Ingabe ngezinye izikhathi uzizwa uvutha esifubeni sakho kanye nokunambitheka okumuncu emphinjeni wakho uma udla ukudla okubabayo ebusuku? Noma uzizwa sengathi umphimbo wakho ubuhlungu uma uvuka ekuseni, futhi izwi lakho lishintsha? Abaningi bethu bakubiza ngokuthi "i-gastritis." Lokho akukubi ngokuphelele, kodwa lesi simo singahluka kancane. Ngokwezokwelapha, sibiza lokhu ngokuthi i-GERD, okusho ukuthi (Isifo Sokuqabulana Kwesisu Esingamahlalakhona). Namuhla sizokhuluma ngomuthi okhethekile owenziwe ngotshani lolwandle olusiza ngalesi simo se-GERD, kodwa abantu abaningi ezweni lethu abangazi ngaso. Lokho kuyi-alginates.
Kalula nje, iyini i-GERD?
Kulula kakhulu ukukuqonda lokhu. Cabanga nje, ngaphakathi esiswini sethu kukhona i-asidi enamandla esiza ekugayeni ukudla esikudlayo. Le-asidi kufanele ibe ngaphakathi esiswini kuphela. Isisu senzelwe ukumelana nale-asidi. Kodwa ipayipi okudlula kulo ukudla esikudlayo, umhubhe, alikwazi ukumelana nale-asidi.
Ngokuvamile, kuba nendandatho enemisipha phakathi kwesisu nomphimbo, njengomnyango. Uma sigwinya ukudla, lo mnyango uyavuleka bese uvaleka kahle. Lokhu kuvimbela i-asidi esiswini ukuthi ingakhuphuki. Kodwa-ke, kumuntu one-GERD, lo mnyango ungase ungavaleki kahle. Bese i-asidi esiswini ikhuphuka, okungukuthi, ingene emmphinjeni. Yilapho sithola khona izimpawu ezifana nokushisa kwesisu , ubuhlungu phakathi kwesifuba, kanye nokunambitheka okumuncu emphinjeni. Uma i-asidi ikhuphuka kanje isikhathi eside, izindonga zomphimbo nazo zingalimala.
Abantu abaningi babiza igama elithi "gastritis" ngokuthi ukuvuvukala kwesisu. Kodwa-ke, i-GERD yisimo esibangelwa yi-asidi yesisu ephinde ikhuphuke. Nakuba izimpawu zalezi zinto ezimbili zifana, izimbangela kanye nokwelashwa kungase kuhluke.
Ngakho-ke ziyini lezi alginates? Zisebenza kanjani?
Lena yingxenye ebaluleke kakhulu yalesi sihloko. Ama-alginates ayinhlanganisela yemvelo etholakala olwandle. Kodwa ungadli nje ulwandle! Ayahlanzwa futhi acwengisiswe ukuze enze umuthi.
Indlela ama-alginates asebenza ngayo iyamangalisa. Uma sithatha lo muthi, ungena esiswini bese uhlangana ne-asidi lapho, wakhe ungqimba olufana nejeli, noma olufana nefoam, oluntantayo phezulu. Cabanga ngalo njengongqimba lwamafutha oluntantayo phezu kwebhodlela eligcwele amanzi. Sibiza lolu ngqimba lwejeli ngokuthi "i-raft."
Le "raft" ilula kakhulu, ngakho-ke intanta phezu kwezinye izinto ezisesiswini. Kodwa inamandla ngokwanele ukuvimba i-asidi esesiswini ukuthi ingakhuphukeli emphinjeni. Kalula nje, idala isithiyo esibonakalayo . Okusho ukuthi, idala uhlobo lwesivalo phakathi kwesisu nemphinjeni. Lokhu kuvimbela i-asidi ukuthi ingakhuphukeli.
Yiziphi izinzuzo nezingozi ze-alginates?
Njenganoma yimuphi umuthi, ama-alginates angaba nezinzuzo kanye nezingozi ezithile. Ake siwabheke.
| Izinzuzo | Izingozi Nokubi |
|---|---|
| Isebenza ngokushesha: Umuthi uqala ukusebenza cishe ngokushesha ngemva kokuwuthatha. Ungawuthatha kanye noma ngemva kokudla. | Kungase kungasebenzi kuwo wonke umuntu: Lokhu kungase kungabi impumuzo ezimpawini zabanye abantu. |
| Ukuphepha: Lezi ngokuvamile zibhekwa njengeziphephile kwabesifazane abakhulelwe, omama abancelisayo, ngisho nezingane (kodwa qiniseka ukuthi uthintana nodokotela wakho ngaphambi kokuzithatha ). | Imiphumela emibi: Akuvamile ukuthi kube nemiphumela emibi njengokuqunjelwa noma ukuqunjelwa. |
| Ukutholakala kalula: Lokhu kungathengwa ngaphandle kwekhawuntara ekhemisi ngaphandle kwencwadi kadokotela. | Ukusebenzisana neminye imithi: Uma uthatha imithi yezinye izimo, lokhu kungathinta ukusebenza kahle kwaleyo mithi. |
Izimo ezikhethekile lapho lo muthi kungafanele usetshenziswe khona
Nakuba ama-alginates ephumelela kakhulu ezimpawini ze-GERD, awasebenzi kuzo zonke izimo. Khumbula lezi zinto, ikakhulukazi.
- Uma umphimbo wonakele: Uma une-GERD isikhathi eside, izindonga zomphimbo zingashiswa futhi zonakaliswe yi-asidi. Lokhu sikubiza ngokuthi (ukuguguleka komphimbo) noma (izilonda). Lolu hlobo lwesimo alunakwelashwa ngama-alginates. Ludinga eminye imithi enamandla enqunywe udokotela.
- Umphimbo kaBarrett: Lesi yisimo esiyinkimbinkimbi kakhulu esingabangelwa yi-GERD. Sihilela izinguquko emaselini omphimbo. Ama-alginates nawo awafaneleki kulesi simo.
- Isifo Sezinso: Lokhu kubaluleke kakhulu. Uma unesifo sezinso, kufanele ukhulume nodokotela wakho ngaphambi kokuthatha ama-alginates. Amanye ama-alginates aqukethe i-sodium. Akukhuthazwa ukuthi iziguli zezinso zidle i-sodium eningi kakhulu.
Uyini umehluko phakathi kwama-alginates nama-antacid esiwaziyo sonke?
Abantu abaningi basebenzisa ama-antacids ekushiseni kwesilungulela. Isibonelo, izinto ezifana ne-Digene ne-Gelusil. Ngakho-ke ingabe ama-alginates ayinto efanayo? Cha. Laba bobabili basebenza ngezindlela ezimbili ezihluke ngokuphelele.
| Isici | Ama-Alginates | Ama-antacid |
|---|---|---|
| Indlela esebenza ngayo | Kudala isithiyo esingokoqobo (isikejana) phezu kwe-asidi yesisu, okuvimbela i-asidi ukuthi ingakhuphuki. | Kuqeda amandla e-asidi esiswini ngamakhemikhali . Okusho ukuthi, kwenza i-asidi ingaqini kakhulu. |
| Inhloso eyinhloko | Ukuyeka i-acid reflux. | Ukunciphisa amandla e-asidi esesiswini kakade. |
| Izibonelo | Itholakala kakhulu emikhiqizweni efana ne-Gaviscon Advance. | Uketshezi namaphilisi afana ne-Digene ne-Gelusil. |
Kodwa lokhu kufanele futhi kushiwo. Kunemithi ethile eyenziwa ngokuhlanganisa ama-alginates nama-antacid. Eminye imikhiqizo, njenge-Gaviscon, iqukethe zombili lezi zinhlanganisela. Lokhu kunikeza izinzuzo zombili.
Lo muthi usebenza kahle kangakanani? Uma uqhathaniswa neminye imithi
Ucwaningo luthole ukuthi ama-alginates ayindlela ephumelela kakhulu yokulawula izimpawu ezivamile ze-GERD kunemithi yokwelapha ama-antacid .
Kodwa-ke, kuneminye imithi odokotela abavame ukuyinikeza i-GERD. Kungenzeka ukuthi uke wezwa ngala magama: i-Omeprazole, i-Esomeprazole, i-Pantoprazole. Lawa angaphansi kweqembu elibizwa ngokuthi ama-PPI (Proton Pump Inhibitors) . Futhi, imithi efana ne-Famotidine ingaphansi kweqembu elibizwa ngokuthi ama-H2RA (Histamine-2 Receptor Antagonists) . Le mithi isebenza ngokunciphisa ukukhiqizwa kwe-asidi esiswini.
Ngokusho kocwaningo, ama-alginates ayisidakamizwa esingasebenzi kahle kancane kune-PPIs kanye ne-H2RA. Kodwa inzuzo yama-alginates ukuthi asebenza ngokushesha ngemva kokuwathatha futhi aphephile kakhulu.
Ngakho-ke, udokotela wakho angase ahlole isimo sakho futhi mhlawumbe akunike i-alginate ongayithatha uma kudingeka, kanye ne-PPI.
Izinto okufanele ngizicabangele ngaphambi kokuthatha lo muthi
Manje njengoba usunomqondo omuhle ngama-alginates, khumbula lezi zinto uma ucabanga ukusebenzisa lo muthi.
1. Bona udokotela wakho kuqala: Nakuba lokhu kutholakala ngaphandle kwemithi kadokotela, kubalulekile ukwazi ngokuqinisekile ukuthi isilungulela sakho empeleni siyi-GERD noma okunye. Udokotela wakho kuphela ongakutshela ukuthi kuzosebenza yini nomlando wakho wezempilo kanye neminye imithi oyiphuzayo.
2. Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo: Uma uthatha imithi yesifo sikashukela, umfutho wegazi, isifo senhliziyo, noma yini enye, tshela udokotela wakho ngayo.
3. Sebenzisa ngendlela efanele: Lokhu kuza ngendlela ewuketshezi, ehlafunwayo, kanye neyimpuphu. Yithathe njengoba nje udokotela wakho ekutshelile, ngomthamo, nangesikhathi esiqondile. Ngokuvamile ithathwa ngemva kokudla.
Kungenzeka ukuthi awuzange ucabange ukuthi inhlanganisela etholakala olwandle ingaxazulula inkinga yakho yokushisa kwenhliziyo. Ama-alginates ayindlela ephephile, ephumelelayo, futhi ephumuzayo kubantu abaningi abahlushwa izimpawu ze-GERD. Kodwa khumbula, kuhlale kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngaphambi kokuzelapha.
Umlayezo Wokuya Nawe Ekhaya
- Ama-alginates umuthi owenziwe ngotshani futhi asetshenziselwa ukwelapha izimpawu ze-GERD.
- Lokhu kudala ungqimba lwejeli oluvikelayo (i-raft) oluntanta phezu kwe-asidi yesisu, luvimbele i-asidi ukuthi ingafiki emphinjeni.
- Lokhu akunciphisi i-asidi njengemithi yokunciphisa i-asidi. Kusebenza njengesivikelo esibonakalayo.
- Lokhu kusebenza ngokushesha futhi ngokuvamile kuphephile, ngisho nakomama abakhulelwe. Kodwa hlala ulandela iseluleko sikadokotela kuphela.
- Abantu abanesifo sezinso kanye nalabo abathatha eminye imithi kufanele nakanjani bazise udokotela wabo ngaphambi kokuthatha lokhu.
- Vumela udokotela wakho ahlole ngokunembile imbangela yobuhlungu besifuba sakho bese enquma ukwelashwa okungcono kakhulu kuwe.
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