Njira zazikuluzikulu zogwiritsira ntchito Reflux ya gastroesophageal

Zamkati

• 1. Mankhwala opha tizilombo
• 2. Zoletsa kupanga asidi
• Proton pump pump inhibitors
• Otsutsana ndi mbiri ya Hamine H2
• 3. Zowonjezera kutulutsa kwam'mimba
• 4. Oteteza m'mimba

Njira imodzi yochizira gastroesophageal Reflux ndikuchepetsa acidity wam'mimba, kuti asavulaze kholingo. Chifukwa chake Reflux ikakhala ndi asidi wocheperako imawotchera pang'ono ndikupangitsa zizindikilo zochepa.

Mankhwala omwe angagwiritsidwe ntchito ndi maantacids, zoletsa kupanga asidi, zoteteza m'mimba ndi ma accelerator a kutaya kwam'mimba.

1. Mankhwala opha tizilombo

Maantacids omwe amagwiritsidwa ntchito kwambiri kuti achepetse hydrochloric acid m'mimba ndi aluminium hydroxide, magnesium hydroxide ndi sodium bicarbonate. Mankhwalawa ndi mabasiketi omwe amakhudzana ndi zidulo, amachepetsa mphamvu zawo zowopsa ndikupangitsa madzi ndi mchere.

Maantacids sagwiritsidwa ntchito pafupipafupi chifukwa sagwira ntchito bwino komanso chifukwa choti kuthekera kwakubwerera, ndiye kuti, munthuyo amakhala bwino nthawi yomweyo koma pamenepo pakhoza kukhala kukulira.

Zotsatira zoyipa kwambiri za mankhwalawa ndikudzimbidwa, komwe kumayambitsidwa ndi mchere wa aluminiyamu, kapena kutsegula m'mimba komwe kumachitika chifukwa cha ma antiacids okhala ndi magnesium, chifukwa amayambitsa osmotic m'matumbo. Pofuna kuchepetsa zotsatirazi, ma antacids omwe amagwiritsidwa ntchito kwambiri ndi kuphatikiza kwa magnesium hydroxide ndi aluminium.

2. Zoletsa kupanga asidi

Zoletsa kupanga acid ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochizira gastroesophageal reflux, ndipo amatha kuletsa izi m'njira ziwiri:

Proton pump pump inhibitors

Awa ndi mankhwala azitsamba omwe amagwiritsidwa ntchito pochiza matenda okhudzana ndi kuchuluka kwa katulutsidwe ka gastric acid. Omwe amagwiritsidwa ntchito kwambiri ndi omeprazole, pantoprazole, esomeprazole ndi rabeprazole, zomwe zimasokoneza pulotoni pump, zomwe zimaletsa kupanga hydrochloric acid m'mimba.

Zotsatira zoyipa kwambiri zomwe zingachitike ndikugwiritsa ntchito mankhwalawa ndi kupweteka mutu, kutsekula m'mimba, zotupa, kupweteka m'mimba, kupunduka, nseru ndi kudzimbidwa.

Otsutsana ndi mbiri ya Hamine H2

Mankhwalawa amaletsa kutsekemera kwa asidi chifukwa cha histamine ndi gastrin ndipo omwe amagwiritsidwa ntchito kwambiri ndi cimetidine, nizatidine ndi famotidine.

Zotsatira zoyipa zomwe zimadza chifukwa chogwiritsa ntchito mankhwalawa ndi kutsegula m'mimba, kupweteka mutu, kuwodzera, kutopa, kupweteka kwa minofu ndi kudzimbidwa

3. Zowonjezera kutulutsa kwam'mimba

Mimba ikadzaza kwambiri, gastroesophageal Reflux imatha kuchitika.Chifukwa chake, kuti mupewe izi, kutsekeka kwa m'mimba kumatha kulimbikitsidwa ndi mankhwala a prokinetic monga metoclopramide, domperidone kapena cisapride omwe amathandizira kutulutsa kwa m'mimba, potero amachepetsa nthawi yomwe chakudya chimatsalira m'mimba, kupewa Reflux.

Zotsatira zoyipa kwambiri zomwe zimatha kuchitika ndikugwiritsa ntchito metoclopramide ndiko kugona, kumva kufooka, kusakhazikika, kuthamanga magazi komanso kutsegula m'mimba. Kuphatikiza apo, ngakhale kawirikawiri, zovuta zam'mimba zimatha kugwiritsidwa ntchito kwa domperidone ndi cisapride.

4. Oteteza m'mimba

Oteteza m'mimba amathanso kugwiritsidwa ntchito pochizira m'mimba reflux, yomwe imateteza kum'mero, kupewa kuwotcha pamene zomwe zili m'mimba zimadutsa m'mero.

Nthawi zambiri, chamoyo chimakhala ndi njira yomwe imatulutsira mamina omwe amateteza kulowa m'mimba, kuteteza asidi kuti asawawononge, koma m'malo ena azovuta komanso kugwiritsa ntchito mankhwala ena, kutulutsa kwa ntchofu kumatha kuchepa ndikupereka nkhanza wa mucous. Zoteteza m'mimba zomwe zingagwiritsidwe ntchito m'malo mwa ntchentchezi ndi mchere wa sucralfate ndi bismuth womwe umalimbikitsa chitetezo cham'mimba ndikupanga chotchinga m'mimba ndi m'mimba.

Zotsatira zoyipa zomwe zimachitika chifukwa cha mchere wa bismuth ndikumdima kwa chimbudzi, chizungulire, kupweteka mutu, mseru, kusanza, kutsegula m'mimba ndi matenda amisala.

Sucralfate nthawi zambiri imaloledwa bwino ndipo zotsatira zake zoyipa ndizodzimbidwa. Komabe, imathanso kuyambitsa mkamwa mouma, nseru, kusanza, kupweteka mutu ndi zotupa pakhungu.

Palinso zithandizo zapakhomo zomwe zitha kuthandizira kuchipatala. Pezani omwe akugwiritsidwa ntchito kwambiri.