Anthu amene nthawi zina amamva kupweteka kwa mtima amadziwa momwe izi zilili zosasangalatsa. Kutentha, kutentha, kupweteka, komwe kumapezeka m'dera ladzaza, kungaperekedwe ndi mawonetseredwe ena, kupitilira kwa nthawi yaitali, kulepheretsa moyo wa tsiku ndi tsiku. Thandizo m'mikhalidwe yotereyi imatha kupiritsa mapiritsi.
N'chifukwa chiyani kuphulika kwachitika?
Chizindikiro ichi chimapezeka nthawi zambiri mutangodya chakudya kapena zakumwa kapena patapita kanthawi mutatha kudya. Kusokonezeka kumagwirizanitsidwa ndi zotsatira za mucous membrane ya chigawo cha zomwe zili m'mimba, zomwe zinachokera kumeneko mosiyana. Chifukwa cha kupwetekedwa mtima kwa ziwalo za m'mimba, zomwe zimaphatikizapo zidulo, bile, mavitamini a m'mimba ndi zigawo zina, kutentha ndi kutupa kwa ziwalozo zimachitika.
Zifukwa za kupweteka kwa thupi zimatha kugwirizanitsa ndi chimodzi mwa zovuta zomwe zimapangitsa kuti mimba ikhale yozungulira:
- kuchepa kwa voti ya esophageal sphincter - m'munsimu, kugawaniza mimba ndi m'mimba, kapena chapamwamba, kulekanitsa pharynx kuchokera pamimba;
- kuwonjezeka kwa acidity ya madzi ammimba;
- Kufooketsa ntchito yoyendetsa galimoto (poor peristalsis).
Zozizwitsa izi ndizo maziko a matenda awa:
- kupweteka ;
- matenda a reflux;
- kupopera kwakukulu kwa chiwonongeko ;
- gastritis;
- ululu;
- ntchito ;
- chithunzithunzi chododometsa ndi ena.
Ndi zoterezi, kupweteka kwa mtima kukuwoneka ndi nthawi imodzi kapena ina, mofanana ndi zizindikiro zina. Anthu omwe ali ndi chizoloŵezi chogwidwa ndi matenda amatha kuchepetsa nthawi yayitali, chifukwa cha zotsatirazi:
- Kudya;
- kuchita masewera atangotha kudya;
- kugwiritsa ntchito zakudya zamakono, zamchere kapena zamchere;
- khalani pamalo osayima mwamsanga mutachoka pa tebulo;
- mankhwala ndi mankhwala ena (antispasmodics, mankhwala a mtima, anti-depressants ndi ena);
- kuvala zovala zolimba;
- kunenepa kwambiri;
- kusuta;
- kumwa mowa mwauchidakwa;
- chisokonezo;
- mimba.
Ndi mapiritsi ati omwe amathandiza kupweteka?
Chithandizo cha kupweteka kwa mtima chimaphatikizapo njira yowonjezera ndipo imaphatikizapo kuvomerezedwa kutsata zakudya zabwino ndi zakudya zoyenera, kupeŵa zizoloŵezi zoipa, kugwiritsa ntchito mankhwala, ndi nthawi zina - opaleshoni yothandizira. Kawirikawiri, mankhwala omwe amathandiza kuthetsa chizindikiro ichi ali ndi mawonekedwe apiritsi, omwe amachititsa kuti azigwiritsa ntchito ndi kupezeka. Kusankhidwa kwa mapiritsiwa kapena mapiritsiwa kuchokera ku kupweteka kwa mtima kuyenera kuchitidwa ndi dokotala yemwe angadziwe zomwe zimayambitsa matendawa ndipo, malinga ndi matendawa, amapereka mankhwala ndi njira yoyenera yogwirira ntchito.
Tiyeni tiwone kuti mapiritsi otani amatha kupatsidwa (magulu akuluakulu a mankhwala osokoneza bongo):
- antacids ;
- alginates;
- blockers wa H2-histamine receptors;
- proton pump inhibitors;
- posankha;
- prokinetics.
Kodi mapiritsi otsekemera amathandiza bwanji?
Tiyeni tilingalire, zimakhudza bwanji zamoyo zomwe zimapangitsanso kukonzekera kupweteka kwa magulu a magulu onse omwe anagwera pamwambapa:
- Antacid wothandizira - poyikamo m'mimba, mankhwalawa amagwirizana ndi madzi otsuka, omwe amachokera kuti asidi asalowetse madzi ndi suluwamu. Pamodzi ndi izi, kuwonjezeka kwa mankhwala a ntchofu kumayambitsa, zomwe zimapereka chitetezo chowonjezereka cha makoma a m'mimba chifukwa cha kuwononga kwa asidi. Mankhwalawa amachititsa kuti matendawa asakhalenso mwamsanga, koma musamachiritse matendawa ndipo musalephere kuwonongeka.
- Alginates - Kukonzekera kwa zomera zinachokera. Mankhwala a alginic acid, olowera m'mimba, alowetsa mankhwala ndi chapamimba cha asidi, chomwe chimakhala chopanga gel-monga mankhwala. Gelumayo imakhala ndi maulendo osalowerera mbali, ndipo imapanga makoma a m'mimba ndi mimba yomwe ili ndi filimu yotetezera yomwe imatha maola 4. Chifukwa cha alginates, mucous membranes imabwereranso, kutentha kwa nthaka kukuwonjezereka. Kuonjezerapo, cholepheretsa chimalepheretsa kumeza kwa chapamimba cha asidi m'matope ochepa.
- H2-antihistamines - mankhwala osokoneza bongo, zotsatira zake zomwe zimakhudzana ndi kutseka mapulogalamu a m'mimba mucosa, zomwe zimapangitsa kuchepa kwakukulu pakupanga hydrochloric acid. Kuonjezera apo, mankhwala omwe akugwiritsidwa ntchito akuwonjezekanso kaphatikizidwe ka mimba yamkati, kusintha kachipangizo kamene kamakhala ndi ziwalo za m'mimba, kulimbikitsa kuimika kwa magalimoto ntchito ndi m'mimba. Kawirikawiri, mankhwalawa amalimbikitsidwa kuti ayambe kupwetekedwa mtima ndi kugwiritsidwa ntchito kwapangidwe kake ka m'mimba.
- Atumiki a gulu la proton pump inhibitors amachitapo kanthu poletsa mazira ena enieni, motero amachepetsa kupanga kwa hydrochloric acid ndi ziwalo zamkati. Monga mankhwala oyambirira, iwo ndi antisecretory ndipo akulimbikitsidwa ndi matenda okhudzana ndi asidi a dongosolo la kugaya, komabe, mankhwalawa amapereka zotsatira zamuyaya ndi zochepa zochitapo kanthu.
- Mankhwala osokoneza bongo amatha kupweteka kwambiri, omwe amachititsa kuti mitsempha yodwala matendawa asokonezeke (secretion of hydrochloric acid) ndi pepsin, popanda kuletsa M-cholinergic receptors of salivary glands, mtima ndi ziwalo zina. Pakalipano, sagwiritsidwa ntchito kawirikawiri chifukwa cha zotsatira zoipa zambiri.
- Zotsatira za mankhwala a prokinetic zimagwirizanitsidwa ndi kuyambitsa kayendetsedwe ka m'mimba (kupititsa patsogolo motility). Mankhwalawa amatha kupititsa patsogolo kamvekedwe ka m'mimba komwe kamakhala kochepa kwambiri, kamene kamathandiza kuti mimba imachoke mwamsanga ndipo imalepheretsa kuponyedwa. Kawirikawiri prokinetics amalimbikitsidwa kuti azitha kuchiza zinthu zomwe zimaphatikizapo kupweteka kwa mtima, kunyozetsa, kumverera kwa kukhuta kwambiri m'mimba.
Mapiritsi olekerera - maudindo
Kutenga mapiritsi kuti ayambe kupweteka, mndandanda wa zomwe zimakhala zochititsa chidwi kwambiri, m'pofunika kuganizira zinthu zomwe zimayambitsa matendawa. Zotsatira za mankhwala ayenera kutsogoleredwa kuti athetse njira zomwe zimayambitsa zovuta zomwe zimayambitsa maonekedwe osavuta. Kuonjezera apo, ngati mukusowa chithandizo chamatali yaitali, nkofunika kupeza mapiritsi otsika mtengo, pomwe muli abwino komanso ogwira mtima. M'munsimu tikambirana mwachidule zipangizo zambiri zotchuka.
Mapiritsi Ochotsa Mphuno Omez
Awa ndiwo mapiritsi othandiza kuti ayambe kupuma (kapena m'malo mwake, makapulisi), opangidwa ndi mankhwala a Indian mankhwala. Reddy's Laboratories Ltd. Mankhwalawa ndi gulu la proton pump inhibitors ndipo amatsutsa kupanga hydrochloric acid mmimba. Chogwiritsira ntchito ndi omeprazole. Zotsatira zimapezeka pambuyo pa maola 1-2 ndikukhala tsiku.
Mapiritsi Othandiza Kutentha Kwambiri Omeprazole
Pansi pa dzina ili, lofanana ndi mankhwala ogwira ntchito, mapiritsi amapangidwa kuchokera ku kutentha kwapsa mtima kwapakhomo, apakhomo (ochirashi a ku Russian - Nizhpharm, Akrihin). Malingana ndi chogwiritsira ntchito, zotsatira zomwe mankhwalawa amapanga kuchokera ku kupweteka kwa mtima ndi gastritis zikufanana ndi mankhwala omwe anagwiritsidwa kale. Tiyenera kuzindikira kuti omeprazole ngati gawo la mankhwala ovuta kwambiri ndiwothandiza kwambiri popatsirana kachilomboka ndi bacterium Helicobacter pylori - zomwe zimayambitsa zilonda za zilonda zam'mimba.
Mapiritsi kuchokera ku kupweteka kwa mtima Ranitidine
Mankhwala awa opweteka mtima, omwe amapanga-kampani ya ku Serbia "Hemofarm", ndi blocker ya H2-histamine receptors ya mbadwo wachiwiri ndi chogwiritsidwa ntchito yogwiritsa ntchito ranitidine hydrochloride. Mankhwalawa amayamba kugwira ntchito mwamsanga atangotenga ndi kupitiriza zotsatira zake, zomwe zimapangitsa kuchepetsa kaphatikizidwe ka hydrochloric acid ndi kuchuluka kwa chapamimba madzi, kuwonjezera pH m'mimba kwa maola 12.
Pustaevsky - mapiritsi opweteka mtima
Mankhwala omwe akugwiritsidwa ntchito akupezeka ndi zakudya zowonjezera zakudya ndipo amapangidwa ndi kampani yotchedwa "Technologist" ya ku Ukraine. Ma mapiritsiwawa amachokera ku zitsamba zokhala ndi mavitamini ambiri, zomwe zimagwiritsa ntchito magetsi ndi calcium carbonate - antacids. Mankhwalawa amalephera kugwiritsa ntchito mankhwala a hydrochloric acid m'thupi, kuphatikizapo kuperewera kwa thupi la calcium ndi magnesium. Pozhaevsky - mapiritsi othandizira kupweteka, omwe amathandiza kanthawi kochepa kuti azikhala bwino, koma amakhala ochepa.
Mapiritsi ochokera ku kupweteka kwa mtima Gaviscon
Awa ndiwo mapiritsi oyambitsa kupweteka, omwe amapangidwa ndi Reckitt Benckiser (UK). Ziwalo zofunikira za mankhwala: sodium alginate, sodium hydrogen carbonate, calcium carbonate. Mankhwalawa atalowa m'matumbo amapanga filimu yowateteza, yomwe imathandiza kubwezeretsa ziwalozo ndi kuteteza kuwonongeka kwawo ndi zida zankhanza. Kuyambira pakangopita mphindi zochepa, mapiritsi amenewa amateteza mapepala am'mimba mkati mwa maola 4.
Mapiritsi opweteka kupweteka
Pofuna kupeza mapiritsi kuti amwe ndi kupweteka kwa mtima, odwala ambiri amalandira ndondomeko yoti atenge Gastal, yopangidwa ndi Pliva Hrvatska (Croatia). Ndi mankhwala amtundu wa zinthu zotchedwa aluminium hydroxide-magnesium carbonate gel ndi magnesium hydroxide, zomwe zimaimika acidity ya m'mimba mwachisawawa ndi kuthetsa kutsekula m'mimba. Zotsatira zimakula mwamsanga ndipo zimatenga maola awiri.
Mapiritsi kuti ayambe kupweteka
Malingana ndi ndemanga ndi zochitika zachipatala, mapiritsi abwino kwambiri othandizira kutentha kwa mtima angadziwike pazotsatira zotsatirazi:
- Almagel.
- Maalox .
- Omeprazole.
- Zulbex.
- Ranitidine.
- Maphwando.
- Gaviscon.
- Renny.
Mapiritsi kuti aziwombera amayi apakati
Mankhwala operekera ululu kwa amayi apakati, omwe savulaza mwana, ayenera kusankhidwa ndi udindo wapadera. Pachifukwachi ndikofunika kulankhula kwa dokotala yemwe angakulangize kuti ndiwotetezeka kwambiri komanso kukonzekera bwino. Tiyeni tilembe ndalama zomwe zimaloledwa kutenga nthawi yobereka mwana:
- Gaviscon;
- Almagel;
- Gastricid;
- Rennie;
- Phosphalugel ;
- Rutatsid.