Abo babesoloko bakuba namava okungazi, bayazi indlela ezibi ngayo le mpawu. Ukuvutha komlilo, ukushisa, intlungu, kwindawo ezalisiweyo yokuzalisa i-epigastric, kunokuhamba kunye nezinye izibonakaliso, qhubela phambili ixesha elide, ukhupha ubomi bemihla ngemihla. Uncedo kwiimeko ezinjalo zikwazi ukuphuza iipilisi.
Kutheni kuvela ukuqubuka?
Esi sibonakaliso sibonakala ngokukhawuleza emva kokutya ukutya okanye iziphuzo okanye emva kwexesha elithile emva kokutya. Ukuxhatshazwa kuhambelana nomphumo kwimbumba yamathambo yesigxina sezinto zesisu, esaphuma khona ngaphesheya. Njengomphumo wokutshatyalaliswa ngokukhawuleza kwintlobo yesantya, equka i-acids, i-bile, i-enzymes yokutya kunye nezinye izinto, ukutshisa kunye nokuvuvukala kwezicubu zenzeka.
Iimbangela zokubhukuda zinokudibaniswa nenye yezinto eziqhelekileyo ezibangele ukuhamba okuhambayo kokuqukethwe kwesisu:
- kuncipha kwi tone ye-sphincter-esophageal-sphincter-ephantsi, ukwahlula isisu kunye nesisu, okanye phezulu, ukwahlula i-pharynx kwi-esophagus;
- ukwanda kwe-asidi yesantya sesisu;
- Ukubuthathaka komsebenzi wezothutho (i-peristalsis embi).
Ezi ziqhamo ziyisiseko sezifo ezilandelayo zesistim sokutya:
- isophagitis ;
- isifo se-reflux yesifo segastroesophageal;
- isasaza i- spasm ye-esophagus ;
- gastritis;
- isilonda sesilonda;
- esebenzayo dyspepsia ;
- umnxeba kunye nabanye.
Ngaloo ntsholongwane, ukutshabalalisa kubonakala kunye nenye enye i-periodicity, ngokufanayo nezinye iimpawu. Abantu abaneenkqubo ezisetyenziswa ngokuqhelekileyo zokutya ukutya banokuthi bafumane ukutshisa ixesha elifutshane emva kwe-sternum, ebangelwa zizi zinto ezilandelayo:
- Ukutya ngokutya;
- sebenzisa ngokukhawuleza emva kokutya;
- ukusetyenziswa kokutya okugqithisileyo, ukutya okunomsoco okanye okunamafutha;
- ukuphumla kwindawo yokulala emva kokuphuma kwetafile;
- unyango ngamachiza athile (i-antispasmodics, iziyobisi zentliziyo, izidandlululo kunye nabanye);
- bembethe iingubo ezinxibekileyo;
- u bunzima;
- ukutshaya;
- ukusetyenziswa kakubi kotywala;
- uxinzelelo;
- khulelwa.
Ziziphi iipilisi ezinceda ekutshiseni?
Unyango lokubhukuda kwegazi lufuna indlela edibeneyo kwaye ibandakanya ukuthotyelwa komyalelo wokutya okunesondlo kunye nokutya okufanelekileyo, ukuphepha imikhwa emibi, ukusebenzisa imichiza kunye ngamanye amaxesha - ukungenelela kokungena. Ngokuqhelekileyo, iziyobisi ezinceda ekupheliseni le mpawu zinefomathi yefomathi, eyenza kube lula ukusetyenziswa nokukhupha. Ukukhethwa kwezi zinto okanye ezo zibhebhile ezivela ekugqibeleni kufuneka zenziwe ngugqirha oza kufumanisa izizathu zeengxaki kwaye, ngokuhambelana nokuxilongwa, unika imishishini ngendlela efanelekileyo yokusebenza.
Masibhale ukuba yeyiphi iipilisi zokuguquka ingqalelo (iiqela eziphambili zeziyobisi):
- i-antacids ;
- iziqulatho;
- abavimba be-H2-histamine receptors;
- proton pump inhibitors;
- i-M-cholinolytics;
- prokinetics.
Iipilisi ezithintelayo zisebenza njani?
Makhe siqwalasele, yintoni umphumo kwizinto eziphilayo ezenza amalungiselelo ukusuka kwintlungu yeqela ngalinye elibangelwa ngasentla:
- Ama-antacid agents - ekungeneni kwisisu esiswini, la mayeza asebenzisana nejusi eguqukile, ngenxa yoko i-asidi ayifumananga ukuba ifake amanzi kunye neetyule zamanzi. Kanye nalokhu, ukwanda kwimiqhamo ye-mucus kuyacaphukisa, enika ukhuseleko olongezelelweyo lweendonga zesisu kwi-acid acid. Ezi zi yobisi zinika ukupheliswa ngokukhawuleza kweempawu, kodwa aziphilisi izicubu ezichaphazelekayo kwaye azikwazi ukukhusela ukuba kwenzeke ukutshaya kwakhona.
- I-Alginates - ilungiselelo lokuveliswa kwezityalo. I-Alginic acid i-salts, ingene ngaphakathi esiswini, ingene kwi-chemical reaction with acid acid, umphumo wokuba yinto yokwenza i-gel-like substance. I-gel ekhokelela ibonakala ngezinga elingafuni ukungathathi hlangothi, livule iindonga zesisu kunye ne-esophagus enefilimu ekhuselekileyo ekhulayo ifikelela kwiiyure ezingama-4. Siyabulela ama-alginates, iimbumba ezinamaqabunga ngokukhawuleza ziphinde zenzeke, ukuguguleka kwamanzi kuphezulu. Ukongezelela, kubalwa umqobo onqanda ukungena kwe-asidi esiswini kwi-tube yopopayi.
- I-H2-antihistamines - izidakamizwa ezingabonakaliyo, umphumo wazo odibeneyo kunye nokuvimbela i-receptors ye-gastric mucosa, ekhokelela ekunciphiseni okubukhali kwimveliso ye-hydrochloric acid. Ukongezelela, amayeza acatshungulwayo akhulisa ukuhlanganiswa kwe-mucus ye-gastric, ukuphucula iinkqubo ze-metabolic kwiimfucu zamalungu omzimba, ukukhuthaza ukujongwa komsebenzi wemoto yesisu ne-duodenum. Ngokuqhelekileyo, ezi ziyobisi zicetyiswa ukuba zitshutshise intsebenziswano kunye nokuveliswa kwe-acid esiswini.
- Ii-ejenti zeqela leproton pump inhibitors zenza ngokuthintela i-enzyme ethile, ngokunciphisa ukuveliswa kwe-hydrochloric acid ngamathambo esisu. Njengamachiza adlulileyo, antisecretory kwaye iyanconywa ngezifo ezixhomekeke kwi-acid ye-digestive system, nangona kunjalo, ezi nkunkuma zibonelela ngokusisigxina esingapheliyo.
- I-m-cholinolytics ekhethiweyo iipilisi ze -antisecretory zokubhukuda , ezivimbela umphumo wesistim se-parasympathetic (i-vagus nererve) ekusithekeni kwe-hydrochloric acid kunye ne-pepsin, ngaphandle kokuvimbela i-M-cholinergic receptors yeengqungquthela zentambo, intliziyo nezinye izitho. Okwangoku, azifaneki zisetyenziselwa ngenxa yemiphumo emibi emibi.
- Impembelelo yeziyobisi zeprokthi zidibene nokusebenza kwendonga yesondlo sesisu (ukuphuculwa kwe-motility). Ezi ziyobisi zingakwandisa ithoni ye-sphincter esezantsi, ekhuthaza ukukhutshwa ngokukhawuleza kwesisu kunye nokuvimbela ukujika. Ngokuqhelekileyo iprokinetics inconywa kunyango lweemeko ezihambisane nokukhwabanisa, isicathulo, isisu sokugqithisa isisu.
Iipilisi zokubamba izihloko
Ukuthabatha iipilisi zokubhukuda, uluhlu lwezinto ezinomdla kakhulu, kubalulekile ukuqwalasela iimeko zokudala. Impembelelo yeziyobisi kufuneka ijoliswe ekupheliseni iinkqubo ezinokubangela ukuba zingabonakali. Ukongezelela, ukuba ufuna ixesha elide lonyango, kubalulekile ukufumana iipilisi ezingenayo ixabiso eliphantsi, ngelixa umgangatho uphumelele. Ngezantsi siza kuqwalasela ngokukhawuleza amathuluzi amaninzi athandwayo.
Iibhulile ezivela kwi-Heartburn Omez
Ezi ziipilisi eziphumelelayo zokutshiza (okanye kunoko, iifomsile), eziveliswa yi-Indian medication. Reddy's Laboratories Ltd. Isiza lisiko leqela leproton pump inhibitors kwaye linikela ubungqina kwimveliso ye-hydrochloric acid esiswini. Isithako esisebenzayo ngu-omeprazole. Impembelelo ifumaneka emva kweeyure eziyi-1-2 ize iphele usuku.
Iipilisi ze-Heartburn Omeprazole
Ngaphantsi kweli gama, elihambelanayo nempahla esebenzayo, iipilisi ziveliswa kwi-heartburn engabizi, abasekhaya (abavelisi baseRashiya - iNizhpharm, uAkrihin). Ngokusekelwe kwisithako esisebenzayo, umphumo ukuba ezi mveliso zivelisa kwi-heartburn kunye ne-gastritis iyafana neyeza langaphambili. Kubalulekile ukuba uqaphele ukuba i-omeprazole njengenxalenye yonyango oluyinkxalabo luncedo kakhulu ekuthintekeni kwindlela yokugaya i-bacterium i-Helicobacter pylori-isifo sezilonda zesilonda.
Iipilisi ezisuka kwi-Ranitidine
Eli liyeza lokususa intliziyo, umenzi waloo nto-inkampani yaseSerbia "iHemofarm", i-blocker ye-H2-histamine receptors yesizukulwana sesibini kunye nesithako esisebenzayo ranitidine hydrochloride. Isilwanyana siqala ukusebenza ngokukhawuleza emva kokuthatha nokuqhubeka nokusebenza kwayo, okuquka ukunciphisa ukusasazwa kwe-hydrochloric acid kunye nomthamo wesantya sesisu, ukwandisa i-pH esiswini ngeeyure eziyi-12.
I-Pustaevsky - iipilisi zokuguquka
Isilwanyana esicatshungulwayo sisisongezelelo sesondlo sokutya kwaye sikhiqizwa ishishini laseMukraine "i-Technologist". Ezi ipilisi ezinokutshatyalaliswa zivela kwi-flavour with flavours, iindidi ezisebenzayo kuzo i-magnesium kunye ne-calcium carbonate-antacids. Isichengiselwano asiphelelisi i-hydrochloric acid egazini kwindlela yokugaya, ukuxhaswa ngokukongezwa komzimba we-calcium kunye ne-magnesium. I-Pozhaevsky - iipilisi zokuguquka, ezinceda ngexesha elifutshane lokuphucula impilo, kodwa zihlala zifutshane.
Iipilisi ezisuka kwintlungu yaseGaviscon
Ezi zi-alginate iipilisi zokuguquka, eziveliswa nguRekitt Benckiser (UK). Izixhobo ezisebenzayo zesilwayo: i-alginate ye-sodium, i-sodium hydrogen carbonate, i-calcium carbonate. Isilwayo xa sifaka isistim somzimba sisenza ifilimu ekhuselekileyo, enceda ukubuyisela izicubu kunye nokuthintela umonakalo omkhulu kumacandelo anonya. Ukuqala ukwenza emva kwemizuzu embalwa, ezi ziipilisi zokubhukuda zikhusela izicubu ezinamaqabunga kwenkqubo yokutya emva kweeyure ezingama-4.
Iipilisi zokuguquka kwesisu
Ukufumana ukuba yeyiphi iipilisi ukusela ngokuphalaza, izigulane ezininzi zifumana isincomo sokuthatha i-Gastal, eyenziwe nguPliva Hrvatska (Croatia). I-antacid enezinto ezisebenzayo ze-aluminium hydroxide-magnesium carbonate gel kunye ne-magnesium hydroxide, ebeka i-acidity ye-gastric secretion kunye nokuphelisa izidumbu. Isiphumo siphuhlisa ngokukhawuleza kwaye sihlala iiyure ezingama-2.
Iipilisi zokukhawuleza
Ngokutsho kokuphononongwa kunye nokugqithiswa kwezokwelapha, iipilisi eziphambili zokubhukuda ziyakwazi ukuchongwa kwoluhlu lulandelayo:
- Almagel.
- Maalox .
- Omeprazole.
- Zulbex.
- Ranitidine.
- Iipariti.
- Gaviscon.
- Renny.
Iibhulethi zokugubungela abafazi abakhulelweyo
Iyeza lokukhwaza iindlovu kubafazi abakhulelweyo, ezingalimazi umntwana, kufuneka zikhethwe ngoxanduva olukhethekileyo. Ngenxa yale nto kuyimfuneko ukujongana nogqirha oya kucebisa uncedo olukhuselekileyo kunye noluncedo. Masibhale uluhlu lweemali ezivunyelwe ukuthatha ngexesha lokuzala umntwana:
- Gaviscon;
- Almagel;
- Isisu;
- Rennie;
- Phosphalugel ;
- IRutatsid.