Pancreatin Tablet Analogs

Malinga ndi malangizo aboma, Pancreatin ali m'gulu la "Digestive Enzyme Remedies". Mankhwalawa amasulidwa ngati mapiritsi akukhala ndi enteric. Pancreatin ili ndi fungo linalake.

Zomwe zimagwiritsidwa ntchito ndi pancreatin.

Zowonjezera:

Michere yayikulu ya malonda:

Zida za pancreatin zimathandizira kugaya mafuta, zakudya zama protein ndi mapuloteni, chifukwa, zinthuzi zimatengeka bwino m'thupi.

Zowonetsa:

• cystic fibrosis,
• gastrocardial syndrome
• dyspepsia
• chifuwa chachikulu,
• kukonza chimbudzi,
• kapamba
• ukufalikira
• kukonzekera matenda a peritoneal ziwalo.

Zoyipa:

• kapamba pachimake,
• shuga galactose malabsorption,
• tsankho kumadera,
• mwana wosakwana zaka 6
• fructose ndi lactose tsankho.

Mtengo wa Pancreatin pamapiritsi, kutengera Mlingo ndi kasinthidwe, ndi ma ruble 18-114, omwe ndi otsika mtengo. Ngati mankhwalawo sakugwirizana molingana ndi njira imodzi kapena ina, mutha kugula analogi kapena choloweza cha Pancreatin.

Zambiri pazofanizira

Pali ma fanizo athunthu a Pancreatin kapena ma syncms omwe ali ndi chinthu chomwechi, koma ndi mayina osiyanasiyana ogulitsa. Mankhwala amatha kusiyanasiyana.

Zofananira zamagulu a Pancreatin zili ndi zigawo zingapo zomwe zimagwira ntchito mofananamo, ndipo zimagwiritsidwa ntchito pochiza matenda omwewo.

Ma Pancreatin Omwe Alipo

Pancreatin-LekT (mapiritsi) Kukala: 22

Analogue ndiyotsika mtengo kuchokera ku ma ruble 9.

Pancreatin-LekT ndi analogue yotsika mtengo pang'ono, yomwe imagulitsanso mawonekedwe a mapiritsi, koma phukusi limakhala ndi mapiritsi ena 10, motero ndiopindulitsa kwambiri kuposa momwe zalembedwera patsamba. Amawonetsedwa kuti amagwiritsidwa ntchito pancreatitis, flatulence, matenda am'mimba osapatsirana.

Penzital (mapiritsi) Kutalika: 19

Analogue ndiokwera mtengo kwambiri kuchokera ku ruble 2.

Penzital ndi analogue yaku India yamtundu womwewo wa mitengo, koma imagulitsidwa mumapaketi ang'onoang'ono ndipo sikuwoneka wokongola kwambiri poyerekeza ndi ma engs ena. Malinga ndi zomwe zikuwonetsa komanso kupikisana kuchokera ku Pancreatin pafupifupi sizosiyana.

Anthu ambiri adasokonezeka kale zomwe zili bwino komanso zoyipa ndikulimbikitsa zomwe zili zotsika mtengo molingana ndi mfundo yodziwika bwino. mverani akatswiri aluso. Penzital siotsika mtengo kuposa anzanga okwera mtengo kwambiri; ndamwa kwa miyezi ingapo.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 40.

Panzinorm forte ndi chakudya cham'mimba chokonzekera cha Slovenia. Amagwiritsidwa ntchito pochiza matenda a m'mimba, matenda am'mimba, matumbo, komanso kukonza chimbudzi kwa odwala omwe ali ndi vuto la m'mimba. Pali contraindication ndi mavuto. Musanagwiritse ntchito, werengani mosamala malangizo kuti agwiritse ntchito.

Kufotokozera Mwachidule Pancreatin

Mankhwala ali ndi pancreatic michere ya porcine. Amakhala ndi mgwirizano wapamwamba kwambiri wa ma enzymes amtundu wa anthu, motero amaloledwa bwino ndipo nthawi zambiri samayambitsa zovuta.

Zomwe mapiritsiwo akuphatikizira:

• kapamba 100 mg
• lipase 140 PISCES,
• proteinase 25 PESCES,
• lipase mayunitsi 1,500.

Piritsi lililonse limakhala lakutidwa ndi anti-acid, lomwe limathandizira kuti matumbo asasinthike.

Mankhwalawa amagwiritsidwa ntchito pa matenda omwe amaphatikizidwa ndi osakwanira kupanga ma encyme a pancreatic.

Mndandanda wazofananira

Piritsi nthawi zambiri pamakhala mankhwala ambiri omwe amalowa m'malo mwa mankhwalawa. Mtengo wawo amakhala ndi malire. Koma mawonekedwe onse a Pancreatinum ali ndi mtengo wokwera.

Sikuti mankhwala onse omwe ali pamndandandawa ndiodziwika. Ganizirani zomwe zikufunika kwambiri pakati pa anthu.

Kufotokozera kwa mayendedwe otchuka kwambiri

Nthawi zambiri amagwiritsidwa ntchito kuti muchepetse vuto la kudya kwambiri. Imayenda bwino ndi ntchitoyi, chifukwa imakhala ndi zina (zapamwamba).

• kapamba - ndende yogwira ntchito,
• lipase mayunitsi 3,500,
• proteinase 250 PESCES,
• amylase 4,200 mayunitsi.

Zogulitsanso ndi Mezim 20,000, zomwe zimaphatikizapo ma enzyme enanso. Chifukwa chake, ndi koyenera kuthandizira matenda ofinya akulu am'mimba.

Mtengo wa Mezim Forte ndiwopanga ndalama ndipo ndi pafupifupi ma ruble 100 (mapiritsi 20).

Mlingo wa mayunitsi 20,000 ndi okwera mtengo kwambiri - ma ruble 270-300 pa phukusi lililonse.

Chimodzi mwa mankhwala atsopano. Choyamba, zimasiyanasiyana mu fomu ya Mlingo, womwe umapereka chidziwitso chokwanira.

Makapisozi a Gelatin amakhala ndi ma minimicrospheres. Nthawi yomweyo, iliyonse imakhala yokutidwa, yomwe siyilola kuti iwonongeke pansi pa madzi a m'mimba. Koma chifukwa cha kusungunuka kwa chipolopolo cha gelatin, ma microsphereswa amasakanikirana ndi zomwe zili m'mimba ndipo zimagawananso molingana ndi kuchuluka kwake. Pakusintha kwa matumbo aang'ono, kuyambitsa kwawo munthawi yomweyo ndikugaya chakudya mwachangu kumawonedwa.

Creon imapezeka m'mitundu ingapo:

Mlingo wambiri umapangidwa makamaka pa zovuta:

• khansa ya kapamba
• cystic fibrosis,
• Schwachman-Diamond syndrome (kubadwa kwatsopano kwa kapangidwe ka kapamba, komwe kumapangitsa kuchepa kwa ntchito yake ya procrine).

Mtengo wa mankhwalawa umachokera ku ma ruble 300 (Creon 10,000 20 ma PC.).

Mankhwalawa amapangidwa ku Russia. Amapangidwa ngati ma pellets a enteric-soluble (granules) otsekedwa ndi makapisozi a gelatin.

Amavomerezedwa kuti azigwiritsidwa ntchito mwa ana osakwana zaka 1.5, chifukwa makapisozi amatha kutsegulidwa ndikuphatikizidwa ndi chakudya chamafuta kapena madzi kamodzi musanagwiritse ntchito. Mkhalidwe waukulu ndi malo achilengedwe ochepa chakudya kapena chakumwa, popeza m'malo a zamchere kuwonongedwa kwa kuphimba kwa pellets kudzachitika.

Amapezeka mu kipimo:

Mtengo umasiyanasiyana kuchokera ku 250 mpaka 1400 rubles. Zimatengera kuchuluka kwa makapisozi mu phukusi ndi kuchuluka kwa magawo omwe mankhwalawo ali nawo.

Kuphatikiza pa michere ya pancreatic, imakhala ndi bile. Chifukwa cha izi, zimathandizira kuchepetsa kufooka kwa enzyme kukhalapo kwa kuphwanya kophatikizana ndikupanga bile.

Ma acid okhala ndi ma acid amakhala ndi choleretic komanso amathandiza kuyamwa kwa mavitamini osungunuka a mafuta (A, E, K).

Zomwe zimapangidwanso ndi hemicellulose, yomwe imawonjezera kuchuluka kwa kusungunuka kwa fiber, ndikuchepetsa njira zopangira mpweya.

Chifukwa chake, mankhwalawa amathandizidwanso kuti:

• zinthu pambuyo cholecystectomy (gallbladder resection),
• biliary duct dyskinesia,
• matenda a chiwindi ndi zotupa zake zakupha.

Koma chifukwa cha zina zowonjezera, Festal imayambitsa zovuta zingapo. Kuphatikiza apo, mankhwalawa adzapangidwanso mu:

• Kupanga miyala mu ndulu ndi m'miyendo yake,
• chiwindi
• jaundice chifukwa blockage wa bile ducts,
• kulephera kwa chiwindi,
• chizolowezi cha m'mimba.

Phukusi la Festal lomwe lili ndi mapiritsi 20 limawononga pafupifupi ma ruble 150.

Mndandanda wa zosakaniza zogwira ntchito umagwirizana kwathunthu ndi Festal.

Kusiyana kwakukulu pakati pa mankhwalawa ndi zinthu zomwe zimapanga chipolopolo choteteza. Izi zikuyenera kuganiziridwa kwa anthu omwe samakonda kuyanjana chifukwa cha utoto uliwonse wowonjezera ndi zina zowonjezera.

Enzistal ndi mankhwala omwe amafanana ndi Festal.

Mtengo wa Enzistal pa avareji ndi ma ruble 120.

Ogulitsa pali mitundu yosiyanasiyana ya mankhwalawa - Enzystal P. Koma kapangidwe kake palibe magawo a bile ndi hemicellulose. Chifukwa chake, mtengo wake umakhala wotsika kwambiri - pafupifupi 60-80 rubles.

Zofunika! Musanasankhe m'malo a Pancreatin, muyenera kufunsa dokotala, makamaka pamaso pa matenda opweteka a m'mimba.

Iliyonse ya mankhwalawa imalowa m'malo mwa pancreatin. Ambiri a iwo amaphatikiza ma enzyme ochulukirapo, chifukwa chake, kusintha kwa mlingo kuyenera. Koma ngakhale atakhala ndi mwayi m'malo ake, Pancreatin amakhalabe okonzekera, mtengo wake womwe umakhala wotsika mtengo kwambiri m'magulu onse a nzika.

Analogs popanga ndi chisonyezo chogwiritsidwa ntchito

Mndandanda womwe uli pamwambapa wa analogies ya mankhwala, omwe akuwonetsa zikondamoyo, ndizabwino kwambiri chifukwa zimakhala ndi zinthu zomwe zimagwirizana ndipo zimagwirana molingana ndi chisonyezo chogwiritsidwa ntchito

Analogs mwa chisonyezo ndi njira yogwiritsira ntchito

Kuphatikizika kosiyanasiyana, kungagwirizane mukuwonetsa komanso momwe mungagwiritsire ntchito

Kodi mungapeze bwanji analogue yotsika mtengo ya mankhwala okwera mtengo?

Kuti mupeze chiwonetsero chotsika mtengo cha mankhwala, chofananira kapena chofanana, choyambirira timalimbikitsa kulabadira kapangidwe kake, zomwe ndi zinthu zomwezo zomwe zikugwiritsidwa ntchito ndikuwonetsa. Zomwe zimagwiritsidwanso mosiyanasiyana ndi mankhwalawa zimawonetsa kuti mankhwalawo ndi ofanana ndi mankhwalawo, monga mankhwala ena kapena mitundu ina. Komabe, musaiwale za zovuta zomwe zimagwiritsidwa ntchito ndi mankhwala ofanana, omwe angakhudze chitetezo ndi kugwiranso ntchito. Musaiwale za malangizo a madotolo, kudzipereka nokha kungawononge thanzi lanu, chifukwa chake onani dokotala wanu musanagwiritse ntchito mankhwala.

Kugwiritsa

Zomwe zimagwiritsidwa ntchito ndi Pancreatin ndi mawonekedwe ake ndi michere yazomwe zimachokera ku nyama (porcine kapena yotalikirana ndi ng'ombe) lipase, proteinase ndi amylase. Amatenga nawo gawo pakuchepa kwa mafuta azakudya, mapuloteni ndi zakudya zamafuta m'magulu osavuta, omwe amamwetsedwa m'matumbo ang'onoang'ono.

Chifukwa chophimba mapiritsi kapena makapisozi okhala ndi zokutira zotsutsana ndi asidi, ma enzyme omwe amaphatikizidwa ndi mapangidwe awo samapangidwa ndi hydrochloric acid m'mimba ndikuchita zokha mu duodenum.

Zizindikiro zotenga Pancreatin ndi mawonekedwe ake zimaphatikizapo:

• dyspepsia
• kudya zakudya zamafuta ambiri komanso zachilendo zomwe zimakhala zovuta kugaya,
• kubera komwe kumayambitsidwa ndi mavuto a chimbudzi,
• kusakwanira kwa exocrine pancreatic function,
• aakulu kapamba
• cystic fibrosis,
• matenda a enterocolitis,
• anacid ndi hypoacid gastritis.

Mankhwala a Enzyme Amathandizanso Kuthetsa Vuto Komanso Kusasangalala Pambuyo Pakudwala

Chofunikira: Kukonzekera kwa enzyme sikuyenera kumwedwa ndi kapamba kapenanso kukweza kwa matenda ena!

Ndikotheka kusankha pawokha popanda analog

Patsamba lamankhwala omwe amapanga mankhwala pamakhala zosankha zambiri, ngati ndi kotheka, zitha kusintha Pancreatinum. Inde, kuchita izi panokha sikulimbikitsidwa. Ndikofunika kuonana ndi dotolo yemwe wakupangirani kukonzekera kwa enzyme, ndi njira zina ziti mwanjira inayake yachipatala. Kupatula apo, mankhwala amasiyana osati mu wopanga ndi mtengo, komanso magawo ena.

Kusiyana pakukhumudwa kwa mapiritsi ndi makapisozi

Ngati palibe njira yolumikizirana ndi dokotala ndipo pazifukwa zina simungathe kugula Pancreatin, ndiye ndi kusankha kwa analogue, muyenera kulabadira mfundo izi:

1. Fomu ya Mlingo, Mlingo ndi ntchito ya michere iyenera kukhala yofanana kapena yoyandikira momwe mungathere.
2. Ngati mwalamulira mapiritsi, muyenera kumwa mapiritsi, ngati makapisozi, ndiye makapisozi. Makapiritsi ndi mapiritsi, ngakhale ali ndi mawonekedwe omwewo, amasiyana m'njira yofunsira, kufanana kwa kusakaniza kwa zinthu zomwe zimagwiritsidwa ntchito ndi chakudya, kuchuluka kwa kulowa m'matumbo ndi kuyambika kwake, komanso momwe zimayambira m'mimba.
3. Ndi chisankho chodziyimira pawokha, zokonda ziyenera kuperekedwa kwa mankhwala amakampani odziwika azamankhwala (Krka, Actavis, Gideon Richter, Ebot, Teva, Zentiva).

Langizo: Kuti mumvetsetse kusiyana pakati pa ma enzyme, muyenera kuyerekezera malangizo, makamaka gawo lomwe lili ndi mankhwala, zovuta komanso zotsutsana.

Kodi fanizo ndi chiyani

Monga m'malo mwa pancreatin, mankhwalawa omwe ali ndi ntchito yomweyo kapena mankhwala ena omwe amasintha chimbudzi amagwiritsidwa ntchito. Zina mwa izo sizokhala ndi lipase, proteinase, michere ya amylase komanso zigawo zina zowonjezera. Nthawi zina, mankhwala osokoneza bongo omwe angathe kugwiritsidwa ntchito amatha kuperekedwa, koma osakhudzidwa popanga kapena pancreatic enzymes.

Analogi omwe ali ndi chinthu chomwechi

Mndandanda womwe uli ndi ma enzymes omwewo Pancreatin akuphatikiza ndi mankhwala otsatirawa:

Kukonzekera kwamankhwala Kreon, Mikrazim, Hermital, Pangrol, Panzinorm, Pantsitrat akupezeka m'mapiritsi a 10,000 ndi 25,000.Creon ndi Hermitage nawonso ali ndi mitundu yayitali ya 40,000 ndi 36,000, motero. Makapisozi a Gelatin amakhala ndi ma granules kapena microtablets, enteric. Chipolopolo cha kapisozi chimasungunuka mwachangu m'mimba, zomwe zili mkati mwake zimasakanikirana ndi mtanda wazakudya ndipo mkhalidwe uwu umalowa mu duodenum, momwe ma enzymes amatulutsidwa ndipo mapuloteni, mafuta ndi chakudya amawonongeka.

Mezim, Penzital, Gastenorm, Enzibene, kukonzekera kwa Biozyme ndi mapiritsi. Zonsezi zimakhala ndi ma enzyme osiyanasiyana, omwe ayenera kulingaliridwa posankha.

Omwe amachokera ku gulu lomweli

Nthawi zina, monga m'malo mwa pancreatin, mankhwalawa amagwiritsidwa ntchito omwe ali ndi, michere yowonjezera ya pancreatic. Ndalamazi ndi monga:

Kuphatikiza pa lipase, proteinase ndi amylase, zimaphatikizanso hemicellulase (enzyme yomwe imaphwanya polysaccharide cellulose, fiber fiber) ndi ng'ombe bile. Mankhwalawa ali ndi mawonekedwe osiyanasiyana pancreatin.

Amawalembera zovuta zotsatirazi zam'mimba:

• kusakwanira kwa exocrine pancreatic function,
• chifuwa chachikulu chokhala ndi kuchepa kwa kuchuluka kwa ma bile ndi ma bile bile kulowa m'matumbo,
• chisangalalo
• kudzimbidwa,
• matenda a chiwindi, zakumwa zoledzeretsa ndi zowononga chiwalo, matenda amitsempha,
• pambuyo cholecystectomy,
• biliary dyskinesia,
• Matenda a gastritis, duodenitis, cholecystitis, limodzi ndi kuphwanya mapangidwe a bile
• zilonda zam'mimba komanso vuto lamatumbo.

Njira zina

Ngati Pancreatin adalembera mankhwalawa pancreatitis, ndiye kuti amaphatikizira limodzi kapena nthawi zina amapatsidwa proton pump inhibitors (PPIs), odziwika kwambiri omwe ndi Omeprazole ndi Omez.

• thandizani kuchepetsa ululu
• sinthani zotupa,
• Tithandizire kupanikizika kwambiri chifukwa cha kapamba,
• ziletsa kutsegula kwa michere ya kapamba mu kapamba,
• sinthani katulutsidwe ka madzi am'mimba.

Kuphwanya ntchito zachinsinsi cha kanyumba sikuti sikuwonetsa mwachindunji kusankhidwa kwa ma PPIs. Amagwiritsidwa ntchito ngati zothandizira. Omez ndi analogues amathandizira ndi gastritis yokhala ndi acidity yayikulu, matenda am'mimba am'mimba, Reflux esophagitis.

Analogi aana

Pancreatin mu Mlingo wa 125 mg amagwiritsidwa ntchito pochita ana. Ndipo mutha kuwapatsa ngakhale kwa ana mpaka chaka chimodzi ndi theka. Pa mlingo wa 250 mg, amavomerezedwa kuti azigwiritsidwa ntchito kuyambira zaka 6.

Monga cholowa m'malo mwa pancreatin kwa ana, mankhwala omwe ali ndi lipase ntchito zamagulu 10,000 amagwiritsidwa ntchito (Creon, Hermitage, Mikrasim, etc.). Mlingo amasankhidwa ndi dokotala malinga ndi msinkhu wa mwana.

Mwanjira ya madzi oyenera kugwiritsa ntchito ana, kukonzekera kwa enzyme kulibe.

Chofunikira: Ngati mwana sangathe kumeza piritsi kapena kapisozi kwathunthu, ndiye kuti piritsi limaphwanyidwa, ndipo kapisozi kamatsegulidwa ndipo zomwe zili mkati zimasakanikirana ndi chakudya chamadzimadzi ndimakoma wowawasa (apulo kapena zipatso puree).

Kuyerekeza Mtengo

Mutha kuyerekezera cholowa cha Pancreatin pamtengo, poganizira mtengo womwe ukuwonetsedwa patebulo pansipa.

Ndi kapamba, monga momwe zimakhalira ndi matenda ena, simuyenera kuthandizidwa nokha ndikusankha nokha mankhwala. Ngati muli ndi nkhawa yokhudza kupweteka pamimba kapena kumanzere kwa hypochondrium, nseru, kutuluka kwa mphuno, vuto lanyumba liyenera kuonana ndi dokotala ndi kukayezetsa.

Mitundu ndi mitundu ya kumasulidwa kwa Pancreatin

Mankhwalawa adayamba kupezeka kuchokera ku kapamba a nkhumba ndi ng'ombe. Mpaka pano, mutha kupeza zotsatsa pa intaneti kuti mugule Pancreatin ufa kuchokera kosungiramo katundu m'matumba apulasitiki olemera kuyambira 4.5 mpaka 10 kg. Ili ndi mawonekedwe abwino, mtundu wachikaso ndi fungo labwino. Ena akuyembekeza kuti mawonekedwe awa ndi othandizira kwambiri komanso oyenera ana. Khalani ndi zokhumudwitsa makasitomala. Ndizovuta kupeza malo ogulitsa mankhwala mumzinda omwe ali ndi chilolezo chogwiritsa ntchito ufa. Ndipo mtundu wosagwiritsa ntchito chipolopolo unayenera kusiyidwa chifukwa cha kuwonongeka kwa ma enzymes ambiri munthawi ya acid pamimba.

Gawo loyamba lidatsirizidwa ndi gastroenterology mzaka 60-70 za zaka zapitazi. Kenako, 1 g ufa anali mawonekedwe akuluakulu ndipo adagwiritsidwa ntchito mosasamala ntchito ya enzyme. Kuphatikiza apo, pamtundu wa mankhwala a ufa, mabizinesi osiyanasiyana opanga mankhwala adapanga mwayi wosavuta wogwiritsa ntchito mankhwala okhala ndi machitidwe abwino.

Pancreatin ili ndi ma enzymes apamwamba:

• lipase - kusintha kwa mafuta chakudya kukhala bile acid,
• amylase - kusintha zovuta chakudya, wowuma mu mono- ndi ma disaccharides,
• mapuloteni - okhala ndi trypsin wofunikira kwambiri ndi chymotrypsin, ndikupanga unyolo wa ma amino acid kuchokera kumapuloteni.

Zofunika! Pancreatin alpha amylase imalowa m'malo mwake. M'matumbo, siphulitsa fiber (cellulose). Malinga ndi mulingo wamagazi ndi mkodzo (diastasis), madokotala amaweruza kuchuluka kwa kuperewera kwa chithokomiro ndi ntchito ya kapamba.

Zinthu zimathandiza thupi kukhala ndi mphamvu, zinthu zopangira pulasitiki kuchokera kuzinthu kupanga zatsopano ndikusintha maselo akale, kupanga mavitamini, ndikuwonetsetsa ntchito zam'mimba zamatumbo. Cholinga chachikulu ndikuthandizira kulipira kwa pancreatic yomwe ikusowa. Vutoli limayambitsidwa ndi matenda a kapamba (chifuwa chachikulu cha kapamba), chifuwa, zotupa, masanjidwe othandizira), komanso kulephera kwa ntchito chifukwa chogwiritsa ntchito gawo la mankhwalawa m'matumbo, chiwindi ndi matumbo.

Kusankha bwino kwa Pancreatin m'mapiritsi okhala ndi zokutira kumakupatsani mwayi wosankha mtundu woyenera wokhala ndi michere yodziwika.

Fomu la zipolopolo za piritsi limapangidwa ndi makampani aku Russia ndi akunja. Kusiyanako kumakhala mu kipimo (kuchuluka) kwa kapangidwe ka enzyme ndi malangizo omwe angagwiritsidwe ntchito pamagulu apadziko lonse kapena polemera. Ngati zomwe zili mu lipolytic zochitika m'mayunitsi zikudziwika, ndiye kuti mankhwalawa ndi osavuta kumwa, yerekezerani ndi ma analogues ena, sankhani bwino Pancreatin.

Zina zomwe zingaphatikizidwe ndi izi: gelatin, calcium stearate, shuga mkaka, titanium dioxide, wowuma, polysorbate, mafuta paraffin, utoto wa azorubine, talc, polyvidone, sucrose ndi glucose.

Talc ndiyofunikira kuti muchepetse mapampu osokonekera, kusunthika mozungulira m'mphepete. Magnesium stearate - amagwira ntchito monga chopukusira ndi emulsifier posakaniza zigawo zikuluzikulu. Polyvidone imapanga madzi sungunuka ndi pancreatin, womwe umawonjezera bioavailability wa mankhwala.

Utoto umawongolera mawonekedwe. Mapiritsi a akuluakulu amakhala ndi pinki kapena bulauni, "mwana" - wopaka utoto.

Pulogalamu yamasamba, Pancreatin itha kugulidwa ndi kulemera kwa mg: mapiritsi a 100, 125, 250, 300 mg, Pancreatin forte - 192 mg.

Njira inanso ndi ntchito ya lipolytic yodziwika bwino: mapiritsi a 25, 30, 8000 mayunitsi.

Ubwino wa pancreatin kuposa kukonzekera kw enzyme ina

Ubwino wawukulu wa Pancreatin ndi mtengo wotsika mtengo, kapangidwe kake kosavuta ka zinthu zake, komanso kusowa kwa zosafunika za bile. Mankhwalawa amagulitsidwa ku pharmacy iliyonse kwa ruble 60, ngati mwangotenga matuza angapo. Chifukwa chake, amagwiritsidwa ntchito nthawi zambiri ndi anthu athanzi mukamadya kwambiri, pokonzekera kuyesa matumbo kuti muyeretse musanayambe fluoroscopy kapena ultrasound.

Mankhwala onse a enzyme omwe amalowa m'malo mwa pancreatic madzi amayamba kugwira ntchito mu duodenum, amawopa malo achilengedwe. Bwino mawonekedwe ake amatetezedwa ku zotsatira za gastric acid, akachuluka ntchito ya mankhwalawo, amakhala wotsimikizika kwambiri chifukwa chake.

Tengani pancreatin ndi analogi ndizofunikira pokhapokha ngati m'mimba muli chakudya. Pachinthu chopanda kanthu, ma enzyme amatha kuwongolera nembanemba. Chifukwa chake, malangizowo akutsimikizira kuti mumwe mankhwalawa musanadye, nthawi yakudya kapena itatha.

Mlingo wochepa wa mapiritsi a Pancreatin ndiwothandiza kuchira pancreatitis yayitali. Amayamba kuchita pambuyo pa mphindi 30 mpaka 40, kuthandizira kukulitsa chakudyacho mopanda kupweteka. Madokotala amagwiritsa ntchito nyumbayi munthawi ya ntchito, odwala akamalephera kupanga enzyme yochepa (cholecystectomy, resection m'mimba kapena matumbo).

Kusiyana kwa mankhwalawa ndi mankhwala ena

Ngati kulephera kumayambika chifukwa cha kuwonongeka kwa kapamba, ndiye kuti ndizopindulitsa kwambiri kusankha analog ndi mlingo wowonjezereka. Kwa odwala omwe ali ndi cystic fibrosis, Creon 10,000, 25,000 amasankhidwa. Kumwa mapiritsi 18 a Pancreatin patsiku, pamene mlingo waukulu wa mayunitsi 400,000 ukufunika, ndizovuta.

Kwa munthu wamkulu, pafupifupi kuchuluka kwa osaposa 15000-20000 pa kilogalamu iliyonse ya kulemera kwa thupi kumawerengedwa. Kwa mwana wochepera wazaka 1.5, mayunitsi 50,000 patsiku amalimbikitsidwa, atakalamba - 100,000.

Pancreatin mu achire Mlingo zotchulidwa mu maphunziro a matenda omwe amachitika ndi kupukusika kwa chakudya:

• matenda am'mimba (gastritis, zilonda zam'mimba, maluso oyendetsa galimoto),
• gastroenteritis ya etiology yopatsirana (ma virus, bakiteriya),
• matenda am'mimba ndi kutaya kwa maluwa wamba,
• ntchito dyspepsia.

Mtundu wapadera wa Pancreatin wa ana omwe ali ndi mlingo wotsika umapereka mwayi wowerengera ana okulirapo kuposa chaka. Kwa makanda, mankhwalawa amawonedwa ngati owopsa pachiwopsezo cha tsankho, zomwe zimachitika mu mawonekedwe am'mimba.

Pancreatin sayenera kugwiritsidwa ntchito ngati mwana sangameze mapiritsi. Sizoletsedwa kuphwanya ndi kuzikanda kukhala ufa. Kuwonongeka kwa kapisozi yoteteza kumabweretsa chiwonetsero cha michere ndi gastric acid. Kuchuluka komwe kumafika m'matumbo kumakhala osadziwika.

Malangizo ogawa piritsi kuti akhale zigawo sizolondola komanso zovulaza. Kukhazikika kwa ma pharmacological zotsatira za michere mkamwa imatha kuyambitsa matenda a m'mimba mwa mwana ndi zilonda zam'mimba.

Kubwezeretsa kwakukulu kwa mankhwalawa ndi kukula kwa mapiritsi. Kusiyana kwakukulu ndi ma microspheres a Creon kumafika nthawi 25 (kwa mapiritsi, m'mimba mwake ndi 50 mm, kwa ma microspheres 1.2-2 mm). Tinthu tating'onoting'ono tomwe timavutanso kudutsa pyloric sphincter, timasungidwa m'mimba. Chifukwa chake, wodwalayo atatenga Pancreatin tikulimbikitsidwa kuti ayende kapena kukhalabe owongoka kwa mphindi 5-10.

Kukonzekera m'mabotolo kumadziwika ndi kutetezedwa kawiri: kapisozi kosagwira asidi amadzitchinjiriza kuti asasungunuke msanga m'minyewa, ndi chipolopolo china chowonjezera chilichonse chimatsimikizira kuperekera kwa ma enzyme ngakhale atasweka. Ngati mukufuna kupatsa mwana mankhwala, mutha kutsegula nembanemba, ndikusakaniza kuchuluka kwa granules mu supuni yamadzi.

Mwa zina mwazomwe zimapangitsa kuti thupi lizigwirizana ndi pancreatin, kuchuluka kwa ma antigenic a utoto ndi ma magnesium stearate amalekanitsidwa. Odwala amadandaula chifukwa cha zotupa pakhungu ngati ming'oma, kudzimbidwa kwamkamwa chifukwa chotupa cham'mphuno, kutupa kwa asymmetric pankhope, ndi kutsekula m'mimba. Kwa ana, mukamagwiritsa ntchito Mlingo wapamwamba wa Pancreatin, mawonekedwe a mkwiyo kuzungulira anus ndi khalidwe. M'malo a pancreatin, zovuta za ziwengo sizachilendo.

Kugwiritsa ntchito bwino kwa mankhwalawa kumakhudzidwa ndi chithandizo cha munthawi yomweyo ndi maantacid okhala ndi calcium, mchere wa magnesium. Sangatengedwe palimodzi, kugwiritsa ntchito kuyenera kulekanitsidwa ndi nthawi.

Kuphwanya mu kagayidwe ka uric acid ndi kuchuluka kwa magazi ndi mkodzo, kuchepa kwa mayamwidwe achitsulo ndi kupangika kwa folic acid kumachitika pokhapokha ngati mankhwala atenga nthawi yayitali ndi michere yayikulu. Izi ndizowopsa za othandizira a pancreatic enzyme.

Kodi pali kusiyana kotani pakati pa Cholenzym ndi Pancreatin?

Kusintha kwachilengedwe kwa mafuta kumadalira mtundu wawo. Lipase imagwira ntchito bwino ngati mafuta atulutsidwa (osweka pang'ono). Bile ndi emulsifier wachilengedwe. Kuphatikiza apo, imagwirizira zomwe zili mu duodenum, zimalepheretsa zochita za pepsin. Chifukwa chake, pali kusintha pa ntchito ya michere ya pancreatic ikaphatikizidwa mu mankhwala a choleretic.

Pancreatin akuwonetsedwa kuti asokoneze chimbudzi, chomwe chimafuna kukondoweza kwa dongosolo la biliary:

• aakulu a chiwindi
• matenda a chiwindi
• cholecystitis ndi biliary dyskinesia.

Pofuna kuti musatenge mapiritsi awiri osiyana, ndizosavuta kuphatikiza katundu mu mankhwala amodzi. Kuphatikizidwa kwa Festal, Enzistal, Digital, kuwonjezera pa michere ya pancreatic, ili ndi bile youma.

Gulu la mankhwalawa limaphatikizapo mankhwala a choleretic omwe amadziwika kuti Cholenzym. Mankhwalawa akupezeka ku Russia. Kuphatikizika kwa piritsi ndi kapisozi kapamwamba kumakhala ndi 100 mg ya bile youma, ufa kuchokera kapamba ndi mucous membrane yamatumbo ang'onoang'ono a ng'ombe. Malangizowo sakusonyeza kuchuluka kwa michere mu mayunitsi, chifukwa m'malo mwake ndikovuta kusankha mtundu womwewo. Mankhwala sangathe kuonedwa ngati analogue yathunthu ya pancreatin.

Cholenzym amatengedwa katatu patsiku chakudya. Contraindicated pamaso pa cholelithiasis kapena kuwunika mithunzi ya calculi mu ducts, mchere makhiristo mu bile. Thupi lawo siligwirizana.

Mankhwala osavomerezeka kuti aphatikizidwe ndi ma enterosorbents, maantacid, ena a choleretic cholekinetics, koma amagwira ntchito bwino ndi zotumphukira za ursodeoxycholic acid, maantibayotiki. Mtengo muma pharmacies osiyanasiyana umachokera ku 185 mpaka 240 rubles.

Festal ndi ofanana kwambiri ndi Holenzim, yomwe imapangidwanso ndi mabizinesi azitsamba opanga mankhwala. Kusiyana kwakukulu ndi kupezeka kwa kupezeka kwa 50 mg ya hemicellulase, zomwe zikuwonekeratu kuti ntchito ya michere m'magawo:

• lipase 6000,
• malawi 4500,
• proteinase mu kuchuluka kwa 300.

Pancreatin onse 192 mg.

Bull bile (Okhulupirira amalabadira zomwe adachokera). Kugula Festal kumakhala zotsika mtengo kwambiri poyerekeza ndi kapisozi kapangidwe kake (ma ruble 115 pa phukusi). Mankhwalawa onse sagwiritsidwa ntchito pochiza ana osaposa zaka 3; chifukwa cha zotsutsana zina, zimagwirizana ndi pancreatin.

Kusiyana pakati pa Omez (Omeprazole) ndi Pancreatin

Omeprazole waku Russia ndi Indian Omez, mosiyana ndi Pancreatin, alibe michere. Chofunikira chawo chachikulu chili mu kapisolo mu mawonekedwe a ma microspheres, tikulephera kudutsa ma ion (proton pump) m'mimba maselo opanga hydrochloric acid. Chizindikiro chachikulu ndi machitidwe a hyperacid, kuphatikiza mankhwala othandizira kugaya kwam'mimba chifukwa cha gastritis, zilonda zam'mimba, matenda a Helicobacter pylori.

Ngati ndi kotheka, ikhoza kutumikiridwa limodzi ndi pancreatin. Koma dongosolo la mankhwalawa liyenera kuonedwa: Omeprazole 20 mg (1 kapisozi) ayenera kuledzera m'mawa m'mimba yopanda kanthu kamodzi patsiku. Mlingo wokwanira kusunga acidity yafupika ndi maola 12. Chifukwa chake, ndizotheka kupondereza kupanga ndi kutsegulira kwa pepsin, imathandizira njira yothandizira ndi kuchiritsa pa mucosa. Yoperekedwa ndi maphunzirowa. Mtengo ndiwotchipa kwa odwala ambiri - pafupifupi ma ruble 60.

Momwe mungasinthire Pancreatinum: mndandanda wa mankhwala ofanana ndi mitengo, kufanana kwawo ndi kusiyana kwake

Mankhwala ena omwe angakhalepo ngati m'malo mwa pancreatin mulinso ma analogu amakono, kuphatikizapo ma enzyme omwe amapezeka m'mapiritsi ndi zipolopolo.

Pakati piritsi amakonzekereratu:

1. Mezim Forte ndi mlingo wa 3500, 10000, 20000 mayunitsi. ntchito ya lipolytic imapangidwa ndi Berlin-Chemie AG (Germany). Mankhwala ali pafupi kwambiri ndi kapamba. Mapiritsiwa adakutidwa. Mwa mitundu itatuyo, mutha kusankha yabwino kwambiri pa mlingo womwe wapatsidwa. Mapiritsi amatengedwanso nthawi yakudya kapena itatha, tikulimbikitsidwa kumwa madzi ambiri ofunda. Simungathe kutafuna ndikuphwanya miyala. Pamsika wamankhwala, mankhwalawa amaperekedwa m'magulu osiyanasiyana a matuza ndi mapaketi (10, 20, 50 ndi 80). Mtengo wocheperako ndi pafupifupi ma ruble 80.
2. Panzinorm - makapisozi ochokera ku Slovenia (kampani ya KRKA) akupezeka mu mlingo wa 10,000 ndi 20,000, popanda kuwonjezera kwa bile. Amatengedwa ndikuchita ngati mapiritsi. Ma Microgranules alibe. Ndikosavuta kusankha mlingo womwe umafunikira michere. Mtengo wake ndi pafupifupi ma ruble 100.
3. Gastenorm forte - wogwirizira kuchokera ku India kuchokera ku kampani ya Rusan Pharma, amadziwika kuti ndi Mezima generic, mapiritsiwo amakhala, omwe ali ndi 140 mg ya pancreatin. Ntchito ya mankhwala a lipase ndi magawo 3,500, osaposa pancreatin. Ndikofunikira kusintha ngati Hypersensitivity ku china chilichonse chowululidwa chiwululidwa. Kuyika sikumveka. Mtengo - 107 ma ruble.

Kukonzekera kwa kapisozi ndi ma granules ocheperako kapena ma microspheres amatengedwa kuti ndi zinthu zabwino kwambiri zamakono zochokera pancreatin. Umodzi umaperekedwa ndi:

• kukula kochepa tinthu (posakanizidwa ndi chakudya, malowa m'matumbo),
• Chitetezo ku msuzi wa m'mimba ngakhale chigawo chakunja chikuwonongeka (ma microganu amakutidwa ndi chipolopolo chowonjezera),
• kutsegula kwa kapisozi, kugawa zomwe zili m'magawo, kuchepetsa ndi madzi ndikupatsa ana aang'ono.

Creon - chopangidwa ndi kampani yaku Germany ya Abbot Products, imapezeka mu 10,000, 20,000 ndi 40,000. Chofunikira chachikulu ndicho kubwezeretsedwa pancreatic insufficiency mu matenda a chiwalo chomwe chikuchitidwa opaleshoni. Amakulolani kuti akupatseni mankhwala mulingo woyenera. Kuyang'anira kuchipatala ndikofunikira. Mtengo umasiyanasiyana kutengera mlingo - kuchokera 228 mpaka 600 rubles.

Hermitage - yopangidwa ku Germany ndi Nordix Arzneimittel, imasiyana pang'ono ndi Creon. Mitundu itatu imafanana ndi ntchito ya lipase ya magawo 10,000, 25,000 ndi 36,000. Mtengo - 210-350 rubles. chithuza chilichonse ndi makapisozi 20.

Pangrol - wopangidwa ndi Berlin Chemie ku Germany. Makapisozi okhala ndi lipase 10,000, 25,000, mapiritsi a Pangrol 20,000 ndi omwe amapanga. Malinga ndi izi, mutha kusankha mulingo wokwanira (kuperewera) komanso kupewa. Zizindikiro ndi zotsutsana sizimasiyana ndi Pancreatinum. Mtengo wa Pangrol 25000 - 540 rubles.

Mikrasim - analogue yaku Russia, yopangidwa ndi AVVA RUS, OJSC, imawononga ndalama zochepa poyerekeza ndi anzawo aku Germany (ma ruble 230). Makapisozi ali ndi mayunitsi 10,000 ndi 25,000. lipases. Gastroenterologists sazindikira kusiyana kulikonse kuchokera ku mankhwala achilendo. M'malo pancreatin m'malo tsankho.

Kuti mumvetsetse chifukwa chake imodzi ya mankhwala ofanana ali okwera mtengo kwambiri, enawo ndi okwera mtengo, muyenera kuganizira mtengo wotsatsa, kulowetsa kuchokera kumayiko ena, kuphatikiza zina. Sankhani moyenera analogue malinga ndi zomwe akuwonetsa akhoza kukhala dokotala, osati wogulitsa mankhwala. Ngakhale wogulitsa atagula mankhwala mwachisawawa pamtengo wotsika, izi sizitanthauza kuti angakhale oyenera pankhani inayake. Pakhoza kukhala pachiwopsezo malinga ndi zovuta zomwe zimakhudzidwa.

Tsoka ilo, maimidwewo sawonetsa komwe kunachokera pancreatin kuchokera ku mtundu wa nyama. Chifukwa chake, kwa Asilamu okhulupilika, mutha kugwiritsira ntchito mosamala ma enzymes ochokera kumitengo. Wodziwika Bromelain wochokera pa chinanazi. Akatswiri amasiyanitsa:

• tsinde bromeline (SBM) - yotsika mtengo, yokonzedwa kuzotayika, yogwira ntchito pakudya,
• zipatso bromelain (FBM) - yopangidwa kuchokera ku zipatso zosapsa, pamtengo wokwera mtengo.

Katundu wamkulu amayang'aniridwa ndi kuwonongeka kwa mapuloteni ndi mafuta ochokera ku chakudya. Mankhwala ndi a zakudya zowonjezera zakudya. Osati gawo la gulu la analogi la Pancreatin.

Kukonzekera popanda pancreatin, koma okhala ndi ma enzymes ofunikira a zomera, bowa, tizilombo (Solizim, Unienzyme, Somilase) ndi ofooka kwambiri osagwirizana ndi kuperewera kwa kapamba wamunthu. Ndizosatheka kunena kuti ndi fanizo.

Ngati, pazifukwa zina, pancreatin siyabwino kwa wodwala, adokotala ayenera kupereka lingaliro. Sikoyenera kuyang'ana mankhwala abwino nokha. Ndikosavuta kwa omwe si katswiri kuti athe kupirira zotsatsa ndikuzindikira zofunikira mmenemo. Mankhwala okwera mtengo sikuti nthawi zonse amakhala abwino kwambiri.