Unowanzo rwara nechirwere chegastritis here? Kana kuti une kunzwa kupisa muchipfuva chako kana kunzwa muhuro? Dzimwe nguva dzakadai, vazhinji vedu takajaira kutora mushonga kubva ku pharmacy. Kazhinji, mhando yemushonga unotorwa nenzira iyi iProton Pump Inhibitors, kana sezvatinoudaidza, "mushonga wegastritis". Asi, tinoziva here kuti mishonga iyi chii chaizvo, kuti inoshanda sei, uye kuti inofanira kutorwa kwenguva yakareba sei? Nhasi, tichataura nezvazvo.
Ndezvipi izvi zvinodzivirira mapurotoni (PPIs)?
Zvichitaurwa zviri nyore, iyi imhando yemishonga inoderedza acidity, kana kuti acid, mudumbu mako. Zvino ungave uchifunga kuti, "Hazvina kunaka here kuva neacid mudumbu?" Asidhi yemudumbu chinhu chatisingagone kurarama tisina. Inotibatsira kugaya chikafu chatinodya uye inourayawo utachiona hunokuvadza hunopinda nechikafu.
Asi dambudziko rinotanga kana acid iyi yanyanya kuwanda, kana kuti painoenda paisingafaniri kuva, sepahuro pako. Ndipo panotanga matambudziko akadai sechirungurira nemaronda emudumbu. Ndipo panotanga mishonga iyi inonzi PPIs kutibatsira.
Ndezvipi zvirwere zvikuru zvinorapwa nePPIs?
MaPPI anoshandiswa kurapa zvirwere zvakawanda zvine chekuita neacid yemudumbu. Ngatitarisei zvikuru.
| Dambudziko rehutano | Zvichitaurwa zviri nyore, zvinoitika ndezvizvi |
|---|---|
| GERD / Chronic Acid Reflux | Izvi ndizvo zvatinowanzodaidza kuti chirungurira. Asidhi yemudumbu inopinda mudumbu inogona kukonzera kukuvara kwedumbu (erosive esophagitis) . MaPPI anoderedza acid yemudumbu uye anoita kuti kukuvara kupore. |
| Maronda emudumbu (Maronda emudumbu neMaronda madiki emudumbu) | Asidhi yemudumbu inogona kukuvadza jira rinodzivirira mudumbu kana muura hudiki, zvichikonzera maronda. Maronda aya anogonawo kukura kana munhu akaramba achishandisa mishonga inoderedza marwadzo (NSAIDs) . MaPPI anogona kubatsira kuporesa maronda aya. |
| Utachiona hweH. pylori | Urwu hutachiona hunokonzera maronda emudumbu. MaPPI anopiwa pamwe chete nemishonga inorwisa mabhakitiriya kuti auraye hutachiona uhu. Izvi zvinoderedza acidity mudumbu, zvichiita kuti mishonga inorwisa mabhakitiriya ishande zviri nani. |
| Chirwere cheZollinger-Ellison | Ichi chirwere chisingawanzoitiki. Mamwe mabundu mumuviri anogadzira hormone inoita kuti mudumbu mubudise acid yakawandisa. MaPPI anogona kudzora chirwere ichi. |
Mushonga uyu unoshanda sei?
Izvi zviri nyore kunzwisisa. Fungidzira kuti kune 'mapombi' madiki mudumbu mako anogadzira acid. Musayenzi, aya anonzi mapombi ehydrogen-potassium ATPase. Muchidimbu, i "mapombi eproton."
Zvino, zvinoitwa nemushonga uyu wePPI 'kudzivisa' mashandiro emapombi iwayo anogadzira acid, kureva kuti, anoamisa. Zvakafanana nekudzima switch yemota yemvura.
Asi izvi hazvimisi kugadzirwa kweasidhi yese mudumbu. Kana ukatora PPI kwemazuva mashanu akatevedzana, kugadzirwa kweasidhi mudumbu kuchaderedzwa neinenge 65%. 35% yasara inokwana kugaya chikafu. Saka hapana chekunetseka nacho.
Ndedzipi mhando dzePPI dzakajairika?
Kune mhando dzakasiyana dzemaPPI. Mamwe anogona kutengwa pasina kunyorerwa chiremba (OTC) ku pharmacy pasina kunyorerwa nachiremba, nepo mamwe achida kunyorerwa nachiremba.
| Zita reGeneric | Mazita Emhando Dzakajairika |
|---|---|
| Mhando dzemishonga dziripo kana dzisina kunyorerwa nachiremba | |
| Esomeprazole | Nexium® |
| Lansoprazole | Prevacid® |
| Omeprazole | Prilosec® |
| Mhando dzemhando dzinowanikwa chete kana dzanyorerwa nachiremba | |
| Dexlansoprazole | Dexilant® |
| Pantoprazole | Protonix® |
| Rabeprazole | AcipHex® |
Izvi zvinofanira kushandiswa sei?
Mushonga uyu unouya uri muchimiro chekapusule kana piritsi. Kune avo vanonetseka nekumedza mapiritsi, mamwe makapusule anogona kusanganiswa nechimwe chinhu chakaita seapplesauce kuti utore hupfu.
Chinhu chinonyanya kukosha ndechekuti mushonga unofanira kutorwa riini. MaPPI mazhinji anonyanya kushanda kana ukatorwa usina chinhu mudumbu . Zvinokurudzirwa kuti utore maminetsi makumi matatu kusvika awa usati wadya. Chikonzero ndechekuti izvi zvinopa mushonga nguva yekumedzwa uye kutanga kushanda, acid yemudumbu isati yaungana mushure mekudya.
Ndinofanira kutenga marii?
Izvi ndizvo zvichasarudzwa nachiremba wako. Vamwe vanhu vangada piritsi rimwe mangwanani. Vamwe vangaudzwa kuti vatore rimwe mangwanani nerimwe manheru. Zvinoenderana nemamiriro ehutano hwako. Saka, zvakakosha kutevedzera mirairo yachiremba wako.
Zvinotora nguva yakareba sei kuti maPPI ashande?
Uyu hausi mushonga unorapa ipapo ipapo. Zvinogona kutora mazuva 1 kusvika mana kuti unzwe kushanda kwemushonga uyu.
Fungidzira wadya chikafu chine spice wobva wangonzwa kupisa muchipfuva chako. Panguva dzakadaro, mushonga unorwisa acid (semuenzaniso, Digene) kana histamine (H2) blocker (semuenzaniso, Famotidine) unogona kukurumidza kurapa kupfuura PPI. Zvisinei, mhedzisiro yavo inopera nekukurumidza.
MaPPI mushonga unopa mhedzisiro yenguva refu, wakanyatsokodzera vanhu vane matambudziko ekugara kwenguva refu eacid.
Pane migumisiro yakaipa here pazviri?
Vanhu vazhinji havasangani nematambudziko, asi semushonga upi zvawo, vamwe vanogona kusangana nematambudziko madiki.
- Marwadzo emudumbu
- Kuzvimba
- Manyoka
- Dzungu
- Muromo wakaoma
- Musoro
- Kupindwa nechando
- Kuzadza dumbu
- Kukwenya uye kuruma
Njodzi dzekushandiswa kwenguva refu
Kunyange hazvo maPPI achiwanzoonekwa semishonga yakachengeteka, vaongorori vakaona njodzi dzine chekuita nekushandisa kwenguva yakareba pasina kupihwa mazano ekurapa .
- Utachiona hweClostridium difficile (C. diff): Kuenzana kwemabhakitiriya akanaka neakaipa ari mudumbu kunochinja, zvichikonzera manyoka ane njodzi.
- Kutyoka: Kunogona kuita kuti zviomere muviri kunwa calcium, izvo zvinogona kuwedzera njodzi yekutyoka muhudyu, ruoko, kana musana.
- Chirwere cheitsvo: Kuchitora kwenguva refu kunogona kuwedzera njodzi yekubatwa nechirwere cheitsvo chisingaperi (CKD).
- Kusakwana kwezvekudya: Muviri unogona kuderedza kunwa kwemagnesium nevhitamini B12. Izvi zvinovaka muviri zvakakosha kuhurongwa hwedu hwetsinga netsandanyama.
Njodzi idzi dzichiri kudzidzwa, saka vanachiremba vanowanzoedza kudzora zviratidzo zvako nekukupa mushonga wakaderera kwenguva pfupi .
Ndinofanira kuona chiremba rini?
Kana wakanyorerwa maPPI nachiremba, unofanira kutaura nachiremba wako nezvekurega kushandisa mushonga uyu kana kuchinja mwero wemushonga wacho.
Kana uchishandisa maPPI asingatengeswi nechiremba (OTC) uye ukaona kuti unozvida zuva nezuva kuti udzore zviratidzo zvako, unofanira kuona chiremba kuitira kuti ukwanise kuongororwa uye kurapwa zvakanaka.
Kana ukaona zviratidzo zvinotevera, enda kuna chiremba wako nekukasika:
| Chiratidzo | Tsananguro |
|---|---|
| Kusawirirana | Kutsamwiswa kweganda, kuvaviwa kwakanyanya, kuzvimba. |
| Zviratidzo zvekukuvara kweitsvo | Kudzikira kweweti, kuzvimba kwemaoko, zvitsitsinho, kana tsoka. |
| Zviratidzo zvekushaikwa kwemagnesium | Kuneta kwakanyanya, kurova kwemoyo kusina kurongeka, kurwadziwa kwetsandanyama. |
| Zviratidzo zvekushaikwa kwevhitamini B12 | Marwadzo, kusanzwa, dzungu , kuvhiringidzika mumaoko kana makumbo. |
| Manyoka kana fivha yakanyanya | Manyoka kana fivha inogara iripo. |
Mharidzo Yekuenda Nayo Kumba
- MaPPI mushonga wekugadzirisa matambudziko eacid kwenguva refu, kwete wekurapa nekukurumidza.
- Nguva dzose tora mushonga wako panguva yakatarwa (kazhinji usati wadya), sezvakarairwa nachiremba wako.
- Dzivisa kushandisa maPPI nguva dzose kwenguva yakareba usina kupiwa mazano nachiremba.
- Kana uchida mushonga uyu zuva nezuva kana paine zvimwe zvinokanganisa, iva nechokwadi chekuona chiremba wako.
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