Ke hoʻohana lōʻihi nei i ka lāʻau gastritis e hoʻolilo i ka nalowale o ka hoʻomanaʻo? (PPIs a me Dementia)

ʻO kahi pilikia i loaʻa i ka nui o mākou, ʻo ia ka gastritis , a i ʻole ka heartburn . ʻO ka heartburn ma hope o ka ʻai ʻana, ka waikawa o ka ʻōpū ... He mau mea hoʻonāukiuki loa kēia. Ke kuhikuhi ke kauka i kahi lāʻau lapaʻau no kēia, hāʻawi ia iā ʻoe i ka hōʻoluʻolu nui. Akā ʻo ka pilikia, hoʻomau kekahi poʻe i ka hoʻohana ʻana i kēia lāʻau lapaʻau no ka ʻoi aku ma mua o ke kauka i kuhikuhi ai, i kekahi manawa no nā makahiki. Inā ʻo ʻoe kekahi o lākou, he mea nui loa kēia ʻatikala iā ʻoe. No ka mea, ua ʻike ʻia kahi noiʻi hou e loaʻa paha kahi pilina ma waena o ka hoʻohana lōʻihi ʻana o kēia lāʻau lapaʻau a me ka dementia , kahi maʻi e nalowale mālie ai ka hoʻomanaʻo.

He aha kēia lāʻau lapaʻau? He aha ke ʻano o kēia a kākou e kamaʻilio nei?

Ke kamaʻilio nei mākou e pili ana i kahi papa lāʻau lapaʻau maʻamau a maikaʻi loa no ka gastritis. Ua kapa ʻia kēia mau mea he proton pump inhibitors , a i ʻole PPIs no ka pōkole. I ka ʻōlelo maʻalahi, hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka nui o ka waikawa e hana ai kou ʻōpū . Hoʻemi kēia i ka nui o ka waikawa i loko o kou ʻōpū, hiki ke kōkua i ka kaohi ʻana i nā kūlana e like me ka heartburn, nā ʻōpū , a me ka reflux acid .

Ua papa inoa ʻia ma ka papa ma lalo nei kekahi o nā lāʻau lapaʻau maʻamau i ko mākou ʻāina e pili ana i kēia hui o nā PPI. Malia paha ua hoʻokomo pū ʻia ka lāʻau lapaʻau āu e hoʻohana nei.

He mau lāʻau lapaʻau maikaʻi loa kēia a pono hoʻi. Akā, ʻo ka nīnau e pili ana i kā lākou hoʻohana lōʻihi. ʻOiai ua loaʻa nā manaʻo like ʻole e pili ana i kēia ma mua, ua lawe hou ʻia kēia pilikia i mua e kahi noiʻi i paʻi ʻia ma ka puke pai lapaʻau kaulana ʻo *Neurology*.

He aha ka pilikia e like me ke aʻo ʻana?

ʻO ka mea a kēia noiʻi e hōʻike maopopo nei, ʻaʻole i hōʻike ʻia ka hoʻohana pōkole ʻana o nā PPI e hoʻonui i ka pilikia o ka dementia. Eia nō naʻe, ʻike ʻia ka pilikia inā hoʻohana mau kekahi i kēia mau lāʻau lapaʻau no nā makahiki he 4.4.

Wahi a ke aʻo ʻana, ʻo ka poʻe i hoʻohana i nā PPI no nā makahiki ʻehā a me ka hapa he 33% kiʻekiʻe aʻe ka pilikia o ka hoʻomohala ʻana i ka dementia ma mua o ka poʻe i hoʻohana ʻole iā lākou.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, he aha ka dementia? I ka ʻōlelo maʻalahi, ʻo ka dementia kahi inoa maʻamau i hāʻawi ʻia i kahi hui o nā maʻi kahi e hōʻino mālie ʻia ai nā hunaola o ka lolo, e nalowale mālie ana ko mākou hoʻomanaʻo, ka noʻonoʻo ʻana, ka hiki ke noʻonoʻo, a me ka hiki ke hana i nā hana o kēlā me kēia lā. ʻO ke ʻano maʻamau o kēia maʻi a mākou i lohe ai a ʻike ai, ʻo ia ka maʻi Alzheimer .

Ua mālama ʻia kēia noiʻi ma luna o 5,712 mau kānaka ma luna o 45 mau makahiki. ʻAʻohe o kēia poʻe i loaʻa i ka dementia i ka wā i hoʻomaka ai ke noiʻi. Ua hahai ʻia lākou no kahi o ʻelima a me ka hapa mau makahiki. He mea nui loa nā hopena.

• ʻO ka poʻe i lawe ʻole i ka lāʻau lapaʻau: No ka poʻe 4,222 i komo i ke aʻo ʻana i lawe ʻole i ka lāʻau PPI, ua loaʻa i ka 415 ka dementia.
• ʻO ka poʻe i lawe i ka lāʻau lapaʻau no ka wā lōʻihi: Eia nō naʻe, mai loko mai o 497 mau kānaka i lawe i kēia lāʻau lapaʻau no nā makahiki he 4.4 a ʻoi, ua loaʻa i 58 ka dementia.

Hōʻike kēia mau helu helu aia paha kahi pilina ma waena o ka hoʻohana lōʻihi a me ka pilikia.

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No laila, pono anei iaʻu e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau i kēia manawa?

ʻAʻole. ʻAʻole loa! ʻO kēia ka mea nui loa āu e hoʻomanaʻo ai.

Inā ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau, hiki i kāu mau hōʻailona gastritis, e like me ka heartburn, ke lilo i mea ʻino aʻe ma mua o ka wā ma mua. Ua kapa ʻia kēia ʻo 'Rebound Acidity'. No laila, ʻaʻole pono ʻoe e hoʻoholo i kekahi mau hoʻoholo ma kāu iho.

ʻO ka mea maikaʻi loa a palekana hoʻi hiki iā ʻoe ke hana, ʻo ia ke kamaʻilio ākea e pili ana i kēia me kāu kauka.

E ʻike i kāu kauka a nīnau:

• "E ke kauka, ua hoʻohana au i kēia lāʻau lapaʻau no nā makahiki i hala. Ua maikaʻi anei ke hoʻomau i ka lawe ʻana?"
• "Aia kekahi ʻike hou e pili ana i nā hopena lōʻihi o kēia lāʻau lapaʻau?"
• "Hiki iaʻu ke hōʻemi i ka nui o kēia lāʻau lapaʻau? A i ʻole he koho ʻē aʻe?"

Ma muli o kou kūlana, e ʻōlelo aku kāu kauka i ka hopena maikaʻi loa nāu. Hiki iā ia ke ʻōlelo aku i nā mea e like me:

• Nā Hoʻololi o ke ʻAno o ka Noho ʻana: Nā mea e like me ke kaohi ʻana i ke kaumaha, ʻaʻole e hiamoe koke ma hope o ka ʻaina ahiahi, a me ka hōʻemi ʻana i nā meaʻai ʻaila, mea ʻala, a me ka ʻawaʻawa.
• Nā lāʻau lapaʻau ʻē aʻe: Hiki paha iā ʻoe ke hoʻohana i nā lāʻau lapaʻau ʻē aʻe, pōkole (e laʻa, antacids) e kāohi i kāu mau hōʻailona.
• E hoʻohana wale nō i ka wā e pono ai: Hiki ke aʻo ʻia ʻoe e lawe i ka lāʻau lapaʻau ke loaʻa nā hōʻailona, ​​​​ma mua o ka lawe ʻana i kēlā me kēia lā.

E hoʻomanaʻo, ʻaʻohe hopena hoʻokahi e kūpono i nā mea āpau. Na kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu.

Aia kekahi mau pilikia ʻē aʻe?

ʻAe. Ma waho aʻe o kēia pilikia dementia, ua ʻike ʻia nā noiʻi mua e pili ana ka hoʻohana lōʻihi ʻana o nā PPI me kekahi mau pilikia olakino ʻē aʻe, me ka hoʻonui ʻia o ka pilikia o ka haki ʻana o ka iwi, ka maʻi puʻupaʻa mau, a me ka hahau ʻana .

ʻAʻole kēia e ʻōlelo he mea weliweli kēia mau lāʻau lapaʻau. He mau lāʻau lapaʻau pono loa kēia. Akā e like me nā lāʻau lapaʻau āpau, pono e hoʻohana ʻia no ke kumu kūpono, no ka lōʻihi kūpono, a ma ke ʻōlelo aʻoaʻo lapaʻau wale nō.