Abantu abanomlando we-pancreatitis engapheli, izilonda zesisu noma lonke uhlelo lwethambo lesisu, i-gastritis yanoma yiluphi uhlobo - bayazi ngobukhona bezidakamizwa ezinjenge-Omez noma iNolpaza.
Izidakamizwa ezimbili kubukeka sengathi zingama-proton pump inhibitors, angamalungu eqembu elilodwa lezemithi. Kunconyelwe ukuvimbela kanye nokwelashwa kwezindlela ezilula noma eziyinkimbinkimbi ze-gastritis, izilonda eziwohlokayo nezilonda zepheshana lesisu, iZollinger-Ellison syndrome nezinye izinqubo ze-pathological emzimbeni.
Indlela yokusebenza yale mishanguzo emibili ingenxa yokuncipha kokuxineka kwe-hydrochloric acid, okucunula ingqimba ye-mucous membranes, evimbela isiguli ukuthi silulame.
Izimali azinakho nje ukufana okuthile maqondana nezinkomba zokusetshenziswa, kodwa futhi nokwehluka okuthile. Ake sibheke ukuthi yikuphi okungcono: UNolpaza noma u-Omez? Ukuze wenze lokhu, cabanga ngemithi ngemininingwane eminingi, bese uyiqhathanisa.
Izici ezijwayelekile zesidakamizwa uNolpaza
Umuthi osebenzayo kumthamo we-20 mg - i-pantoprazole sodium ifakiwe kuthebhulethi eyodwa Umuthi weNolpaz. I-Mannitol, i-calcium stearate, i-anhydrous carbonate, i-sodium carbonate iboniswa njengezici ezisizayo kwisichasiselo. Umuthi uyatholakala kumthamo ka-20 no-40 mg, ngokulandelana, ekugcineni kuzoba nesakhi esisebenzayo sama-40 mg kwithebhulethi ngayinye.
Umuthi yi-proton pump inhibitor, into esemqoka i-benzimidazole derivative.
Uma ingena endaweni ene-acidity ephezulu, iguqulwa ibe yifomu esebenzayo, ivimba isigaba sokugcina sokukhiqizwa kwe-hydrophilic ye-hydrochloric acid esiswini.
Ukusetshenziswa kwesidakamizwa kukhulisa kakhulu ukukhiqizwa kwe-gastrin, kepha lokhu kuyaphindeka.
Yabela ekwelapheni izilonda ze-peptic zesisu, duodenum 12. Ukwelashwa kwezimo ze-pathological eziholela ku-hypersecretion. Kungcono ukufaka isicelo sesifo se-gastroesophageal Reflux. Kunconywa njengokuvikelwa kwesisu ezigulini ezithatha izidakamizwa ezilwa nokuvuvukala zeqembu elingelona i-steroid isikhathi eside.
Contraindication:
- Ukungabekezelelani kwezinto eziphilayo ezingxenyeni zomuthi;
- I-40 mg nolpase ayikwazi ukuthathwa kanyekanye ngemithi ye-antibacterial ezigulini ezinomlando wezinhlungu ezinzima zezinso nezesibindi;
- Izimpawu ze-Neurotic dyspeptic.
Ukuqapha kuthathwa ngabantu abanokungasebenzi kahle kwesibindi. Uma umuthi usetshenziswa isikhathi eside, izinga lama-enzyme wesibindi kumele ligadwe.
Izibhebhe kufanele zithathwe ngomlomo, zigwazwe ziphelele, zigezwe ngamanzi amaningi, zithathwe ngaphambi kokudla. Uma udinga ukuthatha ithebhulethi elilodwa ngosuku, kungcono ukwenze lokhu ekuseni.
Imiyalo iyaphawula ukuthi utshwala abuthinti ukusebenza kahle komuthi, ngakho-ke umuthi uyahambisana nawo. Kodwa-ke, iNolpaza imiselwe ukwelashwa kwezifo ezinjalo lapho ukusetshenziswa kotshwala kungavunyelwe ngokuphelele.
Ekuqhubekeni kokwelashwa, kuqubuka izinto ezingezinhle:
- Ukuphazamiseka kwendlela yokugaya ukudla, isifo sohudo, ukwenyuka kwamagesi, isicanucanu, ukuqina kokuqina kwama-enzyme wesibindi. Akuvamile - i-jaundice, ehambisana nokuhluleka kwesibindi.
- Ukuphazamiseka kwesistimu yezinzwa ephakathi - i-migraine, isiyezi, isimo sokudangala, ukungazinzi ngokomzwelo, ukonakala okubukwayo.
- Ukuvuvukala. Ngokungabekezeleli, ukusabela komzimba kuyakhula - ukuqubuka, i-hyperemia, i-urticaria, ukulunywa. Kuyaqabukela kwenzeka i-angioedema.
- Ukwanda kokushisa komzimba, izicubu kanye nobuhlungu obuhlangene (akuvamile).
Idatha esetshenziselwa ukweqisa izidakamizwa ayibhalisiwe. Ezimweni eziningi, ukubekezelela kuhle ngisho nasemithanjeni ephezulu.
I-Analogs yimithi - i-Omez, i-Omeprazole, i-Ultop, iPantaz.
I-Omez Drug Abstract
INolpaza noma i-Omez, okungcono? Ngaphambi kokuphendula lo mbuzo, cabanga ngomuthi wesibili bese uthola ukuthi bazohluka kanjani. Isithako esisebenzayo yi-omeprazole, njengezingxenye ezengeziwe - amanzi angenamithi, i-sucrose, i-sodium phosphate.
Umuthi we-antiulcer ubhekisela kuma-proton pump inhibitors. Akukho mehluko phakathi kwamaqembu ekhemisi neNolpase. Umphumela wokwelapha umuthi nawo uyafana.
Kodwa-ke, uma uqhathanisa lezi zidakamizwa zombili, u-Omez unohlu olubanzi kakhulu lwezinkomba zokusetshenziswa. Ithuluzi kufanele linqunywe kulezi zimo ezilandelayo:
- Ekwelapheni izilonda ezi-peptic ze-duodenum nesisu;
- Uhlobo oludabukisayo nolulazayo lwe-esophagitis;
- Izilonda ezi-ulcerative, ezibangelwa ukusetshenziswa kwamathebulethi angenayo i-steroidal anti-inflammatory;
- Izilonda ezisekelwe ekucindezelekeni;
- Izilonda ze-peptic ezivame ukuphindeka;
- I-Zollinger-Ellison Syndrome;
- I-pancreatitis engapheli noma eyingozi.
Uma isiguli singakwazi ukuthatha ifomu lomuthi wethebhulethi, kulapho kubekwa khona ukuphathwa kwe-intravenous. Contraindication ifaka ukukhulelwa, ukuncelisa, i-hypersensitivity, iminyaka yezingane. Kuthathwe ngokucophelela ngemuva kwesizinda sokwehluleka kwezinso / isibindi. Kulokhu, umthamo unqunywa ngemuva kokuxilongwa ngokuphelele.
U-Omez angahlanganiswa nemithi yezinhlungu, isibonelo, i-Diclofenac. Izibhebhe ze-Omez zithathwa ziphelele, hhayi zichotshoziwe. Umthamo ngosuku 20-40 mg, kuya ngesifo. Ngokwesilinganiso, kwamukelwa ngaphakathi kwamasonto amabili.
Imiphumela emibi engaba khona:
- I-Flatulence, isicanucanu, ukwephulwa kokubona ukunambitheka, izinhlungu esiswini.
- I-Leukopenia, thrombocytopenia.
- Ubuhlungu bekhanda, isifo sokudangala.
- I-Arthralgia, i-myalgia.
- Imiphumela ye-Allergic (fever, bronchospasm).
- Ukuwohloka okuvamile, ukungaboni kahle, ukukhuphuka kokujuluka.
Nge-overdose, umbono uyawohloka, umlomo owomile, ukuphazamiseka kokulala, ikhanda, i-tachycardia kuyabonakala. Ngomtholampilo onjalo, ukwelashwa okubonakalayo kwenziwa.
Yini engcono: uNolpaza noma u-Omez?
Ngemuva kokuhlola le mishanguzo emibili, sihlaziya ukubukeza kodokotela nemibono yeziguli, singacacisa umehluko nokufana kwale mishanguzo emibili. Imiphumela yokwelapha efanayo yezidakamizwa inezibuyekezo ezahlukahlukene, izinto ezisebenzayo.
Iningi lezazi zezokwelapha elixakile likholelwa ukuthi iNolpaza ingumuthi wesizukulwane esisha esihlangabezana kahle nalo msebenzi. Enye inzuzo yikhwalithi yaseYurophu, ethinta kakhulu umphumela wezokwelapha. Odokotela baphinde baqaphele ukuthi ukwanda komthamo akusithinti isimo seziguli, noma ngabe inkambo yokwelashwa yinde kakhulu.
Ngakolunye uhlangothi, i-Omez iyithuluzi elidala nelifakazelwe, kepha hhayi ngemvelaphi yaseRussia, ikhiqizwa eNdiya. Mhlawumbe odokotela abaningi bancoma lo muthi ngoba usetshenziswa kuwo. Akunakwenzeka ukuphendula lo mbuzo ngokunembile.
Uma uqhathanisa izindleko ngenani, khona-ke i-Omez iyithuluzi elingabizi kakhulu, okuyinzuzo engenakuphikwa yeziguli ezidinga ukuthatha umuthi isikhathi eside. Izindleko ezilinganiselwe zemithi:
- Amaphilisi we-10 we-Omez - ama-ruble angama-50-60, izingcezu ezingama-30 - ama-ruble ayi-150;
- I-14 izibhebhe zeNolpase 20 mg ngayinye - ama-ruble ayi-140, kanye nama-40 mg - ama-ruble ayi-230.
Vele, umehluko wentengo mncane, kepha uma uthatha ithebhulethi elilodwa noma amaningana, uthinta isikhwama.
Ngokuphathelene no-Omez, ukubuyekezwa ngalesi sidakamizwa kuvame kakhulu. Iziguli ziqaphela isenzo sayo isikhathi eside - kufinyelela emahoreni angama-24, ukuphuculwa kwenhlala-kahle ngosuku lwesibili lokusetshenziswa.
Imibono yeziguli ngeNolpaz iyahluka. Abanye bathi umuthi ubekezeleleke kahle, akubanga namiphumela emibi, kepha umuthi awuzange uhambisane nezinye iziguli: imiphumela emibi eyenziwe ngemuva kwomphumela omncane wokwelashwa.
Njengoba ukuqhathanisa kubonisile, izidakamizwa ezimbili zinelungelo lokuba. Yisiphi isidakamizwa okufanele usisebenzise ekwelapheni i-pancreas, udokotela unquma, ebheka izimfanelo zomtholampilo wesiguli, izifo namanye amaphuzu.
U-Omez nezimpawu zakhe zichazwe kuvidiyo ekulesi sihloko.
