Nā poloka H2

ʻO nā H2 blockers he lāʻau lapaʻau e hana ma ka hōʻemi ʻana i ka nui o ka waikawa ʻōpū i hūnā ʻia e nā glands i ka pale o kou ʻōpū.

Hoʻohana ʻia nā mea pale H2 i:

• Hōʻoluʻolu i nā ʻōuli o ka reflux acid, a i ʻole ka maʻi reflux gastroesophageal (GERD). ʻO kēia kahi kahi e neʻe ai ka meaʻai a wai paha mai ka ʻōpū i loko o ka esophagus (ka paipu mai ka waha a ka ʻōpū).
• Hana i ka peptic a i ʻole ka ulcer ʻōpū.

Aia nā inoa like ʻole a me nā mana o nā mea pale H2. Loaʻa nā mea āpau ma luna o ka pākaukau me ka ʻole o ka lāʻau. Hana like pū ka hapa nui. Hiki ke hoʻololi i nā hopena ʻaoʻao mai ka lāʻau i kahi lāʻau.

• Famotidine (Pepcid AC, Pepcid ʻallelo)
• Cimetidine (Tagamet, Tagamet HB)
• Ranitidine (Zantac, Zantac 75, Zantac Efferdose, Zantac injection, a me Zantac Syrup)
• Nā Capsules Nizatidine (Axid AR, Nā Capsule Axid, Nā Capsules Nizatidine)

Lawe pinepine ʻia nā poloka H2 e ka waha. Hiki iā ʻoe ke kiʻi iā lākou i ke ʻano o nā papa, nā wai, a i ʻole nā ​​capsule.

• Lawe pinepine ʻia kēia mau lāʻau me ka ʻai mua o ka lā. I kekahi mau hihia, lawe paha ʻoe iā lākou ma mua o kāu pāʻina ahiahi.
• 30 a 90 paha mau minuke no ka hana o nā lāʻau. E mau ana nā pōmaikaʻi i mau hola. Lawe pinepine ka poʻe i nā lāʻau i ka wā moe, pū kekahi.
• Hiki ke hoʻomaikaʻi ʻia nā ʻōuli a hiki i 24 mau hola ma hope o ka lawe ʻana i ka lāʻau.

Hiki ke kūʻai ʻia i nā mea pale H2 i nā kaha haʻahaʻa ma ka hale kūʻai me ka ʻole o ka lāʻau. Inā ʻike ʻoe iā ʻoe iho e lawe i kēia mau lā he nui no 2 mau pule a ʻoi paha no nā hōʻailona acid reflux, e ʻike pono ʻike ʻoe i kāu kauka olakino e pili ana i kāu mau hōʻailona.

Inā loaʻa iā ʻoe kahi maʻi maʻi peptic, hiki i kāu mea hoʻolako ke kuhikuhi i nā mea pale H2 me 2 a 3 mau lāʻau ʻē aʻe a hiki i 2 mau pule.

Inā hāʻawi kāu mea hāʻawi i kēia mau lāʻau no ʻoe:

• E lawe i kāu mau lāʻau āpau e like me ka ʻōlelo a kāu mea hāʻawi 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 i 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 o ka H2 blockers.

• Famotidine. ʻO ka hopena ʻaoʻao maʻamau ka maʻi poʻo.
• Cimetidine. ʻAʻohe laha nā hopena ʻaoʻao. Akā hiki ke loaʻa i ka diarrhea, dizziness, rashes, headache, a me gynecomastia.
• Ranitidine. ʻO ka hopena ʻaoʻao maʻamau ka maʻi poʻo.
• Nizatidine. ʻAʻohe laha nā hopena ʻaoʻao.

Inā hānai ʻoe a hapai paha, e kamaʻilio me kāu mea hoʻolako ma mua o ka lawe ʻana i kēia mau lāʻau. Inā loaʻa iā ʻoe nā pilikia ʻōpū, mai hoʻohana i ka famotidine me ke kamaʻilio ʻole ʻana i kāu mea hāʻawi.

E haʻi i kāu mea hāʻawi e pili ana i nā lāʻau ʻē aʻe āu e lawe nei. Hiki i nā mea pale H2 ke hoʻololi i ke ʻano o ka hana ʻana o kekahi mau lāʻau. ʻOi aku ka liʻiliʻi o kēia pilikia me cimetidine a me nizatidine.

Kāhea i kāu mea hāʻawi inā:

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

Maʻi maʻi peptic ulcer - H2 blockers; PUD - H2 mea pale; ʻO reflux Gastroesophageal - nā mea pale H2; GERD - nā poloka H2

Aronson JK. ʻO nā antagonist receptor Histamine H2. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Walthan, MA: Elsevier; 2016: 751-753.

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.

Waller DG, Sampson AP. ʻO Dyspepsia a me ka maʻi peptic ulcer. I: Waller DG, Sampson AP, eds. Lapaʻau ʻo Pharmacology a me Therapeutics. 5th lā. Piladelapia, PA: Elsevier; 2018: 401-410.