Mefuta e fokolang ea Prilosec, Prevacid, Nexium, Aciphex le Protonix
Proton Pump Inhibitors (PPIs) hangata e sebelisoa meriana bakeng sa ho phekoloa ha lefu la reflux la gastroesophageal (GERD) , lefu la lesea la sesapo , hammoho le ho phekola mafu. Li-PPI li etsa ho thibela lipompo tsa acid ka mpeng, kahoo li fokotsa tlhahiso ea acid, 'me li sebetsa haholo ho phekola maloetse a mangata a amanang le masapo a amanang le acid.
Ho na le palo ea proton pump inhibitors e fumanehang 'marakeng, ho akarelletsa le omeprazole (Prilosec), esomeprazole (Nexium), pantoprazole (Protonix), rabeprazole (Aciphex) le lansoprazole (Prevacid). Ka kakaretso, li-PPI ke meriana e sireletsehileng haholo e nang le litla-morao tse seng kae. Hona ho ka etsahala hore omeprazole le lansoprazole li fumaneha ka ntle ho tekanyo / ntle le lengolo la ngaka (joalo ka letsatsi leo sehlooho sena se ngotsoeng, esomeprazole, pantoprazole le rabeprazole li fumaneha feela ka lengolo la ngaka).
Tlhahlobo ea Phekolo ea ho Tsuba ho Proton Pump Inhibitors
Khato ea ho hlasela ho proton pump inhibitors ha e tloaelehe haholo empa e etsahala. Tse ngata tsa liphello tsena li kenyelletsa urticaria , asthma, esita le anaphylaxis . Hangata ho thata ho lemoha hore PPI e le sesosa sa tšoaetso ea meriana ho tloha ha meriana e meng, ho akarelletsa le li- NSAID le lithibela-mafu tse kang penicillin , hangata li fanoa hammoho le li-PPI ho thusa ho thibela lisosa tsa mala kapa ho tšoara maloetse a Helicobacter pylori .
Liphuputso tse fapaneng li 'nile tsa etsoa ho batho ba' nileng ba e-ba le liphello tse fokolang ka lebaka la ho nka proton pump inhibitors. Ho hlahlojoa ha letlalo , ho kenyeletsa mekhoa e mabeli le e entradermal, ho 'nile ha etsoa ka li-PPI (le meriana e meng eo motho ae ntseng a e nka) e ka' nang ea etsa hore e se ke ea e-ba teng.
Liteko tsena tsa letlalo li ile tsa bonahala li le molemo ho khetholla sesosa sa ho arabela, haholo-holo ha PPI e ne e le sesosa. Mathata a molomo a sebelisang mohlankana PPI a ile a fella ka matšoao a ho ba le tšoaetso ea tlhaho ha tlhahlobo ea letlalo e le ntle. Leha ho le joalo, batho ba neng ba e-na le liteko tse mpe tsa letlalo ba ne ba sa khone ho mamella PPI e le potso nakong ea phephetso ea molomo.
Tšebetso ea ho Phella Pakeng Pakeng tsa Proton Pump Inhibitors
Mefuta e mehlano e sa tšoaneng ea proton pump inhibitors ha e kopane le sebopeho se tšoanang sa lik'hemik'hale, e leng se bontšang hore haeba motho a ne a le khahlanong le PPI e 'ngoe, e ka' na ea mamelloa ke e 'ngoe kapa e mengata ea li-PPI. Liphuputso tse entsoeng ka tsela ea sefapano sa proton pump inhibitors li fumane hore batho ba fokolang ho omeprazole hangata ba hlasela ho ea ho pantoprazole (le ka tsela e fapaneng), 'me batho ba hanyetsanang le lansoprazole hangata ba fokolloa ke rabeprazole (le ka tsela e fapaneng). Ts'ebetso ena e ts'ebetsong e bakoa ke mekhoa e tšoanang pakeng tsa li-PPI tse itseng; ho haelloa ke ts'ebetso pakeng tsa li-PPI tse ling ho ka lumella motho hore a be le tšoaetso ea hore PPI e mamelloe e 'ngoe ea PPI. Ka mohlala, batho ba hanyetsanang le omeprazole kapa pantoprazole hangata ba khona ho nka lansoprazole kapa rabeprazole, 'me li-allergen ho lansoprazole kapa rabeprazole hangata li khona ho nka omeprazole kapa pantoprazole.
Bakeng sa batho ba nang le bothata bo bakoang ke ho nka proton pump inhibitor, ho hlahlojoa ha letlalo ho ka 'na ha e-ba molemo ho netefatsa hore na ho fumanoa eng. Haeba tlhahlobo ea letlalo bakeng sa moetsalibe PPI e nepahetse, joale tlhahlobo ea letlalo ho PPI eo e seng ea tšebetso e ka etsoa ho leka ho fumana PPI eo motho a ka e mamellang. Leha ho le joalo, phephetso ea molomo, e etsoang ka tlas'a tlhokomelo ea bongaka, e lokela ho etsoa ka leihlo le sa sebetsaneng le PPI (le nang le tlhahlobo e fosahetseng ea letlalo) ho tiisa hore e lumelloa ka mokhoa o sireletsehileng.
Ithute ho eketsehileng ka lefu lena le ho phekoloa ha lithethefatsi .
> Mehloli:
> Bonadonna P, le al. Hypersensitivity ho Inhibitors ea Proton Pump: Ho nepahala ha Ts'oaetso ea Liteko tsa Letlalo Ho bapisoa le Tlhahlobo ea Phatlalatso ea Mantsoe. J Allergy Clin Immunol. 2012; 130 (2): 547-9.
> Chang YS. Likarabo tsa Hypersensitivity ho Proton Pump Inhibitors. Immunol ea Curr Opin. 2012; 12: 348-53.
> Lobera T, le al. Liketsahalo Tse robong Tsa Omeprazole Likokoana-hloko. Tšebetso ea ho Phella Pakeng Pakeng tsa Proton Pump Inhibitors. J Investig Allergol Clin Immunol. 2009; 19: 57-60.
> Perez Pimiento AJ, le al. Hypersensitivity ho Lansoprazole le Rabeprazole le Mamello ho Monyetla oa Proton Pump Inhibitors. 2006; 117 (3): 707-8.