |
| ʻO Famotidine | ʻO Pepcid® | Kūʻai ma luna o ke kūʻai aku a me ke kauka (OTC & Rx) |
| ʻO Nizatidine | ʻAxid® | Ma ke kauoha a ke kauka wale nō (Rx wale nō) |
Hoʻomaopopo Kūikawā: E hoʻomanaʻo paha ʻoe i ka mea pale H2 ʻo Ranitidine (Zantac®) i kaulana loa i ka wā ma mua. Akā i ʻApelila 2020, ua haʻi aku nā keʻena e like me ka FDA (US Food and Drug Administration) i nā mea hana e wehe i kēia lāʻau lapaʻau mai ka mākeke. ʻO ke kumu, ua hōʻike nā hoʻokolohua i ka hala ʻana o ka manawa a i ka wā e mālama ʻia ai i nā mahana kiʻekiʻe, ua piʻi aʻe nā pae o kahi kemika i kapa ʻia ʻo nitrosodimethylamine, a i ʻole NDMA, he carcinogen paha, i nā pae palekana ʻole.
Pehea a i ka manawa hea e hoʻohana ʻia ai kēia lāʻau lapaʻau?
Hiki ke lawe ʻia nā mea pale H2 ma ka waha e like me nā pila a i ʻole nā capsules. Aia kekahi mau pauka i hiki ke hoʻoheheʻe ʻia i loko o kahi wai no ka poʻe i pilikia i ka ale ʻana i nā pila. Hiki ke hāʻawi ʻia iā lākou ma ke ʻano intravenous (IV) i nā poʻe maʻi i hoʻopaʻa ʻia ma ka haukapila a ʻaʻole hiki ke lawe i nā lāʻau lapaʻau waha.
ʻO ka manawa kūpono loa e lawe ai i ka lāʻau lapaʻau
- No ka ʻoluʻolu ʻole i kekahi manawa:Inā ʻike ʻoe e hiki i ka ʻai ʻana i nā meaʻai ʻala a momona paha ke hoʻopilikia iā ʻoe, e lawe i kahi mea pale H2 30 a 60 mau minuke ma mua o ka ʻai ʻana i kēlā meaʻai. Hāʻawi kēlā i ka manawa e hana ai. He mea maikaʻi ke lawe ma hope o ka hoʻomaka ʻana o ka pilikia, akā hiki ke hala a hiki i hoʻokahi hola no ka emi ʻana o nā hōʻailona.
- No ke ʻano e like me ka ho'ōla ʻana o ka ʻeha: Hiki i kāu kauka ke ʻōlelo e lawe i hoʻokahi manawa i ka lā ma mua o ka hiamoe ʻana, a i ʻole hoʻokahi manawa i ke kakahiaka a hoʻokahi manawa i ka pō, ma muli o nā kuhikuhi a kāu kauka.
ʻO ka mea nui loa, inā pono ʻoe e hoʻohana i kēia mau lāʻau lapaʻau no nā pule ʻelua a ʻoi aku i ka manawa, pono ʻoe e ʻike i kāu kauka. ʻAʻole kūpono ke hoʻomau i ka hoʻohana ʻana i kēia mau mea me ka ʻike ʻole i ke kumu pololei o kāu mau hōʻailona.
He aha ka ʻokoʻa ma waena o nā H2 Blockers, Antacids a me PPIs?
He nui ka poʻe e huikau nei e pili ana i kēia mau ʻano lāʻau lapaʻau ʻekolu i hoʻohana ʻia no ka ʻeha puʻuwai. E nānā koke kākou i nā ʻokoʻa nui ma waena o lākou.
| ʻAno lāʻau lapaʻau | Ka manawa i lawe ʻia e hana | Ka lōʻihi o ka hopena | ʻO ka manawa kūpono loa |
|---|---|---|---|
| Nā lāʻau hoʻēmi ʻakika (e.g. Digene, Gelusil) | Wikiwiki loa (i kekahi mau minuke) | Pōkole loa (1-2 hola) | I ka wā e pono ai ke kōkua koke. |
| Nā mea pale H2 | Ma kahi o hoʻokahi hola | Ma kahi o 4-10 mau hola | I mea e pale aku ai i ka ʻeha puʻuwai i kekahi manawa a i ʻole ma mua o ka ʻai ʻana. |
| Nā PPI (Nā mea pale o ka pamu proton) | 1-4 lā no ka hopena piha | Lōʻihi (24 hola+) | No nā maʻi e like me ka gastritis mau loa a me ka GERD. |
Aia kekahi mau hopena ʻaoʻao?
ʻO nā mea pale H2 he mau lāʻau lapaʻau palekana loa me nā hopena ʻaoʻao liʻiliʻi . ʻOiai inā loaʻa nā hopena ʻaoʻao, he mea liʻiliʻi wale nō ia.
- ʻEha ʻōpū
- ʻEha ʻiʻo
- Ka paʻa ʻana o ka ʻōpū
- Ka maʻi pākī
- Waha maloʻo
- Luhi
- ʻEha poʻo
He mea kākaʻikahi loa, ʻo ka poʻe i loko o nā hui pilikia kiʻekiʻe (ʻoi aku ka poʻe ma luna o 50 mau makahiki, ka poʻe me nā pilikia puʻupaʻa a i ʻole ke akepaʻa) e ʻike i nā hōʻailona e pili ana i ka ʻōnaehana nerve, e like me ka nalowale o ka hoʻomanaʻo a i ʻole ka paʻakikī i ka ʻōlelo ʻana. Eia naʻe, he mea kākaʻikahi loa kēia. ʻO ka maʻamau, e nalowale kēia mau hōʻailona i loko o kekahi mau lā ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
Nā pilina me nā lāʻau ʻē aʻe
Hiki i kekahi mau mea pale H2 ke hoʻopilikia i ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. No ka laʻana, hiki i ka cimetidine pale H2 ke hōʻemi i ka pono o kekahi mau antidepressants (SSRIs) a me ka warfarin hoʻokahe koko (`(warfarin)`).
No laila, ma mua o kou hoʻomaka ʻana i kahi mea pale H2 hou, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
He kūpono kēia mau mea no nā makuahine hāpai a me nā makuahine hānai?
Pono hou aku ka noiʻi e pili ana i ka palekana o ka hoʻohana ʻana i nā mea pale H2 i ka wā hāpai, akā ua ʻike ʻia ua hele kēia mau lāʻau i ka pēpē ma o ka waiū umauma.
No laila, inā ʻoe e hāpai ana, e hoʻolālā ana e hāpai, a he makuahine hānai paha, e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kekahi o kēia mau lāʻau lapaʻau.
Leka Lawe-Home
- ʻO nā mea pale H2 kahi ʻano lāʻau lapaʻau e hoʻemi ana i ka waikawa o ka ʻōpū. He mea maikaʻi loa lākou no ka hāʻawi ʻana i ka hōʻoluʻolu pōkole mai ka ʻeha puʻuwai a me ka ʻeha umauma i kekahi manawa.
- ʻOiai ʻoi aku ka wikiwiki o kēia hana ma mua o nā PPI, ʻaʻole kūpono lākou no ka hoʻohana lōʻihi i kēlā me kēia lā.
- Inā pono ʻoe e hoʻohana i nā mea pale H2 no nā pule ʻelua a ʻoi aku paha i ka manawa, hiki ke hōʻike ʻia he pilikia ʻē aʻe kāu. E ʻike pono i ke kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (ʻoiai nā huaora).
- Inā hāpai ʻoe a hānai waiū paha, mai hoʻohana i kēia mau lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.











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