Mishonga mikuru inoshandiswa kune gastroesophageal reflux

Zvemukati

• 1. Antacids
• 2. Inhibitors yekugadzira acid
• Proton pump pump inhibitors
• Histamine H2 vanopikisa vanopokana
• 3. Zvokukurumidza zvekubvisa gastric
• 4. Vadziviriri vegastric

Imwe yedzenzira dzokurapa gastroesophageal reflux kudzikisa acidity yezviri mukati medumbu, kuti irege kukuvadza ziso. Saka kana iyo reflux iri shoma acid inopisa zvishoma uye ichikonzera mashoma zviratidzo.

Iyo mishonga inogona kushandiswa ndeye maantacids, inhibitors ekugadzira acid, vadziviriri vemudumbu uye mahedhiyo ekurasa gastric.

1. Antacids

Anonyanya kushandiswa maantacid ekuderedza hydrochloric acid mudumbu ndeye aluminium hydroxide, magnesium hydroxide uye sodium bicarbonate. Iyi mishonga ndeye mabhesiki anoita nemaacid, ichideredza kugona kwavo kune chepfu uye ichipa kusimuka kwemvura nemunyu.

Maantacid haashandiswe kakawanda nekuti haana kunyatsoshanda uye nekuti pane mukana wekukonzeresa, ndokuti, munhu anovandudza nekukasira asi ipapo panogona kuve nekuwedzera.

Mhedzisiro inowanzoitika yemishonga iyi kuzvimbirwa, kunokonzerwa nealuminium salts, kana manyoka ayo anokonzerwa nemagnesium-ine maantacids, sezvo iwo achikonzera osmotic mhedzisiro. Kuti udzikise iyi mhedzisiro, anonyanya kushandiswa maantacid musanganiswa wemagnesium hydroxide nealuminium.

2. Inhibitors yekugadzira acid

Inhibitors yekugadzira acid ndiyo mishonga inonyanyo shandiswa pakurapa gastroesophageal reflux, uye inogona kutadzisa ichi chigadzirwa munzira mbiri:

Proton pump pump inhibitors

Iyi ndiyo mishonga mikuru inoshandiswa kurapa zvirwere zvine chekuita nekuwedzera gastric acid secretion. Inonyanya kushandiswa ndeye omeprazole, pantoprazole, esomeprazole uye rabeprazole, iyo inopesana neproton pombi, ichitadzisa kugadzirwa kwehydrochloric acid mudumbu.

Mhedzisiro yakajairika kwazvo inogona kuitika nekushandiswa kwemishonga iyi musoro, manyoka, mapundu, kurwadziwa mudumbu, flatulence, kuda kurutsa uye kupatira.

Histamine H2 vanopikisa vanopokana

Iyi mishonga inodzivirira asidhi secretion inokonzerwa ne histamine uye gastrin uye yakanyanya kushandiswa ndeye cimetidine, nizatidine uye famotidine.

Mhedzisiro yakajairika inokonzerwa nekushandiswa kwemishonga iyi manyoka, kutemwa nemusoro, kukotsira, kuneta, kurwadziwa nemhasuru uye kuzvimbirwa

3. Zvokukurumidza zvekubvisa gastric

Kana dumbu razara, gastroesophageal reflux inowanzoitika.Nekudaro, kuti udzivise izvi, gastrointestinal motility inogona kusimudzirwa nemishonga yeprokinetic senge metoclopramide, domperidone kana cisapride iyo inobatsira ne gastric kurasa, nokudaro ichideredza nguva iyo chikafu chinoramba chiri mudumbu, kudzivirira reflux.

Mhedzisiro inowanzoitika inogona kuitika nekushandiswa kwemetoclopramide kutsimwaira, kunzwa kushaya simba, kushushikana, kudzikira kweropa uye manyoka. Mukuwedzera, kunyange zvisingawanzoitiki, chirwere chepamuviri chinogona kuitika nekushandiswa kwe domperidone uye cisapride.

4. Vadziviriri vegastric

Vadziviriri vegastric vanogona zvakare kushandiswa kurapa gastroesophageal reflux, iyo inochengetedza esophagus, kudzivirira kupisa kana izvo zviri mudumbu zvichipinda mukati medu.

Kazhinji, muviri une mashandiro ayo anoburitsa mhuru inodzivirira mudumbu, kudzivirira asidi kuti isarwisane nayo, asi mune mamwe maratidziro ehurumende uye nekushandisa mimwe mishonga, kugadzirwa kweiyi mameseji kunogona kudzikira uye nekupa hutsinye yemucheka. Midziviriri yegastric iyo inogona kushandiswa kutsiva iyi mamusus isalralfate uye bismuth munyu unowedzera nzira dzekudzivirira dzemudumbu uye unogadzira chinodzivirira mudumbu nesophagus.

Mhedzisiro inowanzoitika inokonzerwa nebismuth munyu kusviba kwezvigaro, dzungu, kurwadziwa nemusoro, kuda kurutsa, kurutsa, manyoka uye kusagadzikana kwepfungwa.

Sucralfate inowanzo kuverengerwa zvakanaka uye mhedzisiro yayo yakashata kudzimbirwa. Nekudaro, zvinogona zvakare kukonzera mukanwa wakaoma, kuda kurutsa, kurutsa, kutemwa nemusoro uye kuputika kweganda.

Kune zvakare mishonga yekumba iyo inogona kubatsira mukubudirira kurapwa. Tsvaga kuti ndeapi anonyanya kushandiswa.