Wasu Masu Haramtaccen Fiti-Tsaren Proton suna Akwai Kayan Kwafi
Mafi magungunan asibitocin da ake amfani dasu domin maganin Gastroesophageal Reflux Disease (GERD) su ne prohibit pump inhibitors (PPIs).
Masu hana kwantar da hankali na Proton su ne masu rage acid. Likitoci sun rubuta takardun PPI don bi da mutanen da yawancin yanayi ciki har da:
- Ƙwannafi (cutar gastroesophageal reflux)
- Ulcers na ciki ko hanji
- Jiyya don Helicobacter pylori
- Abun ciki mai tsayi ( Zollinger-Ellison Syndrome )
Ta yaya PPIs aiki
Ɗaya daga cikin dalilan da ya sa aka haramta wa masu hana kwantar da hankalin proton sau da yawa ne saboda sun ayan samu nasarar taimaka ƙwannafi.
Abun ciki yana samar da acid don taimakawa wajen karya abincin don haka ya fi sauƙi don narkewa. A wasu yanayi, wannan acid zai iya wulakanci ciwon ciki da duodenum (sunan likita don ɓangaren ɓangaren ƙananan ƙwayarku) ya haifar da ƙwannafi da ma ulcers.
Cikin ciki yana dauke da famfo, da ake kira gwaiggen ruwa na ruwa, wadda ke samar da ruwa mai ciki. Hanyoyin PPI sun kakkafa muguncin acid a cikin ciki ta hanyar ɗaurin nauyin wadannan farashin. Rage yawan adadin ciki na ciki zai iya taimakawa wajen warkar da cututtukan daji da kuma nutsewa.
Akwai magunguna na PPI
Anan akwai nau'o'i bakwai na CI, akwai wasu kan-da-counter kuma wasu ta takardun magani kawai:
- Aciphex (Rabeprazole)
- Nexium (Esomeprazole)
- Prevacid (Lansoprazole) - ba a samo kan-da-counter ba
- Prilosec (Omeprazole) - ba a samo kan-da-counter ba
- Protonix (Pantoprazole)
- Dexilant (Dexlansoprazole)
- Zegrid (omeprazole / sodium bicarbonate) - ba a samo kan-da-counter ba
Hanyoyin Wuta A Aiki da GERD
Idan likita ya ba da shawarar PPI don kulawa da GERD, yana iya yiwuwa ya ba da shawarar gyaran salon rayuwa kamar asarar nauyi (idan kisa ko obese), yana ɗaga kan gadonka da dare, kuma ba cin abinci biyu zuwa uku kafin kwanta barci.
Ana amfani da nau'i na PPI sau ɗaya a minti 30 zuwa 60 kafin karin kumallo, kuma ana daukar su kimanin makonni takwas, inda likitanku zai sake gwada yadda kake ji. Idan an inganta ku, likitanku zai iya rage yawan ku ko ma dakatar da magani. Tare da amsa mai mahimmanci, likita na iya kara yawan ku sau biyu a rana. Idan har yanzu har yanzu ba a sami jin dadi ga GERD ba, likitanku zai iya mayar da kai ga likita (gastroenterologist) ko kuma sake gwada ganewar asali.
Jigilar PPI baya nufin ɗaukar lokaci mai tsawo, don haka burin shine ɗaukar shi a mafi ƙanƙanci don lokaci mafi tsawo wanda zai iya rage ƙwannafinka da hana rikitarwa kamar ulcers. Wannan shine dalilin da ya sa mahimmanci tare da likitanku yana da mahimmanci-don haka za'a iya tsara shirin gyaran kulawa da hankali idan an buƙata.
Abin da Ya Kamata Ya Kamata Kafin Ya Sanya Takamarorinku
A 2012, FDA ta ba da gargadi ga masu amfani da cewa yin amfani da PPI zasu iya haɗuwa da ƙari ƙwayar cuta, kamar ciwon huhu, da cututtukan da suka shafi Clostridium wuya. Cutar da kwayar cutar Clostridium da wuya yana haifar da ɗakunan ruwa, ciwon ciki, da zazzaɓi.
Bugu da ƙari, an haɗa nauyin PPI tare da rage yawan ƙwayoyin calcium da kuma kara haɗari da ƙananan kashi (a cikin mutanen da suka dauki asali na PPI-ma'anar fiye da sau ɗaya a rana da shekara guda ko ya fi tsayi).
Har ila yau, an danganta shi da rage rage magnesium a cikin gut, don haka likitanku na iya duba tsarin magnesium a kowane lokaci.
Kalma Daga
Yana da matukar muhimmanci a dauki magunguna, ciki har da masu saran katako na proton, ƙarƙashin jagorancin likita, koda kuwa yana samuwa akan kan-da-counter. Wannan shi ne tabbatar da cewa an karɓa mai cin hanci da katako na proton daidai kuma saboda dalilin dalili - ƙwarewar daidai shine mabuɗin, saboda akwai wasu matsalolin kiwon lafiya waɗanda zasu iya ɗaukar GERD.
Sources:
> Kwalejin Amirka na Gastroenterology. (Yuni 2008). Matsalolin GI na Gida Ƙarin 1: Sanin wasu daga Magunguna Sau da yawa Ana Shirye-shiryen Ga GERD & Ulcers.
> Johnson, T. (Yuni 2014). Abincin Abinci da Drug a Amurka: Yin Amfani da Ma'aikatan Labaran Rashin Lantarki da Rashin Kasa Kashewa a cikin Manya.
> Katz, PO, Gerson, LB, Vela MF Jagora don ganowa da kuma kula da cutar cututtuka na gastroesophageal. Am J Gastroenterol. 2013 Mar; 108 (3): 308-28.
> Lanza, FL, Chan, FK, Quigley, EM, Cibiyar Nazarin Harkokin Kasuwancin Amirka na Gastroenterology. Sharuɗɗa don kare rigakafin cutar ta hanyar ciki na NSAID. Am J Gastroenterol. 2009 Mar; 104 (3): 728-38.
> Cibiyar Abinci da Drug. (Fabrairu 2012). FDA Drug Safety Communication: Clostridium da wuya- haɗin zafin iya hade da kwayoyin ciki da kwayoyi da aka sani da proton pump inhibitors (PPIs).