經常碰到的胃灼熱 怎麼治？

What is heartburn?什麼是胃灼熱？

Heartburn occurs when stomach contents flow back up into the esophagus—the muscular tube that carries food and liquids from the mouth to the stomach. Also called acid indigestion, heartburn is an uncomfortable, burning feeling in the mid-chest, behind the breastbone, or in the upper part of the abdomen—the area between the chest and the hips. This feeling occurs because the stomach』s digestive juices contain acid. Sometimes people with this problem can taste food or acidic fluid in the back of the mouth.

當胃裡面的內容物返流回食管時會出現胃灼熱（食管是將食物和液體從口腔輸送至胃部的通道），也稱為酸消化不良。胃灼熱是發生在中胸部、胸骨后或腹部上部的一種不舒服灼熱感覺（腹部是指胸部與臀部之間的區域）。這種感覺存在是因為胃消化液裡面有酸。一些有此問題的人食物和酸液可能會返流至口腔根部。

What are my OTC treatment options?

治療該問題的OTC藥物（非處方葯）可選擇？

There are three classes of OTC medications for the treatment of heartburn.

有三類用於治療胃灼熱的OTC藥物。

Antacids抗酸劑

· E.g. Mylanta, Rolaids, Tums

例如Mylanta (胃能達)，Rolaids咀嚼片，Tums咀嚼片

· Antacids help to treat mild heartburn (indigestion). They work by changing the stomach acid that causes heartburn.

抗酸劑有助於治療輕度胃灼熱（消化不良）。它們通過改變引起胃灼熱的胃酸來起到治療的作用。

Proton pump inhibitors (PPIs)質子泵抑製劑（PPIs）

· E.g. Prevacid 24h (lansoprazole), Nexium 24h (esomeprazole), Prilosec (omeprazole magnesium), Zegerid (omeprazole and sodium bicarbonate)

例如Prevacid 24h（蘭索拉唑），Nexium 24h（艾美拉唑），Prilosec（奧美拉唑鎂），Zegerid（奧美拉唑和碳酸氫鈉）

· OTC Proton pump inhibitors (PPIs) are used to treat frequent heartburn and work by reducing the amount of acid in the stomach. In contrast, prescription PPIs are used to treat conditions like gastoesophageal reflux disease (GERD), stomach and small intestine ulcers, and inflammation of the esophagus.

非處方（OTC）質子泵抑製劑（PPI）用於治療頻繁發生的胃灼熱,通過減少胃中的胃酸含量來起到治療的作用。 相比之下，處方質子泵抑製劑（PPI）用於治療諸如胃食管反流病（GERD），胃和小腸潰瘍以及食管炎症。

· OTC PPIs are only intended for a 14 day course of treatment and can be used up to 3 times per year.

服用非處方（OTC）質子泵抑製劑（PPI）最長不應超過14天，每年最多可使用3次。

H2-blockers H2-阻滯劑

· E.g. Tagamet HB (cimetidine), Pepcid Complete or Pepcid AC (famotidine), Axid AR (nizatidine), Zantac (ranitidine)

例如 Tagamet HB（西咪替丁），Pepcid Complete或Pepcid AC（法莫替丁），Axid AR（尼扎替丁），Zantac（雷尼替丁）

· H2 blockers work by reducing the amount of acid in the stomach.

H2阻滯劑通過減少胃酸的含量來起到治療的作用。

How do I use these drugs safely and effectively?

如何安全有效地使用這些藥物？

1. Read the label.

閱讀藥物標籤。

2. Do not misuse, abuse, or take these medications for longer than stipulated on the label.

.不要誤用，濫用或服用這些藥物超過標籤上規定的時間。

3. If your heartburn symptoms persist even after taking these drugs, then talk to a health care professional.

如果胃灼熱癥狀在服用這些藥物后還是持續，諮詢醫療專業人士。

原標題：Over-The-Counter (OTC) Heartburn Treatment非處方藥物（OTC）治療胃灼熱

原文摘取自 美國食品及藥物管理局 官網，由第三方信用網翻譯完成，內容以英文原文為準，中文翻譯僅供參考使用。