Creon wa kapamba > Mankhwala

Momwe mungatengere Creon 25000 chifukwa cha kapamba
Zitha kusintha m'malo mwa creon ndi zina enzymatic pokonzekera kapamba.
Kodi pali kusiyana kotani pakati pa mezim, pancreatin, festival kapena Creon?
Momwe mungatenge ma enzyme a kapamba

Ngati mukuganiza kuti nkhaniyo ndi yosangalatsa komanso yothandiza, ndiye kuti ndidzakhala wokondwa kwambiri ngati mungagawane ndi anzanu zidziwitsozi patsamba. Kuti muchite izi, ingodinani mabatani ama webusayiti ochezera.

Kodi yogwira pancreatitis ndi chiyani?

Matendawa ndi aseptic process of kutupa omwe amapezeka m'mapapo. The zikamera yogwira mawonekedwe a pachimake kapamba zimagwirizana ndi pathologies a m'mimba dongosolo ndi ziwalo zina. Matendawa amadziwika ndi kuchepa kwa kuopsa kwa Zizindikiro atayamba kulandira chithandizo munthawi yake. Mawonetsedwe azachipatala a matenda am'mimba ndi kupweteka, kutentha kwa pamtima, kusanza ndi mseru, kuledzera. Zizindikiro zoyambirira zikaonekera, matendawa amayenera kuwonekera msanga ndipo chithandizo chimayamba.

Matenda a pancreatitis omwe amagwira ntchito amapezeka mwa amuna nthawi zambiri kuposa akazi. Ziwerengero zoterezi zimafotokozedwa ndikuti kugonana kwamphamvu kumatha kumwa zakumwa zoledzeretsa komanso zakudya zamafuta. Izi zimadzetsa kuchuluka kwa kukakamiza mu duodenum, kukulira kwa kutulutsa madzi a pancreatic. Zinthu zotsatirazi zingakhudze kuchitika kwa chiwopsezo cha kapamba:

kuvulala kwam'mimba, komwe kumayendetsedwa ndi kupindika kwa pancreatic parenchyma,
zizolowezi zoipa (kusuta, uchidakwa, kudya kwambiri),
pafupipafupi mavuto obwera chifukwa chopsinja thupi,
kugwiritsa ntchito mankhwala kwa nthawi yayitali (mankhwala osapweteka a antiidal, mahomoni, metronidazole),
kudya kwambiri okazinga, mafuta, kusuta, zakudya zonunkhira, zakumwa zokoma za kaboni.

Mwa odwala ena, mawonekedwe a kapamba amayamba chifukwa cha zina zatsitsi. Kuukira kumatha kuchitika chifukwa cha matenda okhudza matumbo:

aakulu cholecystitis,
helminthiasis,
matenda a chiwindi,
zilonda zam'mimba, gastritis,
matenda a chiwindi,
poyizoni wazakudya
gastroduodenitis motsutsana cholelithiasis,
gallbladder dyskinesia,
matenda a ndulu, kusokonekera kwa kapamba wa pancreatic.

Chizindikiro chachikulu cha yogwira pancreatitis ndi kupweteka kwambiri. Kukhazikika kwake kumathandizira kudziwa kuti ndi gawo liti la kapamba lomwe latupa. Ululu mu hypochondrium yoyenera imawonetsa matenda amutu wa chiwalo. Ndi malingaliro osasangalatsa mu epigastric zone, ziyenera kuganiziridwa kuti thupi la kapamba limakhudzidwa. Ngati ululu umapezeka kumtundu wa hypochondrium wamanzere, mchira wa gland umawonongeka. Chiwalo chonse chitha kupsa: motere, wodwalayo amamva kupweteka m'chiuno.

Pancreatitis imatha kuwoneka pofufuza momwe wodwalayo alili. Matendawa amadziwonetsera kudzera mu izi:

kupuma movutikira
kupweteka kwa hypochondrium kapena m'mimba,
paroxysmal nseru ndi kumasulidwa kwa bile ndi ntchofu,
kuzizira ndi matenda oopsa,
m'mimba kukokana
kufalikira ndi chisangalalo,
thukuta lakumamatira
kuchuluka kwamatumbo ndi kukodza,
kubwatula
kutentha kwa mtima.

Mavuto

Ngati yogwira pancreatitis imatsimikiziridwa ndi matendawa, wodwalayo amafunika chithandizo chamankhwala, apo ayi matendawa amatha kukhala osachiritsika. Kukula kwa matendawa kumawopseza munthu ndi zovuta zake, mpaka zotsatira zakupha. Ngati sanachiritsidwe, kapamba owononga kwambiri amachititsa zotsatirazi:

kutupa kwa peritoneum,
fistulas of pancreatic genesis,
endotoxin mantha,
zotupa,
phlegmon kapena abscess,
kusintha kwa necrotic m'malo a ziwalo zoyandikana.

Zizindikiro

Wodwala akawonetsa zoyamba za yogwira pancreatitis, ayenera kufunsa dokotala mwachangu kuti adziwe. Kuti muzindikire matendawa, maphunziro amalembedwa:

Kuyesa kwa mkodzo ndi magazi (kawirikawiri, biochemical, coagulogram, kutsimikiza kwa mulingo wa elastase, calcium, mapuloteni, michere ya pancreatic) - pakutsimikizira kupezeka, kuwonjezeka kwa gawo la elastase m'masiku oyambirira a matenda, amylase, ndi trypsin inhibitor amadziwika. Kuwerenga kwa maselo oyera oyera kumafupa.
Mbiri yazachipatala - zikuwululidwa kuti wodwalayo ali ndi matenda osafunikira am'mimba, omwe ali munthawi yowonjezereka, ndi zizindikiro zina za etiology.
Kuyeserera kwakuthupi - katswiri amalipira tachycardia, kufooka kwa khungu, mucous membranes, ochepa hypotension, kupweteka kwa palpation pamimba, kumanzere kwa nthiti.
Ultrasound yamimba yam'mimba ndi njira yotetezera komanso yophunzitsira. Zimathandizira kuzindikira kutayika, kuwonjezeka kwa kapamba, kukhalapo kwa mapangidwe ake a cystic, calculi mu wamba bile.
Kuyerekezera ndi maginito oyesa - magwiridwe antchito apamwamba, amathandizira kutsimikizira komwe khomalo limakhala, kukula kwa limba.
Laparoscopy - imagwiritsidwa ntchito ngati matendawa atadwala, kugwiritsa ntchito njira zina zofufuzira ndikovuta momwe wodwala alili.
Radiography - imapangidwa kuti idziwe matenda omwe amaphatikizana ndi bile ducts ndi chiwindi, kuzindikira kukhalapo ndi zizindikiro za kutupa mu kapamba.

The zikuchokera ndi mfundo zochita za mankhwala

Creon ya pancreatitis yosatha ndi Creon yakuchulukitsa kwa kapamba ndi chida chabwino kwambiri chomwe chingapangitse kuti chimbudzi chikhale.

Mankhwala amapezeka mu mawonekedwe a makapisozi.

Chofunikira chachikulu pa mankhwalawa ndi pancreatin.

Kuphatikiza pa gawo lokonzekera, kupangika kwa chida kumaphatikizanso mitundu yonse yazowonjezera zomwe zimagwira ntchito yothandiza.

Zowonjezera za mankhwalawa ndizinthu izi:

macrogol
dibutyl phthalate,
mafuta palafini,
dimethicone
phthalate hypromellase.

Kugwiritsa ntchito kwa mankhwalawa kumadalira kuti zida zomwe zimapanga mankhwala zimakhudza njira zogaya, ndikudziwikitsa zochita za metabolism.

Mothandizidwa ndi zinthu zomwe zimapanga mankhwalawo, kuyamwa kwa mapuloteni, zakudya ndi mafuta zimathandizira kwambiri.

Mutatenga kapisozi ndi mankhwalawa, sagawika mkati mwa m'mimba, koma amayenda m'matumbo a lumen. M'matumbo, chigawo chogwira ntchito chimamasulidwa, chomwe chimapereka zotsatira za lipolytic ndi proteinolytic.

Mapangidwe omwe amapanga Creon amathandizira kuthana ndi zopindulitsa.

Kugwiritsa ntchito kwa Creon m'njira yodwala matendawa ndikothandiza kwambiri. Mphamvu ya mankhwalawa imatsimikiziridwa ndi zomwe zili mmenemo pazinthu zonse zofunika pa mankhwala a enzyme.

Minusicrospheres ya mankhwalawa imakhala ndi zinthu zosiyanasiyana zomwe zimakupatsani mwayi wogawa zigawo zomwe zimagwiritsidwa ntchito ndi mankhwala mpaka kuchuluka kwa chakudya. Kuchita kwazinthu izi komwe kumagwiritsa ntchito kumapangitsa kuti chimbudzi chikhale bwino.

Kutulutsidwa kwa mankhwalawa kumachitika m'mitundu itatu, momwe mulingo wothandizila wa mankhwala ndi osiyana:

Nthawi zambiri mumankhwala, pancreatitis, chimbudzi cha 10000 chimagwiritsidwa ntchito ngati mukumwa mankhwalawa, kapamba ndikosavuta kwambiri.

Piritsi la Creon ndi njira yotengera mtundu wa zigoba ziwiri, zomwe zimakupatsani mwayi wonyamula ma enzymes kupita ku duodenum.

Zizindikiro ntchito, contraindication ndi mavuto

Kugwiritsa ntchito Creon pa mankhwalawa kapamba pamafunika kokha ngati akuwonetsa dokotala.

Imwani mankhwalawo mosamalitsa ndi malangizo onse omwe mwalandira kuchokera kwa dokotala.

Dokotala, popereka mankhwala, amasankha mlingo wa mankhwalawo, pozindikira mawonekedwe a thupi la wodwalayo.

Malinga ndi malangizo ogwiritsira ntchito, mankhwalawa amagwiritsidwa ntchito pochiza ma pathologies otsatirawa:

chifuwa chachikulu,
cystic fibrosis,
machitidwe pambuyo opaleshoni pa kapamba ndi kuchotsedwa pang'ono,
kupezeka kwa mawonekedwe owopsa mu minofu ya chiwalo,
ndi kutsekeka kwa ma pancreatic ducts,
Anachepetsa kupanga enzyme mwa anthu azaka zopitilira 65.

Kuphatikiza apo, Creon angagwiritsidwe ntchito pambuyo pakuchita opaleshoni kutiichotse ndulu, ndikuphwanya chiwindi ndi kupezeka kwa kutupa kwa ndulu - cholecystitis.

Mlingo pomwa mankhwalawa umatsimikiziridwa munjira iliyonse payokha.

Zoyipa pa kugwiritsa ntchito Creon ndi:

Pachimake kapamba.
Kukhalapo kwa mawonekedwe a pancreatitis odwala mu pachimake gawo.
Kusalolerana kwamunthu ndi wodwala kwa chinthu chachikulu kapena mankhwala othandizira a mankhwalawo.

Mukamamwa mankhwalawa, zotsatirapo zoyipazi zingachitike.

maonekedwe osasangalatsa m'mimba,
kudzimbidwa
kusokoneza kwam'mimba,
kuyambika kwa mseru komanso kufuna kusanza,
mawonekedwe a khungu loyipa:
Kusintha ndi kusasunthika kwa chopondapo,
kutsegula m'mimba

Maonekedwe oyambitsa mavuto chifukwa chomwa mankhwalawa amalembedwa kawirikawiri.

Malangizo ogwiritsira ntchito mankhwalawa

Momwe mungatengere Creon pancreatitis? Mlingo wa mankhwalawa amasankhidwa payekha malinga ndi zovuta za kuperewera kwa enzymatic pancreatic. Mlingo umodzi ukhoza kufikira 10,000-25,000 IU. M'madera ovuta kwambiri, makamaka ndi pancreatitis yogwira, mankhwalawa amatha kuchuluka.

Mankhwala amapezeka mosiyanasiyana. Kusiyanaku kumakupatsani mwayi wosankha mtundu woyenera wa mankhwalawa molondola momwe mungathere.

Pa gawo loyambirira la mankhwala, wodwala wamkulu ayenera kumwa mapiritsi awiri a mankhwalawa pachakudya chachikulu komanso chimodzi panthawi yopumula. Kuyambira makapilitsi 4 mpaka 15 ndi ovomerezeka tsiku lililonse.

Makapisozi amatengedwa kwathunthu popanda kutafuna. Pakakhala zovuta kumeza mankhwalawa, amaloledwa kutsegula ndikusakaniza zomwe zili m'mabotolo ndi chakudya chamadzimadzi. Onetsetsani kuti mukumwa mankhwalawa amayenera kupita ndi madzi ambiri. Izi ndichifukwa choti mwina kudzimbidwa kungachitike.

Kuti mukwaniritse bwino mankhwalawa, muyezo umodzi umalimbikitsidwa kuti ugawidwe ndikuwledzera mumitundu iwiri. Gawo loyamba laledzera musanadye, ndipo lachiwiri mwachindunji mukamadya.

Mukamagwiritsa ntchito mankhwalawa, zakudya zomwe dokotala amafunikira ziyenera kutsatiridwa.

Poyerekeza ndi ndemanga yomwe ilipo, mankhwalawa ndi chida chothandiza pochiza ma enzyme ndipo amatha kukonza mkhalidwe wa wodwalayo.

Ngati ndizosatheka kutenga Creon, ikhoza m'malo ndi analogues. Mankhwalawa ndi:

Gastenorm Forte,
Mezim Forte
PanziKam,
Panzim Forte,
Pacreasim
Pancreatin-LekT,
Penzital
Enzystal
Amapanga MPS,
Malembo
Pancreoflat.

Mtengo wa Creon pamsika wa mankhwala ku Russia umasiyana malinga ndi dera komanso kuchuluka kwa mankhwalawa. Mtengo wa mulingo wotchuka kwambiri wa Creon 10000 ndi avareji ya ma ruble 228 mpaka 300.

Zotsatira zamankhwala zakukonzekera kwa enzyme zafotokozedwa mu kanema munkhaniyi.

Kufotokozera Kwazogulitsa

Creon ndi enzyme yokonzekera yomwe imagwiritsidwa ntchito kutithandizira kugaya ntchito m'mimba. Mothandizidwa ndi magawo omwe amagwira ntchito, kuwonongeka kwa mafuta, mapuloteni ndi mafuta am'mimba komanso kuyamwa kwawo kwakukulu kumatheka. Mankhwalawa amapezeka mu mawonekedwe a makapisozi, omwe, atalowa mu thupi osasinthika, amapita kumatumbo ndipo pokhapokha amasula ma minimicrospheres, omwe ali ndi kufunika.

Mothandizidwa ndi zigawo zikuluzikulu, kuwonongeka kwa mafuta, ma starches ndi ma lipids kumawonedwa, komwe kumakhala ndi phindu pamakonzedwe a chakudya. Zigawo zikuluzikulu zogwira ntchito za mankhwalawa ndi lipase, amylase ndi proteinase. Kuphatikiza pa iwo, opeza amaphatikizidwa.

Mitundu ya konkoni ndi kusiyana kwawo.

1 kapisozi 1 ya Creon 10000 ili ndi: pancreatin 150 mg, ndi ntchito yochepa ya enzymatic: lipase 10000 PIECES of Ph. EE, Amylases 8000 ZITHUNZI Ph. EE, proteinase 600 PIECES Ph. Eur.

1 kapisozi 1 ya Creon 25000 imakhala ndi: pancreatin 300 mg, ndi ntchito yochepa ya enzymatic: lipase 25000 EDPh. Eur, Amylase 18000ED Ph. EE, proteinase 1000 EDPh. Eur.

Contraindication ndi mimba

Pakati pazovuta zomwe zingachitike, zinthu zingapo ziyenera kudziwika. Momwe mungagwiritsire ntchito mankhwalawa:

Kusalolera kwamunthu aliyense payekha pazinthu zomwe zikugwira kapena zida zake zothandizira.
The pachimake mawonekedwe a kapamba.
Kuchulukitsa kwa mawonekedwe a kapamba.

Mukamagwiritsidwa ntchito ndi mankhwalawa mutanyamula mwana, palibe mawonekedwe owonekera.

Maphunziro a nyama adachitidwa, zotsatira zake zomwe sizinawululire zotsatira za michere ya pancreatic porcine.

Izi zikuwonetsa kuti mankhwalawo alibe zotsatira zoyipa za mwana wosabadwayo.

Pa nthawi yoyembekezera, mankhwalawa amayikidwa mosamala. Mankhwalawa alibe zotsatira zoyipa panthawi ya mkaka wa m`mawere.

Chifukwa chake, nthawi ya mkaka wa m'mawere siimangokhala pakuchiritsa kwa amayi, koma pazifukwa izi, adotolo amasankha mlingo woyenera.

Njira zogwiritsira ntchito Creon pochiza pancreatitis

Kutupa kwa kapamba kumachitika ndi kuphwanya kovutirapo. Izi zimasokoneza kugwira ntchito kwa dongosolo lonse logaya chakudya, zomwe zimapangitsa kuti wodwalayo azidwala. Pankhaniyi, kukonzekera kwa enzyme kudzakhala kovomerezeka pancreatitis. Amapatsidwa ntchito yochita kukonza mgaya ndi kukonza magwiridwe antchito onse a ziwalo, kuphatikiza ndulu yoyaka. Pankhani imeneyi, akatswiri nthawi zambiri amalembera Creon chifukwa cha kapamba.

Kuti muthane ndi zoyipa zomwe zimagwiritsidwa ntchito m'mimba pakulimbana ndi kapamba, mankhwala a Creon amagwiritsidwa ntchito.

Ntchito Nuances

Mankhwala amagwiritsidwa ntchito pokhapokha pancreatic kukanika. Mu magawo oyambira a matenda, sizofunikira. Mukamapereka chithandizo, ndikofunikira kuyang'aniridwa ndi achipatala. Pogwiritsa ntchito nthawi yayitali muyezo waukulu, mapangidwe a nthito mu ileum ndi colitis ndizotheka.

Pofuna kupewa zoyipa, ndikofunikira kuti muzisinkhasinkha mosamala zomwe mwakumana nazo ndikupereka malipoti akusintha

Pogwiritsa ntchito Creon, palibe kuchepa kwa chidwi, komwe kumathandizira kuti anthu azigwiritsa ntchito popanga, omwe amafunikira chidwi chowonjezereka, komanso poyendetsa magalimoto. Simalimbikitsidwa kumwa mankhwalawa ndi Acarbose. Izi zikufotokozedwa ndikuti amylase amathandizira kuchepetsa zotsatira za mankhwalawa.

Creon mu kapamba: kuchitapo, kugwiritsa ntchito, kufananizira ndi contraindication

Kuthandizira mankhwala ogwirira ntchito kumathandizira kwambiri pancreatitis, chifukwa imathandizira kuthetsa zosalimbikitsa ndikuwonjezera matenda am'mimba.Komabe, vekitala yayikulu yovuta ndi kutsimikiza ndi kuchotsa kwa zomwe zimayambitsa mapangidwe a matendawa. Nthawi yomweyo, kugwiritsa ntchito kwa Creon kumapangitsa kuti wodwalayo akhale ndi moyo wathanzi komanso kuti thupi lake likhale ndi zokwanira zomanga thupi zofunikira kuti agwire ntchito mokwanira.

Chizindikiro chogwiritsa ntchito mankhwalawa ndi kuthekera kwakanthawi kantchito ya kapamba, komwe kumatha kukhazikika osati chifukwa cha kutupa, komanso njira zina zam'magazi. Kutengera izi, Creon ndikofunika kutengapo milandu iyi:

kapamba
zotupa zoyipa zapancreatic,
kutsekeka kwa ngalande zapancreatic,
cystic fibrosis,
kuchepa kokhudzana ndi zaka mu ntchito ya enzyme yokhudza chakudya,
zinthu atachotsedwa mbali yamatumbo, m'mimba, kapena kapamba.

Zonsezi zimagwirizanitsidwa ndi kubowola kwam'mimba katulutsidwe ndipo kungafune chithandizo chamankhwala. Nthawi yomweyo, nthawi yoyang'anira ndi kusankhidwa kwa kuchuluka kwa Creon imasankhidwa mosiyanasiyana payekhapayekha pazizindikiro zomwe zilipo komanso kuuma kwawo.

Thandizo loyamba la kapamba

Malangizo ogwiritsira ntchito amadziwitsa kuti Creon amalimbikitsidwa kuti azigwiritsidwa ntchito ngati ma enzymes sanapangidwe ndi thupi kapena amapangidwa pang'ono. Ndiwo mikhalidwe yomwe imayambitsa kusokonezeka kwa chimbudzi cha chakudya, kukula kwa matenda am'mimba.

Mu nthawi yovuta yamatendawa, kupangika kwa michere ya kapamba kumachitika, zomwe zimatsogolera kudzimbidwa kwa minofu yathupi. Chifukwa chake, Creon imatsutsana mu gawo ili la matendawa.

Pakutupa, mankhwalawa amayamba kupanga chimbudzi, chomwe chimathandizira kukonzanso chakudya komanso kugawa kwake kukhala zinthu zosavuta. Kugwiritsa ntchito mankhwala mosakhazikika pancreatitis kumakupatsani mphamvu ya gland, kuchepetsa kuchulukana, kusintha chimbudzi ndi thanzi la wodwalayo.

Mukukonzekera kwa matenda am'mimba mu kapamba, njira zowonongeka zimayamba, kusokoneza kugwira ntchito kwa ziwalo, ndikuwonjezera chiopsezo cha zotsatira zoyipa.

Kutupa mu mawonekedwe osakhazikika kuyenera kuyang'aniridwa, kumwa ma enzyme, kutsatira zakudya komanso moyo wabwino. Zolakwika mu zakudya, kusatsatira malangizo azachipatala kumapangitsa kuti pakhale kuchuluka.

Chizindikiro chachikulu ndi kuchepa kwa enzymatic, komwe kumachitika pazifukwa zingapo:

kutupa kosatha kwa kapamba,
kapamba,
opaleshoni yochotsa kapamba kapena gawo lina,
matenda a ndulu
matenda amtundu wa endocrine.

Mankhwalawa amagwiritsidwanso ntchito popuwala, kufooka kwa paristalsis, mavuto ndi chopondapo. Mu ana, mankhwalawa amagwiritsidwa ntchito popanga zovuta za dysbiosis kapena matumbo ena.

Reactive Pancreatitis Chithandizo

Therapy ya pachimake yogwira pancreatitis umalimbana kuthetsa kutupa, kapamba edema, kuledzera. Chofunikira kwambiri pakuchiritsa bwino ndikuchotsa matenda omwe amayambitsa. M'nthawi ya masiku atatu ndi atatu, odwala ayenera kumwa mankhwala azitsamba othana ndi kutupa ndi madzi. Ndi kofatsa maphunziro a pancreatitis pachimake, kudya mosamalitsa kumawonetsedwa, kumachepetsa zomwe zili ndimafuta ndi mapuloteni muzakudya, koma olemera omwe amapatsa mphamvu. Njira za Endoscopic zimagwiritsidwa ntchito ngati matendawa amakumana ndi maziko a cholelithiasis.

Maziko a chithandizo ndi mankhwala. Ndi kapamba, mitundu yotsatirayi ya mankhwala imayikidwa:

michere ya pancreatic (Pancreatin, Mezim, Creon, Panzinorm),
painkiller - analgesics, mankhwala osapweteka a antiidal - Diclofenac, Ibuprofen),
antispasmodics (No-shpa, Papaverine),
carminative (Espumisan),
maantibayotiki (Gentamicin, Ampioks).

Therapy iyenera kuyamba pomwe, kutsatira mosamalitsa malangizo a dokotala. Sizoletsedwa kugwiritsa ntchito morphine pochizira, chifukwa zimayambitsa kuphipha kwa duodenal papilla yayikulu. Mankhwala omwe amakonda kutumizidwa:

Mezim - adapangidwa kuti apange kusowa kwa michere ya kapamba. Kuphatikizika kwa mankhwalawa kumayimiriridwa ndi pancreatin - ufa womwe umapezeka kuchokera kapamba wa nkhumba. Mezim akuwonetsedwa ndi zizindikiro za dyspeptic, kugwiritsa ntchito zakudya zolemetsa kapena atypical, matenda omwe amayendetsedwa ndi kusakwanira katulutsidwe ka michere ya m'mimba, komanso zovuta zamagulu am'mimba. Mankhwala amagwiritsidwa ntchito kukonzekeretsa wodwala mayeso ozindikira. Mankhwalawa amalimbana ndi kupindika, kufinya, kutentha pang'ono, nseru, kusefukira. Mezim ali osavomerezeka chifukwa cha kukokomeza kapamba, matumbo kutsekeka chifukwa cha makina kutsekeka, hypersensitivity zigawo zikuluzikulu. Zotsatira zoyipa zimatha kuwonetsedwa ndi matenda otsekula m'mimba, nseru, kufooka, bronchospasm, zotupa pakhungu, ndi khungu. Ana okalamba kuposa zaka zitatu ndi akulu ayenera kumwa mapiritsi 1-2 ndi chakudya, kumwa kapu yamadzi. Kutalika kwa maphunzirowa kukhazikitsidwa payokha kutengera zotsatira za kafukufuku.
Creon - mankhwala omwe amagwiritsidwa ntchito pokonzanso chimbudzi, monga mankhwala ochiritsira kuperewera kwa mapira. Zomwe zimagwiritsidwa ntchito ndi pancreatin. Creon akuwonetsedwa kwa chifuwa cham'mimba, cystic fibrosis, kutsekeka kwa mapindikidwe am'mimba omwe amayamba chifukwa cha neoplasms, khansa ya kapamba. Mankhwala amalembedwa pancreatectomy, pang'ono mbali yam'mimba, kwathunthu gastroectomy. Ubwino wa Creon ndizofunikira kwambiri, zomwe zikuwonetsedwa pakupanga chimbudzi cha mbale zolemera. Ndemanga za kupezeka kwa zoyipa ndizosowa. Sizoletsedwa kupatsa Creon ndi pancreatitis yapachaka, kupezeka kwa chidwi ndi mankhwalawa. Zotsatira zoyipa zimawonekera mu mawonekedwe osakhazikika m'matumbo am'mimba, chifuwa, nseru, kudzimbidwa, kutsegula m'mimba. Pa magawo oyambirira a mankhwalawa, Creon amapatsidwa mankhwala okwanira 10,000-25,000. Tengani mankhwalawo mkati, pang'ono pokha musanadye, ena - ndi chakudya. Mapiritsiwo amatsukidwa ndi madzi. Mlingo wa nthawi komanso nthawi ya maphunzirowa imayikidwa payekhapayekha.
Espumisan ndizopweteka zomwe zimachepetsa nkhawa zamafuta am'madzi. Chosakaniza chophatikizira m'mapiritsi ndi simethicone. Ubwino wa mankhwalawa umaphatikizira kukhathamiritsa, kuthekera kwa kusiyanasiyana. Ana a zaka zopitilira 6 ndi akulu omwe amapatsidwa 2 makapisozi a Espumisan 3-5 nthawi / tsiku. Mankhwalawa ayenera kumwedwa atatha kudya ndi madzi ochepa. Kugwiritsa ntchito mankhwalawo ndizoletsedwa ngati matumbo amatsekemera, kuchepa mphamvu kwa zigawo zikuluzikulu, kupweteka kwa m'mimba thirakiti. Zotsatira zoyipa ndizosowa, zimawonetsedwa ndi zochita zoyipa.
Gentamicin ndi anti-virus wampweya wodziwika bwino. Mankhwala amafesedwa m'njira zingapo: ufa, madontho amaso, yankho, aerosol, mafuta. Chosakaniza chophatikizacho ndi gentamicin sulfate. Pancreatitis, mankhwala othandizira amasonyezedwa mu nthawi yovuta kwambiri. Gentamicin amalembera peritonitis, cystitis, pyelonephritis ndi matenda ena. Njira yothetsera vutoli imayendetsedwa intramuscularly pa 120-160 mg 1 nthawi / tsiku. Njira ya mankhwala ndi masiku 7-10. Contraindous kugwiritsa ntchito mankhwalawa ndi: mbiri ya ziwengo, uremia, pakati, kuyamwa, kwambiri kuwonongeka kwa impso, ndi makutu a mitsempha ya mitsempha. Gentamicin ili ndi mndandanda waukulu wazotsatira zoyipa zomwe zimakhudza magulu osiyanasiyana amthupi.
Ibuprofen ndi analgesic, odana ndi kutupa. Amagwiritsidwa ntchito pothandizira ululu, kutentha. Mankhwalawa akuphatikizidwa pamndandanda wamankhwala ofunikira ndi World Health Organisation. Ndi kapamba, kuyeserera kumayikidwa ngati mankhwala oletsa kupweteka. Akuluakulu ndi ana opitirira zaka 12 akulimbikitsidwa kumwa mapiritsi atatu / tsiku ndi madzi. Chithandizo chikuyenera kuchitika pambuyo chakudya. Mankhwalawa ali contraindicated kwa zilonda zam'mimba komanso kukokoloka kwa m'mimba, gawo la impso, aimpso ndi kwa chiwindi kuchepa, hypersensitivity, mochedwa. Mapiritsi ali ndi mndandanda waukulu wazotsatira zoyipa (chiwopsezo cha mtima, kuchepa kwa makutu, kuwonongeka kwa mawonekedwe, kuyatsidwa kwa maso, tachycardia, kuthamanga kwa magazi, kugwidwa ndi matupi awo).

Zakudya zopatsa thanzi mu pancreatitis yogwira mtima ndi imodzi mwazinthu zazikulu zothandizira bwino. Zakudya za wodwala siziyenera kukhala ndi zidutswa zoondera. Zakudya zonse zimalimbikitsidwa kuti ziperekedwe kwa wodwala yemwe wakazidwa. Chakudya sichiyenera kuzizira kapena kutentha. Kuti mupewe kapamba, muyenera kutsatira malamulo angapo opatsa thanzi:

Kuphatikizika pakati pa chakudya kumalimbikitsidwa kuti muchepe.
Sankhani zakudya zabwino komanso zopatsa thanzi.
Chepetsani kumwa kwanu.
Dulani kaye mafuta azakudya, okazinga.
Osadzilimbitsa, pa chizindikiro choyamba cha matenda, funsani katswiri.

Zakudya zoyenera za kapamba zimathandiza kuchepetsa mwayi obwereranso. Zovomerezeka ndi zoletsedwa zalembedwa pagome:

Cholinga cha mankhwalawa

Mankhwala awa amalimbikitsidwa kuti agwiritse ntchito matenda otsatirawa:

Matenda apathengo, omwe ali ndi chizindikiro chosonyeza kuti alibe chimbudzi.
Cystic fibrosis.
Hepatitis ndi matenda amitsempha.
Matenda a oncological am'mimba thirakiti.
Nthawi yogwira ntchito ngati gawo limodzi la m'mimba kapena m'matumbo zachotsedwa.
Chimbudzi chifukwa cha kuperewera kwa zakudya m'thupi.

Zofunika! Creon saloledwa kutenga ndi kukokomeza kapamba, komanso ngati pancreatitis yodziwika bwino yapezeka.

Kuchita kwa mankhwalawa kumachitika chifukwa cha zomwe zimagwira, zomwe, mutatha kulowa, kulowa m'mimba, momwe kaphatikizidwe kamasungunuka mothandizidwa ndi madzi am'mimba ndipo amaphatikiza ndi zomwe zili m'mimba. Mtundu wapadera wa ma micogranules momwe zinthu zamankhwala zimapezekera zimawalola kupita ku duodenum ndipo atasungunuka kale pamenepo.

Mankhwala amapangidwa monga mawonekedwe a makapisozi ndipo amagwira ntchito zosiyanasiyana, mwanjira ina, zomwe zili zogwiritsidwa ntchito zimagawidwa mu Mlingo wosiyanasiyana:

Creon 10,000, lipase 10,000 IU, amylase 8,000 IU, proteinase 6,000 IU.
Creon 25,000, lipase 25,000 IU, amylase 18,000 IU, proteinase 1000 IU.
Creon 40,000, lipase 40,000 IU, amylase 25,000 IU, proteinase 1,600 IU.

Mlingo woti mutenge ndi kumwa mankhwalawa kwa nthawi yayitali ayenera kuuzidwa ndi dokotala. Zonse zimatengera kuchuluka kwa kusowa kwa katulutsidwe wa kunja kapamba komanso kuchuluka kwa matendawa.

Kukhazikitsa Conson kwa Ana

Kwa odwala a ana, mankhwalawa amalembedwa chifukwa cha kutupa kwa kapamba, mavuto chifukwa chosowa kanthu, kupweteka kwa colic, komanso kusowa kwa endocrine.

Posachedwa, makapisozi apangidwira ana ndi odwala omwe akukumana ndi mavuto akumeza, omwe amatha kusungunuka nthawi yomweyo ndi zakudya zofewa komanso zotsika za asidi ndikuwameza. Mlingo wa ana umayikidwa ndi dokotala, koma kutengera zaka sangathe ½ kapena 1/3 ya kapisozi.

Kwa ana aang'ono, mankhwalawa amalembedwa chifukwa cha kusowa kwa zinthu za enzyme, zovuta za metabolic ndi cystic fibrosis. Ndemanga za kukhazikitsidwa kwa mankhwalawa ndi ana ndi zabwino kwambiri, amadziwika kuti ndi mankhwala othandizira.

Pogwiritsa ntchito mankhwalawa kwanthawi yayitali ndi odwala ochepa, chiopsezo chokhala ndi urolithiasis chimawonjezeka ndipo kuchuluka kwa uric acid kumawonjezeka kwambiri.

Chithandizo chilichonse chimayenera kuyang'aniridwa ndi dokotala yemwe angakupatseni maphunziro ndi kuwonetsa momwe angamwe mankhwalawo komanso mlingo wake. Kudzichita nokha ndi ma enzymes kumatha kubweretsa zovuta zazikulu.

Mitu ya mankhwalawa

Monga mankhwala ena aliwonse, Creon ili ndi ma analogi angapo. Awa ndi kukonzekereratu kwamomwe kumathandizira kuti chakudya chikonzedwe. Mwa otchuka kwambiri komanso ogwira mtima, olemba awa adatchulidwa:

Mankhwalawa ali ndi mawonekedwe osiyana siyana komanso mawonekedwe ena. Zina mwa izo, makamaka Festal, zimakhala ndi ng'ombe za ng'ombe, zomwe zimakuthandizani kuti muchepetse mayamwidwe azakudya zofunika.

Komabe, akatswiri amati ma fanizo ndi otsika kuposa Creon pochita zawo. Mankhwalawa amatha kugwiritsidwa ntchito mosavuta komanso osasiyidwa ndikutupa kwa kapamba. Analogs amakhala ndi malingaliro abwino kuchokera kwa odwala ndi madokotala ngati atengedwa ndi zovuta zazing'ono m'mimba, monga kutulutsa, colic, kulemera mutatha kudya.

Ubwino wa Creon ndikuti:

Imalimbana mwachindunji ndi vutoli, ndipo sichichotsa zizindikirazo. Kapangidwe kake komanso kuchuluka kwa zinthu zofunikira zimakuthandizani kuti mubwezeretsenso ntchito ya matenda. Mankhwalawa amakhala ndi bile acid, omwe amathandiza kuti asasokoneze chimbudzi chachilengedwe, pomwe thupi limabwezeretsedwa.
Mankhwalawa ali ndi zovuta zochepa.
Creon ikhoza kugwiritsidwa ntchito pochiza ana aang'ono.

Mankhwalawa ali ndi mawunikidwe abwino komanso mawonekedwe abwino kuchokera kwa onse madokotala ndi odwala azaka zosiyanasiyana.

Malangizo pakugwiritsa ntchito Creon

Mlingo wa mankhwalawa umaperekedwa ndi adokotala okha, omwe ayenera kudziwa kuchuluka kwa matendawo, zaka, kulemera ndi kuchuluka kwa chakudya chomwe wodwala amadya.

Mapiritsi amatengedwa mukatha kudya, koma osalumidwa, koma kuwameza, kutsukidwa ndi madzi ambiri.

Ngati kapisozi kaphatikizidwa ndi chakudya, ndiye kuti muyenera kudziwa kuti chakudyacho sichiyenera kutentha kwambiri ndipo chizikhala ndi acidity yochepa.

Munthawi yonse yomwe mukumwa mankhwalawa, ndikofunikira kumwa madzi okwanira. Voliyumu yofunika ingawerengeredwe potengera kulemera kwa thupi.

Mankhwalawa amayenera kumwedwa pokhapokha ngati adokotala adanenanso, chithandizo chilichonse cha kapamba chimaphatikizira zovuta. Ndikofunikira kutsatira malamulo omwera mankhwalawa ndikukhalabe ndi chithandizo chamankhwala. Chifukwa cha chida ichi, mutha kubwezeretsa microflora yam'mimba, kuchotsa mitundu mitundu yazakudya ndi diathesis, kubwezeretsa kapamba.