Kodi mapiritsi a Penzital ndi ati: malangizo ogwiritsira ntchito, zochita ndi contraindication

Kukonzekera kwa enzyme.
Kukonzekera: PENZITAL

The yogwira mankhwala: kapamba
ATX Encoding: A09AA02
KFG: Kukonzekera kwa enzyme
Nambala yolembetsa: P No. 014636 / 01-2002
Tsiku lolembetsa: 12.16.02
Mwini reg. acc: SHREYA MOYO SCIENCES Pvt. Ltd.

Tulutsani mawonekedwe a Penzital, ma CD ndi mankhwala.

Mapiritsi okhala ndi mawu okhazikika ndi oyera, ofanana ndi filimu, yozungulira, ya biconvex. 1 tabu pancreatin 212.5 mg ndi enzymatic ntchito: amylases 4500 IU FIP lipases 6000 IU FIP proteinase 300 IU FIP
Omwe amathandizira: lactose, microcrystalline cellulose, sodium starch glycolate, povidone, talc, colloidal silicon dioxide, methacotic acid Copolymer, diethyl phthalate, titanium dioxide.
Ma PC 10 - mikwingwirima (3) - makatoni.
Ma PC 10 - mikwingwirima (10) - makatoni a makatoni.

Kufotokozera kwa ZOTHANDIZA ZABWINO.
Zonse zomwe zaperekedwa zimangoperekedwa kuti mudziwe bwino za mankhwalawo, muyenera kufunsa dokotala zokhudzana ndikugwiritsa ntchito.

Penzital

Wothandizira enzymatic. Muli ma enzymes a pancreatic - amylase, lipase ndi mapuloteni, omwe amathandizira kugaya chakudya zamafuta, mafuta ndi mapuloteni, zomwe zimapangitsa kuti azilowetsa m'matumbo ang'onoang'ono. Mu matenda a kapamba, amakwanira kusakwanira kwa ntchito yake ya exocrine ndipo amathandizira kukonza chimbudzi.

Zizindikiro zogwiritsidwa ntchito:

Kuperewera kwa exocrine pancreatic ntchito (kuphatikiza ndi chifuwa cham'mimba, cystic fibrosis).
Matenda a kutupa ndi a dystrophic am'mimba, matumbo, chiwindi, chikhodzodzo, machitidwe atatha kuyambiranso kapena kuziririka kwa ziwalo izi, limodzi ndi zovuta za kugaya chakudya, kutsekemera, kutsekula m'mimba (monga gawo la mankhwala osakanikirana).
Kupititsa patsogolo chimbudzi cha chakudya kwa odwala omwe ali ndi vuto la m'mimba, ngati zolakwika zakudya, komanso kuphwanya kutafuna, kulimbikitsidwa kwa nthawi yayitali, kukhalabe moyo.
Kukonzekera kwa x-ray ndi kupimidwa kwa ultrasound pamimba.

Mlingo ndi njira ya mankhwala.

Mlingo (malinga ndi lipase) umatengera zaka komanso kuchuluka kwa ntchito ya pancreatic. Mlingo wamba wa achikulire ndi mayunitsi a 150,000 / tsiku. Ndi kusakwanira kwathunthu kwa exocrine pancreatic ntchito - 400,000 mayunitsi / tsiku, lomwe likugwirizana ndi zofunikira za tsiku ndi tsiku za munthu wamkulu wokhala ndi lipase.
Mulingo waukulu: 15,000-20,000 mayunitsi / kg / tsiku.
Ana osakwana zaka 1.5 - mayunitsi a 50,000 / tsiku, okulirapo kuposa zaka 1.5 - mayunitsi 100,000 / tsiku.
Kutalika kwa chithandizo kumatha kusiyanasiyana kuchokera masiku angapo (ngati kugaya kwa chakudya kumasokonezeka chifukwa cha zolakwika m'zakudya) mpaka miyezi ingapo kapena zaka (ngati chithandizo chothandizira m'malo mwake ndikofunikira).

Zotsatira zoyipa za Penzital:

Mukamagwiritsa ntchito Mlingo wowonjezera wowerengeka, zotsatira zoyipa zimawonedwa zosakwana 1%.
Kuchokera mmimba: nthawi zina - kutsegula m'mimba, kudzimbidwa, kusapeza bwino m'mimba, nseru. Ubale wapakati pakati pa kukhazikitsidwa kwa izi ndikuchitika kwa pancreatin sunakhazikitsidwe, chifukwa zochitika izi zikugwirizana ndi zizindikiro za exocrine pancreatic insuffence.
Zotsatira zamagetsi: nthawi zina, mawonekedwe a khungu.
Kuchokera kumbali ya kagayidwe: ntchito kwa nthawi yayitali, kukula kwa hyperuricosuria ndikotheka, muyezo waukulu - kuwonjezeka kwa uric acid m'madzi am'magazi.
Zina: kugwiritsa ntchito pancreatin mu Mlingo wambiri mu ana zimatha kuyambitsa mkwiyo wa perianal.

Malangizo apadera ogwiritsira ntchito Penzital.

Iwo ali osavomerezeka kuti azigwiritsa ntchito gawo la kuchulukitsa kwa kapamba.
Mu cystic fibrosis, mlingo uyenera kukhala wokwanira kuchuluka kwa ma enzymes omwe amafunikira kuyamwa kwa mafuta, poganizira za kuchuluka ndi kuchuluka kwa chakudya chomwe mumadya.
Mu cystic fibrosis, kugwiritsa ntchito pancreatin mu Mlingo wopitilira 10,000 mayunitsi / kg / tsiku (malinga ndi lipase) sikulimbikitsidwa chifukwa cha chiwopsezo chokulira (strotic colonopathy) mu gawo la ileocecal komanso colon yomwe ikukwera.
Ndi ntchito yayikulu ya lipase yomwe ili mu pancreatin, mwayi wokhala ndi kudzimbidwa kwa ana ukuwonjezeka. Kuwonjezeka kwa mlingo wa pancreatin mu gulu ili la odwala kuyenera kuchitika pang'onopang'ono.
Matenda am'mimba amatha kuchitika kwa odwala omwe ali ndi hypersensitivity kuti pancreatin, kapena odwala omwe ali ndi mbiri ya meconium ileus kapena matumbo resection.

Penzital mogwirizana ndi mankhwala ena.

Pogwiritsa ntchito munthawi yomweyo maantacid okhala ndi calcium carbonate ndi / kapena magnesium hydroxide, kuchepa kwa mphamvu ya pancreatin ndikotheka.
Pogwiritsa ntchito munthawi yomweyo, ndizotheka kuti muchepetse kuthamanga kwamatenda a acarbose.
Pogwiritsa ntchito nthawi imodzimodziyo kukonzekera zachitsulo, kuchepa kwa mayamwidwe achitsulo ndikotheka.

Kutulutsa mawonekedwe ndi kapangidwe kake

Penzital imapangidwa ngati mapiritsi okhala ndi interic: yoyera, yozungulira, ya biconvex (zidutswa 10 pamizere, 1-12 mizere mtolo wa makatoni).

Piritsi limodzi lili ndi:

• Zogwira ntchito: pancreatin - 212.5 mg (ali ndi ntchito yotsatira ya enzymatic: amylase - 4500 IU FIP, lipase - 6000 IU FIP, proteinase - 300 IU FIP),
• Zothandiza: lactose, microcrystalline cellulose, sodium starch glycolate, talc, diethyl phthalate, povidone, colloidal silicon dioxide, methaconic acid Copolymer, titanium dioxide.

Contraindication

• Pancreatitis (makamaka pachimake kapena kufalikira kwa matenda osachiritsika),
• Hypersensitivity mankhwala.

Pa nthawi yoyembekezera komanso mkaka wa m'mawere, kugwiritsa ntchito Penzital ndikotheka pakuwunika kuchuluka kwa mapangidwe omwe ali pachiwopsezo cha thanzi la mayi ndi mwana (palibe chidziwitso chodalirika chokhudza kuthandizira komanso chitetezo cha mankhwalawa).

Mlingo ndi makonzedwe

Penzital imatengedwa pakumwa ndi madzi osakhala amchere (madzi, misuzi ya zipatso), makamaka ndi chakudya kapena mukatha kudya. Mapiritsi a kutafuna sayenera kukhala.

Mlingo wambiri umatsimikiziridwa ndi kuchuluka kwa kusokonezeka kwa chakudya.

Akuluakulu nthawi zambiri amapatsidwa mankhwala katatu pa tsiku kwa mapiritsi a 1-2, kwa ana mlingo umatsimikiziridwa payekhapayekha.

Kutalika kwa maphunzirowa kumatsimikiziridwa ndi ziwonetsero (zazakudya zoyipa zomwe sizingasokonezeke ndi matenda am'mimba - masiku angapo, ngati kuli kotheka, mankhwalawa m'malo mwake - miyezi ingapo kapena zaka.

Zotsatira zoyipa

Pa mankhwala, kukula kwa vuto la m'mimba m'magawo a m'mimba, kudzimbidwa, kusapeza bwino m'mimba, ndi mseru kumatheka. Nthawi yomweyo, kulumikizana kwapakati pazovuta izi ndi kugwiritsidwa ntchito kwa Penzital sikunakhazikitsidwe, chifukwa zovuta izi zimatha kuphatikizidwa ndi exocrine pancreatic insuffence.

Komanso munthawi yamankhwala, kusintha kwa thupi lawo kumatha kuonekeranso.

Kutalika kwa nthawi yayitali pogwiritsa ntchito Mlingo wambiri kungayambitse hyperuricemia ndi hyperuricosuria.

Odwala omwe ali ndi cystic fibrosis, kupitirira muyeso womwe umayikidwa kungayambitse kukula kwa ma strictures (fibrotic colonopathy) mu colon yomwe ikukwera (gawoocecal).

Mwa ana, kutenga Mlingo waukulu ungayambitse mkwiyo wamkati ndi kuyamwa kwa mucosa yamlomo.

Pharmacodynamics ndi pharmacokinetics

Kumwa mankhwalawa kumatha kulipirira kuchepa kwa ntchito zachinsinsi zakunja m'munda kapamba. Ili ndi proteinolytic, amylolytic ndi lipolytic.

Enzymeszomwe ndi gawo Pancreatinzomwe lipase, alpha-amylase, chymotrypsin ndi trypsin thandizirani kuwononga mapuloteni ku ma amino acid, mafuta kumafuta acid ndi glycerol, wowuma kupita ku monosaccharides ndi dextrins. The magwiridwe antchito am'mimba thirakiti komanso bwino, kugaya chakudya njira.

Chifukwa cha trypsin, kusunthidwa kwa pancreatic secretion kumalepheretsedwa, ndikupanga analgesic.

M'malo amchere wa m'matumbo aang'ono, ma enzymes a pancreatic amamasulidwa ku mtundu wa mankhwala chifukwa amateteza ku mphamvu ya madzi am'mimba mu chipolopolo.

Kuwonetsedwa kwa ntchito yapamwamba ya enzymatic kumachitika pambuyo pa mphindi 30-45 kuyambira panthawiyi yoyamwa. Mafuta a pancreatin m'matumbo amtunduwu samachitika, chinthucho chimapukusidwa pamodzi ndi ndowe.

Malangizo apadera

Ndi cystic fibrosis, kutenga Mlingo waukulu wa Penzital osavomerezeka (chifukwa chakuwoneka kwa fibrous colonopathy).

Mlingo wa mankhwalawa uyenera kufotokozedwa molingana ndi kuchuluka kwa ma enzyme ofunikira kuti mafuta amwe, mukuganizira kuchuluka ndi kuchuluka kwa chakudya chomwe mumadya.

Ndi chithandizo chazitali, Penzital imalimbikitsidwa kuyikidwa nthawi imodzi ndi kukonzekera kwachitsulo.

Kuyanjana kwa mankhwala osokoneza bongo

Ndi kuphatikiza Penzital ndimankhwala ena, muyenera kuganizira momwe mungapangire zotsatirazi:

• Mankhwala okhala ndi Iron: kuchepetsa kuyamwa,
• Maantacid okhala ndi calcium carbonate ndi / kapena magnesium hydroxide: kuchepa kwamphamvu kwa Penzital.

Mapiritsi a Galvus

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Galvus ndi mankhwala a hypoglycemic omwe amapangidwa kuti azilamulira shuga m'magazi omwe ali ndi matenda a shuga a 2. Zomwe zimagwira ndi vildagliptin. Chifukwa cha mankhwalawa, kuwongolera kwa glucagon ndi insulin metabolism kumachitika. Malinga ndi European Antidiabetesic Association, kugwiritsa ntchito mankhwalawa monotherapy pokhapokha ngati pali zotsutsana ndi metformin. Werengani mosamala malangizo ogwiritsira ntchito mapiritsi a Galvus ndi mndandanda wazoletsa.

INN, opanga, mtengo

Galvus ndi dzina lodziwika lamankhwala. INN (dzina losavomerezeka padziko lonse lapansi) - vildagliptin. Amapangidwa ku Spain (Novartis Pharmaceutica) komanso ku Switzerland (Novartis Pharma).

Mutha kugula mankhwala kumalo ena aliwonse malinga ndi mankhwala a dokotala. Mtengo wa paketi yamapiritsi 28 umachokera ku 724 mpaka 956 rubles.

Pharmacokinetics

Vildagliptin mthupi imalowetsedwa mwachangu, kutsimikizika kwamtundu wa bioavailability kumafika 85%. Mukamamwa mankhwalawa pamimba yopanda kanthu, magazi ambiri amalembedwa pasanathe maola awiri. Kubwera ndi chakudya, mankhwalawa amamwa 19% pang'onopang'ono, pafupifupi maola awiri ndi theka.

Kugawa kwa mankhwalawa kumachitika chimodzimodzi pakati pa maselo ofiira am'magazi ndi madzi a m'magazi. Njira yayikulu yopatula vildagliptin imawerengedwa kuti biotransfform. 85% ya chinthucho imapukutidwa ndi impso, 15% yotsalayi - kudzera m'matumbo.

Ndikulimbikitsidwa kugwiritsa ntchito "Galvus" pothandizira matenda ashuga komanso kusunga zakudya zoyenera ndi masewera olimbitsa thupi. Zisonyezo zogwiritsa ntchito mankhwalawa ndi:

• mankhwala oyamba a odwala omwe alibe mphamvu yothandizira pakudya ndi olimbitsa thupi kuphatikiza ndi metformin,
• monga monotherapy - kwa odwala matenda ashuga omwe sayenera kumwa metformin, kapena pali zosintha zabwino kuchokera pakudya ndi masewera olimbitsa thupi,
• chithandizo cha magawo awiri ndi thiazolidinedione ndi metformin, insulin, ngati palibe zotsatira kuchokera ku monotherapy,
• kuphatikiza katatu ndi mankhwala a sulfonylurea ndi zotumphukira za metformin,
• mankhwala othandizira patatu ndi insulin ndi metformin, ngati palibe kuwongolera kwenikweni kwa glycemia ndi njira zonsezi.

Mlingo, kumene, nthawi ya maphunzirowa amasankhidwa ndi dokotala.

Malangizo ogwiritsira ntchito (mlingo)

The endocrinologist ayenera kudziwa mankhwala othandiza kwambiri. Amasankhidwa payekhapayekha, poganizira momwe wodwalayo alili, gawo la nthendayo komanso kaperekedwe ka mankhwala ena. Mutha kumwa mapiritsi musanadye, ndipo pambuyo pake, chinthu chachikulu ndikumwa madzi ambiri. Ngati m'matumbo mwachitika, ndibwino kuti mudye pakudya.

Mosasamala mtundu wa mankhwala omwe amaperekedwa (mono - kapena kuphatikiza), kawirikawiri mlingo wa yogwira ndi 50-100 mg patsiku. Mulingo woyenera kwambiri wa 100 mg umaperekedwa makamaka mu milandu yayikulu, pomwe uyenera kugawidwa m'magawo awiri - m'mawa ndi madzulo. Monga mankhwala owonjezera, insulin, metformin ndi sulfonylurea zotumphukira zitha kulembedwa.

Ngati chiwindi ndi impso ntchito, pazipita mlingo tsiku lililonse amachepetsa 50 mg kuti muchepetse katundu pa mayendedwe a dongosolo.

Bongo

Mlingo wa chinthu chogwira mpaka 200 mg umaloledwa ndi odwala. Kulera mpaka mayunitsi 400 kumatha kupweteka kwa minofu, kuchepa kawirikawiri, paresthesia, kuchuluka kwa ndende ya lipase ndi malungo. Kulandila oposa 600 mg a vildagliptin kumayambitsa kuchuluka kwa ALT ndi CPK, myoglobin, komanso mapuloteni a C-reactive. Kuyimitsa mankhwalawa kumathandizira kuthetsa zizindikiro. Sizotheka kuchotsa "Galvus" m'thupi la wodwala pogwiritsa ntchito dialysis, koma mutha kugwiritsa ntchito njira ya hemodialysis.

Zisonyezero Penzital

Zizindikiro zazikulu zogwiritsidwa ntchito:

• chithandizo cholowa m'malo mwa exocrine pancreatic insuffence, mwachitsanzo, ndi aakulu kapamba, kapambamkhalidwe pambuyo dyspepsia, kukhudzika,Matenda a Remheld kapena gastrocardial syndrome, cystic fibrosis,
• kutsegula m'mimba genesis yopatsirana, chisangalalo,
• kuphwanya chilimbikitso cha chakudya, mwachitsanzo, mutatha matumbo ochepa komanso m'mimba,
• kufunika kokonzanso chimbudzi cha chakudya mwa anthu omwe ali ndi vuto losakhazikika m'matumbo omwe ali ndi zovuta zakudya zomanga thupi - chakudya chochuluka, zakudya zamafuta, zakudya zopanda pake, komanso zovuta za ntchito ya mastic, moyo wokhalitsa komanso kusakhazikika kwa nthawi yayitali.
• kukonzekera kuyesedwa kwa x-ray kapena ma ultrasound a ziwalo zamkati.

Mimba komanso kuyamwa

Kafukufuku wowonetsa akuwonetsa kuti kuchuluka kwa mankhwalawa kwa mankhwalawa sikukhudza mbali yoyipa ya mluza. Panalibe zofooka zazikazi zomwe zimapezeka. Kafukufuku ochulukirapo sanachitikebe, chifukwa chake, musatayenso chiwopsezo cha mayi ndi mwana. Ndikofunika kukumbukira kuti ngati pali kuphwanya kwa kagayidwe ka shuga m'magazi, pamakhala chiopsezo cha kubadwa kwa fetalital, ndipo chiopsezo cha kufa ndi vuto la Neonatal limachulukirachulukira.

Gwiritsani ntchito muubwana ndi ukalamba

Palibe chidziwitso chokhudza kumwa mapiritsi pakati pa odwala osakwana zaka 18, chifukwa chake sichikulimbikitsidwa kuti muwaphatikizire pochiritsa.

Anthu opitilira zaka zopitilira 65 safuna kusintha kwapadera kwa mankhwalawa, koma musanagwiritse ntchito, muyenera kuonana ndi endocrinologist, kuyang'anira chiwindi ndi impso, ndikuwunika kuchuluka kwa shuga m'magazi.

Fananizani ndi fanizo

Mapiritsi a Galvus ali ndi ma fanizo ambiri, tiyeni tiyesetse kumvetsetsa zabwino ndi zovuta zawo.

Chithandizo cha antiidiabetesic "Galvus" chotchuka pakati pa odwala, pali ndemanga zambiri zabwino.

Vladimir, wazaka 43: “Ndimatenga 50 mg ndi Metformin 500 mg m'mawa uliwonse ndi madzulo kwa zaka ziwiri. Pambuyo pa miyezi isanu ndi umodzi yogwiritsidwa ntchito mwadongosolo potsatira zakudya, kuchuluka kwa shuga kunatsikira ku 4.5. Kuphatikiza apo, zinali zotheka kuchepetsa thupi. Ngati m'mbuyomu ndidalemera makilogalamu 123, tsopano zolemetsa zimachokera ku 93-95 kg ndikukula kwa 178 cm. "

Karina, wazaka 32: “Ngakhale kuti ambiri adandipatsa chithandizo chambiri, sindinayamikire. Nthawi zambiri ndimakhala ndikumva chizungulire, kufooka komanso kupweteka m'mimba ndikugwiritsa ntchito, motero ndinayenera kusiya mankhwalawo. "

Svetlana, wazaka 56: "M'mbuyomu, adotolo adamuuza Maninil, koma sanabwere, sanataye shuga, thanzi lake lidayamba kuwipira. Kuphatikiza apo, ndimakumana ndi mavuto ndi mtima komanso mitsempha yamagazi. Kenako adotolo adandiuza kuti ndiyese Galvus. Ndikofunikira kutenga, ingomwa piritsi limodzi patsiku. Chifukwa cha machitidwe ake, shuga amachepetsa bwino ndipo pang'onopang'ono, osati kwambiri, chifukwa chake zinthu zomwe sizikukula zikuwonjezeka. Tsopano ndikusangalala, ndimatha kusangalala ndi moyo komanso kugwira ntchito. ”

Pofupikitsa, titha kudziwa kuti Galvus ndi imodzi mwamankhwala otetezeka kwambiri komanso othandiza kwambiri pa hypoglycemic omwe amapezeka pamsika wa pharmacological. Mankhwalawa ndi oyenera kuthandizira mtundu wa 2 matenda a shuga, angagwiritsidwe ntchito ngati mankhwala, kuphatikizapo masewera olimbitsa thupi komanso zakudya zapadera.

Kodi mapiritsi a Penzital ndi ati: malangizo ogwiritsira ntchito, zochita ndi contraindication

Kukonzekera kwa enzyme ya Penzital kumapangidwa mwa mapiritsi okhala ndi mphamvu, chophatikizira chachikulu ndi pancreatin ndi enzymatic ntchito ya lipase, amylase ndi proteinase. Kuphatikiza apo, kapangidwe kazinthu kameneka kamakhala ndi zinthu zothandiza, kuphatikizapo lactose monohydrate, zomwe ziyenera kukumbukiridwa ngati gawo ili silikugwirizana.

Ndi mapiritsi ati omwe amathandizira? Mankhwala tikulimbikitsidwa kwa odwala ndi osakwanira exocrine pancreatic ntchito, kusintha kagayidwe kake, amakonda kuphwanya mafuta ndi mapuloteni kukhala tinthu tating'onoting'ono.

Chifukwa cha kukhalapo kwa chipolopolo chapadera, phale limasungunuka kokha m'matumbo aang'ono, ndipo pamenepo zochizira zamthupi zimayamba. Peak ntchito ya mankhwalawa imawonedwa pakatha mphindi 45 mutamwa mankhwalawa. Mtengo wapakati wanyamula mapiritsi ndi ma ruble 60.

Malangizo ogwiritsira ntchito mapiritsi

Mankhwala adapangidwira kuti azigwiritsa ntchito mkati mwa exocrine pancreatic insufficiency chifukwa cha matenda a chiwalo ichi, kuphatikizapo matenda kapamba. Amamulembera kuti athetse vuto pambuyo pa opaleshoni yodwala pakhungu, njira yogaya chakudya pambuyo pa chemotherapy ya zotupa za khansa mu ziwalo za m'mimba.

Zisonyezero zakugwiritsidwa ntchito kwa Penzital ndi cystic fibrosis, zolakwika za zakudya, kugwiritsa ntchito zakudya pompopompo, kudya kwambiri, kutafuna ntchito (pamene chakudya chambiri chimalowa m'mimba). Mapiritsi ayenera kuledzera pamaso pa x-ray, kupimidwa kwa ultrasound pamimba.

Malangizo ogwiritsidwanso ntchito akuwonetsanso kutsutsana kwa mankhwalawa, omwe mukuwonjezeka kwa chiwopsezo cha kapamba (kapamba), chifuwa, kaphatikizidwe ndi kapamba (pancreatitis). Chotsutsana china ndi kusalolera kwa zinthu zomwe zikuchitika.

Imwani mankhwalawa mukamadya kapena mukangomaliza kudya, muyenera kumwa mapiritsi 1-2:

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

1. kumeza lonse
2. osabera
3. imwani kapu yamadzi.

Akuluakulu amalimbikitsidwa katatu patsiku, kwa ana ochepera zaka 12, mlingo umatsimikiziridwa payekha kutengera kulemera kwa thupi.

Kutalika kwa maphunzirowa kumachokera masiku angapo mpaka miyezi ingapo, adokotala amasankha nthawi yayitali ya chithandizo, kuyambira pakuzindikira komanso machitidwe a thupi la wodwalayo. Ubwino wosakayikitsa wa mankhwalawa ndikuti siwowonjezera, palibe chizindikiro chowachotsa mutamaliza mankhwala.

Pakati pa nthawi yayitali, chitetezo chogwiritsa ntchito mankhwalawa sichidaphunziridwe kwathunthu, chifukwa chaichi, chithandizo chovomerezeka chimaperekedwa kuti phindu lomwe limakonzekera limakhala lokwera kangapo kuposa chiwopsezo cha mwana.

Ponena za nthawi yoyamwitsa, Penzital imaloledwa, koma zidzakhala zofunika kuwunika momwe mwana amvera mankhwalawo, zochita zake zonse, zotupa za pakhungu sizimayikidwa padera.

Zikatero, muyenera kusiya kumwa mapiritsi.

Zosintha zosiyanasiyana, bongo, kuyanjana

Penzital nthawi zambiri imavomerezedwa ndi odwala omwe ali ndi vuto losatha la kapamba, omwe amakhala ndi chidwi chambiri cha mankhwalawo, kusokonezeka kwa ziwalo zosiyanasiyana ndi machitidwe amadziwika.

Kuchokera mmimba thirakiti ndi kudzimbidwa, kulemera m'mimba, stomatitis, kuyimitsidwa kwa chikhazikitso m'dera la perianal fold, flatulence, nseru, ndi kusanza. Zimachitika kuti thupi limayankha pamapiritsi posintha mayeso a mkodzo, kuwulula hyperuricemia, hyperuricosuria.

Odwala ena ali ndi ming'oma, kulekeka, totupa pakhungu, redness, komanso kuyabwa kwambiri. Kuwonetsedwa kotereku sikuwopseza thanzi, sikuwopsa, ndipo kumadutsa mwachangu mutatsitsa kapena kusiya kuchiritsa.

Ngati wodwala wokhala ndi cystic fibrosis amatenga kwambiri, amatha kuyamba kupanga fibrotic colonopathy m'matumbo. Ngati wodwala mwangozi, wodwalayo amakula:

Zizindikiro zotere zimafunikira chithandizo.

Kukonzekera kwa enzyme sikuyenera kutumizidwa kwa odwala komanso kukonzekera kwachitsulo; mothandizidwa ndi mapiritsi, kuletsa komanso kuyamwa kwa chitsulo kumadziwika. Ndikwabwino osagwiritsa ntchito mankhwalawa ndi mankwala, izi zimachepetsa kuchiritsa kwa Penzital.

Zina zomwe muyenera kudziwa

Mlingo wa mankhwala osakhazikika pancreatitis ndi cystic fibrosis ayenera kuwerengera aliyense wodwala, pewani mankhwala osokoneza bongo osagwirizana ndi kukula kwa fibrous colonopathy.

Zaka zambiri zokhudzana ndi kugwiritsa ntchito mapiritsi a ana pasukulu yocheperako ndizochepa kapena sizikupezeka konse, pachifukwa ichi, kufunsira kwa dokotala ndikofunikira musanalandire chithandizo. Panthawi ya mayeso azachipatala, panalibe mutagenic, teratogenic komanso embryotic pamwana, koma amayi apakati amafunikabe kusamala chifukwa thupi lawo limatha kuyankha chithandizo mosasamala.

Malinga ndi ndemanga, mapiritsi samakhudzana ndikugwira ntchito kwa mtima wamanjenje, sikuletsedwa kuyendetsa magalimoto pamankhwala, kusamalira machitidwe ovuta omwe amafunikira chidwi chochulukirapo.

Mankhwala angagulidwe ku pharmacy popanda mankhwala kuchokera kwa dokotala, ma CD amayenera kusungidwa kutali ndi ana aang'ono, akuyenera kukhala malo owuma komanso abwino.

Moyo wa alumali umawonetsedwa pamapaketi, nthawi zambiri zaka ziwiri kuyambira tsiku lopanga mapiritsi. Ndizoletsedwa kuphatikiza mowa ndi penzital.

Analogs a Penzital

Makonda otchuka a Penzital ndi mapiritsi a Creon, Festal, Mezim, Panzinorm ndi Pancreatin. Mwa iwo, kuchuluka kwa mankhwala omwe amagwira ntchito mosiyanasiyana ndi kosiyana, chifukwa cha ichi sikoyenera kuyika m'malo mwamankhwala omwe adokotala adanenanso. Muyenera choyamba kumveketsa limodzi mulingo woyenera komanso watsiku ndi tsiku Kodi ndi njira iti ya Penzital kapena Pancreatin? Ndizosatheka kuyankha mosasamala, popeza zomwe zakonzedwazo zimakhala ndi mitundu yosiyanasiyana yazinthu zogwira ntchito.

Nthawi zambiri, m'malo mwa Penzital, madokotala amapereka mankhwala a Mezim, omwe amagwira ntchito mankhwalawa amathandizira kuthetsa mavuto osiyanasiyana omwe amadza chifukwa cha kuperewera kwa pancreatic encyme, kumathandizanso munthu kuti asamasangalale ndi matenda a kapamba. Gawo la trypsin limaletsa, limalepheretsa chinsinsi cha madzi a pancreatic.

Malongosoledwe a Mezim akuti athandizira kuthetsa kukhumudwa m'mimba komanso kumatulutsa chifukwa chodya zakudya zambiri zosagwirizana. Piritsi liyenera kumamwa lonse, kutsukidwa ndi madzi oyera. Sizoletsedwa kupera mapiritsi, michere imasungunuka pamalo oyipa m'mimba, kuchepetsa mphamvu ya mankhwalawa.

Njira yolandirira:

• Akuluakulu ayenera kumwa mapiritsi 1-2 katatu patsiku,
• Ana azaka 12-18 zaka mankhwala 20,000 IU za kilogalamu imodzi yolemera,
• Ana ochepera zaka 12 ayenera kupatsidwa 1,500 IU pa kilogalamu ya kulemera.

Kugwiritsa ntchito matenda apakhungu a pancreatitis amatha kukhala osakwatiwa, ngati kuli kofunikira kuthetsa kuphwanya kwakanthawi kwam'mimba, kapena kutalika ndi kutenga miyezi ingapo.

Mankhwala Mezim amaletsedwa ndi tsankho limodzi ndi zigawo zikuluzikulu za mankhwala, kumva kwambiri kwa thupi. Ndipo amafunika kuti azisamala kuti mapiritsi sayenera kudyedwa pakadali pano chifukwa cha kutupa m'matumbo, apo ayi nthendayo imangokulirakulira.

Mankhwalawa, mavuto amatha kuchitika mwa kugwidwa ndi mseru, matumbo, matumbo, kusokonezeka kwa chopondapo ndi kupweteka pamimba. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumawonjezera kuchuluka kwa uric acid, kukula kwa matenda a hyperuricemia.

Ngati wodwala atenga Mezim kwa nthawi yayitali limodzi ndi mankhwalawa, kuchepa kwachitsulo ndimatumbo kumachepa, kuchepa kwa magazi, kufooka kwa khungu, kufooka kwa minofu, komanso kulakwitsa kwa ntchito .Pamodzi kugwiritsa ntchito pamodzi kwa Mezim ndi kukonzekera kwa antacid komwe kumakhala ndi calcium ndi magnesium, mphamvu ya wothandizira enzyme idzachepa.

Chithandizo cha pancreatitis chikufotokozedwa mu kanema m'nkhaniyi.

Suganorm wa matenda ashuga

• Kufotokozera kwa mankhwalawa
• 2 Kuphatikizika ndi katundu
  • 2.1 Zina zopindulitsa
• 3 Malangizo ogwiritsira ntchito mankhwalawa Suganorm a shuga

Mankhwala amakono a Suganorm ndi chitukuko chatsopano chofuna kuchiza matenda ashuga. Mankhwalawa adapangira kuti apulumutse anthu ku jekeseni wa insulin wokhazikika. Imasinthasintha kagayidwe, imalimbitsa chitetezo chathupi ndikuyambiranso kugwira ntchito kwa machitidwe onse a thupi. Makapisozi amakhala ndi zosakaniza zachilengedwe zokha zomwe zimathandiza bwino polimbana ndi matendawa.

Penzital - mawonekedwe a thupi la mankhwala

Penzital. Katundu wa mankhwala

Mankhwala a enzyme amtundu wa mapiritsi, omwe pamwamba pake pali wokutira ndi enteric. Mapiritsiwo ndi oyera pamtundu, pakupuma kuyambira oyera kupita pamtengo wamtengo wapatali, mawonekedwewo ndi ozungulira, biconvex.

Penzital - mankhwala mawonekedwe a mankhwala

Zomwe zimagwiritsidwa ntchito mu Penzital ndi pancreatin, yomwe ili ndi ntchito ya michere yam'mimba yodutsa - awa ndi ma protein, ma amylase ndi lipases. Piritsi limodzi la Penzital lili ndi: 300 PIECES of proteinase, 4500 PIECES of amylase, 6000 PIECES of lipase. Kuphatikiza pa ma enzyme omwe amagwira ntchito, kukonzekera kumaphatikizanso magawo othandizira monga:

• talcum ufa
• lactose
• povidone
• cellulose
• colloidal silicon dioxide,
• sodium wowuma glycolate,
• titanium dioxide
• diethyl phthalate,
• methaconic acid Copolymer.

Penzital - mphamvu ya mankhwala

Penzital ndi kukonzekera kwa enzyme komwe kumakwaniritsa kusowa kwa katemera wa pancreatic. Izi zikutanthauza kuti mankhwalawa amadziwitsidwa panthawi ya chithandizo cha matenda osiyanasiyana osakanikirana ndi chimbudzi cha chakudya, chifukwa chosakwanira kupanga kapamba.

Ma enzymes omwe amapanga Penzital amalipira michere yomwe ikusowa yomwe imayenera kupangidwa mwachindunji ndi pancreatic acid.

Mapuloteni, lipases ndi ma amylases (chymotrypsin, trypsin) amathandizira kugwetsa chakudya chamafuta kumafuta acid, mapuloteni ku amino acid, wowuma kwa galactose, glucose, dextrins ndi ma monosaccharides ena.

Penzital analog. Pancreatin

Penzital imakhala ndi achire, yokhala ndi izi:

1. chimbudzi,
2. kubwezeretsa kwa magwiridwe antchito am'mimba thirakiti.

Mwanjira ina, mapiritsi awa amathandizira polimbana ndi kudzimbidwa chifukwa cha kudya kwambiri, kapamba ndi ziwalo zina zam'mimba. Mutatha kumwa mankhwalawo, piritsi lomwe silinatchulidwe limadutsa m'matumbo aang'ono, chifukwa limakutidwa ndi membala wamakanema omwe amateteza mankhwalawo kuti asapezekenso m'matumbo.

Chipolopolo cha piritsi chimasungunuka ndikutulutsa michere pambuyo kulowa m'matumbo aang'ono. Pazitali kwambiri ntchito ya mankhwalawa imayamba pambuyo pa mphindi 35-45 mutatenga Penzital. Trypsin, yomwe ndi gawo la mankhwalawa, samangokhala ngati mankhwala ochititsa chidwi, komanso amathandizira ntchito ya kapamba.

Penzital - zikuonetsa kuti mugwiritse ntchito

Mankhwala amathandizidwa ndi madokotala kuti apange chakudya chokwanira chokwanira chomwe chayamba ndi magwiridwe antchito monga:

• chifuwa chachikulu,
• kuchotsedwa kwa kapamba (lonse kapena mbali),
• kuchotsa kwa zonse (kapena mbali) zam'mimba,
• kuchotsera ndulu,
• kuchotsa kwamatumbo aang'ono,
• A Remkheld's syndrome ndi gastrocardial syndrome,
• matenda osapatsirana
• dystrophic pathologies kapena kutukusira kwa ndulu, chiwindi, matumbo ndi m'mimba,
• kuyang'anira ma radiation
• mankhwala a radiation
• chisangalalo
• dyspepsia
• cystic fibrosis.

Kuphatikiza apo, Penzital imalimbikitsidwa kuti itengedwe ngati munthu ali ndi chakudya chosakwanira, ndiye kuti, kudya zamafuta pafupipafupi, kudya kwambiri, kusakhazikika kwa chakudya, kusamalira kuthekera kosakwanira - izi zimatha kuwononga nsagwada, kusowa mano, ndi zina zambiri. immobilization, pokonzekera ultrasound, x-ray kuwunika kwam'mimba ziwalo.

Pofotokozera zonse pamwambapa, titha kunena kuti Penzital adalembedwa kuti aphwanye chakudya cha mitundu yosiyanasiyana, mwachitsanzo, matumbo omwe amachotsedwa, m'mimba, kudya zakudya zopanda pake komanso kudya kwambiri, kapena pamaso pa exocrine pancreatic insuffidence.

Penzital - kutenga ndi kumwa kwa mankhwala

Penzital amachotsa kumverera kolemetsa m'mimba

Mapiritsi amatengedwa ndi chakudya kapena pambuyo. Piritsi imameza (osati kutafuna) ndikutsukidwa ndi madzi a zipatso kapena chilengedwe. Mankhwalawa amaletsedwa kumwa madzi a beetroot ndi zakumwa zamkaka zam'madzi (Essentuki, Borjomi ndi ena).

Mlingo wa Penzital amasankhidwa payekha kwa wodwala aliyense. Zaka za munthu (wamkulu, mwana, wachinyamata) komanso kuchuluka kwa kuphwanya chimbudzi cha chakudya zimayang'aniridwa. Nthawi zambiri, odwala achikulire omwe ali ndi Penzital amawonetsedwa osaposa mapiritsi awiri katatu patsiku. Mlingo wa mankhwalawa umakhudzidwa ndi ntchito ya lipase. Mwa munthu wathanzi, tsiku lililonse kupanga kwa madzi osungunuka a lipase ndi magawo 400,000. Chifukwa chake:

1. kwa wodwala wamkulu, wokhala ndi vuto losatha la kapamba, pafupifupi tsiku ndi tsiku pali magawo 150,000 a ntchito ya lipase, yomwe imafanana ndi mapiritsi 25 a kukonzekera kwa enzyme.
2. kwa wodwala wamkulu, wothandizika ndi mapangidwe pancreatic osakwanira, pafupifupi tsiku lililonse mlingo mpaka 400,000 wa lipase ntchito, womwe ndi wofanana ndi mapiritsi 65 okonzekera enzyme,
3. Kwa ana ochepera zaka 1.5, pafupifupi, mlingo wa tsiku ndi tsiku ndi magawo 50,000 a ntchito ya lipase, omwe ndi ofanana ndi mapiritsi 8 a Penzital,
4. Kwa ana opitirira miyezi 1.5, avareji ya tsiku ndi tsiku ndi magawo 100,000 a ntchito za lipase, omwe amakhala ngati mapiritsi 16 a Penzital.

Malilime ophatikizidwa ndi mankhwalawa angayambitse kudzimbidwa kwa ana. Chifukwa chake, mwana akapatsidwa mankhwala okwanira a Penzital pa nthawi ya mankhwalawa, mankhwalawa amayamba kutumikiridwa pamiyeso yaying'ono, pang'onopang'ono mpaka amafikira kuchuluka kwa mapiritsi.

Mukamawerenga kuchuluka kwa Penzital, zimawerengedwa kuti kuchuluka kwa mankhwalawa tsiku lililonse ndi magawo 15,000 a ntchito ya lipase pa kilogalamu imodzi ya kulemera kwa thupi. Kuchokera pamawonekedwe awa zikutsatira kuti wodwala wolemera makilogalamu 70, malinga ndi lipase, sangalandire magawo oposa 1,050,000 (70 * 15,000 = 1,050,000). Kuphatikiza apo, posankha kuchuluka kwa mankhwalawa tsiku lililonse, ndikofunikira kuganizira kuchuluka kwa zakudya zomwe wodwala amadya.

Za nthawi yonse ya chithandizo, zimatengera mtundu wa matenda ndi kuchuluka kwa chimbudzi. Mwachitsanzo, kuti muchepetse zolakwika zomwe zimachitika mu zakudya, njira yokwanira ya mankhwala ndi masiku 3-4. Pali nthawi zina pamene munthu afunikanso kukonzanso ma enzyme amkati, mwanjira imeneyi Penzital imatha kutengedwa kuchokera masiku 30 mpaka zaka zingapo.

Penzital - contraindication ndi zovuta za mankhwala

Mlingo wapamwamba wa penzital umaphatikizidwa popezeka ndi cystic fibrosis. Izi ndichifukwa choti mankhwalawa amatha kutsogolera mawonekedwe a fibrous colonopathy m'matumbo. Mlingo wambiri tsiku lililonse wa anthu omwe amapezeka ndi cystic fibrosis ndi wofanana ndi magawo 10,000 patsiku pa kilogalamu ya thupi.

Munthu amene amatenga Penzital kwa nthawi yayitali amafunika kugwiritsa ntchito prophylactic pakukonzekera kokhala ndi chitsulo. Sitikulimbikitsidwanso kumwa mankhwalawa pakachulukitsa matenda a kapamba. Anthu omwe ali ndi matumbo ochotsedwa kapena akuvutika ndi meconium ileus ayenera kumwa mankhwalawa mosamala, popeza mapiritsi amatha kusokoneza kugwira ntchito kwa m'mimba.

Mankhwala osokoneza bongo a Penzital amawonekera mwa kudzimbidwa, akuluakulu - kuchuluka kwa uric acid m'magazi ndi mkodzo. Ngati chizindikiro ichi chikuwoneka, makonzedwe a Penzital amayimitsidwa nthawi yomweyo, ndipo mothandizidwa ndi njira yodziwika bwino yochizira, kudzimbidwa kumatha, ndipo kuwerengera kwa uric acid kumachepetsedwa. Njira zapadera zothetsera bongo wa enzyme kukonzekera sikufunikira.

Penzital sinafotokozedwe pamaso pa zotumphukira mwa anthu monga:

• pachimake kapamba
• kuchuluka kwa matenda a kapamba,
• kumverera kwa mankhwalawa kapena kugwiritsidwa ntchito kwa matupi amtundu uliwonse zomwe zimagwirizana ndi kukonzekera kwa enzyme.

Penzital - mavuto

Pamene kudya kwambiri - Penzital!

Zotsatira zoyipa kwambiri, madokotala amaphatikizapo zizindikiro zamitundu yonse zomwe zimakhudzana ndi thirakiti lakukhumudwa. Zotsatira zoyipa zamagetsi zomwe zimapezeka mutatenga Penzital zimaphatikizapo:

• kusasangalala m'mimba
• kudzimbidwa kapena kutsegula m'mimba
• nseru

Milandu yokhudzana ndi zovuta zosiyanasiyana zoyipa zomwe zimatchulidwanso ngati zotsatira zoyipa mukamamwa mankhwalawa, sizimalembedwa kawirikawiri. Muyenera kuzindikira kuti kulimbana kwamomwe kumawonekera sikuchokera pamapiritsi okha, koma kwa allergen onse.

Monga lamulo, thupi lawo siligwirizana, monga zotsatira zoyipa za mankhwalawa, limawonekera pakhungu. Pogwiritsa ntchito kukonzekera kwa nthawi yayitali - Penzital, kuwonjezeka kwa kuchuluka kwa uric acid m'magazi - hyperuricemia, mkodzo - hyperuricosuria imatha kupezeka mwa odwala.

Mlingo wapamwamba wa Penzital woperekedwa pochiza anthu omwe amapezeka ndi cystic fibrosis angayambitse kukula kwa fibrous colonopathy (adhesions) mu colon.

Mlingo wapamwamba wa Penzital woperekedwa pochizira ana ungayambitse kuyamwa kwa mucous membrane wamkamwa ndi pakhungu.

Penzital - ana ndi amayi apakati

Sizomvetsa chisoni, koma chimbudzi chitha kupezeka mwa amayi ndi ana omwe akuyembekezeredwa, motero gulu ili la odwala lingaperekenso chithandizo cha enzymatic. Penzital sichigwira ntchito kwa mankhwalawa omwe amaletsedwa mwamphamvu kwa amayi apakati ndi ana, koma ndikofunikira kugwiritsa ntchito mapiritsi mosamala, ndikuwonetsetsa kuti madokotala akupezekapo.

Madokotala akuti ana mulingo woyenera wa tsiku lililonse wa ana a Penzital ndi magawo 1000 pa kilogalamu imodzi ya kulemera. Izi zikutanthauza kuti mwana wolemera kilogalamu 20 amafunika mapiritsi 6.5. Njira yocheperako yothandizira ana omwe apeza ma pathologies angapo am'mimba kapena kapamba ndi masiku 14. Ngati ndi kotheka, dokotala yemwe akupezekapo amatha kukulitsa mphamvu ya kukonzekera kwa enzyme.

Ngati mwana wanu wadya zakudya zamafuta, ndikokwanira kuti amwe mapiritsi mu masiku atatu.

Malinga ndi ziwerengero, zikuwonekeratu kuti mu 75-80% ya ana omwe adalandira chithandizo chokwanira, momwe zinthu zilili bwino: Zizindikiro zotchulidwa zam'mimba zimatha, zomwe zimaphatikizira kukhumudwa, kuphwanya msana, kupweteka ndi m'mimba kupweteka. Kuphatikiza apo, mwa ana 2,3 omwe amamwa mankhwalawa, kuchuluka kwa mafuta osalowerera m'proper kunachepa.

Mezim - analog Penzital

Zotsatira zabwino pambuyo pogwiritsa ntchito mankhwalawa zinali motere: zidatha kudya zakudya zamafuta ambiri, zomwe zimawonjezera mphamvu ndi mphamvu kwa ana, zotupa zokhazikika, ndikuchotsa ululu.

Asayansi adachita kafukufuku wazoyeserera zingapo pazinyama, zovuta komanso zovuta zoyipa zakukonzekera kwa mwana ndi kukulira kwa mwana wosabadwayo sizinadziwike. Komabe, mayesero azachipatala a Penzital pa azimayi motsatira malamulo, pazikhalidwe zoyenera komanso zoyenera, sizachilengedwe. Ngakhale izi, zowonera zingapo zidapangidwa za amayi apakati omwe amatenga Penzital.

Pazowonera, palibe zotsatira zoyipa za mankhwalayo kwa iye mwini ndi mwana wake. Komabe, madokotala salimbikitsa kugwiritsa ntchito mapiritsi a amayi omwe ali mumkhalidwewu, chifukwa chake ndikuchepa kwa zolembedwa zothandizidwa ndi sayansi pankhani yotetezeka kwa mankhwalawa. Mlingo wa Penzital kwa amayi apakati ndi wofanana ndi akulu.

Masiku ano, mumsika wamankhwala ogulitsa kunyumba, mutha kupeza matanthauzidwe ndi fanizo la Penzitalu. Madokotala amatcha ma syonyms mankhwalawo omwe ali ndi zinthu zomwezo monga zosakaniza - mwa ife, pancreatin. Mankhwala osokoneza bongo ndimankhwala omwe ali ndi chinthu china, koma ndimankhwala ofanana, omwe amafanana bwino ndi mawonekedwe a Penzital.
Kuti m'mimba musavutike, onani mawonekedwe a mankhwalawa:

Kodi mwazindikira kulakwitsa? Sankhani ndikusindikiza Ctrl + Lowanikutiuza.

Penzital - malangizo ogwiritsira ntchito (njira ndi Mlingo)

Mapiritsi adapangidwa kuti agwiritse ntchito mkati, ndi kuzigwiritsa ntchito bwino asanadye. Nthawi yomweyo, madzi wamba ndi oyenera kumwa. Amadzipaka kuti agwiritse ntchito zakumwa zamchere chifukwa chaichi.

Malinga ndi malangizo ogwiritsira ntchito Penzital, kusankha kwa mankhwalawa kumachitika ndi dokotala wa gastroenterologist, yemwe ayenera kuganizira zakudya zomwe wodwala amadwala komanso kuchuluka kwa enzyme. Mlingo watsiku ndi tsiku wa odwala wamkulu ndi: 1-2 mapiritsi katatu. Amaloledwa kuwonjezera Mlingo wa tsiku ndi tsiku mpaka mapiritsi 16.

Mankhwalawa odwala ochepa, kusankha kwa mankhwalawa kumachitika palokha.

Njira yochizira imakhazikitsidwa ndi adotolo ndipo amatha kukhala zaka zingapo.

Tsiku lotha ntchito

Zofananira zazikulu za mankhwalawa zimayimiriridwa ndi njira monga: Gastenorm Forte, Creon, Mezim, Micrazim, Pangrol 10000, PanziKam, Panzinorm, Panzim Forte ndi ena.

Komanso, mankhwala omwe ali ndi vuto lofanana ndi awa: Pancrelipase, Pancitrat Festal, Enzistal-P, Hermitage ndi zina zotero.

Monga momwe mukudziwira, mowa ndizomwe zimapangitsa kuti pakhale zovuta pazomwe Penzital adalembera. Chifukwa chake, munthawi yamankhwala, tikulimbikitsidwa kuti musamwe mowa.

Ndemanga za Penzital

Mankhwalawa amakonda makamaka osati odwala omwe ali ndi matenda osiyanasiyana am'mimba, komanso amafunikira mankhwala akudya kwambiri. Chifukwa chake, ndemanga za Penzital zimapezeka kulikonse.
Nthawi zambiri mankhwalawa amaperekedwa liti mimba, popeza munthawi imeneyi angafunikire kukhala ndi zotsatira zoperekedwa mwachangu, zomwe sizimayambitsa mavuto. Mwachitsanzo, imagwiritsidwa ntchito mwachangu ndi azimayi omwe, mutatha kudya, amakhala olimba kulemera m'mimba kapena nseru.

Kuphatikiza apo, mankhwalawa atha kutumizidwa ku gulu ili la odwala kuti azithandiza kugaya chakudya komanso kusintha momwe ntchito yake ili m'mimba. Ngakhale azimayi ambiri sadziwa kwenikweni zomwe Penzital amathandiza pa nthawi yoyembekezera. Chifukwa chake, nthawi zambiri pamakhala kulongosola kwatsatanetsatane kwa akatswiri omwe amafotokoza chifukwa chake mapiritsi a Penzital amathandizira bwino, momwe angathere komanso nthawi yake.

Mwambiri, ndemanga zikuwonetsa kuti mankhwalawa ndi othandizadi. Komabe, ngakhale ndiwakuti ndiwopatsa thupi ndipo, malinga ndi ena, otetezeka kwa thupi, osavomerezeka kumwa popanda mankhwala a dokotala.

Malangizo ogwiritsira ntchito Penzital, mlingo

Piritsi imatengedwa pakumwa pakudya kapena itangotha ​​chakudya kwathunthu, kutsukidwa ndimadzi osakhala amchere (madzi, madzi).

Kusankhidwa kwenikweni kwa mankhwalawa kumachitika ndi gastroenterologist, potengera mawonekedwe a zakudya komanso kuchuluka kwa michere.

Mlingo wokhazikika, malinga ndi malangizo ogwiritsira ntchito Penzital, amachokera pa mapiritsi 1 mpaka 2 katatu pa tsiku (kadzutsa, nkhomaliro ndi chakudya chamadzulo). Amaloledwa kuwonjezera Mlingo wa tsiku ndi tsiku mpaka mapiritsi 16.

Kwa ana ochepera zaka 12, mlingo umodzi ndi wa tsiku ndi tsiku umatsimikiziridwa payekhapayekha.

Njira yogwiritsira ntchito mapiritsi a Penzital imatha kusiyanasiyana kuchokera masiku angapo (zolakwika mu zakudya) mpaka zaka zingapo, malinga ndi mawonekedwe.

Malangizo apadera

Mu cystic fibrosis, makulidwe apamwamba samalimbikitsidwa (chifukwa cha mtundu wa fibrous colonopathy).

Mlingowo umayikidwa molingana ndi kuchuluka kwa ma enzymes ofunikira kuti mafuta abweretsedwe, poganizira za kuchuluka ndi kuchuluka kwa chakudya chomwe mumadya.

Ndi chithandizo cha nthawi yayitali, tikulimbikitsidwa kupereka mankhwala nthawi yomweyo ndi kukonzekera kwachitsulo.

Zotsatira zoyipa

Malangizowa amachenjeza za mwayi wokhala ndi zotsatirapo zoyipa mukamapereka Penzital:

• Kutsekula m'mimba, kudzimbidwa,
• Kusasangalala m'mimba
• Kuchepetsa mseru
• Thupi lawo siligwirizana
• Mwinanso kukulitsa kwa ma strictures (fibrotic colonopathy) mu gawo la ileocecal mu colon yomwe ikukwera,
• The zimachitika perianal mkwiyo ndi mkwiyo wa m`kamwa mucosa ana.

Contraindication

Amakanizidwa kupatsa Penzital pazochitika zotsatirazi:

• Kuchulukana kwa matenda kapamba,
• Pachimake kapamba
• Hypersensitivity mankhwala.

Pa nthawi yoyembekezera komanso kuyamwa, kuikiratu kutha kuchitika pambuyo pa kuwunika kuchuluka kwa mapindu omwe ali pachiwopsezo cha thanzi la mayi ndi mwana (chidziwitso chodalirika chokhudza chitetezo ndi chitetezo sichikupezeka).

Bongo

Zizindikiro za bongo ndi kukula kwa kudzimbidwa, nseru, ndi kusanza. Mankhwalawa ndi chizindikiro.

Odwala omwe ali ndi cystic fibrosis pamene akutenga mapiritsi a Penzital mu Mlingo wambiri, mapangidwe a fibrous colonopathy mu gawo la leocecal la colon ndi lotheka.

Analogs Penzital, mtengo pama pharmacies

Ngati ndi kotheka, mutha kuyimitsa Penzital ndi analogi yogwira ntchito - awa ndi mankhwala:

Mukamasankha analogi, ndikofunikira kumvetsetsa kuti malangizo ogwiritsira ntchito Penzital, mtengo ndi kuwunika sizigwira ntchito ndi mankhwala omwe ali ndi vuto lofananalo. Ndikofunikira kupeza upangiri wa dokotala komanso kuti usasinthe popanda mankhwala.

Mtengo m'mafakitale aku Russia: Mapiritsi a Penzital 20 ma PC. - kuchokera ku ruble 50 mpaka 67, mtengo wa mapiritsi 80 - kuchokera ku 182 mpaka 239 rubles, malinga ndi mafakitale a 729.

Sungani kutentha kwa 2-25 ºº pamalo owuma osavomerezeka ndi ana. Moyo wa alumali ndi zaka zitatu.

Migwirizano yachokere ku malo ogulitsa mankhwala - popanda kulandira mankhwala.

Penzital kapena Pancreatin - ndibwino kuti musankhe?

Mankhwalawa onse ndi ma enzymatic othandizira omwe amasintha chimbudzi m'matenda a kapamba. Zonsezi zili ndi chinthu chogwira - Pancreatin, ovala zovala zapadera za enteric.

Kusiyana pakati pa Penzital ndi Pancreatin kuli mu Mlingo wa chinthu chomwe chikugwira komanso mtundu wa pancreatin palokha. Ndikosavuta kusankha choyankha choyenera, ndikofunikira kuchokera pazomwe adotolo akudziwitsa, kuthekera kwachuma komanso kayendedwe ka thupi. Malinga ndi anthu, mankhwala okwera mtengo kwambiri (Creon, Festal, etc.) amaloledwa bwino, koma onse amodzi.

Ndemanga 6 za Penzital

Monga njira ina yokwera mtengo yokumbira kugaya, ndimagwiritsa ntchito Penzital, imathandizira kulemera m'mimba, kumatulutsa komanso mitundu yambiri yazovuta m'derali. Osati zoyipa kuposa zomwe zimalengezedwa pa TV, zimayesedwa.

Tinkakonda kutenga Mezim, ndipo tsopano tinasinthira ku Penzital, zimapindulitsa kwambiri. Nthawi zambiri ndimayesetsa kuyang'anira zomwe ndimadya, koma makolo anga paphwando samayesa zonse osati kwenikweni ndipo pambuyo pake sindifuna kuvutika konse. Ndipo mapiritsiwa amathandizadi.

Zomwe mezim, penzital, zonse zimachokera ku kapamba. Kusiyana kwa kuchuluka kwamagulu a ma enzyme

Sindinamwetse mankhwalawa m'mimba. Pokhapokha - nthawi ndi nthawi. Mapiritsi a Penzital amathandizira kugaya chakudya ndipo palibe ululu m'mimba.

Ine ndimatenga Penzital kwa sabata lathunthu ndikumva kugaya bwino, m'mimba mwanga ndikumva kukomoka kwa chakudya kummero kwanga kwapita kale. Koma zikachitika, ndimamwa mapilitsiwo sabata limodzi.

Ndipo ine ndi mwamuna wanga “takhala” pa Pancreatin ... mtengo wotsika mtengo kwambiri kuposa mankhwala onsewa ... Eh, pazaka zambiri m'mimba mwanga walephera kulimbana ndi misomali yokhuthala)))) Ndiyenera kuthandiza nthawi zina

Kufotokozera za mankhwalawa

Kulandila kwa makapisozi "Shuganorm" ndizokambirana zoyambirira ndi adokotala.

Phukusili lili ndi kufotokoza kwa kapangidwe ka mankhwalawo, komanso malangizo ogwiritsira ntchito. Suganorm akufuna kuchotsa odwala matenda ashuga owawa komanso ovuta a insulin. Limasinthasintha kapangidwe kameneka ndipo limakhazikitsa shuga mthupi. Makapisozi a matenda ashuga ndi otetezeka kugwiritsa ntchito chifukwa amapangidwa ndi zinthu zachilengedwe. Makapisozi a Suganorm amadziwikanso ngati prophylactic. Chifukwa cha matenda ashuga, munthu amakhala ndi vuto la mtima, misempha, matenda am'mimba ndipo amatha kuona komanso kumva. Mankhwalawa amathandizira kuti machitidwewa azikhala okhazikika. Makapisozi amabwezeretsa bwino thupi ngakhale pambuyo pa mitundu yayikulu ya matenda ashuga.

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Kuphatikizika ndi katundu

Mapangidwe a "Suganorm" akuphatikizapo:

Rosehip monga gawo la mankhwalawa ithandiza chitetezo cha mthupi polimbana ndi matenda.

Galega - amateteza kagayidwe, kusintha chithokomiro ndipo amalepheretsa kusokonekera kwake, amakhalanso ndi phindu pamapangidwe a mtima, amapanga insulin.

Zigawo zonse za mankhwalawa ndizinthu zachilengedwe zomwe zimagwira modekha thupi la wodwalayo, popanda kulowerera mankhwala oyipa. Kuphatikizika kwa mankhwalawa kumaphatikizira zinthu zomwe zimathandizira chitetezo chokwanira. Chiboliboli chilichonse chimakhala ndi zochulukirapo zingapo zomwe sizidutsa gawo lake la munthu wodwala matenda ashuga. Ichi ndi chimodzi mwazinthu zofunikira za Shuganorm.

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Zina zopindulitsa

Mankhwala amatsuka magazi ndi kutsika shuga.

Odwala matenda ashuga amawona kusintha komwe kumachitika pambuyo pakugwiritsa ntchito mapiritsi koyamba. Zizindikiro zathanzi lathu zikubwereranso kwina: chikhumbo, kugona ndi kusinthasintha. Ndipo zimachitikanso:

• utachepa wa kaphatikizidwe ka shuga, kuchuluka kwa insulin,
• kusintha kagayidwe kachakudya,
• kuyeretsa magazi ndi zamitsempha pazinthu zoyipa:
• njira yodzitetezera - "Suga" samangothandiza odwala matenda ashuga, komanso amathandizira kuti matenda ena asayambe.

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Malangizo ogwiritsira ntchito mankhwala Suganorm a shuga

Akatswiri amalangizidwa kutenga "Shuganorm" komanso ngati prophylaxis a matenda otsatirawa:

• kupweteka mutu pafupipafupi
• matenda oopsa
• matenda am'mimba,
• matenda amtima.

Matenda a shuga a Suganorm amakambirana ndi adokotala, koma malangizo ogwiritsira ntchito akuwoneka pa phukusi. Wodwala amatenga mapiritsi kawiri pa tsiku, m'mawa ndi madzulo. M'mawa, tengani mapiritsi 2 amitundu, madzulo - mapiritsi 2 opanda utoto. Mankhwalawa amawadyedwa mphindi 30 asanadye ndikutsukidwa ndi madzi ambiri ofunda (pafupifupi 100 ml). Njira ya mankhwala kumatenga masiku 30. Ndikulimbikitsidwa kubwereza kanayi pachaka.