Ngaba kukhuselekile ukuxuba utywala kunye neyeza lesilungulela?

Imfundo yezeMpilo Umxube

I-Taco ngoLwesibili ilapha kwakhona, kwaye uhambe kancinci kwi-carne asada kunye nemargaritas. Kwakumnandi, kodwa sowuza kuhlawula iziphumo kukutya okucaphukisayo kunye notywala. Ufikelela kwiPepcid, kodwa kukho into ekuyekisayo kwimikhondo yakho. Usokhemesti wakho ukuxelele ukuba amanye amayeza akufuneki axutywe notywala (kwaye utywala kancinci). Ngaba amayeza okutshiswa sisilungu yenye yazo?

Qhubeka ukhululeke-amayeza otywala kunye nentliziyo ayinawo ukusebenzisana neziyobisi, kwaye kukhuselekile ukuwasela ukuba ubusela, utshilo uGqirha Holly Alvarado, Pharm.D., Usokhemesti waseklinikhi Impilo kaDuke . Nangona kunjalo, kukho imiqolomba emibini.

Ezinxulumene: Pepcid vs. Prilosec

Yintoni isisu?

Inxulumene neTaco okanye hayi, isitshisa siqheleke kakhulu eMelika. Ngokutsho kweSiseko seHlabathi seSifo seSisu, kuqikelelwa ukuba ngaphezulu kwe 44% Abantu baseMelika bafumana ukutsha rhoqo ngenyanga. Uphawu lwe i-asidi ye-asidi Esikhundleni semeko ngokwayo, ukuhla kwentliziyo kwenzeka xa isisu esiswini sibuyele kwisisu.

Isitshisa sinokuziva ngathi kukutsha kwesifuba sakho (ngasemva kwethambo lesifuba) kwaye sikhatshwe kukungcamla okungalunganga emlonyeni wakho, imvakalelo evuthayo emqaleni wakho, kwaye ngamanye amaxesha kunzima ukuginya.

Isitshisa esibuhlungu esinganyangekiyo sikholisa ukuhamba isifo se-reflux sesisu (GERD). Ikwanxulunyaniswa nezinye iimeko zonyango ezininzi, ke jonga uchwepheshe wezonyango ukuba ufumana ukutsha rhoqo.

Amayeza okuqhaqha

Kubantu abaninzi, ukukhululeka kwentliziyo kuyafumaneka ngokulula kwi-counter-counter kunye / okanye amayeza kagqirha, anje ngala:

• Ii-antacids ezisisiseko, ezinje Maalox kwaye UPepto Bismol
• Iibhloko ze-H2 , njenge Ipepcid (famotidine), I-Tagamet (cimetidine), kunye Iasidi (nizatidine)
• Impompo Proton inhibitors njenge Iprilosec(omeprazole) , Nexium (esomeprazole), Yandulela (lansoprazole), kunye IProtonix(ipopoprazole)

Ke, leliphi kula medb lesilonda elona lilungileyo? UJohn Beckner, RPh, umlawuli ophezulu wamanyathelo obuchule e Umbutho weSizwe wooSokhemesti , ithi oko kuxhomekeke kumntu ngamnye. Ucebisa ukuba uthethe nosokhemesti ngayo kunokuba ubambe nje enye eshelufini.

Nceda unxibelelane nosokhemesti wakho — ndicinga ukuba lo ngumgaqo olungileyo wesithupha, utsho, esongeza ukuba ii-PPIs kunye nee-H2 blocker ngamayeza anamandla kwaye kububulumko ukuzisebenzisa ngokufanelekileyo kwaye njengoko kucetyisiwe.

Fumana ikhuphoni kagqirha

Inqaku ngotywala kunye nezilonda

Kwakhona, yazi ukuba kufuneka uphephe utywala ngokupheleleyo ukuba unezilonda okanye ezinye iingxaki zesisu. Kungenxa yokuba utywala bunokunyusa umngcipheko wokopha, ekugqibeleni benze imeko yakho nokuba Kaninzi yingxaki. Amayeza owathathayo ngale meko (njengePepcid) ayisiyo ngxaki; yimeko uqobo, uyachaza uBeckner.

Gwema i-metoclopramide kunye notywala

Ngamaxesha athile, isigulana sinokufumana iyeza le-metoclopramide, isishukumisi sokuhamba kwesisu, ukunyanga isitshisa. Oku kuthathwa njengokusetyenziswa kwelebheli engekho, oko kuthetha ukuba ngelixa i-metoclopramide ayilulo unyango oluvunyiweyo lwe-FDA lokuqaqamba kwentliziyo kulungile ukuba ugqirha wakho akumisele ukuze anciphise imeko. Ukuba uthatha i-metoclopramide (ekwabizwa ngokuba yiReglan) yesifo sentliziyo okanye nayiphi na enye imeko, kuya kufuneka uphephe utywala kuba bunokuphucula iziphumo zotywala zenkqubo yoxinzelelo lwengqondo (intloko ebuthathaka, ubuthathaka, ukuphazamiseka kwengqondo, njl.), Utshilo uGqirha Alvarado .

Ezi arhente… zinokubangela iziphumo ebezingalindelekanga ezingathandekiyo xa usebenzisa utywala, utshilo.

Ezinxulumene: I-Nexium vs. Prilosec

Gwema i-ranitidine kunye notywala

Kubalulekile ukuba uqaphele ukuba ibhlokhi enye esetyenziswa rhoqo ye-H2, i-ranitidine (igama le-brand Zantac) iphantsi kokukhumbula ngenxa yenkxalabo yezokhuseleko kunye ngo-Epreli i-FDA yacela ukuba isuswe kuzo zonke iishelufa zevenkile . Ukuba usenayo i-ranitidine kwikhabhathi yakho yamayeza, thetha nomboneleli wakho wezempilo okanye usokhemesti malunga nokuba uthathe ntoni endaweni yoko.

Utywala kunye nesitshisa

Kodwa buyela kula margaritas. Umcimbi omkhulu xa kufikwa kwisibilini kunye notywala kukuba ukusela kakhulu kunako ibangela Isitshisa, uthi uKristen Smith, MS, RD, isithethi se IAmerican Academy yeZondlo kunye neDietetics .

Okukhona usela utywala, kokukhona uya kufumana isitshisa, utshilo uSmith.

USmith uthi iwayini ebomvu yenye yezona zinto zibalulekileyo. Kwaye, ngenxa yokuba icaffeine inakho kanjalo kubangela ukutsha, ulumke malunga nokusela ikhaffeine-iziselo ezinxilisayo, njengekofu yaseSpain okanye iramu kunye necola, uyongeza. Ukuba injongo yakho kukunciphisa amathuba okuba ube nesitshisa, ukunciphisa inani lotywala obusebenzisayo kunokunceda, utshilo uSmith. Nangona kunjalo, ukwalumkisa ukuba ayibobutywala nje obubalwayo.

Kuya kufuneka uthathele ingqalelo konke ukutya kunye neziselo ozityayo, utshilo, esongeza ukuba ukutya okunamafutha kunye / okanye ukutya okune-asidi, izithako eziqholiweyo, iminti, kunye netshokholethi nazo zikwaphula umthetho omkhulu xa kufikwa kwisifo sokuqaqamba kwentliziyo.

Kwaye, ayizizo nje iintlobo zokutya ozityayo- the indlela utya kunokubangela ukutsha, nako.

Ukutya ngokukhawuleza kwaye ngesixa esikhulu kunokwandisa amathuba okuba nesifo sentliziyo, utshilo uSmith.