Kedu ihe dị mma Omez ma ọ bụ Pariet nwere ọrịa pancreatitis?

Na ebe a bu uchem banyere ogwu a. PPI ndị a niile na - ewepụ 100% acid ma ọ bụrụ na e were 40 mg. Wee mee nhọpụta. Ma adịkarịghị na ọkara dose. Ma ọbụlagodi na ọkara nke ọkara, ha dị otu oge ka ha kwụsịlata acidity ozugbo, naanị oge ụfọdụ. Kedukwa ihe kpatara m ji tụọ egwu na ọ bụ ihe egwu ị toụ ọgwụ dịka nke a, o yiri m, ọ na-awụ, ma ọ bụrụ na achọrọ ngwa ngwa, ị nwere ike ịbelata ihe ọ juiceụ gastụ gastric na ọnụ ọgụgụ dị otú ahụ. Ya mere, a na m a drugsụ ọgwụ ike dị ala: famotidine, ranitidine. Ha dị ize ndụ maka TM, na enwere ọrịa nlọghachị n'oge ịkagbu, mana lee ... ọ bụ n'ezie, na PPI na-ekwu na ọ bụghị. N'agbanyeghị nke ahụ, mana ọbụghị site na egbe ala na nza. Otu ihe n’oge ihe mberede ma ọ bụ obere oge. Ma ọ bụrụ na igbochi acid na-adịkarị mkpa n'ihi na a na-abawanye acidity?

Ọ dị mma, enwere iwu maka ndị dọkịta. Achọrọ ọgwụ ahụ, ngwa ngwa na onye nrụpụta .. dị ka ọ bụ .. ụgwọ ọrụ .. nke a bụ echiche m, ọ nwere ike ịbụ ihe na-adịghị mma. Mana achoghi m ike mmanu acid a, ebe ọgwụ ike dị obere na-enyere aka.

Ngwongwo ogwu

Ngwakọta nke Omez gụnyere omeprazole na-arụ ọrụ, nke na-ebelata ike hydrochloric acid na afọ ma na-emetụta Helicobacter, nje na-akpasu ọnya afọ. Ọgwụ a na-arụ ọrụ n'oge ehihie, bioavailability ya (ogo nke insimilation) na otu ọgwụ anaghị agafe 40%.
Ngwakọta ọrụ na Pariet bụ rabeprazole. Ọ na - egbochi mmepụta nke acid site na mkpụrụ ndụ nke eriri afọ nke afọ, mana ọ naghị emetụta Helicobacter. Ogologo oge nke ọgwụgwọ ọgwụgwọ rabeprazole nwere ike iru ụbọchị 2, na bioavailability bụ 52%.

ọnụnọ ọnya afọ na ọnya afọ ma ọ bụ duodenum, n'agbanyeghị agbụrụ ha si.
ọrịa gastroesophageal reflux - GERD (mmebi nke akụkụ esophagus n'ihi mmetụta iwe nke acid na-alaghachi na afọ ya),
Zollinger-Ellison syndrome - neoplas nke a na-eme ka mmadụ sie ike na-eme ka enzymes ghara,
mbufụt nke afọ (gastritis), na-akpasu iwe site na obere pH nke ihe ọricụricụ gastric,
mgbochi acid na - esite n'afọ nke akụkụ iku ume (ọrịa Mendelssohn),
mgbaàmà nke mmebi nke gastric ogbo nke mgbaze - ọgbụgbọ, obi mgbawa, belching, mgbu.

nnukwu ọnya na ọnya na-emebi mgbidi nke afọ ma ọ bụ duodenum, gụnyere ndị ọ na-akpata helicobacter - nje nke na-akpasu ọnya afọ.
ọnya afọ,
GERD,
Ọrịa Zollinger-Ellison.

Ihe ngbanwe

mmadụ ịleụ ọgwụ ọ ,ụ ,ụ
n'otu oge iji ọtụtụ ọgwụ ezubere maka ọgwụgwọ nke etuto ahụ, fungal na malitere ịrịa,
afọ ụmụaka erughi afọ abụọ.

hypersensitivity nke mmiri ọgwụ,
oge ime na ara,
ụmụaka na-erubeghị afọ iri na abụọ.

Nsonaazụ

allergies
nchegbu na ịda mba, nsogbu ihi ụra,
nlele belata, auditory na ịdị ụtọ,
ire ure, isi ọwụwa,
hallucinations
mbelata n'ọbara nke sel sel nile,
emeghasị imeju,
akọrọ na mkpali na-agbanwe n’oghere nke ọnụ,
mgbakasị ahụ iwe, mgbu afọ, flatulence,
ọgbụgbọ, vomiting,
ihe mgbu na akwara na nkwonkwo.

ihe nfụkasị ahụ
afọ ọsịsa na afọ ntachi,
kpọrọ nkụ nke oghere a na-edeghị ede,
jaundice
afọ mgbu, oke flatu,
isi ọwụwa, anya isi,
Mgbali mepụta mkpụrụ ndụ,
imeju ara,
ihe mgbu na nkwonkwo na akwara.

Leasedị mwepụta na ọnụahịa

10 mg capsules, pcs 10. - 77 rubles.,.
okpu. 20 mg, 30 pcs. - 148 rub.,
okpu. 40 mg, 40 pcs. - 275 rub.,
lluphilisate soluble 40 mg, karama 1 - 164 rubles.,
Omez Insta, ntụ ntụ, 20 mg, sachets 5 - 80 rub.,
Omez DSR, okpu. 30 + 20 mg, 30 PC. - 408 rub.,
Omez D, okpu. 10 + 10 mg, 30 PC. - 322 ite.

10 mg mbadamba, 14 pcs. - 1079 rub.,
taabụ. 10 mg, 7 pcs. - 986 rub.,
taabụ. 20 mg, 14 pcs. - 2049 rub.,
taabụ. 20 mg, 28 PC. - 4047 rub.

Ihe ngosi maka ojiji

A na-eji Pariet eme ihe:

reflux esophagitis,
ọnya afọ,
ọnya duodenal,
Ọrịa Zollinger-Ellison metụtara yana akpụ nke islet ngwa nke pancreas (pancreas) na-ekpuchi ihe na-akpali akpali nke hydrochloric acid - gastrin,
gastritis na-adịghị ala ala.

Na ọgwụ mgbochi, a na-eji Pariet eme ihe n'ịgwọ ọrịa (antibacterial) nke Helicobacter Pylori. Ngwá ọrụ kwesịrị ekwesị maka ọgwụgwọ reflux ogologo oge nke eriri afọ.

Usoro onunu ogwu na nhazi

Edere Pariet maka ndị okenye dabere na ọnọdụ physiopathological ha. Usoro ụzọ usoro ọgwụgwọ ahụ si gosipụta ya na usoro onodu ogwu a si dị:

Ọrịa duodenal na ọnya afọ na-arụ ọrụ: 20 mg otu ugboro n'ụbọchị, n'ụtụtụ. Ọzụzụ bụ site izu abụọ rue otu ọnwa.
Reflux esophagitis: 20 mg otu ugboro kwa ụbọchị. Ọzụzụ bụ 1-2 ọnwa.
Mwepu (ikpochapu) nke H. pylori: 20 mg ugboro abuo n’otu izu n’otu na Clarithromycin na Amoxicillin.
Site na ụdị mbufụt nke pancreas, a na-enye Pariet (20 mg) n'ụtụtụ minit 30 tupu nri ụtụtụ. Nleta ahụ bụ izu anọ. Dọkịta nwere ike ịgbanwe usoro onodu ya na oge.

Jiri mmiri dị ọcha zuru ezu were otu mbadamba mbadamba.

Pariet nwere ntakịrị alkaline. Na usoro onunu ziri ezi, a na-etinye ya ngwa ngwa wee bido ime ihe elekere, na-agbakọta na mkpụrụ ndụ parietal.

Nsonaazụ

Nsonaazụ ndị a chọpụtara n’oge ọmụmụ ihe ahụ bụ obere oge ma gosipụtara dịka:

Ihe dị ka 2% nke ihe omume ndị a na-emetụta akarị: rhinitis, flatulence, pharyngitis, vomiting, mgbu azụ, enweghị isi, afọ ntachi na ehighị ụra nke ọma. Ihe na-erughị 1% nke ndị ọrịa na-ewere Pariet mere mkpesa banyere myalgia, mgbu nkwonkwo, ọnụ akọrọ, ụra, dyspepsia, oke iwe, wdg.

Nyere ọdịdị na-adịghị mma nke ngosipụta ndị a, a maara na Pariet anaghị emetụta ịkwọ ụgbọala ahụ. Agbanyeghị, na eji ụra (ihe dị n'akụkụ), ịkwesighi ịnya ma na-arụ ọrụ na usoro mgbagwoju anya.

Mmekọrịta na ọgwụ ndị ọzọ

Nchịkọta ndakọrịta nke rabeprazole sodium na Warfarin, Phenytoin, Theophylline, Diazepam egosighi mmekọrịta dị oke mkpa na ụlọ ọgwụ. Ngwa nyocha nke ụlọ ọgwụ na-egosi nnabata nke Pariet na nkwadebe antacid.

Mana oriri ya na-emetụta nnabata nke vitamin B12, na -ebelata mmịta ya. Njikọ ọgwụ a na Ketoconazole ma ọ bụ Itraconazole na-eduga n'ịbelata ọdịnaya ha na plasma ọbara, na mmekọrịta ya na Digoxin, n'ụzọ megidere, na-abawanye ụba na ya. Ekwesịrị ịnabata ọgwụ ndị dị na Pariet n'okpuru nlekọta nke dibịa na-aga.

Ndị dọkịta dọrọ aka ná ntị banyere ihe ize ndụ ndị dị na ijikọta ọgwụ ahụ na mmanya nwere mmanya na-egbu egbu, ebe ọ bụ na amụbeghị ọnụ na mmanya nke rabeprazole sodium nke ọma.

Ngwakọta na ụdị ntọhapụ

Pariet na-enyere aka igbochi ọrụ nke enzyme (proton pump) nke ATPase H + / K +, na-emepụta acid hydrochloric.

Ihe dị n'ime Pariet bụ rabeprazole sodium, ihe bụ benzimidazole n'ụdị nke proton pump inhibitors. Mbadamba 10 ma ọ bụ 20 mg nwekwara: mannitol, magnesium oxide, hydroxypropylcellulose, magnesium stearate, ethylcellulose, talc, titanium dioxide, iron oxide yellow, iron oxide red na carnauba wax.

Emebere Pariet n'ụdị mbadamba ihe osisi gbara agba na blisters nke 7 ma ọ bụ 14 PC .:

10 mg - pink, biconvex, nke gbara agba, n'otu akụkụ ojii akara "E241",
20 mg - acha ọbara ọbara na-acha edo edo, biconvex, nke gbara agba, nwere akara uhie "E243".

A na-akwakọba blister n’ime obere kaadiboodu.

Ime na lactation

Ihe omuma nke dokita na ogwu banyere nchekwa nke ideputa ogwu n’oge agwo. Ya mere, n'oge ime, Pariet bụ contraindicated.

Enwebeghị ihe omumu nke abanye n’ime sbeum rabeprazole n’ime mmiri ara nke nwanyi ara. O ghaghi ndi dibia bekee iji ogwu nye ndi ara.

Usoro ahịa ọgwụ ahịa

Akwụkwọ ọgwụ dọkịta chọrọ ka ịzụta ọgwụ a. N'ọtụtụ ọgwụ ọgwụ, a chọrọ ya naanị mgbe ị na-azụ Parieta na usoro ọgwụ nke 20 mg.

Omeprazole maka pancreatitis: ntuziaka maka ojiji
Mbadamba ụrọ Nolpase Pancreatitis
Etu esi ewere Nexium maka pancreatitis?
Mexidol maka ọrịa pancreatitis

Ndị dọkịta nwere oke iwe nke ọrịa pancreatitis na -ebu ọnụ na-ebu ọnụ, enzymes na painkiller. Edere Pariete izizi otu ọnwa gara aga, mgbe naanị ihe mgbu a na-ata ahụhụ. Echeghị m na ọgwụ ahụ ga - enyere aka wepụ ha ngwa ngwa. Ọ nwere ọrụ ọzọ dị iche - wedata ihe nzuzo ma belata nrụgide na akwara. Mmụba nke nrụgide bụ ihe kpatara mgbu m.

O siri ike ịgwa ndị ọzọ ihe ị nabatara. Omeprazole maara nke ọma na-enyere aka ị burụ acid, obi mgbu na mgbu. Ma Pariet dọtara ọsọ na opekata mpe nke nsonaazụ, n'agbanyeghị ọnụahịa dị elu. Ana m a itụ ya dị ka dọkịta si kwuo ya maka izu abụọ kwa ọnwa isii. Ekwere m na ekwesịrị ime nhọrọ ahụ maka arụmọrụ ọ bụghị ọnụ ala.

Saịtị a na-eji Akismet alụ ọgụ spam. Chọpụta otu esi ahazie data nkọwa gị.

Kedu otu esi etinye pariet?

Ihe bụ isi bụ iwelata acidity nke afọ, nke na-enyere mgbake. Mmetụta analgesic na-enyere aka nwee ahụ iru ala n'ihe dị ka nkeji.

N'agbanyeghị ịdị elu nke ọgwụ ahụ, ndị mmadụ na-achọkarị analogues, n'ihi na ọnụ ahịa ọgwụ ahụ na Russia sitere na 780 rubles.

Mpempe weputara - mbadamba gburugburu na shei. Ihe omume ya na-eme ngwa ngwa karịa nke Omez.

Uda agha na-enyere ọtụtụ aka na nkụchi obi. Ọgwụ a kwekọrọ na ọgwụ ndị na-egbochi nje bacteria iji kpochapụ ọrịa na eriri afọ. Na mgbakwunye, ihe fọrọ nke nta ka ọ bụrụ na enweghị mmetụta ọ bụla na-eme ka ọ bụrụ onye ndu n'etiti ọgwụ ndị yiri ya.

Contraindications maka ojiji nwere ike ịdị ka ndị a:

Amachibidoro ị takingụ ọgwụ ọjọọ maka ụmụaka na-erubeghị afọ iri na abụọ.
Ọkpụkpụ ọgbụgba na-eme ka ịghara ị takingụ ọgwụ.
Amachibidoro ịhọrọ ma bulite usoro ịke ọ bụla.
Nkwanye aru nke aru nke ọgwụ ahu.
Oge ime na inye nwa bụ oge enweghị ike taken were Pariet.

Achọpụtaghị mmerụ ahụ nke isi ihe ikpeazụ, mana amara na ihe ndị dị na ọgwụ ahụ na-agafe na mmiri ara ara nwa.

Echiche ndị ọkachamara gbasara Pariet bụ naanị ihe dị mma, n’ihi na egosiri na o nwere ikike iwepu ihe ndị dị n’ahụ iji mee ka metabolism kwụsịlata. N'ihe banyere ịdoụbiga mmanya ókè, mkpa ọ dị imecha afọ ya. Ọ nweghị mmetụta siri ike, yabụ na ahụ na-anabata ya ngwa ngwa.

O nweghị mmetụta na-emebi emebi n’arụ ahụ niile. Mgbe ị na-eji mbadamba nkume ndị ahụ, ekwesighi ka a ghọgbuo ha. A na-ewere ya n'ụtụtụ tupu nri.

N'izugbe, a na-anabata ọgwụ n'oge ọ bụla, mana n'ụtụtụ mmetụta ahụ ga-esi ike karị. N'agbanyeghị ezigbo njiri mara, o nwechaghị mmetụta dị n'akụkụ ya. Ọ bụrụ na ị na-abawanye onunu ogwu nke mbadamba onwe gị, mgbe ahụ ka ewepụrụ calcium n’ahụ, nke na-akpalite oke ihe ọghọm nke okpukpu ọkpụkpụ. Yabụ, ịnwe ọgwụ eji eme ihe a ka amachibidoro. Ogwu a nwere ihe kariri otu nyocha di nma, n’agbanyeghi nnukwu onu ahia.

Mgbe ejiri ya, onye ọrịa nwere ike ịnwe nsonaazụ.

Ndị a gụnyere:

afọ ọsịsa
afọ ntachi
adịghị ike
ọgbụgbọ
ọnụ kpọrọ nkụ
akpukpo aru.

Ejiri Pariet na mbadamba ihe na-ebelata acidity nke afọ.

Ihe enyemaka mbu maka mgbu afọ

N'ime nkeji mbụ nke ọdịdị mgbu n'ime afọ, ọ dị mkpa ịkwụsị mmetụ ahụ na-adịghị mma. Maka nke a, a na-eji ọgwụ mgbu. Na mgbakwunye, ọ ka mma ịhapụ iri nri maka oge mbụ, kama na-a aụ nnukwu mmiri ọ hotụ hotụ ma ọ bụ ahịhịa ndị nwere obere abụba. N'okwu dị iche iche, usoro ndị ọzọ nwere ike inye aka, dịka ọmụmaatụ:

Site na oke iwe nke gastritis, ndị dọkịta na-atụ aro ịnọ n'ọnọdụ pụrụ iche n'akụkụ ikpere gị ikpere. Maka ịdị mma kachasị, ị nwere ike itinye akwa oyi na afọ gị ma ọ bụ mee obere afọ nke ịkwa. N'ọnọdụ nsogbu, ọ dị mkpa ị drinkụ mmiri ma mee ka ọ nwee ọgbụgbọ.
Iji ihe mgbaàmà nke nsị, unyi na-arụ ọrụ na sọrel ndị ọzọ ga - enyere aka iwepụ mgbakasị ahụ. Mgbe ahụ ịkwesịrị iweghachi mmiri dị n'ahụ ahụ nke nwere nnukwu ihe ọ .ụ .ụ.

Ihe ị ga-a withụ na ọnya afọ dịka ọgwụgwọ ga-ekpebi dọkịta. O depụtara usoro ị theụ ọgwụ na usoro ị theụ ọgwụ ahụ. Agbanyeghị, enwere oge mgbe ọ gaghị ekwe omume ịgakwuru onye ọkachamara, mgbe ahụ ịkwesịrị ịhọrọ ọgwụ dabere na mgbaàmà ahụ:

Site na gastritis ma ọ bụ ọnya nwere acidity nke afọ, acid belching na ọkụ, ihe ndị a ga - enyere aka: Gastral, Anacid, De-nol, Flacarbin, Almagel.
Mgbe nsogbu kpatara nri na-adịghị mma, oke na ihe ndị ọzọ, were: Gastromax, Mezim, Omeprazole, Cimetidine.
Ọ na - enyere aka belata nsị nke afọ: No-shpa, Besalol, Buscopan.
Site na afọ mgbu na ọrịa gastritis nke acidity dị ala, ndị dọkịta na-atụ aro: Festal, Triferment, Panzinorm, Creon.

N'agbanyeghị ihe kpatara akpata mkpagide, ọgwụgwọ kwesịrị ka a na-eme ya mgbe niile yana nri na-edozi ahụ. Na nke mbụ, ịkwesịrị ịjụ nri, kpamkpam ruo mgbe oke ahụ erughị ala belatara. Mgbe ahụ nri kwesịrị ịdabere na tebụl nke nri amachibidoro:

Mbadamba ụrọ Nexium 20 mg na 40 mg

Na GERD nwere ọrịa esophagitis, ekwesịrị ịhapụ Nexium 40 mg otu ugboro kwa ụbọchị maka izu anọ. Ọ bụrụ na, mgbe usoro ọgwụgwọ gachara, ọgwụgwọ zuru ezu emeghị ma ọ bụ ihe mgbaàmà nke ọrịa ahụ na-adịgide, mgbe ahụ, a ga-ewere Nexium 40 mg na-enweghị nkwụsịtụ otu ugboro kwa ụbọchị maka izu anọ ọzọ.

Maka ọgwụgwọ mmezi mgbe ọgwụgwọ GERD na-enwe nsogbu esorogitis iji gbochie nlọghachi, ọ dị mkpa ị takeụ Nexium 20 mg otu ugboro kwa ụbọchị ruo ọtụtụ ọnwa.

Site na GERD na-enweghị esophagitis, a ga-ewere Nexium 20 mg otu ugboro kwa ụbọchị maka izu anọ. Ọ bụrụ na mgbe usoro ọgwụgwọ nke akara GERD apụtaghị, ịkwesịrị ịga n'ihu na-a theụ ọgwụ ahụ n'otu usoro onunu ogwu maka izu anọ ọzọ.

Mgbe ọgwụgwọ GERD na-enweghị ọrịa esophagitis, enwere ike iburu Nexium “na-arịọ”, ya bụ, mgbe mgbaàmà na-egbu mgbu gosipụtara, ọ dị mkpa ị toụ 1 mbadamba 20 mg iji kwụsị ha. N'otu oge, achọrọ nchịkwa na-aga n'ihu na Nexium.

Maka ọgwụgwọ na mgbochi nlọghachi nke ọnya afọ ma ọ bụ ọnya duodenal metụtara Helicobacter pylori, a ga-ewere Nexium 20 mg ugboro abụọ kwa otu izu. Na ọgwụgwọ nke peptic ọnya Nexium eji dị ka akụkụ nke njikọta ọgwụgwọ, yana iji prophylactic - kewapụrụ iche.

Iji gbochie nlọghachi na ndị nwere ọbara ọgbụgba site na ọnya afọ, Nexium maka mmejupụta ọgwụ na - egbochi ọgwụ acid bụ nke a na - ebu ụzọ etinye aka na ntinye ọnụ na 40 mg otu ugboro maka izu abụọ ruo atọ, emesia were ya ọnụ na mbadamba 40 mg otu ugboro kwa ụbọchị maka izu anọ.

Maka ọgwụgwọ nke ọnya afọ, nke iwere ọgwụ ogologo oge site na otu NSAID, a ga-ewere Nexium 20 mg ma ọ bụ 40 mg otu ugboro kwa ụbọchị maka izu anọ ruo asatọ. Maka igbochi ọnya afọ ma ọ bụ ọnya afọ mgbe ọ na-ewere NSAID, a ga-ewere Nexium 20 mg ma ọ bụ 40 mg otu ugboro kwa ụbọchị n'oge oge niile nke iji NSAIDs.

Maka ọgwụgwọ nke ọrịa dị iche iche jikọtara ya na mmepụta nje hydrochloric acid (Zollinger-Ellison syndrome, wdg), Nexium na-amalite ị beginụ 40 mg ugboro abụọ n'ụbọchị.Ọ bụrụ na ụdị ọgwụ ọnụọgụ ahụ anaghị eduga na mkpocha nke mgbaàmà, yabụ ekwesịrị ịbawanye uru nke ọnọdụ onye ahụ na-elebara onwe ya anya. Ogwu a kacha anabata nke Nexium bụ 120 mg ugboro abụọ n'ụbọchị.

Ibelata onunu ogwu nke Nexium n’ime ndi okenye na ndi n’enwe nsogbu. Na oke mmebi imeju, usoro ọgwụgwọ kwa ụbọchị nke Nexium bụ 20 mg, yana obere na nwayọ, ọ bụ otu ihe ahụ maka ndị ọzọ niile. Maka ụmụaka na-erubeghị afọ iri na abụọ, mbadamba ọgwụ Nexium ka a machibidoro iwu, ụmụaka nọ n'afọ iri na atọ na-ewere ọgwụ ahụ na ọgwụ ndị okenye.

Kedu nke ka mma: soars ma ọ bụ omez?

Uru Pariet bụ mmetụta ya na-adịte aka na nnukwu bioavailability. Ya mere, a na-eji ya n'ọnọdụ ndị dị oke njọ dịka ịmaliteghachi ọnya afọ na-arụ ọrụ na ebumnuche a. Ọ na-akpatakarị mmetụta ndị ọ na-akpata, ọ na-anabata ya nke ọma ma ghara ịbanye na mmekọrịta mmekọrịta ọgwụ ọjọọ, nke kachasị mkpa maka ndị ọrịa nwere oria obi, akụkụ iku ume na usoro ndị ọzọ.

A na-eji Omez ọ bụghị naanị maka ọnya na GERD, kamakwa n'ọnọdụ ọnọdụ dị ntakịrị karị: gastritis, mgbaàmà nke afọ mgbu. Otu uru pụtara ìhè nke Omez bụ ohere ọ nwere nye ụmụ nwanyị dị ime na ụmụaka site na afọ abụọ (Pariet bụ naanị site na afọ iri na abụọ ka a na-ekwe nkwa ịtụrụ ime).

Emebere Pariet naanị na mbadamba, Omez nwekwara ụdị maka nchịkwa akwara ọbara, ụdị dịgasị iche iche tinyere domperidone, dị mkpa maka imebi nri ọrụ moto. Maka ndị ọrịa nwere ike ilo mbadamba nkume ma ọ bụ ihe mkpuchi na -eme, enwere Omez Insta, site na nke akwadoro nkwusiozo ka adaba maka ilo.

Zụ elu dị oke ọnụ karịa Omez, yabụ na-pere mpe, na obere obodo, enweghị ike ịhụ ya mgbe niile na ere.

Omez ma ọ bụ Pariet - nke ka mma: echiche ọkachamara

Ọkachamara-gastroenterologists n'ọtụtụ oge na-ahọrọ Pariet, n'ihi na ha na-ahụ arụmọrụ ya dị ukwuu na nnabata ka mma. Nke a na-egosi na site na-adakarị ọmụmụ. Ọtụtụ nyocha ọgwụ na-egosi nchekwa nke Parieta na ndị agadi, bụ ndị a na-amanye mgbe niile ị takeụ ọgwụ dị ukwuu. Omezị, nke enyere ọgwụ mmekọrịta ya, ekwesighi ekwesi na nke a.

Nanị ihe na-egbochi nhọpụta Pariet bụ oke ụgwọ ya: ọ bụghị mmadụ niile ga-akwụli ya. Ya mere, a na-atụ aro ya n'ọnọdụ siri ike karị. Na maka ọgwụgwọ nke gastritis nkịtị, GERD na-enweghị mbuze na ebumnuche prophylactic ka etinyere Omez.

Nkwụsị (pellets ma ọ bụ nsogbu dị iche iche maka ngwọta) Nexium - ntuziaka maka ojiji

A na-eji akwa ma ọ bụ granules kwadebe nkwusiobi ọnụ. Iji kwadebe nkwusioru, ihe ndị dị na otu akpa Nexium ga-agbanye na 15 ml nke mmiri dị jụụ, gwakọta nke ọma ma chere sekọnd 30 ruo mgbe e guzobere nkwụsị nkwakọ. Ọ bụrụ na ịchọrọ ị toụ karịa otu sachet nke ọgwụ ahụ, mgbe ahụ, ọnụọgụ mmiri ka agbakọtara dabere na nha nke 15 ml kwa akpa 1. Nke ahụ bụ, iji igbari akpa akpa abụọ (pellets) Nexium ga-achọ mmiri 30 ml, wdg. E kwesịrị ịkwụsị mmanya a kwụsịrị ozugbo ma ọ bụ ọkara kacha ọkara. Mgbe ị drinkingụsịrị nkwusioru ahụ, tinye mmiri 15 ml ọzọ na otu iko ahụ, kpalite ngwaahịa ahụ ma drinkụọ mmiri ahụ na-esi na ya pụta ọzọ. Maka nkwadebe ngwa ngwa nke ihe ngwọta Nexium, ekwesighi ijipịa mkpụrụ osisi ma ọ bụ ala.

A na-ekpebi oge a na -eche ya na oge ọgwụgwọ ya dabere n'afọ onye ahụ yana ụdị ọrịa ahụ.

Maka umuaka ndi oria n’agbata n’agbata n’agbata iri n’agbata na iri n’abuo n’ariri ibu kariri kilogram iri, ekwesiri inye Nexium pellets naanị maka ọgwụgwọ GERD. Ọgwụ nke GERD na esophagitis na ụmụaka nwere aru nke 10 - 20 n'arọ ka a na-eme ya na Nexium 10 mg (1 sachet) 1 oge kwa ụbọchị maka izu asatọ. Ọ bụrụ na ahụ nwatakịrị ahụ buru ibu karịa kilogram 20, yabụ maka ọgwụgwọ GERD na esophagitis, ọ nwere ike were Nexium 20 mg (sachets abụọ) otu ugboro kwa ụbọchị maka izu asatọ. Iji gwọọ GERD na-enweghị esophagitis, ụmụaka kwesịrị iwere Nexium 10 mg (1 sachet) 1 oge kwa ụbọchị maka izu asatọ.

Ndị okenye na ụmụaka gbara afọ iri na abụọ n’afọ iri na abụọ na-ewere pịrịdị pịrịts (nnabata) na otu usoro ahụ yana otu ụkpụrụ na iwu dị ka mbadamba nkume (lee mkpụrụ okwu “Nexium 20 mg na mbadamba 40 mg - ntuziaka maka iji”).

Nchoputa ogwu a achoghi ndi okenye, ndi n’adighi ike na nsogbu nke akwara ha di njo ma obu ezigbo nsogbu imeju ha. N’ime ọgbụgba akụrụ na-egbu egbu, usoro ọgwụgwọ nke Nexium nwere ntakịrị 20 mg (2 sachets) kwa ụbọchị.

Lyophilisate Nexium - ntuziaka maka ojiji

A na - eji ọgwụ mgbochi intrarenia ọgwụ dịka ihe dị ka mbadamba mbadamba ma ọ bụ pellel ma ọ bụrụ na mmadụ enweghị ike ilo ọgwụ ahụ maka ebumnuche ọ bụla. Ozugbo enwere ike ilo nri ọgwụ, a ga-ebugharị onye ahụ na oriri nke Nexium n'ụdị mbadamba ma ọ bụ pellets. A na-ekpebi usoro ọgwụgwọ ogwu nke Nexium n'ime ụdị ọrịa.

Maka ọgwụgwọ GERD na esophagitis, a na-elekọta Nexium na 40 mg (1 karama) otu ugboro n'ụbọchị. Iji kpochapụ ihe mgbaàmà nke GERD, ịga n'ihu na-enweghị esophagitis, a na-edozi 20 mg (ọkara karama) nke lyophilisate.

Maka ọgwụgwọ na mgbochi nke nkwarụ akwara metụtara iji NSAIDs, a na-ahụkwa Nexium 20 mg (ọkara karama) otu ugboro n'ụbọchị.

Iji gbochie ọbara ọgbụgba site na endoscopy, a ga-enye ọgwụ mg (80 mg) (2 karama) nke Nexium dị ka infusion na-adịgide adịgide ọkara otu awa. Mgbe ahụ, a na-emezi Nexium n'ụdị dropper (infusion) na ọnụego 8 mg kwa elekere maka ụbọchị 3. Mgbe emechara nhazi ọbara ọgbụgba n'ime Nexium, ị ga-agbanye n'ị takingụ ọgwụ ahụ n'ụdị mbadamba ma ọ bụ paịlị 40 mg otu ugboro kwa ụbọchị maka izu anọ.

Iwu maka nkwadebe osisa nye ntụtụ intravenous na infusion (droppers):

A ga-eji mmiri saline gbazee Lyophilisate,
Enweghi ike ịgwakọta ngwakọta Nexium nke ọma na ọgwụ ndị ọzọ,
Ngwọta kwesịrị ịdị doro anya n'enweghị nsogbu ọ bụla ma ọ bụ flakes,
A ga-edozi ihe edozi ya ozugbo ịkwadebe ma ọ bụ karịa kacha ogologo awa iri na abụọ.
Nwere ike chekwaa azịza ya na ngbụ ọkụ agaghị akarị 30 o C,
Maka ntụtụ, a ga-agbaze nke lyophilisate site na otu karama site na ịtinye salim nke mmiri dị milimita 5,
Maka dropper (infusion), lyophilisate sitere na otu karama kwesịrị ịgbari na 100 saline.

Iwu nke nchịkwa akwara nke nsogbu idozi:

A na-achịkwa 40 mg ma ọ bụ 20 mg nke Nexium (karama 1 ma ọ bụ 0,5 nke lyophilisate) nke dịkarịa ala 3 nkeji,
A na-elekọta 40 mg ma ọ bụ 20 mg nke Nexium (1 ma ọ bụ 0,5 vial nke lyophilisate etisasịwo) dị ka infusion n'ime oge 10 ruo 30 nkeji,
A na-edozi 80 mg nke Nexium (2 vials) dị ka infusion maka opekempe minit 30,
A ga-atụfu ihe ndị ọzọ eji emeghị lyophilisate, ghara idobe ya.

Ọ bụrụ na ị na-enwe ọgbụgbọ, na-elo ihe isi ike, ma ọ bụ felata nke ahụ gị mgbe ị na-axiụ Nexium, ị kwesịrị ịkpọtụrụ dọkịta ma lelee gị maka ọrịa ndị ọzọ. Mgbe ị na-ewere Nexium ihe karịrị otu afọ, dọkịta kwesịrị ịhụ ya. Ọ bụrụ na n'oge eji Nexium "na-achọ" enwere mgbanwe ọ bụla na mgbaàmà, mgbe ahụ ị kwesịrị ịkpọtụrụ dọkịta ozugbo enwere ike.

Mmekọrịta na ọgwụ ndị ọzọ

Nexium na ogwu HIV / AIDS (atazanavir, ritonavir, nelfinavir, saquinavir) na - eme mgbanwe maka ịptionụ mmiri na itinye uche ha n'ọbara. Ọzọkwa, mmụba nke usoro ọgwụ mgbochi anaghị egbochi mmetụta nke Nexium, ya mere, enweghị ike iji ọgwụ ndị a ọnụ.

Nexium na - eduga n'ịba ụba n'ọbara na ọgwụ nke ọgwụ ndị na - esote:

Diazepam
Citalopram,
Imipramine
Clomipramine,
Phenytoin
Cilostazol

Site na ojiji nke Nexium nke imeghari ya na ọgwụ ndi a dị n’elu, usoro a ga-ebelata nke ikpeazụ iji 30 - 40%.

Rifampicin na nkwadebe nwere akụkụ nke St John's wort na-eduga na mbelata nke mkpụkọ nke Nexium na plasma ọbara.

Nexium maka umuaka - otu esi aru

Withmụaka nwere oke ahụ na-erughị kilogram 10 na ndị na-erughị afọ 1 ekwesịghị ị Neụ Nexium. Agedmụaka dị n’agbata afọ 1 ruo 11 n’arọ n’arịrị toro 10 ruo 20 n’arọ nwere ike iri naanị 10 mg (1 sachet) nke Nexium otu ugboro n’ụbọchị. Weighmụaka na-ebu ihe karịrị kilogram 20 nwere ike were iri mg (abụọ sachets) nke Nexium kwa ụbọchị.

A na-eji Nexium n'ime ụmụaka mee ihe naanị maka ọgwụgwọ nke GERD, nke mejupụtara na nri 10 kwa ụbọchị ma ọ bụ 20 mg nke pellets maka izu 8.

Nexium - analogues

Mmegha nke Nexium bu ogwu ndi a:

Neo-Sext
Mbadamba ụrọ Esomeprazole
Emanera okpu.

Analogs nke Nexium bụ ọgwụ ndị a:
1. Erere Beret,
2. Gastrozole capsules,
3. Helikon capsules,
4. Dexylant capsules,
5. Zhelkizol lyophilisate,
6. Zerocide capsules,
7. Mbadamba osisi Zipantola
8. Mbadamba ụrọ Zolispan
9. Mbadamba mbadamba Zulbeks
10. Mbelata mbadamba na ntụ ntụ maka nkwadebe nke ihe ngwọta maka nchịkwa intraven.
11. Mbadamba nke Krosacid
12. Lanzabel capsules,
13. Lanzap capsules,
14. Lansoptol capsules,
15. Lansoprazole Stada Capsules,
16. Lansofed capsules,
17. Lantsid capsules,
18. Mbadamba Losek na lyophilisate,
19. Lozenzar-Sanovel Capsules,
20. Nolpase mbadamba,
21. Mbadamba Noflux
22. Omez capsules na lyophilisate,
23. Omez Insta ntụ ntụ maka nkwụsị ọnụ,
24. Omecaps capsules,
25. Omeprazole capsules,
26. Omefrus isi ya,
27. Omefes isi ya,
28. Omizak okpu,
29. Omipix capsules,
30. Omitox capsules,
31. Mbadamba Ontario
32. Orthanol capsules,
33. Ocid capsule,
34. Mbadamba Pantaz
35. Ere ọgwụ Panum,
36. Ere ọgwụ na-arị elu
37. Parkour okpu,
38. Mbadamba ụta Peptazole
39. Pizhenum - mbadamba Sanovel,
40. Pleoma-20 capsules,
41. Prosthesis capsules
42. Mbadamba puloref,
43. Rabeprazole-OBL Capsules
44. Rabelok lyophilisate,
45. Romeese capsules,
46. Mbadamba Sanpraz na lyophilisate,
47. Sopral capsules
48. Ulcosol capsules na lyophilisate,
49. Erere Ultra,
50. Ultop okpu na lyophilisate,
51. Mpempe akwụkwọ Hayrabesol,
52. Ihe na - egbochi okpu mmiri na lyophilisate,
53. Cisagast kapusị,
54. Epicurus capsules.

Nyocha Nexium

Onu ogugu di nkenke banyere nyocha Nexium nke ogwu adighi adi obere n'ihi adighi ike ya. Ọtụtụ mgbe, ihe kpatara nyocha na-adịghị mma bụ atụmanya dị elu banyere ọgwụ, mgbe ndị mmadụ na-eche na "ọgwụ anwansi" agaghị eme ka ihe mgbaàmà ahụ kwụsị ma ọ bụ gwọọ ọrịa ahụ, kama ọ ga-eme ka ahụ gbasie ha ike.

Omez ma ọ bụ Nexium?

Ndabere nke ike Nexium dị elu bụ bioavailability ya dị elu, nke dị oke elu karịa nke ọgwụ niile sitere na otu proton pump inhibitors nke ọgbọ mbụ, nke gụnyere Omez. Ihe bioavailability Nexium nwere site na njikwa kemịkal pụrụ iche ya, n'ihi nke ọ na - erute mkpụrụ ndụ afọ buru oke ibu ma e jiri ya tụnyere Omez. Na mgbakwunye, Nexium nwere ikike iji kwado ịbawanye na ọbara mgbe ọ bụla ịpụsịrị ọgwụ, ebe Omez enweghị. Mgbe ị na-ewere Omez, ntinye uche nke ihe na-arụ ọrụ n'ime ọbara na-adị ọtụtụ nke ukwuu, nke na-eme ka usoro ọgwụgwọ heterogene.

N'ihe banyere ọgwụgwọ ọgwụgwọ, uru nke Nexium karịa Omez bụ ndị a:
1. Mgbanwe nke ọma na nke ọfụma karịa mgbanwe nke gastric acidity.
2. Onu ogugu gwoo gwoo n’oge nkuzi di nkpa.
3. Mwepu nke mgbaàmà na-egbu mgbu na ọgwụgwọ nke ntụpọ na akpụkpọ anụ mucous nke afọ, duodenum na esophagus.
4. Mwepụ obi mgbawa na mgbaàmà ndị ọzọ nke GERD n'ọtụtụ ndị ọrịa.

Na arụmọrụ ụlọọgwụ ya, Nexium dị elu karịa ọgwụ ndị ọzọ niile nke proton pump inhibitor otu. Yabụ, n'oge ọnwụnwa nke ụlọ ọgwụ, a chọpụtara na Nexium gwọtara GERD kpamkpam n'ime otu ọnwa, Omezu ga-achọ ihe dịka ọnwa abụọ iji rụpụta otu nsonaazụ ahụ.

Mgbe ị na-agwọ ọnya afọ ma ọ bụ duodenal ọnya metụtara Helicobacter pylori, ojiji nke Nexium na ọgwụ nje iji kpochapụ microbe na-ebute ọgwụgwọ na ọnya ọnya zuru oke nanị ụbọchị asaa. Maka ntụle, ị kwesịrị ịma na usoro ọgwụgwọ tozuru oke na omez ma ọ bụ proton pump inhibitor a na-eme n’ime izu atọ. Nke ahụ bụ, iji Nexium mee ihe na njikọta nke peptic ulcer na-ebelata oge ọgwụgwọ site na ugboro atọ.

Yabụ, enwere ike ikwu kpamkpam na Nexium nwere akụrụngwa kachasị mma yana nrụpụta dị elu dị elu karịa Omez.

Nexium ma ọ bụ Emanera?

N'ime usoro ịzụlite ọgwụ mbụ, njikọta na mwepu nke ihe na-arụ ọrụ, nsonye kemịkal ya na ọmụmụ ihe nke ọma. Naanị mgbe mmepe nke teknụzụ maka nkwadebe na nsacha nke ihe sitere na adịghị ọcha ka etinyere ya na ihe mejupụtara ọgwụ ahụ ma chekwaa site na patent. Dị ka o kwesịrị ịdị, usoro teknụzụ niile maka imepụta ihe na-arụ ọrụ bụ ihe nzuzo azụmahịa na ụlọ ọrụ. Mana ụlọ ọrụ ndị ọzọ nwekwara ike ị meziwanye ọgwụ a ma wepụta ọgwụ n'okpuru aha dị iche, nke a ga-ele anya dị ka ihe mejupụtara ya, n'ihi na ịdị elu na nchọpụta nke ogige kemịkalụ bụ ihe ọzọ metụtara.

Companieslọ ọrụ Jeneric anaghị asachapụsi ike na-arụ ọrụ nke ọma, na-eji ihe ndị ọzọ inyeaka, n'ihi nke ọgwụ ahụ nwere ike ịnwe ọtụtụ ugboro yana ogo mmetụta yana nsonaazụ ahụike dịkarịsịrị ala karịa nke mbụ. Ya mere, ihe dị iche na nke mbụ na nke jetere pụtara ìhè.

Agbanyeghị, Emanera abụghị ụdị nkịtị nke ụlọ ọrụ na-emepụta ọgwụ na-enweghị atụ nke ndị India na-eme. Ihe mere bu na Emanera bu nke onye ama ama na-elebara ogwu anya nke Krka nyere, nke enyere ya akwukwo ka o wee di imeputa ogwu ogwu okachasi inweta ogwu nke oma. Ya mere, ọdịiche dị n’etiti Emanera na Nexium enweghị ntakịrị, ị nwere ike ịhọrọ ọgwụ ọ bụla. Ọ bụrụ na ọ dị mkpa belata ụgwọ ọgwụgwọ, mgbe ahụ, ekwesịrị ịhọrọ Emanera dị ọnụ ala. Ma na enweghị mgbochi ọ bụla, ị nwere ike ịhọrọ Nexium. Ọ bụrụ na enweghị ebumnuche data na-amanye anyị ịhọrọ maka Nexium ma ọ bụ Emanera, mgbe ahụ ị nwere ike ịzụta ọgwụ ọ bụla na-amasị gị maka ụfọdụ ebumnuche, dịka ọmụmaatụ, nkwakọ ngwaahịa ahụ mara mma karịa, wdg.

Nexium - otu esi ere?

Mgbe ụfọdụ, a na-ahụta ozi na-ezighi ezi na ntanetị n'okwu a, yabụ anyị ga-aghọta nkọwa ndị ọzọ.

Omeprazole na rabeprazole metụtara ndị na-egbochi proton mgbapụta (IPP). Mmemme ihe mgbochi proton . Ndị a bụ ọgwụ ọgwụ mgbochi nke na-egbochi mmiri hydrochloric acid (HCl) n'ime afọ, yabụ ha metụtara ọgwụ antisecretory ma ejiri ya na-emeso oke acidity nke afọ. Ndị na-egbochi protin na-egbochi mmiri (proton pump mgbochi) na-ebelata izo ya ezo hydrogen ion (H +, ma ọ bụ proton) mkpụrụ ndụ (parietal) sel nke afọ. Thezọ nzuzo na - esonyere na extraionelion ion (K +) nke na - abanye na sel n'ọnọdụ mgbanwe maka mwepu hydrogen ion (H +).

Nhazi ọkwa na njirimara

Ugbu a etinyere Otu ato ọgwụ na-ebelata acidity na afọ:

ndị na-egbochi proton mgbapụta - ọgwụ ọgwụ antisecretory kachasị ike na-egbochi ike hydrochloric acid na afọ. Anakwere 1-2 ugboro n'ụbọchị,
H 2 mgbochi (gụọ al-abụọ) - ha nwere nrụgide dị ala nke antisecretory ma yabụ enwere ike ide ya naanị n'ọnọdụ dị nro. A na-ewere ha ugboro 2 n'ụbọchị. A na-egbochi ndị na - anabata ọgwụ (H 2 -) nke sel sel parietal nke mucosa gastric. Ndị mgbochi H 2 gụnyere ranitidine na famotidine .

Maka ntụaka: H A na - eji ọnya ndị na - egbochi ọnya (loratadine, diphenhydramine, cetirizine na ndi ozo).

antacids (na ntụgharị ")megide acid ") - putara na ngwakọta nke magnesium ma obu aluminom, nke na - edobe mmiri hydrochloric acid n’ime ime n’azu. Ndị a gụnyere almagel, phosphalugel, maalox ha na ndị ọzọ. Ha na-eme ihe ngwa ngwa, mana obere oge (n'ime awa 1), ya mere, a ga-eburịrị ha mgbe mgbe - awa 1.5-2 mgbe e risịrị nri na tupu ụra. Ọ bụ ezie na antacids na-ebelata acidity na afọ, ha na-emewanye ihe nzuzo nke hydrochloric acid site na sistemụ. nzaghachi na-adịghị mma n'ihi na ahụ na-anwa ịlaghachi pH (acidity, ọ bụ site na 0 ruo 14, n'okpuru 7 - gburugburu acidic, karịa 7 - alkaline, nke ọma 7 - na-anọpụ iche) na ụkpụrụ gara aga (pH nkịtị n'ime afọ bụ 1.5-2).

Nye ndị na-egbochi proton mgbapụta gụnye:

(aha ahia - omez, ihe efu, ultop ),
(aha ahia - Nexium, Emanera ),
lansoprazole (aha ahia - lantsid, lansoptol ),
pantoprazole (aha ahia - nolpaza, njikwa, nchebe ọcha ),
rabeprazole (aha ahia - soars, noflux, ontay, zulbeks, hairabesol ).

Tụnyere ọnụahịa

Omeprazole na-efu ọtụtụ oge dị ọnụ ala karịa rabeprazole .

Ọnụahịa nke mkpụrụ ndụ ihe nketa (analogues) maka 20 mg nke 30 capsules na Moscow na February 14, 2015 sitere na 30 ruo 200 rubles. Maka ọnwa ọgwụgwọ, achọrọ ngwugwu 2.

Ọnụahịa ọgwụ mbụ Arsnyịnya (rabeprazole ) 20 mg 28 tab. - 3600 ite. Maka ọnwa ọgwụgwọ, achọrọ ngwugwu 1.
(analogues) rabeprazole dị ọnụ ala karịa:

Emegbe 20 mg 20 tab. - 1100 ite.
Zulbeks 20 mg 28 tab. - 1200 ite.
Hairabesol 20 mg 15 taabụ. - 550 ite.

N'ụzọ dị otú a ọnụ ahịa ọgwụgwọkwa ọnwa bụ ihe dịka 200 rubles (40 mg / ụbọchị), rabeprazole mgbe ị na-eji hairabesola - ihe dịka 1150 rubles. (20 mg / ụbọchị).

Ọdịiche dị n'etiti omeprazole na esomeprazole

Ọ bụ S-stereoisomer (isomer na aka ekpe), nke dị iche na isomer aka nri n'otu aka ahụ na aka ekpe na aka ekpe ma ọ bụ na aka ekpe na aka ekpe. Ọ tụgharịrị na R-ụdị dị ike (karịa S-n'ụdị) na-emebi mgbe ọ na-agafe akwara ma yabụ erute sel nke afọ. Omeprazole bụ ngwakọta nke stereoisomers abụọ a.

Dabere na akwụkwọ ahụ, o nwere nnukwu uru ma e jiri ya tụnyere, mana na-akwụ ụgwọ karịa. weere na otu usoro onunu ogwu dika.

Efu aha ahia bu:

Nexium 40 mg 28 tab. - 3000 rub.
Emanera 20 mg 28 tab. - 500 ite. (2 ngwugwu kwa ọnwa).

Uru nke rabeprazole karịa PPI ndị ọzọ

Mmetụtarabeprazole bidoro n’ime otu elekere anya mgbe nchịkwa gachara, ọ ga-adịkwa awa iri abụọ na anọ. Ọgwụ ahụ na-arụ ọrụ na obosara pH (0.8-4.9).
Usoro onunu ogwu rabeprazole dị okpukpu 2 dị ala ma e jiri ya tụnyere omeprazole, nke na-enye ntinye ọgwụ ka mma na mmetụta ndị ọzọ dị ntakịrị. Iji maa atụ, n'otu ọmụmụ, nsonaazụ (otu)isi ọwụwa, ọgbụgbọ, afọ ọsịsa, ọgbụgbọ, akpịrị ) kwuru na 2% na ọgwụgwọ rabeprazole ma gi 15% n'oge ọgwụgwọ.
Mbanye rabeprazole n'ime ọbara site na eriri afọ (ndua) esighi na nri.
Rabeprazole pụrụ ịdabere karịa na-egbochi mmiri mmiri hydrochloric acid, n'ihi na mbibi ya n'ime imeju ahụ esiteghi na ụdị mkpụrụ ndụ cytochrome P450 nke enzyme iche. Ya mere, enwere ike ibu ụzọ kọwaa nsonaazụ ọgwụ ahụ n'ebe ndị ọrịa dị iche iche nọ. Rabeprazole erughị ọgwụ ndị ọzọ na-emetụta metabolism (mbibi) nke ọgwụ ndị ọzọ.
Ọ kwụsịrị rabeprazoleenweghi "nloghachi oria" (nkagbu), i.e. Onweghi abawanye ume na abawanye na ọkwa nke acid n’eme n’afọ. A na - eweghachi mmiri Hydrochloric acid nwayọ (n'ime ụbọchị 5-7).

Ihe ngosi maka iwere ihe mgbochi nke proton

gastroesophageal reflux ọrịa (reflux nke acidic ọdịnaya nke afọ n'ime esophagus),
pathologies hyperecretion nke hydrochloric acid (gụnyere ọrịa Zollinger-Ellison),
na usoro ọgwụgwọ siri ike ejiri ya kpochapu (kpochapu) ọrịa Helicobacter pylori (Helicobacter pylori), nke na-ebute ọnya afọ na ọnya afọ.

Rịba ama All proton mgbapụta inhibitors na-ebibi gburugburu mpaghara acidic , ya mere, dị n'ụdị capsules ma ọ bụ mbadamba mkpụrụ osisi, nke loro ogologo (ị nweghị ike ita).

Na nkenke: rabeprazole ≅ esomeprazole> omeprazole, lansoprazole, pantoprazole .

Na nkọwa: rabeprazole nwere ọtụtụ uru ndị ọzọ proton pump inhibitors na usoro nke ịdị irè bụ naanị iji na, agbanyeghị, ọgwụgwọ rabeprazole na-akwụ ụgwọ okpukpu ise karịa ọnụ ma e jiri ya tụnyere ọnụ ala karịa ọnụ.

Dabere na akwụkwọ ndị ahụ, ịdị irè nke ikpochapu Helicobacter pylori anaghị adabere na nhọrọ nke mgbochi proton mgbapụta proton (ọ bụla enwere ike), mgbe ị na-agwọ ya ọrịa gastroesophageal reflux ọtụtụ ndị na - ede akwụkwọ na - akwado ya rabeprazole .

Antihypertensive ọgwụ ntụ ntụ

Otu n'ime ndị na-egbochi proton mgbapụta A na-ekenye ọgwụ 3:

(ọgwụ isi na-eso ya)
(nkwadebe ka nma sitere na S-stereoisomer nke omeprazole),
rabeprazole (nke kachasị nchebe).

Oke dị otu a ka enwere n'etiti ndị a na-eji ịgwọ ọbara mgbali elu:

amlodipine (yana nsonaazụ)
levamlodipine (nkwadebe dị mma dabere na S-stereoisomer nwere obere nsonaazụ),
lercanidipine (nke kachasị nchebe).

Kwenye 7 na ndetu “Nke ka mma - omeprazole ma ọ bụ rabeprazole? Uru rabeprazole "

Uru Hyrabesol:
A na-atụ aro Hyrabezol maka sinceM sinceAKA kemgbe afọ iri na abụọ.
Ndụ shelf nke Hairabesol bụ afọ atọ.
Nkwakọ ngwaahịa braille pụrụ iche.
Hyrabezol kwụsịrị ị nweta nri

My akụkọ bụ nke a: dọkịta nyere m Ultop maka m. Mgbe otu ojiji, enwere mmetụta dị njọ: isi ọwụwa dị nkọ, gbakere wee malite ịhụ otu anya na-adịghị mma, ọrịa na ahụ ọkụ. Dokhtura kwuru banyere nke a, mana o kwenyeghị na m - ọ na - ekwu na ọ gaghị enwe ụdị nsogbu ọ bụla site na ọnya ma họpụta Omez-insta. Abịara m n'ụlọ, ekpebiri m ịgụ akwụkwọ, mana ọ ga-abụ otu ụyọkọ, naanị n'okpuru aha dị iche!

Na mkpokọta, daalụ gị, a kọwapụtala m, m ga-achọkwa onwe m maka dochie anya na-enweghị mmetụta ọjọọ. Ọ dị m ka ya bụrụ na m nwere ike ịhụ ezigbo ọroụ na-arụ ọrụ ugbu a ... (((

Afọ anọ gara aga, ọ jiri ọgwụ na-agwọ ọrịa gastritis na ultrasound, ihe doro anya, enyeghị aka, n'ihi na achọpụtara afọ nke afọ a ugbua. ọgwụ zulbeks. Agaghị m mbadamba nkume abụọ gaa ụwa nke ọzọ: otu elekere mgbe m theụsịrị ọgwụ ahụ na ụbọchị mbụ akpịrị m malitere na ụkwara amalite, agụụ m apụ, n'ụtụtụ ụbọchị nke abụọ enwere mgbu na obere afọ dị ka cystitis. agbanyeghị o kpebiri ị anotherụ ọgwụ ọzọ. ọzọ, otu elekere ịbanye, oke gbagoro 38.5, azụ ala dara ọrịa, isi echeghị ya ma ọlị, ahụ mgbu niile ahụ, ihe niile na-agbawa n'ime. Agụrụ m na nsonaazụ naanị mgbe emechara ka zulbeks na-ebutekarị ọrịa na-efe efe na ọrịa nke sistem. na nke a bụ ọgwụ kachasị nchebe ịchọrọ ikwu. ya na ultrasope nke a abụghị, ọnụnọ akpọnwụ kacha akpọnwụ na agụụ. Site n'ụzọ, ikekwe usoro ọgwụgwọ nke 20 mg karịrị akarị m, n'ihi ibu m dị 39 n'arọ

Ọ bụ ihe nwute, Zulbeks (rabeprazole), n'agbanyeghị uru ya, ọ nweghị nchekwa dịka ọ dị na mbụ. N’aka nke ọzọ, Ultop (omeprazole) nwekwara ike ime ka ike gwụ n'ozuzu ya, adịghị ike n'ozuzu ya, ibu ibu, yana ahụ ọkụ. A kọwara mmetụta ndị a na ntuziaka maka ọgwụ. Banyere usoro ọgwụgwọ, a na-ejikarị 10 ma ọ bụ 20 mg nke rabeprazole kwa ụbọchị (ọ bụghị ihe karịrị 20 mg). Yabụ, rabeprazole adaghị gị mma, ịkwesiri ịlaghachi na omeprazole ma ọ bụ nwalee esomeprazole.

Daalụ maka nkọwa okwu. Agụrụ m, mana otu dọkịta gwara m ha, ma kwuo na a nabatara ọgwụ ahụ nke ọma yana ọ na-enyere aka nke ukwuu. Ma, agwaghị m ogologo oge ọ ga-ewepụ kpamkpam site n’ahụ? taa, a naraghị m ọgwụ ọ bụla, mana ọnọdụ okpomọkụ m ka dị 37.3, mgbu azụ m adaala, akpịrị m na-ebelata obere, ike m agwụlarị, agụụ m alọghachila. oge ikpeazụ m theụrụ ọgwụ ahụ otu ụbọchị gara aga. banyere ultop echetara m na site na ya ntutu m malitere ịda nke ukwuu (a na-ekwukwa nke a na ntuziaka).

A na-ewepụ Rabeprazole n'onwe ya ngwa ngwa, naanị ọnya na-adịgide mgbe otu ụbọchị gasịrị, mmetụta nke ọgwụ ahụ na-adịgide ihe dịka otu ụbọchị. O yikarịrị, n'ime ụbọchị 4-5, mmetụta ndị dị n'akụkụ ga-apụ n'anya kpamkpam. Dịka dochie anya, ịnwere ike ịnwale esomeprazole, ma ọ bụ ịgbanwee gaa na ndị na-egbochi H 2, mana ha na-egbochi nzuzo nke hydrochloric acid dị ike karị.

Ndewo Agụrụ m nyocha Jeanne ma nwee obere ọ :)ụ :) N'oge opupu ihe ubi enwere gastric na-egbu egbu, a na-enye ha ọgwụ parry - enwere adịghị ike dị na ya, dochie ya na nullase - ọ malitere ịrịa ọrịa na anyanwụ plexus na ọhụụ na-enye ọhụụ. Dochie anya ya na akara mmiri nexium. Na mbu enwere mmetụta nke oyi na-awụ akpata oyi, mgbe ahụ enwere mmetụta na aja na-abịa site na akụrụ, n’ụbọchị nke abụọ akpịrị na akpommị m dị afọ iri atọ na asaa, mgbe ụbọchị ole na ole gachara, ọ ka malitere, ọnya n’elu ya. Achọtara m nke a na ndetu m - ha gwara m ka m buru ihe odide ahụ.

Nke nta nke nta, nsonaazụ dị n’akwụsịghị akwụsị, a kagbuola ọgwụ ahụ, mana a na-ahụ nri ahụ n’oge ọkọchị, n’ihi na obere njehie kpatara mmetụ ọkụ na mpaghara nke ogwe aka ekpe. Otu izu gara aga, ọ malitere ịmị ọkụ ugboro ugboro na scapula, megide ndabere nke mgbatị abalị 1 (o doro anya na ọ na-ewe iwe egwuregwu na afọ efu). Akụkụ aka nri wee daa ezigbo ọrịa na adịghị ike malitere. Agbalịrị m inye aka Seth na Iberogast, teas ndị China, mana aghaghị m ị resortụ ọgwụ. Amalitere m ịxiụ Nexium ụnyaahụ - na mgbede, ahụ mgbu na adịghị ike. Taa enweghi ike ụbọchị niile, adịghị ike dị egwu, enweghị m ike ije ije. Ozo akpiri aru ma aru oru aru uto 37-37.5. Na mbụ echere m na ahụ adịghị m, mana enweghị akara ndị ọzọ nke ọrịa ahụ na ịsa ahụ anaghị enyere aka. N'oge opupu ihe ubi ọ dị m ka enwereghị ọtụtụ mmetụta nsị, ọbụlagodi na enweghi adịghị ike dị otú ahụ. Kedu ọgwụ a ga-eji dochie ya? Kedu ihe ị ga - ekwu banyere famotidine? Banyere nsonaazụ ya?

Pariet (rabeprazole), nolpase (pantoprazole), nexium (esomeprazole) bụ ndị otu proton na-egbochi ihe mgbochi ma nwee ike ibute nsonaazụ ndị ọzọ: ahụ ọkụ na ọrịa nrịanrịa. H2-blockers (famotidine, ranitidine, roxatidine, nizatidine) na-ebute obere ahụ ọkụ, yabụ ị kwesịrị ịnwale ha. Ha nwere nsonaazụ ndị ọzọ, mana enwere ohere na ị gaghị enwe ya ma ọ bụ naanị obere obere. Hụ nsonaazụ ọgwụ ndị akọwapụtara na saịtị ahụ. rlsnet.ru Gbalịa buru ụzọ ndị na-egbochi H2 ndị kwekọrịtara maka ọnụahịa ahụ. Na mkpokọta, ndị na-egbochi H2 adịghị ike karịa ndị na-egbochi mgbochi proton. Naanị ejikwala cimetidine, ọ bụ ọgwụ anaghị egbu oge nwere mmerụ ahụ dị ukwuu.

Kedu ihe analog dị mma nke rabeprozole (soars, noflux, ontime, zulbeks, hairabesol)?

Na usoro iwu, analogues niile kwesiri ekwenye. Ọgwụ aha aha ahụ (aha, onye mbụ banyere n’ahịa ahụ) bụ Pariet. A na-ekwenyekarị na ọgwụ kachasị mma bụ ndị na-emepụta Europe, American na Israel. Mana buru n'uche na a na-ere fakes mgbe ụfọdụ na Russia. Yabụ, ịnwere ike iji analog (jeneriki) ọ bụrụ na ọ na enyere gị aka ma anaghị ebute nsonaazụ.

Enwere m ọrịa kemgbe 1994. Enwere m herpes catarrhal ofe nke esophageal nke diaphragm, catarrhal reflux esophagitis, mbufụt nke antrum, gastroduodenitis dị elu. Na mbu, enwere ọnya afọ na ọnya hụrụ na duodenum. A na-agwọ ya mgbe niile n'ụlọ ebe obibi. Gụnyere oge niile (ihe dị ka ụbọchị niile) ana m ewere Omeprazole, nke nyeere aka ntakịrị na obere oge (mgbe ụfọdụ, ana m ewere ọtụtụ mbadamba oge iji belata obi mgbawa). Obi mgbawa na-akwụsị akwụsị. N'ihe dị ka n'otu oge, enwere m vasomotor rhinitis. Onweghi ihe iku ume. Ebum n’uche ịgba ọbara homonụ. Fọrọ nke nta anaghị enyere aka. N'ime afọ 4-5 gara aga, ọ gbakeela nke ukwuu (site na nha 46 ruo 56-58). Site na ntutu isi n’oge na-adịghị anya, ọ dịghị ihe ga-afọdụ. N’ime afọ abụọ gara aga, ọ malitere ịgbaze. Enwere mwakpo a na-egbu egbu nke na m na-acha anụnụ anụnụ-violet. N'ihi ihe ụfọdụ, onye na-ahụ maka ọgwụgwọ na-ede ọgwụ mgbochi penicillin nwere, nke m na-enwekarị mmeghachi omume nfụkasị ahụ dị ka edema nke Quincke (M dọrọ aka ná ntị). Agwara m ọgwụ na homonụ (ogologo oge) n'ụlọ ọgwụ maka ọrịa ogologo oge. N'afọ gara aga malitere ịkagbu karịa. Hemoglobin gbadara 88, protein ruo 72-73. Onye dibia bekee na - eme m: anaemia adighi nma, obi anaemia. (A manyere ọgwụ sorbifa. Maltofer dibia ihe banyere oke machibidoro iwu, ọ naghị agwọ ya). Onye na-ahụ maka eriri afọ emebela Pariet. Enwere m obi abụọ n'ezie na ọ dị mkpa ị takeụ ọgwụ dị oke ọnụ. Mana agụrụ m ozi dị na saịtị gị gbasara ịdị ike ọgwụ yana nsogbu ndị sitere na ha, achọpụtara m na ọ bụ naanị ya ga - enyere m aka. Na nsogbu niile dị n'ụdị ume dị oke ume, bronchospasm, ibu ibu, ntutu isi, ọhụhụ (m bidoro hụ iko na enweghị iko), ike gwụrụ m nke ukwuu, ị gaghị akọwapụta ihe niile site na Omeprazole. Anaghị m eche n’echiche na Omeprazole nwere ike ime ihe ọjọọ karịa nke ọma, ma bụrụkwa ihe na-emebi ahụike m, ọ dị m ka enwere ntụkwasị obi na, dị mkpa, dị ọnụ ala.

M ga-eku ume ugbu a, a ga-eweghachi ọhụụ m, ike m ga-alaghachi na nkịtị, ...? (Nnwale na-egbu egbu bụ ihe na-adịghị mma, enweghị m ike ịnweta nduzi nke pulmonologist). Mmadu nwere ike iza m aka, kedu ihe m ga - eme maka nke a?

Rabeprazole na omeprazole sitere na otu ahụ, yabụ nsonaazụ ya otu ahụ. Atụla anya na ndozi ihe dị egwu.

Oria ashma na vasomotor rhinitis nwere ihe jikọrọ ya na acid reflux site na esophagus rue bronchi. Nke a bụ nsogbu na-ahụkarị.

Ihe kpatara omeprazole anaghị enyere aka nke ọma apụtachaghị nke ọma. Maka nyocha, ekwesịrị iburu mita pH kwa ụbọchị.

Agbanyeghị, ejiri m n'aka na omeprazole na-eme ihe, ọ bụkwa ihe kpatara nsogbu gị bụ hiatal hernia. Nanị nhọrọ iji kpochapụ ya (mgbe ahụ ndụ ga - ebido ịmalite imeziwanye) bụ ịwa ahụ. Ọnọdụ gị na-eleghaara ntakịrị anya, yabụ ịkwadebe nkwadebe tupu ịwa ahụ (bulie haemoglobin, wdg). Agbanyeghị, ịkwesịrị iji ya rụọ ọrụ, maka na ọ ga -adị njọ.

O.N. Minushkin, L.V. Maslovsky, Yu.N. Loshchinina, N.Yu. Anikina,
Agụmakwụkwọ na Mmụta Sayensị Ahụike nke Onye isi ala nke Russian Federation

N'ime mba ndị mepere emepe, n'afọ ndị na-adịbeghị anya, ọrịa nke gastroesophageal reflux ọrịa (GERD) na-abawanye ụba. Mkpesa GERD na-enweta kwa ụbọchị site na 10% nke ndị bi na, kwa izu site na 30%, na kwa ọnwa site na 50%. Omume a ga - eme ka mmụba nke ihe omume GERD bụ ihe ndabere iji kwupụta na izu isii nke European Gastroenterological nke a na - akpọ "XX narị - afọ nke ọnya afọ, XXI - afọ nke GERD".

Emere ihe omumu Russia dika akụkụ nke mmemme WHO MONICA na Novosibirsk gosipụtara ngbanwe GERD ugboro ole a pụrụ iji tụnyere data dị n'elu. Ọkpụkpụ obi na-enweta 61.7% nke ụmụ nwoke na 63.6% nke ụmụ nwanyị, yana 10.3% na 15.1% oge ma ọ bụ mgbe niile (5). Nsonaazụ nke ọmụmụ nke anyị, dabere na nyocha nke azụmaahịa maka nchọpụta mbụ nke endoscopy nke ndị ọrịa gastroenterological 5107 karịa afọ 5, gosipụtara na a hụrụ ihe mgbaàmà endoscopic nke reflux esophagitis na ndị ọrịa 1419 (27.8%), nke ụmụ nwoke 880 (28.8%) na 539 ụmụ nwanyị (26.3%) (pasent bụ nke enyere ọnụ ọgụgụ ụmụ nwoke ma ọ bụ ụmụ nwanyị ọnụ). Achọpụtara ọrịa esotogitis Catarrhal n'ime ndị ọrịa 890 (17.4%) - ụmụ nwoke 538 (17.8%) na ụmụ nwanyị 352 (17.2%). Erosive esophagitis - na 529 nyochara (10.4%) - ụmụ nwoke 342 (11.2%) na ụmụ nwanyị 187 (9.1%).

Iji ọgwụgwọ GERD zuru ezu dị mkpa, ebe ọ bụ na ọrịa a na-emetụta ogo ndụ ndị ọrịa, yana ịdịtela ndụ na ọganihu nke esophagitis nwere ike ibute mmepe nke mgbochi, mkpụrụ akụ Barrett na cancer esophageal.

Ọgwụ GERD gụnyere ndụmọdụ maka ịgbanwe ndụ onye ọrịa na ọgwụ ọgwụ (2). N'ime ndị ọrịa na-enweghị ọrịa esophagitis, ebumnuche ọgwụgwọ bụ iwepụ ihe mgbaàmà metụtara reflux acid (obi mgbawa, mgbe ụfọdụ ihe mgbu n'azụ sternum) ma melite ogo ndụ. Na ọnụnọ nke esophagitis, a na-emekwa ọgwụgwọ iji gbochie mmepe nke nsogbu dị ka esophageal solid ma ọ bụ metaitsia epithelial metapes (mkpụrụ nke Barrett's esophagus).

N'ime ụdị dịgasị iche iche nke GERD, ọgwụgwọ izizi gụnyere usoro nke usoro ọgwụgwọ na-abụghị ọgwụ (welite isi ihe ndina, ibu dị arọ, ihe mgbochi nri, wdg) na ị antụ ọgwụ antacids. Ọ bụrụ na mgbaàmà dịgidere na nzụlite a, ọgwụgwọ ọgwụ jikọtara ọnụ maka izu 2-4. Nhọrọ ndị mbụ n'ịgwọ ọgwụ mbụ bụ ọgwụ mgbochi proton. Ugbu a data dị na-egosi banyere otu ụdị ọgwụgwọ dị iche iche nke ndị otu a si ọgwụ (omeprazole, lanzoprazole, pantoprazole, rabeprazole na esomeprazole) (9, 11). Otutu ihe omumu gosiputara uzo esomeprazole kari omeprazole na nzere nke ihe anakpo gastric na onu ihe omume a (10). Agbanyeghị, ọdịiche dị iche iche enwetara nwere ike ịbụ n’ihi usoro ọgwụ dị iche iche (40 mg na 20 mg, otu isi).

Nwere ahụmịhe n’usoro nlekọta nke ndị ọrịa 115 (ụmụ nwoke 77, ụmụ nwanyị 38, nkezi afọ 45.1 ± 1.2 afọ) GERD 0-4 ogo omeprazole, esomeprazole, rabeprazole na usoro onyonye izu maka izu anọ gosipụtara ọgwụ dị elu na arụmọrụ endoscopic nke ọmụmụ niile. nkwadebe (6, 7, 8).

Egosiputara onyonyo di egwu na endoscopic na tebụlụ nke 1 na nke 2.

Onu ogugu ndi oria nwere oria zuru oke nke mbu mgbe anochara izu 4 nke otutu PPI jiri aru oru, dabere na ogo reflux zsophagitis

Pasent nke ndị ọrịa nwere obi mgbakasị ahụ zuru oke mgbe izu 4 gasịrị ọgwụgwọ na PPI dị iche iche

Ihe omuma a gosiputara na idi ike nke ogwu nile eji eme ihe na ọgwụgwọ nke mbufụt esorogitis, enweghi oke iche na ọnụ ọgụgụ ndị ọrịa nwere ọgwụgwọ zuru oke nke mbuze mgbe izu anọ gachara ọgwụgwọ jiri Omez, Pariet ma ọ bụ Nexium. E mekwara ụkpụrụ yiri nke ahụ n'ihe banyere mgbaàmà nke mgbaàmà, karịsịa obi mgbawa. Tebụl 2 na-egosi na Omez nwere ụfọdụ uru.

Iji tụọ arụmọrụ nke usoro ọgwụgwọ mmezi dị iche iche, e jiri Omez mee ihe. Otu n'ime ihe kpatara nke nhọrọ a bụ Omez bụ otu n'ime ihe ndị na-egbochi proton mgbapụta proton na Russia ma ọ dị ala na arụmọrụ ya na ndị ọzọ na-egbochi proton mgbapụta na ahịa ọgwụ Russia.

Anyị tụlere arụmọrụ 4 usoro ọgwụgwọ mmezi na Omez (omeprazole) na ọnụọgụ 20 mg maka ọnwa 12 na ndị ọrịa nwere GERD 0 na 1 tbsp. n'elu imezu a clinical na endoscopic rem rem na N'ezie ọgwụgwọ:
1) iwere Omez na onodu 20 mg / ubochi ubochi (otu 1 - ndi oria 20),
2) iwere Omez na onodu 20 mg / ubochi obula ozo (otu 2 - ndi mmadu 20),
3) iwere Omez na onodu 20 mg na onodu a choro: 20 mg / ure na obi mgbawa (ndi otu 3 - 20),
4) iwere Omez na onodu 20 mg na onodu “izu”: 20 mg / ubochi na Fraịde, Satọdee na Sọnde (ndị ọrịa 4 - 15),
5) ìgwè na - achịkwa - ndị ọrịa anabataghị ọgwụgwọ mmezi (ndị otu 5 - 30 ọrịa).

Ngụkọta nke ndị ọrịa 105 nabatara ọmụmụ ahụ: ụmụ nwoke 62 (59%) na ụmụ nwanyị 43 (41%). Ndị ọrịa niile so n'ọsọ Europe. A na-egosiputa njirimara ndị otu a na tebụl 3.

Nkọwa nke ndị ọrịa gụrụ akwụkwọ

Tupu etinye ya na ọmụmụ ihe ahụ, ndị ọrịa niile na-achọpụta endoscopy (Isiokwu 4), na-enyocha ogo ihe mgbaàmà na ịdị mma nke ndụ. A na-eme nlegharị anya nke endoscopic nyocha kwa ọnwa 3. Emere nyocha nke ogo GERD na endoscopy dịka nhazi nke Savary-Miller na mgbanwe nke Carisson et al. Ndi oria debere akwukwo ubochi nke ha choputara ike o buru na oria udiri onodi odi nke a, dika ihe nlere ka ana egosi ya. Ndị ọrịa natara ọgwụgwọ nke PPI n'ụzọ zuru ezu ruo mgbe a ga-enweta mgbatị ọgwụgwọ endoscopic, emesia edepụtara ha usoro ọgwụgwọ mmezi na Omez n'otu usoro.

Nkesa nke ndi ọrịa n’ogbe dabere na ogo GERD

Otu a	GERD ogo na endoscopy
Otu a	GERD 0 ogo	GERD 1 ogo
Otu 1 (n = 20)	9 (45%)	11 (55%)
Otu 2 (n = 20)	8 (40%)	12 (60%)
Otu 3 (n = 20)	11 (55%)	9 (45%)
Otu 4 (n = 15)	7 (46,6%)	8 (53,3%)
Otu 5 (n = 30)	13 (43,3%)	17 (56,6%)

Nkesa nke otu ndia bu nke Ndị ọrịa nọ n’otu n’otu tụnyere afọ, ogologo oge nke ọrịa, ntụpọ nke anụ ahụ (BMI), na ọtụtụ akara ndị ọzọ (okpokoro 5).

Nkọwa nke ndị ọrịa nke otu ọmụmụ

Nyocha nke arụmọrụ ọgwụgwọ mmezi dịka endoscopy kpughere ihe ndị a. N'ime ndị ọrịa nke otu 1 na nke abụọ, achọpụtaghị nlọghachị nke mbufụt esorogitis. N'ime ndị ọrịa nke otu nke atọ nwere ogo 1 nke GERD, a chọpụtara nlọghachi nke ọrịa ahụ mgbe ọnwa 3 na ọnwa isii dị na 44.4% nke ikpe. N'ime ndị ọrịa 4, a na-achọpụta nlọghachi nke ụdị ero na endoscopy n'ime ndị ọrịa 7, nke ruru 87.5%. N'ime ndị ọrịa nke otu na-achịkwa, a hụrụ nlọghachị na 100% nke ikpe ọnwa 6 ọnwa ka ngwụsị nke usoro ọgwụgwọ.

Nyocha nke arụmọrụ ọgwụgwọ mmezi dịka data nyocha

Egosipụta ugboro ole nkụchi obi na -eme n’oge ọgwụgwọ mmezi n’otu dị iche iche ka egosiri na mkpụrụ fig nke 1-4.

Ihe osise 1 Mgbanwe nke mgbanwe na ndị ọrịa nke otu 1 (Omez 20 mg kwa ụbọchị)

Ọgụgụ 2 Mgbanwe nke ihe mgbaàmà na ndị ọrịa nke otu 2 (Omez 20 mg kwa ụbọchị)