Qaar ka mid ah Noocyada Proton Pump-ka ah ayaa Laga Baahan Yahay
Daawooyinka rijeetada loo isticmaalo ee loogu talagalay daaweynta Cudurka Gastroesophageal Reflux Disease (GERD) waa mishiinnada mashiinka proton (PPIs).
Badeecadaha mashiinka difaacu waa kuwa hoos u dhigaya acid. Dhakhaatiirtu waxay qoraan PPIs si ay ula dhaqmaan dadka xaalado dhowr ah oo ay ka mid yihiin:
- Jilbaha (xanuunka qanjirka 'gastroesophageal reflux')
- Cabbirrada caloosha ama mindhicirka
- Daaweyn loogu talagalay helista pylori
- Cudurka caloosha oo ka badan ( Zollinger-Ellison Syndrome )
Sidee buu u shaqeeyaa?
Mid ka mid ah sababaha loo soo celiyo badeecada difaaca ayaa badanaa loo qoraa sababta oo ah waxay u muuqdaan inay si fiican u yareeyaan miyir-beelka.
Calooshaada waxay soo saartaa acid si ay u caawiso burburinta cuntada sidaa daraadeed way sahlan tahay in la dheefshiido. Duruufaha qaarkood, asiidhkani wuxuu ka xanaajin karaa maqaarka caloosha iyo duodenka (magaca caafimaadka ee qaybta sare ee mindhicirkaaga yar) taas oo keena xummad iyo xitaa boogaha.
Caloolgu wuxuu ka kooban yahay mashiinka, oo loo yaqaan bamka caloosha ee gastric, kaas oo soo saara caloosha caloosha. PPIs waxay xannibaan dheecaanka of acid ee caloosha adoo xiraya bambooyinkan. Hoos u dhigidda qadarka caloosha caloosha ayaa ka caawin karta boogaha si looga bogsado iyo dib-u-ceshad si ay ufududaan.
Daawooyin Daaweyn ah oo PPI ah
Halkan waxaa ah toddobada PPI ee la heli karo, qaar ka mid ah miisaanka iyo qaar ka mid ah rijeetada oo kaliya:
- Aciphex (Rabeprazole)
- Nexium (Esomeprazole)
- Prevacid (Lansoprazole) -waxaa la heli karaa miiska
- Prilosec (Omeprazole) - waxaa loo heli karaa miiska soo iibsiga
- Protonix (Pantoprazole)
- Dexilant (Dexlansoprazole)
- Zegrid (omeprazole / sodium bicarbonate) - waxaa loo heli karaa bakhaar-gadaal
PPIs ee GERD la daweeyey
Haddii dhakhtarkaagu kugula taliyo PPI in la maareynayo GERD, waxay u badan tahay inuu sidoo kale ku taliyay isbedelka hab nololeedka sida miisaanka lumay (haddii uu culeyskaagu sarreeyo ama cayilan yahay), kor u qaadista madaxa sariirtaada habeenkii, oo aan cunin laba ilaa saddex saacadood ka hor wakhtiga jiifka.
PPIs waxaa badanaa la qaataa maalin kasta 30 illaa 60 daqiiqo kahor quraacda, waxaana la qaadaa ilaa qiyaastii sideed todobaad, taas oo markaa dhakhtarkaagu dib u qiimaynayo sida aad dareensan tahay. Haddii laguu hagaajiyo, dhakhtarkaagu wuu yareyn karaa qiyaastaada ama xitaa joojinta daawadaada. Iyada oo jawaab celin ah, dhakhtarkaagu wuxuu kordhin karaa qiyaastaada laba jeer maalintii. Haddii aadan weli helin gargaar GERD, dhakhtarkaagu wuxuu u badan yahay inuu kuu gudbiyo dhakhtar takhasus leh (dhakhtarka gastroenter) ama dib u qiimeynta cudurka.
Daaweynta PPI looma jeedo in la qaato waqti dheer, sidaa darteed ujeedadu waa in la qaato qiyaasta ugu hooseysa muddada ugu gaaban oo weli fududayn karta niyadjabkaaga iyo ka hortagga dhibaatooyinka sida boogaha. Tani waa sababta ay ula socoto dhakhtarkaagu inuu yahay mid muhiim ah-sidaas awgeed qorshe daaweyn taxadar leh ayaa loo samayn karaa oo wax laga bedeli karaa hadba sida loogu baahan yahay.
Maxaad ubaahan tahay inaad ogaatid ka hor inta aanad qaadin PPI
Sanadkii 2012, FDA waxay soo saartay digniin loogu talagalay macaamiisha isticmaala PPI waxay la xiriiri karaan khatarta sii kordheysa ee infakshanka, sida pneumonia, iyo sidoo kale shubanka la xiriira Clostridium difficile. Caabuqa bakteeriyada Clostridium difficile wuxuu keenaa saxaro, calool xanuun iyo qandho.
Waxaa intaa dheer, PPIs ayaa lala xiriiriyay nacaybka oo la yareeyay iyo khatarta kordheysa ee lafaha lafaha (dadka qaata qiyaaso badan oo PPIs ah - macnaheedu waa in ka badan hal mar maalintii iyo sanad ama ka badan).
Waxa kale oo lala xiriiriyaa in la yareeyo nuugista magnesium ee mindhicirka, sidaas awgeed dhakhtarkaagu wuxuu hubin karaa heerkaaga magnesium si wakhti ah.
Ereyga
Aad ayey muhiim u tahay in aad qaadato wax daawooyin ah, oo ay ka mid yihiin bambooyinka proton-ka, adigoo raacaya hagida dhakhtarka, xitaa haddii ay diyaar u tahay miiska. Tani waa si loo hubiyo in mashiinka proton-ka difaacu si sax ah loo qaato iyo sababaha saxda ah - ogaanshaha cillad ku habboon waa furaha, maadaama ay jiraan tiro dhibaatooyin caafimaad ah oo u keeni kara GERD.
Ilaha:
> Kuliyada American Gastroenterology. (Juun 2008). Dhibaatooyinka guud ee GI Qaybta 1: Fahan Qaar ka mid ah Daawooyinka Sida badan loo qoray GERD & Ulcers.
> Johnson, T. (Juun 2014). Maamulka Cuntada iyo Maandooriyeyaasha Mareykanka: Isticmaalida Kufsiyada Proto Pump iyo Khatarta Jabka Lafaha ee Dadka Qaangaarka ah.
> Katz, PO, Gerson, LB, Vela Tilmaamaha MF ee loogu talagalay ogaanshaha iyo maareynta cudurka gawracatada 'gastroenteritis'. Am J Gastroenterol. 2013 Mar; 108 (3): 308-28.
> Lanza, FL, Chan, FK, Quigley, EM, Qodobbada Tababbarka Tababarka Kuleejka American College of Gastroenterology. Tilmaamaha loogu talagalay ka-hortagga dhibaatooyinka boogaha la xiriira ee NSAID. Am J Gastroenterol. 2009 Mar; 104 (3): 728-38.
> Maamulka Cuntada iyo Dawooyinka Mareykanka. (Febraayo 2012). Nidaamka Badbaadinta Daroogada ee FDA: Isku- darka shuban-ku-xakameyntu wuxuu la xiriiri karaa daawooyinka aashitada caloosha ee loo yaqaanno mashiinka proton-ka (PPI).