Ko da yake akwai, a yanzu, babu maganin warkar da cututtukan zuciya (IBS), akwai magunguna daban-daban wadanda ke da alamun bayyanar IBS . Wasu daga cikinsu kawai suna magance wata alama ce mai mahimmanci, yayin da sababbin magungunan suka zo kan kasuwa wanda aka tsara don magance matsalar da ta shafi IBS.
Wadannan su ne mafitacin magani na farko waɗanda ake amfani dasu don biyan mutumin da ke da IBS.
Ka tuna cewa ba kowace miyagun ƙwayoyi na iya zama daidai a gare ka ba. Wanne magani likitanku zai bada shawarar, idan wani, zai dogara ne akan tarihin lafiyarku, ƙimar bayyanar cututtuka, da matsalar jinjin ku. Wasu daga cikin wadannan magunguna suna samuwa ta takardar izini kawai, yayin da wasu suna samuwa akan kan-da-counter. Ka tuna cewa kawai saboda wani abu yana samuwa ba tare da takardar sayan magani ba yana nufin cewa ya dace maka. Tabbatar samun amincewar likitanku kafin kokarin sabon abu.
Janar IBS Medication Zabuka
Wadannan magunguna daban-daban na iya biyan su ga duk wanda ke fuskantar IBS, ba tare da la'akari da takaddun su ba. (Ka karanta don ƙarin bayani game da magunguna da suka fi dacewa da ciwon zazzaɓi-IBS (IBS-D) da kuma maƙarƙashiyar-IBS (IBS-C).
Magungunan Antispasmodic
Ana amfani da magungunan antispasmodic don IBS, domin zasu iya taimakawa wajen taimakawa ciwon ciki da kuma raguwa wanda yake da mahimmanci wajen samun IBS.
Duk da haka, suna da mahimmancin sakamako kuma, saboda haka, bazai zama mafi kyau ga mutumin da ke da IBS-C ba. Yayinda bincike game da lafiyar antispasmodics don amfani da dogon lokacin da aka iyakance, waɗannan magungunan na iya zama mafi dacewa don amfani da gajeren lokaci kawai. Dandalin maganin antispasmodics wanda aka tsara don IBS sun hada da:
- Bentyl (dicyclomine)
- Buscopan (hyoscine butylbromide)
- Anaspaz, Cystospaz, Levbid, Levsin (hyoscamine)
- Mebeverine (ba a Amurka)
Antidepressants
Ana amfani da antidepressants a low doses a matsayin hanyar magance bayyanar IBS kamar yadda suke da halayen haushi na jin zafi kuma suna da aminci ga amfani da dogon lokaci. Kwararka na iya bada shawara ga antidepressant koda kuwa ba a damu ba. Idan kana da damuwa ko damuwa tare da IBS, zai yiwu ma likitan ku zaɓi wannan zaɓi.
Bugu da ƙari, don kawar da ciwo, masu amfani da antidepressants wasu lokuta suna da illa masu tasiri wanda ya ƙunshi narkewa. Saboda haka, likitan ku na iya yin zabi bisa ga ko kuna da IBS-C ko IBS-D. Wadannan abubuwa sun hada da magungunan antidoplic tricyclic (mafi alhẽri ga IBS-D) ko wasu daga cikin sabon zaɓuɓɓuka irin su masu satar maganin serotonin reuptake (SSRIs) wadanda ke da kyau ga IBS-C.
Zaɓuɓɓuka na magani ga Diarrhea-Musamman IBS
Tsohon jiran aiki don zafin taimako ya ci gaba da zama Imodium (loperamide), wanda yake samuwa a kan-da-counter. Duk da haka, magungunan likita biyu sun samu izinin FDA don lura da IBS-D:
Xifaxan (rifaximin) wani maganin kwayoyin da aka saba amfani dashi don magance cututtukan matafiya da ƙananan kwayoyin cutar ciki (SIBO).
Shawarar FDA ita ce don kula da "rashin kula da IBS." Xifaxan yayi aiki dabam dabam fiye da mafi yawan maganin maganin rigakafi kamar yadda bai shiga cikin jini ba amma yana samuwa don magance kwayoyin cutar cikin ƙananan ƙananan hanyoyi. Anyi la'akari da lafiya don amfani da har zuwa makonni uku na mako biyu.
Viberzi (hyperxadoline) magani ce wanda ke rinjayar masu karbijin opioid a tsarinka na narkewa don taimakawa bayyanar cututtuka na ciwo na ciki da zawo ga mutanen da suke da ciwon sukari-IBS (IBS-D). Saboda Viberzi wata magani ce, an tsara shi a matsayin abu mai sarrafawa kuma akwai damuwa game da yiwuwar buri.
Zaɓuɓɓukan Magunguna don Ƙwararren Ƙwarewar Iblis
Ana amfani da nau'in nau'in nau'in nau'in nau'i nau'i don taimakawa bayyanar cututtuka. Miralax (polyethylene glycol), wadda ba ta buƙatar takardar sayan magani, ita kadai ce wanda masu bincike sukayi nazari don tasirinta a rage yawan bayyanar IBS. Ɗaya daga cikin binciken ya gano cewa yana taimakawa wajen gyaran ganewar jiki da kuma tausasawa, amma ba don rage jin zafi na IBS ba.
A halin yanzu akwai wasu ƙwayoyin magani don maganin IBS-C:
Linzess (linaclotide) yana aiki a kan masu karɓa a cikin sashin kwayar cutar don ƙara yawan ruwan cikin babban hanji. Bugu da ƙari, IBS-C, Linzess an amince da FDA domin kula da ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta (CIC) a cikin manya. A Turai, ana kiran magunguna Constella.
Amitiza (lubiprostone) kuma FDA ya amince don magance CIC tare da IBS-C. Amitiza yana sa ran masu karɓar ciki a cikin rufin hanji don saki karin ruwa. Abin baƙin ciki shine, tashin hankali yana da kyau sosai kuma ba ta da kyau ta Amitiza.
Resolor / Resotran (prucalopride) wani magani ne wanda ke samuwa ne kawai a Kanada da Turai. Resolor yana aiki a kan serotonin neurotransmitter a cikin gut kuma, sabili da haka, a cikin wannan magunguna kamar Zelnorm , wani magani wanda aka cire daga kasuwa saboda mummunar tasiri. Duk da haka, An tsara Resolor daban-daban domin ya kauce wa waɗannan matsaloli masu tsanani. A halin yanzu, Cibiyar Kula da Magunguna ta Turai ta amince da Resolor ne kawai don magance maƙarƙashiya a cikin mata.
IBS Medication a cikin gwaji Phase
Sabbin magunguna suna zuwa kan kasuwa, da sauran yiwuwar zazzaɓin maganin shan magani suna cikin gwajin lafiya. Wadannan su ne manyan sababbin; duk suna cikin matakai daban-daban na gwadawa dangane da aminci da tasiri. Koyo game da zaɓuɓɓukanka zai iya taimaka maka ka yi aiki tare da likitanka don inganta tsarin kulawa mai kyau na IBS.
Asimadoline magani ne wanda yake jurewa gwaji don magani ga IBS-D. Magungunan yana ƙayyade shafukan yanar gizo na musamman a cikin babban hanji; ana fatan cewa irin wannan ƙayyadaddun zai ci gaba da farfadowa na ƙasa a mafi ƙaƙa. A farkon gwajin, yana nuna cewa mafi girma daga magani shine akan saukin zafi da nakasa.
Elobixibat ne magani a halin yanzu ana bincike a matsayin magani ga CIC. Yana aiki ne ta hanyar rage gwanin bile acid daga gallbladder, saboda haka kara yawan adadin wadannan kwayoyin shiga cikin babban hanji. Anyi zaton wannan zai taimaka wajen saurin aiwatar da matsala ta hanyar jigilar. Akwai, kamar yadda yake a yanzu, babu bincike na asibiti game da tasirin da ake amfani da ita a kan IBS-C.
Plecanatide yayi aiki daidai da Linzess kuma yana cikin gwajin gwaji a matsayin magani ga IBS-C da CIC.
Tenapanor ne magani don cutar koda. Yana aiki ta hanyar rage karfin sodium a cikin fili na narkewa; an ƙãra yawan adadin sodium da ake tsammani zai kara yawan ruwa a cikin babban hanji. Saboda wannan, Tenapanor yana fuskantar gwajin gwaji a matsayin magani ga IBS-C.
Kalma Daga
Ko da yake kamar yadda kake gani akwai magunguna daban-daban na IBS, mutane da yawa waɗanda ke da IBS suna gano cewa maganin da suke gwadawa bai isa ba don kawar da bayyanar su. A wasu lokuta, sun fuskanci sakamako mai lalacewa kuma dole su daina shan magani. Abin takaici, maganin ba magani kawai ba ne ga IBS. Sauran zaɓuɓɓuka sun haɗa da magunguna , da gyaran abinci , da kuma hanyoyin kwantar da hankali. Tsaya hanyoyi na sadarwa tare da likita don isa kyakkyawan shirin kulawa da ku.
Sources:
Lacy, B., Chey, W. & Lembo, A. "Sabon Kayan Gwaji da Hanyoyin Gudanar da Zaɓuɓɓuka don Yaduwar Ciwo na Kwala" Gastroenterology & Hepatology 2015 11: 1-19.
Lazaraki, G., Chatzimavroudis, G. & Katsinelos, P. "Ci gaba na cigaba a maganin maganin maganin ciwon jijiyar cututtukan zuciya" World Journal of Gastroenterology 2014 20: 8867-8885.
Peyton, L. & Greene, J. "Madacin Ciwo na Kwala: Na yanzu da Gudanar da Jiyuka Zɓuka" Kayan magani & Kwararru 2014 39: 567-572, 578.
Tack J, Vanuytsel T, Corsetti M. "Gudanar da zamani na rashin jinin ƙwaƙwalwar ƙwayar cuta: Fiye da Motility." Cututtukan Cututtuka 2016; 34: 566-573.
Trinkley, K. & Nahata M. "Magungunan Magungunan Abincin da ba'a Yarda da Kai" Cikiwa 89 89: 253-267.