Avo avo kamwechete vakambonzwa kurwadziwa kwemoyo vanoziva kusashamiswa kwechiratidzo ichi. Kupisa kwekutsva, kupisa, kurwadziwa, kunowanikwa munzvimbo yegungwa rekuzadza, kunogona kuendeswa nezvimwe zviratidzo, rambai kwenguva yakareba, kudzivisa hupenyu hwezuva nezuva. Rubatsiro mumamiriro ezvinhu akadaro anokwanisa kuora mapiritsi.
Nei kuora mwoyo kuchiitika?
Ichi chiratidzo chinoonekwa kakawanda mushure mekudya kudya kana kunwa kana mushure mechinguva mushure mekudya. Kushungurudzika kunosanganiswa nemigumisiro yemukasi wechipfuva chemukati wezvinhu zviri mudumbu, izvo zvakabuda kubva kune dzimwe nzvimbo. Somugumisiro wekushungurudzika kwechisimba kune zvakagadzirwa mukati, izvo zvinosanganisira acids, bile, digestive enzymes uye zvimwe zvikamu, kupisa nekuputika kwemashutu kunoitika.
Zvinokonzera kushungurudza kunogona kuwirirana nechimwe chezvinhu zvinotevera zvinokonzera kushanduka kunofambisa kwezvokudya zvine gastric:
- kuderera mumutauro we esophageal sphincter - yakadzika, kugovera sopu uye mudumbu, kana kumusoro, kuparadzanisa pharynx kubva panopa;
- kuwedzera acidity ye jasi rinokonzera;
- kuora simba kwekutakura basa kweiyo (poor peristalsis).
Izvi zvinokonzerwa nehutano hwezvirwere zvinotevera zvekugadzirisa chirongwa chekudya:
- esophagitis ;
- gastroesophageal reflux chirwere;
- kupararira kwepopu ;
- gastritis;
- peptic ulcer;
- functional dyspepsia ;
- chinonzi diaphragmatic hernia nevamwe.
Nehutano hwakadaro, kushungurudza kunowanikwa neimwe kana imwe periodicity, yakafanana nemamwe zviratidzo. Vanhu vane unowanzobata kugadzirisa chirongwa chinogonawo nguva nenguva kupisa nguva shoma mushure me sternum, iyo inokonzerwa nezvinhu zvinotevera:
- Kunyanya kudya;
- kurovedza muviri pakarepo mushure mekudya;
- kushandiswa kwakanyanya kupinza, acidic kana mafuta ekudya;
- zorora munzvimbo inoreva nhema pakarepo mushure mekubva patafura;
- kurapwa nemimwe mishonga (antispasmodics, mishonga yemwoyo, antidipressants nevamwe);
- kupfeka zvipfeko zvakaoma;
- overweight;
- kusvuta;
- kunwisa doro;
- kushungurudzika;
- pamuviri.
Ndeapi mapiritsi anobatsira nokuora mwoyo?
Kurapa kwepfungwa kunoda nzira yakabatanidzwa uye inosanganisira kutenderwa kutevedza kudya kwakanaka uye kudya kwakakodzera, kudzivisa tsika dzakaipa, kushandisa mishonga, uye dzimwe nguva - kupindira kwekuvhiya. Kazhinji, mishonga inobatsira kubvisa chiratidzo ichi ine fomu yeplate, iyo inoita kuti zvive nyore kushandisa nekuparadzira. Kusarudzwa kweizvi kana mahwendefa aya kubva pakutsamwa kwemoyo kunofanira kuitwa nechiremba uyo achawana zvikonzero zvekusavhiringidza uye, maererano nehutachiona, anopa mishonga ine nzira yakakodzera yekuita.
Ngatitsanangurirei mapiritsi ekuputika kunogona kurongerwa (mapoka makuru emishonga):
- antacids ;
- alginates;
- blockers yeH2-histamine receptors;
- proton pump inhibitors;
- kusarudza M-cholinolytics;
- prokinetics.
Ko mahwendefa okucheka anoshanda sei?
Ngationgororei, zvinogadzirisa sei mhuka inogadzirira kugadzirisa kubva pamwoyo weboka rimwe nerimwe mapoka zvakaguma pamusoro apa:
- Nhengo dzeAlexacid - pazvinopinda mukati mudumbu, mishonga iyi inobatanidza nejusi yakashanduka, zvichibva pakuita kuti asidi isati yasvibiswa kuita mvura nemvura yakasanganiswa nemvura. Pamwe chete neizvi, kuwedzera mumushamba wekugadzira kunovhiringidza, izvo zvinopa humwe huviriro hwehutachiva hunobva pamigumisiro yakaipa yeasiti. Iyi mishonga inopa kukurumidza kukura kwechiratidzo, asi usaporesa nheyo dzakagadzikana uye hazvikwanise kudzivirira kuitika kwekuora mwoyo zvakare.
- Alginates - Kugadzirira yemiti yakabva. Alginic acid asidi, inopinda mukati mudumbu, kupinda mumakemikari anoita ne gastric acid, mugumisiro wekuti unova kuumbwa kwejeri-sechirwere. Gel inogadziriswa inoratidzika nechose chinenge chisina zvematongerwo enyika ye acidid, inoumba masvingo emudumbu uye esophagus ine firimu yakasimba inodzivirira inopera kusvika maawa mana. Kutenda kune vashanduki, maruva emakumbo anokurumidza kudzoka, kudengenyeka kunowedzera. Mukuwedzera, chipingamupinyi chakagadzirirwa chinodzivirira kuiswa kwegastric acid mueophageal tube.
- H2-antihistamines - antisecretory zvinodhaka, iyo iyo inobatanidza nekudzivirira maitiro ekugadzirisa mucosa, izvo zvinoita kuti kuderera kunopinza mukugadzirwa kwehydrochloric acid. Mukuwedzera, mishonga iri kuongororwa inowedzera kushandiswa kwegastric mucus, kugadzirisa zvirongwa zvemagetsi mumatumbu ezvikamu zvekudya, kukurudzira kugadziriswa kwemotokari inoshanda mudumbu uye duodenum. Kazhinji, mishonga iyi inokurudzirwa kuora mwoyo kunobatanidza nekugadzirwa kwegastric acid.
- Vashandi veboka reproton pump inhibitors vanoita nekuvhara majekiseni chaiwo, nokudaro vachideredza kushandiswa kwehydrochloric acid nemakumbo maviri. Kufanana nemishonga yakambotanga, iyo inonzi antisecretory uye inokurudzirwa nezvezvirwere zvinotapira asidi zvekugadzirisa chirongwa chekudya, zvisinei, mishonga iyi inopa nguva refu yakagadzikana uye zvishomanana kutendeuka kwakashata.
- Kusarudza m-cholinolytics inoratidzira mapiritsi ekutemwa kwemhepo, iyo inokonzera kukanganisa kwehutachiona hwepasympathetic (vagus nerve) pakachengetedzwa kwehydrochloric acid uye pepsin, pasina kuvhara M-cholinergic receptors yemaronda, mapira uye dzimwe nhengo. Iye zvino, haawanzoshandiswa nemhaka yehuipi dzakaipa.
- Izvozvo zvinokonzerwa nemishonga yeprokinetic inobatanidza nekushandiswa kwekufamba kwemakumbo emimba (kukurudzira kwekudzivirira). Iyi mishonga inogona kusimudzira inzwi rezasi reesophageal sphincter, iyo inofambisa kubuda nokukurumidza kwemukati zviri mukati uye kunodzivisa kushandura kutsva. Kazhinji prokinetics inokurudzirwa kurapwa kwemamiriro ekufambidzana nekuputika kwepfungwa, kusuruvara, kunzwa kwekudarika muviri.
Matetetsi okutsamwa-mazita
Kutora mapiritsi ekuputsanya kwepfungwa, urongwa hwezvakanyanya kufadza, zvinokosha kuti ucherechedze zvinhu zvinokonzera. Izvozvo zvinokonzerwa nezvinodhaka zvinofanira kutungamirirwa pakubvisa zviratidzo izvi zvinokonzera kusanzwisisika kunoratidzwa. Mukuwedzera, kana uchida kwenguva yakareba kurapwa, zvinokosha kuti uwane mapiro mapiritsi asingadhuri, asi unhu uye hunobudirira. Pasi apa tichakurukura zvishomanana zvishandiso zvinoverengeka.
Mapiritsi anobva ku Heartburn Omez
Izvi zvinoshanda mapiritsi ekuputika (kana kuti pane, capsules), yakabudiswa neIndia yemishonga inetseka Dr. Reddy's Laboratories Ltd. Mishonga iyi ndeyeboka reproton pump inhibitors uye rinopa kupikisa kubudisa hydrochloric acid mudumbu. Iyo inoshandiswa inoshandiswa ndeye omeprazole. Mhedzisiro inowanikwa mushure meawa 1-2 uye inopera zuva.
Matetet for Heartburn Omeprazole
Pasi pezita iri, rinopindirana nezvinhu zvinoshanda, mahwendefa anokonzerwa kubva pamwoyo usingabhadhari, vekumba (vaRussia varairi - Nizhpharm, Akrihin). Kubva pane izvo zvinoshandiswa zvinoshandiswa, zvinoitika izvo zvigadzirwa izvi zvinogadzira kubva pamwoyo uye gastritis zvakafanana nemishonga yapfuura. Zvakakosha kuziva kuti omeprazole sechikamu chekutambudzika kwakaoma kunobatsira zvikuru pakubata chirwere chekudya uye bhakitiriya Helicobacter pylori - chiitiko chinowanzoitika chezvipembenene zvekuonda.
Mapiritsi anobva kuora mwoyo Ranitidine
Mushonga uyu wekushungurudza mwoyo, muiti we-yeSerbian kambani ye "Hemofarm", ibhuku reH2-histamine receptors yechizvarwa chechipiri pamwe nemishonga inoshandiswa ranitidine hydrochloride. Chirwere ichi chinotanga kushanda pakarepo mushure mekutora uye ichienderera mberi kwaro, iyo inosanganisira kuderedza kushandiswa kwehydrochloric acid uye kuwandisa kwemuviri wegastric, kuwedzera pH mukati mudumbu kwemaawa gumi nemaviri.
Pustaevsky - mapiritsi ekuputsika kwepfungwa
Mishonga iri pasi pekufungisisa ndeyekudya zvekudya uye inokonzerwa neIkraine pharmaceutical enterprise "Technologist". Aya mahwendefa anokanganisa anobva pakuputika nemafuta akawanda, izvo zvinoshandiswa zvinoshandiswa mukati mazvo zvinonzi magnesium uye calcium carbonate - antacids. Iyo mishonga haina kubvisa mahwisiro e-hydrochloric acid mumugwagwa wezvokudya, kuwedzera pakuwedzera kukwana mumuviri we calcium uye magnesium. Pozhaevsky - mapiritsi ekutsamwa kwepfungwa, ayo anobatsira munguva pfupi yekuvandudza hukama hwakanaka, asi anorarama kwenguva pfupi.
Mapepa anobva pamwoyo Gaviscon
Izvi ndezvipembenene zvinokonzera kupisa mapiritsi, izvo zvinobudiswa naReckitt Benckiser (UK). Kushanda zvikamu zvemuropa: sodium alginate, sodium hydrogen carbonate, calcium carbonate. Mishonga iyo inopinda maitiro emimba inoumba firimu inodzivirira, iyo inobatsira kugadzirisa mishonga uye kudzivirira kupfurikidza kwavo nekukuvadza nezvikamu zvine utsinye. Kutanga kuita chiito mushure memaminitsi mashomanana, mahwendefa aya okucheka mwoyo anodzivirira mucous tistues ye digestive system mukati maawa mana.
Mapiritsi ekuputika Gastal
Kuwana mapiritsi okunwa nekunetseka kwepfungwa, varwere vazhinji vanowana mazano ekutora Gastal, inogadzirwa naPliva Hrvatska (Croatia). Icho chinonzi antacid ine zvinhu zvinoshandiswa zvealuminium hydroxide-magnesium carbonate gel uye magnesium hydroxide, iyo inowanzoita acidity yegastric secretion uye inopedza zvirwere zvehutachiona. Izvozvo zvinowedzera nokukurumidza uye zvinopera kwemaawa maviri.
Mapiritsi ekuputika - kuverenga
Maererano nekuongororwa uye kuongororwa kwezvokurapa, mapiritsi akakurumbira ekuputika kwepfungwa anokwanisa kuonekwa mune zvinotevera:
- Almagel.
- Maalox .
- Omeprazole.
- Zulbex.
- Ranitidine.
- Parries.
- Gaviscon.
- Renny.
Mapepa okutambudza vakadzi vane pamuviri
Mushonga wekuora mwoyo kune vakadzi vane pamuviri, izvo zvisingakuvadzi fetus, zvinofanira kusarudzwa nemutoro unokosha. Nokuda kwechikonzero ichi zvakakosha kutaurira chiremba uyo achapa mazano akachengeteka uye akagadzirira. Ngationei mari iyo inobvumirwa kutora panguva yekubereka mwana:
- Gaviscon;
- Almagel;
- Gastricid;
- Rennie;
- Phosphalugel ;
- Rutatsid.