Mapiritsi a Hermital: kuwunika madokotala, kodi mankhwalawa amalembedwera chiyani? Kufotokozera za mtundu wa kipimo
Pazifukwa zina, kuchuluka kwa mankhwala kunyumba kukukulirakulira, komabe mukukula. Poyamba panali chidebe chimodzi, kenako bokosi limodzi, ndipo tsopano pali bokosi losonkhanitsa pamodzi ndi bokosi la Chithandizo cha Moto.Heritage ili m'gulu lachiwiri. Nthawi zambiri, zimathandizira pakakhala zolakwika pazakudya, kuti ndibwino osazibweretsera zovuta, osachita phwando lalikulu komanso loipa, koma pasadakhale - mu mphindi 10-15, kuti chipolopolo cha gelatin chikapukutika. Wina akuganiza kuti Hermitage ndi Pancreatinum yomweyi ndi yokonzekera yodziwika komanso yotsika mtengo .. Koma Hermital ndi yamphamvu kwambiri, zomwe zimapangidwa ndi enzyme ndizambiri pamtunda woperekedwa wa mayunitsi 10,000, mlingo umayenera kukhala "wa ana" kwa odwala osazika mizu. Makapisozi ali mumtsuko wagalasi, pansi pa wamba. werengani zambiri ndi chivindikiro chophimba, chitetezo kwa ana sichimaperekedwa, chifukwa chake ndikofunikira kusunga mankhwalawa mosamala .. Mankhwala amatulutsidwa m'mapiritsi a 50 ndi 20, ndimagula lalikulu, chifukwa ndimamwa nthawi zambiri. Komanso, kusiyana kwake kuli ngati mankhwalawo, Hermital ali ndi microtablets yokhazikika pambale yapamwamba , amasungunuka mwachangu ndikuyamba kugwira ntchito .. Hermital ali ndi ma analogi, osati ngati Pancreatin, koma makope athunthu, mlingo womwewo, mawonekedwe omwewo amasulidwe - uyu ndiye Mikrazim ndi Creon. Sindikudziwa kuti ndani anali woyamba, yemwe adatengera wina. Nthawi zina m'masitolo samalankhula za Hermitage, ndipo nthawi zina sizitero. Kusiyana kokhako pakati pa Creon, Mikrasim ndi Hermitage kumakhala pamtengo, Hermitage, ngati ungawerengere mtengo wake, ndiye okwera mtengo.
Pazifukwa zina, kuchuluka kwa mankhwala kunyumba kukukulirakulira, komabe mukukula. Poyamba panali chidebe chimodzi, kenako bokosi limodzi, ndipo tsopano pali bokosi losonkhanitsa pamodzi ndi bokosi la Chithandizo cha Moto.Heritage ili m'gulu lachiwiri. Nthawi zambiri, zimathandizira pakakhala zolakwika pazakudya, kuti ndibwino osazibweretsera zovuta, osachita phwando lalikulu komanso loipa, koma pasadakhale - mu mphindi 10-15, kuti chipolopolo cha gelatin chikapukutika. Wina akuganiza kuti Hermitage ndi Pancreatinum yomweyi ndi yokonzekera yodziwika komanso yotsika mtengo .. Koma Hermitage ndi yamphamvu kwambiri, zomwe zimapangidwa ndi enzyme ndizapamwamba pamtundu woperekedwa wa mayunitsi 10,000, mlingo umayenera kukhala wa "ana" kwa odwala osazika mizu. , chitetezo kwa ana sichimaperekedwa, chifukwa chake ndikofunikira kusunga mankhwalawa mosamala .. Mankhwala amatulutsidwa m'mapiritsi a 50 ndi 20, ndimagula lalikulu, chifukwa ndimakonda kumwa. Komanso, kusiyana komwe kuli mu mawonekedwe a mankhwalawa, Hermital - microtablets yokhazikika mu kapisozi kotulutsa, amapasuka mwachangu ndikuyamba kugwira ntchito .. Hermital ali ndi ma analogi, osati ngati Pancreatin, koma Mtheradi, makope omwewo, mtundu womwewo, kutulutsidwa - awa akukonzekera Mikrasim ndi Creon. Sindikudziwa kuti ndani anali woyamba, yemwe adatengera wina. Nthawi zina m'masitolo samalankhula za Hermitage, ndipo nthawi zina sizitero. Kusiyana kokhako pakati pa Creon, Mikrasim ndi Hermitage kumakhala pamtengo, Hermitage, ngati ungawerengere mtengo wake, ndiye okwera mtengo.
Tsiku limodzi labwino, mavuto am'mimba adayamba, kusanza, kupweteka koyipa, kutsekula m'mimba, chakudya sichidakudya konse, koyamba kudzilimbitsa, pomwe mapiritsi wamba a pancreatin adaphatikizidwa muzakudya, palibe chomwe chidathandizira ndikupitabe kwa dokotala. Pambuyo pa mayeso, gastroenterologist adapezeka ndi gastritis yosatha , adalemba mitundu ingapo ya mankhwalawa omwe akuphatikiza ndi Hermitage 25000ed. Adotolo akuti amamwa ndi chakudya, nthawi yomweyo adapita ndikukagula atadya, zikuwoneka kuti nthawi imeneyo kuti mapiritsi 20 a rubles oposa 300 anali okwera mtengo pang'ono, KOMA! Nditamwa mapilitsiwo ndi chakudya, ndinamva bwino, palibe mapiritsi omwe anandithandiza, ngakhale pancreatin wamba, ngakhale iyi ndimapensanso) Ndinadya china chake cholemera, ndipo nthawi yomweyo ndimamva kusasangalala, ndinamwa piritsi ndipo patapita kanthawi imayamba kutha.
Tsiku limodzi labwino, mavuto am'mimba adayamba, kusanza, kupweteka koyipa, kutsekula m'mimba, chakudya sichidakudya konse, koyamba kudzilimbitsa, pomwe mapiritsi wamba a pancreatin adaphatikizidwa muzakudya, palibe chomwe chidathandizira ndikupitabe kwa dokotala. Pambuyo pa mayeso, gastroenterologist adapezeka ndi gastritis yosatha , adalemba mitundu ingapo ya mankhwalawa omwe akuphatikiza ndi Hermitage 25000ed. Adotolo akuti amamwa ndi chakudya, nthawi yomweyo adapita ndikukagula atadya, zikuwoneka kuti nthawi imeneyo kuti mapiritsi 20 a rubles oposa 300 anali okwera mtengo pang'ono, KOMA! Nditamwa mapilitsiwo ndi chakudya, ndinamva bwino, palibe mapiritsi omwe anandithandiza, ngakhale pancreatin wamba, ngakhale iyi ndimapensanso) Ndinadya china chake cholemera, ndipo nthawi yomweyo ndimamva kusasangalala, ndinamwa piritsi ndipo patapita kanthawi imayamba kutha.
Moni nonse! Mwana wanga wamwamuna anali ndi mavuto opita kuchimbudzi, ndipo adotolo adatipatsa chakudya ndipo adatipatsa malangizo a glycerin, ndidalemba za iwo kale a Glycerin suppositories a ana a Farmina, koma nkhaniyi sizinapitirirebe. Tidapemphedwa kuti tiziwunika - caprogram, ndipo monga chotulukapo chake, adatipatsa mankhwala monga mankhwala omwe amasintha chimbudzi, kuphatikiza ma enzyme - a Creon, Hermitage kapena Pangrol (10 zikwi). Kuchipatala, ndidagula Hermital, makapisozi 50 kungoti maphunziro athu: Mtengo uliwonse wa ma PC 50 200 UAH (pafupifupi ma ruble 500), dziko lomwe adachokera: Germany.Pazaka zakubadwa za mwana wanga wazaka ziwiri, mlingo wake udapatsidwa theka kapisozi katatu patsiku, onjezerani chakudya, koma ine ndangopereka supuni. Mtsuko umawoneka chonchi: Mkati mwa makapisozi otere: Manda. Ndiyeneranso kuwerengera mwana wake momwe ziyenera kuchitira kwa milungu iwiri, ndipo kumayambiriro kwa chithandizo chamankhwala ndidamupatsanso chimodzimodzi - Sasha Prema (za iye kubwereza kwanga kwotsatira). Tinapitilizanso kudya. Ndipo zonse zomwe zili munsanjayo zidapereka chotsatira. Ndikupangira, koma pokhapokha kukaonana ndi kuonana ndi dokotala!
Moni nonse! Mwana wanga wamwamuna anali ndi mavuto opita kuchimbudzi, ndipo adotolo adatipatsa chakudya ndipo adatipatsa malangizo a glycerin, ndidalemba za iwo kale a Glycerin suppositories a ana a Farmina, koma nkhaniyi sizinapitirirebe. Tidapemphedwa kuti tiziwunika - caprogram, ndipo monga chotulukapo chake, adatipatsa mankhwala monga mankhwala omwe amasintha chimbudzi, kuphatikiza ma enzyme - a Creon, Hermitage kapena Pangrol (10 zikwi). Kuchipatala, ndidagula Hermital, makapisozi 50 kungoti maphunziro athu: Mtengo uliwonse wa ma PC 50 200 UAH (pafupifupi ma ruble 500), dziko lomwe adachokera: Germany.Pazaka zakubadwa za mwana wanga wazaka ziwiri, mlingo wake udapatsidwa theka kapisozi katatu patsiku, onjezerani chakudya, koma ine ndangopereka supuni. Mtsuko umaoneka motere: Mkati mwa makapisozi otere: Ndinampatsa mwana momwe ayenera kuchitira milungu iwiri, ndipo kumayambiriro kwa mankhwalawo ndidamupatsanso chimodzimodzi - Sasha Prema (za iye kubwereza kwotsatira). Tinapitilizanso kudya. Ndipo zonse zomwe zili munsanjayo zidapereka chotsatira. Ndikupangira, koma pokhapokha kukaonana ndi kuonana ndi dokotala!
Tsiku labwino, owerenga okondedwa ndi alendo amalo a Otzovik! Kuti achulukitse ntchito ya kapamba ndi m'mimba, dokotala wa m'mimba adandiuza mankhwalawo Hermital magawo 10,000.Uyu ndi pancreatin womwewo, konson, mezim, panzinorm, kokha umawononga ndalama zochulukirapo kuposa pancreatin wathu. Komanso pankhani yaubwino, Hermitage, adotolo adati, amathandizira kuposa pancreatin, chifukwa adotolo adawauza. Mwinanso ukadaulo wokonzekera mankhwalawo ndiwosiyana. Koma nditamwa mwezi wathunthu, sindinamveketse bwino. Pancreatin yemweyo adachitanso chimodzimodzi. Nthawi ina, mwina ndikagula pancreatin. Poyamba ndidatenga mlingo wa 25,000 wa masabata awiri, kenako milungu iwiri Mlingo wa mayunitsi 10,000. Chifukwa chake adokotala adalamula. Phukusili lili ndi makapisozi 50, zitha kuwoneka zambiri, koma mukaganiza ,. Ngati mukufunikirabe kuwerenga zomwe muyenera kumwa 6 pa tsiku, ndiye kuti zimatha msanga, ndipo mtengo wake ndi wokwera, 345 ma ruble pakompyuta iliyonse. Chifukwa cha mwezi umodzi palibe zokwanira mapaketi atatu. Zimakhala zopanda phindu, chifukwa mankhwalawa amaphatikizidwa ndi mankhwala ena. Makapisozi a Hermital amaphatikiza ma enzymes a pancreatic (lipase, amylase ndi proteinase) ndipo amathandizira kugaya bwino chakudya. Ma enzyme amenewa amapangidwa kuchokera ku michere ya pancreas ya nkhumba.Malangizo atsatanetsatane ogwiritsira ntchito mankhwalawa komanso contraindication ake amaperekedwa .. Nordmark ndi amene amapanga mankhwalawa ku Germany.Kuti tifotokoze mwachidule, ndikufuna kulimbikitsa kuwerengera pachikwama chanu posankha mankhwala a nkhanizi. Zinkawoneka kwa ine kuti sindinawone kusiyana kwakukulu. Mulimonsemo, mverani malingaliro a madokotala ndipo mverani thupi lanu. Ndikulakalaka nonse thanzi labwino ndikuthokoza chifukwa cha chidwi chanu!
Tsiku labwino, owerenga okondedwa ndi alendo amalo a Otzovik! Kuti achulukitse ntchito ya kapamba ndi m'mimba, dokotala wa m'mimba adandiuza mankhwalawo Hermital magawo 10,000.Uyu ndi pancreatin womwewo, konson, mezim, panzinorm, kokha umawononga ndalama zochulukirapo kuposa pancreatin wathu. Komanso pankhani yaubwino, Hermitage, adotolo adati, amathandizira kuposa pancreatin, chifukwa adotolo adawauza. Mwinanso ukadaulo wokonzekera mankhwalawo ndiwosiyana. Koma nditamwa mwezi wathunthu, sindinamveketse bwino. Pancreatin yemweyo adachitanso chimodzimodzi. Nthawi ina, mwina ndikagula pancreatin. Poyamba ndidatenga mlingo wa 25,000 wa masabata awiri, kenako milungu iwiri Mlingo wa mayunitsi 10,000. Chifukwa chake adokotala adalamula. Pali makapisozi 50 mu phukusi, zitha kuwoneka zambiri, koma mukaganiza kuti muyenera kumwa 6 pa tsiku, zimatha mwachangu, ndipo mtengo wake umakhala wokwera, 345 rubles pachilichonse. Chifukwa cha mwezi umodzi palibe zokwanira mapaketi atatu. Zimakhala zopanda phindu, chifukwa mankhwalawa amaphatikizidwa ndi mankhwala ena. Makapisozi a Hermital amaphatikiza ma enzymes a pancreatic (lipase, amylase ndi proteinase) ndipo amathandizira kugaya bwino chakudya. Ma enzyme amenewa amapangidwa kuchokera ku michere ya pancreas ya nkhumba.Malangizo atsatanetsatane ogwiritsira ntchito mankhwalawa komanso contraindication ake amaperekedwa .. Nordmark ndi amene amapanga mankhwalawa ku Germany.Kuti tifotokoze mwachidule, ndikufuna kulimbikitsa kuwerengera pachikwama chanu posankha mankhwala a nkhanizi. Zinkawoneka kwa ine kuti sindinawone kusiyana kwakukulu. Mulimonsemo, mverani malingaliro a madokotala ndipo mverani thupi lanu. Ndikulakalaka nonse thanzi labwino ndikuthokoza chifukwa cha chidwi chanu!
Moni, abwenzi okondedwa ndi owerenga ndemanga yanga! Ndili wokondwa kukulandirani nonse patsamba langa ku Otzovik! Pakafukufuku waposachedwa ku chipatala cha Medsi, komwe ndakhala ndikufunsira za inshuwaransi yodzifunira kwazaka zopitilira 5, nditatha kuyesa mwatsatanetsatane wa magazi, ndidapeza kuti cholesterol yanga ili pamwamba kwambiri. Ayi, pomwe ili mkati komanso ngakhale yotsika pang'ono kuposa mulingo wovomerezeka, komabe, monga adokotala ananena, munthu akhoza kumwa kanthu kuti achepetse pang'ono. Pankhani imeneyi, adotolo adandiwuza makapisozi a Hermital. Amapanga kuperewera kwa michere ya pancreatic, kuwongolera chimbudzi .. Makapisozi amabwera m'mitundu itatu amasulidwe: mayunitsi 10,000, 25,000 ndi magulu zikwi makumi atatu. Popeza ndilibe zovuta zazikulu ndi kapamba (ttt), t. Werengani zambiri za ine Mlingo wotsika kwambiri womwe adayikidwapo .. Pali makapisozi 20 phukusi. Muyenera kuwatenga pazidutswa ziwiri patsiku, kotero maphukusiwo amangokhala masiku 10 okha. Pali, komabe, mapaketi a makapisozi 50, koma ndidaganiza zogulira makapisozi 20 poyambira, chifukwa ndinalibe chitsimikizo ngati zingachitike zovuta zina. Makapisozi amapangidwa ku Germany. Mkati mwa bokosilo muli vial yaying'ono yamdima yakuda. Makapisozi nawonso ndi ang'ono. Palibe vuto kuwameza nkomwe. Malangizo atsatanetsatane komanso mwatsatanetsatane adalembedwanso m'bokosi. Ponena za momwe mungagwiritsire ntchito, pali zingapo za izo - kukonza chimbudzi cha chakudya ngati zolakwika zakudya zipere% (ndikudabwa kuti ndani wa ife ali ndi "zolakwika" izi?) - pancreatitis, etc. Matenda ndi zina zofanana ndi zovuta zapakhungu Zotsatira zoyipa zimalembedwanso pafupipafupi - kupweteka pamimba pafupipafupi - nseru, kusanza, kudzimbidwa, kuphulika Ndinganene chiyani. Kudya kwanga kwa makapisozi a Hermital kunayambitsa vuto lodzimbidwa. Nditatenga makapisozi 20 ndinadutsanso kwachiwiri. Titha kunena kuti cholesterol yanga idakhalabe yomweyo. Adotolo adandipempha kuti apitilize kumwa mankhwalawa, koma ndidakana, chifukwa ndimakhala ndi chizolowezi chodzimbidwa kuti ndikhale ndi vutoli, chifukwa chake zidali zosasangalatsa. Chifukwa chake, "ndimanga" ndi Hermitage. Kuphatikiza apo, ndidawerengera kuti kuwonjezera cholesterol mwa amayi azaka 50+ ndimachitidwe abwinobwino amthupi kusintha kosiyanasiyana kwa mahomoni ndi thupi. Chifukwa chake, sindingokhala pachakudya, sindingakane ma yummies ndikulola cholesterol imire ndikutsamwa! china chake) Ndikukufunirani zabwino zonse ndipo ndikukuthokozani chifukwa chondiganizira
Moni, abwenzi okondedwa ndi owerenga ndemanga yanga! Ndili wokondwa kukulandirani nonse patsamba langa ku Otzovik! Pakafukufuku waposachedwa ku chipatala cha Medsi, komwe ndakhala ndikufunsira za inshuwaransi yodzifunira kwazaka zopitilira 5, nditatha kuyesa mwatsatanetsatane wa magazi, ndidapeza kuti cholesterol yanga ili pamwamba kwambiri. Ayi, ngakhale ili mkati mwa chimango komanso ngakhale yotsika pang'ono kuposa mulingo wovomerezeka, komabe, monga adokotala ananena, munthu akhoza kumwa china chake kuti chichepetse pang'ono. Pankhani imeneyi, adotolo adandiwuza makapisozi a Hermital. Amapanga kuperewera kwa michere ya pancreatic, kuwongolera chimbudzi .. Makapisozi amabwera m'mitundu itatu amasulidwe: mayunitsi 10,000, 25,000 ndi magulu zikwi makumi atatu. Popeza sindimakhala ndi vuto lalikulu la kapamba (tert), adandipatsa mlingo wocheperako .. Ndili ndi ma kapisozi 20 phukusi. Muyenera kuwatenga pazidutswa ziwiri patsiku, kotero maphukusiwo amangokhala masiku 10 okha. Pali, komabe, mapaketi a makapisozi 50, koma ndidaganiza zogulira makapu 20 pa chiyambi, chifukwa ndinalibe chitsimikizo ngati zingachitike zovuta zina. Makapisozi amapangidwa ku Germany. Mkati mwa bokosilo muli vala yaying'ono yamgalasi yakuda. Palibe vuto kuwameza nkomwe. Malangizo atsatanetsatane komanso mwatsatanetsatane adalembedwanso m'bokosi. Ponena za momwe mungagwiritsire ntchito, pali zingapo za izo - kukonza chimbudzi cha chakudya ngati zolakwika zakudya zipere% (ndikudabwa kuti ndani wa ife ali ndi "zolakwika" izi?) - pancreatitis, etc. Matenda ndi zina zofanana ndi zovuta zapakhungu Zotsatira zoyipa zimalembedwanso pafupipafupi - kupweteka pamimba pafupipafupi - nseru, kusanza, kudzimbidwa, kuphulika Ndinganene chiyani. Kudya kwanga kwa makapisozi a Hermital kunayambitsa vuto lodzimbidwa. Nditatenga makapisozi 20 ndinadutsanso kwachiwiri. Titha kunena kuti cholesterol yanga idakhalabe yomweyo. Adotolo adandipempha kuti apitilize kumwa mankhwalawa, koma ndidakana, chifukwa ndimakhala ndi chizolowezi chodzimbidwa kuti ndikhale ndi vutoli, chifukwa chake zidali zosasangalatsa. Chifukwa chake, "ndimanga" ndi Hermitage. Kuphatikiza apo, ndidawerengera kuti kuwonjezera cholesterol mwa amayi azaka 50+ ndimachitidwe abwinobwino amthupi kusintha kosiyanasiyana kwa mahomoni ndi thupi. Chifukwa chake, sindingokhala pachakudya, sindingakane ma yummies ndikulola cholesterol imire ndikutsamwa! china chake) Ndikukufunirani zabwino zonse ndipo ndikukuthokozani chifukwa chondiganizira
Mndandanda wazofananira
Tcherani khutu! Mndandandandawu umakhala ndi mawu ofanana a Hermitage omwe ali ndi mawonekedwe ofanana, kotero mutha kusankha nokha m'malo mwake, mukuganizira mawonekedwe ndi mankhwalawa a mankhwalawa omwe adokotala adawauza. 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.
Kutulutsa Fomu (mwa kutchuka) | Mtengo, pakani. |
Malembo | |
Caps 10t.ED N20 (Nordmark Artsnaymittel GmbH Co (Germany) | 169.30 |
Caps 25t.ED N20 (Nordmark Artsnaymittel GmbH Co (Germany) | 373.90 |
Caps 10t.ED N50 (Nordmark Artsnaymittel GmbH Co (Germany) | 374.50 |
36000ED No. 20 zisoti (Nordmark Artsnaymittel GmbH Co (Germany) | 495.80 |
25000ED No. 50 zisoti (Nordmark Artsnaymittel GmbH Co (Germany) | 723.20 |
Biosim | |
Palibe. 90 zisoti Vitaline (VITALINE (USA) | 1976 |
(pr - mu Vitaline) (anti-kutupa ndi immunomodulatory zotsatira) mapiritsi a Biozime 90 (VITALINE (USA) | 2200 |
(pr - mu Vitaline) (anti-yotupa ndi immunomodulating zotsatira) Biozime No. 90 tabu (VITALINE (USA) | 2570 |
Gastenorm forte | |
No. 20 tabu p / c.o. (Rusan Pharma Ltd. (India) | 76.10 |
Gastenorm forte 10000 | |
Chiboni | |
10000ME kapisozi 150mg N20 (SOLVAY PHARMAC. GmbH (Germany) | 281 |
10000ME No. 20 zisoti ku / r. 9400 | 298 |
10000ME Caps 150mg N20 (Abbott Products GmbH (Germany) | 316.50 |
25000ME kapisozi 300mg N20 (SOLVAY PHARMAC. GmbH (Germany) | 557.50 |
25000ME No. 20 zisoti ku / r. 9387 | 589 |
25000ME Caps 300mg N20 (Abbott Products GmbH (Germany) | 631 |
40000ME zisoti N50 (SOLVAY PHARMAC. GmbH (Germany) | 1490 |
40000ME zisoti No. 50 (Abbott Products GmbH (Germany) | 1740.60 |
Creon 10000 | |
Makapisozi a njira yamatumbo. 10000 ED 20 ma PC. | 308 |
Creon 25000 | |
Makapisozi azitsamba zamatumbo. 25000 mayunitsi 20 ma PC. | 556 |
Creon 40,000 | |
Makapisozi azitsamba zamatumbo. 40,000 mayunitsi 50 ma PC. | 1307 |
Creon Micro | |
Mezim | |
20000ED No. 20 tabu (Berlin - Hemy AG (Germany) | 270 |
Mezim 20000 | |
Mapiritsi okutidwa ndi quiche - matope, 20 ma PC. | 248 |
Mezim Forte | |
No. 20 tabu p / o paketi. Berlin - Pharma (Berlin - Hemy AG (Germany) | 76 |
Tab N20 (Berlin - Hemy AG (Germany) | 77 |
Tab N80 (Berlin - Chemie AG (Germany) | 296.70 |
No. 80 tabu Berlin - Pharma (Berlin - Hemy AG (Germany) | 296 |
Mezim Forte 10000 | |
Mapiritsi a Quiche ophatikizika - njira yothetsera, 20 ma PC. | 175 |
Micrazim | |
10,000 mayunitsi zikuto N20 (Sti - Med - Sorb OJSC (Russia) | 252 |
Zigawo zikwizikwi 10 zisoti N50 (АВВА РУС ОАО (Russia) | 459.50 |
25k.ED zisoti N20 (Sti - Med - Sorb OAO (Russia) | 462.30 |
25,000 mayunitsi zikwapu No. 50. 4787 (ABBA RUS OJSC (Russia) | 811.60 |
25,000 mayunitsi zikwapu N50 (АВВА РУС ОАО (Russia) | 817.40 |
Pangrol 10000 | |
10000ED No. 20 zisoti ku / r (Aptalis Pharma S.R.L. (Italy) | 265.80 |
Pangrol 25000 | |
25000ED No. 20 zisoti ku / r (Aptalis Pharma S.R.L. (Italy) | 545.40 |
25000ED No. 50 zisoti ku / r (Aptalis Pharma S.R.L. (Italy) | 1115.10 |
Pangrol10000 | |
PanziKam | |
Panzim forte | |
Panzinorm 10 000 | |
Panzinorm 10000 | |
Caps N21 (Krka, dd. Malo atsopano (Slovenia) | 143.80 |
Panzinorm forte 20,000 | |
Panzinorm forte 20000 | |
No. 10 tabu p / kr.o upka KRKA - RUS (Krka, dd. Malo atsopano (Slovenia) | 123.70 |
Tab N30 Krka (Krka, dd. Malo atsopano (Slovenia) | 229.90 |
Tab N30 Krka - RUS (Krka, dd. Malo atsopano (Slovenia) | 231.70 |
Pancreasim | |
Pancreatin | |
Tab 25ED N60 Biosynthesis (Biosynthesis OJSC (Russia) | 37.20 |
40.70 | |
Tab 30ED N60 (Pharmproekt CJSC (Russia) | 42.50 |
Tab 25ED N60 Irbit (Irbitsky KhFZ OJSC (Russia) | 44.80 |
100mg No. 20 tabu p / cr.o ABBA (ABBA RUS OJSC (Russia) | 44.20 |
Tab N50 (Pharmstandard - Leksredstva OAO (Russia) | 45 |
Lekt tabu p / o k.rast. 25ED N60 Tyumen.HFZ matuza (Tyumen HFZ OJSC (Russia) | 48.40 |
Pancreatin | |
Pancreatin forte | |
Mapiritsi, 20 ma PC. | 39 |
Mapiritsi, 60 ma PC. | 97 |
Pancreatin Yang'anirani | |
PANKREATIN-LEXVM | |
Pancreatin-LekT | |
Tab p / o k.rast. 90mg N60 (Tyumen HFZ OJSC (Russia) | 43.60 |
Tab p / o k.rast. 90mg No. 60 (Tyumen KhFZ OJSC (Russia) | 47.20 |
Mapiritsi a pancreatin (m'mimba mwanga sungunuka) 0,25 g | |
Mapiritsi a Pancreatin (sungunuka m'matumbo) 25 magawo | |
Pancrelipase | |
Pankrenorm | |
Pancreotin | |
Pancreatin | |
Pancytrate | |
Penzital | |
No. 20 tabu (Shreya Life Science Pvt. Ltd. (India) | 63 |
No. 80 tabu p / cr.o (Shreya Life Science Pvt. Ltd. (India) | 206.10 |
Uni Festal | |
Festal N | |
Enzistal-P | |
Tab n / a N20 (TORRENT (India) | 67 |
Alendo 23 adanenanso za kuchuluka kwa chakudya tsiku lililonse
Kodi ndiyenera kumwa Hermitage kangati?
Ambiri omwe amayankhidwa nthawi zambiri amamwa mankhwalawa katatu patsiku. Ripotilo likuwonetsa kuti anthu ena omwe amayankha mankhwalawa amamwa mankhwalawa kangati.
Mamembala | % | |
---|---|---|
Katatu patsiku | 19 | 82.6% |
2 pa tsiku | 3 | 13.0% |
4 pa tsiku | 1 | 4.3% |
Alendo khumi ndi asanu ndi anayi anena za kumwa
Mamembala | % | |
---|---|---|
6-10mg | 5 | 33.3% |
201-500mg | 2 | 13.3% |
11-50mg | 2 | 13.3% |
51-100mg | 2 | 13.3% |
501mg-1g | 2 |
Hermital: malangizo ogwiritsa ntchito ndi kuwunika
Hermital ndi mankhwala omwe amakwanira kuchepa kwa michere ya kapamba.
Kutulutsa mawonekedwe ndi kapangidwe kake
Fomu yothandizira kutulutsidwa kwa Hermital ndi makapisozi (enteric-soluble capsule): gelatin yolimba, oblong, yokhala ndi kapu wa bulauni komanso thupi looneka bwino, lopanda utoto, makapisozi ali ndi ma microtablets ophatikizidwa ndi chovala chovala cha utoto wamaso oyera, fungo lodziwika bwino ndi lovomerezeka, saizi Nambala 2, Ayi. 0el kapena No. 00 (10, 25 kapena 36,000 mayunitsi, motsatana) (20, 50 kapena 100 makapisozi mumbale zamagalasi amdima, pabokosi lamatoni a 1 angathe).
Zogwira pophika mu 1 kapisozi: kapamba kuchokera ku kapamba ka nkhumba - 87.28-112.96 (magawo a Hermital 10,000), 218.2-282.4 (malo a Hermital 25,000) kapena 272.02-316.68 mg (Hermital 36,000 ED), yomwe ikufanana ndi ntchito ya enzyme yotsatira (malinga ndi European Pharmacopoeia):
- lipase - 10,000, 25,000 kapena 36,000 (zikwanira),
- amylase - 9,000, 22,5,000 kapena 18,000,
- proteinase - mayunitsi 0,5,000, 1.25 zikwi kapena 1,2,000.
- microtablets: microcrystalline cellulose, crospovidone, anhydrous colloidal silicon dioxide, magnesium stearate,
- mipando yama microtablets: simethicone, talc, Copolymer wa ethyl acrylate ndi methaconic acid (1: 1), triethyl citrate,
- polonda wothandizila: montan glycol wax,
- kapisozi: cap - gelatin, sodium lauryl sulfate, titanium dioxide (E 171), red and black iron oxide (E 172), mlandu - sodium lauryl sulfate, gelatin.
Mankhwala
Hermital ndi imodzi mwazakudya zam'mimba zomwe zimapanga kukonzekera komwe kumapangitsa kuperewera kwa michere ya pancreatic. Ili ndi lipolytic, amylolytic ndi proteinolytic.
Kuphatikizidwa kwa Hermital kumaphatikizapo microtablets omwe sagwirizana ndi madzi a m'mimba, okhala ndi pancreatin yodziwika bwino, yomwe imapezeka kuchokera kapamba wa nkhumba.
Ma Enzymes omwe amaphatikizidwa pokonzekera (chymotrypsin, lipase, trypsin, alpha-amylase) kusintha magwiridwe antchito am'mimba, kulimbikitsa kuwonongeka kwa mafuta kuma acid acid ndi glycerol, mapuloteni amino acid, wowuma ku monosaccharides ndi dextrins. Zinthu zopangidwa ndi Cleavage ndi ma pancreatic enzymes zimatengedwa m'matumbo mwachindunji kapena pambuyo pa cleavage ndi michere yamatumbo.
Pharmacokinetics
Mlingo wa Hermital umapereka kutulutsa kokwanira m'mimba mwa microtable yotsitsa ya m'mimba kuchokera ku kapisozi, ndikutsatira kwawo kosakanikirana ndi matumbo komanso chyme ndikutulutsa kwa ma enzymes kuchokera ku microtablets mu duodenum.
Ma pancreatic enzymes samayamwa magazi. Iwo, monga mapuloteni, samapangidwa ndikugayidwa m'matumbo ndi proteinolysis ndi autolysis.
Zizindikiro zogwiritsidwa ntchito
- zolakwika pakudya (pofuna kukonza chimbudzi pakudya ndi ntchito yofananira yam'mimba),
- m`malo mankhwala a exocrine pancreatic kuchepa, kuphatikizapo matenda kapamba, cystic fibrosis, kapamba, khansa ya pakhungu, kutsekeka kwa mayendedwe okhudzana ndi neoplasms (kuphatikizapo kutsekeka kwa wamba bile duct, ma pancreatic ducts), Schwachman-Diamond syndrome, boma zakudya ndi kuukira kwa pachimake kapamba,
- matenda am'mimba, kuphatikiza pambuyo pa cholecystectomy, kupatula pamimba (Billroth - I / II), gastrectomy kwathunthu, duodeno- ndi gastrostasis, kutsekeka kwa biliary, dysbiosis, hepatitis ya cholestatic, matenda a Crohn, cirrhosis (dalili zochizira).
Malangizo ogwiritsira ntchito hemital: njira ndi mlingo
Malinga ndi malangizowo, Hermitage imatengedwa pakumwa pakumwa, kutsukidwa ndimadzimadzi (madzi, timadziti) tambiri (pafupifupi 200 ml).
Makapisozi ayenera kumezedwa kwathunthu. Panthawi yovuta pakumeza, amatha kutsegulidwa ndipo zomwe zimaphatikizidwa ndizakudya zamadzimadzi zomwe zimakhala ndi kukoma kwa acidic (pH 5.5 kumabweretsa kuwonongeka kwa membrane, zomwe zimawateteza ku zotsatira za madzi am'mimba, zomwe zimapangitsa kuti ma enzyme atulutsidwe m'milomo yam'mimba ndipo, chifukwa chake mucous nembanemba ndikuchepetsa mphamvu ya mankhwalawa.
Mlingo uyenera kusankhidwa ndi dokotala aliyense payekha potengera zovuta za matendawa komanso zakudya. Kuwerengera kumachitika malinga ndi zigawo za ntchito ya lipase.
Odwala ndi cystic fibrosis, mlingo umatsimikiza kutengera kulemera. Kwa ana ochepera zaka 4, kumayambiriro kwa mankhwalawa, ayenera kukhala magawo chikwi chimodzi / makilogalamu pachakudya chilichonse, kwa akulu akulu ndi ana a zaka 4 - 500 lipase mayunitsi / kg.
Mlingowo umatsimikizika molingana ndi kuopsa kwa zizindikiro za matendawa, kukhalabe ndi thanzi labwino komanso zotsatira za kuwunika kwa steatorrhea. Nthawi zambiri, ayenera kukhala thousand 10,000,000,000 a lipase magawo / kg patsiku kapena magawo 4,000 a lipase / g yamafuta amafuta.
Mlingo wovomerezeka nthawi iliyonse ya chakudya pamaulendo ena omwe amaphatikizidwa ndi exocrine pancreatic insuffence ndi kapu imodzi ya Hermital 36,000 mayunitsi, kapena makapisozi awiri a Hermital 25,000 mayunitsi, kapena 2-4 makapisozi a Hermital magawo khumi.
Pazovuta, ndikotheka kuwonjezera mlingo umodzi (uyenera kuyang'aniridwa ndi achipatala). Pazipita tsiku tsiku ndi 15-20 zikwi za milomo / kg. Mankhwalawa ayenera kuchitika motsutsana ndi maziko a kuchuluka kwa madzimadzi.
Ana ayenera kutenga Hermitage monga adalangizidwa ndi dokotala.
Mlingo
Mlingo 10,000 PISCES: kapisozi imodzi yokhala ndi microtablets yotsitsa ya mmimba imakhala ndi 87.28 - 112.96 mg wa kapamba kuchokera ku zikondamoyo za nkhumba, zomwe zimafanana ndi ntchito ya lipase ya 10,000 PIECES, PIERES 9,000. proteinase 500 PIECES (malinga ndi Europeanacacopoeia).
Mlingo wa ZIWANDA 25,000: Makapisozi amodzi okhala ndi microtablets yotsitsa ya m'mimba imakhala ndi 218.2 - 282.4 mg wa kapamba pancrein kuchokera ku kapamba, womwe umafanana ndi zochitika za lipase 25,000 PISCES, amylase 22 500 PIECES, proteinase 1 250 PIECES (malinga ndi European Pharmacopoeia) .
Mlingo 36,000 ZIWANDA: kapisozi imodzi yokhala ndi microtablets yotsitsa ya m'mimba imakhala ndi 272.02 - 316.68 mg wa kapamba kuchokera ku zikondamoyo za nkhumba, zomwe zimafanana ndi zochitika za lipase 36,000, amylase 18,000, proteinase 1,200 (malinga ndi European Pharmacopoeia) .
Omwe amathandizira: cellcrystalline cellulose, crospovidone, colloidal anhydrous silicon dioxide, magnesium stearate, microtablets film coating: methaconic acid-ethyl acrylate Copolymer (1: 1), atatu ethyl citrate, talc, simethicone, polishing wothandizila: montan-glycol sera. Chophimba cha capsule: gelatin, red iron oxide (E 172), iron ironideide (E 172), titanium dioxide (E 171), sodium lauryl sulfate, thupi la kapisozi: gelatin, sodium lauryl sulfate.
Mlingo wa mayunitsi 10,000:
Chotupa cholimba cha gelatin cholimba ayi. 2 kukula kwake, kapu ya bulauni, thupi lopanda utoto. Zomwe zili mu kapisozi: zoyera kwambiri zaimvi zojambulajambula zokhala ndi utoto, fungo labwino la microtablets limaloledwa.
Mlingo wa mayunitsi 25,000:
Chotupa cholimba chamlilatin yolimba yolimba, kukula. 0 el, brown cap opaque, colorless mandala body. Zomwe zili mu kapisozi: zoyera kwambiri zaimvi zojambulajambula zokhala ndi utoto, fungo labwino la microtablets limaloledwa.
Mlingo wa mayunitsi 36,000:
Chovala cholimba chamlilatin yolimba yolimba, kukula kwa 00, kapu ya bulauni, thupi lopanda khungu. Zomwe zili mu kapisozi: zoyera kwambiri zaimvi zojambulajambula zokhala ndi utoto, fungo labwino la microtablets limaloledwa.
Ndi chisamaliro
Kugwiritsa ntchito kwa mankhwala a Horital® pa nthawi yoyembekezera komanso mkaka wa m`mawere kumachitika pokhapokha kuwunika mosamala kuchuluka kwa mapindu a amayi ndi chiwopsezo cha mwana wosabadwayo kapena mwana. Chifukwa cha kuyamwa pang'ono kwa pancreatin, zotsatira zoyipa m'thupi la mayi, komanso mwana wosabadwayo ndi mwana, sizimayembekezeredwa.
Mlingo ndi makonzedwe
Mlingo umatengera kulemera kwa thupi ndipo uyenera kukhala kumayambiriro kwa chithandizo cha mankhwala a lipase 1000 / kg pa chakudya chilichonse cha ana osaposa zaka zinayi ndi 500 lipase mayunitsi / kg pakudya kwa ana opitirira zaka zinayi ndi akulu.
Mlingo uyenera kutsimikizika molingana ndi kuopsa kwa zizindikiro za matendawa, zotsatira za kuwunika kayendedwe ka magazi ndi kukhalabe ndi thanzi labwino. Odwala ambiri, mankhwalawa amayenera kukhala ochepera kapena osapitirira 10,000 lipase mayunitsi / kg thupi patsiku kapena 4,000 lipase unit / g anadya mafuta.
Mikhalidwe ina yolumikizidwa ndi exocrine pancreatic insuffence
Mulingo wovomerezeka ndi makapisozi 2-4 a mankhwala a Hermital® 10 000, kapena makapisozi awiri a mankhwala a Hermital® 25 000, kapena kapisozi imodzi ya mankhwala a Hermital® 36 000 panthawi ya chakudya. Ngati ndi kotheka, mlingowo uwonjezeke. Kuchulukitsa kwa mankhwalawa kuyenera kuyang'aniridwa ndi dokotala. Musapitirire kuchuluka kwa ma enzyme a tsiku ndi tsiku osakanikirana ndi ma 15 mpaka 3,000 a milomo ya kilase pa kg iliyonse ya thupi. Mankhwalawa ayenera kuchitika motsutsana ndi maziko a kuchuluka kwa madzimadzi.
Mu ana, mankhwalawa ayenera kugwiritsidwa ntchito molingana ndi mankhwala a dokotala.
Zotsatira zoyipa
Matenda Am'mimba
Nthawi zambiri (? 1/10): kupweteka pamimba.
Nthawi zambiri (? 1/100, 5.5 imatsogolera kuwonongeka kwa nembanemba yawo, yomwe imateteza motsutsana ndi madzi am'mimba. Izi zimatha kubweretsa kutulutsa kwakanthawi kwa michere mkatikati mwa kamwa, kuchepa kwa mphamvu ndikuwonetsa ma mucous membrane. Ndikofunikira kuonetsetsa kuti pakadalibe microtablets mkamwa.
Mlingo umatengera kulemera kwa thupi ndipo uyenera kukhala kumayambiriro kwa chithandizo cha mankhwala a lipase 1000 / kg pa chakudya chilichonse cha ana osaposa zaka 4 ndi 500 lipase mayunitsi / kg pakudya kwa ana okulirapo zaka 4 ndi akulu.
Mlingo uyenera kutsimikizika molingana ndi kuopsa kwa zizindikiro za matendawa, zotsatira za kuwunika kayendedwe ka magazi ndi kukhalabe ndi thanzi labwino. Odwala ambiri, mankhwalawa amayenera kukhala ochepera kapena osapitirira 10,000 lipase mayunitsi / kg thupi patsiku kapena 4,000 lipase unit / g anadya mafuta.
Mikhalidwe ina yolumikizidwa ndi exocrine pancreatic insuffence
Mlingo woyenera ndi zisoti 2-4. mankhwala a Hermital ® 10,000, kapena zikoti za 1-2. mankhwala a Horital ® 25,000, kapena 1 zisoti. Mitengo ya Hermital ® 36,000 nthawi iliyonse chakudya. Ngati ndi kotheka, mlingowo uwonjezeke. Kuchulukitsa kwa mankhwalawa kuyenera kuyang'aniridwa ndi dokotala. Musapitirire kuchuluka kwa ma enzyme a tsiku ndi tsiku osakanikirana ndi magawo 15-20,000 a milomo pa kilogalamu ya thupi. Mankhwalawa ayenera kuchitika motsutsana ndi maziko a kuchuluka kwa madzimadzi.
Hermitage: mitengo yamafakitale opezeka pa intaneti
Hermital 10000 mayunitsi makapisozi 20 ma PC.
HERMITAL 10000ED 20 ma PC. makapisozi
Zovala za Hermital. 10000 mayunitsi n20
Zovala za Hermital 10000ED No. 20
Hermital 25,000 mayunitsi makapisozi 20 ma PC.
HERMITAL 25000ED 20 ma PC. makapisozi
Hermital 36,000 mayunitsi makapisozi 20 ma PC.
Hermital 25,000 mayunitsi 20 makapu
HERMITAL 10000ED 50 ma PC. makapisozi
MaHelital 10 masauzande makapisozi 50 ma PC.
Ma capital a Hermital 25000ED No. 20
HERMITAL 36000ED 20 ma PC. makapisozi
Hermital 25,000 mayunitsi makapisozi 50 ma PC.
HERMITAL 25000ED 50 ma PC. makapisozi
Hermital 25,000 mayunitsi 50 makapu
Hermital 25000ED zisoti No. 50
MaHelital 36,000 makapisozi makapisozi 50 ma PC.
HERMITAL 36000ED 50 ma PC. makapisozi
Maphunziro: Yoyamba University State Medical University yotchedwa I.M. Sechenov, wapadera "General Medicine".
Zambiri zokhudzana ndi mankhwalawa ndizofanana, zimaperekedwa pazidziwitso ndipo sizilowa m'malo mwa malangizo ovomerezeka. Kudzipatsa nokha mankhwala kuopsa!
Munthu wophunzira sakhala wokonzeka kutenga matenda aubongo. Ntchito zaluso zimathandizira kuti pakhale ziwalo zina zowonjezera kulipirira odwala.
Malinga ndi kafukufuku wa WHO, kuyankhulana kwa theka la ola limodzi pafoni kumawonjezera mwayi wokhala ndi chotupa muubongo ndi 40%.
Madokotala a mano adapezeka posachedwa. Kalelo m'zaka za zana la 19, inali ntchito ya tsitsi wamba kuti akatulutse mano odwala.
Kutentha kwambiri kwa thupi kudalembedwa ku Willie Jones (USA), yemwe adamulowetsa kuchipatala ndi kutentha kwa 46,5 ° C.
Vibrator woyamba adapangidwa m'zaka za zana la 19. Adagwira ntchito pa injini yankhonya ndipo adapangira kuti azitsatira khungu la akazi.
Mimba ya munthu imagwira ntchito yabwino ndi zinthu zakunja komanso popanda chithandizo chamankhwala. Madzi am'mimba amadziwika kuti amasungunula ngakhale ndalama.
Mankhwala ambiri poyamba anali ogulitsidwa ngati mankhwala osokoneza bongo.Mwachitsanzo, a heroin adagulitsidwa ngati mankhwala a chifuwa. Ndipo cocaine adalimbikitsidwa ndi madokotala ngati opaleshoni komanso ngati njira yowonjezerera kupirira.
Mwazi wa munthu "umayenda" m'matumbo omwe akukakamizidwa kwambiri, ndipo ngati umphumphu wake waphwanyidwa, amatha kuwombera mpaka 10 metres.
Chiwindi ndi chiwalo cholemera kwambiri m'thupi lathu. Kulemera kwake pafupifupi 1.5 kg.
Munthu amene amamwa mankhwala opondeleza nthawi zambiri amakhalanso ndi nkhawa. Ngati munthu athana ndi kukhumudwa paokha, ali ndi mwayi wonse wakuyiwalako zamtunduwu mpaka kalekale.
Impso zathu zimatha kuyeretsa malita atatu a magazi mphindi imodzi.
Pali ma syndromes osangalatsa kwambiri azachipatala, monga kuphatikiza zinthu. M'mimba mwa wodwala m'modzi wodwala mania uyu, zinthu 2500 zakunja zidapezeka.
Ngati mungagwere kuchokera pabulu, mukulola khosi lanu kusiyana ndi kugwa kuchokera pa kavalo. Ingoyesani kutsutsa mawu awa.
Asayansi ochokera ku Oxford University adachita kafukufuku wambiri, pomwe adazindikira kuti zamasamba zimatha kuvulaza ubongo wa munthu, chifukwa zimapangitsa kuti kuchuluka kwake kuzikhala kochepa. Chifukwa chake, asayansi amalimbikitsa kuti asachotsere konse nsomba ndi nyama muzakudya zawo.
Kuti tinene ngakhale mawu afupi komanso osavuta, timagwiritsa ntchito minofu 72.
Polyoxidonium imakhudza mankhwala a immunomodulatory. Imagwira mbali zina za chitetezo chamthupi, potero zimathandizira kukulitsa kukhazikika kwa.
Mfundo zoyenera kutsata ndikuwonetsa ntchito za Hermital
Chithandizo cham'mimba chimathandizira kuperewera kwa michere ya kapamba. Chofunikira chachikulu ndi pancreatin. Mfundo yake yochitira ndi chifukwa chakumalizidwa kwa kufalikira kwa enzyme. Mankhwalawa nthawi yomweyo amapereka lipolytic, amylolytic ndi proteinolytic.
Kuphatikiza pa kapamba, amylase, chymotrypsin, lipase ndi trypsin amaphatikizidwa ndi mankhwala. Amathandizira pakutha kwa magawo a starchitu kwa ma carbohydrate ndi ma dextrins. Mafuta amathyoledwa kumayiko a acid ndi glycerol, ndipo mapuloteni amafikira mpaka mulingo wa amino acid.
Makapisozi amateteza kugaya chakudya, kusintha magwiridwe am'mimba. Trypsin imapereka katundu wa analgesic, imathandizira kuponderezana ndi madzi ake apancreatic.
Zida za enzyme zimatulutsidwa kokha m'matumbo aang'ono, kokha m'malo a zamchere. Chipolopolo cha kapisozi chimalepheretsa kumasulidwa koyambirira kwa zosakaniza zosakanikirana ndi mphamvu ya m'mimba.
Hermital imapereka kuchepetsedwa kwa katundu pa kapamba, imakongoletsa chimbudzi cha chakudya, kumachotsa kutulutsa chifukwa cha kupukusa kwagayidwe. Hafu ya ola limodzi atatha kugwiritsa ntchito, ntchito yapamwamba ya enzymatic imadziwika.
Zisonyezero zogwiritsidwa ntchito:
- Exocrine pancreatic kuchepa.
- Matenda a kapamba.
- Matenda am'mimba osachiritsika.
- Matenda a Dyspeptic.
- Adalengeza mwachinyengo.
- Cystic fibrosis.
- Pambuyo pa chemotherapy.
- Pambuyo pancreatectomy.
Ndi bwino kumwa makapisozi kumbuyo kwa kuphwanya kwa ntchito yogaya ntchito pambuyo pakuchita opaleshoni pamimba laling'ono kapena m'mimba.
Itha kutengedwa ndi kusachita masewera olimbitsa thupi (kugona momwemo), kuphwanya kwambiri kutafuna kwa ntchito.
Malangizo ntchito hemital
Kuphatikizika kwa mankhwalawa kumaphatikizapo zosakaniza zachilengedwe. Komabe, izi sizipangitsa kuti zikhale zotetezeka kwathunthu kwa odwala onse, kupatula. Iwo ali osavomerezeka ntchito pancreatin ngati organic tsankho, pa kuchuluka kwa ulesi kapamba, mankhwala ndi contraindicated mu pachimake mawonekedwe a kapamba.
Kugwiritsa ntchito mankhwalawa pazithunzi zina kumapangitsa kuti pakhale zovuta. Odwala amadandaula za kuchuluka kwa kudzimbidwa kapena kupindika m'mimba, kukhumudwa pakhungu kuzungulira anus, kusapeza bwino pamimba, kukhumudwitsa kwa nembanemba ya mucous mkamwa.
Chithandizo cha nthawi yayitali chokhala ndi Mlingo waukulu mu cystic fibrosis zimakwiyitsa kuchuluka kwa fibrotic colonopathy. Thupi lawo siligwirizana chifukwa tsankho kuti mankhwala - urticaria, zotupa pa khungu, hyperemia.
Mapiritsi a Hermital (monga chithunzi) amalimbikitsidwa ndi adokotala. Amayenera kumamwetsa pakudya, kutsukidwa ndi madzi oyera kapena madzi a zipatso. Mlingo watsimikiza ndi kuchuluka kwa kusowa kwa pancreatic, gulu la odwala.
Malangizo ogwiritsira ntchito mankhwala opukutira:
- Akuluakulu amalimbikitsidwa kuti azitenga magawo 150,000 tsiku lililonse, ngati pali kuchepa kwa abale. Ndi kusakwanira kwathunthu, mulingo umachulukitsa mpaka 400,000 - uwu ndiye kuchuluka kwa lipase komwe kumakwaniritsa zosowa za munthu za maola 24.
- Kutalika kwa njira ya achire kumachokera masiku awiri kapena atatu (ngati wodwalayo ali ndi zolakwika zopatsa thanzi, kuvulala kwam'mimba) mpaka zaka zingapo, ngati chithandizo chamankhwala chothandizira chikufunika.
Mlingo wofunikira kwambiri kwa odwala akuluakulu ndi 15-20 zikwi za kilogalamu imodzi ya kulemera kwa thupi, chiwerengerochi sichidutsa. Ngati bongo, kudzimbidwa, hyperuricosuria ndi kuchuluka kwa uric acid m'magazi a munthu amawonedwa.
Ndi zizindikiro zotere, chithandizo chamankhwala chimafunikira. Mankhwala osokoneza bongo amalembedwa malinga ndi mawonetsedwe am'chipatala, kupweteka kwam'mimba kumachitika. Mankhwalawa amatha mpaka wodwalayo akhazikika. Ngati nthawi yomweyo wodwala amwa mankhwala a antiacid, ndiye kuti kapamba kamakhala kosamwa bwino. Mankhwala a Hermital amathandiza kulepheretsa kuyamwa kwachitsulo.
Hermital ndi mowa sizingatengeredwe nthawi imodzi. Palibe kuyanjana. Kuphatikiza uku kumathetsa chithandizira. Hermital amatha kuledzera pokhapokha maola 14 atamwa (kwa akazi) komanso pambuyo maola 8 (kwa amuna).
Ndi chithandizo chathanzi kwa miyezi yoposa isanu ndi umodzi, kugwiritsa ntchito mankhwala ndi chitsulo kumalimbikitsidwa.
Ndemanga ndi fanizo la chakudya chamagaya
Odwala omwe amalandila kuonana ndi dokotala amafuna kuti adziwe zambiri zamankhwala omwe adzamwa. Chifukwa chake, nthawi zambiri amayang'ana chidziwitso pamutu "ndemanga za analogues za Hermitage." Nanga ndi ndemanga ziti pazida?
Tatha kupenda malingaliro a odwala, titha kunena motsimikiza kuti Hermital, mosasamala kanthu, ndi mankhwala abwino omwe amathandizira kugaya chakudya m'mimba, ngakhale ndi pancreatitis yogwira. Mochenjera amachotsa kusokonezeka atatha kudya, amachepetsa mavuto m'mimba.
Pamodzi ndi malingaliro abwino, odwala ena amawona zovuta. Nthawi zambiri, anthu amadandaula ndi kutentha kwa mtima atatenga makapisozi. Ululu pamimba umayambikanso, nthawi zambiri m'masiku ochepa a chithandizo, ndipo zimakhudzidwa kale.
Nthawi zambiri, Hermitage imalekeredwa bwino ndi odwala. Zotsatira zoyipa zimachitika, koma osawonedwa kwa nthawi yayitali, zimangopanga zokha, kotero kuti kutenga makapisozi sikuzimitsidwa.
Nthawi zina sizotheka kugula Hermital, chifukwa chake muyenera kudziwa momwe mungitsire mankhwalawa. Mankhwala amadziwa mitundu yambiri. Omwe alowa m'malo ndi Mezim Forte, Pangrol, Panzinorm, Panzitrat, Creon, Gastenorm, Pancreatin ndi ena. Inde, dzina limodzi la mankhwalawa silitanthauza chilichonse, chifukwa chake tilingalira za ma fanizo mwatsatanetsatane:
- Pangrol ali ndi mawonekedwe ogwiritsira ntchito: kapamba, kuphatikizapo gawo lowopsa la matendawa, matenda am'mimba, kusokonezeka kwam'mimba, kuthamanga kwamatumbo. Zochuluka motani? Akuluakulu amaikidwa mapiritsi 2-4 pamiyeso ya mayunitsi 10,000 ndi makapisozi 1-2 okhala ndi mayeso a 25,000. Contraindication - pachimake kapamba.
- Penzital imapanga kuchepa kwa michere mu kapamba. Ndi koletsedwa kugwiritsa ntchito ndi kuchulukitsa kwa pancreatitis yaulesi, ndizosatheka mu mawonekedwe a matenda. Mlingo wamba patsiku la munthu wamkulu ndi mapiritsi 8-9, ogawika patatu.
- Creon imathandizira kukonza chimbudzi, zotsutsana ndizofanana ku Hermital. Mlingo umasiyanasiyana mapiritsi 1 mpaka 5. Kwa ana, mlingo amawerengedwa kutengera kulemera kwa thupi ndi matenda.
Kusintha kwa mankhwala kumachitika ndi dokotala. Ndikofunika kupangira ma analogues ngati Hermital ndi wofooka kapena wodwala ali ndi zovuta zina.
Hermital ndi mawonekedwe ake amathandizira kukonza chimbudzi, amachepetsa katundu pa kapamba, komanso amathandizanso kusapeza bwino mu dera la epigastric. Panthawi yokhala ndi pakati komanso mkaka wa m'mawere, zimaperekedwa mogwirizana ndi mfundo zaubwino wothandiza mayi ndi zomwe zingavulaze mwana. Mankhwalawa amakhala ndi mayamwidwe otsika, motero chiwopsezo cha zotsatira zoyipa chimachepetsedwa.
Zambiri zokhudzana ndi mankhwala a Hermital zimaperekedwa mu kanema munkhaniyi.
Hermitage kapena Pancreatin? Pali kusiyana! Pulogalamu yogwiritsira ntchito.
Moni nonse!
Sindinatchere chidwi ndi Pancreatin analogues kwa nthawi yayitali ndikusankha yotsirizira ngati mankhwala otsimikiziridwa komanso otsika mtengo. Koma Hermital ataperekedwa kwa mwana wanga, ndinamufunsa dotoloyo za momwe angachichotsere ndi Pancreatin wokhazikika, pomwe adotolo adayankha kuti Pancreatin ali ndi ma enzyme ochepa, ndipo ndikumalandira chithandizo kwa nthawi yayitali, Hermital ndi yotsika mtengo. Poyerekeza kapangidwe ka mankhwalawa, ndidatsimikizadi kuti adokotala akunena zoona.
Ndikumvetsetsa kuti kwa munthu yemwe ali ndi chimbudzi chokhazikika komanso cholakwika chakudya, Pancreatin ndi yokwanira, ndipo mankhwalawa, mwachitsanzo, dysbiosis komanso kugaya chakudya chosakwanira (monga momwe zilili kwa ife), ndibwino kuti mutenge Hermitage.
Hermital ndi kukonzekera kwamphamvu komwe kumapangitsa kuti chimbudzi chikhale chambiri. Pogulitsa mutha kupeza iHelitage yokhala ndi mayunitsi 10,000, 25,000 ndi 36,000.
Mankhwala amakwanira kuperewera kwa michere ya pancreatic, ili ndi proteinolytic, amylolytic ndi lipolytic. Ma enzyme omwe amaphatikizidwa ndi kapangidwe kake (lipase, alpha-amylase, trypsin, chymotrypsin) amathandizira kuwonongeka kwa mapuloteni ku amino acid, mafuta mpaka glycerol ndi mafuta acid, starch to dextrins ndi monosaccharides, zimathandizira magwiridwe antchito am'mimba. Zinthu zopangidwa ndi Cleavage za michere ya pancreatic imalowetsedwa m'matumbo mwachindunji kapena pambuyo pa cleavage ndi michere yamatumbo.
Zogwira pophika Hermital 10000:
kapamba ndi ntchito ya enzymatic: lipases mayunitsi 10,000, ma amylases 9,000, proteinates 500 units
Poyerekeza, piritsi ya pancreatin wamba ili ndi:
kapamba: ndi mochepa lipolytic enzyme ntchito ya 4300 mayunitsi. Ntchito yochepa yamphamvu ya amylase imachokera ku 3500 UNITS, ntchito ya proteinolytic imachokera ku 200 UNITS.
Ngati tiyerekeza ma enzyme a Hermital ndi Pancreatin mu lipase equity (10000), ndiye kuti kusiyana kwa amylase ndi proteinase kudzakhala motere:
Hermital / Pancreatin: amylase - 9000/8137, proteinase - 500/465
Ndiye kuti, mapiritsi awiri a Pancreatin sakulingana ndi kapisozi wa Hermital.
Kuphatikiza apo, gawo lalikulu limaseweredwa ndi mawonekedwe a mankhwala. Pancreatin imapezeka m'mapiritsi otsekemera obisika, ndi Hermital - mu mawonekedwe a microtablets omwe amalimbana ndi zotsatira za madzi a m'mimba.
Amakhulupirira kuti mphamvu ya kukonzekera piritsi ndi yotsika kasanu kuposa microtableted.
Ma microtablets amadziphatikizanso ndi kapisozi ka gelatin. Ngati ndi kotheka, kapisozi amatha kutsegulidwa ndikuthira zomwe zili m'madzi ochepa (a ana). Chachikulu sikufuna kutafuna ma microtablets, kuti musaphwanye chipolopolo chawo.
Zisonyezero zogwiritsidwa ntchito:
- kusintha chimbudzi cha chakudya kwa odwala omwe ali ndi vuto la m'mimba chifukwa cha zolakwa zakudya,
- m`malo mankhwala a exocrine pancreatic insufficiency: cystic fibrosis, pancreatitis aakulu, kapamba, chifuwa, kutsekeka chifukwa cha neoplasm (kuphatikizapo kutsekeka kwa mapindikidwe a kapamba, kuperewera kwa ndulu, matenda a Schwachman-Diamond ndikonzanso zakudya,
- chizindikiro cha matenda ammimba: mawonekedwe a cholecystectomy, pang'ono mbali yam'mimba (Billroth-I / II), gastrectomy, duodeno- ndi gastrostasis, kutsekeka kwa biliary, cholestatic hepatitis, cirrhosis, matenda a Crohn, dysbiosis.
Palibe contraindication, munthu yekha tsankho kwa zigawo zikuluzikulu za mankhwala.
Njira Yofunsira:
Mkati, Mlingo amasankhidwa payekha kutengera zovuta za matendawa komanso zakudya. Kuwerengera Mlingo kutengera magawo a ntchito ya lipase.
Makapisozi amayenera kumezedwa lonse pakudya, kutsukidwa ndi madzi ambiri (madzi, timadziti), ngati kuli kovuta kumeza, makapu amatha kutsegulidwa ndipo zomwe zili mkati mwake zimawonjezeredwa ku chakudya chamadzimadzi chomwe chimakhala ndi kukoma kwa acid (pH