Bɔku tɛm yu kin gɛt gastritis? Ɔ yu de bɔn na yu chɛst ɔ yu gɛt filin na yu trot? Sɔntɛnde lɛk dis, bɔku pan wi kin yus fɔ tek mɛrɛsin na famasi. Bɔku tɛm, di kayn mɛrɛsin we dɛn kin tek dis we na Proton Pump Inhibitors, ɔ as wi kin kɔl am, "gastritis mɛrɛsin". Bɔt, wi no gud gud wan wetin na dɛn mɛrɛsin ya, aw dɛn de wok, ɛn aw lɔng dɛn fɔ tek dɛn? Tide, wi go tɔk bɔt dis.
Wetin na dɛn protɔn pɔmp inhibito (PPI) ya?
Fɔ tɔk am simpul wan, dis na wan klas fɔ mɛrɛsin we de ridyus di asid ɔ asid we de na yu bɛlɛ. Naw yu kin de tink se, "I nɔ fayn fɔ gɛt bɛlɛ asid?" Bɛlɛ asid na rili sɔntin we wi nɔ go ebul fɔ liv witout. I de ɛp wi fɔ digest di it we wi de it ɛn i de kil bak di bad bad jem dɛn we de kam insay wit it.
Bɔt di prɔblɛm kin bigin we dis asid kin bɔku, ɔ we i go usay i nɔ fɔ de, lɛk yu ɛsophagus. Na da tɛm de prɔblɛm lɛk at bɔn ɛn bɛlɛ ɔlsa kin bigin. Na da tɛm de dɛn mɛrɛsin ya we dɛn kɔl PPI kin kam ɛp wi.
Wetin na di men kɔndishɔn dɛn we dɛn kin trit wit PPI?
Dɛn kin yuz PPI fɔ trit bɔku kɔndishɔn dɛn we gɛt fɔ du wit bɛlɛ asid. Lɛ wi tek wan luk pan di men wan dɛn.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan, wetin kin apin na |
|---|---|
| GERD / Kronik Asid Riflɔks | Dis na wetin wi kin kɔl bɔku tɛm at-bɔn. di bכdi asid we de muv כp insay di εsophagus kin mek di εsophagus damej (erosive esophagitis) . PPI dεm de ridyus di bεlε asid εn alaw di damej fכ hεl. |
| Pɛptik Ɔlsa (Bɛlɛ ɛn Smɔl Intestin Ɔlsa) . | Asid we de na di bɛlɛ kin pwɛl di layn we de protɛkt di bɛlɛ ɔ smɔl intestin, ɛn dis kin mek yu gɛt ɔlsa. Dɛn ɔlsa ya kin kam bak we yu kɔntinyu fɔ yuz sɔm pen kil (NSAID) . PPI kin ɛp fɔ mɛn dɛn ɔlsa ya. |
| H. pylori infεkshכn | Dis na baktri we de mek yu bɛlɛ gɛt ɔlsa. Dɛn kin gi PPI wit antibayɔtik fɔ kil dis baktri. dis de ridyus di asid we de na di bεlε, we de mek di antibaytik dεm wok bεtεh. |
| Zollinger-Ellison sindrom we gɛt di sik | Dis na tin we nɔ kin apin so ɔltɛm. Sɔm tumbu dɛn na di bɔdi kin mek wan ɔmon we kin mek di bɛlɛ mek tumɔs asid. PPI dɛn kin kɔntrol dis kɔndishɔn. |
Aw dis mɛrɛsin de wok?
Dis rili izi fɔ ɔndastand. Imajin se smɔl ‘pɔmp’ dɛn de insay yu bɛlɛ we de mek asid. bay sayɛns, dεn kכl dεn tin ya haydrojεn-potashכm ATPase pכmp dεm. In shot, na "proton pumps."
naw, wetin dis PPI dכg de du na fכ ‘inhibit’ di aktiviti fכ dεn pכmp dεm we de prodyuz asid, dat na, i de stכp dεm. I tan lɛk se yu dɔn ɔf di switch na wata motoka.
bכ t dis nכ de stכp כl di asid prodakshכn na di bεlε. if yu tek wan PPI fכ lεk 5 dez insay wan rכw, di prodakshכn fכ bכdi asid go rεdכks bay lεk 65%. di rεst 35% na infεkt fכ digεst it. So natin nɔ de fɔ wɔri bɔt.
Wetin na di kayn PPI dɛn we dɛn kin yuz mɔ?
Bɔku kayn PPI dɛn de. Sɔm dɛn kin bay ɔva-di-kɔnta (OTC) na famasi we yu nɔ gɛt dɔktɔ in prɛskrishɔn, ɛn ɔda wan dɛn nid fɔ gɛt prɛskrishɔn.
| Jɛnɛrik Nem | Kɔmɔn Brand Nem dɛn |
|---|---|
| Tayp dɛn we de wit ɔ atɔl dɔktɔ in prɛskrishɔn | |
| Esomeprazol we dɛn kɔl Esomeprazole | Nexium® we dɛn kɔl |
| Lansoprazol we dɛn kɔl | Prevacid® we dɛn kɔl |
| Omɛprazɔl we dɛn kɔl | Prilosec® we dɛn kɔl |
| Tayp dɛn we dɛn kin gɛt nɔmɔ pan mɛrɛsin prɛskrishɔn | |
| Dexlansoprazol we dɛn kɔl Dɛkslansoprazɔl | Dexilant® we dɛn kin yuz |
| Pantoprazol we dɛn kɔl | Protonix® we dɛn kɔl |
| Rabeprazol we dɛn kɔl | AcipHex® we gɛt fɔ du wit am |
Aw dɛn fɔ yuz dɛn tin ya?
Dis mɛrɛsin kin kam insay kapsul ɔ tablɛt. Fɔ di wan dɛn we nɔ kin izi fɔ swɛla di pils, dɛn kin miks sɔm kapsul dɛn wit sɔntin lɛk apul sos fɔ tek di paoda.
Di tin we impɔtant pas ɔl na ustɛm fɔ tek di mɛrɛsin. Mɔs pan di PPI dɛn kin wok mɔ we dɛn tek am ɛmti bɛlɛ . Bɔku tɛm, i kin fayn fɔ tek am 30 minit to wan awa bifo yu it brɛf. di rizin na dat dis de gi di mεdikeshכn tεm fכ abzכp εn bigin fכ wok, bifo di bεlε asid bכku afta yu it.
Aw bɔku a fɔ bay?
Dis na sɔntin we yu dɔktɔ go disayd fɔ tru. Sɔm pipul dɛn kin nid wan pil na mɔnin. Dɛn kin tɛl ɔda pipul dɛn fɔ tek wan na mɔnin ɛn wan na nɛt. I dipen pan yu mɛrɛsin kɔndishɔn. So, i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
Aw lɔng i kin tek fɔ mek PPI dɛn wok?
Dis nɔto mɛrɛsin we de mek pɔsin fil fayn wantɛm wantɛm. I kin tek 1 to 4 dez fɔ mek yu fil di ful ifɛkt dɛm fɔ di mɛrɛsin.
Imajin se yu dɔn it wan spaysi it ɛn wantɛm wantɛm yu fil se yu chɛst de bɔn. na dεn tεm ya, wan antisid (e.g., Digene) כ wan histamin (H2) blכk (e.g., Famotidine) kin gi kwik rilif pas wan PPI. Bɔt, di tin dɛn we dɛn kin du kin west kwik kwik wan.
PPI na tritmɛnt wae de gi lɔng tɛm rizɔlt, wae fayn fɔ pipul dɛm wae gɛt krɛse sik.
Ɛni bad tin de we kin apin to dɛn tin ya?
Bɔrku pipul nɔr kin gɛt ɛni sayd ɛfɛkt, bɔt lɛk ɛni mɛrɛsin, sɔm pipul kin gɛt smɔl smɔl sayd ɛfɛkt.
- Bɛlɛ de at
- Banbɛlɛ
- Rɔnbɛlɛ
- Diziz we pɔsin kin gɛt
- Dray mɔt
- Ed de at
- Fiva
- Fɔ ful-ɔp di bɛlɛ
- I de it ɛn sting
Risk dɛn we kin apin we pɔsin yuz am fɔ lɔng tɛm
Pan ɔl we dɛn kin tek PPI as sef mɛrɛsin, sɔm pipul dɛn we de stɔdi bɔt dis dɔn no sɔm prɔblɛm dɛn we kin apin we pɔsin yuz am fɔ lɔng tɛm we dɛn nɔ gi ɛni mɛrɛsin advays .
- Clostridium difficile (C. diff) infεkshכn: di bεlε bitwin gud εn bad baktri dεm na di gכt de chenj, we de mek yu gεt denja dayariya.
- Frakshכn: I kin mek i at fכ di bכdi fכ tek di kalsiכm, we kin mek di risk fכ frakt na di hip, wrist, כ spayna.
- Kidni sik: If yu yuz am fɔ lɔng tɛm, i kin mek yu gɛt krɛse sik (CKD).
- di tin dεm we di bכdi nכ de it: di bכdi kin rεdכks di absכpshכn fכ magnεsium εn vaytam in B12. Dis na impɔtant tin dɛn fɔ wi nervɔs sistɛm ɛn mɔsul dɛn.
Dɛn stil de stɔdi bɔt dɛn prɔblɛm ya, so bɔku tɛm dɔktɔ dɛn kin tray fɔ kɔntrol di sik dɛn we yu gɛt bay we dɛn de gi yu di smɔl smɔl mɛrɛsin fɔ di shɔt tɛm .
Ustɛm a fɔ go to dɔktɔ?
If dɔktɔ dɔn gi yu PPI, yu fɔ tɔk to yu dɔktɔ bɔt fɔ stɔp di mɛrɛsin ɔ fɔ chenj di doz.
If yu de yuz ɔva-di-kɔnta (OTC) PPI ɛn yu si se yu nid dɛn ɛvride fɔ kɔntrol yu sik dɛn, yu fɔ rili go to dɔktɔ so dat yu go gɛt di rayt diagnosis ɛn tritmɛnt.
If yu gɛt dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm:
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Wan alɛji we pɔsin kin gɛt | Skin iritashɔn, i de it bad bad wan, swel. |
| Sayn dɛn we de sho se di kidni dɔn pwɛl | di urine we de kכmכt dכn, di an, di ankכl, כ di fut dεm de swεla. |
| Sayn dɛn we de sho se yu nɔ gɛt magnɛsiɔm | Taya pasmak, at nɔ de bit ɔltɛm, yu mɔsul dɛn de pen. |
| Sayn dɛm fɔ se yu nɔ gɛt bɛtɛ vaytamɛn B12 | Pen, swɛt, diziz , kɔnfyushɔn na yu an ɔ yu leg. |
| Sivɛri dayarɛa ɔ fiva | Dayarɛa ɔ fiva we nɔ de dɔn. |
Mɛsej we dɛn kin kɛr go na os
- PPI na tritmɛnt fɔ lɔng tɛm asid prɔblɛm, nɔto fɔ rilif kwik kwik wan.
- Ɔltɛm tek yu mɛrɛsin di tɛm we dɛn tɛl yu fɔ tek (bɔku tɛm bifo yu it), lɛk aw yu dɔktɔ tɛl yu fɔ it.
- Nɔ yuz PPI ɔltɛm fɔ lɔng tɛm we yu nɔ gɛt dɔktɔ advays.
- If yu nid dis mɛrɛsin ɛvride ɔ if ɛni sayd ɛfɛkt apin, mek shɔ se yu go to yu dɔktɔ.
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