I-Mezim Forte - isidakamizwa esinconyelwe ukugcwalisa ukuntuleka kwezinto ezingama-enzyme. Umuthi uvame ukubizwa ngokuthi yimithi esebenza ngempumelelo okuhloswe ngayo ukuthuthukisa ukugaya ngokushesha, ukuthuthukisa ukusebenza kwezitho zohlelo lwesisu.Umuthi ususa uhudo, ukhonjiswa ngaphambi kokuxilongwa kwe-ultrasound ne-x-ray
Amacwecwe amiselwe i-peptic ulcer yesisu kanye ne-duodenum, i-gastritis, i-enteritis, izifo zamathumbu, i-dysbiosis kanye ne-pancreatitis engamahlalakhona. Umuthi wesizukulwane esisha uqukethe i-lipase, i-proteinase kanye ne-amylase, izinto zenzelwe ukunikeza ukugaya okuhle kokudla, ukuqeda imizwa engathandeki esiswini, futhi kunciphise ukuqhuma.
Intengo ye-Mezim iyahlukahluka kusuka esifundeni kuya eku mareni, ngokwesilinganiso kubiza cishe ama-ruble angama-240 aseRussia.
Imiyalo yokusebenzisa amaphilisi
I-Mezim ingathengwa ngesimo samathebhulethi, izinto ezisebenzayo eziyinhloko yi-pancreatin nama-enzyme omsuka wemvelo. I-Mezim forte 10000 iqukethe ngqo le nombolo ye-lipase, kukhona nomuthi kumthamo we-20 000. Izidakamizwa ezivumelanayo zivikelwe ngentambo ekhethekile, iyancibilika kakade e-duodenum, ukugoqa kuyamelana nejusi yesisu.
Ukuba khona kwezakhi ezisebenzayo ezakha umuthi ngesikhathi esifushane kwenza sikwazi ukumisa ukuphazamiseka okuhambisana nokuntuleka kwama-enzyme, susa ezinye izimpawu zesifo se-pancreatitis esingapheli. Ngenxa ye-trypsin, amaphilisi anika umphumela we-analgesic, futhi secretion yejusi ye-pancreatic iyacindezelwa.
Kunconyelwe ukudla ukudla okungahambelani kahle, ngokumelene nokuqhakaza nokuntuleka kokugaya ukudla. Umuthi ungathengwa ekhemisi ngaphandle kokuthola udokotela, kodwa kufanele ungazicabangeli ngokwelashwa okwanele.
Amaphilisi okuphuza kufanele:
- ngaphambi noma phakathi nokudla;
- ginya lonke, ungahlafunisi;
- phuza uketshezi oluningi.
Uma ithebhulethi ichotshozwa, igobolondo liyabhujiswa, ama-enzyme ancibilika endaweni enolaka, ukusebenza kahle kokwelashwa kuyancipha.
Esimweni ngasinye, irejimeni yokwelashwa umuntu ngamunye, kuya ngosizi lwenqubo ye-pathological, izimpawu zesifo kanye nobudala bomuntu.
Abantu abadala badinga ukuthatha amaphilisi ama-1-2 izikhathi ezingama-1-3 ngosuku, izingane ezineminyaka engu-12-18 ubudala zinqunywa ama-20,000 we-iU wezinto ngekhilogremu yesisindo, izingane ezingaphansi kweminyaka eyi-12 kufanele zinikezwe i-1,500 IU ngekhilogremu yomzimba ngamunye.
Isicelo sesifo se-pancreatitis esingamahlalakhona singaba sodwa, lapho kunesidingo sokuqeda ukuphulwa kwesikhashana kwenqubo yokugaya ukudla, noma isikhathi eside futhi kuthathe izinyanga ezimbalwa.
Contraindication ukusetshenziswa, ukusebenzisana
I-Mezim, i-analogue yayo kanye nokufakwa esikhundleni kwayo akuvunyelwe lapho kukhona ukungabekezelelani komuntu ngamunye kwizithako zomuthi, umuzwa omningi womzimba. Kuyadingeka ukunaka ukuthi amaphilisi akumele achithwe enkambeni eyingozi yenqubo yokuvuvukala kumanyikwe, ngaphandle kwalokho i-pathology izoba yimbi kakhulu.
Ngesikhathi sokulashwa, imiphumela emibi kungenzeka ngesimo sokuhlaselwa isicanucanu, ukungahambi kahle emathunjini, komzimba, isihlalo sangaphansi kanye nobuhlungu emgodini wesisu. Ukusetshenziswa isikhathi eside kwesidakamizwa kuvusa ukwanda kwezinga le-uric acid, ukuthuthukiswa kwe-hyperuricemia yesifo.
Uma isiguli sisebenzisa iMezim isikhathi eside sindawonye kanye namalungiselelo we-iron (ngokwesibonelo, i-Iron sulfate, iSorbifer), ukufakwa kwamathumbu kwensimbi kuyancipha, kuleli cala i-anemia, isikhumba esimile, ubuthakathaka bemisipha, ukungasebenzi kahle, ukunganaki kuyaphawulwa.
Ngokusetshenziswa kanyekanye kweMezim namalungiselelo weSantacid aqukethe i-calcium ne-magnesium, ukwehla kokusebenza kwangaphambilini kuyabonakala.
Ngalesi sizathu, odokotela batusa ukukhulisa umthamo wokulungiselela i-enzyme.
Ama-analogues adumile
I-Pharmacology inganikela ngezikhundla ezimbalwa ze-Mezim, ezingasebenzi ngokuqinile kwi-pancreatitis engapheli nezinkinga ezifanayo ngohlelo lokugaya ukudla. Umenzeli ngamunye une-amylase ehlukile, njengoba ukubuyekezwa kweziguli kubonisa, ama-analogue awubi njalo njalo.
Ukuqanjwa kwamacwecwe namaphilisi kuqukethe ama-enzyme ezilwane ne-pancreatin, i-analogue eshibhile futhi engabizi kakhulu ye-Mezim yiFestal, kanti nePancreatin nayo iyabekwa. Abakhiqizi bakhombisa ukuthi basebenza kahle ekulweni nokuphazamiseka kokugaya ukudla, ngokudla ngokweqile, indlela yokuphila yokuhlala phansi, isitulo esinomsindo nokugcwala.
Odokotela bathi kuyinto engathandekiyo ukufaka isikhundla se-enzyme ngokwayo, kuthinta lesi sifo ngezindlela ezihlukile. Ama-analogues adumile amaMezim yilezi: Festal, Creon, Penzital, Panzinorm, Biofestal.
Amathebulethi ayaziwa i-Festal akhiwa:
- i-pancreatin;
- hemicellulose;
- i-bovine bile.
Umehluko omkhulu kusuka eMezim ngokunembile engxenyeni yokugcina. I-Bovine bile iyadingeka ukuqala ukukhiqizwa kwama-enzymes we-pancreatic uqobo, kepha ukusebenzisana kwezidakamizwa eFestal kubanzi kancane kunaseMezim. Okufanele kunikezwe enkambweni ye-pancreatitis engapheli, kufanele kunqunywe kuphela ngudokotela ohambelayo.
I-Creon isicwebu se-gelatin equkethe ama-microspheres amancane e-porcine pancreatin. Umkhiqizo uqhekeka kahle futhi ngokushesha esiswini, uhlangana kalula nokuqukethwe kwawo. Ngokushesha ngemuva kokuchithwa, i-Creon enenqwaba yokudla ingena emathunjini, ama-microspheres ento ancibilika kuwo ngokuphelele.
Umuthi awubizi, ubonakala ngekhono lokubhidliza ama-lipids, ama-carbohydrate namaprotheni, ngemuva kwalokho udonswe amathumbu. Ngesikhathi sokulashwa, kuyadingeka ukuthi uqaphele ngokucophelela irejimeni yokuphuza, uma kungenjalo ukuqunjelwa, kuvela ezinye izinkinga zesitofu.
Enye i-analogue esebenza ngempumelelo yeMezim kwakuyiPanzinorm yezidakamizwa, ekwakhiweni kwayo:
- lipase;
- trypsin;
- i-alpha amylase;
- chymotrypsin.
Lezi zinto zivamisa inqubo yokugaya ukudla, zinciphise izimpawu zenkambiso engapheli yenqubo yokuvuvukala kumanyikwe.
Ama-enzymes e-pancreatic akhishwa endaweni ye-alkaline yamathumbu, ngoba avikelwe ngumbungu okhethekile emiphumeleni enolaka yejusi lesisu. Akunconywa amaphilisi okuphuza utshwala.
Engxenyeni engenhla yesisu esincane, i- trypsin inhibits pancreas, okuholela emiphumeleni ye-analgesic yomuthi. Ngenxa yomsebenzi owandayo we-lipase, amaphilisi aneqhaza elibalulekile ekwenzeni inqubo yokugaya ukudla ibe yimbi, aqede ukuphazamiseka okuhambisana nokuntuleka kwama-enzymes wokugaya ukudla.
Ngenxa ye-lipase, ama-lipid aqhekeke phansi abe yi-glycerol namafutha acid, futhi ukufakwa kwamavithamini ancibilikayo kuyaqinisekiswa. Guqula ama-carbohydrate abe ama-dextrins ne-glucose kungenzeka ngenxa yokuba khona kwe-amylase, futhi i-proteinase ibhekele ukucubungula amaprotheni.
I-Panzinorm izosheshisa ukumuncwa kwezakhamzimba, ithuthukise inqubo yokugaya, futhi ibe yindlela yokuvimbela i-steatorrhea ehambisana ne-pancreatitis engapheli. Umuthi ungasiza ukunciphisa izinhlungu inqubo yokuvuvukala emzimbeni, lo mphumela uhambisana nokuvinjwa kokukhishwa kwejusi le-pancreatic kanye nama-enzyme alo.
Uma kwenzeka kweqisa ngokweqile, umphumela ophikisanayo uyabonakala.
Izingane nabesifazane abakhulelwe
Ngezinkomba ezithile, umenzeli we-enzyme ubekelwe ukwelashwa kwabesifazane abakhulelwe, ababolekayo izingane nezingane. Ukwelashwa kwe-pancreatitis engapheli ezinganeni, kuqhubeke ngokusemuva kwesisekelo se-pathologies yepheshana le-biliary kanye nokugula kwe-duodenum, kwenziwa yinkambo ethatha izinsuku ezi-4 kuya kwenyanga eyi-1.
Ukwenza lula ukuphathwa kwezinye izimo, amaphilisi okugaya avumelekile, i-powder ephumayo iyancibilika emanzini, isixazululo sidonswa kwisirinji, isiguli siginywe. Akumele sikhohlwe ukuthi leyo ndlela yokufaka isicelo ayifiseleki; iyenziwa ezimeni ezihlukile.
I-ejenti ye-enzyme ayinqatshiwe ngesikhathi sokukhulelwa nokukhishwa, kodwa kubalulekile ukuthi ucubungule ukuthi ucwaningo lwesayensi ezigulini zaleli qembu alwenziwe. Amatafula kufanele asetshenziswe kuphela ngemiyalo ekhethekile kadokotela.
Umuthi ubekelwe ngaphansi kwesimo sokuthi inzuzo yokwelashwa idlula kakhulu ingozi ebangelwa yibeletho. Uma ukusabela okungathandeki komzimba kuqala ngesikhathi sokwelashwa, kufanele wenqabe. Umuthi ugcinwa iminyaka emithathu endaweni emnyama, uvikelekile emswakama.
Imininingwane mayelana neMezim Forte inikezwe kuvidiyo kule ndatshana.
