Omeprazole wa kapamba

Pancreatitis, nthenda yotupa ya kapamba, ndi imodzi mwa matenda ofala kwambiri m'mimba, anthu ochulukirapo "amawukiridwa" chaka chilichonse. Njira yochizira matendawa, kuphatikiza pa omwe asankhidwa, kutengera mtundu ndi kuuma kwa chiwalocho, chakudya chimaphatikizapo kuperekedwa kwa mankhwala omwe amachepetsa vuto lanyengo, amathandizira "kutsitsa" ndikubwezeretsanso ziphuphu zowonongeka. Chida choyamba chodziwika bwino ndi omeprazole.

Omeprazole chifukwa cha kutupa kwa kapamba

Mankhwala ndi a proton pump zoletsa, akuwonetsa bwino mu acidic malo (kuchepetsa "lakuthwa"), kuchepetsa kuchuluka kwa madzi omwe amatulutsidwa ndi m'mimba. Kutha kwa mankhwalawa kumathandiza odwala omwe ali ndi matenda a pancreatic omwe ali ndi matenda omwe amayamba chifukwa cha m'mimba. Kuwonekera kwa zotsatira za mankhwalawa ndizosiyanasiyana, mawonekedwe apamwamba amakupatsani mwayi wokwaniritsa zotsatira zomwe mukufuna mu nthawi yochepa.

Kodi iye ndi wotani?

Mankhwalawa adatsekeka m'mapiritsi amadzaza ndi granules yaying'ono (crystallized ufa). Ma granules ali ndi zinthu zogwira ntchito ndipo amaphatikizidwa ndi chipolopolo chomwe chimasungunuka mwachangu. Mankhwalawa amayamba kugwira ntchito mphindi makumi asanu ndi limodzi atatha kumwa, mphamvu yayikulu yogwira ntchito imatheka pambuyo maola awiri, kuchepetsa kubisalira kwa asidi am'mimba ndi makumi asanu ndi limodzi peresenti.

Bonasi yowonjezera ndikuphwanya kwathunthu kwa zinthu zomwe zimachitika ndi chiwindi, chimbudzi chosavuta chochokera m'thupi. Zotsatira zabwino zakumwa zimatheka kale patatha masiku anayi chiyambireni mankhwalawa. Omeprazole:

Amachotsa ululu wosasangalatsa wotsatira matenda a kapamba.
Imawonjezera kuopsa kwa njira yotupa.
Momwe amachepetsa katulutsidwe ka madzi (acid) pamimba.
Zimapangitsa kuti kagayidwe kazigwedezeka m'thupi la wodwalayo kakhazikika.

Kulemba za Omeprazole wa kapamba

Njira zotupa mu kapamba ndizowopsa chifukwa cha kuthekera kwa chiwalo chowonongeka kuchotsa ma enzymes "kutuluka" m'matumbo, chifukwa cha zinthu zomwe zimangiriridwa kumimba, zolobozedwa mkati mwa chiwalo, ndikuwonongeka.

Kuphatikiza pa kutaya magwiridwe antchito komanso chiwopsezo chachikulu cha necrosis, pali mwayi wowonjezereka wa matenda ofanana ndi ziwopsezo zomwe zimapangidwa ndi gland yovutikayo. Ndikulimbikitsidwa kwambiri kuti musataye mankhwala mukadali mu bokosi lalitali.

Omeprazole wa kapamba pachimake

Kutupa kwachikale kwa kapamba ndi njira yoopsa komanso yowopsa yomwe imamupangitsa munthu kuti apange opaleshoni ya scalpel, popanda chithandizo choyenera, zotsatira zakupha ndizotheka. Pancreatitis pachimake imadziwika ndi kupweteka kwambiri, kutentha thupi, kusanza (nthawi zina sikutha), kawirikawiri - khungu la jaundice lomwe limatsatana ndi matendawa.

Ndi matenda amtunduwu, mulingo wa Omeprazole ndi milligram makumi awiri kamodzi, ndibwino kumwa kapu ndi madzi ofunda kwakukulu. Nthawi yovomerezeka ndi masabata awiri, ngati pakufunika kuthandizidwa, chithandizocho chimakulitsidwa.

Mu kupweteka kwapakati kwa kapamba, mapiritsi a mapiritsi amawirikiza kawiri (mpaka ma milligram makumi anayi), kudya kungatheke nthawi ina iliyonse masana, musanadye komanso ndi madzi ambiri ofunda. Maphunziro onsewo ndi mwezi, ndipo kuwonetsedwa kwachiwiri kwa zizindikiro, muyeso wowonjezera wa mamiligalamu khumi patsiku amalembedwa (kwa anthu omwe ali ndi kuthekera kochotsa pancreatic - twente).

Mu mawonekedwe osakhazikika

Matenda a kapamba akuwonetsa kuti mawonekedwe amatendawa adayamba kukhululukidwa, koma mapindikidwe ake sanachiritsidwe. Chiwalo chodwala chikuyenera kutetezedwa, kusamalidwa mothandizidwa ndi zoletsa muzosunga tsiku ndi tsiku, mankhwala osankhidwa moyenera.

Omeprazole kwa odwala omwe ali ndi vuto losagwirizana ndi mankhwala amapatsidwa gawo limodzi la ma milligram makumi asanu ndi limodzi maola aliwonse, makamaka m'mawa, kumwa kapisozi ndi madzi ambiri ofunda. Ngati kuli kofunikira, dokotala atha, kutengera zotsatira za mayeso a wodwalayo ndi kulolera kwa zigawo zina za mankhwalawo, kanganso kuchuluka kwa kapisozi.

Ndi mawonekedwe osowa a kutupa kwa gland - achulukitsa matenda a kapamba - Omeprazole amabweretsedwa mamiliyoni makumi asanu ndi atatu patsiku kwa masiku osachepera khumi ndi anayi kuchokera pakudya kokhazikika ndi mankhwala owonjezera. Mlingo ukuwonjezeka molingana ndi kuopsa kwa matenda omwe akupitiliza. Poterepa, nthawi yolandila zilibe kanthu.

Zotsatira zoyipa

Mukamatenga Omeprazole kusintha mkhalidwe wa odwala omwe ali ndi kapamba wowonongeka, kufunikira kumayikidwa pazotsatira zoyipa za mankhwalawa. Gulu la anthu likufunsidwa omwe sanalimbikitsidwe kugula mankhwala azithandizo. Odwala ena, kugwiritsa ntchito mapiritsi am'thupi kumabweretsa zotsatira zosasangalatsa:

Mkhalidwe wosangalatsa, kutentha thupi, kutentha thupi.
Kusowa tulo, kapena, kuwonjezeka kugona.
Kudzimbidwa kapena chotsatira chake ndi kutsekula m'mimba.
Kuwona m'mavuto.
Mutu, kumutu kwa chizungulire, ndimatuluka thukuta kwambiri.
Kuchepa khungu kaphatikizidwe ndi malungo (erythema). Zong'ambika, kuyabwa.
Kuchuluka kwa malekezero, kuchepa tsitsi, kosakwanira - kuyerekezera zinthu.
Pakamwa pakamwa, kukoma kwakachepa, kutupa kwa mucosa wamlomo.
Ululu mu minofu ndi mafupa.
Kutsitsa mapulateleti komanso magazi oyera.
Ngati munthu yemwe ali ndi matenda opha ziwalo zopunduka akapezeka ndi matenda osiyanasiyana a hepatic, chiwindi amatha kupezeka pogwiritsa ntchito Omeprazole.

Mapiritsi a mankhwalawa amaletsedwa kwa amayi apakati, amayi omwe akuyamwitsa, ana osakwana zaka khumi ndi ziwiri, komanso odwala omwe ali ndi chidwi chachikulu ndi zinthu zomwe zimagwira.

Omeprazole kapena Omez?

Nthawi zambiri, onyamula pancreatitis amakayikira ngati zingatheke m'malo mwa Omeprazole wolembedwa ndi adokotala ndi Omez. Zotsirizirazi nthawi zambiri zimapezeka m'mndandanda wamagululi chifukwa cha kutupa kwa kapamba, amatha kuchepetsa kosakhalitsa acidity. Mankhwalawa ndi ofanana mawonekedwe (makapisozi okhala ndi granules).

Mwa kukonzekera konseku, chinthu chachikulu chomwe chimagwiritsidwa ntchito ndi omeprazole, kusiyana kuli pazinthu zothandizira, dziko lopanga (Omez ndi "nzika" yaku India yakutali, Omeprazole ndi othandizira athu) ndipo mtengo wake. Mu mtundu wa Chirasha, chinthu chachikulu chimakhala ndi voliyumu yayikulu kwambiri, chimatsimikiziridwa pa iye mankhwalawo. Mankhwala a ku India, kuchuluka kwa omeprazole kumachepetsedwa chifukwa cha zinthu zosiyanasiyana zothandizira zomwe zimapangitsa kuti pakhale zovuta zomwe zingakhalepo ndikuwongolera kaonedwe ka thupi ka mankhwalawo. Zotsatira zomwe zingachitike mutamwa mankhwalawa onse ndi ofanana, koma Omez yemwe samakonda kwambiri amachepetsa mwayi wazotsatira, koma mosiyana ndi mankhwala a ku Russia.

Omez wokhala ndi pancreatitis nthawi zambiri amalembedwa, monga Omeprazole, ndizosatheka kunena kuti ndi mtundu uti wabwino. Mankhwala oyenera ayenera kufotokozedwa ndi dokotala potengera mawonekedwe a wodwala yemwe ali ndi kapamba wowonongeka. Mlingo, kutalika kwakubvomerezedwa ndi dokotala wokhazikika!

Sungani zolemba kuti muwerenge pambuyo pake, kapena mugawane ndi anzanu:

Kufotokozera za mankhwalawa

Omeprazole ndi mankhwala ogwiritsidwa ntchito pochiza matenda a kapamba ndi matenda ena angapo am'mimba omwe amayamba chifukwa cha zilonda zam'mimba. Chofunikira ndi omeprazole. Zina mwa zinthuzo ndi glycerin, gelatin, madzi, sodium lauryl sulfate. Mankhwalawa amapangidwa mwanjira ya mapiritsi a 10, 20, 30 ndi 40 mg, kutengera ndende ya yogwira ntchito.

Mtundu wa mapiritsiwo ndi oyera kapena ofiira.

Mlingo wa mankhwalawa amawerengedwa pawokha malinga ndi kuwonekera kwa wodwala. Kuphatikiza kwakukulu kwa mankhwalawa cholinga chake ndi kupondaponda njira yopanga madzi a m'mimba. Kuthandiza mothandizidwa ndi mankhwalawa kumachepetsa njira yotupa mu kapamba, mpumulo wa ululu womwe umachitika chifukwa cha zilonda zam'mimba kapena madzi am'mimba omwe amalowa ziwalo zam'mimba.

Omeprazole amayamba kugwira ntchito maola 1.5-2 pambuyo pa kuperekedwa. Kutalika kwa zotsatira za mankhwala mpaka maola 24. Njira yamankhwala imawerengeredwa payekha kutengera wodwalayo. Wodwala atasiya kumwa mankhwalawa chifukwa cha kapamba, njira yotulutsira hydrochloric acid ndi maselo amtundu wa parietal imabwezeretseka pambuyo pa masiku 4-6, kutengera mawonekedwe a thupi.

Mankhwalawa amatengedwa pasanadutse chakudya chachikulu kapena chakudya. Ngati matenda akuwonekera kwambiri, makonzedwe a mankhwala othandizira amatha.

Zizindikiro ndi contraindication kuti mugwiritse ntchito

Ichi ndi mankhwala padziko lonse lapansi omwe amagwiritsidwa ntchito pochiza matenda osiyanasiyana ndi ma pathologies a kugwira ntchito kwa kapamba. Tengani omeprazole ndikofunikira ngati muli ndi zotsatirazi:

zilonda zam'mimba,
kukhalapo kwa khansa pa kapamba,
pachimake ndi mawonekedwe a kapamba,
kugaya chakudya dongosolo
zilonda zam'mimba zimayamba chifukwa cha kumeza kwa microflora ya pathogenic.

Tengani Omez ndi pancreatitis ndi matenda ena am'mimba thirakiti lokha ndi chilolezo cha adokotala, popeza mankhwalawa ali ndi zotsutsana zambiri. Ndi zoletsedwa kugwiritsa ntchito mankhwalawa panthawi yoyembekezera komanso nthawi yoyamwitsa. Chachikulu contraindication kumwa mankhwala:

kuvutika kugona
kupweteka mutu pafupipafupi, chizungulire,
matenda amkuwa
mavuto amisala
kukanika kwa chapakati mantha dongosolo,
matenda opatsirana a pakhungu
kutupa kwa minofu yofewa.

Musanagwiritse ntchito mankhwalawa, muyenera kuwerengera mosamala malangizo ogwiritsira ntchito, popeza wodwalayo amatha kutsutsana ndi magawo ake a mankhwalawo. Muyenera kumwa mankhwalawa muyezo womwe dokotala akuwonetsa.

Sizoletsedwa kuti pakhale nthawi yokwanira kumwa mankhwalawo, chifukwa mankhwala osokoneza bongo amatha, omwe amadziwonetsera ngati ali ndi chithunzi chachikulu ndipo nthawi zambiri amafa. Zina mwazotsatira zoyipa zomwe zimachitika pakatha nthawi yayitali kugwiritsa ntchito mankhwalawa ndi pakamwa pouma.

Ngati chiwonetsero cha chizindikiro ichi chiri choperewera, palibe chifukwa chodera nkhawa. Wodwala akakhala kuti alibe vuto, ndikofunikira kukaonana ndi dokotala kuti akonzere mlingo wa mankhwalawo.

Pamaso pa matenda ndi ma pathologies a chiwindi, kugwiritsidwa ntchito kwa nthawi yayitali kwa omeprazole kumatha kukulitsa chitukuko cha jaundice. Nthawi zina, chifukwa cha momwe thupi lawonekera, kutupa kumayamba pa impso.

Kugwiritsa

Musanatenge Omez, muyenera kufunsa dokotala. Mlingo ndi chithandizo zimasankhidwa payekha. Ndi kuchulukana kwa zilonda zam'mimba, mankhwalawa amatengedwa kamodzi patsiku m'mawa. Kashiamu ya mankhwalayo imezedwa yonse, kutsukidwa ndi madzi.

Kutalika kwa chithandizo ndi masabata awiri. Ngati mphamvu zakutsatiridwa ndi mankhwalawo kulibe kapena kufooka, maphunzirowa amawonjezeranso milungu ina iwiri, koma adokotala wokha ndi omwe angawonjezere kuchuluka kwa mankhwalawo.

Odwala matenda a Reflux esophagitis ndi kukhalapo kwa zotupa mu ziwalo zam'mimba thirakiti, njira ya mankhwala 5 milungu. Woopsa magawo akuwonetseredwa matendawa ndi chithunzi chachikulu, nthawi yayitali ya chithandizo ndi miyezi iwiri.

Ngati mukugwiritsa ntchito nthawi yayitali, kusintha kwa mankhwalawa ndikofunikira.

Ngati zilonda zam'mawere zokhala ndi machiritso osachedwa zimawonongeka chifukwa cha zilonda zam'mimba, mutha kutenga Omeprazole 1 nthawi patsiku. Njira ya mankhwala ndi mwezi umodzi. Ngati zilonda zam'mimba zimapezekanso pambuyo pa chithandizo, muyeso wachiwiri umaperekedwa ndi mlingo wochepa. N`zotheka kugwiritsa ntchito mankhwala a prophylaxis mu zilonda zam'mimba zam'mimbamo, mumamwa kamodzi patsiku.

Ngati zilonda zam'mimba, mankhwala amatenga masiku 30, kuti mutha kuchepa pang'onopang'ono minofu, kuwonjezera kwa kumwa mankhwalawo kumafunikira mwezi umodzi. Ndi zilonda zam'mimba, Omeprazole amalembedwa kwa milungu iwiri kuti athetse ntchito yofunikira ya tizilombo tating'onoting'ono. Ngati njira yochepetsetsa ikuchepera, nthawi yoyang'anira imakulitsidwa kwa masabata ena awiri.

Malangizo omwe amathandizirana ndi mankhwalawa amapereka mlingo woyenera komanso nthawi yayitali yomwe maphunzirowa amavomerezedwa pakugwiritsa ntchito omeprazole. Kutsogozedwa ndi izi ndi zodziyang'anira pakokha sikulimbikitsidwa. Kusintha kwa mlingo kungafunike nthawi zonse kutengera mtundu wa thupi ndi kulimba kwa machiritso.

Kodi ndizotheka kugwiritsa ntchito mankhwalawa kupewa ngati palibe chithunzithunzi? Ndizotheka, koma pokhapokha povomerezana ndi adokotala, omwe amawerengera nthawi ya maphunzirowa, mlingo ndi zina.

Kumwa mankhwala a kapamba

Omeprazole ali ndi mawonekedwe osiyanasiyana, koma cholinga chachikulu cha mankhwalawa ndikuchiza matenda a kapamba komanso kuthetsa chithunzi chawo chazizindikiro. Njira yogwiritsira ntchito mankhwalawa zimatengera momwe pancreatitis imachitikira - aakulu kapena pachimake.

Mu pachimake matenda a kapamba, mankhwalawa aledzera 1 patsiku, ngati kuli kotheka m'mawa asanadye chakudya cham'mawa kapena cham'mawa. Kapholo kam'meza lonse ndikusambitsidwa ndi madzi ambiri. Kutalika kwa ntchito ndi masiku 14, ngati pakufunika kutero, dokotala amakupatsani njira ina yothandizira.

Kubwezeretsanso kwa kapamba, Omeprazole amatengedwa pa mlingo wambiri wokhala wopanda tanthauzo la tsiku, koma ngati kuli kotheka musanadye kapena musanadye. Kutalika kwa chithandizo ndi masiku 30.

Ngati kutupa kumaleka pang'onopang'ono, chithandizo chachiwiri chimayikidwa, koma ndi kuchepa kwake koyambirira.

Mu chifuwa chachikulu cha pancreatitis, mulingo woyenera wa mankhwala ndi mankhwala. Imwani kapisozi 1 patsiku, m'mawa, ndi madzi ambiri. Ngati chizindikirocho chikulepheretsa pang'onopang'ono, mlingo wa mankhwalawa umachepetsedwa, kuchuluka kwa kuvomerezedwa patsiku kumakwera mpaka makapisozi awiri. Zambiri zimasinthidwa. Asanapange kuchuluka kwa mankhwala ndi nthawi yake, amayenera kukayezetsa.

Ngati matenda a kapamba amayamba kuchuluka, nthawi zonse pamakhala matendawa ndipo matendawo amatenga nthawi yayitali. Zikatero, adotolo amakupangira kuchuluka kwa mankhwalawa. Kutalika kwa mankhwalawa ndikumunthu payekha, motero, wodwalayo nthawi zina amafunika kukayezetsa kuchipatala kuti athe kutsatira njira zabwino zomwe amwe mankhwalawo.

Pa mankhwala, wodwala ayenera kutsatira zakudya okhwima. Woopsa matenda chiwonetsero cha kukokomeza mawonekedwe a kapamba, mankhwala Omeprazole tikulimbikitsidwa kuti aphatikizidwe ndi mankhwala ena.

Ndemanga za odwala omwe adachitapo kale chithandizo ndi Omeprazole amatsimikizira zabwino za mankhwalawo pakukonzanso chakudya. Pamaso pa chifuwa chachikulu, tikulimbikitsidwa kumwa mankhwalawa chifukwa cha prophylactic.

Kuphatikiza ndi zakudya zochizira, njira yochotsera machimo imatha kuwonjezeredwa kwa nthawi yayitali. Mankhwalawa amatha kutengedwa pokhapokha ngati dokotala amuika. Ngati thanzi likuwonjezeka chifukwa chogwiritsa ntchito mankhwalawa kwa nthawi yayitali, ndikofunikira kuchepetsa mlingo wa mankhwalawo kapena kusintha mankhwalawo.

Ndemanga za mankhwala

Odwala omwe amathandizidwa ndi kapamba ndi omeprazole, anene:

Elena, wazaka 37: “Ndakhala ndikudwala matenda a chibayo kwa nthawi yayitali. Ndikusefukira, ndimamwa mankhwala ambiri, koma pakapita kanthawi ndimamva ululu wowopsa, kusanza, ndi zina zonse zosasangalatsa. Monga adanenera dotolo, adayamba kutenga Omeprazole. Ndakhala ndikumwa mankhwala kalekale, koma ululu watha, ndakhala bwino. ”
Maxim wazaka 44: “Pancreatitis yosatha, awa ndi mankhwala osatha ndikuchotsa mbale zomwe amakonda. Ndidayamba kumwa Omeprazole, zidakhala bwino. Tsopano ndimamwa nthawi ndi nthawi pofuna kupewa, kupimidwa pafupipafupi ku chipatala, mpaka pano ndakwanitsa kuyendetsa matenda. ”
Angela wazaka 39: “Omeprazole anagulidwa ndi mwamuna wake, yemwe wakhala akudwala matenda a kapamba kwa zaka zambiri. Poyamba ndinadzitenga ndekha, ndikudandaula pakamwa pouma, ndimayenera kufunsa dokotala kuti ndisinthe mlingo womwe mukufuna. Zotsatira zake zoyipa zinasowa, monga momwe zimakhalira ndi zovuta za kapamba, chifukwa cha mankhwala. ”

Omeprazole ndi mankhwala owoneka bwino omwe amalimbana bwino ndi matenda am'mimba, limodzi ndi mawonekedwe am'mimba kapena kutupa. Mankhwalawa ndi othandiza kwambiri pochiza matenda a kapamba - kapamba, kusiya mwachangu njira yotupa, kuchepetsa ululu ndi zizindikiro zina zosasangalatsa.