GETA-SORB, yankho > Mankhwala

Kugwiritsidwa ntchito mosamala mu hemorrhagic diathesis, kuchepa madzi m'thupi (kumafuna chithandizo choyambirira).

Tiyenera kukumbukira kuti kuyendetsa mwachangu kwambiri IV, komanso kugwiritsa ntchito HES pamiyeso ikuluikulu, kungayambitse kuchuluka kwazovuta kwam'magazi.

Mothandizidwa ndi mankhwalawa, ndikofunikira kuyendetsa ionogram ya madzi a m'magazi, bcc, ntchito yaimpso, kuyang'anira kuyambitsa kokwanira kwa madzimadzi.

Ndi chitukuko cha zochita za hypersensitivity, muyenera kuyimitsa kuyambitsidwa kwa HES ndikuyenera kuchitapo kanthu mwachangu.

Pogwiritsa ntchito HES, kuwonjezeka kwa ntchito za serum amylase ndikotheka, komwe sikumagwirizanitsidwa ndi chiwonetsero cha matenda a kapamba.

Wotupa wa Pentac angagwiritsidwe ntchito ngati leukapheresis.

Pentacarchum ilibe mutagenic.

Zambiri pazamankhwala omwe atumizidwa pamalowo ndizongofuna madokotala ndi akatswiri ena azachipatala. Odwala sayenera kudzimva okha. Musanagwiritse ntchito mankhwalawa, tikufuna kuti mufunsane ndi dokotala. Zida zonse zimasonkhanitsidwa kuchokera ku magwero wamba.

Kamangidwe ka Pancreatin

Kupanga kwa piritsi, dragee ndi kapisozi monga chinthu chogwira ntchito kumaphatikiza pancreatin (Pancreatinum) wokhala ndi pulolytic enzyme yocheperako ya magawo 4,3,000 a Ph. Euro .. Ntchito yochepera ya amylase imachokera ku magulu 3,000 a Ph. Eur., Ntchito ya Proteolytic - kuchokera ku 200 PIECES of Ph. E ..

Monga othandizira popanga mitundu yosiyanasiyana ya mankhwalawa, sodium chloride (Natrii chloridum), colloidal silicon dioxide (Silicii dioxydum colloidale), microcrystalline cellulose (Cellulosum microcristallicum), collidone Cl (Kollidon Cl), magnesium stearate stirate 30% (Polyacrylate 30%), propylene glycol (Propylene glycol), talc (Talcum), titanium dioxide (Titanium dioxide), sodium carboxymethyl starch (Sodium starch glycolate), starch 1500 (Amylum 1500), povidonum 8, Povidonum), dyes.

Konzani zovuta za chifuwa chachikulu, ngati mukufuna: mofulumira komanso mwakuya!

Tinagwirizana nanu kuti muyambe kutengera zomwe zimayambitsa kuwonongeka kwa kapamba. Ndipo zimakhazikitsidwa molondola ndi mankhwala amakono. Palibe chilichonse chosamveka chokhudza kuwerenga kapamba pano, malingaliro wamba ndi kumvetsetsa kwa thupi ndi thupi

Mavuto anu ndi kapamba amayamba chifukwa cha kuperewera kwa zakudya m'thupi komanso kuipitsidwa ndi mankhwala osiyanasiyana pamoyo wonse. Itha kukhala mankhwala ndi mowa komanso kuledzera kwa ntchito komanso kungoyipitsa chilengedwe.

Zinthu izi zimayamba kuwononga chiwindi ndipo chifukwa, zimayamba kupanga wandiweyani bile, amene amakonda kusayenda ndi mapangidwe olimba. Musaiwale kuti ndi poizoni yemwe poizoni woopsa amasiya chiwindi nthawi zambiri.

Ndipo bile chotere sichimayenda mwakachetechete mkati mwakudya, koma chifukwa cha kupyapyala, kuphulika kumayendetsedwa mwachisawawa ndipo chifukwa cha izi imalowa m'matumbo a pancreatic kudzera mu duct wamba ya bile.

Ichi ndichifukwa chake pafupifupi palibe pancreatitis yosatha popanda cholecystitis - kutupa kwa ndulu. Ndipo ndi miyala mu chikhodzodzo - chikhodzodzo ndi chotsimikizika kwathunthu!

Kuchokera pamafotokozedwe athupi awa zikuwonekeratu kuti zinthu zosafunikira kwenikweni zimalowa m'magazi a chiwindi kuti zisatengere matumbo (ndi kudzimbidwa, matumbo osokoneza, dysbiosis, colitis), kuchuluka kwambiri kwa metabolites ya mankhwala osokoneza bongo, mowa komanso chakudya chosagwirizana ndi magazi , chifukwa chake kuwopsa kwachiwiri kuwonongeka kwa kapamba.

Panthawi yotupa kwambiri, maselo atrophy ndipo mukukumana ndi vuto la michere ya pancreatic, chakudya sichigonjetsedwa. Choyamba, nyama ndi mafuta, ndiye kuti chakudya chilichonse chimasinthanitsa chopondapo ndi m'mimba. Pambuyo pake, gastroenterologist amalimbikitsa kumwa ma enzyme amoyo wonse.

Chifukwa chake, lingaliro lalikulu la Sokolinsky System sikuti agwiritse ntchito wowerengeka azitsamba a kapamba ndipo musayiwale za ma enzymes. Muyenera kuyang'ana momwe zinthu ziliri. Ngati ma enzyme adathandizira kuchira ndikuchotsa zomwe zimayambitsa kapamba, zimakhala bwino, koma sizingasokoneze kuponyedwa kwa ndulu yomwe yasintha mu kapamba, zomwe zimayambitsa kutupa kwa minofu yake.

Ndipo izi zitha kuchitika pakukonza chiwindi - zimayamba kupanga ndulu yabwinobwino ndipo kusokonekera kumathetsedwa, monga bonasi - zovuta za hepatosis yamafuta zimachepetsedwa. Pa gawo loyamba la maphunziro achilengedwe, timayeretsanso magazi - timachotsa mwachangu zodetsa zakudyazo kuchokera ku zotsalira za mankhwala ndi xenobiotic zachilengedwe, kuzinthu zomwe zakungidwa mu chakudya chamakono chamankhwala.

Ngati mukuwona kuti maphunzirowo amatukula chimbudzi ndi zinthu zina, ndiye kuti mungathe kuchita popanda kugwiritsa ntchito ma enzymes nthawi zonse. Kenako ndikokwanira kuyang'anira momwe chiwindi ndi kapamba amasanthula ndi zamankhwala amuzolengedwa ndi kuwunika mayendedwe ake.

Mwachilengedwe, mankhwala achilengedwe a kapamba sakhala mankhwala. Sangapangidwe kuti azichitira pancreatitis pachimake.

Yesani njira zosavuta zoterezi kwa mwezi umodzi kuti muwonetsetse kuti chithandizo cha chifuwa chachikulu sichitha ndi ma enzyme okha, koma chithandizo chachilengedwe chimatha kupereka chithandizo chokwanira.

Momwe mungatengere zovuta kwa kapamba malinga ndi Sokolinsky System

Gulani zovuta zonse ndi pancreatitis Active kwa miyezi iwiri

Kutulutsa Fomu

Toxic-metabolic pancreatitis (chidakwa, mankhwala kapamba),
Idiopathic pancreatitis,
Matenda a kapamba,
Cholepheretsa kapamba
Herederal pancreatitis,
Autoimmune kapamba,
Mtundu woyamba wa kapamba,
Njira yachiwiri ya kapamba (mwachitsanzo, pamaziko a cholecystitis kapena matenda am'mimba, ndi zilonda zam'mimba, ndi colitis).

Mankhwala amapezeka mu mawonekedwe a mapiritsi a gastroresistant, dragees ndi makapisozi.

Zoyambitsa ndi zizindikiro.

Kutupa kosatha kumatha kukhala kwa zaka popanda zizindikiro ndipo kwa nthawi yoyamba kumadziwonetsa kuti kuchitidwa opaleshoni nthawi yomweyo. Chiwerengero cha nzika zamakono zomwe zasintha ma ultrasound mu kapamba malinga ndi ziwerengero ndizoposa 50%.

Zaka zapakati zimatsika kuchoka pa 50 kufika zaka 39, ku Moscow, malinga ndi ziwerengero zamalamulo, kumapeto kwa zaka za 90s, ziwonetserozo zidachulukanso, ndipo achinyamata amakula kanayi. Ndipo nthendayo kapamba imagwirizana kwambiri ndi kusokonezeka kwa chiwalo china - chiwindi.

Chizindikiro choyamba komanso chachikulu cha pancreatitis pachimake ndi ululu wam'mimba mu hypochondrium. Kupweteka kumakhala kosalekeza, kosalala kapena kudula. Zizindikiro zina za pancreatitis pachimake ndi mseru, mkamwa youma, hiccups, belching, ndi kusanza, komwe kuphatikizika kwa bile kumapezeka.

Matendawa akapita patsogolo, ndiye kuti thanzi lanu limakulirakulira msanga. Kugwedeza kumafulumizitsa, kutentha kwa thupi kumadzuka, kuthamanga kwa magazi, kupuma movutikira kumatuluka, thukuta lomata, chikhomo choyera palilime.

Khungu limasunthira kenako pang'onopang'ono limayamba kutuwa. Pa palpation - ululu, kukhumudwa m'mimba, matumbo ndi m'mimba sizimagwira. Zizindikiro za peritoneal mkwiyo pambuyo pake zimayamba. Kuphatikiza apo, zizindikiro za chifuwa chachikulu chimatha kuchepa thupi, kukamwa kowuma, kutsekula m'mimba, kusanza konse.

Munthawi yayitali, kusintha kwamapangidwe amtundu wa pancreatic kumawonekera. Matendawa akupitilirabe. Mgawo lachigawo (chikhululukiro), mankhwala ochizira amakonzedwa. Ndi ma repapses (exacerbations) a matendawa, mankhwalawa amathandizidwa ndi ma pinkiller ndi antispasmodic mankhwala, ndipo ngati pangafunike, maantibayotiki. Zothandiza:

Enzymes Kusunga magwiridwe antchito, Mezim, Cholenzym, Uninezim, Creon, Pancreatin amagwiritsidwa ntchito.
Chidziwitso. Omeprazole (Omez) amathandiza kuchepetsa acidity ndi kutupa.
Antispasmodics. Kupulumutsira kwa spasms kumachitika ndikukonzekera komwe kumakhala mebeverin - Duspatalin, Sparex.
Mahomoni. Kuchepetsa zomwe zili ndi insulin ndi gastrin, amagwiritsa ntchito analog ya peptide pancreatic hormone somastatin, mankhwala ozikidwa pa iwo Octreotide amathandizira kubwezeretsa ntchito kwa chiwalo. Hormone therapy ikuchitika moyang'aniridwa ndi achipatala mosamala.
Cholagogue Flamin amathandizira kuyang'anira kupanga bile.
Anticholinergics. Kukhudzika kwa mitsempha ya pathological kumatsekedwa ndi Atropine, Metacin.
Zamawonekedwe. Pofuna kuchepetsaulemu, Espumisan imagwiritsidwa ntchito.
Maantacid. Almagel, Reni, Gastal amathandizira kuchotsa mawonekedwe osasangalatsa a kutentha kwa mtima.

Ndi chithandizo cholakwika cha matenda osachiritsika, kapamba ali ndi mwayi uliwonse wokhala chifukwa chodwala matenda ashuga (ngakhale atakhala kuti ndi makolo).

Zofunika! Pancreatitis ndimatenda oopsa, ndipo chithandizo chamankhwala osayembekezereka chikuopseza zotsatira zakupha. Kudzichitira nokha mankhwala sikovomerezeka. Mankhwala onse, kuphatikizapo mavitamini, ayenera kuuzidwa ndi dokotala.

Mu matenda a kapamba, matenda a concomitant nthawi zambiri amakula, kuphatikizapo kuperewera kwa mapira.

Izi zikachitika, adotolo amamulembera odwala mankhwala omwe ali ndi zinthu izi.

Ndikotheka kusintha momwe chimbudzi chakhalira, kusintha bwino mkhalidwe wa wodwalayo, mwayi wobwezeretsanso ntchito za chofooka.

Enzymes ndizogwira zinthu mwachangu, zimathandiza kuthyola ndikugaya chakudya chogwiritsa ntchito matumbo aang'ono. Mwambiri, kapamba amatha kupanga ma enzymes pafupifupi makumi awiri, amagawika m'magulu angapo: amylase and derivatives, lipase ndi phospholipase, nucleolytic ndi proteinolytic enzymes.

Amylase limodzi ndi zinthu zina zofunika pakuwonongeka kwa chakudya chamagulugufe, dokotala amawerengera kuchuluka kwa magwiridwe antchito omwe amachitika mu kupanikizana ndendende ndi kuchuluka kwa amylase mkodzo ndi magazi.

Zinthu lipase ndi phospholipase ndi ma lipolytic michere, ndi gawo la bile atembenuza lipids kukhala glycerol ndi mafuta acids. Ma enzyme a Proteolytic ndi awa:

Amasintha protein kukhala amino acid. Zinthu za enzyme zotere zimapangidwa mwanjira ya ma proenzymes, amayamba kugwira ntchito m'matumbo ochepa pomwe ma enzyme ena amadzichitira. Chifukwa cha izi, kudzimbidwa kwathunthu kwa kapamba kumachotsedwa. Ma enzymes a Nucleolytic amatenga nawo gawo pakusintha kwa RNA ndi DNA.

Kuphatikiza apo, kapamba amatha kuphatikiza ma enzyme ena angapo, kuphatikizapo phospholipase ndi phosphatase, chilichonse mwazinthuzi zimathandizira pakukumba. Odwala ena amapezeka ndi Fermentopathy - kuperewera kwachilendo kwa michere ya pancreatic.

Mankhwala amalimbikitsidwa ngati thupi litasiyidwa ndi michere yokwanira. Izi ndizofunikira kuti kuthamanga kukhale kwamtundu, kuthana ndi chizindikiro cha kapamba kapena matenda ena a ziwalo za m'mimba.

Ma Enzymes a kapamba ayenera kutengedwa popanda kuchulukitsa mawonekedwe a matendawa, mankhwalawa amadzimadzi a sphincter a Oddi, hepatobiliary system, celiac matenda, matenda am'mimba, kutupa kwamatumbo.

Funso nthawi zambiri limabuka kuti kodi ndizotheka kutenga michere panthawi yowonjezera ya kapamba. Muyenera kudziwa kuti nthawi yovuta ya matendawa ndi kutsutsana kwathunthu ndi kugwiritsa ntchito mankhwalawa. Amalimbikitsidwa pambuyo pakutsatiridwa kwa matenda.

Ayenera kukhala otetezeka, osakhala oopsa.

Kukonzekera kwa ma enzyme apamwamba nthawi zambiri kumakhala kochokera nyama, zimapangidwa motengera kapamba wa nkhumba, popeza kapangidwe ka thupi la nyama iyi ndi ofanana kwambiri ndi munthu.

Kukonzekera kwa enzymatic kumakhala ndi chipolopolo chosagonjetsedwa ndi madzi a m'mimba, amawonongeka m'malo amchere wamatumbo. Ndikulimbikitsidwa kudya ma enzymes ambiri monga momwe kapamba wama thanzi amapangira.

Mungatenge nthawi yayitali bwanji ma enzyme osagwira chifuwa cham'mimba, zomwe zimatenga ma pancreatitis, momwe mungamwere ma enzymes osachiritsika amadziwika ndi adotolo, kutengera kuopsa kwa matendawa komanso mbiri yachipatala ya munthuyu.

Enzymes zimatha kupangidwa mwa mawonekedwe a mapiritsi, zimayikidwa kuti ziyimitse ntchito ya kapamba mu ululu waukulu womwe umayamba chifukwa cha kufalikira kwa kapamba. Muthanso kutenga ndalama za atrophic duodenitis, duodenal-gastric Reflux ndi dyskinesia wa duodenum, irritable matumbo.

Mapiritsi a pancreatic alibe bile, amavomerezedwa kuti athandize ana ndi odwala omwe ali ndi chiyembekezo cha thupi lawo siligwirizana.

Mapiritsi amagwira ntchito pa lingaliro la mayankho, thupi limapereka chisonyezo choyimitsa kagawidwe ka michere yake, potero kuthetsa ululu, kutupira kwa kapamba ndi kukakamiza mu milomo ya chiwalo. Ubwino wa gululi la mankhwalawa pamtengo wotsika, komabe, sakhazikika mokwanira m'mimba, kugayidwa mwachangu.

Kupatula kupukusa, mankhwalawa amayenera kuphatikizidwa ndi mankhwala omwe amachepetsa kuchuluka kwa acidity m'mimba.

Choipa chodziwikiratu cha chipangizocho sichikhala chosakanikirana bwino ndi chakudya, kotero chimatha kulowa m'matumbo a duodenum m'mbuyomu kapena pambuyo pake pazakudya zambiri. Komabe, izi sizimalepheretsa kuti mapiritsi azigwira ntchito yayikulu - kutsekereza zobisika za ma enzymes awo.

Wotchuka kwambiri masiku ano ayenera kutchedwa kuti Pancreatin, wotsika mtengo kwambiri akhale:

Madotawa amawona kuti Panzinorm Forte 20000 ndi chisankho chabwino kwambiri chothetsa ululu.

Mezim 20000 itenga wodwala kwambiri, mtengo wake ndi wokwera kwambiri.

Enzymes mu makapisozi

Maphunziro a pancreatitis omwe amakhala nthawi yayitali amathandizira kuti pakhale kuperewera kwa mphamvu, chifukwa, kuphwanya mayamwidwe ofunikira osafunikira, wodwalayo amachepetsa thupi, ndowe zimakhala mafuta, kutsekula m'mimba komanso zizindikiro zina za maldigestia zimachitika. Chifukwa chake, pancreatic enzyme inhibitor iyenera kutengedwa.

Kuti muchepetse kusakwanira kwa thumbo ndi matendawa, kusintha kwa mahomoni ndi mankhwala akusonyezedwa, ndikofunikira kupewa kupukusira kwa mankhwala m'mimba yomwe. Chogulikacho chimayenera kusakanikirana bwino ndi chakudya, kusuntha nacho ndikukhala ndi mphamvu m'matumbo okha. Ma pancreatic enzyme omwe amapanga mapiritsi amakwaniritsa zofunikira izi.

Makapisozi amakamwa mu duodenum. Muli mapiritsi a mini-pancreatin mkati, omwe amachititsa kuti kusakanikirana ndi chakudya kusakhale kosavuta. Chowoneka mosiyana ndi mankhwalawa m'gululi ndikutha kupondereza kupangika kwa zinthu zawo zapanchipini.

Mndandanda wa kukonzekera kwa pancreatin m'mapiritsi amaphatikizira ndalama:

Kusankha kwamankhwala kumadalira zomwe dotolo adakumana nazo, chithunzi cha matenda, ndi zina. Chithandizo chotsika mtengo kwambiri ndi Panzinorm 10000, chili ndi lipase yochulukirapo, yomwe imapangitsa kuti ikhale yothandiza polimbana ndi matenda am'mimba komanso kuperewera kwa mafuta.

Zambiri pa michere ya pancreatic imaperekedwa mu kanema munkhaniyi.

Masewera a Pancreatin

Mankhwalawa amakhala ndi puloteni ya pancreatic yomwe imaphwanya chakudya.Zochita za Pancreatin cholinga chake ndikupanga madzi a pancreatic. Mankhwalawa ali ndi ma enzymes am'mimba monga lipase, proteinase (chymotrypsin, trypsin) ndi alpha-amylase, omwe hydrolyzes amawuma kukhala dextrins ndi monosaccharides.

Pancreatin - chimathandiza ndi chiyani? Zomwe zimapangika momwe zimapangidwira zimathandizira kupanga ma enzyme osati mu kapamba, komanso matumbo aang'ono, chiwindi, ndi m'mimba. Monga okopa, Pancreatin ali:

sodium kolorayidi
carmosine
cellcrystalline mapadi,
Aerosil
magnesium wakuba,
titanium dioxide
macrogol
colicoat
polyvinylpyrrolidone.

Mankhwala osokoneza bongo amasankhidwa malinga ndi mawonekedwe a kapamba (nthawi zina amakhala owawa komanso osachiritsika), gawo la matendawa ndi zizindikiro zomwe wodwalayo amakumana nazo. Mankhwala omwe agwiritsidwa ntchito pothetsa matendawa ndi amodzi mwa magulu azachipatala awa:

kuthetsa ma spasms a minofu yosalala (myotropic antispasmodics),
zida zothandiza kugaya (ma enzymes),
inhibitory ntchito ya mabakiteriya (maantibayotiki),
painkiller (analgesics),
mahomoni (somatostatin ndi zotumphukira zake),
kuletsa katulutsidwe wa hydrochloric acid (ma antacid ndi proton pump zoletsa),
kuteteza kuundana kwamagazi (fibrinolysis inhibitors),
kuchepetsa kapangidwe ka gasi (wowononga),
zolimbikitsa kutuluka kwa bile (choleretic),
kutsekereza kukhudzidwa kwa mitsempha (mankhwala a anticholinergic),
zovuta za vitamini (A, B, E, D, K).

Kuchitapo kanthu kwa opaleshoni kumasonyezedwa kuti pakhale zovuta, monga matenda am'mimba, mapangidwe a zilonda zam'mimba, cysts, necrosis komanso madzimadzi ozungulira kapamba.

Pancreatin ndi m'gulu la apolisi "Enzymes ndi Antenzymes" ndipo ndi mankhwala a multienzyme omwe ntchito yake imakhala yodzaza kuperewera kwa michere ya pancreatic mthupi komanso kuthandizira kugaya chakudya chama protein, mafuta ndi chakudya chamagulu ambiri.

Chithandizo cha pancreatin kukonzekera nthawi zochepa (kawirikawiri poyerekeza ndi imodzi mwa milandu 10,000) zimatha kuyambitsa mavuto. Nthawi zambiri izi ndizosiyanasiyana zomwe zimachitika chifukwa chokhudzana ndi munthu payekha.

Kugwiritsa ntchito nthawi yayitali Pancreatin kwa nthawi yayitali kungayambitse kukula kwa hyperuricosuria - matenda omwe amadziwika ndi kudzikundikira kwamatenda a urric komanso mapangidwe a calculi.

Osowa kwambiri, mwa odwala omwe apezeka ndi cystic fibrosis, kugwiritsa ntchito milingo yayikulu ya Pancreatin kumatha kutsagana ndi kupangidwa kwa ma constituions m'chigawo cha ileocecal (dera lomwe limapangidwa ndi cecum ndi zowonjezera zomwe zimazungulira kuphatikizana kwamatumbo ang'ono ndi akulu) komanso m'chigawo choyambirira cha colon (i.e. m'matumbo ake) kukwera gawo).

Komanso, nthawi zina, zovuta zam'mimba zimatha, zomwe zimawonekera mwa mawonekedwe am'mimba, kupweteka kwa epigastric, kumverera kosasangalatsa m'mimba, kugunda kwa nseru, kusintha kwa chikhalidwe. Nthawi zina n`zotheka kukulitsa kutsekeka kwa matumbo, kudzimbidwa.

Odwala omwe ali ndi cystic fibrosis ya anthu ochokera ku urogenital system, kusokonezeka kumatha kuchitika, kuwonetseredwa ndikuwonjezereka kwa kuchuluka kwa uric acid limodzi ndi mkodzo (makamaka ngati Pancreatin imagwiritsidwa ntchito pamtunda waukulu).

Pofuna kupewa mapangidwe a miyala ya uric acid mwa odwala omwe ali mgululi, kuyang'aniridwa kwa uric acid mkodzo kuyenera kuyang'aniridwa nthawi zonse.

Poyerekeza ndi kugwiritsa ntchito pancreatin nthawi yayitali, kuyamwa kwa folate ndi chitsulo kumatha kuchepa. Izi, zimapangitsa kufunikira kwa kudya kwawo kowonjezereka m'thupi.

Kugwiritsa ntchito munthawi yomweyo mankhwala okhala ndi ma antacid othandizira, omwe amaphatikizapo calcium carbonate (calcium carbonate) ndi / kapena magnesium hydroxide, amachepetsa mphamvu yake.

Mitundu ina yolumikizana ndi pancreatin sichinakhazikitsidwebe.

Kodi nchifukwa ninji chiopsezo cha kapamba kumachulukitsa zaka khumi zilizonse?

Chifukwa cholephera kugwira ntchito kapamba amayamba chifukwa chakugwira ntchito kwa chiwindi ndi ndulu. Ndipo amapezeka pafupipafupi chifukwa cha kuwonongeka kwa chilengedwe komanso zakudya zopangidwa ndimakina ambiri.

Choyamba, hepatocytes amayamba kuvutika ndi zakumwa zakunja ndi zamkati. Koma chiwindi ndi kapamba zimakhala ndi duct wamba wa bile, kudzera momwe bile yokhala ndi masinthidwe amatha kulowa nawo, zomwe zimapangitsa kuyambitsa kwa michere ya pancreatic mwachindunji.

Ndimakonda kwambiri mawu a m'modzi mwa akatswiri azachipatala amakono aku Russia. V.A. Tarasov okhudza kapamba. Amagwiritsa ntchito mawu akuti "wakali bile syndrome" pamkhalidwe wofanana.

Maselo a chithokomiro amakumana ndi vuto la kuperewera kwa zakudya m'thupi chifukwa cha kutupa ndi ma fibrosis amakula nthawi yayitali - amasinthidwa ndi minyewa yolumikizana. Ntchitoyo ikuchepa, motero chithandizo cha kapamba ndi ma enzymes ndicholinga chothandizira kugaya komanso kusasokoneza thukuta lokha. Koma ma enzyme sangathetse chomwe chimayambitsa kuwonongeka. Akulimbana ndi kafukufukuyu!

Pharmacodynamics ndi pharmacokinetics

Pancreatin ndi mankhwala a enzyme, omwe amaphatikiza michere ya pancreatic enase, trypsin, chymotrypsin, lipase, amylase.

Thupi limalimbikitsa kubisalira kwa michere yake ya kapamba komanso kugaya chakudya (makamaka, m'mimba ndi matumbo ang'ono), komanso katulutsidwe ka bile, imapangitsa magwiridwe antchito am'mimba, kusintha kugaya chakudya komanso kuperewera kwa chakudya, mafuta kapena chakudya chachilendo kwa anthu.

Mapiritsi a pancreatin, dragees ndi mapiritsi okhala ndi zokutira zapadera zomwe zimawateteza kuti asasungunuke asanalowe m'malo amchere wamatumbo aang'ono. Ndiye kuti, chipolalachi chimalepheretsa kuti chinthu chisawonongeke mothandizidwa ndi hydrochloric acid ndi pH ya chakudya chamafuta m'mimba.

Kwambiri ntchito ya pancreatic michere amawonedwa pafupifupi theka la ola pambuyo kumeza makapisozi, dragees kapena mapiritsi a Pancreatin.

Zochita za mankhwala ndi zomwe zimapangidwa pazinthu zake payekha. Pazifukwa izi, kutsimikiza kwa mapiritsi a pharmacokinetic, komanso kupezeka kwa metabolites pazomwe zimapangidwa panthawi yake yopanga thupi m'thupi, ndi ntchito yovuta.

Zomwe zimapangidwira zimatha kutsegulidwa pogwiritsa ntchito zolembera zapadera kapena maphunziro a sayansi.

Kuchita kwa kukonzekera kwa pancreatin kumatsimikiziridwa ndi mawonekedwe amamasulidwe (mapiritsi wamba, miyala yaying'ono kapena minimicrospheres) ndi zochitika zamankhwala: mwachitsanzo, pankhani ya pancreatitis yosagwiritsidwa ntchito pazigawo zowonjezera, njira yabwino imakwaniritsidwa ndikugwiritsa ntchito mitundu ya mapiritsi; pakuwongolera kuperewera kwa pocreatin, ndikofunikira kugwiritsa ntchito michere .

Zitsamba Zimakhudza Choyambitsa Cancreatitis

Ndine wotsimikiza kotheratu za mapindu a Sokolinsky System, chifukwa ndakhala ndikugwiritsa ntchito bwino zaka 20. Uku ndikusakanikirana kwa kadyedwe koyenera, zitsamba zothandizira ndi kuyeretsa chiwindi, zitsamba zothandizira kapamba, kuyeretsa magazi kubwezeretsa kudzilamulira komanso kuthandizira matumbo.

Mankhwala ocheperako m'thupi (mkati ndi kunja), ndizotheka kuti kapamba imagwiranso ntchito - iyi ndi yankho la funso "zomwe zimathandiza ndi kapamba." Kodi ndizotheka kunena kuti iyi ndi njira yochizira wowerengeka ya kapamba?

Pancreatin - malangizo ogwiritsira ntchito

Malangizowo akuwonetsa chifukwa chake Pancreatin amathandizira komanso chifukwa chake mapiritsi awa amagwiritsidwa ntchito. Zisonyezero zogwiritsidwa ntchito pancreatin ndi:

Kufunika kwa kuchiritsira kwa odwala omwe apezeka ndi exocrine (exocrine) kusakwanira kwa dongosolo logaya chakudya (makamaka, m'matumbo ndi matumbo aang'ono, chiwindi, m'mimba ndi kapamba) komanso chikhodzodzo cha ndulu. Mankhwalawa amalembera zochizira matenda am'mimba a ziwalozi, makamaka matenda omwe amaphatikizidwa ndi kusintha kwa dystrophic, chifuwa cham'mimba, pancreatic cystic fibrosis (cystic fibrosis), mikhalidwe yomwe imachitika pambuyo pa opaleshoni yochotsa mbali ya m'mimba (kuphatikizapo pambuyo poti wapatsidwa ndi Billroth I / II) ) kapena gawo lina la matumbo aang'ono (gastrectomy), kuchotsedwa kwa kapamba, ndi kutsekeka kwa mapindikidwe a kapamba ndi kutsekeka kwa mapindikidwe a bile omwe amayamba chifukwa cha mphamvu ya ma radiation kapena kukula kwa zotupa.
Mochedwa kapamba, kuyamba pambuyo kumuika.
Kuperewera kwa exocrine pancreatic ntchito okalamba.
Zovuta zam'mimba zamagetsi, zomwe zimayambitsidwa ndi kuphwanya kwa kutafuna.
Zovuta zam'mimba, zomwe zimayambitsa kudwala kwa nthawi yayitali.
Kukhala ndi matenda osachiritsika a chiwindi ndi matenda a mtima.
Kumverera kwodzaza m'mimba ndi kuchuluka kwambiri kwa mpweya m'matumbo am'mimba (flatulence) chifukwa chodya kwambiri kapena kudya mafuta, chakudya chovuta kwambiri kwa thupi.
Matenda a magwiridwe antchito am'mimbamo chakudya mwa anthu athanzi, ngati amakwiya chifukwa chosadya mosavomerezeka, kudya kwambiri, kudya zakudya zamafuta, moyo wosakwanira, komanso pakati.
Kutsegula kwa etiology yopanda matenda, vuto la dyspeptic, gastrocardial syndrome.
Kukonzekera kwa wodwala kwa ultrasound kapena RI yam'mimba.

Nditha kumwa mapiritsi a pancreatin nthawi yayitali bwanji?

Njira ya mankhwalawa imatha kukhala masiku angapo (ngati mankhwalawa akuwonetsedwa kuti akuwongolera kuphwanya chifukwa cha zolakwika), ndi miyezi ingapo. Odwala omwe akuwonetsedwa m'malo mwake, nthawi zina amatha kumwa mankhwalawo kwa zaka zambiri.

Monga mankhwala ena, kukonzekera kwa pancreatin kuli ndi zotsutsana zingapo. Chifukwa chake, siziyenera kulembedwa pazochitika zotsatirazi:

odwala ndi pachimake kapamba, komanso odwala exacerbated aakulu kapamba,
odwala omwe ali ndi mbiri ya hypersensitivity kwa mankhwala okhala ndi ma pancreatic Animal enzymes, komanso hypersensitivity pancreatin,
odwala matumbo kutsekeka,
odwala omwe adapezeka ndi chiwindi chachikulu.

Momwe mungamwe kumwa kukonzekera kwa pancreatin?

Makapisozi a pancreatin, dragees ndi mapiritsi amapangidwira pakamwa. Amawamwa panthawi ya chakudya chachikulu, kumeza lonse, osafuna kutafuna komanso osapwanya. Ndikulimbikitsidwa kumwa mankhwalawa ndi kuchuluka kwakukulu (osachepera 100 ml) a zakumwa zina zamchere (mwachitsanzo, tiyi, juisi kapena madzi wamba).

Tsiku lililonse tikulimbikitsidwa kuti agawidwe awiri kapena atatu Mlingo, womwewo umagwirizana ndi zakudya zazikulu.

Mlingo woyenera wa mankhwalawa amasankhidwa malinga ndi momwe matenda alili, kuuma kwa kapamba, komanso zaka za wodwalayo.

Ngati palibe malingaliro ena, komanso pankhani ya kudya zakudya zamafuta, zosazolowereka kapena zoperewera, mankhwalawa akulimbikitsidwa kumwa mapiritsi a 1-2.

Muzochitika zina zonse zamavuto am'mimba omwe atchulidwa pamwambapa, mlingo umachokera pa mapiritsi 2 mpaka 4.

Ngati ndi kotheka, amaloledwa kuwonjezera. Kuchulukitsa kwa mankhwalawa, chifukwa chakuchepetsa kuopsa kwa zizindikiro za matenda (mwachitsanzo, chifuwa cha pancreatic kapena kupweteka m'dera la epigastric), kumachitika pokhapokha kuyang'aniridwa ndi adokotala.

Pankhaniyi, tsiku lililonse pancreatic lipase enzyme sayenera upambana 15-20 zikwi za Ph. Eur./kg / tsiku .. Kutalika kwa njira ya chithandizo kumatsimikiziridwa payekha kutengera momwe wamanenera wodwala akusowa kwa michere ya pancreatic mu duodenum.

Pankhani yogwiritsa ntchito mankhwala a pancreatin muzochita za ana, opanga osiyanasiyana amapereka malangizo osiyanasiyana okhudza zaka zomwe angagwiritse ntchito pochiritsa ana.

Mwachitsanzo, malangizo omwe amagwiritsidwa ntchito Pancreatin Forte, omwe amaphatikiza pancreatin ndi enzymatic proteinolytic zochita - 300 PISCES of Ph. Eur., Ntchito ya Amylase - 4,5,000 PISCES of Ph. Eur. ndi lipolytic ntchito - magawo 6,000 a Ph. .., Zikuwonetsedwa kuti pochiza ana amatha kugwiritsidwa ntchito kuyambira zaka 6 zokha.

Mu malangizo ogwiritsira ntchito, Pancreatin LekT, yomwe imaphatikizapo pancreatin ndi enzymatic proteinolytic zochita - 200 PIECES Ph. Eur., Ntchito ya Amylase - magawo 3,000 a Ph. Eur. ndi ntchito ya lipolytic - magawo 3,000 a ph. .., Zikuwonetsedwa kuti ana mankhwalawa amawonjezedwanso kuyambira azaka 6.

Mlingo woyenera kwambiri wa ana opitirira zaka 6 ndi piritsi limodzi patsiku, ana opitirira zaka 8 akulimbikitsidwa kuti atenge piritsi limodzi kapena awiri patsiku, ana opitirira zaka 10 akuwonetsedwa kumwa mapiritsi awiri patsiku. Mlingo wovomerezeka ukhoza kusinthidwa ndi dokotala.

Koma Pancreatin 8000, yomwe imaphatikizapo pancreatin ndi enzymatic proteinolytic zochita - 370 PIECES Ph. Eur., Ntchito ya Amylase - mayunitsi 5,000 a Ph. Eur. ndi lipolytic ntchito - magawo 8,000 a Ph. Eur.

Odwala omwe apezeka ndi cystic fibrosis ayenera kupatsidwa mlingo wokwanira kuchuluka kwa ma enzymes omwe amafunikira kuyamwa kwa mafuta, poganizira ziyeneretso komanso kuchuluka kwa chakudya chomwe amamwa.

Mlingo wovomerezeka wa gulu ili la odwala ndi kuchuluka kwa pancreatin - 10,000 magawo Ph. Eur./kg/day (potengera lipase).

Pambuyo pazoyenera zothandizira zimatheka, mlingo wa mankhwalawa umachepetsedwa, ndikuwonetsetsa kuyankha kwa chithandizo ndi chithunzi cha matenda.

Masiku ano, achikulire ambiri amadziwa zomwe Pancreatin amafunikira. Mankhwalawa amathandizanso kuthira timadziso tosowa m'matumbo pomwe mafuta ochulukirapo amalowa m'thupi la munthu ndi chakudya.

ukufalikira
kukonzekera kuyeserera kwam'mimba,
kuperewera kwa kapamba (kapamba, cystic fibrosis ndi matenda ena),
kutupa kwa chiwindi, m'mimba, ndulu, matumbo,
mutatha kuthira kapena kutulutsa chakudya m'mimba,
kusintha chimbudzi cha zakudya zolakwika ndi zakudya.

Mlingo wa mankhwalawa amatchulidwa ndi dokotala aliyense payekhapayekha. Malangizo a Pancreatinum ali ndi zambiri mwatsatanetsatane ndi njira zotsatsira matenda osiyanasiyana.

Asanamwe mapiritsi, mayeso a labotale amafunikira omwe akuwonetsa kuchuluka kwa michere mu duodenum. Ngati dokotala sanapereke malangizo enieni, ndiye kuti kumwa mapiritsi (makapisozi) kungachitike malinga ndi dongosolo lotsatirali:

achinyamata azaka za 10 mpaka 10 amapatsidwa mankhwala a mapiritsi awiri. nthawi yomweyo ndikudya,
Ana azaka 6 mpaka 9 akulimbikitsidwa piritsi limodzi / tsiku,
wamkulu mlingo lili 2-4 ma PC. kuyambira 3 mpaka 6 nthawi / tsiku.

Zokhudza kutentha

Ndi chiani chinanso chomwe chimathandiza Pancreatin? Malinga ndi kunena kwa mankhwalawo, mankhwalawa amatha kugwiritsidwa ntchito ngati kutentha kwa mtima. Kumverera koyaka kumbuyo kwa sternum, kumayendetsedwa ndi belching, flatulence, nseru, wowawasa kapena wowawa pambuyo, kumachitika pazifukwa zosiyanasiyana.

Izi zitha kukhala zizolowezi zoyipa zomwe zimayambitsa kufooka kwa kamvekedwe ka m'mimba kapena vuto la m'mimba chifukwa cha kapangidwe kazakudya ndi zina zambiri. Pancreatin yotseguka pamtima sikuti amathandizanso kuchotsa zizindikiro zosasangalatsa, komanso kubwezeretsanso ntchito ya m'mimba. Kutalika kwa chithandizo: masiku 3-4.

Ndi gastritis

Ndi kutupa kwa mucosa wam'mimba, kapangidwe kake kakuphwanyidwa, komwe kumayambitsa kuphwanya ntchito za chiwalo.Pancreatin wa gastritis amathandizira kuthana ndi kuchulukitsa kwa matendawa, ndipo ngati matenda ndiwosatha, ndiye kuti mankhwalawo amalimbikitsa ndikupanga ma enzyme omwe akusowa.

Kumwa mankhwalawa, munthu amathandizira kukonza chakudya chomwe chimalowa m'mimba. Njira ya mankhwalawa imatengera gawo la matendawa, ndipo imatha masiku angapo mpaka miyezi ingapo (osachepera awiri kwa zovuta za pathologies).

Ndi m'mimba

Kutsekula m'mimba nthawi zonse kumayendetsedwa ndimatumbo atatu katatu kapena kupitilira patsiku. Zizindikiro zazikulu za matenda otsegula m'mimba ndizopondaponda komanso mayendedwe apakati. Kutsegula m'mimba kumatha kuchitika chifukwa cha matenda ambiri, kuyambira khansa yam'matumbo, matenda a Addison kapena kupweteka kwa chibayo, kutha ndi matenda omwe ali ndi matenda a Escherichia coli.

Musanayambe kumwa mapiritsi a enzyme, muyenera kumvetsetsa zomwe zimayambitsa matenda otsegula m'mimba. Ngati zimagwirizanitsidwa ndi kuchulukana kwa matumbo am'mimba, ndiye kuti mutha kumwa mankhwalawa malinga ndi chiwembu chonse mpaka chizindikiro chosasangalatsa chitachotsedwa.

Dziwani kuti mapiritsi ena am'mimba ndi otani.

Pankhani ya poizoni

Kukumitsa thupi kumachitika pazifukwa zambiri: kumwa zakudya zosapatsa thanzi, pambuyo popereka mankhwala, pambuyo povulaza zinthu zakupha, pambuyo pakuluma tizilombo ndi ena.

Mawonekedwe a poizoni ndi mseru, kusanza, kupweteka kwam'mimba, kutsegula m'mimba, kutentha thupi. Pancreatin pothana ndi poizoni amatengedwa ngati zidachitika chifukwa chamafuta otsika kwambiri. Nthawi zina, chithandizo chosankhidwa chimasankhidwa.

Ndi kapamba

Zochita za kukonzekera kwa enzyme sikuti ndikuchotsa ululu pakachulukitsa kamatumbo, koma kutulutsa ziphuphu. Ndi kutupa kwa chiwalo ichi (kapamba), munthu amamva zizindikiro za kuledzera, ululu wam'mimba komanso chimbudzi.

Zikondwererozo sizimalimbana ndi chimbudzi cha chakudya. Pancreatin mu kapamba amathandiza kupewa zovuta. Komabe, pali mitundu yamatenda yomwe sikutheka kumwa kukonzekera kwa enzyme, koma pali omwe adayikidwa kuti akhale ndi moyo. Pofuna kukulitsa vutoli, kudzipereka nokha sikuloledwa.

Momwe mungatenge ndalama zachilengedwe malinga ndi Sokolinsky System

Popeza pali mitundu yambiri ya mankhwala ochepetsa mphamvu ya mankhwala pamsika wamankhwala, kusankha kuyenera kupangidwa ndi adokotala. Ndi iye yekhayo amene angasankhe mankhwala, osakhala ndi zovuta zoyipa ndi zotsutsana, kuti apewe kukulitsa gawo lomwe limayambitsa matenda.

Kuphatikiza pa chithandizo chamankhwala cha pancreatitis pachimake, mankhwala achikhalidwe amagwiritsidwa ntchito nthawi zambiri. Maphikidwe otsatirawa alipo:

muyenera kutenga 2 tbsp. spoons a timbewu tonunkhira, chamomile, maluwa marigold (calendula), komanso - chimanga stigmas. Zinthu zake zonse ziyenera kusakanikirana bwino. Chotsatira, muyenera kutenga supuni iyi yosakaniza 1 ndikuthira madzi otentha (malita 0,5). Tenthetsani zonsezi pakusamba kwa madzi kwa mphindi 20. Ndikofunikira kuziziritsa msuzi - pafupifupi ola limodzi. Msuzi ukaphiriridwa ndikuphwanyidwa, uyenera kusefedwa. Msuzi wokonzeka uyenera kumwedwa katatu patsiku, theka la ola musanadye, kapu ya 1⁄4. Chithandizo chikuyenera kuchitika kuyambira masiku 10 mpaka 15,
muyenera kutenga 2 tbsp. supuni immortelle udzu, katsabola mbewu, zipatso za hawthorn ndi 1 tbsp. supuni ya chamomile. Zinthu zake zonse ziyenera kusakanikirana bwino. Kenako, tengani supuni 1 ya kaphatikizidwe kameneka ndikudzaza ndi 400 ml ya madzi otentha. Zitatha izi, zomwe zili mkati ziyenera kubweretsedwa ndikuwotcha. Kulowetsedwa kumachitika mkati mwa ola 1. A decoction amatengedwa katatu patsiku, makapu 0,5 aliyense. Ndikofunika kuti mankhwalawa agwiritsidwe ntchito mukatha kudya,
ayenera kumwedwa m'zigawo zofanana za madzi a mbatata ndi kaloti (mwatsopano ofinya). Kusakaniza kwamachiritso kumatengedwa katatu patsiku, kwa mphindi 20. pamaso chakudya, mu 0,5 chikho. Njira yaledzera masiku 7. Maphunzirowa akhoza kubwerezedwa pambuyo masiku 10 ndikuchitika mobwerezabwereza. Madzi a mbatata ndi kaloti ndi njira yabwino yothetsera kupweteka komanso kutupa.

Zotsatira zakuwunika anthu omwe adatenga mankhwala osiyanasiyana achilengedwe a pancreatic Asset Complex kwa miyezi iwiri

Muli ndi chilengedwe chachilengedwe cha 100% komanso chotetezeka ku mankhwala anu azaumoyo ndipo izi zimabweretsa chitetezo cha thupi ndi kuthandizira kwa ntchito yake nthawi yomweyo pakuya kwakukula kwakuthupi kuposa kungalipirira ma enzyme omwe akusowa.

Zomwe timachita: timachotsa zomwe zimapangitsa kuwonongeka kwa minofu: timasintha kapangidwe ka bile ndi kupatuka kwake kosavuta poyankha kudya. Pofuna kuti bile ikabwezeretse malo ake enieni ndikuimitsa "zochititsa mantha" maselo a kapamba, timathandizira gawo lomwe limatulutsa - kutanthauza, chiwindi.

Kuchepetsa katundu wapoizoni yemwe amakhumudwitsa kuzama kwa kapamba: nthawi yomweyo timatsata chakudya choyenera (onani pansipa), kuyeretsa magazi ndi hemosorbent yothandiza komanso yoteteza, tichotse zotsatira za poizoni zomwe zimatengedwa m'matumbo ndi microflora yosokoneza komanso mavuto amtumbo.

Kusankha koyenera, kumene, ndikochita njira yoyamba ya kuyeretsa kozama ndi kupatsa thanzi, kubwezeretsa microflora yamatumbo. Momwe mungachite. Koma nthawi zambiri timakumana ndi vuto lomwe munthu sakhala wokonzeka kutsegula kwambiri, matenda am'mimba akuda nkhawa pakalipano, ndipo ngakhale amafotokozeredwa onse, ndikufuna kupeza thandizo lowoneka mwezi watha m'malo motenga ma enzyme nthawi zonse. Ndiye timagwiritsa ntchito zovuta zotere.

Zakudya zopatsa thanzi: kuchepetsa kwambiri mafuta, nyama, kirimu wowawasa, etc., zakudya zamzitini, nyama zosuta, mowa ndibwino kuti musatenge, koma ngati ndi okhazikika, ndiye kuti sipangakhale kapu ya vinyo wowuma patsiku. Pali zakudya zinayi patsiku, timagawa chakudya chimodzimodzi.

Timatsuka magazi a poizoni omwe amatha omwe amakhudza kapamba kudzera m'chiwindi. Kwa izi, palibe wofanana ndi Zosterin Ultra 30%. 1 sachet (1 g) patsiku (kuchepetsedwa mu ½ chikho madzi otentha) kwa masiku 20, osaphatikiza mu nthawi ndi chakudya ndi mankhwala.

Mankhwala achilengedwe awa, omwe amaphatikizapo 100% pectin ya udzu wanyanja wa Zoster marina, amatha kuchotsa poizoni wosafunikira, poizoni wazakudya, ndi mankhwala a kagayidwe kachakudya ka thupi.

Kafukufuku wambiri wachitika pa chida ichi. Masiku ano, pakati pazithandizo zachilengedwe, Zosterin kopitilira 30% ilibe mawonekedwe ofanana ndi ake. Ichi ndi chimodzi mwazithandizo zomwe timakonda mu Health Recipes.

Timatenganso Ziflan (Export formula), yomwe ili yapadera pamlingo wina wowongolera magwiridwe antchito a maselo a chiwindi, kuchokera ku zithandizo zachilengedwe. Tengani 1 zisoti. Katatu patsiku musanadye. Zochita bwino ndi Maphikidwe azaumoyo kuyambira 2002!

Ziflan (Export Fomula) yadzitsimikizira ngati chida chomwe chimagwira ntchito pa kapamba kudzera kuyeretsa chiwindi, kukonza kutuluka kwa ndulu ndikupanga ma asidi a bile kuchokera ku cholesterol, kumathandizira kuchepa kwa viscous, bile yayikulu ndikuchepetsa lithogenicity yake.

Immortelle Extract, gawo la Ziflan (Kutumiza Fomula), ndizopadera! Zofananira zachilengedwe zofananira 100% zakuthandizira kutulutsa kwa bile ndikuyeretsa chiwindi sizipezeka ku America kapena ku Europe.

Timasinthanso microflora yamatumbo, kubwezeretsa ntchito yake, kuchepetsa katundu pa kapamba ndi Unibacter. Mndandanda wapadera. Chida chapadera ichi ndi gwero lactic acid ndi mabakiteriya achilengedwe kuti abwezeretse micobiota ya munthu wathanzi (imakhala ndi mabakiteriya 13 ochokera m'magawo 4, kuchuluka kwakukulu kwa mabakiteriya sikupezeka mu mankhwala ena onse).

Propionic acid mabakiteriya omwe amapanga Unibacter. Mndandanda wapadera, chifukwa cha kupondereza kubzala kwachilendo, amakhalanso ndi anti-yotupa yakomweko. Ntchito yapamwamba ya mabacteria opindulitsa Unibacter.

Gawo lachinayi la dongosololi ndi phytosborder makamaka yopangidwira zikondamoyo zomwe zimachulukitsa bioavailability. Phytocalkule phytosorb. Imwani ndi supuni 12 pa 200 ml. madzi otentha (osati ozizira), tsimikizani mphindi 5, kotero thonjetsani kawiri patsiku musanadye.

Kusiyana kwake ndi njira zina kumakhala ndi zolemba zambiri zosankhidwa bwino ndi momwe zimapangidwira. Zitsamba zonse zomwe zimaphatikizidwa ku Fitokalkul zimadulidwa bwino, zomwe zimatha kukulitsa mayamwidwe padziko komanso kuchuluka kwa zitsamba.

Komanso, mwezi wachiwiri tikupitiliza kutenga Unibacter. Mndandanda wapadera wa 1 zisoti. 2 pa tsiku.

Zofunika! Ngati pali zovuta kwambiri ndi chopondapo, onetsetsani kuti muwonjezera kuchuluka kwa fiber mu chakudya chanu, mwachitsanzo, pakalibe nthawi yophika masamba, ndikofunikira kugwiritsa ntchito Redi Fibers.

Mukamaliza maphunzirowa, muyenera kuwunika zomwe zachitika: kuchuluka kwa chimbudzi, kuphatikizapo kuchuluka kwa chimbudzi, ngati kusokonekera mu hypochondrium yakumanzere komanso mu hypochondrium yoyenera, kutsetsereka kwatha.

Tsopano mutha kumvetsetsa bwino ngati kapamba wanu amatha kukhalapo popanda kugwiritsa ntchito michere kapena ngati mwachedwa kale ndikuyamba kugwiritsa ntchito mankhwala achilengedwe komanso kusintha kwa zakudya ndipo muyenera kuwona dokotala.

Choyamba, chifukwa ndanena kale kuti zomwe akwanitsa kuchita ndi zabwino. Ndili wotsimikiza za iwo kuti Sokolinsky Center imatsimikizira kubwezeredwa ndalama ngati munthu sangatsutsidwe.

Ndibwereza bwereza: Ine ndikutsutsana ndi lingaliro la "njira zina zochiritsira kapamba" m'manyuzipepala, magazini, intaneti. Munthawi zonsezi, ndibwino kukambirana ndi katswiri.

Mutha kupeza kuyankhulana nokha kapena kudzera pa skype, foni, imelo. Kuphatikiza apo, mukalumikizana ndi Sokolinsky Health Recipes Center mwachindunji, titha kutsimikizira kutsimikizika kwa 100% pazachilengedwe. Zithandizo zachilengedwe sizachiritsa.

Pezani zokambirana

Mwa anthu akuvutika ndi kutupa kwa kapamba, zoletsa zomwe zimachitika m'thupi limachitika. Kuti abwezeretse ntchito yake, madokotala amalimbikitsa kutenga ma enzyme a kapamba ndi matenda ena ammimba.

Kupukusa kumayambira ndikupanga malovu; malovu mumakhala zinthu zomwe zimatha kuwononga chakudya.

Chakudyacho chikamapitirira, msuzi wa chakudya umalowa m'mimba, pomwe umayatsidwa ndi madzi am'mimba, ndikugawikanso chakudyacho ndi hydrochloric acid, kenako chakudya chimalowa m'matumbo aang'ono, pomwe chimayamba kugawanika ndi madzi a bile ndi pancreatic. Pancreas wathanzi amabisa mitundu yambiri ya enzyme yopanga thupi:

michere ya proteinolytic
pancreatic lipase yofunikira pakuwonongeka kwamafuta,
pancreatic amylase, yofunikira pakuwonongeka kwa chakudya chamoto.

Mu matenda a kapamba, kupanga ma enzyme kumachepetsa kwambiri. Vutoli limatchedwa "kuchepa kwa kapamba."

Kuperewera kwa michere ndiye chifukwa chachikulu chomwe matenda monga kapamba amayamba. Ndipo kale zimabweretsa zovuta ndi chimbudzi cha chakudya komanso kukula kwina kwamatendawa, omwe pambuyo pake amayamba kudwala.

M'matenda owopsa a matendawa, gland yodzala imangolephera kupanga michere yofunikira yokha, imakhudzidwanso ndi njira zowonongeka, chifukwa chomwe imfa yochepa ya chiwalo ingachitike.

Chifukwa chiyani ndimagwiritsa ntchito ndalamazi?

Ngati mulibe vuto ndi chimbudzi, ndiye kuti mutha kugula Complex ya kapamba, yomwe simuphatikiza Unibacter. Mndandanda wapadera. Ndizomveka kuzigwiritsa ntchito, ngati zisanachitike kuti Complex ya kuyeretsa kwakukuru ndi zakudya zophatikiza ndi NutriDetox idatengedwa kale ndipo microflora adakonzedwa pogwiritsa ntchito Unibacter. Mndandanda wapadera.

Njira yothandizira chiwindi, chikhodzodzo, zikondamoyo pamenepa zimangophatikiza zotsatira ndikukulolani kuti muwonjezere zakudya zanu (koma osabwereranso ku nkhanza za mafuta, nyama, mowa).

Dongosolo la Sokolinsky ndi njira yokwanira ya thanzi lanu, sitigwira chinthu chimodzi. Timachita chilichonse nthawi imodzi. Cholinga chathu, pakulimbana kobwezeretsa kapamba, ndikuthandizanso magazi, chiwindi, ndi chimbudzi.

Kupewa kufalikira kwa pancreatic kutupa

Kuchepa kwa magwiridwe antchito a kapamba kumabweretsa kuchepa kwa ma enzyme ofunikira pakugwira ntchito bwino kwam'mimba. Ndikofunikira kutenga enzyme kukonzekera kapamba kuti apange kufooka kwa michere yawo ndikudziyendetsa modabwitsa m'matumbo a munthu.

Kutsogolera ntchito ya m'mimba ndi njira zake, kukonzekera kwa enzyme kumalingaliridwa

Ma Enzymes ndi zinthu zokhudzana ndi chilengedwe zomwe zimapangidwa ndi kapamba ndipo zimathandizira kusweka ndi kugaya chakudya m'mimba yaying'ono. Zinthu izi zimatha kugwetsa zinthu zovuta kukhala zosavuta, zomwe zimatha kuyamwa ndi mucosa wamatumbo ochepa.

Pancreas imapanga ma enzyme ndi ma proenzymes oposa 20, omwe amagawidwa m'magulu akulu akulu:

Amylase ndi zotumphukira zake ndi michere ya amylolytic. Pogwira ntchito limodzi ndi zinthu zina, amaphwanya zakudya zamagetsi kukhala monosugars. Zomwe amylase zili m'magazi ndi mkodzo amawunika ntchito ya kapamba.
Lipase ndi phospholipase ndi ma lipolytic enzyme. Pamodzi ndi bile, amatha kutembenuza mafuta kukhala mafuta acids ndi glycerin.
Proteolytic - trypsin, chymotrypsin, elastase, etc. Sinthani mapuloteni kukhala amino acid. Amasungidwa mu mawonekedwe a proenzymes ndipo amathandizira kokha m'matumbo ang'onoang'ono mothandizidwa ndi ma enzymes ena (enterokinases). Chifukwa cha nyumbayi, Autolysis (kudzimbidwa) kwa kapamba sikumachitika.
Ma enzymes a Nucleolytic - ribonuclease, etc., okhudzidwa pakusintha kwa DNA ndi RNA.

Ma pancreatic michere mu pancreatic madzi amalowa mu duodenum, pomwe gawo limodzi la chimbudzi

Kuphatikiza apo, kapamba amatulutsa chiwonetsero chonse cha ma enzyme ena: alkaline phosphatase, phospholipase, etc., iliyonse yomwe imagwira ntchito inayake pakumata chakudya.

Zofunika! Thupi la munthu silipanga zinthu zomwe zitha kugwetsa fayilo. Izi zimachitika ndi tizilombo tating'onoting'ono timene timakhala m'matumbo akulu.

Milandu yomwe kapamba imaleka kupanga zinthuzo kwathunthu, wodwalayo akuwonetsedwa kusankha kwa enzyme kuti athetse kugaya chakudya ndikuchotsa chizindikiro cha matendawa.

Kukonzekera kwa enzyme kuyenera kuchitika:

Kuchokera pakuchulukirachulukira kwamatenda a kapamba.
Munthawi yonseyi, mumaperekanso matenda a celiac, cystic fibrosis, matenda a kutupa kwamatumbo.
Mankhwalawa matenda a hepatobiliary dongosolo, kukanika kwa sphincter wa Oddi.
Ndi kuchepa kwokhudzana ndi zaka.
M'magulu amoyo wathanzi atatha kudya kwambiri komanso kugwiritsa ntchito zakudya zamafuta.

Zomwe zimapangidwa bwino kwambiri ndi zinthu zovuta kuphatikiza zomwe zimapangidwa kuti zikhale chakudya chokwanira.

Zofunikira pazida zotere:

Chitetezo ndi chosagwiritsidwa ntchito poyipa.
Zoyambira nyama. Mankhwala omwe amagwiritsidwa ntchito kwambiri amachokera ku kapamba ka nkhumba. Kusankha uku ndikutengera kuti kapangidwe ka thupi la nkhumba ndiye kuyandikana kwambiri ndi anthu.
Kuphatikiza kwa mankhwalawa kumayenera kugonjetsedwa ndi mkwiyo wa hydrochloric acid wam'mimba ndikuwonongeka pokhapokha pamatumbo a matumbo.
Chiwerengero cha ma enzymes chiyenera kufanana ndi kuchuluka kwa chakudya chomwe chimagwiritsidwa ntchito komanso kuchuluka kwa ma enzyme omwe kapamba wathanzi amapanga bwino.

Zokonzekera zonse zimakhala ndi pancreatin, yomwe imaphatikizapo michere yayikulu ya kapamba: amylase, lipase, ndi proteinase.

Kulemba ma enzyme, monga mankhwala ena aliwonse, kuyenera kuchitika ndi dokotala yemwe amadziwa bwino mbiri yachipatala ya wodwala.

Mukamasankha mankhwala, chikhalidwe cha khansa ya m'mimba mwa wodwala ena imawaganiziridwa. Kuphatikiza apo, muyenera kudziwa zamatenda omwe wodwalayo ali nawo, mbiri yake yodetsa thupi ndi zambiri zowerengera.

Pazokonzekera za enzyme, magulu awiri amadziwika:

Chipolopolo chimodzi (Mezim, Pancreatinum). Kugwiritsa ntchito ululu waukulu, chifukwa amatha kulepheretsa kudzimbidwa kwa ndulu, amachepetsa kutupa kwake ndikuchepetsa kupsinjika mkati mwa ma ducts.
Zipolopolo ziwiri (Creon, Pansitrat). Zigawozi zimayikidwa mu ma microspheres, omwe amatetezedwa ndi chipolopolo chosagwira asidi. Kapangidwe kameneka kamawathandiza kuti azisakanikirana ndi chakudya ndikuwonetsa bwino zomwe zimachitika.

Pali mitundu ina ya kukonzekera kwa enzyme, mwachitsanzo, ophatikiza: kapamba limodzi ndi bile ndi hemicellulose. Woimira gulu lodziwika kwambiri ndi Festal.

Pancreoflat imathandizira kuti chisangalalo chichepetse, kuchepetsa kuphwanya kwamaso ndi kutulutsa

Mankhwala ena osakanikirana sayenera kugwiritsidwa ntchito pancreatitis pachimake komanso kuchulukitsa kwa nthawi yayitali, chifukwa ma acid a bile amatha kutulutsa ntchito ya kapamba, potero kupweteka kumawonjezeka.

Kugwiritsa ntchito kwa kukonzekera kwa enziroli kwa kapamba kumakupatsani mphamvu yogwirira ntchito kapamba komanso kupewa kutsika kwake.

Kuphatikiza apo, mankhwalawa amakulolani kugaya chakudya mokwanira ndikuthandizira odwala omwe ali ndi vuto lowuma kwambiri, monga nseru, kutulutsa m'mimba, kutsekula m'mimba, kuphwanya thupi.

Kusankhidwa kwa mankhwala ndi mankhwala ake ndi udindo wa dokotala yemwe amadziwa zonse zomwe zimachitika wodwalayo.

Pofuna kuthana ndi vutoli, dotoloyo akupereka mankhwala opangira enzymatic omwe ali ndi cholinga chobwezeretsanso kuchuluka kwa michere yomwe yasowa.

Mutatha kumwa mankhwalawa, chimbudzi chimabwereranso kwina, kapamba amabwezeretseka, magwiridwe antchito amayenda bwino.

Ganizirani ma michere amafunsidwa, momwe mungamwe mankhwalawa kuti muchiritse.

Ma Enzymes ndi zinthu zokhudzana ndi chilengedwe zomwe zimapangidwa ndi gland ndipo zimatumizidwa ku ziwalo ndi minyewa yathupi kuti igwire ntchito zovuta. Mwachitsanzo, kapamba amatulutsa insulin, glucagon ndi lipocaine - mahomoni ofunikira kuti chimbudzi.

Ma Enzym ndi gawo limodzi la madzi a pancreatic, omwe amatha kuthandizira kukumba kwa matumbo ang'onoang'ono. Ngati zinthu zosalowerera ndendende zikudutsa pamalowo, ma enzyme amayenera kuyambitsa kuti azichita nawo gawo la cleavage.

Monga lamulo, malo ochitira ma enzymes ndi duodenum. Ngati, pazifukwa zosadziwika, momwe zimayambira poyambilira, kusapeza kumachitika. Mwachitsanzo, pamene kulumikizana kwa ma enzymes ndi matumbo kumachitika nthawi yomweyo ndikutuluka kwa ndulu.

Mwa ma enzymes ambiri opangidwa ndi kapamba, ma enzyme omwe amaphatikizidwa ndi chimbudzi ndiofunika kwa wodwalayo, omwe kuperewera kwake kumagwira ntchito yolakwika m'mimba. Tikukamba za lipase, amylase ndi proteinase.

Amylase adapangidwa kuti agwetse chakudya. Kuwola kumachitika ndi "thandizo" la michere ina yomwe imapangidwa ndi matumbo ochepa.

Protease (ma protein enzymes). Mitundu yosiyanasiyana ya ma enzymes imasiyanitsidwa:

Awiri oyamba amafunika kuwonongeka kwa mapuloteni ngati pakhale gulu lalikulu la maselo. Enzyme yomaliza imakhala ndi ma peptides, omwe maselo ake amapanga chipangizo chophweka, kukonzekera mu amino acid samatenga nthawi yambiri.

Mtundu wama Enzymes amadziwika kuti ndiowopsa, makamaka akamagwira ntchito. Kuchokera kapamba, zinthu sizimalowerera, zimagwira ntchito zikaonekera pa trypsin, yomwe imatha kugwira ntchito palokha.

Nthawi zina, ndi ntchito ya trypsin yokhala ndi ma enzymes a proteinolytic, kutupa kumayamba, madokotala nthawi zambiri amayenera kusiya ma enzymes.

Nyukiliya, zomwe zimaphatikizapo RNA ndi DNA, ndizomwe zimayambitsa kusintha kwa chidziwitso cha majini.

Lipase ndiyofunikira kuphwanya mafuta muzinthu zosavuta. Monga ma enzymes osankhidwa, lipase imagwira ntchito kaphatikizidwe ndi ena omwe amapangidwa m'magawo am'mimba.

Phospholipase ya enzyme imadziwika. Kuchokera ku dzina ndizodziwikiratu: chinthu chama mankhwala chimagwira mwachindunji kuwonongeka kwa phosphorous, phospholipids ndi collagenose, zomwe zimakhudza bwino kapangidwe ka minofu yolumikizana.

Madokotala azindikira zifukwa zingapo za kuchepa kwa ma enzyme:

minofu yachilengedwe yachilengedwe imaloŵedwa m'malo ndi cholumikizira,
pancreatic ducts atrophy
Pancreatic ducts yatupa, ndipo msuzi wa m'mimba ofunikira kuti chimbudzi chisafikire komwe wafika,
minofu ya kapamba imagawika chifukwa cha njira yotupa, ndikuwononga chiwalo chokha.

Ndizomveka kumwa mankhwala omwe angabwezeretse michere ndi kapamba pazoyenera zawo.

Kuzindikira kusowa kwa enzyme yapadera m'thupi sikophweka. Poyerekeza ndi momwe wodwalayo akumva kupweteka, nkovuta kugwira zomwe munthu akuchita. Mukapenda mosamala, zimawonekera:

kutulutsa pafupipafupi,
kumva mseru mukamadya zakudya,
kutsegula m'mimba, kulimbikira kapena kupitilira,
kusowa chilimbikitso, kapena, chidwi chambiri,
kusabereka m'mimba popanda kutulutsa kwachidziwikire,
kutopa kosalekeza, kopanda tanthauzo.

Matenda a kapamba nthawi zonse amayambitsa zovuta zam'mimba, Zizindikiro zimangowonetsa kuchepa kwa enzymatic. Komabe, madokotala samapereka mankhwala okonzekera kapamba.

Kuperewera kwakukwanira komanso kotheratu kwa michere mthupi kumadziwika. Mtheradi - zoyipa kuposa wachibale, koma mankhwala obwezeretsa muyeso wa enzyme akadayesedwa.

Pancreatin Analogs

Digestin
Chiboni
Pancytrate
Mezim
Chikondwerero
Pancreoflat
Pancreasim
Enterosan
Panzinorm Forte
Panzinorm
Micrazim
Enzistal P
Penzital
Pangrol
Malembo
Abomin

Pancreatin analogues akuphatikizapo Biozyme, Zimet, Creon, Lycrease, Mezim (Mezim Forte), Mikrazim, Pangrol, Panzinorm, Pancreal, Pancreal Kirchner Pancreatin-ICN, Pancretin LekT, Pancreatin Forte, Pancreatin 8000, Pancreatin Pancreatin, Pancreatin Pancreatin ya ana, Pancreatin-Health Forte 14000,

Mukapenda ndemanga za mankhwalawa, munthu akhoza kupeza mafunso oti "Chofunika ndi chiani - Mezim kapena Pancreatin?", "Pancreatin kapena Creon - ndibwino bwanji?" Kapena "Kodi pali kusiyana kotani pakati pa Creon ndi Pancreatin?".

Mutha kudziwa kuti pali kusiyana kotani pakati pa mankhwalawa pamalangizo a aliyense wa iwo, komanso pamalingaliro anu kuchokera kwa gastroenterologists omwe akukumana ndi kufunika kowalembera tsiku lililonse.

Malinga ndi madotolo ena, Pancreatin ndi chida chothandiza kwambiri poyerekeza ndi Mezim, chifukwa chipolopolo chake choteteza ndicholondola kwambiri ndipo salola ma enzymes a madzi a m'mimba kuti awononge michere ya pancreatic yomwe ili mu mankhwalawa.

Zosafunikiranso ndizosiyana ndi mtengo wa mankhwalawa: Pancreatin ndiotchipa kangapo kuposa Mezima (izi ndizofunikira kwambiri kwa odwala omwe akuwonetsedwa kugwiritsa ntchito mankhwala omwe amapanga nthawi yayitali chimbudzi).

Kusiyana pakati pa mankhwalawa ndi Creon ndikuti chomaliza chimapezeka mwanjira ya minimicrospheres. Mtundu wapadera wa mulingo uwu umapereka mphamvu yapamwamba ya Creon poyerekeza ndi Pancreatin wachipembedzo mu mawonekedwe a mapiritsi ndi mapiritsi a mini, nthawi yayitali yopanda matenda komanso kubwezeretsa mwachangu komanso kokwanira ntchito yogaya.

Pancreatin yaana

Zomwe tikugwiritsa ntchito Pancreatin m'magulu a ana ndizosakwanira, chifukwa chake silikulimbikitsidwa kuti mupeze ana.

Kampani yopanga mankhwala ku Ukraine PJSC "Mavitamini" amapanga mankhwala "Pancreatin a ana", omwe amaloledwa kupereka kwa ana okulirapo zaka 3.

Kugwiritsa ntchito Mlingo wapamwamba wa kapamba pothandiza ana kumayambitsa kukwiya kwa dera, komanso kukhumudwitsa kwa nembanemba ya mucous mkamwa.

Pancreatin pa mimba

Pa nthawi yoyembekezera, azimayi ambiri amakhala ndi vuto logaya chakudya. Amawoneka ngati kusakomoka pamimba, kudzimbidwa, kutentha kwa mtima, kusanza, ndi zina zambiri.

Popeza Pancreatin ndi othandizira kugaya, funso limakhalapo kuti: "Kodi ndingamwe Pancreatin panthawi yapakati?" Komanso "Kodi ndingatenge Pancreatin?"

Mavuto akulu azimayi apakati ndi kudzimbidwa, kutentha kwa mtima komanso nseru. Kodi mankhwalawa amawathandiza?

Zomwe zimayambitsa kudzimbidwa ndikuphwanya mphamvu ya kugaya chakudya. Pancreatin sangathe kuthetsa. M'malo mwake, kuwamwa kungangokulitsa vutolo, chifukwa kudzimbidwa ndikotheka pazotsatira zamankhwala.

Ndipo popeza kunyansidwa ndi kusanza nthawi zambiri kumakhala kuledzera kwa thupi chifukwa chodzimbidwa, Pancreatin, motsatana, sichingawathandize. Zokhudza kutentha kwa mtima, nthawi zambiri, kugwiritsa ntchito Pancreatin kungalimbitse.

Opanga onse amachenjeza kuti mayesero azachipatala pazazomwe apanga pa amayi apakati sanachitike, ndipo palibe amene anganenere momwe thupi la womaliziralo lidzayankhira kutenga Pancreatin.

Zimangodziwika mosakayikira kuti mankhwalawa alibe mphamvu pa mwana wosabadwayo.

Chifukwa chake, malinga ndi malangizo, kutenga pancreatin ndi amayi oyembekezera kumaloledwa pokhapokha umboni wa dokotala. Nthawi zambiri, zotchulidwa mpumulo wa matenda a kapamba kapena chifuwa chachikulu chochepetsedwa katulutsidwe ka madzi a m'mimba.

Poyamwitsa, mankhwalawa amagwiritsidwanso ntchito pokhapokha poonetsa.

Chidziwitso! Chidziwitso chomwe chaperekedwa munkhaniyi ndi chongoongoyembekezera chokha. Zipangizo za m'nkhaniyi sizitanthauza kudzithandiza tokha. Ndi dokotala woyenera yekha yemwe angadziwe za matenda ake ndikuwapatsa chithandizo chamankhwala malinga ndi zomwe wodwala wina ali nazo.

Nkhani yasinthidwa: 05/22/2019

Ndemanga za mankhwalawa ndizambiri. Kuphatikiza apo, pafupifupi onse ali ndi zabwino: pamlingo wasanu, ogula amapereka mankhwalawa 4.9.

Ubwino wake ndi magwiridwe antchito (makamaka pamavuto am'mimba omwe amayamba chifukwa cha kudya kwambiri) komanso mtengo wotsika (kukhala analogue ya Mezim, imakhala yotsika mtengo kangapo).

Pa intaneti, nthawi zambiri mumatha kupeza malingaliro pazakugwiritsa ntchito ndalama pamavuto azambiri.

Komabe, kuwunika kwa Pancreatin chifukwa cha kuchepa thupi kumawonetsa kuti mankhwala omwe amatengedwa mwadongosolo komanso mosasamala ndi munthu wathanzi omwe ali ndi ma kilogalamu owonjezera amatha kupweteketsa zikondamoyo (zotsalazo "amangogwiritsa ntchito" kuti ma enzyme amachokera kunja, ndipo sawafunikiranso kukhazikika pawokha).

Chifukwa chake, monga momwe ziliri ndi mankhwala aliwonse, Pancreatin amayenera kutengedwa ndi kuyamikiridwa ndi adokotala ndipo akuwongolera.

Mankhwala IFK

Pancreatin Avexima Siberia LLC / Anzhero-Sudzhensky, Russia

Pancreatin Forte N20 mapiritsi a PAT »Vitamini» Ukraine

Pancreatin 250 mg No. 20 mapiritsi a PAT "Vitamini" Ukraine

Pancreatin forte N50 mapiritsi a PAT »Vitamini» Ukraine

Pancreatin No. 20 mapiritsi a ana a PAT "Vitamini" Ukraine

Pancreatinum 8000 No. 50 mapiritsi PrAT "Technologist", metro station Uman, Cherkasy dera, Ukraine

Pani Pharmacy

Pancreatin Health Forte 14000 mapiritsi a Pancreatin Health Forte. p / o enteric yankho. №20 Ukraine, Health LLC

Pancreatin Health Forte 14000 mapiritsi a Pancreatin Health Forte. p / o enteric yankho. No. 10 Ukraine, Health LLC

Mapiritsi a Pancreatin Pancreatin-Health mapiritsi, ophatikizidwa No. 20 Ukraine, Health LLC

Pancreatinum 8000 mapiritsi a Pancreatinum 8000 mapiritsi No. 50 Ukraine, Technologist PJSC

Mapiritsi a Pancreatin forte Pancreatin forte mapiritsi posttation №20 Ukraine, Mavitamini a PJSC

Pancreatin 25 PISCES No. 60.b.po. yankho. / Intestines. Biosynthesis (Russia)

M'mafakisi, mankhwalawa ndi otsika mtengo - pafupifupi 40 ma ruble a 60 zidutswa. Mtengo wa Pancreatin pamaneti ndi wofanana, ndiye kuti palibe chifukwa choti mugule pa intaneti. Pali ma analogi angapo omwe ndi okwera mtengo kwambiri, koma ofanana pochita. Ndiosavuta kupeza, kuyitanitsa pamndandanda ndi kugula m'masitolo a intaneti. Izi zikuphatikiza:

Kodi mankhwalawa amagwira ntchito bwanji?

Mankhwala obweza plasma okhala ndi wowuma wa hydroxyethylated. Katunduyu ndi wolemera kwambiri wama cell omwe amakhala ndi zotsalira zama glucose. Zinthu izi zimapezeka kwa ma polysaccharides achilengedwe; mbatata kucha ndi wowuma chimanga amagwiritsidwa ntchito ngati gwero.

Vutoli litayamba kulowa m'mitsempha, amylopectin imathiriridwa mofulumira, chinthu ichi chili m'magazi kwa mphindi 20. Kuti muwonjezere kukhazikika ndikuwonjezera nthawi ya mankhwalawa, hydroxyethylation imagwiritsidwa ntchito.

Kuwuma kwa Pentac kumapangitsa kuti magazi azisinthika kwambiri chifukwa cha kuchepa kwa hematocrit, kuchepa kwa mamvekedwe a plasma, kuchepa kwa maselo ofiira am'magazi, komanso kubwezeretsa kuchepa kwa magazi m'magazi.

Ngati wowuma wa pentac amalumikizidwa kudzera m'mitsempha, chinthu chogwira chimaphulika mchikakamizo cha kagayidwe kakang'ono kuti apange zidutswa zochepa za kulemera. Pulogalamu ya metabolic imatulutsidwa mwachangu kudzera mu impso.

Mankhwala ambiri amachoka m'thupi ndi mkodzo kudzera m'matumbo patsiku loyamba, komanso zinthu zotsalazo mkati mwa sabata.

Zizindikiro ndi contraindication

Ndi vuto la pancreatitis pachimake, malo kumbuyo kwa peritoneum amadzazidwa ndimadzi, omwe angayambitse hypovolemia. Mankhwalawa amagwiritsidwa ntchito ngati magazi atayika ndikuwonetsetsa kuti yankho la Crystalloid silokwanira.

Mankhwala a GetaSorb a 10% ndi 6% amatsutsana pokhapokha ngati pali matenda am'mimba, matenda oopsa, magazi ochepa, magazi osokoneza bongo, kulephera kwamtima, kusokonezeka kwa impso, kuperewera kwa chiwindi, mtima.

Komanso, kugwiritsa ntchito mankhwalawa saloledwa kuchepa thupi, kuchepa thupi, kuchepa magazi, kusokonezeka kwa magazi kwambiri, hyperchloremia, hypernatremia, hypokalemia, hemodialysis, ana osaposa zaka 18.

Mankhwala osokoneza bongo saloledwa ngati opaleshoni ya mtima yachita kale ndipo munthu ali m'mavuto.
Chenjezo liyenera kuchitidwa pamaso pa kulipidwa osakwanira, matenda a chiwindi, von Willebrand matenda, hemorrhagic diathesis, hypofibrinogenemia.
Pa nthawi yoyembekezera, mankhwalawa amatha kugwiritsidwa ntchito ngati njira yomaliza, ngati njira zina zochiritsira sizikuthandizira, pomwe maubwino omwe ali ndi amayi amakhala apamwamba kwambiri kuposa chiopsezo cha mwana wosabadwayo. Panthawi yoyamwa, yoyamwitsa iyenera kusiyidwa kuti isavulaze mwana.

Malangizo ogwiritsira ntchito mankhwalawa

Musanayambe chithandizo, ndikofunikira kuti mudziwe bwino zomwe mukuphunzirazo. Mankhwalawa amagwira ntchito pokhapokha gawo loyamba la kuchuluka kwa magazi, chifukwa chake limaperekedwa kudzera m'mitsempha ya magazi ndi magazi mu tsiku loyamba lokha magazi.

Mankhwalawa amachitika moyang'aniridwa ndi achipatala mosamala. Atangolandira zowonetsa, kulowetsaku kumayima.

Mlingo wokhazikitsidwa tsiku ndi tsiku komanso kuchuluka kwa njira yothetsera izi ziyenera kuonedwa mosamalitsa. Choyamba, Geta-Sorb imayendetsedwa pang'onopang'ono kuti kusintha ndikusintha kwa wodwalayo kuwunikidwe. Ngati n`kotheka anaphylactoid zimachitika, chithandizo yomweyo kusiya.

Dokotalayo amamulembera aliyense payekha, akungotengera momwe wodwalayo alili, kuchuluka kwa magazi omwe atayika, mulingo wa hematocrit ndi hemoglobin.

Mukamagwiritsa ntchito yankho la 6%, kulowetsedwa kwa mankhwalawa sikuyenera kupitirira 20 ml pa ola limodzi kutengera kilogalamu ya kulemera kwa odwala.
Ngati mankhwala 10% agwiritsidwa ntchito, kuchuluka kwa kulowetsedwa kungakhale 20 ml pa ola limodzi.
Kwa okalamba, mlingo uyenera kusankhidwa mosamala, apo ayi wodwalayo angayambe kulephera kwa mtima.

Zotsatira zoyipa

Zotsatira zoyipa zitha kuchitika ngati zigawo zowonjezera zamagazi sizinawonjezedwe. Kusakaniza kolakwika kungasokoneze magazi kuundana.

Nthawi zina, kuwonetseredwa kwa hypersensitivity ndikotheka, komwe sikudalira mlingo womwe umaperekedwa.

Kupitilira muyeso womwe waperekedwa kumabweretsa kuphwanya magazi, kuwonjezeka kwa magazi nthawi. Kuwala sikawoneka pakhungu, pomwe nkhope ndi khosi zimayamba kufinya, kugwedezeka, mtima komanso kupuma.

Ntchito yamagazi ya plasma α-amylase nthawi zina imachulukanso, koma ichi sichizindikiro cha kupunduka kwa kapamba. Nthawi zambiri, pakubwereza njira yothetsera vutoli tsiku lonse, khungu loyenda limayamba.
Ngati mankhwalawa amaperekedwa kwakukulu komanso mofulumira kwambiri, kulephera kwamitsempha yamagazi kwam'mimba ndi mapangidwe amitsempha, ndipo magazi amawundana.
Zikakhala zovuta kuti wodwalayo apume, amamva kuwawa m'dera lumbar, kuzizira, cyanosis, pomwe magazi ndi njira yopuma zimasokonekera, chithandizo chake chimasiya.

Yogwira pophika mankhwala kumawonjezera nephrotoxicity wa aminoglycoside mankhwala. Ndi munthawi yomweyo makonzedwe anticoagulants, nthawi ya magazi ukuwonjezeka. Kuphatikiza mankhwalawa ndi mankhwala ena saloledwa.

Gwiritsani ntchito yankho pokhapokha ngati dokotala wakupatsani. Alumali moyo wa 6% yankho ndi zaka 4, 10% - 5 zaka. Vial yosatsegulidwa imasungidwa kutentha mpaka madigiri 25 kutali ndi ana. Kuzizira kwam'madzi sikuyenera kuloledwa.

Mtengo wa mankhwalawa ndi wotsika ndipo ndi ma ruble 130 okha pa botolo la 500 ml. Mutha kugula njira yothetsera kulowetsedwa ndi mankhwala. Ma analogu okwera mtengo kwambiri akuphatikizapo Voluven, Refortan, HyperKHPP, Infuzol HES, Stabizol, Gemokhes, Volekam.

Zambiri pazamankhwala a kapamba zimaperekedwa mu kanema munkhaniyi.