Ukwelashwa kwezifo zokugaya ezinganeni nakubantu abadala, kunqunywe i-Panzinorm yezidakamizwa. Ukwakheka komkhiqizo kufaka phakathi ama-enzyme amathathu alingene we-pancreatic enza ukuthi inqubo yokugaya amaprotheni, ama-carbohydrate namafutha.
Ama-proteinase, lipase, ne-amylase atholakala kulo muthi enziwa ngezicubu zegland gland. Izakhi zingokwemvelo futhi ziphephile. Izibhebhe ziphekwe, okuqinisekisa ukufakwa kwazo emathunjini.
Izinto eziyisisekelo ziqala ukusebenza ngokushesha ngemuva kokuchithwa kwegobolondo. I-Lipase ikhuthaza ukuhlukana kwamafutha kanye ne-glycerol. I-Amylase ihlinzeka ngokuqhekeka okuphelele kwama-carbohydrate, ushukela kanye ne-dextrin. I-Protease ihlose ukwephulwa kwezinto ezinamaphrotheni ziye esimweni sama-amino acid.
Umuthi wePanzinorm 10000 uqukethe ama-lipase ayi-10 000, ama-amylase angama-2000, kanye nama-proteinase angama-400. Ekuhlelweni kwama-20,000, umthamo uhlukile - amayunithi angama-20,000, ayi-12,000, angama-900 ngokulandelana.
Isenzo se-Pharmacological kanye nezinkomba zokusetshenziswa
I-Panzinorm ingumuthi we-enzyme omphumela wayo uhlose ukuthuthukisa izinqubo ze-catabolism kanye nokugcwalisa ukuntuleka kwama-enzymes wokugaya ukudla. Ukukhishwa kwezinto ezisebenzayo kuqashelwa emgodini we-gastrointestinal.
Umuthi ubekelwe ukwelashwa kokuphazamiseka kokugaya ukudla, okubangelwa ukungabi nalutho lwe-pancreatin enzyme ngenxa yomsebenzi ophakeme wegciwane we-lipase. I-Lipase isiza ukumunca amavithamini ancibilikayo. Amaprotheni aphula izinto zamaprotheni.
Umuthi usiza ukunciphisa ubunzima bezinhlungu nge-pancreatitis engamahlalakhona. Qala ukuthatha ngomthamo omncane, okokuqala kudinga ukubhekwa kwezokwelashwa.
Umuthi we-pharmacological ubekelwe izimo ze-pathological:
- Uhlobo olungapheli lwe-pancreatic exocrine ukungasebenzi kahle.
- I-cystic fibrosis.
- I-Pathology yohlelo lwe-hepatobiliary.
- I-Flatulence.
- Ukuvinjwa kwemigqa yepancreatic.
Amakhompiyutha abesifazane abakhulelwe anconywe ngokucophelela okukhulu. Ukwephulwa okuhlobene kungukwephula ukusebenza kwesibindi. Ukuphikisana ngokuphelele kungukubekezelela ingulube noma inyama yenkomo. Izingane ezingaphansi kweminyaka engu-15 ubudala ngemuva kwesizinda se-cystic fibrosis azinqunyelwe.
Imiyalo ekhethekile, imiphumela emibi kanye ne-overdose
Abaningi bakholelwa ukuthi lesi sidakamizwa singokweqembu lezithasiselo ezisebenzayo (i-BAA), ngakho-ke ngeke kudale imiphumela emibi. Kodwa-ke, ukusetshenziswa kwayo kungadala izehlakalo ezingezinhle eziningi.
Iziguli zikhononda ngemisebe yokungezwani komzimba, ekhonjiswa ngokuqubuka okwenziwe esikhunjeni. Kukhona ezinye izibonakaliso zesikhumba - ukuvutha, ukulunywa, i-hyperemia, ngesinye isikhathi kukhanye.
Nge-pancreatitis, ngokumelene nesizinda sokusebenzisa umuthi, i-bronchospasm, isicanucanu, isisu esiswini, ukuphazamiseka kwendlela yokugaya ukudla ngendlela yesifo sohudo noma yokuqunjelwa.
Umthamo ongalungile wesidakamizwa se-cystic fibrosis ucasula i-colitis, izimpawu zesisu, ukwanda kobuhlungu, ukuntuleka kwama-phthalates. Uma enye yezimpawu ezisohlwini ibonwa, udinga ukukhansela ukuqokwa bese uthintana nodokotela ochwepheshe.
Uma kwenzeka kusetshenziswa i-overdose, isithombe sinje:
- Isicanucanu, ukuhlanza.
- Isifo sohudo noma ukuqunjelwa isikhathi eside.
- Ukucasuka kwesikhumba ku-anus.
Ukwenza ngcono inhlalakahle yesiguli, ukwelashwa okubonakalayo kuyadingeka, izidakamizwa zibekelwa ngokuya ngemiphumela emibi ebonisiwe.
Ama-enzemes akhona ekwelashweni athinta ukumuncwa kwe-folic acid. Uma uthatha iPanzinorm kanye nezimpawu zayo ngesikhathi esisodwa ukuthuthukisa isenzo, kunconywa ukuthi kuhlolwe njalo okuqukethwe usawoti we-folic acid emzimbeni. Ekuqoqweni okuphansi, ukugcwaliswa kabusha kwezinga kuyadingeka, ngakho-ke udinga ukuphuza amavithamini e-pancreatitis.
Ngomthamo omncane wePanzinorm, kuvunyelwe ukuthatha kanyekanye izidakamizwa okuhloswe ngazo ukunciphisa i-acidity yejusi yesisu.
Imiyalo yokusebenzisa umuthi iPanzinorm
Lapho udokotela ethi lo muthi, igama alisho lutho ezigulini eziningi. Ngakho-ke, bafuna incazelo yemithi yombuzo othi "Imiyalelo yePanzinorm Forte 20000 ngentengo yokusetshenziswa." Ungathenga umuthi ekhemisi, intengo ingama-ruble angama-70 ngephakethe ngalinye lamaphilisi. Akudingeki ukuthi uthole incwadi kadokotela.
Imiyalo yokusebenzisa iPanzinorm Forte inezici ezithile okufanele uzijwayeze zona ngaphambi kokusebenzisa umuthi. Amathebulethi kufanele adakwe ngenkathi edla. Awukwazi ukuhlafuna, ukugwinya kuphelele. Ukwenza lula ukuphuza, phuza uketshezi oluningi.
Udokotela uzonquma umthamo ngamunye. Kuyathinteka ngeminyaka yesiguli, ubukhulu bezinkinga zokugaya ukudla, nezinye izinto, njengokukhulelwa.
Ukusetshenziswa kwePanzinorm Forte 20000:
- Kwi-pancreatitis engapheli, amaphilisi ama-1-3 anikezwa ngokudla.
- Ngokwesincomo sikadokotela, kuvunyelwe ukwandisa umthamo kumathebulethi ayi-6.
- Umthamo omncane ithebhulethi engu-1, umthamo omkhulu yizicucu ezi-6.
Uma kudingekile ukusebenzisa umuthi ngaphambi kokuhlolwa kwe-ultrasound, khona-ke kuqala ukuthatha izinsuku ezimbalwa ngaphambi kokukhohlisa kwezokwelapha. Dose 2 amaphilisi, imvamisa yokusetshenziswa - amahlandla ama-3 ngosuku. Ukuhambisana kwesidakamizwa iPanzinorm neziphuzo zotshwala kuyinto zero. Ngale nhlanganisela, ukwehla emiphumeleni yokwelapha kubhekwa kuze kungabikho kwayo ngokuphelele.
Ungayithatha kanjani iPanzinorm, udokotela uzotshela. Imvamisa umuthi ungamaphilisi ama-1-3, qala ukuthatha ngesiqeshana esisodwa. Uma kungekho ukusabela okungekuhle, umthamo uyandiswa kancane kancane.
Ezinganeni, umthamo ubalwa ngokuya ngesisindo. Kuze kube yiminyaka emi-4, kungadluli amayunithi ayinkulungwane ngekhilogremu yesisindo ekudleni ngakunye.
Uma ingane indala kuneminyaka engu-4 ubudala, khona-ke umthamo wesithako esisebenzayo awudluli amayunithi angaphezu kwama-500 ngekhilogremu ngayinye ngokudla.
Analogs nokubuyekezwa kokwelashwa ngePanzinorm
Iziguli eziningi zifuna umbuzo "wokubuyekezwa kwama-analogues." Yicabangele ngokugcwele. Ukubuyekezwa mayelana nePanzinorm kuhlukile, kepha imibono yeziguli eziningi eziphuze lo muthi iyakhayo.
Izinzuzo zomuthi zifaka inhlanganisela emangalisayo yamanani aphansi nekhwalithi enhle, umphumela oqinisekisiwe oza ngokushesha okukhulu. Umuthi we-enzyme wethenjwa ngochwepheshe bezokwelapha nodokotela.
Ukulungiselela okufana nePanzinorm 10000 - iPangrol 10000 (amaphilisi), uCreon (amaphilisi), iPancreatin Forte (amaphilisi), iMezim Forte (amaphilisi), i-Digestal (amaphilisi). Ama-analogues ePanzinorm Forte 20000 afaka iPancreasim, iPancitrat, iHermitage nezinye izidakamizwa.
Ake sibheke ezinye imininingwane ngezindlela eziningi:
- I-Pangrol iqukethe i-pancreatin esebenzayo yesithako. Njengezinto ezisizayo, izengezo zazengezwa - i-magnesium stearate, i-silicon dioxide, i-microcrystalline cellulose. Kunqunyelwe i-pancreatitis, umdlavuza we-pancreatic, izifo zamathumbu, ukuphazamiseka kwendlela yokugaya ukudla, uma kunomlando we-bowel syndrome. Musa ukuthatha ngokwanda kwe-pancreatitis, ukungabekezeleli ukwakheka, i-pancreatitis eyingozi.
- IMezim Forte ifaka i-pancreatin. Umuthi awugxilwanga, kepha ukhishwa kanye nokuqukethwe yisisu. Imiselwe i-dyspepsia, i-flatulence, ukuphazamiseka kokusebenza kwepheshana lesisu. Kuvunyelwe ukusetshenziswa ngokudla okunamafutha nokuningi okusindayo. Akunakwenzeka ngesimo esibi se-pancreatitis, kanye nokuphikisana nesizinda sokuqhuma kokuvuvukala okungapheli kwama-pancreas.
- Amakhompiyutha amaCreon anokuqanjwa okufanayo nokuphikisana. Kuthathwe kancane ngaphambi kokudla nangesikhathi sako. Umthamo ojwayelekile yithebhulethi elilodwa. Kamuva, kancane kancane anda. Ayikho imininingwane ngokuphepha kwezidakamizwa ngesikhathi sokukhulelwa nokuqunjelwa.
Imvamisa, iPanzinorm ithathelwa indawo yiPancreasim. Kumele kuthathwe ngesikhathi sokudla, umthamo uyahlukahluka kusuka kwithebhulethi eli-1 liye kwele-4. Umthamo wansuku zonke izingcezu ezi-6-18. Amathebulethi anciphisa ukumuncwa kwensimbi emzimbeni. Izichasiselo zikhombisa ukusabela okungekuhle ngendlela yokucanuzelelwa kwenhliziyo, ukuhlanza, ukuhudula. Kepha ukubuyekezwa kweziguli akumaki ukukhula kwazo. Ngakho-ke, singaphetha ngokuthi umuthi ubekezelelwe kahle.
Yiziphi izidakamizwa ezisetshenziswa ekwelapheni ochwepheshe be-pancreatitis ezizotshela kuvidiyo ekulesi sihloko.
