Baro mukhadaraadka laga soo iibsan karo mishiinnada daaweyntu ay daaweyn karaan dhibaatooyinka dheefshiidka
Haddii aad qabto cudurka bararka ama "celiac gluten" , waxaad murugo u tahay caadadaada mindhicirka sida shubanka, caloosha, ama xummad. Dhibaatooyinka Gluten waxay si joogto ah u socdaan arrimaha gacanta caloosha.
Haddaba xaggee baad u jeesan kartaa calaamadaha marmarka qaarkood? Marka ay soo baxdo, waxaa jira dhowr daawooyinka shubanka ah ee shubanka ah, caloosha jilicsan ee aan lahayn gluten-free, iyo antacids-free antacids oo ay ku jiraan miisaanka ugu badan ee laga yaabo inay suurtagal noqoto inuu ku caawiyo.
Nasiib darro, inkasta, kaliya ma joojin kartid farmashiyaha iyo inaad soo qaado nooc kasta. Qaar badan oo ka mid ah daawooyinka magaca-ugu caansan ee loogu talogalay calool-fadhiga, shubanka, iyo qalafsanaanta looma arko maaddada "gluten-free" ee ay soo saaraan shirkadahooda. Hase yeeshee, waxaa jira waxyaabo kale oo aan lahayn gluten-free alternatives-badanaa dukaamada, laakiin dhowr nooc daawo ah magaca, sidoo kale-laga heli karaa dukaamada ee Maraykanka.
Halkaan waxaa ah hagaha daawooyinka aan caadiga ahayn ee miisaanka loo yaqaan 'glute-free-free counter for the issues for common digestive issues.
Daawooyinka Ka-hortagga Argaggixisada ee "Gluten-free Free Shell"
Shubanku wuxuu noqon karaa calaamadaha cudurka cagaarshowga ugu caansan , sidoo kale waa calaamad muujinaysa xasaasiyad guud. Dad badan ayaa ku dhaco shuban haddii ay ku dhalaalsan yihiin , waxaana laga yaabaa inay isku dayaan inay daaweeyaan shubanka ka hortagga shubanka si ay u arkaan haddii ay ka caawiso calaamadaha.
Waxa kale oo suurtagal ah in shubankaagu uu sababo wax kale oo aan ahayn gluten-laga yaabo in uu ku dhaco ifilada caloosha, ama sunta cuntada . Xaaladahaas, daawo ka baxsan miisaanka ayaa sidoo kale ku caawin karta.
Waxaa jira laba maadooyin oo firfircoon oo ka mid ah daawooyinka ka hortagga shubanka: loperamide hydrochloride iyo bismuth subsalicylate.
Loperamide hydrochloride (laga helayo Imodium) waxay u shaqeysaa dhaqdhaqaaqa yar ee xiidmahaaga, kaas oo markaa u oggolaanaya in jidhkaagu ka soo nuugo dareerahaaga saxaradaada. Bismuth subsalicylate (waxaa laga helaa Pepto-Bismol, dareeraha casaanka ah, iyo kiniinnada qaarkood) waxay u shaqeeyaan inay xirtaan finanka xiidmaha iyo xasilloonaanta, iyo sidoo kale ka hortagida dareere badan oo ka soo galaya saxaradaada.
Daawooyinka shubanka ah ee ka hortagga shubanku waxa aad ka heli doontaa farmashiyo kasta oo ka kooban mid ka mid ah labadan waxyaalood. Halkan waxaa ah burburinta noocyada caanka ah, oo ay weheliso kuwa aan lahayn gluten-free.
Daawooyinka shubanka-ka-baxsan ee shubanka ah waxaa ka mid ah:
- Dareemida iyo Dheecaan 5 Dareemid Dareemid Dareemid (30mL), 8-ounce size . Tani waxay ka kooban tahay walxo firfircoon sida Pepto-Bismol iyo Kaopectate. Fiiri qaybta "gluten-free" ee ku taala sanduuqa saxda ah ee ku yaal sanduuqa.
- Target Up and Up (magaca guriga) loperamide hydrochloride (2mg) xarfaha (loperamide hydrochloride waa qaybta firfircoon ee Imodium). Sanduuqyada nabdoon waxay lahaan doonaan "gluten-free" oo ah meel u dhow Guddiga Xaqiiqada Daroogada.
- Walgreens Tijaabooyin Shuban Ba'an (262 mg) . Maaddooyinka firfircoon ee kuwan ka mid ah waa bismuth subsalicylate. Raadi "magac la'aanta" ee "gluten-free" ee sanduuqa.
- Walgreens Brand Loperamide hydrochloride (1mg) ganaax dareere ah oo dhadhan ah . Tani waa nooc guud oo ah Imodium. Raadi sanduuqyo leh "gluten-free".
Noocyada nooca-shaybaarka ah ee dawooyinka ka hortagga shubanka ma aha kuwo aan lahayn gluten la'aan:
- Imodium: Waxaa sameeyey Johnson & Johnson, khadka Imodium ee alaabooyinka waxa ka mid ah geliyo jilicsan, Imodium AD, dareeraha Imodium AD, Imodium ee carruurta iyo Imodium Multi-Symptom relief (sidoo kale wuxuu daaweeyaa gaas, casiraad, iyo murugo). Alaabooyinka kuma jiraan maaddooyinka "gluten", laakiin Johnson iyo Johnson ayaa sheegay inaan loo balan qaadin inay yihiin gluten-free. Sidaa darteed, dooro Target Up Up iyo Up loperamide hydrochloride ama Walgreens Brand Loperamide hydrochloride ee baakooyinka gluten-free-calaamadeysan.
- Pepto-Bismol: Dareemaha casaanka ah ee la yaqaan, oo laga iibsaday Procter & Gamble si loo daaweeyo shubanka, xummad, caloosha, lallab, gaas, xoqan, iyo buuxda, waxay ku jiraan bismuth subsalicylate. Pepto-Bismol waxay sidoo kale bixisaa kiniinno cufan, kondhom, iyo qaababka carruurta. Alaabooyinka kuma jiraan gluten, sida laga soo xigtay Afhayeenka Warfaafinta & Gamble, laakiin waxaa laga yaabaa in ay kudhacaan iskudhafka faafa ee goobaha lagu sameeyo. Halkii magaca brand-name Pepto-Bismol, tixgeli alaabooyinka ku jira bismuth subsalicylate, sida Walgreens Brand Diarrhea Relief ama Target Up and Up 5 dareeraha dheefshiidka Digestive.
- Kaopectate: Sida Pepto-Bismol, Kaopectate ee qaybta firfircoon waa bismuth subsalicylate. Waxay ka timaadaa cherry, vaniljon, qashinka, iyo max (sidoo kale peppermint) noocyo dareere ah, oo ay weheliso xarimaha la duubay. Sida laga soo xigtay shirkadda Chattem Inc., badeecada Kaopectate ayaan la baarin si loo ogaado waxyaabaha uu ku jiro gluten. Sidaa darteed, waa inaad beddeshaa mid ka mid ah alaabooyinka aan calaamado lahayn ee gluten-ka ah oo ku jira bismuth subsalicylate.
Qeybta ugu hooseysa ee daawooyinka shubanka aan shucaaca lahayn: Daawooyinka magaca ugu caansan-Imodium, Pepto-Bismol, iyo Kaopectate-looma tixgelin karo gluten-free, laakiin waxtarka dukaamaysiga caanka ah waxaa laga heli karaa Target iyo Walgreens.
Maqaar-Xuubka-Gluken-free
Si loo xakameeyo caloosha, waa inaad isku daydaa oo kordhisaa qiyaasta fiyuuska aad isticmaashid. Waxaad samayn kartaa tan adigoo hubiya inaad hesho ilooyin fara badan oo aan lahayn gluten-free diirran ee cuntadaada caadiga ah, ama inaad isticmaasho dheeriga faytamiin la'aanta ah. Kuwani waxay gacan ka geysan karaan kobcinta saxarada waxayna u sahlaan inay ka gudbaan. Dadka qaarkiis waxay sidoo kale ogaadaan in cudurka probiotics ay u muuqdaan in ay si joogto ah u ilaalinayaan (hubi inaad doorato difaac kaliya oo aan lahayn glute-free protiobics).
Si kastaba ha noqotee, markaad dhab ahaantii caloosha ku jirtid - haddii ay calooshu ka timaaddo cudurada baruurta ama sababo kale - waxaa jira dhowr waxyaalood oo aad ku heli kartid daawooyinka aad uga soo horjeeda.
Tijaabooyinka saxarada, oo loo tixgeliyo nadaafadayaasha ugu caansan, waxay ku shaqeeyaan adigoo ka caawinaya jirkaaga dareeraha isku dhafan ee saxaradaada, jilciya saxarada iyo u sahlidda inaad ka gudubto. Daawooyinka loo isticmaalo sida jilicisyada saxarada waxaa ka mid ah dokumantiga.
Dhanka kale, waxaa loo yaqaan 'osmotic laxatives' dhab ahaantii waxay kaa caawinayaan inaad dheecaan dheecaan u galiso mindhicirradaada iyo saxaradaada, sida (sida saxaro jilicsan) waxay ka dhigtaa saxarada sahlan. Xalka polyethylene glycol iyo magnesium hydroxide ayaa ah laba tusaale oo ka mid ah nalalka Osmotic.
Ugu dambeyntii, caloosha jilicsan ayaa dhab ahaantii ka dhigeysa qandaraaskaaga mindhicirkaaga weyn si aad u dhaqaajiso saxarada. Sababtoo ah calaamadaha caloosha ayaa loo arkaa inay adag yihiin waxayna noqon karaan kuwo xariif ah, waa in aanad u isticmaalin wax ka badan dhowr maalmood waqti kasta. Senna iyo bisacodyl ayaa ah laba tusaale oo ka mid ah caloosha jilicsan.
Halkan waxaa ku qoran liistada jejebiyeyaasha loo yaqaan 'gluten-free':
- Colace: Khadadkaas jimicsiga iyo saxaro jilicsan ayaa ka kooban saddex siyood oo kala duwan: Kaadaysiyada Colace, Colace Clear Clears, iyo Kiniiniyada Peri Colace. Colace iyo Colace Clear mid kasta oo ku jira 100mg oo ka mid ah saxaraha jilicsan ee saxarada ah, halka Kiniinada Peri Colace ay ku jiraan soodhiyaal iyo soodhawaajiga kicinta. Sida laga soo xigtey soo saaraha, dhammaan saddexda noocba waa kuwa aan lahayn gluten-free, iyo Colace Clear waa shahaadada la'xaad la'aanta ah ee loo yaqaan 'Celiac Support Association', taas oo u baahan in la tijaabiyo alaabta si loo hubiyo in ay ka kooban yihiin 5 qaybood halkii milyan ee gluten ah.
- Senokot: Marka la eego magaca, waxaad saxsan tahay inaad ku fekereyso in calaamadani ay ku sameyso calool-dhexaadiyaha ku salaysan. Waxaa jira saddex nooc oo kala duwan oo Senokot ah oo la heli karo: Senocot (waxtar firfircooni waa sennosides 8.6mg), Senocot-S (waxaa ku jira labadaba sennosides 8.6mg iyo documate sodium 50mg), iyo SenocotXTRA (oo ku jira sennosides ee xoogga labajibaaran-17.2mg). Dhammaan saddexda nooc ee Senokot waa gluten-free, sida laga soo xigtay afhayeenka shirkadda Purdue Products LP
- MiraLAX: MiraLAX waxaa la heli karaa oo kaliya sida budo ah oo ah noocyo kala duwan oo kala duwan, iyo walxaha firfircooni waa gaaska la gooyo (17mg), kiniiniga osmotic. Si aad u isticmaasho MiraLAX, waxaad ku shubtaa biyo ama cabitaan kale. Sida laga soo xigtay shirkadda Bayer, MiraLAX ayaa loo tixgeliyaa in aan la isticmaalin gafka.
Noocyada magac-yaxaasiyadeed ee la yiraahdo looma arko "gluten-free":
- Dulcolax: Magaca caanka ah ee Sanofi, wuxuu soo bandhigaa toddoba waxyaabo oo kala duwan, oo ay ku jiraan kaniiniyada iyo caloosha jilciya kuwaas oo daaweynaya calool-istaagga iyo gaasta. Kuwa loo calaamadeeyey sida calool-gariirka waxaa ku jira bisacodil, halka kuwa lagu calaamadiyay sida saxaro jilicsani ay ku jiraan soodhiyaal dokumal ah. Sida laga soo xigtay wax soo saarka: "Kuma dheereyno wax walwal ah oo ka mid ah alaabtayada, laakiin ma balan qaadi karno inay yihiin kuwo aan qabin" sababtoo ah waxay la xiriiri karaan qalabka maaddada gluten-ku jira mararka qaarkood silsiladda wax soo saarka. Bedelkii Ducolax, dooran daawo kale oo ku jira bisacodyl ama sodium docusate.
- Ex-Lax: Taabashadan, oo ku jira sennosides sida qaybta firfircoon, waxay timaaddaa qaybo shukulaato ah iyo kiniinno. Mid ka mid ah saddexda nooc ee Ex-Lax-ka ayaa loo aqoonsan yahay gluten-free, sida uu soo saaraha soo saaro. Sidaa daraadeed, waa in aad gaartaa qalabka caloosha ku salaysan ee "gluten-free", sida Senokot.
- Phillips Milk of Magnesia iyo waxyaabo kale oo Phillips ah: Phillips, shirkadda Bayer, waxay ka dhigaysaa Caanaha Magnesia (maaddooyinka firfircoon: magnesium hydroxide) iyo xayawaanka Phillips Laxative (waxyaabo firfircoon: magnesium oxide) iyo Phillips saxaro dareeraha dareeraha ah (walax firfircoon: ). Sida laga soo xigtay wakiilka adeegga macaamiisha ee Bayer, "Ma ku dari karno gluten alaabtayada, laakiin ma xaqiijin karno inay yihiin boqolkiiba boqol" gluten-free "sababtoo ah alaabooyinka waxaa lagu soo saaraa xarun laga yaabo inay ku jirto gluten. Halkii laga iibin lahaa alaabta Phillips, isku day inaad sameysid saxaro-dhaliye aan lahayn gluten la'aan sida Colace ama qaboojiye macmacaan ah sida MiraLAX.
Qeybta ugu hooseysa ee calool-rideyaasha aan caadiga ahayn: Haddii aad u maleynaysid inaad si taxadar leh u dukaameysid, waxaad ka heli kartaa caloosha-jilicsanaanta aan lahayn gluten-free caloosha, daawada osmotic, ama daroogada ku salaysan. Si kastaba ha noqotee, mar kale waxaad u baahan doontaa inaad u hoggaansanto badeecooyin magac-magac ah.
Antibiot-Free Antibiotics
Waxaa laga yaabaa in aad la socoto miyir-xummad-waa wax aan caadi ahayn dadka qaba cudur-bararka ama "non-celiac gluten" oo dareen-celin ah si ay u dhibsadaan dareenka gubashada ee xabadka sare. Dhab ahaan, cilmi-baaristu waxay muujinaysaa in dadka qaba cudur-sidaha 'clamas' ay u badan tahay inay ku dhacdo celinta celinta aaladda ama GERD (cudur gawracatada 'gastroesophageal reflux) marka ay ka baxaan "gluten-free".
Haddii aad qabto lafo-xannuun ama lagu garto GERD, waxaa jira daawooyin aad u badan oo aad iska iibsan karto. Daawooyinkaas waxaa loo yaqaanaa antacids, maaddaama ay ka shaqeeyaan inay yareeyaan qadarka acid ee calooshaada, taas oo yareyneysa dareenka gubashada.
Koox daroogo ah oo loo yaqaan H2 blockers ayaa yareeya qadarka asaasiga ah calooshaada dhabta ah. Maaddooyinka firfircoon ee runitidiin iyo famotidine ayaa ah tusaalooyinka H2 blockers. Daawooyinka loo yaqaanno mashiinka proton-ka ah, ayaa sidoo kale, waxay sidoo kale hoos u dhigtaa acid, laakiin iyada oo loo marayo qaab kale oo caloosha ah. Tusaalooyinka ka hortagga badeecada difaac waxaa ka mid ah maaddooyinka firfircoon ee omeprazole iyo lansoprazole.
Ugu dambeyntii, antacids-ku salaysan calcium-ku salaysan iyo magnesium hydroxide-ku-dhex-dhexaadinta acid-ka kaas oo horeba calooshaada, kaa caawinaya inaad yareyso raaxo-darrada la xidhiidha acid.
Guud ahaan, marka ay timaaddo antibids, way adkaan kartaa in la helo daawo dabiiciga ah oo ka soo horjeeda miisaanka loo yaqaan 'gluten-free'. Si kastaba ha noqotee, waxaa jira waxyaabo badan oo kala duwan oo dukaanka ah.
Halkan waxaa ah khasaare ka yimaada waxyaabo kala duwan oo ka mid ah anti-gluten-free-ka ee suuqa:
- Cabbiridda kiniinnada xasaasiga ah ee Walmart: Kuwani waxay ka kooban yihiin calcium carbonate, taas oo ka dhigaysa mid la mid ah Tums. Waxay ku yimaadaan noocyada kala duwan ee dhadhanka iyo xoogga. U hubso inaad doorato mid leh "gluten-free" oo ku qoran calaamadda.
- Iskeelka (Walmart) kiniinada famotidine (20mg): Kani waa nooc guud oo ah Pepsid AC. Ka eeg qaybta "gluten-free" ee ka hooseeya "Xaqiiqooyinka Daroogada" ee baakadka.
- Iskeelka (Walmart) kiniinada rantidine (150mg): Kani waa nooca guud ee Zantac. Ka eeg qaybta "gluten-free" ee ka hooseeya "Xaqiiqooyinka Daroogada" ee baakadka. Kaliya qaar ka mid ah xirmooyinka Equate waxaa lagu calaamadiyey "gluten-free," sidaas oo ay la socdaan kuwa.
- Bartilmaameedka iyo Kaararka kiniiniga daawada ee antacid: Kaadi-yadaas kaniiniyada ku salaysan carbonate-ku salaysan waxay la mid tahay Tums, waxayna ku yimaadaan noocyo kala duwan oo dhadhan iyo xoogaa ah. Raadi "magac la'aanta" ee "gluten-free" oo ku yaal gadaasha dambe ee dhalada.
- Calaamadaha jilicsan ee caarada ah: Kaadi-yahannadaas kalsium-carbonated antacids waa shahaadada aan la shaacin ee Gluten-Free Certification Organization (GFCO), taas oo u baahan in la tijaabiyo in ka hooseeya 10 qaybood halkii milyan ee gluten ah. Raadi calaamadda GFCO ee gadaasha xirmadda.
- Bartilmaameedka kore ee kiniinada 24ka saac ee lansoprazole (15mg): Kani waa nooc guud ee Prevacid. Raadi "magac la'aanta" ee "gluten-free" ee sanduuqa midabka leh meel u dhow "Xaqiiqda Daroogada" ee baakadka.
- Kaniiniga iyo kiniinada kookitidiin (150mg) kaniiniga ah: Tani waa nooca guud ee Zantac. Raadi "magac la'aanta" ee "gluten-free" ee sanduuqa midabka leh meel u dhow "Xaqiiqda Daroogada" ee baakadka.
- Tums: Tani waa magaca kaliya ee daawada calaamadaha ah ee ka dhigaya dalab aan lahayn gluten-free. Kiniiniyada Mashiinka, oo ku yimaadda noocyo kala duwan oo dhadhan iyo xoogag leh, waxay ka kooban yihiin walxaha nukliyeerka leh ee kalsiyumta leh waxaana loo tixgeliyaa gluten-free, sida ay soo saartay soo saaraha.
- Walgreens Brand kiniiniga xasaasiga ah ee xoogga leh ee dhadhanka dufanka digaagga: Kiniinkan, oo leh 750mg oo ka mid ah kalsiumum carbonate, ayaa ah qaybta guud ee Tums. Waxay qabtaan calaamad aan lahayn gluten-free.
- Walxaha lansoprazole (15mg) Kiniiniga: Tani waa nooc guud ee Prevacid. Raadi "magac la'aanta" ee "gluten-free" oo ku dhow "Xaqiiqooyinka Daroogada" ee baakadka.
Astaamaha noocan ah ee antacids-yada looma tixgeliyo "gluten-free":
- Alka-Seltzer: Magaca calaamada "pop, pop, finger, fizz" wuxuu bixiyaa nuucyo kala duwan iyo qalabka gargaarka gaasta. Si kastaba ha ahaatee, afhayeen u hadlay shirkadda Bayer ayaa sheegay in alaabooyinka lagu sameeyo xarun ay la wadaagaan alaabooyinka gluten-ku jira, oo aan loo tixgelin karin gluten-free.
- Nexium: Waxaa loo yaqaan 'pill-purple', Nexium waxaa ku jira 22.3mg of esomeprazole, barxadda difaaca ee proton. Soo saaraha Pfizer, Inc. ma damaanad qaadi karo in alaabtu ay tahay mid aan lahayn gluten-free.
- Pepsid: Pepsid AC waxaa ku jira famotidine H2-blocker, halka Pepsid Dhameystiran ay ku jiraan cudurka famotidine iyo diidmadda acid-ka ee kalsiyum carbonate iyo magnesium hydroxide. Si kastaba ha noqotee, soo-saaraha McNeil Pharmaceuticals, Inc., ma damaanad-qaadin in alaabtu ay yihiin kuwo aan lahayn gluten-free.
- Prevacid: Waxyaabahan, oo ay sameysay Takeda Pharmaceuticals USA, Inc., waxay ka kooban tahay lansoprazole-ka buste qashinka. Takeda ma damaanad qaado in sheyganu yahay gluten-free.
- Prilosec: Waxay sameeyeen Procter & Gamble, Prilosec waxay ka kooban tahay barxadda buste-korontada ee omeprazole. Soo saaraha ma yiraahdo haddii alaabtu tahay gluten-free.
- Zantac: Zantac, oo laga sameeyay Boehringer Ingelheim, waxaa ku jira runitidine, H2 blocker. Sida daroogada kale ee daroogada ah ee ku jirta qaybtan, Zantac looma ballan qaadayo inuu yahay gluten-free.
Qeybta ugu hooseysa ee antacids-free-free: Waxaa jira bedelaad guud oo aan caadi aheyn oo laga soo iibsan karo nooc kasta oo daawada antacid-ka ah, sidaas darteed haddii ay lagama maarmaan tahay waxaad isku dayi kartaa inaad dhowrto si aad u heshid mid si fiican u shaqeynaya.
Ereyga
Haddii aad u baahan tahay daawada xasaasiyadda, dawada ka hortagga shubanka, ama calool jilciye, waxaa jira waxyaabo kale oo aan lahayn gluten-free alternatives. Marar dhif ah, waxaad ku fiicnaan doontaa nuqul guud oo ah daroogada magaca, sababtoo ah waxay ku kalsoon yihiin "gluten-free". Waxaa laga yaabaa inaad u baahato inaad dukaanka ku dukaamiso, inkastoo dukaanka dawooyinka ama dukaanka waawayn ee waaweeyn oo dhan uu daawo kasta daawo kasta oo aan lahayn gluten-free.
Ugu dambeyntii, marka aad iibsanaysid daawooyinka dukaanka laga soo iibsado, samee qaar si aad u hubisid baako kasta oo lagu magacaabo "gluten-free" magac kasta . Inkasta oo dukaamada sida Target iyo Walgreens (iyo waliba ka hooseeya, Walmart) ay si joogta ah u socdaan qaadashada alaabaha aan lahayn gluten-free, sheyga wax soo saarku wuu isbeddeli karaa wakhti kasta. Had iyo jeer iska hubi waxa aad iibsanayso maalintaas amaan ah.
> Ilo:
> Akademiyada Maraykanka ee Dhakhaatiirta Qoyska. Antacids iyo Acid Reductors: Xaashida xaqiiqda ee OTC ee Jidhka Xagjirka iyo Cadaadiska Cadaadiska.
> Akademiyada Maraykanka ee Dhakhaatiirta Qoyska. Dawooyinka ka hortagga shubanka: OTC Relief for sheet of fact sheet.
> Akademiyada Maraykanka ee Dhakhaatiirta Qoyska. Maqaarka: Maaddooyinka OTC ee xaashida xaqiiqda ee Saxarada.
> Nachman F. et al. Calaamadaha Cudurka Gastroesophageal Reflux ee Bukaanka qaba Cudurka Cagaac iyo Saamaynta Cunto-Cunto-la'aan. Gastroenterology iyo Hepatology. 2010 Jun 30 [Epub ka hor daabacaadda].