Ndemanga pa Pancreoflat

Pancreoflat: malangizo ogwiritsa ntchito ndi kuwunika

Dzina lachi Latin: Pankreoflat

Code ya ATX: A09AA02

Chithandizo chogwira: pancreatin (pancreatin) + dimethicone (dimeticone)

Wopanga: Solvey Pharmaceuticals (Germany)

Kusintha malongosoledwe ndi chithunzi: 07/27/2018

Pancreoflat - kukonzekera kwa enzyme komwe kumakwaniritsa kuchepa kwa exocrine pancreatic ntchito, kumachepetsa ulemu.

Kutulutsa mawonekedwe ndi kapangidwe kake

Fomu ya Mlingo - mapiritsi okhala ndi mbali: pafupifupi oyera kapena oyera, oblong (ma PC 25. M'matumba, pamatabwa a 1, 2, 4 kapena 8 matuza).

Zosakaniza zothandizira piritsi limodzi la Pancreoflat:

• Pancreatin - 170 mg (womwe ndi wofanana ndi zochitika za michere: lipase - 6500 Units Heb. F., amylase - 5500 Units Heb. F., proteinates - 400 Units Heb. F.),
• Dimethicone - 80 mg.

Omwe amathandizira: sorbic acid, colloidal silicon dioxide, methyl parahydroxybenzoate, ufa wa mkaka, propyl parahydroxybenzoate, acamu, chingamu ya Kovovicone 28, hypromellose.

Mapangidwe a Shell: sucrose, Copovidone K 28, chingamu chamacac, kuwala kwa magnesium oxide (kuwala), colloidal silicon dioxide, povidone, chipolopolo, macrogol 6000, capol 1295 (carnauba sera, njuchi), carmellose sodium 2000, titanium dioxide (E171), talc .

Mankhwala

Pancreoflat ndi enzyme yophatikizidwa yomwe imalipira kuchepa kwa exocrine pancreatic ntchito ndikuchepetsa flatulence. Monga yogwira zinthu zimakhala ndi pancreatin ndi dimethicone.

Pancreatin ndi porcine pancreas ufa wokhala ndi ma enzymes osiyanasiyana, kuphatikizapo lipase, alpha-amylase ndi trypsin.

Lipase ameta ma asidi achilengedwe pamaudindo 1 ndi 3 a mamiliyoni a triglyceride. Ndi cleavage, mafuta acids aulere amapangidwa, omwe amachokera m'matumbo ang'onoang'ono makamaka pogwiritsa ntchito bile acid.

Alpha-amylase imaphwanya ma polysaccharides okhala ndi shuga.

Trypsin amapangidwa kuchokera ku trypsinogen m'matumbo ang'onoang'ono chifukwa cha enterokinase. Enzyme iyi imawononga mgwirizano pakati pa ma peptides, momwe ambiri a arginine kapena lysine adachita nawo. M'maphunziro azachipatala, trypsin yawonetsedwa kuti imalepheretsa kubisala kwa pancreatic ndi makina a mayankho. Amakhulupirira kuti zotsatira za analgesic za pancreatin, zofotokozedwa m'maphunziro ena, zimagwirizanitsidwa ndi izi.

Dimethicone - gawo lachiwiri logwira ntchito la Pancreoflat - limachotsa kuchulukitsa kwa mpweya m'matumbo aang'ono. Izi zimapangidwa ndimapangididwe, momwe amagwirira ntchito amatengera kuthekera kwakusintha kuwundana kwa mpweya thovu m'matumbo. Zotsatira zake, mabuluni amaphulika, ndipo mpweya womwe umalowamo umatulutsidwa kenako ndikuwamwetsa kapena kuwuchotsa mwachilengedwe.

Zizindikiro zogwiritsidwa ntchito

• Aakulu kapamba, achilia m'mimba ndi matenda ena motsutsana ndi maziko a kupanda mphamvu kwa exocrine pancreatic ntchito,
• Zakudya zam'mimba zomwe zimakhudzana ndi matenda a chiwindi ndi matenda am'mimba,
• Kupukusa m'mimba pambuyo pakuchita opaleshoni pamimba ndi matumbo aang'ono, makamaka ndi flatulence ndi ma pathologies ena ndi mpweya wowonjezereka ndikupanga kwawo m'matumbo.

Contraindication

• Osakwana zaka 12
• Aliyense tsankho kwa zigawo zikuluzikulu za mankhwala.

Malinga ndi malangizo, Pancreoflat iyenera kugwiritsidwa ntchito mosamala kwa odwala omwe ali ndi vuto lalikulu la kapamba, kupindika kwa galactose, kusowa kwa lactase ndi malabsorption a glucose-galactose pa nthawi yapakati komanso yoyamwitsa.

Kuyanjana kwa mankhwala osokoneza bongo

Ndi chithandizo chothandizirana ndi maacacid okhala ndi aluminium hydroxide ndi / kapena magnesium carbonate, kuchepa kwa njira yochiritsira ya dimethicone ndikotheka.

Pogwiritsa ntchito munthawi yomweyo Pancreoflat ndi mankhwala ena, machitidwe ofunikira kwambiri sanawoneke.

Mafanizo a Pancreoflat ndi awa: Festal, Pancreatin forte, Creon, Pancreatin, Pancreatin-LekT, Panzinorm, Pangrol, Penzital, Abomin, Mezim Forte, Enzistal.

Malangizo ogwiritsira ntchito

Chithandizo cha mankhwala chimaperekedwa ndi dokotala ngati pali mbiri yokhudza kupukusa chakudya pambuyo pa opaleshoni yam'mimba, makamaka chithunzicho chikuyenda ndi kuphatikizira kwa mpweya m'matumbo.

Ndikofunika kugwiritsa ntchito motsutsana ndi maziko a kusakwanira kwa chinsinsi cha kagwiritsidwe ntchito ka kapamba kapena pakalibe madzi a m'mimba. Mwanjira ina, amachiza matenda apakhungu, achilia am'mimba. Amaloledwa kupereka kwa matenda a biliary thirakiti ndi chiwindi, omwe amapezeka ndi matenda am'mimba.

Simungatenge munthu ngati ali ndi hypersensitivity kuti kapamba kapena dimethicone, ali mwana, makamaka mpaka zaka 12. Mosiyana ndi mankhwala ena a enzyme, Pancreoflat imaloledwa kugwiritsidwa ntchito koyambirira kwa kapamba kapamba kapena kufalikira kwa matenda osachiritsika. Koma mosamala kwambiri komanso mosamala.

Pancreoflat amawoneka ngati mankhwala osankha ngati wodwala ali ndi kuchepa kwa lactase, galactose tsankho. Malangizo ogwiritsira ntchito mankhwalawa:

• Mapiritsi amatengedwa ndi chakudya kapena pambuyo pake,
• Mlingo wamba wa munthu wamkulu ndi zidutswa 1-2,
• Kwa ana, mlingo umasankhidwa ndi katswiri wazachipatala (waudokotala wa ana kapena gastroenterologist),
• Mapiritsiwo amezedwa lonse, osaphwanyika.

Zambiri pa mankhwala osokoneza bongo a enzyme sizinalembedwe. Ngati mumwa mankhwala a antacid nthawi yomweyo, omwe akuphatikiza ndi magnesium carbonate, ndiye kuti mphamvu ya dimethicone yachilengedwe imachepetsedwa kwambiri.

Pa mankhwala, zotsatira zoyipa kuchokera mthupi zimatha kukhala:

1. Mawonetseredwe amatsutsa.
2. Ululu pamimba.
3. Zosasangalatsa zomverera m'mimba.
4. Kusanza (nthawi zina kusanza).
5. Kusungidwa kwanyumba yayitali kapena chopondera mwachangu.

Kutenga nthawi yayitali kapena kumwa mankhwala ochulukirapo kumatha chifukwa cha kuchuluka kwa plasma kwa uric acid.

Pancreoflat si mankhwala otsika mtengo. Mtengo wake umatengera kuchuluka kwa mapiritsi. Mtengo wa zidutswa 50 umasiyana kuchokera ku 1800 mpaka 1950 rubles, ndi zidutswa zana - 3500-3700 rubles.

Mutha kugula ku malo ogulitsira, ogulitsidwa popanda mankhwala a dokotala.

Analogs ndi ndemanga

Lingaliro la madokotala ndikuti Pancreoflat ndi mankhwala abwino omwe amathandiza kupulumutsa wodwalayo pakuwonjezereka kwa kupanga kwa mpweya, kupweteka kwam'mimba. Kugwiritsidwa ntchito kwake kumapangitsa kuti magawo azigaya, pomwe kulimbikitsa kupanga kwawo ma pancreatic enzymes.

Madotolo adanenanso kuti mwayi wotsimikizika uli pakutha kugwiritsa ntchito pancreatitis pachimake kapena kuchulukitsa kwa kutupa kwa kapamba. Ngakhale ma fanizo apamwamba kwambiri a chipangizocho sangadzitamandire pamikhalidwe imeneyi.

Zowunikira wodwalayo, ndizosiyana kwambiri. Ena amalankhula za kugwiritsa ntchito bwino kwa mankhwalawa, kuchitapo kanthu mwachangu, ndipo koposa zonse - mphamvu yayitali. Koma odwala ena amati uku ndikuwononga ndalama kwakukulu, ndipo zizindikiro za kapamba sizichokapo - m'mimba mwake mukunong'ung'unya, mpweya umadziunjikira.

Kapenanso, mutha kumwa mankhwala:

• Abomin ili ndi rennet. Fomuyo ndi miyala. Chochita chake ndi puloteni ya proteinolytic yomwe imagwira pamkaka ndi mapuloteni a chakudya. Imakhala ndi mndandanda wawung'ono wazotsatira zoyipa. Pokhapokha, Creon yokhala ndi kapamba imayambitsa mseru komanso kutentha kwa mtima. Palibe zotsutsana ndi munthu wamkulu,
• Creon ili ndi pancreatin, imakwanira chifukwa cha kuchepa kwa ma pancreatic pancreatic enzymes. Ndikulimbikitsidwa monga chithandizo chamankhwala a kapamba, chifukwa cha chithandizo cha matenda am'mimba mwa odwala. Ndikosatheka ndi kuwonongeka kwamphamvu kwa kutupa kwa kapamba, kufalikira kwa matenda osachiritsika,
• Penzital - pancreatin. Fomu ya Mlingo - mapiritsi. Chidacho chimapereka lipolytic, amylolytic ndi proteinolytic. Kulandila kumapereka chindapusa cha exocrine pancreatic function. Contraindication ndi ofanana ndi mankhwala am'mbuyomu. Palibe kuyanjana ndi mowa. Mtengo ndi ma ruble 50-150.

Mutha kuwonjezera mndandanda wazofanana ndi mankhwala - Pancreatin Forte, Pancreatin-Lek T, Pangrol, Mezim Forte, Enzistal, Festal. Kuongolera chithandizo cha mankhwala ndikofunikira kwa adokotala.

Pancreoflat ndi mankhwala am'mimba omwe amathandizira kufooka kwa michere ya pancreatic. Pamodzi ndi zabwino zambiri, ili ndi drawback yayikulu - mtengo wokwera, koma thanzi limodula.

Zomwe mankhwala othandizira pancreatitis akufotokozedwa muvidiyoyi.

Kupanga ndi mawonekedwe a zomwe achitazo

Pancreoflat ndi kukonzekera kwa enzyme komwe kumaphatikiza ma enzyme okha, komanso dimethicone yopanga. Chogulitsachi chimakhala ndi ma enzymes okhala ndi zochita za proteinolytic, amylolytic, ndi lipolytic, zomwe zimathandizira kugaya chakudya pafupifupi chilichonse.

Vutoli nthawi zina limagwiritsidwa ntchito popanda ziwonetsero zilizonse monga matenda amtundu wa kapamba, koma pongokhudza zolakwika zinazake m'zakudya, kapena ngati mukudya kwambiri.

Kuphatikizika kwa mankhwalawa kumaphatikizanso dimethicone - chinthu chomwe, chifukwa cha zochita zake za antifoam komanso kutsika pang'ono pamtunda, chimalepheretsa mapangidwe a mpweya m'matumbo, omwe nthawi zambiri amawonedwa ndikusowa kwa michere yopangidwa ndi kapamba. Nthawi zambiri osati Pancreoflat zotchulidwa, mitengo ya analogues nthawi zambiri imatsika kwambiri.

Pancreophalt - fanizo la mankhwala

Pali mankhwala ambiri okhala ndi ma pancreatic enzymes mu pharmacy iliyonse. Onsewa ali ndi pancreatin ngati yogwira - mankhwala a ma pancreatic enzymes omwe amapezeka kuchokera ku tulu ta nkhumba.

Zokhazo zowonjezera zomwe zimagwiritsidwa ntchito ndi mankhwalawo zimasiyana, komanso njira yophimba chinthu yogwira ndi kapisozi.

Malonda a cheeke, monga lamulo, mulibe zinthu zina zowonjezera (mwachitsanzo, antifoam, monga momwe zimakhalira ndi Pancreophalt), komanso zochuluka zonse zomwe zimagwira pakukonzekera izi zimakhala zokutira ndi enteric imodzi. Awa ndi mankhwala monga Pancreatin, Mezim, Festal ndi Panzinorm.

Mankhwalawa amadziwika kuti ndi othandiza kwambiri, ma enzyme omwe amakhala mkati mwa zomwe zimatchedwa microtablets kapena ma microcapsule, omwe, nawonso, atsekedwa mkati mwa kuphika wamba wamba. Mankhwalawa akuphatikizapo Creon ndi Hermitage.

Amakhulupirira kuti kugwiritsa ntchito njirayi yophatikiza Mlingo wamagulu osiyanasiyana kumalola ma enzyme kusakaniza ndendende ndi chakudya chomwe chimadyedwa, potero kuonjezera mphamvu ya mankhwalawa. Komabe, mtengo wa mankhwalawa ndi chiwongola dzanja chachikulu, chifukwa chovuta kupanga.

Pali zambiri zama pharmacological omwe ali ndi ma pancreatic enzyme omwe amapanga. Komabe, kusankha njira yoyenera kwambiri sikophweka. Ndikofunika kuganizira malingaliro a dokotala yemwe adapereka chithandizo.

Mankhwala omwe amapanga kuchepa kwa exocrine pancreatic ntchito nthawi zambiri amagwiritsidwa ntchito pochita gastroenterological. Komabe, zingapo zogulitsa zimakhala ndi ma analoge okwera mtengo. Mutha kuphunzira zambiri za iwo mukamawonera kanema:

Kufotokozera za mankhwalawa. Gulu la Pharmacotherapeutic

Malangizo ogwiritsira ntchito "Pancreoflat" amafotokozera mankhwalawa ngati mapiritsi okhala ndi matendawa. Ali ndi mtundu woyera kapena pafupifupi woyera ndi mawonekedwe ofowoka.

Mapiritsi a Pankreoflat amatsimikiziridwa ndi malangizo ogwiritsira ntchito ngati mankhwala a enzyme omwe ali ndi kapangidwe kake kamene kamathandizira kuthetsa mapangidwe a mpweya m'matumbo.

Mphamvu yakuchiritsa ya zigawo zikuluzikulu

Mankhwalawa ali ndi 170 mg ya pancreatin ndi 80 mg ya dimethicone. Chilichonse mwazinthuzi chimakhala ndi vuto linalake la mankhwala, zomwe zimapangitsa kuti mankhwalawa akhale othandiza makamaka pakudya kwam'mimba zosiyanasiyana.

Pancreatin ndi ufa wotalikirana ndi kapamba wa nkhumba. Mulinso ma enzyme angapo osiyanasiyana:

Aliyense wa iwo amatengapo gawo pa chimbudzi. Protease imaphwanya mapuloteni kukhala amino acid, ndipo amylase imaphwanya wowuma kukhala oligosaccharides. Lipase amasintha mafuta kukhala mafuta acids ndi glycerin. Trypsin ndi chymotrypsin ndi omwe amachititsa kuti mapuloteni komanso ma peptide awonongeke.

Kwenikweni, zovuta zingapo zamatumbo zimayenderana ndi kusowa kwa michere iyi. Pancreatin imatha kudzaza kuperewera ndikuwonetsetsa magwiridwe antchito.

Dimethicone mwachilengedwe ndi chinthu chopangidwa ndi mankhwala. Katundu wake wamkulu ndikusintha pakukhumudwa kwaziphuphu m'matumbo. Pambuyo kukhudzana ndi dimethicone, thovu limaphulika ndipo limachotsedwanso mwachilengedwe. Zotsatira zake, mapangidwe a mpweya m'matumbo amatha, kupweteka ndi kutulutsa kumatha.

Kuphatikiza pazomwe zimagwira, mawonekedwe a "Pancreoflat" amakhalanso ndi zinthu zothandizira, zomwe zimagwira ntchito yake:

1. Sorbic acid ndi sucrose amachita ngati othandizira kulawa.
2. Hypromellose, yomwe imagwira ntchito kumasula.
3. Methyl parahydroxybenzoate ndi propyl parahydroxybenzoate ngati zoteteza.
4. Copovidone - imagwira ntchito yomanga.
5. Talc. Ili ndi katundu wotsutsa.
6. Silika Yophatikizidwa ngati adsorbent.
7. Njuchi. Onjezani monga chowonjezera kuti muchepetse nthawi yomwe mukugwirira ntchito.
8. Acacia chingamu, mkaka wa ufa, magnesium oxide, titanium dioxide, shellac ndizowonjezera zina.

Gwiritsani ntchito pa nthawi yoyembekezera komanso nthawi yoyamwitsa

Chitetezo pakugwiritsa ntchito mankhwalawa "Pancreoflat" pa nthawi ya pakati komanso mkaka wa m`mawere sichimamveka bwino. Pachifukwa ichi, tikulimbikitsidwa kuti azimayi oyembekezera komanso oyembekezera azifunsira kaye kwa dokotala.

Zotsatira zoyipa

Monga mankhwala ena aliwonse, Pancreoflat ikhoza kuyambitsa zovuta zina zosafunikira, izi:

• Thupi lawo siligwirizana monga zotupa, kuyabwa, kutupa kwa mucous nembanemba. Vutoli limachitika ngati munthu ali ndi vuto lililonse la mankhwala.
• Zotsatira zoyipa zimatha kuonekanso kuchokera m'mimba. Izi zimaphatikizapo kumverera kwa thukuta, kupweteka, komanso kusamva bwino m'mimba, m'mimba chakukwiyitsidwa ngati kudzimbidwa kapena kutsegula m'mimba, kusanza komanso kusanza.
• Kumwa mankhwalawa amathanso kukhudza zotsatira za kuyezetsa magazi pazinthu zomwe mumakhala mu uric acid momwemo.

Kuphatikizika ndi mankhwala

Kuchiritsa kwamankhwala kumachitika chifukwa cha zomwe zimagwira. Pancreatin ndi chinthu lipase ndi chymotrypsin. Amathandizira pakuwonongeka kwa ma polysaccharides, mafuta acids ndi ma peptide.

Dimethicone yothandizira yogwira imathandizira kuthetsa mpweya m'matumbo ang'ono. Mafuta ophulika akaphulika, mpweya umachotsedwa mwachilengedwe.

Mankhwala amaperekedwa pambuyo pa opaleshoni m'mimba, pamene njira zonse zochira zimatsatiridwa ndikupanga mpweya.

Pancreoflat imapezeka m'mapiritsi a pakamwa. Zomwe mapiritsiwo akuphatikizira:

1. silika
2. sorbic acid
3. ufa wa mkaka
4. hypromellose.

Mapiritsiwa akugulitsidwa m'makatoni ama 2, 4 ndi 8 matuza.

Analogi ndi mtengo

Mitu ya Pancreoflat imakhala ndi zofanana, imakhala ndi mawonekedwe ofanana, koma imakhala ndi mtengo wosiyana. Mankhwalawa akuphatikizapo:

1. Abomin. Mapiritsiwa ali ndi ma enzymes a proteinolytic omwe amathandizira pakompyuta mapuloteni amkaka. Mankhwalawa ali ndi zoyipa zingapo ndipo amadziwika kuti alibe zotsutsana.
2. Njira Chiboni Zimathandizira kupanga kusowa kwa michere mu kapamba. Amalembera kapamba.
3. Penzital. Mapiritsi omwe ali ndi amylolytic. Chida ichi sichiyenera kugwiritsidwa ntchito ndi anthu omwe ali ndi chidakwa.
4. Mezim Forte. Mapiritsiwa amagwiritsidwa ntchito pakuchizira zovuta pamimba ndi kapamba. Njira yochepetsetsa ya chithandizo ndi masiku 10. Ngati ndi kotheka, mankhwalawa amabwerezedwa pakatha mwezi umodzi.

Natalya. Anandiuza kuti nditha kubereka pambuyo pobala, pamene ndinayamba kudzimbidwa komanso kusefukira. Nditamwa mankhwalawa kwa sabata limodzi, ndipo palibe zotsatira, kenako ndidasankhidwa maphunziro ena. Pazonse, ndidalandira chithandizo kwa milungu iwiri ndikusokoneza, ndipo izi sizinandithandizire.

Galina. Nthawi zonse ndimakhala ndikuzunzidwa m'mimba mwanga. Ngati tadya china chokazinga, kutentha kwa mtima, hiccups, ndi ululu m'mimba zimayamba. Ndidapita kwa dotolo, ndipo adalangiza izi. Ndinkamwa kwa masiku asanu, mapiritsi awiri kawiri patsiku. Chida ichi chidandithandiza bwino, palibe zoyipa zomwe zidawonetsedwa.

Alevtina. Kupanga kwa gasi kumandivuta pafupifupi moyo wanga wonse. Zomwe sizinayesere, palibe chomwe chimathandiza. Kusasokonezeka pafupipafupi komanso kutulutsa magazi kumasokoneza moyo wabwinobwino. Nditapita kwa dotolo, adandiuza kuti ndithandizire. Panali zabwino zochepa kuchokera pamankhwala awa. Sanandithandizenso, koma amangowonjezera mavuto. Choyamba, zotupa zimadutsa thupi ndipo kutentha kudakwera, kenako kumayamba kusanza. Ndidamuuza dotolo wanga za izi, adandiwuzanso mankhwala ena.

Pali zotsutsana. Ndikofunikira kufunsa katswiri.

Mlingo ndi makonzedwe

"Pancreoflat" iyenera kumwedwa pakamwa ndi piritsi 1 kapena 2. Izi zikuyenera kuchitika pakudya lililonse kapena pambuyo pake. Kusamba ndi madzi. Mapiritsi a kutafuna sikufunika. Kutalika kwa maphunziridwe ake kumatengera kuopsa kwa matendawa ndipo akuyenera kuperekedwa ndi dokotala.

Bongo. Kusagwirizana kwa mankhwala

Malinga ndi chidziwitso chomwe chili mu malangizo ogwiritsira ntchito "Pancreoflat", zambiri zamilandu zaposachedwa sizinalembedwe.

Kugwiritsa ntchito pamodzi kwa ma antacid okhala ndi magnesium carbonate ("Rennie" ndi ena) ndi / kapena aluminium hydroxide ("Gastal", "Almagel" ndi ena) kungayambitse kuchepa kwa mayamwidwe a dimethicone, omwe amachepetsa mphamvu ya mankhwalawa.

Kodi ndingalowetse bwanji mankhwalawa?

Pankreoflat ilibe analogue yathunthu, popeza ili ndi mawonekedwe apadera ndipo ili ndi zigawo ziwiri zazikulu nthawi imodzi. Msika wogulitsa mankhwala umapereka kusankha kwakukulu kwa mankhwala omwe ali ndi enzymatic ntchito. Zonsezi zimakhala ndi pancreatin, koma wogula nthawi zambiri amayenera kuthana ndi mitengo yosiyanasiyana ya mankhwalawa. Zimachitika kuti mtengo wamankhwala amodzi ndi dongosolo la kukula kwambiri kuposa mtengo wina, ndi kapangidwe kofananako. Chowonadi ndi chakuti mapangidwe awa amasiyana wina ndi mnzake ndi zida zothandizira komanso njira yophimba zinthu zomwe zimagwiritsidwa ntchito, pomwe luso lawo la mankhwala amapezeka mwachindunji.

Ma analogues otsika mtengo a Pancreoflat ali ndi lamulo limodzi lokhazikika (Pancreatin, Mezim, Panzinorm). Pokonzekera okwera mtengo kwambiri, chinthucho chogwiritsidwa ntchito nthawi zambiri chimakhala chotsekedwa pama microcapsule, ndipo pokhapokha zinthu zambiri izi zimaphatikizidwa ndikupanga chigoba chimodzi. Izi zimathandiza kuti mankhwalawo akhale osagwirizana ndi malo omwe amakwiya m'mimba ndikutulutsidwa m'matumbo athunthu, zomwe zimawonjezera phindu la mankhwalawo. Makhalidwewa ali ndi ndalama zokhala ndi mayina monga malonda a Mikrazim, Creon, ndi Hermitage. Kupanga mankhwala ngati amenewa ndikokwera mtengo. Mwachilengedwe, mapangidwe oterewa sangawononge ndalama zambiri ngati ma analogi otsika mtengo okhala ndi njira yosavuta yopangira.

Tiyeneranso kukumbukira kuti kuwonjezera pa pancreatin, "Pancreoflat" ili ndi dimethicone. Monga chinthu chachikulu yogwira ntchito, imaphatikizidwa ndi mankhwala monga Zeolate. Komanso gawo la Pepsan-R. Koma mankhwalawa alibe pancreatin mu kapangidwe kawo, ndiye kuti siwothandiza m'malo a Pancreoflat.

Titha kunena kuti ma fanizo a "Pancreoflat" ndiotsika mtengo kuposa mankhwalawo, koma tiyenera kukumbukira kuti siogwirizira ake onse, chifukwa ali ndi mawonekedwe osiyana.