Proton pump pump inhibitors

Proton pump inhibitors (PPIs) ndi mankhwala omwe amagwira ntchito pochepetsa kuchuluka kwa asidi m'mimba opangidwa ndi tiziwalo timene timatulutsa m'mimba mwanu.

Proton pump inhibitors amagwiritsidwa ntchito:

• Pewani zizindikiro za asidi Reflux, kapena gastroesophageal Reflux matenda (GERD). Umu ndi momwe chakudya kapena madzi amasunthira kuchokera mmimba kupita kummero (chubu kuchokera mkamwa kupita mmimba).
• Chitani zilonda zam'mimba zam'mimba kapena m'mimba (chapamimba).
• Onetsetsani kuwonongeka kwa m'mimba komwe kumayambitsidwa ndi acid reflux.

Pali mayina ambiri ndi mitundu ya ma PPIs. Ambiri amagwira ntchito mofananamo. Zotsatira zoyipa zimatha kusiyanasiyana ndi mankhwala.

• Omeprazole (Prilosec), yomwe imapezekanso pa-counter (popanda mankhwala)
• Esomeprazole (Nexium), yomwe imapezekanso pa-counter (popanda mankhwala)
• Lansoprazole (Prevacid), yomwe imapezekanso pa-counter (popanda mankhwala)
• Mphungu (AcipHex)
• Pantoprazole (Protonix)
• Dexlansoprazole (Wosokoneza)
• Zegerid (omeprazole yokhala ndi sodium bicarbonate), yomwe imapezekanso pa-counter (popanda mankhwala)

Ma PPI amatengedwa pakamwa. Amapezeka ngati mapiritsi kapena makapisozi. Nthawi zambiri, mankhwalawa amatengedwa mphindi 30 isanakwane chakudya choyamba tsikulo.

Mutha kugula zina zama PPIs m'sitolo popanda mankhwala. Lankhulani ndi wothandizira zaumoyo wanu ngati mukuwona kuti muyenera kumwa mankhwalawa masiku ambiri. Anthu ena omwe ali ndi asidi Reflux angafunike kumwa ma PPI tsiku lililonse. Ena amatha kuwongolera zizindikiro ndi PPI tsiku lililonse.

Ngati muli ndi zilonda zam'mimba, dokotala wanu akhoza kukupatsani mankhwala a PPIs ndi mankhwala ena awiri kapena atatu kwa milungu iwiri. Kapena wothandizira wanu akhoza kukupemphani kuti mumwe mankhwalawa kwa milungu 8.

Ngati wothandizira wanu akupatsirani mankhwala awa:

• Tengani mankhwala anu onse monga akuuzirani.
• Yesetsani kuwatenga nthawi yomweyo tsiku lililonse.
• Osasiya kumwa mankhwala anu osalankhula ndi omwe amakupatsani chithandizo choyamba. Tsatirani wothandizira wanu nthawi zonse.
• Konzekerani pasadakhale kuti mankhwala musataye. Onetsetsani kuti muli nazo zokwanira mukamayenda.

Zotsatira zoyipa zochokera ku PPIs ndizosowa. Mutha kukhala ndi mutu, kutsegula m'mimba, kudzimbidwa, nseru, kapena kuyabwa. Funsani omwe akukuthandizani pazomwe zingachitike chifukwa chogwiritsa ntchito nthawi yayitali, monga matenda opatsirana ndi mafupa.

Ngati mukuyamwitsa kapena muli ndi pakati, lankhulani ndi omwe amakuthandizani musanamwe mankhwalawa.

Uzani dokotala wanu ngati mukumwenso mankhwala ena. Ma PPI amatha kusintha momwe mankhwala ena amagwirira ntchito, kuphatikiza mankhwala ena oletsa kulanda komanso ochepetsa magazi monga warfarin kapena clopidogrel (Plavix).

Itanani omwe akukuthandizani ngati:

• Mukukumana ndi zovuta kuchokera ku mankhwalawa
• Mukukumana ndi zizindikilo zina zachilendo
• Zizindikiro zanu sizikusintha

Ma PPI

Aronson JK. Proton pump pump inhibitors. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Walthman, MA: Elsevier; 2016: 1040-1045.

Katz PO, Gerson LB, Vela MF. Ndondomeko zakuwunika ndikuwunika kwa matenda am'mimba a reflux am'mimba. Ndine J Gastroenterol. 2013; 108 (3): 308-328. (Adasankhidwa) PMID: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381.

Kuipers EJ, Blaser MJ. Matenda a peptic. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 139.

Richter JE, Friedenberg FK. Matenda a reflux am'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 44.