A baya, magungunan likita don maganin cikewar ƙwayar cuta da nakasassu - ciwon ciwon jiji (IBS-C) sun iyakance. Abin farin, wannan yana canzawa kuma ana samun magungunan maganin magungunan likitanci ta hanyar magance maƙarƙashiya na kullum.
Amitiza (lubiprostone)
Amitiza ya amince da hukumar ta FDA domin kula da IBS-C, da kuma ƙwararrun rikice-rikice na al'ada (CIC).
Amitiza yana aiki ne ta hanyar ƙara yawan ruwa a cikin hanji kuma sabili da haka yana sauke hanyar sintiri.
Magunguna suna aiki akan matakin salula kamar yadda ya sa (sunadarai) sunadarin sunadarai da ke dauke da chloride, saboda haka Amitiza an san shi azaman mai amfani da tashar chloride. Yawancin mutanen da suka dauki Amitiza zasu fuskanci saurin bayyanar cututtuka cikin sa'o'i 24.
Kada ku dauki Amitiza idan kuna da ƙuƙwalwar hanji , kuna shawo mai tsanani, ko kuma masu ciki ko nono.
Lactulose
Lactulose wani laxative osmotic da aka yi amfani dashi don maganin maƙarƙashiya. An sayar da shi a ƙarƙashin iri iri iri. Wadannan sun hada da Cephulac, Chronulac, Constilac, Cholac, Constulose, Duphalac, Enulose, Generlac, da Kristalose.
Lactulose wani sukari ne da aka yi da mutum wanda ya kakkarya jikin kwayoyin cuta a cikin hanji, wani tsari wanda ke jan ruwa a cikin hade. Wannan karuwa a cikin ruwa yana kara taushi, yana ƙaruwa, yana kuma daidaita yanayin da yake ciki.
Girman girma na girman ƙarfafa yana taimakawa wajen motsa motsi na kan iyaka kuma saboda haka yana ƙarfafa motsa jiki.
Lactulose kullum ana shawarar da za a yi amfani dasu a kan ɗan gajeren lokaci. Wannan ba shine ƙwararren likita na farko ba kamar yadda aka yi haƙuri (wanda ya haifar da karin gashi da gas) kuma yana da wuya fiye da sauran zaɓuɓɓuka.
Kafin shan lactulose, tabbatar da cewa likitanka ya san idan an shirya maka aikin tiyata, sha wahala daga ciwon sukari, ko masu ciki ko nono.
Linzess (Linaclotide)
FDA ta amince da Linzess don kula da IBS-C da CIC. A Turai, ana kiran shan magani Constella kuma an yarda da shi don kula da IBS-C.
Ana amfani da magani a matsayin guanylate cyclase-C agonist. An yi tunanin yin aiki ta hanyar ƙara yawan ruwa a cikin babban ciwon da zai haifar da yawan ƙwayar jijiyar zuciya da kuma rage ciwon ciki.
Prucalopride
An classified Prucalopride a matsayin agonist 5-HT yayin da yake kunna masu karɓa don serotonin neurotransmitter (5-HT). Abin takaici, ba'a riga an amince da Furo ba don amfani da shi don amfani da ita kuma ba a samuwa a Amurka Ana samuwa a Turai da Kanada, tare da wasu ƙuntatawa akan takardun sa.
Miralax
Ba kamar sauran magunguna ba a kan wannan shafi, Miralax baya buƙatar takardar sayan magani . Duk da haka, likitoci sukan ba da shawara ga Miralax saboda tasirinsa a mahimmanci. Miralax tana jawo ruwa a cikin ruji, yana raya shi kuma yana haifar da buƙatar motsi.
Zelnorm (tegaserod)
Zelnorm magani ne wanda aka tsara don bi da IBS-C da CIC.
Hakanan yana aiki ne ta hanyar ƙara yawan adadin nerotransmitter serotonin a cikin sassan jikin gut.
Saboda sanadin haɗarin lafiyar lafiyar jiki, magani kawai yana samuwa a kan gaggawa. Dole ne a ba shi izini ta hanyar FDA.
A Note Game da Antidepressants
Ba a amince da antidepressants a matsayin magani ga maƙarƙashiya. Duk da haka, saboda mummunar rashin jin daɗi ga marasa lafiya tare da IBS da gaskiyar cewa antidepressants na iya samun tasirin maganin ciwo, likita na iya tsara wani antidepressant ga mutumin da ke kula da IBS-C .
Abubuwan antidepressants zaɓaɓɓu ga mutumin da yake jin dadin ƙwarewar zai kasance daga ɗaliban da ake kira masu saɓin siginar mai sauƙi na serotonin (SSRIs).
Wadannan suna da wuya su haifar da maƙarƙashiya. Misalan SSRI sun hada da Celexa, Lexapro, Prozac, Paxil, da Zoloft.
> Source:
> Hyundai Santa Fe, et.al. Kwalejin {asar Amirka na Gastroenterology Monograph akan Gudanar da Ciwo na Ciwo na Bikin Ƙara da Tsarin Gwiwar Harkokin Idiopathic . Jaridar American Journal of Gastroenterology. 2014; 109: S2-S26. Doi: 10.1038 / ajg.2014.187
> Cibiyar Abincin Abincin Amurka da Drug. Zelnorm (kagaserod maleate) Bayani. 2016. https://www.fda.gov/Drugs/DrugSafety/ucm103223.htm.