Ingabe iZantac Iphephile Ezinganeni?

-Delile

• Isingeniso
• Ukuqonda isilungulela ezinganeni
• Amafomu nomthamo wezingane
• Isilinganiso sezilonda zesisu, i-esophagus ne-duodenum
• Isilinganiso se-GERD noma i-esophagitis erosive
• Imiphumela emibi yeZantac
• Ukusebenzisana kwezidakamizwa
• Ukudla okudlela endlini

UKUHOXISWA KWE-RANITIDINENgo-Ephreli 2020, kwacelwa ukuthi zonke izinhlobo zemithi kadokotela kanye ne-over-the-counter (OTC) ranitidine (Zantac) zisuswe emakethe yase-U.S. Lesi sincomo senziwe ngoba amazinga angamukeleki we-NDMA, i-carcinogen engahle (amakhemikhali abangela umdlavuza), atholakala kweminye imikhiqizo ye-ranitidine. Uma unikezwe i-ranitidine, khuluma nodokotela wakho mayelana nezinye izindlela eziphephile ngaphambi kokumisa umuthi. Uma uthatha i-OTC ranitidine, yeka ukuthatha lesi sidakamizwa bese ukhuluma nomhlinzeki wakho wezokunakekelwa kwezempilo mayelana nezinye izinketho. Esikhundleni sokuthatha imikhiqizo ye-ranitidine engasetshenzisiwe isiza sokubuyisa izidakamizwa, yilahle ngokwemiyalo yomkhiqizo noma ngokulandela i-FDA's.

Isingeniso

IZantac yisidakamizwa esisodwa eselapha i-acid esiswini ngokweqile nezimo ezihlobene nayo. Ungase futhi uyazi ngegama layo elijwayelekile, i-ranitidine. I-Ranitidine ingeyesigaba semithi ebizwa nge-histamine-2 receptor blockers, noma i-H2-blockers. Ama-H2-blockers anciphisa inani le-asidi elenziwa amaseli athile esiswini sakho.

IZantac futhi ingaba yindlela ephephile nephumelelayo yokwehlisa i-acid esiswini, isilungulela, nobuhlungu obuhlobene nengane yakho, kepha kukhona izindlela ezithile zokuqapha. Funda kabanzi mayelana nesilungulela ezinganeni nokuthi izinhlobo ezithile zeZantac zingasebenza kanjani ukuselapha.

Ukuqonda isilungulela ezinganeni

Ezinye izingane zenza i-asidi eningi kakhulu esiswini. Umsipha ophakathi komphimbo (noma "ipayipi lokudla") nesisu ubizwa nge-sphincter engezansi yokucinana. Lo msipha uvuleka ukuvumela ukudla kusuke esiswini kungene esiswini. Imvamisa, ivala ukugcina i-asidi inganyuki iye esiswini. Kwezinye izingane, noma kunjalo, le misipha ayithuthuki ngokugcwele. Kungavumela i-asidi ethile ukuthi ibuyele emuva.

Uma lokhu kwenzeka, i-asidi ingacasula i-esophagus futhi ibangele umuzwa ovuthayo noma ubuhlungu. I-acid reflux eningi kakhulu isikhathi eside ingadala izilonda noma izilonda. Lezi zilonda zingenzeka noma yikuphi kusuka esiswini somntwana kanye nesisu kuya engxenyeni yokuqala ye-duodenum (amathumbu amancane).

Ukwehlisa isisu esineqile se-asidi yengane yakho kunganciphisa ukucasuka abanakho kusuka ebuhlungu be-acid reflux ngemuva kokondla. Kungasiza futhi ingane yakho ukuthi idle kalula, okuthuthukisa ukuzuza kwesisindo futhi kunciphise ukwehla kwesisindo. Njengoba ingane yakho ikhula, i-sphincter yabo ephansi yokuqalisa isisu izoqala ukusebenza kangcono futhi izokhafula kancane. Ukukhafula okuncane kubangela ukucasuka okuncane.

Ngemininingwane engaphezulu ngalesi simo, funda ngezimpawu nezimpawu ze-acid reflux ezinganeni.

Amafomu nomthamo wezingane

Uhlobo lweZantac ongalunika ingane yakho luza ngesiraphu eyi-15-mg / mL. Itholakala kuphela ngencwadi kadokotela. Amafomu ezitolo ezithengwayo ayatholakala, kodwa kufanele asetshenziswe kuphela ngabantu abaneminyaka engu-12 noma ngaphezulu.

Unika iZantac imizuzu engama-30-60 ngaphambi kokuthi wondle ingane yakho. Umthamo usekelwe kusisindo sabo ngasinye. Linganisa umthamo wabo wesiraphu weZantac nge-dropper yomuthi noma isirinji yomlomo.Uma ungenayo vele, ungathola noma ithuluzi lokulinganisa ekhemisi lakho.

Isilinganiso sezilonda zesisu, i-esophagus ne-duodenum

Ukwelashwa okujwayelekile kokuqala kungu-2-4 mg / kg wesisindo somzimba kabili ngosuku amasonto amane kuya kwayisishiyagalombili. Unganiki ingane yakho ngaphezu kuka-300 mg ngosuku.

Ngenkathi izilonda ziphola, unganikeza ingane yakho ukwelashwa kwesondlo ngeZantac. Umthamo usengu-2-4 mg / kg, kepha uzowunikeza kanye kuphela ngosuku ngesikhathi sokulala. Le ndlela yokwelashwa ingahlala unyaka owodwa. Qinisekisa ukuthi awunikeli ngaphezu kuka-150 mg ngosuku.

Isilinganiso se-GERD noma i-esophagitis erosive

Ukwelapha isifo se-reflux yesisu sakho se-gastroesophageal (GERD) noma i-esophagitis erosive, isilinganiso esijwayelekile ngu-2.5-5 mg / kg wesisindo somzimba kabili ngosuku. Izimpawu zengane yakho zingathuthuka kungakapheli amahora angama-24, kepha ukwelashwa kwe-esophagitis ekhukhumezekile kuvame ukuhlala izinyanga ezimbalwa.

Imiphumela emibi yeZantac

Iningi labantu liyibekezelela kahle iZantac, kepha kungenzeka ukuthi ingane yakho ibe nemiphumela engemihle. Le miphumela emibi ingafaka:

• ikhanda
• ukuqunjelwa
• isifo sohudo
• isicanucanu
• ukuhlanza
• ukuqubuka

Ukusebenzisana kwezidakamizwa

I-Zantac ingashintsha ukuthi umzimba wengane yakho uyimunca kanjani eminye imithi ngenxa yezinguquko ezenzayo enanini le-asidi esiswini. Kungathinta nokuthi izinso ziyisusa kanjani imithi emzimbeni. IZantac ingavimba ama-enzyme wesibindi nawo adiliza imithi.

Le miphumela ingathinta ezinye izidakamizwa noma izinto ongazinika ingane yakho. Qiniseka ukuthi udokotela wengane yakho uyazi ngazo zonke izidakamizwa ozinikeza ingane yakho, kufaka phakathi izidakamizwa ezingekho emthethweni, amavithamini, nezithasiselo. Lolu lwazi luzosiza udokotela ukuthi azi ukuthi ngabe sikhona yini isizathu iZantac engeke iphephe enganeni yakho.

Ukudla okudlela endlini

I-Zantac ingasetshenziswa ngokuphepha ezinganeni. Kodwa-ke, ukuphela kwendlela yezingane yisiraphu okufanele ibekwe ngudokotela wengane yakho. I-Zantac ongayisebenzisa esithenjini okungenzeka ukuthi unayo kakade kwikhabethe lakho lemithi ayivunyelwe izingane.

Imithamo yesiraphu evunyelwe isuselwa esimweni sengane yakho nesisindo sayo. Kubaluleke kakhulu ukuthi ulandele imiyalo yesilinganiso njengoba inikezwa ngudokotela. Ukweqisa ngokweqile ezinganeni kungaba nzima ukukuthola. Uma uke wangabaza ngokwelashwa kwengane yakho, umthetho omuhle wesithupha uhlale ubuza udokotela wakho.

Ngenkathi iZantac ibhekwa njengephephile, ushintsho oluncane ekondleni nasekulaleni kungasiza nasezimpawu zezingane zakho. Ukuze ufunde ngezinye izinketho zokwelashwa, funda ngokwelashwa kwe-GERD ezinganeni.