He maha ngā wā ka pāngia koe e te gastritis? He wera rānei tō uma, he kare rānei kei roto i tō korokoro? I ēnei wā, he tokomaha o tātou kua taunga ki te tango rongoā mai i te whare rongoā. Ko te nuinga o te wā, ko te momo rongoā e tangohia ana i tēnei ara ko ngā Proton Pump Inhibitors, e kiia nei e tātou, ko te "rongoā gastritis". Engari, e mōhio ana rānei tātou he aha ēnei rongoā, me pēhea te mahi, me te roa o te wā e tika ana kia tangohia? I tēnei rā, ka kōrero tātou mō tēnei.
He aha ēnei aukati papu pūrotu (PPI)?
He kupu ngāwari tēnei, he momo rongoā hei whakaiti i te waikawa, te waikawa rānei, i roto i tō puku. Tērā pea kei te whakaaro koe, "Kāore i te pai te whai waikawa puku?" Ko te waikawa puku he mea e kore e taea e tātou te ora me te kore. Ka āwhina i a tātou ki te nakunaku i te kai e kainga ana e tātou, ā, ka patu hoki i ngā huakita kino e uru mai ana me te kai.
Engari ka tīmata te raruraru ina nui rawa te waikawa nei, ina rānei ka neke ki te wāhi kāore e tika ana, pērā i tō korokoro. Koinei te wā ka tīmata ai ngā raruraru pērā i te mamae o te puku me ngā mate puku. Koinei te wā ka tae mai ai ēnei rongoā e kiia nei ko ngā PPI hei āwhina i a tātou.
He aha ngā mate matua e rongoatia ana ki ngā PPI?
E whakamahia ana ngā PPI hei rongoā i ngā mate maha e pā ana ki te waikawa o te puku. Me titiro tātou ki ngā mea matua.
| Āhuatanga hauora | Ki te kī ngāwari, ko te mea ka tupu |
|---|---|
| GERD / Te Whakahekenga Waikawa Mau tonu | Koinei te mea e kiia nei e tātou he mamae o te puku. Mā te pikinga ake o te waikawa o te puku ki roto i te korokoro ka kino pea te korokoro (erosive esophagitis) . Ka whakaitihia e ngā PPI te waikawa o te puku, ā, ka taea te whakaora i te kino. |
| Ngā Mate Pukupuku (Ngā Mate Puku me te Whekau Iti) | Ka taea e te waikawa o te puku te kino i te arai tiaki o te puku, o te whekau iti rānei, ka puta ai he mate puku. Ka taea hoki e ēnei mate puku te puta mai i te whakamahinga tonu o ētahi rongoā whakamamae mamae (NSAID) . Ka taea e ngā PPI te āwhina ki te whakaora i ēnei mate puku. |
| Mate urutā H. pylori | He huakita tēnei e puta ai ngā mate puku. Ka hoatu ngā PPI me ngā paturopi hei patu i ēnei huakita. Ka whakaitihia te waikawa o te puku, ka pai ake te mahi a ngā paturopi. |
| Te mate Zollinger-Ellison | He āhuatanga onge tēnei. Ka whakaputahia e ētahi pukupuku i roto i te tinana he homoni e nui rawa ai te waikawa o te puku. Ka taea e ngā PPI te whakahaere i tēnei āhuatanga. |
He pēhea te mahi a tēnei rongoā?
He tino māmā tēnei ki te mārama. Whakaarohia he iti noa ngā 'papu' kei roto i tō puku e hanga waikawa ana. I roto i te pūtaiao, e kiia ana ēnei he papu hauwai-pāhare pākawa waro ATPase. I roto i te poto, he "papu proton" rātou.
Nā, ko tā tēnei rongoā PPI he 'ārai' i te mahi a aua papu whakaputa waikawa, arā, ka mutu. He rite ki te whakaweto i te pana o te motuka wai.
Engari kāore tēnei e aukati i te hanga waikawa katoa i roto i te puku. Ki te tango koe i te PPI mō te 5 rā karapīpiti, ka whakaitihia te hanga waikawa o te puku mā te 65%. Ko te 35% e toe ana he nui hei nakunaku i te kai. Nō reira, kāore he mea hei manukanuka.
He aha ngā momo PPI e tino kitea ana?
He maha ngā momo PPI. Ko ētahi ka taea te hoko mai i te toa rongoā me te kore he whakahaunga a te tākuta, ko ētahi me whai whakahaunga.
| Ingoa Whānui | Ngā Ingoa Waitohu Noa |
|---|---|
| Ngā momo e wātea ana me te kore rānei he whakahaunga a te tākuta | |
| Esomeprazole | Nexium® |
| Lansoprazole | Prevacid® |
| Omeprazole | Prilosec® |
| Ngā momo e wātea ana i runga i te whakahaunga hauora anake | |
| Texlansoprazole | Dexilant® |
| Pantoprazole | Protonix® |
| Rabeprazole | AcipHex® |
Me pēhea te whakamahi i ēnei?
Kei te wātea tēnei rongoā i roto i te āhua kāpū, i te āhua papa rānei. Mō te hunga e uaua ana ki te horomi pire, ka taea te whakaranu i ētahi kāpū ki tētahi mea pēnei i te aporo ranu hei tango i te paura.
Ko te mea nui ko te wā e tangohia ai te rongoā. Ko te nuinga o ngā PPI ka tino whai hua ina tangohia i te puku kau . Ko te tikanga me tango i te 30 meneti ki te haora i mua i te parakuihi. Ko te take he wā tēnei hei mimiti i te rongoā, hei tīmata hoki ki te mahi, i mua i te hanga o te waikawa o te puku i muri i te kai.
E hia te utu me hoko e au?
He mea tēnei mā tō tākuta e whakatau. Tērā pea ka hiahia ētahi ki tētahi pire i te ata. Tērā pea ka kīia atu ki ētahi kia tangohia tētahi i te ata, tētahi i te pō. Kei tō āhua hauora tēnā. Nō reira, he mea tino nui kia whai i ngā tohutohu a tō tākuta.
Kia pēhea te roa ka mahi ngā PPI?
Ehara tēnei i te rongoā whakaora tere. Tērā pea ka roa te kotahi ki te whā rā ka tino kitea te pānga o te rongoā.
Whakaarohia kua kai koe i tētahi kai raukikī, ā, ka pāngia tō uma e te werawera. I aua wā, ka tere ake te whakaora i te mamae nā te rongoā antacid (hei tauira, Digene) me te rongoā aukati histamine (H2) rānei (hei tauira, Famotidine) i te PPI. Heoi, ka tere te memeha o ōna pānga.
He maimoatanga roa ngā PPI, ā, he mea tino pai mō te hunga e pāngia ana e ngā raruraru waikawa mau tonu.
He pānga taha anō kei ēnei?
Kāore te nuinga o te tangata e pāngia e ngā pānga taha, engari pērā i ngā rongoā katoa, ka pāngia pea ētahi e ngā pānga taha iti noa iho.
- Mamae puku
- Te kōroke
- Korere
- Pōuriuri
- Waha maroke
- Ānini
- Kirika
- Te whakakī i te puku
- Te mākūkū me te ngau
Ngā mōrearea o te whakamahinga mō te wā roa
Ahakoa e kiia ana ko ngā PPI he rongoā haumaru, kua tautuhia e ngā kairangahau ētahi mōrearea e pā ana ki te whakamahi i a rātou mō te wā roa me te kore he tohutohu hauora .
- Mate pukupuku Clostridium difficile (C. diff): Ka whakarerekētia te taurite i waenga i ngā huakita pai me ngā huakita kino i roto i te puku, ka puta he mate korere morearea.
- Whati: Ka uaua ake te mimiti o te konupūmā e te tinana, ka nui ake ai te mōrearea o ngā whati o te hope, te ringaringa, te tuaiwi rānei.
- Mate whatukuhu: Mā te whakamahinga roa ka piki ake te mōrearea o te mate whatukuhu mau tonu (CKD).
- Ngā ngoikoretanga o te kai: Ka taea e te tinana te whakaiti i tana mimiti i te konupora me te huaora B12. He matūkai nui ēnei mō tō tātou pūnaha io me ngā uaua.
Kei te rangahauhia tonutia ēnei mōrearea, nō reira ka ngana ngā tākuta ki te whakahaere i ō tohu mā te hoatu i te horopeta iti rawa mō te wā poto rawa .
Āhea ahau me toro atu ki te tākuta?
Mena kua tohua he rongoā PPI e te tākuta, me kōrero koe ki tō tākuta mō te whakamutu i te rongoā, te whakarerekē rānei i te horopeta.
Mena kei te whakamahi koe i ngā PPI kore-tohu (OTC) ā, ka kitea e koe me whakamahi i ia rā hei whakahaere i ō tohumate, me toro atu koe ki te tākuta kia taea ai e koe te tautuhi me te maimoatanga tika.
Mena ka pāngia koe e ēnei tohu e whai ake nei, me toro atu ki tō tākuta tonu:
| Tohu | Whakaahuatanga |
|---|---|
| He tauhohenga mate pāwera | Te riri o te kiri, te mākati nui, te pupuhi. |
| Ngā tohu o te pakaru o te whatukuhu | Te hekenga o te mimi, te pupuhi o ngā ringa, ngā pona waewae, ngā waewae rānei. |
| Ngā tohu o te korenga o te konupora | Te ngenge nui, te pā o te manawa kāore i te tika, te mamae o ngā uaua. |
| Ngā tohu o te korenga o te huaora B12 | Mamae, ngoikore, whanoke , pōhēhē i ngā ringa, i ngā waewae rānei. |
| Te mate korere nui, te kirika rānei | Te mate korere tonu, te kirika rānei. |
Karere Tangohia ki te Kāinga
- He rongoā ngā PPI mō ngā raruraru waikawa mō te wā roa, ehara i te mea hei whakaora tonu.
- Me tango tonu tō rongoā i te wā kua whakaritea (i mua i te kai), e ai ki ngā tohutohu a tō tākuta.
- Kaua e whakamahi i ngā PPI tonu mō te wā roa me te kore tohutohu hauora.
- Mena ka hiahia koe ki tēnei rongoā i ia rā, i ia rā rānei, ki te puta mai rānei ētahi pānga taha, me toro atu ki tō tākuta.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero