Enzistal-P imapangidwa ngati mapiritsi okhala ndi enteric: biconvex, yozungulira, yapinki (ma PC 10. M'matumba, pamatumbu a makatoni a 1, 2, 4 kapena 8).

Piritsi limodzi lili:

• yogwira pophika - pancreatin - 116.17 mg wambiri ndi ntchito ya puloteni ya 250 PIECES. Ph. Eur. (Mayankho a European Pharmacopoeia), lipase 3500 UNITS. Ph. Eur., Amylases 4200 PIECES. Ph. Eur.,
• zina zowonjezera: microcrystalline cellulose, colloidal silicon dioxide, lactose monohydrate, magnesium stearate, sodium carboxymethyl wowuma,
• enteric zokutira: diethyl phthalate, macrogol 6000, cellulose acetate phthalate, azorubine (karmoizin), njuchi zoyera, titanium dioxide, hypromellose.

Mankhwala

Enzistal-P ndi kukonzekera kwa enzyme yogaya chakudya komwe kumapangitsa kuchepa kwa michere ya pancreatic ndipo imakhala ndi amylolytic, proteinolytic ndi lipolytic. Ma pancreatic enzymes ophatikizidwa mu mankhwala, monga alpha-amylase, lipase, chymotrypsin, trypsin, amathandizira pakuwonongeka kwa mafuta kumafuta acids ndi glycerol, mapuloteni kupita ku amino acids, starch to monosaccharides ndi dextrins. The yogwira mankhwala Enzistal-P amathandizanso kusintha kagayidwe, kusintha magwiridwe am'mimba thirakiti (GIT), amapereka chakudya chokwanira komanso chofulumira, chimachepetsa kuuma kwa zizindikiro zomwe zimabwera chifukwa cha kugaya kwam'mimba (kumva kwadzaza ndi kulemera m'mimba, kutsekula m'mimba, kusalala). Trypsin, wopezeka pancreatin, amalepheretsa kubisalira kwa kapamba, kuwonetsa analgesic. Ma pancreatic enzymes amatulutsidwa mu mawonekedwe amtundu wamatumbo ang'ono (motsogozedwa ndi chilengedwe chake chamchere), chifukwa mapiritsiwa amakhala ndi zokumbira zomwe zimateteza motsutsana ndi madzi a m'mimba.

Zizindikiro zogwiritsidwa ntchito

• exocrine pancreatic insufficiency (ngati njira yothandizira m'malo mwake): mawonekedwe a kapamba, kuchepa kwamkati, dyspepsia, matenda osapatsirana, cystic fibrosis, kapamba, chifuwa
• zinthu pambuyo resection m'mimba ndi yaingʻono matumbo, limodzi ndi kuphwanya chakudya
• Remkheld's syndrome (gastrocardial syndrome),
• kuchuluka kwa nthawi yayitali, kukhala pansi, kusowa ntchito m'matumbo (kukonza chimbudzi)
• Kukhalapo kwa zolakwika mu zakudya mwa anthu omwe ali ndi ntchito yachilendo m'mimba - zakudya zopanda thanzi, kugwiritsa ntchito chakudya chochuluka kapena kupukusidwa kwambiri, zakudya zamafuta.

Malinga ndi malangizo, Enzistal-P imalimbikitsidwanso kuti igwiritsidwe ntchito pokonzekera x-ray ndi ultrasound (ultrasound) yam'mimba.

Malangizo a Enzistala-P: njira ndi mlingo

Enzistal-P amatengedwa pakamwa. Pa nthawi imodzimodzi ndi chakudya kapena mukangodya, mapiritsiwo samatafunidwa, kumeza lonse ndikusambitsidwa ndimadzi ambiri.

Mulingo woyenera wabwino ndi mapiritsi awiri. Popeza kuchuluka kwa kuperewera kwa kapamba ndi kuchuluka / kuchuluka kwa zakudya zomwe zimagwiritsidwa ntchito, ngati kuli kotheka, kuchuluka kwa mapiritsi mpaka 2-4 ndikuloledwa. Mlingo wopitilira mapiritsi 4 amatha kumwa pokhapokha ngati mwadwala. Mulingo wambiri watsiku ndi tsiku wa lipase sayenera kupitirira magawo 15-20,000 / kg.

Kwa ana, dokotala amakhazikitsa dongosolo, nthawi zambiri amalimbikitsidwa kumwa piritsi limodzi la Enzistal-P katatu pa tsiku ndi chakudya.

Kutalika kwa chithandizo kumatsimikiziridwa payekhapayekha. Pamavuto am'mimba chifukwa cha zolakwika zakudyazo, maphunzirowa amatha masiku angapo, pamene mukuthandizira mankhwala - kuyambira miyezi ingapo mpaka zaka zingapo.

Zotsatira zoyipa

Poyerekeza ndi kumbuyo kwa kutenga Enzistal-P, chitukuko cha matupi awo nthawi zina zimawonedwa, kawirikawiri, mawonekedwe a nseru, kutsegula m'mimba, kusapeza bwino mu epigastric dera kudadziwika.

Ndi kugwiritsa ntchito mankhwalawa kwa nthawi yayitali, kupezeka kwa zotsatira zoyipa monga hyperuricosuria kunalembedwa, ndipo mutatenga mlingo waukulu, odwala omwe ali ndi cystic fibrosis amakula m'matumbo ndi m'chigawo cha ileocecal.

Kuyanjana kwa mankhwala osokoneza bongo

Ndi kuphatikiza kwa Enzistal-P ndi kukonzekera kwachitsulo, kuchepa kwa mayamwidwewo kungadziwike.

Enzistal-P's analogues are: Gastenorm forte, Creon 10,000, Gastenorm forte 10,000, Creon 25,000, Kreon Micro, Kreon 40,000, Mezim 20,000, Mezim forte, Pangrol 25,000, Mikrazim, PanziKam, Panzim forte, Pancreasim, Pancreatin , Pancreatin forte, Pancreatin-LekT, Penzital, Hermitage.

Ndemanga za Enzistal-P

Malinga ndi ndemanga, Enzistal-P ndi mankhwala othandiza omwe amagwiritsidwa ntchito pakudya m'mimba. Odwala omwe atenga enzyme yodziwikiratu amathandizanso kuzindikira chifukwa cha kudzimbidwa, komanso kusintha kwa chimbudzi.

Palibe malipoti akusintha kwa zoyipa.

Mapiritsi a Enzistal: malangizo ogwiritsira ntchito mankhwala a kapamba

Enzystal ndi mankhwala othandizira opukusa okhala ndi michere.

Mankhwalawa amapezeka m'mitundu ingapo yamankhwala - ma mapiritsi ndi ma dragees. Mankhwala mu mawonekedwe a dragees ali ndi zokutira monga mawonekedwe a enteric.

Zigawo zikuluzikulu za mankhwalawa ndi pancreatin, hemicellulose ndi zinthu zomwe zimapanga bovine bile.

Mndandanda wazowonjezera za mankhwalawa, wogwira ntchito yothandizira, umaphatikizapo mitundu iyi:

• lactose
• magnesium wakuba,
• silicon dioxide
• cellulose acetate phthalate,
• diethyl phthalate,
• shuga
• calcium carbonate
• talcum ufa
• chingamu
• gelatin
• titanium dioxide
• njuchi
• sera ya carnauba.

Piritsi lamankhwala limakhala ndi mtundu woyera komanso mawonekedwe a biconvex. Mankhwalawa ali ndi zokutira shuga.

Piritsi lililonse limadzaza ndi khungu lake pachimake. Chithuza chilichonse chimakhala ndi mapiritsi 10 kapena dragees. Matumba awiriawiri kapena zidutswa zisanu ndi zitatu amadzaza m'matakada. Chofunikira phukusi lililonse ndi malangizo ogwiritsa ntchito.

Pharmacological kanthu, pharmacodynamics ndi pharmacokinetics a mankhwalawa

Zowonjezera zothandizira zamankhwala zimachitika chifukwa cha zigawo zikuluzikulu zomwe zimapanga kapangidwe kake.

Zinthuzi zimakhala ndi mphamvu ya amylolytic, proteinolytic komanso lipolytic pakhungu.

Kugwiritsa ntchito chida ichi kumakupatsani mwayi wopanga kuchepa kwa michere yopangidwa ndi kapamba, matumbo ochepa, m'mimba ndi chiwindi.

Kugwiritsa ntchito kwa Enzistal molingana ndi malangizo ogwiritsira ntchito kumalola kuti agwiritsidwe ntchito ngati cholowa pakuthowa kwa pancreatic enzyme.

Mankhwala amachititsa kuti izi zitheke:

1. Chulukitsani chimbudzi ndi makonzedwe azinthu zopindulitsa za chakudya.
2. Chotsani kumverera kwodzaza ndi m'mimba.
3. Chotsani nkhawa m'mimba.
4. Pewani kusefukira, kufupika ndi m'mimba.
5. Amathetsa kudzikundikira kwa mpweya m'matumbo.

Kukhalapo kwa bovine bile kumakupatsani mwayi wowonjezera ntchito ya lipase komanso kumathandizira kuyamwa kwa mavitamini osungunuka A, E, K ndikubwezeretsa ntchito zambiri zam'mimba.

Kukhalapo kwa hemicellulose kumathandizira kusweka kwa fiber.

Mapiritsi, okhala ndi chipolopolo choteteza, samawululidwa ndi madzi am'mimba ndipo amatha kulowa m'matumbo, momwe ntchito yayikulu ya zigawo zamankhwala imachitikira.

Zizindikiro, contraindication ndi mavuto

Lembani mankhwala kapena analogue yake iyenera kuzindikirika pakupezeka kwa insulin, matumbo, m'mimba, chikhodzodzo ndi chiwindi, zomwe zitha kukhala chifukwa cha kukula kwa njira yotupa komanso kupitilira kwa matenda omwe amatsogolera ku kuwonongeka kwa minofu.

Ndemanga zambiri za mankhwalawa zimawonetsa kukhudzika kwa mankhwalawa poyerekeza ndi cystic fibrosis, flatulence, kutsekula m'mimba ndi genesis yopanda matenda.

Kumwa mankhwalawa tikulimbikitsidwa kusintha chakudya cham'mimba mwa odwala omwe ali ndi vuto lakudya.

Zolakwika zingakhale

• kudya kwambiri
• Zakudya zamafuta kwambiri
• kukhalapo kwa zowononga m'mano ndi mano a wodwalayo,
• kukhalabe ndi moyo wosafuna zambiri.

Kuphatikiza apo, mankhwalawa amakulolani kuchotsa zinthu ngati kutentha kwa mtima

Ndikulimbikitsidwa kumwa mankhwalawa pokonzekera kuyeserera kwa zida za m'mimba za X ndi ray.

Malinga ndi ndemanga ya Enzistal, zinthu zomwe zingagwire ntchito zimathandizira kukonza kuyamwa kwa mankhwala monga maantibayotiki ndi sulfonamides.

Mankhwalawa atha kugwiritsidwa ntchito kuteteza kuti pakhale zovuta komanso matenda a pathological pantchito yogaya chakudya.

Choyimira chachikulu chogwiritsa ntchito mankhwalawa ndicho kudandaula kwa wodwalayo pazigawo za mankhwala.

Komanso contraindication kugwiritsa ntchito kupezeka kwa jaundice mu wodwala ndi kutsekeka kwa ndulu njira.

Mosamala kwambiri, dokotala ayenera kuyambitsa kugwiritsa ntchito mankhwalawa zotsatirazi:

1. Mukazindikira cystic fibrosis.
2. Muubwana.
3. Pamaso pathupi komanso pakadyetsa mwana wakhanda wamkaka.

Pochita kafukufuku wazachipatala, zidapezeka kuti kugwiritsa ntchito Enzistal kumatha kuyambitsa mavuto ena.

Zotsatira zoyipa ndi mawonekedwe a kupweteka kwam'mimba m'mimba, nseru ndi m'mimba.

Kuphatikiza apo, thupi limatulutsa, monga kufinya, uritisaria, kuchepa kwa magazi ndi bronchospasm.

Malangizo ogwiritsira ntchito mankhwalawa

Malangizo omwe Enzistal amaperekera akuwonetsa muyezo wotsatira wa mankhwalawa - piritsi limodzi katatu patsiku mutatha kudya.

Mankhwala ayenera kumwedwa popanda kutafuna. Munthawi zonsezi, mlingo wa mankhwala omwe mumagwiritsidwa ntchito ungasiyane. Popeza momwe wodwalayo alili komanso kuchuluka kwa vuto la matumbo pantchito ya m'mimba kumatha kukhala ndi gawo ili.

Kutalika kwa mankhwala a kapamba, kutengera nthawi ya matendawa mpaka zaka zingapo. Mankhwala ayenera kumwedwa limodzi ndi mankhwala ena omwe amapereka chithandizo chatsopano.

Pokonzekera kuyesedwa kapena kupimidwa kwa X-ray pogwiritsa ntchito zida za ultrasound, tikulimbikitsidwa kumwa mankhwalawa mu mapiritsi 2 kawiri pa tsiku. Kuvomerezeka kwa mankhwalawa kumayamba masiku angapo mayeso atakonzekera.

Ngati mankhwala osokoneza bongo amapezeka mthupi, hyperuricosuria kapena hyperuricemia imayamba. Zizindikiro zakukula kwa matendawa zikaonekera, chithandizo chamankhwala chimachitika.

Mndandanda wa mankhwalawa, mtengo wake, malo osungira komanso ogulitsa

Enzistal imapezeka m'mafakitala popanda mankhwala. Sungani mankhwalawo pa kutentha osaposa 25 digiri Celsius. Chogulikacho chimayenera kusungidwa m'malo owuma komanso otetezedwa bwino. Mankhwala sayenera kuwunikidwa ndi dzuwa.

Alumali moyo wa mankhwala ndi zaka zitatu. Makampani opanga mankhwala amapanga mitundu yosiyanasiyana ya Enzistal.

Analogs a mankhwalawa amatha kusiyana pakati pawo pazinthu zina zomwe zimapangidwa ndi mankhwala. Kusiyana kwapangidwe kamankhwala kumayambitsa ndalama zawo.

Ma fanizo ofala kwambiri a Enzistal ndi:

• Zentase
• Chiyarimu
• Chiboni
• Pangrol,
• Panenzym
• Panzinorm,
• Panzinorm Forte,
• Pancreasim
• Pancreatin-Pharmex,
• Pancreatin-Health,
• Pancreatin
• Pancreatin Forte,
• Pancreatin-Health Forte,
• Fermentium
• Enzistal P,
• Malembo.

Poyerekeza ndi ambiri a mayendedwe ake, Enzystal ndi mankhwala otsika mtengo. Mtengo wa mankhwala ungasiyane kutengera gawo lomwe wagulitsidwa komanso momwe amagwirizanirana ndi omwe amapezeka ndi amodzi kwa ogulitsa ena.

Nthawi zambiri, mankhwalawa amatha kugulidwa mosagulira mtengo, mtengo wake ku Russia umakhala pafupifupi ma ruble 270 pa phukusi lililonse.

Kukonzekera kwa enzyme akufotokozedwa mu kanema munkhaniyi.

Zochizira zotsatira za Penzital (kuchokera mapiritsi)

Penzital ndi kukonzekera kwa enzyme komwe kumakwaniritsa chinsinsi chokwanira cha kapamba. Izi zikutanthauza kuti mankhwalawa amagwiritsidwa ntchito ngati chidziwitso chamankhwala omwe aliwonse omwe amakhudzana ndi chimbudzi chokwanira cha chakudya chifukwa chosakwanira kupanga ma enzyme omwe amapangidwa ndi maselo a anthu pancreatic. Enzyms mu kapangidwe kamankhwala amapanga kusowa kwa ma enzymes awo omwe amayenera kupangidwa ndi kapamba. Lipase, amylase, ndi mapuloteni (trypsin ndi chymotrypsin) amathandizira kuphwanya mapuloteni a chakudya ku amino acid, mafuta kumafuta acids ndi mafuta wowuma kwa dextrins, glucose, galactose, ndi monosaccharides ena. The achire zotsatira za Penzital ndi kusintha matumbo ntchito ndi kusintha magwiridwe antchito am'mimba thirakiti.

Chifukwa chake, zitha kukhala zosavuta kunena kuti Penzital ndi piritsi yotsekemera yomwe imayamba chifukwa cha kuperewera kwa m'mimba (mwachitsanzo, kapamba) kapena kudya kwambiri. Chifukwa cha momwe mankhwalawo amathandizira, zakudya zomwe zimadyedwa zimamwa kwambiri.

Pambuyo pakukonzekera pakamwa, piritsi la Penzital limadutsa m'matumbo ang'onoang'ono, chifukwa limakulungidwa ndi membrane wapadera yemwe amateteza zomwe zimachitika m'matumbo mwaukali. M'matumbo ang'onoang'ono, chigamba cha piritsi chimasungunuka, ndipo ma enzyme amasulidwa omwe amayamba kugaya chakudya chomwe chikubwera. Poterepa, michere yambiri yomwe imapanga mankhwalawa imawonedwa pakadutsa mphindi 30 mpaka 45 mutamwa piritsi.

Mmodzi wa mapuloteni a Penzital, trypsin, amathandizira ntchito ya kapamba, ndikupangitsa kuti apange michere yambiri yofunikira pakugaya. Kuphatikiza apo, trypsin ili ndi mphamvu ya analgesic.

Penzital - malangizo a momwe angagwiritsire ntchito

Mlingo wa mankhwalawa amasankhidwa mosiyanasiyana kwa munthu aliyense, wamkulu komanso mwana, kutengera kuchuluka kwa vuto logaya chakudya komanso kuchuluka kwa zakudya zomwe zimadyedwa panthawi imodzi. Pafupifupi, achikulire a Penzital amapatsidwa mapiritsi atatu kapena atatu katatu patsiku.

Kuwerengera Mlingo kumadalira ntchito ya lipase. Kwa achikulire, omwe ali ndi vuto losakwanira la kapamba kapena kuperewera kwa zakudya m'thupi, avareji ya tsiku ndi tsiku ndi magawo 150,000 a ntchito ya lipase, yomwe ikufanana ndi mapiritsi 25 a Penzital. Ndi ntchito yokwanira yogwira kapamba (mwachitsanzo, mawonekedwe ake), mlingo wa Penzital malinga ndi lipase ndiwokwera kwambiri, ndipo umakhala magawo 400,000 patsiku, omwe amafanana ndi mapiritsi 65. Nthawi zambiri, munthu wathanzi amapereka lipase yochuluka yomwe imagwira ntchito pafupifupi 400,000 patsiku.

Kwa ana ochepera miyezi 18, avareji ya tsiku ndi tsiku ya Penzital, potengera zochitika za lipase, ndi magawo 50,000 patsiku, omwe amafanana ndi mapiritsi 8. Ana a zaka zopitilira 1.5 amalandila mankhwalawa pafupifupi magawo 100,000 a ntchito za lipase patsiku, zomwe zimafanana ndi mapiritsi 16. Ntchito yapamwamba ya lipase yophatikizidwa mu Penzital imatha kudzetsa kukula kwa ana. Chifukwa chake, ngati kuli koyenera kuchitira mwana mankhwala okwanira, muyenera kuyamba ndi ochepa, ndikuwonjezera pang'onopang'ono, kubweretsa kuchuluka kwa mapiritsi.

Mukafuna kudziwa kuchuluka kwa Penzital, muyenera kukumbukira kuti mlingo waukulu wa tsiku ndi tsiku ndi magawo 15,000 a ntchito ya lipase pa 1 makilogalamu a thupi. Chifukwa chake, munthu wolemera makilogalamu 70 amathanso kulandira mankhwala okwanira tsiku lililonse, malinga ndi lipase: 70 * 15,000 = 1,050,000 mayunitsi. Posankha mtundu wa Penzital, ndikofunikira kuganizira kuchuluka kwa chakudya chomwe munthu amatenga.

Kutalika kwa njira ya mankhwalawa kumatsimikiziridwa ndi mtundu wa matenda, motero, kusiyanasiyana kwam'mimba. Chifukwa chake, kuti muchepetse zovuta zomwe zimachitika chifukwa cholakwika m'zakudya, ndikokwanira kumwa mapiritsi masiku angapo. Ndipo ngati munthu amafunikira kukonzekera ma enzyme pafupipafupi kuti apangitse kuchepa kwa ma enzymes amkati, ndiye kuti chithandizo cha Penzital chimatha kukhala nthawi yayitali - kuyambira miyezi ingapo mpaka zaka zingapo.

Pochizira cystic fibrosis, Mlingo wambiri wa Penzital sungagwiritsidwe ntchito, chifukwa izi zingayambitse kukula kwa fibrotic colonopathy mu gawo la leocecal la colon yomwe ikukwera. Mlingo wapamwamba wa tsiku ndi tsiku wa odwala omwe ali ndi cystic fibrosis, malinga ndi ntchito ya lipase, ndi magawo 10,000 patsiku pa kilogalamu imodzi ya kulemera kwa thupi.

Kugwiritsa ntchito kwa Penzital kwa nthawi yayitali kumapangitsa kufunika kwa prophylactic kugwiritsa ntchito kukonzekera kwachitsulo. Penzital ndibwino kuti musatenge nthawi yowonjezera ya kapamba.

Penzital iyenera kumwedwa mosamala kwa anthu omwe ali ndi vuto la meconium ileus, kapena matumbo ochotsedwa, chifukwa mankhwalawa amatha kubweretsa kusokonekera mu magwiridwe antchito am'mimba.

Bongo Penzital amawonetsedwa ndi kudzimbidwa kwa ana, ndikuwonjezereka kwa kuchuluka kwa uric acid m'magazi (hyperuricemia) ndi mkodzo (hyperuricosuria) mwa akuluakulu. Ngati zizindikirozi zikuwoneka, muyenera kusiya kumwa mankhwalawo, ndikuchepetsa kuchuluka kwa uric acid, kapena kuthetsa kudzimbidwa pogwiritsa ntchito njira zamankhwala. Njira zina zochizira bongo ndi Penzital sizofunikira.

Kuchita ndi mankhwala ena. Kugwiritsira ntchito pamodzi kwa chitsulo ndi penzital kumachepetsa kuyamwa kwachitsulo. Ndipo munthawi yomweyo kugwiritsa ntchito ma antacid okhala ndi calcium carbonate kapena magnesium hydroxide pakupanga kumabweretsa kuchepa kwa mphamvu ya Penzital.

Kugwiritsa ntchito Penzital pa nthawi ya pakati komanso ana

Tsoka ilo, zovuta zakumimba zimatha kukhazikika mwa ana ndi amayi apakati, chifukwa chake magulu awa a odwala amakakamizidwanso kuti atembenukire njira zosiyanasiyana zochizira enzymatic. Penzital si mankhwala oletsedwa mwamphamvu kwa ana ndi amayi oyembekezera, komabe, iyenera kugwiritsidwa ntchito mosamala, molingana ndi zowonetsera ndikuzindikira zoopsa zonse zomwe zingakhale, zomwe zingakhale zochepa poyerekeza ndi phindu lomwe mukufuna.

Penzital ya ana zotchulidwa zochizira matenda am'mimba. Madokotala a ana aku Russia amakhulupirira kuti mulingo woyenera wa ana ndi magawo 1000 pa kilogalamu imodzi yakulemera patsiku, malinga ndi ntchito ya lipase. Izi zikutanthauza kuti kwa mwana wolemera makilogalamu 20, mlingo wa Penzital ndi 20 * 1000 = 20,000, omwe amafanana ndi mapiritsi 6.5. Mankhwalawa chifukwa cha zovuta zomwe zimayambitsidwa ndi matenda a kapamba kapena ziwalo zina, njira ya mankhwalawa imachepera masabata awiri. Ngati ndi kotheka, muthanso kuchuluka kwa magome. Ngati mwana adangodya kwambiri kapena kudya mafuta ochulukirapo, ndiye kuti ndikumwa kumwa mankhwalawo kwa masiku awiri kapena atatu.

Penzital imayambitsa kutha kapena kuchepa kwa kuopsa kwa zizindikiro za kupukusira kwa m'mimba (kutulutsa thukuta, kuphwanya m'mimba, kupweteka pamimba, nseru, kusokonezeka kwamatumbo) mu 75% ya ana omwe adalandira chithandizo chonse. Komanso, 2/3 ya ana omwe amalandira mankhwalawa amatha kapena amachepa kuchuluka kwa mafuta osalowerera mu pulogalamu. Zotsatira zakugwiritsira ntchito kwa mankhwalawa kwa ana ndikutheka kusinthana ndi chakudya chamafuta ambiri, zomwe zimathandizira kukula ndi kukula kwa mwana, kumupatsa mphamvu ndi mphamvu kuti athe kusewera komanso kuphunzira.

Njira ya mankhwala ndi Penzital imakupatsani mwayi wowonjezera ululu, dyspepsia, komanso kusintha matenda mu ana omwe ali ndi vuto la kuchepa kwa kapamba. Kuphatikiza apo, kusintha kwamankhwala komanso kupumula kwa zopweteka zimaphatikizidwa ndi kufalikira kwa zofunika kuzindikiritsa za pulogalamuyi.

Penzital pa mimba. Kafukufuku woyeserera wopangidwa pa nyama sanawonetse zoyipa za Penzital pakukula kwa fetal. Komabe, mayesero azachipatala a amayi omwe ali ndi pakati, pazifukwa zoyenera komanso zoyenera sizinachitike. Pali zowerengeka zochepa zomwe zimawonetsedwa pakugwiritsidwa ntchito kwa Penzital ndi amayi apakati, pakati pawo pomwepo panalibe milandu yovuta ya mankhwalawa pakukula kwa mwana. Komabe, chifukwa cha kusowa kwa chidziwitso chasayansi chotsimikiza za chitetezo cha mankhwalawa kwa amayi apakati ndi mwana wosabadwa, sizikulimbikitsidwa kuti mugwiritse ntchito mankhwalawa kuchiza gulu la odwala. Kugwiritsidwa ntchito kwa Penzital panthawi yoyembekezera ndikovomerezeka pamilandu pomwe phindu la mankhwalawo mosakayikira limaposa zovuta zomwe zingakhalepo ndi zotsatirapo zoyipa. Mlingo wa amayi apakati amawerengedwa chimodzimodzi ndi akulu.

Zotsatira zoyipa

Zotsatira zoyipa kwambiri za Penzital ndi zizindikiro zosiyanasiyana zomwe zimakhudzana ndimatumbo okhumudwa. Chifukwa chake, mikhalidwe yotsatirayi ikukhudzana ndi zoyipa za Penzital kuchokera m'mimba

• nseru
• kudzimbidwa
• kutsegula m'mimba
• kusasangalala m'mimba.

Zosiyanasiyana zomwe matupi awo amakumana nazo, omwe ndi zotsatira zoyipa za kutenga Penzital, sizachilendo. Ndikofunika kumvetsetsa kuti ziwengo sizimakhazikika pa mankhwalawo palokha, koma pa zina zilizonse zomwe sizigwirizana. Potere, Penzital imakhala ngati poyambira kukula kwa ziwopsezo zina, mwachitsanzo, fumbi la library, ndi zina zambiri. Thupi lawo siligwirizana monga zotsatira zoyipa za mankhwalawa limayimiridwa makamaka ndi mawonekedwe a khungu.

Ndi kugwiritsa ntchito Penzital kwa nthawi yayitali, kuchuluka kwa uric acid m'magazi (hyperuricemia) ndi mkodzo (hyperuricosuria) ndikotheka.

Mlingo waukulu wa mankhwala ogwiritsidwa ntchito pothandiza odwala omwe ali ndi cystic fibrosis angapangitse kukula kwa adhesions (fibrous colonopathy) mu colon yomwe ikukwera.

Kugwiritsidwa ntchito kwa Penzital mu milingo yayitali pochiza ana kungayambitse mkwiyo wa anus ndi mucous membrane wamkamwa.

Mu msika wogulitsa mankhwala, pamakhala kufanana ndi Penzital. Mankhwala amatchedwa ma syonyms a mankhwala omwe ali ndi zinthu zomwezo monga othandizira - pano, pancreatin. Koma analogues ndimankhwala omwe ali ndi chinthu chosiyana ndi chinthu china chothandiza, koma ali ndi zofanana zochizira, zomwe zimafanana kwambiri ndi zotsatira za Penzital.

Chifukwa chake, mankhwala otsatirawa amatumizidwa pamafanizo a Penzital:

• mapiritsi okhala ndi kanthu
• Mapiritsi a Vestal, ophatikizidwa,
• Mapiritsi a Gastenorm forte, ophatikizidwa,
• Mapiritsi a Gastenorm forte 10 000, ophatikizidwa,
• makapisozi Creon 10 000 enteric,
• makapisozi Creon 25 000 enteric,
• 40,000 makapisozi enteric Creon,
• Mapiritsi a Mezim forte, ophatikizidwa,
• Mezim forte 1000 mapiritsi, enteric okhala,
• Mapiritsi 20 a Mezim 20,
• enteric-soluble Mikrasim makapisozi,
• Mapiritsi a PanziCam, ophatikizidwa,
• Panzinorm makapisozi 10 000 enteric,
• Mapiritsi a Panzim forte, enteric
• Panzinorm forte mapiritsi 20,000, okhala ndi mankhwala
• Pancreasim mapiritsi, enteric
• enteric wokutidwa mapiritsi a pancreatin
• Mapiritsi apancreatin forte, ophatikizidwa,
• Mapiritsi a Pancreatin-LekT, ophatikizidwa,
• Mapiritsi a pancrenorm, ophatikizidwa,
• Mapiritsi a Uni-Festal, ophatikizidwa,
• Mapiritsi a Enzistal-P, ophatikizidwa
• enteric-soluble pancytrate makapisozi,
• enteric soluble makapisozi hermital,
• Pangrol makapisozi 10,000 enteric,
• makapisozi Pangrol 25 000 enteric,
• muyezo pancreatin ufa.

Ndemanga zambiri za Penzital ndizabwino, zomwe zimagwirizanitsidwa ndi zinthu ziwiri zazikulu - kukhathamiritsa kwakukulu komanso mtengo wotsika, makamaka poyerekeza ndi mankhwala omwe adatumizidwa kunja. Anthu adagwiritsa ntchito mankhwalawa kuti athetse zisonyezo za gastritis, kudya kwambiri pakatchuthi a Chaka Chatsopano ndi Meyi, kutentha kwadzuwa ndi mavuto ena ambiri okhudzana ndi chimbudzi - ndipo nthawi zambiri mankhwalawa anali othandiza. Ndiko kugwiritsidwa ntchito kosiyanasiyana kwa Penzital pokhudzana ndi zovuta komanso zofala zothandiza kugaya chakudya zomwe zimapangitsa kuti mankhwalawa akhale ndi mbiri yabwino, ndikupangitsa ambiri kuwunika.

Ndemanga zoyipa zokhudzana ndi mankhwalawa zimagwirizanitsidwa ndi kusakwanira kwake mwa anthu ena omwe amathandizidwa ndi mankhwala ena omwe ali m'gulu lomwelo. Izi, nthawi zambiri, zimagwirizanitsidwa ndi mawonekedwe a thupi. Palinso gulu la ndemanga zoyipa zomwe zimasiyidwa ndi makolo a ana omwe adalandira Penzital mu Mlingo waukulu, zomwe zidapangitsa kuti pakhale kukhumudwitsa kwa mucosa wamlomo. Zodabwitsazi ndizopweteka kwambiri, ndizovuta kuti mwana azimeza chilichonse, chikhalidwe chake chimakhala chopweteka. Mwachilengedwe, makolo amadziwa momwe zinthu zilili, malingaliro osayenera pa mankhwalawo amawonekera, ndipo asankha kuti mankhwalawo ndiabwino, kusiya kubwereza koyipa. Pakalipano, m'malingaliro amtunduwu, malingaliro olakwika a mankhwalawo kwathunthu adatsogolera ku mawonekedwe odziwikiratu a kuchepa kwake.

Poona zomwe tanena pamwambapa, powerenga ndemanga pa Penzital, yesani kufotokoza mfundozo ndi kufotokoza kwake, ndipo musamveke mawuwo. Mukapanga chisankho motsogozedwa ndi malingaliro, mutha kusankha njira yabwino yothetsera vutoli, ndipo malingaliro atha kukhala uphungu woyipa.

Penzital ndi mankhwala otsika mtengo, kotero kusiyanasiyana mtengo wake m'mafakitala osiyanasiyana ndizochepa kwambiri. Popeza mankhwalawa amapangidwa ndi kampani imodzi yokha yopanga mankhwala ku India, palibe kusiyana pakati pa Penzital yodula komanso yotsika mtengo. Mutha kusankha mosamala mankhwala otsika mtengo, chifukwa izi sizikhudza mtunduwo, koma zimakupulumutsani.

Masiku ano ku Russia Penzital imagulitsidwa pamtengo wokwera ma ruble 15 pa paketi iliyonse ndi mapiritsi 10. Phukusi la mapiritsi 20 pamtengo wapakati pama ruble 40, mapiritsi 30 - ma ruble 57, ndi magome 100 amagulitsidwa pamitengo kuyambira 107 mpaka 145 rubles.

Penzital kapena Mezim - ndibwino?

Kuti tiyankhe funsoli, pali zinthu zingapo zofunika kuziganizira. Mezim ndi mankhwala okhala ndi mapepala omwe amapangidwa ndi nkhawa ya mankhwala aku Germany. Penzital imapangidwa ndi kampani yopanga mankhwala ku India. Kapangidwe ka mankhwala onsewa ndi chimodzimodzi. Zachidziwikire, mankhwalawa eni ake amakonda chiphatso. Ngati izi zimangotengedwa, ndiye kuti Mezim yaku Germany ndiyabwino ku Indian Penzital. Komabe, sikuti zonse ndizophweka komanso zowongoka.

Pamisika yogulitsa mankhwala ku Russia, Mezim ndi mankhwala omwe amapezeka kwambiri nthawi zambiri, ndipo kuchuluka kwa zinthu zabodza mpaka 90% yonse. Chifukwa cha izi, ndibwino kuti mugule Indian Penzital yotsika mtengo, yothandizanso komanso yotsimikizika, popeza kuibera sikuthandiza. Ngati mukufuna Mezim, ndiye kuti mutenge phukusi, perekani mapiritsi kuti aunikire. Momwe, malinga ndi mayeso, mumakumana ndi mankhwala oyambirirawa, ndiye kuti mumayang'ana mndandanda, manambala ambiri, ndipo mtsogolomu mukayang'anenso malo opanga Mezim omwe ali ndi machitidwe awa.

Malinga ndi maphunziro omwe amapangidwa mu zipatala, Mezim ndi Penzital patatha sabata ziwiri amapangitsa kuti odwala azigaya kawiri mu 2/3 ya odwala. Komabe, Penzital imachita mwachangu, ndipo Mezim pang'onopang'ono. Chifukwa chake, Penzital imathandizanso kusokonezeka kwa chopondapo, kupweteka kwam'mimba, kumatulutsa kwa masiku angapo pambuyo poyambira chithandizo, kuchitapo kanthu mwachangu, ndipo Mezim amachita modekha, kusintha matendawo ndikuchotsa zizindikiro zowawa pang'onopang'ono. Komabe, zotsatira zomaliza pambuyo pa maphunziro a milungu iwiri ndizofanana. Ku Mezima, ntchito ya enzyme ndiyotsika poyerekeza ndi Penzital, motero imalimbikitsidwa ngati mankhwala othandizira. Koma Penzital ndibwino kuti musankhe njira yothandizira, mukamafunika kuthana ndi mavuto ammimba ndi kusintha matendawo.
Zambiri pa Mezim

Penzital ndi Pancreatin - ndizabwino, ndipo zimasiyana bwanji?

Pachimake, Penzital ndi Pancreatin ndi mankhwala amodzi. Kupatula apo, chinthu chogwira ntchito cha Penzital ndi pancreatin. Komabe, ntchito ya ma enzymes mu Penzital ndi yayikulu kuposa mankhwala omwe amatchedwa Pancreatin, chifukwa chake, ogwira ntchito amakhala apamwamba. Mpaka pano, madokotala ndi akatswiri a zamankhwala apanga kupatukana kwakanthawi kwa Pancreatin ndi Penzital m'magulu awiri:
1.Pancreatin - mankhwala oletsa kupewetsa, omwe angatengedwe musanachitike phwando kuti tipewe zovuta. Itha kugwiritsidwanso ntchito ngati mankhwala othandizira - kutanthauza, mukamaliza kuchita ndi mankhwala amphamvu (mwachitsanzo, Penzital kapena Creon). Pakupita milungu ingapo, munthu amakwaniritsa kusintha kwa chikhalidwe komanso chimbudzi, ndipo pambuyo pake, kuti mukhalebe ndi zotsatira zomwe zimapezeka kuchokera ku Penzital kapena Creon, mutha kumwa Pancreatin.
2.Penzital - mankhwala ochizira matenda am'mimba kupezeka chifukwa cha matenda a kapamba kapena ziwalo zina. Ndikulimbikitsidwa kugwiritsidwa ntchito ngati njira yogwira ntchito ngati pakufunika kusintha matendawa ndikuchotsa zizindikiro zopweteka. Pambuyo poyambira kusintha, mutha kusintha posinthika ndi Pancreatin kapena Mezim.

Popeza mphamvu ya Penzital poyerekeza ndi Pancreatin, tikulimbikitsidwa kusankha mankhwala omaliza pochiza ana. Ndi kusakhazikika kwa Pancreatin, mutha kugwiritsa ntchito mankhwala osokoneza bongo - Penzital.

Mfundo za Chithandizo cha Matenda

Chithandizo cha kapamba mu akuluakulu chimachitika ndi gastroenterologists, endocrinologists ndi akatswiri azakudya. Palibe ndipo palibe njira imodzi yodziwika yoperekera mankhwala. Njira zamankhwala zochizira zimatsimikiziridwa mosamalitsa payekhapayekha, poganizira mtundu ndi chikhalidwe cha matendawa.Madokotala amasankha kuti amwe mankhwalawa ndi chiyani komanso ayenera kukhala njira yanji yothandizira, yomwe imapangitsa kuti mankhwalawa akhale othandiza.

Zolinga zazikulu zomwe madokotala amatsatira pancreatic pancreatitis ndi:

• mpumulo wa zowawa
• kuchotsa kwa yotupa,
• kudzaza kuchepa kwa michere yapancreatic kuti mafuta azigaya,
• kubwezeretsanso kwa ntchito zapamba,
• kukonza kwa odwala,
• kupewa mavuto osaneneka,
• kukonza moyo wa wodwala.

Kuti muthane ndi pancreatitis ndi mankhwala, onetsetsani kuti mwapumula pakama. Mu pachimake mawonekedwe a matenda ndi kuchulukitsa matenda matenda, kusala kudya kumachitika kwa masiku angapo. Kenako wodwalayo amapatsidwa chakudya pang'onopang'ono chokhala ndi mapuloteni ambiri komanso mafuta ochepa. Amawerengedwa masabata osachepera atatu.

Mankhwala osokoneza bongo a pancreatic amatha kuthandizira kuchotsa zizindikiritso zambiri za matenda. Makamaka nseru, kusanza ndi kutsegula m'mimba, zomwe nthawi zambiri zimachitika chifukwa cha kutukusira kwa endocrine chiwalochi komanso kulephera kwam'mimba kugaya mafuta.

Chomwe chikugwiritsira ntchito mankhwalawa ndi mfundo yothandizira kuti musinthe. Kuperewera kwa michere ya gland imalipilitsidwa ndi kukonzekera komwe kumapangidwa pancreatin. Ndi kapamba, mankhwalawa amayenera kumwa kwa nthawi yayitali - kwa miyezi ingapo, kapena ngakhale moyo. Mankhwala okhala ndi ma kapisozi ochepa a microsanular ndi abwino; amathandizika ndi thupi.

Makhalidwe a mankhwala osokoneza bongo

Madokotala amapereka mankhwala ochokera m'magulu otsatirawa:

• kukonzekera kwa antienzyme - kuchepetsa ntchito zachinsinsi zomwe zimayambitsa zotupa mu kapamba,
• Ma enzyme - okhala ndi kuchepa kwachulukidwe,
• Maantacid - kuchepetsa kuchuluka kwa asidi wa m'mimba,
• antispasmodics - kumasula minyewa ya m'mimba ndi matumbo,
• anticholinergics - kuti tipeze kufalikira kwa ubongo,
• Mankhwala - kuteteza kukula kwa abscess, peritonitis.

Mankhwala a Antenzyme a kapamba amalimbitsa bwino zinsinsi za kapamba pomwe amakhala chifukwa cha njira ya kutupa ndi necrotic. Kumwa mankhwalawa tikulimbikitsidwa tsiku loyamba pambuyo matenda. Izi ndi:

Dokotala wofunsa ndi amene amapeza mapiritsi oti amwe ndi chithandizo chamankhwala. Kukonzekera kwa enzyme kumakhala ndi michere ya pancreatic: proteinase, amylase, lipase. Chifukwa cha mankhwalawa, chimbudzi cha mapuloteni, mafuta ndi zakudya zimayenda bwino, zizindikiro za dyspepsia zimachotsedwa, ndipo gland imapeza mtendere wogwira. Pakati pawo:

• Pancreatin
• Chiboni
• Chikondwerero
• Mezim Forte
• Panzinorm,
• Enzistal ndi ena.

Maantacidanti amathandizira hydrochloric acid wa madzi a m'mimba. Ndi kutukusira kwa England, amati:

Zochizira kapamba, ma antispasmodics omwe amagwiritsidwa ntchito kwambiri ndi awa:

Cholinolytic mankhwala a kapamba zimalepheretsa matenda ku chimbudzi cortex ndipo matenda a motor-motor m'matumbo. Mankhwalawa akuphatikizapo:

• Platyphyllin
• Metacin
• Atropine
• Chlorosin et al.

Maantibayotiki adalembedwa kuti athetse kutupa kwa kapamba komanso kupewa njira zoopsa za abscess, peritonitis, pancreatic necrosis. Awa ndimankhwala ambiri ochokera m'magulu:

• macrolides
• cephalosporins,
• penicillin,
• chimfine.

Pachimake mankhwala

Chithandizo cha pachimake kapamba, ngati matendawa ndi osavuta kugwiritsa ntchito:

• analgesics
• antispasmodics,
• maantacid
• Kukonzekera kwa Antenzyme
• njira zothetsera mavuto.

Ngati chithandizo choyenera cha mankhwalawa sichikwanira ndipo chimodzi mwazizindikiro za pancreatitis yapezeka, chisamaliro chachikulu chimachitika kuchipatala. Mankhwala otsatirawa adalembedwa:

• mankhwala a antisecretory (Octreotide, Quamatel, 5-fluorouracil),
• rheologically yogwira mankhwala (Heparin, Refortan, Reopoliglyukin),
• mankhwala a antienzyme (Kontrikal, Gordoks),
• maantibayotiki (ochokera ku cephalosporins kapena fluoroquinolones kuphatikiza metronidazole).

Kugwiritsa ntchito bwino kumayenera kuphatikizira chindapusa cha kutayika kwa ma electrolyte amadzi ndi mapuloteni, antihypoxic ndi antioxidant. Woopsa pancreatitis, plasmapheresis ndi kukonza kwamchere wamchere amathandizanso. Ngati wodwala wapezeka ndi peripancreatic kulowetsedwa, immunomodulation amachitidwanso ntchito pogwiritsa ntchito subcutaneous kapena mtsempha wa magazi a Roncoleukin.

Chithandizo chambiri

Chithandizo cha chifuwa chachikulu, ngati chimalemedwa ndi zovuta, chitha kuchitika kunyumba moyang'aniridwa ndi achipatala. Ndikofunika kukwaniritsa zolinga monga:

• Kuchepetsa kapena kuchepetsa ululu
• kapamba kuchepa kukonzekera ndi chimbudzi makonda,
• Chithandizo cha zovuta zamkati
• kupatula pazinthu zomwe zimapangitsa kufalitsa matenda (mowa, mankhwala ena),
• kupewa mavuto.

Ndi mankhwala, mankhwala otsatirawa amagwiritsidwa ntchito:

• Mapiritsi a Pancreatitis okhala ndi ma enzymes (Pancreatin, Creon, Festal, Mezim Forte, Panzinorm, Enzistal),
• othandizira omwe amachepetsa katulutsidwe ka tiziwalo ta m'mimba (Ranitidine, Famotidine, Nizatidine, Cimetidine),
• analgesics (Ibuprofen, Diclofenac, Piroxicam, Sedalgin-neo, Tramadol, Antaxon),
• mankhwala oletsa kutupa (Paracetamol, Nimesulide, Meloxicam, Naproxen),
• antisecretory mahomoni mankhwala (Octreotide).

Ma pancreatic enzymes amathandizanso kupweteka m'magulu ambiri, chifukwa amachepetsa zochitika zapanchipisi komanso kuthamanga mkati mwa chiwalo. Mankhwala osankhidwa chifukwa cha kuperewera kwake kwa ntchito ndi Creon - mankhwala osungika okhala ndi ma microspheres omwe amalimbana ndi hydrochloric acid. Poletsa kubisala kwa gland, zotupa za proton pampu (Omeprazole, Pantoprazole, Rabeprazole) zimagwiritsidwa ntchito. Pankhani ya steatorrhea (kukhalapo kwa mafuta osagwiritsidwa ntchito mu ndowe), mapiritsi okhala ndi mawu okhala ndi lipase yayikulu amagwira ntchito (Panzinorm forte-N).

Ndi kuchulukana kwa kapamba, mkhalidwe wa odwala umakulirakulira chifukwa cha kupweteka kowonjezereka, komwe kumachotsedwa ndi Papaverine, Atropine. Nise, Aspirin ndi mankhwala ena osagwiritsa ntchito mankhwala a antipatitis sangathe kugwiritsidwa ntchito, chifukwa amatha kuyambitsa magazi mkati. Ngati kapamba amavuta ndi zilonda zam'mimba, De-nol imayikidwa, yomwe imawononga Helicobacter pylori.

Nitroglycerin imagwiritsidwa ntchito mwachangu kuthetseratu kuphipha kwa minyewa kapamba, ndipo Nitrosorbit imagwiritsidwa ntchito mwachangu. No-shpa, Duspatalin, Galidor, Odeston amachepetsa kamvekedwe ka minofu. Kuperewera kwa zakudya m'thupi kumakonzedwa ndi Trisorbon ndi mavitamini A, E, D, K.

Chithandizo cha mitundu ina ya matendawa

Kukula kwa biliary pancreatitis atachotsa ndulu kumawonedwa mwa wodwala aliyense wachitatu chifukwa cha kuphwanya kwakukulu kwa zakudya zochizira. Madokotala amagwiritsa ntchito mankhwalawa ku matenda kuchipatala pogwiritsa ntchito:

• maantibayotiki (Ceftriaxone, Cefotaxime, Sumamed, Abactal, Amoxiclav),
• analgesics ndi antispasmodics (No-shpa, Buscopan),
• mankhwala omwe amalepheretsa mapangidwe a miyala (Ursolfak).

Matenda oopsa a kapamba ndi chidakwa cha kapamba. Izi zodziwika bwino zimadziwika ndi mawonekedwe a peritoneum a ululu wammbuyo, womwe umakulitsa pambuyo pake chakudya. Chithandizo cha mankhwalawa chotupa cha pancreatitis chimachitika pokhapokha chipatala. Njira zamankhwala othandizira zimapereka mwayi wophatikizira kugwiritsa ntchito mankhwala. Izi ndi:

• analgesics, antispasmodics (Novocaine, No-shpa),
• mankhwala omwe amateteza matenda a gland (Contrical),
• chimbudzi cholimbitsa ma enzymes (Festal, Mezim Forte),
• maantibayotiki (Ampicillin, Cephalosporin),
• mavitamini antioxidant maofesi (Milgamma, Vitrum),
• mankhwala oletsa kudalira mowa (Coaxil, Fluanksol, Acamprosat).

Ana omwe ali ndi pancreatitis amadwala ululu wam'mimba m'mimba, nthawi zambiri amasanza. Chifukwa chawo chachikulu ndikuphatikizidwa kwa zakudya zoletsedwa muzakudya. Ana akuyenera kuthandizidwa ndi kapamba makamaka pachipatala. Zothandiza:

• analgesics, antispasmodics (Baralgin, Promedol, No-spa),
• detoxification mankhwala (glucose, saline mu mawonekedwe a otsikira),
• ma enzyme (Festal, Mezim forte, Creon),
• antiemetics (Cerucal, Latran),
• multivitamin maofesi (Complivit, Vitrum).

Izi zimachitika kuti m'malo mankhwalawa mankhwalawa pancreatitis ndi othandiza. Zikatero, matenda osiyanitsa amayenera kuchitika pofuna kupatula zina zomwe zimayambitsa matenda a kugaya chakudya.

Zitha kukhala: Matenda a Crohn (kutupa kwambiri pamatumbo onse a m'mimba), matenda amtundu wa celiac (chibadwa chomwe chimayambitsa kupezeka kwa mucous membrane wamatumbo ang'ono), thyrotoxicosis (hyperfunction ya chithokomiro cha chithokomiro), ndi zina zambiri.

Mitundu yama michere osiyanasiyana yokugaya ndi mawonekedwe a cholinga chawo

Ma Enzymes (ma enzymes) ndi zinthu zapadera zomwe zimaswa zigawo zikuluzikulu kukhala zigawo zina. Thupi limakhala ndi pulogalamu yamphamvu yolimbitsa thupi yomwe imagwiritsa ntchito kagayidwe kake ndikuyambitsa michere yake yamagayidwe, omwe amapangidwa ndi kapamba ndi ziwalo zina zam'mimba zodutsitsa chifuwa chamafinya, mapuloteni ndi chakudya.

Ndikusowa kwa ma enzymes, kusweka ndi mayamwidwe azinthu zopindulitsa kumasokonekera, ndipo ntchito ya m'mimba imachepa. Potere, kukonzekera kwapadera kwa enzyme kungathandize kukonza chimbudzi ndi kagayidwe. Komabe, ayenera kusankhidwa poganizira vutoli. Nkhaniyi sikuti ikuthandizirani pakuchitapo kanthu, koma ikupatsani chidziwitso cha momwe mankhwalawa angagwiritsidwire ntchito, ndi cholinga chanji.

Kodi vuto la enzyme limawoneka bwanji?

Kuperewera kwa michere kumayamba kudziwonetsa ngati zizindikiro za kupukusa m'mimba: kutentha kwa mtima, kulemera m'mimba, kupindika, kuchuluka kwa mpweya. Chifukwa cha kunyowa ndi kusokonezeka kwa zinthu zopindulitsa, zovuta za pakhungu, misomali ndi tsitsi zimawonekera, ndipo zotere zimasokonezeka. Munthu amakhala wopanda mavitamini ndi michere, kutopa, kugona.

Chidwi: Kukonzekera kwa enzyme kungathe kufotokozedwa ngati gawo limodzi la zovuta pa matenda a dermatology, gastroenterology, allergology ndi madera ena a zamankhwala.

Odwala ena, akudziwa za vuto logaya chakudya, amagwiritsa ntchito mankhwalawa nthawi ndi nthawi, asanachitike phwando. Izi sizolondola, chifukwa kudya kwambiri molumikizana ndi kugwiritsa ntchito mosagwiritsa ntchito ma enzymes kumasokoneza ntchito yam'mimba ndipo kumabweretsa zotsatirapo zake. Chifukwa chake, kukonzekera kwa enzyme kuyenera kuyikidwa ndi katswiri ndikutengedwa moyenera, osati m'malo omwe munthu sangathe kuwongolera chidwi chake.

Mitundu yamankhwala omwe ali ndi ma enzymes

Kukonzekera kwa enzyme kumapezeka chifukwa cha kapamba wa nkhumba, kapamba wa ng'ombe ndi mbewu. Kukonzekera kumatha kukhala nyama kapena chomera, kapena kuphatikiza. Popereka mankhwala kapena mankhwalawa, dokotala amatsogozedwa ndi zida zake zazikulu:

• Pepsin - puloteni ya m'mimba,
• Ma pancreatic enzymes - lipase, amylase ndi trypsin - omwe amapezeka kuchokera kapamba wa nkhumba kapena ng'ombe,
• Ma Bile Acids
• Enzymes of chomera,
• Kukonzekera kwa enzyme komwe kumawononga lactose (yogwiritsidwa ntchito pakuchepa kwa lactase),
• Mankhwala osakanikirana.

Chofunika: Zakudya zonse za enzyme zimayamba kugwira ntchito zisanachitike mphindi 20 pambuyo pa makonzedwe, motero tikulimbikitsidwa kuzigwiritsa ntchito musanadye.

Mankhwala a Pepsin

Pepsin ndi puloteni yotulutsidwa ndi mucosa wam'mimba. Ndikofunikira pakuwonongeka kwa mapuloteni. Mankhwala a Pepsin, omwe ndi a Pepsin, Abomin, ndi Pepsidal, amagwiritsidwa ntchito mwa anthu omwe ali ndi matenda am'mimba, nthawi zambiri amakhala ndi atrophic gastritis.

Mapuloteni ndi ofunikira kwambiri kagayidwe kamphamvu, ndipo ndi osakwanira kupanga pepsin kufooka ndi kuchepa kwa magazi m'thupi. Kuphatikiza apo, chakudya chochokera m'mimba chimalowa m'matumbo osakonzedwa bwino, chomwe chimafuna ntchito yayikulu kuchokera m'mimba ndipo chitha kuyambitsa matumbo. Kukonzekera kwa enzyme komwe kumakhala ndi pepsin kumaperekedwa kwa odwala monga chithandizo chamankhwala kwa moyo wonse pambuyo pa gastrectomy.

Pancreatic michere

Creon, Mezim-forte, Pancreatin - onsewa ndi mapiritsi a chimbudzi ndi ntchito yomweyi - kapamba. Gawo logwira ntchito la mankhwalawa limaphatikizidwa m'miyala yomwe imakutidwa ndi chipolopolo choteteza. Pancreatin ndimtundu wa kapamba womwe umagwira m'matumbo ang'ono, motero chipolopolo choteteza chimakupatsani mwayi woperekera chinthucho kwa chandamale.

Pochizira gastritis ndi zilonda zam'mimba, owerenga athu amagwiritsa ntchito tiyi wa Monastic bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Pali zambiri zomwe zikuwonetsa kugwiritsa ntchito mankhwalawa, koma popeza pancreatin imalowetsa ma enzymes achilengedwe a pancreatic, mankhwalawa amapatsidwa makamaka ma pathologies a chiwalo. Ma enzymus a pancreatic ndi otetezeka ndipo amatha kugwiritsidwa ntchito kwa nthawi yayitali, ngati pangafunike. Mwachitsanzo, ngati akudwala kapamba komanso pambuyo pake (kuchotsedwa kwa gawo) la kapamba, Creon, Pancreatin kapena Mezim-forte atha kulimbikitsidwa musanadye chakudya chilichonse.

Chofunikira: Ngati dokotala adalimbikitsa kumwa ma enzymes nthawi zonse, ndiye kuti muyenera kumvetsera kuti musasokoneze ntchito yapakansa kwambiri. Ndipo china chosankha izi chikhoza kukhala chakudya chokhazikika kwa nthawi yayitali.

Ma Bile Acids

Ma acile acid amatengapo gawo pa kuwonongeka kwamafuta ndikuthandizira chinsinsi cha ziphuphu. Komanso, kuphatikiza kwa mankhwalawa kumaphatikiza mawonekedwe amadzimadzi, omwe amachititsa chidwi cha peristalsis, ndi antifoam, kuthetsa flatulence. Zisonyezero zogwiritsidwa ntchito ndi matenda a chiwindi ndi ndulu, komwe kapangidwe ka bile amadzala. Mankhwala a Bile acid akuphatikiza Festal, Digestal ndi Enzistal.

Kuphatikiza pa bile acid, mankhwalawa amakhalanso ndi pancreatic enzyme - pancreatin. Chifukwa chake, mutha kupita ndi ma pathologies a kapamba. Komabe, othandizira omwe amakhala ndi bile acid samasinthasintha nthawi zonse ndi pancreatin (Mezim), chifukwa nthawi zambiri odwala sagwirizana ndi bile. Chifukwa chake, mankhwalawa amagwiritsidwa ntchito mwa anthu omwe ali ndi vuto la chiwindi.

Chomera Enzymes

Ma Envymes kuti athetse chimbudzi cha chomera zimakhudza kwambiri m'mimba. Amathandizira kusunthika kwam'mimba ndi matumbo, amachepetsa mapangidwe a gasi, amasintha kuyamwa kwa zinthu zopindulitsa, amathandizira kagayidwe kazachilengedwe ndikuwongolera kuwonongeka kwa mafuta, mapuloteni ndi chakudya.

Mankhwala angagwiritsidwe ntchito matenda a chiwindi, kapamba, matumbo ang'ono ndi akulu, komanso kwa matenda a chimbudzi pakatha masiku ogwirira ntchito.

Ngakhale zimachitika mosiyanasiyana, mankhwalawa samatchulidwa, chifukwa pali kukonzekera kogwira mtima kwa mbewu. Nthawi zambiri, kukonzekera kwa michere kumayesedwa musanakonzekere kuphunzira zam'mimba.

Ndalamazi ndi monga Pepfiz, Unienzyme, Solizim, Oraza, Sestal. Kukonzekera kochuluka kwa magwero a mbewu, makamaka, Pepfiz, amakumana ndi ana ndi amayi apakati.

Kukonzekera kwa enzyme komwe kumawononga lactose

Lactase akusowa sizachilendo masiku ano. Odwala amavutika ndi vuto la kugaya chakudya, amachiza matenda a pakhungu ndi tsitsi, osadziwa kuti chifukwa cha izi ndi kuperewera kwa lactose. Vutoli litha kuthetsedwa - kupatula mkaka, kirimu, tchizi kuzakudya. Komabe, kuperewera kwa lactase kupezeka mwa makanda omwe akuyamwitsa, yankho lake silophweka kupeza.

Zosakaniza zopanda lactose ndizokwera mtengo ndipo osalola kuti mwana alandire michere yomwe ili mkaka wa amayi. Pachifukwa ichi, mankhwala okhala ndi ma enzymes a ana omwe amaphwanya lactose adapangidwa. Ndikokwanira kuti mayiyo afotokozere mkaka, onjezerani madontho ochepa pamankhwala ndipo mwana adzakhala otetezeka. Mankhwalawa ndi monga Lactrase, Lactade, Kerulac. Mankhwalawa amathanso kugwiritsidwa ntchito ndi akuluakulu.

Chosangalatsa: Pankhani ya kuchepa kwa mkaka wa lactase, zinthu zopanda mkaka sizipangika chifukwa chake, anthu omwe ali ndi enzymatic pathology amatha kulandira zinthu zonse zofunikira kuchokera ku kefir, kanyumba tchizi ndi zinthu zina zamkaka zopsa.

Mankhwala osakanikirana

Wobenzym ndiye woimira wamkulu. Muli ma enzyme a zomera ndi nyama. Mankhwala samangotengera kuchepa kwa enzyme, komanso ali ndi anti-kutupa, decongestant, fibrinolytic ndi analgesic zotsatira. Chifukwa cha izi, Wobenzym ndi chida chabwino kwambiri pochiza matenda a autoimmune matumbo (matenda a Crohn ndi colitis ya ulcerative).

Chidachi chikugwiritsidwa ntchito mosamala mu rheumatology, traumatology, endocrinology, dermatology ndi madera ena amankhwala. Ngakhale kuti palibe chochita china chake, mankhwalawa ali ndi zotsatira zabwino, kwenikweni alibe zotsatira zoyipa ndipo amatha kugwiritsidwa ntchito kwa nthawi yayitali, kwa mwezi umodzi kapena kupitirira apo.

Mankhwala aana ndi amayi apakati

Kukonzekera kwa enzyme kukonza chimbudzi sikunapweteke kanthu, kupatulapo hypersensitivity pazinthu za mankhwala, ambiri aiwo amaloledwa kugwiritsidwa ntchito ndi ana. Komabe, sizingatheke kupereka mankhwalawo kwa mwana yekhayo, popeza kuti mankhwalawo ndi njira yomwe amamwa mankhwalawa zimasiyanasiyana kutengera zaka komanso kulemera kwa thupi. Makamaka mankhwala osamala amalembera ana ochepera zaka zitatu.

Ana nthawi zambiri amakhala Abomin, Mezim-forte, Pancreatin ndi Creon, osankhidwa malinga ndi momwe alili.

Chofunikira: Kukonzekera kwa pancreatic (komwe kumakhala ndi pancreatin) sikungagwiritsidwe ntchito pancreatitis yachuma komanso kuchulukitsa kwa kutupa kosatha.

Mwa amayi apakati, chifukwa cha kusintha kwa thupi mu thupi, zizindikilo za matenda ammimba zimatha kuonedwa. Kutentha kwa mtima, kusweka mtima, kupweteka pamimba, kudzimbidwa ndi kutsekula m'mimba - mawonetseredwe onse awa ndi zizindikiro za kuchepa kwa enzyme. Zakudya zapadera zimawathandiza kwambiri, koma nthawi zina dokotala wazachipatala amatha kudziwa michere.

Komanso ndalama zopangira chimbudzi pa nthawi ya mimba zitha kufunikira ndi amayi omwe ali ndi pancreatitis yayitali. Zosiyanasiyana za mankhwalawo ndi mlingo wake zimasankhidwa ndi gynecologist pamodzi ndi wothandizira kapena dokotala wa opaleshoni yemwe amatsogolera wodwalayo.

Yalangizidwa: Mu trimester yoyamba, ziwalo zofunika kwambiri za mwana zimayikidwa, kotero kuchuluka kwa mankhwala omwe amamwa ndi mkazi kuyenera kuchepetsedwa. Kumwa mankhwala aliwonse osafunsira gynecologist ndizoletsedwa. Kodi kusintha chimbudzi bwanji? Tsatirani zakudya ndikudya pafupipafupi.

Poona kukonzekera kwamankhwala osiyanasiyana, odwala ayenera kumvetsetsa kuti chithandizo chazomwe chimagwiritsidwa ntchito nthawi zonse chimakhala chosaneneka cha chinzake ndipo sikuti mankhwala aliwonse amagwira bwino ntchito matenda osiyanasiyana. Chifukwa chake, mankhwala okhawo omwe mankhwalawo angagwiritse ntchito ndi dokotala wothandizirana ndi omwe angathandize kuthana ndi vuto lakelo.

Panzinorm - chimathandizira chiyani mankhwalawa?

Panzinorm - ndi m'gulu laopanga enzymatic, ndipo ndi analogue Pancreatinum. Mankhwalawa ali ndi ntchito yayikulu ya lipase ndipo amagwiritsidwa ntchito pamatenda osiyanasiyana am'mimba ophatikizidwa ndi kuchepa kwa chinsinsi cha ntchito ya m'mimba.

Panzinorm imakongoletsa chimbudzi cha chakudya, imapatsa mayamwidwe abwino a michere ndikuwongolera kapamba kuti amasule ma enzyme ake - makamaka pancreatin.

Mankhwalawa amalimbana bwino ndi zovuta zosiyanasiyana za matenda a kapamba:

• kubwatula
• kumva kupsinjika kapena kudzaza m'mimba mutatha kudya,
• kupangidwa kwamphamvu kwa mpweya.

Ndi matenda ati omwe amalimbikitsidwa kumwa mankhwalawa? Kodi chimathandiza ndi chiyani? Kuti mumvetsetse nkhaniyi, ndikofunikira kuti muphunzire mawonekedwe ndi mankhwala a mankhwalawa.

Pharmacological zochita ndi zikuchokera mankhwala

Panzinorm ndi kuphatikiza komwe kumapangidwira komwe kumakhala ndi enzymatic, chifukwa imakhala ndi ma enzymes atatu oyenerera bwino a pancreatic - lipase, amylase ndi proteinase. Mothandizidwa ndi zinthuzi, kusweka bwino kwamafuta, mapuloteni ndi chakudya m'matumbo kumatsimikizika.

Mankhwalawa agwiritsidwa ntchito bwino pofuna kuchiza matenda osiyanasiyana ophatikizidwa ndi chimbudzi cha chakudya cha ana ndi akulu. Mapangidwe a Panzinorm amaphatikizapo enzyme zinthu za Pancreatin, chifukwa chake nthawi zina zimatchedwa "Pancreatin".

Zinthu zomwe zimagwiritsidwa ntchito pokonzekera izi zimapezeka kuchokera ku zikondamoyo za ng'ombe kapena nkhumba - izi zikutanthauza kuti zigawo za mankhwalawo ndizabwinobwino komanso moyenera. Kuphimba kwapadera kosagwira asidi wokutira makapisozi ndi mapiritsi a mankhwalawa sasungunuka kokha m'matumbo ochepa. Akatulutsidwa, zinthu za mu michere ya Panzinorm zimasakanikirana ndi chakudya chamaumbo ake ndikuthandizira kugaya bwino.

Amylase akuphwanya michere yambiri ya dextrin ndi monosaccharides, lipase imapereka kuwonongeka kwa mafuta mu glycerol ndi mafuta acids, ndipo chinthu cha proteinase chimagawa mamolekyulu a protein kukhala amino acid. Kugwiritsa ntchito bwino kwa mankhwalawa kumatsika kwambiri pakachitika kuchepa kwa acidity mu duodenum.

Panzinorm imagwiranso ntchito popukusa chakudya, imathandizira thupi kuyamwa michere yomwe imafunikira, imalimbikitsa kapamba ndi m'mimba kuti ipange michere yake, ndikuwonjezera kupanga kwa bile.

Mankhwalawa amachotsa bwino zizindikiro zomwe zimapezeka ngati chimbudzi chokwanira:

• kubwatula
• kusasangalala ndi ululu m'mimba ndi matumbo,
• kutsegula m'mimba
• chisangalalo.

Mlingo ndi mawonekedwe

Panzinorm imapezeka mu mawonekedwe a mapiritsi ndi makapisozi oyendetsera pakamwa.

Dziko lomwe adachokera: Slovenia KRKA "NOVO MESTO".

Mutha kugula mankhwalawa mu mankhwala. Zida Panzinorm mu mawonekedwe a makapisozi matumba a 3,7,8,12 zidutswa phukusi lokhala ndi pepala-malangizo a mankhwalawo. Kuphatikizidwa kwa kapisozi umodzi kumaphatikizapo:

• amylase - 7200 Units,
• lipase - mayina 10000,
• proteinase - 400 mayunitsi.

Mankhwalawa amagulitsidwanso monga mapiritsi, omwe amagulitsidwa pa zidutswa za 10.30 phukusi lililonse ndi malangizo. Piritsi limodzi lili ndi:

• amylase - mayunitsi 12000,
• lipase - magawo 20,000,
• proteinase - mayunitsi 900.

Mlingo ndi makonzedwe

Mapiritsi ndi mapiritsi a mankhwalawa amayenera kutengedwa pakamwa ndi chakudya mwachindunji. Mankhwalawa amatengedwa kwathunthu, mapiritsi kutafuna kapena makapisozi sikofunikira. Mutatha kumwa mankhwalawa, muyenera kumwa ndi madzi.

Kutalika kwa mankhwalawa komanso kuchuluka kwa mankhwalawa kumatsimikiziridwa ndi dokotala aliyense payekha kwa wodwala aliyense, kutengera zaka komanso zisonyezo zina.

Pa gawo loyambirira la mankhwalawa, muyezo wa tsiku ndi tsiku wa Panzinorm kwa munthu wamkulu ndi mapiritsi 1-2 a mapiritsi katatu patsiku, panthawi yayikulu ya chakudya cham'mawa, chakudya cham'mawa komanso chakudya chamadzulo. Ngati ndi kotheka, mutha kuwonjezera mlingo umodzi wa mankhwalawo. Kugwiritsa ntchito bwino kwa mankhwalawa kumatheka chifukwa chokhala ndi mapiritsi a 4-15 a tsiku ndi tsiku (mapiritsi a 2-7). Ndi cystic fibrosis, tikulimbikitsidwa kupereka mankhwala ochepa.

Zochizira za ana okulirapo kuposa zaka 3, Panzinorm imagwiritsidwa ntchito kuchuluka kwa makapisozi a 1-2, mwachindunji pakudya kapena chakudya.

Kuchiza kumatha kuchitika masiku angapo (ngati kuphwanya chimbudzi chifukwa cha zolakwika zakudya za wodwalayo) kwa masabata angapo, miyezi ngakhale zaka (ngati kuli kotheka, kulandira chithandizo chamankhwala nthawi zonse).

Mankhwala osokoneza bongo

Malinga ndi kapangidwe kake ndi kapangidwe kazinthu zomwe zimagwira, Panzinorm ili ndi fanizo lotere:

• Pancreatin
• Mezim
• Pancrelipase
• Chikondwerero
• Malembo
• Chiboni
• Micrazim
• Pancreatin forte
• Gastenorm,
• Pangrol,
• Panzim
• Zothandiza.

Gwiritsani ntchito pa nthawi yoyembekezera

Ndikwabwino kuti amayi oyembekezera komanso oyamwa akayetse kugwiritsa ntchito mankhwalawa.

Kugwiritsa ntchito mankhwalawa pa nthawi yoyembekezera komanso poyamwitsa kumangovomerezeka pokhapokha ngati zotsatira zoyenera kuchokera ku chithandizo zimaposa chiopsezo chotenga zovuta zilizonse mwa mayi woyembekezera kapena mwana wake.

Panzinorm sayenera kuledzera kwa ana osakwana zaka 15, ngati apanga cystic fibrosis. Mankhwalawa amachokera pancreatin ndipo amadziwikiratu ana osakwana zaka 3.

Kodi pali kusiyana kwanji pakati pa Panzinorm ndi ma fanizo ena?

Ganizirani izi ndi chitsanzo cha Festal. Choyamba, mankhwalawa amasiyana wina ndi mnzake pakapangidwe kake. Panizorm ya enzymatic ya mankhwala imakhala ndi pancreatin ndi zina zotuluka:

Kuphatikiza pa pancreatin ya dzina lomweli, Festal imaphatikizanso zigawo zina zogwira ntchito - bile ndi hemicellulose, ndipo chothandizira chake ndi sodium chloride. Monga mukuwonera, Panzinorm imasiyana ndi ma Festal analogue ake osati mu chikhalidwe cha zida zogwira ntchito, komanso kapangidwe kazigoba.

Ponena za kuchuluka kwa zinthu zomwe zimagwiritsidwa ntchito ndi mankhwalawa, ndiye kuti mwachiwonekere gawo lotsogolera pachizindikiro ichi ndi Festal. Koma sitiyenera kuyiwala zidziwitso zakuti mwayi wazovuta za mankhwalawa poyerekeza ndi Panzinorm ndizambiri. Chifukwa chake, ngati wodwalayo amakonda kuyamwa, mankhwalawa ndibwino kwa iye kuposa Festal.

Ngati tikulankhula za luso la mankhwalawa, ndiye kuti Festal iyinso imatsogolera, chifukwa kuwonjezera pa kuthekera kwazinsinsi za kapamba, imapangitsa chidwi cha matumbo ang'ono ndi akulu, chikhodzodzo.

Ponena za mtengo, Panzinorm ili ndi mwayi pano, chifukwa imakhala yotsika mtengo kuposa Festal. Chifukwa chake, ndizomveka kuganiza kuti kwa nthawi imodzi, chithandizo chazindikiritso, ndibwino kugwiritsa ntchito Festal, ndipo Panzinorm ndiyabwino kugwiritsa ntchito mosalekeza. Pokhapokha ngati pali chithandizo chamankhwala kapena pakakhala zovuta zina, imodzi mwa mankhwalawa imatha kusintha wina.

Zofunika! Ndikofunikira nthawi zonse kukumbukira kuti kugwiritsa ntchito mankhwala osokoneza bongo mosasunthika nthawi zambiri kumabweretsa zovuta zambiri, komanso nthawi zina zovuta zowopsa! Kuchiza koyenera komanso kogwira mtima kumangoperekedwa ndi katswiri woyenera chifukwa chofufuza bwino wodwalayo.