Mapiritsi a pancreatin: malangizo ogwiritsira ntchito

Pancreatin ndi mankhwala opangidwa ku Russia omwe amapezeka kuchokera ku ma pancreatic enzymes a nkhumba, ng'ombe ndi ng'ombe. Mankhwala amapezeka mu mawonekedwe a mapiritsi omwe amayenera kumwa mkamwa. Ma pancreatic enzymes omwe amapezeka mu kapangidwe kake amathandizira kuti chimbudzi chikalowa m'thupi la munthu chikhale ndi chakudya, komanso kuti chiziwayika m'matumbo ang'onoang'ono. Kugwiritsa ntchito pancreatin pochiza matenda am'mimba thirakiti kumathandiza kuwongolera kapamba ndi kubwezeretsanso mgaya.

Pharmacological zochita ndi zikuchokera mankhwala

Zigawo zikuluzikulu za mankhwalawa ndi dimethicone ndi pancreatin. Zosakaniza zotsatirazi zimagwiritsidwa ntchito ngati zowonjezera:

ufa wa mkaka
silicon dioxide
chingamu,
sorbic acid
chigamba cha mapiritsi chilinso ndi sucrose, talc, titanium dioxide.

Pancreatin yomwe ili m'mapiritsi amapangidwa kuchokera ku kapamba kapamba. Thupi limapangidwa ndi zinthu zingapo za enzyme (lipase, trypsin, amylase, etc.). Ndizofunikira pakuwonongeka kwa polysaccharides, zomangira za peptide ndi mafuta acids.

Kugwiritsa ntchito mankhwalawa kuli ndi zolinga ziwiri zazikulu:

Patsani thupi ma enzyme, omwe, chifukwa cha kutukusira kwa England, adayamba kupanga zochuluka, koma amafunikira kugaya chakudya.
Sinthani njira ya chimbudzi, kagayidwe ndi kachulukidwe ka zinthu.

Dimethicone ndi mankhwala opanga mankhwala. Zimalepheretsa mapangidwe owonjezera a mpweya m'matumbo, amalimbikitsa kusweka ndi kuchotsedwa kwaulere kwa mpweya wophatikizidwa m'thupi. Chifukwa cha izi, mankhwalawa amalepheretsa kukula kwa matumbo colic, komanso amachepetsa kwambiri kulimba kwawo.

Ndi osakwanira nayonso mphamvu ya kapamba, colic amawoneka pafupipafupi, chifukwa chakudya chosasinthika chimayamba kupsa m'matumbo ang'onoang'ono, mabakiteriya okhala ndi tizilombo toyambitsa matenda amachulukana, zomwe zimapangitsa kuti pakhale mpweya wambiri, mawonekedwe a zopweteka kwambiri.

Kuphatikiza apo, mankhwalawa ali ndi zofatsa, zopatsa mphamvu, zoteteza. Dimethicone amalimbikitsa kupangidwa kwa kanema wowonda kwambiri pamatumbo am'mimba a ziwalo zam'mimba, zomwe zimawateteza kuti asavulazidwe ndi zomwe zimakwiyitsa (mabakiteriya, zinthu zovulaza).

Chizindikiro cha mankhwalawa ndikuti imagwira ntchito mkati mwa chimbudzi zokha ndipo sichimalowa m'madongosolo onse.

Kutulutsa mawonekedwe ndi mtengo wamankhwala

Pankreoflat amapangidwa piritsi. Mankhwalawa atha kugulidwa momasuka ku pharmacy popanda mankhwala.

Mbale imodzi imakhala ndi mapiritsi makumi awiri ndi asanu. Pali mbiri imodzi, ziwiri, zinayi kapena zisanu ndi zitatu zolongedza paketi. Mapiritsiwo ndi oyera mu utoto. Mtengo wapakati wa ma mbale awiri (mapiritsi 50) ndi ma ruble 1,780.

Zotsatira pa kapamba

Ndi kapamba, kuphwanya kapangidwe ka tinthu timene timayikidwa m'matumbo ndi zotheka. Kupanga kwawo kumatha kupanikizika kapena magwiridwe antchito omwe amapangidwa kale amachepetsa. Pambuyo pake, njira yonse ya chimbudzi imasokonekera, katundu wowonjezereka amayikidwa pa kapamba, matumbo akuvutika.

Chipangizocho chimadzaza thupi ndi zinthu za enzyme, zofunikira pakuchepa kwakanthawi ndikuyamba kudya. Pancreoflat amakhala othandizira kapamba, mtundu wa "dzanja lamanja". Zimakwanira kuchepa kwa ndulu. Izi zimathandiza kuteteza kugaya komanso kuchepetsa katundu pa kapamba.

Dimethicone yomwe ili mu mankhwalawa imakhala ndi vuto. Kuphatikiza apo, imaphimba minofu ya pancreatic ndi chingwe choteteza, kupewa kukwiya ndi kuwonongeka kuti athe kuwonekera pazinthu zovulaza.

Mankhwalawa amathandizira kukonza wodwalayo. Zimathandizira kuchotsa mpweya wambiri m'thupi, zimalepheretsa kukula kwa zizindikiro za matenda am'mimba, monga kutulutsa ndi matumbo.

Zizindikiro zazikulu za kumwa mankhwalawo

Malangizo a mankhwalawa amapereka kwa milandu yotsatirayi yomwe ikhoza kuchitika:

Kulephera kwapancreas (kupanga ma enzyme osakwanira kapena kuchuluka kwa chimbudzi chokwanira).
Kutupa kwa kapamba mu mawonekedwe osakhazikika.
Madzi a m'mimba samatulutsa.
Zovuta mu chimbudzi, limodzi ndi matenda a chiwindi, biliary thirakiti.
Zomwe zimayipa m'mimbidwe m'mene zimapangidwira opaleshoni pamimba kapena matumbo, makamaka muzochitikazo pamene zimatsagana ndi kuchuluka kwa mpweya, matumbo a colic.

Pancreoflat sichigwiritsidwa ntchito nthawi zonse pancreatitis. Kugwiritsidwa ntchito kwake ndikoyenera ngati kapamba sangakwanitse kupanga michere yofunikira yogaya chakudya kapena pambuyo poti iyambe kugwira ntchito. Nthawi zambiri, kuperewera kwa thumbo kumayamba pamene matendawa apangitsa kuti mbali ina ya ziwalo za thupi izifa, ndipo singagwire ntchito mokwanira.

Komabe, nthawi zina, mankhwalawa amadziwika ndi kupatsa mphamvu kokwanira, ngati kapamba imayendetsedwa ndi flatulence komanso kupweteka kwambiri m'matumbo colic.

Muzochita zachipatala, milandu yogwiritsira ntchito mankhwalawa kuyeretsa ziwalo zam'mimbidwe zam'mimba isanakwane x-ray kapena ultrasound imadziwika. Pancreoflat itha kutumikiridwa panthawi yovomerezeka yogwira ntchito m'matumbo pazochitika zamafuta am'mimba chifukwa cha zovuta zopanda chakudya, chakudya, poyizoni wa zakumwa zoledzeretsa, zomwe zimayendetsedwa ndi kupangika kwa mpweya, matumbo kuyimitsidwa, komanso kusokonezeka kwa chopondapo.

Contraindication

Mankhwala ndi oletsedwa kugwiritsidwa ntchito ndi:

Matupi a chifuwa chamtundu wa mankhwala.
Pachimake kapamba.
Kuchulukitsa kwa matenda am'mimba, matumbo, kapamba, impso, ndulu.
Osakwana zaka 12.

Ogwirizana contraindication ndi lactase akusowa, osati assimilation wa galactose, gawo loyamba la pachimake kapamba. Muzochitika izi, mankhwala amaperekedwa motsogozedwa ndi dokotala.

Palibe umboni kuti mankhwalawa angakhudze mwana wosabadwayo kapena thanzi la mayi wapakati, chifukwa chake, kugwiritsa ntchito mankhwalawa panthawi yapakati sikumayikidwa padera, koma ndikololedwa kokha ndikuyang'aniridwa ndi dokotala.

Mankhwalawa amagwira ntchito mkati mwa ziwalo zogaya zokha basi ndipo samangodutsa mu magazi enaake, motero, mwanjira yake, sayenera kudutsa mkaka wa m'mawere. Poona izi, mankhwalawo, ngati kuli kotheka, amatha kuperekera kwa amayi oyamwitsa.

Zotsatira zoyipa zomwe zingachitike

Ndi tsankho la munthu pazigawo za chinthucho, chifukwa chogwiritsa ntchito, totupa, redness, kuyabwa, ndi moto zimawoneka pakhungu. Izi ndi zizindikiro za thupi lawo siligwirizana.

Pakafotokozedwanso milandu yakuwonekera:

Kupweteka kwam'mimba.
Matumbo.
Kudzimbidwa.
Kutsegula m'mimba.
Kuchepetsa mseru
Kubweza
Kuchuluka magazi urea.

Ngati zizindikiro zotere zapezeka, kugwiritsa ntchito mankhwalawa kuyenera kuyimitsidwa ndikuyang'ana kwa dokotala.

Njira ndi mlingo wa ntchito

Gulu la zaka

Mawonekedwe a phwando

Akuluakulu ndi ana opitilira zaka 12Piritsi limodzi kapena awiri amaperekedwa nthawi iliyonse pachakudya. Mu ana osakwana zaka 12Mlingo ndi njira ya mankhwalawa imatsimikiziridwa ndi dokotala aliyense payekhapayekha.

Piritsi imatha kumwa kapena itatha kudya. Mankhwala tikulimbikitsidwa kumwa bwino ndi madzi.

Muyenera kuyang'anira gawo limodzi - mapiritsi ayenera kumeza, osati kutafuna ndikuyesetsa kuti musagwire pakamwa. Izi ndichifukwa ma enzyme ena omwe amapanga mankhwalawa, akaperekedwa mkamwa, amatha kupangitsa kuti pakhale zilonda zingapo pamlomo wamkamwa. Mapiritsi ayenera kutsukidwa ndi madzi okwanira.

Kutalika kwa mankhwalawa kwa nthawi yayitali, adokotala amafunsanso, kutengera mtundu wa momwe amapangira matenda:

Ngati zovuta zakudya zam'mimba sizigwirizana ndi matenda am'mimba, koma zimayambitsidwa chifukwa cha zakudya zopanda pake, poyizoni, nthawi yayitali ya mankhwalawa imatha kukhala masiku 3-5.
Kubwezeretsanso pambuyo pochita opaleshoni kungafunenso kumwa mankhwalawa kwa sabata limodzi kapena awiri.
Ngati kufunikira kwa mankhwalawa kumayambitsidwa chifukwa chakutha kwa pancreatic, ndiye kuti matendawa amatha mpaka pomwe chinsinsi cha ziwalozo chitha kubwezeretsedwanso kapena moyo (ngati chiwalo chambiri champhamvu chatha panthawi ya matenda ndipo sichingagwire ntchito modziyimira pawokha).

Kugwiritsa ntchito mankhwalawa mosasamala kungayambitse kuchuluka kwa urea m'magazi, kuwonongeka kwa impso.

Kuchita ndi magulu ena a mankhwala

Mukaphatikiza kugwiritsa ntchito Pancreoflat ndi mankhwala omwe adapangidwa kuti athetse hydrochloric acid omwe amapezeka mu madzi a m'mimba, mphamvu ya dimethicone imachepetsedwa. Palibe kuwonetsera kwina kwazotsatira zazikulu zamapangidwe amthupi a Pancreoflat ndi mankhwala ena omwe adadziwika.

Kuphatikiza apo, mankhwalawa samakhudza kusuntha ndikugwirizanitsa kayendedwe, chifukwa chake amatha kuphatikizidwa ndikuyendetsa ndi ntchito zina zomwe zimafuna kuti azikhala ndi chidwi.

Kuphatikiza ndi mowa ndi chakudya

Panthawi yamankhwala, saloledwa kumwa mowa, Amangoletsa kuthandizira kwa mankhwalawo, komanso amathanso kuyambitsa kuwonongeka kwa thanzi la wodwalayo, kukulira kwamphamvu matenda.

Mapiritsi amatha kugwiritsidwa ntchito onse pakudya komanso mphindi 10-15 pambuyo pake. Chofunika china ndicho kumwa ndi madzi.

Analogi a njira

Pancreoflat yokhala ndi kapamba amadziwika kuti ndi mankhwala othandiza kwambiri, koma mtengo wa mankhwalawo umaluma. Mtengo wa ma mbale awiri umafikira ma ruble 1800, ndipo ambiri a iwo angafunikire kuti mumalize maphunziro onse.

Pali zithunzi zambiri zamankhwala zomwe zikugulitsidwa. Amapatsidwanso mankhwala oletsa kupindika. Mankhwalawa ndi ofanana mu achire, amakhala ndi zigawo chimodzi kapena zingapo zofanana. Mankhwalawa akuphatikizapo:

Pancreatinum (25 rub.).
Mezim (ma ruble 70).
Festal (ma ruble 133).
Creon (297 rub.).
Pangrol (ma ruble 250).
Penzital (ma ruble 60).

Zonsezi ndizolinga zodzaza kuchepa kwa michere ya pancreatic ndikusintha chimbudzi. Komanso, mankhwalawa onse amaphatikizapo pancreatin.

Creon ndiwofanana kwambiri ndi Pancreoflat pakuphatikizika - kuphatikiza ndi pancreatin, ilinso ndi dimethicone. Creon imaloledwa kuperekedwa kwa ana aang'ono, ndipo ngakhale makanda, okhala ndi colic yamatumbo mwamphamvu, mapangidwe owonjezera a mpweya komanso kuperewera kwa mafuta osakwanira. Zofananira zamankhwala ndizotsika mtengo kwambiri, komabe, ndikofunikira kukambirana ndi adokotala za kuthekera kwina kwa mankhwalawo.

Musanalowe m'malo, muyenera kuyang'anitsitsa ma contraindication ogwiritsa ntchito fanizo lililonse.

Ndemanga pa chithandizo cha Pancreoflat

Oksana: Ndili ndi kapamba, ndimakhala ndi vuto m'mimba mwanga, makamaka ndikatha kudya, ndimatupa kwambiri komanso mpweya, nthawi zina ndimamva kupweteka mu hypochondrium. Dokotala adati amwe Pancreoflat kwa milungu itatu, kuwunika bwino. Mankhwalawa ndiokwera mtengo kwambiri, koma ndinayenera kugula phukusi limodzi. Pakati pa sabata yakuvomerezedwa, sindinamve kusintha kulikonse, koma pakati pa sabata lachiwiri ndidayamba kuzindikira kusiyana - kugaya kunayamba bwino, ndipo panalibe zisonyezo zosasangalatsa. Nthawi zina pamakhala kutulutsa, koma osati kovuta kwambiri ngati kale.

Maxim: Mwadutsa kale mayeso ambiri, koma madokotala samatha kudziwa chomwe chimayambitsa kubowola m'mimba ndi matenda am'mimbayo (kenako kudzimbidwa, kenako kutsekula m'mimba). Nthawi yotsiriza yomwe ndidapemphedwa kuti ndimwe Pancreoflat, koma ngakhale nditatha milungu inayi ya kudya sindinawone kusintha kulikonse. Mwina mankhwalawo sagwira ntchito, kapena muyenera kusankha mankhwala ena.

Ilya: Nditatha kudya, m'mimba ndimayamba kutupa ndipo ndimatupa, ngakhale ndimayesetsa kutsatira zakudya ndipo sindimadya zakudya zomwe zimapangitsa kupsa m'mimba. Kuchokera pakudziunjika kwa mpweya mkati, ziwalo zonse zimawoneka kuti zimapanikizika ndipo ululu umayamba pansi pa nthiti. Ndimamwa Creon mokhazikika, ursosan ndi omeprazole, koma posachedwa, pancreophlate yawonjezedwanso pamndandanda. Zikuwoneka kuti patatha milungu itatu itatha kumwa, panali mafuta ochepa, koma vutoli silinathetsedwe kwathunthu.

Kugwiritsa ntchito ndalama ya amonke pochizira kapamba

Mudzadabwa momwe matendawa amachepera msanga. Samalani kapamba! Anthu opitilira 10,000 awona kusintha kwakukulu paumoyo wawo pakumwa m'mawa ...

Mlingo ndi kugwiritsa ntchito mapiritsi a Trimedat zochizira kapamba

Trimedat, chifukwa chakuchotsa ma spasms kumisempha yosalala ya chiwalo, amatha kuchepetsa ululu wambiri ndipo potero amasintha mkhalidwe wa wodwalayo

Kugwiritsa ntchito mankhwala Baralgin popuma ululu ndi kapamba

Mutha kumwa mankhwalawa kokha ndi mankhwala a dokotala komanso mosamalitsa malinga ndi kuchuluka kwa mankhwalawo, apo ayi ndizotheka

Momwe mungagwiritsire ntchito Enterosgel ndi kapamba komanso muyezo

Mankhwalawa amathandizira pakanthawi kochepa kubwezeretsa chimbudzi ndi zinthu zowonongeka zam'mimba, kuphatikizapo kapamba

Momwe mungatenge Phosphalugel ndipo ingathandize bwanji ndi kapamba?

Phosphalugel - mankhwala omwe amachepetsa acidity yam'mimba, komanso amalimbikitsa kuchiritsidwa kwa makoma a mucous am'mimba

Nditadwala chifuwa chachikulu cha kanyumba, ndulu yanga inayamba kuzimiririka. Pancreoflat anathandizira kubwezeretsa kugwira ntchito kwa chiwindi ndikukhazikitsa kutulutsa kwa ndulu.

Zizindikiro zogwiritsidwa ntchito

Mankhwala Pancreatin amagwiritsidwa ntchito pa matenda:

matenda omwe amayamba chifukwa cha exocrine pancreatic insuffence,
aakulu a kutupa ndi dystrophic pathologies a ndulu, chiwindi, matumbo ndi m'mimba,
kugaya chakudya m'mimba ndi kuperewera kwa chakudya, kusachita masewera olimbitsa thupi, kutafuna ntchito, etc.
zokhudzana ndi opaleshoni pamimba yodyetsera kapena kuyamwa kwawo.

Komanso, akatswiri amapereka mankhwala kwa odwala omwe akukonzekera x-ray kapena ultrasound yam'mimba.

Pharmacological kanthu, mawonekedwe omasulidwa ndi mawonekedwe a kuvomerezedwa

Gawo lomwe limagwiritsa ntchito mankhwalawa ndi pancreatin. Zowonjezera - titanium dioxide, methaconic acid, sodium chloride, magnesium stearate, talc ndi zinthu zina zogwirizanitsa ndi zigawo zikuluzikulu. Fomu ya Mlingo - mapiritsi okhala ndi chipolopolo chomwe chimasungunuka m'matumbo okha.

Mankhwalawa ali ndi ma enzymes am'mimba omwe cholinga chake ndi kukonza chimbudzi cha mapuloteni ndi lipid, chakudya. Kunyamula kwathunthu kumawonedwa m'matumbo ang'onoang'ono a munthu.

Ndi kapamba, Pancreasim imapanga kusokonekera kwa kapamba wa kapamba wowonongeka, chifukwa chomwe chimbudzi chimakonzedwa. Chipolopolocho sichimayenda mothandizidwa ndi madzi am'mimba. Mphamvu ya mankhwalawa imachitika mphindi 30-50 mukatha kugwiritsa ntchito.

Kodi Pancreasim ndi iti? Zizindikiro za mankhwalawa ndi motere:

Kuphwanya chakudya m'mimba,
Kuperewera kwa mphamvu pakudya, pamene ntchito ya pancreatic yadzala.
Njira zopatsirana m'matumbo am'mimba,
Matenda a m'matumbo, chiwindi,
Ndikofunika kuperekera pambuyo pakuwonjezereka kapena kutupa kwa chiwindi, mutachitidwa opaleshoni m'mimba, matumbo, njira yothandizira - pokhapokha ngati wodwala ali ndi vuto la dyspeptic,
Amagwiritsidwa ntchito musanayesedwe wa ultrasound kapena radiological.

Ndemanga za madotolo amati kukonza kwa ma enzyme kumatha kuthandizidwa kuti athandize kugaya bwino ntchito kwam'mimba panthawi yothandizika kwa m'mimba thirakiti, pakakhala zolakwika pakudya kapena zosagwirizana ndi zakudya, kudya mwamphamvu, komanso kuchepa masewera olimbitsa thupi.

Malangizo ogwiritsira ntchito mankhwalawa

Tisananene momwe mungamwe mankhwalawo, m'malo mwake, titha kunena motsutsana ndi mankhwalawo. Ndi koletsedwa kugwiritsa ntchito maziko a kuchulukitsa kwamatumbo, ndimatenda oopsa a kapamba, ngati wodwala ali ndi vutoli. Chenjezo limaperekedwa kwa ana osaposa zaka 3 nthawi yapakati.

Zovuta zina zimaphatikizira jaundice wovuta, kutsekeka kwa matumbo, kuchuluka kwa bilirubin m'magazi, chiwindi, chiwindi, chiwindi.

Mlingo wa mankhwalawa nthawi zonse umasankhidwa payekha. Zimatengera mtundu wa kusakwanira kwa exocrine pancreatic ntchito. Mlingo wamba, womwe umakhudza mafuta, chakudya chamagulu ndi mapuloteni, umasiyana pa mapiritsi 1 mpaka 4.

Makapisozi okhathamiritsa enteric ayenera kumwedwa musanadye kapena nthawi ya chakudya. Mapiritsi sakutafuna, kumeza athunthu. Amatsukidwa ndi madzi kapena madzi ena - tiyi, madzi amchere opanda mpweya, madzi a zipatso, ma compotes opangidwa kunyumba, ndi zina zambiri.

Kwa munthu wamkulu, mlingo wa tsiku umachokera ku mapiritsi 6 mpaka 18. Ngati mlingo wotere sukusokoneza, ndiye kuti kuwonjezeka kwake kumaloledwa pazifukwa zamankhwala, mwachitsanzo, ndi kuperewera kwathunthu kwa exocrine gland ntchito.

Mapiritsi nthawi zambiri amaloledwa ndi odwala, mavuto omwe nthawi zina amakula:

Zizindikiro za m'matumbo.
Thupi lawo siligwirizana (zotupa).

Zochita zoyipa m'mitundu yambiri ya utoto zimawonekera ali mwana. Pankhaniyi, wogwirizira mankhwalawa amafunika, Pancreasim yathetsedwa. Chithandizo cha Zizindikiro zimachitika molingana ndi chipatala chomwe chilipo.

Mukaphatikizidwa ndi mankhwala ena, muyenera kufunsa dokotala. Mankhwala osokoneza bongo amapatula - Pancreasim ilibe zinthu zomwe zingayambitse kuledzera.

Pancreasim amagulitsidwa ku pharmacy; mankhwala a dokotala safunikira. Mtengo wake umachokera ku ruble 30 mpaka 60 pamapiritsi 20.

Analogs ndi ndemanga pa Pancreasim

Ndemanga za mankhwalawa ndizosowa, koma zilipo. Nthawi zambiri amakhala ndi zabwino, zomwe zimachitika chifukwa cha mfundo ziwiri - zotsatira zachangu komanso zotchulidwa mwachangu. Odwala samawonetsa zochitika zoipa, zomwe zimakhalanso ngati zowonjezera.

Mankhwala samapezeka nthawi zonse m'masitolo, kotero ambiri ali ndi chidwi ndi zomwe zingatenge Pancreasim, kodi ma fanizo ake ndi ati? Mwa analogues amatanthauza mankhwala omwe ali ndi dzina lofananira lamayiko ena kapena code ya ATC.

Zachidziwikire, kusiyana ndi fanizo pamtengo ndikokulira. Koma, sizapanganso, chifukwa chake zimakhala ndi zochepa zotsutsana ndi zoyipa. Ngati njira ina, Mezim, Ajizim, Digestal, Digestin, Innozim, ndi ena otero angagwiritsidwe ntchito.

Zambiri pazogulitsa zofananira:

Ajizim imagwiritsidwa ntchito pancreatitis yosatha, yoperewera kwa exocrine pancreatic secretion ya etiology iliyonse. Mlingo amasankhidwa malinga ndi kuchuluka kwa kuphwanya m'thupi la wodwalayo. Zovuta zina nthawi zina zimayamba - nseru, kusamva bwino m'mimba,
Digestal imagwiritsidwa ntchito povuta pa matenda a kapamba, ndi zotupa za chiwindi, m'mimba ndi ziwalo zina. Mochenjera, amalembedwa panthawi ya mkaka wa m'mawere, panthawi yoyembekezera, malinga ndi momwe dokotala akuthandizira,
Enzistal bwino kukonza chimbudzi cha chakudya, amathandizanso mawonekedwe a dyspeptic - nseru, bloating, kuchuluka kwa mpweya. Sitikulimbikitsidwa kuti mugwiritse ntchito pobaya,
Pangrol amapezeka mu mitundu yosiyanasiyana - 10,000 ndi 25,000. Amayigwiritsa ntchito pancreatitis, cystic fibrosis, irritable bowel syndrome. Ndi koletsedwa kutenga ndi kuwopsa kwamatenda, kuchulukitsa kwa matenda osachiritsika. Zotsatira zoyipa zimaphatikizapo zovuta zingapo zam'mimba.

Pancreasim ndi mankhwala zochizira ambiri yotupa matenda. Ubwino wa mankhwalawa ndiwofulumira komanso wokhalitsa, mtengo wotsika, kulekerera kwabwino, mndandanda wocheperako wa contraindication.

Momwe mungathanirane ndi kutupa kwa kapamba kumafotokozedwa muvidiyoyi.

Malamulo a pancreatin a kapamba

Kuti Pancreatin akhale ndi zotsatira zomwe akuyembekezeredwa, ziyenera kutengedwa molondola mogwirizana ndi malangizo. Tiyenera kukumbukira kuti mapiritsi samalimbikitsidwa kumwa pamimba yopanda kanthu. Kenako michere imayamba kugaya mucous nembanemba. Chifukwa chake, mankhwalawa amayenera kubwera ndi chakudya (atatsala pang'ono kudya kapena atangomaliza kumene).

Mawonekedwe a mapiritsiwa ndi osagwira kwenikweni kuposa makapisozi a Creon ndi Micrasim. Akuluakulu mokwanira, osayenda pang'onopang'ono. Ndikwabwino kuwongoka nthawi yomweyo mutatenga mphindi 5 mpaka 10.

Chifukwa cha kukhalapo kwa zokutira, mapiritsi sangathe kugawidwa, kuphwanya, kapena kutafuna. Izi zimapangitsa kuti ma enzymes asamayike pakamwa ndi m'mimba. Mwina kutupa, zilonda zam'mimba. Chifukwa chake, ndizosatheka kupereka mankhwalawo m'magawo kwa mwana. Amaloledwa kuchitira ana ndi kapamba pokhapokha ngati mwana amatha kumeza mapiritsi.

Ndikwabwino kumwa mankhwalawo ndi madzi wamba, ndikokwanira kumwa 150-200 ml, mutha kugwiritsa ntchito mchere wamchere wopanda mafuta.

Pafupipafupi makonzedwe a mankhwala, mankhwalawa mankhwala ndi Mlingo mtima ndi dokotala malinga ndi kuchuluka kwa kuperewera kwa kapamba. Izi zikuwonetsedwa ndi kukula kwa zizindikilo, kuyesa kwamwazi wamagazi. Sitikulimbikitsidwa kudziyimira pawokha kapena kusiya kumwa.

Ngati kugwiritsa ntchito nthawi yayitali kuli kofunikira, kukonzekera kwachitsulo kumafunika kuti muchepetse kuchepa kwa magazi m'thupi.

Ngati wodwala, kuphatikiza pancreatitis, ali ndi acidity ya chapamimba ndipo maantacidamu adalembedwa, ndikofunikira kupereka nthawi yayitali ya Pancreatinum mu 1.5-2 maola munthawi ya kuvomereza. Izi zikugwiranso ntchito ndi mankhwala a bismuth, aluminium salt, magnesium.

Proton pump blockers ndi oyenera kuphatikiza pamodzi, koma sangatenge nthawi yomweyo. Mwachitsanzo, imwani Omez kapena Omeprazole mphindi 20 musanadye, ndi Pancreatinum kumapeto.

Ndi yogwira pancreatitis yomwe imachitika mu wosabala chifukwa cha matenda a ziwalo zina, kudya kwambiri, kumwa mowa, kupsinjika, kuchuluka kwa kuwonongeka kwa mobisa kumalipidwa msanga ndi chithandizo, zakudya. Mlingo wa mankhwalawa umayendetsedwa ndi zolinga zazikulu.

Kugwiritsira ntchito Pancreatin sikukuletsa kusungidwa kwa chakudya choyenera, kusiya kumwa mowa ndi kusuta fodya, kuchotsa zakudya zamafuta ndi zokazinga, makeke, masosi otentha, ndi zakudya za masamba obiriwira pamenyu.

Mlingo ndi makonzedwe

Mankhwalawa adapangira zakumwa zamkamwa ndi chakudya. Ndi bwino kumeza miyala yonse ndi kumwa madzi ambiri amchere, tiyi kapena mkaka.

Posankha mtundu wa Pancreatin wa tsiku ndi tsiku, dokotalayo amaganizira mawonekedwe a zovuta zam'mimba mwa anthu. Kwa odwala akuluakulu, mankhwalawa amadziwitsidwa mapiritsi 2 - 4 kawiri pa tsiku. Chiwerengero chovomerezeka cha mapiritsi sayenera kupitirira zidutswa 16 patsiku.

Kugwiritsa ntchito kukonzekera kwa enzyme komanso momwe zimakhalira pancreatic matenda

Kusintha kwa kapamba chifukwa cha chotupa kumasiyana mu njira yovuta komanso yopweteka. Zikondazo zimatulutsa ma enzymes, popanda zomwe sizingatheke kugaya chakudya. Chinsinsi chake chimalowa mumkati mwa duodenum. Dzenje limatsegulidwa ndi sphincter ya Oddi, yomwe nthawi yomweyo imadutsa bile.

Pakupezeka matendawa, chinthu chofunikira ndikutchotsekerako kukakamira kwa nyambo, kupindika kwa sphincter ndi miyala yaying'ono yamchere, kutupira ndi kufupika chifukwa cha kusintha kwa mabakiteriya kuchokera ku chikhodzodzo, matumbo. Kuchulukitsa kwakukulu kwa kubisalira, osasiya chofufumitsa, kumawononga ake a parenchyma. Mikhalidwe yabwino yothetsera matenda imapangidwa.

Pancreatin yowononga kwambiri imawononga chiwalo, imasokoneza magazi, imakoka m'mimba, chiwindi, chikhodzodzo, komanso duodenum. Popanda thandizo, gland necrosis imachitika, wodwalayo amamwalira ndi kuledzera kwambiri.

Kusintha kwa mawonekedwe osatha sikutha, koma kuchedwa kusintha kosintha. M'malo mwakuchulukirachulukira, minyewa yamphongo imapangidwa. Pang'onopang'ono, imagwira gland yambiri. Chiwalo chimataya mphamvu yake yopanga mawonekedwe a ma minyewa. Kulephera kumayendera limodzi ndi zizindikiro za matenda am'mimba (kupweteka kwam'mimba, kutsegula m'mimba, kunyansidwa, kuchepa thupi). Kuchepetsa mavitamini kumapangitsa kuchepa kwa chitetezo chokwanira, kufooka, komanso matenda opatsirana pafupipafupi.

Kuyendetsa kwa pancreatin ndi njira yochotsera kapena kulipirira ma enzyme omwe akusowa, kuthekera kothandizira kugaya ndikuchedwa kutsegulanso ndikuwonongeka kwa maselo. Mankhwala odziwika bwino ndi Pancreatin ndi Pancreatin-8000. Onsewa ali ndi zigawo zikuluzikulu za madzi a pancreatic:

lipase - pakuwonongeka kwa mafuta,
mapuloteni (kuphatikiza trypsin ndi chymotrypsin) - ndikusintha ma peptidi ovuta kukhala maunyolo amino acid ofunikira,
amylase - kusintha wowuma kukhala monosaccharides.

Kusiyanitsa kofunikira ndikusowa kwachidziwitso mu Pancreatin zofotokozera za zomwe zili mu ma pulase apadziko lonse lapansi. Kuchuluka kwa kuchuluka komwe kumasonyezedwa, koma ndizovuta kwa madokotala kuwerengetsa tsiku lililonse. Ku Pancreatin-8000 pali zambiri zokhudzana ndi mapiritsi:

lipase - mayunitsi 8000,
amylase - 5600 Units,
mapuloteni - mayunitsi 370

Lipase amadziwika ngati puloteni yovuta kufikako. Kufanana kwake kulibe malovu ndi matumbo (mapuloteni amapezeka m'matumbo ang'onoang'ono, amylase - kuwonjezera pa malovu). Chifukwa chake, chizindikiro cha ntchito yathunthu imawerengedwa ndi lipase. Chiwerengero cha ma enzymes ena chimakhazikitsidwa ndi chiwopsezo chachilengedwe mu kapamba wamadzi.

Pambuyo polowa m'mimba, mapiritsi amayandikira pyloric sphincter ndi chakudya. Apa zomwe zimachitika zimayandikira kwambiri zamchere ndipo chipolopolo choteteza chimayamba kusungunuka. Ma enzyme ochulukitsidwa amalowa m'matumbo ang'onoang'ono. Zochita zawo zapamwamba zimachitika pambuyo pa mphindi 30-45.

Kuphatikiza pa kapamba, mankhwalawa amagwiritsidwa ntchito pazochitika zilizonse zokhudzana ndi chimbudzi chimbudzi komanso chifukwa chomveka choperewera cha michere ya kapamba:

m'mimba thirakiti matenda a kutupa,
cystic fibrosis (chiwonongeko chobadwa chamchiberekero, kusintha kwa cystic),
kuwonongeka kwa kuthengo kwa Oddi ndi kukodwa kwa gland chifukwa chothinikizidwa ndi chotupa, miyala,
pambuyo cholecystectomy mu nthawi kuchira kutuluka kwa ndulu mu matumbo.

Pancreatin ndi gawo limodzi mwa zovuta kuchiritsa kwamatumbo ndi m'mimba ndi zinthu zotsatirazi:

kugona pogona, kusayenda bwino,
kugaya kwakudya komwe kumayambitsidwa ndi kudya kwambiri, kumwa kwambiri,
kuthetsa belching, kutentha pa chifuwa, kudzimbidwa kapena kutsegula m'mimba, kusilira.

Therapy regimens ndi Mlingo

Ndi kulumikizidwa kwathunthu kwa kapamba kuchokera kukumba (kuchotsa ziwalo, kuchotsedwako gawo lofunika kwambiri), lomwe limatchedwa kuperewera kwathunthu mu mankhwala, kufunika kwa ma enzymes amafikira 400,000 mayunitsi. lipases. Nthawi zambiri pazinthu zotere, kukonzekera kwamphamvu kwamphamvu (Creon) kumagwiritsidwa ntchito.

Kwa Pancreatin, kusankha kwa mlingo wokwanira kumayamba ndi piritsi limodzi pachakudya chilichonse. Wodwala amayenera kumwa mapiritsi ambiri akudya kamodzi patsiku. Zakudya zilizonse siziyenera kusiyidwa popanda thandizo la enzyme. Mlingo wa munthu wamkulu umafikira mapiritsi 18 patsiku. Koma pazokulira amaloledwa kugwiritsa ntchito mankhwalawo pokhapokha ngati adokotala atavomereza.

Pazifukwa zodzitetezera, simumatha kumwa mapiritsi opitilira anayi patsiku. Mlingo umagawidwa mu Mlingo wa 2-3 ndi zakudya zazikulu. Muyenera kuthandizidwa mpaka nthawi yayitali bwanji ndi pancreatin, dokotala amasankha payekhapayekha. Nthawi yoyenera yochira pambuyo pakudya kwambiri ndi milungu iwiri, koma odwala omwe ali ndi matenda osachiritsika amayenera kulandira chithandizo kwa moyo wawo wonse.

Pancreatin mu mawonekedwe a kapamba

Matenda akuluakulu a kapamba kumabweretsa pang'onopang'ono m'malo mwa minyewa yomwe imagwira ntchito. Wodwala amafunika kutsatira zakudya nthawi zonse. Kutenga Pancreatin ndi cholinga cholowererapo kumathandizira kuti chimbudzi chikhale choyenera.

Kukhalapo kwa trypsin ndi chymotrypsin m'mapuloteni kumapangitsa kuti kupewetsa kutupa ndi kupweteka, kuchedwetsa chiwonongeko cha ziwalo, kupewa kutulutsa, komanso kusinthika kwa kutukusira kwa gawo la mahomoni ndi chitukuko cha matenda ashuga.

Ndi kuchulukana kwa matenda kapamba ndi pachimake matenda

Chipatala cha pancreatitis pachimake chimafuna kuchipatala mwachangu komanso kuyang'aniridwa ndi achipatala. Odwala amakhala ndi ululu wolimba wamkati, kusanza, nseru, kutsegula m'mimba ndi ndowe, kunenepa kwambiri, kutentha thupi.

Gawo lazovuta la matendawa limadutsa magawo anayi a kusintha:

Enzymatic - kumatenga masiku oyamba 3-5. Mu 95% ya odwala opanda pancreatic necrosis kapena ochepera. Chipatala cha kuledzera chimayamba chifukwa cha kulowetsedwa kwa madzi a pancreatic m'magazi.
Achangu - sabata lachiwiri la matenda. Zimatsimikiziridwa ndi kuyankha kwa ziwalo zoyandikana, kuchepetsa kutupa.
Kusiyanitsa - kuchokera sabata lachitatu kumatha miyezi ingapo, kumadzipatula kuunika kwa necrosis, limodzi ndi zovuta za purapy mpaka sepsis.
Zotsatira zake - zimawonekera patatha miyezi ingapo.

Mulingo wa chithandizo umapereka:

njala yamphumphu ndikutulutsa ntchito kwa tchire - chinsinsi cha m'mimba ndi zamkati zimakhudzidwa,
mtsempha wamitsempha wama enzymes omwe amatchinga ntchito ya thupi - Trasilol, Contrical, Gordox,
opaleshoni
Kuthira njira za alkalizing,
vitamini mankhwala
antibacterial othandizira.

Pancreatin sikuwonetsedwa mpaka chiyambi cha nthawi yochira komanso kukulitsa mwayi wazakudya.

Ndi zizindikiro zofowoka zowonjezera, pamene ululu umachepa, mseru umakhala ndi nkhawa, koma palibe kusanza, kutentha kwapakhosi, kupindika, kukondwerera, njira yodwala imatha kupirira tsiku limodzi. Kenako onjezerani zakudyazo. Akatswiri ena amalola kugwiritsa ntchito Pancreatin osaposa mapiritsi anayi patsiku. Ena amachenjeza za katundu wachitsulo cham'mbuyo.

Ngati mankhwalawa adatengedwa mosalekeza, ndiye kuti kuwoneka kwa ululu waukulu wa paroxysmal, kutsekula m'mimba, kusanza (zizindikiro za kuchulukitsa) kumafuna kuyimitsa chithandizo cha Pancreatin mpaka zizindikiro za pachimake zitatha. Proton pump inhibitors, ma antacid, maantibayotiki amalumikizidwa ndi mankhwala. Enzymes akuwonetsedwa masiku 10 mpaka 14 ataletsa kutupa. Kuti muwonjezere chakudya chanu mumafunikira zinthu zomwe zimathandizira pakugawika kwa zakudya kukhala mawonekedwe omwe amathandizira kuti aziyamwa magazi.

Kukonzanso mankhwala ochizira matenda

Odwala matenda a kapamba amadana kwambiri ndi kuphwanya zakudya, mowa, komanso mavuto.Mapiritsi a pancreatin amawonetsedwa muyezo wabwino (kamodzi kanayi) ndi zakudya.

Ngati wodwalayo samatsata zakudya pafupipafupi, amakonda kumwa, ndiye kuti chithandizo sichithandiza. Zikondwererozo zimapitilirabe kugwa, ndipo zovuta za matendawa zimachitika.

Zomwe zimawopseza kukana kutenga enzyme kukonzekera kapamba: adokotala akuti

Kukana kugwiritsa ntchito Pancreatin kumayendetsedwa ndi contraindication. Mankhwala sangathe kumwedwa ndi izi:

kuchuluka kwa zigawo zikuluzikulu,
pachimake kapamba
ana osakwana zaka ziwiri,
mimba ndi mkaka wa m`mawere.

Nthawi zina, kukana chithandizo kumaopseza kuwonongeka kwa kapamba ndi zosokoneza zina monga:

kapangidwe ka chotupa kapena chotupa chamabodza,
pancreatic necrosis yathunthu yokhala ndi poizoni.
matenda a shuga oopsa,
njira zothandizira m'mapapu.

Ndi kukhathamira kwotsatira, zotsatira zoyipa ndizotheka.

Pancreatin imathandizira kapamba wofooka ngati wodwala amatsatira zomwe amalandila, malamulo a zakudya, ndi malingaliro a dokotala ena. Zomwe mungachite pakokha sizingakhale. Ili ndi zotsutsana zake ndipo imatha kuvulaza.

Zotsatira zoyipa

Pakumwa mankhwala a pancreatin, munthu amatha kukumana ndi mavuto monga:

nseru
kusanza
kuchuluka kwa mpweya m'matumbo,
kutsegula m'mimba
kudzimbidwa
matumbo,
Kusintha kwa mpando,
kupweteka m'mimba
Hypersensitivity zimachitika (zotupa pakhungu, urticaria, lackupation, sneez, bronchospasm, anaphylaxis),
kuchuluka kwa uric acid m'magazi kapena mkodzo (munthawi yayitali yogwiritsira ntchito mankhwalawa).

Ndi zovuta zoyipa zomwe zimachitika, wodwalayo ayenera kusiya kumwa mapiritsiwo ndi kukauza dokotala.

Mapiritsi samachepetsa chidwi ndipo samakhudza kuyendetsa.

Kutalika kwa mankhwala

Kutalika kwa kugwiritsa ntchito mankhwalawa kuyenera kutsimikiziridwa ndi katswiri. Zimatengera kuzindikira komwe wodwala amapeza ndipo amatha kuyambira masiku 7 mpaka miyezi ingapo. Mwa anthu omwe amafunikira chithandizo chokhazikika, chithandizo chamankhwala chitha kupitilira zaka zingapo.

Kuchita ndi mankhwala ena

Mankhwala amachepetsa mphamvu ya acetylsalicylic acid, vitamini K wotsutsana, mankhwala antithrombotic, osagwiritsa ntchito monoamine kubwezeretsa blockers ndikuwonjezera anticholinergic zotsatira za M-anticholinergics. Akaphatikizidwa ndi maina okhala ndi chitsulo, amachepetsa kuyamwa kwa chitsulo. Maantacid okhala ndi magnesium hydroxide ndi calcium carbonate amachepetsa achire zotsatira za pancreatin.

Mankhwalawa samagwirizana ndi mowa. Odwala omwe amalandila chithandizo cha Pancreatin ayenera kusiyiratu kumwa zakumwa zoledzeretsa.

Bongo

Kuonjezera mlingo wa mankhwalawa kumatha kupangitsa wodwala kukhala ndi hyperuricosuria ndi hyperuricemia. Mu ana, mankhwala osokoneza bongo amatsogolera pakupanga kudzimbidwa, mkwiyo wa mucous nembanemba Pancreatin alibe mankhwala. Kuti muchepetse mavuto obwera chifukwa cha mankhwalawa m'thupi, wodwalayo amapatsidwa mankhwala othandizira.

Kupanga ndi mawonekedwe a kumasulidwa

Zomwe zimagwiritsidwa ntchito ndi pancreatin. Gawoli lili ndi kapangidwe kake ka ma enzymes (lipase, amylase, chymotrypsin ndi trypsin) omwe amathandiza kugwetsa ma lipids mpaka mafuta acid, mapuloteni amino acids, kuyamba kwa dextrin ndi monosaccharides. Kuphatikizika kwa pancreatin piritsi limodzi ndi magawo 25 (100 mg).

Othandizira amaperekedwa pokonzekera mawonekedwe a calcium stearate, titanium dioxide, gelatin, lactose, cellacephate, polysorbate-80, parafini yamadzimadzi, wowuma wa mbatata, carmuazine (E122).

Mankhwala angagulidwe ngati mapiritsi ozungulira a biconvex apinki amtundu wapinki, wokutira ndi enteric wokutira.

Mankhwala Okhala Pamalo a Pharmacy

Kugula Pancreatin, mankhwala sofunikira.

Kodi kutenga Panzinorm?
Mapiritsi a Mezim - chothandiza kugaya chakudya
Ntchito ya Penzital
Momwe mungagwiritsire ibuprofen pancreatitis?

Ndimalankhula ndi thandizo la Pancreatin ngati ndimaona kuti ndadya kwambiri mafuta. Mankhwalawa amakhala ndi ma enzymes omwe amathandizira kuyendetsa bwino pakudya pakudya mafuta ochulukirapo komanso olemera. Mankhwalawa amayamba kuchita nthawi yomweyo atakhazikitsa, kuletsa kukula kwa m'mimba, nseru ndi zizindikiro zina za kudya mopitirira muyeso. Imalekeredwa bwino ndi thupi, limakhudza chiwindi, sizimayambitsa mavuto.

Pancreatin ndi mankhwala othandiza pakhungu la kapamba. Zimathandizira kuchepetsa katundu pa zikondamoyo zoyipa ndikufulumizitsa kuchira kwake. Ndakhala ndikutenga nthawi ndi nthawi kwa zaka zitatu. Mofanananso ndi izi, ndimatsatira kadyedwe kachakudya. Munthawi imeneyi kunalibe kuchulukana kamodzi kwa matendawa. Mankhwalawa amathandiza chiwindi. Mukamamwa, simuyenera kusiya kuyendetsa.

Ali ndi zaka 43, adachitidwa opareshoni kuti achotse ndulu. Kuyambira ndili pachakudya kuyambira nthawi imeneyo. Koma mukangochithyola, mseru ndi m'mimba zimachitika. Adauza katswiri wazam'madzi za izi, ndipo adalangiza kuti atenge Pancreatin. Dotolo adapereka mawonekedwe abwino ku chinthu chomwe mapiritsiwa amapangidwira, ndipo adalimbikitsa kuti aledzere nthawi iliyonse ndikalola kudya chilichonse choletsedwa. Adamvera upangiri wake ndipo kuyambira pamenepo adayamba kudwala pang'ono.

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