Nā mea hoʻopukapuka Proton

Proton pump inhibitors (PPIs) he mau lāʻau lapaʻau e hana ma ka hōʻemi ʻana i ka nui o ka waikawa ʻōpū i hana ʻia e nā glands i ka pale o kou ʻōpū.

Hoʻohana ʻia nā mea kūpale Proton i:

• Hōʻoluʻolu i nā ʻōuli o ka reflux acid, a i ʻole ka maʻi reflux gastroesophageal (GERD). ʻO kēia kahi ʻano e neʻe ai ka meaʻai a wai paha mai ka ʻōpū a i ka esophagus (ka paipu mai ka waha a ka ʻōpū).
• Hana i kahi duodenal a i ʻole ʻōpū (gastric) ulcer.
• E mālama i ka hōʻino i ka esophagus haʻahaʻa i hoʻokumu ʻia e ka reflux acid.

Nui a hewahewa nā inoa o nā PPI. Hana like pū ka hapa nui. Hiki ke hoʻololi i nā hopena ʻaoʻao mai ka lāʻau i kahi lāʻau.

• ʻO Omeprazole (Prilosec), loaʻa pū ʻia ma ka-counter (me ka ʻole o ka palapala kuhikuhi)
• ʻO Esomeprazole (Nexium), loaʻa pū ʻia ma ka-counter (me ka ʻole o ka palapala kuhikuhi)
• Lansoprazole (Prevacid), loaʻa pū ʻia ma ka-counter (me ka ʻole o ka palapala kuhikuhi)
• ʻO Rabeprazole (AcipHex)
• Pantoprazole (Protonix)
• Dexlansoprazole (Dexilant)
• ʻO Zegerid (omeprazole me ka sodium bicarbonate), loaʻa pū ʻia me ka counter (me ka ʻole o ka palapala kuhikuhi)

Lawe ʻia nā PPI e ka waha. Loaʻa lākou e like me nā papa a i ʻole nā ​​capsule. ʻO ka maʻamau, lawe ʻia kēia mau lāʻau i 30 mau minuke ma mua o ka ʻai mua o ka lā.

Hiki iā ʻoe ke kūʻai i kekahi mau lama o nā PPI ma ka hale kūʻai me ka ʻole o ka kuhikuhi. E kamaʻilio me kāu mea mālama ola inā ʻike ʻoe he pono ʻoe e lawe i kēia mau lāʻau i nā lā he nui. Pono paha kekahi poʻe i loaʻa ka reflux waikawa e lawe i nā PPI i kēlā me kēia lā. Hiki i kekahi poʻe ke kaohi i nā hōʻailona me kahi PPI i kēlā me kēia lā.

Inā loaʻa iā ʻoe kahi maʻi maʻi peptic, hiki i kāu kauka ke kuhikuhi i nā PPI me 2 a 3 mau lāʻau ʻē aʻe a hiki i 2 mau pule. A i ʻole e noi paha kāu mea lawelawe iā ʻoe e lawe i kēia mau lāʻau no 8 mau pule.

Inā kuhikuhi kāu mea lawelawe i kēia mau lāʻau no ʻoe:

• E lawe i kāu mau lāʻau āpau e like me ka mea i haʻi ʻia iā ʻoe.
• E hoʻāʻo e lawe iā lākou i ka manawa like i kēlā me kēia lā.
• Mai hōʻoki i ka lawe ʻana i kāu lāʻau i ke kamaʻilio ʻole ʻole ʻana me kāu mea hāʻawi. E hāhai mau me kāu mea hoʻolako.
• E hoʻolālā i mua o pau ʻole kāu lāʻau. E ʻike pono ua lawa ʻoe me ʻoe ke hele huakaʻi.

ʻAʻohe laha nā hopena ʻaoʻao mai nā PPI. Hiki paha iā ʻoe ke ʻeha ke poʻo, diarrhea, constipation, nausea, a i ʻole nā ​​aniani. E nīnau i kāu mea hāʻawi e pili ana i nā hopohopo e pili ana i ka hoʻohana wā lōʻihi, e like me nā maʻi a me nā haki iwi.

Inā hānai ʻoe a hapai paha, e kamaʻilio me kāu kauka olakino ma mua o ka lawe ʻana i kēia mau lāʻau.

E haʻi i kāu kauka inā lawe pū ʻoe i nā lāʻau ʻē aʻe. Hoʻololi paha nā PPI i ke ʻano o ka hana ʻana o kekahi mau lāʻau, me nā lāʻau anti-seizure a me nā mea lahilahi e like me warfarin a i ʻole clopidogrel (Plavix)

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā hopena ʻē aʻe mai kēia mau lāʻau
• Loaʻa iā ʻoe nā ʻōuli ʻē aʻe
• ʻAʻole hoʻomaikaʻi kāu mau ʻōuli

PPI

Aronson JK. Nā mea hoʻopukapuka Proton I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Walthman, MA: Elsevier; 2016: 1040-1045.

Katz PO, Gerson LB, Vela MF. Nā ʻōkuhi no ka ʻike a me ka mālama ʻana i ka maʻi reflux gastroesophageal. ʻO Am J Gastroenterol. 2013; 108 (3): 308-328. PMID: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381.

Kuipers EJ, Blaser MJ. Maʻi maʻi peptic I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 139.

Richter JE, Friedenberg FK. ʻO ka maʻi reflux Gastroesophageal. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 44.