Dab tsi yog Penzital ntsiav tshuaj los ntawm: cov lus qhia rau kev siv, kev ua thiab contraindications

Kev npaj enzyme.
Tshuaj: PENZITAL

Cov tshuaj nquag ntawm cov tshuaj: pancreatin
ATX Encoding: A09AA02
KFG: Kev npaj enzyme
Npe sau npe: P No. 014636 / 01-2002
Hnub sau npe: 12.16.02
Tswv reg reg. acc .: SHREYA LUB NEEJ SCIENCES Pvt.

Tso tawm daim ntawv Penzital, ntim tshuaj thiab muaj pes tsawg leeg.

Enteric coated ntsiav tshuaj yog dawb, zaj duab xis-zoo li, puag ncig, biconvex. 1 tab pancreatin 212.5 mg nrog kev ua haujlwm enzymatic: amylases 4500 IU FIP lipases 6000 IU FIP proteases 300 IU FIP
Cov kev zam: lactose, microcrystalline cellulose, sodium starch glycolate, povidone, talc, colloidal silicon dioxide, methacrylic acid copolymer, diethyl phthalate, titanium dioxide.
10 Pcs. - ib daim hlab (3) - thawv ntawv thawv.
10 Pcs. - ib daim hlab (10) - thawv ntawv thawv.

LUS PUB HUAM TXHEEJ TXHEEM MOO ZOO.
Txhua cov lus qhia tau muab nthuav tawm tsuas yog ua rau kom paub txog cov tshuaj, koj yuav tsum sab laj nrog tus kws kho mob txog kev siv.

Pharmacological kev txiav txim siab Penzital

Tus neeg saib xyuas Enzymatic. Nws muaj cov encymes pancreatic - amylase, lipase thiab proteases, uas pab txhawb kev zom cov zaub mov muaj txiaj ntsig, cov rog thiab cov nqaijrog, uas ua rau lawv muaj qhov nqus ntxiv hauv cov hnyuv. Hauv cov kab mob ntawm tus txiav, nws them nyiaj rau qhov tsis txaus ntawm nws txoj haujlwm exocrine thiab pab txhim kho kev zom zaub mov.

Kev taw qhia rau kev siv:

Tsis muaj exocrine pancreatic muaj nuj nqi (suav nrog nrog mob txhaws ua leeg nqaij, cystic fibrosis).
Mob raum thiab mob kab mob rau ntawm lub plab, hnyuv, mob siab, lub zais zis, tej yam kev mob tom qab rov ua haujlwm los yog tsis txawv txav ntawm cov plab hnyuv siab raum, nrog kev cuam tshuam ntawm kev zom zaub mov, plab zom mov, raws plab (ua ib feem ntawm txoj kev kho ua ke).
Txhawm rau txhim kho kev zom ntawm cov zaub mov hauv cov neeg mob ua lub plab zom mov ua haujlwm thaum muaj teeb meem hauv cov khoom noj khoom haus, nrog rau kev ua txhaum ntawm kev zom zaub mov, yuam lub caij nyoog immobilization, lub neej sedentary.
Kev npaj rau xoo hluav taws xob thiab kuaj ultrasound ntawm lub plab mog.

Dosage thiab txoj hauv kev ntawm kev tswj hwm tshuaj.

Cov koob tshuaj (hais txog lipase) nyob ntawm lub hnub nyoog thiab qib ntawm pancreatic tsis ua haujlwm. Qhov nruab nrab koob rau cov neeg laus yog 150,000 units / hnub. Nrog ua tiav tsis txaus ntawm exocrine pancreatic muaj nuj nqi - 400,000 units / hnub, uas sib haum rau cov kev xav tau niaj hnub ntawm ib tus neeg laus rau lipase.
Qhov ntau kawg noj: 15,000-20,000 units / kg / hnub.
Cov me nyuam qis dua 1.5 xyoo - 50,000 units / hnub, laus dua 1.5 xyoos - 100,000 units / hnub.
Lub sijhawm siv kho tuaj yeem sib txawv ntawm ob peb hnub (yog tias tus txheej txheem ntawm lub plab zom mov vim muaj teeb meem hauv cov khoom noj) mus rau ntau lub hlis lossis ntau xyoo (yog tias muaj kev hloov kho tas li yog qhov tsim nyog).

Sab nyhuv Penzital:

Thaum siv hauv cov tshuaj siv tshuaj nruab nrab, cov kev mob tshwm sim pom tsawg dua 1%.
Los ntawm lub plab zom mov: hauv qee kis - raws plab, cem quav, tsis xis nyob hauv plab, xeev siab. Ib qho laj thawj ntawm txoj kev loj hlob ntawm cov tshuaj tiv thaiv no thiab kev ua ntawm pancreatin tseem tsis tau tsim, vim tias cov kev tshwm sim no cuam tshuam nrog cov tsos mob ntawm exocrine pancreatic tsis txaus.
Ua xua: qee qhov xwm txheej, ua kom pom tawv nqaij.
Los ntawm ib sab ntawm cov metabolism: nrog lub caij nyoog siv hauv kev txhaj tshuaj ntau, kev txhim kho hyperuricosuria yog ua tau, nyob rau hauv kev noj tshuaj ntau dhau - qhov nce ntawm qib uric acid hauv cov ntshav ntshav.
Lwm yam: kev siv cov pancreatin hauv kev txhaj tshuaj ntau hauv cov menyuam yaus tuaj yeem ua rau ua xua.

Cov lus qhia tshwj xeeb rau kev siv Penzital.

Nws tsis pom zoo kom siv rau hauv cov theem ntawm exacerbation ntawm kev mob leeg qhuav.
Hauv cystic fibrosis, cov koob tshuaj yuav tsum tsim nyog rau cov nqi ntawm cov enzymes uas tsim nyog rau kev nqus ntawm cov rog, coj mus rau hauv tus account qhov zoo thiab qhov ntau ntawm cov zaub mov noj.
Hauv cystic fibrosis, kev siv ntawm pancreatin hauv koob tshuaj ntau dua 10,000 units / kg / hnub (hais txog lipase) tsis pom zoo vim muaj kev pheej hmoo ntawm kev txhim kho nruj (fibrotic colonopathy) hauv ntu ileocecal thiab hauv cov hnyuv ascending.
Nrog kev ua haujlwm siab ntawm cov lipase muaj nyob hauv pancreatin, qhov ntxim nyiam ntawm kev txhim kho cem quav hauv cov menyuam yaus nce. Ib qho kev nce ntxiv ntawm koob tshuaj pancreatin hauv pawg no ntawm cov neeg mob yuav tsum tau nqa tawm maj mam.
Kev mob plab zom mov tuaj yeem tshwm sim hauv cov neeg mob uas muaj lub siab ntev rau pancreatin, lossis hauv cov neeg mob uas muaj keeb kwm ntawm meconium ileus lossis plab hnyuv rov qab.

Kev sib cuam tshuam Penzital nrog lwm cov tshuaj.

Nrog rau kev siv ib txhij nrog antacids muaj calcium carbonate thiab / lossis magnesium hydroxide, txo qis ntawm cov txiaj ntsig ntawm pancreatin yog ua tau.
Nrog rau kev siv tib lub sijhawm, nws yog qhov ua tau zoo kom txo tau cov txiaj ntsig kho mob ntawm acarbose.
Nrog tib lub sij hawm siv cov hlau npaj, ib qho kev txo qis hauv kev nqus hlau yog tau.

Tso tawm daim ntawv thiab muaj pes tsawg leeg

Penzital yog tsim nyob rau hauv daim ntawv ntawm enteric-coated ntsiav tshuaj: dawb, puag ncig, biconvex (10 daim nyob rau hauv ib daim hlab, 1-12 ib daim hlab hauv cardboard pob).

Cov muaj pes tsawg leeg ntawm 1 ntsiav tshuaj suav nrog:

• Cov khoom siv ua kom muaj zog: pancreatin - 212.5 mg (muaj cov yeeb yaj kiab raws li nram qab no: amylase - 4500 IU FIP, lipase - 6000 IU FIP, tiv thaiv - 300 IU FIP),
• Ntu cov khoom siv: lactose, microcrystalline cellulose, sodium starch glycolate, talc, diethyl phthalate, povidone, colloidal silicon dioxide, methacrylic acid copolymer, titanium dioxide.

Cov Yuav Tsum Muaj

• Pancreatitis (nyob rau hauv ib qho mob chav lossis nrog exacerbation ntawm tus kab mob ntawm cov chav kawm mob ntev),
• Hypersensitivity rau cov tshuaj.

Thaum cev xeeb tub thiab lactation, kev siv ntawm Penzital yog ua tau tom qab ntsuas qhov sib piv ntawm cov txiaj ntsig kom muaj kev pheej hmoo rau kev noj qab haus huv ntawm tus poj niam thiab tus menyuam (tsis muaj ntaub ntawv ntseeg siab txog qhov ua tau zoo thiab kev nyab xeeb ntawm cov tshuaj).

Tsuas tshuaj thiab tswj hwm

Penzital noj qhov ncauj nrog kua tsis muaj kua (dej, kua txiv), nyiam nrog pluas mov lossis tom qab noj mov. Chew ntsiav tshuaj yuav tsum tsis txhob muaj.

Kev noj tshuaj ntau yog txiav txim los ntawm cov neeg hauv lub plab zom mov.

Cov neeg laus ib txwm muaj 3 zaug nyob rau ib hnub twg rau 1-2 ntsiav tshuaj, rau cov menyuam qhov koob tshuaj tau txiav txim siab nws tus kheej.

Lub sijhawm kawm ntawv yog txiav txim siab los ntawm cov cim qhia (rau kev tsis txaus ntshai me me nrog kev tsis ua haujlwm ntawm lub plab zom mov - ob peb hnub, yog tias tsim nyog, kev hloov kho tas mus li - ntau lub hlis lossis xyoo).

Sab sij huam

Thaum lub sij hawm kho, kev txhim kho ntawm lub plab zom mov hauv daim ntawv ntawm raws plab, cem quav, tsis xis nyob hauv plab, thiab xeev siab yog tau. Tib lub sijhawm, kev sib raug zoo ntawm cov kev mob tshwm sim no thiab kev siv ntawm Penzital tsis tau teeb tsa, vim tias cov kev cuam tshuam no tuaj yeem cuam tshuam nrog exocrine pancreatic insufficiency.

Kuj tseem nyob rau lub sijhawm kev kho mob, kev txhim kho kev ua xua tuaj yeem pom.

Kev kho mob ntev ntev nrog lub siab ntev tuaj yeem ua rau hyperuricemia thiab hyperuricosuria.

Hauv cov neeg mob uas mob cyst fibrosis, ntau tshaj qhov tau muab tshuaj ntau npaum li cas tuaj yeem ua rau txoj kev loj hlob ntawm cov nqaij txhaws (fibrotic colonopathy) nyob rau hauv txoj hnyuv ascending (ntu ileocecal).

Hauv cov menyuam yaus, kev noj tshuaj ntau yog ua rau perianal voos thiab ua rau mob ntawm qhov ncauj ntawm qhov ncauj.

Pharmacodynamics thiab pharmacokinetics

Noj cov tshuaj no tuaj yeem them nyiaj rau qhov tsis txaus ntseeg ntawm cov neeg ua haujlwm zais cia sab nraud ntawm thaj chaw txiavCov. Nws muaj ib qho proteolytic, amylolytic thiab lipolytic siv.

Cov Enzymesuas yog ib feem Pancreatinuas yog lipase, alpha-amylase, chymotrypsin thiab trypsin pab zom cov protein rau cov amino acids, rog rau fatty acids thiab glycerol, hmoov txhuv nplej siab rau monosaccharides thiab dextrins. Lub xeev ua haujlwm ntawm lub plab zom mov kuj tseem txhim kho, cov zom zaub mov ua haujlwm li qub.

Ua tsaug rau kev simpsin, muaj kev tiv thaiv kab mob pancreatic zais cia yog inhibited, ua cov nyhuv analgesic.

Hauv thaj chaw alkaline hauv txoj hnyuv me, pancreatic enzymes raug tso tawm los ntawm daim ntawv tsuas tshuaj vim lawv muaj kev tiv thaiv tiv thaiv kev cuam tshuam ntawm cov kua txob ua kua rau ntawm daim plhaub.

Cov kev ua kom pom kev siab siab tshaj plaws yuav tshwm sim tom qab 30-45 feeb txij lub sijhawm ntawm cov thawj coj ntawm qhov ncauj. Kev nqus ntawm pancreatin nyob rau hauv txoj hnyuv zom zaub mov tsis tshwm sim, cov tshuaj tawm hauv nws nrog quav nrog quav.

Cov lus qhia tshwj xeeb

Nrog cystic fibrosis, kev noj tshuaj ntau dua ntawm Penzital tsis pom zoo (vim muaj qhov ua tau rau fibrous hnyuv loj).

Cov koob tshuaj ntawm cov tshuaj yuav tsum yog txiav txim siab raws li tus nqi ntawm cov enzymes uas tsim nyog rau kev nqus ntawm cov rog, coj mus rau hauv tus account qhov zoo thiab ntau ntawm cov khoom noj.

Nrog kev kho mob ntev, Penzital raug pom zoo kom ua tib zoo kom npaj nrog cov hlau npaj.

Yeeb tshuaj sib cuam tshuam

Nrog kev siv ua ke ntawm Penzital nrog rau qee cov tshuaj, koj yuav tsum xav txog qhov muaj peev xwm tsim kho cov teebmeem hauv qab no:

• Cov tshuaj muaj hlau: txo lawv qhov nqus,
• Antacids muaj cov calcium carbonate thiab / lossis magnesium hydroxide: ib qho kev txo qis hauv kev ua haujlwm ntawm Penzital.

Galvus ntsiav tshuaj

Tau ntau xyoo tsis muaj kev vam meej nrog DIABETES?

Lub taub hau ntawm lub koom haum: “Koj yuav xav tsis thoob tias yoojyim kho mob ntshav qab zib li cas los ntawm kev noj tshuaj txhua hnub.

Galvus yog ib qho tshuaj hypoglycemic tsim los tswj ntshav qab zib hauv cov neeg mob ntshav qab zib hom 2. Cov tshuaj phiv tshuaj yog vildagliptin. Ua tsaug rau cov tshuaj, kev tswj zoo ntawm glucagon thiab insulin metabolism yog nqa tawm. Raws li European Antidiabetic Association, kev siv cov tshuaj no hauv kev kho mob monotherapy tsuas yog tias muaj contraindications rau metformin. Ua tib zoo nyeem cov lus qhia rau kev siv Galvus ntsiav tshuaj thiab cov npe txwv.

INN, tuam ntxhab, nqi

Galvus yog hom tshuaj muaj npe kev lag luam. INN (npe thoob ntiaj teb nonproprietary) - vildagliptin. Nws tau ua nyob hauv Spain (Novartis Pharmaceutica) thiab hauv Switzerland (Novartis Pharma).

Koj tuaj yeem yuav cov tshuaj hauv txhua lub tsev muag tshuaj tau raws li kws kho mob sau tseg. Tus nqi rau ib pob ntawm 28 ntsiav tshuaj yog los ntawm 724 txog 956 rubles.

Cov Tshuaj Pharmacokinetics

Vildagliptin hauv lub cev yog nqus tau sai sai, qhov tiag ntawm bioavailability nce mus txog 85%. Thaum noj cov tshuaj ntawm ib plab khoob, qhov siab tshaj plaws hauv cov ntshav tau sau cia tsawg dua ob teev. Los nrog cov zaub mov, cov tshuaj yuav nqus 19% qeeb dua, li ob thiab ib nrab teev.

Kev faib tawm cov tshuaj tshwm sim hauv txoj kev sib npaug ntawm cov ntshav liab thiab ntshav ntshav. Qhov tseem ceeb ntawm kev tshem tawm vildagliptin raug suav hais tias yog biotransformation. 85% ntawm cov tshuaj yog ua rau lub raum, tshuav 15% - dhau los ntawm txoj hnyuv.

Nws raug nquahu kom siv "Galvus" hauv kev kho mob ntshav qab zib ua ke nrog kev saib xyuas ntawm kev noj haus kom zoo thiab kev tawm dag zog. Kev qhia rau kev siv tshuaj yog:

• kev pib siv tshuaj kho mob rau cov neeg mob uas tsis muaj cov nyhuv ntawm kev noj haus thiab ua kom ib ce muaj zog ua ke nrog metformin,
• raws li kev kho mob monotherapy - rau cov neeg mob ntshav qab zib uas yuav tsum tsis txhob noj tshuaj metformin, lossis tsis muaj kev hloov pauv zoo los ntawm kev noj haus thiab qoj ib ce,
• ob txoj kev kho nrog thiazolidinedione thiab metformin, insulin, yog tias tsis muaj tshwm sim los ntawm kev kho mob,
• ua ke nrog kev kho peb zaug nrog sulfonylurea thiab metformin derivatives,
• cov kev kho mob triple kho mob nrog cov tshuaj insulin thiab metformin, yog tias tsis muaj kev tswj hwm kiag rau theem ntawm glycemia nrog txhua yam ntawm cov txheej txheem saum toj no.

Tsuas tshuaj, chav kawm, lub sijhawm ntawm cov txheej txheem kho raug xaiv tus kheej los ntawm tus kws kho mob tau kawm.

Cov lus qhia rau kev siv (ntau npaum)

Tus endocrinologist yuav tsum txiav txim siab siv ntau npaum li cas. Nws raug xaiv ntawm tus kheej, coj mus rau hauv tus mob ntawm tus neeg mob, theem ntawm tus kabmob thiab tswj kev siv lwm cov tshuaj. Koj tuaj yeem haus cov ntsiav tshuaj ua ntej noj mov, thiab tom qab, qhov tseem ceeb yog haus dej kom ntau. Yog tias muaj cov tshuaj tiv thaiv ntawm txoj hnyuv, nws zoo dua rau noj thaum noj mov.

Tsis hais txog qhov ntawm qhov rov qab ntawm qhov tshuaj kho mob (mono - lossis kev sib xyaw), feem ntau cov koob tshuaj ntawm lub tshuaj nquag yog 50-100 mg ib hnub. Qhov siab tshaj plaws ntawm 100 mg yog tau sau tseg tshwj xeeb hauv kev mob hnyav, thaum nws yuav tsum tau muab faib ua ob zaug - thaum sawv ntxov thiab yav tsaus ntuj. Raws li cov tshuaj ntxiv, insulin, metformin thiab sulfonylurea derivatives tuaj yeem kho.

Thaum muaj teeb meem lub siab thiab lub raum tsis ua haujlwm, qhov siab tshaj plaws yuav tsum tau noj ib hnub yog txo mus rau tsib caug mg los txo cov kev thauj mus rau hauv lub cev tso.

Noj ntau dhau

Cov tshuaj ntawm cov tshuaj nquag mus txog 200 mg yog zoo tiv thaiv los ntawm cov neeg mob. Tsa mus rau 400 units tuaj yeem ua rau mob leeg nqaij, tsis tshua muaj kev o, nqaij pob txha, mob lipase ntau dua thiab kub cev. Txais tos ntau dua 600 mg ntawm vildagliptin provokes kev nce qib ntawm ALT thiab CPK, myoglobin, nrog rau C-reactive protein. Tsum cov tshuaj yuav pab tshem tawm cov tsos mob. Nws tsis tuaj yeem tshem tawm "Galvus" los ntawm tus neeg mob lub cev siv kev lim ntshav, tab sis koj tuaj yeem siv tus qauv hemodialysis.

Cov Lus Cim Penzital

Cov cim tseem ceeb rau kev siv:

• hloov kev kho rau exocrine pancreatic tsis txaus, piv txwv li, nrog mob txha cajqab, mob ntuav, mob leeg thiavmob tom qab dyspepsia, raug,Tsa ntawv kho mob lossis mob ncauj plab, cystic fibrosis,
• zawv plab tsis kis rau cov keeb, flatulence,
• ua txhaum ntawm assimilation ntawm cov zaub mov, piv txwv li, tom qab rov ua haujlwm ntawm cov hnyuv me thiab lub plab,
• qhov yuav tsum tau txhim kho lub plab zom mov ntawm cov zaub mov hauv cov neeg ua haujlwm lub plab zom mov nrog lub teeb meem kev noj haus - cov zaub mov ntau, cov zaub mov rog, zaub mov tsis xwm yeem, nrog rau masticatory muaj kev ua haujlwm tsis zoo, lub neej ua kom tsis txaus thiab ua rau lub neej nyob ntev,
• npaj rau kev kuaj mob xoo lossis duab hluav taws xob ntawm lub plab hnyuv siab raum.

Cev xeeb tub thiab lactation

Cov kev sim tshuaj qhia pom tias kev siv tshuaj tsawg kawg nkaus tsis cuam tshuam dab tsi rau kev txhim kho ntawm lub cev. Tsis muaj cov cim ntawm kev tsis txaus siab poj niam fertility tau pom. Cov lus qhia ntxaws ntxiv tseem tsis tau ua tiav, yog li ntawd, tsis txhob rov ua ib qho kev pheej hmoo ntawm leej niam thiab tus menyuam. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias yog tias muaj kev ua txhaum ntawm cov ntshav qab zib hauv lub cev, nws muaj kev pheej hmoo ntawm lub plab me nyuam hauv plab, thiab qhov kev pheej hmoo ntawm kev tuag thiab cov leeg tsis muaj zog yuav nce ntxiv.

Siv rau lub sijhawm menyuam yaus thiab hnub nyoog laus

Tsis muaj kev paub dhau los ntawm kev noj tshuaj hauv cov neeg mob uas muaj hnub nyoog kaum yim, yog li ntawd nws tsis pom zoo kom suav nrog nws hauv kev kho.

Cov neeg laus dua 65 tsis tas yuav tsum tau muaj kev kho qhov tshwj xeeb thiab kev noj tshuaj rau kev siv cov tshuaj no, tab sis ua ntej siv, koj yuav tsum sab laj nrog tus kws kho mob endocrinologist, tswj xyuas lub siab thiab ob lub raum, thiab saib xyuas cov ntshav qabzib.

Piv nrog analogues

Cov ntsiav tshuaj Galvus muaj ntau cov yeeb yaj kiab, cia peb sim nkag siab lawv qhov zoo thiab qhov tsis zoo.

Lub tshuaj tiv thaiv kab mob "Galvus" yog qhov nrov ntawm cov neeg mob, muaj ntau qhov kev soj ntsuam zoo.

Vladimir, hnub nyoog 43 xyoo: “Kuv noj 50 mg nrog Metformin 500 mg txhua tag kis thiab yav tsaus ntuj tau ob xyoos. Tom qab rau lub hlis ntawm kev siv rau hauv kev ua raws li kev noj haus, qib piam thaj poob rau 4.5. Tsis tas li ntawd, nws muaj peev xwm ua kom poob ceeb thawj. Yog tias ntxov ua rau kuv hnyav txog 123 kg, tam sim no qhov hnyav mus txog 93-95 kg nrog nce li ntawm 178 cm. "

Karina, 32 xyoo: “Txawm hais tias yuav qhuas thiab pom zoo ntau yam ntawm kuv tus kws kho mob, qhov tshuaj tsis haum rau kuv. "Kuv nquag muaj kiv taub hau, tsis muaj zog thiab mob plab thaum siv, yog li kuv yuav tsum tso tseg cov tshuaj."

Svetlana, hnub nyoog 56 xyoo: “Yav dhau los, tus kws kho mob tau qhia Maninil, tab sis nws tsis tuaj, nws tsis tso piam thaj, nws txoj kev noj qab haus huv hnyav zuj zus. Ntxiv rau, Kuv raug kev txom nyem los ntawm teeb meem nrog lub plawv thiab cov hlab ntsha. Tom qab ntawv tus kws kho mob qhia kuv kom sim Galvus. Nws yog yooj yim los noj, tsuas haus ib ntsiav tshuaj ib hnub. Ua tsaug rau nws qhov kev txiav txim, qab zib txo qis kom maj mam thiab maj mam, tsis txhob poob siab, uas yog vim li cas cov kev mob tsis zoo zuj zus. Tam sim no kuv zoo siab, Kuv tuaj yeem txaus siab rau lub neej thiab ua haujlwm dua. "

Tshaj tawm, nws tuaj yeem sau tseg tias Galvus yog ib qho muaj kev nyab xeeb thiab zoo tshaj plaws tshuaj hypoglycemic muaj nyob rau ntawm cov khw muag tshuaj hauv tsev. Cov tshuaj yog qhov tsim nyog rau kev kho mob ntawm hom 2 mob ntshav qab zib mellitus, nws tuaj yeem siv rau kev kho mob sib xyaw, ua ke nrog kev tawm dag zog thiab kev noj zaub mov tshwj xeeb.

Dab tsi yog Penzital ntsiav tshuaj los ntawm: cov lus qhia rau kev siv, kev ua thiab contraindications

Penzital enzyme kev npaj yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj coated nrog ib tug tiv thaiv txheej txheem, lub tseem ceeb khoom xyaw yog pancreatin nrog lub enzymatic kev ua ntawm lipase, amylase thiab protease. Tsis tas li ntawd, cov khoom muaj pes tsawg leeg muaj cov tshuaj txuam nrog, nrog rau cov lactose monohydrate, uas yuav tsum tau muab rau hauv yog tias qhov khoom tsis haum no.

Cov tshuaj dab tsi pab los ntawm? Cov tshuaj yog pom zoo rau cov neeg mob uas tsis txaus ntawm exocrine pancreatic muaj nuj nqi, ua kom lub cev ua kom lub plab zom mov, lawv zoo li zom cov rog thiab protein rau hauv ib qho me me.

Vim tias muaj lub plhaub tshwj xeeb, cov ntsiav tshuaj yuav yaj tau tsuas yog hauv cov hnyuv me, thiab nws muaj cov nyhuv kho rau hauv lub cev pib. Kev ua haujlwm siab ntawm cov tshuaj tau pom tias 45 feeb tom qab noj tshuaj. Tus nqi nruab nrab rau pob cov ntsiav tshuaj yog 60 rubles.

Cov lus qhia rau kev siv ntsiav tshuaj

Cov tshuaj yog npaj rau kev siv sab hauv yog hais tias exocrine pancreatic tsis txaus ntseeg los ntawm cov kab mob ntawm cov khoom nruab nrog cev no, suav nrog kev ua kom mob rau leeg mob. Nws yog tshuaj kho kom txo tau cov kev mob tom qab kev phais mob kho lub qog, cov txheej txheem ntawm kev zom zaub mov tom qab kev kho tshuaj ntawm qog nqaij hlav hauv lub plab hnyuv plab hnyuv plab hnyuv txhaws.

Cov lus qhia rau kev siv Penzital yog cystic fibrosis, kev ua zaub mov tsis raug, kev tsim txom ntawm cov zaub mov sai, kev noj ntau dhau, ua tsis taus pa ntawm kev ua haujlwm (thaum cov zaub mov loj dhau mus rau hauv lub plab). Cov ntsiav tshuaj yuav tsum quag cawv ua ntej xoo hluav taws xob, kuaj ultrasound ntawm lub plab ua haujlwm.

Cov lus qhia rau kev siv kuj qhia contraindications rau cov tshuaj, ntawm uas exacerbation ntawm tus txheej txheem inflammatory nyob rau hauv lub pancreas (mob mob, mob thiab mob heev thiab mob exacerbated pancreatitis). Lwm qhov kev tsis sib haum xeeb yog qhov tsis haum xeeb ntawm cov tshuaj yeeb dej caw.

Siv cov tshuaj thaum noj mov lossis tam sim ntawd tom qab noj mov, koj yuav tsum haus 1-2 ntsiav tshuaj:

Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.

1. nqos tag nrho
2. tsis txhob zom
3. haus ib khob dej.

Cov neeg laus raug pom zoo 3 zaug nyob rau ib hnub, rau cov menyuam yaus hnub nyoog qis dua 12 xyoos, koob tshuaj tau txiav txim siab ntawm tus kheej nyob ntawm lub cev qhov hnyav.

Lub sijhawm ntawm lub chav yog los ntawm ob peb hnub mus txog ntau lub hlis, tus kws kho mob txiav txim siab ntawm lub sijhawm kho, pib ntawm kev kuaj mob thiab cov yam ntxwv ntawm tus neeg mob lub cev. Qhov tsis paub tseeb ntawm kev noj tshuaj yog tias nws tsis muaj yees, tsis muaj kev tshem tawm mob tom qab kev kho mob tiav.

Thaum cev xeeb tub, kev nyab xeeb ntawm kev siv cov tshuaj tseem tsis tau kawm tag nrho, vim li no txoj kev kho mob tau tso cai pom tias cov txiaj ntsig tau siv yog ntau zaus ntau dua li qhov muaj feem yuav ua rau tus menyuam.

Raws li rau lub sijhawm pub mis, Penzital raug tso cai, tab sis nws yuav tsum tau saib xyuas tus menyuam qhov kev hloov pauv rau tshuaj, kev tsis haum, tawv nqaij ua pob tsis cais.

Hauv cov xwm txheej zoo li no, koj yuav tsum nres tam sim ntawd tsis noj tshuaj.

Cov nyom tsis zoo, siv ntau dhau, sib cuam tshuam

Tus kab mob Penzital feem ntau ua tau zoo rau cov neeg mob uas muaj mob txhaws qa, nrog tus neeg rhiab heev rau cov tshuaj, cuam tshuam los ntawm ntau yam plab hnyuv siab raum thiab cov tshuab.

Los ntawm cov hnyuv nws yog cem quav, hnyav hnyav hauv plab, mob plab, ua kom tawv nqaij ntawm thaj chaw hauv thaj tsam ntawm lub cev ploj, mob plab, xeev siab, thiab ntuav. Nws tshwm sim uas lub cev teb rau ntsiav tshuaj los ntawm kev hloov pauv cov zis, nthuav qhia hyperuricemia, hyperuricosuria.

Qee tus neeg mob ua xua, nti, tawv nqaij ua pob, ua pob liab vog, thiab khaus heev. Qhov kev tshwm sim zoo li no tsis tsim kev kub ntxhov rau kev noj qab haus huv, tsis txaus ntshai, dhau mus nrawm dua tom qab txo kev noj tshuaj lossis txiav kev kho.

Yog tias tus neeg mob nrog cystic fibrosis siv ntau dhau, nws yuav pib tsim cov mob fibrotic nyob rau hauv txoj hnyuv. Nyob rau hauv cov ntaub ntawv ntawm kev lom zem ntau dhau lawm, tus neeg mob tsim kho:

Cov tsos mob zoo li no yuav tsum muaj kev kho mob cov tsos mob.

Kev npaj enzyme yuav tsum tsis txhob raug rau cov neeg mob nrog rau kev npaj hlau; hauv qab ntawm cov ntsiav tshuaj, kev txwv tsis pub thiab cuam tshuam kev nqus tau ntawm cov hlau tau sau tseg. Nws yog qhov zoo dua tsis siv cov tshuaj nrog sorbents, qhov no txo ​​cov kev kho mob ntawm Penzital.

Dab tsi ntxiv uas koj yuav tsum paub

Dosages ntawm cov tshuaj nyob rau hauv ntev mob ntawm pancreatitis thiab cystic fibrosis yuav tsum tau xam rau txhua tus neeg mob tshwj xeeb, zam kev noj ntau dhau kom tshem tawm txoj kev loj hlob ntawm txoj hnyuv laus.

Ntau xyoo dhau los ntawm kev siv cov ntsiav tshuaj hauv cov menyuam yaus preschool tsuas yog muaj kev txwv lossis tag nrho, vim li no, kev sab laj ntawm kws kho mob yog tsim nyog ua ntej kev kho mob. Thaum lub sijhawm sim tshuaj, tsis muaj mutagenic, teratogenic thiab embryotic ntxim rau tus menyuam, tabsis cov pojniam xeebtub tseem yuav tsum tau ceevfaj vim tias lawv lub cev muaj peev xwm los teb rau kev kho mob yam tsis muaj kev tiv thaiv tau.

Raws li kev txheeb xyuas, cov ntsiav tshuaj tsis cuam tshuam loj heev rau kev ua haujlwm ntawm lub hauv nruab nrab cov hlab ntsha, nws tsis yog txwv tsis pub tsav tsheb thaum lub sijhawm kho, tswj hwm cov txheej txheem nyuaj uas xav tau kev nce siab ntawm kev mloog.

Cov tshuaj yuav tau hauv lub tsev muag tshuaj yam tsis muaj daim ntawv sau yuav los ntawm kws kho mob, ntim yuav tsum cia kom deb ntawm cov menyuam yaus, nws yuav tsum yog qhov chaw qhuav thiab txias.

Txee lub neej yog qhia ntawm pob, feem ntau yog ob xyoos txij li hnub kev tsim khoom ntawm cov ntsiav tshuaj. Nws yog txwv tsis pub mus xyaw cawv thiab penzital.

Cov qauv ntawm Penzital

Cov tshuaj yeeb yaj kiab uas nrov ntawm Penzital yog cov ntsiav tshuaj Creon, Festal, Mezim, Panzinorm thiab Pancreatin. Hauv lawv tus nqi ntawm cov tshuaj yeeb dej cawv tseem ceeb sib txawv, vim li no nws tsis tsim nyog yuav hloov cov tshuaj uas kws kho mob sau los ntawm koj tus kheej. Koj yuav tsum tau ua ntej kom meej meej txog kev pom zoo noj ib zaug thiab txhua hnub. Qhov twg yog qhov zoo dua Penzital lossis Pancreatin? Nws yog tsis yooj yim sua kom teb cov lus tsis sib xws, txij li kev npaj muaj ntau qhov ntau ntawm cov tshuaj nquag.

Ntau zaus, tsis tas li Penzital, cov kws kho mob tau tshaj tawm Mezim, cov tshuaj nquag ntawm cov tshuaj sai pab nres ntau yam kev cuam tshuam los ntawm pancreatic enzyme deficiency, pab tus neeg ntawm qhov tsis zoo ntawm cov tsos mob ntawm tus mob ua ke. Lub trypsin tivthaiv anesthetizes, inhibits qhov tso pa tawm ntawm cov kua txiv pancreatic.

Mezim cov lus piav qhia hais tias nws yuav pab tshem tawm lub plab zom mov thiab tsam plab uas tshwm sim los ntawm kev noj ntau cov zaub mov tsis haum. Cov ntsiav tshuaj yuav tsum haus tag nrho kom qaug, ntxuav nrog dej kom huv. Nws yog txwv tsis pub zom cov ntsiav tshuaj, cov enzymes yaj hauv ib qho chaw hnyav ntawm lub plab, txo kev ua haujlwm ntawm kev kho mob.

Qauv txheej txheem txais tos:

• cov laus yuav tsum tau noj 1-2 lub tshuaj 1-3 zaug ib hnub,
• cov me nyuam 12-18 xyoo muaj cai txog 20,000 IU ntawm cov tshuaj rau ib phaus ntawm qhov hnyav,
• Cov me nyuam qis dua 12 xyoos yuav tsum tau muab 1.500 IU rau ib phaus ntawm qhov hnyav.

Daim ntawv thov rau kev mob ntsig txog kabmob tuaj yeem yog ib leeg, thaum nws yuav tsum tau tshem tawm txoj kev ua txhaum txoj kev zom zaub mov ib ntus, lossis ntev thiab siv sijhawm ntau lub hlis.

Cov tshuaj Mezim yog txwv tsis pub nrog tus neeg tsis kam mus ua ke ntawm cov tshuaj, dhau ntawm lub cev. Nws yuav tsum tau them sai sai tias cov ntsiav tshuaj yuav tsum tsis txhob noj rau hauv cov neeg mob sai sai hauv kab mob ntxiv, txwv tsis pub tus kab mob yuav mob loj dua.

Thaum kho, cov kev mob tshwm sim muaj nyob rau hauv daim ntawv ntawm kev tawm tsam ntawm xeev siab, tsis xis nyob hauv txoj hnyuv, ua xua, tso quav thiab mob hauv lub plab. Ntev tau siv cov tshuaj provokes nce qib ntawm uric acid, kev loj hlob ntawm tus kab mob hyperuricemia.

Yog tias tus neeg mob noj Mezim ntev nrog rau kev siv yeeb tshuaj, kev nqus hlau los ntawm cov hnyuv tsawg, ua haujlwm ntshav, pallor ntawm daim tawv nqaij, leeg tsis muaj zog, thiab kev ua haujlwm tsis zoo nrog rau kev siv tib lub sijhawm ntawm Mezim nrog antacid npaj muaj calcium thiab magnesium, qhov ua haujlwm ntawm cov enzyme tus neeg sawv cev yuav txo qis.

Kev kho tus mob pancreatitis tau sib tham hauv daim yeeb yaj kiab hauv tsab xov xwm no.

Suganorm rau ntshav qab zib

• 1 Qhia txog ntawm cov tshuaj
• 2 Muaj pes tsawg leeg thiab khoom
  • 2.1 Lwm cov txiaj ntsig
• 3 Cov lus qhia rau kev siv tshuaj Suganorm los ntawm ntshav qab zib

Cov tshuaj niaj hnub Suganorm yog ib txoj kev tshiab tsim los kho cov ntshav qab zib. Cov tshuaj yog tsim los cawm tib neeg los ntawm kev txhaj tshuaj insulin tas li. Nws normalizes metabolism, ntxiv dag zog rau lub cev tsis muaj zog thiab rov qab ua haujlwm ntawm txhua qhov system ntawm tib neeg lub cev. Cov tsiav tshuaj tsuas muaj cov khoom xyaw ntuj uas muaj txiaj ntsig zoo pab tiv thaiv tus kabmob.

Penzital - lub cev cov yam ntxwv ntawm cov tshuaj

Penzital. Tshuaj ntim

Lub tshuaj enzyme yog nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, saum npoo ntawm uas yog coated nrog ib txheej enteric. Cov ntsiav tshuaj muaj xim dawb, thaum tawg ntawm dawb mus rau lub teeb beige, cov duab yog puag ncig, biconvex.

Penzital - tshuaj lom neeg cov yam ntxwv ntawm cov tshuaj

Cov tshuaj nquag hauv Penzital yog pancreatin, uas muaj cov kev ua haujlwm ntawm cov plab hnyuv plab enzymes - cov no yog cov proteases, amylases thiab lipases. Ib ntsiav tshuaj Penzital muaj: 300 PIECES ntawm protease, 4500 PIECES ntawm amylase, 6000 PIECES ntawm lipase. Ntxiv rau cov enzymes nquag, kev npaj muaj xws li cov khoom siv pabcuam xws li:

• talcum hmoov
• lactose
• povidone
• cellulose
• colloidal silicon dioxide,
• sodium starch glycolate,
• titanium dioxide
• kev noj haus phthalate,
• methacrylic acid copolymer.

Penzital - cov nyhuv ntawm cov tshuaj

Penzital yog qhov kev npaj enzyme uas them rov qab rau qhov tsis muaj qhov tseeb ntawm kev zais pa. Qhov no txhais tau tias cov tshuaj tau raug txiav txim thaum kho cov tsos mob ntawm ntau yam mob cuam tshuam nrog kev zom zaub mov tsis tiav, vim kev tsim khoom tsis txaus ntawm cov txiav ua kab mob rau txiav.

Cov enzymes uas ua rau Penzital pab them rau cov enzymes uas ploj lawm uas yuav tsum tau ua ncaj qha los ntawm cov kua qaub hauv qab pancreatic.

Proteases, lipases thiab amylases (chymotrypsin, trypsin) pab txhawm rau cov zaub mov rog rau cov roj ntsha, cov roj ntsha rau amino acids, hmoov txhuv rau galactose, qabzib, dextrins thiab lwm yam monosaccharides.

Penzital analog. Pancreatin

Penzital muaj cov kev kho kom zoo, muaj cov hauv qab no:

1. kev zom plab zom mov,
2. kev kho rov qab ntawm kev ua haujlwm ntawm txoj hnyuv plab.

Hauv lwm lo lus, cov ntsiav tshuaj pab tiv thaiv kem plab uas tshwm sim los ntawm kev siv lub cev ntau, txiav npluav ntshav thiab lwm yam hauv lub plab zom mov. Tom qab noj cov tshuaj, cov ntsiav tshuaj hauv daim ntawv tsis ua haujlwm hla mus rau txoj hnyuv me, vim nws tau them nrog ib zaj duab xis ua daim nyias nyias uas tiv thaiv cov tshuaj los ntawm kev pauj plab.

Lub plhaub tshuaj hauv lub cev ua kom yaj thiab tso cov enzymes tom qab nws nkag mus rau hauv txoj hnyuv me. Kev ua haujlwm siab tshaj plaws ntawm cov tshuaj pib tom qab 35-45 feeb tom qab noj Penzital. Trypsin, uas yog ib feem ntawm cov tshuaj, tsis tsuas yog ua raws li kev nco loog, tab sis kuj txhim kho kev ua si ntawm cov txiav.

Penzital - cim rau siv

Cov tshuaj yog kws kho mob tau sau tseg los ntawm cov kws kho mob ua rau lub plab zom mov tsis txaus uas tau tshwm sim nrog rau cov kev ua haujlwm zoo li no thiab pathologies li:

• mob ntsws qhuav mob,
• kev tshem tawm ntawm tus txiav (tag nrho lossis qhov chaw),
• tshem tawm txhua yam (lossis seem) ntawm lub plab,
• tshem tawm hauv lub thawb
• tshem tawm ntawm txoj hnyuv me,
• Remkheld's syndrome yog gastrocardial syndrome,
• tsis muaj mob raws plab,
• dystrophic pathologies lossis o ua rau lub zais plab, nplooj siab, plab hnyuv thiab lub plab,
• raug hluav taws xob ntev
• hluav taws xob kho
• flatulence
• dyspepsia
• cov leeg nqaij hlav.

Ib qho ntxiv, Penzital raug pom zoo kom noj yog tias ib tus neeg muaj kev noj zaub mov tsis xwm yeem, uas yog, nquag noj cov khoom noj muaj roj, kev noj ntau dhau, kev noj zaub mov tsis xwm yeem, nrog kev zom tsis txaus - qhov no yuav ua rau muaj kev puas tsuaj rau lub puab tsaig, tsis muaj hniav, thiab lwm yam, nrog rau kev ua neej sedentary los yog lub sijhawm ntev immobilization, hauv kev npaj rau ultrasound, kev soj ntsuam xoo hluav taws xob ntawm lub plab plab hnyuv siab raum.

Kev qhia tag nrho cov lus saum toj no, peb tuaj yeem xaus tias Penzital raug kho rau kev ua txhaum ntawm kev zom zaub mov ntawm ntau yam keeb kwm, piv txwv li, txoj hnyuv tshem tawm, lub plab, kev noj tsis tu ncua ntawm cov zaub mov qua ntxi thiab kev noj haus, lossis nyob ntawm exocrine pancreatic tsis txaus.

Penzital - yuav ua li cas noj thiab haus li cas ntawm cov tshuaj

Penzital tshem tawm qhov kev xav ntawm qhov hnyav hauv plab

Cov ntsiav tshuaj noj nrog noj mov lossis tom qab. Cov ntsiav tshuaj tau nqos (tsis yog zom) thiab ntxuav nrog kua txiv hmab txiv ntoo lossis dej ntshiab. Cov tshuaj yog txwv tsis pub haus nrog kua txiv beetroot thiab kua dej muaj cawv (Essentuki, Borjomi thiab lwm tus).

Penzital dosage yog xaiv ib tus zuj zus rau txhua tus neeg mob. Lub hnub nyoog ntawm ib tug neeg (neeg laus, menyuam yaus, tub ntxhais hluas) thiab qhov kev ua txhaum ntawm kev zom zaub mov ntawm cov zaub mov raug suav nrog. Feem ntau, cov neeg laus uas mob Penzital tau raug tshaj tawm tsis pub ntau tshaj ob ntsiav tshuaj peb zaug ib hnub. Qhov ntau npaum ntawm cov tshuaj muaj cuam tshuam los ntawm kev ua haujlwm lipase. Hauv cov neeg muaj kev noj qab haus huv, txhua hnub ntawm kev tsim cov dej-soluble lipase yog 400,000 units. Yog li ntawd:

1. rau cov neeg mob cov laus, nrog mob vwm ntev ntev tsis txaus, qhov nruab nrab txhua hnub yog 150,000 units ntawm lipase kev ua haujlwm, uas sib npaug rau 25 ntsiav tshuaj ntawm qhov kev npaj enzyme,
2. rau cov neeg mob laus, nrog ua tiav kev ua tiav ntawm pancreatic tsis txaus, qhov nruab nrab txhua hnub koob tshuaj yog txog li 400,000 units ntawm lipase kev ua haujlwm, uas yog sib npaug rau 65 ntsiav tshuaj ntawm qhov kev npaj enzyme,
3. rau cov menyuam yaus hnub nyoog qis dua 1.5 hli, nyob rau nruab nrab, cov tshuaj txhua hnub yog 50,000 units ntawm lipase kev ua haujlwm, uas yog sib npaug nrog 8 ntsiav tshuaj ntawm Penzital,
4. rau cov menyuam yaus hnub nyoog dhau 1.5 hli, qhov nruab nrab ib hnub ib nrab yog 100,000 units ntawm lipase kev ua haujlwm, uas sib npaug rau 16 ntsiav tshuaj ntawm Penzital.

Lipases muaj nyob rau hauv cov tshuaj yuav ua rau cem quav ntawm cov menyuam yaus. Yog vim li ntawd, yog tias tus menyuam tau raug xaj siab ntawm Penzital thaum kho mob, cov tshuaj pib muab tshuaj me me, maj mam mus txog qhov yuav tsum tau ntawm cov ntsiav tshuaj.

Thaum xam xyuas qhov kev haus tshuaj ib leeg ntawm Penzital, nws raug coj mus rau hauv tus lej tias qhov ntau tshaj plaws ntawm kev siv tshuaj ib hnub yog 15,000 units ntawm lipase kev ua si rau 1 kilogram ntawm lub cev qhov hnyav. Los ntawm cov qauv no nws ua raws li tus neeg mob hnyav txog 70 kilo, hais txog lipase, tuaj yeem txais tsis tau ntau dua 1,050,000 units (70 * 15,000 = 1,050,000). Tsis tas li ntawd, thaum txiav txim siab qhov ntau npaum li cas ntawm cov tshuaj, nws yog ib qho tseem ceeb uas yuav tsum xav txog cov khoom noj los ntawm tus neeg mob.

Raws li rau lub sijhawm ntawm cov chav kawm ntawm kev kho mob, nws nyob ntawm hom ntawm pathology thiab qib ntawm kev zom zaub mov. Piv txwv, kom tshem tawm cov kev ua yuam kev tsis zoo hauv kev noj haus, txoj kev kho mob txaus yog 3-4 hnub. Muaj cov xwm txheej thaum ib tus neeg xav tau rov qab ua ntu zus ntawm cov enzymes endogenous, hauv qhov no Penzital tuaj yeem nqa tawm ntawm 30 hnub mus rau ntau xyoo.

Penzital - contraindications thiab phiv los ntawm cov tshuaj

Qhov siab ntawm penzital yog contraindicated hauv kev kuaj mob cystic fibrosis. Qhov no yog vim tias cov tshuaj tuaj yeem ua rau pom qhov tshwm sim ntawm txoj hnyuv loj hauv txoj hnyuv. Qhov ntau tshaj qhov ntau tau siv txhua hnub rau cov neeg kuaj mob cystic fibrosis yog sib npaug ntawm 10,000 units hauv ib hnub ib qhov hnyav ntawm qhov hnyav.

Ib tus neeg noj Penzital mus ntev ntev xav tau kev siv prophylactic ntawm kev npaj muaj hlau. Nws kuj tseem tsis pom zoo kom noj cov tshuaj thaum exacerbation ntawm kev mob txha caj mob. Cov neeg muaj lub plab hnyuv tshem tawm lossis kev txom nyem los ntawm meconium ileus yuav tsum siv cov tshuaj kom zoo, vim tias ntsiav tshuaj tuaj yeem cuam tshuam loj heev rau kev ua haujlwm ntawm lub plab zom mov.

Penzital overdose rau cov menyuam yaus ua tau nws tus kheej hauv daim ntawv ntawm cem quav, hauv cov neeg laus - nce ntxiv ntawm uric acid hauv cov ntshav thiab zis. Yog tias pom cov tsos mob no, Penzital tswj hwm tau nres tam sim ntawd, thiab nrog kev pab cuam ntawm cov txheej txheem kev mob tshwm sim, cem quav yog tshem tawm, thiab uric acid suav txo. Qhov tshwj xeeb ntsuas kom tshem tawm kev siv ntau dhau ntawm enzyme kev npaj tsis tau.

Penzital tsis muaj cai nyob rau hauv qhov muaj cov kev pathologies hauv tib neeg li:

• mob leeg txhaj leeg
• exacerbation ntawm mob leeg rau leeg,
• kev nkag siab ntawm cov tshuaj lossis cov tshuaj tiv thaiv tsis haum rau ib qho twg uas yog ib feem ntawm kev npaj enzyme.

Penzital - kev mob tshwm sim

Thaum overeating - Penzital!

Cov kev mob tshwm sim tshwm sim ntau tshaj plaws, cov kws kho mob suav nrog txhua yam tsos mob cuam tshuam nrog kev mob lub siab txoj hnyuv. Phiv los ntawm lub plab uas tshwm sim tom qab noj Penzital muaj:

• tsis xis nyob hauv plab
• cem quav lossis raws plab
• xeev siab

Cov xwm txheej ntawm kev txhim kho ntawm cov tshuaj tiv thaiv ua rau muaj kev fab tshuaj, uas tseem hu ua kev phiv tom qab siv cov tshuaj, cov ntawv sau cia tsawg dua. Koj yuav tsum nkag siab tias kev fab tshuaj tsis tshwm sim hauv cov ntsiav tshuaj lawv tus kheej, tab sis ntawm kev fab tshuaj.

Raws li txoj cai, kev tawm tsam tsis haum, ua yeeb yam uas phiv rau cov tshuaj no, tshwm rau ntawm daim tawv nqaij. Nrog rau kev siv ntev ntev ntawm qhov kev npaj enzyme - Penzital, qhov nce ntawm cov tshuaj uric acid nyob rau hauv cov ntshav - hyperuricemia, nyob rau hauv cov zis - hyperuricosuria tuaj yeem kuaj tau hauv cov neeg mob.

Kev noj tshuaj ntau dua ntawm Penzital raug kho rau kev kho mob ntawm cov neeg tau kuaj nrog cystic fibrosis tuaj yeem ua rau txoj kev loj hlob ntawm txoj hnyuv loj (cov nplaum) hauv txoj hnyuv.

Kev siv tshuaj ntau dua ntawm Penzital tau sau tseg rau kev kho mob ntawm cov menyuam tuaj yeem ua rau ua kom tawv nqaij ntawm cov nqaij mos ntawm qhov ncauj qhov ncauj thiab ntawm qhov quav.

Penzital - menyuam yaus thiab poj niam cev xeeb tub

Nws tsis yog qhov tu siab, tab sis kev zom zaub mov tuaj yeem tshwm sim hauv cov niam thiab cov menyuam yaus, yog li cov neeg mob no tuaj yeem sau ntawv kho tus mob enzymatic. Penzital tsis siv rau cov tshuaj uas muaj kev txwv nruj rau cov poj niam cev xeeb tub thiab menyuam yaus, tab sis nws yog qhov yuav tsum tau siv cov ntsiav tshuaj kom zoo, saib xyuas kev siv tshuaj ntawm tus kws kho mob uas koom nrog.

Cov kws kho mob me nyuam yaus hais tias kev noj tshuaj zoo tshaj plaws txhua hnub ntawm Penzital rau cov me nyuam yog 1000 units ib kilogram ntawm qhov hnyav. Qhov no txhais tau tias tus menyuam yaus hnyav 20 phaus xav tau 6,5 ntsiav tshuaj. Cov kev kho mob qis kawg nkaus rau cov menyuam yaus uas tau tshawb pom ntau yam kab mob ntawm lub plab zom mov lossis hlab pas dej yog 14 hnub. Yog tias tsim nyog, tus kws kho mob txuas tuaj yeem txuas ntxiv qhov kev nqus ntawm qhov kev npaj enzyme.

Yog tias koj tus menyuam tau noj cov zaub mov muaj roj, nws yog qhov txaus rau nws los noj tshuaj hauv cov kev cai kom tseg rau peb hnub.

Raws li kev txheeb cais, nws pom tseeb tias hauv 75-80% ntawm cov menyuam yaus uas tau ua tiav txoj kev kho mob, qhov xwm txheej zoo dua: cov tsos mob hais tawm ntawm lub plab zom mov ploj, uas suav nrog kev ua pa, xeev siab, txhaws plab thiab mob plab, ua tsis taus quav. Tsis tas li ntawd, hauv 2.3 cov menyuam yaus noj cov tshuaj, cov rog nruab nrab hauv lub cev coprogram tsawg dua.

Mezim - Penzital analog

Cov txiaj ntsig zoo tom qab siv cov tshuaj muaj raws li nram no: nws tau los noj cov zaub mov muaj roj ntau, uas ntxiv dag zog thiab lub zog rau menyuam yaus, tso quav hauv plab, thiab tshem tawm qhov mob.

Cov kws tshawb fawb tau sim ntau qhov kev sim rau cov tsiaj, muaj teebmeem thiab qhov tsis zoo ntawm kev npaj enzyme ntawm txoj kev loj hlob thiab kev txhim kho ntxiv ntawm tus me nyuam hauv qab tsis tau txheeb xyuas. Txawm li cas los xij, kev kho mob hauv tsev kho mob Penzital rau cov poj niam hauv cov cai, rau kev coj zoo thiab kev coj ncaj ncees, tsis yog kev coj ua. Dua li ntawm qhov no, ntau qhov kev soj ntsuam tau ua los ntawm cov poj niam cev xeeb tub noj Penzital.

Thaum lub sijhawm soj ntsuam, tsis muaj qhov tshwm sim zoo ntawm cov tshuaj rau tus poj niam nws tus kheej thiab nws tus menyuam. Txawm li cas los xij, cov kws kho mob tsis pom zoo kom siv cov ntsiav tshuaj rau cov poj niam hauv txoj hauj lwm, qhov laj thawj yog qhov tsis muaj pov thawj txhawb nqa cov ntaub ntawv pov thawj ntawm kev nyab xeeb ntawm cov tshuaj no. Qhov tshuaj ntawm Penzital rau cov poj niam cev xeeb tub yog zoo tib yam rau cov uas rau cov laus.

Niaj hnub no, hauv kev lag luam tshuaj hauv tsev, koj tuaj yeem tau txais cov lus zoo thiab cov qauv ntawm cov Penzitalu. Cov kws muag tshuaj hu cov lus ua piv txwv ntawm cov tshuaj uas muaj cov tshuaj tib yam li cov tshuaj ua kom nquag plias - hauv peb qhov teeb meem, pancreatin. Cov tshuaj analogous yog cov tshuaj uas muaj cov tshuaj sib txawv, tab sis muaj cov txiaj ntsig kho kom zoo, uas muaj qhov zoo sib xws nrog Penzital indications.
Yog li kom lub plab tsis raug kev txom nyem, saib kev nthuav qhia ntawm cov tshuaj:

Koj puas pom muaj qhov yuam kev? Xaiv nws thiab nias Ctrl + Saulos qhia rau peb paub.

Penzital - cov lus qhia rau siv (qauv thiab ntau npaum li cas)

Ntsiav tshuaj yog npaj rau kev siv sab hauv, thiab siv lawv zoo dua ua ntej noj movCov. Nyob rau tib lub sijhawm, cov dej zoo tib yam yog qhov tsim nyog rau haus. Nws yog contraindicated siv cawv kua rau lub hom phiaj no.

Raws li cov lus qhia rau kev siv Penzital, xaiv cov koob tshuaj yog nqa los ntawm kws kho mob plab, uas yuav tsum coj mus rau hauv tus neeg mob noj zaub mov noj thiab qhov tsis txaus ntawm enzyme. Qhov tshuaj nruab nrab txhua hnub rau cov neeg mob laus yog: 1-2 ntsiav tshuaj 3 zaugCov. Nws raug tso cai nce tshuaj ntau ntxiv rau 16 ntsiav tshuaj.

Hauv kev kho cov neeg mob me, kev xaiv koob tshuaj yog ua ib leeg zuj zus.

Cov chav kawm ntawm txoj kev kho yog tsim los ntawm tus kws kho mob tuaj koom thiab tuaj yeem ua rau ntau xyoo.

Hnub tas sij hawm

Cov analogues tseem ceeb ntawm cov tshuaj no yog sawv cev los ntawm xws li: Gastenorm Forte, Creon, Mezim, Micrazim, Pangrol 10000, PanziKam, Panzinorm, Panzim Forte thiab lwm tus.

Tsis tas li, cov tshuaj muaj txiaj ntsig zoo li no: Pancrelipase, Pancitrat Festal, Enzistal-P, Hermitage thiab yog li ntawd.

Raws li koj paub, haus cawv yog qhov tshwm sim hauv kev txhim kho kev ntshawv siab nyob rau hauv uas Penzital raug tshuaj. Yog li, thaum kho, nws raug nquahu kom tsis txhob haus dej cawv.

Kev Ntsuam Xyuas Penzital

Cov tshuaj no yog nrov tshwj xeeb tsis yog hauv cov neeg mob kev txom nyem los ntawm ntau yam kab mob ntawm lub plab zom mov, tab sis kuj tseem xav tau tshuaj rau kev noj tshuaj. Yog li ntawd, kev txheeb xyuas ntawm Penzital tau pom nyob txhua qhov chaw.
Feem ntau cov tshuaj no tau hais thaum twg ntawm cev xeeb tub, vim hais tias nyob rau lub sijhawm no nws yuav tsum muaj kev cuam tshuam sai, uas xyaum tsis ua rau muaj kev phiv. Piv txwv li, nws nquag siv los ntawm cov poj niam uas, tom qab noj mov, muaj zog hnyav hauv lub plab lossis xeev siab.

Tsis tas li ntawd, cov tshuaj yeeb yaj kiab tuaj yeem tsim rau pawg neeg mob no los txhim kho kev zom zaub mov thiab ua kom lub luag haujlwm ntawm lub plab zom mov. Txawm hais tias muaj ntau tus poj niam tsis paub meej tias Penzital pab tau li cas thaum cev xeeb tub. Yog li, muaj qee cov lus piav qhia tseeb ntawm cov kws tshaj lij uas qhia vim li cas cov ntsiav tshuaj Penzital pab tau zoo tshaj plaws, yuav ua li cas thiab thaum twg thiaj coj lawv.

Feem ntau, kev txheeb xyuas pom tias cov tshuaj no muaj txiaj ntsig heev. Txawm li cas los xij, txawm tias qhov tseeb tias nws yog enzymatic thiab, raws li qee yam, muaj kev nyab xeeb rau lub cev, nws tsis pom zoo kom coj nws yam tsis muaj kws kho mob sau.

Cov lus qhia rau siv Penzital, noj tshuaj

Cov ntsiav tshuaj noj ntawm qhov ncauj thaum noj mov lossis tam sim ntawd tom qab noj mov tag, ntxuav tag nrog kua tsis muaj kua (dej, kua txiv).

Qhov kev xaiv kiag ntawm cov koob tshuaj yog nqa tawm los ntawm kws kho mob gastroenterologist, coj mus rau hauv tus account lub yam ntxwv ntawm kev noj haus thiab qhov degree ntawm enzyme tsis txaus.

Tus txheej txheem koob tshuaj, raws li cov lus qhia rau kev siv Penzital, yog los ntawm 1 txog 2 ntsiav tshuaj 3 zaug hauv ib hnub (noj tshais, noj su thiab noj hmo). Nws raug tso cai nce tshuaj ntau ntxiv rau 16 ntsiav tshuaj.

Rau cov menyuam yaus hnub nyoog qis dua 12 xyoos, ib qho tshuaj thiab muab ib zaug rau ib hnub yog txiav txim siab ib tus zuj zus.

Cov chav kawm ntawm kev siv Penzital ntsiav tshuaj tuaj yeem sib txawv ntawm ob peb hnub (nrog rau cov yuam kev hauv zaub mov) mus rau ntau xyoo, raws li kev qhia.

Cov lus qhia tshwj xeeb

Hauv cystic fibrosis, koob tshuaj siab tsis pom zoo (vim tias muaj feem ua rau fibrous hnyuv laus).

Qhov ntau npaum li cas yog muab raws cov nqi ntawm cov enzymes uas tsim nyog rau kev nqus ntawm cov rog, noj mus rau hauv tus account qhov zoo thiab qhov ntau ntawm cov zaub mov noj.

Nrog rau kev kho kom ntev, nws raug nquahu kom kho mus rau ib txhij nrog hlau npaj.

Sab sij huam

Cov kev qhia ceeb toom ntawm kev muaj peev xwm tsim cov kev mob tshwm sim hauv qab no thaum sau ntawv hauv Penzital:

• Zawv plab, cem quav,
• Kev tsis xis nyob hauv plab
• Xeev siab
• Kev ua xua tsis haum
• Tej zaum kev txhim kho ntawm cov nruj (fibrotic colonopathy) nyob rau hauv seem ileocecal hauv cov ascending nyuv,
• Qhov tshwm sim ntawm perianal voos thiab voos lub qhov ncauj ntawm qhov ncauj ntawm cov menyuam yaus.

Cov Yuav Tsum Muaj

Nws yog contraindicated rau tshuaj Penzital nyob rau hauv cov nram no:

• Exacerbation ntawm kev mob caj dab,
• Mob ncauj mob taub hau
• Hypersensitivity rau cov tshuaj.

Thaum cev xeeb tub thiab lactation, kev teem sijhawm muaj peev xwm ua tau tom qab ntsuas qhov sib piv ntawm cov txiaj ntsig mus rau qhov muaj feem yuav ua kom muaj kev phom sij rau tus poj niam thiab tus menyuam (muaj ntaub ntawv ntseeg tau txog kev ua tau zoo thiab kev nyab xeeb tsis muaj).

Noj ntau dhau

Cov tsos mob ntawm kev noj haus ntau dhau yog kev txhim kho ntawm cem quav, xeev siab, thiab ntuav. Txoj kev kho yog mob.

Hauv cov neeg mob cystic fibrosis thaum noj cov ntsiav tshuaj Penzital hauv qib siab, qhov tsim ntawm fibrous colonopathy nyob rau ileocecal feem ntawm txoj hnyuv yog ua tau.

Analogs Penzital, tus nqi hauv cov chaw muag tshuaj

Yog tias tsim nyog, koj tuaj yeem hloov Penzital nrog ib qho tshuaj tiv thaiv ntawm cov tshuaj nquag - cov no yog cov tshuaj:

Thaum xaiv cov tshuaj analogues, nws yog ib qho tseem ceeb kom nkag siab tias cov lus qhia rau kev siv Penzital, nqe thiab tshuaj xyuas tsis siv rau cov tshuaj uas muaj cov nyhuv zoo sib xws. Nws yog ib qho tseem ceeb kom kws kho mob sab laj thiab tsis txhob hloov pauv cov tshuaj ywj siab.

Tus nqi hauv cov khw muag tshuaj ntawm Russia: Penzital ntsiav tshuaj 20 pcs. - txij li 50 txog 67 rubles, tus nqi ntawm 80 ntsiav tshuaj - los ntawm 182 txog 239 rubles, raws li 729 lub tsev muag tshuaj.

Khaws ntawm qhov kub ntawm 2-25 ºС hauv qhov chaw qhuav kom tsis txhob muaj menyuam yaus. Txee lub neej yog 3 xyoos.

Cov lus pom zoo tso tawm los ntawm cov chaw muag tshuaj - yam tsis muaj ntawv yuav tshuaj.

Penzital lossis Pancreatin - uas yog qhov zoo dua rau xaiv?

Ob qho tshuaj yeeb tshuaj yog cov neeg sawv cev enzymatic uas txhim kho kev zom zaub mov hauv cov kab mob ntawm cov txiav ua ke. Ob qho puav leej muaj cov tshuaj nquag - Pancreatin, hauv cov xim tshwj xeeb enteric.

Qhov sib txawv ntawm Penzital thiab Pancreatin yog nyob hauv qhov ntau ntawm cov tshuaj nquag thiab qhov zoo ntawm pancreatin nws tus kheej. Nws yog qhov nyuaj rau xaiv cov lus teb uas zoo tshaj plaws, nws yog qhov yuav tsum tau ua los ntawm tus kws kho mob cov lus pom zoo, kev muaj peev xwm ntawm nyiaj txiag thiab tus neeg lub cev tiv thaiv. Raws li cov neeg, ntau cov tshuaj kim dua (Creon, Festal, thiab lwm yam) zoo dua kev zam, tab sis txhua tus kheej.

6 kev txheeb xyuas rau Penzital

Raws li lwm txoj hauv kev rau kim txhais tau tias yuav ua kom lub plab zom mov zoo, Kuv siv Penzital, nws pab nrog hnyav hauv plab, tsam plab thiab ntau yam tsis xis nyob hauv thaj chaw no. Tsis phem dua li cov tau tshaj tawm hauv TV, kuaj tus kheej.

Peb siv los coj Mezim, thiab tam sim no peb hloov mus rau Penzital, nws hloov tawm ntau yam muaj txiaj ntsig. Kuv ib txwm sim tswj kuv noj dab tsi, tab sis kuv niam kuv txiv ntawm ib lub rooj noj mov tsis txhob sim ua txhua yam tsis yog tiag tiag thiab tom qab ntawd kuv tsis nyiam kev txom nyem txhua. Thiab cov tshuaj noj no yeej pab tau.

Dab tsi mezim, uas yog penzital, yog txhua yam txuas ntawm pancreatin. Qhov sib txawv hauv cov naj npawb ntawm cov chav enzymes

Kuv yeej tsis haus cov tshuaj no rau lub plab. Tsuas yog li - qee lub sijhawm. Penzital ntsiav tshuaj pab zom cov zaub mov thiab tsis muaj mob thiab hnyav dua hauv plab.

Kuv tus kheej noj Penzital rau ib lim tiam thiab hnov ​​zoo zom zaub mov, hnyav hauv kuv lub plab thiab zoo li stagnation ntawm cov zaub mov hauv kuv caj pas tau ploj mus. Tab sis tsuas yog qee zaum, Kuv mam li noj cov tshuaj rau lwm lub lim tiam.

Thiab kuv tus txiv thiab kuv "zaum" ntawm Pancreatin ... qhov pheej yig tshaj plaws ntawm txhua yam tshuaj yeeb no ... Eh, Tau ntau xyoo dhau los kuv lub plab tau poob lub peev xwm los tiv thaiv cov ntsia hlau muaj xeb)))) Kuv yuav tsum pab qee zaum

Qhia txog ntawm cov tshuaj

Txais tos ntawm tsiav tshuaj "Shuganorm" yog qhov sib tham ua ntej nrog tus kws kho mob uas tuaj koom.

Cov pob muaj cov lus piav qhia txog qhov muaj pes tsawg leeg tshuaj, nrog rau cov lus qhia rau kev siv. Suganorm hom phiaj txhawm rau tshem ntshav qab zib ntawm cov mob mob thiab nyuaj los ntawm cov tshuaj insulin. Nws normalizes tsim ntawm cov tshuaj no thiab tsim kom muaj qhov sib npaug ntawm cov piam thaj hauv lub cev. Ntshav qab zib tsiav tshuaj muaj kev nyab xeeb rau siv vim tias lawv tau ua los ntawm cov khoom xyaw ntuj. Suganorm tsiav tshuaj tseem tau kho raws li lub cev tawm. Vim muaj ntshav qab zib, ib tus neeg muaj kev ua haujlwm tsis zoo ntawm lub plawv, hlab ntsha hauv plab, lub plab zom mov, thiab txawm tias lub zeem muag thiab hnov ​​lus. Cov tshuaj pab ua kom coj cov kab ke no mus rau cov qauv uas ruaj khov. Cov tshuaj ntsiav zoo rov qab los ntawm lub cev txawm tias tom qab mob hnyav ntshav qab zib.

Rov qab rau cov lus txheej txheem

Muaj pes tsawg leeg thiab lub zog

Cov lus sib xyaw ntawm "Suganorm" suav nrog:

Rosehip ua ib feem ntawm cov tshuaj yuav pab kom lub cev tiv thaiv kab mob ntawm kev sib ntaus sib tua tawm tsam.

Galega - normalizes metabolism, txhim kho cov thyroid caj pas thiab tiv thaiv nws cuam tshuam, kuj muaj cov txiaj ntsig zoo ntawm cov hlab plawv system, synthesizes insulin.

Txhua feem ntawm cov tshuaj yog cov khoom siv ntuj tsim uas maj mam ua rau tus neeg mob lub cev, tsis muaj kev cuam tshuam ntawm cov tshuaj phem. Cov tshuaj muaj pes tsawg leeg suav nrog cov tshuaj cog ntoo uas txhim kho kev tiv thaiv. Txhua lub tshuaj ntsiav muaj cov khoom zoo li no ntau dua cov nyiaj pab txhua hnub rau ntshav qab zib. Qhov no yog ib qho ntawm cov khoom muaj txiaj ntsig ntawm Shuganorm.

Rov qab rau cov lus txheej txheem

Lwm cov khoom siv muaj txiaj ntsig

Cov tshuaj yuav ntxuav cov ntshav thiab cov ntshav qabzib tsawg dua.

Tus kws kho mob ntshav qab zib nco txog kev txhim kho hauv cov xwm txheej dav dav tom qab siv thawj zaug ntawm cov ntsiav tshuaj. Qhov ntsuas pom kev noj qab haus huv tseem tau rov qab mus rau qhov qub: qab los noj mov, pw tsaug zog thiab siab ntsws zoo tuaj. Thiab tseem tshwm sim:

• txo cov piam thaj hauv cov ntshav ntau dhau, muaj cov tshuaj insulin muaj zog,
• txhim kho cov txheej txheem metabolic,
• kev ua kom huv ntawm cov ntshav thiab cov qog ntshav los ntawm cov teeb meem:
• tiv thaiv kev tiv thaiv - "Suga" tsis tsuas yog kho cov ntshav qab zib, tab sis kuj tiv thaiv lwm yam kab mob los ntawm kev tsim.

Rov qab rau cov lus txheej txheem

Cov lus qhia rau kev siv cov tshuaj Suganorm los ntawm ntshav qab zib

Cov kws tshaj lij qhia kev noj "Shuganorm" thiab ua ib qho prophylaxis ntawm cov kabmob no:

• mob taub hau ib txwm
• ntshav siab
• pathologies ntawm lub plab zom plab,
• kev mob plawv.

Cov ntshav qab zib Suganorm tau tham nrog koj tus kws kho mob, tab sis cov lus qhia rau kev siv raug qhia ntawm pob. Tus neeg mob noj cov ntsiav tshuaj ob zaug ib hnub, sawv ntxov thiab yav tsaus ntuj. Thaum sawv ntxov, noj 2 lub tshuaj xim, thaum yav tsaus ntuj - 2 cov ntsiav tshuaj tsis muaj kob. Cov tshuaj tau noj 30 feeb ua ntej noj mov thiab ntxuav nrog dej sov kom ntau (txog 100 ml). Lub chav kawm ntawm kev kho mob kav 30 hnub. Nws raug nquahu kom rov ua nws 4 zaug ib xyoos.