I-Creazim yezidakamizwa iboniswa ukunxenxa ukushoda kwe-proteinase, lipase ne-amylase, ukuthuthukisa inqubo yokugaya ukudla, kanye nokufakwa ngokuphelele kwezakhamzimba emathunjini amancane. Ifomu lomthamo eliyingqayizivele lisiza ukuvimbela ukwehla emsebenzini wama-enzyme e-pancreatic okubangelwa ukungasebenzi kwabo ngejusi yesisu.
Amaphilisi womuthi ngophuzi, cylindrical, ngaphakathi aqukethe imidwebo emincane yombala we-beige-brown (umthamo 10000) noma amakhompiyutha abomvu opaque ane-cap emnyama (umthamo 20,000).
Imiganu yezidakamizwa iboniswa ukwanda okungamelana ne-acid, zixutshwe ngokulinganayo nokuqukethwe esiswini, bese zingena duodenum. Ngokushesha kukhona ukukhishwa okusheshayo, kusebenze ukusebenza kwezinto ezisebenzayo kwethulwa endaweni engathathi hlangothi noma ene-acidic, lapho kuqubuka khona izindimbane.
Intengo yesidakamizwa iyahluka phakathi kwama-ruble angama-200-450. Kukhona ama-analog ashibhile aseRussia angeniswe kwamanye amaphilisi: Mezim, Pancreatin, Pancreatin Forte. Ama-analogues abiza kakhulu abandakanya amaphilisi: I-Creon, i-Festal, iHermitage.
Imiyalo yokusebenzisa umuthi
I-Creazim iboniswa ekwelapheni ukungasebenzi kahle kwe-exocrine pancreatic insufficiency, pancreatitis engapheli, i-cystic fibrosis, ukuqedwa kwamaphutha wokudla okunempilo, kanye nokukhula kwe-microflora ye-pathogenic emathunjini amancane. Umuthi uthathwa njengokuvimbela i-bile kanye ne-pancreatic ducts, i-malignant kanye ne-benign neoplasms esitholeni, ekwelashweni okubonakalayo kokuphazamiseka kokugaya ukudla ngemuva kokuthola kabusha isisu, ukuvinjezelwa yisifo somzimba, i-prigastrosis, i-cholecystectomy, i-cirrhosis, izifo zesisu esincane esibulalayo.
I-capsule kumele igwenywe iphelele, igezwe ngenani elingi loketshezi. Umthamo ukhethiwe ngokulandelana, kucatshangelwa ubunzima bokungapheleli kwe-pancreatic, ukudla kwesiguli.
Kukhonjiswa ngokwejwayelekile ukuthatha ingxenye yesithathu noma isigamu sedosi elilodwa ngaphambi kokudla, okusele kudliwa ngokudla. Umthamo wokuqala wesidakamizwa yi-10000-20000 PIECES of lipase. Lapho kunesidingo sokunciphisa i-steatorrhea, ukusekela inhlala-kahle yomuntu ejwayelekile, udokotela unquma ukukhuphula inani lemali. Kulokhu, kanye nokudla okuyinhloko, kufanele uphuze i-lipase engama-20000-70000ED, ngesikhathi sokudla okulula - amayunithi angama-50 000-20000.
Ukwelashwa kwe-cystic fibrosis kuncike kuzinkomba:
- iminyaka nesisindo sesiguli;
- Izimpawu
- imiphumela yokulawula.
Kuvunyelwe amayunithi angama-10,000 ngosuku.
Uma umuntu enobunzima bokugwinya, kunconyelwa ukuvula amaphaphu, engeza okuqukethwe ezitsheni eziwuketshezi ezingadingi ukuhlafuna. Ingxube ebangelwa ithathwa ngokushesha, ayibekelwe kwisitoreji.
Isikhathi senkambo yokwelashwa sisukela ezinsukwini ezimbalwa kuya ezinyangeni ezimbalwa, lapho ukwephulwa kubangelwa amaphutha okudla. Uma udinga ukwelashwa okubuyiselwa okujwayelekile, ukuthatha amaphilisi weCreazim kuzothatha iminyaka embalwa.
Uma isiguli sisebenzise kakhulu umuthi, ukuthuthukiswa kwe-hyperuricuria (ukwanda kokuxineka kwe-uric acid) ne-hyperuricemia (lactic acid diathesis) akunqunyelwe.
Lokhu kuboniswa kubalulekile, kukhombisa ukunqanyulwa kokuthatha amaphilisi, umsebenzi kadokotela wokushintsha irejimeni yokwelashwa, anikeze umuthi ofanayo.
Izici zokusebenzisa, ukusabela okungafuneki komzimba
Ukuphepha kokusebenzisa i-Creazim 10000 neCreazim 20000 ngesikhathi sokukhulelwa, ngesikhathi sokuncelisa ibele akukafundwa. Ngenxa yalesi sizathu, umuthi kufanele ushiywe, okuhlukile kuba njalo lapho umphumela olindelekile wokwelapha ukhulu kaningi kunokulimala okungenzeka kumama okhulelwe nasesibelethweni.
Ukuphendula okuhlukile ekusebenziseni kwamaphilisi kufanele kubhekwe, naphezu kokuthi kubhekwa kuphela 1% yamacala. Engxenyeni yesistimu yokugaya ukudla, kuyaqabukela ukuthi isiguli sinezinkinga zokuqunjelwa, isicanucanu, uhudo, umuzwa wobunzima, ukungakhululeki emgodini wesisu.
Lapho isiguli sesivele sithatha noma imuphi umuthi, kufanele sazise udokotela wakhe, ngoba uCreazim uyakwazi ukuxhumana nabanye babo. Isibonelo, kukhona ukwehla kokufakwa kwe-iron, okulimazayo, kudinga ukunikezwa okungeziwe kwezidakamizwa.
Imihlahlandlela yokusetshenziswa ibonisa ukuthi ama-enzyme anqatshelwe ngokuphelele ezimweni ezinjalo:
- i-pancreatitis eyingozi;
- ukwanda kwe-pancreatitis engapheli;
- hypersensitivity.
Ukuze ungafaki izilonda zekoloni, kunconyelwa ukulawula zonke izimpawu ezingejwayelekile, ushintsho esiswini sesisu, ikakhulukazi uma uthatha imithamo ephezulu yemithi (amayunithi angaphezu kuka-10,000 ngosuku).
Ngokwengxenye yamasosha omzimba, i-bronchospasm, ukusabela kokuzwela ngokweqile kuyabonakala. Kusuka izicubu zesikhumba ezithambile nesikhumba, ukungezwani komzimba kokuhlukahluka kobunzima, i-hyperemia, ukulunywa, i-urticaria, imishayo ayikhishwa. Ukuphazamiseka okuvamile kubandakanya ubuthakathaka emzimbeni.
Ukwelashwa kwama-pancreas kubandakanya ukusetshenziswa kwenani lamanzi elanele, ngaphandle kwalokho ukuphuma komzimba kwenzeka, okwandisa inkambo yesifo.
Izimo zokugcina zomkhiqizo kufanele zibhekwe, amaphilisi awakwazi ukusetshenziswa ngemuva kosuku lokuphelelwa isikhathi oluboniswe kuphakheji.
Analogs of Creasim
UMezim
Umuthi i-Mezim ungenye yezimpawu ezithandwayo zeCreazim, kubantu abadala kanye nezingane zinikezwa amaphilisi angu-1-2, zithathwa ngokudla, ngaphandle kokuhlafuna, ngamanzi amaningi ahlanzekile. Isikhathi sokwelashwa sinqunywa esimweni ngasinye, ingane nomdala kufanele bathathe imali ehlukile.
Ukuthatha imithamo ekhuphukile yesidakamizwa, kungenzeka ukuthuthukisa i-hyperuricemia, i-hyperuricosuria, ukwelashwa kwesimo se-pathological kumele kube nezimpawu.
Engxenyeni yamasosha omzimba, isiguli sinamanzi, ukuqubuka kwesikhumba, i-bronchospasms, ukulunywa, ukuvutha okukhulu, i-angioedema, i-lacrimation, i-tachycardia, ubuthakathaka kanye ne-urticaria.
Kusuka ohlelweni lokugaya:
- ukungakhululeki emgodini wesisu;
- ukuqhakaza;
- ukuvinjwa kwamathumbu;
- isicanucanu
Ukuba khona kwe-azorubine varnish ekwakhiweni kweMezim kubangela ukungahambi kahle komzimba. Njengoba ukubuyekezwa kukhombisa, amaphilisi awenza kahle umsebenzi wawo, imiphumela emibi ayivelakancane. Ukusetshenziswa kwayo kunesizathu uma kungabekezelelwa kwamanye amalungiselelo enzyme.
Festal
Kunconywa amaphilisi we-Festal ngesikhathi sokutakula noma ukwandisa ukudla, uma kunophawu lokuvinjwa kwamathumbu nge-pancreatitis, kuyadingeka ukuthi unake amathuba okuba khona kwamathumbu emathunjini. Kuboniswa ukulawula noma iziphi izimpawu ezingajwayelekile. Ukwakheka kwe-uric acid kungavinjelwa ngokulawula ukuhlangana kwe-uric acid.
Umkhiqizo uqukethe izinto ezisebenzayo ezingathinta kabi isimo se-mucosa yamathumbu nesisu, ngakho-ke kunconywa ukuwusebenzisa ngaphandle kokuhlafuna.Ngokuba amaphilisi equkethe i-glucose ne-sucrose, iziguli ezine-pancreatitis nesifo sikashukela kudingeka zikucabangele lokhu.
Ukuthi i-pancreatitis iphathwa kanjani ichazwa kuvidiyo kule ngxenye.