Kodi pali kusiyana kotani pakati pa Pangrol ndi Pancreatin

Mankhwala apadera othandizira komanso kupewa matenda a kapamba.

Pangrol (Pangrol) - chakudya chomwe chimapanga chakudya, chomwe chimapangitsa kuti pakhale pancreatin, chimachotsedwa pamimba kapamba. Chithandizo chothandizira cha Pangrol ndikuwongolera chimbudzi, kukonza magwiridwe antchito am'mimba, kupangira kuchepa kwa michere, ndikukhala ndi lipolytic, amylolytic, proteinolytic. Mapuloteni, mafuta ndi chakudya zamafuta omwe amalandiridwa kuchokera kuzakudya amawonongeka, kuphatikiza chifukwa chothandizidwa ndi ma enzyme, omwe ndi gawo la pancreatin.

Mankhwalawa adapangidwa kuti akhale ndi mtundu wa kolatinamu wa opaque cylindrical wa mtundu wa lalanje, mkati mwake momwe mumakhala mapiritsi am'munsi a beige mu chipolopolo cha enteric-soluble (acid). Pamene chigoba cha gelatin cha kapisozi chikalowa m'mimba, chimasungunuka, mapiritsi a mini amakhala osakanikirana ndi zomwe zili m'mimba ndipo amatetezedwa kuti asatengeke m'mimba. Zotsatira zake ndikugawika kwa ma enzyme. Pancreatin imachotsedwera mwachilengedwe, chifukwa mayamwidwe ake m'matumbo samachitika.

Chofunikira chachikulu ndi pancreatin ndi zochita zochepa za proteinase za 500ED, ma amylase a 9,000ED, lipases ya 10,000ED.

• silicon dioxide colloidal anhydrous,
• hydrogenated castor mafuta,
• sodium croscarmellose,
• magnesium wakuba.

Zizindikiro Pangrol

Mankhwala analamula kuti kuchepa kwa exocrine pancreatic ntchito monga mankhwala m'malo otsatirawa matenda:

• Pancreatitis
• Ndi kutulutsa kwathunthu kapena pang'ono pang'ono kwa kapamba.
• Mukamachepetsa kukhathamiritsa kwakukulu kwa kapamba.
• Matumbo osakwiya.
• Schwachmann-Diamond Syndrome.
• Matenda am'mimba.

Mlingo ndi makonzedwe

Palibe umboni wina, mlingo wa mankhwalawa kwa achikulire ndi makapisozi katatu patsiku ndi chakudya. Makapuwo amayenera kumezedwa popanda kutafuna, kwathunthu, ndikutsukidwa ndi madzi ambiri. Kusintha muyezo pakuwonjezereka kumavomerezeka pokhapokha akuwongoleredwa ndi gastroenterologist, poganizira zizindikiritso zake komanso m'zochitika zake motsatira chithunzithunzi.

Mulingo waukulu wa mankhwalawo ndi magawo 15,000-20000 lipase / kg patsiku.

Contraindication

Pangrol sanalembedwe milandu iyi:

• The pachimake mawonekedwe a kapamba.
• Kusalolera payekha pancreatin ndi thupi lawo siligwirizana ndi zinthu zomwe zimapanga mankhwalawo.
• The pachimake gawo la kapamba.

Pa nthawi yoyembekezera, kusankha kupereka mankhwalawa kumapangidwa ndi dokotala yemwe wazindikira kuti njira zochiritsira amayi zimadutsa zoopsa zovomerezeka zokhudzana ndi mwana wosabadwayo.

Zambiri mwachidule za Pancreatinum

Mankhwalawa ndi piritsi, yomwe nthawi zambiri imakhala yolumikizidwa ndi enteric (ngakhale imapezeka m'njira yotsika mtengo yotulutsa pamene mapiritsi sanaphatikizidwe ndi zokutira). Chithandizo chogwira kuchokera ku zikondamoyo ndi makulidwe a michere ofunikira pakusweka kwachilendo ndi chakudya: lipase, amylase, proteinase.

Popeza Pancreatin amapangidwa ndi opanga osiyanasiyana, mlingo wake umakhalanso wosiyana, komabe, ndi wocheperako. Monga lamulo, piritsi limodzi lili ndi mayunitsi pafupifupi 25-50.

"Pancreatin" ndi mankhwala komanso mankhwala othandizira ophatikizira matenda otsatirawa:

1. Matenda apathengo omwe amachitika chifukwa cha kuchepa kwa katulutsidwe (pancreatitis yayitali, cystic fibrosis, dyspepsia, etc.),
2. Matenda amkati
3. Kuphwanya njira yothandizira kudya chakudya, kuphatikiza pochita opaleshoni, ma radiation,
4. Matenda a chiwindi ndi matenda amisala, kuphatikizapo omwe ali ndi matenda osachiritsika,
5. Kuvomerezeka kamodzi pakukonzekera ziwalo zam'mimba zofufuzira,
6. Mlingo umodzi womwe umaphwanya kwambiri zakudya,

Ngakhale ambiri, chifukwa cha kuchuluka kochepa komanso kusapezeka kwa ambiri omwe amapezeka, mankhwalawa samayambitsa zovuta, komabe zimachitika:

1. Thupi lawo siligwirizana ndi zigawo zikuluzikulu za mankhwalawa, zomwe nthawi zambiri zimayambitsa nkhumba,
2. Pogwiritsa ntchito nthawi yayitali, kuchuluka kwa uric acid pazowunikira ndikotheka,
3. Amachepetsa mayamwidwe achitsulo ndi folic acid. Chifukwa chake, mankhwalawa, monga lamulo, amathandizidwa ndi mankhwala okhala ndi chitsulo, komanso osavomerezeka kwa amayi apakati.

Contraindative pakutenga "Pancreatin" ndi:

• Kuchulukana kwa matenda kapamba,
• Pachimake kapamba
• Kusalolera zigawo zikuluzikulu,
• Wodwala wosakwana zaka zitatu
• Pa nthawi ya pakati, kusankha kumwa mankhwalawa kuyenera kupangidwa ndi adokotala. Ndizovomerezeka ngati phindu la mayi limaposa chiopsezo chovomerezeka kwa mwana wosabadwa.

Pangrol pa Glance

Chithandizo chophatikizika cha mankhwalawa chimapezekanso ndi pancreatin. "Pangrol" amafanizira bwino ndi mawonekedwe ake monga momwe amasulidwira: makapisozi, atakulungidwa ndi chipolopolo cholimba, mkati mwake mumakhala mapiritsi ang'onoang'ono okhala ndi pancreatin ndi maipi. Chipolopolo chimathandizira kuteteza zomwe zili m'mbale ya kapukusi ku zotsatira za madzi am'mimba kuti mapiritsi alowe m'matumbo ang'onoang'ono, pomwe amayamba kuchita.

Kuphatikiza pa pancreatin, Pangrol mulinso bile yotulutsa, yomwe imalimbikitsa kusweka ndi kuperewera kwa mafuta.

Mankhwala ndi mankhwala zovuta zochizira zotsatirazi matenda a kapamba:

• aakulu mawonekedwe a kapamba,
• cystic fibrosis,
• zotupa (kuphatikizapo zoyipa),
• kukonza mankhwala pambuyo kwathunthu kapena pang'ono mbali ya m'mimba kapena kapamba,
• kuchira pambuyo pozimitsa m'mimba,
• kuchepa kwa dambo la bile chifukwa cha zotupa kapena miyala.

Kuphatikiza apo, mankhwalawa amatha kuikidwa mu zovuta mankhwala pazotsatira zotsatirazi:

• kugaya chakudya chifukwa chamatumbo,
• matumbo osakwiya
• kudya zakudya zambiri zam'mimba,
• kukonzekera maphunziro a zamatumbo.

Mankhwala sangathe kugwiritsidwa ntchito pazotsatira zotsatirazi:

• pachimake kapamba kapena kuchulukitsa kwa mtundu wodwala.
• ziwengo kwa chimodzi mwazigawo za mankhwala, kuphatikiza nkhumba,
• mosamala komanso pokhapokha mukaonana ndi dokotala panthawi yoyembekezera.

Kusankha pakati pa Pancreatin ndi Pangrol

Chifukwa chake, onsewa ali m'gulu lomweli la mankhwala omwe amasintha chimbudzi, mwa kapangidwe kake kamagwiritsidwe ntchito. Kodi pali kusiyana pakati pawo ndikofunika? Komabe, musanayankhe funsoli, ndikofunika kukumbukira kachiwiri kuti ndikofunika kumwa mankhwalawa pokhapokha mutakambirana ndi adokotala, chifukwa ndi okhawo omwe amadziwa mawonekedwe a thupi la wodwalayo, komanso momwe matendawo aliri.

Malangizo ogwiritsira ntchito Pangrol

Mankhwala ndi a m'mimba ndi enzymatic wothandizira. Makapisozi amatengedwa pokhapokha akuwonetsedwa. Mapiritsiwa ayenera kumezedwa lonse kuti asawononge pakamwa. Malangizo ntchito mogwirizana ndi mankhwala okhala ndi kapamba, sinthani zakudya zanu. Iyenera kutsatira malamulo angapo:

• muyenera kuphika zakudya za banja, kuphika mbale zotentha,
• Idyani kangapo ka 5 / tsiku m'magawo ang'onoang'ono,
• yesani kukwaniritsa theka lamadzi amadzimadzi,
• Imwani madzi ambiri, muyenera kukonda zokonda zothira tiyi kapena decoction la rose m'chiuno.

Kupanga ndi mawonekedwe a kumasulidwa

Pangrol amachotsedwa pamafakisoni mwanjira ya ma kapisozi enteric odzaza mu botolo la polypropylene, mapiritsi. The kapangidwe ka mankhwala akhoza kuphunziridwa pogwiritsa ntchito gome:

Zochita zochepa (zigawo)

Lipases - 10000, ma amylases - 9000, mapuloteni - 500.

Croscarmellose sodium, anhydrous colloidal silicon dioxide, microcrystalline cellulose, utoto, methaconic acid, hydrogenated castor mafuta, magnesium stearate, kupezeka kwa ethyl acrylate Copolymer (30%).

Lipases - 20,000, ma amylases - 12,000, mapuloteni - 900.

Lactulose monohydrate, microcrystalline cellulose, omwazika kwambiri a silicon dioksidi, talc, titanium dioxide, macrogol 6000, magnesium stearate, methyl hydroxypropyl cellulose, simethicone emulsion, polysorbate 80, carboxymethyl cellulose sodium, trieospylrate.

Lipases - 25000, ma amylases - 22500, mapuloteni - 1250.

Croscarmellose sodium, methaconic acid, utoto wa magnesium, indigo carmine, quinoline chikasu, kupezeka kwa ethyl acrylate Copolymer (30%), crystalline microcellulose, hydrogenated castor mafuta, anhydrous colloidal silicon dioxide.

Pharmacodynamics ndi pharmacokinetics

Zomwe zimagwiritsidwa ntchito ndi pancreatin. Ndi ufa womwe umapezeka pofukula nkhumba. Ma enzyme omwe amapanga chinthucho ali ndi phindu pothandiza kugaya, amathandizira kuchepa kwa chakudya, mafuta, ndi mapuloteni. Mphamvu ya kapamba imathandizira kugwira ntchito kwa kapamba. Mankhwalawa amatha kuthetsa nkhawa m'mimba, kupweteka pamimba, kufupika komwe kumachitika pamene mipweya ikunjikana.

Mankhwalawa amathandizira ntchito ya ziwalo zam'mimba popanga ma enzymes ofunikira kuti magawo azikhala ndi matenda. Kapangidwe kake ka mankhwalawa kumaphatikiza bile yotsitsa, yomwe imasintha mafuta. Gawolo limawonjezera kuthekera kwa m'mimba kugaya ndi kuyamwa mavitamini ofunikira (A, E, K). Makapisozi acylindrical a mankhwalawa amakhala atakutidwa, omwe amakana asidi komanso amateteza zomwe zimaphatikizidwa ndi madzi a m'mimba.

Mkati mwa matumbo ang'onoang'ono, mapiritsi ake amaphwa. Ma enzyme otulutsidwa, pomangiriza zomwe zili m'chiwalocho, onetsetsani mulingo woyenera komanso kugawa moyenera ma enzyme. Ndikofunikira kuti pakhale phula laling'ono kapena losaloweka mkati mwa intestine yaying'ono. Pancreatin simalowetsedwa ndi chakudya chamafuta, chotsimbidwa ndowe.

Wopanga

Pangrol amapangidwa motsogozedwa ndi kampani yaku Germany yopanga mankhwala BerlinHemi pa fakitale ku Milan (Italy). Pancreatin amapangidwa ndi mabizinesi osiyanasiyana mu CIS wakale. Izi zimapatsa onse mankhwalawa zabwino komanso zowawa.

Ubwino waukulu wa "Pancreatinum" ndi mtengo wake, chifukwa omwe anthu otsika ndi ochepa amalandila zomwe amakonda. Popeza chithandizo chothandizira mmalo nthawi zambiri chimatha miyezi ingapo, kapena zaka, ndalama zomwe zimagulira Pancreatin, osati mzake wakunja, ndizofunikira kwambiri.

Poyerekeza, ngati phukusi la Pancreatin (zidutswa 60), kutengera wopanga, mtengo wake umagula ma ruble 50-100, ndiye Pangrol 10000 imawononga ndalama pafupifupi ma ruble 500, ndipo Pangrol 25000 ingagule ma ruble 1000.

Chowerengetsera chochepa cha enzyme

Kubwezeretsa kwakukulu kwa Pancreatin ndikuti mu pepala lazidziwitso zamankhwala simungapeze zambiri zamtundu wa ED zomwe zili ndi piritsi limodzi. Nthawi zambiri, wopanga amawonetsa zinthu zingapo zoyenera.

Komabe, sizabwino kunena kuti kapu imodzi imodzi ya Pangrol ili ndi zinthu zambiri zomwe zimagwira, zomwe zikutanthauza kuti izichita bwino poyerekeza ndi piritsi limodzi la Pancreatin.

Zotsatira zoyipa

Mukamagwiritsa ntchito mankhwala onse awiri, vuto la kugaya chakudya limatha kuchitika, komabe, izi ndizotsatira zamatenda a kapamba kuposa momwe mankhwalawo amachitikira. Chiyanjano pakati pa kugwiritsa ntchito kukonzekera kwa enzyme ndi zovuta za patulo sichinatsimikizidwe.

Thupi lawo siligwirizana ndi chimodzi mwa zinthu zomwe mankhwalawo amapanga lingakhale locheperako, pamenepa, phwando limayimitsidwa, zomwe zimayambitsa ziwopsezo zimadziwika ndipo analogue imayikidwa. Kugwiritsa ntchito nthawi yayitali, matenda ena, monga kuchuluka kwa uric acid m'magazi kapena mkodzo kumatha kuchitika. Pankhaniyi, mankhwalawa amasokonezedwanso nthawi yomweyo.

Mwambiri, mankhwalawa onse amavomerezedwa bwino ndi odwala, zovuta zomwezo zomwe nthawi zina zimachitika zimakhala zofanana.

Kumwa mankhwala amayi apakati oyembekezera

Mankhwala onse okhala ndi pancreatin mu kapangidwe kake amawononga mphamvu ya thupi yolanda chitsulo ndi folic acid. Ichi ndichifukwa chake ndikosayenera kugwiritsira ntchito nthawi yapakati, makamaka pa trimester yoyamba. Nthawi zina, ngati chithandizo cha mankhwala a pancreatin atakonzedwa nthawi yayitali, motsatana nawo, kukonzekera kwachitsulo kumayendetsedwa kuti muchepetse vuto la kuchepa magazi.

Kumwa mankhwala ndi ana aang'ono

Malangizo a Pancreatin akunenanso momveka bwino kuti kuvomereza kumatheka pokhapokha ngati ali ndi zaka zitatu monga adokotala adauza. "Pangrol" amaloledwa kwa ana aang'ono mpaka zaka zinayi, komabe, monga momwe adalamulira adokotala.

Mwachidule, kodi ndizotheka kunena mosasamala kuti ena mwa mankhwalawa ndi abwino kuposa mnzake? Pankhani ya chithandizo, Pangrol, pokhala m'badwo watsopano wamankhwala, ndiwothandiza kwambiri kuposa Pancreatin.

Komabe, moyo umakhala wovuta kwambiri kuposa chiphunzitso, ndipo nthawi zambiri ndimakhala wotchipa wa Pancreatin womwe umapangitsa kuti ukhale wokongola m'maso mwa odwala. Mulimonsemo, musanapite ku mankhwala a mankhwalawa limodzi, muyenera kukambirana za chithandizo chamankhwala anu. Ndiye amene angathandize kusankha mulingo woyenera wa mankhwalawa komanso nthawi yayitali kuti athandize, osati zovuta ku thupi.

Pangrol 10000

Makapisozi ayenera kumezedwa lonse, kutsukidwa ndi kuchuluka kwa madzi. Mapiritsi ayenera kumwedwa mukudya. Njira ya chithandizo imawerengeredwa ndi dokotala kutengera mtundu ndi zovuta za matendawo, zomwe wodwalayo ali nazo. Mlingo umatengera kafukufukuyu. Pangrol 10000 wokhazikitsidwa ndi munthu wamkulu ndi makapu awiri pa nthawi ya chakudya chilichonse.

Pangrol 20,000

Malinga ndi malangizo a wopanga, mapiritsi a Pangrol 20000 ayenera kumwedwa ndi chakudya, kutsukidwa ndi madzi. Kwa odwala akuluakulu, mapiritsi a 1-2 amaperekedwa nthawi iliyonse chakudya. Kutalika kwa mankhwalawa kumatsimikiziridwa ndi katswiri kutengera kafukufukuyu. Kutalika kwa maphunzirowa ndi kuchuluka kwake kungasinthe malinga ndi kuzindikiridwa kwake, kuopsa kwa matenda, komanso thanzi la wodwalayo.

Pangrol 25000

Kusankhidwa kwa mankhwalawa kumachitika mosiyanasiyana malinga ndi kuopsa kwa matendawa, kapangidwe kake ndi kuchuluka kwa chakudya chomwe mumadya. Pokhapokha zikuwonetsedwa mwanjira ina, akuluakulu amalangizidwa kuti azitenga makapisozi 1-2 pachakudya chilichonse. Makapisozi amafunika kumeza lonse, kutsukidwa ndi madzi ofunika. Kuwonjezeka kwa mlingo wa mankhwalawa kumatheka pokhapokha kuyang'aniridwa ndi dokotala. Kutalika kwa maphunziro a mankhwalawa kumakhazikitsidwa ndi katswiri wozikidwa pa data panjira ya matendawa.

Malangizo apadera

Odwala omwe ali ndi cystic fibrosis, ndipo akuchira omwe ali ndi Mlingo waukulu wa mankhwala, fibrosing colonopathy (magawo a colon, ileum, cecum) ndiotheka. Popewa kuwonekera kwa zotsatira zoyipa musanamwe mankhwalawa, ndikofunikira kupenda wodwalayo. Siziyenera kupatula kuti wodwala ali ndi zotupa zam'matumbo. Mankhwala sasokoneza kuthekera kuyendetsa, mayendedwe.

Pa nthawi yoyembekezera

Palibe mayesero odalirika azachipatala omwe amafotokoza mphamvu ya pancreatin pakukula kwa fetal, chifukwa chake kubereka ndi mkaka wa m'matumbo sakuphatikizidwa pamndandanda wotsutsana kwathunthu. Akatswiri samayikira kuthekera kwa zinthu zoyipa kwa mwana, popeza kuyesa kwa michere ya pancreatic mu nyama yachita bwino. Kumwa mankhwala kwa amayi am'tsogolo amaloledwa popanda contraindication ndipo ngati zotsatira zabwino zimaposa chiopsezo cha mavuto.

Pangrol ya ana

Mankhwalawa amatha kugwiritsidwa ntchito pochiza ana. Mlingo woyamba wa mankhwalawa m'mapiritsi a mwana wosakwana zaka 4 ndi magawo 1000 a lipase pa 1 kg ya kulemera kwa mwana. Kwa ana opitirira zaka zino, mayunitsi 500/1 makilogalamu akulimbikitsidwa. Munthawi ya chithandizo cha mwana, chakudya chovomerezeka chiyenera kuchitika kuti asatenge kukula kwa steatorrhea (kuchotsa mafuta osafunikira ndi ndowe). Mlingo umatsimikiziridwa ndi katswiri.

Kuyanjana kwa mankhwala osokoneza bongo

Ndi chithandizo chazitali ndi mankhwala, chophatikizira cha pancreatin, kuchepa kwa mayamwidwe achitsulo ndi folic acid ndikotheka. Kuti mankhwalawa asathenso kugwira ntchito, ndikofunikira kuonetsetsa kuti akulowa m'thupi mokulira. Kugwiritsa ntchito pamodzi ndi mankhwala a antacid okhala ndi calcium carbonate ndi magnesium hydroxide amathandiza kuchepetsa mphamvu ya mankhwalawa ndi kapamba.

Migwirizano yogulitsa ndikusunga

Mankhwalawa amachotsedwa pamafakitale popanda mankhwala a dokotala. Pamafunika kusunga mankhwalawo m'malo osatheka ndi ana, kutentha mpaka 25 digiri. Kapholo kamakhala ndi alumali miyezi 24. Mapiritsi amatha kusungidwa kwa zaka zitatu.

Popeza mankhwalawo palibe, mumatha kusankha mankhwala ena omwe ali ofanana ndi katundu ndi kapangidwe kake. Otchuka ndi fanizo zotsatirazi za Pangrol:

• Festal - yoperekedwa mwa ma dragees. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa ndizigawo za bile, hemicellulase, pancreatin. Festal ali ndi lipolytic, proteinolytic, amylolytic, choleretic kwenikweni, amapanga kufooka kwa michere ya m'mimba. Mankhwalawa amatha kugwiritsidwa ntchito pochiza akuluakulu ndi ana okulirapo kuposa zaka 3. Zilonda zimatengedwa pakamwa kwa ma pcs a 1-2. ndi chakudya.
• Penzital - chosakaniza ndi pancreatin. Mankhwalawa amathandizira kuperewera kwa michere ya kapamba. Penzital imagwiritsidwa ntchito pancreatitis yosatha, cystic fibrosis, gastrocardial syndrome, pambuyo pa dyspepsia, radiation. Tengani mankhwalawa mkati mwa mapiritsi a 1-2 musanadye.
• Micrasim - makapisozi a gelatin okhala ndi ma microspheres a pancreatin. Mankhwalawa amatanthauza m'badwo waposachedwa wazomwe zimapanga enzyme. Micrazim imayendetsa mayamwidwe a mapuloteni, chakudya, mafuta mthupi. Mankhwalawa ndi mankhwala a pancreatic insufficiency, matenda a chiwindi, matumbo a chiwindi, yaying'ono kapena yayikulu matumbo, dyspepsia. Imwani Micrazim iyenera kukhala nthawi ya chakudya kapena itatha. Mlingo umakhazikitsidwa ndi adokotala mokwanira pakuzindikira.
• Creon - makapisozi, omwe amapanga kwambiri ndi pancreatin. Mankhwala amagwiritsidwa ntchito kuti achulukitse kuchuluka kwa ma pancreatic enzymes monga momwe amachiritsira kapena monga chithandizo chamankhwala. Mlingo woyenera umatengera kupezeka kwa matenda, Zakudya ndi msinkhu wa wodwala.

Kugwiritsa ntchito kwa Pangrol pakalibe matenda am'mimba

Kwa anthu athanzi, ma enzyme amatha kukhala mankhwala omwe amathandizira kubwezeretsa chimbudzi pakatha nthawi yatchuthi.

Kuphatikiza apo, zida zotere zimathandizira kukonza maonekedwe a munthu.

Kugwiritsa ntchito ma enzymes kumalola munthu yemwe ali ndi vuto la m'mimba kuti azigwira bwino ntchito ndikuchepetsa nkhawa pazinthu monga chiwindi ndi kapamba.

Kodi zizindikiro za kuchepa kwa enzymatic ndi ziti?

Kuperewera kwa Enzymatic amadziwika ndi:

1. Ngati kukalamba khungu kumawonedwa ndi kuwonongeka kwa vuto lakelo, mawonekedwe a makwinya oyamba, khungu laimvi.
2. Kuchulukitsa kwa tsitsi, misomali yokhala ndi brittle - zonsezi zimatha kukhala chifukwa chosowa ma enzymes, chifukwa chomwe kunyowa kwa zinthu zofunika kuti mukhale ndi mawonekedwe abwino kumasokonekera.
3. Zovuta za m'matumbo zimachepa kapena kudzimbidwa kwa nthawi ndi nthawi, zomwe zimakwiyitsa chakudya chokwanira.
4. Kuchepetsa mphamvu ya chitetezo m'thupi, ndipo chifukwa, nthawi zambiri kumachitika chimfine.
5. Kusokonezeka kwa magawo a mahomoni, kusagwira bwino ntchito kwa chithokomiro cha chithokomiro ndi gawo la endocrine la kapamba.

Chifukwa chake, zikuwonekeratu kuti kuchuluka kwa ma enzymes osakwanira kumabweretsa kuyamwa kwa zinthu zazikuluzikulu zopanga thupi - mapuloteni, mafuta ndi chakudya, komanso kuchepa kwa mchere, mavitamini ndi kufufuza zinthu. Kuti muthane ndi vutoli, muyenera kusintha moyo wanu. Muyenera kutsatira zakudya zamagulu onse ndikuyesetsa kuchita masewera olimbitsa thupi moyenera.

Kuti mukwaniritse bwino komanso mwachangu, kugwiritsa ntchito kukonzekera kwa enzymatic ndikotheka.

Pangrol - ndi chiyani?

Chimodzi mwazinthu zamphamvu kwambiri komanso zokonzekera za enzyme ndi Pangrol. Ikupezeka mu milingo ingapo: magawo 10,000, 20,000 ndi 25. Cholinga cha mtundu wina wa mankhwalawa zimatengera Mlingo wofunika tsiku lililonse, ndipo umasiyana mu chiwerengero cha milingo patsiku.

Pangrol ndi zovuta za ma enzymes amachokera ku nyama - lyophilized ufa (pancreatin) kuchokera ku zikondamoyo za nkhumba. Mlingo wa zochita za mankhwalawa makamaka umachitika chifukwa cha kachigawo ka lipolytic, ndiye kachigawo ka proteinolytic. Mlingo wa kuwonongeka kwa chakudya chamafuta umakhala wotsika kwambiri ndipo umaperekedwa ngati gawo lofunikira la chithandizo cha cystic fibrosis.

Mankhwalawa amathandizira pafupifupi kugaya konse, chifukwa trypsin mu kapangidwe kake imatha, kuphatikiza mapuloteni, kuletsa katulutsidwe kapamba komanso kuchepetsa ululu. Izi mawonekedwe a mankhwalawa ndi oyenera kwambiri pochizira pancreatitis.

Pangrol imapezeka m'mapiritsi omwe amakhala ndi miyala-thunzi mkati. Pamene kapisozi kamalowera m'mimba, chimasungunuka pansi pa zochita za asidi ndikutulutsa mapiritsi a mini omwe chipolopolo chake chimagwirizana ndi asidi. Kugawa kwofananira kwa zomwe zimagwiritsidwa ntchito ndi mapiritsi pamatumbo a chakudya kumachitika.

Ikalowa alkaline kapena malo osagwirizana ndi gawo la duodenum - izi zimathandizira kutsegula kwa ma enzymes.

Zizindikiro Pangrol

Chizindikiro chachikulu cha Pangrol ndi kusakwanira kwa exocrine pancreatic ntchito, yomwe imayenera kupereka thupi ndi ma enzyme. Zomwe zimayambitsa kuphwanya izi zingakhale:

• aakulu kapamba
• kapamba
• gastwayomy
• zakumwa zoledzeretsa,
• cystic fibrosis,
• kutsekeka kwa msambo wa kapamba kapena chimbudzi wamba cha ndulu ndi masamu kapena chotupa,
• pachimake kapamba, pamene wodwalayo asamutsidwa othandizira zakudya.

Pangrol amalembedwanso zochitika zina zowopsa:

1. chisangalalo
2. matenda osapatsirana
3. mukamadya kwambiri kapena mukudya zakudya zambiri,
4. mukamamwa mowa
5. wokhala ndi moyo wosakhazikika kapena wosakhazikika nthawi yayitali,
6. pamaso pa zoperewera mu zida za kutafuna.

Kuphatikiza paziziwonetsero zonsezi, Pangrol amalembedwa asanapangitse maphunziro othandizira kuti azitha kuona bwino chithunzichi pochepetsa kutupa.

Malangizo ogwiritsira ntchito mankhwalawa

Mankhwala amaperekedwa pakamwa. Makapisozi sangathe kutafunidwa, chifukwa ma enzyme amatha kuwononga mucous membrane wamkamwa. Imwani mankhwalawa ndi madzi ambiri. Ngati kumeza kusokonezedwa kapena kudyetsa pogwiritsa ntchito probe, mutha kutsegula kapisozi ndikusungunula mapiritsi am'madzi kapena chakudya chamadzimadzi. Izi zosakanikirana sizitha kusungidwa, muyenera kuzigwiritsa ntchito mwachangu.

Mlingo wa mankhwalawa amasankhidwa payekha. Mlingo wokhazikika ndi Pangrol 10000 - kapisozi imodzi katatu patsiku musanadye. Pangrol 20,000 ndi 25 amagwiritsidwa ntchito kapisozi kamodzi kapena kawiri patsiku. Dokotala amasintha mlingo wa mankhwalawo, ngati kuli koyenera, muwonjezere. Mlingo wapamwamba wa tsiku lililonse kwa akulu ndi ana opitilira zaka 12 ndi magawo zana zana limodzi.

Ndi cystic fibrosis, ana osaposa zaka 4 amamulembera Pangrol pamiyeso ya mayunitsi 1000 pa kilogalamu ya kulemera, ndipo pambuyo pa 4x - 500 mayunitsi pa kilogalamu.

Popeza mankhwalawa samatengekedwa m'magazi, koma amagwira kumaloko m'matumbo, mulibe zotsatira zoyipa, monga hepatotoxicity, nephrotoxicity. Zina mwazotsatira zoyipa ndi izi:

• kuchuluka kwa uric acid ndi mkodzo, mogwirizana ndi izi pakufunika kuwongolera mapangidwe a calculi,
• Kuchepetsa dera la eocecal mwa ana omwe ali ndi cystic fibrosis komanso kudya kwambiri Mlingo wa Pangrol. Vutoli likuwoneka bwino ndi kukula kwa matumbo, chifukwa chake, limafunikira kuwongolera mosamalitsa,
• mavuto a dyspeptic mu mawonekedwe a mseru, kusanza, kudzimbidwa, kutsegula m'mimba, kubala msanga,
• thupi lawo siligwirizana - zotupa, kuyabwa, urticaria, lacrimation, bronchospasm.

Mankhwalawa amagwiritsidwa ntchito pochiza ana ndipo angagwiritsidwe ntchito mwa amayi apakati monga momwe dokotala akufotokozera ngati phindu lomwe mayi akuyembekeza limaposa chiwopsezo cha mwana. Mankhwala angagwiritsidwe ntchito pa mkaka wa m`mawere.

Cholepheretsa kugwiritsa ntchito Pangrol ndikumvetsetsa kwa mapuloteni a nkhumba, makamaka ngati pali mbiri yakale yokhudza nyama ya nkhumba.

Pangrol amatha kuchepetsa kuyamwa kwa folic acid, chifukwa chake kuphatikiza pamodzi ndi mankhwala omwe ali nacho sikungathandize. Ndipo koposa - kugwiritsa ntchito Pangrol nthawi yayitali, kuperewera kwa folic acid kumatha kuchitika, komwe kumadzadza ndi zovuta monga kuchepa magazi. Potere, njira zina zowonjezera za folic acid zakumwa ndizofunikira.

Pangrol nthawi zambiri amagwiritsidwa ntchito popanga zovuta za matenda am'mimba, choncho nthawi zambiri amaphatikizidwa ndi mankhwala a antiulcer omwe amachepetsa acidity, mwachitsanzo, pochizira pancreatitis. Kuphatikizidwa ndi ma sorbents a poizoni wa chakudya.

Pangrol amatchulidwa limodzi ndi maantibayotiki pakafunika kuthandizira matenda am'matumbo.

Madokotala tsopano amalangiza Pangrol m'malo mwa Creon chifukwa cha kukanika kwa kapamba ndi kapamba.

Moni nonse!

Ndikupitilizabe kulemba za mankhwala omwe adandithandizira ndimavuto owopsa m'mapapo ndi m'matumbo.

Gastroenterologist sanandizindikiritse ndi kapamba, koma adalemba - kukanika kwa pancreatic, yachiwiri yosakhumudwitsa matumbo.

Poyankha kwa Sparex mankhwala, ndinafotokozera zizindikiro zanga - uku ndi kupweteka kwambiri mu hypochondrium wamanzere, sindimatha kukhala kapena kugwira ntchito, ngakhale ndikumva kuwawa, panali ma spasms woopsa, ndikuganiza kuti zonse zidachitika chifukwa cha cholakwika chakudya.

Chifukwa chake, poyambilira, ndidapatsidwa chakudya, ine ndimakhala ndi ndulu, ndiye kuti chakudya changa ndicho chakudya No. 5. Dokotala amalimbikitsa kutsatira zakudya izi moyo wake wonse.

Kuphatikiza apo, pofuna kuchepetsa ululu, ndinamwa Sparex, kuti ndichepetse acidity, ndinapangidwanso Nolpaza, ndipo pamodzi ndi iwo ndinapatsidwa ma enzymes ena, pazokonzekera za enzymatic zomwe dokotala adalimbikitsa Pangrol (kapena Hermital), ngakhale ndidagula mankhwala a Panzinorm otsika mtengo komanso Sindinawone kusiyana kwakukulu.

Koma adotolo adati adasanthula ziwerengero ndikuwayikira mwa ine, Pangrol.

Dotolo adandiuza kuti ndipange maphunziro mu mwezi umodzi Pangrol magawo 10,000 oti ndikadye nawo mgonero uliwonse, ndikumwa mpaka miyezi itatu, kotero ndidagula nthawi yomweyo mapiritsi akulu 50.

Makapisozi ali ndi michere yogaya ya kapamba, ndinayesa ma enzyme amenewa ndipo ndi abwinobwino, koma kumakhala kusowa kwa tinthu timene timayamwa, motero malinga ndi adotolo timawamwa kuti tichepetse katundu pazinyini, titumize patchuthi, potero kuti ampatse nyonga kuti abwezeretse moyo wake.

Zomwe ndimakonda pokonzekera zinali makapisozi ang'onoang'ono, omwe ndi osavuta kumeza.

Zomwe sindimakonda zinali zofunikira, zotengera, mtsuko waukulu, zomwe sizinali zovuta kuti ndizitenga kuti ndizigwira, chifukwa chake nthawi zina ndimagula Panzinorm, popeza ili ndimadzimadzi ndipo ndimatha kumwa mapiritsi a ntchito.

Zotsatira zake - ndikuti, ndimamva bwino kwambiri nditatha kulandira chithandizo chamankhwala mwezi umodzi, chimbudzi changa chikuyenda bwino, ndimatha kutulutsa m'mimba, ndisanalandire chithandizo, ndimomwe ndimasewera ngati mpira, Iya sakanakhoza ngakhale kuuchotsa, chilichonse chopweteka.

Ndinaika mankhwalawa 5, ndikuwayikira ndipo ndidzagula, chifukwa ndikufunika kumvera dokotalayo, adotolo adandithandiza, zomwe zikutanthauza kuti ndikofunikira kumumvera (pambuyo pake, madokotala ndi osiyana).

DINANSO ENA

Otofag - chida chatsopano chothandizira matenda a ENT

Kupanga kwa mankhwala Pangrol

Patent ya mankhwalawa ndi ya mtundu wa Chitaliyana, koma amatulutsa mankhwalawo ndipo amakhala ndi ulamuliro wotsiriza ku Germany. Chifukwa chake, mankhwala a Pangrol amalowetsedwa ndipo amakhala otsika mtengo. Chingalowe m'malo ndi Pangrol ndikuti chingakhale chotsika mtengo bwanji?

Analogue yomwe siyotsika ndi Pangrol mu ntchito yabwino, koma yotsika mtengo kawiri ndi Creon. Zina zina ziwiri - Mezim Forte ndi Pancreatinum 8000. Mtengo wa pancreatinum ndi wochepera. Koma, malinga ndi ndemanga, mankhwalawa amakhalanso ndi phindu pa chimbudzi. Pancreatin sangathe kuthana ndi chifuwa chachikulu, koma amathandizira kuthetsa kusasangalala kwa kudya kwambiri.

Pambuyo pofufuza kukonzekera kwa enzymatic ndi kuchuluka kwa mtengo wawo kuti ukhale wabwino, titha kunena kuti kugwiritsa ntchito kapisozi kachulukidwe kumathandizabe, popeza ma enzymes ambiri amakhalabe ogwira ntchito atadutsa m'mimba. Ndikofunikanso kulingalira za payekha.

Zachidziwikire, monga momwe taonera pakayendetsedwe kake, ma enzyme alibe zovuta zambiri, koma ndibwino kuti dokotala akupatseni mankhwalawa, poganizira zomwe wodwala aliyense ali nazo. Ngati ma enzyme amafunikira kuti pakhale mpumulo wamankhwala kapena chimbudzi chimodzi ngati mutatha phwando, mutha kugwiritsanso ntchito mapiritsi okhala ndi mtengo wokwanira.

Dokotala amalankhula za mankhwalawa a kapamba mu kanema munkhaniyi.