Pum natna leh gastritis damdawi! Proton Pump Inhibitors (PPI) chungchang chiang takin i zir ang u!

Tin, thinlung natna emaw, rilru natna emaw i nei fo bawk em? A nih loh leh doctor chuan "gastritis" a ti em? Chutiang thila Doctor ten an pek fo thin damdawi chi khat chu `(Proton Pump Inhibitors)` an ti a. Kan sawi dik loh chuan "gastritis damdawi" kan ti mai thei bawk. Chuvangin, vawiinah hian `(Proton Pump Inhibitors)` emaw, a tawi zawngin PPIs emaw kan sawi dawn a ni.

Engvangin nge heng PPI te hi kan mamawh? Stomach acid hi eng nge thleng?

A awlsam zawngin, `(Proton Pump Inhibitors)` hi damdawi chi khat a ni a, chu chuan i pum chhunga acid siam chhuah a tihtlem phah a, chu chu pum chhunga acid awm zat a tihtlem phah a ni Tunah chuan, "Aw, stomach acid hian eng nge a awmzia? A tha lo," tih i ngaihtuah mai thei. Chu chu a dik lo. Kan taksa tan chuan stomach acid hi a pawimawh hle. He acid hian kan ei tur kan ei theih nan min pui thin. Chu mai ni lovin, he pum acid hian kan hriat loh vanga ei tur nena kan ei thin natna hrik tha lo tak takte a tichhia bawk.

Mahse, a chang chuan harsatna hi pum chhunga acid a pun lutuk atanga tan a ni a, a nih loh leh acid chu a kal tur aia hmun dang a kal chuan a intan thin. "A pung chuan nectar pawh hi poisonous a ni ang" tih ang mai a ni. Chutah chuan pum ulcer (`ulcers`), emaw kan tih angin "gastritis ulcers" a lo awm thei a ni. Thil dang, thinlung natna leh rilru natna (sour taste) te pawh a awm thei bawk. Chutah chuan heng damdawi PPI an tih te hian min pui thin. A bik takin stomach acid nena inzawm hun rei tak chhunga harsatna awm thei te tan an hmang nasa hle.

Heng PPI te hi eng natna atan nge an hman?

Doctor-te chuan heng damdawi chi hrang hrang (Proton Pump Inhibitors) te hi kan chaw ei kawng peng hrang hrang, chu chu chaw kawng leh chaw kawng (intestines and esophagus) tihchhiat leh inflammation ang chi natna enkawlna atan an hmang ber a, chu chu stomach acid avanga lo awm a ni. Eng nge an nih i en ang u:

• GERD emaw Chronic Acid Reflux Disease: Lung natna i nei fo em? I rilruah hian sour taste i nei em? Chu chu GERD chu a ni. A awlsam zawngin, i pum chhunga acid awm chu i chaw kawng chhungah a rawn lut a ni. Hei hian i chaw kawng lining a tichhia thei a, chu chu erosive esophagitis an ti bawk. PPIs hian stomach acid siam chhuah a tihtlem bakah i esophagus chu a dam theih nan hun a pe a ni.
• Peptic leh duodenal ulcers: Pum leh duodenal ulcer hi stomach acid avanga lo awm thei a ni a, chu chuan stomach protective lining a tichhe thei a ni. Tin, small intestine (duodenum an tih) hmun hmasa berah ulcer an siam thei bawk. PPI hian heng ulcer te hi a tidam thei a ni. Tin, natna tidamtu thenkhat, a bik takin nonsteroidal anti-inflammatory drugs (NSAIDs) te hi ulcer vei theihna a sang hle bawk. Zirna atanga a lan dan chuan NSAIDs ei fo zinga 30% vel chuan ulcer an nei fo thin. PPI hian ulcer venna leh tihdamna kawngah a pui thei a ni.
• H. pylori natna hrik kai: 1.1.Hei hi kan pum chhunga awm thei bacteria chi khat a ni. He bacteria hian pumpui natna a thlen thei bawk. H. pylori infection enkawl hian doctor-te chuan antibiotics bakah PPI an pe thin. Hei hi a chhan chu PPI hian pum chhunga pH level a thlak danglam a, antibiotics hian bacteria a tihlum a awlsam phah a ni.
• Zollinger-Ellison syndrome: Hei hi natna awm lo tak a ni. Hetiang dinhmunah hian taksaah hian tumor chi hrang hrang (`tumors`) a lo awm a, taksaah hian stomach acid siamtu hormone a siam tam lutuk a ni. Hei hian pum chhunga acid tam lutuk a siam thin. He natna hi enkawl nan hian PPI te pawh hman a ni bawk.

Heng damdawi PPI an tih te hian engtin nge hna an thawh? Mak tak mai a ni lawm ni?

Kan pum chhungah hian acid siamtu "machine" tlem a awm tih han ngaihtuah teh. He machine hi ``hydrogen-potassium ATPase pump'' kan ti a, a tawi zawngin ``proton pump'' kan ti bawk. Tui pump-in tui a hruai chhoh ang bawkin, he proton pump hi pum chhunga acid siamna atana chemical process mamawh titu a ni.

Chuvangin, heng `(Proton Pump Inhibitors)` emaw PPI te hian an tih chu proton pump hnathawh chu rei lo te atan a titawp a ni . Chu chu an "inhibit" tihna a ni a, chu chu an tibuai tihna a ni. Tichuan pum chhunga acid siamchhuahna a tlahniam ta a ni.

Mahse hei hian stomach acid siamchhuahna chu a titawp vek lo a ni lawm ni? Chaw ei tur digest turin acid i la nei tling. PPI hi ni nga vel a zawna i ei chuan stomach acid siamchhuah hi 65% velin a tlahniam ang. Acid 35% dang chu ei tur digest nan a tawk.

Heng PPI te hi engte nge ni?

Heng PPI thenkhat hi damdawi dawrah over-the-counter (OTC) in lei theih a ni a, mahse a chak zawk thenkhat erawh chuan doctor (Rx chauh) atanga prescription lak a ngai thung.

Doctor-in a pek loh emaw, a pek loh emawa ei theih PPI (OTC leh Rx):

• Esomeprazole (Nexium®) hman a ni.
• Lansoprazole (Prevacid®) hmanga tihdam theih a ni.
• Omeprazole (Prilosec®) hmanga tihdam theih a ni.
• Omeprazole/sodium bicarbonate (Zegerid®) hmanga tihdam theih a ni.

Doctor-in a pek chauh (Rx chauh) hmanga hmuh theih PPI:

• Dexlansoprazole (Dexilant®) hmanga tihdam theih a ni.
• Pantoprazole (Protonix®) hmanga siam a ni.
• Rabeprazole (AcipHex®) hman a ni.

Engtin nge he damdawi hi ka ei ang? Engzat nge ka lak ang?

Heng damdawi te hi tablet emaw capsule emaw angin a awm thin. Kawngkhar hmangin i la thin. Capsule chi thenkhatah chuan powder a awm a, chu chu ei tur, applesauce ang chi, a hnua ei theih a ni. Hei hi pill ei harsatna nei tan chuan a pui hle.

Damdawi i ei hmain a bungrua a thupek awmte chu ngun takin i chhiar hmasa phawt tur a ni.Chutih hunah chuan result dik ber i hmu ang. PPI thenkhat chu chaw ei hma darkar chanve emaw darkar khat emaw, chaw ei khama ei tur a awm. Chutih laia i ei chuan i ei laiin i pumin acid a siam tan hmain damdawi hian hnathawh hun a nei a ni.

I doctor chauhvin damdawi i mamawh zat (`dose`) leh ni khatah vawi engzat nge i ei tur tih chiang takin a hrilh thei che a ni. I symptoms control thei tur dose a pe ang a, side effects chance tlem ber a awm bawk ang. Mi thenkhat tan chuan chawhmeh ei hmaa pill khat ei hi a tawk. Mi dangte tan chuan ni khatah vawi hnih, chawhmeh ei hma leh zanriah ei hmaa ei hi a tawk mai thei. A châng chuan ni hnih danah ei pawh a tawk thei.

Hun a kal zel a, i damdawi ei tur chu i tihtlem a ngai mai thei. Hemi chungchangah pawh hian i doctor chuan thurawn a pe ang che.

Heng PPI te hian eng chen nge hna an thawh theih?

PPI damdawi ei hnuah chuan a nghawng kimchang hriat theih nan darkar 24 atanga ni li chhung a ngai thei.

I rilru natna emaw, i rilru natna emaw i neih thut a, tihdam thuai i mamawh a nih chuan PPIs ai chuan antacid (Digene, Acidex ang chi) emaw histamine blocker (H2 blocker) (Pepcid® emaw Tagamet® ang chi) emaw hman a tha zawk. Chaw rimtui tak i ei hnuah i rilru a na thut mai ang tih han ngaihtuah teh. Tichuan, chutiang damdawi ei chuan minute engemaw zat emaw darkar tlemte chhungin hahdamna a pe ang. Mahse, a nghawng chu PPI angin a rei lo.

PPI hi hun rei tak chhung, chronic stomach acid problem i neih chuan a tha ber.

Heng PPI te hi hman hian side effect a nei em?

Mi tam zawk chuan PPI an ei hian harsatna lian tham an nei lo. Mahse, damdawi dang ang bawkin side effect engemaw zat an nei thei a ni. Chung zingah chuan:

• Pum a na
• Ek khal
• Kawthalo
• Luak chhuak thei
• Kawng a vawt
• Lu na
• Khawsik
• Bloating/Gas a awm
• Lung hring (light-headedness) a awm
• Itching leh rash te a awm
• Luak chhuak

PPI hi a tlangpuiin a him nia ngaih ni mah se, zirchiangtute chuan hlauhawmna engemaw zat a thlen thei tih an hmuchhuak a, a bik takin hun rei tak hman a nih chuan . Eng nge an nih hi han thlir ila:

• Clostridioides difficile (C. diff) infection: PPI hian i gut-a bacteria tha leh tha lo balance a tidanglam thei a, C. diff ang chi infection i vei theihna a tipung thei a ni.
• Fractures: PPIs hian i taksain kan ruh chakna tura puitu mineral calcium a lakluh theihna a ti tlem thei a ni. U.S. Food and Drug Administration (FDA) chuan PPI hian hip, wrist leh spine-a ruh tliak theihna a tipung thei tih a vaukhân a ni.
• Kidney natna: 1.1.Hengte hian chronic kidney disease (CKD) vei theihna a tipung thei a, a nih loh leh dinhmun awmsa chu a tichhe thei bawk.
• Nutritional deficiency: PPIs hian i small intestine-in magnesium emaw vitamin B12 emaw a lakluh theihna a ti tlem thei a ni. Magnesium hi mineral a ni a, kan taksa ruh leh nerve te hnathawh that nan a pui thin. Vitamin B12 hi kan nervous system leh red blood cells tan a pawimawh hle.

PPI leh heng risk factors te inzawmna hi zirchian mek a ni. Mahse, doctor-te chuan i natna lan chhuah dan a ṭhat hma loh chuan dose hniam ber leh hun rei lote chhunga hman an rawt tlangpui. Hei hian heng risk factors te hi a ti tlem dawn a ni.

Engtikah nge ka doctor ka hmuh ang?

Doctor-in PPI a pe che a nih chuan, damdawi ei chungchangah zawhna i neih chuan, engtikah nge i chawlhsan ang, engtin nge i tihhniam ang tih zawhna i neih chuan zawt ngei ang che.

Damdawi dawr atanga counter atanga PPI i ei a, i natna lan chhuah dan control nan nitin i mamawh nia i hriat chuan doctor i la pan tur a ni. Damdawi i ei tur dik tak leh eng chen nge i ei tur tih a hrilh thei che a ni.

Tin, heng side effect hlauhawm tak tak te hi i tawn chuan doctor pan nghal tur a ni:

• Allergic reaction (vun hring, sen, hring) .
• Kidney chhiatna chhinchhiahna (a hma aia zun tlem, kut leh ke, ke ruh a hring) .
• Magnesium tlakchhamna (tremor, heartbeat mumal lo, muscle twitching) natna lan chhuah dan .
• Vitamin B12 tlakchhamna chhinchhiahna (kut leh ke na, rilru hah, tingling, luak chhuak, buai) .
• Vun a sen a, a hring emaw, a hring ang maia a lan emaw chuan
• Diarrhea na tak i neih chuan
• Khawsik i neih chuan

Chuti a nih chuan, take-home message hnuhnung ber chu eng nge ni?

Pum acid neih tam lutuk emaw, hmun dik lova neih emaw hian a hrehawm hle thei. I chaw ei leh in (digestive system) a tichhe thei bawk. Vanneihthlak takin heng symptoms te hi i neih chuan a pui thei tur damdawi tam tak a awm a.

Hun rei lote chhunga relief atan chuan antacid emaw H2 blocker emaw hman a tha ber. Mahse i rilru a na fo emaw, i pum na i neih chuan i doctor chuan PPI chi khat a pe thei ang. Heng damdawi te hi kum tam tak a lo awm tawh a, enkawlna him leh tangkai takah ngaih a ni. Mi tam tak chuan heng damdawi hmang hian hahdamna an hmu thin.

A pawimawh ber chu he damdawi hi doctor thurawn hnuaiah chauh hman tur a ni a, a zat tur leh hun bituk chhung chauh hman tur a ni.I duh anga hman i tum chuan harsatna a lo chhuak thei a ni. Chuvang chuan Doctor thusawi ngaithla fo a, chu mi ang chuan damdawi ei hi a finthlak hle.

` PPIs, gastritis, pum na, acid reflux, pum ulcer, omeprazole, pantoprazole