Mezim ndi Pancreatin oyamwitsa

Pambuyo pa kubereka, chitetezo chamthupi cha mkazi sichinabwezeretse kwathunthu, ndipo thupi limakumana ndi zovuta zina zingapo. Munthawi imeneyi, amayi ena achichepere amakulitsa ma pathologies omwe analipo kale komanso panthawi yomwe ali ndi pakati. Koma kumwa mankhwala angapo kumakhala kosatheka, chifukwa kumayambitsa kusasangalatsa mwa mwana kulandira mkaka wa amayi. Kodi pancreatin ndi amodzi mwa mankhwalawa osaloledwa?

Kuthekera kwa kugwiritsa ntchito pancreatin panthawi yoyamwitsa

Amayi ambiri amafuna kudziwa ngati Pancreatin avulaza mwana. Palibe zambiri za momwe mankhwalawa amakhudzira makanda oyamwitsa, ndichifukwa chake wopanga salimbikitsa kuti amwe asanatenge msambo. Koma nthawi zina, madokotala amapereka mankhwala kwa akazi anyama, ngati mapindu ake amagwiritsidwa ntchito ndi apamwamba kuposa ngozi yomwe ingatheke.

Mphamvu ya pancreatin kwa mwana poyamwitsa sichinaphunzire, koma madokotala amapereka mankhwala, omwe amapindulitsa amayi

Kodi mankhwalawa ndi chiyani

Mu pharmacology, kapamba ndi wa gulu la ma enzymes ndi ma antienzymes. Izi ndi zinthu zomwe zimatha kuwononga mapuloteni, mafuta ndi chakudya. Pancreatin - msuzi wopangidwa ndi kapamba, womwe umakhala ndi michere yokumba.

Ntchito za ma enzymes (ma enzymes) zimapezeka mkati mwa zaka za XVII. Koma patangotha ​​zaka mazana awiri pambuyo pake, Mfalansa Claude Bernard adapeza njira yodzipatula ndi madzi akudya.

M'mafakitale, pancreatin adapezeka mu 1897. Amapangidwa kuchokera kapamba wa nkhumba ndi ng'ombe. Poyamba, anali ufa wopaka utoto wonyezimira, fungo linalake komanso kukoma kowawa kwambiri. Koma mwanjira iyi, pancreatin inalibe ntchito: mothandizidwa ndi madzi am'mimba omwe anali ndi hydrochloric acid, ma enzyme adawonongedwa, ndipo sanafikire matumbo. Ndipo posakhalitsa ufa "udadzaza" mu chipolopolo, chomwe chimalola ma enzyme kuti asungidwe mpaka atalowa mu duodenum. Pafupifupi masiku omwewo, mankhwalawa alipo.

Pancreatin - mankhwala ochokera ku kapamba a nkhumba ndi ng'ombe

The yogwira zikuchokera ndi zochita mapiritsi

Pamtima pa mankhwalawa pali michere yomwe kapamba amapanga m'thupi:

• proteinase (trypsin, chymotrypsin), yomwe imayambitsa kuphwanya kwa zinthu za protein kukhala ma amino acid osavuta,
• lipase - amalimbikitsa chimbudzi cha lipid zovuta ndi kuphwanya kwake kwa glycerol wamankhwala osakanikirana ndi mafuta,
• alpha-amylase, womwe umayambitsa kuphwanya kwa chakudya cham'madzi kwa monosugars.

Zochita zamankhwala othandizira pancreatin ndi mawonekedwe ake amawerengedwa ndi lipase, chifukwa enzyme iyi ndiyosakhazikika kwambiri ndipo ilibe "othandizira". Ma enzyme onsewo amapanga mapuloteni mwachilengedwe ndipo, m'njira zosiyanasiyana, amaphwanya mapuloteni. Amylase imapezeka m'matumba a anthu ndi matumbo aang'ono. Koma lipase ilibe magawo obwezeretsa zomwe zimachitika m'matumbo am'mimba. Chifukwa chake, kuchuluka kwa enzyme iyi kumatengedwa ngati maziko a ntchito ya Pancreatin. Ntchito yochepa ya lipolytic pokonzekera ndi magawo 4,3,000 a Ph.Eur.

Kukhala ndi lipolytic, proteinolytic ndi amylolytic athari, zigawo za Pancreatin zimathandizira ma enzymes omwe kapamba amatulutsa, amawononga mapuloteni, mafuta ndi chakudya. Zotsatira zake, izi zimapangidwira bwino ndi villi ya m'matumbo ang'onoang'ono ndipo imatengedwa ndi thupi.

Pancreatin imapatsa thupi ma enzyme ofunikira pakugaya bwino

Ma Enzymes amatulutsidwa kuchokera ku membrane wam'matumbo aang'ono, omwe amakhala ndi zamchere zabwino zawo.. Ntchito yayikulu imawonekera mphindi 30 mpaka 45 mutamwa mankhwalawa.

Zithunzi Zojambula: Zosiyanasiyana za Pancreatin

Pali ma analogi ambiri a Pancreatin omwe amatha kupezeka muma pharmacies masiku ano. Zonsezi zimakhala ndi pancreatin yogwira ntchito, monga lamulo, yowonjezereka ndi ntchito ya lipolytic, komanso zigawo zingapo zothandizira.

Odziwika kwambiri:

Koma mankhwalawa olowa m'malo, monga lamulo, ndi awiri, kapena ngakhale kangapo mtengo kwambiri kuposa pancreatin wamba. Kupatulaza, awoZowonjezera zina zothandizira zimatha kuyambitsa ziwopsezo. Mwachitsanzo, ku Creon, poyerekeza ndi Pancreatinum wamba, kuchuluka kwa zinthu zomwe zimagwira ntchito ndizokwera, zomwe zingayambitse kuyamwa kwamatumbo.

Ndani amasankhidwa pancreatin komanso amene sanatero

Mankhwalawa amathandiza ngati pali kusowa kwa michere yake. Chifukwa chake, nthawi zambiri amalimbikitsidwa:

• anthu omwe akudwala exocrine pancreatic insuffence - aakulu pancreatitis, dyspepsia, cystic fibrosis,
• odwala omwe ali ndi mavuto am'mimba omwe amayambitsidwa ndi matenda osachiritsika opatsirana, matenda a Remkheld's - kusintha kwa mtima ndi zomwe zimachitika mutatha kudya, komanso kusefukira kwamatumbo,
• ndi kuphwanya kwa chiwopsezo cha chakudya chokhudzana ndi kugwira ntchito kwa ziwalo zam'mimba,
• kukonza kuwonongeka kwa michere kwa anthu omwe zochita zawo zimayenderana ndi zakudya zopanda zakudya, kutsata moyo wongokhala, komanso kudya zakudya zosazolowereka (mwachitsanzo, kunja), zakudya zamafuta ndi chakudya chochuluka.
• musanayesedwe ziwalo zam'mimba thirakiti yogwirizana ndi ultrasound kapena x-ray.

Pamaso pa ultrasound kapena pamimba x-ray, dokotala amafotokozera kuti pancreatin

Contraindication

Monga lamulo, dokotala amalemba mankhwala aliwonse, koma masiku ano pali zotsatsa zambiri zokonzekera ma enzyme kotero kuti anthu ambiri amagula mapiritsi kapena makapisozi popanda kufunsa katswiri. Ngakhale kuti ma enzyme ndi chinthu chachilengedwe m'thupi la munthu, kuchuluka kwa mankhwalawa kungakulitse njira zina za pathological. Chifukwa chake, ziyenera kukumbukiridwa kuti mankhwalawa akuphwanya:

• anthu omwe ali ndi vuto la pancreatitis pachimake,
• ndi kuzindikira Hypersensitivity zigawo zikuluzikulu za mankhwala,
• ndi kuchulukitsa kwa matenda a kapamba.

Chenjezo liyenera kumwedwa kwa anthu omwe ali ndi cystic fibrosis.. Mlingo waukulu wa mankhwalawa ungapangitse kudzikundikira kwa collagen okhwima mucous nembanemba, kumapangitsa kuti ikhale yopapatiza.

Zotsatira zoyipa

Zotsatira zoyipa mukamakonzekera enzyme ndizosowa, pafupifupi 1% ya milandu. Amakonda kuphatikizidwa ndi kusokoneza matumbo ndi ziwalo zina zam'mimba. Itha kukhala:

• chifuwa
• Nthawi zina, tulo tofa, kudzimbidwa, nseru, kusamva bwino m'mimba.
• vuto la impso ndi bongo (hyperuricosuria, hyperuricemia).

Malangizo a kutenga ma enzyme a amayi oyamwitsa

Tengani piritsi kapena kapisozi wa Pancreatinum yonse, osafuna kutafuna, ndi chakudya kapena mukangotha. Kuti mukwaniritse bwino, ndikofunikira kumwa mankhwalawo ndi madzi okwanira - theka lagalasi. Itha kukhala madzi, komanso tiyi kapena madzi a zipatso, omwe amakhala ndi alkali kapena malo osalowerera ndale.

Alangizi othandizira poyamwitsa saletsa kugwiritsa ntchito pancreatin pa mkaka wa m`mawere. Akatswiri amalimbikitsa amayi oyamwitsa panthawi ya chithandizo kuti atsatire malamulo otsatirawa:

1. Mukamagwiritsa ntchito zakudya zachilendo, zamafuta kapena zochuluka, tsiku lililonse mankhwalawa ndi mapiritsi 1-2. Nthawi zina, mlingo wa mankhwalawa panthawi yoyamwitsa utha kuchuluka, koma ndikofunikira kukaonana ndi ochiritsira kuti mupewe mavuto.
2. Mankhwala ndibwino kumwa pambuyo poyamwitsa.
3. Amaloledwa kutenga michere yokha pakokha, ngati pakufunika pakukonzekera kwakanthawi, ndibwino kupita kuchipatala.

Pancreatin sikuletsedwa panthawi yovuta, koma ngati mukufuna ma enzymes okhala ndi nthawi yayitali, pitani kuchipatala

Ndi chithandizo chazitali kwambiri ndi ma enzyme, adotolo ayenera kupereka mankhwala othandizira kwa mzimayi wobala kuti achepetse magazi

Kanema: zochita ndi mawonekedwe ogwiritsa ntchito Pancreatin

Madokotala amavomereza kumwa Pancreatin panthawi yoyamwitsa. Kukonzekera kwa enzyme kumeneku kumathandizira kugwira ntchito kwa ziwalo zam'mimba zomwe zimakhudzidwa ndikugaya ndipo zimathandizanso kutsitsa "kulemera" kwam'mimba. Mutha kumukhulupiriranso chifukwa ichi ndi chida chachipatala chomwe chakhala chikupita kwa nthawi yayitali, chifukwa watenga zaka zoposa zana. Komabe, simuyenera kupereka mankhwala okonzekera nokha mukamayamwa. Makamaka ngati mukufuna kuchita mobwerezabwereza. Kufunsira kwa adokotala ndikofunikira.

Ndi matenda ati ammimba omwe mungamwe a Mezim ndi Pancreatin

Madokotala amalimbikitsa kukonzekera kwa enzyme:

• kapamba satulutsa michere yokwanira (kapamba, cystic fibrosis),
• wapeza matenda a kutupa kwam'mimba, matumbo, chiwindi, chikhodzodzo,
• Kuchotsa kwathunthu, kufinya kwam'mimba kapena ziwalo zapafupi,
• ndikofunikira kukonza chimbudzi ndi zolakwika muzakudya,
• pali ma masticatory dysfunctions,
• moyo wachinyengo
• muyenera kukonzekera kwa x-ray kapena ultrasound yam'mimba.

Ndingagwiritse ntchito poyamwitsa

Mankhwala ambiri alibe chiwerengero chofunikira cha maphunziro odalirika pa chitetezo cha zotsatira zake mthupi la mayi woyamwitsa. Mezim ndi Pancreatin ndi ena mwa amenewo. Malangizo a boma amafotokozera za mwayi womwe ungagwiritsidwe ntchito panthawi ya bere, ngati phindu kwa mayi ndilochulukirapo kuposa chiwopsezo cha mwana. Koma palibe zambiri zokhudzana ndi nthawi yoyamwitsa, kuphatikiza sichili mndandanda wazolimbana. Zowonjezera zokha za Mezim 20000 zomwe zikusonyeza kuti mankhwalawa atha kumwa mankhwala monga momwe dokotala wanenera. Ndipo muzochita zachipatala, pali milandu yambiri ya Mezim ndi Pancreatin kwa amayi panthawi yachilendo.

Akatswiri a GV amakhulupirira kuti kukonzekera kwa enzyme kungagwiritsidwe ntchito pomanga akazi mwa umboni wa dokotala. Koma musanayambe kumwa mankhwala aliwonse, kusanthula koyenera kungakhale kuwunikira koyambirira kwa vutolo, monga:

1. Kulandilidwa nkoyenera nthawi zonse. Zimachitika kuti mutha kudikirira kwakanthawi ndimachitidwe othandizira. Ngati vuto la amayi ndilovuta, inde, chithandizo chamankhwala chimachitika.
2. M'badwo wa mwana. Pakupezeka pafupifupi miyezi isanu ndi umodzi ya mwana, kugwiritsa ntchito mankhwala aliwonse kumachepetsedwa bwino. Cholinga cha izi ndi kusakhazikika kwa machitidwe ndi ziwalo zonse za mwana. Ngakhale kachilombo kakang'ono kamene kamapatsa mphamvu mankhwala enaake kamatha kuyambitsa mavuto osakhudzana ndi chakudya, zotupa, zotupa, ndi zina.

Dotolo akakakamira kuchiza mayi ndi Mezim kapena Pancreatin, muyenera kuteteza mwana momwe angathere pakukhudzana ndi mankhwala. Mutha kuphika mkaka kuti mugwiritse ntchito mtsogolo kapena kumwa mapiritsi mutangomaliza kudya ndipo nthawi ina mukadzayambiranso kuyamwa pambuyo pa maola 3-4, pomwe mankhwalawa akakhala ochepa. Lamulo lalikulu la mayi woyamwitsa liyenera kukhala lactation kwa nthawi yayitali.

Popewa mavuto ndi chakudya cham'mimba komanso osatinso mankhwala, amayi oyamwitsa ayenera kutsatira malamulo oyamba a zakudya zopatsa thanzi. Ngati, pambuyo pa zonse, matendawa afika, ndiye chinthu choyamba kuchita ndikukonza zakudya ndikugwiritsa ntchito njira zina zochizira.

Kupanga mankhwala

Chofunikira chachikulu cha Mezim ndi Pancreatin ndi pancreatin, yomwe imakhala ndi ma enzymes mu mawonekedwe ake:

• amylase
• lipase
• mapuloteni.

Pancreatin imapezeka kuchokera ku zikondamoyo za ng'ombe ndi nkhumba. Kapangidwe kamakonzedwe kameneka kamaphatikizanso zinthu zothandiza popanga mapiritsi.

Kufotokozera Kwambiri Pancreatin Forte

Mlingo wa mawonekedwe - mapiritsi okhala ndi chipolopolo chosungunuka (sungunuka m'matumbo), bulauni, mawonekedwe ozungulira. Pali fungo linalake. Monga gawo la michere ya pancreatic monga amylase, lipase ndi proteinase. Othandizira - magnesium stearate, povidone, cellcrystalline cellulose ndi zinthu zina zomwe sizikhala ndi zochita zachilengedwe.

Mankhwalawa cholinga chake ndi kulipiritsa kuchepa kwa chinsinsi cha kapamba, kachigawo ka bile ka chiwindi. Zimathandizira kutulutsa chakudya m'mimba. Nthawi yomweyo, imakhala ndi proteinolytic, amylolytic ndi lipolytic.

Ma Enzymes mapiritsi amathandizira kuphwanya mapuloteni kukhala amino acid, lipids to lipid acid ndi glycerol, ndipo wowuma amaphulika mpaka monosaccharides ndi dextrins. Trypsin imathandizira kupondereza kubisala komwe kumagwira ntchito, pomwe ali ndi katundu wa analgesic.

Hemicellulose imaphwanya magwero azomera, zomwe zimathandizanso kugaya chakudya, zimachepetsa mapangidwe a mpweya m'matumbo. Wotupa wa bile amakhala ndi choleretic kwenikweni, umalimbikitsidwa kupatsa zamadzimadzi, ndikuyenda bwino kwa mayamwidwe am'mimba. Kucheka kwapawiri kuphatikiza ndi lipase kumawonjezera zochitika za gawo lomaliza.

Chizindikiro chovomerezeka:

• Chithandizo cham'malo, ngati mbiri ya exocrine pancreatic insuffence ikupezeka - ndi chifuwa chachikulu, kapamba, pambuyo pothirira, ndi mawonekedwe a dyspeptic, cystic fibrosis,
• Kugaya chakudya kumalephera, mwachitsanzo, pambuyo pakuchita opaleshoni m'mimba kapena matumbo,
• Kupititsa patsogolo chakudya chamagulu mwa odwala omwe ali ndi vuto la m'mimba, koma motsutsana ndi maziko azakudya zosayenera. Mwachitsanzo, zizolowezi zoyipa kudya, kudya kwambiri, kudya mosasamala, etc.,
• Gastrocardial syndrome
• Pokonzekera X-ray kapena ultrasound ya kapamba, kupenda zam'mimba.

Contraindication imaphatikizidwa ndi kupweteka kwamphamvu kwa kapamba, kufalikira kwa chifinya chamkati, kuwonongeka kwa chiwindi, hepatitis, kukula kwa jaundice, cholelithiasis, matumbo. N`zosatheka ana osakwana zaka zitatu, ndi hypersensitivity kwa mankhwala.

Kodi Pancreatin angaperekedwe kwa mayi woyamwitsa? Malangizowo sakusonyeza kuti mkaka wa m`mawere ndi cholakwika, palibe vuto kwa mwana pa mkaka wa m`mawere.

Komabe, panthawi yoyembekezera, amalimbikitsidwa mosamala kwambiri, chifukwa momwe chidwi cha intrauterine sichinaphunzire.

Kutulutsa Mafomu

Wopanga amatulutsa Mezim ndi Pancreatin pokonzekera ngati mapiritsi oyera kapena amtundu wamtundu wofiirira. Pancreatin ya mankhwala osachepera 25 magawo a mankhwalawa angathe kuperekedwa kwa amayi oyamwitsa omwe ali ndi vuto lakudya m'mimba

Makhalidwe a Mezim ndi Pancreatin

Tikuwunikira mwachidule za mankhwala a enzyme motere:

1. Kugwiritsa ntchito bwino. Ngati mankhwalawa adapangidwa malinga ndi momwe alili, amakhala ndi zotsatira zabwino mthupi. Pancreatin imathandiza pochiza zovuta zazing'ono ndipo sizikhudza ana akhanda. Mezim ali ndi mlingo waukulu wa zomwe zimagwiritsidwa ntchito, chifukwa chake amalimbikitsidwa muzovuta za chitukuko cha matendawa. Nthawi zambiri, madokotala amakupatsani mankhwala enzyme monga gawo la zovuta mankhwala, kutengera kupezeka matenda.
2. Nthawi yoletsa matenda. Mezim ndi Pancreatin amakhala ndi nthawi yayitali ya nthawi yochizira: kuchokera pa piritsi limodzi mukamadya mafuta, zakudya zambiri mpaka mankhwala obwezeretsanso. Zonse zimatengera chithunzi chonse cha matendawo.Pankhani ya kupukusika kwa m'mimba, mankhwalawa amaperekedwa kwa masiku 10-14.
3. Mtengo Mtengo wa mankhwalawa umachokera ku ruble 17 mpaka ma ruble 600 pa phukusi lililonse. Njira yosankhira ndalama zambiri ndi pancreatin yapakhomo. Kampani yaku Germany ya mankhwala osokoneza bongo a Berlin-Chemie Mezim forte, kutengera kuchuluka kwa mapiritsi okhala paketi, amatha kufikira ma ruble 600.
4. Contraindication Wopanga akuwonetsa nyengo zomwe kugwiritsa ntchito kukonzekera kwa enzyme sikulimbikitsidwa: kukhudzidwa kwambiri ndi ziwalo, pachimake pancreatin ndi kuchulukitsa kwa chifuwa chachikulu, zaka za ana mpaka zaka zitatu.
5. Zotsatira zoyipa komanso zoletsa kugwiritsa ntchito. Mezim ndi Pancreatin nthawi zambiri amaloledwa ndi odwala. Thupi lawo siligwirizana, kudzimbidwa, kutsegula m'mimba, kunyansidwa, kukhudzika kwakukulu mu gawo la epigastric nthawi zina kumawonetsedwa. Nthawi zina, zizindikiro za kutsekeka m'matumbo zimatha kuchitika. Pogwiritsa ntchito mankhwala kwa nthawi yayitali mu Mlingo waukulu, kuchuluka kwa uric acid m'mwazi ndikotheka, komanso kuyamwa kwa chitsulo kumachepetsedwa.

Momwe mungagwiritsire ntchito mankhwalawa malinga ndi malangizo: momwe mungamwe mapiritsi, pafupipafupi ndi nthawi yogwiritsira ntchito, mulingo

Dokotalayo amapereka mankhwala ndi nthawi yayitali ya kuvomerezeka munthawi iliyonse malinga ndi kuopsa kwa chimbudzi. Zofukula zaboma zimapereka mapiritsi pafupifupi 1-3, osafuna kutafuna, ndi madzi. Kwa tsiku limodzi, mankhwalawa amatengedwa katatu asanadye, nthawi ya chakudya kapena itatha. Mezim ndi Pancreatin adakutidwa ndi membrane wapadera, yemwe amawonongeka osati m'mimba, koma m'matumbo aang'ono, kotero kuti ma enzyme amayamba ntchito yawo pakufunsidwa kwa mapuloteni, mafuta, chakudya. Chifukwa chake, mapiritsi akulimbikitsidwa kuti amezedwe lonse. Ngati zizindikiro za ziwopsezo, kusokonezeka kwa stool, kapena zizindikiro zina zoyipa zimazindikira mwana akamamwa Pancreatin kapena Mezim, zonsezi ndi chizindikiro chosiya kumwa mapiritsi ndi kuwona dokotala mwachangu

Ndemanga za Mankhwala

Ndimamwa modekha. Osati kokha Mezim, koma analogue yakunyumba - Pancreatin. Nthawi 5 zotsika mtengo.

Tasha Kits Dzerzhinsk

https://www.baby.ru/blogs/post/382946816-276045677/

Posachedwa, pafupifupi masabata awiri apitawo, panalinso kuwukira. Yambirani kwa gastroenterologist. Pazonse, sabata tebulo 5, lomwe limatchulidwa pamwambapa, komanso mosamalitsa. nthawi yomweyo, pachakudya chilichonse cha Mezim, mukamadya pang'ono, mwachitsanzo, kadzutsa kapena chakudya chamadzulo, piritsi limodzi, ndi chakudya chamasana pamene gawo la chakudya limaposa mapiritsi awiri. Zonsezi kumwa kwa sabata limodzi, ngati kumatulutsa ndiye kuti mapiritsi 2 ndi espumisan. Ndidamasulidwa, ndipo inu muli ndi thanzi! Ndikofunika kufa ndi njala masiku 1 atatha kuukira, ndidapitilira mkaka wopanda njala, ndimangomwa tiyi ndi madzi okha. Chilichonse ndichabwino.

mtsikana111

https://www.u-mama.ru/forum/kids/0-1/192461/

Ndinkamwa Mezim pafupifupi nthawi yonse ya GV, gallstone yanga idakula kwambiri pambuyo pathupi, ma ducts onse adatsekedwa ... pambali pa No-shpa ndi Mezim palibe chomwe chidatheka. Mwanayo sanachite mwanjira iliyonse - ngakhale adotolo adanena kuti anali bwino kwambiri, ma enzyme owonjezerawa amapeza pang'ono), koma sindinawone mphindi zilizonse kapena maula amphamvu)) ndi Mezim akuwoneka kuti ali ngati Pancreatin.

Msuzi

http://strmama.ru/forum/thread4205.html

Pancreatinum mapiritsi. Ndinkamwa, ndimavutika ndi m'mimba inemwini, adotolo adati zitha kuchitika ndi HS.

KatkaSanovna Orenburg

https://www.baby.ru/blogs/post/382958533-67811663/

Makhalidwe oyerekeza a Mezim ndi Pancreatin

Pancreatin wa mankhwala apakhomo amapezeka m'mitundu iwiri, kutengera mlingo wa mayunitsi 25 ndi magulu 30. Opanga osiyanasiyana amapatsa mankhwala omwe ali ndi mayina:

• Pancreatin
• Pancreatin forte
• Pancreatin-LekT.

Wopanga mlendo amagulitsa mankhwala a Mezim m'mitundu itatu:

• Mezim Forte
• Mezim Forte 10000,
• Mezim 20000.

Mankhwalawa amasiyana wina ndi mnzake pokhapokha pazogwiritsa ntchito pancreatin piritsi limodzi. Mezim 20000 ili ndi mlingo wapamwamba wa kapamba

Gome: kuyerekezera kwa mankhwala

Kanema: Chithandizo cha mayi woyamwitsa

Kukonzekera kwa Mezim ndi Pancreatin kulibe maphunziro azachipatala pazotetezeka zogwiritsidwa ntchito pa nthawi yoyamwitsa. Koma muzochitika zamankhwala, madokotala nthawi zambiri amalimbikitsa mankhwalawa kuti achete azimayi omwe ali ndi zovuta zosiyanasiyana ndi matenda am'mimba. Mezim ndi Pancreatin samasiyana kwenikweni wina ndi mnzake, kusiyana ndikungokhala mu gawo la zomwe zimagwiritsidwa ntchito, mtengo wake komanso dziko lomwe adachokera. Mfundo zazikuluzikulu zofunika kuziganizira mukamasankha mankhwala kwa mayi woyamwitsa ndi chithandizo chamankhwala mwachangu, msinkhu wa mwana komanso kumwa mankhwala molingana ndi zofunikira za dokotala.

Mankhwala

Pancreatin forte ndi enzyme yogaya chakudya, imakwaniritsa kuchepa kwa chinsinsi cha ntchito ya kapamba ndi biliary ya chiwindi, imasintha chimbudzi cha chakudya, ili ndi proteinolytic, amylolytic ndi lipolytic.

Ma pancreatic enzymes (lipase, alpha-amylase, trypsin, chymotrypsin) omwe amachititsa kuti mapuloteni awonongeke mpaka amino acid, mafuta mpaka glycerol ndi mafuta acid, wowuma ku dextrins ndi monosaccharides.

Trypsin imachepetsa kubisala kwa kapamba, kupatsako mphamvu ya analgesic.

Enzymed ya hemicellulase imalimbikitsa kuwonongeka kwa chomera chamtunduwu, zomwe zimathandizanso kugaya chakudya, kumachepetsa mapangidwe a mpweya m'mimba.

Bile Tingafinye amachita choleretic, amalimbikitsa emulsization wa mafuta, bwino mayamwidwe mafuta ndi mavitamini sungunuka mafuta, kumawonjezera lipase ntchito.

Pharmacokinetics

Ma pancreatic enzymes amamasulidwa ku mawonekedwe amtundu wamchere wamatumbo aang'ono, chifukwa otetezedwa ku madzi a m'mimba ndi enteric ating kuyanika. Pazipita enzymatic ntchito ya mankhwala amadziwika 30-45 mphindi pambuyo m`kamwa.

Kukonzekera kwamphamvu kuchokera ku zikondamoyo za ng'ombe ndi nkhumba. Ma pancreatic michere omwe amapanga mankhwalawa - lipase, amylase ndi proteinase - amathandizira kugaya mapuloteni, zakudya zamafuta ndi mafuta muzakudya, zomwe zimapangitsa kuti pakhale michere yambiri m'matumbo ang'onoang'ono.

Chifukwa cha zokutira zosagwira asidi, ma enzymewa sanapangidwe ndi zochita za hydrochloric acid am'mimba. Kutha kwa membrane ndikumasulidwa kwa michere kumayambira mu duodenum. Ma Enzymes samayamwa bwino m'mimba, mumatumbo lumen.

Malangizo ogwiritsira ntchito Pancreatin Forte

Mankhwala Pancreatin Forte ayenera kumwedwa ndi akazi ndi amuna omwe amadya. Mapiritsi sakutafuna, kumeza athunthu. Onetsetsani kuti mumamwa madzi ambiri - tiyi, msuzi wa zipatso, madzi opanda kanthu. Mlingo wokhazikika ndi gulu la odwala, kuchuluka kwa kusokonekera kwa pancreatic.

Pafupifupi, kuchuluka kwake kumasiyana kuchokera ku 14,000 mpaka 28,000 IU ya lipase pamtunda umodzi (iyi ndi piritsi limodzi kapena awiri). Ngati palibe zotsatira zochizira, kuwonjezereka kwapawiri kumaloledwa. Ngati kuli kofunikira kutenga mlingo wotsikirapo, mwachitsanzo, 7000 IU ya lipase, ndiye kuti analogue ya Pancreatin Health ikulimbikitsidwa - imakhala ndi mlingo wochepa wa michere yam'mimba.

Akuluakulu amalembedwa kuchokera ku 42,000 mpaka 147,000 IU (mapiritsi 3-10). Poyerekeza ndi kulephera kotheratu kwa limba, mankhwalawo amawonjezeka mpaka 400,000, omwe amafanana ndi kufunikira kwa lipweya la maola 24.

Mlingo waukulu kwambiri kwa munthu aliyense wamkulu ndi 20,000 pa kilogalamu ya kulemera kwa thupi. Phwando la ana:

1. Ana opitirira zaka 4 akulimbikitsidwa 500 IU pa kilogalamu ya kulemera koyambirira kwa mankhwala. Izi ndi piritsi limodzi pa 28 kg. Cholandiridwa panthawi ya chakudya.
2. Ngati kulemera kwa mwana ndi kochepera 28 makilogalamu, ndiye kuti analogue yokhala ndi mlingo wochepa wazakudya zam'mimba zimayikidwa.
3. Kwa mwana, mlingo waukulu patsiku ndi 10,000 pa kilogalamu ya kulemera kwake, woposa 100,000 100,000 IU.

Kutalika kwa mankhwalawa kumayamba kuchokera masiku angapo (ngati vuto la kuperewera kwa zakudya m'thupi limapezeka chifukwa cha zolakwa mmalo mwake) mpaka miyezi ingapo kapena zaka (pamene chithandizo chothandizira m'malo mwake chikufunika).

Kulandila kungayambitse mavuto:

• Tulutsani chopondapo
• Thupi lawo siligwirizana
• Kupweteka kwam'mimba
• Kusanza, kusanza,
• Pansi bile bile acid.

Ndi bongo wambiri, zotsatira zoyipa zimachulukana. Ngati zizindikiro zomwe zafotokozedwazo zikupezeka, ndikofunikira kusiya mankhwalawo, kuchitira chithandizo chamankhwala. Mutha kugula mankhwalawo mu mankhwala, mtengo wake ndi ma ruble 150.

Analogs ndi ndemanga

Ndemanga za mankhwala ambiri. Komabe, ambiri ali ndi mawonekedwe okongola. Ngati mutenga mtengo pamlingo wa 10-point, ndiye kuti mwa odwala ambiri, kugwiritsa ntchito mankhwalawa ndi 8-9 point. Ubwino wake ndi zokolola, zotsika mtengo.

Mankhwala akakhala osayenera, wodwalayo amakula, amakulimbikitsidwa ndi Pancreatin Forte. Amasiyana mu kapangidwe kake, mawonekedwe, ma contraindication ndi zina zina.

Ndi dokotala yekha yemwe amatenga nawo gawo, popeza kukonzekera konse kumakhala ndi mitundu ina ya michere yamagaya. Onani mitundu ingapo:

1. Mezim Forte ndi mankhwala opukusira omwe muyenera kudya mukamadya. Kusiyanako ndi Pancreatin ndikuti Mezim ali ndi chipolopolo chofooka, chomwe chimatha kusungunuka mothandizidwa ndi madzi am'mimba.
2. Creon ndi mankhwala amakono, mawonekedwe ake apadera amapereka chithandizo chachikulu. Imathandizira munthawi yochepa kukonza chimbudzi, imathandizira mawonetseredwe a dyspeptic.

Mndandanda wa analogues ukhoza kuphatikizidwa ndi mankhwala - Pancreasim, Licrease, Zimet, Pancreatin 8000, Prolipase, Pancreon, Festal, Hermitage ndi mankhwala ena.

Pancreatin Forte, akamagwiritsa ntchito limodzi ndi kukonzekera kwachitsulo, amakhudza kuyamwa kwa mchere. Kuphatikiza ndi mowa, mphamvu ya chakudya chamafuta chimachepa. Sizikhudzanso chidwi komanso luso loyendetsa galimoto.

Nkhani yokhudza mankhwala a pancreatitis yakambidwa mu kanema munkhaniyi.

Pancreatin forte: Mwachibadwa ndi chifuwa, ndizotheka kuyamwitsa?

Pancreatin Forte ndi mankhwala okhala ndi ma enzymes omwe amaphatikizira kuchepa kwa chinsinsi cha kapamba, ntchito yokhudza chiwindi.

Kuphatikizidwa kwa mankhwalawa kumaphatikizapo michere yam'mimba yomwe imathandizira kuphwanya zinthu za mapuloteni, mafuta ndi chakudya chamagulu kupita ku boma la amino acid, lipid mamolekyulu, dextrins ndi saccharides, motero.

Chifukwa chogwiritsa ntchito mankhwalawa, pali kusintha komwe kumayamwa michere m'matumbo amunthu, njira zopukusa zimasinthidwa, mawonekedwe a dyspeptic amatha.

Ganizirani m'mene mungatenge Pancreatin Forte, kodi contraindication ake ndi zotsatira zoyipa. Komanso ndikupezanso ngati zingatheke kumwa mankhwala a mayi woyamwitsa?

Pancreatin: ndingathe kutenga poyamwitsa

(44,00 pa 5)
Tikutsegula ...

Panthawi yoyamwitsa, nkovuta kwambiri kuti azimayi asankhe mankhwala omwe angakhale otetezeka kwa mwana.

Koma bwanji ngati mayiyo ayenera kusankha njira yowonjezera chimbudzi? Chimodzi mwazomwe zimadziwika kwambiri ndi mankhwala a pancreatin.

Kodi mankhwalawa amapezeka kuti, momwe mungagwiritsire ntchito mankhwalawo, ndipo kayendetsedwe kake kangakhudze bwanji thanzi lanu ndi zotsala? Tiyeni tikambirane chilichonse mwadongosolo.

The zikuchokera ndi limagwirira zake ntchito

Pancreatin amatchedwa madzi a pancreatic, omwe amathandiza kuthana ndi zakudya zama protein ndi mafuta. Ngati zakudya zamafuta zimatha kuzimidwa palokha, ndiye kuti pancreatin ndiyofunikira pakuwonongeka kwa mafuta m'mimba.

Pancreatin yamakono yamankhwala amapangidwa pogwiritsa ntchito ma enzyme omwe amapezeka kuchokera ku kapamba ka ng'ombe ndi nkhumba.

Gwiritsani ntchito mankhwalawa kwa anthu omwe kapamba wawo samatulutsa michere yawoyawo.

Mukakhala mu duodenum, pancreatin imathandizira kugaya chakudya ndikuthandizira thupi kuyamwa mchere wabwino.

Mankhwala "Pancreatin" amaphatikizidwa ndi zokutira zapadera zomwe zimateteza chinthu chogwira ntchito pamapiritsi kapena makapisozi kuti asungunuke m'mimba atayatsidwa hydrochloric acid. Chifukwa cha izi, michere ya pancreatin imayamba kugwira ntchito mu duodenum, yogwira kwambiri - theka la ola mutatha kumwa mankhwalawo.

Zizindikiro zogwiritsidwa ntchito

Ndi zovuta ziti zomwe zimagwiritsidwa ntchito ndi njira yogaya chakudya zomwe zingakuthandizeni kutenga pancreatin? Mankhwala ndi othandizira ngati matenda otsatirawa akhazikitsidwa:

• njira yotupa yotupa m'mimba, chiwindi kapena ndulu,
• zinthu pambuyo irradiation zam'mimba ziwalo, amene limodzi ndi kuchuluka
• mpweya kapena m'mimba,
• aakulu kapamba
• pambuyo opaleshoni kuchotsa mbali yam'mimba, kapamba.

Kuphatikiza apo, pancreatin amatengedwa ndi omwe ali ndi matenda am'mimba pazotsatira zotsatirazi:

• cholakwika ndi zoperewera (mwachitsanzo, kudya zamafuta ambiri),
• mukukhalabe ndi moyo wokhala pansi.
• Kuphwanya ntchito kutafuna,
• pokonzekera x-ray kapena kupimidwa kwa ultrasound pamimba.

Kutalika kwa njira ya mankhwalawa kumatha kusintha kuchokera pa Mlingo umodzi mpaka miyezi ingapo, kutengera chifukwa chomwa mankhwalawa.

Pancreatin pa mkaka wa m`mawere

Chitetezo cha mankhwalawa panthawi yoyamwitsa sichinaphunziridwe kwathunthu, chifukwa mayesero azachipatala pakati pa azimayi oyamwitsa sanachitike. Ngati mutengere pancreatin kwa inu, dokotala adzakuuzani. Komabe, alangizi oyamwitsa ali ndi lingaliro kuti amayi oyamwitsa amatha kugwiritsa ntchito mankhwalawa, koma ndibwino kutsatira malangizo otsatirawa:

• Ndikofunika kumwa mankhwala atangomaliza kudyetsa mwana.
• Kupanga chisankho pakumwa mankhwala akungovomerezeka pokhapokha ngati pakufunika nthawi imodzi. Nthawi zina, adotolo amakhazikitsa njira yochizira.
• Onani mkhalidwe wakhanda. Ngati mukumva zoyipa, ndibwino kusiya mankhwala ndikuyang'ana kwa dokotala.

Mutha kugula Pancreatin pamtengo wabwino pano!

Tsatirani chakudya chabwino. Munthawi ya chithandizo (makamaka ngati muli ndi kapamba), muyenera kutsatira zakudya zapadera:

1. Bwino kuphika chakudya,
2. Pewani zakudya zotentha ndi zozizira, chakudya chizikhala chotentha,
3. muyenera kudya zazing'ono, koma nthawi zambiri zokwanira - 5-6 patsiku,
4. Ndikofunika kupera zakudya zolimba kapena kusankha mbale zothira madzi,
5. muyenera kumwa madzi okwanira, msuzi wa rosehip kapena tiyi wofooka umalimbikitsidwa makamaka.

Muyenera kugwiritsa ntchito pancreatin ndi chakudya, chosambitsidwa ndi madzi. Pambuyo pake, musathamangire kukagona pa sofa. Piritsi imatha kuyamba kupasuka ngakhale mu esophagus ndipo osafikira duodenum, kenako sipangakhale kanthu kuchokera ku phwando.

Zotsatira zoyipa

Ngakhale zovuta zoyambira pancreatin ndizosowa kwambiri (pochepera 1% ya milandu), ndibwino kuti mudzidziwe zovuta zomwe zingachitike pasadakhale.

Kuchokera mmimba, kugaya nseru, kusanza, kudzimbidwa kapena kutsekula m'mimba, kusokonezeka m'mimba kumatha kuchitika. Nthawi zina, thupi limagwidwa ndi mawonekedwe a zotupa pakhungu. Chifukwa chogwiritsa ntchito mankhwalawa kwa nthawi yayitali, hyperuricosuria imatha kukhazikika - mtundu wa matenda omwe uric acid imadziunjikira ndi miyala ya impso.

Ndikofunika kukumbukira kuti kuchuluka kwa ma enzyme ochokera kunja kumatha kupangitsa kuti atsekere michere yawo. Chifukwa chake, simungagwiritse ntchito molakwika kugwiritsa ntchito pancreatin, apo ayi thupi lidzaphunzirira momwe lingagwire ntchito modziyimira nokha.

Kuchita ndi mankhwala ena

Pogwiritsa ntchito nthawi yayitali, pancreatin imachepetsa kuyamwa kwazitsulo m'matumbo, chifukwa cha zomwe magazi amadzimadzi amatha. Ngati muli ndi zizindikiro monga kufooka m'thupi, kutopa mosalekeza, khungu lotumbululuka, kusakhazikika m'miyendo, tikulimbikitsidwa kuti musiye kumwa pancreatin kapena perekani chitsulo chowonjezera m'thupi pogwiritsa ntchito zinthu zomwe zimakhala ndi chitsulo.

Ngati mumwa mankhwalawo nthawi yomweyo monga maantacid okhala ndi calcium ndi magnesium, ndiye kuti mphamvu yake imachepa. Pankhaniyi, adokotala angalangize kuwonjezera kuchuluka kwa kapamba.

Mankhwala osokoneza bongo komanso othandizira

Mankhwala othandizira "pancreatin", omwe amateteza kugaya chakudya, amapezekanso m'mankhwala ena. Ndalamazi ndi monga Creon, Festal, Penzital, Vestal, Mezim. Mankhwala "Pancreatin" ndi otsika mtengo kuposa anzawo, ndipo mikhalidwe yamtunduwu imasiyana nawo kwambiri.

Mankhwala "Festal" amadziwika ndi zina zowonjezera - hemicellulose ndi bile, ndichifukwa chake amaletsedwa kuzigwiritsa ntchito kwa anthu omwe ali ndi matenda a gallstone.

Mankhwala "Creon", opangidwa mwa mawonekedwe a makapisozi okhala ndi ma microspheres, ndi othandiza kwambiri chifukwa cha kugawa koyenera kwa microparticles m'matumbo.

Komabe, imakhala ndi zochulukirapo pazogwira ntchito ndipo zimatha kuyambitsa matumbo.

Mukamayamwa, musathamangire kumwa mankhwala, chifukwa mutha kuyesa kuthana ndi zovuta zam'mimba popanda mankhwala. Yesani kutsatira njira izi:

• Chepetsani kudya kwanu zokometsera, zamchere, komanso zamafuta.
• Yesani kumwa zamadzi zambiri.
• Tengani mwana wanu kumweya watsopano tsiku lililonse ndikuyenda. Ngakhale kuyenda koyezedwa kumathandizanso kugaya chakudya.
• Idyani zamkaka zopatsa mkaka. Mabakiteriya opindulitsa omwe ali momwemo atithandiza kuthana ndi mavuto am'mimba.
• Brew mbewu ya fulakesi ndi kumwa msuzi wochiritsa. Chomwa choterocho chimaphimba makhoma am'mimba ndikuwachepetsa.
• Yesani kudya supuni ya mkaka wa pansi wa mkaka tsiku ndi tsiku musanadye chakudya cham'mawa. Chomerachi chimakhala ndi phindu pothandiza kugaya komanso chimapangitsa kagayidwe.

Ngati njira zina sizikuthandizika kuti mukumva bwino, ndiye kuti ndi bwino kukaonana ndi dokotala kuti asankhe njira yoyenera yoyamwitsa.

Pankhani yamavuto am'mimba, tenga pancreatin kapena ayi - amayi okha omwe ndiomwe angaganize, kuwunika zoopsa zomwe zingachitike.

Madokotala ambiri amapereka mankhwalawa kwa amayi oyamwitsa, kotero kuti amawerengedwa kuti ndi oyenera kugwiritsidwa ntchito pakuyamwa.

Koma musaiwale kuti kuti mukhale ndi thanzi labwino ndikofunikira kuti musangomwa mankhwala ofunikira, komanso kuti mukhale ndi moyo wathanzi komanso wathanzi. Khalani athanzi!

Mavuto am'mimba ndi mkaka wa m`mawere

Matenda am'mimba omwe amayamba chifukwa cha kusowa kwa michere imachitika ngakhale pakupanga. Chiberekero chimakulitsa ndipo chimakakamiza kugaya chakudya, kuphatikizapo kapamba. Zotsatira zake, ntchito ya thupi yomwe imapanga ma enzymes (ma enzymes) othandiza kugaya bwino ndi kusindikiza chakudya imasokonekera.

Chifukwa chakufinya mafupa, zimakhala zovuta kusuntha zomwe zili mkati mwa ziwalo zogaya.Izi zimabweretsa kuwonongeka kwa kulumikizana kwa michere ndi chakudya. Nthawi zambiri, ndi mkaka wa m`mawere, kupweteka kwa kapamba kumapezeka, ndipo mzimayi saukayikira.

Matenda am'mimba mu hepatitis B nthawi zambiri amapezeka chifukwa chakuti zakudya za mayi zimasintha kwambiri. Ndiye kuti, vuto limatha kupangidwa ndi zinthu zomwe sizachilendo kwa thupi la mkazi. Kuphatikiza apo, kusintha kwa ma hormone kumakhudza kugwira ntchito kwa thupi (kuphatikiza kugaya chakudya).

Mayi woyamwitsa ayenera kulabadira izi:

• defecation vuto (kudzimbidwa, kutsegula m'mimba),
• kupanga gasi kwambiri,
• ukufalikira
• thupi lanu siligwirizana
• m'mimba kukokana
• kuchepa kwamtima
• nseru, kusanza.

Zizindikiro zitatu zomalizazi zikuwonetsa kuchuluka kwa kutupa kwa kapamba. Ngati zizindikiro zingapo zikuwoneka, muyenera kukayezetsa kuchipatala, pambuyo pake dokotala adzakusankhirani mankhwala othandiza komanso otetezeka. Nthawi zambiri, chithandizo chimachitika mothandizidwa ndi pancreatin.

Pancreatin Zofunikira

M'malo mwake, pancreatin ndi msuzi womwe umapangidwa mu kapamba, ndipo mapuloteni ndi mafuta zimayamwa nawo. Madziwo amakhala ndi ma enzymes omwe amathandizira kuyamwa kwa chakudya.

Mankhwalawa adapangidwa pamaziko a michere omwe adzipatula ku madzi a pancreatic a nyama (ng'ombe ndi nkhumba). Mankhwalawa amateteza kugaya ndipo amathandizira kukondoweza kwa zinthu zambiri za kufufuza.

Mankhwalawa amamasulidwa ngati mapiritsi okhala ndi ntchito, omwe ali ndi izi:

• kapamba ndi enzymatic ntchito,
• polyvinylpyrrolidone,
• shuga mkaka
• kukhuthala
• magnesium stearic acid,
• sucrose
• talcum ufa
• cellulose acetate phthalate,
• diethyl phthalate,
• sera yoyera
• Sera wa ku Brazil
• chakudya E414,
• chipolopolo
• utoto.

Chifukwa cha chipolopolo, phale limasungunuka pokhapokha likalowa mu duodenum. Mothandizidwa ndi hydrochloric acid, amawonongeka. The achire zotsatira kuwonekera mphindi 30 pambuyo makonzedwe.

Mankhwala amakwanira kuchepa kwa ma enzymes mu kapamba. Chifukwa cha amylase, lipase, proteinase (ma enzymes), mapuloteni ndi lipids zimayimbidwa mwachangu ndikumalowa mu khoma lamatumbo.

Kupereka mankhwala

Mankhwalawa amathandizira kugaya m'mimba, pachifukwa ichi amalembera zovuta zina, chifukwa cha kuperewera kwa zakudya, matenda ena kapena zikhalidwe:

• Kutupa kwa kapamba ndi njira yovuta.
• Pambuyo pa opaleshoni yochotsa kapamba.
• Cystic fibrosis (cholowa monga cholowa m'thupi).
• Matenda a dyspeptic (nseru, kusanza, kutulutsa thukuta, kusokonezeka kwa chifuwa, kukokana kwam'mimba, ndi zina zambiri).
• Kutsegula m'mimba kuchokera ku chiyambi chopatsira matenda.
• Pambuyo pa opaleshoni kuti muchotse mbali yam'mimba, matumbo, kapena chiwalo chonse.
• Kubwezeretsa pambuyo pochizira poizoniyu.
• Matenda a gallbladder kapena duct.

Mankhwala othandizira kwa nthawi yayitali amafunikira kuperewera kwa enzyme. Monga lamulo, ma pathologies oterewa amaphatikizidwa ndi matenda a pancreatic. Zikatero, chithandizo cholowa m'malo chimachitika mogwirizana ndi umboni wa dokotala.

Mapiritsi amagwiritsidwa ntchito ndi odwala omwe alibe mavuto okhudzana ndi chakudya cham'mimba pazinthu zotsatirazi:

• Zakudya zambiri zamafuta m'zakudya.
• Makhalidwe ongokhala.
• Kutafuna ntchito.
• Kukonzekera kwa radiology kapena ultrasound pamimba.

Kutalika kwa njira yochiritsira kumatengera zaka za wodwalayo komanso zizindikilo zake. Izi zitha kukhala mlingo umodzi kapena chithandizo kwa miyezi ingapo.

Zomwe zimatengera Pancreatinum mu GV

Amayi ambiri amadera nkhawa funso loti mankhwalawo angavulaze mwana wakhanda. Palibe chidziwitso chokhudza chitetezo cha ana a Pancreatin, ndichifukwa chake wopanga salimbikitsa kuti azitenga mpaka atayamwa.Komabe, ngakhale aletsa, madokotala amatenga mankhwala oti azimayi anyama ngati choopsa chingakhale chochepa kuposa phindu lomwe lingachitike.

Mukamamwa mankhwalawa, muyenera kutsatira malamulo awa:

1. Imwani mapiritsi mutangomaliza kudya.
2. Kudziyendetsa pakokha ndikotheka pokhapokha ngati pakufunika kutero. Komanso, njira yochizira imatsimikiziridwa ndi adokotala.
3. Mutamwa mapiritsi, yang'anani khandayo. Ngati mwana akuchira, pitilizani mankhwala, apo ayi siyani kumwa ndi kupita kuchipatala.

Nthawi zina, madokotala amalimbikitsa kusiya kuyamwitsa kwa nthawi yayitali.

Kuphatikiza apo, muyenera kudya moyenera ndikumwa mankhwalawo. Ndikulimbikitsidwa kuphika chakudya banja, kupewa yokazinga, yophika chakudya. Yang'anirani kutentha kwa mbale, chakudya chozizira komanso chotentha chotsutsana.

Njira yabwino mukamamwa mankhwalawa ndi chakudya chotentha. Idyani magawo ang'onoang'ono 5 mpaka 7 pa tsiku. Zakudya zolimba zimalimbikitsidwa kuti ziphwanyidwe kuti muchepetse katundu pa kapamba.

Kuphatikiza apo, muyenera kumwa osachepera 2 malita amadzi patsiku (madzi osasankhidwa, tiyi wa rosehip).

Tengani piritsi ndi chakudya, chosambitsidwa ndi madzi oyeretsedwa. Mukatenga, muyenera kuyenda pang'ono kotero kuti piritsi limatsika mu duodenum 12. Ngati mutamwa mankhwalawo mukatha kuyimitsidwa, ndiye kuti ikhoza kusungunuka, chifukwa, mankhwalawo satha ntchito.

Zolepheretsa ndi zotsutsana

Mankhwala saloledwa kugwiritsidwa ntchito pochiza matenda ndi zinthu zotsatirazi:

• Kuchulukitsa kwa kutupa kwa kapamba.
• Kuphwanya kapena kuleka kuyenda kwa chakudya kudzera m'matumbo.
• Hepatitis pachimake mawonekedwe.
• Kusagwirizana ndi zigawo za mankhwala.

Ndi mkaka wa m'mawere ndi pakati, kutenga Pancreatin sikutsutsana, koma adokotala ayenera kuwunika momwe wodwalayo alili.

Odwala ambiri nthawi zambiri amaloleza mankhwalawo, zotsatira zoyipa sizimachitika kawirikawiri:

• nseru
• kutsutsa
• matumbo
• kutulutsa, m'mimba,
• zotupa pakhungu.

Ngati muli ndi chithandizo chambiri kwa nthawi yayitali pogwiritsa ntchito Mlingo waukulu, kuchuluka kwa matenda oopsa kumawonjezeka (kuchuluka kwa uric acid m'mitsempha).

Osazunza Pancreatin. Izi ndichifukwa choti kuchuluka kwakukulu kwa ma enzyme atalandidwa kuchokera kunja, thupi limaphunzira momwe angapangire ma enzyme ake.

Mankhwala ndi njira zina zochiritsira

Mayi woyamwitsa ayenera kulabadira mankhwala omwe angalowe m'malo mwa pancreatin:

Mankhwalawa amapangidwanso pamaziko a michere, amatulutsa chimbudzi mu kuchepa kwa enzyme. Komabe, mtengo wa pancreatin ndi wotsika poyerekeza ndi wa analogues, ndipo mawonekedwe awo achire ndi ofanana.

Chimbudzi chimatha kusinthidwa pogwiritsa ntchito njira zotetezeka:

• Momwe sizingatheke, idyani zokometsera, zamchere komanso zamafuta.
• Imwani osachepera 1.5 malita a madzi oyeretsedwa.
• Yendani tsiku lililonse pamsewu kwa maola osachepera anayi.
• Idyani ma yoghurt achilengedwe ndi zinthu zina zamkaka zokhala ndi mafuta ochepa.
• Imwani decoction wa zipatso za fulakesi.
• Asanadye chakudya cham'mawa, idyani 25 g ya mbewu yophika mkaka.

Kutsatira malamulowa, mutha kukhazikitsa chimbudzi ndi kagayidwe. Ngati vuto lanu silikuyenda bwino, ndiye kuti kufunsa kuthandizidwa ndi gastroenterologist ndikofunikira.

Chifukwa chake, pancreatin panthawi yoyamwitsa amaloledwa kutengedwa ndi mkaka wa mkaka pambuyo povomerezedwa ndi dokotala. Pankhaniyi, wodwalayo ayenera kutsatira dongosolo la mankhwala lomwe adokotala am'patsa. Pa nthawi yothandizira, ndikulimbikitsidwa kutsatira zakudya ndikumakhala ndi moyo wathanzi.

zili-zotsika-mzere-mizere-lit = "9, 3 ″-zili-zofananira -zinsi-ma-= =" 1, 2 ″ zokhala ndi zodzaza-ui-mtundu = "image_stacked"

Matenda am'mimba omwe amakumana nawo kamodzi kapena kamodzi ndi munthu aliyense. Aliyense akudziwa zomwe izi ndizosangalatsa: ndi mseru, kupweteka, kubwetuka, kudzimbidwa. Mankhwala ambiri osiyanasiyana amathandizira ndi zizindikirozi, koma Pancreatin Forte amawerengedwa ngati abwino kwambiri.

Ichi ndi enzyme yomwe imachepetsa kugaya komanso kusintha mkhalidwe m'matenda ambiri am'mimba.

Amawonedwa kuti ndi otetezeka, chifukwa imakhala ndi zinthu zomwe zimapezeka m'matumbo amunthu, koma ndizosakwanira pazovuta zosiyanasiyana komanso zoperewera.

Kodi kapamba ndi chiyani

Dzinali linaperekedwa kwa madzi a pancreatic, omwe ali ndi ma enzymes ofunikira kuti pakhale chimbudzi. Kufika zaka za zana la 17, madotolo adazindikira kuti ndi iye amene amachita nawo chimbudzi cha mapuloteni, mafuta ndi chakudya.

Koma pokhapokha zaka 200, asayansi adapeza kuti popanda pancreatin, mafuta sangathe kuphwanya, mosiyana ndi mapuloteni ndi zakudya, zomwe zimapangidwa ndi michere ina.

Ndi chifukwa chaichi kuti mwa odwala omwe ali ndi vuto la m'mimba, chakudya chamafuta sichimayamwa konse. Ndipo asayansi adatha kudzipatula pamtunduwu kuchokera ku mafuta amkati ndi nkhumba. Poyamba, zofunikira zogaya anali ufa wowawa kwambiri.

Koma sizinathandize, popeza ma enzyme anali atasweka m'mimba, osafikira matumbo. Ndipo mapiritsi amakono okha a kakang'ono kakang'ono, ophimbidwa ndi chipolopolo chapadera, amagwira bwino ntchito zawo.

Pancreatin Forte ndi piritsi lozungulira, lovala lomwe ndi enteric-soluble. Izi ndizofunikira kuti ma enzyme, kamodzi m'mimba, asagwere mwachangu chifukwa cha chilengedwe chake acidic.

Kukonzekera kumakhala ndi ma enzymes ofunikira kugaya: amylase, lipase, trypsin ndi proteinase. Amatulutsidwa m'matumbo ndipo amagwira nawo ntchito pakupanga mapuloteni, mafuta ndi chakudya.

Chifukwa chake, mphamvu ya mankhwalawa imamveka theka la ola litatha kumwa.

Pogulitsa mutha kupeza mtundu wina wa mankhwala - "Pancreatin Forte 14000". Malangizo ogwiritsira ntchito mankhwalawa adanenedwa pansipa.

Wopangayo akuwonjezera dzina loti "thanzi" pazina, chifukwa mankhwalawa ndi oyenera kuchithandizo chothandizira komanso amathandizanso kuti asamasangalale ndi zolakwika pakudya.

Mankhwalawa amakhala ndi ma enzymes ocheperako, motero tikulimbikitsidwa kuti ayambe kugwiritsa ntchito mankhwala. Ngati sangathandize, ndiye kuti amasinthana ndi Pancreatin Forte. Kwa ana, "Zaumoyo" ndizoyenera kwambiri.

Pogulitsa mungapeze mankhwala angapo omwe ali ndi dzina lomweli. Zonsezi zimakhala ndi yogwira pancreatin - chisakanizo cha michere yamagaya. Anthu ambiri amaganiza kuti mankhwala oti "forte" amatanthauza kuti mankhwalawo ndi amphamvu ndipo amagwira ntchito bwino.

M'malo mwake, zomwe zimakhala ndi ma enzymes mwa iwo ndizofanana. "Forte" - izi zikutanthauza kuti chipolopolo cha phalecho chimalimbitsidwa ndipo sichisungunuka m'mimba. Chifukwa cha izi, ma enzyme amalowa m'matumbo, amayamba kuchita zinthuzo ndipo, atatha ntchito, amawatsira ndowe.

Chifukwa chake, akukhulupirira kuti Pancreatin Forte ndiwothandiza kwambiri komanso amakhala ndi mphamvu yayitali.

Zochita zamankhwala

"Pancreatin Forte" ndi kukonzekera kwa enzyme komwe kumafunika pancreatic kukanika, pomwe imapanga ma enzyme ochepa.

Mankhwalawa amathandizanso kuti ntchito ya chiwindi ikhale yoperewera chifukwa cha bile. Mphindi 30 mpaka 40 atatha kumwa, piritsi likalowa m'matumbo ndipo chipolopolo chake chimasungunuka, Pancreatin Forte akuyamba kuchita.

Malangizowo akuwonetsa kuti ili ndi zotsatirapo zakepi:

• imathandizira kugaya chakudya,
• imapangitsa mapangidwe a michere ndi kapamba ndi m'mimba,
• chimalimbikitsa kusokonekera bwino kwa mapuloteni kuti apange ma amino acid,
• amathandizira kuyamwa kwa mafuta ndi wowuma, komanso kuwonongeka kwa utsi
• Amathandizira kupweteka kwam'mimba
• imaletsa kugwira ntchito kwa kapamba,
• amachepetsa kupindika m'matumbo,
• amachepetsa kulemera m'mimba
• ali ndi choleretic zotsatira,
• bwino mayamwidwe mafuta sungunuka mavitamini.

Ndani ayenera kukonzekera enzyme

"Pancreatin Forte", monga njira zina zofananira, ndikofunikira kwa aliyense yemwe nthawi zambiri amakhala ndi vuto logaya chakudya.Zimathandizanso ndi zolakwika mu zakudya, kudya kwambiri kapena kuphwanya ntchito ya masticatory yokhudzana ndi matenda a mano.

Ambiri amamwa ndi kutentha kwadzaoneni, kusilira ndi kutulutsa. Gawani "Pancreatin Forte" kwa odwala omwe amakakamizidwa kuti akhale okhazikika kwa nthawi yayitali, mwachitsanzo, atagwira ntchito kapena atavulala.

Imathandizanso kwa anthu athanzi ndikamadya zakudya zamafuta kwambiri kapena zopanda zakudya, zakudya zosavomerezeka kapena kumangokhala. Koma nthawi zambiri mankhwalawa amaperekedwa kwa matenda osiyanasiyana am'mimbamo.

Ambiri mwa odwala amafunika kumwa pafupipafupi. Nthawi zambiri, chida ichi chimalimbikitsidwanso kwa okalamba omwe ali ndi vuto lolephera kugwiritsa ntchito mpamba.

Kodi mankhwalawa ndi abwino bwanji?

Ngakhale mankhwalawa amatha kugulidwa ku pharmacy popanda mankhwala, nthawi zambiri, malinga ndi zomwe dokotala wakulembani, Pancreatin Forte amagwiritsidwa ntchito. Malangizo ogwiritsira ntchito akuti ndi othandiza kwambiri ku matenda otere:

• chifuwa chachikulu,
• kusakwanira kwa chinsinsi cha kapamba pambuyo pancreatectomy kapena radiation,
• cystic fibrosis,
• matenda opatsirana otupa am'mimba, mwachitsanzo, gastritis yochepetsedwa mobisa ntchito,
• gastroduodenitis, enterocolitis,
• chisangalalo
• matumbo
• gastrocardial syndrome.

Mankhwalawa amagwiritsidwanso ntchito kukonzera m'mimba thirakiti la x-ray kapena kupimidwa kwa ultrasound pamimba.

"Pancreatin Forte": malangizo ogwiritsira ntchito

Mapiritsi akuvomerezeka sayenera kuphwanyidwa kapena kutafunidwa. Amayenera kumezedwa yonse, kutsukidwa ndi madzi ambiri. Mlingo uyenera kukhazikitsidwa ndi adokotala kutengera kuopsa kwa matendawo komanso msinkhu wa wodwalayo.

Nthawi zambiri, akuluakulu samalimbikitsidwa kupitilira muyeso wa Pancreatin Forte 14,000 a lipase enzyme pa kilogalamu ya kulemera. Izi ndi mapiritsi atatu a mankhwalawa katatu patsiku mukatha kudya. Koma nthawi zambiri amamwa piritsi limodzi 3 katatu patsiku.

Mutha kumwa mankhwalawa kamodzi ngati njira ya m'mimba itasokonekera. Pazifukwa za prophylactic, Pancreatin Forte 14000 ndikulimbikitsidwa. Malangizowo amati limatha kugaya chakudya m'njira.

Muzovuta, ndikuphwanya chinsinsi cha kapamba, mankhwalawa amatha kutengedwa mosalekeza, kufunsana ndi dokotala pafupipafupi.

Ngakhale mankhwalawa amaonedwa ngati otetezeka, koma si aliyense omwe angagwiritse ntchito. Ma Enzymes, omwe ali kaphatikizidwe kake kantchito, amadzipatula ku madzi a m'mimba ndi bile ya nkhumba.

Chifukwa chake, nthawi zambiri pamakhala zotsutsana nazo. Kuphatikiza apo, imakhala ndi lactose, chifukwa chake imaphatikizidwa kwa anthu omwe sangalekerere.

Sitikulimbikitsidwa kugwiritsa ntchito "Pancreatin Forte" pazotsatirazi:

• ndi pachimake pantcreatitis,
• Kuchulukirachulukira kwa chifuwa chachikulu,
• ndi kuphwanya kwambiri chiwindi.
• ndi hepatitis
• matenda a ndulu
• matumbo,
• mwa ana ochepera zaka zitatu,
• pa mimba ndi pakubala,
• ndi tsankho laumwini.

Malangizo apadera a kumwa mankhwalawa

Wothandizira enzyme iyi imakhudza kwambiri mayendedwe a chakudya osati zakudya zokha, komanso mankhwala osiyanasiyana. Chifukwa chake, ngati mukufuna kumwa mankhwala angapo, muyenera kufunsa dokotala.

Sitikulimbikitsidwa kumwa maantacid okhala ndi magnesium kapena calcium, komanso njira zopangira zakumwa zoledzeretsa pamodzi ndi Pancreatin Forte, popeza zimafooketsa mphamvu ya mankhwalawa.

Odwala omwe ali ndi matenda ashuga ayenera kusamala, chifukwa ma enzyme amawonjezera kuchepa kwa shuga a mankhwala ena. Koma sulfonamides ndi maantibayotiki amatha kutengeka ndi ma enzyme.

Anthu omwe amakakamizidwa kumwa mankhwalawa kwa nthawi yayitali amalimbikitsidwa kuti atenge zowonjezera pazitsulo, chifukwa ma enzymes a pancreatic amasokoneza mayamwidwe ake. Odwala omwe ali ndi cystic fibrosis ayenera kusamala ndi othandizira otere.Ayenera kutumizidwa ndi adotolo, ndipo zimatengera kuchuluka ndi chakudya chomwe chimatengedwa.

Mitu ya mankhwalawa

Pali zokonzekera zambiri za enzyme zomwe zimagwiritsidwa ntchito pokonzanso chimbudzi. Anthu omwe ali ndi matenda am'mimba komanso kapamba ayenera kufunsa dokotala kuti apangire mankhwala oyenera. Malinga ndi kukhalapo kwa michere ndi mawonekedwe a machitidwe, pali mankhwala angapo.

• Wodziwika kwambiri ndi Mezim Forte. Zomwe zimapangidwira ndalamazi ndizofanana kokwanira, wopanga yekha ndi kuchuluka kwa ma enzymes ndi osiyana. Chifukwa chake, anthu amachita mosiyanasiyana ndi mankhwalawa. Ndipo nthawi zambiri, anthu ambiri amaganiza kuti amwe chiyani: "Pancreatin" kapena "Mezim Forte." Zomwe zili bwino, zitha kutsimikizika pokhapokha mutazitenga.
• Mankhwala "Creon" amapezeka mosiyanasiyana. Mulinso ma enzymes ofanana ndi Pancreatin, koma amapangidwa ku Germany ndipo amatenga mtengo wa 6-7 mtengo kuposa iwo. Kusavuta kwa mankhwalawa ndikuti amapezeka m'mapiritsi a gelatin, sungunuka m'matumbo.
• Mankhwala a Panzim ndi Panzinorm amapangidwanso ku Germany. Amakhala ndi enzymatic kwambiri ntchito. Kuphatikiza pa pancreatin, ilinso ndi bile ndi gastric mucosa ya ng'ombe.
• Festal ndi Enzistal ndi ofanana kwambiri pochita. Izi ndi zinthu za akatswiri azamankhwala aku India. Kuphatikiza pa michere ya pancreatic, imakhala ndi bovine bile.

Awa ndi mankhwala odziwika bwino omwe ali ndi pancreatin. Kuphatikiza pa izo, kukonzekera kwinanso kofanana kumakhala ndi mawonekedwe ofanana komanso ofanana: Normoenzyme, Gastenorm, Mikrazim, Forestal, Pankrenorm, Solizim, Enzibene, Hermitage ndi ena.

Ndemanga pa Pancreatin Forte

Anthu ambiri amalabadira za mankhwalawa. Amakhulupilira kuti, poyerekeza ndi anzawo omwe amachokera nawo kumtunda, Pancreatin Forte amagwiranso ntchito.

Anamuunikira kuti amathandizanso kupweteka kwam'mimba ndi kudzimbidwa kapena kudya kwambiri, amathandizanso pakhungu la gastritis ndi kapamba. Anthu ena nthawi zonse amakhala ndi mankhwalawa mu nduna yawo yamankhwala, amawamwa nthawi zonse akawona kutukukira m'mimba ndikuwonjezereka kwa mpweya.

Odwala omwe ali ndi matenda am'mimba nthawi zambiri amasankha "Pancreatin Forte" kuchokera kukonzekera konse kwa enzyme. Anthu ambiri amati ngakhale ndichotsika mtengo, chimathandiza kugaya chakudya mwachangu, mwachangu kuchotsa mseru ndi zopweteka.

Makamaka kwa iwo omwe ali ndi m'mimba wathanzi ndipo nthawi zina amayenera kumwa mankhwalawa, ndibwino kugula Pancreatin Forte yotsika mtengo kwa ma ruble 50 kuposa Mezim rubles 250. Ndipo malinga ndi kuwunika kwa makasitomala, ali ndizofanana chimodzimodzi.

Njira yogwiritsira ntchito

Mayi woyamwitsa ayenera kulabadira mankhwala omwe angalowe m'malo mwa pancreatin:

Mankhwalawa amapangidwanso pamaziko a michere, amatulutsa chimbudzi mu kuchepa kwa enzyme. Komabe, mtengo wa pancreatin ndi wotsika poyerekeza ndi wa analogues, ndipo mawonekedwe awo achire ndi ofanana.

Chimbudzi chimatha kusinthidwa pogwiritsa ntchito njira zotetezeka:

• Momwe sizingatheke, idyani zokometsera, zamchere komanso zamafuta.
• Imwani osachepera 1.5 malita a madzi oyeretsedwa.
• Yendani tsiku lililonse pamsewu kwa maola osachepera anayi.
• Idyani ma yoghurt achilengedwe ndi zinthu zina zamkaka zokhala ndi mafuta ochepa.
• Imwani decoction wa zipatso za fulakesi.
• Asanadye chakudya cham'mawa, idyani 25 g ya mbewu yophika mkaka.

Kutsatira malamulowa, mutha kukhazikitsa chimbudzi ndi kagayidwe. Ngati vuto lanu silikuyenda bwino, ndiye kuti kufunsa kuthandizidwa ndi gastroenterologist ndikofunikira.

Chifukwa chake, pancreatin panthawi yoyamwitsa amaloledwa kutengedwa ndi mkaka wa mkaka pambuyo povomerezedwa ndi dokotala. Pankhaniyi, wodwalayo ayenera kutsatira dongosolo la mankhwala lomwe adokotala am'patsa. Pa nthawi yothandizira, ndikulimbikitsidwa kutsatira zakudya ndikumakhala ndi moyo wathanzi.

Tengani Pancreatin pakamwa, kumeza lonse (osafuna kutafuna), musanadye kapena nthawi yomweyo mukatha kudya, mumadzaza madzi ambiri (mwina zamchere: madzi, zipatso zamadzimadzi).

Mlingo wa mankhwalawa umayikidwa payekhapayekha (malinga ndi lipase) zimatengera zaka komanso kuchuluka kwa kuperewera kwa kapamba.

Sitikulimbikitsidwa kupitilira mlingo wapamwamba wa tsiku ndi tsiku wa ma enzymes a 15,000 - 20,000 a milomo ya lipase / kg, makamaka kwa odwala omwe ali ndi cystic fibrosis.

Mlingo wamba wa achikulire ndi mayunitsi okwanira 150,000 / tsiku, wopanda ntchito yokwanira ya pocrreatic pancreatic - 400,000 units / tsiku, zomwe zimagwirizana ndi zofunika za tsiku ndi tsiku za munthu wamkulu wokhala ndi lipase.

Kutalika kwa mankhwalawa kumatha kusiyanasiyana kuchokera pa mlingo umodzi kapena masiku angapo (ngati kugaya kwam'mimba kumasokonezeka chifukwa cha zolakwika m'zakudya) kwa miyezi ingapo kapena zaka (ngati chithandizo chamankhwala cholowanacho ndikofunikira).

Akuluakulu - mapiritsi atatu katatu patsiku. Mlingo wapamwamba umatchulidwa ndi dokotala.

Mapiritsi awiri mpaka atatu mpaka atatu kwa tsiku kwa masiku awiri mpaka atatu musanayesedwe radiology kapena ultrasound.

Ana a zaka zopitilira 3 - mayunitsi 100,000 / tsiku (lipase), logawidwa pakati 3 kapena 4 waukulu.

Mlingo wa Pancreatin forte umatengera kuchepa kwa michere ya pancreatic mu duodenum ndipo amatsimikiziridwa payekha ndi dokotala.

Ngati mulibe malingaliro ena, komanso kugwiritsa ntchito zakudya zopanda chomera, mafuta kapena zakudya zosadziwika, tengani mapiritsi a 1-2. Nthawi zina, ngati matendawo amatayika, mankhwalawa ndi mapiritsi 2-5.

Ngati ndi kotheka, mlingo wa mankhwalawa ukhoza kuchuluka. Kuchulukitsa mlingo kuti muchepetse zizindikiro za matendawa, mwachitsanzo, kuwonda kapena kupweteka kwam'mimba, kuyenera kuchitika pokhapokha kuyang'aniridwa ndi dokotala. Mlingo watsiku ndi tsiku wa lipase sayenera kupitirira 15,000-20000 lipolytic ED Ph. Eur. pa kilogalamu imodzi yakulemera kwa thupi.

Finyani mapiritsi athunthu osatafuna, ndimadzi ambiri, mwachitsanzo, kapu imodzi yamadzi.

Kutalika kwa chithandizo kumatsimikiziridwa ndi mtundu wa matendawa ndipo amatsimikiziridwa payekha ndi dokotala.

Funso la kuchuluka kwa mankhwalawa komanso kutalika kwa mankhwala kwa ana kumasankhidwa ndi dokotala.

Mankhwala ayenera kutumikiridwa mu Mlingo watsiku ndi tsiku, wofunikira kusintha matenda, koma osapitirira 1500 lipolytic ED Ph. Eur. pa kilogalamu imodzi ya kulemera kwa mwana wosakwana zaka 12. Kwa ana opitirira zaka 12, mlingo wa michere ya tsiku ndi tsiku sayenera kupitirira 15,000-20,000 lipolytic ED Ph. Eur. pa kilogalamu imodzi yakulemera kwa thupi.

Mankhwala tikulimbikitsidwa kwa ana 6 zaka.

Zolemba zogwiritsira ntchito

Mankhwalawa ali ndi ma enzymes omwe amatha kuwononga mucous membrane wamkamwa, kotero mapiritsi amafunika kumeza lonse popanda kutafuna.

Pofuna kupewa mapangidwe a miyala ya uric acid yomwe imayatsidwa m'matumbo, uric acid yomwe ili mkodzo iyenera kuyang'aniridwa.

Mankhwalawa amachepetsa kuyamwa kwachitsulo, chifukwa chake, pogwiritsa ntchito nthawi yayitali, kukonzekera kwachitsulo kuyenera kuyikidwa pa nthawi yomweyo. Matenda am'mimba amatha kuchitika kwa odwala omwe ali ndi hypersensitivity kuti pancreatin kapena odwala atakhala ndi mbiri yam'mimba.

Kugwiritsa ntchito mankhwala okhala ndi pancreatin kungachepetse mayamwidwe a folic acid, omwe angapangitse kuchuluka kwake.

Mankhwalawa ali ndi lactose, ngati wodwala sakupatsani shuga, muyenera kufunsa dokotala musanamwe mankhwalawa.

Mankhwalawa ali ndi croscarmellose sodium.

Gwiritsani ntchito pa nthawi yoyembekezera kapena mkaka wa m'mawere.

Pa nthawi yoyembekezera komanso pakubala, imwani mankhwalawa monga momwe dokotala anganene ngati phindu lomwe mayi angayembekezere lingathe kuyambitsa chiwopsezo cha mwana wosabadwayo / mwana.

Kutha kukopa momwe zinthu zikuyendera mukamayendetsa magalimoto kapena njila zina.

Kuchita ndi mankhwala ena

Pogwiritsa ntchito munthawi yomweyo ndi pancreatin, mayamwidwe a paraaminosalicylic acid, sulfonamides, maantibayotiki amalimbikitsidwa. Amachepetsa kuyamwa kwachitsulo (makamaka kugwiritsa ntchito nthawi yayitali).Maantacid okhala ndi calcium carbonate ndi / kapena magnesium hydroxide amatha kuchepetsa mphamvu ya pancreatin.

"Pancreatin Forte", monga njira zina zofananira, ndikofunikira kwa aliyense yemwe nthawi zambiri amakhala ndi vuto logaya chakudya. Zimathandizanso ndi zolakwika mu zakudya, kudya kwambiri kapena kuphwanya ntchito ya masticatory yokhudzana ndi matenda a mano.

Ambiri amamwa ndi kutentha kwadzaoneni, kusilira ndi kutulutsa. Gawani "Pancreatin Forte" kwa odwala omwe amakakamizidwa kuti akhale okhazikika kwa nthawi yayitali, mwachitsanzo, atagwira ntchito kapena atavulala. Imathandizanso kwa anthu athanzi ndikamadya zakudya zamafuta kwambiri kapena zopanda zakudya, zakudya zosavomerezeka kapena kumangokhala.

Koma nthawi zambiri mankhwalawa amaperekedwa kwa matenda osiyanasiyana am'mimbamo. Ambiri mwa odwala amafunika kumwa pafupipafupi. Nthawi zambiri, chida ichi chimalimbikitsidwanso kwa okalamba omwe ali ndi vuto lolephera kugwiritsa ntchito mpamba.

The bioavailability wa Gastenorm imachepetsedwa ngati itamwa ndi magnesium, calcium yotsutsana ndi maantacid. Pakakhala kufunika kwa kugwiritsidwa ntchito limodzi kwa mankhwalawa, kupuma pakati pawo kuyenera kukhala kosachepera maola awiri.

Tiyenera kukumbukira kuti mukamalandira chithandizo ndi Gastenorm, kuchepa kwa mayamwidwe azitsulo kumawonedwa. Chifukwa chake, muyenera kugwiritsa ntchito miyala mosamala.

Ngati wodwala atamwa mankhwala ochulukirapo, amatha kudzimbidwa kwambiri, zizindikiro za hyperuricosuria, hyperuricemia. Ndi matendawa, cystic fibrosis overdose imawopseza ndi fibrous colonopathy ileocecal department, colon.

Mankhwala Gastenorm forte amapangidwa mwanjira ya mapiritsi mu chipolopolo choyera, chilichonse chimakhala ndi zinthu zambiri za enzyme zokhala ndi ntchito:

• lipase 3500,
• mapuloteni 250,
• amylases 4200 PIECES.

Mankhwalawa amadzaza matuza a zidutswa 10, phukusi lililonse limakhala ndi miyala 20 kapena 50.

Gastenorm forte 10000 imapangidwa ngati mapiritsi oyera okhala ndi zokutira enteric, piritsi lililonse limakhala ndi magawo 7,500 a amylase, lipases 10,000, mapuloteni 375. Mu chikhodzodzu cha mapiritsi 10, m'mapiritsi 20.

Ndikofunikira kusunga mankhwalawo pamtunda wa 15-25 madigiri m'malo owuma, otetezedwa kuti ana azitha kupeza.

Bongo

Zizindikiro za mankhwala osokoneza bongo a Pancreatin forte: ndi kugwiritsidwa ntchito kwa nthawi yayitali - hyperuricosuria, mukamagwiritsa ntchito Mlingo wambiri kwa odwala omwe ali ndi cystic fibrosis - magawo a gawo la ileocecal komanso colon yomwe ikukwera. Hyperuricemia Ana adzimbidwa.

Chithandizo: kusiya mankhwala, symptomatic mankhwala.

Zizindikiro Mukamamwa Mlingo wamphamvu kwambiri wa kapamba, hyperuricemia ndi hyperuricosuria, kuwonjezeka kwa kuchuluka kwa plasma uric acid.

Chithandizo. Kuchotsa kwa mankhwalawa, mankhwala othandizira, hydrate yokwanira.

Zotsatira zoyipa

Kuchokera pamimba: kupukusa m'mimba, kupweteka kwam'mimba, kutulutsa, kusanza, nseru, kusinthika kwamatumbo, kutsekeka kwamatumbo, kudzimbidwa, kusapeza bwino kwa epigastric.

Odwala omwe amatenga Mlingo wambiri wa kapamba anali ndi kufinya kwa gawo lam'matumbo ndi colon (fibrous colonopathy), komanso colitis. Pankhani ya zodabwitsa zam'mimba kapena kusintha kwa mtundu wa zomwe zimayambitsa matendawa, ndikofunikira kupatula kuthekera kwa kuwonongeka kwa colon, makamaka ngati wodwala atenga zoposa 10,000 PISCES ya Ph. Eur. lipase / kg / tsiku.

Kuchokera ku chitetezo chathupi: matupi awo sagwirizana, kuphatikizapo kuyabwa, zotupa pakhungu, mphuno, ming'oma, kusisita, kuchepa kwa magazi, bronchospasm, anaphylactic reaction, angioedema.

Malangizo ogwiritsira ntchito mapiritsi

Mapiritsi akuvomerezeka sayenera kuphwanyidwa kapena kutafunidwa. Amayenera kumezedwa yonse, kutsukidwa ndi madzi ambiri. Mlingo uyenera kukhazikitsidwa ndi adokotala kutengera kuopsa kwa matendawo komanso msinkhu wa wodwalayo.

Nthawi zambiri, akuluakulu samalimbikitsidwa kupitilira muyeso wa Pancreatin Forte 14,000 a lipase enzyme pa kilogalamu ya kulemera.Izi ndi mapiritsi atatu a mankhwalawa katatu patsiku mukatha kudya. Koma nthawi zambiri amamwa piritsi limodzi 3 katatu patsiku.

Mutha kumwa mankhwalawa kamodzi ngati njira ya m'mimba itasokonekera. Pazolinga za prophylactic, Pancreatin Forte 14000 ndikulimbikitsidwa. Malangizowo amati limatha kugaya chakudya m'njira.

Mankhwala tikulimbikitsidwa pancreatic pathologies omwe amakhudza ntchito exocrine, makamaka kwa cystic fibrosis ndi kapamba. Kukuwonetsedwa kwa matenda okhala bwino pakuphwanya dongosolo logaya chakudya, matenda osachiritsika komanso kutupa komwe kumayambitsa ziwalo zam'mimba, chiwindi ndi ndulu.

Chithandizo chimaloledwa kwa anthu popanda mavuto ndi kapamba, ngati ali ndi zolakwika m'thupi, ntchito ya masticamu imalephera, kusungunuka kwa nthawi yayitali kumachitika, munthu amakhala ndi moyo wongokhala.

Mankhwalawa amayenera kumwedwa pokonzekera kuti apezeke ngati muli ndi ziwalo zam'mimba: x-ray ndi ultrasound.

Mapiritsi amatengedwa ndi chakudya, kutsukidwa ndi madzi okwanira, amaletsedwa kutafuna ndikuluma. Mlingo weniweni amasankhidwa mosiyanasiyana payekhapayekha, poganizira:

Mulingo wovomerezeka wa Gastenorm forte wodwala wamkulu ndi mapiritsi 1-4 patsiku, Gastenorm forte 10000 amatenga zidutswa 1-2 patsiku. Tengani mankhwala opitilira 15,000 / kg yolemetsa wamankhwala ndi owopsa.

Kutalika kwa maphunzirowa kumatsimikiziridwa mu vuto lililonse, ngati pakuphwanya zakudya, dokotala akulangizani kuti muchepetse limodzi kapena mapiritsi angapo, mutakhala ndi zovuta zambiri komanso chifuwa chachikulu cha kapamba, mankhwalawa amatha kwa miyezi ingapo kapena zaka zingapo.

Mndandanda wazofananira

Tcherani khutu! Mndandandandawu umakhala ndi mawu ofanana a Pancreatin forte, omwe ali ndi mawonekedwe ofanana, kotero mutha kusankha nokha m'malo mwake, mukumaganizira mawonekedwe ndi mankhwalawa omwe mankhwalawa adamwa ndi dokotala. Perekani zokonda kwa opanga ku USA, Japan, Western Europe, komanso makampani odziwika bwino ochokera ku Eastern Europe: Krka, Gideon Richter, Actavis, Aegis, Lek, Hexal, Teva, Zentiva.

Chimodzi mwazomwe zimayenerana ndi mankhwala a Creon, amapanga mawonekedwe a mapiritsi a gelatin, omwe ali ndi ma microspheres apang'ono ndi mankhwala pancreatin a nyama. Mankhwalawa amatha kusungunuka m'mimba mwachangu, microspheres imasakanikirana mosavuta ndi zomwe zili m'mimba, ndipo pamodzi ndi mtanda wazakudya zimalowa m'matumbo aang'ono. Pokhapokha pali kusungunuka kwa ma microspheres, kumasulidwa kwa kapamba.

Chomwe chimagwira pophika chimatha kuphwanya mafuta, mapuloteni ndi chakudya, mankhwalawo satha kuyamwa, koma ali ndi mphamvu yamankhwala m'matumbo a lumen.

Ndikofunika kumeza makapisozi osafuna kutafuna, ndimadzi oyera ambiri kapena madzi ena opanda mpweya. Ngati nkovuta kwa wodwala kumeza kapisozi nthawi yomweyo, amaloledwa kutseguka ndikusungunuka mumadzi osavomerezeka. Zosakaniza zosakanikirana zimadyedwa nthawi yomweyo, ndizoletsedwa kuti zisungidwe.

Pa mankhwalawa kapamba, mendulo yakumwa iyenera kuchitika, ngati madzi akumwa akumwa, kuphwanya kwa chopondacho kumayamba, makamaka, kudzimbidwa kwambiri.

Zambiri pazamankhwala a kapamba zimaperekedwa mu kanema munkhaniyi.

Pali zokonzekera zambiri za enzyme zomwe zimagwiritsidwa ntchito pokonzanso chimbudzi. Anthu omwe ali ndi matenda am'mimba komanso kapamba ayenera kufunsa dokotala kuti apangire mankhwala oyenera. Malinga ndi kukhalapo kwa michere ndi mawonekedwe a machitidwe, pali mankhwala angapo.

• Wodziwika kwambiri ndi Mezim Forte. Zomwe zimapangidwira ndalamazi ndizofanana kokwanira, wopanga yekha ndi kuchuluka kwa ma enzymes ndi osiyana. Chifukwa chake, anthu amachita mosiyanasiyana ndi mankhwalawa. Ndipo nthawi zambiri, anthu ambiri amaganiza kuti amwe chiyani: "Pancreatin" kapena "Mezim Forte." Zomwe zili bwino, zitha kutsimikizika pokhapokha mutazitenga.
• Mankhwala "Creon" amapezeka mosiyanasiyana. Mulinso ma enzymes ofanana ndi Pancreatin, koma amapangidwa ku Germany ndipo amatenga mtengo wa 6-7 mtengo kuposa iwo. Kusavuta kwa mankhwalawa ndikuti amapezeka m'mapiritsi a gelatin, sungunuka m'matumbo.
• Mankhwala a Panzim ndi Panzinorm amapangidwanso ku Germany. Amakhala ndi enzymatic kwambiri ntchito. Kuphatikiza pa pancreatin, ilinso ndi bile ndi gastric mucosa ya ng'ombe.
• Festal ndi Enzistal ndi ofanana kwambiri pochita. Izi ndi zinthu za akatswiri azamankhwala aku India. Kuphatikiza pa michere ya pancreatic, imakhala ndi bovine bile.

Awa ndi mankhwala odziwika bwino omwe ali ndi pancreatin.Kuphatikiza pa izo, kukonzekera kwinanso kofanana kumakhala ndi mawonekedwe ofanana komanso ofanana: Normoenzyme, Gastenorm, Mikrazim, Forestal, Pankrenorm, Solizim, Enzibene, Hermitage ndi ena.