Loaʻa pinepine iā ʻoe ka gastritis? A i ʻole he ʻeha wela kou umauma a i ʻole he manaʻo i loko o kou puʻu? I nā manawa e like me kēia, ua maʻa ka hapa nui o mākou i ka lawe ʻana i ka lāʻau lapaʻau mai kahi hale kūʻai lāʻau. ʻO ka hapa nui, ʻo ke ʻano o ka lāʻau lapaʻau i lawe ʻia ma kēia ʻano he Proton Pump Inhibitors, a i ʻole e like me kā mākou e kapa nei, "lāʻau gastritis". Akā, ua ʻike maopopo anei mākou i ke ʻano o kēia mau lāʻau lapaʻau, pehea lākou e hana ai, a pehea ka lōʻihi o ka lawe ʻana? I kēia lā, e kamaʻilio mākou e pili ana i kēia.
He aha kēia mau mea hoʻopale pamu proton (PPI)?
I ka ʻōlelo maʻalahi, he papa kēia o nā lāʻau lapaʻau e hoʻemi ana i ka acidity, a i ʻole ka waikawa, i loko o kou ʻōpū. I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAʻole anei he mea maikaʻi ke loaʻa ka waikawa o ka ʻōpū?" ʻO ka waikawa o ka ʻōpū kahi mea hiki ʻole iā mākou ke ola me ka ʻole. Kōkua ia iā mākou e hoʻoheheʻe i ka meaʻai a mākou e ʻai ai a pepehi pū i nā germs ʻino e komo pū me ka meaʻai.
Akā hoʻomaka ka pilikia ke nui loa kēia waikawa, a i ʻole ke hele i kahi kūpono ʻole, e like me kou esophagus. ʻO ia ka manawa e hoʻomaka ai nā pilikia e like me ka heartburn a me nā ʻōpū ʻōpū. ʻO ia ka manawa e kōkua mai ai kēia mau lāʻau i kapa ʻia ʻo PPI iā mākou.
He aha nā kūlana nui i mālama ʻia me nā PPI?
Hoʻohana ʻia nā PPI e mālama i nā kūlana he nui e pili ana i ka waikawa o ka ʻōpū. E nānā kākou i nā mea nui.
| Kūlana olakino | I ka ʻōlelo maʻalahi, ʻo ka mea e hana ʻia |
|---|---|
| GERD / Reflux ʻakika mau loa | ʻO kēia ka mea a mākou e kapa pinepine ai he heartburn. ʻO ka waikawa o ka ʻōpū e piʻi ana i luna i loko o ka esophagus hiki ke hōʻino i ka esophagus (erosive esophagitis) . Hoʻemi nā PPI i ka waikawa o ka ʻōpū a ʻae i ka hōʻino e ho'ōla. |
| Nā ʻUlu Peptic (Nā ʻUlu ʻŌpū a me nā ʻUlu Liʻiliʻi) | Hiki i ka waikawa ʻōpū ke hōʻino i ka uhi pale o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi, e hana ana i nā ʻōpū. Hiki i kēia mau ʻōpū ke ulu me ka hoʻohana mau ʻana i kekahi mau lāʻau ʻeha (NSAID) . Hiki i nā PPI ke kōkua i ka ho'ōla ʻana i kēia mau ʻōpū. |
| ka maʻi H. pylori | He bacteria kēia e hoʻoulu ai i nā ʻōpū ʻōpū. Hāʻawi ʻia nā PPI me nā antibiotics e pepehi i kēia bacteria. Hoʻemi kēia i ka acidity i loko o ka ʻōpū, e ʻae ana i nā antibiotics e hana maikaʻi. |
| ʻO ka maʻi Zollinger-Ellison | He kūlana kākaʻikahi kēia. Hoʻopuka kekahi mau puʻupuʻu i loko o ke kino i kahi hormone e hoʻoulu ai i ka ʻōpū e hana i ka nui o ka waikawa. Hiki i nā PPI ke kāohi i kēia kūlana. |
Pehea e hana ai kēia lāʻau lapaʻau?
He mea maʻalahi loa kēia e hoʻomaopopo. E noʻonoʻo he mau 'pumps' liʻiliʻi i loko o kou ʻōpū e hana ana i ka waikawa. Ma ke ʻano ʻepekema, ua kapa ʻia kēia mau mea he mau pamu hydrogen-potassium ATPase. I ka pōkole, he "proton pumps" lākou.
I kēia manawa, ʻo ka hana a kēia lāʻau PPI, ʻo ia ke 'kāohi' i ka hana o kēlā mau pamu hana waikawa, ʻo ia hoʻi, ke hoʻōki nei iā lākou. Ua like ia me ka hoʻopau ʻana i ke kuapo ma kahi motika wai.
Akā, ʻaʻole kēia e hoʻōki i ka hana ʻakika a pau i loko o ka ʻōpū. Inā ʻoe e lawe i ka PPI no kahi o 5 mau lā i ka lālani, e hoʻemi ʻia ka hana ʻakika o ka ʻōpū ma kahi o 65%. ʻO ke koena 35% ua lawa ia e hoʻoheheʻe i ka meaʻai. No laila, ʻaʻohe mea e hopohopo ai.
He aha nā ʻano PPI maʻamau i loaʻa pinepine ʻia?
Aia kekahi mau ʻano PPI. Hiki ke kūʻai ʻia kekahi ma luna o ke kūʻai aku (OTC) ma kahi hale kūʻai lāʻau me ka ʻole o ke kauoha a ke kauka, aʻo kekahi e koi ana i ke kauoha.
| Inoa Laulā | Nā Inoa Lama Maʻamau |
|---|---|
| Nā ʻano i loaʻa me a me ka ʻole o ke kauoha a ke kauka | |
| ʻEsomeprazole | ʻO Nexium® |
| ʻO Lansoprazole | ʻO Prevacid® |
| ʻOmeprazole | ʻO Prilosec® |
| Nā ʻano i loaʻa wale ma ke kauoha lapaʻau | |
| ʻO Dexlansoprazole | ʻO Dexilant® |
| Pantoprazole | Protonix® |
| ʻO Rabeprazole | ʻAcipHex® |
Pehea e hoʻohana ʻia ai kēia mau mea?
Loaʻa kēia lāʻau lapaʻau ma ke ʻano capsule a papa paha. No ka poʻe paʻakikī i ka ale ʻana i nā pila, hiki ke hoʻohui ʻia kekahi mau capsule me kahi mea e like me ka applesauce e lawe i ka pauka.
ʻO ka mea nui loa, ʻo ia ka manawa e lawe ai i ka lāʻau lapaʻau. ʻOi aku ka maikaʻi o ka hapa nui o nā PPI ke lawe ʻia ma ka ʻōpū ʻole . Manaʻo pinepine ʻia e lawe iā ia he 30 mau minuke a i hoʻokahi hola ma mua o ka ʻaina kakahiaka. ʻO ke kumu, hāʻawi kēia i ka lāʻau lapaʻau i ka manawa e omo ai a hoʻomaka e hana, ma mua o ka hōʻiliʻili ʻana o ka waikawa o ka ʻōpū ma hope o kāu ʻai ʻana.
ʻEhia kaʻu e kūʻai ai?
He mea kēia e hoʻoholo ai kāu kauka. Pono paha kekahi poʻe i hoʻokahi pila i ke kakahiaka. Hiki ke ʻōlelo ʻia kekahi e lawe i hoʻokahi i ke kakahiaka a hoʻokahi i ka pō. Aia ia i kou kūlana olakino. No laila, he mea nui loa ia e hahai i nā ʻōlelo a kāu kauka.
ʻEhia ka lōʻihi e hana ai nā PPI?
ʻAʻole kēia he lāʻau lapaʻau e hōʻoluʻolu koke. Hiki ke hala i 1 a 4 mau lā no ʻoe e ʻike ai i ka hopena piha o ka lāʻau lapaʻau.
E noʻonoʻo ua ʻai ʻoe i kahi meaʻai ʻala a ua manaʻo koke ʻoe i kahi ʻano wela i loko o kou umauma. I kēlā mau manawa, hiki i kahi antacid (e.g., Digene) a i ʻole kahi histamine (H2) blocker (e.g., Famotidine) ke hāʻawi i ka hōʻoluʻolu wikiwiki ma mua o ka PPI. Eia naʻe, nalowale koke ko lākou hopena.
ʻO nā PPI kahi lāʻau lapaʻau e hāʻawi ana i nā hopena lōʻihi, kūpono loa no ka poʻe me nā pilikia waikawa mau loa.
Aia kekahi mau hopena ʻaoʻao i kēia mau mea?
ʻAʻole ʻike ka hapa nui o ka poʻe i nā hopena ʻaoʻao, akā e like me nā lāʻau lapaʻau āpau, hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao liʻiliʻi.
- ʻeha ka ʻōpū
- Ka paʻa ʻana o ka ʻōpū
- Ka maʻi pākī
- Pōʻino
- Waha maloʻo
- ʻEha poʻo
- kuni
- Hoʻopiha i ka ʻōpū
- Ka ʻūhū a me ke kuni
Nā pilikia o ka hoʻohana lōʻihi
ʻOiai ua manaʻo ʻia nā PPI he mau lāʻau lapaʻau palekana, ua ʻike nā kānaka noiʻi i kekahi mau pilikia e pili ana i ka hoʻohana ʻana iā lākou no ka manawa lōʻihi me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau .
- ʻO ka maʻi Clostridium difficile (C. diff): Hoʻololi ʻia ke kaulike ma waena o nā bacteria maikaʻi a me nā bacteria maikaʻi ʻole i loko o ka ʻōpū, e hoʻoulu ai i ka maʻi pākī weliweli.
- Haʻihaʻi: Hiki iā ia ke paʻakikī i ke kino ke omo i ka calcium, hiki ke hoʻonui i ka pilikia o nā haki ma ka ʻūhā, ka pulima lima, a i ʻole ka iwi kuamoʻo.
- Maʻi puʻupaʻa: ʻO ka hoʻohana lōʻihi ʻana e hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka maʻi puʻupaʻa mau loa (CKD).
- Nā hemahema i ka meaʻai: Hiki i ke kino ke hōʻemi i kona omo ʻana i ka magnesium a me ka wikamina B12. He mau meaʻai koʻikoʻi kēia no ko kākou ʻōnaehana nerve a me nā ʻiʻo.
Ke aʻo ʻia nei kēia mau pilikia, no laila hoʻāʻo pinepine nā kauka e kaohi i kāu mau hōʻailona ma ka hāʻawi ʻana iā ʻoe i ka mahele haʻahaʻa loa no ka manawa pōkole loa .
Āhea wau e ʻike ai i ke kauka?
Inā ua kuhikuhi ʻia ʻoe e ke kauka i nā PPI, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka hoʻōki ʻana i ka lāʻau lapaʻau a i ʻole ka hoʻololi ʻana i ka dosage.
Inā ʻoe e hoʻohana ana i nā PPI over-the-counter (OTC) a ʻike ʻoe e pono ana ʻoe iā lākou i kēlā me kēia lā e kāohi i kāu mau hōʻailona, pono ʻoe e ʻike i ke kauka i hiki iā ʻoe ke loaʻa kahi hōʻoia kūpono a me ka lāʻau lapaʻau.
Inā ʻike ʻoe i nā hōʻailona ma lalo nei, e ʻike koke i kāu kauka:
| Hōʻailona | Wehewehena |
|---|---|
| He hopena alerika | Ka huhū o ka ʻili, ka maneʻo nui, ka pehu ʻana. |
| Nā hōʻailona o ka hōʻino ʻana o ka puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā lima, nā kuʻekuʻe wāwae, a i ʻole nā wāwae. |
| Nā hōʻailona o ka nele o ka magnesium | Luhi nui, puʻuwai kūpono ʻole, ʻehaʻeha o nā ʻiʻo. |
| Nā hōʻailona o ka nele o ka wikamina B12 | ʻEha, mae wale, poniuniu , huikau ma nā lima a i ʻole nā wāwae. |
| Ka maʻi pākī nui a i ʻole ke kuni | Ka maʻi kahe mau a i ʻole ke kuni. |
Leka Lawe-Home
- He lāʻau lapaʻau nā PPI no nā pilikia waikawa lōʻihi, ʻaʻole no ka hoʻomaha koke.
- E lawe mau i kāu lāʻau lapaʻau i ka manawa i kauoha ʻia (ma mua o ka ʻai ʻana), e like me ke kuhikuhi a kāu kauka.
- E hōʻalo i ka hoʻohana mau ʻana i nā PPI no ka manawa lōʻihi me ka ʻole o ke aʻo ʻana mai ke kauka.
- Inā makemake ʻoe i kēia lāʻau lapaʻau i kēlā me kēia lā a i ʻole inā loaʻa kekahi hopena ʻaoʻao, e ʻike pono i kāu kauka.
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