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Seperti tulisan saya terdahulu disini, tidak semua sakit maag dapat diatasi dengan golongan antasida (seperti minum Mylanta, promag biasa) tetapi ada beberapa golongan lain seperti H2 Antagonis/ H2 Blokers dan Proton Pump Inhibitor serta obat tambahan lainnya seperti Sucralfate, Rebamipide, Fucoidan. Biar tidak terlalu texbook kaya kuliahan, saya langsung pada aplikasinya saja. Gambar diambil disini.
1. Nyeri Lambung pake antasida = seperti mylanta, promag biasa ( isinya Al(OH)2, Mg(OH)2, Simetikon)
2. Nyeri Esofagus (nyeri ulu hati disatu titik) bisa pake H2 Ant = seperti Ranitidine, Famotidine.
3. Nyeri Usus halus (duodenum/intestine) pake Proton Pump Inhibitor = seperti Lanzoprazole, Omeprazole, Pantoprazole.
Quote ini harus dicatat dan diingat ya!.
Ada beberapa hal dasar yang harus diketahui. Pertama, mengapa obat golongan Proton Pump Inhibitor (PPi) mengobati hanya di usus halus? karena obat golongan PPI berbentuk coated (disalut) agar tidak pecah di asam lambung melainkan baru akan pecah obatnya diusus halus, jadi obat ini tidak boleh digerus.
Kedua, kapan saya harus minum H2 bloker? Jika terjadi nyeri di ulu hati. Biasanya saat makanan berada dilambung, dapat terjadi reflux (keluarnya isi lambung keatas) sehingga isi lambung yang bersifat asam dapat melukai dinding esofagus, makanya sakitnya hanya disatu titik saja.
Ketiga, kenapa kalo minum antasida (promag) harus dikunyah dulu sebelum ditelan? karena obatnya dirancang untuk mengembang dulu dimulut biar lebih cepat bekerja untuk menurunkan asam lambung. Kalo ga mau dikunyah, bisa coba dengan Mylanta cair yang suspensi.
Nah, sudah makin megerti kan sekarang. Biar tambah pinter kita belajar contoh kasus ya. Saya ambil dari pertanyaannya Joanna.
Saya mngalami sakit maag sudah 3bulan lebih, hamper tiap hari nyeri atau tdk enak di ulu hati, kalo nyeri dilambung tidak selalu. Bolak balk kedokter dikasi pantozol,vosedon,neciblok,mozuku kadang dikasi socid omeprazole,motilium. Saya mau tanya,
1. Obat apa yg cocok utk jenis maag saya?
2. Pd saat nyeri sekali, obat apa yg bs lgsg meringankan?
3. Apakah tdk apa2 obat2 tsp sy konsumsi jangka panjang (sudah 3bulan & masih terus sy lanjutkan)
4. Obat alami tepung tapioka, singkong rebus,lidah buaya,kunyit,kunir,jelly gamat,jus noni apakah bisa menyembuhkan/memperparah?
Terimakasih banyak atas kebaikan ibu, tq
Wah, pastinya sudah punya gambaran jenis apa sakitnya dan bisa ditebak pengobatan yang tepat. Untuk nama obatnya saya kasih tahu bahan aktif didalam obat tersebut. Pantozol (Pantoprazole) ,Vosedon (Domperidone), Neciblok (sucralfate), Mozuku(Fucoidan), Socid (Omeprazole), Motilium (Domperidone). Ini dia jawabannya.
1. Obat apa yg cocok utk jenis maag saya?
Menurut saya pengobatan yang tepat untuk nyeri ulu hati dengan menggunakan obat golongan H2 Antagonis H2 Bloker.
2. Pd saat nyeri sekali, obat apa yg bs lgsg meringankan?
Sebaiknya kamu ke apotek untuk membeli Ranitidine atau Famotidine. Famotidine 20mg aja dech, diminum 2 X sehari terutama pada saat nyeri. Kalo sudah tidak nyeri obat boleh dihentikan pemakaiannnya.
3. Apakah tdk apa2 obat2 tsp sy konsumsi jangka panjang (sudah 3bulan & masih terus sy lanjutkan)
Kalo sakitnya masih berlanjut mungkin pengobatannya yang salah atau cara minum/ aturan pakai sayang tidak benar. Karena jenisnya H2 bloker, sebaiknya obat diminum sebelum makan. Selain itu agar tidak memeperparah harus mengubah pola hidup yang lebih sehat. Kurangi makan makanan yang pedas, asam, panas, berlemak, gorengan. Cukupi kebutuhan air dan serat tubuh.
4. Obat alami tepung tapioka, singkong rebus,lidah buaya,kunyit,kunir,jelly gamat,jus noni apakah bisa menyembuhkan/memperparah?
Sebaiknya tidak usah mengkonsumsi yang aneh-aneh. Obat yang dari dokter dihentikan saja pemakaiannya kecuali Sucralfate dan Domperidone. Sucralfate (Mereknya: Inpepsa, Propepsa, Neciblok) boleh diminum setiap hari sebelum makan karena gunanya melapisi dinding mucosa lambung sehingga mengurangi nyeri.
Sementara Famotidine dan Domperidone bisa diminum saat kamu merasa nyeri karena domperidone bekerja mengurangi reflux esofagus. Domperidonenya diminum 3 Xa sehari sesudah makan.
Kesimpulan membeli obat yang tepat:
R/ Famotidine 20mg X = Diminum 2 X sehari setengah jam sebelum makan
R/ Domperidone 10mg X = Diminum 3 X sehari setengah jam sesudah makan kedua obat diminum untuk mengurangi nyeri di ulu hati.
Untuk pencegahan agar baik pencernaannya boleh diminum setiap hari atau kondisi tidak nyaman.
R/ Sucralfate suspensi 500mg = Diminum 1 X sehari di pagi hari.
Terimakasih. Semoga Cepat sembuh ya. Apa kamu punya sakit maag yang gejala lain? Please share. • Mari berbagi: • • Facebook • Email •
Filed under Farmasi, pengalaman, edukasi, resensi, business, therapy, cerita, kesehatan, obat, diet, pharmacy, medicine, education, tips Tagged with mengobati sakit maag, mylanta, promag, proton pump inhibitor, sakit maag, h2 bloker, h2 antagonis, sucralfate, rebamipide, fucoidan, antasida, ranitidine, famotidine, lanzoprazole, pantoprazole, omeprazole, domperidone, necblok, inpepsa, mozuku, jenis sakit maag
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9 Responses to Belajar Mengobati Sakit Maag (bag II)

1. [pic]itikkecil says: February 10, 2011 at 5:04 pm berguna nih infonya… ============== terimakasih [pic] Reply 2. [pic]evi says: February 10, 2011 at 8:17 pm sy sakit maag udah lama bgt. dari sma skarang 40 th. saya slalu merasa kembung dan bersendawa terus menerus tapi di bagian usus jg slalu merasa sakit.obat apa yg harus saya makan yaa?? karena biasanya saya hanya mengkonsumsi enziflex dan polysilane aja. ============================================ Kalo sering merasa kembung coba aja memngkonsumsi tablet Simethicone. Sayangnya belum ada yang bentuk tunggal. Biasanya digabung dengan enzim pencernaan. Mereknya ada beberpa, yaitu: 1. Tripanzym dari Sanbe Farma, Flazymec dari Ifars, Xepazym dari Metiska (Pancreatin, Simethicone) 2. Elsazym dari Otto (Pancreatin, bromelain, dimethylpolysiloxane) 3. Neolanta dari Supra Ferbindo ( simethicone, Pancreatin ( lipase, protease, amylase) Diminum 1-2 Kali sehari setengah jam sebelum makan. Terimakasih Reply 3. [pic]natazya says: February 11, 2011 at 12:26 am ceu rinaaaa baru baca lagi blogmuh… aku maag nya kayanya puarahe buangete deh… sakitnya tapi awalnya slalu kaya pegel ato nyeri di punggung, nanti baru ke dada yang sepertinya ulu hati, dan kadang kerasa ke bagian2 perut… hiks… what sud i do? what sud i do? [pic]( ============================================================== Kalo maag sudah jadi menu wajib penyakit setiap hari, yang salah adalah pola makan. Untuk mengobati lakukan detoksifikasi. Membuang semua kotoran dalam tubuh. lakukan puasa seminggu, makan hanya siang hari dan sore hari saja. Setengah dari porsi biasa, tanpa lemak, panas, asam, pedas, gorengan. Bisa kan?? itu untuk melatih pencernaan lebih moderate/ kalem. setiap pagi minum yogurt (Cimory, yakult, macem-macem dech mereknya). Setiap hari setengah jam sebelum makan minum Sucralfate (Merek, Inpepsa, Neciblok, Propepsa), baru deh makan. sebenarnya itu udah cukup sih. Lanzoprazole boleh aja diminum sebelum makan tetapi kalo telat makan aja, biar ga perih. Semoga cepet sembuh. Terimakasih Reply 4. [pic]Joanna says: February 11, 2011 at 5:36 am Dear Bu Rina yg baik, Terimakasih Ɣª… Pnjelasan yªήğ‎ sangat lengkap dan gampang dimengerti, smoga kebaikan Ibu yªήğ‎ selalu menolong org diberkahi Tuhan. =================================== Amin [pic] Terimakasih, semoga cepat sembuh Joanna. Reply 5. [pic]zulhaq says: February 12, 2011 at 11:17 pm Sayah tiga2nya bisa dirasakan. nyeri semuamuanyah. Udah dari jaman SMP penyakit ini dipelihara. gak ada obat yang cocok banget. Kemarin sampe ada obat yang dikasih bos saya, bentuk kapsul gitu. lumayan enak. lupa namanya [pic] ============================================ Kalo bentuknya kapsul/ kapsul transparan bisa jadi goongan PPI seperti Lanzoprazole pallet 8.5% atau Omeprazole pellet. Ini teknologi baru dimana bukan tabletnya yang disalut tetapi bahan aktifnya yang disalut (coated). bahasa gampangnya seperti bikin kue combro, omcomnya didalam terus dibulet-buletin… jadi dech. Reply 6. [pic]Ellys says: February 19, 2011 at 9:24 am Kak Rina, kalo lagi hamil ( usia kehamilan baru 7minggu ) boleh ndak minum Mylanta?? sejak hamil ini nafsu makan Q nambah dibandingkan sebelum hamil, jadi mungkin ada penyesuain lagi di lambung Q n menyebabakan maag Q sakit sekali [pic] terima kasih jawaban nya —————————————– Selamat ya untuk kehamilannya. Boleh saja minum Mylanta kalo terasa nyeri lambun meski mengandung. Diminum hanya saat terasa nyeri saja. Jaga kesehatan ya. Terimakasih Reply 7. [pic]rency says: March 17, 2011 at 2:13 pm Minta bantuanya donk, saya merasa perut kembung sudah 3bln, tp msh ga sembuh2 tapi perut saya ga perih ‎ Чăπğ ‎ berlebihan, cuman klo setelah makan perut terasa kembung, ϑƏN sering bersendawa, saya sudah mengkomsumsi obat neciblok, lancid, sudah berbulan2, ϑƏN apa bila perut merasa kembung saya suka merasakan tidak enak ϑï badan seperti kaki dingin,atau tenggorokan terasa panas, saya sudah ganti2 dokter, Reply 8. [pic]Rohman says: May 25, 2011 at 11:30 pm asslmkm…mf teh mau nanya istri saya sakit maag gejalanya,ulu hati terasa perih,sering keluar keringat dingin,dan kepala sering sekali sakit,…kira2 termasuk penyakit maag jenis apa?dan bagaimana pengobatanya terimakasih,haturnuhun ==================================== kalo itu bisa diobati dengan H2 antagonis. oa aja ke Apotek trus beli Ranitidin dan diminum 2-3 X sehari sebelum makan. Semoga cepat sembuh. Terimakasih Reply 9. [pic]Retno says: June 19, 2011 at 8:13 pm Tanya ya mbak, saya ibu umur setengah abad. Saya memang punya sakit maag. Perut rasanya kembung dan kentut terus

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...Kyle Pinner 76 Queen Emma’s Dyke Witney Oxfordshire OX28 4DX kylepinner@hotmail.co.uk Mobile: 07426 614 853 Home: 01993 358 543 Personal Statement I am a highly motivated, responsible, hardworking, conscientious individual. I have over 1 years experience in sales administration. Proven ability to meet deadlines set. I have an excellent track record. Due to doing a two year Business and Enterprise course (L3) at Abingdon and Witney College (Witney Campus) I am looking for a local part time position three days a week on a Tuesday, Saturday and Sunday (Preferably) and wouldn’t mind doing extra work over college breaks. Work Experience European Electronique (21st Nov – 25th Nov 2011) I did work experience through Wood Green School with European Electronique for a week to find out what the work environment was like. I enjoyed my time at the company; that they liked me so much that they offered me a position after I had finished Secondary School. European Electronique Sales Administrator/ Trainee Account Manager (Jul-2012 – Sep-2013) My job involved the following: * Sales – Getting leads from Colleges, Universities Etc. Collating & providing all details to Sales Account Managers to follow up on. * Administration - Data Cleansing, The Company’s CRM system (Highway) * Marketing – Processing contacts for Exhibitions & Assisting in materials preparation. * Technical – Assisting in the repair of Desktops and......

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...Eating Sugar The short story written by Catherine Merriman named ”Eating Sugar, was originally published in ”Getting a life”, Honno, in 2001. A third person narrator tells the short story and furthermore the narrator is omniscient. It seems to me that the time is not important in this short story. On the contrary the environment, the surroundings, are described into details. In this analysis I have chosen to focus on the description of the surroundings, a short analysis of Eileen and Alex and their relation, an analysis of the title “Eating Sugar” in comparison with the contents of the short story. Furthermore I have chosen to take the extract of the essay “A Small Place” and the picture “Tourists 2” into perspective. Finally I will discuss the globalization of the English language in the world today. In the short story we meet a family of three, Alex, the father, Eileen, the mother and their daughter Suzanne. Eileen works as a teacher in Thailand, where they live, and the moment she gets her Thai New Year holiday they decide to become tourists. They go on a trip with other holidaying Thais but when they decide to leave the paradise the small British family of three decide to stay so that they can have the small paradise to themselves. Alex and Eileen have been together most of their lives at least since the 1970s. Together they have tried LSD and they have also travelled to Yugoslavia hitchhiking - long-haired innocents as Alex himself calls it. Alex......

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...[pic] ORGANISATIONAL CHANGE AND DEVELOPMENT “CANARA BANK” Submitted to Lovely Professional University In partial fulfillment of the course RETAIL MANAGEMENT [pic] Submitted to: Submitted by: Mrs. MALIKA JAVAID AHMAD Lecturer, LSB RR1709A15 3020070030 DEPARTMENT OF MANAGEMENT LOVELY PROFESSIONAL UNIVERSITY PHAGWARA ACKNOWLEDGEMENT With immense regard and respect in the honor of the “LOVELY PROFESSIONAL UNIVERSITY”, I am very grateful for providing me an opportunity to work on the topic “To establish a retail store of furniture and furnishing” under my term paper . I am highly grateful to Mrs. Anju Saini, Lecturer LSB, for the trust she has shown in me by allowing me to do this work. Her constant review and suggestions throughout my work on term paper are highly commendable. I express my thanks to my friends, with whom I was able to complete my term paper project, their able guidance and direction are always promising that help me a lot in one way or the other. Javaid Ahmad Canara Bank India The Canara Bank of India is one of the renowned banks in the country. The bank provides excellent services and facilities to its customers.......

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...2010 Instructions for Form 2441 (Rev. January 2011) Child and Dependent Care Expenses Purpose of Form If you paid someone to care for your child or other qualifying person so you (and your spouse if filing jointly) could work or look for work in 2010, you may be able to take the credit for child and dependent care expenses. You (and your spouse if filing jointly) must have earned income to take the credit. But see Spouse Who Was a Student or Disabled on page 4. If you can take the credit, use Form 2441 to figure the amount of your credit. If you (or your spouse if filing jointly) received any dependent care benefits for 2010, you must use Form 2441 to figure the amount, if any, of the benefits you can exclude from your income on Form 1040, line 7, Form 1040A, line 7, or Form 1040NR, line 8. You must complete Part III of Form 2441 before you can figure the credit, if any, in Part II. Additional information. See Pub. 503, Child and Dependent Care Expenses, for more details. Department of the Treasury Internal Revenue Service If you are divorced or separated, see Special rule for children of divorced or separated parents below. To find out who is a qualifying child and who is a dependent, see Pub. 501, Exemptions, Standard Deduction, and Filing Information. CAUTION ! To be a qualifying person, the person must have lived with you for more than half of 2010. Definitions Dependent Care Benefits Dependent care benefits include: • Amounts your employer paid......

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