Gastritis i vei fo em? A nih loh leh i rilruah kang emaw, i rilruah emaw hriatna i nei em? Hetiang hunah hian mi tam tak chuan damdawi dawr atanga damdawi ei hi kan thiam tawh thin. A tam zawkah chuan hetianga damdawi ei chi hi Proton Pump Inhibitors emaw kan tih angin "gastritis damdawi" emaw a ni. Mahse, heng damdawi te hi eng nge an nih, engtin nge an thawh tih leh eng chen nge an ei tur tih chiang takin kan hria em? Vawiin hian hemi chungchang hi kan sawi dawn a ni.
Heng proton pump inhibitor (PPI) te hi engte nge ni?
A awlsam zawngin, hei hi i pum chhunga acidity, a nih loh leh acid tihziaawmna damdawi class a ni. Tunah chuan, "Stomach acid neih hi a tha lo em ni?" Stomach acid hi a takah chuan kan nun theih loh thil a ni. Kan ei leh in te kan digest theih nan min pui a, ei tur nena lut natna hrik tha lo tak tak te pawh a that bawk.
Mahse buaina chu he acid hi a tam lutuk atang emaw, a awm lohna tur hmuna a kal atang emaw, i chaw kawng (esophagus) ang maia a kal atang emaw hian a intan thin. Chutah chuan heartburn leh stomach ulcer ang chi harsatna a lo intan ta a ni. Chutah chuan heng damdawi PPI an tih te hian min pui thin.
PPI hmanga enkawl natna ber berte chu engte nge ni?
PPIs hi stomach acid nena inzawm natna tam tak enkawlna atan hman a ni. A bulpui berte han thlir ila.
| Damdawi lam dinhmun | A awlsam zawngin, thil thleng chu a ni |
|---|---|
| GERD / Chronic Acid Reflux tih hi a awm lo | Hei hi heartburn kan tih fo chu a ni. Stomach acid chu chaw kawng chhunga a kal chhoh chuan chaw kawng a tichhia thei (erosive esophagitis) . PPI hian stomach acid a tihziaawm a, a chhiatna chu a tidam thei bawk. |
| Peptic Ulcers (Pum leh rilru natna) . | Stomach acid hian pum emaw, small intestine emaw venhimna lining a tichhe thei a, ulcer a thlen thei a ni. Heng ulcer te hi painkiller (NSAID) thenkhat hman chhunzawm zel pawhin a lo awm thei bawk . PPI hian heng ulcer te hi a tidam thei a ni. |
| H. pylori natna vei a ni | Hei hi pumpui natna thlentu bacteria a ni. He bacteria tihhlum nan hian antibiotics nen PPIs pek thin a ni. Hei hian pum chhunga acidity a tihziaawm a, antibiotics te hian hna a thawk tha zawk thei a ni. |
| Zollinger-Ellison natna a ni | Hei hi thil awm lo tak a ni. Taksa chhunga tumor thenkhat chuan hormone an siam chhuak a, chu chuan pum chhungah acid a siam tam lutuk thin. PPI hian he dinhmun hi a control thei a ni. |
He damdawi hian engtin nge hna a thawh?
Hei hi hriatthiam a awl hle mai. I pum chhungah hian acid siamtu ‘pump’ te te a awm tih han ngaihtuah teh. Scientific lamah chuan hengte hi hydrogen-potassium ATPase pump an ti a. A tawi zawngin, "proton pump" an ni.
Tunah chuan he PPI damdawi hian a tih chu chu acid siamtu pump-te hnathawh chu a ‘inhibit’ a, chu chu a titawp tihna a ni. Tui motor-a switch off ang mai a ni.
Mahse hei hian pum chhunga acid siam chhuah zawng zawng a titawp lo. PPI hi ni 5 vel a zawna i ei chuan stomach acid siamchhuah hi 65% velin a tlahniam ang. A bak 35% chu ei tur digest nan a tawk. Chuvangin ngaihtuahawm tur a awm lo.
PPI chi hrang hrang hman tlanglawn ber berte chu engte nge ni?
PPI hi chi hrang hrang a awm a. Ṭhenkhat chu doctor-in damdawi dawrah over-the-counter (OTC) lei theih a ni a, ṭhenkhat erawh chuan damdawi lei a ngai thung.
| Generic Hming a ni | Brand hming hman tlanglawn tak tak |
|---|---|
| Doctor prescription nei emaw nei lo emaw type awm thei | |
| Esomeprazole a ni | Nexium® hmanga siam a ni |
| Lansoprazole a ni | Prevacid® a ni |
| Omeprazole a ni | Prilosec® hmanga siam a ni |
| Types chu medical prescription chauh a awm | |
| Dexlansoprazole a ni | Dexilant® hmanga siam a ni |
| Pantoprazole a ni | Protonix® hmanga siam a ni |
| Rabeprazole a ni | AcipHex® hmanga siam a ni |
Hengte hi engtin nge hman tur?
He damdawi hi capsule emaw tablet emaw angin a awm thin. Pill ei harsatna nei tan chuan capsule thenkhat chu applesauce ang chi thil nen chawhpawlh a, powder lak theih a ni.
A pawimawh ber chu engtikah nge damdawi ei tur tih hi a ni. PPI tam zawk hi pum ruak a ei hian a hlawk ber . Chawhmeh ei hma minute 30 atanga darkar khat vel ei a tha tlangpui. A chhan chu hei hian damdawi chu a hip lut a, hna a thawh tan theih nan hun a pe a, chu chu i ei hnuah pum acid a lo pung hmain a ni.
Engzat nge ka lei ang?
Hei hi i doctor-in a rel tur a ni ngei ang. Mi thenkhat chuan zing lamah pill pakhat an mamawh mai thei. Mi dangte chu zîngah pakhat leh zanah pakhat ei tûrin an hrilh thei bawk. I damdawi lam dinhmun a zirin a ni. Chuvang chuan doctor thupek zawm a pawimawh hle.
PPI te hian eng chen nge hna an thawh theih?
Hei hi instant relief damdawi a ni lo. Damdawi hman dan kimchang i hriat theih nan ni 1 atanga ni 4 vel a ngai thei.
Chaw rimtui tak i ei a, rang takin i rilruah kang ang maiin i awm ang tih han ngaihtuah teh. Chutiang hunah chuan PPI aiin antacid (e.g., Digene) emaw histamine (H2) blocker (e.g., Famotidine) emaw hian a tidam rang zawk thei. Mahse, an nghawng chu a bo nghal vat thin.
PPIs hi hun rei tak chhunga result pe thei enkawlna a ni a, chronic acid lama harsatna nei tan a tha ber.
Hengte hian side effect a nei em?
Mi tam zawk chuan side effect engmah an nei lo a, mahse damdawi dang ang bawkin mi thenkhat chuan side effect tenau te an nei thei bawk.
- Pum a na
- Ek khal
- Kawthalo
- Luak chhuak thei
- Kawng a vawt
- Lu na
- Khawsik
- Pum chhung a khat
- Itching leh stinging a awm bawk
Hun rei tak hman theihna tur hlauhawmna
PPI hi damdawi him anga ngaih ni tlangpui ni mah se, zirchiangtute chuan damdawi lam thurawn engmah nei lovin hun rei tak hman a nih chuan hlauhawmna ṭhenkhat an hmuchhuak a ni
- Clostridium difficile (C. diff) infection: Gut chhunga bacteria tha leh tha lo inthlauhna a danglam a, chu chuan riltam hlauhawm tak a thlen thin.
- Fracture: Taksa tan calcium lakluh a harsat phah thei a, chu chuan hip, wrist, spine-a fracture awm theihna a tipung thei a ni.
- Kal natna: Hun rei tak hman chuan kal natna khirh tak (CKD) vei theihna a tipung thei a ni.
- Nutritional deficiencies: Taksa hian magnesium leh vitamin B12 a lakluh tlem thei a. Hengte hi kan nervous system leh muscle te tana ei tur pawimawh tak tak an ni.
Heng hlauhawmnate hi zirchian a la ni reng a, chuvangin doctor-te chuan hun rei lote chhung atan dose hniam ber pein i natna lan chhuah dan chu thunun an tum tlangpui .
Engtikah nge Doctor ka hmuh ang?
Doctor-in PPI a pek che a nih chuan damdawi tihtawp emaw, a hman dan thlak emaw chungchangah doctor nen inbiakna neihpui tur a ni.
Over-the-counter (OTC) PPI i hman a, i natna lan chhuah dan control nan nitin i mamawh tih i hriat chuan doctor i pan ngei ngei tur a ni a, chutiang chuan i natna hriat chian leh enkawlna dik tak i hmu thei ang.
A hnuaia symptoms te hi i neih chuan doctor pan nghal rawh:
| Symptom a ni | Hrilhfiahna |
|---|---|
| Allergy natna a ni | Vun natna, vun na tak, vun hring. |
| Kidney chhiatna chhinchhiahna | Zun chhuah tlem, kut, ke ruh, ke ruh hring. |
| Magnesium tlakchhamna chhinchhiahna | Chauh lutuk, thinlung thawk mumal lo, taksa ruh na. |
| Vitamin B12 tlakchhamna chhinchhiahna | Natna, rilru hahna, luak chhuak , kut emaw ke emaw a buai. |
| Diarrhea emaw khawsik emaw na tak | Diarrhea emaw khawsik emaw awm reng. |
Take-Home Thuchah a ni
- PPIs hi acid lama harsatna rei tak awm thei enkawlna a ni a, tihdam nghalna tur a ni lo.
- I damdawi chu a hun ruatah (a tlangpuiin chaw ei hmain) ei fo ang che, i doctor-in a tih angin.
- Damdawi lam thurawn tel lova hun rei tak chhung PPI hman chhunzawm loh tur.
- He damdawi hi nitin i mamawh a nih chuan emaw, side effect a awm chuan doctor pan ngei ngei tur a ni.
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