胃食管反流病和癌症

2011111
 

我有一位当药剂师的朋友曾跟我这么说,在新加坡药房发配或出售的药物当中,最普遍的是治疗胃反流的药品,即是质子泵抑制剂 (PPIs) 或H2受体拮抗剂。

这些药品减少肠胃溢出盐酸的含量和减轻胃反流造成的疼痛。(注:我们的身体不是完全碱性)。短期使用虽然有疏解的作用,研究报告指出,长期使用的结果却可能和胃肠道癌有关系 (Graham & Genta, 2008)。虽然这含争议性,但为何要冒险呢?

丹麦有一项以人口为基础的病例对照研究显示,使用PPIs和患社区型肺炎的风险增高有相关,尤其是近日的使用 (Gulmez, S.E., et al., 2007)。

绝经后妇女的研究调查显示,在绝经后妇女当中,长期使用这些药物也跟受椎体骨折的风险增高有相关 (Roux, C. et al., 2009)。

提防使用的理由很简单。长期的使用此药物可导致胃酸的生产不足,因而影响各种蛋白质的很好吸收,间接影响每个细胞的健康。过敏症、肝脏解毒作用减弱(导致患癌风险增高)、抑郁症、焦虑症、伤口愈合能力不良、低免疫力 (患癌、感染风险增高),等症状,都和不良的蛋白质消化吸收有关联。

长年的胃反流病况通常是由慢性应激和不良饮食习惯导致。你可通过简单的生活习惯和草药来安全地医治或避免胃反流,如以下的建议:

  1. 避免过量饮食。这是一切健康准则。
  2. 避免吃脂肪含量高的食物、巧克力、浓咖啡(加了牛奶酸性更高)、黑麦,燕麦和富含水杨酸      (salicylates)的食物。
  3. 进餐时,先吃蛋白质食物。 
  4. 若轻微的肠胃炎,可在进餐前试喝茴香茶(fennel tea)或咀嚼茴香茶药片。我在诊所里最喜欢配的草药是绣线菊(meadowsweet)。若是严重的胃炎或反流则需要寻医诊断,因为其中可能有各种潜在病因。

 

祝您喜悦、安祥。
廖伟棠(自然疗法医师、草药师)
Sebastian Liew, MNHAA (Australia)
www.slnaturopath.com

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References
Graham, D.Y., Genta, R..M. (2008). Long-term proton pump inhibitor use and gastrointestinal cancer. Current Gastroenterology reports, 10(6), 543-547, doi:10.1007/s11894-008-0100-1
Gulmez, S.E., Holm, A., Frederiksen, H., Jensen, T.G., Pedersen, C., Hallas, J. (2007) Use of Proton Pump Inhibitors and the Risk of Community-Acquired Pneumonia – A Population-Based Case-Control Study. Archives of  Internal Medicine, 167(9):950-955
Roux, C. et al. (2009). Increase in Vertebral Fracture Risk in Postmenopausal Women Using Omeprazole.  Calcified Tissue International, 84(1), 13-19, doi: 10.1007/s0022-008-9188-4
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Copyright ©2011-2012, Sebastian Liew Centre Pte. Ltd. All rights reserved.
No part of this material may be reproduced in whole or part, or stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the written permission of Sebastian Liew Centre Pte. Ltd. For information regarding permission, please email to sebastianliew@slnaturopath.com .
Disclaimer
The information contained in this diary is for educational purpose only. We encourage our readers to seek out a competent health professional for any treatment required. We do not take responsibility for the use of information contained in any article published in our journal or diary by the reader. We do, however, caution readers of possible unintended consequences of self–medication, and that the consultation of a competent health professional is always advisable.
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About sliew

I am a practicing Medical herbalist and doctor of naturopathy from Singapore.
This entry was posted in 生活方式, [ 阅读全部 ], 植物疗法 and tagged , , , . Bookmark the permalink.

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