Yintoni ukukhetha - "Creon" okanye "Mezim"? Kukuphi na okulunge ngakumbi, umahluko kukuba, imiyalelo ukusetyenziswa, real

Imithwalo kwinkqubo yokwetyisa ezinxulumene ukungatyi ukutya okunesondlo, ukutya rhoqo, ukusela iimveliso indigestible kukhokelela ezizuzwa zepancreas kwaye ngamanye amaxesha oko kunokubangela ukudumba (pancreatitis). Ukuze ukubuyisela umsebenzi umzimba kakuhle, iyeza mihla ikunikeza inani fermentosoderzhaschih iziyobisi, phakathi apho ungakhetha "Creon" okanye "Mezim". Ukuba ilungileyo le mali?

Zeziphi ezinye nabalingani nendlela ukufumana kangangoko kwezonyango, hayi overpaying ukuba oomatshini zentengiso?

amalungiselelo Isakhiwo Isakhiwo equlethe pancreatin

Le esisebenza ephambili fermentosoderzhaschih iziyobisi umhlaza pancreatic - nto pancreatin, xa okwakhiwa kwalo: lipase, uyazifohloza amafutha ekutyeni; amylase ozibandakanye catabolism carbohydrate; proteases ababandakanyeka ukwetyisa of iiprothini. Uninzi lwabantu esakhetha "Creon" okanye "Mezim" (oko kukuthi ngcono kuxhomekeke kwimeko nganye ngamnye), enika ingqalelo kwimali pancreatin kunye namacandelo ezongezelelweyo.

Ukuba macrogol - into iyabuphucula wobulali isisu iqulethwe kuwo omabini amalungiselelo, lo dimethicone, ukunciphisa flatulence, ekhona kuphela "Creon". Ukuthelekisa imiyalelo ukusetyenziswa kwala machiza, unako ukufumana itafile, nto leyo ibonisa xi ukwimo esisiseko kwaye oyidlayo enzyme ezintathu.

Yeekhomponenti eyongezelelweyo kwako nakuphina "Creon" iquka: iparafini elulwelo, macrogol 4000, polyethylene ethers 1000 kunye dimethicone. Iqokobhe philisi yi gelatin, kunye titanium dioxide, mthubi nabomvu oxide yentsimbi. Emacwecweni "mezim" umenzi, ngaphandle kokuba into esisiseko ziquka: kwincindi, nemagnesium stearate, lesilicon dioxide, sodium carboxymethyl istatshi. iqokobhe awonayo of ipilisi nganye enjalo iqulethe: emulsion simethicone, talc, Macrogol 6000, titanium dioxide kunye lacquer azorubinovy.

Indima enqanda emzimbeni womntu yaye sele kubonakala ukuba ukusetyenziswa kwazo

Enzyme, okanye enzyme ezinceda umzimba zizigungxule iikhompawundi ezimbaxa zibe iikhompawundi elula. Starch ebandakanyeka kwinyathelo catabolism carbohydrate; steapsin (lipase) kunye fractionates iyachithakala lipids (triglycerides), fatty enika unikezelo kwi amasebe awohlukeneyo kunye namalaphu; protease (okanye enzayim proteolytic) hydrolyzed iiproteni, likhulula asidi acid. Zonke ezi enzyme kuhlelwe yi zepancreas. Ukuba umntu uba ukuswela ezi enzyme, nto ichaphazela nokwenziwa iivithamini kunye neeminerali ukutya, kukho ukuphazamiseka kwimveliso hormone, kukho iingxaki kunye nomsebenzi wokugaya, isitulo ezaphukileyo, kukho ukuphazamiseka ekusebenzeni zepancreas kunye ingozi komtshiso oko. enzyme okubangelwa ngazo iimpawu ezahlukeneyo: heartburn, belching, urhudo okanye ukuqhina. Kusenokuba inguqu ezibukhali yokutya kuvela (output of zokutya ezisetyenziswayo izitya ezingaqhelekanga abahambahambayo, ukutyelela yokutyela kunye kwisampula izitya evuthiswe). Kwiimeko ezinjalo, oko kuyanceda uzive ngcono, "Creon 10000" okanye "Mezim". Kukuphi na okulunge ngakumbi - kuxhomekeke kwi ubungqongqo imeko.

Ukuba kukho ukungaphatheki kancinane emva ukutya okanye ukulungiselela efunekayo kuthintelo, kunokwenzeka ukuba zincede zikhethe mezim amacwecwe ' ". Xa ephule kakhulu ukwetyisa ugqirha uza kwabela capsule kunye idosi eliphezulu pancreatin ( "Creon 25000").

Iimpawu "mezim" indlela amanyathelo kunye nezinye iipilisi fermentosoderzhaschih

"Mezim" - amalungiselelo enzayimi ihlawula exocrine kwekhono pancreatic. Lukhuthaza kokudla xa kokudla ukudla ezibangela esiswini enzima kunye nezinye iingxaki ngenxa ukungondleki. Kanye "Creon", "Mezim", "Pancreatin" (kubhetele ukuba bakhethe iindlela fermentosoderzhaschih icebisa ugqirha), aquka lipase, amylase kunye protease leyo ninamathele amafutha, iiprotheni kunye namandla ukuze acids ezinamanqatha, monosaccharides, glycerol kunye acid .

Tablets, wawutyabeka amacwecwe, xa yokwamkela akakwazi ukuhlafuna okanye eyo. Baqala inganyityilikiswa esiswini elide, ngoko ke ngowe-12 isilonda iziyobisi duodenal uvunayo ifomu iguqulwe kancinane. Phakathi kwezinye ezingeloncedo iipilisi "Mezim" okanye "Pancreatin" Kungaba liphathwe usasazo ngokungalinganiyo bolus yaye kamva ukungena ukuya emathunjini. Ngoko ke, umba "Creon" okanye "Mezim" oko kulungele ugqirha kwi unyango lwe-pancreatitis okanye nokuphazamiseka pancreatic izigulane, impendulo iya kuba - siyobisi sokuqala. Ubude unyango replacement ekungabonini ukusuka kwiintsuku ezimbalwa ukuya iinyanga eziliqela.

Eyona inzuzo "Creon"

Eyona nto iphambili ekukhetheni ichiza uhlobo lwaso ukukhululwa. Lunempumelelo ezintsha amayeza kunye ikhemesti yokulungiselela "Creon" afunyenwe ngokukhanywa nezokukhupha pancreatin okusuka kwizilwanyana (iinkomo okanye iihagu), abhijelwe i mini-microspheres kunye ububanzi of 0.75-1.25 mm. Bona ibekwe ngaphakathi philisi, nto leyo ichithwa kwincindi esiswini, ndimkhulule kubo, kwaye ikuvumela ukuba uqhubeke indlela yakho nge wokugaya bubuhle, angaphenduli kokusingqongileyo ngxwaba esiswini.

isenzo Minimicrospheres iqala duodenum, apho ngenkuthalo kusabela catabolism kwamafutha, iiprothini kunye carbohydrate. Pluses microspheres kwakhona abumi yokuba pancreatin kubenge- oxutywe kutya isasazwa ngcono ngokuphakathi esiswini. "Minishariki" kunye ichiza kakhulu ngokukhawuleza ukungena emathunjini ucombulule kuphela kwindawo yayo, enkosi ukwakhiwa lukhule zabo. Ukongeza, lidle enqanda kwi "Creon" iphezulu kakhulu kunaleyo amacwecwe "mezim" kunye nezinye iziyobisi. Ifike iidosi ezintathu: 10000, 25000 kunye 40000. Iindidi zokuqala ezimbini "Creon" uyasuswa kwi nakwiikhemisti ngaphandle kwencwadi kagqirha, kwaye yokugqibela - yenzelwe kuphela izifo kakhulu, ngoko kuthi amiselwe ngugqirha.

"Somkhosi" - analogu idibene umahluko

Le yokulungiselela, kwakunye nezinye agents transcriptase yokusila ngqo inkqubo kuqheleke yokwetyiswa nokususwa nobunzima. Oveliswa ngohlobo amacwecwe ama-isale pancreatin.

Ukukhetha i "emisitho" yaye "Mezim" (oko kukuthi ngcono), okanye "Kreon" - kufuneka luthathele ingqalelo ukuba ichiza sokuqala ngokupheleleyo contraindicated kwi pancreatitis oyingozi okanye exacerbation kweqonga ezingapheliyo zesi sifo. Oku kungenxa umxholo kwi "festalemps" (kwaye kwakhona "Enzistale" yaye "Normoenzime") izithako ezongezelelweyo - hemicelluloses kunye inkomo inyongo elungele ukuba emulsify amafutha kunye nokususwa. iziyobisi ezinjalo akukhuthazwa kubantu abanengxaki hepatitis okanye phecana biliary izifo.

Kulungile ukunika abantwana "Mezim" okanye "Creon"

Imiyalelo yokusebenzisa enikwe ukuba "Creon 10000" inikezelwa kubantwana kunye insufficiency komsebenzi exocrine zepancreas, nto leyo ehambisana kunye nezifo emathunjini ezivelayo xa: pancreatitis ezingapheliyo, abanesigulo esinganyangekiyo, gastrectomy okanye ukusebenza kwi syndrome nepancreas Shvahmana Diamond, umhlaza kunye nezinye izifo .

Kwezi iSifo zixhaphakileyo apho oogqirha ukumisela umntwana "Creon 10000" (hayi ngaphezulu), ungakhetha dysbiosis (ngexesha ukondla) ukubanyamezela lactose (yelactose intswelo). Lo mbuzo, "Creon" okanye "Mezim" okona abantwana, iingcali bakhetha minimicrospheres, inceda ukugcina nomthamo ichanekileyo ngokubala i "iibhola", kuxhomekeke ubunzima bomzimba wosana olo. Ukongeza, ichiza ingena emathunjini, ngokudlulisela okusingqongileyo ndlongo nesisu. Umzekelo, umntwana ongaphantsi kweminyaka iinyanga ezintathu emiselweyo ¼ le philisi, yaye kwiminyaka 1.5 - malunga kwisithathu. Minimicrospheres isongeza ukutya engamanzi (engengawo amanzi ashushu), ukuba songanyibilikisswa asele incasa emuncu (juice iziqhamo okanye apile nesosi). Abantwana ibele kuphela, "Creon" nto wabelwa njengamanzi desoldering zingonakalisa microflora wamathumbu inegwele kwiimvuthuluka ubisi, okwandisa ingozi ukwanda yabemi iintsholongwane ebolayo kwaye kwakhona ukuthintela okutsha endalo umsebenzi siya kuzihlawulela pancreas baby.

Izimo

Kuxhomekeka kwindlela ekwakugquba ngamalungiselelo pancreatin enzyme ziye zasetyenziswa nothomalaliso entsonkothileyo Gastroenterology ngempumelelo. Nangona kunjalo, ukukhetha oko kuhle, "Mezim" okanye "Creon", kufuneka kukhunjulwe ukuba ukuqeshwa amachiza amabini kunokwenzeka pancreatitis etsolo (ukudumba pancreas), exacerbation kwezifo ezingapheliyo lomzimba wena hypersensitive ukuba amacandelo aphambili okanye ezongezelelweyo yokulungiselela. Self-iyeza ukusetyenziswa fermentosoderzhaschie ezingathandekiyo. Kuphela gqirha ngokusekelwe iziphumo zeemviwo utyhila ibakala yophuhliso sifo, kwaye unika kuqulunqo kangangoko ngokungqinelana imeko yomguli. Kwakhona kucetyiswa ukuba abandakanyeke ezichazwe ngokusebenzisa nokuzithatha ixesha elide yaye yokhangelo ingakhangelwa oku enokukucaphukisa i kwekhono zepancreas, leyo akakwazi ukuba avelise enzymes eziyimfuneko ngokwabo.

Izimvo kunye namacebiso oogqirha

Nangona indlela amanyathelo of "Creon" yaye "mezim 'efanayo, ekhetha oko kuhle," Mezim "okanye" Creon "kunye pancreatitis, oogqirha athathele ingqalelo iziphumo ezahlukeneyo la machiza emzimbeni. Oku kungenxa yoxinaniso kunye umthamo pancreatin wenza mali ezihlawulwa, kwakunye nobugcisa ezintsha lemveliso amayeza German kwi njengezingxobo ( "Creon"). Kwiimeko ezininzi, ukuphucula yokwetyiswa ukuphelisa iimpawu ezimbi ezincinane injeke emva kokutya okunamafutha kunye nokutya okubabayo, oogqirha ndiyakholwa ukwamkelwa efanelekileyo "mezim Forte." Ukuba kuvela le meko ukususela kumaxesha ngamaxesha, kunokwenzeka ukuba uncedo enjalo injeke yedwa.

Ukuba heartburn, ukuqumba kunye nezinye iimpawu iingxaki emathunjini ekusebenzeni yokuba ukwenzeka rhoqo, kuyimfuneko ukutyelela ugqirha baye kuzihlola. Ugqirha emva kokufunda zePCR unako ukugqiba ngokuchanileyo "Creon" okanye "Mezim 'ukuba ngcono kwaye ezichanekileyo unyango ngamnye. Kunokuba likhondo unyango nelifutshane ukuthatha njengezingxobo kunye idosi elikhulu enqanda, kwakunye iipilisi elide kwangumqondiso ukuba kube lula umsebenzi injeke kwaye bunjani umsebenzi yokwetyisa. Njengezingxobo angawokubhuda lonke shushu, hayi ulwelo ngokwaneleyo asidi (pH <5), ukususela intsalela acid-emazantsi zesiselo ngasentla kuwa iqokobhe 5 microsphere.

Yintoni ngcono, "Creon" okanye "Mezim": ngokungafaniyo (izimvo zezigulane oomama abaselula)

Phantse bonke aba ithuba ukuthatha la machiza fermentosoderzhaschie okanye banike abantwana babo, phawula ukusebenza eliphezulu "Creon", embiza ngokuba "olomeleleyo", "umsebenzi", "olusebenzayo".

Nangona uluhlu olubanzi iSifo, sichaza umsebenzisi, ichiza iye yagweba care ephawulekayo zonyango, ukuphelisa ezininzi iimpawu ezimbi. Maxa wambi unako ukufumana izimvo, nto leyo ithetha yokungabikho nawuphi umphumo. Oku kungenxa iimpazamo isicelo amachiza (xa "Creon" iyasetyenziswa endaweni 'mezim "ngaphambi isidlo iindwendwe) negumbi zabo olungalawulwayo okanye yanikelwa sifo.

Umahluko kweendleko

Ukuba iingenelo iimpawu amayeza of "Creon" iziyobisi ezicacileyo, ixabiso layo eliphezulu xa kuthelekiswa iipilisi fermentosoderzhaschimi rhoqo uba isizathu awuthengi. Ngokumalunga nokufikeleleka, kungcono, "Creon" okanye "Mezim Forte" kunye idosi enye (umzekelo, iiyunithi 10,000).? Pack iipilisi 20 "Mezim Forte" kwi drugstores ezininzi ixabisa ngaphakathi engange 200-220, nangenxa inani elingana njengezingxobo "Creon" umthengi kuya kufuneka ukuba uhlawule malunga 300-350 engange. Iindleko imveliso enye, eyakhutshwa yi "Solvay Pharmaceuticals" (France) kunye inkampani isiJamani "Abbott Laboratories", kunye ne nedosi ye-iiyunithi 25,000 (20 njengezingxobo) ezikhemisti ezisezidolophini kunye intanethi ifikelela 570-600 engange. Zasekhaya "Pancreatin" (100 mg) kunye into esebenzayo efanayo kodwa yoxinaniso aphantsi kunye nesiphumo esiphakathi, iya kuxabisa malunga 60-70 engange (tablets 60). Oogqirha angacebisa philisi "Mikrazim" ( "Abba uYayiro", Russia), njengezingxobo 50 endiwazuze 466 engange (10,000 iiPC.) Okanye 781 engange (25,000 iiPC.); tablets "Pancreatin Forte" ( "Biosynthesis", Russia) iziqwenga 20 41-50 engange.

Ngenxa yoko,

Umahluko "mezim", "Creon" kunye namanye amalungiselelo enzymatic kakhulu izinto ezimbalwa, zingaphawulwa ngokufutshane ingashwankathelwa ngolu hlobo lulandelayo: njengezingxobo gastroresistant minimicrospheres - ifomu isebenzayo amayeza ukuze alathise esisebenza emathunjini ingatshintshanga. Inani ezimbi nezidanga yazo yophuhliso, ngokuba ezinceda "Creon", ngaphezulu kakhulu kunokuba ezibonisa tablet "Mezim". Iingcali namhlanje bakhetha ukuba ukuncoma "Creon" capsule ezintsha, yaye kuphela kwiimeko ezinqabileyo, azise elingana mali.