• Zaumoyo

Osati kale kwambiri, bwenzi langa anali ndi ululu wam'mimba kwambiri. Koma sanathe kudziwa bwinobwino zomwe zimawakhumudwitsa. Mwanjira inayake adamunyengerera kuti apite kwa adotolo. Zinapezeka kuti nkhaniyi ndiyofunika kwambiri - kugwira ntchito molakwika kwa kapamba kunadzetsa ululu. Ma pancreatic malfunctions amatha kukhala pazifukwa zosiyanasiyana. Chifukwa chachikulu ndi kuperewera kwa zakudya m'thupi.

Ngati menyu yakunyumba ili ndi mitundu yambiri yokazinga, mafuta, zonunkhira, amchere, kusokonezeka kwa dongosolo lonse la m'mimba ndikotsimikizika. Ndipo ngati muwonjezeranso kupsinjika kosalekeza, chisangalalo, makamaka. Mnzanu ndi yemwe adayikidwa kuti adye kwambiri ndi Creon. Anazindikira kuti mankhwalawa amawononga ndalama bwanji mu pharmacy ndipo anakhumudwa. Zinakhala zotsika mtengo kwambiri pamadongosolo ake. Ku malo ogulitsa mankhwalawa, adalangizidwa kuti asinthe Creon ndi Pancreatin. Monga, kapangidwe kake ndi chimodzimodzi, koma kotsika mtengo kangapo. Ndiye choti achite? Tiyeni tiwone!

Kodi pali kusiyana kotani pakati pa mankhwalawa?

Choyambirira chomwe muyenera kutsogozedwa posankha "Creon" kapena "Pancreatin" ndiko kuzindikira ndi malingaliro a dokotala. Pamavuto ang'onoang'ono am'mimba, flatulence, mutatha kudya "zolemera", ndibwino kumwa "Pancreatin" yotsika mtengo. Ngati mwakhala mukutupa kwa kapamba (acute pancreatitis), chifuwa chachikulu, cystic fibrosis, Schweichmann-Diamond syndrome kapena mwachitidwa opaleshoni pamimba kapena kapamba kapena matenda ena akulu am'mimba, dokotala wanu angakulimbikitseni kuti mutenge "Creon".

Kusiyana kwachiwiri kwakukulu ndi kachitidwe ka mankhwala. Kuchita kwa Pancreatin kumayambira m'mimba, chifukwa ndi pomwe ma enzymes othandizira amamasulidwa pamapiritsi. Koma kumatumbo, chifukwa cha chilengedwe cham'mimba, ma enzymes pancreatin, amylase, lipase, trypsin ndi chymotrypsin samafika ku boma kuti achite bwino pakuwonongeka kwa mapuloteni, mafuta ndi chakudya.

Mankhwala "Creon" amapezeka m'mapiritsi a gelatin, omwe amayamba kusungunuka m'mimba. The michere yogwira pancreatin, amylase, lipase, trypsin ndi chymotrypsin, komanso ma exipients macrogol 4000, mowa wa cetyl, ndi phthalate ya hypromellose imafika. Ndipo chifukwa chake, zochita zawo zimakhala zopindulitsa kwambiri. Amaphwanya mapuloteni, mafuta ndi michere yambiri mwachangu komanso bwino. Chifukwa chake, kapamba alibe katundu wambiri, ndipo amachira mwachangu, ndipo thupi la munthu limalandira chakudya chokwanira cha metabolism.

Chofunikira china ndi mtengo wa kukonzekera kwa Pancreatin ndi Creon. Monga momwe tidadziwira, mapiritsi a Pancreatin amawononga ndalama kangapo. Kuyika "Pancreatin" 125 mg m'magawo makumi asanu ndi limodzi kumadula ma ruble makumi asanu okha. Makapisozi "Creon" amagulitsidwa m'mitsuko ya zidutswa makumi atatu. Sizingagulidwe yaying'ono. Mlingo nawonso ndi wosiyana: 10,000, 25,000 ndi 40,000 mg. Mtsuko wa makapisozi makumi atatu ndi mulingo wa 10,000 umatengera ma ruble mazana atatu.

Monga mukuwonera, zochita za Creon ndizambiri kuposa zochita za Pancreotin, koma ndizokwera mtengo kwambiri. Zambiri za opanga. Mankhwala "Pancreatin" amapangidwa ndi makampani ambiri opanga mankhwala ochokera kunja ndi kunja. Makapu a CREONA amapangidwa ndi kampani imodzi yokha yopanga mankhwala, yomwe ili ku Germany, Abbot Laboratories.

Kodi nchifukwa ninji munthu amafunikira michere yokumba?

Matenda ambiri amawoneka chifukwa cha kuchepa kwa enzyme. Thupi limakhala likukumana ndizotsatira zamthupi zomwe zimatsimikizira kayendedwe kazinthu zofunika. Izi zimachitika pamikhalidwe yokhazikika, popanda kuyang'aniridwa ndi kuthamanga kwambiri komanso kutentha kwambiri. Mu ma cell, zinthu zimaphatikizidwa zomwe zimapatsa thupi la munthu "zida zomangira" zofunika komanso mphamvu.

Chifukwa cha ma enzymes - mamolekyulu ovuta, kupukusa chakudya kumachitika m'maselo. Ma Enzymes ndi othandizira kwachilengedwe - zinthu zomwe zimathandizira poyambira kusintha kwa mankhwala, ndipo zimagawika m'magulu atatu:

1. Amylase. Otchedwa ma enzymes ndi mapuloteni enaake omwe amatha kukonza zakudya. Popeza pali mitundu yambiri ya chakudya, chilichonse chimafunikira mtundu wina wa amylase. Ma enzyme oterewa amawachotsa pamodzi ndi malovu kapena madzi a m'mimba.
2. Lipase ndi molekyu yama protein yokumba yomwe imaphwanya chakudya kukhala mafuta. Kutulutsa kwawo kumachitika m'mapazi ndi m'mimba palokha.
3. Protease - michere yomwe imapanga mapuloteni. Kulunzanitsa kumachitika m'mimba.

Munthu samalandira ma enzyme okwanira omwe amapulumutsidwa atatha kudya. Chithandizo cha kutentha chosalekeza chomwe zinthu zimadutsamo - kuphika kwa microwave, kusungunulira ndi kuzizira, kutentha kamodzi mpaka + 60 ... + 80 ° C, kumawononga ma enzyme. Chifukwa cha izi, kuchuluka kwamapuloteni oterewa sikulowa mthupi ndi chakudya.

Zakudya zomwe sizili ndi ma enzymes amoyo zimawononga thupi. Kuti mugaye chakudya chotere, amafunika kugwiritsa ntchito kapangidwe ka michere yowonjezera, ndipo chifukwa cha izi, kulengedwa kwa zinthu zina zofunika kuyimitsidwa.

Zonsezi zimabweretsa kusokonezeka kwa chakudya chamagaya. Zizindikiro zimawoneka monga kupweteka mutu, kutentha kwa mtima, matenda am'mimba, matenda am'mimba, komanso kudzimbidwa.

Chifukwa chake, munthu amafunikira michere yambiri pakugwira bwino ntchito kwa thupi, chifukwa ntchito yawo yayikulu ndikugawa zinthu zovuta kuzinthu zosavuta zomwe zimalowa mosavuta m'matumbo.

Zizindikiro zogwiritsidwa ntchito

Chizindikiro chachikulu chogwiritsidwa ntchito ndi mankhwala a Creon ndi chosakwanira kapena chofooka kwathunthu cha katulutsidwe wakunja kwa kapamba:

• kutupa kosapweteketsa kapena khansa ya kapamba,
• kusokonekera kwa mafupa,
• osakwanira ntchito mapangidwe michere okalamba mu m'mimba thirakiti,
• kusintha kwa mtundu wa transmembrane regatorator, kuwonongeka kwa ma tezi a endocrine,
• kulowetsedwa.

Ngati cholinga chachikulu cha chithandizo ndi Creon chikuchepetsera kapena kuthetsa kotheratu zizindikiro za matendawa, ndiye kuti mankhwalawo amadziwitsidwa ngati pali zovuta m'matumbo am'mimba:

• Pambuyo pamatumbo - kuchitapo kanthu kwa opaleshoni, komwe kumachotsedwa kwathunthu m'mimba,
• biliary zoletsa
• kuphwanya kayendedwe ka bile, kudzikundikira kwa ziwalo zake m'chiwindi,
• Zizindikiro zoyipa pambuyo pa opaleshoni kutiichotse ndulu,
• Zizindikiro pambuyo pochotsa mbali yam'mimba yomwe idakhudzidwa ndimatenda.
• matenda am'mimba ochepa matumbo,
• kukula kwakukulu kwa kuchuluka kwa mabakiteriya amatumbo.

Creon nthawi zambiri amaperekedwa kwa ana aang'ono atatha kutsegula m'mimba.

Chizindikiro chachikulu cha kugwiritsidwa ntchito kwa pancreatin ndi kuchiritsa kwina kwa exocrine pancreatic insufficiency:

• Kuchotsa kwathunthu kapena pang'ono kwa kanyumba pakuchita opaleshoni,
• matenda am'mimba,
• chimbudzi chovuta komanso chopweteka, kusokoneza kwa m'mimba,
• kutupa kosatha kwa kapamba,
• cystic fibrosis,
• Zizindikiro pambuyo kumveketsa.

Kuphatikiza apo, pali zisonyezo zina zomwe mungagwiritse ntchito, monga:

• kuchuluka kwambiri kwa mpweya m'matumbo,
• matenda opatsirana a m'mimba
• kugaya chakudya osavomerezeka m'mimba, kuphatikiza pambuyo poti wachotsedwa pang'ono,
• kukonzekera kwa ultrasound ndi x-ray.

Kutafuna kosafuna ntchito, kudya kwambiri komanso zakudya zosafunikira - zonsezi ndi chidziwitso chogwiritsira ntchito kapamba.

Kodi pali kusiyana kotani pakati pa mankhwala?

Chinthu chachikulu chomwe muyenera kuganizira mukasankha imodzi mwazomwezi 2 ndi umboni wa dokotala. Panthawi ya kudzimbidwa pang'ono, kusokonezeka kwakukuru kwa njira yogaya chakudya, kuchuluka kwambiri kwa mpweya m'matumbo, kudya zakudya zosafunikira, ndibwino kutenga Pancreatin. Ngati thupi likuwopsezedwa ndi matenda owopsa, monga pancreatitis yayikulu kapena pachimake, Schweichmann-Diamond syndrome, ngati wodwalayo wachitidwa opaleshoni yayikulu pamimba, ndiye kuti dokotala angavomereze kutenga Creon.

Kusiyananso kwina kofunikira ndi kachitidwe ka mankhwala m'thupi. Pancreatin amayamba kuchita mwachindunji m'mimba, monga ma enzymes akhama amamasulidwa m'derali. Chifukwa cha chilengedwe cham'mimba, ma enzymewawa sofika matumbo osasinthika, chifukwa chake sangathe kuchita bwino. Zinthu zogwira ntchito za Creon pamenepa, m'malo mwake, musakhale ndi nthawi yosungunuka ndikufikira matumbo osasinthika, zomwe zimapangitsa kuti chida chamagaya chizipanga zipatso zambiri.

Makhalidwe azinthu zomwe zimagwira

Ku Pancreatin, zinthu zomwe zimagwira ndi zinthu zopangidwa kuchokera ku zibambo za zikondamoyo za ng'ombe ndi nkhumba. Chofunikira chachikulu ndi pancreatin.

Zomwe zimagwira ku Creon zimapezeka kuchokera kuzinthu zothira pancreatic zokha kuchokera ku nkhumba. Yaikulu imapezekanso ndi pancreatin.

Ndibwino - Pancreatin kapena Creon?

Ndikosavuta kudziwa kuti ndi iti mwa mankhwalawa omwe amagwiritsidwa ntchito bwino pochiza mavuto amakani popanda chidziwitso cha dokotala komanso kukayezetsa kuchipatala kofunikira. Ngakhale mawonekedwe ofanana ndi zofanana, izi kapena mankhwalawa atha kukhala oyenera m'malo osiyanasiyana. Nthawi zambiri, posankha chithandizo, madokotala amadalira zotsatira zoyesedwa, zizindikiro ndi madandaulo a wodwalayo.

Mlingo ndi makonzedwe

Mankhwala a Creon amapezeka m'mabotolo okhala ndi mawonekedwe osiyanasiyana achilengedwe. Mlingo umatengera kuchuluka kwa kuperewera kwa m'mimba thirakiti. Mlingo wamba wa odwala akuluakulu ndi mayunitsi a 150,000 / tsiku. Pakakhala kulephera kwathunthu - 400,000 mayunitsi / tsiku. Mlingo woyenera wololedwa tsiku lililonse ndi magawo 15,000 / kg. Kutalika kwa mankhwalawa kumatengera mtundu wamatenda: pakudya m'mimba kwambiri - masiku angapo kapena masabata, chifukwa cha matenda omwe wodwala amafunikira nthawi zonse - zaka zingapo.

Pancreatin amagwiritsidwa ntchito ndi zakudya kapena atangodya. Mlingo wamba umachokera piritsi 1 mpaka 3 katatu pa tsiku. Ngati ndi kotheka, dokotala amatha kuwonjezera mulingo.

Mtengo wa mankhwala

Mtengo wa Creon umachokera ku ruble 280 mpaka 1300. (kutengera mtundu wa kumasulidwa). Pancreatin - ma ruble 40. ma 60 ma PC.

Olga, wazaka 29, Volgograd

Ndinayamba kumwa mapiritsi a Pancreatinum 1-2 ndikatha phwando lililonse lalikulu. Kudya kwambiri ndi mankhwalawa ndikosavuta kulekerera.

Natalia, wazaka 42, St. Petersburg

Chifukwa cha zovuta za chiwindi ndi ma ducts a bile, ndimakonda kutenga Creon ndisanadye chakudya chochuluka. Ziwalozo zinayamba kugwira ntchito mosavuta, nseru ndi ululu zinazimiririka.

• Kulandila ndi pancreatitis ufa Rehydron
• Kodi pali kusiyana kotani pakati pa allochol kapena cholenzyme
• Kuyerekezera kwa Almagel kapena Maalox
• Kodi nditha kumwa omeprazole ndi kapamba limodzi?

Tsambali limagwiritsa ntchito Akismet kulimbana ndi sipamu. Dziwani momwe malingaliro anu amapangidwira.

Kufotokozera zamankhwala

Kusiyana pakati pa mankhwala omwe mwakambirana kungawonekere kale poyambira phukusi. Creon imapangidwa ndi wopanga mawonekedwe a makapisozi osungidwa mumtsuko wama pulasitiki mumtsuko, pomwe Pancreatinum imaperekedwa nthawi zambiri mu mawonekedwe a piritsi ndipo imakhala ndi mizere khumi ya mapiritsi.

Mankhwala onse awiriwa ali ndi chinthu chofanana - pancreatin, chomwe ndi chosakanikirana cha michere yamagayidwe ndi michere yambiri.

Kuphatikiza kwa njira zonsezi ndi:

1. Mapuloteni - trypsin ndi chymotrypsin (kuphwanya zakudya za mapuloteni).
2. Alfa-amylase (enzyme yofunikira pakugaya chakudya chovuta).
3. Lipase (amaphwanya mafuta).

Kuti mupeze zinthu zogwira ntchito, zomwe Creon ndi Pancreatin amapangira, michere yokumba yomwe imapezeka ku kapamba ka ng'ombe kapena nkhumba imagwiritsidwa ntchito ngati zopangira.

Zizindikiro ndi contraindication

Ngakhale zikuwoneka chimodzimodzi, zomwe zikuwonetsa kugwiritsa ntchito mankhwalawa ndizosiyana. Ngati, malinga ndi malangizo a wopanga, Pancreatin angatengedwe pokhapokha ngati dyspepsia, flatulence kapena kudya chakudya cholemera chakugaya, ndiye kuti mndandanda wa matenda omwe Creon adayikidwa ndiwofalikira:

• Schwachman-Diamond syndrome,
• m'mimba ndi ntchito zina pamimba,
• aakulu kapamba
• opaleshoni yam'mimba, kuphatikizapo pancreatectomy,
• cystic fibrosis.

Chidziwitso cha kapangidwe ka mankhwalawa zimangotanthauza kukhazikitsa m'malo mwa Creon ndi Pancreatin, motsatana, lingaliro loterolo liyenera kupangidwa ndi adokotala.

Zotsatira zoyipa za kukonzekera kwa enzyme, zizindikiro za kupukusa m'mimba (kusokonezeka m'mimba, nseru, kusintha kwa chopondapo) zimafotokozedwa makamaka. Nthawi zambiri, akuwonetseredwa ka matenda a mankhwalawa omwe mankhwalawa adalembedwa kuposa zonse zomwe sizinachitike chifukwa cha mankhwala.

Kugwiritsa ntchito konse kwa Pancreatin ndi Creon kumatha kuyambitsa zovuta zilizonse, chifukwa chake, anthu omwe adalipo kale amalephera kumwa mankhwalawa!

M'pofunika kunena kuti kugwiritsa ntchito milingo yapamwamba kwambiri ya ma pancreatic enzymes (zoposa ma 10,000 masauzande a lipase pa 1 kg ya kulemera kwa thupi patsiku) mwa odwala omwe ali ndi cystic fibrosis atha kubweretsa mapangidwe a colonopathy ndi matumbo strictures. Odwala oterewa amalangizidwa kukaonana ndi dokotala ngati zizindikiro zatsopano zam'mimba zikuwoneka kuti athe kusintha mankhwalawa pakanthawi ndikuthandizira yankho losayenera.

Mawonekedwe a mankhwala

Creon imapangidwa ku kampani yopanga zamankhwala ku Germany, yomwe ili ndi Abbot Laboratories, koma Pancreatin imapangidwa ndi zambiri zamankhwala opanga mankhwala m'maiko angapo omwe kale anali Soviet Union. Monga tanena kale, zomwe zimachitika pokonzekera izi zimapezeka kuchokera ku ziweto, ngakhale, mzere wamba, zosiyana zimapangidwa. Zipangizo zofunikira za pancreatin zimapezeka kuchokera ku nkhumba zonse za nkhumba ndi nkhumba, pomwe zimagwiritsidwa ntchito popanga Creon.

Pali zosiyana pazomwe zili mumtundu ndi mawonekedwe omasulidwa. Mlingo wa wogwira ntchito ku Creon ndi chimodzimodzi mu kapisozi iliyonse yoletsa gastro. Kusakaniza kwa ma enzymes omwe amapezeka ku porcine pancreas ndi gran gran ndipo imakhala ndi ma minimicrospheres, omwe amateteza bwino chinthu chogwira ntchito ku chiwonongeko cha acidic pamimba. Kutulutsidwa kwamtunduwu kumakupatsani mwayi kuti mupereke mankhwala okwanira kumtunda wakuchitapo kanthu - m'matumbo.

Mosiyana ndi Creon, pancreatin phukusi silikuwonetsa kuchuluka kwenikweni, koma chiwerengero chokwanira pafupifupi magawo 8,000. lipases. Chifukwa chake, wopanga amavomereza kuti kuchuluka kwa enzyme piritsi la Pancreatin kungakhale kocheperako poyerekeza ndi kuchuluka komwe kunanenedwa, komwe mwachilengedwe kungakhudze mtundu wa chithandizo ndi mankhwalawa. Komabe, kuwonjezera pa izi, Pancreatin ali ndi chojambula china - mawonekedwe omasulidwa. Kuphimba kwa mapiritsi sikukuteteza chinthu chogwira ku nkhanza za asidi am'mimba, kotero ma enzymes ena amalepheretseka asanalowe m'matumbo. Komabe, ena opanga amapanganso mankhwala opaka pancreatin.

Njira yogwiritsira ntchito mankhwala

Mankhwalawa ayenera kumwedwa ndi chakudya kapena mphindi 20 zikatha, izi zimapangitsa kuti chakudya chikudyedwa bwino. Mlingo wake umasankhidwa ndi dokotala aliyense payekha, kutengera matenda, kutalika kwa mankhwala kumatsimikizidwanso ndi katswiri. Chifukwa chake, musanayambe kugwiritsa ntchito mankhwala ndi analog, mulingo woyenera uyenera kufufuzidwa.

Ngakhale pamalamulo ovomerezeka, mankhwalawa amakhudzidwa kwambiri.

Pancreatin tikulimbikitsidwa kutsukidwa ndi madzi amchere, monga madzi a mchere a Borjomi. Njira iyi imakuthandizani kuti muchepetse acidity ya madzi am'mimba kuti ma pancreatic enzymes afikire matumbo ndi kutayika kochepa.

Komanso, makapisozi a ku Creon ndi ma minimicrospheres omwe amapezeka mkati mwake amakhala osakanikirana ndi asidi ndipo amawonongeka kokha chifukwa cha chilengedwe chamchere, chomwe nthawi zambiri chimasungidwa m'matumbo, chifukwa chake ndikosayenera kumwa Boron "Creon". Kusavuta kwa mankhwalawa kumagonekanso chifukwa chakuti odwala omwe sangathe kumeza kapisozi yonse (simungathe kutafuna) atha kupatsidwa zomwe zili mkati mwake. Ma granles ochepera a Creon amaphatikizidwa bwino ndi chakudya chochepa cha acidic (applesauce kapena zipatso zina puree) kapena msuzi ndipo nthawi yomweyo amatengedwa mkatikati osatafuna.

Kusiyana kwina pakati pa Pancreatin ndi Creon

Kupanga kwa Creon ndizovuta kwambiri komanso ndizofunikira kwambiri, zomwe zimapangitsa kuti ikhale mankhwala okwera mtengo poyerekeza ndi Pancreatin. Kuphatikiza apo, makapisozi a Creon amapezeka m'mitsuko ya zidutswa 30, kotero kupulumutsa mwa kugula paketi yosakwanira sikugwira ntchito.

Creon ikupezeka mu milingo itatu yowerengedwa m'magawo a ntchito ya lipase:

Kuchuluka kwa michere yam'mimba mu Pancreatin ndizocheperako poyerekeza ndi gawo laling'ono kwambiri la makapisozi a Creon ndipo ndi magawo 8000 okha a ntchito ya lipase. Komanso, nthawi zina mumatha kupezeka muma pharmacies Pancreatin Fort, pomwe kuchuluka kwa ma enzymes kumakhala kokwana 2 kuposa Pancreatin wamba, magawo 16,000 a ntchito ya lipase.

Mapeto omaliza

Pancreatin ndi Creon ali ndi zosiyana zingapo ndipo akhoza kufupikitsidwa motere:

Creon imakhala ndi mitundu yambiri yosankha ndipo imapezeka mu mawonekedwe a makapisozi osagwirizana ndi gastro, pomwe Pancreatin imapezeka muyezo umodzi wopezeka ndi piritsi popanda choletsa asidi. Kusiyana kumeneku kumakhudza mphamvu ya mankhwalawa komanso kugwiritsa ntchito mosavuta.

Malinga ndi akatswiri, kugwiritsa ntchito Creon ndikofunikira chifukwa chogwiritsa ntchito bwino ntchito yake popanga matumbo. Nthawi yomweyo, kuchokera pakuwona mfundo zamitengo, Pancreatin ali ndi mwayi wopindulitsa kwambiri, popeza njira yochiritsidwira ndi mankhwalawa idzataya chikwama pafupifupi ndi mtengo wotsika mtengo. Komabe, ndikwabwino kuti mupange chisankho pokhapokha ngati mwakambirana ndi dokotala za nkhaniyi.

Kanemayo ali ndi kufotokoza mwatsatanetsatane ndi zidziwitso pakugwiritsa ntchito Creon:

Creon kapena Pancreatin: ndibwino kuti kapamba?

Odwala ambiri omwe ali ndi mavuto ndi kapamba amasangalatsidwa ndi funso loti ngati Creon kapena Pancreatin ndiyabwino. Musanagule mankhwala amtundu umodzi kapena umodzi, muyenera kudziwa kuti ndi zigawo ziti zomwe zimaphatikizidwa ndi kapangidwe kake, komanso momwe zimakhudzira thupi la munthu.

Nthawi zina madokotala amatha kusintha mankhwalawo ndi amodzi, koma payenera kukhala zifukwa zomveka zotithandizira. M'matenda a kapamba, ndikofunikira kumwa mankhwala a enzyme omwe amathandiza kukonza chimbudzi. Izi ndichifukwa choti zomwe zakonzedwazo zimakhala ndi ma enzyme owonjezera omwe amathandizira kukonza chimbudzi ndikutsegulira tinthu timene timayika m'mimba, ndikuchotsa kwa iwo zochuluka za katundu pakupanga ma enzyme okugaya.

Mwa mankhwala otchuka omwe amagwiritsidwa ntchito pochiza matenda a kapamba, masiku ano ndi awa:

Mankhwalawa onse ali m'gulu la mankhwala omwe ali ndi enzyme, koma ali ndi mphamvu zawozikuluzikulupi.

Creon ndi Pancreatin ali m'gulu lomweli la mankhwala, koma mtengo wawo umasiyana kwambiri.

Chifukwa chake, kusankha Creon ndi Pancreatin - pali kusiyana kotani pakati pawo muyenera kudziwa pasadakhale. Mukamasankha mankhwala, ndikofunikira kumvetsetsa momwe mungagwiritsire ntchito ndi momwe mungagwiritsire ntchito. Kuphatikiza apo, muyenera kudziwa zomwe zimakhudza thupi la wodwalayo.

Kodi Pancreatin ndi chiyani, mawonekedwe ake

Monga tafotokozera pamwambapa, mapiritsiwa ndi a zokonzekera gulu la enzyme. Pancreatin imathandizira kukonza chimbudzi polowetsa michere ina yokumba m'thupi.

Popanga mankhwalawa, ma enzyme omwe amapangidwa ndi tinthu timene timayamwa m'magazi amagwiritsidwa ntchito. Ma enzyme amenewa amapezeka kuchokera ku zikondamoyo za ng'ombe.

Mafuta omwe amapezeka kuchokera ku kapamba ka ng'ombe, amatha kulipirira kuchepa kwa michere ya m'thupi m'thupi la munthu ndipo nthawi yomweyo imachotsanso kupsinjika kwa minofu ya zikondamoyo zoyipitsidwa.

Mankhwalawa amapangidwa ndi makampani azachipatala momwe amapangira mapiritsi oyera.

Kuchita kwa zigawo zikuluzikulu zomwe zimagwiritsidwa ntchito popanga mankhwalawa ndikufuna kuthana ndi chimbudzi cha chakudya chama protein, kuphwasika kwamafuta osiyanasiyana ndi mafuta wowuma.

Nthawi zambiri, Pancreatin amafananizidwa ndi Mezim onse otchuka. Izi ndichifukwa choti mapangidwe a mankhwalawo ndi ofanana, koma mtengo wa Mezim ndiwokwera kwambiri. Kusiyana komwe kumatsala pakati pa mankhwalawo sikofunika.

Enzymes zomwe zimapangidwa ndi mankhwala, akamwetsa, zimawonongeka. Kuti tipewe kuwonongeka kwa ma enzymes a madzi am'mimba, mapiritsiwa amakhala ndi zokutira zapadera zomwe zimaloleza ma enzyme kuti alowe mu duodenum ndikuchita ntchito zomwe apatsidwa.

Madokotala amalimbikitsa kumwa mankhwalawo musanadye kapena musanadye.

Kodi Creon ndi chiyani, ndi chiyani?

Mtundu wa mankhwalawa ndi kapisozi kakang'ono kamene kamakhala ndi gawo lina la mankhwala othandizira. Ma enzymes am'mimba amagwira ntchito ngati zosakaniza zomwe zimagwira. Kutengera mlingo, mitundu ingapo ya mankhwalawa imapezeka. Mlingo wa zomwe zimagwiritsidwa ntchito zimatha kusiyanasiyana kuchokera pa 150 mpaka 400 mg ya kapamba.

Creon imatengedwa ndi chakudya. Ndikulimbikitsidwa kuti muyezo umodzi mugaikidwe magawo awiri. Gawo lachitatu kapena theka la mankhwalawa liyenera kugwiritsidwa ntchito musanadye, ndipo otsala a limodzi la mankhwalawo amagwiritsidwa ntchito mwachindunji ndi zakudya.

Monga Pancreatin, Creon imatsutsana kuti igwiritsidwe ntchito pachimake kapamba kapenanso pakuwonjezeka kwa matenda.

Kuphatikiza apo, Creon sikulimbikitsidwa kuti igwiritsidwe ntchito poyambira kukula kwa kapamba mwa odwala.

Kugwiritsa ntchito kwa Creon sikungayambitse zotsatira zoyipa poyerekeza ndi kugwiritsa ntchito pancreatin.

Zigawo zomwe zimagwiritsa ntchito mankhwalawa zimakhala ndi membrane wapadera wamtundu womwe umawalola kufikira matumbo ang'onoang'ono m'matumbo am'mimba ndikuyamba kugwira ntchito monga lumen. Katunduyu wa mankhwalawa ndi mwayi wake wosakayikitsa poyerekeza ndi njira zina zofananira.

Kapangidwe kazigawo zomwe zimagwiritsa ntchito mankhwalawa sizosiyana ndi zomwe zimaphatikizidwa ndi pancreatin.

Mankhwalawa amathandizira kugaya mafuta, mapuloteni, ndi wowuma omwe amapezeka muzakudya zomwe zimalowa m'mimba. Kugwiritsa ntchito kwa Creon kumakupatsani mwayi woti muchepetse pang'ono pang'ono kapenshoni. Izi zimapatsa nthawi kubwezeretsa magwiridwe ake.

Panthawi yobwezeretsa kapamba, makulidwe a mapangidwe a michere yonse ya kapamba ndi maselo aminyewa ya glandular ya chiwalo ndikupanga mahomoni omwe amayendetsa kagayidwe kazakudya.

Nthawi yochira imakupatsani mwayi kusintha mtundu wa chakudya m'magazi a wodwala.

Mankhwala onsewa ndi fanizo la wina ndi mnzake. Kupanga kwawo kumakupatsani mwayi wina wogwiritsa ntchito wina. Lingaliro la mankhwala omwe angagwiritsidwe ntchito moyenera pazomwe zimaperekedwa liyenera kuthandizidwa ndi dokotala woganizira za momwe thupi alili komanso momwe alili, komanso gawo lachitukuko cha kuperewera kwa kapamba kapenanso magawo a kupitirira kwa kapamba.

Creon ndi Pancreatin - pali kusiyana kotani ndikufanana kwawo?

Kodi pali kusiyana kotani pakati pa Creon ndi pancreatin ndi kufanana kwawo?

Kufanana kwa mankhwalawo pakati pawo ndi kapangidwe kawo kofanana, kusiyana pakati pawo ndikupezeka kwa zinthu zina zothandizira.

Chifukwa cha kukhalapo kwa magawo ofanana mu mitundu yonseyi ya mankhwala, mphamvu yawo ya mankhwala pamthupi imafanana.

Ngakhale pali kufanana kwakukulu pakati pa mankhwalawa, pali zosiyana zambiri zomwe zimasankha kusankha kwa mankhwala mwanjira iliyonse.

Kusiyana pakati pa mankhwala ndi awa:

1. Njira yotulutsira mankhwalawa (Pancreatin imatulutsidwa m'mapiritsi, ndi Creon m'mapiritsi).
2. Kuchuluka kwa zinthu zogwira ntchito ku Creon ndi Pancreatin ndizosiyana kwambiri.
3. Creon yokhala ndi pancreatitis imayamba kugwira ntchito mwachindunji m'matumbo ang'ono, koma Pancreatin yomweyo ikangolowa m'mimba.

Chifukwa cha kukhalapo kwa kusiyana kumeneku, Creon ili ndi mphamvu yochizira.

Mtengo wamankhwala ndiosiyana kwambiri, Creon imakhala yodula kwambiri kuposa inzake.

Ngati mukufunikirabe mankhwala a Pancreatin ndi mankhwala ena, ndiye kuti ndikwabwino kusankha mankhwala omwe ali mgululi, iyi ndi Panzinorm. Mtengo wawo sikuti ndi wosiyana.

Omeprazole angagwiritsidwe ntchito ngati pancreatin.

Kodi madokotala amalangizanji?

Creon kapena Pancreatin, zomwe zimakhala bwino kwa wodwala, zitha kutsimikiziridwa ndi dokotala wopita.

Madokotala onse amati kuchiritsa kapamba palokha sikutheka. Chifukwa chake, ndibwino kusankha mankhwala pokhapokha mutakambirana ndi dokotala.

Ngati wodwalayo ndi wamkulu, ndiye kuti kusintha kwa mankhwala komwe kumachitika ndi kwina sikungadziwike. Ngati tikulankhula za odwala achichepere, kusinthana kwa ndalama kotereku kumatha kuyipitsa thupi.

Ndikofunikira nthawi zonse kukumbukira kuti mankhwala onse azamankhwala ayenera kugwiritsidwa ntchito mosamalitsa malinga ndi malangizo ndikusungidwa m'malo apadera. Ndikwabwino kukhala ndi firiji. Ndikulimbikitsidwa kuwerengera malangizo ogwiritsira ntchito malonda ndikusunga malinga ndi malingaliro a wopanga.

Creon ikhoza kudyedwa mwachindunji pakudya, ndipo pancreatin imatheka kwambiri mphindi 30 asanadye. Ndi njirayi, zotsatira zabwino kwambiri zimapezeka kuchokera kugwiritsa ntchito ndalama panjira yothandizira.

Kuyerekeza kulikonse kwa mankhwalawa kuyenera kukhazikitsidwa ndi deta yeniyeni pazomwe zimapangidwa ndimankhwala, chinthu chachikulu chogwira ntchito ndi kapangidwe kake kazinthu zolimbitsa thupi.

Momwe mungachitire pancreatitis pachimake akufotokozedwa mu kanema munkhaniyi.

Kutsika mtengo komanso kothandiza

Pancreatin ndi mankhwala otsika mtengo - mtengo wake umachokera ku 25 mpaka 60 rubles. kunyamula. Ndizowonetsera zamtengo womwe ndi chimodzi mwazinthu zowoneka bwino zomwe zimayankhula m'malo mwa Pancreatin. Aliyense amadziwa za zoterezi pomwe patebulo la chikondwerero mulibe nthawi yoti muziyeserera mbale zonse zomwe zimaperekedwa kubwalo la alendo, ndipo m'mimba mwadzaza kale, nkovuta. Ambiri mwa milandu yoterewa amagwira Mezim kapena Festal pafupi, koma si onse amene amadziwa kuti Pancreatin imachitanso chimodzimodzi, koma ndi zotsika mtengo kwambiri.

Pancreatin cholinga chake kuti abwezere kuchuluka kwa ma enzymes ofunikira kuti chimbudzi chizipezeka pakudya - mwina chifukwa cha kapamba, kapena chifukwa chakudya kwambiri. Inde, ma enzyme omwe amapanga mankhwalawa sanapangidwe mwakapangidwe. Amatengedwa ku zolengedwa za nyama zapafupi kwambiri ndi anthu zomwe zimapangidwa ndi DNA - nkhumba ndi ng'ombe.

Pancreatin ndi zovuta zam'mimba zama enzymes. Poyamba, zimawoneka ngati ufa wa imvi kapena chikasu hue, wopanda madzi, wokhala ndi fungo linalake. Pancreatin imagulitsidwa mwa mawonekedwe a piritsi.

Ntchito ya ma enzyme ndikupeza mafuta acids ndi glycerin kuchokera m'mafuta omwe ali m'zakudya, amino acid kuchokera kumapuloteni, monosugar ndi dextrins kuchokera kwa chakudya. Chifukwa chake, kupukusa mgawo kumakhala koyenera.

Zotsatira zoyipa:

• kudzimbidwa
• thupi lawo siligwirizana (makamaka kwa ana omwe ali ndi cystic fibrosis).

Ngati mankhwalawa amathandizidwa kuti azigwiritsidwa ntchito kwa nthawi yayitali, ayenera kukumbukira kuti amachepetsa kuyamwa kwa chitsulo. Monga lamulo, Pancreatin, ngati amatchulidwa kwa nthawi yayitali, amatengedwa limodzi ndi kukonzekera kwachitsulo.

Fotokozerani mphamvu ya mankhwalawa Pancreatin titha ndemanga ogula.

Svetlana: Monga ena ambiri, ndimakonda kudya zakudya zabwino. Makamaka paphwando pakakhala zinthu zambiri zosangalatsa pa thebulo zomwe maso anu amatha kutulutsa. Koma ngati simukukhala ndi malire pazakudya, ndiye, choyamba, pamapeto, mudzadya kwambiri ndipo mudzamva bwino, ndipo chachiwiri, moni, mapaundi owonjezera. Nthawi zonse ndimakhala ndi Pancreatin mchikwama changa cha milandu yotere. Zimathandiza kuthana ndi kuchuluka kwa chakudya ndikugaya chilichonse, zomwe zikutanthauza kuti simudzakhalanso wonenepa. Zachidziwikire aliyense adawona kutsatsa kwa Mezim pa TV. Pancreatin ndi ma enzymes omwewo, mankhwalawa okha siotchuka, ndipo amapangidwa ku Russia. Chifukwa chake, sichidziwika kwenikweni. Chifukwa chake zimakhala kuti zofanana ndizomwezo, koma mtengo wake umakhala wotsika mtengo kangapo.

Olga: Mwana wanga wamwamuna adapeza Escherichia coli, adotolo adatipatsa mankhwala awiri - Lactobacterin ndi Pancreatin. Pancreatin imathandizira kukhazikitsa chimbudzi, koma ndinakondwera kwambiri ndi mtengo wake - mapiritsi 60 amatenga ndalama zochepa kuposa ma ruble 30. Ndinachira msanga. Kenako ndinazindikira kuti Pancreatin imalimbikitsidwanso kwa anthu omwe amakhala moyo wongokhala. Mwamuna wanga ndi pulogalamu, amakhala nthawi yonse pakompyuta, ndipo amangokhalira kudandaula za mavuto ndi matumbo - nthawi zina kudzimbidwa, kenako mpweya. Ndinamupempha kuti amwe Pancreatin, patatha milungu ingapo zonse zikuyenda.

Natasha: Posachedwa poyizoni, sindikudziwa chiyani. Mkhalidwe wake udali - simungamveke nsanje, m'mimba mwanu muli wokhazikika, mumamva kuperewera, mutu wanu umapweteka, ndipo mumawona mabwanu pamaso panu. Ndidapempha amuna anga kuti apite kukampiri ya mankhwala, adabweretsa Pancreatin. Ndinkamwa mapiritsi awiri nthawi imodzi, ndipo nditatha theka la ola ndidayamba kuwamasula pang'onopang'ono. Ndipo zikuchokera kuti mankhwalawa amaphatikizidwa ndi ma enzyme otengedwa kuchokera mthupi la nkhumba ndi ng'ombe, motero zimatengedwa bwino ndi anthu.

Kwa iwo omwe amasamala zaumoyo wawo

Chimodzi mwazinthu zokonzekera kukonza chimbudzi ndi Creon. Izi zimapezeka mwanjira yama ma microcapsule okhala ndi chipolopolo chosungunuka, kotero zotsatira zake siziyambira mutangolowa m'mimba, koma mwachindunji m'matumbo aang'ono, pamene michere imamwa. Mkati mwa microscapsule iliyonse mumakhala nkhumba pancreatin, ndiko kuti, puloteni yothandiza kwambiri kupukusa mapuloteni, mafuta ndi chakudya ku "zomangamanga" zofunikira m'maselo a thupi.

Zoyipa:

• Hypersensitivity mankhwala
• kapamba pachimake,
• kapamba ndi Hyperfunction wa kapamba.

Creon ikhoza kusungidwa mu khabati yamankhwala, pomwe mukusamalira kuti dzuwa lowala siligwera.Ndipo, ndithu, muyenera kuteteza kwa ana.

Creon imalembedwanso kwa ana, imatha kutengedwa nthawi yapakati komanso mkaka wa m'mawere, popeza kunalibe zotsatirapo zoyipa.

Mtengo wa mankhwala Creon (ndemanga ogula za izi zitha kuwerengedwa pansipa) kuyambira 300 mpaka 600 ma ruble. kunyamula.

Nina: Mwana wanga anali asanakhale ngakhale chaka chimodzi pamene tizinthu tina tating'onoting'ono tapezeka m'matumbo athu. Anathandizidwa ndi maantibayotiki, ndipo pambuyo pake kugaya pansi kumakhala kulakwika. Dokotala wa adotolo adayankhira Creon. Kunena zowona, malingaliro anga siabwino kwambiri. Choyamba, ndiokwera mtengo kwambiri - makapisozi 20 amagulira pafupifupi ruble 500. Kachiwiri, chifukwa chakuti kapisozi iliyonse imakhala ndi mlingo wa "wamkulu", timayenera kutsegula kapitawo kalikonse, kugawa zomwe zili momwemo m'magawo atatu ndikuzitenga. Inde, zidathandizadi, koma zikuwoneka kuti ndizotheka kuchitira mwana m'njira zosavuta.

Maria: Tinali ndi dysbiosis. Zidachitika kuti mwana adadyetsedwa kuyambira pakubadwa, ndipo chosakanikacho sichikhala ndi zinthu zomwe zimapezeka mkaka wa m'mawere ndikuwonjezera chitetezo chokwanira. Dokotala wa ana adatipatsa Acipol ndi Creon 10,000. Ndimakonda mankhwalawo, mankhwalawa anali osavuta komanso osavuta. Mlingo womwe tinali nawo anali ma Micronogule 8 nthawi imodzi, pa izi ndidatsegula kapukutaku, ndikuwerengera magawo ndikuwawonjezera mu osakaniza. Malingaliro anga, kwa ana awa ndi mankhwala abwino kwambiri pazakudya zam'mimba.

Creon ndi Pancreatinum: pali kusiyana kotani?

Chifukwa chake, potengera kapangidwe kake kamakina, izi ndizomwe zimakhala chimodzimodzi - zovuta za ma enzymes zochokera kuzinthu zakunyumba za nkhumba kapena ng'ombe. Onani kusiyana kwawo.

Ndipo komabe - Pancreatin kapena Creon? Zabwino kwa wodwala, ndi dokotala yekha yemwe angadziwe. Dziwani kuti pamatenda owopsa kwambiri, Creon ndiyabwino kwambiri, popeza imafotokoza za kuchuluka kwa ma enzymes, zotsatira zake ndizothandiza kwambiri.

Zizindikiro ndi contraindication

Kodi Creon ndi Pancreatin adayikidwa liti? Makapisozi amatchulidwa kuti achulukitse matenda osachiritsika komanso pakachitika matenda a kapamba. Chidacho chimamezedwa ndi chakudya osafuna kutafuna. Mlingo umatha kugawidwa pakati kapena magawo atatu. Woyamba wa iwo amamezedwa asanadye, ena ndi chakudya.

Mlingo ndi wa munthu aliyense. Kuti muchiritse, muyenera kutsatira malamulo oletsa kudya, chotsani zakudya zopanda pake menyu.

Pofuna kupewa kuchepa kwamatumbo komanso kuchuluka kwa ndowe, muyenera kumwa madzi ambiri.

Sizinaphunziridwe mokwanira momwe mankhwalawo amachitikira pa mwana wosabadwa m'mimba komanso ngati amatha kumwa ndi amayi nthawi yoyamwitsa. Chifukwa chake, ndibwino kusiya kotheratu kugwiritsa ntchito mankhwalawa panthawiyi kapena kuonana ndi dokotala.

Mankhwalawa onse amaloledwa kwa ana (Creon, Pancreatin, zomwe zili bwino, adokotala asankha).

Pancreatin akuwonetsedwa mu milandu yotsatirayi:

• kusowa kwa katemera wogaya mu matenda osakhazikika,
• matenda obadwa kumene,
• pambuyo pa opaleshoni yam'mimba
• mavuto azakudya, kudya zakudya zoyipa,
• musanayambe maphunziro amtundu wamatumbo.

Ngati ndi kotheka, pancreatin imatha kuperekedwa kwa ana kuyambira zaka ziwiri. Kuti muchite izi, gwiritsani ntchito milingo yaying'ono.

Amawonetsedwa kwa ana ndi akulu ngati:

• kapamba sikuyenda bwino chifukwa cha kubadwa mwatsopano kapena chifukwa cha chibadwa (cystic fibrosis),
• pali ma pathological a ziwalo zogaya (kuphatikiza zina),
• kuchira pambuyo pakuthanso kwam'mimba kapena kuthirira ndikofunikira,
• chimbudzi chikhale cholimbikitsidwa chifukwa cha kuchepa mphamvu kwa thupi,
• kusanthula kwa ultrasound kapena x-ray ya ziwalo zam'mimba,
• kumagwiritsidwa ntchito molakwika chakudya chovulaza.

Mankhwalawa amatsogozedwa ndiulendo wopita kwa adotolo kuti akafotokozere za matendawo ndikulandila nthawi.

Kodi pali kusiyana kotani pakati pa mankhwala

Asanalandire chithandizo, kusankha kwa mankhwala kuyenera kuganiziridwa mosamala. Zimatengera kuzindikirika, kuuma kwa matendawa, zizindikiro zake. Tisaiwale kukumbukira posankha umunthu: zomwe zimayenera wodwala wina zimatha kuvulaza wina. Mankhwala amasiyana pang'ono ndi ena; Creon ndi Pancreatin, kusiyana kwake ndi kotani:

1. Ku Creon, kumakhala kuchuluka kwa pancreatin ndikuwonetsetsa mosamala kuchuluka kwa zigawo zikuluzikulu.
2. Manambala osiyanasiyana.
3. Kufotokozera kwa pancreatin sikunenanso kuchuluka kwa michere.
4. Creon imapangidwa m'mapiritsi a enteric, ndipo Pancreatin ndi mankhwala pamapiritsi (kusiyana ndi komwe kumayambira pakuyamba).
5. Chuma chachikulu cha Creon chimafika pamatumbo aang'ono. Pamenepo ndikoyambira kwa kukhudza kwake kwakukulu. Pancreatin m'derali ikuchepetsa kale ntchito yake.
6. Pancreatin ndi yoyenera kwambiri pochiza matenda am'mimba ofinya komanso kupewa. Creon - nthawi zina, kuphatikiza ngati kuli koyenera, kulowererapo kwakukulu.

Njira zimasiyana pakapangidwe kazinthu zazikulu.

Ubwino ndi zovuta za Creon

Ndibwino - Pancreatin kapena Creon? Yankho la funsoli ndi lachilendo. Ndi mankhwala ati omwe mungasankhe, adokotala amasankha payekhapayekha paliponse.

Mukamasankha mankhwala, amakumbukiridwa:

• thanzi la wodwala komanso kuuma kwa matendawa.
• zomwe zimayambitsa matendawa
• zotsatira zakufufuza zasayansi
• kapangidwe ka Creon (Pancreatinum).

Creon amalimbana ndi acidity. Amafika modekha m'magawo onse a m'matumbo, komwe amayenera kukwaniritsa ntchito yake yayikulu. Zimakhala ndi kuthandizira kugawidwa kwa chakudya kukhala zigawo zosavuta ndikuthandizira kuyamwa kwa zinthu zopindulitsa m'magazi.

Kumwa mankhwala nthawi zina kumabweretsa zotsatira zosayenera ndikuyambitsa:

1. Mimba.
2. Kudzimbidwa kapena kutsegula m'mimba.
3. Gag Reflex.
4. Kuyenda ndi khungu zotupa za khungu lawo siligwirizana.

Pakachitika zovuta, mankhwalawo amachotsedwa kapena amasinthidwa ndi oyenera kwambiri.

Ubwino ndi Zovuta za Pancreatin

Ubwino wawukulu wa Pancreatin ndizotsatira kwakanthawi komanso mwayi wogwiritsa ntchito kuti mupewe kupukusa chakudya.

Choipa ndichakuti asidi am'mimba sapatsa Pancreatin kwambiri, amawononga pang'ono mankhwalawo. Zotsatira zake, mankhwalawa amagwiritsidwa ntchito kuti aletse zovuta pambuyo kudya kwambiri kapena kudya zakudya zolemera kapena zachilendo.

Mankhwala onse awiriwa ndiosavuta kugula kwa mankhwala aliwonse popanda mankhwala. Izi zimangotsimikizira chitetezo chawo. Koma monga mankhwala ena aliwonse, kugwiritsa ntchito kwawo sikungathandizidwe mosasamala. Pali zochepa zotsutsana ndipo mndandanda wazosakhudzana ndizochepa, koma zilipo.

Simungathe kusankha nokha chithandizo. Ngakhale Creon ndi Pancreatin sanali osiyana kwambiri, ngati sanapatsidwe moyenera, mutha kuvulaza thupi.

Zomwe tinganene

Ngakhale mankhwalawa amafanana, kusankha kuyenera kuthandizidwanso chifukwa cha kupezeka kwa adotolo komanso momwe thupi la munthu liliri. Ngati mukukumana ndi mavuto osokoneza mankhwalawa, muyenera kufunsa dokotala.

Kusankha mankhwala motengera upangiri wa abwenzi, omwe mumawadziwa komanso ndemanga zomwe zalembedwa m'malo osiyanasiyana ndizoletsedwa. Mavuto omwe amadza chifukwa cha mankhwala osavulaza mwina sangathe kusintha. Pa kuti mukafumyepo pa numa, mukalabomfya inshita iikalamba no kubombesha.