Kukonzekera kwamphamvu, kapena, mwanjira ina, ma enzymes, amakhala ndi gawo lofunikira kwambiri pamakampani opanga mankhwala. Awa ndimankhwala omwe palibe wodwala yemwe ali ndi matenda am'mimba amatha kuchita popanda, kugwiritsa ntchito ma enzymes sikuchepera pakati pa anthu athanzi kwathunthu.
Kukonzekera kosangalatsa ndi kumene kwachokera nyama ndi nyama. Nyama zimachita zinthu mwachangu komanso moyenera, mbewu ndizoyenera kudya nthawi yayitali. Mankhwalawa amapezeka m'mitundu iwiri yayikulu - mapiritsi ndi makapisozi.
Oimira mapiritsiwa ndi Mezim, Pancreatin. Ndipo njira zomwe zili m'mapiritsi ndi Pangrol, Creon, Panzinorm.
Pali zonena kuti makapisozi ndi othandiza kwambiri chifukwa ma enzyme samapangidwa m'mimba. Mafomu omwe ali ndi mawonekedwe amatha kuchiritsa, koma amakhala ofooka.
Ma enzyme omwe amapezeka pokonzekera ali ndi izi:
- ntchito ya amylolytic - kuthekera kwa mankhwalawa kuwononga chakudya;
- ntchito ya proteinolytic - kuwonongeka kwa mapuloteni;
- ntchito ya lipolytic - kuwonongeka kwa mafuta.
Kutha kugwetsera zinthu zina kumatsimikiziridwa ndi gulu la michere yophatikizidwa ndi mankhwala. Komanso, monga chowonjezera, nthawi zambiri ndimagwiritsa ntchito bile, yomwe imathandizanso kuphwanya mafuta koma, mwatsoka, gawo ili limakhala ndi zotsutsana zambiri. Chifukwa chake, musanatenge kukonzekera kwa enzymatic ndi bile, muyenera kufunsa katswiri.
Kugwiritsa ntchito Pangrol pakalibe matenda am'mimba
Kwa anthu athanzi, ma enzyme amatha kukhala mankhwala omwe amathandizira kubwezeretsa chimbudzi pakatha nthawi yatchuthi.
Kuphatikiza apo, zida zotere zimathandizira kukonza maonekedwe a munthu.
Kugwiritsa ntchito ma enzymes kumathandiza munthu amene ali ndi vuto la m'mimba kuti azigwira bwino ntchito ndikuchepetsa katundu pazinthu monga chiwindi ndi kapamba.
Kodi zizindikiro za kuchepa kwa enzymatic ndi ziti?
Kuperewera kwa Enzymatic amadziwika ndi:
- Ngati kukalamba khungu kumawonedwa ndi kuwonongeka kwa vuto lakelo, mawonekedwe a makwinya oyamba, khungu laimvi.
- Kuchulukitsa kwa tsitsi, misomali yokhala ndi brittle - zonsezi zimatha kukhala chifukwa chosowa ma enzymes, chifukwa chomwe kunyowa kwa zinthu zofunika kuti mukhale ndi mawonekedwe abwino kumasokonekera.
- Zovuta za m'matumbo am'mimba ndizodzimbidwa kapena kutsegula m'mimba, zomwe zimapangitsa kuti pakhale chakudya chosagwirizana bwino.
- Kuchepetsa mphamvu ya chitetezo m'thupi, ndipo chifukwa, nthawi zambiri kumachitika chimfine.
- Kusokonezeka mu gawo la mahomoni, kusachita bwino kwa chithokomiro cha chithokomiro ndi gawo la endocrine la kapamba.
Chifukwa chake, zikuwonekeratu kuti kuchuluka kwa ma enzymes osakwanira kumayambitsa kuyamwa kwa zinthu zazikuluzikulu zopanga thupi - mapuloteni, mafuta ndi chakudya, komanso kuyamwa kwamadzi, mavitamini ndi kufufuza zinthu. Kuti muthane ndi izi, muyenera kusintha moyo wanu. Muyenera kutsatira zakudya zamagulu onse ndikuyesetsa kuchita masewera olimbitsa thupi moyenera.
Kuti mukwaniritse bwino komanso mwachangu, kugwiritsa ntchito enzymatic kukonzekera ndikotheka.
Pangrol - ndi chiyani?
Chimodzi mwazinthu zamphamvu kwambiri komanso zokonzekera za enzyme ndi Pangrol. Ikupezeka mu milingo ingapo: magawo 10,000, 20,000 ndi 25. Cholinga cha mtundu wina wa mankhwalawa zimatengera Mlingo wofunika tsiku lililonse, ndipo umasiyana mu chiwerengero cha milingo patsiku.
Pangrol ndi zovuta za ma enzymes amachokera ku nyama - lyophilized ufa (pancreatin) kuchokera ku zikondamoyo za nkhumba. Mlingo wa zochita za mankhwalawa makamaka umachitika chifukwa cha kachigawo ka lipolytic, ndiye kachigawo ka proteinolytic. Mlingo wa kuwonongeka kwa chakudya chamafuta umakhala wotsika kwambiri ndipo umaperekedwa ngati gawo lofunikira la chithandizo cha cystic fibrosis.
Mankhwalawa amathandizira pafupifupi kugaya zonse, chifukwa trypsin mu kapangidwe kake imatha, kuphatikiza mapuloteni, kuletsa katulutsidwe kapamba komanso kuchepetsa ululu. Izi mawonekedwe a mankhwalawa ndi oyenera kwambiri pochizira pancreatitis.
Pangrol ikupezeka m'mabotolo okhala ndi mapiritsi a mini mkati. Pamene kapisozi kamalowa m'mimba, chimasungunuka pansi pa zochita za acid ndikumatulutsa mapiritsi a mini omwe chipolopolo chake chimagwirizana ndi asidi. Kugawa kwofananira kwa zomwe zimagwiritsidwa ntchito ndi mapiritsi pamatumbo a chakudya kumachitika.
Ikalowa alkaline kapena malo osagwirizana ndi gawo la duodenum - izi zimathandizira kutsegula kwa ma enzymes.
Zizindikiro Pangrol
Chizindikiro chachikulu cha Pangrol ndi kusakwanira kwa exocrine pancreatic ntchito, yomwe imayenera kupereka thupi ndi ma enzyme. Zomwe zimayambitsa kuphwanya izi zingakhale:
- aakulu kapamba;
- kapamba;
- gastrectomy;
- chidakwa kapamba;
- cystic fibrosis;
- kutsekeka kwa msambo wa kapamba kapena wamba bile kumayambira ndi maselo kapena chotupa;
- pachimake kapamba, pamene wodwalayo asamutsidwa othandizira zakudya.
Pangrol amalembedwanso zochitika zina zowopsa:
- chisangalalo;
- matenda osapatsirana;
- kudya kwambiri kapena kudya zakudya zolemetsa;
- mukamamwa mowa;
- ndi moyo wosagwira ntchito kapena wosathazikika kwanthawi yayitali;
- pamaso pa zoperewera mu zida za kutafuna.
Kuphatikiza paziziwonetsero zonsezi, Pangrol amalembedwa asanapangitse maphunziro othandizira kuti azitha kuona bwino chithunzichi pochepetsa kutupa.
Malangizo ogwiritsira ntchito mankhwalawa
Mankhwalawa amaperekedwa pakamwa. Makapisozi sangathe kutafunidwa, chifukwa ma enzyme amatha kuwononga mucous membrane wamkamwa. Imwani mankhwalawo ndi madzi ambiri. Ngati kumeza kusokonezedwa kapena kudyetsa pogwiritsa ntchito probe, mutha kutsegula kapisozi ndikusungunula mapiritsi am'madzi kapena chakudya chamadzimadzi. Izi zosakanikirana sizitha kusungidwa, muyenera kuzigwiritsa ntchito mwachangu.
Mlingo wa mankhwalawa amasankhidwa payekha. Mlingo wokhazikika ndi Pangrol 10000 - kapisozi imodzi katatu patsiku musanadye. Pangrol 20,000 ndi 25 amagwiritsidwa ntchito kapisozi kamodzi kapena kawiri patsiku. Dokotala amasintha mlingo wa mankhwalawo, ngati kuli koyenera, muwonjezere. Mlingo wapamwamba wa tsiku lililonse kwa akulu ndi ana opitilira zaka 12 ndi magawo zana zana limodzi.
Ndi cystic fibrosis, ana osaposa zaka 4 amamulembera Pangrol pamiyeso ya mayunitsi 1000 pa kilogalamu ya kulemera, ndipo pambuyo pa 4x - 500 mayunitsi pa kilogalamu.
Popeza mankhwalawa samatengekedwa m'magazi, koma amagwira ntchito yakumatumbo, ilinso ndi zotsatira zoyipa, monga hepatotoxicity, nephrotoxicity. Zina mwazotsatira zoyipa ndi izi:
- kuchuluka kwa uric acid ndi mkodzo, mogwirizana ndi izi pakufunika kuwongolera mapangidwe a calculi;
- Kuchepetsa dera laococal mwa ana omwe ali ndi cystic fibrosis komanso kudya kwambiri Mlingo wa Pangrol. Vutoli likuwoneka bwino ndi kukula kwa matumbo, chifukwa chake, limafunikira kuwongolera mwamphamvu;
- mavuto a dyspeptic mu mawonekedwe a mseru, kusanza, kudzimbidwa, kutsegula m'mimba, kusokonezeka;
- thupi lawo siligwirizana - zotupa, kuyabwa, urticaria, lacrimation, bronchospasm.
Mankhwalawa amagwiritsidwa ntchito pochiza ana ndipo angagwiritsidwe ntchito mwa amayi apakati monga momwe dokotala akufotokozera ngati phindu lomwe mayi akuyembekeza limaposa chiwopsezo cha mwana. Mankhwala angagwiritsidwe ntchito pa mkaka wa m`mawere.
Cholepheretsa kugwiritsa ntchito Pangrol ndikumvetsetsa kwa mapuloteni a nkhumba, makamaka ngati pali mbiri yakale yokhudza nyama ya nkhumba.
Pangrol amatha kuchepetsa kuyamwa kwa folic acid, chifukwa chake kuphatikiza pamodzi ndi mankhwala omwe ali nacho sikungathandize. Ndipo koposa - kugwiritsa ntchito Pangrol nthawi yayitali, kuperewera kwa folic acid kumatha kuchitika, komwe kumadzadza ndi zovuta monga kuchepa magazi. Potere, njira zina zowonjezera za folic acid zakumwa ndizofunikira.
Pangrol nthawi zambiri amagwiritsidwa ntchito pa zovuta pakuchotsa matenda am'mimba, chifukwa chake, nthawi zambiri amaphatikizidwa ndi antiulcer mankhwala omwe amachepetsa acidity, mwachitsanzo, panthawi ya mankhwala a kapamba. Kuphatikizidwa ndi ma sorbents a poizoni wa chakudya.
Pangrol amatchulidwa limodzi ndi maantibayotiki pakafunika kuthandizira matenda am'matumbo.
Kupanga kwa mankhwala Pangrol
Patent ya mankhwalawa ndi mtundu wa Chitaliyana, koma amatulutsa mankhwalawo ndipo amakhala ndi ulamuliro wotsiriza ku Germany. Chifukwa chake, mankhwala a Pangrol amalowetsedwa ndipo amakhala otsika mtengo. Chingalowe m'malo ndi Pangrol ndikuti chingakhale chotsika mtengo bwanji?
Analogue yomwe siyotsika ndi Pangrol munjira yabwino, koma yotsika mtengo kawiri - ndi Creon. Zina zina ziwiri - Mezim Forte ndi Pancreatinum 8000. Mtengo wa pancreatinum ndi wochepera. Koma, malinga ndi ndemanga, mankhwalawa amakhalanso ndi phindu pa chimbudzi. Pancreatin sangathe kuthana ndi chifuwa chachikulu, koma amathandizira kuthetsa kusasangalala kwa kudya kwambiri.
Pambuyo pofufuza kukonzekera kwa enzymatic ndi kuchuluka kwa mtengo wawo kuti ukhale wabwino, titha kunena kuti kugwiritsa ntchito kapangidwe kake kakapangidwe kazidole kumathandizirabe, popeza ma enzymes ambiri amakhalabe ogwira ntchito atadutsa m'mimba. Ndikofunikanso kulingalira za payekha.
Inde, monga momwe tikuwonera mu malangizo omwe mungagwiritse ntchito, ma enzyme alibe zovuta zambiri, koma ndibwino kuti dokotala akupatseni mankhwalawa, poganizira zomwe wodwala aliyense ali nazo. Ngati ma enzyme amafunikira kuti mupumule bwino kapena mutakumba nthawi imodzi mutatha kudya, mutha kugwiritsanso ntchito mapiritsi okhala ndi mtengo wokwanira.
Dokotala amalankhula za mankhwalawa a kapamba mu kanema munkhaniyi.
