Kodi kusankha - "Creon" kapena "mezim"? Chabwino n'chiti, kusiyana ndi malangizo ntchito kwenikweni

Katundu pa dongosolo m'mimba kugwirizana ndi zakudya osauka, kawirikawiri kudya, kumwa mankhwala indigestible kuyambitsa malfunctions a kapamba ndi zina zingayambitse kutupa (kapamba). Kubwezeretsa mulingo woyenera thupi ntchito, mankhwala amakono amapereka angapo fermentosoderzhaschih mankhwala, lomwe mukhoza kusankha "Creon" kapena "mezim". Mwakupambana ndalama izi?

Kodi Akhristu ena ndi mmene kupeza pazipita achire zotsatira, osati overpaying kwa nthano malonda?

Kukonzekera zikuchokera munali pancreatin

Waukulu yogwira pophika fermentosoderzhaschih mankhwala khansa pancreatic - ndi pancreatin, mu zikuchokera ndilo: lipase, zimafunika mafuta chakudya; amylase chinkhoswe catabolism chakudya; proteases nawo chimbudzi mapulotini. Anthu ambiri wolowa kwa "Creon" kapena "mezim" (umene uli bwino zimadalira iliyonse munthu), ndi kusamala kuchuluka kwa pancreatin ndi mbali zina.

Ngati macrogol - chinthu kukhala wofatsa zotsatira mankhwala ofewetsa tuvi tolimba ali kukonzekera onse, ndi dimethicone, kuchepetsa flatulence, alipo kokha mu "Creon". Tikayerekeza malangizo ntchito mankhwala, n'zotheka kuti tebulo, kumene kumasonyeza ndende zinthu zikuluzikulu ndi mlingo michere atatu.

A zigawo zikuluzikulu zinanso kusinthidwa aliyense "Creon" zikuphatikizapo: paraffin madzi, macrogol 4000, polyethylene glycol 1000 ndi dimethicone. The kapisozi chipolopolo ndi gelatin, ndi titaniyamu dioxide, wachikasu ndi wofiira chitsulo okusayidi. Mapiritsi "mezim" wopanga, kupatula chinthu zofunika m'gulu: mapadi, magnesium stearate, pakachitsulo woipa, sodium carboxymethyl wowuma. Sungunuka chipolopolo aliyense mapiritsi ngati lili: simethicone emulsion, talc, Macrogol 6000, titaniyamu woipa ndi azorubinovy lacquer.

Udindo wa michere mu thupi ndi zizindikiro ntchito zawo

Michere, kapena michere m'mimba kuti kuthandiza thupi kuphwanya mankhwala zovuta mu mankhwala chosavuta. Wowuma zochitika pa catabolism chakudya; steapsin (lipase) ndi fractionates amasungunula lipids (triglycerides), mafuta zidulo kupereka yobereka ziwalo zosiyanasiyana ndipo zimakhala; protease (kapena michere proteolytic) hydrolyzed mapuloteni, kumasula kwa amino acid. michere zonsezi apanga ndi kapamba. Ngati munthu ali ndi kuperewera kwa michere imeneyi m'mimba, sukhala ndi kuloŵerera mavitamini ndi mchere chakudya, pali chisokonezo kupanga timadzi, pali mavuto ndi m'mimba ntchito thirakiti, mpando wosweka, pali disruptions mu ntchito kwa kapamba ndi chiopsezo cha kutupa. akusowa enzyme angasonyeze zizindikiro zosiyana: kutentha, belching, kutsekula m'mimba kapena kudzimbidwa. Izo zingachitike pa kusintha zakuthwa zakudya (linanena bungwe la zakudya ntchito mbale zosowa woyendayenda, malo odyera ndi chitsanzo cha mbale woyengedwa). Zikatero, kumakuthandizani kumva bwino, "Creon 10000" kapena "mezim". Chabwino n'chiti - zimatengera pa zovuta za moyo.

Ngati pali kusapeza pang'ono pambuyo kudya kapena kukonzekera chofunika kupewa, n'zotheka kupereka mmalo kuti mezim miyala ' ". Pamene kuswa wa chimbudzi dokotala mutenge ndi kapisozi ndi mlingo mkulu wa pancreatin ( "Creon 25000").

Features "mezim" limagwirira kanthu ndi miyala ina fermentosoderzhaschih

"Mezim" - kukonzekera enzyme compensates exocrine pancreatic kukanika. Imalimbikitsa chimbudzi pamene kudya zakudya zokhala ndi amene amayambitsa m'mimba kwambiri ndiponso mavuto ena chifukwa kutupikana. Mofanana ndi "Creon", "mezim", "Pancreatin" (n'kwabwino kusankha njira fermentosoderzhaschih limalangiza dokotala) akupanga lipase, amylase ndi protease amene Mamatirani mafuta, mapuloteni ndi chakudya ku zidulo mafuta, monosaccharides, glycerol ndi amino zidulo .

Mapiritsi, TACHIMATA mapiritsi, pa phwando sangathe kutafuna kapena kugona tulo. Iwo anayamba kupasuka m'mimba yaitali, kotero mu 12 mmatumbo chilonda mankhwala afika mu mawonekedwe kusinthidwa. Mwa miyala ina kuipa "mezim" kapena "Pancreatin" akhoza kutchulidwa yogawa awo m'goli wa bolus ndi malowedwe kenako mu intestine lapansi. Choncho, nkhani ya "Creon" kapena "mezim" pyadidi kwa dokotala pa matenda a kapamba kapena pancreatic kukanika odwala, yankho adzakhala - mankhwala oyamba. Kutalika kwa mankhwala m'malo akhoza osiyanasiyana monga masiku angapo miyezi ingapo.

The mwayi waukulu "Creon"

Chinthu chachikulu kusankha mankhwala ndi mawonekedwe ake a kumasulidwa. Ndi zomwe atsopano a mankhwala ndi mankhwala kukonzekera "Creon" analandira mwa kuphwanya ndi m'zigawo za pancreatin wa nyama chiyambi (ng'ombe kapena nkhumba), unazunguliridwa mu mini-microspheres ndi awiri a 0.75-1.25 mm. Iwo anayikidwa mkati kapisozi, amene akuwonongedwa mu madzi chapamimba, kumasula iwo, ndipo walola kuti mupitirize njira mu kapepala kakuti m'mimba bwinobwino, akuyankha chilengedwe aukali m'mimba.

Minimicrospheres kanthu kumayambira duodenum, kumene mwachangu anatani catabolism kunyama, mapuloteni ndi chakudya. Pluses microspheres komanso MUKACHULUKIDWE chakuti pancreatin imatulutsa wothira chakudya ndi bwino anagawira pa nkhani muzituluka. "Minishariki" ndi mankhwala mofulumira kwambiri umalowa mu intestine ndi kupasuka kokha pamalo ake, chifukwa zikuchokera zipolopolo awo. Komanso, Mlingo wa michere mu "Creon" ndi apamwamba kuposa mu magome "mezim" ndi mankhwala ena. Izo zifika ku Mlingo atatu: 10000, 25000 ndi 40000. The woyamba mitundu iwiri ya "Creon" choperekedwa kwa pharmacies popanda dongosolo, ndi wotsiriza - lakonzedwa yekha matenda aakulu, choncho kwenikweni zotchulidwa dokotala.

"Zoikidwa" - amaphatikizidwa analogue a kusiyana

Zinthu zimenezi, komanso atumiki m'mimba enzyme anawalozera kwa normalization ndondomeko ya chimbudzi ndi kuchotsa nkhawa. Izo zinabala mu mawonekedwe a mapiritsi enteric TACHIMATA ndi pancreatin.

Kusankha "zoikidwa" ndi "mezim" (umene uli bwino), kapena "Kreon" - muyenera kuganizira kuti mankhwala oyamba mwamtheradi contraindicated mu kapamba pachimake kapena exacerbation wa siteji aakulu a matenda. Ichi ndi chifukwa zili mu "festalemps" (ndiponso "Enzistale" ndi "Normoenzime") zina zosakaniza - hemicelluloses ndi Bovine ya ndulu abwino emulsify mafuta ndi removals. mankhwala amenewa analimbikitsanso anthu akuvutika chiwindi kapena kapepala biliary matenda.

Ndi bwino kupereka ana "mezim" kapena "Creon"

The malangizo ntchito anapatsidwa kuti "Creon 10000" inakhazikitsa kwa ana ndi insufficiency wa exocrine ntchito ya kapamba, amene amagwirizana ndi matenda m'mimba kuti wapatsidwa: aakulu kapamba, enaake fibrosis, gastrectomy kapena ntchito pa kapamba syndrome Shvahmana Daimondi, khansa ndi matenda ena .

Wa diagnoses ambiri limene madokotala mankhwala mwanayo "Creon 10000" (kenanso), mukhoza kusankha dysbiosis (pa kudya) ndi lactose tsankho (lactase akusowa). funso, "Creon" kapena "mezim" pyadidi kwa ana, akatswiri amakonda minimicrospheres, kuthandiza kusunga dosing zolondola kwambiri ndi kuwerenga "mipira", malinga ndi kulemera kwa thupi mwana. Komanso, mankhwala likulowerera intestine, anyalanyaza m'mimba chilengedwe aukali. Mwachitsanzo, mwana sanakwanitse zaka miyezi itatu Kwalamulidwa ¼ ya kapisozi, ndi zaka 1.5 - pafupifupi hafu. Minimicrospheres anawonjezera kuti chakudya madzi (osati otentha), iwo akhoza zidzasungunuka mu zakumwa ndi wowawasa kukoma (m'zipatso kapena msuzi apulo). Ana amene yekha breastfed, "Creon" si kukachita desoldering madzi ingawononge microflora matumbo thovu mkaka nyenyeswa, kuwonjezera chiopsezo cha kuchuluka kwa anthu a yowola tizilombo akhoza kuteteza kusinthika achilengedwe a ntchito mwini kapamba mwana.

contraindications

Malinga ndende za kukonzekera pancreatin enzyme akhala bwino ntchito mankhwala zovuta za gastroenterology. Komabe, kusankha pyadidi, "mezim" kapena "Creon", tiyenera kukumbukira kuti kuika mankhwala awiri n'zotheka kapamba pachimake (kutupa kapamba), exacerbation la matenda aakulu kwa thupi ndipo ndinu hypersensitive kwa Gawo kapena zina lokonzekera. Self-mankhwala ntchito fermentosoderzhaschie osafunika. Only dokotala pa maziko a zotsatira za mupeza siteji chitukuko cha matenda, ndipo anapereka chiphunzitso mulingo woyenera malinga ndi mmene wodwalayo. Komanso osavomerezeka kulowerera anafotokoza kudzera mwa kutenga nawo kwa nthawi yaitali ndi Kupanda kusamala izi zikhoza imfayo ndi kukanika kwa kapamba, amene sangathe kubala michere kofunika okha.

Reviews ndi malangizo a madotolo

Ngakhale limagwirira cha zochita za "Creon" ndi "mezim" zofanana, kusankha pyadidi, "mezim" kapena "Creon" ndi kapamba, madokotala kuganizira zotsatira zosiyana za mankhwala m'thupi. Ndi chifukwa ndende ndi mlingo wa pancreatin anapanga sonyezani ndalama, komanso umisiri wotsogola zopanga mankhwala German mu makapisozi ( "Creon"). Nthawi zambiri, kusintha chimbudzi ndi kuwonongedwa zizindikiro yaing'ono sizabwino kapamba atatha kudya mafuta ndi chakudya zokometsera, madokotala ndikukhulupirira n'koyenera phwando "mezim forte." Ngati zinthu izi uka kwa nthawi, n'zotheka kuti athandize ngati kuti kapamba yekha.

Ngati kutentha pa chifuwa, bloating ndi zizindikiro zina za mavuto m'mimba mwa kugwira ntchito kukhala zosayembekezereka pafupipafupi, m'pofunika kukaona dokotala ndiponso kuti anayesedwa. The dokotala pambuyo kuwerenga kafukufuku molondola kudziwa "Creon" kapena "mezim" kuti bwino ndi zosavuta kwa mankhwala payekha. Iwo akhoza kukhala lalifupi chithandizo Inde kutenga makapisozi ndi mlingo waukulu wa michere, komanso mankhwala yaitali symptomatic kuti atsogolere ntchito ya kapamba ndi matenda ntchito m'mimba. Makapisozi amezedwa lonse mokwanira otentha, osati madzi kwambiri acidic (pH <5), popeza bwino asidi-m'munsi mwa chakumwa pamwamba n'kugwa 5 microsphere chipolopolo.

Kodi bwino, "Creon" kapena "mezim": mosiyana (maganizo a odwala ndi amayi achichepere)

Pafupifupi onse amene ndinali nawo mwayi woti kutenga mankhwala fermentosoderzhaschie kapena ana awo, onani mkulu Mwachangu "Creon", unali "amphamvu", "ntchito", "yabwino".

Ngakhale zosiyanasiyana za lonse la diagnoses, limafotokoza wosuta, mankhwala ali anawamasulira lodziwika chisamaliro umathandizanso, kuchotsa zambiri zizindikiro negative. Nthawi zina mungapeze ndemanga, amene amasimba za pakalibe chifukwa chilichonse. Ichi ndi chifukwa zolakwa ntchito mankhwala (pamene "Creon" amagwiritsidwa ntchito m'malo mwa "mezim" pamaso chakudya kuchereza) ndi phwando awo kusalankhula kapena molakwika matenda.

Kusiyana mu mtengo

Ngati ubwino wa makhalidwe pharmacological a "Creon" mankhwala zoonekeratu, mtengo wake ndi mkulu poyerekeza ndi mankhwala fermentosoderzhaschimi kawirikawiri chifukwa si kugula. Kumbali ya screen, ndi bwino, "Creon" kapena "mezim forte" ndi mlingo omwewo (mwachitsanzo, mayunitsi 10,000).? Pack miyala 20 "mezim forte" mu drugstores kwambiri ndalama mu rubles 200-220, ndi nambala lofanana ndi makapisozi "Creon" wogula kulipira za 300-350 rubles. Mtengo wa mankhwala chomwecho, anamasulidwa ndi "Solvay asatayike" (France) ndi German kampani "Abbott Laboratories", ndi mlingo wa mayunitsi 25,000 (20 makapisozi) mu pharmacies m'matauni ndi intaneti ukufika 570-600 rubles. M'banja "Pancreatin" (100 mg) ndi chimodzimodzi mankhwala yogwira koma ndende m'munsi ndi zotsatira zolimbitsa, ndalama za 60-70 rubles (mapiritsi 60). Madokotala angathe kulangiza kapisozi "Mikrazim" ( "Abba Lazaro", Russia), makapisozi 50 zomwe zinabweretsa 466 rubles (ma PC 10,000.) Kapena 781 rubles (25,000 ma PC.); miyala "Pancreatin forte" ( "Biosynthesis", Russia) zidutswa 20 41-50 rubles.

Chifukwa,

Kusiyana "mezim", "Creon" ndi kukonzekera zina enzymatic ndi angapo, akhoza mwachidule mwachidule motere: gastroresistant makapisozi minimicrospheres - mawonekedwe zothandiza kwambiri mankhwala kuthandiza kutsogolera yogwira pophika mu intestine sichinasinthe. Chiwerengero cha pathologies ndi digirii zawo chitukuko, umene kuthandiza "Creon" zambiri, koposa zikuonetsa kuti mapiritsi "mezim". Madokotala masiku ano amakonda amalangiza "Creon" nzeru kapisozi, ndipo okha nthawi zina, m'malo izo ndi ofanana bajeti.