Wasu mutanen da aka bi da su tare da NSAIDs Ɗauki Magoya Mai Sanya Proton
Magunguna masu kwantar da hankali, wanda aka kira su magungunan PPI, sune magungunan kwayoyi waɗanda aka umurce su don magance ƙwannafi, GERD (cututtukan gastroesophageal), ulcers , ko wasu yanayi da ke hade da ƙwayar ciki. Proton pump inhibitors aiki ta hanyar hana wani enzyme da ya zama dole domin yin acid a cikin ciki. Ta hanyar hana enzyme, samar da albarkatun ruwa ya ragu.
Ta Yaya Ayyukan Rashin Faɗakarwa na Proton?
Fitaccen proton shi ne kwayoyin da aka samo a cikin wasu kwayoyin jikinsu (ciki). Yin aiki a matsayin na'urar kwayoyin, fom din proton yana dauke da wani potassium mai tarin mai daga cikin ciki kuma ya maye gurbin shi tare da wani acid hydrogen ion. Ta hanyar saka gashin hydrogen a cikin ciki, tofafan proton yana kara yawan acidity na ciki. Tsarin ruwa ya zama dole don taimakawa wajen karya abinci da taimakon narkewa. Yawancin acid, ko da yake, zai iya ba da ha'inci, wanda zai haifar da ciyawa ko ƙwannafi, kuma zai iya jinkirta warkaswa na ciki. Lokacin da kwayar wuce hadari ya zama matsala, ana amfani da kwayoyi masu kwantar da hanzari na proton a rufe don su rufe fom din proton.
Dalilin da ya sa wasu mutanen da ke dauke da cututtukan arthritis an rubuta su
Mutane da yawa da cututtukan arthritis sunyi amfani da kwayoyi masu tsai da cututtuka (NSAIDs) don magance kumburi da zafi da ke haɗuwa da haɗarsu ta haɗin gwiwa. Duk da yake NSAID sau da yawa wani maganin maganin arthritis, maganin kwayoyi suna hade da haɗari gastrointestinal.
Wannan rikitarwa yafi yawa saboda haramcin prostaglandin ta NSAIDs. Mutanen da ke ɗauke da babban kashi NSAID ko NSAID masu yawa, tsofaffi, ko waɗanda ke da tarihin cutar cututtuka na fata ko kuma zubar da ciki na gastrointestinal suna da haɗari ga matsaloli daga NSAIDs.
Don rage haɗarin rikice-rikice na gastrointestinal, ana iya yin shawara ga mutanen da ke dauke da ciwon maganin ƙwaƙwalwar COX-2 (misali, Celebrex ), ko kuma na gargajiya na NSAID (misali, naproxen , ibuprofen ) tare da misoprostol ko mai hana kwalliyar proton.
Ana amfani da misoprostol sau da yawa a rana, yana iya haifar da zawo, kuma yana iya haifar da rashin lalacewa, rashin aiki, ko lahani na haihuwa-don haka, ana amfani da magungunan PPI yawanci. Akwai kuma Vimovo , magani wanda ya hada da NSAID (naproxen) da kuma PPI (esomeprazole) a cikin kwayar guda daya.
Haɗuwa da miyagun ƙwayoyi na PPI tare da NSAID ba lallai ba ne a duk lokuta. Magungunan PPI sun zama sun yi amfani da su. An yi amfani da kwayoyin PPI, da kuma tallafawa ga masu amfani da likitoci, don magance matsalolin ciki ko ƙwannafi a yayin da magungunan da suke kan gaba, ciki har da magunguna (Maalox, Mylanta, TUMS) ko H2 masu satar (Tagamet, Pepcid, da Zantac) ), zai isa.
Akwai sharuɗɗa masu mahimmanci wanda ke taimakawa wajen magance cutar ta NSAID:
- Yi amfani da NSAID daya kawai a lokaci guda, ba mawallafin NSAID ba.
- Yi amfani da kashi mafi ƙasƙanci na NSAID kuma don gajeren lokacin da zai yiwu.
- Kada ku yi amfani da NSAIDs yayin da wasu zabin maganin aiki ( analgesics , injection-injection ).
- Yi NSAID tare da abinci.
- Kada ka watsar da bayyanar cututtuka na gastrointestinal; tattauna da likitanku.
- Mutane da rashin cancanta, cututtuka na masu ciwon ƙwayar cuta, zubar da jini na zafin jiki, aspirin / Husacin jini na NSAID, hauhawar jini ba tare da rikici ba, ko cutar cututtukan zuciya ya kamata ya guje wa NSAIDs.
Availability
Ana amfani da magungunan PPI duka biyu da magungunan kwayoyi kawai, dangane da abin da ka zaɓa. A cewar rahotanni masu amfani , kwayoyi sune daidai da daidaito da aminci amma sun bambanta a farashi.
- Omeprazole (Prilosec, Prilosec OTC)
- Lansoprazole (Prevacid, Prevacid 24 hr)
- Omeprazole / sodium bicarbonate (Zegerid, Zegerid OTC)
- Pantoprazole (Protonix)
- Esomeprazole (Nexium)
- Dexlansoprazole (Kapidex)
- Rabeprazole (Aciphex)
Damuwa Damuwa
Baya ga cututtuka na kowa (ciwon kai, zazzabin), akwai wasu matsalolin tsaro da suka shafi magungunan PPI, kamar:
- Ƙarin haɗarin kamuwa da cuta
- Ƙarin haɗarin kamuwa da cuta tare da kwayoyin cutar Clostridium da wahala wanda zai haifar da cututtuka mai tsanani
- Rashin haɗari na kasusuwa na kasuwa, ciki har da rarrabawar wutsiya, tare da amfani da tsawon lokaci
- Rage tasiri na Plavix (clopidogrel) don ɗaukar jini
- Abubuwan da za a iya yin hulɗa da ƙananan ƙwayoyin wasu kwayoyi da kari
Layin Ƙasa
Babu bambanci fiye da kowane magani, da amfani da hadari na PPI dole ne a auna su a kowane hali. Wasu mutane bazai buƙatar magungunan PPI su gudanar da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ko GERD ba, ko da yake sun riga an tsara su. Kada ka dakatar da kwayoyi ba tare da tattauna shi da likitanka ba. Tsayawa ba zato ba tsammani zai iya ƙara yawan bayyanar cututtuka.
Mutane da ciwon maganin ƙwaƙwalwar ƙwayar cuta zasu iya rage haɗarin rashin ciwo gastrointestinal hade da yin amfani da NSAID ba tare da shan kwayoyin PPI ba. Ka tuna, ko da magungunan PPI suna da garanti don yanayinka na musamman, amfani da lafiya yana nufin kawai shan magungunan idan har ya kamata.
> Sources:
> Yin amfani da masu kwantar da hankalin Proton Pump to Treatburnburn and Acom Acid Reflux. Masu amfani da rahotanni. Updated Yuli 2013.
> Arthritis Rheumatoid: Sanin asali da Jiyya. Cush J et al. Buga na Uku. Kasuwancin Sadarwa, Inc. Copyright 2010.
> Shin PPI suna da sakamako mai tsawo? Harkokin Kula da Kiwon Lafiyar Kiyaye na Harvard. Fabrairu 2009.
> Bayani mai mahimmancin bayani game da fassarar Proton. FDA ta Amurka. Updated 4/12/2016.