Bautar jiki ga Prilosec, Prevacid, Nexium, Aciphex da Protonix
Ana amfani da magunguna na Proton Pump (PPIs) da magunguna don maganin cututtuka na maganin gastroesophageal (GERD) , cututtuka na cututtuka , da kuma maganin cututtuka. Hanyoyin PPI sunyi amfani da farashin ruwa a cikin ciki, saboda haka rage yawan samar da albarkatun ruwa, kuma suna da matukar tasiri a zaluntar cututtukan cututtuka na gastrointestinal.
Akwai adadin masu hana kwance a cikin kasuwa, ciki har da omeprazole (Prilosec), esomeprazole (Nexium), pantoprazole (Protonix), rabeprazole (Aciphex) da lansoprazole (Prevacid). Kullum, PPI suna da lafiya masu magunguna tare da 'yan rinjaye. Wannan shi ne dalilin dalili da cewa an yi amfani da omeprazole da lansoprazole a kan-da-counter / ba tare da takardun magani ba (kamar yadda aka rubuta kwanan wannan labarin, esomeprazole, pantoprazole, da rabeprazole ne kawai ta hanyar izini).
Sanin ganewa da rashin lafiya ga Proton Pump Inhibitors
Rashin halayen rashin tausayi ga masu zanga-zangar kwantar da hanzari ba su da yawa amma suna faruwa. Yawancin wadannan halayen sun hada da urticaria , fuka, har ma anaphylaxis . Yana da wuya a gano wani PPI a matsayin hanyar rashin lafiyanta tun lokacin da wasu magunguna, ciki har da NSAIDs da maganin rigakafi kamar su penicillin , ana ba su tare da PPI don taimakawa wajen hana ciwon ciki ko kuma kula da cututtukan Helicobacter pylori .
An gudanar da bincike daban-daban a kan mutanen da suka fuskanci cututtuka sakamakon rashin lafiyar masu kwantar da hankalin proton. Gwajin fata , ciki har da prick da hanyoyin intradermal, an yi ta amfani da PPI (da sauran magunguna da mutum yake ɗauka) wanda zai iya haifar da rashin lafiyar.
Wadannan gwaje-gwaje na fata sun zama masu taimakawa wajen gane dalilin rashin lafiyar, musamman ma lokacin da PPI ke haifarwa. Kalubalen maganganun da ake amfani da mai laifi PPI sun haifar da alamun bayyanar cututtuka lokacin da gwajin fata yake da kyau. Duk da haka, mutanen da ke da gwajin fata ba su da ikon yin haƙuri a kan PPI a yayin tambaya yayin gwagwarmaya.
Tsunin daji tsakanin ƙwararruwar Proton Pump Inhibitors
Masanan sunadaran gyaran famfo guda biyar ba su raba tsarin sunadarai guda daya, wanda ya nuna cewa idan mutum yana fama da rashin lafiyar wani PPI, za'a iya jure ɗaya ko fiye da sauran PPI. Nazarin da aka yi a kan gicciye-reactivity na proton pump inhibitors sun gano cewa mutanen da ke shan damuwa ga omeprazole suna shan damuwa ga pantoprazole (kuma a madaidaiciya), kuma mutanen da ke rashin lafiyar lansoprazole suna da rashin lafiyar rabeprazole (da kuma a madaidaiciya). Wannan sinadarin giciye ne saboda irin wadannan sifofi tsakanin wasu PPI; rashin rashin daidaituwa tsakanin sauran PPI na iya ƙyale mutumin da ke fama da rashin lafiyar wani PPI don jure wa wani PPI. Alal misali, mutanen da ke shan damuwa ga omeprazole ko pantoprazole suna iya ɗaukar lansoprazole ko rabeprazole, kuma wadanda ke fama da lansoprazole ko rabeprazole sukan iya daukar omeprazole ko pantoprazole.
Ga mutanen da suka shawo kan rashin lafiyar jiki saboda sakamakon shan magunguna na proton, gwajin fata zai iya taimaka wajen tabbatar da ganewar asali. Idan gwaji na fata ga mai laifi PPI yana da kyau, to, za a iya gwada gwajin fata zuwa PPI mai karɓa ba a ƙoƙarin neman PPI wanda mutumin zai iya jurewa ba. Duk da haka, ƙalubalen gwaji, da aka yi a karkashin kulawar kiwon lafiya, ya kamata a yi tare da PPI mai ba da jimawa (tare da gwajin fata) don tabbatar da cewa an dakatar da shi lafiya.
Ƙara koyo game da ganewar asali da kuma maganin rashin lafiyar miyagun ƙwayoyi .
> Sources:
> Bonadonna P, et al. Maida hankali ga masu kwantar da hankalin Proton Pump: Cikakken Tabbatar da Fatawoyi na Fata wanda aka kwatanta da Gwajin gwaji. J Allergy Clin Immunol. 2012; 130 (2): 547-9.
> Chang YS. Ayyukan Hypersensitivity to Proton Pump Inhibitors. Curr Opin Allergy Clin Immunol. 2012; 12: 348-53.
> Lobera T, et al. Uku Cases na Omeprazole Allergy. Tsunin daji tsakanin ƙwararruwar Proton Pump Inhibitors. J Investig Allergol Clin Immunol. 2009; 19: 57-60.
> Perez Pimiento AJ, et al. Rashin kamuwa da cutar ga Lansoprazole da Rabeprazole tare da hakuri ga sauran masu hana kwantar da hankalin Proton Pump. 2006; 117 (3): 707-8.