Kuphephile ukusebenzisa i-OTC Zantac ngesikhathi sokukhulelwa?

-Delile

• Isingeniso
• Ukuthi ukukhulelwa kuholela kanjani ekuqunjeni
• Ukwelapha isilungulela sakho ngesikhathi sokukhulelwa
• Imiphumela emibi ye-Zantac nokusebenzisana
• Isebenza kanjani iZantac
• Khuluma nodokotela wakho

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

Iningi labesifazane liyasamukela isisu esikhulayo nokukhanya okuzayo okuza nokukhulelwa, kepha ukukhulelwa kungaletha nezimpawu ezithile ezingemnandi. Inkinga eyodwa ejwayelekile ukushisa kwenhliziyo.

Isilungulela sivame ukuqala sekwedlule isikhathi ku-trimester yakho yokuqala futhi singase sibe sibi kakhulu phakathi nokukhulelwa kwakho. Kufanele ihambe ngemuva kokuba usunengane yakho, kepha okwamanje, ungazibuza ukuthi yini ongayenza ukuze unciphise ukusha. Ungahle ulingeke ukuthi uphendukele kumuthi wokuthenga (i-OTC), njenge-Zantac, ukunciphisa i-asidi. Kodwa ngaphambi kokwenza, nakhu okudingeka ukwazi ngokuphepha kwayo ngesikhathi sokukhulelwa.

Ukuthi ukukhulelwa kuholela kanjani ekuqunjeni

Ngesikhathi sokukhulelwa, umzimba wakho wenza okuningi kwe-hormone progesterone. Le hormone ingase ikhulule i-valve phakathi kwesisu sakho nomphimbo. Isikhathi esiningi, i-valve ihlala ivaliwe ukugcina i-asidi esiswini sakho. Kodwa uma ikhululekile, njengokukhulelwa, i-valve ingavuleka futhi ivumele isisu esiswini ukuthi singene emqaleni wakho. Lokhu kuholela ekucasukeni nasezimpawu zesilungulela.

Ngaphezu kwalokho, njengoba isibeletho sakho sikhula, kubeka ingcindezi kumgudu wakho wokugaya ukudla. Lokhu kungathumela nesisu esiswini sakho.

Ukwelapha isilungulela sakho ngesikhathi sokukhulelwa

IZantac ithathwa njengephephile ukuthatha noma nini ngesikhathi sokukhulelwa. Izidakamizwa ze-OTC azinazo izigaba zokukhulelwa, kepha umuthi kadokotela iZantac ubhekwa njengomuthi wesigaba B sokukhulelwa yi-U.S. Food and Drug Administration (FDA). Isigaba B sisho ukuthi ucwaningo selukhombisile ukuthi iZantac ayiyona ingozi kumntwana okhulayo.

Noma kunjalo, odokotela imvamisa abayincomi iZantac yabesifazane abakhulelwe njengokwelapha kokuqala kwesilungulela esingajwayelekile okuvela njalo, noma ngaphansi kwezikhathi ezintathu ngesonto. Imvamisa kuqala basikisela ukushintsha indlela odla ngayo noma eminye imikhuba. Uma lokho kungasebenzi, bangaphakamisa umuthi.

Ukwelashwa kwezidakamizwa zomugqa wokuqala wesilungulela ekukhulelweni kuyisidambisi se-OTC noma i-sucralfate kadokotela. Ama-Antacids aqukethe i-calcium kuphela, ebhekwa njengephephile phakathi nokukhulelwa. I-Sucralfate isebenza endaweni yakho esiswini sakho futhi inani elincane kuphela elingena ekusakazweni kwegazi lakho. Lokho kusho ukuthi kunengozi ephansi kakhulu yokuvezwa kwengane yakho ekhulayo.

Uma leyo mithi ingasebenzi, udokotela wakho angaphakamisa isivimbeli se-histamine njengeZantac.

IZantac ithatha isikhashana ukusebenza, ngakho-ke uyithatha kusengaphambili ukuvimbela isilungulela. Ungathatha iZantac imizuzu engama-30 ukuya ehoreni elilodwa ngaphambi kokudla. Ngokuphuza isilungulela okuncane okwenzeka kaningi, ungathatha ama-75 mg womuthi kanye noma kabili ngosuku. Uma unesilungulela esilinganiselayo, ungathatha i-150 mg yeZantac kanye noma kabili ngosuku. Khuluma nodokotela wakho noma usokhemisi ukuze unqume ukuthi imuphi umthamo olungele wena.

Ungathathi iZantac ngaphezu kokuphindwe kabili ngosuku. Isilinganiso esiphezulu singama-300 mg ngosuku. Uma isilungulela sihlala ngemuva kwamasonto amabili ekwelashwa ngeZantac, tshela udokotela wakho. Esinye isimo kungenzeka ukuthi sidala izimpawu zakho.

Imiphumela emibi ye-Zantac nokusebenzisana

Iningi labantu liyibekezelela kahle iZantac. Kepha umuthi ungadala imiphumela emibi ethile engadingeki. Eminye imiphumela emibi ejwayelekile evela eZantac nayo ingabangelwa ukukhulelwa. Lokhu kufaka phakathi:

• ikhanda
• ukozela
• isifo sohudo
• ukuqunjelwa

IZantac nayo ingadala isiyezi. Lo mphumela oseceleni uyingozi ngoba ungakubanga ukuthi uwe, okungakhathaza kakhulu ngesikhathi sokukhulelwa. Tshela udokotela wakho uma unesiyezi.

Imvamisa, iZantac ingadala imiphumela emibi kakhulu. Lokhu kufaka phakathi amazinga aphansi weplatelet. Kudingeka ama-platelet ukuze igazi lakho limile. Izinga lakho leplatelet lizobuyela kokujwayelekile, noma kunjalo, uma uyeka ukuthatha umuthi.

Ukuze ungene emzimbeni wakho, ezinye izidakamizwa zidinga i-acid esiswini. IZantac inciphisa izinga le-asidi esiswini sakho, ngakho-ke ingasebenzisana nemithi edinga i-acid esiswini. Ukusebenzisana kusho ukuthi ngeke kusebenze ukwelapha isimo sakho. Le mithi ihlanganisa:

• ketoconazole
• itraconazole
• indimvir
• atazanavir
• usawoti wensimbi

Isebenza kanjani iZantac

IZantac iyisinciphisi se-asidi. Isetshenziselwa ukuqeda isilungulela ekugayeni nasesiswini esimuncu, okungaba ngenxa yokudla noma ukuphuza ukudla okuthile neziphuzo. IZantac iza namandla athile atholakala njengezidakamizwa ze-OTC ngaphandle kokuyalelwa ngudokotela wakho.

Uphawu	Isithako esisebenzayo	Isebenza kanjani	Kuphephile ukuthatha uma ukhulelwe?
Isilungulela	I-Ranitidine	Yehlisa inani le-asidi elenziwa isisu sakho	Yebo

I-OTC Zantac iza kuphela njengethebhulethi oyithatha ngomlomo. Isithako esikhulu esisebenza kuZantac yi-ranitidine. Iza ngamandla we-75 mg no-150 mg. Iphinde itholakale ngezikhwepha namafomu ahlukene njengomuthi kadokotela.

IZantac ingeyesigaba semithi ebizwa nge-histamine (H2) blocker. Ngokuvimba i-histamine, lo muthi unciphisa inani le-asidi ekhiqizwa esiswini sakho. Lo mphumela uvimbela izimpawu zokushiswa yinhliziyo.

I-OTC Zantac isetshenziselwa ukuvimbela nokwelapha izimpawu zesilungulela ekugayeni kwe-asidi nasesiswini esimuncu. Amandla kadokotela asetshenziselwa ukwelapha izifo ezinzima zamathumbu.Lokhu kufaka izilonda kanye nesifo se-reflux se-gastroesophageal (GERD).

Lesi sidakamizwa ngeke sisize ngokucanuzela kwenhliziyo, ngaphandle kokuthi isicanucanu sihlobene ngqo nesilungulela. Uma uhlushwa ukugula kwasekuseni noma isicanucanu ngesikhathi sokukhulelwa, njengabanye besifazane abaningi, buza udokotela wakho ukuthi angayelapha kanjani.

Khuluma nodokotela wakho

Uma ubhekene nesilungulela ngesikhathi sokukhulelwa, buza udokotela wakho le mibuzo:

• Iyiphi indlela ephephe kakhulu yokuqeda isilungulela?
• Ngingayithatha i-OTC Zantac nganoma yisiphi isikhathi ngesikhathi ngikhulelwe?
• Yimuphi umthamo weZantac okufanele ngiwuthathe?
• Uma iZantac ingilethela ukukhululeka, kuphephe ukuthatha isikhathi esingakanani?

Khumbula, uma usahlushwa isilungulela ngemuva kokusebenzisa iZantac amasonto amabili, tshela udokotela wakho. Olunye udaba lwezempilo kungaba ukusolwa. Tshela udokotela wakho ngokushesha uma unayo:

• inkathazo noma ubuhlungu ngenkathi ugwinya ukudla
• ukuhlanza ngegazi
• indle enegazi noma emnyama
• izimpawu zesilungulela isikhathi esingaphezu kwezinyanga ezintathu

Lokhu kungaba yizimpawu zesimo esibi, njengesilonda noma izinkinga ezinzima zesisu.