Mankhwala amagwiritsidwa ntchito pochiza gastritis, dyspepsia, achilia. Ilibe zotsutsana zowonekera.
Pa nthawi yoyembekezera, yoyamwitsa, mankhwalawa amayenera kumwedwa pokhapokha ndi chilolezo cha dokotala.
Kapangidwe ka mankhwala m'malo mwa mezima forte opanga zakunja sikosiyana ndi prototypes.
Ali ndi machitidwe angapo okwanira, ndipo ambiri amapitilira ma analogu ena. Mndandanda wamalingaliro achilendo azoyambirira.
Ndi chida chothandiza kukonza chimbudzi. Kukula kwovomerezeka: Thupi lawo siligwirizana, kupweteka kwapakhosi, pakati, kuyamwa. Mtengo wapakati ndi ma ruble a 350-420.
Kukula kuli pochulukitsa, kupewa matenda osiyanasiyana ammimba. Sikulimbikitsidwa kuti mutenge ndi kukhudzika kwambiri, kupweteka kwa kapamba. Mtengo wapakati ndi ma ruble 400-500.
Kugulitsidwa monga mawonekedwe a makapisozi enteric. Amagwiritsidwa ntchito pochiza gastritis, enteritis, ndi chifuwa chachikulu. Mtengo wa creon ndiwokwera kuposa woyambayo, koma mogwirizana ndi mawonekedwe ake. Mtengo wapakati ndi ma ruble 500-600.
Malembo . Chofunika kwambiri mmalo mwa chida chachikulu ndi activator wa pancreatic secretion. Mothandizidwa zochizira dyspepsia, pancreatitis, kuperewera kwa zakudya, oncology, cystic fibrosis, zolimbitsa thupi.Zolepheretsa kuvomereza: kusalolera kwa pancreatin, mawonekedwe a thupi lawo, pakati, kuyamwitsa. Mtengo wapakati ndi ma ruble 500-520.
Anthu ambiri posankha cholowa m'malo mwa mankhwala amatsogozedwa ndi zinthu monga mtengo, kuyimikiridwa kwa zinthu zofunika, kuzindikira kwakukulu kwa mankhwalawo.
Koma musaiwale kuti mawu ofanana ndi otsika mtengo ayenera kuvomerezedwa ndi dokotala woyenera. Kukambirana ndi katswiri sikungapweteke, ndipo wodwala atenga chinthu chabwino komanso chothandiza!
Mezim ndi puloteni yopanga chimbudzi. Chofunikira chachikulu ndi pancreatin. Kuphatikiza apo, pali zina zowonjezera. Mukubwereza uku, tiziwona kwambiri mankhwala omwe afotokozedwawo, komanso kuwunikiranso mavuto ena: Mezim - analogues ndiotsika mtengo (Russian), mtengo.
Njira yamachitidwe
Mankhwala amatha kulipirira chifukwa cholephera pa ntchito inayake ya kapamba. Chifukwa cha kapangidwe kake ka mankhwalawa, thandizo limaperekedwa pakukonza mapuloteni / chakudya / mafuta. Zotsatira zake, zimatengedwa mosamala m'matumbo ang'onoang'ono.
Chifukwa cha kukhalapo kwa chipolopolo chosagwira asidi piritsi, kusungunuka kwake sikuchitika m'mimba motsogozedwa ndi madzi a m'mimba, koma mu duodenum 12.
Mezim - zikuonetsa ntchito
Mankhwala amagwiritsidwa ntchito pazisonyezo zotsatirazi:
- Pamaso pa kuperewera kwa ntchito inayake ya kapamba (pamaso pa kupezeka kwa mankhwalawa, wodwalayo nthawi zambiri amakonza cystic fibrosis kapena chikhansa chachikulu cha pancreatitis),
- Ngati ndi kotheka, makulidwe a chakudya chamagulu mu odwala ndi olondola magayidwe am'mimba nthawi ya vuto la kusowa kwa chakudya,
- Pamaso pa zotupa ndi zotupa za m'matumbo / m'mimba / chikhodzodzo / chiwindi, zimakhala ndi mawonekedwe,
- Pambuyo pochita opaleshoni kapena kuwotcha ziwalo zomwe zili pamwambapa, kuti pakhale kuphwanya kwamkati pakukonzekera chakudya, kupezeka kwa matenda otsekula m'mimba kapena kuwonjezereka kwa mankhwala (mankhwalawa amalembedwa ngati chida chowonjezera),
- Pokonzekera kuwerenga zam'mimba pamakina a ultrasound kapena X-ray.
Contraindication
Mezim ndi yoletsedwa kugwiritsidwa ntchito pamaso pa chimodzi mwazinthu izi:
- Wodwala akapezeka kuti ali ndi pancreatitis yayikulu,
- Munthawi yakukhulukira kwa kapamba, kumakhalitsa,
- Pamaso podziwa kuchuluka kwa mankhwalawa.
- Ngati wodwala ndi mwana yemwe zaka zake sizinafike zaka zitatu,
- Panthawi ya galactose osagwiritsa ntchito digestibility, kuchepa kwa lactase kapena kupezeka kwa glucose-galactose malabsorption syndrome, chibadwa chathu.
Mlingo wa mankhwalawa umapangidwa ndi adokotala okha ndipo zimatengera kuchuluka kwa kugaya chakudya dongosolo. Muubwana, mankhwalawa amathandizidwanso ndi adokotala.
Kutalika kwa chithandizo kumatenga nthawi yayitali: masiku angapo, miyezi, ngakhale zaka.
Mtengo wotsika mtengo wa Mezim, mtengo
Mezim wayimilira kale pamsika wama pharmacological ndipo amadziwika pakati pa anthu amtundu wawo chifukwa chothana ndi kusapeza bwino m'mimba. Komabe, si Mezim yekha amene angathane ndi izi. Pali ma analogu angapo, kuphatikizapo aku Russia.
Dzina la analogue | Mtengo mu mankhwala, ma ruble | Mtengo mumapulogalamu apakompyuta, ma ruble | Wopanga dziko |
Pancreatinum (mapiritsi No. 60 | 50 | 49 | Russia |
Festal (mapiritsi Na. 20) | 140 | 148 | India |
Gastenorm forte (miyala No. 20) | 51 | Palibe deta | India |
Creon (makapisozi, Na. 20) | 269 | 295 | Germany |
Hermital (makapisozi No. 20) | 167 | 195 | Germany |
Penzital (mapiritsi Na. 20) | 47 | 57 | India |
Gome la kuyerekezera likuwonetsa zonena zodziwika bwino za Mezim. Komabe, awa ali kutali ndi mawonekedwe onse omwe amaperekedwa pamsika wamankhwala.
Zothandiza komanso zotsika mtengo m'mapiritsi a Mezim
Mezim ndi mankhwala a enzyme aku Germany omwe amagwiritsidwa ntchito pochiza matenda am'mimba. Gawo lalikulu la mankhwalawa ndi Pancreatin. Mankhwalawa ndi othandizadi, koma mtengo wake ungawoneke mopitilira muyeso. Popeza kuti izi ndi zoona, zophatikiza zomwe zikufikira kwambiri ziyenera kulingaliridwa.
Zomwe zimathandizira mankhwalawa
Zisonyezero zogwiritsidwa ntchito:
- Matenda a kapamba
- Kutupa ndi matenda osachiritsika a m'mimba, komanso chithandiziro chawo atachitidwa opaleshoni, akuwoneka ngati mawonekedwe osalala, kutsekula m'mimba komanso zovuta kugaya chakudya,
- Kuwongolera chimbudzi cha chakudya, ngati mungamwe mowa kwambiri,
- Gawo lokonzekera x-ray kapena kuwunika kwa ziwalo zamkati pogwiritsa ntchito ultrasound.
Njira yoyendetsera, mlingo
Malangizo ogwiritsira ntchito:
Kuwerengera Mlingo kumakhazikitsidwa payekhapayekha. Zimatengera mtundu wa kusachita bwino kwa dongosolo logaya chakudya.
Mlingo wa ana umayikidwa ndi dokotala.
Kutalika kwa mankhwalawa kungatenge kwa masiku angapo (ngati vuto la m'mimba lisafike pakudya komanso vuto logaya chakudya), mpaka miyezi ingapo komanso zaka (chithandizo chanthawi zonse).
Makhalidwe apadera
Ndizofunikira kudziwa kuti mapiritsiwo alibe zotsatira zoyipa ndi zoyipa pa driver driver omwe amayendetsa magalimoto osiyanasiyana ndi mayunitsi ena, zomwe zimafunikira chidwi chachikulu ndi chisamaliro kuchokera kwa driver.
Kuphatikiza apo, enzymeyi siyikhudzanso kuchuluka kwa mayankho komanso kuwunika m'malo osiyanasiyana.
Mndandanda wamalo amtengo wotsika mtengo komanso wotsika mtengo wopangira Russian ndi akunja
Mankhwala opangidwa ndi mankhwala, omwe amawerengedwa m'nkhaniyi, ali ndi mitundu ingapo yotsika mtengo yomwe ingagulidwe ku pharmacy iliyonse. Chifukwa cha kafukufuku wa msika wogulitsa mankhwala ku Russia, makamaka ma intaneti odziwika bwino azachipatala, tebulo la malo otsika mtengo adapangidwa:
Dzina la analogue ndi lotsika mtengo kuposa Mezim | Apteka.ru (mtengo mu ma ruble) | Piluli.ru (mtengo muma ruble) |
Moscow | SPb | Moscow | SPb |
10000 PIECES (zisoti.) | 295 | 306 | 300 | 270 |
Pangrol 10000 PIECES (zisoti.) | 265 | 276 | 261 | 239 |
Micrazim 10000 PIECES (zisoti.) | 245 | 256 | 169 | 210 |
Panzinorm forte 20,000 units (tabu.) | 114 | 120 | 101 | 89 |
Pancreatin 125 mg (piritsi) | 65 | 65 | 68 | 64 |
Kutengera pagome lofananirazi pamwambapa, titha kunena kuti analogue yotsika mtengo kwambiri ingagulidwe ku shopu yapa intaneti ya Piluli.ru.
Creon - (Germany)
Mankhwala achijeremani opangidwa ndi makinawa, opangidwa ndi makapisozi, amasonyezedwa matenda opweteka m'matumbo, komanso kumapeto kwa maphunziridwe a matenda oopsa a matendawa. Kuphatikiza apo, Creon imayankhidwa kuti apange khansa ya pancreatic ndi chithandizo cha opaleshoni.
Osagwiritsa ntchito mankhwalawa anthu omwe ali ndi hypersensitivity kwa mankhwala othandizira - kapamba ndi odwala omwe amapezeka pancreatitis.
Pa chithandizo, zingapo zoyipa sizichitika. Nthawi zambiri, amawoneka kuti ali ndi mbali ya kugaya chakudya, monga mwa kupweteka kwam'mimba, kusanza, kutsekula m'mimba ndi kuphwanya mseru. Matenda ofooketsa amaloledwa. Izi zimaphatikizira zotupa pakhungu la thupi. Komabe, tikulimbikitsidwa kuti mufunsane ndi dokotala musanatenge, chifukwa izi zithandiza kupewa izi.
Pangrol - (Wachiwiri waku Germany)
Zizindikiro za mankhwalawa ndizofanana ndi zam'mbuyomu zomwe zikufunsidwa. Zimathandizanso wodwala kulimbana ndi matenda am'mimba, matenda a pancreatic oncology ndipo amathandizanso kuti ayambenso kugwira ntchito pazinthu zomwe zimakhudza dongosolo logaya chakudya. Kuphatikiza apo, Pangrol amatha kuthana ndi mavuto am'mimba, matenda am'mimba, komanso matumbo osakwiya. Ubwino wosasinthika ndikulimbikitsidwa kwa chimbudzi chokwanira cha zakudya zamafuta ndi mafuta.
Pangrol amadziwikiratu odwala omwe ali ndi vuto la kapamba, komanso omwe amadwala nkhumba, omwe zinthu zake zimagwira ngati mankhwala a pancreatin.
Mikrazim - (Wopanga ku Russia)
Wopanga nyumba amapereka cholowa chake moyenera. Micrazim imatha kupirira zovuta zosiyanasiyana zomwe zimakhudza kapamba, chotupa cha fibrosis, zotupa, komanso kuchira pantchito zofunikira kwambiri za munthu.Mankhwalawa amakupatsani mwayi kusintha magwiridwe antchito am'mimba, omwe adayamba chifukwa cha kumwa kwambiri zakudya zamafuta, zamafuta kwambiri komanso zamafuta. Kusiyanako kofunikira kuchokera ku mankhwala ena omwe mukuwunikiridwa ndi kuthekera kwa Mikrasim kulimbana ndi matenda am'matumbo ndi duodenum. Izi zikugwiranso ntchito pamavuto olimbikitsira chopondapo. Ma Microzym adayikidwa pokonzekera x-ray kapena kupimidwa kwa ultrasound pamimba.
Ndi zoletsedwa kutenga odwala ndi pancreatitis mu pachimake gawo, komanso anthu omwe ali ndi chifuwa ku zinthu zina za mankhwala aku Russia.
Mwambiri, mankhwalawa amaloledwa mosatekeseka. Nthawi zambiri, momwe mavuto amachitikira, matupi awo sagwirizana zimatha. Ngakhale kawirikawiri, mukamwa Mikrasim mu Mlingo wambiri komanso nthawi yayitali, kumatha kupweteka kwam'mimba - kutsekula m'mimba, kusanza, komanso kupweteka kwam'mimba.
Panzinorm Forte - (Slovenia)
Analogue ya East Europe yotsika mtengo imathandizanso matenda a kapamba, monga kapamba. Kuphatikiza apo, imagwira matenda osapweteka am'mimba, chiwindi ndi matumbo. Panzinorm forte imathandizira pakukonzanso pambuyo pa ziwalo zomwe zili pamwambapa, zomwe zimawonetsedwa pakupaya chakudya chosakhazikika, kumatulutsa komanso kutsekula m'mimba. Komanso, mankhwalawa amalimbikitsidwa kwa anthu omwe ali ndi vuto lililonse la ziwalo zam'mimba, koma omwe akumana ndi vuto lakanthawi kochepa pantchito yawo chifukwa cha kuperewera kwa zakudya.
Mankhwalawa ali ndi zotsutsana zingapo. Izi zikuphatikizapo hypersensitivity pakupanga mankhwala, (pancreatitis in the pachimake gawo). Kuphatikiza apo, Panzinorm Forte mu mawonekedwe apiritsi ndi oletsedwa kwa ana osakwana zaka 3.
Mwanjira yodwala, wodwalayo panthawi yochiritsidwayo amatha kupezeka pakhungu ngati zotupa kapena kuyabwa. Kuphatikiza apo, kusisita pafupipafupi komanso kubisalako sikukuletsedwa. Zotsatira zoyipa zimatha kukhudza dongosolo logaya chakudya. Amatha kukhala m'matumbo colic, kusanza, kutsekula m'mimba.
Pancreatin - (njira yotsika mtengo komanso yothandiza kwambiri ku Mezim)
Chida ichi ndi chotsika mtengo kwambiri pamsika waku Russia. Imathandizanso, monga mankhwala omwe ali pamwambawa, amathandizira pamavuto ndi matenda a ziwalo zofunika kwambiri zam'mimba zam'mimba - kapamba, chiwindi, chikhodzodzo, m'mimba ndi matumbo. Mankhwala omwe ali ndi dzina lofanana ndi chinthu chogwira, amalola kuti muchepetse mkhalidwe wa thupi ndikusintha kugaya chakudya mukamadya kwambiri.
Mapiritsi sinafotokozeredwe pancreatitis yovuta kwambiri ndi kuzindikira kwa ziwonetsero zawo.
Mankhwalawa ndi otetezeka ndipo nthawi zambiri amaloledwa ndi odwala. Osowa kwambiri, pakumwa, mavuto oyipa monga kutsegula m'mimba, kusanza ndi kupweteka m'mimba kumatha kuchitika. Kuphatikiza apo, pali kuthekera kwa zotupa, urticaria pakhungu la wodwalayo, mwanjira yofanizira.
Mapeto pa ndalama zina za Mezim
Mankhwala odziwika bwino a Mezim, ali ndimankhwala angapo ofanana. Amapangidwa ku Russia komanso kunja. Tiyenera kudziwa kuti kukhala ndi zigawo zofanana, mndandanda wazidziwitso, mankhwala amagulitsidwa pamitengo yosiyanasiyana. Izi zimakuthandizani kusankha mankhwala a chikwama chilichonse.
Mezim Forte - analogi ndi m'malo mwa mankhwalawa mwachilengedwe zimasiyana pamtengo wotsika. Komabe, sizikudziwika kuti ndi othandiza motani. Lero tidzamvetsetsa izi. Tiona za fanizo za Mezim zomwe zilipo ndi kusiyana kwake kwakukulu.
Mezim ndi enzyme yokumba - enzyme. Kuphatikiza apo, chinthu chogwira mankhwalawa ndi Pancreatin.Gawoli ndi losakanikirana ndi michere ya m'mimba monga lipases, mapuloteni ndi ma amylase, zomwe zimaphwanya mafuta, mapuloteni ndi chakudya. Mezim amapangidwa ndi kampani yotchuka yaku Germany Berlin-Chemie. Malangizowo akuti muyenera kugwiritsa ntchito mankhwalawa kuchiza matenda am'mimba, matenda a chiwindi, duodenum ndi kapamba, limodzi ndi mawonekedwe osakwanira a michere.
Mphamvu yakuchitidwa kwa Mezim sikukukulitsa kuchuluka kwa zinthu zomwe zikugwira, koma pochivala chapadera. Kuphimba kumeneku sikuloleza kuti piritsi lisungunuke m'mimba nthawi isanakwane, chifukwa ma enzymes ofunika am'mimba amawonongeka chifukwa cha asidi m'mimba. Piritsi ya Mezim Forte mumalo osunthika imapita ku duodenum 12, ndipo imagwiranso kale. Kuphatikiza apo, pali mankhwala Mezim Forte 10000, momwe zomwe ma enzyme ali ndi dongosolo la kukula kwambiri kuposa Mezim wamba. Mwachilengedwe, mtengo wa chida choterocho ndi wokwera mtengo kwambiri.
Chidwi pa Intaneti:
Komabe, kukonzekera kwina kwa enzymatic kumagwiritsidwanso ntchito mu gastroenterology, osati a Mezim okha. Ma Analogs ndiotsika mtengo m'mafakisi lero mutha kupeza zotsatirazi :
Creon (yopangidwa ndi akatswiri azamankhwala achijeremani) imapezeka mu mawonekedwe a mapiritsi a gelatin, omwe ali ndi chilengedwe cha nkhumba pancreatin. Chotsatira chotsatira cha ku Germany ndi Hermitage, chomwe ndi kapisozi kokhala ndi kapamba. Analogue ina ya Mezim ndiyotsika mtengo , zomwe zakhala zikudziwika kwa ambiri kuyambira masiku a Mgwirizano, ndi Festal. Kuphatikiza pa Pancreatin, muli bovine bile Tingafinye. Zofanana ndi Festal Enzystal. Amapangidwanso ndi akatswiri azamankhwala ku India. Analog yaku Russia ya Mezim Forte - Solizim mu makapisozi . Mankhwalawa amadziwika ndi ntchito yopanda mphamvu ya enzymatic, poyerekeza ndi mankhwala omwe ali pamwambapa .Solizim imaphwanya mafuta, osakhudza chakudya ndi mapuloteni. Chochokera ku kampani yaku Germany Nordmark - Panzinorm. Kuphatikiza pa Pancreatin, imakhala ndi zowonjezera za bile, komanso mucous membrane wa mucous membrane wa ng'ombe. Mwa njira, ali ndi ntchito yolimba ya amylase, lipases ndi mapuloteni.
Pali malingaliro omwe ali olakwika kuti ma enzyme amakhala otetezeka nthawi zonse komanso othandiza, chifukwa chake amatha kutengedwa kumatenda aliwonse am'mimba. Komabe, kwenikweni, izi siziri choncho. Monga mankhwala aliwonse ogwira ntchito, ma enzyme ali ndi contraindication awo. Ndiye kuti, musanawatenge, ndikofunika kuonana ndi dokotala.
Chenjezo la Enzyme
Zonse zomwe zili pamwambapa za Mezima pamwambazi, mosasamala mtengo, muphatikiza Pancreatin (m'malingaliro osiyanasiyana), ndiye kuti, ndizowopsa kupereka mankhwalawa nokha.
Mwachitsanzo, ndi mipando pafupipafupi, sibwino kutenga Festal. Nthawi zambiri, kukonzekera kwa enzyme komwe kumakhala ndi bile sikuletsedwa kugwiritsa ntchito kwa anthu omwe ali ndi vuto la chiwindi kapena chikhodzodzo. Dokotala yekha ndi amene angadziwe mtundu wa amylase wa tsiku ndi tsiku, atatha kudziwa momwe munthu alili. Nthawi zambiri, Mezima analogues imatha kuyambitsa mavuto m'matumbo.
Malangizo okhudza kumwa piritsi ya Mezim phwando lisanachitike ndi odziwika bwino kwa aliyense. Koma bwanji ngati mankhwalawa sanali m'chipatala? Ndipo kodi ndizotheka kusintha mankhwalawa ndi mapiritsi otsika mtengo? Lero tikambirana zomwe Mezim ali ndi fanizo, ndipo kusiyana kwawo kofunikira ndi kotani.
Ndibwino - Pancreatin kapena Mezim?
Pancreatin ndi enzyme yotengedwa kuchokera ku zikondamoyo za ng'ombe. Muli ma enzymes atatu amphako:
- amylase (amalimbikitsa kuwonongeka kwa chakudya cham'mimba),
- proteinase (amaphwanya mapuloteni)
- lipase (kuthyola mafuta).
Pancreatin amagulitsidwa monga mapiritsi okhala ndi dzina loyenerera kapena monga gawo la mankhwala ena:
- Biofestal
- Normoenzyme
- Ferrestal
- Enzystal
- Chikondwerero
- Pancreoflat,
- Biozyme
- Pancreasim
- Enzibene
- Panzinorm,
- Gastenorm,
- Chiboni
- Micrazim
- Penzital
- Pancrelipase
- Pankrenorm,
- Pancytrate
- Vestal
- Uni Festal
- Panzim
- Malembo.
Komabe, analogue yotchuka kwambiri ya Pancreatinum ndi Mezim, yomwe ikhoza m'malo mwa mankhwalawa, chifukwa Zonsezi zimakhala ndi ma pancreatic enzyme monga chinthu chachikulu chogwira ntchito.
Kodi pali kusiyana kotani pakati pa mankhwala?
Mankhwalawa omwe ali ndi mankhwalawa amakhala ndi muyeso wina wa amylase (nthawi zambiri nambala yomwe ili pafupi ndi dzinalo ndi kuchuluka kwa enzyme). Mwachitsanzo, mwachitsanzo, Mezim Forte 10000 (analogue ndi Creon 10000, Mikrasim 10000, Panzinorm 10000) ili ndi magawo 10,000 a amylase. Mlingo wamphamvu kwambiri ndi mayunitsi 25,000 (Creon, Mikrazim), ndipo wofooka kwambiri ndi mayunitsi 3,500 (Mezim-Forte). Pokonzekera monga Festal, Digestal, Penzital, Enzistal muli 6000 IU ya enzyme.
Kuphatikiza pa kuchuluka kwa amylase, Mezim Forte analogues amasiyana ndizomwe zili pazowonjezera. Mwachitsanzo, mwachitsanzo, ku Festal, Digestal ndi Enzistal pali hemicellulase ndi bile. Mankhwala atatu omwewo ndi mapiritsi a kukula kwakukulu, ndipo Panzinorm, Creon, Hermitage ndi Mikrasim ndi makapisozi a gelatin, mkati mwake omwe ali ndi microtablets ndi mainchesi osakwana 2 mm (chifukwa cha izi amachita mwachangu).
Zizindikiro zogwiritsidwa ntchito
Mankhwala a enzyme akuwonetsedwa chifukwa cha kupweteka kwa kapamba, pakakhala kuperewera kwa kapamba. Kugwiritsa ntchito Mezim (kapena analogue yotsika mtengo ya pancreatin) ndikofunikira pazakudya zoyambitsidwa ndi matenda am'mimba, chiwindi, ndulu
Monga momwe malangizo ogwiritsira ntchito mankhwalawa akuwonetsera, Mezim amathandizira kugaya kwam'mimba mwa anthu athanzi. Komanso, mankhwalawa amapatsidwa mankhwala musanayesere kugaya chakudya kapena x-ray.
Kodi kutenga Mezim ndi analogues?
Ma enzymes am'mimba amayamba kuchita ngati alowa m'matumbo ang'ono: amatetezedwa kuti asawonongeke ndi madzi a m'mimba ndi kuphatikiza kwapadera kwa piritsi, komwe kumaswa pH = 5.5 yokha.
Mapiritsi amatengedwa nthawi ya chakudya, kutsukidwa ndi madzi kapena timadziti ta zipatso (koma osati zakumwa zamchere).
Zochita zapamwamba za michere ya pancreatic zimawonedwa patadutsa mphindi 30 mpaka 40 mutatenga Mezim Forte kapena mtundu wake.
Ngakhale kuti zonse zomwe zili pamwambapa za Mezim Forte zapamwamba - zotsika mtengo komanso zodula - zimakhala ndi kapamba (amylase, lipase, proteinase), ngakhale m'malo osiyanasiyana, ndizowopsa kupereka mankhwalawa nokha.
Mlingo watsiku ndi tsiku wa amylase amatsimikiza ndi dokotala, kupenda momwe wodwalayo alili. Kwa ena, ndimayunitsi okwana 8000 - 40,000, ndipo zikondamoyo sizikapangira michere konse, thupi limafunikira ma 400,000 amylase.
Si kawirikawiri Mezim ndi mawonekedwe ake omwe amayambitsa mavuto - amawonetsedwa makamaka ndi matumbo.
Mitengo ya mankhwalawa ndi mawonekedwe ake
Nthawi zambiri, wogwiritsa ntchito mankhwala amasankhidwa pamtengo. Pansipa pali mndandanda wamawu a Mezim, omwe ndi otsika mtengo kapena okwera mtengo, koma kwenikweni ali ndi vuto lofanana ndi thupi la munthu.
Dzina lamankhwala | Kutulutsa mawonekedwe, kuchuluka | Mtengo muma ruble (avareji) |
Mezim Forte Mezim Forte | mapiritsi, 20 ma PC. mapiritsi, ma PC 80. | 55-75 215-300 |
Acedin pepsin | mapiritsi, 50 ma PC. | 104 |
Unienzyme | mapiritsi, 20 ma PC. | 140 |
Panenzym | mapiritsi, 20 ma PC. | 138 |
Fermentium | ngalande, 20 ma PC. | 118 |
Abomin | mapiritsi, 20 ma PC. | 210 |
Pancreatin Pancreatin forte | mapiritsi, 20 ma PC. mapiritsi, 20 ma PC. | 25-35 25-40 |
Penzital | ngalande, ma PC 100. | 120-140 |
Enterosan | makapisozi, 20 ma PC. | 428 |
Zothandiza | ngalande, 20 ma PC. | 75-90 |
Chikhulupiriro | makapisozi, 20 ma PC. | 115-130 |
Enzibene | makapisozi, 20 ma PC. | 155-200 |
Creon 10000 | makapisozi, 20 ma PC. | 195-270 |
Pangrol | makapisozi, 20 ma PC. | 460-480 |
Chikondwerero | ngalande, ma PC 100. | 365-500 |
Micrazim | makapisozi, ma 50 ma PC. | 640-750 |
Acidin-Pepsin
Amapezeka piritsi. Kapangidwe ka mankhwalawa kumaphatikizapo betaine hydrochloride (acidin) ndi pepsin ya nkhumba.Monga pancreatin, pepsin ndi enzyme.
Nthawi zambiri, Acedin-pepsin amagwiritsidwa ntchito ngati dyspepsia, achilia, hypo- ndi anacid gastritis, komanso mavuto omwe amadza chifukwa chakuchepa kwa acidic pamimba. Nthawi zambiri, achikulire ndi omwe amapatsidwa mapiritsi 2 katatu patsiku nthawi yomweyo pakudya kapena pambuyo pake. Mapiritsiwo ayenera kusungunuka mu ½ chikho cha madzi. Mankhwala omwe amaphatikizidwa ndi anthu omwe ali ndi:
- kuchuluka kwa acidin kapena pepsin,
- zilonda zam'mimba ndi zilonda 12 zam'mimba,
- gastroduodenitis.
Mankhwala a enzymewa amapezeka piritsi. Zigawo zikuluzikulu za mankhwalawa ndi fungal diastasis ndi papain. Chalangizidwa kuti mugwiritse ntchito ndi zizindikiro zotere:
- nseru, kubwatula (kuphatikiza pa opaleshoni), kutulutsa, kutsegula m'mimba,
- kukonzekera maphunziro osiyanasiyana am'mimba,
- ndi kusagwira ntchito kwa kapamba, kapamba wautali, matenda a chiwindi.
Mankhwalawa amalimbikitsidwa kwa akulu ndi ana opitirira zaka 7, mapiritsi awiri atatha kudya. Mankhwala ayenera kumeza lonse ndi kutsukidwa ndi madzi. Kugwiritsira ntchito mankhwalawa kumaphatikizidwa kwa odwala osakwana zaka 7, komanso zilonda zam'mimba ndi zotupa, matenda a chiwindi ndi kuzindikira kwina kwa kapangidwe ka mankhwalawa.
Fomu yotulutsira ndi mapiritsi omwe amasungunuka m'matumbo. Muli pancreatin wocheperako enzymatic ntchito. Amagwiritsidwa ntchito kupukusa chimbudzi. Mlingo umaperekedwa kwa wodwala aliyense. Zimatengera mtundu wa kuchepa kwa enzyme komanso kukonza zakudya. Kwenikweni, mapiritsi 1-2 amapatsidwa zakudya. Mndandanda wa contraindication umaphatikizira pancreatitis yovuta kwambiri pachimake ndi ziwengo pazinthu za Panenzym.
Mapiritsi okhala ndi mankhwala okhazikika, omwe amapangira pancreatin, hemicellulase ndi bile. Mulingo wa ntchito:
- kuyang'aniridwa kwa exocrine ntchito kapamba,
- zilonda zam'mimba
- kupweteka m'matumbo
- kukonza chimbudzi,
- kukonzekera kuyesedwa kwa m'mimba thirakiti.
Ana opitirira zaka 6 amapatsidwa piritsi limodzi mukangodya. Akuluakulu amatha kugwiritsa ntchito mankhwalawa musanadye. Ngati ndi kotheka, Mlingo ungathe kuwonjezeka mpaka mapiritsi awiri. Enzistal imaphatikizidwa chifukwa cha kuchuluka kwa pancreatin, hepatitis pachimake, kutsekeka kwamatumbo, cholecystitis ndi ana osaposa zaka 6.
Fermentium
Gawo logwira la Fermentium ndi pancreatin, lomwe limathandiza kukonza chimbudzi. Mankhwalawa ali ngati mapiritsi. Amawerengera dyspepsia, kugwiritsa ntchito mafuta komanso zonunkhira, zomwe zimakonzedwa kwambiri ndi thupi. Amapangidwanso kukhathamiritsa, gastroectomy, kapamba, matenda omwe amaphatikizidwa ndi kuperewera kwa gawo la gland.
Mankhwalawa amayenera kumwa pakamwa musanadye kapena nthawi ya chakudya kwa akulu ndi ana 6, 1-2 amakoka patsiku. Mlingo umatha kusinthidwa ndikukhazikitsidwa ndi adokotala payekhapayekha.
Kuphwanya kwakukulu pakutenga Fermentium:
- pachimake kapamba
- matumbo,
- chiwindi
- kuwerengetsa cholecystitis.
Zotchuka m'malo aku Russia
Ogulitsa mankhwala apakhomo kuti athandizike komanso kutonthoza makasitomala amapanga mankhwala otsika mtengo a Russia, omwe kapangidwe kake komanso mankhwala ake sakhala otsika ku Mezim.
Zilonda, zomwe zimaphatikizapo chinthu chonyansa. Amapangidwa kuchokera m'mimba mwa ana aankhosa ndi ana a ng'ombe. Abomin bwino mayamwidwe chakudya ndi osakwanira enzymatic ntchito ya chapamimba madzi. Amawerengera ma pathologies awa:
Ikani mankhwala katatu patsiku, piritsi limodzi kwa miyezi iwiri. Mankhwalawa amadziwikiratu odwala osakwana zaka 14 komanso mwa anthu omwe ali ndi vuto lonyansa.
Kukonzekera kwa enzyme ya ku Russia kumapangitsa kuti chakudya chikhale chokwanira. Kapangidwe ka mankhwalawa kumaphatikizapo pancreatin. Madokotala amalangizidwa kumwa mankhwalawa mutatha kudya ndi madzi.Mlingo wa mankhwalawa umaperekedwa ndi katswiri mosiyana kwa wodwala aliyense. Izi zimatengera m'badwo, kudya komanso kutha kwa matendawa.
Limagwirira zake ntchito mankhwala
Mankhwalawa amalowa m'malo mwa kusowa kwa michere ya pancreatic. Sipangakhale chanzeru kugwiritsa ntchito Micrazim kwa anthu omwe ali ndi chitetezo chamthupi, kuphatikiza apo, palibe zoletsa.
Zofanizira zakunja
Posankha mankhwala, ogula ambiri amalabadira dziko lomwe amapangidwira. Mwa mankhwala achilendo, palinso zina zomwe zimayimira Mezim.
Mankhwala amapangidwa ku Italy kapena Germany. Ili mu mawonekedwe a makapisozi olimba okhala ndi pancreatin. Amagwiritsidwa ntchito kutsegulira magwiridwe antchito am'mimba, kuthana ndi zizindikiro za kupweteka, kupukusa m'mimba, chifuwa chachikulu, gastritis, enterocolitis. Nthawi zambiri imwani makapisozi 2-4 mukatha kudya ndikumwa 100 ml ya madzi.
Chiwerengero komanso nthawi ya njira yochizira imayikidwa ndi katswiri. Ngati wodwala amatha kutenga mankhwala ndi / kapena kapamba kapamba, kumwa mankhwalawa sikulimbikitsidwa. Kwa ana, mankhwalawa amalembedwa kuyambira azaka 6.
Makapisozi apapo omwe amakhala ndi pancreatin. Malangizo ogwiritsira ntchito ndi ofanana ndikumwa mankhwala ofanana - operekedwa ndi zizindikiro za kupweteka, chimbudzi, gastritis, enterocolitis, njira zotupa m'mimba ndi zovuta zina zomwe zimayendera limodzi ndi vuto la procrine la gland lomwe limatsekera madzi a pancreatic.
Mlingo umodzi wa mankhwalawa agawidwe: imwani theka musanadye, ndi zomwe zili m'mbale yotsekera ndi zakudya. Ngati wodwala ali ndi kutupa kwamatumbo kumayambiriro ndi kuchepa kwa mankhwala, ndiye kuti kugwiritsa ntchito Creon ndikotsutsana. Mankhwalawa amapangidwa ku Germany.
Dziko loyambira - India. Mankhwalawa amathandizira kuyamwa kwa chakudya mthupi ndi ntchito zapakhungu. Malangizo pazovomerezeka ndi zofanana ndi mankhwala ena okhala ndi kapamba. Mapiritsi 1-2 amatengedwa pakamwa musanadye, yonse ndikutsukidwa ndi kapu yamadzi.
Poganizira mtundu wa chakudya komanso kuopsa kwa vuto logaya chakudya, mapiritsi ena owonjezera a 2 amatha kumwa mutatha kudya.
Ngati wodwalayo ali ndi pancreatitis yachuma komanso chiwopsezo chowonjezereka cha mankhwalawa, Enzibene amatsutsana kuti agwiritse ntchito.
Kuphatikiza pa pancreatin, ngalande ya Festal imakhala ndi bovine bile, yemwenso imapangidwa ndi enzymatic. Amapangidwa ku India. Festal imalembedwa chifukwa cha ntchito yopanda phindu ya kapamba, chifuwa chachikulu, kupangitsa kuti chakudya chikhale ndi ulcerative colitis ndi mavuto ena mthupi omwe amafunika kulowetsedwa kwa michere.
Zisonyezo zakusankhidwa kwa Festal
Njira ya makonzedwe: piritsi limodzi pakudya komanso pambuyo chakudya. Nthawi yovomerezeka imachokera tsiku limodzi mpaka miyezi ingapo. Mankhwalawa amalembedwa kwa akulu okha. Zoyipa:
- pachimake chiwopsezo cha michere ya nyama,
- chiwindi
- kapamba pachimake,
- matumbo kutsekereza.
Ndemanga za madotolo ndi odwala
Pali mankhwala ambiri omwe ali ndi ma enzymes amachokera ku nyama pamsika wamankhwala. Kusankha kumakhalabe ndi wogula, chifukwa ma nuances onse amatengedwa: mtengo, kapangidwe, kupezeka kwake, ndipo zina zimawongoleredwa ndi dziko lomwe adachokera. Koma, mulimonsemo, musanagwiritse ntchito mankhwala aliwonse, muyenera kufunsa dokotala!
Zokhudza thupi la munthu
Mezim ndi mankhwala aku Germany opangidwa ndi pancreatin, chinthu chomwe chimachokera ku kapamba ka nkhumba.
Katunduyu amakhudza bwino gawo logaya chakudya, amathandizira kuwonongeka kwa mapuloteni, lipids ndi chakudya.
Pambuyo kumwa mankhwalawa, kugwira ntchito kwa m'mimba kumapangidwanso.
Zizindikiro zogwiritsidwa ntchito
Mankhwala amathandizidwa ndi ma pathologies otsatirawa:
- chifuwa chachikulu,
- zotupa zam'mimba,
- kupanga gasi kwambiri,
- kutsegula m'mimba
- chimbudzi
- kudya kwambiri
Komanso, mankhwalawa amalimbikitsidwa kuti atengedwenso usiku wa kuwonera ndi kuwunika kwa x-ray kwam'mimba.
Zotsatira zoyipa
Mankhwalawa sikuthandizira. Nthawi zina, zotupa za khungu la khungu lawo siligwirizana zimadziwika mu odwala.
Pogwiritsa ntchito mankhwalawa kwa nthawi yayitali, kuchuluka kwa uric acid m'magazi kumatha kuchuluka.
Malangizo ogwiritsira ntchito kwa akulu ndi ana
Mlingo wakhazikitsidwa ndi dokotala aliyense payekha kwa wodwala aliyense, amatsimikizika ndi kukula kwa mawonekedwe a matenda am'mimba.
Mlingo wothandiza wodwala wamkulu ndi mapiritsi awiri musanadye. Mapiritsi ayenera kumeza popanda kutafuna, kutsukidwa ndi madzi. Mlingo wa enzyme m'malo mankhwala angafike 4 mapiritsi. Mlingo wa ana umasankhidwa kokha ndi katswiri wazachipatala.
Mankhwalawa amatha kuchokera masiku awiri mpaka miyezi ingapo. Kutalika kwa chithandizo cha mankhwala kumatsimikiziridwa ndi kuopsa kwa zovuta za m'mimba. Nthawi zina, chithandizo chimachedwa kwa zaka zingapo.
Mankhwalawa sasokoneza kukhudzidwa kwa chidwi, motero, amatha kumwedwa ndi anthu omwe akuyendetsa galimoto kapena galimoto ina yogwira kuseri kwa makina ovuta.
Mankhwalawa amatha kupezeka mu mankhwala aliwonse. Mtengo wa mankhwala umachokera ku 70 mpaka 340 ma ruble, kutengera kuchuluka kwa mapiritsi omwe ali phukusi ndi kuchuluka kwa zinthu zomwe zimagwira.
Mezima anifanizira zotsika mtengo - mndandanda wamtengo
Pansipa pali mndandanda wa analogi za mtengo wa Mezima zotsika mtengo. Kuchokera m'malo ndi ochokera mmayiko ena ziyenera kudziwika:
- Abomin - ma ruble 145,
- Pancreatinum - 40 ma ruble,
- Acidin-pepsin - ma ruble 180,
- Enzistal - ma ruble 220,
- Penzital - ma ruble 120,
- Festal - 340 ma ruble.
Palinso malo ena othandiza komanso otchuka omwe ndi okwera mtengo kwambiri kuposa a Mezim:
- Hermitage - ma ruble 460,
- Enterosan - ma ruble 430,
- Creon - ma ruble 530,
- Mikrasim - ma ruble 500,
- Pangrol - ma ruble 580.
Pancreatin kapena Mezim - ndibwino?
Pancreatin ndiye analogue wotsika mtengo kwambiri wa ku Russia wa Mezim. M'malo mwake amatengera chinthu chofanana ndi choyambirira. Mankhwala onse awiriwa amakhudzanso thupi. Onse a Pancreatinum ndi Mezim amayamba kuchita pafupifupi mphindi 30 pambuyo pakamwa.
Pancreatin ndi mankhwala wofunafuna kugaya ndi matenda ena am'mimba.
Mankhwala angagwiritsidwe ntchito kuphwanya chiwindi ndi ndulu.
Ana amaloledwa kutenga analogue, koma moyang'aniridwa ndi katswiri wazachipatala. Mutamwa mankhwalawa kwa ana aang'ono, kudzimbidwa kumatha kuchitika.
Festal kapena Mezim - ndibwino kugula?
Ngati funsolo likubwera, ndi chiyani chomwe chidzalowe m'malo mwa Mezim, ndiye kuti analogi yotchuka kwambiri komanso yotsatsa imatha kutchedwa Festal. M'malo mwake ndi zoyambayo zimakhudzanso ziwalo zogaya, pamtengo zomwe sizimasiyana.
Festal ndi mankhwala a enzyme omwe amagulitsidwa m'njira zamkati.
Ma enzymes omwe amapanga mankhwalawa amatithandizira kugaya chakudya, amalimbikitsa mapangidwe a bile, ndikuwongoletsa kuyamwa kwa mapuloteni ndi chakudya.
Mankhwalawa, kuphatikiza ma enzyme, amaphatikiza bovine bile, yomwe imayendetsa chiwindi ndi kapamba.
Festal amalimbikitsidwa kwa odwala omwe ali ndi cystic fibrosis komanso mawonekedwe a kapamba. Mankhwala amathandiza ndi ofooka mobisa ntchito kapamba, matenda a chiwindi, m'mimba ndi matumbo thirakiti.
Mukamamwa mankhwalawo, mavuto amadzachitika: kutsekula m'mimba, nseru, kuchepa synthesis wa bile.Ndi mankhwala osokoneza bongo, hyperuricemia ndi dermatitis ya perianal imayamba, ziwalo zamkati zamkamwa zimakwiya.
Sizoletsedwa kutenga Festal ndi kulephera kwa chiwindi, kapangidwe kake kapamba, chiwindi, ndulu, zotsekemera zamatumbo, jaundice, zotupa za m'mimba.
Mezim kapena Creon - ndibwino kuti musankhe?
Creon ndiwotsogola kwambiri, koma wogula wa Germany Mezim wogulitsa mu mawonekedwe a capule.
Ndikulimbikitsidwa kwa matenda a pathologies am'mimba, zotupa zoyipa mu kapamba.
Kukula kwa analogi yaku Germany ndikokulira kuposa mankhwala oyambira. Creon amalembedwa kuti:
- aakulu mawonekedwe a kapamba,
- cystic fibrosis,
- matenda amatsenga
- kufalikira kwa ma ducts a bile,
- Schwachmann-Diamond syndrome,
- matenda a pancreatic
- chiwindi cha mtundu wa cholestatic,
- zovuta zokhudzana ndi zaka za ntchito ya enzymatic yam'mimba,
- kusintha kwa ma microflora am'matumbo aang'ono,
- gastroparesis
- duodenostasis.
Komanso, mankhwalawa amathandizidwa kuti azigwiritsa ntchito kumasula zizindikiro zosasangalatsa pambuyo pakuchita opaleshoni yochotsa khansa, chikhodzodzo, kutulutsa kwathunthu kapena pang'ono pamimba.
Nthawi zambiri, mankhwalawa nthawi zambiri amatengedwa ndi thupi la akulu ndi odwala ang'onoang'ono. Nthawi zina zosasangalatsa, koma osati zoopsa, zoyipa zimachitika: kupweteka m'mimba, kutsekula m'mimba, mseru, kupangika kwamagesi kwambiri. Kuphwanya kaching'onoting'ono kumatha kuwoneka pakhungu.
Ndi zoletsedwa kutenga Creon kwa odwala omwe ali ndi pancreatitis yovuta, yokhudza chidwi cha mankhwala.
Ndiyenera kugula Mikrazim?
Mikrasim ndi cholowa chapamwamba kwambiri cha Mezim chogulitsidwa mu mawonekedwe a kapisozi potengera pancreatin.
Mwa lingaliro la kuchitapo kanthu, analogue ndi zoyambirira sizimasiyana.
Komabe, Mikrasim imagula kuposa Mezim, popeza imaphatikizidwa pamndandanda wamankhwala othandiza kwambiri a m'badwo waposachedwa.
Monga choyambirira, analog imadziwika ndi ntchito zambiri. Micrasim imalembedwa kuti:
- cystic fibrosis,
- aakulu mawonekedwe a kapamba,
- zilonda zachi pancreatic
- mankhwala m'malo pambuyo opaleshoni zapamba,
- kugaya chakudya pambuyo pakuchita opaleshoni ya ndulu, m'mimba, matumbo,
- kufooketsa kwa contractile ntchito yam'mimba,
- cholecystitis
- ma gallstones
- kuphwanya katulutsidwe a bile,
- blockage wa bile duct.
Komanso, Mikrazim imalimbikitsidwa kuti itengedwe ndi achikulire athanzi ndi ana akudya kwambiri, kudya zakudya zamafuta komanso zamafuta, kudya mosayenera, komanso moyo wopanda ntchito.
Mankhwalawa angagwiritsidwe ntchito ngati njira yokonzera kugaya kwamimba kwa x-ray kapena kuwunika kwa pamimba.
Mankhwalawa amaloledwa kumwa ndi ana aang'ono ndi amayi oyembekezera. Koma muyenera kulingalira kuti mu makanda, mankhwala amatha kuyambitsa kudzimbidwa. Ndi koletsedwa kugwiritsa ntchito Micrasim mu mawonekedwe a kapamba ndi chidwi cha yogwira popanga mankhwala.
Nthawi zina, zotsatira zoyipa zimawonedwa - thupi lawo siligwirizana. Ndi mankhwala osokoneza bongo, mseru, kupweteka pamimba, kudzimbidwa, kutsegula m'mimba, hyperuricemia.
Zoyenera kusankha - Abomin kapena Mezim?
Abomin ndi analogue yotsika mtengo yaku Russia ya Mezim, yochokera ku rennet yotsalira pamimba za ng'ombe. Mankhwalawa amagulitsidwa mu mawonekedwe a piritsi. Amasintha chimbudzi kwa odwala omwe ali ndi vuto la enzyme m'matumbo. Mothandizidwa moyenera:
- gastritis
- acidity ochepa wam'mimba,
- gastroenteritis
- enterocolitis
- chimbudzi chovuta komanso chopweteka,
- zilonda.
Sikulimbikitsidwa kumwa mankhwalawa kwa amayi apakati, amayi oyamwitsa, odwala omwe ali ndi vuto la enzyme.
Komanso, simungapereke mankhwalawa kwa ana aang'ono omwe ali ndi masanzi a kusanza komanso kubwezeretsa. Nthawi zina Abomin amabweretsa mavuto: nseru ndi kutentha pang'ono kwakanthawi.
Ndibwino - Mezim kapena Mezim Forte?
Patsamba lamankhwala osokoneza bongo mutha kuzindikira mitundu iwiri ya mankhwalawa: Mezim ndi Mezim Forte. Mankhwala onse awiriwa amakhala ndi ma enzymes ndipo amagulitsidwa mu mawonekedwe a piritsi.
Ogula ambiri akufunsa ngati pali kusiyana pakati pa mitundu iwiri ya mankhwala omwewo. Ndipo pali zosiyana.
Kusiyana koyamba ndi kuphatikizika kwa mankhwala opangira piritsi limodzi.
Mankhwalawa onse amaphatikiza lipase, amylase, ndi michere ya proteinase. Koma mu classical Mezim ndi 3500 UNITS Ph. Eur. lipases, P00CES 4200 of amylase, 250 PISCES of proteinase, and in Mezim Fort - 10000, 7500 and 370 PISCES of Ph. Eur. motero.
Kuchokera pamwambapa zimatsata kuti mankhwalawa amakhala ndi ntchito ya michere kuposa mankhwala ena onse. Piritsi limodzi la Mezima Forte limagwira kwambiri katatu kuposa piritsi la Mezima lapamwamba.
Kukonzekera kwa fort kumakhala ndi zigawo zofunika zothandizira: lactose monohydrate ndi povidone. Mu Mezim muyezo awa makompyuta sakutero. Povidone ndiyofunikira kukonza kuyamwa kwa michere kuchokera pamapiritsi am'mimba. Lactose monohydrate ndiye maziko omwe bifidobacteria ndi lactobacilli achulukitsa.
Zonsezi pamwambapa ndi mwayi waukulu wa Mezim Forte. Kukhalapo kwa zida zothandizira kumapangitsa kuti mankhwala a forte akhale osavuta kwambiri kuposa mankhwala wamba. Tiyeneranso kukumbukira kuti mankhwalawa amasiyana panthawi yomwe pali mapiritsi okwanira phukusi.
Zochita za Mezim Forte ndizapamwamba kuposa zamankhwala apamwamba, chifukwa chake, mapiritsi 20 ophatikizidwa ndi phukusi la mankhwala a forte ndiwokwanira kwa njira yayitali yothandizira achire. Izi zikutanthauza kuti nthawi ndi ndalama zimasungidwa.
Mlingo wa mankhwala amatsimikiziridwa ndi dokotala kwa wodwala aliyense payekhapayekha, kutengera kuchuluka kwake kwa mawonekedwe a pathological. Mapiritsi amatengedwa pakamwa, kutsukidwa ndi madzi. Mlingo wa Mezim kwa wodwala wamkulu ndi mapiritsi 1 - 2 musanadye, koma ngati ndi kotheka, ndiye kuti mapiritsi 1 - 4 ndi zakudya.
Mlingo Mezima Forte - kuchokera pa mapiritsi 2 mpaka 4 ndi chakudya. Ndikutheka kuti mulingo wa mankhwala ulinso chimodzimodzi. Koma muyenera kukumbukira za zochitika zosiyanasiyana zamankhwala osokoneza bongo ndi a forte. Ndipo kenako kusiyana kumawonekera.
Kusiyana komaliza pakati pa mankhwalawo ndi mtengo. Mezim ndiotchipa katatu kuposa Mezim Forte. Izi zikugwirizana ndi mfundo yoti mankhwala a forte ndiwogwira katatu kuposa momwe amachitira ndi mankhwala onse.
Kanemayo amakamba za momwe mungachiritsire mwachangu chimfine, chimfine kapena SARS. Maganizo a dokotala wodziwa zambiri.
Khalidwe la Mezima
Mezim Forte wakhala pamndandanda wa atsogoleri pakati pa kukonzekera kwazaka zambiri. Ndipo izi sizosadabwitsa, chifukwa mankhwalawa ali:
- kuphatikiza koyenera
- chitetezo chachikulu
- mtengo wololera.
Berlin Chemie, yemwe amapanga mankhwalawo, ndiwotchuka chifukwa cha zinthu zake zapamwamba, zomwe zimathandizanso kuti kutchuka kwa mankhwalawa kukhale.
Gawo lomwe limagwiritsidwa ntchito ndi pancreatin. Piritsi lililonse lili ndi 100 mg, yomwe imagwirizana ndi 4200 IU ya amylase, 3500 IU ya lipase ndi 250 IU ya proteinase.
Pali mitundu yotulutsidwa:
- Mezim Forte 10000,
- Mezim Forte 20,000.
Piritsi limodzi la mankhwala aliwonse ali ndi 125 mg ya pancreatin. Komabe, amasiyana ntchito zawo za enzymatic:
- 7500 IU ya amylase, 10,000 IU ya lipase ndi 375 IU ya mapuloteni,
- 12000 EM amylases, 20,000 EM lipases ndi 900 EM proteinase, motsatana.
Chofunikira pa mankhwalawa ndikuti pancreatin yopanga yake imachokera ku kapamba wa nkhumba. Ena opanga amagwiritsa ntchito pancreatin yochokera ku ng'ombe, zomwe zimakhudza kutetezeka kwa kugwiritsa ntchito.Kupatula apo, zinthu zotere zimadziwika ndi zotsatira zoyipa zambiri.
Kuchita kwa Mezim ndikupititsa patsogolo chimbudzi cha mapuloteni, mafuta ndi chakudya m'matumbo. Chifukwa chake, kugwiritsidwa ntchito kwake kumalimbikitsidwa pakudya kwam'mimba komwe kumayenderana ndi matenda kapena kusokonezeka kwa kugaya kwam'mimba (pancreatitis, cystic fibrosis). Kuphatikiza apo, Mezim adalembedwa kuti:
- kuchuluka kwa m'mimba ndi matumbo aang'ono,
- ukufalikira
- kugwiritsa ntchito zakudya zachilendo komanso zoperewera,
- Kukonzekera kwam'mimba kachitidwe ka matenda.
Ndiwotsutsana kuti mugwiritse ntchito mankhwalawa ndi:
- kutsekeka m'matumbo,
- kuchuluka kwa kapamba,
- kusalolera payekha.
Amaloledwa kugwiritsa ntchito mankhwalawa pochiza amayi apakati komanso oyamwa, komanso ana opitirira zaka 3. Zotsatira zoyipa mukamatenga Mezim ndizosowa kwambiri ndipo zimatha kuchitika:
- thupi lawo siligwirizana
- kufooka
- tachycardia
- kuchuluka kwa uric acid (ndi cystic fibrosis).
Analogs ndi cholowa m'malo mwa Mezim
Pali mankhwala ambiri omwe ali ndi vuto lofananira ndi dongosolo la m'mimba. Amatha kugawidwa mu ma analogues (ma generics) ndi othandizira ena osokoneza bongo.
- Monga gawo la analogues, pancreatin imaphatikizidwa ngati chinthu chogwira, motero ali ndi chimodzimodzi Mezim. Kuthandizira kokha kwamankhwala, mawonekedwe a ntchito, zoletsa zaka zingasiyana. Chifukwa chake, kulandiridwa kwawo m'malo mwa Mezim ndikuloledwa.
- Omasulira ali ndi mawonekedwe osiyana, koma zotsatira ndi mawonekedwe ofanana. Itha kugwiritsidwa ntchito mmalo mwa Mezim pokhapokha mutavomereza kusintha kwina ndi dokotala.
Zofananira zina Mezima
Kusankha momwe mungasinthire Mezim Forte, mutha kuyang'ana pa amodzi mwa awa. Zonsezi zimakhala ndi pancreatin ngati chinthu chogwira ntchito. Komabe, munthu ayenera kulabadira zochitika za enzymatic kuti njira yotsika mtengo ya Mezima iwoneke ngati yopanda mphamvu pakugwira ntchito. Zowonadi, pankhaniyi, kupulumutsa sikumveka.
- Panzinorm,
- Chiyarimu
- Pancreasim
- Penzital
- Enzistal P,
- Enzibene
- Biozyme
- Festal Neo
- Pancytrate
- Micrazim
- Gastenorm Forte,
- Malembo
- Vestal
- Zentase
- Eurobiol.
Omwe amachokera ku Mezima alibe pancreatin okha, komanso hemicellulase, ndi bovine bile. Kuphatikizika uku kumakupangitsa kuwonjezereka kwa mphamvu ya mankhwalawa chifukwa:
- kukonza lipase ntchito ndi mafuta mayamwidwe,
- malipiro chifukwa chakusowa kwa bile,
- imathandizira kusweka kwa fiber.
Zisonyezo zogwiritsa ntchito mankhwalawa ndi ofanana ndi Mezim. Kuphatikiza apo, mutha kutenga Festal kuti muchepetse kuyamwa kwa mavitamini osungunuka a mafuta, okhala ndi ulcerative colitis, flatulence, matumbo osakwiya. Kugwiritsa ntchito mankhwalawa kumaloledwa kokha ndi odwala akuluakulu.
Kukondwerera kumayambitsa mavuto ambiri:
- thupi lawo siligwirizana
- mkwiyo wa pamlomo
- kutsegula m'mimba
- matumbo colic
- kupweteka kwa epigastric
- matumbo,
- kuyamwa kwa anus.
Analogue ya Festal ndi Enzystal.
Biofestal
Mankhwala ali ndi mawonekedwe, zikuwonetsa ndi contraindication ofanana ndi Festal. Ingogwiritsani ntchito ndikuloledwa kuyambira azaka 6.
Mankhwalawa m'mapangidwe ake amakhala ndi kapamba owuma, bile owuma ndi nembanemba ya matumbo aang'ono. Zizindikiro zogwiritsidwa ntchito ndi:
- kapamba
- cholecystitis,
- chiwindi
- biliary dyskinesia,
- ntchito m'mimba zovuta.
Mankhwalawa sagwiritsidwa ntchito ngati munthu ali ndi vuto lililonse, panthawi yowonjezera matenda komanso osakwana zaka 12.
Kukonzekera kwa enzyme kumeneku kumakhala ndi zinthu monga:
Mankhwala amapangidwa ngati madzi.
- Amagwiritsidwa ntchito kukonza chidwi cha anorexia amanosa, enteritis, kapamba, gastritis, flatulence ndi matenda osiyanasiyana am'mimba.
- Contraindicated vuto la chapamimba chilonda, matumbo magazi, erosive gastroduodenitis, pachimake kapamba ndi kusalolerana kwa munthu.
Mankhwalawa amagwiritsidwa ntchito kwa achikulire ndi ana kuyambira miyezi itatu.
Mankhwalawa amachokera ku gulu losiyananso ndi mankhwala. Chithandizo chake chogwira ntchito ndi domperidone, yomwe imakongoletsa kuyendetsa bwino ziwalo zam'mimba ndikuthandizira kuthamangitsidwa kwa zomwe zili m'mimba. Chifukwa chake, ilibe ntchito ya enzymatic. Chida chimagwiritsidwa ntchito:
- kupsinjika kwa epigastric
- kusanza ndi kusanza.
Motilium ili ndi zochulukitsa zambiri zoletsa komanso zoletsa kugwiritsa ntchito, kotero lingaliro pa kuvomereza kwake silingatengedwe pakokha.
Momwe mungasankhire analogue oyenera kwambiri
Ngakhale kuti kukonzekera kwa enzyme kungagulidwe popanda mankhwala a dokotala, simuyenera kuchita nawo mankhwalawa. Dokotala yekha ndi amene angasankhe mankhwala oyenera kwambiri, poganizira:
- mtundu wamatenda
- kukula kwa njira yake,
- kupezeka kwa ma concomitant pathologies,
- thupi la wodwalayo.
Ngati mukufunikirabe kusankha enzyme yochiritsira nokha, ndiye kuti mukuwongolera chimbudzi, mawonekedwe olondola kwambiri a mankhwalawo ali m'mapiritsi a mapiritsi a mini, chifukwa amawonetsa mphamvu zawo mwachangu ndikusakaniza moyenera zomwe zili m'matumbo. Awa ndi Pangrol ndi Creon.
Fetal ndi mankhwala ena okhala ndi bile mu kapangidwe kake ndi oyenera kwambiri kwa odwala omwe ali ndi vuto la bysary dyskinesia ndi cholecystitis, omwe amaphatikizidwa ndi kuwonongeka kwa bile.
Zogulitsa zotsika mtengo
Njira ina ya Mezim imatha kupezeka pakati pa majenito ndi ma analogi okhala ndi pancreatin. Kutengera ndi zovuta zamankhwala, mapiritsi kapena makapisozi okhala ndi kuchuluka kosiyanasiyana kwa amylase, lipase ndi proteinase ndi omwe amapatsidwa. Ma enzyme amenewa amathandizira kuwononga michere (chakudya, mafuta ndi mapuloteni) mu lumen ya duodenum.
Malangizo ogwiritsira ntchito mankhwalawa onse amawonetsa chizindikiritso chonse pazolinga zawo - kuperewera kwa mapangidwe a puloteni. Vutoli limatha kuchitika ngati minofu ya chiwalo itawonongeka, kusowa kapena kusowa kwa ma enzymes chifukwa cha kubereka kapena kutengera zomwe mwapeza. Ndi kudya kwambiri michere, pali kusowa kwa michere yopanga, yomwe imayambitsa kuperewera kwa pancreatic. Awa ndi mankhwala omwe amatha kumwa ndi kapamba.
Mankhwalawa amapangidwa ndi kampani yopanga mankhwala ku India mu mawonekedwe a mapiritsi okhala ndi mankhwala. Penzital imagulitsa m'miyala 10 aliyense.
Kulowa mu lumen yaying'ono, mankhwalawa ali ndi zotsatirazi pazakudya zam'mimba:
- amathandizira kuthetsa dyspepsia (belching, kutentha kwa mtima, kumva kudzaza m'mimba),
- Amachepetsa kutulutsa m'matumbo,
- bwino chimbudzi mwa ana opitilira zaka zitatu,
- imakondweretsa kapamba,
- kumawonjezera katulutsidwe a bile ndi zam'mimba timatumbo.
Fotokozerani mankhwalawa mwachidule kapena nthawi yayitali. Kugwiritsa ntchito mapiritsi ndikofunikira pakudya kulikonse, ngakhale zakudya zazing'ono. Mlingo umodzi komanso wa tsiku ndi tsiku, pafupipafupi kugwiritsa ntchito mankhwalawa komanso nthawi yayitali ya mankhwala amatsimikiziridwa ndi zovuta zamankhwala komanso kuchuluka kwa enzymatic akusowa, komwe kumatsimikiziridwa ndi dokotala.
Dziko lopanga mankhwalawa ndi Russia. Micrasim imapezeka m'mapiritsi olimba omwe amakhala ndi pancreatin pellets. Kutengera ndi kuchuluka kwa lipase m'mashelefu apachipatala, mutha kupeza mankhwala olembedwa mayunitsi 10,000, 25,000 ndi 40,000.
Kuphatikiza pa kuperewera kwa michere ya jamaa komanso mtheradi, zomwe zikuwonetsa mayikidwe a Mikrasim ndi:
- matenda opweteka am'mimba ndi matumbo,
- matenda a biliary dongosolo ndi chiwindi,
- pambuyo kuchotsa pang'ono m'mimba thirakiti,
- chimbudzi pakatha vuto la chimbudzi cham'mimba,
- Kukonzekera maphunziro a matenda am'mimba.
Micrazim amaloledwa kugwiritsidwa ntchito mwa ana amsinkhu uliwonse, koma pokhapokha malinga ndi zomwe adokotala adalembera. Mukamagwiritsa ntchito michere yambiri, mwana akhoza kudzimbidwa.
Pophunzira maphunziro asayansi, zidapezeka kuti mankhwalawa alibe zowononga mwana wosabadwayo, samalowa mkaka nthawi yoyamwitsa ndipo ngati pakufunika kutero, amatha kugwiritsidwa ntchito mwa amayi apakati komanso oyamwa.
PANCREATIN
Analogue yotsika mtengo ya Mezim forte, yomwe imapangidwa ku Russia ndi makampani osiyanasiyana azamankhwala. Mlingo wa mankhwalawa ndi pancreatin - mapiritsi okhala ndi mphamvu. Mapaketi okhala ndi mapiritsi 10 mpaka 50 aliyense amapezeka.
Zotsatira za pharmacological ndi zikuwonetsa kugwiritsa ntchito ndizofanana ndi oimira gulu lomwe lafotokozedwa.
Zotsatira zoyipa za pancreatin zimachitika kawirikawiri kwambiri ndipo zitha kufotokozedwa motere:
- chopondapo chopindika (kutsegula m'mimba kapena kudzimbidwa),
- mseru ndi m'mimba,
- thupi siligwirizana
- kuchuluka kwa uric acid mkodzo, madzi a m'magazi ndi ntchito yayitali.
- pakhungu kuzungulira anus ana.
Pogwiritsa ntchito mankhwalawa pamodzi ndi ma antacid (othandizira omwe amasokoneza hydrochloric acid m'mimba), ndikofunikira kuganizira kuchepa kwa ntchito ya pancreatin. Pankhaniyi, ndikofunikira kuwonjezera kuchuluka kwa mankhwalawa tsiku lililonse pokambirana ndi adokotala.
Mankhwala osokoneza bongo a magulu ena azamankhwala
Mndandanda wa mankhwala omwe angagwiritsidwe ntchito pa matenda am'mimba ndiwotalika. Monga Mezim, kuti athetse dyspeptic phenomena, ndizotheka kumwa mankhwala omwe amakhudza magawo osiyanasiyana am'mimba. Ndi vuto logaya mobwerezabwereza, muyenera kufunsa dokotala (katswiri wa zamankhwala, gastroenterologist), yemwe angakulembereni maphunziro, kusankha zakudya zoyenera ndi chithandizo chokwanira.
ACHALANDER
Chimodzi mwazomwe zimayambitsa kusasangalala m'mimba ndi kuphwanya kwachilengedwe machitidwe ndi kuchuluka kwa acidity. Othandizira a gastroprotective omwe amawongolera kupanga kwa hydrochloric acid ndi maselo am'mimba amathandizira kupereka pH yachilengedwe, kupewa kuwonongeka kwa mucosa ndikuthandizira kukonza chimbudzi cha chakudya.
Ena mwa mankhwalawa ndi:
- Omez - 64-298 rubles.
- Omeprazole - ma ruble 22-48.
- Epicurus - ma ruble 370-404.
- Ultop - ma ruble 140-518.
- Nolpaza - ruble 131-623.
Mankhwala onse m'gululi ali ndi kapangidwe kofananira ka mankhwala ndi magwiritsidwe, koma amasiyana pang'ono pakapangidwe. Izi zimapangitsa kusiyanasiyana kwamachitidwe azamankhwala, ayenera kukumbukiridwa mukamalandira ndalama. Mosamala kwambiri, gastroprotectors amalembera ana ndi amayi apakati, ndipo ngati kuli kotheka, kugwiritsa ntchito kwawo mwa amayi oyamwitsa kumaletsa kuyamwitsa.
MISONKHANO
Gulu la mankhwalawa limayenda bwino m'matumbo, limathandizira kutuluka kwa madzi a bile ndi kapamba, limathetsa bloating, nseru ndi kusanza, ndikuletsa Reflux ya chakudya chambiri.
Ndi dyspepsia angagwiritsidwe ntchito:
- Motilium - rubles 415-671.
- Domperidone - ma ruble 66-73.
- Tserukal - ma ruble a 119-227.
- Motilak - 175-289 rubles.
- Passasics - ma ruble 117-288.
Prokinetics ndi amodzi mwa magawo a mankhwala ovuta a m'mimba. Amachita zinthu mosazindikira popanda kuthetsa zomwe zimayambitsa. Kuti mukwaniritse izi, kudya kwadongosolo kwakanthawi kofunikira ndikofunikira, motero sikuti nthawi zonse kumakhala koyenera kwa dyspepsia chifukwa cha kudya kwambiri.
NJIRA
Kuphuka kumachitika pakakhala kuphwanya zakudya, kudya zakudya zochuluka, kusowa kwa michere, kutupa m'mimba.
Pofuna kuthetsa chisokonezo amatha:
- Espumisan - 236-434 rubles.
- Meteospasmil - ma ruble 383-464.
- Sub simplex - rubles 264-332.
Ma carminatives ambiri amagwiritsidwa ntchito kuyambira pobadwa. Kugwiritsa ntchito mankhwalawa, limodzi ndi Mezim, pokonzekera kufufuza kwa ultrasound kapena X-ray kumawonetsedwa, popeza kudziunjikira kwa mpweya kumapangitsa kuti zikhale zovuta kupenda.
Cholagogue
Bile ndiye gawo lalikulu pakugaya. Mothandizidwa ndi iye, mafuta amathandizidwa, pepsin sakusankha, timadziti tam'mimba ndi michere ya pancreatic imayatsidwa.
Kuthamangitsa kupanga ndi katulutsidwe ka bile, mankhwala ndi mankhwala:
- Cholenzym - rubles 113-260.
- Allohol - ma ruble 7-48.
- Holosas - 55-164 rubles.
Ndikwabwino kwa dyspepsia chifukwa cha zolakwa muzakudya, tengani zokonzekera zovuta zomwe zimakhala ndi pancreatin ndi bile.
Mankhwala opatsirana
Nthawi zambiri, zomwe zimayambitsa kudzimbidwa ndikuphwanya ubale wama tizilombo tating'onoting'ono m'matumbo. Ndi dysbiosis, putrefactive kapena Fermentation njira imayambira, yomwe imayambitsa nseru, bloating, ndi cramping.
Kubwezeretsa m'mimba microflora yam'mimba imagwiritsidwa ntchito:
- Hilak forte - 228-616 rubles.
- Bifidumbacterin - ma ruble 81-459.
- Bifikol - 246 ma ruble.
- Linex - ma ruble 276-764.
- Acipol - ma ruble 349-366.
Ma Probiotic amagwiritsidwa ntchito ngati mankhwala osiyana kapena ngati mankhwala osokoneza bongo komanso kupewa matenda osokoneza bongo m'matumbo.
Enterosorbents
Enterosorbents ndi mankhwala opatsa chidwi. Ntchito yawo yayikulu ndikumanga ndi kuchotsa ma mpweya, tizilombo toyambitsa matenda, komanso poizoni m'matumbo. Chifukwa chofala kwambiri choperekera mankhwala m'gululi ndi matenda otsekula m'mimba kapena poyizoni.
Kuthetsa dyspeptic phenomena ndi excretion wa zinthu zosafunikira kwa thupi, zotsatirazi zimagwiritsidwa ntchito:
- Smecta - ma ruble 137-156.
- Carbopect - ma ruble 79-81.
- Yoyambitsa kaboni - 3-85 ma ruble.
Enterosorbents amangogwira ntchito m'matumbo okha ndipo samayikidwa mu kayendedwe kazinthu. Pogwiritsa ntchito nthawi yayitali, limodzi ndi tizilombo toyambitsa matenda, zinthu zofunika mthupi (mavitamini, ma amino acid, ma enzymes) zimatsitsidwa ndikuchotsedwa, kudzimbidwa kumachitika. Chifukwa chake, kudya kwawo sikuyenera kupitirira masiku 3-5.
Ndi gawo la gulu lamankhwala lomwe limathandiza kugaya chakudya chamafuta ambiri komanso molemera. Izi achire zotsatira zake ndi chifukwa cha kupezeka kwa chopangira chachikulu pakukonzekera - kapamba. Amakhala ndi mitundu ingapo ya ma enzymes (ma enzymes), iliyonse yomwe imapangitsa kuti chinthu china ndichilengedwe chikasokonekera. Pancreatin simapezeka ku Mezim kokha, komanso m'mapiritsi ena ambiri ndi makapisozi opangidwa ndi opanga osiyanasiyana. Gastroenterologist nthawi zonse amatenga nawo mbali pakusankhidwa kwa mankhwala. Koma odwala ena, pofuna kupulumutsa ndalama, amagula analogi za Mezim zotsika mtengo.
Ndikosavuta kusankha analogue yoyenera ya Mezim
Momwe mungasankhire zoyenera
Mezim forte ndi mankhwala ocheperako omwe amadziwika kwambiri ndi nzika zonse za dziko lathu chifukwa cha kutsatsa kwapa TV. Ngakhale mawonekedwe a mankhwalawa akhale ngati chapamimba, m'mawuwo mapiritsi amasungunuka ndikuyamba kugwira ntchito m'matumbo ang'onoang'ono. Pali mitundu ingapo ya mankhwalawa:
- Mezim Forte
- Mezim Forte 10000,
- Mezim Forte 20,000.
Mankhwalawa sialiyanjidwe amtundu ngakhale wina ndi mnzake, popeza ali ndi zinthu zosiyanasiyana zogwira ntchito ndi zina zothandizira. Ngati wodwala safuna kutsatira malangizo a kuchipatala ndikusankha mankhwala ena ndi pancreatin, ndiye kuti malamulo otsatirawa ayenera kuonedwa:
- gulani mapiritsi okhala ndi zinthu zofanana ndi za Mezim,
- amakonda mankhwala omwe ali ndi zothandizira zina.
Kusiyana muzochitika zochiritsira za analogues zitha kuganiziridwa pa chitsanzo cha Festal. Kukonzekera kumeneku kuli pafupifupi kuchuluka komweko kwa proteinase, lipase ndi amylase monga ku Mezim.Mankhwalawa amathetsa chizindikiro cha flatulence (bloating, epigastric pain, nausea) chomwe chinabuka:
- chifukwa chakudya kwambiri,
- chifukwa cham'mimba kwambiri matenda am'mimba omwe amapezeka motsutsana ndi maziko a kugaya chakudya m'mbuyo.
Koma kapangidwe ka Festal kamaphatikizidwa ndikuwuma kowuma kuchokera ku bovine bile, kotero sikungatengedwe ndi anthu omwe ali ndi cholelithiasis ndi matenda ena a ndulu. Izi zimatha kuyambitsanso matenda oyambitsidwa ndi matendawa, kutha kuyipa m'moyo wabwino.
Kuchita bwino kwa zochizira za Mezim nthawi zambiri kumatengera zosakaniza zomwe opanga amapanga mapiritsi. Amapanga chipolopolo pamwamba pa phale, lomwe limathandiza kuti zikondamoyo zilowe m'matumbo momasuka. Ngati wopangayo adasungidwa pazinthu zothandizira, ndiye kuti ambiri mwa zinthu zofunika kwambiri sangapangidwe chifukwa cha madzi a m'mimba a caustic. Pogwiritsa ntchito mankhwalawa, kuchira msanga sikuyenera kuyembekezera.
Malangizo: “Ngati Mezim watha ku pharmacy ndipo wazachipatala kapena wamankhwala akupereka m'malo mwake, muyenera kuonana ndi dokotala. Ngati izi sizingatheke, muyenera kugula mankhwala a mtundu womwewo kapena wapamwamba kwambiri. Kuchotsa Mezim ndi mankhwala otsika mtengo kumangokhumudwitsa. ”
Anez a Mezima Kreon amathandizira kusokoneza kwam'mimba
Mafuta analogue ndiwopangika kapena ofanana mu pharmacological action. Abomin ndi Acidin-Pepsin amagwiritsidwanso ntchito kukonzanso thirakiti la m'mimba. Koma zilibe pancreatin, koma zowonjezera za chapamimba zomwe zimakhala ndi pepsin. Chifukwa chake, kuchotsa Mezim Abomin popanda chidziwitso cha adokotala sikungopindulitsa, komanso koopsa. Zotsatira zakuchiritsi zingakhale zochepa, koma mwayi wazotsatira zake ndizambiri.
Ngati Mezim sakupezeka, ndipo mapiritsi amafunika kumwedwa mwachangu, ndiye kuti muyenera kusankha pakati pa mapangidwe ake:
- Pancreatin
- Malembo
- Penital
- Mikrasim,
- Panzinormom
- Gastenorm.
Choyamba, muyenera kulabadira Mlingo wa analogue ndikupatsa chidwi ndi mankhwala omwe ali ndi zomwe zili ndi yogwira. Ndipo yerekezerani zomwe zikuwonetsa mu zomwe zikufotokozedwa. akatswiri a gastroenterologists amalimbikitsa kuti anthu azitenga nthawi yayitali kapena isanakwane. Koma thandizo lotere siliyenera kugwiriridwa, chifukwa zikondamoyo zimasiya kutulutsa michere yake chamagaya pakapita nthawi. Analogue ikuyenera kugwiritsidwa ntchito pochotsa ma pathologies omwewo monga Mezim:
- zosakwanira kupanga michere yogaya chakudya ndi kapamba,
- matenda ammimba otupa chifukwa cha chotupa m'mimba imodzi ya ziwalo zam'mimba,
- matenda a chiwindi, chachikulu kapena chaching'ono matumbo, zikuchitika motsutsana maziko a malabsorption a michere ndi kwachilengedwe yogwira zinthu,
- cystic fibrosis (monga chofunikira).
Chenjezo: "Mezim ndi mawonekedwe ake ofanana ndi mankhwala otetezeka. Koma kuzipatula popanda kuunika koyambirira kwa m'mimba ndi kosatheka. Mavuto osafunikira amatha kuchitika pakumwa mapiritsi omwe atulutsanso chifuwa chachikulu cha khansa yapakhungu. "
Mankhwalawa amalimbikitsidwa kuti agwiritsidwe ntchito ndi odwala omwe akukonzekera mayeso ogwiritsira ntchito (MRI, ultrasound, CT) kapena opaleshoni. Wogwirizira wa Mezima wosankhidwa ayenera kuthandiza kukonza chimbudzi kwa anthu omwe ali ndi gawo lam'mimba kapena matumbo ang'onoang'ono ochotsedwa.
Hermitage ndi amodzi mwa fanizo labwino kwambiri la Mezim.
Ma analogu otchuka kwambiri
Odwala ambiri a gastroenterologists amathandizidwa ndi Mezima analogues, omwe amatenga ndalama kawiri, kapena katatu mtengo wotsika mtengo.Amathandizanso chimodzimodzi ndi mankhwala aku Germany ndipo samawonetsa zovuta zilizonse. Koma anthu ena amadandaula kwa madotolo chifukwa chosagwiritsa ntchito bwino mankhwala otsika mtengo ndipo ngakhale Mezim yekha. Ntchito yamatumbo awo amabwezeretsedwa atatenga Creon kapena Hermital, omwe ndiokwera mtengo pamankhwala. Nthawi zina munthu amayenera kusankha cholowa m'malo mwa Mezima choyenera kwa iye kwa nthawi yayitali.
Chenjezo: "Mezim forte gastroenterologists amatha kulembetsa kwa amayi apakati, nthawi zambiri amakumana ndi vuto logaya chakudya chifukwa cha kuchuluka kwa chiberekero. Kafukufuku akuwonetsa kusowa kwa teratogenic zotsatira za mankhwalawa, komabe amayenera kuvomerezedwa kokha moyang'aniridwa ndi dokotala. Azimayi akamabereka mwana saloledwa kulowa m'malo mwa Mezim ndi analogi. ”
Mndandanda wa mankhwala "Mezim Forte"
Popeza kuti kukonzekera konse kwa enzyme kumakhala ndi chinthu chachikulu - pancreatin, Mezim Forte akhoza kulowetsedwa ndi mankhwalawa:
Mankhwala "Motilium" amapezeka m'mapiritsi ndipo amathandizidwa ndi akulu ndi ana omwe ali ndi matenda otsatirawa:
- Dyspeptic phenomena kugwirizana ndi gastroesophageal Reflux, kuchepetsedwa kwa chapamimba kuthira,
- "Motilium" akuwonetsedwa kuti akumva kuphuka, kusefukira kwa epigastrium, kusanza, kupweteka kwa epigastric, flatulence, belching, nseru,
- Kusanza ndi kusanza kwa matenda opatsirana, okhathamira kapena othandizira, komanso nseru komanso kusanza komwe kumayenderana ndi vuto la kudya, radiotherapy kapena mankhwala osokoneza bongo amathandizidwanso ndi Motilium,
- Kusanza kwa cyclical, regurgitation syndrome, gastroesophageal Reflux, komanso kusintha kwina kwa m'mimba mwa ana nthawi zambiri kumathandizidwa ndi Motilium.
Chofunikira chachikulu cha mankhwala "Motilium" ndi domperidone. Kuchita kwake kumakupatsani mwayi wolimbikitsa m'mimba, kumuchotsera zinyalala za chakudya. Komanso, Motilium ili ndi antiemetic zotsatira.
Kukonzekera kwa wopanga wa Slovak KRKA - Panzinorm ndi analogue ina yodziwika bwino ya Mezima. Monga kukonzekera kwina kwa enzyme, Panzinorm imakhala ndi lipase, amylase ndi proteinase. Panzinorm ya mankhwala imapezeka mu mawonekedwe a makapisozi. Zizindikiro potenga kukonzekera kwa Panzinorm ndizofanana ndendende ndi zomwe zikuonetsa Mezim Forte, Mikrazim, Cholenzym ndi mankhwala ena a enzyme.
Ngati simungakwanitse kugula mankhwala okwera mtengo, ndiye kuti ndibwino kuti mumakonda mankhwala "Mikrasim".
Mankhwala kuchokera kwa wopanga ku Russia ali ndi zigawo zomwe zimabwereza momwe Mankhwala a Mezim Forte amapangira:
- Pancreatinum - 128 mg,
- Mapulogalamu 520,
- Magawo a Amylase 7500,
- Lipase 10000 Units
Lembani mankhwala "Mikrasim" pazotsatira zotsatirazi:
- Matenda a kapamba
- Zotsatira zazakudya zambiri,
- Cystic fibrosis imafuna kugwiritsidwa ntchito pafupipafupi kukonzekera kwa enzyme monga "Mikrasim",
- Khansa yam'mimba ndi kapamba koyambirira,
- Pancreatectomy
- Mkhalidwe wa wodwala pambuyo pantchito,
- Matenda osiyanasiyana a chiwindi ndi ndulu.
- Matenda a m'matumbo aang'ono ndi duodenum,
- Pankhani ya kuphwanya kapena zolakwika mu zakudya ana ndi akulu.
Chifukwa chake, mankhwalawa "Mikrasim" ndi njira yabwino kwambiri yokonzekera, yofanana ndi mankhwala "Mezim Forte." Ndipo chifukwa cha ntchito zapakhomo, Mikrazim ndiotsika mtengo kwambiri kuposa anzawo aku Europe.
Mankhwala "Espumisan" ndi antifoam wabwino kwambiri, womwe umagwiritsidwa ntchito pothamanga.Kuphatikiza apo, Espumisan ndi yoyenera kugwiritsidwa ntchito poizoni ndi zothimbirira.
Mphamvu yogwira simethicone imakupatsani mwayi kuti mumasule mabatani a mpweya wambiri ndipo potero umachepetsa mkhalidwe wa wodwalayo.
Mankhwala "Espumisan" amapezeka mu mawonekedwe a kuyimitsidwa kapena mapiritsi. Mutha kumwa mankhwalawa onse akulu ndi odwala ochepa.
Espumisan ikhoza kugulidwa ku malo ogulitsa mankhwala popanda mankhwala a dokotala.
Chithandizo china cha gulu la enzyme ndi Cholenzym. Kuphatikizika kwa mankhwalawa kumaphatikizapo trypsin, amylase ndi lipase - ma enzymes omwe amasintha chimbudzi.
Cholenzym imagwiritsidwa ntchito ngati mankhwala a choleretic ndi enzyme.
Zizindikiro zogwiritsidwa ntchito ndizofanana ndi za kukonzekera kwa Mezim Forte, Mikrazim ndi Panzinorm.
Mankhwala "Cholenzym" amapezeka mu mawonekedwe a mapiritsi wamba.
Chifukwa chake, zikuwonekeratu kuti mankhwalawa onse ali ndi pancreatin pamiyeso yosiyanasiyana, yomwe imakupatsani mwayi woti mugwiritse ntchito mankhwala ngati mankhwala a enzymatic omwe amasintha chimbudzi.
Mtengo wa gulu lonse la mankhwalawa ndiosiyana kwambiri ndipo zimatengera wopanga. M'malo mwake, mankhwala ogwiritsa ntchito ku "European" kwambiri amakhala opindulitsa kwambiri. Chifukwa chake ndizotheka kusintha m'malo mwake ndi mankhwala a Russia a Mikrazim.
Kukonzekera kwina kulikonse kwa adongosolo kuyenera kumwedwa mosamala ndi mlingo womwe dokotala wakupatsani. Mankhwala a gulu la enzyme amatengedwa nthawi yakudya kapena itangotha kumene ndi madzi okwanira. Izi siziyambitsa kudzimbidwa mwa wodwala.
Kugwiritsa ntchito kukonzekera kwa enzyme sikuletsedwa panthawi ya kukokomeza kapamba komanso makamaka pancreatin, makamaka pokhudzana ndi mankhwala "Cholenzym". Kusamala ndikofunikira kukhala ndi odwala panthawi yapakati.
Mulimonsemo, kudzipereka nokha kumatha kubweretsa zotsatira zoyipa kwambiri. Chifukwa chake, musanamwe mankhwala aliwonse, ndibwino kukaonana ndi katswiri waupangiri ndi thandizo la akatswiri. Ndikufuna inu thanzi komanso moyo wautali!