Mezim Forte - mankhwala omwe akulimbikitsidwa kuti adzazidwe mu kuperewera kwa michere. Mankhwalawa nthawi zambiri amatchedwa kuti mankhwala othandiza kuti muthe kugaya bwino chimbudzi, kusintha magwiridwe antchito am'mimba. Mankhwalawa amachotsa matenda am'mimba, amasonyezedwa pamaso pa ma ultrasound ndi x-ray.
Mapiritsi amalembedwa peptic zilonda zam'mimba ndi duodenum, gastritis, enteritis, matumbo, dysbiosis ndi chifuwa chachikulu. Mankhwala am'badwo watsopano ali ndi lipase ,asease ndi amylase, zinthu zimapangidwa kuti zizipatsa chakudya chokwanira, kuchotsera zomverera zosavutikazo m'mimba, ndikuthandizanso kutulutsa.
Mtengo wa Mezim umasiyana pamadera osiyanasiyana mpaka pamalonda, pafupifupi mtengo wake ndi ma ruble 240 aku Russia.
Malangizo ogwiritsira ntchito mapiritsi
Mezim ikhoza kugulidwa ngati mapiritsi, zinthu zazikulu zomwe zimagwira ndi pancreatin ndi ma enzymes achilengedwe. Mezim forte 10000 ilinso ndendende kuchuluka kwa lipase iyi, palinso mankhwala mu 20,000. Mankhwala opezeka pamalowo amatetezedwa ndi kuphatikizika kwapadera, amasungunuka kale mu duodenum, ating kuyanika amakana madzi a m'mimba.
Kukhalapo kwa magawo omwe amagwira ntchito omwe amapanga mankhwalawa munthawi yochepa kumapangitsa kuti pakhale zovuta kuti muchepetse kusokonezeka chifukwa cha kusowa kwa ma enzymes, chotsani zizindikiro zina za kapamba wambiri.
Chalimbikitsidwa pakudya zakudya zosagwirizana bwino, motsutsana ndi kutulutsa magazi ndi kugaya chakudya m'mimba. Mankhwalawa atha kugulidwa ku malo ogulitsa mankhwala osalandira mankhwala kuchokera kwa dokotala, koma simuyenera kumangoganiza nokha kuti mupeze chithandizo choyenera.
Imwani mapiritsi:
- musanadye kapena chakudya;
- kumeza lonse, osafuna;
- imwani zamadzi zambiri.
Ngati piritsi laphwanyidwa, chipolopolo chiwonongeka, ma enzyme amasungunuka pamalo oopsa, kugwiritsa ntchito bwino mankhwalawa kumachepa.
Munthawi zonsezi, njira yochiritsira ndiyomwe munthu amakhala nayo, zimatengera kuuma kwa njira ya momwe zimayendera, Zizindikiro za matendawa komanso zaka zake.
Akuluakulu ayenera kumwa mapiritsi 1-2 katatu patsiku, ana azaka 12-18 zaka zotchulidwa 20,000 IU za kilogalamu imodzi ya kulemera, ana osaposa zaka 12 ayenera kupatsidwa 1,500 IU pa kilogalamu ya thupi.
Kugwiritsa ntchito matenda apakhungu a pancreatitis amatha kukhala osakwatiwa, ngati kuli kofunikira kuthetsa kuphwanya kwakanthawi kwam'mimba, kapena kutalika ndi kutenga miyezi ingapo.
Contraindication kuti agwiritse ntchito, kuyanjana
Mezim, ake analogue ndi choloweza mmalo amaletsedwa pamaso pa munthu tsankho kwa zosakaniza za mankhwala, kumva kwambiri thupi. Ndikofunika kulabadira kuti mapiritsi sayenera kudyedwa pakadali pano chifukwa cha zotupa m'mapapo, apo ayi matendawa azikulirakulira.
Mankhwalawa, mavuto amatha kuchitika mwa kugwidwa ndi mseru, matumbo, matumbo, chimbudzi ndi kupweteka pamimba. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumawonjezera kuchuluka kwa uric acid, kukula kwa matenda a hyperuricemia.
Ngati wodwala amagwiritsa ntchito Mezim kwa nthawi yayitali limodzi ndi kukonzekera kwachitsulo (mwachitsanzo, Iron sulfate, Sorbifer), kuyamwa kwamatumbo kumachepa, mu vuto ili ndi vuto la kuchepa magazi, khungu lotupa, kufooka kwa minofu, kusokonekera kwa ntchito, chidwi.
Ndi kugwiritsa ntchito pamodzi kwa Mezim ndi kukonzekera kwa Santacid komwe kumakhala calcium ndi magnesium, kuchepa kwa mphamvu yakale kumawonedwa.
Pachifukwa ichi, madokotala amalimbikitsa kuwonjezera kuchuluka kwa kukonzekera kwa enzyme.
Mafanizo otchuka
Pharmacology imatha kupereka malo angapo a Mezim, osagwiritsidwa ntchito kwambiri pancreatitis yovuta komanso mavuto ofanana ndi kugaya chakudya m'mimba. Wothandizila aliyense amakhala ndi ndende ya amylase yosiyanasiyana, monga momwe ndemanga za odwala zimawonetsera, ma analogu sikuti nthawi zonse amakhala olakwika.
Kuphatikizika kwa mapiritsi ndi makapisozi kumakhala ndi michere ya nyama ndi kapamba, ma analogue otsika mtengo kwambiri komanso otchipa kwambiri a Mezim ndi Festal, ndipo Pancreatin adalembedwanso. Opanga amawonetsa kuti amagwira ntchito bwino popewa kugaya chakudya, kudya mopatsa thanzi, kukhala phee, kukhala pansi komanso kukwiya.
Madokotala akuti ndikosayenera kuyika m'malo mwa enzymeyo pakokha, zimakhudza matendawa m'njira zosiyanasiyana. Ma fanizo odziwika a Mezim ndi: Festal, Creon, Penzital, Panzinorm, Biofestal.
Mapiritsi otchuka a Festal amapangidwa ndi:
- kapamba;
- hemicellulose;
- bovine bile.
Kusiyana kwakukulu kuchokera ku Mezim ndikomwe kuli koyambirira. Bovine bile ndiyofunikira kuyambitsa kupanga kwa ma pancreatic Enzymes ake, koma kuyanjana kwa mankhwala ku Festal kumakhala kotalikirapo kuposa ku Mezim. Zomwe zimayenera kutumikiridwa mu nthawi yayitali ya kapamba, ziyenera kutsimikizidwa ndi adokotala okha.
Creon ndi kapisozi kamene kamakhala ndi mini-microspheres ya porcine pancreatin. Chochita chimasungunuka bwino komanso mwachangu m'mimba, chimasakanikirana mosavuta ndi zomwe zili. Atasungunuka, Creon wokhala ndi chakudya chimalowa m'matumbo, ma microspheres a chinthucho amasungunuka mwachangu mmenemo.
Mankhwalawa ndiokwera mtengo, amadziwika ndi kuthekera kophula zamadzimadzi, chakudya komanso mapuloteni, pambuyo pake amamwa matumbo. Panthawi yamankhwala, mukuyenera kuyang'anitsitsa mankhwalawa akumwa, mwanjira ina, kudzimbidwa, zovuta zina zamtulo zimachitika.
Analogue yothandiza ya Mezim inali mankhwala Panzinorm, m'mawu ake:
- lipase;
- trypsin;
- alpha amylase;
- chymotrypsin.
Zinthu izi zimathandizira kugaya chakudya, kuchepetsa mavuto obwera chifukwa cha kupukusira kwa kapamba.
Ma pancreatic michere amatulutsidwa m'malo amchere wamatumbo, chifukwa amatetezedwa ndi nembanemba wapadera kuchokera kuukali wa madzi a m'mimba. Kumwa mapiritsi ndi mowa sikulimbikitsidwa.
Kumtunda kwamatumbo ang'onoang'ono, trypsin imalepheretsa kapamba, komwe kumapangitsa kuti mankhwalawo akhale a analgesic. Chifukwa cha kuchuluka kwa ntchito ya lipase, mapiritsi ali ndi gawo lofunikira kwambiri pakuthandizira kugaya chakudya, kuthetsa mavuto omwe amabwera chifukwa cha kuperewera kwa michere.
Chifukwa cha lipase, lipids imasweka kukhala glycerol ndi mafuta acids, ndipo kuyamwa kwa mavitamini osungunuka kwamafuta kumatsimikiziridwa. Sinthani michere kukhala ma dextrins ndi glucose ndizotheka chifukwa cha kukhalapo kwa amylase, ndipo proteinase ndiyo imayendetsa mapuloteni.
Panzinorm imathandizira kuyamwa kwa michere, kukonza chimbudzi, ndikukhala njira yodzitetezera ku steatorrhea yogwirizanitsidwa ndi chifuwa chachikulu. Mankhwalawa amatha kuthandizira kuchepetsa ululu pakatupa m'thupi, izi zimagwirizanitsidwa ndi kulepheretsa kumasulidwa kwa pancreatic madzi ndi michere yake.
Ngati mankhwala osokoneza bongo, zotsatira zosiyana zimawonedwa.
Ana ndi amayi apakati
Pazisonyezo zina, wothandizila enzyme amapatsidwa mankhwala ochizira amayi oyembekezera, omwe amakhala ndi ana ndi ana. Chithandizo cha matenda a kapamba mu ana, kutsutsana ndi maziko a matenda am'mimba komanso matenda a duodenum, amachitidwa ndi maphunziro omwe amatenga masiku anayi mpaka mwezi umodzi.
Kutsogolera kayendetsedwe kazinthu zina, mapiritsi okumbira amaloledwa, ufa womwe umasungunuka umasungunuka m'madzi, yankho limakokedwa mu syringe, ndipo wodwala amizidwa. Tisaiwale kuti kugwiritsa ntchito njira imeneyi sikwabwino;
Wothandizira enzyme sikuletsedwa panthawi yomwe ali ndi pakati komanso mkaka wa m`mawere, koma ndikofunikira kulingalira kuti kafukufuku wa sayansi pa odwala a gululi sanachitike. Mapiritsi ayenera kugwiritsidwa ntchito pokhapokha ndi malangizo apadera a dokotala.
Mankhwala amatchulidwa pansi poti phindu la mankhwalawa limaposa zovuta zomwe zingavulaze mwana wosabadwayo. Ngati mankhwalawa akayamba kunyansa, thupi liyenera kusiyidwa.
Zambiri za Mezim Forte zaperekedwa mu kanema munkhaniyi.
