Panzinorm (INN - enzyme yambiri) ndi mankhwala ovuta omwe amaphatikizapo zinthu zingapo za enzyme. Amagwiritsidwa ntchito kukonza njira yogaya.
Popeza kapamba wa kapamba ndiye gwero lenileni la michere ya kugaya chakudya mthupi, njira zambiri zamomwe zimayambitsa matenda zimapangitsa kuti ntchito ya secretion isokonekere. Panzinorm imagwiritsidwanso ntchito ngati chithandizo chothandizira.
Fomu Yotulutsira Mankhwala
Mlingo wa Panzinorm ndi makapisozi ndi mapiritsi. Makapisozi, mogwirizana ndi zonse zofunika ku Europe posungira ndi kugulitsa zamankhwala, amakumbidwa m'mbale zachitsulo, zomwe zimayikidwa mu phukusi lotsatira ndi malangizo omwe aphatikizidwa. Phukusi lililonse lili ndi mbale zingapo.
The yogwira ndi pancreatin ufa (porcine) 96.6 - 123.9 mg molingana ndi ntchitoyo (muyeso umachitika mogwirizana ndi European Pharmacopoeia (mu dsl unit):
- lipases (enzyme yomwe imayambitsa kuphwanya mafuta) magawo 10,000;
- ma amylases (enzyme yomwe imayang'anira chimbudzi chamoto)> ma unit 7,200;
- proteinolysis> 400 PIECES.
Kapu imodzi ili ndi magawo 10,000 a milase yogwira, ndi piritsi, magulu 20,000 ogwira ntchito. Chifukwa chake mayanjano mumagulu azamalonda awa: Zithunzi zotere pamsika wamankhwala zimapezeka:
- Panzinorm 10000
- Panzinorm forte 20000
Mtundu wa Panzinorm ndi wa KRKA yayikulu yamankhwala.
Popanga mankhwala omwe amagwiritsidwa ntchito popanga nyama - pancreatic michere ya nyama artiodactyl.
Zambiri za pharmacokinetics ndi pharmacodynamics
Mankhwala ali ndi enzymatic pharmacological kwenikweni. Ndikukonzekera kwa multienzyme komwe ntchito yake imapangidwa ndi kapangidwe kake.
Zomwe zimapangidwira zimalowa m'malo mwa exocrine pancreatic insuffence
Ntchito yapamwamba ya lipase ili ndi gawo lofunikira pothandizira mankhwalawa chifukwa cha kuchepa kwa chitetezo cha pancreatic.
Lipase amalimbikitsa kusweka kwa lipid ndi ma hydrolysis zochita, kuwapangitsa kuyamwa kwawo ndi mayamwidwe a mavitamini a hydrophobic (mafuta-sungunuka).
Amylase amalimbikitsa chimbudzi cha chakudya cham'mimba ndi magawidwe awo oyambukira mu monosaccharides.
Mapuloteni amagaya mapuloteni.
Kuti mufike pofunsira, mankhwalawa adatsekeka mu chipolopolo choteteza cha gelatin, pomwe ma enzymes amayamba kumasulidwa kokha mu duodenum, momwe njira za enzymatic zimachitikira.
Mankhwala mogwirizana ndi cholowa m'malo amachotsa zizindikiro za kudzimbidwa:
- kulemera m'mimba;
- kusefukira kwa m'mimba;
- kusangalatsa ndi kutulutsa;
- kusowa kwa mpweya;
- kupuma movutikira komwe kumakhudzana ndikudya komanso kuchuluka kwa mpweya m'matumbo akulu, zomwe zimapangitsa kuti zisasunthe;
- kudzimbidwa kapena kudzimbidwa.
Kuphatikiza apo, mankhwalawa amathandizira kukonza magayidwe am'mimba mwa ana, pomwe amalimbikitsa kaphatikizidwe ka michere ya pancreatic ya "kupanga".
Malangizo ogwiritsira ntchito mankhwalawa
Panzinorm forte ndi Panzinorm wamba ali ndi zofananira pakugwiritsa ntchito, ndipo amatha kusiyanasiyana pokhapokha pochitika mosiyanasiyana.
Izi zimachitika chifukwa chakuti mankhwalawa amasiyana mosiyanasiyana mu mawonekedwe a fort.
Musanagwiritse ntchito mankhwalawa, ndikulimbikitsidwa kukaonana ndi dokotala pankhaniyi.
Gastroenterologists amalemba mankhwalawa motsatira:
- Kuperewera kwa exocrine pancreatic ntchito. Vutoli limakonda kuphatikizidwa ndi kupindika kwa kapamba kapena matenda amtundu, omwe amaphatikizidwa ndi kuchepa kwa ma gland onse a exocrine - cystic fibrosis. Kuperewera kwa ntchito zachinsinsi kumawonedwa chifukwa cha kusinthidwa kwa minofu yolumikizana yogwira.
- Matenda a pathological a ziwalo, mwachindunji amatenga gawo logaya chakudya, monga m'mimba, matumbo, chikhodzodzo ndi chiwindi.
- Zochitika pambuyo pa kuvulala kwa ziwalo
Malangizo omwe angagwiritse ntchito mankhwalawa amafotokoza bwino ndikuwunika mwatsatanetsatane mawonekedwe a pulogalamuyi. Koma simuyenera kuchita chithandizo mosadalira, komabe, khulupirirani ndemanga za akatswiri pazamankhwala.
Mlingo woyenera umatengera mwachindunji kuchuluka kwa kuchepa kwa enzymatic.
Mankhwala amatengedwa pakamwa, ndi zakudya. Makapisozi amayenera kumezedwa lonse, osafuna kutafuna, ndi madzi ambiri.
Kusankhidwa kwa mlingo ndi nthawi ya chithandizo chimasankhidwa payekha, kutengera zaka zomwe wodwalayo ali nazo, kuchuluka kwa zosakwanira za exocrine pancreas.
Kuphatikiza apo, mankhwala omwe anadyedwa asanachitike amathandizanso pakusintha kwa mlingo.
Contraindication kugwiritsa ntchito mankhwalawa
Kuphwanya kwakukulu ndikofunikira kukusonyezedwa patsamba.
Popewa kupezeka kwa zovuta, muyenera kufunsa dokotala musanagwiritse ntchito mankhwalawo ndikufotokozerani kuti mwina wodwalayo angakhale ndi zowonjezera zina zomwe angagwiritse ntchito.
Gawo ili la malangizo liyenera kuphunziridwa mosamala kwambiri kuti mupewe zovuta.
Milandu yayikulu ikuphatikiza:
- monga momwe amakonzekera onse a zamankhwala, kuponderezana kwakukulu ndikuwonjezera chidwi cha mapuloteni a nyama kapena zinthu zina za mankhwala (kuphatikiza nembanemba yoteteza ndi kupatsirana);
- pachimake kapamba;
- aakulu kapamba mu pachimake siteji;
- zaka za ana mpaka zaka zitatu (chifukwa cha mawonekedwe a mawonekedwe - makapisozi ndi mapiritsi, mankhwalawa mu mawonekedwe a madzi ndi kuyimitsidwa sikupezeka);
- ana ndi achinyamata osakwana zaka 15 ndi matenda okhazikika - cystic fibrosis.
Mosamala, mankhwalawa ayenera kugwiritsidwa ntchito panthawi yomwe ali ndi pakati komanso mkaka wa m`mawere.
Ngati mukufunika kugwiritsa ntchito mankhwalawa, ndikofunikira kuonana ndi dokotala, katswiri wa gastroenterologist komanso dokotala wazachipatala yemwe amachititsa mayiyo.
Zomwe zilipo Panzinorm analogues
Kusankha mankhwala oyenera kwambiri, muyenera kuyerekeza mndandanda wonse wazomwe zimaperekedwa pamsika wamankhwala apafupi.
Mwamwayi, kusankha kumakhala kokwanira mokwanira, ndipo kusankha cholowa m'malo sikovuta. Ndikofunikira kuti musangoganizira mtengo wokongola wa mankhwalawo, komanso mtundu wake wa zida zake.
Mtengo wa Panzinorm, si aliyense amene angaoneke ovomerezeka. Kenako odwala amayamba kukayikira ngati Panzinorm kapena Pancreatin ndibwino thanzi lawo. Kupatula apo, mtengo wotsirizira umawoneka wokongola kwambiri kuposa mnzake wakunja.
Ma fanizo odziwika kwambiri a Sloven Panzinorm ndi awa:
- Pangrol.
- Chiboni.
- Pancreatin ndi analogue a Mezim.
- Chimbudzi;
- Pancreasim
- Malembo.
- Micrazim. Ndi anthu ochepa omwe adamva za mankhwalawa, koma poyankha funsoli, Pancreatin kapena Mikrasim ndiwabwino, yankho limayimira Mikrasim, chifukwa amanyamula chinthu chogwira ntchito monga ma microspheres.
Pakadali pano, akatswiri azamankhwala nthawi zambiri amafunsidwa ngati Hermital kapena Pancreatin ali bwino. Chifukwa cha Mezim, mankhwalawa ndi fanizo lathunthu.
Musanagwiritse ntchito, muyenera kufunsa katswiri wamankhwala.
Zomwe mankhwala othandizira pancreatitis akufotokozedwa muvidiyoyi.
