Enzystal ndi mankhwala othandizira opukusa okhala ndi michere.
Mankhwalawa amapezeka m'mitundu ingapo yamankhwala - ma mapiritsi ndi ma dragees. Mankhwala mu mawonekedwe a dragees ali ndi zokutira monga mawonekedwe a enteric.
Zigawo zikuluzikulu za mankhwalawa ndi pancreatin, hemicellulose ndi zinthu zomwe zimapanga bovine bile.
Mndandanda wazowonjezera za mankhwala, wogwira nawo ntchito yothandizira, umaphatikizapo mitundu iyi:
- lactose;
- magnesium wakuba;
- silicon dioxide;
- cellulose acetate phthalate;
- diethyl phthalate;
- shuga
- calcium carbonate;
- talc;
- chingamu;
- gelatin;
- titanium dioxide;
- njuchi;
- sera ya carnauba.
Piritsi ya mankhwalawa imakhala ndi mtundu woyera komanso mawonekedwe a biconvex. Mankhwalawa ali ndi zokutira shuga.
Piritsi lililonse limadzaza ndi khungu lake pachimake. Chithuza chilichonse chimakhala ndi mapiritsi 10 kapena dragees. Matumba awiriawiri kapena zidutswa zisanu ndi zitatu amadzaza m'matakada. Chofunikira phukusi lililonse ndi malangizo ogwiritsa ntchito.
Pharmacological kanthu, pharmacodynamics ndi pharmacokinetics a mankhwalawa
Zowonjezera zachilengedwe zamankhwala zimachitika chifukwa cha zigawo zikuluzikulu zomwe zimapanga kapangidwe kake.
Zinthuzi zimakhala ndi mphamvu ya amylolytic, proteinolytic komanso lipolytic pakhungu.
Kugwiritsa ntchito chida ichi kumakupatsani mwayi wopanga kuchepa kwa michere yopangidwa ndi kapamba, matumbo ochepa, m'mimba ndi chiwindi.
Kugwiritsa ntchito kwa Enzistal molingana ndi malangizo ogwiritsira ntchito kumathandizira kuti agwiritsidwe ntchito ngati cholowa pakuthowa kwa pancreatic enzyme.
Mankhwala amachititsa kuti izi zitheke:
- Chulukitsani chimbudzi ndi makonzedwe azinthu zopindulitsa za chakudya.
- Chotsani kumverera kwodzaza ndi m'mimba.
- Chotsani nkhawa m'mimba.
- Pewani kusefukira, kufupika ndi m'mimba.
- Imathetsa kudzikundikira kwa mpweya m'matumbo.
Kukhalapo kwa bovine bile kumakupatsani mwayi wowonjezera ntchito ya lipase komanso kumathandizira kuyamwa kwa mavitamini osungunuka A, E, K ndikubwezeretsa ntchito zambiri zam'mimba.
Kukhalapo kwa hemicellulose kumathandizira kusweka kwa fiber.
Mapiritsi, okhala ndi chipolopolo choteteza, samawululidwa ndi madzi am'mimba ndipo amatha kulowa m'matumbo, momwe ntchito yayikulu ya zigawo zamankhwala imachitikira.
Zizindikiro, contraindication ndi mavuto
Kukhazikitsa mankhwala kapena analogue kuyenera kugwiritsidwa ntchito kuti mupeze kuperewera kwa ntchito ya kapamba, matumbo, m'mimba, chikhodzodzo ndi chiwindi, zomwe mwina zimachitika chifukwa cha kukula kwa njira yotupa yopatsirana komanso kuchuluka kwa matenda obwera chifukwa cha kufooka kwa ziwalo.
Ndemanga zambiri za mankhwalawa zimawonetsa kukhudzika kwa mankhwalawa poyerekeza ndi cystic fibrosis, flatulence, kutsegula m'mimba ndi genesis yopanda matenda.
Kumwa mankhwalawa tikulimbikitsidwa kusintha chakudya cham'mimba mwa odwala omwe ali ndi vuto lakudya.
Zolakwika zingakhale
- kudya kwambiri;
- Zakudya zamafuta kwambiri
- kukhalapo kwa zowonongeka m'mano ndi mano a wodwalayo;
- kukhalabe ndi moyo wosafuna zambiri.
Kuphatikiza apo, mankhwalawa amakulolani kuchotsa zinthu ngati kutentha kwa mtima
Ndikulimbikitsidwa kumwa mankhwalawa pokonzekera kuyeserera kwa zida za m'mimba za X ndi ray.
Malinga ndi ndemanga ya Enzistal, zinthu zomwe zingagwire ntchito zimathandizira kukonza kuyamwa kwa mankhwala monga maantibayotiki ndi sulfonamides.
Mankhwalawa atha kugwiritsidwa ntchito kuteteza kuti pakhale zovuta komanso zovuta zamagulu pantchito ya kugaya chakudya.
Choyimira chachikulu chogwiritsa ntchito mankhwalawa ndicho kudandaula kwa wodwalayo pazigawo za mankhwala.
Komanso contraindication kugwiritsa ntchito kupezeka kwa jaundice mu wodwala ndi kutsekeka kwa ndulu njira.
Mosamala kwambiri, dokotala ayenera kuyambitsa kugwiritsa ntchito mankhwalawa zotsatirazi:
- Mukazindikira cystic fibrosis.
- Muubwana.
- Pamaso pa pakati komanso pakati pa kudyetsa wakhanda ndi mkaka wamawere.
Pochita kafukufuku wazachipatala, zidapezeka kuti kugwiritsa ntchito Enzistal kumatha kuyambitsa mavuto ena.
Zotsatira zoyipa ndi mawonekedwe a kupweteka kwam'mimba m'mimba, nseru ndi m'mimba.
Kuphatikiza apo, thupi limatulutsa, monga kufinya, uritisaria, kuchepa kwa magazi ndi bronchospasm.
Malangizo ogwiritsira ntchito mankhwalawa
Malangizo omwe Enzistal amaperekera akuwonetsa muyezo wotsatira wa mankhwalawa - piritsi limodzi katatu patsiku mutatha kudya.
Mankhwala ayenera kumwedwa popanda kutafuna. Munthawi zonsezi, mlingo wa mankhwala omwe mumagwiritsidwa ntchito ungasiyane. Popeza momwe wodwalayo alili komanso kuchuluka kwa vuto la matumbo pantchito ya m'mimba kumatha kukhala ndi gawo ili.
Kutalika kwa chithandizo cha pancreatic kumatha, kutengera ndi matendawa, kumatha masiku atatu mpaka zaka zingapo. Mankhwala ayenera kumwedwa limodzi ndi mankhwala ena omwe amapereka chithandizo chatsopano.
Pokonzekera kuyesedwa kwa X-ray kapena kuyeserera pogwiritsa ntchito zida za ultrasound, tikulimbikitsidwa kumwa mankhwalawa 2 mapiritsi 2-3 katatu patsiku. Kuvomerezeka kwa mankhwalawa kumayamba masiku angapo mayeso atakonzekera.
Ngati mankhwala osokoneza bongo amapezeka mthupi, hyperuricosuria kapena hyperuricemia imayamba. Zizindikiro zakukula kwa matendawa zikaonekera, chithandizo chamankhwala chimachitika.
Mndandanda wa mankhwalawa, mtengo wake, malo osungira komanso ogulitsa
Enzistal imapezeka m'mafakitala popanda mankhwala. Sungani mankhwalawo pa kutentha osaposa 25 digiri Celsius. Chogulikacho chimayenera kusungidwa m'malo owuma komanso otetezedwa. Mankhwala sayenera kuwunikidwa ndi dzuwa.
Alumali moyo wa mankhwala ndi zaka zitatu. Makampani opanga mankhwala amapanga mitundu yosiyanasiyana ya Enzistal.
Analogs a mankhwalawa amatha kusiyana pakati pawo pazinthu zina zomwe zimapangidwa ndi mankhwala. Kusiyana kwapangidwe kamankhwala kumayambitsa ndalama zawo.
Ma fanizo ofala kwambiri a Enzistal ndi:
- Zentase
- Creazim;
- Chiboni
- Pangrol;
- Panenzyme;
- Panzinorm;
- Panzinorm Forte;
- Pancreasim
- Pancreatin-Pharmex;
- Pancreatin-Health;
- Pancreatin
- Pancreatin Forte;
- Pancreatin-Health Forte;
- Fermentium;
- Enzistal P;
- Malembo.
Poyerekeza ndi ambiri a mayendedwe ake, Enzystal ndi mankhwala otsika mtengo. Mtengo wa mankhwala ungasiyane kutengera dera lomwe wagulitsidwa komanso momwe amagwirizanirana ndi omwe amapezeka ndi amodzi kwa ogulitsa ena.
Nthawi zambiri, mankhwalawa amatha kugulidwa mosagula mtengo, mtengo wake ku Russia umakhala pafupifupi ma ruble 270 pa phukusi lililonse.
Kukonzekera kwa enzyme akufotokozedwa mu kanema munkhaniyi.
