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Rational drug use,escort the stomach
Rational drug use, to escort the stomach
Mr. Lee recently, and friends, fond occur after stomach discomfort, bloating, abdominal pain symptoms, in their own pharmacies to buy stomach, did not improve after taking the drug, and increased that to the hospital for treatment.
Such a situation as Lee, the First People's Hospital in Jinan City, out-patient admissions of patients, more common, many reasons, one because everyone's lifestyle, like life, not the law, irrational diet, the other aspects of drug use of time is unreasonable, the attack likely to cause stomach and recurrence. In this case, how to make the stomach to play the best therapeutic effect, taking the time stomach is particularly important. Medication with the consumption of time, can be divided into meal (meal) and the dining room (meals interval mid-point) four points. Unless otherwise specified, are fasting and postprandial half-hour medication.
More common in clinical medicine stomach antacids,escort shanghai acid-suppressing drugs, gastric mucosal protective drugs, prokinetic drugs, to eradicate Helicobacter pylori drug therapy.
The class of drugs in the main role is to direct and acid, can quickly relieve stomach pain. Which should be close to emptying the stomach contents again when the full effect of the drug acid, it is 1 to 1.5 hours after the meal and before bed to take the best. Common drugs as aluminum hydroxide, magnesium oxide, magnesium trisilicate and calcium carbonate. Antacid effect of time than the short, more side effects, the overall effect of unsatisfactory in recent years has been rarely used.
The mechanism of these drugs reduce stomach acid and the role is not directly, but the role of absorbed acid secretion in the stomach cells, inhibit gastric acid secretion. General provisions taken in the meal, but when taken before meals or meal anyway. Used by the early clinical H2 blockers, are cimetidine, ranitidine, famotidine, nizatidine, at present, more powerful acid inhibition and long-lasting, effect more prominent, there have been Omeprazole Blue Solar yl, pantoprazole and so on. Since the absorption of these drugs by the stomach more than the interference of food, it is taken in the fasting state, preferably before meals.
Gastric mucosal protective drugs
The basic role of these drugs through various mechanisms and means to strengthen the mucosal barrier function. Depends on the gastric mucosal drug concentration and exposure time. There will affect the stomach with food concentration, so most drugs should be in semi-fasting state between meals to take appropriate. Specific drug because each has different characteristics, taking the appropriate time is not exactly the same, such as dioctahedral -S in the dining room service, sucralfate 1 hour before meals and at bedtime clothing, colloidal bismuth agents and misoprostol before meals and sleep at night when the service. Hydrotalcite in 1 hour and sleep at night after dinner, as Juefu.
Used domperidone, cisapride Dengjun taking half an hour before a meal.
Eradication of Helicobacter Pylori Agents
The current program with a proton pump inhibitor or colloidal bismuth preparations plus two antibiotics or antimicrobial agents, which used clarithromycin, amoxicillin and so on. Clarithromycin in empty stomach before a meal is the best, if gastrointestinal irritation occurs, may take meal or meal.
Life in patients with stomach should note the following:
Daily life of regular, adequate exercise, enhance physical fitness; less consumption of smoked, grilled, pickled food; tobacco and alcohol, eat spicy spicy food; use of drugs should not be too much, not too frequent dressing changes, scientific medicine, diagnosis and treatment.