Olona nyango lusetyenzisiweyo kwi-reflux yegastroesophageal

Umxholo

• 1. IiAntacids
• 2. Izithintelo kwimveliso yeasidi
• Impompo Proton inhibitors
• Imbali ye-H2 receptor antagonists
• 3. Ukukhawulezisa ukukhupha isisu
• 4. Abakhuseli besisu

Enye yeendlela zokunyanga i-reflux ye-gastroesophageal ukunciphisa ubumuncu bomxholo wesisu, ukuze ungonzakalisi umqala. Ke ukuba i-reflux incinci i-asidi iya kutshisa kancinci kwaye ibangele iimpawu ezimbalwa.

Amachiza anokusetyenziswa zii-antacids, inhibitors zemveliso yeasidi, abakhuseli besisu kunye nokukhawulezisa ukukhupha isisu.

1. IiAntacids

Ezona antacids zixhaphakileyo ezisetyenziselwa ukunciphisa i-hydrochloric acid esiswini zi-aluminium hayidroksayidi, nemagniziyam hayidroksayidi kunye nesodium bicarbonate. La machiza ziziseko ezithi zisabele kwi-asidi, zinciphise amandla anetyhefu kwaye zinike amanzi netyuwa.

Ii-Antacids azisetyenziswa rhoqo kuba azisebenzi kakuhle kwaye kuba kunokwenzeka ukuba kubekho isiphumo, oko kukuthi, umntu uyaphucuka kwangoko kodwa emva koko kunokubakho ukwanda.

Iziphumo ebezingalindelekanga ezixhaphakileyo zala machiza kukuqunjelwa, okubangelwa ziityuwa zealuminium, okanye urhudo olubangelwa zii-antacids ezine-magnesium, njengoko zibangela isiphumo se-osmotic emathunjini. Ukunciphisa iziphumo ebezingalindelekanga, ii-antacids ezisetyenziswa kakhulu kukudibanisa i-magnesium hydroxide kunye ne-aluminium.

2. Izithintelo kwimveliso yeasidi

Inhibitors zemveliso yeasidi ngamayeza asetyenziswa kakhulu kunyango lwe-reflux yegastroesophageal, kwaye inokuthintela le mveliso ngeendlela ezimbini:

Impompo Proton inhibitors

La ngamayeza aphambili asetyenziselwa ukunyanga izifo ezinxulumene nokwanda kwe-gastric acid secretion. Ezona zisetyenziswa kakhulu yi-omeprazole, pantoprazole, esomeprazole kunye ne-rabeprazole, ephazamisa impompo yeproton, ethintela ukuveliswa kwehydrochloric acid esiswini.

Iziphumo ezibi eziqhelekileyo ezinokubakho ngokusetyenziswa kwala mayeza yintloko, urhudo, irhashalala, iintlungu esiswini, ukuqunjelwa, isicaphucaphu kunye nokuqhina.

Imbali ye-H2 receptor antagonists

La machiza athintela ukufihlwa kwe-asidi okubangelwa yi-histamine kunye ne-gastrin kwaye ezona zisetyenziswa kakhulu zi-cimetidine, nizatidine kunye ne-famotidine.

Iziphumo ezibi eziqhelekileyo ezibangelwa kukusetyenziswa kwala machiza sisifo sorhudo, intloko ebuhlungu, ukozela, ukudinwa, iintlungu zemisipha kunye nokuqunjelwa

3. Ukukhawulezisa ukukhupha isisu

Xa isisu sigcwele kakhulu, i-reflux yegastroesophageal kunokwenzeka ukuba yenzeke.Ke, ukunqanda oku, isisu esiswini sinokuvuselelwa ngamayeza eprokinetic anje nge-metoclopramide, domperidone okanye i-cisapride encedisa ukukhupha isisu, oko ke kunciphisa ixesha lokutya kuhlala esiswini, kuthintela i-reflux.

Iziphumo eziqhelekileyo ezinokuthi zenzeke ngokusetyenziswa kwe-metoclopramide ukozela, ukuziva ubuthathaka, ukuphazamiseka, uxinzelelo lwegazi kunye nesifo sohudo. Ukongeza, nangona kunqabile, iingxaki zesisu zinokwenzeka ngokusetyenziswa kwe-domperidone kunye ne-cisapride.

4. Abakhuseli besisu

Abakhuseli besisu banokusetyenziselwa ukunyanga i-reflux yegastroesophageal, ekhusela i-esophagus, ethintela ukutshisa xa iziqulatho zesisu zidlula zingena emqaleni.

Ngokubanzi, umzimba unendlela apho uvelisa khona umchamo okhusela isisu esiswini, ukuthintela iasidi ekuyihlaseleni, kodwa kwezinye iimeko zophendlo lwezifo kunye nokusetyenziswa kwamayeza athile, ukuveliswa kwale mucus kunokuncipha kwaye kubonelele ngobundlongondlongo. yemifinya. Abakhuseli besisu abanokusetyenziselwa ukubuyisela le mucus zii-sucralfate kunye ne-bismuth iityuwa ezonyusa iindlela zokukhusela isisu kwaye zenze isithintelo esikhuselayo esiswini kunye nomqala.

Iziphumo ezibi ezixhaphakileyo ezibangelwa ziityuwa ze-bismuth kukumnyama kwesitulo, isiyezi, intloko ebuhlungu, isicaphucaphu, ukugabha, urhudo kunye nokuphazamiseka kwengqondo.

I-Sucralfate ivame ukunyamezeleka kwaye eyona nto iphambili kuyo kukuqhinwa. Nangona kunjalo, inokubangela umlomo owomileyo, isicaphucaphu, ukugabha, intloko ebuhlungu kunye nerhashalala.

Kukwakho amayeza asekhaya anokuba negalelo kunyango oluyimpumelelo. Khangela ukuba zeziphi ezisetyenziswa kakhulu.