Yini lokukhetha - "Creon" noma "mezim"? Yikuphi okungcono, umehluko, yokusetshenziswa, ngempela

Imithwalo ku isimiso sokugaya ukudla bungene elihlobene ne ukudla okungenamsoco, ukudla njalo, ukuphuza imikhiqizo indigestible kuholele eziyimbangela yezinkinga ezizuzwa kwamanyikwe futhi ngezinye izikhathi kungase kubangele ukushisa (pancreatitis). Ukubuyisela umsebenzi umzimba elilungile, ezokwelapha zesimanje inikeza inombolo fermentosoderzhaschih izidakamizwa, phakathi lapho ungakhetha "Creon" noma "mezim". Lokho okuhle kwe-lezi zimali?

Yimaphi amanye nozakwabo futhi kanjani ukuthola umphumela esiphezulu zokwelapha, hhayi overpaying yokumaketha gimmicks?

Ukwakheka amalungiselelo equkethe pancreatin

The main isithako fermentosoderzhaschih izidakamizwa umdlavuza pancreatic - kuyinto pancreatin, lichaza ekwakheni okuyinto: lipase, ahlahlele amafutha ekudleni; Amylase wahlanganyela catabolism carbohydrate; proteases ehilelekile ukugayeka amaprotheni. Iningi labantu bakhetha for "Creon" noma "mezim" (okuyinto engcono incike ngamunye icala ngabanye), benaka inani pancreatin futhi izingxenye ezengeziwe.

Uma macrogol - ikhemikhali nemphumela omnene laxative kuqukethwe kokubili amalungiselelo, le dimethicone, ekunciphiseni ukubuyisa, likhona kuphela "Creon". Ukuqhathanisa yokusetshenziswa le mithi, kungenzeka ukuthola itafula, okutshengisa lokuhlushwa izidakamizwa eziyisisekelo kanye umthamo enzyme ezintathu.

Yezingxenye ezengeziwe ukushintshwa "Creon" kuhlanganisa: upharafini liquid, macrogol 4000, i-polyethylene glycol 1000 dimethicone. Igobolondo capsule kuyinto gelatin, futhi ama-titanium dioxide, phuzi futhi zibe bomvu yensimbi oxide. Ngo amaphilisi "elithi mezim" umkhiqizi, ngaphandle ketshezi okuyisisekelo kwakuhlanganisa: i-cellulose, magnesium stearate, Silicon dioxide, i-sodium carboxymethyl isitashi. igobolondo encibilikayo of iphilisi ngalinye ezifana iqukethe: emulsion simethicone, talc, Macrogol 6000, ama-titanium dioxide futhi lacquer azorubinovy.

Indima enzyme emzimbeni womuntu futhi izinkomba ukusetshenziswa kwabo

Enzyme, noma ama-enzyme ezisiza umzimba sokudiliza compounds eziyinkimbinkimbi ibe izakhi lula. Starch ehilelekile catabolism carbohydrate; steapsin (lipase) kanye fractionates ancibilikisa lipids (triglyceride), ama-fatty acid ukuhlinzeka ukulethwa kwezitho ahlukahlukene nezicubu; protease (noma ama-enzyme proteolytic) hydrolyzed amaprotheni, kokukhulula acid acid. Zonke la ma-enzyme kuthiwa kuhlelwe umqondo ngu amanyikwe. Uma umuntu nokuntuleka lezi ama-enzyme, ithinta nokwenziwa amavithamini namaminerali ukudla, kukhona ukuphazamiseka ukukhiqizwa kwama-hormone, zikhona izinkinga wokugaya ukudla ipheshana umsebenzi, situlo eziphukile, kukhona ukuphazamiseka ekusebenzeni kwamanyikwe futhi ingozi ukuvuvukala. enzyme ukuntula engaveza izimpawu ezahlukene: isilungulela, ukubhodla, uhudo noma ukuqunjelwa. Kungaba kuphakama at ushintsho abukhali yokudla (okukhiphayo ukudla esetshenziswa izitsha ezingavamile ojikelezayo, ngihambela yokudlela ne isampula izitsha elicwengisiswe). Ezimweni ezinjalo, kuyasiza uzizwe ungcono, "Creon 10000" noma "mezim". Yikuphi okungcono - incike kobukhulu isimo.

Uma kukhona ukungakhululeki okuncane ngemva kokudla noma ukulungiselela kuyadingeka tekuvikela, kungenzeka ukuba makudle mezim izibhebhe ' ". Lapho nokwephula of kokudla esiswini udokotela isabele capsule nge umthamo eliphezulu pancreatin ( "Creon 25000").

Izici "elithi mezim" mshini wezenzo namanye ama-tablet fermentosoderzhaschih

"Mezim" - ukulungiselela enzyme ivala exocrine ukungasebenzi pancreatic. It ikhuthaza ukugaya lapho kokudla ukudla ezibangela esiswini esindayo kanye nezinye izinkinga ngenxa yokungondleki kahle. Njengomvini "Creon", "elithi mezim", "Pancreatin" (kungcono ongakhetha kuzo izindlela fermentosoderzhaschih weluleka udokotela) ngenhla tifaka ekhatsi lipase, Amylase futhi protease okuyinto unamathele amafutha, amaphrotheni kanye nesitashi, ama-fatty acid, monosaccharides, glycerol nama-amino acid .

Tablets, camera amaphilisi, reception abakwazi ukuhlafuna noma wayichoboza. Baqala chaza esiswini eside, ngakho ngo-12 duodenal isilonda izidakamizwa uthola ifomu ukushintshwa. Phakathi kwezinye amaphilisi nebubi "mezim" noma "Pancreatin" kungenziwa okukhulunywa ukusatshalaliswa yabo engalingani we bolus futhi Ukungena kamuva emathunjini. Ngakho-ke, impikiswano "Creon" noma "mezim" ukuthi yini ezilungele kangcono udokotela ekwelapheni pancreatitis noma ukungasebenzi pancreatic iziguli, impendulo kuyoba - izidakamizwa kuqala. Isikhathi replacement therapy kungaba lisukela izinsuku ambalwa kuya ezinyangeni eziningana.

Inzuzo enkulu "Creon"

Isici esiyinhloko endabeni yokukhetha umuthi uhlobo lwaso ukukhululwa. Nge impumelelo zakamuva wezokwelapha nasemkhakheni wezindlela ekhemisi ukulungiselela "Creon" etholwe ichoboza futhi isizinda pancreatin okuvela ezilwaneni (izinkomo noma izingulube), ebiyelwe mini-microspheres nge ububanzi 0.75-1.25 mm. Basuke ibekwe ngaphakathi capsule, okuyinto singabhujiswa ku juice esiswini, ziyidedele, futhi ikuvumela ukuba uqhubeke endleleni yakho ngokusebenzisa ipheshana yesisu beqinile, ayiphenduli imvelo nolaka esiswini.

Minimicrospheres isinyathelo iqala duodenum, lapho amemezela ngentshiseko basabela catabolism kwamafutha, amaprotheni kanye carbohydrate. Pluses microspheres futhi aqukethe e yokuthi pancreatin is nombala exutshwe ukudla futhi kangcono basakaza okuqukethwe esiswini. "Minishariki" ne izidakamizwa ngokushesha kakhulu ukungena emathunjini bese chaza kuphela ezizungezile, sibonga ukubunjwa amagobolondo. Ngaphezu kwalokho, amazinga okukhishwa enzyme kule "Creon" lingaphezulu kakhulu kunezinye izibhebhe "elithi mezim" nezinye izidakamizwa. Iza imithamo emithathu: 10000, 25000 futhi 40000. Eyokuqala ezimbili "zezikhala Creon" akhishwa emakhemisi ngaphandle kadokotela, kanti owokugcina uyoba ngo - yenzelwe kuphela izifo ezingathi sína kwababhemayo, ngakho ngempela udokotela.

"Zemikhosi" - Analogue angumfelandawonye umehluko

Lokhu nokulungiselela, kanye nezinye wokugaya ukudla enzyme ejenti ziqondiswe inqubo ukuzinza of kokudla esiswini nokususwa ukungakhululeki. It ikhiqizwa ngesimo amaphilisi enteric-camera nge pancreatin.

Ukukhetha "zemikhosi" futhi "mezim" (okuyinto engcono), noma "Kreon" - udinga ukuba acabangele ukuthi izidakamizwa wokuqala ngokuphelele contraindicated e pancreatitis oyingozi noma exacerbation kwesiteji ezingamahlalakhona lesi sifo. Lokhu kungenxa okuqukethwe kule "festalemps" (futhi "Enzistale" futhi "Normoenzime") izithako engeziwe - hemicelluloses kanye sezinkomo Bile kunikela emulsify fat and okukhishiwe. izidakamizwa ezinjalo kungukuthi Kunconywa kubantu abaphethwe isifo sokusha kwesibindi kohlobo noma ipheshana biliary izifo.

Kungcono ukunikeza izingane "mezim" noma "Creon"

I yokusetshenziswa kulokho "Creon 10000" ekhishwe maqondana nezingane esingamahlalakhona umsebenzi exocrine kwamanyikwe, okuyinto lihlotshaniswa izifo emathunjini ezingavela uma: pancreatitis okungamahlalakhona,-cystic fibrosis, gastrectomy noma ukusebenza kwi amanyikwe syndrome Shvahmana Diamond, umdlavuza nezinye izifo .

Of ukuxilongwa ezivamile lapho odokotela libeke ingane "Creon 10000" (engasekho), ungakhetha dysbiosis (phakathi yokudla) kanye ukungezwani ne-lactose (lactase ukuntula). Umbuzo othi, "Creon" noma "mezim" ukuthi yini ezilungele kangcono izingane, ochwepheshe uthanda minimicrospheres, nokusiza ukugcina nokushintsha kokudla nokufakwa esinembile kakhulu ngokubala "amabhola", kuncike ekutheni isisindo isidumbu sengane. Ngaphezu kwalokho, izidakamizwa lingena emathunjini, ngokudlula esiswini endaweni enobudlova. Ngokwesibonelo, ingane eneminyaka engaphansi kwengu-izinyanga ezintathu ebekwe ¼ we capsule, futhi eminyakeni 1.5 - cishe ingxenye yesithathu. Minimicrospheres ukungezwa ukudla uketshezi (hhayi ashisayo), angase ziyoncibilika iziphuzo nge ukunambitheka omuncu (iziphuzo zezithelo noma apula sauce). Izingane ezihlala kuphela ibele, "Creon" akuyona ababelwe kuzo njengoba amanzi desoldering kungalimaza microflora emathunjini elibilile ubisi imvuthu, okwandisa ingozi ayanda labantu amagciwane putrefying futhi Futhi ungagwema ukuvuselelwa engokwemvelo siqu amanyikwe ingane umsebenzi sika.

Izimo

Kuye lokuhlushwa pancreatin enzyme amalungiselelo ziye zasetshenziswa yokwelapha eyinkimbinkimbi Gastroenterology ngempumelelo. Nokho, ukukhetha ukuthi yini ezilungele kangcono, "elithi mezim" noma "Creon", kumelwe kukhunjulwe ukuthi ukuqokwa izidakamizwa ezimbili kungenzeka pancreatitis acute (ukuvuvukala kwamanyikwe), exacerbation izifo ezingamahlalakhona lomzimba wena hypersensitive kuya izingxenye eziyinhloko noma ezengeziwe ukulungiselela. Ukuzelapha ukusetshenziswa fermentosoderzhaschie engathandeki. Kuphela udokotela ngesisekelo imiphumela kuhlolisisa kwembula ukuthuthukiswa nesigaba lesi sifo, futhi esabela ekwenziweni kwemisebenzi yoMnyango ngokuhambisana ngezimo zesiguli. Futhi hhayi Kunconywa ukuba ababehilelekile kuchazwe ngezindlela lokuwangenisa isikhathi eside futhi angathikhiwe lokhu kungaba liyochukuluza ukungasebenzi kwamanyikwe, okuyinto behluleka ukuveza okushisa amaprotheni adingekayo ngokwabo.

Izibuyekezo nezeluleko odokotela

Nakuba lo mshini wezenzo ka "Creon" futhi "elithi mezim" efanayo, ngokukhetha ukuthi yini ezilungele kangcono, "elithi mezim" noma "Creon" nge pancreatitis, odokotela acabangele imiphumela ehlukile le mithi emzimbeni. Kuyinto ngenxa okuhlushwa umthamo pancreatin yakhipha izimali ezikhokhwayo, kanye ezintsha yokukhiqiza ubuchwepheshe imithi German e amaphilisi ( "Creon"). Ezimweni eziningi, ukuze kugayeke nokuqeda izimpawu ezincane ongathandeki amanyikwe emva kokudla okunamafutha kanye nokudla okunongwe kakhulu, odokotela bakholelwa ke reception ezifanele "elithi mezim Forte." Uma kuphakama lezi zimo ngezikhathi ezithile, kungenzeka ukunikeza usizo olunjalo ukuze kwamanyikwe wedwa.

Uma isilungulela, ukuvuvukala kanye nezinye izimpawu zezinkinga emathunjini ekusebenzeni abe nesenzakalo njalo, kubalulekile ukuya kudokotela futhi uyohlola. Udokotela ngemva kokufunda assays ungakwazi ukunquma ngokunembile "Creon" noma "mezim" ukuthi kangcono nesebenza kangcono yokwelapha ngabanye. Kungaba njengoba short ukwelashwa Yiqiniso ukuthatha amaphilisi nge umthamo enkulu enzyme, kanye amaphilisi eside lingaze lula umsebenzi kwamanyikwe futhi kujwayeleke umsebenzi wokugaya ukudla. Amaphilisi Abonayo zigwinywa lonke eyanele ashisayo, hhayi liquid asidi eningi kangangokuba akukho (pH <5), kusukela acid-base ibhalansi yalesi siphuzo ngenhla 5 microsphere igobolondo eMpumalanga.

Yini engcono, "Creon" noma "mezim": ngokungafani (the ukubukwa iziguli kanye omama abasebasha)

Cishe bonke ababelemikhumbi ithuba ukuthatha le mithi fermentosoderzhaschie noma ukunikeza izingane zabo, phawula kahle eliphezulu "Creon", sokubizwa ngokuthi, "umsebenzi" "namandla", "ukusebenza".

Naphezu ezahlukene izifo, uchaza yomsebenzisi, izidakamizwa akwenzile ukunakekelwa esiphawulekayo ekwelapheni, ekuqedeni eziningi izimpawu ezingezinhle. Ngezikhathi ezithile ungathola imibono, ositshela mayelana nokungabi khona kwanoma yiliphi yi. Lokhu kungenxa yamaphutha kuhlelo lokusebenza izidakamizwa (lapho "Creon" isetshenziswa esikhundleni "elithi mezim" ngaphambi kokuba udle wokungenisa izihambi) nge reception yabo engalawuliwe noma ngokungafanele sitholakale.

Umahluko izindleko

Uma izinzuzo izici kwemithi ye "Creon" izidakamizwa sobala, izindleko ngobuhle okusezingeni eliphezulu kuqhathaniswa amaphilisi fermentosoderzhaschimi ngokuvamile iba isizathu awuthengi. Ngokuya lungeneke, kungcono, "Creon" noma "mezim Forte" nge umthamo ofanayo (isibonelo, amayunithi 10,000).? Iphakethe amaphilisi 20 "mezim Forte" e drugstores kakhulu kubiza ngaphakathi ruble 200-220, futhi nenombolo okulingana Amaphilisi "Creon" umthengi kuyodingeka bakhokhe ruble mayelana 300-350. Izindleko umkhiqizo ofanayo, ezikhishwe "Solvay Okwemithi" (France) kanye nenkampani German "Abbott Laboratories", nge umthamo amayunithi 25,000 (20 amaphilisi) Pharmacy zasemadolobheni kanye internet ifinyelela ruble 570-600. Domestic "Pancreatin" (100 mg) ngalolu ketshezi esebenzayo efanayo kodwa lokuhlushwa aphansi nomphumela ngokulinganisela, izobiza ruble mayelana 60-70 (amaphilisi 60). Odokotela ukweluleka capsule "Mikrazim" ( "Abha Rus", Russia), amaphilisi 50 okubize ruble 466 (10,000 PC.) Noma ruble 781 (25,000 PC.); amaphilisi "Pancreatin Forte" ( "Biosynthesis", Russia) 20 izingcezu ukuze ruble 41-50.

Ngenxa yalokho,

Umehluko "elithi mezim", "Creon" futhi amanye amalungiselelo enzymatic kukhona abaningana, kungenziwa kafushane kanje: Amaphilisi gastroresistant minimicrospheres - ngendlela enomphumela imithi ukuba zisize ekuqondiseni isithako emathunjini zinjalo. Inombolo pathologies kanye degree kwabo ukuthuthukiswa, ngoba ezisiza "Creon", okuningi kakhulu kunalokho izinkomba amaphilisi "mezim". Practitioners namuhla likhetha ukuncoma "Creon" capsule ezintsha, futhi kuphela ezimweni ezingavamile, esikhundleni saso alethe okulingana isabelomali.