Msika wama pharmacological umapereka mankhwala ambiri omwe ayenera kuthandizira ku matenda onse. Ena amakwaniritsa ntchito yawo mokwanira, ena alibe tanthauzo lililonse, koma pali mankhwala omwe angagwiritsidwe ntchito pazinthu zambiri ndikupeza zotsatira zomwe akuyembekezeka. Mankhwalawa akuphatikizapo Omez.
Zomwe zimagwiritsidwa ntchito ndi wothandizirazi ndi omeprazole, gawo logwirizana ndi proton pump zoletsa. Izi ndi mankhwala amchere pang'ono omwe, kamodzi pazinthu zam'mimba zomwe zimapangidwa m'mimba, zimayambitsa ndikuyanjana ndi ma cell a parietal m'mimba. Ndi omwe amapanga hydrochloric acid.
Kuwongolera njira za kusinthana kwa ion mu cell, omez kumathandizira kuchepetsa kubisala kwa chapamimba
Mikhalidwe yomwe Omez adafotokozera
Nthawi zambiri, mankhwalawa amaperekedwa ngati wodwala ali ndi zilonda zam'mimba komanso duodenum.
Mankhwalawa atha kutumikiridwa kwa nthawi yayitali kuphatikiza ndi mankhwala ena otsutsana ndi ndege. Izi ndizofunikira kubwezeretsa mucous membrane wa chiwalo ndikutseka zolakwika mkati mwake.
Komanso, mankhwalawa amagwiritsidwa ntchito ngati pakufunika kuthetsa Helicobacter pylori.
Nthawi zambiri zomwe zimayambitsa gastritis ndi zilonda zam'mimba ndizolondola izi, sizobisika kuti Helicobacter amakhala bwino munthawi yokhala acidic, koma kwa odwala, kuchuluka kwa acidity sikumangokhala komanso kosasangalatsa, komanso zovuta za thanzi.
Omez adayikidwa limodzi ndi maantibayotiki - Clarithromycin ndi Ampicillin pochiza matenda oterewa.
Mankhwala amagwiritsidwa ntchito gastroesophageal Reflux akapezeka.
Mwa anthu ena, mtima sphincter (malo omwe mayamwidwe amadutsa m'mimba) sagwira ntchito mokwanira, zomwe zimakhumudwitsa kuponya kwa acidic m'mimba m'mimba, yokutidwa ndi mucous membrane, ndikuyambitsa kutentha. Omez, kuchepetsa acidity ya chapamimba madzi, amachepetsa kusapeza bwino.
Omez wa kapamba amaphatikizidwa mu chiwembu chokhacho cholimbana ndi kapamba chifukwa chakuchepetsa kupweteka, komanso kuchepetsa kuthinikizidwa kwa ma pancreatic ducts, omwe amachititsa gawo laulere la encyatic secretion. Chofunika kwambiri ndi chithandizo cha yogwira pancreatitis ndi Omez. Popeza mankhwalawa amakhudza magawo awiri a njirayi: kuchuluka kwa acidity chifukwa cha gastritis ndi kapamba palokha, kuchepetsa katundu pamenepo.
Ndikulimbikitsanso kugwiritsa ntchito Omez kwa cholecystitis. Zimathandizira kuchepetsa chilengedwe acidic komanso kuchepetsa bile Reflux.
Malangizo ogwiritsira ntchito mankhwalawa
Omez wa pancreatitis ndi cholecystitis adayikidwa nthawi yayitali. Mankhwalawa ali ndi ma Mlingo angapo - 1020.40 mg, ndipo malinga ndi kuopsa kwa matendawa, muyezo umodzi kapena wina umayikidwa. 20 mg ndi muyezo wabwino kwa nthawi yoyamba pamene matenda awonekera. 40 ndi pamwambapa - Mlingo womwe umagwiritsidwa ntchito nthawi yayitali, kukokoloka komanso kutembenuka kwa matendawa, 10 mg yokonza mlingo, popeza mankhwala atachotsedwa, ntchito yokhazikika ya asidi imabwezeretsedwa mkati mwa masiku asanu.
Njira yotulutsira mankhwalawa ndi makapisozi, chipolopolo chawo chimateteza ku inactivation ya mankhwala m'mimba. Chifukwa chake, mankhwalawa amayamba kugwira ntchito komwe akupita, komwe ndi matumbo. Ndikwabwino kumwa mankhwalawa kuyambira m'mawa mpaka m'mawa, pomwe kutulutsa m'mimba kumakhala kochepa. Njira yotengera mankhwalawa imawonjezera phindu pazotsatira zake.
Matenda a kapamba komanso cholecystitis amabweretsa mavuto ambiri kwa odwala. Omez ndi chimodzimodzi mankhwalawa omwe amathandizira kukonza moyo wawo chifukwa:
- Chulukitsani matenda opweteka. Omez kupweteka m'matumbo ndi mankhwala osaneneka chifukwa amachepetsa kukhumudwitsa komwe kumapezeka acidic pakhoma la mucous. Zimathandizira kuchepetsa kulemera kwa enzymatic paz kapamba ndikuloleza kuti ichiritse mofulumira. Ndemanga zambirimbiri zoyamikira zimatsimikizira mphamvu za Omez pochepetsa kupweteka.
- Zosintha pakukutulutsa kwa katulutsidwe kuchokera ku kapamba, pochepetsa kuthinana kwamizere yomwe imalowa mu duodenum.
Kugwiritsa ntchito Omez pamankhwala kuyenera kugwirizanitsidwa ndi dokotala, yemwe azindikire mlingo woyenera.
Kugwirizana kwa Omez ndi mankhwala ena
Chifukwa cha kusintha kwa acidity yam'mimba, komanso chifukwa cha kuchuluka kwa kuyamwa, omez imatha kuwonjezera kapena kuchepa kwa bioavailability wa mankhwala ena.
Mankhwala osavomerezeka kuti agwiritsidwe ntchito pa mankhwala a Omez ndi Digoxin, Clopidogrel, Ketoconazole, Itraconazole.
Digoxin ndi mankhwala osokoneza bongo, pomwe amamwa, mayamwidwe ake amawonjezeka ndi 10 peresenti. Popeza mankhwalawa ndi oopsa ndipo pali chiopsezo cha mankhwala osokoneza bongo, ndizowopsa kugwiritsa ntchito pamodzi ndi Omez pamodzi.
Clopidogrel - mukamayanjana ndi mankhwalawa, mayamwidwe ake amachepa, ndipo chifukwa chake, kuphatikiza kwa maplatulo kumawonjezeka, kotero sikulimbikitsidwa kugwiritsa ntchito mankhwalawa pamodzi. Makamaka kwa odwala omwe ali ndi matenda a mtima komanso mitsempha yam'mitsempha yam'munsi,
Ketoconazole, Itraconazole - kuyamwa kwa mankhwala antifungal awa amachepetsa kwambiri akamagwiritsa ntchito Omez,
Mankhwala omwe amalimbikitsidwa kuti azigwirizana ndi Omez akuphatikizapo Creon. Ndi kapamba, kugwiritsa ntchito mankhwalawa kuphatikizira bwino thanzi la odwala komanso kapamba.
Mankhwala ngati Omez
Ma analogi a Omez akuphatikizira mankhwala ochokera ku gulu la ovuta mapampu a proton - Pantoprazole (Nexium, Control), Rabeprazole, Lansoprazole.
Komanso, blockers of H1 histamine receptors omwe ali ndi ntchito yochepetsera acidity - Ranitidine, Amotidine - ali ndi zofanana.
Mankhwala olimbana ndi vuto la kutentha kwa mtima amatha kudziwitsidwa ndi gulu la mankhwala ofanana mu mphamvu yawo - kusiyana pakati pa gululi ndi awiri apitawa ndikuti mankhwalawa samakhudza khungu lokha komanso zomwe zimapangidwamo, amangogwirizana ndi hydrochloric acid, kumangiriza, ndikupanga more alkaline chilengedwe m'mimba.
Mankhwalawa ndi awa:
- kutengera aluminium hydroxide - Maalox ndi Gaviscon;
- kutengera calcium calcium - Rennie ndi Pochaev.
Zitsamba zomalizazi sizikulimbikitsidwa kuti muzigwiritsidwa ntchito pafupipafupi, chifukwa akakhala ndi asidi, amatulutsa mpweya woipa, womwe pambuyo pake amatambasulira makhoma am'mimba ndikuwonjezera kubisalira.
Chifukwa chake, Omez, wokhala ndi mtengo wabwino komanso wogwira ntchito bwino.
Contraindication
Omez sangatengedwe m'magawo otupa kwambiri, popeza kumwa mankhwalawa kumatha kubisa zizindikiro zofunikira kuti muzindikire.
Mankhwalawa amaletsedwa kugwiritsidwa ntchito mukamagwiritsa ntchito mankhwala omwe kucheza ndi omeprazole kumakulitsa kapena kufooketsa mayamwidwe awo.
Sikulimbikitsidwa kugwiritsa ntchito chida chija ngati vuto la calcium likukula. Omez, malinga ndi malingaliro ndi maphunziro ambiri, kugwiritsa ntchito nthawi yayitali kumatha kuyambitsa chiwopsezo cha fractures. Pamene kunyamula kwa calcium kumachepa ndipo kuchepa kwa magnesium kumayamba.
Osagwiritsa ntchito mankhwalawa ngati wodwala sakuvomerezeka pazinthu zilizonse za mankhwalawa.
Ndi pancreatitis pa nthawi yoyembekezera komanso poyamwitsa, mankhwalawa si oletsedwa, koma amafunikira uphungu wa kuchipatala musanalandire chithandizo. Kwa ana, mankhwalawa amawerengera kuchokera chaka chimodzi, kapena akafika pamtunda wama kilogalamu 10.
Ndi mankhwala osokoneza bongo ambiri, zizindikiro zotsatirazi zingachitike:
- mawonetseredwe a dyspeptic (nseru, kusanza, kutsegula m'mimba, kupweteka kwam'mimba);
- chizungulire, kupweteka mutu;
- mphwayi, kukhumudwa.
Zotsatira zoyipa ndi izi:
- Matumbo ochita kuperewera - angayambitse mseru komanso kusanza, pakamwa pouma, kutulutsa, m'mimba.
- Zokhudza magazi dongosolo - zotheka kuwonetsa magazi, agranulocytosis.
- Kagayidwe kazinthu. Mwina kuchepa kwamlingo wa calcium, magnesium, potaziyamu.
- Kuchokera pakhungu - matupi awo sagwirizana ndi urticaria.
- Zokhudza ubongo
- Zokhudza mphamvu ya chitetezo cha mthupi - machitidwe a anaphylactic ndi kuchepa kwa thupi.
Titaganizira zabwino ndi zovuta zonse za mankhwalawa, ndikupenda ndemanga za odwala za mankhwalawa, titha kunena motsimikiza kuti mankhwalawa ndi othandiza, okwera ndalama komanso osavuta kumwa. Omez ali ndi vuto laling'ono, amathandiza kulimbana ndi zotupa m'magazi ambiri am'mimba, ndipo angagwiritsidwe ntchito ngati gawo la zovuta kuchizira matenda akuluakulu, komanso ngati chidziwitso cha mankhwala osakhalitsa.
Monga mankhwala ena aliwonse, Omez amayenera kutumizidwa ndi dokotala, kuti adziwe mlingo woyenera, poganizira njira yomwe matendawa amadwala.
Zambiri za Omez zaperekedwa mu kanema munkhaniyi.
