I-Exocrine pancreatic insufficiency ikhula hhayi kuphela nge-pancreatitis, kepha nakwezinye izifo zohlelo lokugaya ukudla. Ukunxephezela ukusweleka, nikeza izidakamizwa ezinxenxa ukushoda kwama-enzymes wokugaya ukudla.
Ikhemisi libonisa okunezinhlobonhlobo ezinkulu zemithi ehlukahlukene ehlukahlukene ngezindleko, umphumela wokwelapha kanye nomgomo wokusebenza, ukwakheka. Ukwelashwa kwe-pancreatitis, i-Pancreoflat imvama imiselwe.
Ithuluzi libhekisela kumalungiselelo we-enzyme, okubandakanya i-pancreatin, i-dimethicone - into yesibili esebenzayo. Izingxenye ezisizayo - i-silicon dioxide, i-magnesium stearate, i-beewax, i-sucrose, i-talc, i-titanium dioxide, i-sorbic acid, njll.
Cabanga ukuthi umuthi wePancreoflat usebenza kanjani futhi kungani unqunywa? Ngabe umhlahlandlela wesicelo uthini ngalokhu, nokuthi ungamiselela kanjani ukulungiswa kwe-enzyme.
I-Pharmacodynamics ne-pharmacokinetics yePancreoflat
Umuthi wenzelwe ukunxephezela ukungapheleli kwe-pocreas eyonakalisiwe. I-pancreatin - enye yezinto eziphambili, iqukethe i-pancreas powder, equkethe izinto - lipase, amylase, trypsin, proteinase, chymotrypsin, njll.
I-Lipase igxile ekuqhekekeni kwezakhi ezinamafutha ezikhundleni 1 no-3 ze-triglycerides. Njengomphumela walokhu, kwakheka acid yamahhala enamafutha, athelwa engxenyeni engenhla yamathumbu amancane esebenzisa i-bile acids.
I-Trypsin yakhiwa yi-trypsinogen futhi ngaphansi kwethonya le-enterokinase emathunjini amancane. Ikhuthaza ukugqama kwezibopho phakathi kwama-peptides, lapho izingxenye ezifana ne-lysine ne-arginine zahlanganyela.
Izifundo zemitholampilo zikhombisile ukuthi i-trypsin isiza ukuvimbela ukucasha kwe-pancreatic ngempendulo. Kukholelwa ukuthi umphumela we-analgesic we-pancreatin, ochazwe kokunye ukuhlola kwesayensi, kungenxa yaleli qiniso.
I-Alfa-amylase isiza ukuphula ama-polysaccharides aqukethe ushukela. I-Dimethicone - into yesibili esebenzayo, iqeda ukunqwabelana okunyukayo kwamagesi emathunjini amancane.
I-Dimethicone iyingxenye yamakhemikhali inert, umgomo wayo osuselwa ekuguqukeni kokungezwani kwengxenye yama-bubble wegesi emgodini wesisu. Ama-bubble aqala ukuqhuma, bese kukhipha igesi eyayikuzo, emva kwalokho ishiye ngokwemvelo noma imunce.
Izithako ezisebenzayo - i-pancreatin ne-dimethicone, azingene egazini lesisu.
Imiyalo yokusebenzisa
Umuthi unikezwa udokotela uma kunomlando wokugaya ukudla ngemuva kokuhlinzwa endaweni yokugaya ukudla, ikakhulukazi lapho isithombe sihambisana nokuqunjelwa kwamagesi emathunjini.
Kuyalulekwa ukuthi usebenzise ngokungemuva kokuntuleka kokusebenza kwezimfihlo zamanyikwe noma lapho kungekho ijusi yesisu. Ngamanye amagama, baphatha i-pancreatitis engapheli, ukuqaqamba kwesisu. Kuvunyelwe ukunquma ama-pathologies wepheshana lesibindi kanye nesibindi, avela nokuphazamiseka kokugaya ukudla.
Awukwazi ukuthatha umuntu uma ene-hypersensitivity to pancreatin noma i-dimethicone; ebuntwaneni, ikakhulukazi kuze kube iminyaka eyi-12. Ngokungafani neminye imishanguzo ye-enzyme, i-Pancreoflat ivunyelwe ukuthi isetshenziswe ezigabeni zokuqala ze-pancreatitis eyingozi noma ngokwanda kwesifo esingelapheki. Kepha kuphela ngokucophelela nangemithamo elinganiselayo.
I-pancreoflat ibukeka njengomuthi wokuzikhethela uma isiguli sinokuntuleka kwe-lactase, ukungabekezeleli kwe-galactose. Imiyalo yokusebenzisa umuthi:
- Amathebulethi athathwa ngesikhathi sokudla noma ngokushesha nje emva kwawo;
- Umthamo ojwayelekile kumuntu omdala yizicucu ezi-1-2;
- Ezinganeni, umthamo ukhethwa ngudokotela wezokwelapha (wezingane noma nge-gastroenterologist);
- Izibhebhe zigwenyiwe ziphelele, hhayi zichotshoziwe.
Imininingwane eku-overdose yokulungiselela kwe-enzyme ayiqoshwa. Uma uthatha izidakamizwa ze-antacid ngasikhathi sinye, ezibandakanya i-magnesium carbonate, khona-ke ukusebenza kwe-dimethicone yento kuncishiswa kakhulu.
Ngesikhathi sokwelashwa, ukuvela okungakhi okuvela emzimbeni kungaqhamuka:
- Ukubonakaliswa kwe-allergic.
- Ubuhlungu esiswini.
- Umuzwa ongathandeki esiswini.
- Isicanucanu (kwesinye isikhathi sokuhlanza).
- Ukugcinwa kwesitulo eside noma izihlalo ezikhululekile ezisheshayo.
Ukwelashwa isikhathi eside noma imithamo eyeqisayo kugcwala ukwanda kokugxilwa kwe-plasma ye-uric acid.
I-Pancreoflat ayisona isidakamizwa eshibhile. Izindleko zincike kwinani lamathebulethi. Intengo yezingcezu ezingama-50 iyahlukahluka kusuka kuma-ruble ayi-1800 kuya kwangama-1950, nezingcezu eziyikhulu - ama-ruble angama-3500-3700.
Ungathenga ekhemisi, ithengiswe ngaphandle kwemiyalelo kadokotela.
Analogs nokubuyekezwa
Umbono wodokotela uthi iPancreoflat ingumuthi omuhle osiza isiguli ekwenyukeni ukwakheka kwegesi, nobuhlungu besisu. Ukusetshenziswa kwaso kujwayelekile inqubo yokugaya, ngenkathi kuvuselela ukukhiqizwa kwama-enzymes abo we-pancreatic.
Odokotela baphinda futhi babheke ukuthi inzuzo engathandabuzekiyo ilele ekutheni kungenzeka ukuthi usebenzise i-pancreatitis eyingozi noma ukwanda kokulimala kokuvilapha kwamanyikwe. Ngisho ne-analogues enhle kakhulu yomkhiqizo ayinakuziqhayisa ngezimpawu ezinjalo.
Kepha izibuyekezo zesiguli, zihlukile kakhulu. Abanye bakhuluma ngokusebenza kwesidakamizwa, isenzo saso esisheshayo, futhi okubaluleke kakhulu - umphumela owandisa. Kepha ezinye iziguli zithi lokhu kudoti omkhulu wemali, kanti nezimpawu zepancreatitis azihambi - isisu sisaduma, igesi linqwabelana esiswini.
Ngenye indlela, ungaphuza izidakamizwa:
- I-Abomin iqukethe i-rennet. Ifomu ngamathebulethi. Umkhiqizo iyi-enzyme ye-proteinolytic esebenza kumakhompiyutha obisi nokudla. Ifaka uhlu olusha lwemiphumela emibi. Ngezikhathi ezithile kuphela lapho i-Creon ene-pancreatitis ibangela isicanucanu kanye nesishayo senhliziyo. Akukho okuphikisana nomuntu omdala;
- I-Creon iqukethe i-pancreatin, inxephezela ukuntuleka kwama-enzymes we-pancreatic pancreatic. Kunconywa njengomuthi wokulashwa kabusha kwe-pancreatitis, ekwelashweni okubonakalayo kwezifo zokugaya ezigulini. Akunakwenzeka ngokuhlaselwa okubuhlungu kokuvuvukala kwamanyikwe, ukwanda kwesifo esingelapheki;
- I-Penzital - i-pancreatin ye-izidakamizwa. Ifomu lomthamo - amaphilisi. Ithuluzi linikeza umphumela we-lipolytic, amylolytic kanye ne-proteinolytic. Ukwemukelwa kunikeza isinxephezelo se-exocrine pancreatic function. I-Contraindication ifana nomuthi owedlule. Akukho ukuhambisana notshwala. Intengo ngama-ruble angama-50-150.
Ungangezela uhla lwe-analogues nezidakamizwa - Pancreatin Forte, Pancreatin-Lek T, Pangrol, Mezim Forte, Enzistal, Festal. Ukulungiswa kokwelashwa ngezidakamizwa kungukuphakama kwodokotela ohambela khona.
I-Pancreoflat iyisidakamizwa sokugaya esisiza ukunxephezela ukusweleka kuma-enzymes e-pancreatic. Kanye nezinzuzo eziningi, ine -backback ebalulekile - intengo ephezulu, kepha impilo ibiza kakhulu.
Yiziphi izidakamizwa zokwelapha i-pancreatitis ezichazwe kuvidiyo kuleli vidiyo.
