Heartburn yog ib qho tshwm sim uas tshwm sim los ntawm qhov kub hnyiab hauv siab. Nws tshwm sim thaum lub plab cov ntsiab lus soaked nyob rau hauv hydrochloric acid muab pov rau hauv txoj hlab pas. Kev kub hnyiab tuaj yeem yog cov tsos mob ntawm tus kab mob uas cuam tshuam rau lub plab zom mov. Txhawm rau tshem tawm nws, cov neeg mob tau pom tias siv cov tshuaj xws li antacids. Cov pab pawg neeg antacids suav nrog ntau lub kaum ob ntau yam tshuaj uas muaj qee qhov sib txawv ntawm ib leeg. Tshwj xeeb, peb tab tom tham txog cov neeg saib xyuas kev tiv thaiv.
YPharmacological pawg ntawm cov tshuaj tiv thaiv kab mob
Antacids yog cov tshuaj uas tuaj yeem tshem tawm cov tshuaj hydrochloric acid uas muaj nyob rau hauv cov kua txiv hmab txiv ntoo. Yog li, cov nyhuv irritating ntawm gastric kua txiv nyob rau hauv lub mucous daim nyias nyias ntawm lub digestive ib ntsuj av tau raug txo, qhov mob tshwm sim raug nres,accelerates tus rov tsim dua ntawm tej qhov chaw puas lawm.
Nws yog ib qho tseem ceeb kom nkag siab tias cov tshuaj antacids tsis tshem tawm qhov ua rau kub siab, tab sis tsuas yog tso cai rau tshem tawm qhov tshwm sim tsis zoo. Qhov no yuav tsum tau teem caij tshuaj ntawm pab pawg no los ntawm tus kws kho mob tshwj xeeb, vim qhov kub hnyiab hauv lub hauv siab yuav qhia tau tias muaj cov kab mob txaus ntshai, uas, tsis muaj sijhawm thiab kho kom txaus, tuaj yeem ua tiav thiab ua rau muaj ntau yam teeb meem loj.
Txoj Kev
Thaum siv cov tshuaj tiv thaiv kab mob, cov teebmeem hauv qab no tsim:
- Cov mucous daim nyias nyias nyob rau hauv lub plab zom mov yog sheathed, uas pab tiv thaiv lawv los ntawm kev cuam tshuam ntawm aggressive yam.
- Ntau dhau secreted hydrochloric acid yog neutralized.
- Kev txo qis hauv duodenum, plab.
- Spastic contractions ntawm lub plab nres.
- Tiv thaiv reflux ntawm duodenal cov ntsiab lus rau hauv plab.
- Txhob plab plab nrawm nrawm.
- Bile acids, lysophophosphatidylcholine yog absorbed.
Thaum teem caij?
Kev siv cov tshuaj tiv thaiv kab mob yog suav tias tsim nyog hauv cov xwm txheej hauv qab no:
- Rau qhov txhab thiab GERD. Siv los ua ib feem ntawm txoj kev kho mob nyuaj thiab tuaj yeem tshem tawm qhov kub hnyiab thiab mob.
- Yuav kom tshem tawm cov kua qaub-dependentCov kab mob pathological hauv cov poj niam cev xeeb tub.
- Nyob rau hauv cov kab mob ntawm lub plab, uas yog provoked los ntawm kev siv cov tshuaj uas tsis yog-steroidal.
- Raws li ib feem ntawm txoj kev kho mob rau o ntawm lub gallbladder, pancreas thaum lub sij hawm exacerbation. Antacids kuj tau pom zoo rau cholelithiasis txhawm rau txhawm rau khi cov kua tsib ntau dhau, nrog kev zom zaub mov. Kev faib tawm ntawm cov tshuaj antisecretory yuav tau tham txog hauv qab no.
Antacids qee zaum siv ib zaug los ntawm cov neeg noj qab haus huv yog tias kub siab tshwm sim vim kev noj zaub mov tsis zoo.
Kev faib tawm
Nws yog ib txwm ua raws li kev cai cais tag nrho cov tshuaj tiv thaiv kab mob hauv tshuaj rau hauv ob pawg loj:
Non-absorbable.
Tseem muaj kev faib tawm ntawm cov tshuaj tiv thaiv kab mob nyob ntawm cov khoom xyaw tseem ceeb hauv lawv cov muaj pes tsawg leeg:
- Magnesium-muaj tshuaj tiv thaiv kab mob. Hauv lawv cov muaj pes tsawg leeg, cov khoom xyaw nquag tuaj yeem yog magnesium carbonate thiab magnesium hydroxide.
- muaj sodium bicarbonate.
- muaj calcium carbonate.
- Anticids raws li txhuas. Hauv qhov no, aluminium phosphate lossis aluminium hydroxide yog siv los ua cov khoom xyaw nquag.
- Combined antacids uas muaj ob peb yam khoom xyaw.
Absorbable drug
Cov tshuaj tiv thaiv kab mob no suav nrog tshuaj, tshuaj nquaguas, tom qab kev cuam tshuam nrog hydrochloric acid, ib nrab absorbed hauv plab thiab yog li nkag mus rau hauv lub cev.
Qhov txiaj ntsig tseem ceeb ntawm cov tshuaj pab pawg no yog lawv lub peev xwm los ua kom cov acidity sai sai, yog li txo qhov kub hnyiab hauv lub sijhawm luv luv. Txawm li cas los xij, tawm tsam keeb kwm ntawm lawv txoj kev siv, kev txhim kho ntawm cov teebmeem tsis zoo tau sau tseg. Tsis tas li ntawd, lawv muaj cov nyhuv luv luv. Vim cov kev tsis txaus no, cov tshuaj absorbable antacids tau muab rau cov neeg mob tsawg dua li cov uas tsis nqus tau.
Qee cov tshuaj hauv pab pawg no muaj peev xwm tso cov pa roj carbon dioxide los ntawm kev sib cuag nrog hydrochloric acid, vim tias lub plab tuaj yeem ncav cuag, thiab cov kua dej tso pa tawm rov qab.
yam ntxwv
Nws yuav tsum tau muab sau tseg tias tus yam ntxwv feature ntawm absorbable antacids yog qhov tshwm sim ntawm acid rebound. Nws tshwm sim tam sim ntawd tom qab cov tshuaj tsis cuam tshuam rau lub cev. Cov pab pawg absorbable muaj xws li ci dej qab zib, uas yog sodium bicarbonate. Raws li qhov tshwm sim ntawm kev sib cuam tshuam ntawm sodium compound nrog hydrochloric acid, carbon dioxide raug tso tawm, uas provokes re-secretion ntawm hydrochloric acid nyob rau hauv loj, uas, nyob rau hauv lem, provokes qhov tsos ntawm kub siab. Cov nyhuv no ua rau pom zoo kom tsis txhob siv baking soda kom tshem tawm qhov kub hnyiab. Tsis tas li ntawd, sodium tam sim no nyob rau hauv dej qab zib yog absorbed nyob rau hauv lub plab hnyuv cov ntaub so ntswg, provoking txoj kev loj hlob ntawm edema, thiab qhov no yog ib tug undesirable tshwm sim rau cov neeg mob ntawm pathologies.lub raum thiab lub plawv, cov poj niam cev xeeb tub.
Cov pab pawg ntawm cov tshuaj absorbable antisecretory suav nrog cov tshuaj xws li Vikalin, Vikair, Rennie. Lub ntsiab active tshuaj nyob rau hauv lawv muaj pes tsawg leeg yog: calcium los yog magnesium carbonate, magnesium oxide, sodium bicarbonate.
Lawv cov txheej txheem ntawm kev ua rau lub siab kub hnyiab zoo ib yam li cov baking soda. Txawm li cas los xij, nyob rau hauv tus txheej txheem ntawm neutralizing hydrochloric acid, carbon dioxide tsis tso tawm, uas yog undoubtedly ib tug ntxiv, vim hais tias tsis muaj kev cuam tshuam tsis zoo rau tus neeg mob txoj kev noj qab haus huv. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev kho mob ntawm cov tshuaj no tsis kav ntev.
Tsuas yog ib koob tshuaj tiv thaiv tus neeg sawv cev ntawm pab pawg tshwj xeeb raug tso cai, yog tias muaj xwm txheej ceev. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias lawv siv nyob rau hauv lub sij hawm ntev yuav ua rau exacerbations. Nws tsis suav nrog kev loj hlob ntawm xws li pathologies ntawm lub plab zom mov li plab hnyuv.
Nonabsorbable antacids
Cov npe ntawm cov tshuaj tiv thaiv kab mob yog qhov dav heev. Piv nrog rau cov pab pawg ntawm cov tshuaj absorbable, cov uas tsis yog-absorbable yog zoo dua, thiab cov spectrum ntawm undesirable teebmeem tshwm sim los ntawm lawv yog ntau nqaim.
Nonabsorbable antacids tuaj yeem muab faib ua peb pawg:
- Muaj txhuas phosphate ua cov khoom xyaw nquag. Cov tshuaj no suav nrog "Phosphalugel" hauv gelform.
- Magnesium-aluminium antacids, uas suav nrog cov tshuaj hauv qab no: Almagel, Maalox, Gastracid.
- Cov tshuaj tiv thaiv kab mob sib xyaw ua ke, uas, ntxiv rau magnesium thiab txhuas ntsev, muaj lwm yam tshuaj. Cov pab pawg no suav nrog gel antacids uas muaj simethicone lossis tshuaj loog, piv txwv li Almagel Neo, Relzer.
Cov tshuaj tseem ceeb ntawm cov tshuaj no yog nqus los ntawm plab hnyuv tsuas yog me me, ces lawv raug tshem tawm nrog rau cov zis. Nyob rau hauv rooj plaub uas tus neeg mob raug kev txom nyem los ntawm lub raum tsis txaus, tej zaum yuav muaj teeb meem ntawm kev khiav tawm ntawm txhuas. Hauv qhov no, yuav tsum tau saib xyuas thaum muab cov tshuaj no rau cov neeg mob pawg no.
Kev npaj ntawm pab pawg ntawm cov tshuaj tiv thaiv tsis haum tuaj yeem ua rau tsis zoo, ntxiv rau hydrochloric acid, cov kua tsib thiab pepsin. Tom qab nkag mus rau hauv lub cev, lawv envelop lub mucous txheej ntawm lub plab, yog li tiv thaiv nws cov phab ntsa los ntawm txhoj puab heev tshuaj. Tsis tas li ntawd, lawv muaj peev xwm ua kom rov tsim cov ntaub so ntswg puas.
Lawv cov txiaj ntsig kho tau tsim nyob hauv 15 feeb, tuaj yeem kav ntev txog 4 teev.
tsis zoo tshwm sim
Thaum siv cov tshuaj ntawm pawg antacid nonabsorbable, cov kev cuam tshuam tsis zoo hauv qab no yuav tshwm sim:
- Thaum siv ntau npaum li cas, muaj peev xwm ua rau qaug zog me ntsis. Qhov kev pheej hmoo no nce ntxiv yog tias tus neeg mob muajpathological txawv txav ntawm lub raum ua haujlwm.
- Cov tshuaj tua kab mob uas muaj calcium lossis txhuas ntsev tuaj yeem ua rau mob plab.
- Magnesium-based antacids muaj peev xwm ua kom muaj cov nyhuv laxative, feem ntau ua rau muaj ntau yam kev zom zaub mov.
- Yog tias tus neeg mob muaj qhov tsis txaus ntseeg ntawm tus kheej, cov teebmeem tsis zoo xws li ntuav thiab xeev siab. Cov tsos mob ntawm cov cim qhia tau hais tias yuav tsum tau hloov cov tshuaj siv nrog nws cov analogue.
- Nws tsis suav nrog kev txhim kho ntawm kev ua xua tshwm sim, qhia tawm pob ntawm daim tawv nqaij. Hauv cov xwm txheej zoo li no, tus neeg mob raug qhia kom tsis txhob siv cov tshuaj tiv thaiv kab mob thiab sab laj nrog kws kho mob.
Cov kev cai yooj yim ntawm kev siv
Antacids yog tsim los ntawm cov chaw tsim khoom hauv ntau hom tshuaj. Nws tuaj yeem yog gel, chewable ntsiav tshuaj, tshem tawm, lozenges. Kev ua tau zoo ntawm cov tshuaj sib txawv ntawm cov tshuaj tib yam yog tib yam.
Ntau qhov kev ua yuam kev
Qhov zaus ntawm koob tshuaj thiab qhov xav tau ntau npaum li cas yuav tsum raug xaiv ib tus zuj zus. Raws li txoj cai, tus neeg mob raug qhia kom noj cov tshuaj tiv thaiv kab mob tom qab noj mov, tom qab so ob teev, thiab ua ntej yuav mus pw.
Nws yuav tsum nco ntsoov tias kev siv cov tshuaj tiv thaiv kab mob sib npaug nrog lwm cov tshuaj tsis tuaj yeem lees txais. Qhov no yog vim li casQhov tseeb hais tias txhua yam tshuaj nyob rau hauv lub xub ntiag ntawm antacids yuav tsis absorbed. Nruab nrab ntawm kev noj tshuaj antacids thiab tshuaj tua kab mob, koj yuav tsum so li 2 teev.
