H2 Tus Txais Txais Khoom Thaiv Khoom Siv

Zoo Siab

• H2 Receptor Blockers yog dab tsi?
• H2 Receptor Blockers Ua Haujlwm Li Cas?
• Cov Cuam Tshuam Ntawm H2 Receptor Blockers Yog Dab Tsi?
• H2 Receptor Blockers thiab Proton Twj Tso Kua Mis (PPIs)
• Lwm Txoj Kev Kho Mob
• Q:
• A:

SAWV DAWS NYIAS NYIAM SAWV DAWS

Lub Plaub Hlis 2020, tau thov kom txhua daim ntawv sau tshuaj thiab tsis raug nqi (OTC) ranitidine (Zantac) tshem tawm los ntawm Asmeskas khw. Qhov kev pom zoo no tau ua vim tias qib tsis tsim nyog ntawm NDMA, uas yog cov kabmob carcinogen (cov tshuaj ua rau mob cancer), tau pom nyob hauv qee cov khoom lag luam ranitidine. Yog tias koj tau noj cov tshuaj ranitidine, tham nrog koj tus kws kho mob txog cov kev xaiv muaj kev nyab xeeb ua ntej txiav cov tshuaj. Yog tias koj noj OTC ranitidine, tsum tsis txhob noj tshuaj thiab nrog koj tus kws kho mob tham txog lwm txoj kev xaiv. Hloov chaw ntawm tsis txhob coj cov tshuaj tsis raug coj mus rau cov chaw muag tshuaj, muab pov tseg raws li cov khoom qhia lossis ua raws li FDA hais.

H2 Receptor Blockers yog dab tsi?

H2 receptor blockers yog ib chav tshuaj uas tuaj yeem siv los kho cov mob uas ua rau lub plab zom mov ntau dhau. Cov tshuaj no muaj nyob ntawm txee thiab sau ntawv yuav tshuaj. Cov H2 receptor blockers suav nrog:

• nizatidine (Qiv)
• famotidine (Pepcid, Pepcid AC)
• cimetidine (Tagamet, Tagamet HB)

H2 receptor blockers feem ntau siv los kho mob plab, lossis mob plab, thiab kho cov mob peptic. Kev mob voos rau sab yog mob voos mob uas tsim nyob rau sab hauv ntawm lub plab, qis txoj hlab nqos mov, lossis duodenum, uas yog thawj feem ntawm txoj hnyuv. Lawv feem ntau muaj kev tshwm sim vim qhov mob o thiab ntau cov kua qaub plab. Cov kws kho mob tseem yuav hais kom H2 receptor blockers kom mob peptic ua kom rov zoo tuaj.

H2 receptor blockers tseem nquag siv los daws cov tsos mob ntawm tus mob plab hnyuv tws (GERD). GERD yog ib hom mob kua qaub ua kom rov zoo, uas ua rau lub plab acid acid ntws tawm rov qab mus rau txoj hlab pas. Kev nquag tshwm sim rau lub plab acid tuaj yeem ua rau mob txoj hlab pas thiab ua rau cov tsos mob tsis xis nyob, xws li kub siab, xeev siab, lossis teeb meem nqos.

Cov H2 blockers tseem yuav siv los kho cov mob uas tsis tshua muaj mob xws li Zollinger-Ellison syndrome, ib qho xwm txheej uas ua rau muaj kev ua haujlwm ntau ntxiv ntawm lub plab acid

Cov kws kho mob tseem yuav hais kom H2 receptor blockers rau kev siv daim ntawv lo. Qhov no txhais tau tias siv cov tshuaj los kho qhov xwm txheej uas cov tshuaj tsis tau pom zoo los kho. Piv txwv li, H2 receptor blockers yuav raug siv los kho teeb meem pancreatic lossis siv thaum muaj kev fab tshuaj, txawm tias lawv tsis siv los siv rau cov laj thawj no.

H2 Receptor Blockers Ua Haujlwm Li Cas?

Thaum koj noj cov tshuaj H2 receptor blocker, cov khoom xyaw dhia mus rau cov neeg tshwj xeeb nyob rau ntawm lub plab hlwb uas tso cov kua qaub. Cov tshuaj noj cov tshuaj tiv thaiv qee yam tshuaj nyob hauv cov hlwb no kom lawv tsis tuaj yeem tsim muaj cov kua qaub ntau. Raws li National Institutes of Health, H2 receptor blockers txo lub plab cov kua qaub kom dhau 24 xuab moos los ntawm 70 feem pua. Los ntawm kev txo cov kua qaub hauv lub plab, txhua cov ntaub so ntswg uas puas lawm yog sijhawm txaus los kho.

Cov Cuam Tshuam Ntawm H2 Receptor Blockers Yog Dab Tsi?

Feem ntau ntawm cov kev mob tshwm sim cuam tshuam nrog H2 receptor blockers yog mob me thiab feem ntau qis zuj zus vim tus neeg noj tshuaj ncua sijhawm. Tsuas yog 1.5 feem pua ​​ntawm cov neeg tso tseg tsis noj H2 receptor blockers vim muaj kev phiv.

Qee qhov kev mob tshwm sim uas yuav tshwm sim nrog H2 receptor blockers suav nrog:

• cem quav
• zawv plab
• teeb meem pw tsaug zog
• qhov ncauj qhuav
• daim tawv nqaij qhuav
• mob taub hau
• coov hauv pob ntseg
• los ntswg
• teeb meem tso zis

Hu rau koj tus kws kho mob yog tias koj muaj lwm cov tsos mob uas koj xav tias tuaj yeem yog vim noj tshuaj H2 receptor blocker.

Muaj qee zaus, H2 receptor blockers yuav ua rau muaj kev phiv loj heev, xws li:

• blistered, hlawv, lossis tawv nqaij tawv
• kev hloov pauv ntawm lub zeem muag
• tsis meej pem
• ntxhov siab
• ua pa nyuaj
• hawb pob
• hauv siab nruj
• lub plawv dhia tsis xwm yeem
• lus txhais
• yus tua yus xav

Hu rau koj tus kws kho mob lossis mus rau lub tsev kho mob tam sim ntawd yog tias koj pom muaj cov tsos mob no.

Txawm hais tias lawv cov kev mob tshwm sim los, H2 receptor blockers feem ntau yog txoj kev kho kom zoo rau cov kev mob uas ua rau lub plab zom mov ntau dhau. Koj thiab koj tus kws kho mob tuaj yeem sib tham tau cov kev pheej hmoo txaus ntshai thiab txiav txim siab seb H2 receptor blockers yog qhov kev xaiv zoo tshaj plaws rau koj cov mob tshwj xeeb. Koj yuav tsum tsis txhob tsum tsis noj koj cov tshuaj yam tsis tau tham nrog koj tus kws kho mob txog nws ua ntej.

H2 Receptor Blockers thiab Proton Twj Tso Kua Mis (PPIs)

Proton twj tso kua mis inhibitors (PPIs) yog lwm hom tshuaj siv los txo cov plab kua qaub thiab kho cov kua qaub ua kua qaub lossis GERD. Piv txwv ntawm PPIs suav nrog esomeprazole (Nexium) thiab pantoprazole (Protonix).

Ob qho tshuaj ua haujlwm los ntawm kev thaiv thiab txo qis hauv lub plab cov kua qaub, tab sis PPIs pom tias muaj zog thiab sai dua ntawm kev txo cov kab mob plab. Txawm li cas los xij, H2 receptor blockers tshwj xeeb txo cov kua qaub tso tawm thaum yav tsaus ntuj, uas yog qhov muaj feem ntau ua rau mob peptic ua paug. Qhov no yog vim li cas H2 receptor blockers tshwj xeeb tshaj tawm rau cov neeg uas muaj mob txhab lossis leej twg muaj feem yuav kis tau tus mob no. PPIs ntau dua rau cov neeg muaj GERD lossis kua qaub zis.

Cov kws kho mob feem ntau tsis xav kom noj tag nrho PPI thiab H2 receptor blocker tib lub sijhawm. H2 receptor blockers tuaj yeem cuam tshuam rau cov hauj lwm zoo ntawm PPIs. Yog tias koj cov tsos mob GERD tsis zoo nrog kev siv PPI, koj tus kws kho mob yuav pom zoo kom H2 receptor blocker hloov.

Lwm Txoj Kev Kho Mob

Yog tias koj muaj mob rwj los yog GERD, koj tus kws kho mob yuav pom zoo kom koj tsis txhob noj qee yam tshuaj thiab koj hloov qee yam hauv lub neej kom yooj yim rau koj cov tsos mob.

Yog tias koj muaj mob voos, koj tus kws kho mob yuav qhia koj kom koj tsis txhob siv cov tshuaj tiv thaiv tsis muaj kabmob (NSAIDs), xws li tshuaj aspirin thiab ibuprofen. Nquag thiab siv ntev siv cov tshuaj no tuaj yeem ua rau koj muaj feem mob rwj raum. Koj tus kws kho mob yuav qhia tias koj noj tshuaj acetaminophen hloov. Txawm li cas los xij, koj yuav tsum tsis txhob tsum tsis noj ib qho tshuaj yam tsis tau tham nrog koj tus kws kho mob ua ntej.

Ua qee yam kho lub neej kuj tseem tuaj yeem pab txo cov mob plab peptic. Cov no suav nrog:

• txo kev haus cawv ntau
• tsis txhob noj zaub mov ntsim
• txo cov kev ntxhov siab
• txiav luam yeeb

Yog tias koj muaj GERD lossis kua qaub, cov kev ua neej nyob uas tuaj yeem txo cov tsos mob tshwm sim muaj xws li:

• noj ntau pluas mov me me rau ib hnub es tsis txhob muaj peb leeg
• zam kev haus dej cawv, luam yeeb, thiab zaub mov thiab dej qab zib uas paub ua rau muaj tsos mob
• tsa taub hau ntawm lub txaj txog 6 ntiv
• siv roj tsawg
• Tsis txhob pw hauv tsawg kawg yog ob teev tom qab noj mov
• tsis txhob noj khoom txom ncauj ua ntej yuav mus pw

Tham nrog koj tus kws kho mob yog tias koj cov tsos mob tsis txhim kho nrog kev noj tshuaj kho mob lossis kev kho lub neej. Tej zaum koj yuav tsum tau muaj kev kho mob ntau dua los yog phais mob kom tshem tawm ib qho kiav txhab lossis txo qis kua qaub.

Koj yuav tsum nrhiav kev kho mob sai sai yog tias muaj qee yam ntawm cov tsos mob hauv qab no tshwm sim:

• koj mob plab uas mob heev dua qhov koj ib txwm nyiam muaj
• koj tsim kev kub taub hau heev
• koj cov kev xav ntuav uas yuav tsis yooj yim
• koj pib kiv taub hau thiab lub teeb ci ntsa iab

Cov no yog cov tsos mob ntawm tus mob rwj uas yuav tsum tau kho tam sim.

Q:

Puas muaj ib tus neeg uas tsis coj H2 receptor blockers?

Cov neeg tsis qhia npe

A:

Tsuas yog cov neeg mob uas muaj hnyav lossis phom sij rau H2 blockers yuav tsum zam kev noj. Cov hom tshuaj no yog qeb B hauv cev xeeb tub uas txhais tau hais tias nws muaj kev nyab xeeb rau thaum cev xeeb tub.

Tyler Walker, MDAnswers sawv cev rau kev xav ntawm peb cov kws paub kho mob. Txhua cov ntsiab lus yog cov ntaub ntawv nruj me ntsis thiab yuav tsum tsis txhob txiav txim siab cov lus ntuas kho mob.