Cov neeg uas muaj tsawg kawg yog ib zaug paub txog lub plawv dhia paub qhov tsis zoo no tus mob. Kev kub nyhiab, cua sov, qhov mob, qhov chaw nyob rau hauv cheeb tsam epigastric puv, tuaj yeem ua raws lwm yam tshwm sim, ntxiv mus ntev, hindering neej txhua hnub. Kev pab nyob rau hauv xws li tej yam muaj peev xwm muaj peev xwm heartburn.
Vim li cas qhov kev kub siab tshwm sim?
Cov tsos mob tshwm sim feem ntau tshwm sim tam sim ntawd tom qab noj zaub mov los yog dej haus los yog tom qab me ntsis tom qab noj mov. Tsis xis nyob nrog cov nyhuv ntawm cov mucous membrane ntawm lub esophagus ntawm cov ntsiab lus ntawm lub plab, uas tuaj tawm los ntawm muaj nyob rau hauv lub rov qab. Raws li ib tug ntawm nruj raug mob rau pais plab txheem, uas muaj acids, bile, digestive enzymes thiab lwm yam, hlawv thiab o ntawm cov nqaij mos tshwm sim.
Ua rau kub siab tuaj yeem txuam nrog ib qho ntawm cov kev tsis zoo hauv qab no uas ua rau muaj kev cuam tshuam rov qab ntawm qhov kev mob plab:
- txo cov pob txha ntawm cov hlab ntaws qis - qhov qis dua, faib cov hlab pas thiab lub plab, los yog lub sab nrauv, cais cov tsiaj hauv plab ntawm txoj hlab pas;
- nce acidity ntawm pais plab kua txiv;
- weakening ntawm kev coj ua hauj lwm ntawm lub esophagus (ploj peristalsis).
Cov phenomena yog lub hauv paus ntawm cov kab mob nram qab no ntawm qhov system plab:
- mob taub hau ;
- kev mob nkeeg hauv plab;
- diffuse spasm ntawm txoj hlab pas ;
- gastritis;
- peptic ulcer;
- muaj zog dyspepsia ;
- diaphragmatic hernia thiab lwm tus.
Nrog xws li pathologies, kub siab tshwm nrog ib los yog lwm periodicity, nyob rau hauv parallel nrog rau lwm cov tsos mob. Cov neeg uas muaj zog ua haujlwm plab hnyuv tau qee zaum kuj ua rau mob qis dua tom qab lub qog, uas yog los ntawm cov nram qab no:
- Overeating;
- tom qab noj mov tas tam sim no;
- kev siv cov khoom ntse heev, acidic lossis fatty foods;
- so nyob rau hauv ib txoj hauj lwm dag tam sim ntawd tom qab tawm hauv lub rooj;
- kev kho mob nrog tshuaj noj (antispasmodics, tshuaj yeeb, tshuaj tua kab mob thiab lwm tus);
- hnav khaub ncaws hnav;
- rog dhau;
- haus luam yeeb;
- quav quav cawv;
- kev nyuaj siab;
- cev xeeb tub.
Cov tshuaj twg pab nrog kub siab?
Kev kho mob ntawm kev kub siab yuav tsum muaj kev sib dhos thiab nrog rau kev noj haus kom zoo thiab noj zaub mov kom zoo, tsis txhob siv tus cwj pwm phem, siv tshuaj, thiab qee zaus - kev kho phais. Feem ntau, cov tshuaj uas pab rau tshem tawm cov kab mob no muaj ib daim ntawv tshuaj, uas ua rau nws yooj yim siv thiab ntws. Cov kev xaiv no los yog cov ntsiav tshuaj los ntawm kev kub siab yuav tsum yog tus kws kho mob uas yuav nrhiav tau qhov teeb meem ntawm kev ua tsis zoo thiab, raws li qhov kev kuaj mob, muab cov tshuaj siv nrog txoj kev tsim nyog ua.
Cia peb suav cov tshuaj uas muaj peev xwm ua tau rau cov ntshav siab (cov pab pawg ntawm cov tshuaj):
- antacids ;
- alginates;
- blockers ntawm H2-histamine receptors;
- cov tshuaj tiv thaiv proton;
- xim M-cholinolytics;
- prokinetics.
Ua li cas ntsev ntsiav tshuaj ua hauj lwm?
Cia peb xav txog, yam dab tsi tshwm sim ntawm cov kabmob ua haujlwm tau npaj los ntawm kev kub siab ntawm txhua pawg uas tau ua dhau los:
- Cov tshuaj tua kabmob (antacid agents) - yog thaum noj cov kabmob hauv plab, cov tshuaj no ua rau cov kua txiv hmab txiv ntoo evolved, vim tias cov kua qaub no ua rau cov dej thiab dej-soluble ntsev. Ua ke nrog qhov no, qhov nce hauv mucus ntau lawm yog qhov kev ywj pheej, uas yog ntxiv kev tiv thaiv ntawm cov phais ntawm lub plab ntawm qhov ua kom puas ntawm cov kua qaub. Cov tshuaj no ua rau tshem tawm cov tsos mob sai, tab sis tsis txhob kho cov mob ntawm cov hlab ntaws thiab tsis tuaj yeem tiv thaiv qhov mob siab dua.
- Alginates - npaj ntawm cov nroj tsuag keeb kwm. Alginic acid salts, nkag mus rau hauv plab, nkag mus rau hauv ib qho tshuaj lom neeg cov kua qaub nrog gastric acid, ntawm qhov uas ua rau lub cev zoo li gel zoo li tshuaj. Lub cev gel yog tshwm sim los ntawm qhov nruab nrab theem ntawm acidity, nws envelops lub phab ntsa ntawm lub plab thiab txoj hlab nqos nrog ib lub yeeb tshuaj tiv thaiv uas kav ntev txog 4 xuab moos. Ua tsaug rau alginates, mucous membranes sai sai zoo, yaig overgrows. Tsis tas li ntawd, ib qho teeb meem yog tsim los tiv thaiv kom tsis txhob noj qhov hnyuv qaub ncaug rau hauv cov hlab ntsha es nqus.
- H2-antihistamines - antisecretory tshuaj, cov nyhuv uas yog txuam nrog blocking lub receptors ntawm pais plab mucosa, uas ua rau ib tug txo txo nyob rau hauv qhuav ntawm hydrochloric acid. Ntxiv rau, cov tshuaj nyob rau hauv kev saib xyuas nce cov synthesis ntawm gastric mucus, txhim kho metabolic nyob rau hauv cov ntaub so ntswg ntawm lub plab hnyuv siab plab, txhawb qhov normalization ntawm lub cev muaj zog ntawm lub plab thiab duodenum. Feem ntau, cov tshuaj no raug pom zoo rau kev kub siab nrog ntau ntxiv ntawm cov kua qaub siab.
- Cov neeg sawv cev rau cov pab pawg neeg ntawm cov tshuaj tiv thaiv proton ua los ntawm kev thaiv cov kev enzymes, qhov no txo qhov zuj zus ntawm hydrochloric acid los ntawm cov nqaij ntawm plab mog. Zoo li cov tshuaj yav dhau los, lawv yog cov tshuaj tiv thaiv thiab raug pom zoo rau cov kab mob acid-dependent ntawm lub plab zom, tab sis, cov tshuaj no muab cov kab mob ntev ntev nrog tsawg dua cov kev fab tshuaj.
- Selective m-cholinolytics yog tshuaj antisecretory rau heartburn, uas thaiv cov nyhuv ntawm cov kab mob parasympathetic hauv lub paj hlwb (vagus paj hlwb) ntawm kev tso pa tawm ntawm hydrochloric acid thiab pepsin, tsis muaj kev tiv thaiv cov M-cholinergic receptors ntawm cov qog salivary, lub plawv thiab lwm yam kabmob. Tam sim no, lawv tsis tshua siv vim muaj kev phom sij ntau heev.
- Cov nyhuv ntawm cov tshuaj prokinetic yog txuam nrog kev ua kom lub zog ntawm cov kab mob hauv plab (kom muaj zog). Cov tshuaj no tuaj yeem txhim khu lub suab ntawm qhov ncauj qis nqig, uas yog txoj kev tawm sai sai ntawm lub plab thiab tiv thaiv kev thim rov qab. Feem ntau cov tshuaj prokinetics raug pom zoo rau cov kev kho mob ntawm cov mob uas muaj kev mob siab, xeev siab, muaj kev npaus ntawm lub plab.
Ntsiav rau kub siab - lub npe
Tuaj kom noj tshuaj rau kev kub siab, daim ntawv teev npe uas yog qhov muaj nqis heev, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus txheej txheem cov causal yam. Cov nyhuv ntawm cov tshuaj yuav tsum tau hais kom tshem tawm cov kab mob pathological uas ua rau tshwm sim tsis xis. Tsis tas li, yog tias koj xav tau kev kho mob ntev, nws tseem ceeb heev uas yuav nrhiav tau cov tshuaj noj kom pheej yig, thaum zoo thiab zoo. Hauv qab no peb yuav maj mam xav txog ntau yam cuab yeej uas nrov.
Ntsaws los ntawm Heartburn Oak
Cov no yog cov tshuaj siv rau kev kub siab (lossis theej, capsules), uas yog tsim los ntawm qhov kev txhawj xeeb ntawm Indian kev kho mob Dr. Reddy Laboratories Ltd. Cov tshuaj yog nyob rau pab pawg neeg ntawm cov tshuaj proton cov tshuaj tiv thaiv thiab muab cov tshuaj tiv thaiv mus rau ntawm hydrochloric acid nyob rau hauv lub plab. Cov khoom sib dhia yog omeprazole. Cov nyhuv yog tiav tom qab 1-2 teev thiab kav ib hnub.
Ntsiav tshuaj rau kub siab Omeprazole
Nyob rau hauv no lub npe, sib nug xov mus rau yam khoom tseem ceeb, cov ntsiav tshuaj yog tsim los ntawm heartburn pheej yig, domestic (Russia producers - Nizhpharm, Akrihin). Raws li cov khoom muaj nyob rau hauv, cov nyhuv uas cov khoom no ua los ntawm heartburn thiab gastritis yog zoo li cov tshuaj yav dhau los. Nws yog tsim nyog teev tias omeprazole raws li ib feem ntawm ib txoj kev kho mob yuav pab tau zoo rau hauv cov kab mob hnyuv nrog tus kab mob Helicobacter pylori - hnyav culprit ntawm lub qhov txhab.
Ntsaws los ntawm heartburn Ranitidine
Cov tshuaj no rau kev kub siab, qhov chaw ua haujlwm ntawm - lub tuam txhab Serbian "Hemofarm", yog ib qho blocker ntawm H2-histamine receptors ntawm ob tiam nrog rau cov khoom xyaw dhia ranitidine hydrochloride. Cov tshuaj no pib ua hauj lwm tam sim ntawd tom qab noj thiab ntxiv nws cov nyhuv, uas muaj nyob rau hauv kev txo cov synthesis ntawm hydrochloric acid thiab lub kua nruab nrab ntawm pais plab kua txiv, nce lub pH hauv plab rau 12 teev.
Pustaevsky - tshuaj rau kub siab
Cov tshuaj nyob rau hauv kev txiav txim siab yog rau kev noj haus tshuaj thiab yog tsim los ntawm Ukrainian kws enterprise "Technologist". Cov chewable ntsiav tshuaj yog los ntawm heartburn nrog ntau flavors, cov khoom xyaw dhia hauv lawv yog magnesium thiab calcium carbonate - antacids. Cov tshuaj neutralizes dawb hydrochloric acid nyob rau hauv cov hnyuv, supplementing ntxiv rau lub deficiency hauv lub cev calcium thiab magnesium. Pozhaevsky - tshuaj rau heartburn, uas pab nyob rau hauv ib lub sij hawm luv luv los txhim kho kev noj qab haus huv, tab sis yog short-lived.
Ntsaws los ntawm heartburn Gaviscon
Cov no yog cov tshuaj kub siab, ua tau los ntawm Reckitt Benckiser (UK). Yam mob ntawm cov tshuaj: sodium alginate, sodium hydrogen carbonate, calcium carbonate. Cov tshuaj thaum nkag mus rau lub plab hnyuv tws tau tsim cov yeeb yaj kiab, uas pab kho cov ntaub so ntswg thiab tiv thaiv lawv cov kev puas tsuaj ntxiv los ntawm kev nruj ntsej muag. Pib ua tom qab ob peb feeb, cov ntswg ntsiav tshuaj tiv thaiv cov tawv nqaij ntawm lub plab zom hauv 4 teev.
Ntsiav tshuaj rau kub siab Gastal
Nrhiav kom paub cov hom tshuaj twg nrog rau kev kub siab, ntau tus neeg mob tau txais kev pom zoo kom coj Gastal, manufactured by Pliva Hrvatska (Croatia). Nws yog tshuaj antacid nrog cov tshuaj nquag siv ntawm aluminium hydroxide-magnesium carbonate gel thiab magnesium hydroxide, uas normalizes acidity ntawm gastric secretion thiab tshem tawm raws plab phenomena. Cov nyhuv tshwm sim sai li sai tau thiab kav ntev li 2 teev.
Tshuaj rau kub siab - kev ntsuam xyuas
Raws li kev ntsuam xyuas thiab kev kho mob kev soj ntsuam, cov tshuaj zoo tshaj plaws rau kev kub siab tuaj yeem raug txheeb xyuas hauv cov nram qab no:
- Almagel.
- Maalox .
- Omeprazole.
- Zulbex.
- Ranitidine.
- Parries.
- Gaviscon.
- Renny.
Ntsiav tshuaj rau kev mob siab rau poj niam cev xeeb tub
Cov tshuaj rau kev mob siab rau poj niam cev xeeb tub, uas tsis ua mob rau tus me nyuam hauv plab, yuav tsum raug xaiv nrog tshwj xeeb lub luag haujlwm. Rau qhov laj thawj no nws yog ib qho tsim nyog yuav tau hais rau tus kws kho mob uas yuav qhia txog kev nyab xeeb tshaj plaws thiab kev ua haujlwm zoo. Cia peb sau cov nyiaj uas tau tso cai rau siv thaum lub sij hawm muaj menyuam yaus:
- Gaviscon;
- Almagel;
- Gastricid;
- Rennie;
- Phosphalugel ;
- Rutatsid.