Mutane da yawa marasa lafiya na Arthritis Takaddama NSAIDs Yi amfani da masu hana kwantar da hankalin Proton Pump
Nazarin Hada Hannu Hannun Fassara zuwa Masu Rashin Gyara na Proton
An kara haɗarin haɗari na ɓarkewar hanzari akan yin amfani da masu kwantar da hanzari na katako, wani sashi na kwayoyi da ake amfani dasu don magance yanayin acid kamar ƙwannafi da GERD (cututtukan gastroesophageal reflux). Bisa ga sakamakon binciken da aka buga a ranar 27 ga Disamba, 2006 na jaridar Journal of the American Medical Association , masu bincike sun bayar da rahoton cewa magani tare da masu zanga-zangar proton na tsawon shekara guda a cikin mutane fiye da shekaru 50 sun haɗu da kashi 44 cikin 100 na haɗari na hip rarraba.
Rashin haɗari ya kasance sau 2,6 mafi girma ga masu amfani da tsayi na proton pump in high doses. Duration da kuma sashi na amfani da mai amfani da kwantar da hanzarin proton ya danganta da haɗarin haɗari na hanzarin. Ƙananan, duk da haka kamuwa da haɗarin haɗuwa da ƙananan hanzari ma an haɗa shi da masu haɗarin H2, wanda ake kira su masu bincike na receptor histamine-2 (misali Tagamet da Pepcid).
- Daga masu tsofaffin marasa lafiya 1,262 da aka bi da su tare da mai cin hanci da kwantar da hankalin proton fiye da shekara guda, wani ɓangaren ƙwayar cutar a shekara zai danganta ga yin amfani da masu kwantar da hanzari na proton.
- Ga dukan marasa lafiya marasa lafiya 336 da aka bi da su fiye da shekara guda tare da manyan maganin masu hana kwantar da hankalin proton, wani ɓangaren raunuka guda daya a shekara za a daura da magungunan kwantar da hankalin proton.
Masu kwantar da hankalin Proton Pump tare da NSAIDs
Mutane da yawa marasa lafiya na cututtukan zuciya suna daukar prohibit pump inhibitors (misali Nexium , Prevacid, Protonix, da Prilosec) tare da anti-inflammatory kwayoyi (NSAIDs) don rage halayen illa gastrointestinal hade da NSAIDs.
Sakamakon binciken da aka ruwaito a shekara ta 2003 a taron shekara-shekara na Kwalejin Amirka na Gastroenterology ya nuna cewa masu zanga-zangar tofafan motsa jiki na rage yawan halayen marasa lafiya a lokuta da yawa suna daukar NSAIDs. Bayanin ya bar wasu likitoci sun gaskanta cewa duk marasa lafiya a NSAID ya kamata su dauki wani mai hana kwantar da hankalin proton, yayin da wasu sun ji kawai marasa lafiya wanda ke nuna alamar wariyar launin fata tare da dyspepsia ya dauki prohibit pump inhibitors.
Har ila yau a shekara ta 2004 da 2005, lokacin da masu hana kwakwalwan COX-2 (sabuwar ƙungiya na NSAID sun yadu don haifar da matsalolin gastrointestinal) sunyi nazari game da al'amurra na lafiyar zuciya, likitoci sun sake ba da shawara ga marasa lafiya na asali cewa wata al'ada NSAID a hade tare da mai kwantar da jini na proton mafi kyawun magani.
Ya kamata marasa lafiya na Arthritis su daina amfani da masu kwantar da hankalin Proton Pump?
Bisa ga masanin ilimin lissafi Scott J. Zashin, MD, "Saboda NSAID na iya ƙara haɗarin zub da jini na jini, mutane da yawa marasa lafiya suna fuskantar hadarin wannan matsala sunyi amfani da su kamar yadda:
- Prilosec (omeprazole)
- Nexium (esomeprazole)
- Aciphex (rabeprazole)
- Prevacid (lansoprazole)
- Protonix (damuwa)
Bayanan haɗari na zub da jini sun hada da shekaru fiye da 60, masu shan taba, shan corticosteroids , aspirin , Coumadin (warfarin), Plavix (clopidogrel) ko kuma mai daukar maganin ciwon sukari, da wadanda ke da tarihin ulcers ko jini na jini. Samun prohibit pump inhibitor na iya rage haɗarin GI zubar da jini fiye da H2 masu tayar da hankali, wanda ya haɗa da:
- Pepcid (famotidine)
- Tagamet (cimetidine)
- Zantac (ranitidine)
Binciken da aka yi kwanan nan ya nuna cewa marasa lafiya da suka dauki kashi mafi girma daga cikin masu zanga-zangar tofafan proton suna da haɗari na osteoporosis da raunin hanji.
Har yanzu ana bada shawara a yi amfani da ciwon yau da kullum na 1000-1500 MG na alli da 400 IU na bitamin D ko da yake mutane da yawa na iya amfana daga 800 YU, musamman ma idan ba su da tarihi na kudan zuma ko kullun mai daraja.
Bisa ga wannan binciken, zan bayar da shawarar cewa marasa lafiya da suke buƙata a kan waɗannan kwayoyi suna da kulawa da ƙananan kashi kuma idan ƙananan, duba samfurin bitamin D kuma la'akari da ƙarin magani don kula da ƙarfin kashi. Wasu zaɓuɓɓuka sun hada da maye gurbin masu kwantar da hanzari na proton tare da magani da ake kira Cytotec (misoprostol) - magani wanda ya ba da amfãni a kare lafiyar ciki daga ulcers lokacin da aka ɗauki sau hudu kowace rana.
Ana amfani da miyagun ƙwayoyi (watau kada a yi amfani dasu) a cikin mata masu tsufa kuma suna iya haifar da wasu cututtukan gastrointestinal. Sauran wani zaɓi shine don neman magani don haka ba a buƙatar NSAID. "
Scott J. Zashin, MD, masanin farfesa ne, a Jami'ar Texas na Makarantar Koyon Kwayoyin Kimiyya ta Kudu, a Yankin Rheumatology, a Dallas, Texas; likita mai halartar likita a asibitin Presbyterian na Dallas da Plano; wani ɗan'uwanmu na Kwalejin Kwararren Amirka na Kwararru da Ƙungiyar Rheumatology na Amirka; da kuma memba na Ƙungiyar Magunguna ta Amirka. Dokta Zashin shine marubucin Arthritis Without Pain - The Miracle Of TNF Blockers . Littafin yana da amfani ga kowa a daya daga cikin kwayoyin halitta (Enbrel, Remicade, Humira) ko la'akari da kwayoyin halittu.
Sources:
1. Yang, Yu-Xiao. "Kwayar Proton Pump Inhibitor Far and Risk of Hip Fracture." JAMA Disamba 27, 2006.
2. "Ƙwayoyin ƙwayoyin ƙwayoyi masu linzami da aka haɗa su zuwa haɗarin ƙusar cutar." MSNBC.com. Disamba 29, 2006. 31 Dec 2006.
3. "Mai Rashin Gwanin Proton zai iya taimakawa wajen hana Ulcers a cikin Masu amfani na NSAID." Medscape. Oktoba 15, 2003. 31 Dec 2006.