I ētahi wā, i muri i te kai i tētahi kai kakara, ka pā mai he werawera i roto i tō uma, tika? Kāore rānei koe i te pai ki te āhua kua piki ake te waikawa o tō puku, ā, kei te piki ake ki roto i tō korokoro? Ko ngā aukati H2 he momo rongoā e whakamahia ana e te tini o te tangata i ngā wā pēnei. Nō reira, i tēnei rā, me kōrero tātou mō ēnei aukati H2, me pēhea tā rātou mahi i roto i ō tātou tinana, me ngā mea nui me mōhio tātou ina whakamahia ana.
He aha ēnei Ārai H2?
He māmā noa iho, ko ngā aukati H2 (e kiia ana ko ngā kaitukino H2) he momo rongoā e whakahaere ana, e whakaiti ana rānei i te hanga waikawa i roto i tō puku.
He mea nui te waikawa o te puku mō te nakunaku i te kai e kainga ana e tātou. Engari ki te nui rawa tēnei waikawa, ka kino pea te arai o tō ara puku. Ka arahi pea tēnei ki ngā tohu pēnei i te mamae o te puku me te mamae o te uma. Ka rite te kore whakamarie ki te pouri mō te kai whakamutunga i kainga e koe.
Mena kei te pāngia koe e te mamae nā te pikinga o te waikawa o te puku, ka hiahia pea koe ki te whakaaro ki te whakamahi i tētahi aukati H2.
He aha ngā āhuatanga e whakamahia ai ngā aukati H2?
Ko te nuinga o ngā rongoā aukati H2 e whakamahia ana hei rongoā i ngā āhuatanga e pā ana ki te nui rawa o te waikawa o te puku. Heoi, he mea nui kia mahara ka ngaro haere te whai huatanga o ēnei rongoā ina whakamahia tonutia mō te wā roa.
Mena he mate pūmau tōu, ka tūtohu pea tō tākuta i tētahi momo rongoā e kiia nei ko te Proton Pump Inhibitor (PPI) hei utu mō ngā aukati H2. Ahakoa he roa ake te mahi a ngā PPI, ka taea e rātou te whakahaere i te whakaputanga waikawa he pai ake i ngā aukati H2. Ka taea hoki te whakamahi mō te wā roa.
Kei raro nei ētahi o ngā mate matua e rongoatia ana e ngā aukati H2.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Ngā mate puku | Ka taea e te waikawa nui rawa te whakakino i te arai o te puku, ā, ka puta he mate puku. Mā te whakaiti i te waikawa me ngā aukati H2 ka hoatu ki aua mate puku te wā me te taiao e hiahiatia ana hei whakaora. |
| Ngā mate pukupuku duodenal | Ka taea e te waikawa o te puku te piki ki te wāhanga tuatahi o te whekau iti (duodenum) ka puta he mate puku ki reira. Ka taea hoki te rongoā i tēnei mate mā te whakamahi i ngā aukati H2, ahakoa he pai ake te whai huatanga o ngā PPI. |
| Te rerenga waikawa | Ka hoki te waikawa o te puku ki roto i te korokoro me te esophagus, ka puta te mamae o te puku. Ka taea hoki e tēnei te puta te esophagitis. He otinga pai te aukati H2 mō tēnei mate wā poto. Engari ki te tupu pinepine tēnei (GERD), he pai ake te whakamahi i te PPI. |
| Te mate Zollinger-Ellison | He tino onge tēnei āhuatanga. Ko ētahi pukupuku e puta mai ana i tēnei āhuatanga ka nui rawa te waikawa e puta mai i te puku. Ahakoa ka taea e ngā aukati H2 te āwhina ki te whakahaere i tēnei āhuatanga, he maha ngā tākuta e taunaki ana i ngā PPI. |
Ka āwhina ngā aukati H2 ki te whakamamae i ngā tohu e whai ake nei e pā ana ki ēnei āhuatanga:
- Te koretake o te kai
- Mamae puku
- Mamae o te uma me te korokoro mamae
- Whakapairuaki me te ruaki
- Puku kawa
He pēhea te mahi a tēnei rongoā i roto i te tinana?
He tino māmā noa iho. Ko tētahi atu ingoa mō ngā aukati H2 ko ngā kaitukino histamine-2 (H2). I ako tātou i te kura ko te 'kaitukino' i roto i tētahi pūrākau he mea e whakararuraru ana i tētahi mea? Āe, ko tā ēnei kaitukino H2 he whakararuraru i te tukanga whakaputa waikawa i roto i te puku.
Whakaarohia pēnei. Whai muri i te kai, ka tukuna e ō tātou tinana tētahi matū e kiia nei ko te H2. Ka haere tēnei H2 ka piri ki ngā kaiwhakawhiwhi H2 kei ngā pakitara o te puku. He rite ki tētahi kī e uru ana ki roto i tētahi raka. Ko tēnei whakapiringa te mea e kī ana ki te puku, "Āe, hangaia he waikawa."
Ina tangohia e koe he aukati H2, ka haere te rongoā ka herea ki aua kaiwhakawhiwhi H2 (ngā raka) ka "āraia" rātou. Pērā ai, kāore te H2 (ngā kī) e whai wāhi ki te haere mai me te herea ki ngā kaiwhakawhiwhi. Ina mutu te tohu ki te hanga waikawa, ka iti ake te waikawa e whakaputaina ana e te puku.
Kāore tēnei e whakararuraru i tō tukanga nakunaku. Ka whakahaere noa i te nui o te waikawa tāpiri e puta ai te mamae me te kore whakamarie.
He aha ngā rongoā aukati H2 e wātea ana?
He maha ngā momo aukati H2. Ko ētahi ka taea te hoko kore-tohu (OTC), ko ētahi me tono whakahaunga mai i te tākuta.
| Ingoa o te rongoā | He waitohu e kitea whānuitia ana | Me pēhea te tiki |
|---|---|---|
| Cimetidine | Tagamet® | Hokona i runga i te kaute me te whakahaunga (OTC me te Rx) |
| Famotidine | Pepcid® | Hokona i runga i te kaute me te whakahaunga (OTC me te Rx) |
| Nizatidine | Axid® | Me te whakahaunga a te tākuta anake (Rx anake) |
Tuhipoka Motuhake: Tērā pea ka maumahara koe ki te aukati H2 Ranitidine (Zantac®) i tino rongonui i mua. Engari i te marama o Āperira 2020, i kī atu ngā tari pēnei i te FDA (US Food and Drug Administration) ki ngā kaihanga kia tangohia tēnei rongoā mai i te mākete. Ko te take i whakaatuhia ai e ngā whakamātautau i roto i te wā, ā, i te wā e rongoatia ana i ngā pāmahana teitei, ka piki ake ngā taumata o te matū e kiia nei ko te nitrosodimethylamine, NDMA rānei, he matū whakaputa mate pukupuku pea, ki ngā taumata haumaru kore.
Me pēhea te whakamahi i tēnei rongoā, ā, āhea hoki?
Ka taea te tango i ngā aukati H2 mā te waha hei pire, hei kāpū rānei. Tērā anō hoki ngā paura ka taea te whakarewa ki roto i te wai mō te hunga e uaua ana ki te horomi pire. Ka taea hoki te hoatu mā te uaua (IV) ki ngā tūroro e noho ana i te hōhipera, ā, kāore e taea te tango rongoā ā-waha.
Te wā pai rawa atu ki te tango i te rongoā
- Mō ngā mamae i ētahi wā:Ki te mōhio koe ka raru pea koe i te kai i ngā kai raukikī, momona rānei, tangohia he aukati H2 30 ki te 60 meneti i mua i te kai i taua kai. Mā tēnā ka whai wā ki te mahi. He pai ki te tango i muri i te tīmatanga o te raruraru, engari ka roa pea te haora ka memeha haere ngā tohu.
- Mō te āhua pēnei i te whakaora patunga: Ka tūtohu pea tō tākuta kia tangohia kotahi i te rā i mua i te moe, kotahi rānei i te ata, kotahi rānei i te pō, i runga i ngā tohutohu a tō tākuta.
Ko te mea nui, ki te hiahia koe ki te whakamahi i ēnei rongoā mō ngā wiki e rua neke atu i te kotahi, me toro atu koe ki tō tākuta. Kāore i te tūtohutia kia whakamahia tonutia ēnei me te kore e mōhio ki te pūtake tuturu o ō tohumate.
He aha te rerekētanga i waenga i ngā H2 Blockers, ngā antacids me ngā PPIs?
He tokomaha te hunga e pōhēhē ana mō ēnei momo rongoā e toru e whakamahia ana mō te mamae o te uma. Me titiro poto tātou ki ngā rerekētanga matua i waenganui i a rātou.
| Momo rongoā | Te wā i pau ki te mahi | Te roa o te pānga | Te whai wāhitanga tino tika |
|---|---|---|---|
| Ngā rongoā ārai waikawa (hei tauira, Digene, Gelusil) | Tino tere (he meneti torutoru) | He poto rawa (1-2 hāora) | Ina hiahiatia he awhina wawe tonu. |
| Ngā Ārai H2 | Tata ki te haora | Mō te 4-10 hāora | Hei ārai i te mamae o te uma i ētahi wā, i mua atu rānei i te kai. |
| Ngā PPI (Ngā Ārai Papu Proton) | 1-4 rā mō te hua katoa | Mō te wā roa (24 hāora+) | Mō ngā āhuatanga pēnei i te gastritis mau tonu me te GERD. |
He pānga taha anō kei reira?
He tino haumaru ngā rongoā aukati H2, he iti noa iho ngā pānga taha . Ahakoa ka puta he pānga taha, he iti noa iho te nuinga o te wā.
- Mamae puku
- Mamae uaua
- Te kōroke
- Korere
- Waha maroke
- Ngenge
- Ānini
He tino onge te kite i ngā tohu e pā ana ki te pūnaha io o te hunga kei roto i ngā rōpū mōrearea nui (ina koa ko te hunga neke atu i te 50 tau te pakeke, ko te hunga he raruraru tākihi, he raruraru ate rānei), pērā i te ngaronga o te mahara, te uaua rānei ki te kōrero. Heoi, he tino onge tēnei. Ka ngaro noa iho ēnei tohu i roto i ētahi rā i muri i te whakamutu i te rongoā.
Ngā taunekeneke me ētahi atu rongoā
Ka pāngia pea te mahi a ētahi atu rongoā e tangohia ana e koe e ētahi aukati H2. Hei tauira, ka taea e te aukati H2 cimetidine te whakaiti i te whai huatanga o ētahi rongoā antidepressants (SSRIs) me te warfarin (`(warfarin)`) hei whakaiti i te toto.
Nō reira, i mua i te tīmatanga o te rongoā aukati H2 hou, he mea tino nui kia whakamōhio atu koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
He pai ēnei mō ngā whaea hapū me ngā whaea whāngai u?
Me nui ake ngā rangahau e hiahiatia ana mō te haumaru o te whakamahi i ngā aukati H2 i te wā e hapu ana, engari e mōhiotia ana ka tukuna ēnei rongoā ki te pēpi mā te waiū ū.
Nō reira, ki te mea kei te hapu koe, kei te whakaaro kia hapu, kei te whāngai u rānei koe, kia mōhio koe ki te kōrero ki tō tākuta i mua i te tango i tētahi o ēnei rongoā.
Karere Tangohia ki te Kāinga
- He momo rongoā ngā aukati H2 e whakaiti ana i te waikawa o te puku. He tino pai ēnei hei whakaora i te mamae o te uma me te mamae o te uma mō te wā poto.
- Ahakoa he tere ake te mahi a ēnei i ngā PPI, kāore e pai mō te whakamahinga mō te wā roa, mō ia rā.
- Mena me whakamahi koe i ngā aukati H2 mō ngā wiki e rua neke atu i te kotahi, tera pea he mate huna anō tōu. Me toro atu ki te tākuta.
- Kōrerotia ki tō tākuta ngā rongoā kē atu e tangohia ana e koe (tae atu ki ngā huaora).
- Mena kei te hapu koe, kei te whāngai u rānei, kaua e whakamahi i ēnei rongoā me te kore he tohutohu hauora.
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