Kukonzekera kwa enzyme ya Penzital kumapangidwa mwa mapiritsi okhala ndi mphamvu, chophatikizira chachikulu ndi pancreatin ndi enzymatic ntchito ya lipase, amylase ndi proteinase. Kuphatikiza apo, kapangidwe kazinthu kameneka kamakhala ndi zinthu zothandizira, kuphatikizapo lactose monohydrate, zomwe ziyenera kukumbukiridwa ngati gawolo siligwirizana.
Kodi mapiritsi amathandizira bwanji? Mankhwalawa amalimbikitsidwa kwa odwala omwe ali ndi vuto losakwanira la pocrreatic pancreatic, kuti azigwira bwino ntchito m'mimba, amatha kuphwanya mafuta ndi mapuloteni kukhala tinthu tating'onoting'ono.
Chifukwa cha kukhalapo kwa chipolopolo chapadera, phale limasungunuka kokha m'matumbo aang'ono, ndipo pamayamba kuyipa kwina m'thupi. Peak ntchito ya mankhwalawa imawonedwa pakatha mphindi 45 mutamwa mankhwalawa. Mtengo wapakati wanyamula mapiritsi ndi ma ruble 60.
Malangizo ogwiritsira ntchito mapiritsi
Mankhwala adapangidwira kuti azigwiritsa ntchito mkati mwa exocrine pancreatic insufficiency chifukwa cha matenda a chiwalo ichi, kuphatikizapo matenda kapamba. Amamulembera kuti athetse vuto pambuyo pa opaleshoni yodwala pakhungu, njira yogaya chakudya pambuyo pa chemotherapy ya zotupa za khansa mu ziwalo za m'mimba.
Zisonyezero zakugwiritsidwa ntchito kwa Penzital ndi cystic fibrosis, zolakwika pakudya, kugwiritsa ntchito zakudya pompopompo, kudya kwambiri, kutafuna ntchito (chakudya chambiri chikalowa m'mimba). Mapiritsi amayenera kuledzera pamaso pa x-ray, ultrasound yam'mimba.
Malangizo ogwiritsidwanso ntchito akuwonetsanso kutsutsana kwa mankhwalawa, omwe mukuwonjezeka kwa chiwopsezo cha kapamba (kapamba), mafinya komanso kukokomeza kapamba. Chotsutsana china ndi kusalolera kwa zinthu zomwe zikuchitika.
Imwani mankhwalawa mukamadya kapena mukangomaliza kudya, muyenera kumwa mapiritsi 1-2:
- kumeza lonse;
- osabera;
- imwani kapu yamadzi.
Akuluakulu amalimbikitsidwa katatu patsiku, kwa ana ochepera zaka 12, mlingo umatsimikiziridwa payekha kutengera kulemera kwa thupi.
Kutalika kwa maphunzirowa ndi kuyambira masiku angapo mpaka miyezi ingapo, dokotala amasankha nthawi yayitali yochiritsidwayo, kuyambira pakuzindikiridwa ndi mawonekedwe a thupi la wodwalayo. Ubwino wosakayikitsa wa mankhwalawa ndikuti siwowonjezera, palibe chizindikiro chochotsa mankhwala mukamaliza kulandira chithandizo.
M'mimba, chitetezo chogwiritsa ntchito mankhwalawa sichidaphunziridwe kwathunthu, chifukwa chaichi, chithandizo chovomerezeka chimaperekedwa kuti phindu lomwe limakonzekera limakhala lokwanira kangapo kwa chiwopsezo cha mwana.
Ponena za nthawi yoyamwitsa, Penzital imaloledwa, koma muyenera kuwunika momwe mwanayo amvera mankhwalawo, zochita zake zonse, zotupa za pakhungu sizimachotsedwa.
Zikatero, muyenera kusiya kumwa mapiritsi.
Zosintha zosiyanasiyana, bongo, kuyanjana
Penzital nthawi zambiri imavomerezedwa ndi odwala omwe ali ndi vuto losatha la kapamba, omwe amakhala ndi chidwi chodziwika bwino cha mankhwalawo, kusokonezeka kwa ziwalo zosiyanasiyana ndi machitidwe amadziwika.
Kuchokera m'mimba mumimba, kudzimbidwa, kulemera m'mimba, kuchepa kwamatumbo, kuyamwa kwa mawonekedwe am'malo a perianal fold, flatulence, nseru, ndi kusanza. Zimachitika kuti thupi limayankha pamapiritsi posintha mayeso a mkodzo, kuwulula hyperuricemia, hyperuricosuria.
Odwala ena ali ndi ming'oma, pez, zotupa pakhungu, redness, komanso kuyabwa kwambiri. Kuwonetsedwa kotereku sikuwopseza thanzi, sikuwopsa, ndipo kumadutsa mwachangu mutatsitsa kapena kusiya kuchiritsa.
Ngati wodwala wokhala ndi cystic fibrosis amatenga kwambiri, amatha kuyamba kukulira m'matumbo a colrous. Ngati wodwala mwangozi, wodwalayo amakula:
- kudzimbidwa
- kusanza
- nseru
Zizindikiro zotere zimafunikira chithandizo.
Kukonzekera kwa enzyme sikuyenera kutumizidwa kwa odwala komanso kukonzekera kwachitsulo; mothandizidwa ndi mapiritsi, kuletsa komanso kuyamwa kwa chitsulo kumadziwika. Ndikwabwino osagwiritsa ntchito mankhwalawa ndi mankwala, izi zimachepetsa kuchiritsa kwa Penzital.
Zina zomwe muyenera kudziwa
Mlingo wa mankhwala osakhazikika pancreatitis ndi cystic fibrosis ayenera kuwerengera aliyense wodwala, kupewa mankhwala osokoneza bongo osagwirizana ndi kukula kwa fibrotic colonopathy.
Zaka zambiri zokhudzana ndi kugwiritsa ntchito mapiritsi a ana pasukulu yocheperako ndizochepa kapena sizikupezeka konse, pachifukwa ichi, kufunsira kwa dokotala ndikofunikira musanalandire chithandizo. Panthawi ya mayeso azachipatala, panalibe zokhudzana ndi mutagenic, teratogenic komanso embryotic, koma amayi oyembekezera amayenera kusamala chifukwa matupi awo amatha kuyankhira chithandizo mosasamala.
Malinga ndi ndemanga, mapiritsi samakhudzana ndikugwira ntchito kwa mtima wamanjenje, sikuletsedwa kuyendetsa magalimoto pamankhwala, kusamalira machitidwe ovuta omwe amafunikira chidwi chochulukirapo.
Mankhwala angagulidwe ku pharmacy popanda mankhwala kuchokera kwa dokotala, ma CD amayenera kusungidwa kutali ndi ana aang'ono, ayenera kukhala malo owuma komanso abwino.
Moyo wa alumali umawonetsedwa pamapaketi, nthawi zambiri zaka ziwiri kuyambira tsiku lomwe mapiritsi adapangidwira. Ndizoletsedwa kuphatikiza mowa ndi penzital.
Mndandanda wa mankhwala Penzital
Makonda otchuka a Penzital ndi mapiritsi a Creon, Festal, Mezim, Panzinorm ndi Pancreatin. Mwa iwo, kuchuluka kwa mankhwala omwe amagwira ntchito mosiyanasiyana ndi kosiyana, chifukwa chake sikuli koyenera kuti musinthe mankhwala omwe adanenedwa ndi dokotala nokha. Muyenera choyamba kumveketsa limodzi mulingo woyenera komanso watsiku ndi tsiku Kodi ndi njira iti ya Penzital kapena Pancreatin? Ndizosatheka kuyankha mosasamala, popeza mankhwalawa ali ndi mitundu yosiyanasiyana ya zinthu zomwe zimagwira.
Nthawi zambiri, m'malo mwa Penzital, madokotala amapereka mankhwala a Mezim, omwe amagwira ntchito mankhwalawa amathandizira kuthetsa mavuto osiyanasiyana omwe amayamba chifukwa cha kuperewera kwa kapamba, ndikutsitsimutsa munthu pazinthu zosasangalatsa za chifuwa chachikulu cha kapamba. Gawo la trypsin limaletsa, limalepheretsa chinsinsi cha madzi a pancreatic.
Malongosoledwe a Mezim akuti athandizira kuthetsa kukhumudwa m'mimba komanso kuphukira kwam'mimba chifukwa chodya zakudya zambiri zosagwirizana. Piritsi liyenera kumamwa lonse, kutsukidwa ndi madzi oyera. Sizoletsedwa kupera mapiritsi, michere imasungunuka pamalo oyipa m'mimba, kuchepetsa mphamvu ya mankhwalawa.
Njira yolandirira:
- akuluakulu ayenera kumwa mapiritsi 1-2 kamodzi patsiku;
- ana azaka 12-18 zaka mankhwala 20,000 IU a kilogalamu kulemera;
- Ana ochepera zaka 12 ayenera kupatsidwa 1,500 IU pa kilogalamu ya kulemera.
Kugwiritsa ntchito matenda apakhungu a pancreatitis amatha kukhala osakwatiwa, ngati kuli kofunikira kuthetsa kuphwanya kwakanthawi kwam'mimba, kapena kutalika ndi kutenga miyezi ingapo.
Mankhwala Mezim amaletsedwa ndi tsankho limodzi ndi zigawo zikuluzikulu za mankhwala, kumva kwambiri kwa thupi. Pamafunika kuti muzisamala kuti mapiritsi sangathe kudya nthawi yayitali ya kutupa m'matumbo, apo ayi nthendayo imakulanso.
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 atenga Mezim kwa nthawi yayitali limodzi ndi mankhwalawa, kufalikira kwa chitsulo m'matumbo kumachepa, kuchepa kwa magazi, kufooka kwa khungu, kufooka kwa minofu, komanso kulakwitsa kwa ntchito. Mezima akamagwiritsidwa ntchito limodzi ndi kukonzekera kwa antacid komwe kumakhala ndi calcium ndi magnesium, ntchito ya wothandizira enzyme idzachepa.
Chithandizo cha kapamba chikufotokozedwa mu kanema m'nkhaniyi.
