Hoʻopuka

ʻO ka wehewehe e pili ana i 19.10.2014

• Palapala Latin: Hoʻopuka
• ʻĀkau ATX: A09AA02
• Mea waiwai: Hoʻoponopono (Pancreatinum)
• Mea Hana: STI-MED-SORB, ʻAlapa Kaʻaleʻa Valenta, AVVA-RUS, Irbitsky Chemical Farm, Biosynthesis OJSC, Aveksima OJSC, Pharmproekt, Lūkini, PJSC Lekhim, PJSC Nā Huaʻala, Ukraine

Ka hoʻonohonoho ʻana a me ke ʻano o ka hoʻokuʻu ʻana

i kahi pōkole 10 pcs., i loko o kahi pahu o 5 mau blisters.

Nā hōʻailona no ka hoʻohana ʻana

Nā hōʻailona no ka hoʻohanaʻana i ka lāʻau lapaʻau Pankramin nā: non-insulin-dependant diabetes, maʻi o ka gastrointestinal tract, maʻi a me ka maʻi pancreatitis, pre-a postoperative wā i ka hana ma nā mea o nā ʻāpana o ka gastrointestinal tract, pancreas a me duodenum, nā maʻi oncological, me ka radiation a me ka chemotherapy, geriatric practice . ^ E Ha yM.

Ke ʻano o ka hoʻohana ʻana:
Pankramin e lawe i nā papa he 2-3 mau lā i ka lā no 10-15 mau minuke ma mua o ka papaʻaina, holoi ʻia me ka wai, me ka ʻaika ʻole.
Pōʻana: 10-14 lā.
Hoʻomaopopo hou i ka hana i 3-6 mau mahina.

Nā pālua:
Nā maʻi hoʻohālikelike i ka hoʻohana ʻana i ka lāʻau Pankramin nā: kūlohelohe kūʻokoʻa o nā mea o ka huahana, ka hāpai ʻana, ka hānai ʻana i ka umauma.

Ka hana lāʻau lapaʻau

No Pancreatin ka hui lāʻau lapaʻau ʻo "Enzymes and anti-enzymes" a ʻo ia ka lāʻau multienzymeka mea i manaʻo nui ʻia e hoʻopiha i ka pau i ke kino Nā hoʻomaʻemaʻe pancreatic a hoʻoikaika ana i ka hoʻoneʻe ʻana o ka ʻaiā, mea momona, a me ka ʻai i loaʻa aku i nā mea e pili ana i ka paʻakai. ʻO kahi hopena, ʻoi aku ka wikiwiki a paʻa loa i loko pōpilikia liʻiliʻi.

Pharmacodynamics a me ka pharmacokinetics

ʻO ka pancreatin kahi lāʻau lapaʻau e loaʻa ai ʻO nā enzymes protease pancreatic, trypsin, lihilna, lipasa, amilase.

Hoʻonohonoho ka mea waiwai i ka mea huna o kāna peʻe Nā hoʻomaʻemaʻe pancreatic a kalalā (ma ko ano ʻōpū a me ka ʻōpū liʻiliʻi), a me hili hunahoʻāla i ka kūlana hana kalalā, e hoʻomaikaʻi i ka hoʻowalewale ʻana a me ka lawe ʻole ʻana o nā momona, nā kaumaha a ʻokoʻa ʻole paha no nā kānaka.

ʻO nā kāpeka pancreatin, mau koholā a me nā papa nā ʻōlelo i hoʻopuni ʻia me ka panʻi kūikawā e pale ai iā lākou mai ka hoʻoilo ʻana ma mua o ka komo ʻana i ka ʻāpana alkaline. pōpilikia liʻiliʻi. ^ E Ha yM. ʻO ia ka mea, ʻaʻole i ʻae ka ʻ the i ka mea hana e hoʻōki ai i lalo o ke kaomi o ka waikole hydrochloric a me ka pH ʻāwī wai i loko o ka ʻōpū.

ʻO ka hana nui loa o nā enzyme pancreatic i ʻike ʻia ma ka hapalua hola ma hope o ke kau ʻana o nā capsules, dragees a i ʻole nā ​​papa Pancreatin.

ʻO ka hana a ka lāʻau lapaʻau ka hopena hui pono o kāna mau ʻāpana ponoʻī. No kēia kumu, ke kohoʻana i nā hiʻohiʻona pharmacokinetic, a me ka ʻike nā metabolites nā hana ikaika i kūkulu ʻia i ke ala o kona biotransformation ma ke kino, he hana paʻakikī.

Hiki ke ʻike ʻia nā ʻonohi ma ka hoʻohana ʻana i nā māka kūikawā a i ʻole nā ​​haʻawina lāʻau kūlohelohe.

Ka hopena o ka hoʻomākaukau ʻana o ka papa pancreatin i ke ʻano o ka hoʻokuʻu ʻana (nā papa maʻamau, nā papa pāpaʻi micro-sized a me ka minimicrospheres) a me ke kūlana haukapila: ʻo ka hoʻohālike, a me ke ʻano o ka pancreatitis kūpaʻa i ka hana exacerbation, hiki ke loaʻa ka hopena maikaʻi me ka hoʻohana ʻana i nā papa hana dosage; . ^ E Ha yM.

Nā Hoʻohui

E like me nā lāʻau lapaʻau, nui ka hoʻomākaukau ʻana no ka pancreatin i nā contraindications. No laila, ʻaʻole lākou e kuhikuhi i kēia mau hihia:

• nā maʻi me maʻiʻo pancreatitisa me ka maʻi me exacerbated maʻi pancreatitis maʻa,
• he moolelo no na maʻi haaheo i nā mākaukau e pili ana i ka pancreatic enzymes o nā holoholona, ​​a me ka hypersensitivity no ka pancreatin,
• nā maʻi me ālai ʻia,
• nā maʻi maʻi i hōʻike ʻia maʻiūnū mākaʻikaʻi.

Nā hopena hopena

ʻO ka hōʻemi ʻana me ka hoʻomākaukau ʻana no ka pancreatin i nā hihia i loaʻa ʻole ʻoi aku ka liʻiliʻi (ʻoi aku ka liʻiliʻi ma mua o hoʻokahi o 10 mau hihia) e hoʻonāukiuki i nā hopena ʻaoʻao. ʻO ka pinepine loa nā hopena kūlohelohepili i nā hypersensitivity pilikino i kāna mau mea konoho.

ʻO ka hoʻohana lōʻihi ʻana o nā papa kiʻekiʻe o ka pancreatin e hiki ai ke hoʻoulu hyperuricosuria - ʻano hiʻohiʻona uric acid urate ihi a ʻo ka hoʻonaʻauao hoʻi hoʻi kalāleʻatoa.

Nui loa nā maʻi i loaʻa i ka maʻi nā microsic fibrosis, ke hoʻohana pū ʻia ʻana o nā wai kiʻekiʻe o ka pancreatin me ka hoʻokumu ʻana o uaua ma ka ʻaoʻao ileocecal (pae ʻia cecum a ioka a me ka mea hoʻāla e pili ana liʻiliʻi a me ka'ōpala nui) aii kolone koi (ʻo ia hoʻi, i ka piʻi ʻana o ka hapa).

Eia nō hoʻi kalalā i nā hihia ʻehā loa, hiki i ka lawehala ke hōʻike iā lākou iho i ke ʻano nā ninia, eha epigastric, ʻeha ka makaʻu, ʻaina ninininā hoʻololi o ke ʻano o ka papaʻa. ʻO kekahi manawa hiki ke hoʻomohala ālai ʻia, constipation.

I nā maʻi nā microsic fibrosis kanaka mai ʻōnaehana urogenital Hiki i nā hōʻeha ke hōʻike ʻia e ka piʻi ʻana o ka uric acid me ka urine (ʻoi aku inā hoʻohana ʻia ʻo Pancreatin i nā papa kiʻekiʻe).

I mea e pale ai i ka hoʻonaʻauao ʻana uric acid calculi i nā mea maʻi mai kēia hui, mālama ʻia ka uric acid i ka urine e ʻike mau ʻia.

Hoʻohui

E pale aku i ke ʻano o ka hoʻohana ʻana i ka pancreatin, e hoʻemi ka emi ʻana o ka folate a me ka hao. ʻO kēia, ke hoʻonāukiuki i ka pono no kā lākou komo hou i ke kino.

Hoʻohana pinepine ʻia o ka lāʻau lapaʻau me antacids, kahi e komo ai ka calcium carbonate (kalima carbonate) a / a i ʻole peia magnesium hydroxide, e hoʻemi ana i kona pono.

ʻAʻole nō i hoʻokū ʻia nā ʻano hana ʻē aʻe o ka pilina o ka pancreatin.

Nā ʻōlelo kikoʻī

He aha ka pancreatin a he aha ia e hoʻohana ai i ka lāʻau lapaʻau no ka?

ʻO ka pancreatin he wai pancreaskomo i ka wāwahi o ka protein, momona a me nā meaʻai i loaʻa i ka momona. ʻO kāna kūlana i loko kaʻina hana Ua hoʻokumu hou ʻia ʻo ia i ka makahiki 1659 e ka physiologist o Kelemania, ke kauka, anatomist a me ka mea lapaʻau ʻo Francis Sylvia.

Eia naʻe, ʻelua mau makahiki i hala aku nei, ua hoʻokele e ka ʻomaʻāina Farani Claude Bernard i ala e loaʻa ai kēia wai.

I ka hoʻopaʻa ʻana i nā waiwai o kēia waiwai, ua hoʻomaka ʻo ia i ka hopena inā hiki i ka hika a me nā haʻalulu ʻana, hiki iā lākou ke hōʻemi ʻia i loko o ka digestive tract o kā lākou iho, a laila ʻaʻole hiki i nā haka ke hoʻohiolo me ka ʻole o ke komo ʻana o Pancreatin. ʻO ia nō ke kumu i ka wā hea Nā maʻi maʻi pancreas hoʻāla ʻole ʻia nā meaʻai momona i ke kino.

Ua hoʻomākaukau mua ʻia ka hoʻoliʻiliʻi ʻana o ka hoʻonaninani honua ʻana ma ke ʻano he kumu pancreatic o nā puaʻa a me nā bipi, akā no ka hoʻomaka ʻana o ka hoʻomākaukau ʻana i ka hale ʻo 1897. He paakapa ʻawaʻawa loa lākou i kapa ʻia ʻo “pancreatinum kū”. Eia naʻe, maikaʻi ʻole kēia pōpō, ʻoiai ke lawe nā mea maʻi i nā dosis kiʻekiʻe loa.

Ua wehewehe ʻia kēia ma ka ʻoiaʻiʻo e ke hele ʻana ma loko o ka ʻōpū Nā hoʻomaʻemaʻe pancreatic hana ʻole i kahi hoʻonaninani ka ʻōpū (i nā kino o nā huina endogenous komo i loko 12 ulokedi duodenal).

Ma hope aku, ua loli hou ka hoʻomākaukau ʻana no ka pancreatin. Ma muli o ke ʻano āpau o ka hanauna hou e ka kiʻekiʻe ke kūpaʻa ʻana i ka wai ʻōpū a loaʻa i ka helu pono o nā enzyme, i ka wā e nānā ai i ko lākou hana pono, e kālele ana lākou me ka nui o nā lāʻau kūloko ponoʻī.

E ola pono ka lāʻau inā komo wale nō 12 ulokedi duodenal a me na chyme (wai a i ʻole semi-wai, ʻōpala i hoʻokaʻawale i ka ʻai), pono ke ʻano. Inā ʻaʻole, he kumu ʻole ka lawe ʻana i ka pancreatin.

Ma ke kaʻina hana ʻana i ka ʻai ma ka lua o ka mea mālama puka Woked Duodenal nā mea hao wale nō e hala, ʻo ka nui o ia mea ʻaʻole iʻoi aku ma mua o 1.5-2 mm. Mālama ʻia nā hapa nui i loko o ka ʻōpū, kahi i wāwahi ai lākou ma lalo o ka mana o nā huina a me ka acid hydrochloric.

A laila, noho mau ka papa digestive nui i loko o ka ʻōpū no ka manawa lōʻihi a hiki ʻole ke hana ʻia kā lākou hana ikaika.

Loaʻa ka hoʻomākaukau ʻana i ka pancreatin i kēia mau lā i ke ʻano o nā papa a me nā hāmeʻa nui ʻē aʻe, a me ka poni ʻia me kahi membrane kūikawā e kū pololei ana i ka nā ʻāpana, spheres o ka ʻumi-ʻokoʻa.

Hoʻolālā nā papa pancreatin hāliu i ka lactose. No laila, ʻaʻole pono e kuhikuhi i nā poʻe maʻi me ka intolerance hoʻoilina. galactosa, hypolactasia a i ʻole meglucose galactose malabsorption indrome.

Me ka hoʻohana mau ʻana o ka hoʻomākaukau ʻana o ka pancreatin, ua ʻōlelo ʻia e hoʻohui huluhulu folic a me ka hoʻomākaukau hoʻomākaukau ʻana.

I ka maʻi me ka maʻi o ka "nā microsic fibrosis"ʻO ka hoʻopiʻi maʻamau ʻo ia ka maʻi ka pākaukau ʻana i ke kakaka. ^ E Ha yM. Inā aia nā hōʻailona e like me kēia kūlana holomua, pono ʻoe e makaʻala Nā hana paʻa (pathological kūʻiliʻili o ka ʻōpū o ka ʻōpū).

Aia ka huahana i nā enzyme pancreatic ikaika e hiki hōʻino mukosa waha, a no laila, e ale ʻia nā papa me ka ʻole o ka pau ʻole.

Hiki i ka poʻe maʻi ke paʻakikī ke kīloi i kahi pulupulu holoʻokoʻa e ʻānai i ka microspheres i loko o ia mea a hoʻohui ʻia iā lākou me ka meaʻai wai a i ʻole nā ​​mea inu no ka inu.

I ka wā o ka mālama ʻana me ka lāʻau lapaʻau (kūikawā, ʻike pū ʻia nā mea maʻi lōkohu) Ke kauoha ʻia nei e hoʻoponopono i kāu ʻai. Na koi kālā no ka hana hemahema ПЖЖ i kēia lā:

• ʻohi ʻia ka meaʻai
• pono hoʻōla nā ipu a pau, akā ʻaʻole wela, ʻaʻole anu
• ʻO ka helu o ka ʻahaʻaina he 5-6 i kēlā me kēia lā, ʻoiai paha e liʻiliʻi nā liʻiliʻi.
• ʻo ka hoʻokaʻawale o nā kīʻaha e pono ia me ka semi-wai (hiki i ka meaʻai paʻa ka ʻāina)
• semolina, bakwheat, laiki a me nā ʻalupoti oat ma hope o ka hoʻolapalapa (ma ka wai) me ka lepo,
• pono ʻā nā ʻawaʻawa (ʻoi aku ka maikaʻi o ka hoʻohana ʻana i ka mea momona rosehip a i ʻole inu wili ʻia ʻoi ʻia paha).

ʻLoe a me ke kākele

Koho ʻia nā wai o ka pancreatin e like me nā ʻano o nā mea maʻi a me ka nui o nā hihia ke helu ʻia ma ka pae o ka hoʻomohala ʻana o ka maʻi pancreatic. ʻO ka ʻōlelo aʻo maʻamau no ka hoʻohana ʻana o Pancreatin i ʻōlelo ʻia i hoʻokahi papa me ʻehā mau lau, ʻo ia hoʻi, ma kahi 16,000 mau pūʻulu lipase i kēlā me kēia lā. Hoʻomaopopo ʻia kēia i ka laima nui loa o ka lā lapaʻau no ka mea maʻi maʻi maʻi.

Eia kekahi, pono ke hoʻopihapiha i nā aila ʻole pono i ka hoʻonui ʻana i ka nui o ka nui o ka Pancreatin, a hiki ke kuhikuhi i ka nui o nā papa he 50 i kēlā me kēia lā. ʻAʻole ia ka nui o ka makaʻu e hoʻoweliweli i kēia, akā ʻo ka maʻi ma ka mea i kau ʻia ai. Kanalima nā papa o ka lāʻau lapaʻau e loaʻa i ka pono o kēlā me kēia lā o ke kino o ke kanaka no ka lipase.

No nā keiki, Hoʻoulu ʻia ʻo Pancreatin e like me ke ʻano i kēia manawa.

I ka manawa like, nā helu ma aneʻi he kuhikuhi wale a ʻaʻole ia he kuhikuhi no ka hoʻohana. ʻO ke koho a me ka pane ʻana o Pancreatin e lawe wale ʻia e ke kauka, me ka nānā ʻana i nā hiʻohiʻona a pau o ka mea maʻi a me nā patology.

E hoʻokuʻu i ke ʻano a me ke kumu kūʻai

Loaʻa ka lāʻau lapaʻau i nā ʻano ʻelua:

Hiki i kēia mau lāʻau lapaʻau ke hana e like me nā mea hoʻohālike o Pancreatin:

No ka mea kaumaha

He aha nā mea ʻē aʻe e kōkua nei iā Pancreatin? Wahi a ka annotation, hiki ke hoʻohana ʻia ka lāʻau lapaʻau no ka heartburn. Ka ulu ʻana o ka ʻalā ma ka sternum, i hui pū ʻia e ka belching, utul, iha, ʻoluʻolu, a i ʻole ka ʻawaʻawa o ka hōʻono, no nā kumu like ʻole. Hiki i kēia mau hōʻemi maikaʻi loa e hoʻonāwaliwali i ka tonus o ka sphincter o ka ʻōpū a i ʻole ka nalo ʻana ma muli o ke ʻano o ka ʻaina o ka meaʻai a keu aku. ʻO ke pancreatin me ka heartburn ʻaʻole wale ke kōkua i ka hoʻopau ʻana i nā hōʻailona o kahi kūlana leʻaleʻa, akā e hoʻihoʻi hou i ka hana o ka pēpē gastrointestinal. Ka lōʻihi o ka mālama: 3-4 mau lā.

Me ka gastritis

Me ka hoʻonāukiuki ʻana o ka mucosa gastric, hana ʻia kona pā, kahi e hiki ai i ka hoʻonāukiuki i nā hana o nā huelo. E kōkua ka pancreatin no ka gastritis i ka wikiwiki e hoʻolalelale i ka nui o ka maʻi, a inā he ʻano nui ka pathology, a laila e hoʻoulu ʻia ka lāʻau lapaʻau a hana i nā ʻalohi o ka huehue pakele. Ke lawe nei i ka lāʻau lapaʻau, kōkua ke kanaka e hoʻoōla i ka meaʻai i komo i ka ʻōpū. Ua kau ʻia ke ʻano o ka hana lapaʻau ma ke ʻano o ka maʻi, a mau nō mai kekahi mau lā a hiki i kekahi mau mahina (ma ka liʻiliʻi he ʻelua no nā ala paʻakikī).

Me ka wīwī

ʻO ka maʻi maʻamau ka ukana ʻia e nā kīwaha palaka ʻekolu a i ʻole ʻekolu manawa i ka lā. ʻO nā hiʻohiʻona nui o ka hānaiʻana he mau kīwaha a me nā neʻe pinepine ʻana i ka bowel. Hiki ke hōʻeha ʻia nā maʻi maʻi ma muli o ka hiki ʻana o nā maʻi he nui, e helu ana mai ka maʻi ʻōpū, ka maʻi Addison a i ʻole ka pneumosclerosis maʻi, a pau me ka maʻi me ka Escherichia coli maʻamau. Ma mua o ka lawe ʻana i nā papa enima, pono ʻoe e hoʻomaopopo i ke kumu o ka huehue. Inā pili ia me ka exacerbations o ke ala gastrointestinal, a laila hiki iā ʻoe ke lawe i ka lāʻau lapaʻau e like me ke ʻano maʻamau a hiki i ka pau ʻana o ka maʻi leʻaleʻa.

E ʻike i nā ʻano lāʻau ʻē aʻe.

I ka hihia laono

Ke hele nei ka hoʻohuihui o ke kino no nā kumu he nui: lawe i ka meaʻai maikaʻi ʻole, ma hope o ka lawelawe ʻana i nā lāʻau lapaʻau, ma hope o ka hoʻonā ʻana i nā mea ʻona, ma hope o kahi ʻuʻewa manuahi a me nā mea'ē aʻe. Nā hōʻike hōʻike ʻano o ka make i ke ʻano he nausea, luaʻi, ka ʻōpū o ka ʻōpū, ke ʻīwī, ke maʻi. Hoʻ lawe ʻia ka pancreatin i ka hihia o ke kīpona inā he hanana ia ma muli o ka hoʻokomo o nā huahana haʻahaʻa haʻahaʻa. I nā kūlana ʻē aʻe, ua kuhikuhi ʻia kahi hana ʻē.

Me ka pancreatitis

ʻAʻole paʻa nā hana o ka hoʻomākaukau ʻana o ka enzyme e hoʻopau i ka ʻeha i ka wā o ka exacerbations o ka gastrointestinal tract, akā, e hoʻolalelale ana i ka pancreas. Me ka hoʻowalewale o kēia ʻano (pancreatitis), ʻike ke kanaka i nā hōʻailona o ka hoʻohālikelike, ka ʻehaʻeha o ka ʻōpū a me nā papa ʻaina. ʻAʻole kū i ka pancreas i ka lawe ʻana o ka meaʻai. Hoʻohana ka pancreatin i ka pancreatitis i ka pale ʻana i nā hoʻopiʻi koʻikoʻi. Eia nō naʻe, aia kekahi mau ʻano o ka maʻi i hiki ʻole ke inu i ka hoʻomākaukau o ka enzyme, akā aia nō kahi o ka mea i kuhikuhi ʻia no ke ola. I mea e hōʻili ʻole ai i ke kūlana, ʻaʻole i ʻae ʻia ka lāʻau lapaʻau ponoʻī.

I ka wā pau

ʻO ka poʻe olakino ma hope o nā ʻahaʻaina hoʻolauleʻa lōʻihi e ʻike ai lākou i ke kumu e inu ai lākou iā Pancreatin.Hoʻomaʻamaʻa ka hoʻomākaukau ʻana o ka ʻaina e hoʻonā i ka hoʻoneʻe ʻana o nā momona, nā meaʻai momona a hōʻalo i kēlā mau hopena leʻaleʻa e like me ka hoʻouka ʻana o nā kino o loko, ka pilikia o ka microflora o ka wahī, nā pilikia me ka hoʻokaumaha a me ka ʻoki ʻana, ka wā kahiko o nā hui, hoʻomohala ʻana i nā vena varicose. Ke inu overeating, lawe koke ʻia ka pancreatin ma hope o kahi pāʻina, 1-2 papa i ka manawa, holoi ʻia me ka wai. Pono e hoʻomanaʻo ʻia ka hoʻokaʻawale ʻana i ka wai i ka hopena o ka lāʻau.