A na-emepụta enzistal-P n'ụdị mbadamba mkpụrụ osisi na-acha ọbara ọbara: biconvex, okirikiri, pink (pc 10. Na blisters, na ngwungwu kaadiboodu nke 1, 2, 4 ma ọ bụ 8 blisters).

Otu mbadamba 1 nwere:

ihe na-arụ ọrụ: pancreatin - 116.17 mg na arụ ọrụ enzyme opekempe nke protease nke 250 PIECES. F. Eur. (Nkeji ọrụ nke European Pharmacopoeia), lipase 3500 UNITS. F. Uche., Amylases 4200 EGO. F. Eur.,
ihe ndi ozo: microcrystalline cellulose, silloon silicon dioxide, lactose monohydrate, magnesium stearate, sodium carboxymethyl starch,
mkpuchi mkpụrụ osisi: diethyl phthalate, macrogol 6000, cellulose acetate phthalate, azorubine (karmoizin), beeswax ọcha, titanium dioxide, hypromellose.

Mlọ ọgwụ

Enzistal-P bụ nri enzyme nke na - eme nri maka enzymes pancreatic ma nwee mmetụta amylolytic, proteolytic na lipolytic. Enzymes Pancreatic gụnyere na ihe mejupụtara, dị ka alfa-amylase, lipase, chymotrypsin, trypsin, na-etinye aka na nbibi nke abụba abụba na glycerol, protein na amino acid, stachi na monosaccharides na dextrins. Enzistal-P na-arụ ọrụ na - enyere aka ịme ka usoro mgbaze nri dị mma, melite ọnọdụ nke eriri afọ (GIT), na - enye nri nri zuru oke na ngwa ngwa, na - ebelata ịdị njọ nke mgbaàmà nke na - esite na nri mgbari (mmetụta nke jupụta na oke na afọ, afọ ọsịsa, flatulence). Trypsin dị na pancreatin na - egbochi ihe nzuzo nke pancreas, na - egosi mmetụta analgesic. A na-ahapụ enzymes Pancreatic n'ụdị usoro on obere eriri afọ (n'okpuru mpaghara alkaline), ebe ọ bụ na mbadamba ndị ahụ nwere akpụkpọ ahụ na-echebe megide ihe ọ juiceụ gastụ afọ.

Ihe ngosi maka ojiji

enweghi nkpu nke oria exocrine (dika uzo nke ogwugwo oria): udiri ala nke anakpo pancreatitis, flatulence, dyspepsia, oria na adighi oria, cystic fibrosis, pancreatectomy, onwa mgbe radieshon,
Ọnọdụ imebi afọ na obere eriri afọ, tinyere mebiri mbibi nke nri,
Remkheld si syndrome (gastrocardial syndrome),
ruo ogologo oge na-adịghịzi ebi ndụ, na-anọ otu ebe, nsogbu arụrụ ọrụ (iji melite nri nri),
ọnụnọ nke njehie na oriri na-edozi ahụ n'ime ndị nwere ọrụ eriri afọ - nri na-adịghị agbanwe agbanwe, iji nri buru ibu ma ọ bụ nwee nnukwu nri.

Dịka ntuziaka ahụ si dị, Enzistal-P na-akwadoro ka ejiri ya mee nkwadebe maka x-ray na ultrasound (ultrasound) nke akụkụ nke afọ.

Ntuziaka maka iji Enzistala-P: usoro na usoro onunu ogwu

Enzistal-P ka a na-ewere ya ọnụ. N'otu oge, mgbe ị risịrị nri ma ọ bụ ozugbo nri, achịcha ndị ahụ anaghị ata ata, loda ihe niile ma jiri mmiri mmiri saa ha niile.

Ihe ndị okenye tụrụ aro ka daba na ya bụ mbadamba 1-2. Nyere ogo ogwu nri puru iche na nri / onodu nri riri nne, ma oburu na odi nkpa, ka ekwesiri ka onodu ihe ruru rue mbadamba abuo nke 2-4. Dose A A dose dose exceed Nke gaferela 4 pensụl nwere ike ị takenụ ya naanị dika onye dọkịta gwara ya. Ogo ọgwụ kachasị kwa ụbọchị nke lipase ekwesịghị ịdị karịa 15-20 puku nkeji / n'arọ.

Maka ụmụaka, dọkịta ahụ setịpụrụ usoro usoro onunu ogwu, n'ọtụtụ oge, ọ na-atụ aro ka ị were 1 mbadamba nri Enzistal-P ugboro atọ n'ụbọchị.

Ọ na-ekpebi oge ọ ga-eji gwọọ ọgwụgwọ. N'ihe banyere nsogbu digestive n'ihi njehie na nri, usoro ahụ nwere ike ịdị ọtụtụ ụbọchị, ebe ị na-eduzi usoro ọgwụgwọ - site na ọtụtụ ọnwa ruo ọtụtụ afọ.

Nsonaazụ

Na nloghachi iwere Enzistal-P, a na-ahụta mmepe nke mmeghachi omume nfụkasị, n'oge ụfọdụ, ọdịdị ọgbụgbọ, afọ ọsịsa / afọ ntachi, ahụ erughị ala na mpaghara epigastric.

Site n'iji ọgwụ ogologo oge na oke onunu, a na-edepụta ihe a na - eme n'akụkụ dịka hyperuricosuria, mgbe ị na - a highụ ọgwụ ọ highụ highụ, ndị ọrịa nwere cystic fibrosis na - etolite nnabata na mgbago ugwu na mpaghara ụlọ ọrụ.

Mkparịta ụka ọgwụ ọjọọ

Site na ị nweta ngụkọta nke Enzistal-P yana nkwado ígwè, enwere ike ịbelata mbelata nke ngwụcha nke ikpeazụ.

Enloist nke Enzistal-P bụ: Gastenorm forte, Creon 10,000, Gastenorm forte 10,000, Creon 25,000, Kreon Micro, Kreon 40,000, Mezim 20,000, Mezim forte, Pangrol 25,000, Mikrazim, PanziKam, Panzim forte, Pancreasim, Pancreatin , Pancreatin forte, Pancreatin-LekT, Penzital, Hermitage.

Nyocha banyere Enzistal-P

Dabere na nyocha, Enzistal-P bụ ọgwụ eji arụ ọrụ nke ọma maka nsogbu nri. Ndị ọrịa na-a theụ ọgwụ enzyme na-edetu ahụike ngwa ngwa nke mgbaàmà n'ihi mgbaze na -akwụsị, yana nhazi usoro nke nri mgbaze.

Enweghị akụkọ ọ bụla banyere mmepe nke mmetụta ndị ọ na-akpata.

Mbadamba enzistal: ntuziaka maka iji ọgwụ eme ihe maka pancreatitis

Enzystal bụ ihe mgbakwunye nri nwere nri nwere nri.

Ọgwụ dị n'ọtụtụ ọgwụ ọgwụ - n'ụdị mbadamba na dragees. Ọgwụ dị n'ụdị dragees nwere mkpuchi dị n'ụdị mkpuchi mkpuchi.

Isi ihe dị na ọgwụ ahụ bụ pancreatin, hemicellulose na mmiri ndị mejupụtara bovine bile.

Ndepụta nke ọgwụ ndị ọzọ, na-arụ ọrụ inyeaka, gụnyere ogige ndị a:

lactose
stereta magnesium,
sịlịkọn dioxide
cellulose acetate phthalate,
diethyl phthalate,
shuga
carbon dioxide
ntụ ntụ talcum
chịngọm
gelatin
titanium dioxide
beeswax
carnauba wax.

Mbadamba ọgwụ a nwere agba ọcha na ọdịdị biconvex gburugburu. Ogwu a nwere mkpuchi suga.

A na-akwakọba mbadamba nkume nke ọ bụla na ọnụ ụlọ nke ya na ọnya. Peeji nke ọ bụla nwere mbadamba iri ma ọ bụ iko iri. A na-edebe blisters n’otu ụzọ ma ọ bụ n’ime iberibe asatọ na ngwugwu kaadiboodu. Ihe mmado nke ngwugwu obula bu ntuziaka maka ojiji.

Emeghachi ọgwụ ọgwụ, pharmacodynamics na pharmacokinetics nke ọgwụ

Mmetụta ọgwụgwọ nke ọgwụ ahụ bụ n'ihi ihe ndị bụ isi na-arụ ọrụ mejupụtara ihe mejupụtara ya.

Ihe ndị a nwere amylolytic, proteolytic na lipolytic na anụ ahụ.

Iji ngwa a na-enye gị ohere ịhapụ maka enweghị enzymes nke pancreas mepụtara, obere eriri afọ, afọ na imeju.

Ojiji nke Enzistal na ntuziaka maka ojiji a na-enye ya ohere iji ya dochie anya ụkọ enzyme nke pancreatic.

Ọgwụ a na-eme ka o kwe omume:

Mee nyocha na mgbaze nke ihe bara uru nri.
Mee ka afọ ju afọ.
Wepu ibu di n’ime afọ.
Wepu oke ume, obere ume na afọ ọsịsa.
Na-egbochi mkpokọta ikuku na eriri afọ.

Ọnụnọ nke bovine bile wepụ na-enye gị ohere ịba ụba ọrụ lipase ma na-enyere aka melite nnabata nke vitamin fatịbara abụba A, E, K ma weghachite ọtụtụ ọrụ nke ngwe nri.

Ọnụnọ nke hemicellulose na-eme ka enwepu fiber.

Illsgwọ ọgwụ, nwere shei na-echebe, anaghị ekpughere ihe ọ gastụricụ gastric ma nwee ike ịbanye n'ime eriri afọ, ebe ọrụ bụ isi nke ọgwụ ọgwụ na-ewere ọnọdụ.

Ihe na-egosi, contraindications na nsonaazụ ya

Kwado ọgwụ ma ọ bụ analog kwesịrị ka amata ya na nchọpụta nke ezughi oke exocrine na ọrụ nke pancreas, eriri afọ, afọ, eriri afọ na imeju, nke nwere ike ịbụ nke mmepe nke usoro mkpali na-adịghị ala ala na ọrịa nke na - eduga na nbibi anụ ahụ nke akụkụ ahụ.

Ọtụtụ nyocha banyere ọgwụ na-egosi ịdị oke ọgwụ dị na mmekọrita na cystic fibrosis, flatulence, afọ ọsịsa na mkpụrụ ndụ na-adịghị efe efe.

Is Dụ ọgwụ ọjọọ na-atụ aro iji melite digestibility nri na ndị ọrịa nwere nsogbu iri nri.

Violationsdị mmebi iwu a nwere ike ịbụ

ị .ụbiga mmanya ókè
ịba ụba nke ihe oriri mara abụba,
ọnụnọ nke mmebi na ezé onye ọrịa,
na -ebi ndụ anaghị arụ ọrụ.

Na mgbakwunye, ọgwụ ahụ nyere gị ohere iwepu ihe dị ka nkụchi obi

A na-atụ aro ị takeụ ọgwụ ahụ iji kwadebe maka nyocha nke ultrasound na X-ray nke eriri afọ.

Dika nyocha nke Enzistal, ihe na-arụ ọrụ nwere ike inye aka melite nnabata nke ọgwụ dịka ọgwụ nje na sulfonamides.

Enwere ike iji ọgwụ ahụ mee ihe iji gbochie nrịanrịa na nsogbu ọrịa na-arụ ọrụ na ngụgụ nri.

Ihe mgbochi kachasị maka iji ọgwụ ahụ bụ ntinye uche nke onye ọrịa na akụkụ ọgwụ ahụ.

Ọzọkwa contraindication iji bụ ọnụnọ nke jaundice na onye ọrịa na mgbochi nke okporo ụzọ excretion.

Na oke ịkpachapụ anya, dọkịta kwesịrị ịkọwa ojiji nke ọgwụ a n'ọnọdụ ndị a:

Mgbe ị na-achọpụta cystic fibrosis.
Na nwata.
N’ime ime afọ na inye nri nwa nwoke ara.

Mgbe ị na-eme nyocha ahụike, achọpụtara na ojiji nke Enzistal nwere ike ibute mmetụta ụfọdụ.

Nsonaazụ nsonaazụ bụ ọdịdị nke mgbu spastic n'ime afọ, ọgbụgbọ na ọnya afọ.

Na mgbakwunye, mmeghachi omume nfụkasị, dịka sneezing, urticaria, lacrimation na bronchospasm, nwere ike ime.

Ntuziaka maka iji ọgwụ ahụ

Ntuziaka enyere na Enzistal na-egosi usoro ị nextụ ọgwụ ọzọ - otu mbadamba ugboro atọ n'ụbọchị ozugbo nri.

Ekwesịrị ị drugụ ọgwụ a n'ereghị ata. N'okwu nke ọ bụla, ọgwụ ole ị usedụrụ nwere ike ịdị iche. Ebe ọ bụ na ọnọdụ nke onye ọrịa na ogo mmepe nke nsogbu na ọrụ nke sistem nri nwere ike ịnwe oke a.

Ogologo oge ọgwụgwọ nke ọrịa na-egbu ahụ nwere ike, dabere na ọrịa ahụ, na-adịgide site na ụbọchị 1-3 ruo ọtụtụ afọ. Ekwesịrị ị takenụ ọgwụ ahụ yana iji ọgwụ ndị ọzọ na-enye ọgwụgwọ zuru ezu.

Na nkwadebe maka nyocha X-ray ma ọ bụ nyocha ya site na iji ngwa ọrụ ultrasound, a na-atụ aro ka ị medicineụọ ọgwụ ahụ na mbadamba mbadamba 2 ugboro 2-3 kwa ụbọchị. Nnabata ọgwụ a na-amalite ụbọchị ole na ole tupu nyocha ahụ ezubere.

Ọ bụrụ n ’iribiga oke n’ime ahụ, hyperuricosuria ma ọ bụ hyperuricemia nwere ike ịmalite. Mgbe ihe ịrịba ama nke mmepe nke nsogbu ndị a pụtara, a na-eme ọgwụgwọ symptomatic.

Analogues nke ọgwụ ahụ, ọnụ ahịa ya, nchekwa ya na ọnọdụ ire ya

Enzistal dị na ụlọ ahịa ọgwụ na-enweghị ọgwụ. Chekwaa ọgwụ na okpomọkụ agaghị agafe ogo 25 Celsius. Ekwesịrị ịchekwa ngwaahịa a n'ọgba mmiri ma chebere nke ọma. Ọgwụ ekwesịghị ikpughe ìhè anyanwụ.

Ndụ nchekwa nke ọgwụ ahụ bụ afọ atọ. Industrylọ ọrụ na-emepụta ọgwụ na-arụpụta analogues dị iche iche nke Enzistal.

Analogs nke ọgwụ a nwere ike ịdị iche n'etiti onwe ha na akụkụ ụfọdụ na ihe mejupụtara kemịkal. Ihe dị iche na nchịkọta ọgwụ na-eme ka ụgwọ ha dị iche iche.

Ihe atụkarị ndị Enzistal bụ:

Zentase
Creazim
Creon
Pangrol,
Panenzym
Panzinorm,
Panzinorm Forte,
Pancreasim
Pancreatin-Pharmex,
Pancreatin-Health,
Pancreatin
Pancreatin Forte,
Pancreatin-Health Forte,
Fermentium
Enzistal P,
Ntughari ya.

E jiri ya tụnyere ọtụtụ n'ime analogues ya, Enzystal bụ ọgwụ dị ọnụ ala. Ọnụ ego ọgwụ nwere ike ịdị iche dabere na mpaghara ọre ya yana nwe ụlọ ọrụ ọgwụ maka otu ma ọ bụ onye ọzọ na-ekesa ya.

Ọtụtụ mgbe, enwere ike ịzụta ọgwụ ahụ ọnụ na-enweghị oke, ọnụ ahịa ya na Russia nọ na nkezi 270 rubles n'otu ngwugwu.

A kọwara nkwadebe Enzyme na vidiyo ahụ n'isiokwu a.

Ọgwụgwọ ọgwụgwọ Penzital (nke mbadamba ụrọ)

Penzital bụ nhazi enzyme nke na-akwụ ụgwọ maka ezughi oke nke ihe nkpuchi. Nke a pụtara na a na-eji ọgwụ ahụ eme ihe dịka usoro ọgwụgwọ nke ọnọdụ ọ bụla na-ejikọta ya na nri na-ezughị ezu n'ihi ezughị ezu nke enzymes site na mkpụrụ ndụ pancreatic. Enzymes na ngwakọta nke ọgwụ ahụ mebere maka enweghị enzymu nke aka ha nke na-aghaghi ịmịpụta. Lipase, amylase, na protein (trypsin na chymotrypsin) na-enyere aka ịgbari protein nri na amino acid, abụba nke abụba abụba na stachi na dextrins, glucose, galactose, na monosaccharides ndị ọzọ. Mmetụta ọgwụgwọ bụ isi nke Penzital bụ ịhazi usoro nri ma melite ọrụ nke eriri afọ.

Yabụ, enwere ike ime ka ọ dị mfe ikwu na Penzital bụ ọgwụ iji gbochie afọ ojuju nke enweghi ike nke usoro nri (dịka ọmụmaatụ, pancreatitis) ma ọ bụ ị .ụbiga nri ókè. N'ihi nsonaazụ nke ọgwụ ahụ, a na-etinye nri dị mma site na nri a riri.

Mgbe nchịkwa ọnụ gasịrị, mbadamba Penzital na-agafe na obere eriri afọ, ebe ọ bụ na etinyere ya na akpụkpọ anụ pụrụ iche nke na-echebe ihe ndị dị n’ime ya. N'ime obere eriri afọ, shei mbadamba nkume na-agbaze, a na-ahapụ enzymes nke na-amalite ime nri ndị na-abata. Na nke a, a na-ahụ ọrụ kachasị nke enzymes nke na-eme ọgwụ ahụ ka nkeji iri atọ na iri anọ na ise gachara ọgwụ ị na-ebu.

Otu n'ime nchebe Penzital, trypsin, na-akpali ọrụ nke pancreas, na-eme ka ọ na-emepụta enzymes ndị ọzọ dị mkpa maka mgbaze. Na mgbakwunye, trypsin nwere mmetụta analgesic.

Penzital - ntuziaka maka ojiji (otu esi ewere)

A họrọ usoro ịụ ọgwụ ahụ n'otu n'otu maka mmadụ ọ bụla, ma okenye ma nwatakịrị, dabere na ogo digestion na ego a na-eri oge. Ná nkezi, a na-enye ndị okenye Penzital mbadamba 1 ruo abụọ ugboro atọ n'ụbọchị.

Ngụkọta usoro onunu ogwu dabere na lipase. Maka ndị okenye, yana enweghi nsogbu nri na-adịghị ala ala ma ọ bụ njehie nri, nkezi usoro ọgwụ kwa ụbọchị bụ 150,000 nkeji nke ọrụ lipase, nke kwekọrọ na mbadamba 25 nke Penzital. Site na ezughi oke nke pancreas (dika ọmụmaatụ, ọdịdị ya), usoro Penzital na usoro nke lipase dị elu karị, ma bụrụkwa narị puku anọ (400,000) kwa ụbọchị, nke kwekọrọ na mbadamba 65. Dị ka ọ na-adịkarị, onye ahụike nwere ike na-amịpụta akpụrụ mmiri.

Maka ụmụaka na-erubeghị ọnwa 18, nkezi kwa ụbọchị nke Penzital, n'ihe banyere ọrụ lipase, bụ 50,000 nkeji kwa ụbọchị, nke kwekọrọ na mbadamba 8. Overmụaka karịrị afọ 1.5 na-anata ọgwụ ahụ na nkezi nkezi 100,000 100,000 nke ọrụ lipase kwa ụbọchị, nke kwekọrọ na mbadamba iri na isii. Ọrụ dị elu nke lipase gụnyere na Penzital nwere ike kpalite mmepe nke afọ ntachi na ụmụaka. Ya mere, ọ bụrụ na ọ dị mkpa ịgwọ nwatakịrị ọgwụ dị elu, ị kwesịrị ịmalite site na obere, wee jiri nwayọọ nwayọọ mụbaa ya, weta ọnụ ọgụgụ mbadamba ihe ndị dị mkpa.

Mgbe ị na-ekpebi usoro nke Penzital nke onye ọ bụla, ekwesịrị iburu n'uche na oke kachasị kwa ụbọchị bụ 15,000 nkeji nke ọrụ lipase kwa 1 n'arọ nke anụ ahụ. N'ihi ya, onye na-ebu 70 n'arọ nwere ike ịnata ọgwụ kachasị elu kwa ụbọchị, na usoro nke lipase: 70 * 15,000 = nkeji 1,050,000. Mgbe ị na-ekpebi ọgwụ Penzital, ọ dị mkpa iburu n’uju nri mmadụ na-eri.

Ọ bụ ụdị ọrịa a ka ikpebi ga-ekpebi oge ọ ga-agwọ ọrịa, n'ihi ya kwa, ụdị nsogbu nri digestive dị iche iche. Yabụ, iji kpochapụ nsonaazụ mbụ nke njehie na nri, o zuru oke ịillsụ ọgwụ maka ọtụtụ ụbọchị. Ma ọ bụrụ na mmadụ kwesịrị ịdị na-eme enzyme oge niile iji mepụta maka enweghị enzymes endogenous (nke), mgbe ahụ ọgwụgwọ Penzital nwere ike ịdị ogologo oge - site na ọtụtụ ọnwa ruo ọtụtụ afọ.

Na ọgwụgwọ nke eriri afọ cystic fibrosis, enweghi ike iji Penzital nke ukwuu, ebe nke a nwere ike iduga mmepe nke ọrịa ụbụrụ febrotic na ngalaba ụlọ ọrụ nke ịrị elu. Oke kachasị kwa ụbọchị nke ọgwụ maka ndị ọrịa nwere ọrịa cystic fibrosis, na usoro nke lipase, bụ 10,000 nkeji kwa ụbọchị kwa 1 kilogram nke ahụ.

Ojiji nke Penzital ruo ogologo oge na-ekpebi mkpa ọ dị iji nkwadebe ígwè na-eme prophylactic. Penzital ka mma ịghara ịnwe n'oge iwe nke ọrịa pancreatitis na-adịghị ala ala.

Ekwesịrị iji Penzital kpachara anya maka ndị mmadụ na-arịa ụlọ meconium, ma ọ bụ nwee eriri afọ wepụrụ, ebe ọ bụ na ọgwụ ahụ nwere ike ịkpalite ọgba aghara n'ọnọdụ ọnọdụ eriri afọ.

Dodoụbiga ya ókè E gosipụtara Penzital site na afọ ntachi na ụmụaka, na mmụba nke mkpokọta uric na ọbara (hyperuricemia) na mmamịrị (hyperuricosuria) na ndị okenye. Ọ bụrụ na mgbaama ndị a apụta, ị ga-akwụsị ị takingụ ọgwụ ahụ ozugbo, belata ọkwa uric acid, ma ọ bụ kpochapụ afọchi site na usoro ọgwụgwọ Symptomatic. Achọghị usoro ndị ọzọ maka ịgwọ ọrịa overdose na Penzital.

Mmekọrịta na ọgwụ ndị ọzọ. Ihe eji eme ihe na mgbakwunye iron na Penzital na-ebelata nnabata iron. Na nhazi nke antacids na calcium carbonate ma ọ bụ magnesium hydroxide n'ime ihe mejupụtara na-eduga n'ịbelata arụmọrụ nke Penzital.

Ojiji nke Penzital n’oge di ime na umuaka

Ọ bụ ihe nwute, nsogbu nri nri nwere ike ịmalite na ma ụmụaka ma ụmụ nwanyị dị ime, yabụ a na-amanye ụdị ndị ọrịa a ka ha nwee nhọrọ dị iche iche maka ọgwụgwọ enzymatic. Penzital abụghị ọgwụ a machibidoro iwu maka ụmụaka na ụmụ nwanyị dị ime, na agbanyeghị, a ga-eji ya nke ọma, dabere na njiri mara ma na-eburu n'uche ihe egwu ọ bụla, nke kwesịrị ịdị na-erughị uru e bu n'uche.

Penzital maka ụmụaka nke enyere iwu maka ọgwụgwọ nke nsogbu nri nri. Ndị na-ahụ maka ụmụaka na Rọshịan kwenyere na ọgwụ kachasị mma maka ụmụaka bụ 1000 nkeji kwa 1 n'arọ nke ịdị arọ kwa ụbọchị, na usoro nke lipase. Nke a pụtara na maka nwatakịrị dị kilogram iri abụọ, kilogram nke Penzital bụ nkeji * 20 * 1000 = 20,000, nke kwekọrọ na mbadamba 6.5. Na ọgwụgwọ nke ọrịa na-akpasu iwe na akwara ma ọ bụ akụkụ ahụ ndị ọzọ na -akọrọ nri, usoro ọgwụgwọ dịkarịa ala izu abụọ. Ọ bụrụ na ọ dị mkpa, ịnwere ike ịgbatị n ’mbadamba ihe. Ọ bụrụ na nwatakịrị riri ezigbo nri ma ọ bụ mechaa oke abụba, mgbe ahụ, ọ ga-ezuru ị drinkụ ọgwụ ahụ n'usoro ahụ egosipụtara maka ụbọchị 2 ruo 3.

Penzital na-eduga na mwepu ma ọ bụ ibelata ogo mgbaàmà nke nsogbu nri (bloating, flatulence, paininal, ọgbụgbọ, stool aghara) na 75% nke ụmụaka natara ọgwụgwọ zuru oke. Ọzọkwa, 2/3 nke ụmụaka na-anata ọgwụ ahụ ga-efu ma ọ bụ ibelata na oke abụba na-anọpụ iche na coprogram. Nsonaazụ nke mmetụta ọgwụ a na ụmụaka nwere bụ ike ịgbanye nri nwere nnukwu abụba dị elu, nke ga-eme ka uto na mmepe nke nwa belata, na-enye ya ike na ume maka egwuregwu na ọmụmụ.

Treatmentzọ ị ga-esi mesoo Penzital ga-enyere gị aka iwepụ ihe mgbu, dyspepsia, wee mee ka oche dịkarịsịrị n'ụdị ụmụaka na-ata ahụhụ. Ọzọkwa, nkwalite ahụike na enyemaka nke mgbaàmà ihe mgbu na-agbakọ na nhazi nke ebumnuche ndị na-egosi coprogram.

Penzital n'oge afọ ime. Ọmụmụ ihe nyocha emere na ụmụ anụmanụ egosighi mmetụta ọjọọ nke Penzital na mmepe nwa ebu n’afọ. Agbanyeghị, nnwale ndị ọgwụ dị n’etiti ụmụ nwanyị dị ime, maka ebum n’uzo na omume. Onu ogugu kwuru banyere ojiji nke Penzital site na ndi nwanyi di ime, n’ime ndi n’enweghi nsogbu ojoo ojoo ya n’aru nwata. Agbanyeghị, n'ihi enweghị data sayensị gosipụtara na nchekwa nke ọgwụ maka ụmụ nwanyị dị ime na nwa ebu n’afọ, anaghị atụ aro ka iji ọgwụ a gwọọ ndị ọrịa a. Ojiji nke Penzital n'oge afọ ime ziri ezi n'ọnọdụ ebe ekwesighi ịba uru nke ọgwụ ahụ karịrị ihe egwu na nsonaazụ na-adịghị mma. A na-agbakọta usoro onunu ogwu maka ndi nwanyi di ime dika ndi okenye.

Nsonaazụ

Nsonaazụ kachasị nke Penzital bụ mgbaàmà dị iche iche metụtara ọnya afọ na-ewe iwe. Yabụ, ọnọdụ ndị a metụtara nsogbu nke Penzital sitere na usoro nri nri:

ọgbụgbọ
afọ ntachi
afọ ọsịsa
erughi ala na afo.

Ọrịa dị iche iche na-akpata nfụkasị ahụ, nke bụ akụkụ nke ị takingụ Penzital, nwere ntakịrị nsogbu. Ọ dị mkpa ịghọta na nfụkasị ahụ anaghị etolite na ọgwụ ahụ n'onwe ya, mana na allergen ọ bụla ọzọ. N'okwu a, Penzital na-arụ ọrụ dị ka mmalite nke mmepe nke nfụkasị ihe, dịka ọmụmaatụ, uzuzu akwụkwọ, wdg. Ihe nfụkasị ahụ na-emetụta ihe ndị dị n'akụkụ ọgwụ a na-anọchi anya site na ngosipụta anụ ahụ.

Site n'iji Penzital ruo ogologo oge, mmụba nke uric acid n'ime ọbara (hyperuricemia) na mmamịrị (hyperuricosuria) ga-ekwe omume.

Ọtụtụ ọgwụ a usedụrụ iji gwọọ ndị ọrịa nwere cystic fibrosis nwere ike kpalite mmepe nke adhesions (fibrous colonopathy) na colon na-arịgo.

Ojiji nke Penzital na oke usoro ọgwụgwọ maka ụmụaka nwere ike ime ka mgbakasị ahụ ike na akpụkpọ ahụ mu onu.

N'ime ahịa ọgwụ ụlọ, enwere analogues na nkọwa nke Penzital. A na-akpọ ndị na-ahụ maka ọgwụ ka ihe nnọchianya maka ọgwụ ndị nwere otu ihe ahụ dị ka ihe na-arụ ọrụ - na nke a, pancreatin. Mana analogues bu ogwu nke nwere ihe ozo di ka ihe eji eme ihe, mana enwere otutu ọgwụgwọ ahu, nke nwere myirita di elu ya na Penzital.

Yabụ, a na-ezo aka ọgwụ ndị a na okwu nke Penzital:

mbadamba osisi nke etinyere n’ime
Mbadamba ụrọ Vestal, mkpụrụ osisi,
Mpempe akwụkwọ ndị na-agba ara,
Gastenorm forte mbadamba 10 000, nke gbara akwụkwọ,
capsules Creon 10 000 mkpụrụ osisi,
capsules Creon 25 000 ụlọ ọrụ,
40,000 ndị na-ahụ ụzọ ụgbọ mmiri Creon,
Mmanụ mbadamba, Mezim siri ike,
Mezim siri ike na mbadamba 1000, nke gbara agba,
Mpempe akwụkwọ Mezim 20 000, mkpuchi na-acha uhie uhie,
Mikrasim isi ahu
Mpempe akwụkwọ PanziCam, ihe mkpuchi na-acha uhie uhie,
Panzinorm capsules 10 000 nri,
Mpempe akwụkwọ Panzim forte, ihe mkpuchi na-adịghị mma
Mpempe akwụkwọ Panzinorm forte 20 000, ihe mkpuchi na-adịghị mma,
Mpempe akwụkwọ ndị dị na pancreasim, ihe mkpuchi,
mbadamba pensụl pịkọtara ọnụ
Mpempe akwụkwọ nke Pancreatin
Mpempe akwụkwọ na Pancreatin-LekT,
Mbadamba ụrọ a na-akụ pancrenorm,
Mbadamba ụrọ-Festal, nke mkpuchi ihe,
Mpempe akwụkwọ Enzistal-P, mkpuchi gbara agba
enteric-soluble pancytrate capsules,
enteric soluble capsules hermital,
Pangrol kapusị 10,000 ịbanye,
agwara Pangrol 25 000,
ntụ ntụ pancreatin ọkọlọtọ.

Otutu nyocha banyere Penzital bụ ihe dị mma, nke a na - ejikọ ya na isi ihe abụọ - arụmọrụ dị elu na ọnụ ala dị ala, ọkachasị na ọgwụ mbụ ebubata. Ndị mmadụ ji ọgwụ a wepụ ihe mgbaàmà nke gastritis, ịreatụbiga mmanya ókè n'oge ezumike Afọ Ọhụrụ na May, obi mgbawa na ọtụtụ nsogbu ndị ọzọ metụtara mgbaze - na-adịghị ahụkarị ọgwụ dị mma. Ọ bụ arụmọrụ a dịgasị iche iche nke Penzital n'ihe metụtara nsogbu nri nri nkịtị na-arụ ọrụ nke mere ka ọgwụ ahụ nwee aha ọma, ma mee ka ọnụọgụ nyocha dị mma.

Nyocha na-ezighị ezi banyere ọgwụ ahụ na arụ ọrụ ya na ụfọdụ ndị na-enyere ndị ọzọ ọgwụ otu otu aka. Ọnọdụ a, o yikarịrị, bụ ihe metụtara ahụ mmadụ. E nwekwara ụdị nyocha nke ndị nne na nna nke ụmụaka natara Penzital na nnukwu usoro, nke butere mmepe nke mgbakasị ọnya ọnụ. Ihe a mere na-egbu m mgbu, ọ na-esiri nwatakiri ike ilo ihe ọ bụla, ọnọdụ ya na-egbu mgbu. Dị ka o kwesịrị ịdị, ndị nne na nna ghọtara ọnọdụ ahụ, echiche na-adịghị mma maka ọgwụ ahụ na-apụta, ha na-ekpebi na ọgwụ ọjọọ ahụ, na-ahapụ nyocha na-adịghị mma. Ka ọ dị ugbu a, na nyocha ndị dị otú ahụ, echiche na-adịghị mma nke ọgwụ ahụ n'ozuzu dugara na njirimara akpaghị aka na arụmọrụ dị ala na ya

N'iburu n'uche ihe ndị a dị n'elu, mgbe ị na-agụ nyocha banyere Penzital, gbalịa igosipụta ihe ndị bụ eziokwu na nkọwa nke arụmọrụ, ma ghara ịghọta ihe ederede n'ụzọ mmetụta uche. Mgbe ị na-eme mkpebi n'okpuru nduzi nke uche, ị nwere ike ịhọrọ ụzọ kachasị mma maka nsogbu ahụ, mmetụta uche wee bụrụ onye ndụmọdụ na-adịghị mma.

Penzital bụ ọgwụ dị ọnụ ala, yabụ ọdịiche dị na ọnụ ahịa ya na ụlọ ahịa ọgwụ dị iche iche pere mpe. Ebe ọ bụ na ọ bụ naanị otu ụlọ ọrụ na-emepụta ọgwụ India mere ọgwụ ahụ, ọdịiche adịghị n'etiti Penzital dị ọnụ ala ma dị ọnụ ala karịa. You nwere ike ịhọrọ ọgwụ dị ọnụ ala karịa nke ọma, ebe nke a anaghị emetụta ogo ahụ, mana ọ na-enye gị ohere ịchebe.

Taa na Russia Penzital na-ere na nkezi nkezi nke 15 rubles n'otu mkpọ yana mbadamba 10. Otu ngwugwu nke mbadamba 20 na nkezi na-efu 40 rubles, mbadamba 30 - 57 rubles, na mbadamba 100 na-ere na ọnụ ahịa sitere na 107 ruo 145 rubles.

Penzital ma ọ bụ Mezim - nke ka mma?

Iji zaa ajụjụ a, e kwesịrị ịtụle ọtụtụ ihe. Mezim bụ ọgwụ ejiri eme ihe nke ndị German na-ahụ maka ọgwụ na-emepụta. Otu ụlọ ọrụ na-emepụta ọgwụ na India mere Penzital. Ihe mejupụtara ọgwụ abụọ ahụ bụ otu. N'ezie, ọgwụ izizi ka mma karịa akwụkwọ ikike. Ọ bụrụ naanị na a na-echebara ihe a echiche, mgbe ahụ German Mezim bụ ọkachasị Indian Penzital. Ma, obughi ihe nile di nfe na ezi nzi.

Na ahịa ọgwụ Russia, Mezim bụ ọgwụ a na-aghakarị ụgha, yana ego adịgboroja ruru 90% nke ngụkọta ntụgharị. N'ihi ọnọdụ a, ọ ka mma ịzụta Penzital Indian dị ọnụ ala, nke dịkwa irè ma bụrụ eziokwu n'ezie, ebe ọ bụ na iwere ya abaghị uru. Ọ bụrụ na ịchọrọ Mezim, wee nweta ngwugwu ahụ, nye ọgwụ maka nyocha. Mgbe, dịka nyocha ahụ, ị ga - ahụ ọgwụ mbụ, wee lelee usoro ahụ, ọnụ ọgụgụ nza, yana ọdịnihu ga - eleba anya na ọgwụ ọgwụ Mezim nwere njirimara ndị a.

Dabere na ebumnuche ọmụmụ mere na ụlọ ọgwụ, ma Mezim na Penzital mgbe izu izu abụọ gachara ịmeze mgbaze na 2/3 nke ndị ọrịa. Ma, Penzital na-eme ngwa ngwa, Mezim nwere nwayọ. Ya mere, Penzital na-eweghachite nsogbu azụ, mgbu nke afọ, na-egbochi ọtụtụ ụbọchị mgbe mmalite nke ọgwụgwọ, na-eme ihe ọsọ ọsọ, na Mezim na-eme nwayọ, na-eme ka ọnọdụ ahụ dị ma kpochapụ mgbaàmà na-egbu mgbu nke nta nke nta. Agbanyeghị, nsonaazụ ikpeazụ mgbe ọgwụgwọ izu abụọ gachara. Na Mezima, ọrụ enzyme dị ala ma e jiri ya tụnyere Penzital, ya mere a na-atụ aro ya ka ọ bụrụ ọgwụ na-akwado ya. Ma Penzital ka mma ịhọrọ maka usoro ọgwụgwọ nọ n'ọrụ, mgbe ịkwesịrị iwepụ nsogbu nri ma mezie ọnọdụ ahụ.
Ndị ọzọ na Mezim

Penzital na Pancreatin - nke ka mma, oleekwa otu ha si dị iche?

Na isi ya, Penzital na Pancreatin bụ otu ọgwụ. A sị ka e kwuwe, ihe na-arụ ọrụ nke Penzital bụ pancreatin. Agbanyeghị, ọrụ nke enzymes na Penzital dị ukwuu karịa na ọgwụ a na-akpọ Pancreatin, ya mere, arụmọrụ ya dị elu. Ruo taa, ndị dọkịta na ndị na-ahụ maka ọgwụ emepụtawo nkewa ọnọdụ nke Pancreatin na Penzital n'ime otu abụọ:
1.Pancreatin - ọgwụ iji gbochie ya, nke a ga-ebu n’ihu oriri iji zere nsonaazụ na-adịghị mma. Enwere ike iji ya dịka ọgwụ na - akwado ya - ya bụ, mgbe ọ gbasasịrị ọgwụ nwere ọgwụ siri ike (dịka ọmụmaatụ, Penzital ma ọ bụ Creon). N'ime ọtụtụ izu, mmadụ rụpụtara ọganiihu na ọnọdụ ịgbachaze nri, ma ka nke ahụ gasị, wee jigide mmetụta nke enwetara site na Penzital ma ọ bụ Creon, ị nwere ike ị Panụ Pancreatin.
2.Penzital - ọgwụ maka ọgwụgwọ nke nsogbu nri digestive na - etolite n'ihi nnuku nke ọrịa pancreas ma ọ bụ akụkụ ndị ọzọ. A na-atụ aro ka e jiri ya mee ihe dị ka usoro ọgwụgwọ na-arụ ọrụ mgbe ọ dị mkpa idozi ọnọdụ ahụ ma kpochapụ mgbaàmà na-egbu mgbu. Mgbe mmalite nke mmezi, ị nwere ike ịgbanwee na Pancreatin na-esighi ike ma ọ bụ Mezim.

N'inye ọkwa siri ike nke Penzital ma e jiri ya tụnyere Pancreatin, a na-atụ aro ịhọrọ ọgwụ ikpeazụ maka ọgwụgwọ ụmụaka. Site na adịghị ike nke Pancreatin, ị nwere ike iji ọgwụ nwere mmetụta siri ike - Penzital.

Cipleskpụrụ nke Usoro Ọrịa

Ọrịa gastroenterologists, endocrinologists na ndị na-ahụ maka nri na-ebu ọrịa nke pancreatitis n'ime ndị okenye. Enweghị otu usoro ụwa niile maka ịde akwụkwọ ọgwụ. A na-ekpebi ụzọ usoro ọgwụgwọ siri ike n'otu n'otu, na-eburu n'uche ụdị na ụdị ọrịa ahụ.Ndị dọkịta na-ekpebi ụdị ọgwụ ị ga-ewe na ihe kwesịrị ịbụ usoro ọgwụgwọ nri, nke na-eme ka ịdị mma nke ọgwụ dị.

Ebumnuche bụ isi nke ndị dọkịta na-achụ na ịgwọ ọrịa pancreatic bụ:

nnwere onwe mgbu
mkpochapu nke usoro mkpali,
na -emezi mwepu nke enzymes pancreatic iji mezie ngha,
mweghachi nke ọrụ akwara
mmezi nke nri onye ọrịa,
mgbochi nke nnukwu nsogbu,
mee ka ndu onye ori ghara idi nma.

Iji na-agwọ ọrịa pancreatitis na ọgwụ, gbasie ike na-edebe izu ike ụra. N'ihe banyere oria ojoo na nmekpa aru nke oria na-adighi ala, a na-ebu onu otutu oge. Mgbe ahụ, a na-eji nwayọọ nwayọọ bufee onye ọrịa ahụ iri nri nwere nnukwu protein na obere abụba. Edere ya ka ọ dịkarịa ala izu 3-4.

Ọgwụ ndị na-egbu ahụ mgbu nwere ike inye aka wepu ọtụtụ mgbaàmà ọrịa ahụ. Karia ọgbụgbọ, ọgbụgbọ na afọ ọsịsa, nke na-abụkarị n'ihi mbufụt nke akụkụ endocrine na enweghị ike nke usoro digestive iji nweta abụba.

Ihe dị mkpa maka ọgwụgwọ ọgwụ bụ ụkpụrụ nke iji ọgwụ dochie anya. A na-akwụ ụgwọ enzymes gland maka nkwadebe site na nkwadebe nwere pancreatin na-arụ ọrụ. Site na pancreatitis, a ghaghị ị drugsụ ọgwụ ndị dị otú ahụ ogologo oge - maka ọnwa, ma ọ bụ ọbụna ndụ. Ogwu di ka nke microgranular capsules ka nma; ha kariri ahu.

Njirimara ọgwụ

Ndị dọkịta depụtara ndị ọgwụ ọgwụ ndị a:

nkwadebe antienzyme - iji belata ọrụ nke ihe nzuzo na-akpalite usoro mkpali na pancreas,
enzymes - na-enwe ụkọ iji gbochie ngha,
antacids - iji belata oke uto nke ihe ọricụricụ gastric,
antispasmodics - iji belata akwara nke eriri afọ na eriri afọ.
anticholinergics - igbochi nnabata nke ọrịa ụbụrụ,
ọgwụ mgbochi - iji gbochie mmepe nke etuto ahụ, peritonitis.

Ọgwụ Antenzyme maka pancreatitis na-egbochi ihe nzuzo nke pancreas n'ụzọ dị irè mgbe ha ghọrọ ihe na-akpata usoro mkpali na usoro necrotic. Such such ọgwụ ọjọọ dị otu a ka akwadoro ka ịbọọ ọrịa mbụ. Nke a:

Dọkịta na-aga ahụ na-ekpebi mbadamba ụrọ ị ga-a withụ na ọgwụ nnọchi. Nkwadebe enzyme nwere enzymes pancreatic: protease, amylase, lipase. N'ihi ọgwụ ndị a, mgbaze nke protein, abụba na carbohydrates na-aka mma, a na-ewepụ ihe mgbaàmà nke dyspepsia, ma gland na-enweta udo ọrụ. Otu n'ime ha:

Pancreatin
Creon
Festal
Mezim Forte
Panzinorm,
Enzistal na ndị ọzọ.

Antacids na - egbochi acid hydrochloric acid nke ihe ọricụricụ gastric. Site na mbufụt nke gland, a na-enye ya iwu:

Maka ọgwụgwọ nke pancreatitis, ọgwụ antispasmodics ndị a na-ejikarị bụ:

Ọgwụ Cholinolytic maka pancreatitis na-egbochi ihe ndị na-akpata ọrịa na cortex cerebral ma na-edozi ọrụ moto na eriri afọ. Ọgwụ ndị a gụnyere:

Platyphyllin
Metacin,
Atropine
Chlorosin et al.

Edere ọgwụ nje iji belata mbufụt nke pancreas ma gbochie usoro ndị dị ize ndụ nke etuto ahụ, peritonitis, pancreatic necrosis. Ndị a bụ ọtụtụ ọgwụ site na otu:

macrolides
cefalosporins,
penisilini,
fluoroquinolones.

Nnukwu ọgwụgwọ

Ọ bụrụ na ọrịa a dị nfe zuru oke, iji ya mee ihe bụ:

nyocha
antispasmodics,
antacids
Antenzyme nkwadebe
ngwọta nkwụsị.

Ọ bụrụ na ọgwụ ndị dị otú ahụ a ezughị ezu ma ọ dịkarịa ala otu ihe ịrịba ama nke ọrịa pancreatitis siri ike, a na-eme nlezianya n'ụlọ ọgwụ. E nyere ọgwụ ndị a:

ọgwụ antisecretory (Octreotide, Quamatel, 5-fluorouracil),
ọgwụ na-arụ ọrụ (Heparin, Refortan, Reopoliglyukin),
ọgwụ antienzyme (Kontrikal, Gordoks),
ọgwụ nje (site na cephalosporins ma ọ bụ fluoroquinolones gbakwunyere metronidazole).

Ọgwụgwọ dị irè aghaghi ịgụnye ụgwọ maka ọnwụ electrolytes na protein, ọnwụ na-egbu egbu na ọgwụgwọ antioxidant. Na nnukwu ọrịa pancreatitis, plasmapheresis na mmezi nke metabolism-salt metabolism na-atụ aro. Ọ bụrụ na a chọpụta onye ọrịa ahụ na nsogbu ịba ụba, immunomodulation na-arụkwa site na iji subcutaneous ma ọ bụ nchịkwa intravenous Roncoleukin.

Ọgwụ ọgbụgba

Ọgwụ nke pancreatitis na-adịghị ala ala, ọ bụrụ na nsogbu adịghị ya, enwere ike ịme ya n'ụlọ n'okpuru nlekọta ahụike. Ọ dị mkpa iji nweta ihe mgbaru ọsọ dịka:

belata ma ọ bụ belata ihe mgbu
Ntughari ezighiri akwara na mgbaze izipu ihe,
ọgwụgwọ maka concomitant aghara
mwepu ihe ndị na-akpalite ọrịa ahụ (mmanya, ụfọdụ ọgwụ),
igbochi nsogbu.

Site na usoro ọgwụgwọ, a na-eji ọgwụ ndị a:

Mpempe akwụkwọ pancreatitis nke nwere enzymes (Pancreatin, Creon, Festal, Mezim Forte, Panzinorm, Enzistal),
ihe ndị na --ebelata secretion nke gland gastric (Ranitidine, Famotidine, Nizatidine, Cimetidine),
analgesics (Ibuprofen, Diclofenac, Piroxicam, Sedalgin-neo, Tramadol, Antaxon),
ọgwụ mgbochi mbu (Paracetamol, Nimesulide, Meloxicam, Naproxen),
ọgwụ homonụ nke antisecretory (Octreotide).

Enzymes Pancreatic na-ebelata ihe mgbu n'ọtụtụ ndị ọrịa, ebe ha na-ebelata ọrụ na nrụgide akwara. Ọgwụ nke nhọrọ maka ezughi oke ọrụ ya bụ Creon - ọgwụ ike nwere microspheres na-egbochi hydrochloric acid. Iji gbochie nzuzo nke gland, a na-eji proton pump inhibitors (Omeprazole, Pantoprazole, Rabeprazole). N'ihe banyere steatorrhea (ọnụnọ nke abụba buru ibu na-enweghị atụ), mbadamba ihe mkpuchi nwere ọdịnaya nwere nnukwu lipase dị irè (Panzinorm forte-N).

Site na mwepụ nke ọrịa pancreatitis, ọnọdụ nke ndị ọrịa na-akawanye njọ n'ihi mgbu na-arịwanye elu, nke Papaverine, Atropine wepụrụ. Enweghi ike iji Nise, Aspirin na ọgwụ mgbochi ọgwụ anti-inflammatory, n'ihi na ha nwere ike ibute ọbara ọgbụgba n'ime. Ọ bụrụ na ọnya afọ na-enwe mgbagwoju anya site na ọnya afọ, a na-enye De-nol iwu, nke na-emebi Helicobacter pylori.

A na-eji Nitroglycerin mee ihe ngwa ngwa iji wepu mmerụ ahụ nke pancreas, a na-ejikwa Nitrosorbit ngwa ngwa. No-shpa, Duspatalin, Galidor, Odeston na-ebelata ụda olu. A na-emezi ihe ndị na-edozi ahụ na Trisorbon na vitamin A, E, D, K.

Usoro ọgwụgwọ nke ọrịa ndị ọzọ

A na-ahụ mmepe mmepe nke biliary pancreatitis mgbe mwepụ nke gallbladder na onye ọrịa nke atọ ọ bụla n'ihi oke mmebi nke nri ọgwụgwọ. Ndị dọkịta na-eji ọgwụ agwọ ọrịa a n'ụlọ ọgwụ site na iji:

ọgwụ mgbochi (Ceftriaxone, Cefotaxime, Sumamed, Abactal, Amoxiclav),
analgesics na antispasmodics (No-shpa, Buscopan),
ọgwụ ndị na-egbochi ịmepụta okwute (Ursolfak).

Ọrịa siri ike nke pancreas bụ mmanya na-egbu egbu. A na-ahụ maka ọrịa a n'ọdịdị peritoneum nke oke ihe mgbu, nke na-agbasi ike obere oge ka nri gasịrị. Ọgwụ ọgwụ nke ụdị ọgwụ a na-eme ọgwụ naanị bụ n'ụlọ ọgwụ. Usoro ọgwụgwọ na-enye maka ojiji ọgwụ jikọtara ọnụ. Nke a:

analgesics, antispasmodics (Novocaine, No-shpa),
ọgwụ na-ahụ maka ọrụ gland (Ntaneti),
mgbaze na - akwalite enzymes (Festal, Mezim Forte),
ọgwụ nje (Ampicillin, Cephalosporin),
ihe ndị na-egbochi vitamin antioxidant (Milgamma, Vitrum),
ọgwụ iji kpochapụ ị dependụbiga mmanya ókè (Coaxil, Fluanksol, Acamprosat).

Withmụaka na-enwe ọrịa ogbu na nkwonkwo na-enwe nnukwu ihe mgbu n'ime afọ, na-agakarị nke ọgbụgbọ. Isi ihe kpatara ya bụ ntinye nri amachiri na nri. Ekwesịrị ịgwọ ụmụaka maka ọrịa pancreatitis naanị na ọnọdụ ụlọ ọgwụ. Na ọdabara:

analgesics, antispasmodics (Baralgin, Promedol, No-spa),
ọgwụ detoxification (glucose, saline n'ụdị ụmụ oke),
enzymes (Festal, Mezim forte, Creon),
ọgwụ mgbochi (Cerucal, Latran),
ogige multivitamin (Complivit, Vitrum).

Ọ na - eme na usoro ọgwụgwọ iji dochie ọgwụ pancreatitis anaghị arụ ọrụ. N'ụdị ndị a, a ga-ebu ụzọ chọpụta ọdịiche dị iche iche iji wezuga ihe ndị ọzọ enwere ike ibute ọrịa a na - akpata usoro nri.

O nwere ike ibute: oria Crohn (oke mbufụt nke eriri afọ), ọrịa celiac (ihe kpatara mkpụrụ ndụ ihe mmebi nke obere eriri afọ), thyrotoxicosis (hyperfunction nke thyroid gland), wdg.

Otu enzymes dị iche iche maka mgbaze na atụmatụ nke ebum n’uche ha

Enzymes (enzymes) bụ ihe ndị pụrụ iche na-akụda nnukwu ihe n’ime mmiri. Ahụ nwere sistemụ enzyme dị ike nke na-ekere òkè na metabolism ma na-amalite enzymes ya, nke pancreas na akụkụ ndị ọzọ nke eriri afọ na-emepụta maka mmebi nke abụba, protein na carbohydrates.

Na enweghi enzymes, a na-emebi ndọkpụ na nnabata nke ihe bara uru, ọrụ eriri afọ na-akwụsịlata. N'okwu a, usoro enzyme pụrụ iche ga-enyere aka melite mgbaze na metabolism. Agbanyeghị, ekwesịrị ịhọrọ ka ha chebara nsogbu ahụ echiche. Isiokwu a abụghị ntụzịaka maka ịme ihe, kama ọ ga - enye gị ozi na - achọpụta eziokwu, etu a ga - esi jiri ọgwụ ndị a.

Kedu otu esi egosipụta erughi enzyme?

Enweghị enzymes amalitela igosipụta onwe ya dị ka ihe mgbaàmà nke nsogbu nri nri: obi mgbawa, oke ibu na afọ, ikpu ekpu. N'ihi mmịpụta na-enweghị isi na njiri nke ihe bara uru, nsogbu na anụ ahụ, mbọ na ntutu na-apụta, ọnọdụ ahụ na-agbagha. Mmadụ enweghị vitamin na mineral, ike gwụrụ ya, ura ya apụta, ikike ịrụ ọrụ na-ebelata.

Mmasị: Enwere ike ịkọwa enzyme dị ka ihe mejupụtara ọgwụgwọ dị mgbagwoju anya na ọrịa anụ, gastroenterology, allergology na mpaghara ndị ọzọ.

Patientsfọdụ ndị ọrịa, na-ahụ maka nsogbu nri, na-eji ọgwụ ndị a oge oge, tupu oriri. Nke a ezighi ezi, ebe ọ bụ na iribiga nri ókè na enzymes na - achịkwaghị achịkwa ma na - ebute nsonaazụ ya. Ya mere, enzyme akwadebe kwesịrị ka onye okacha mara maka ya ma werekwa ya mee ihe ezi uche dị na ya, ọ bụghịkwa n'ọnọdụ ebe mmadụ enweghị ike ịchịkwa agụụ ya.

Ofdị ọgwụ nwere enzymes

A na-enweta nkwadebe Enzyme site na pancreas nke ezi, pancreas nke ehi na osisi. Nkwadebe nwere ike ịbụ naanị anụmanụ ma ọ bụ ihe ọkụkụ, ma ọ bụ agwakọta. Mgbe ị na-edepụta ọgwụ a ma ọ bụ ọgwụ ahụ, ihe ndị mejupụtara enzyme ya na-eduzi:

Pepsin - enzyme nke gastric mucosa,
Enzymes Pancreatic - lipase, amylase na trypsin - nke a na-enweta site na pancreas nke ezi ma ọ bụ ehi,
Aciki Bile
Enzymes osisi sitere,
Nkwadebe Enzyme nke na-akụda lactose (nke a na-eji ụkọ lactase),
Ọgwụ ị gwakọtara.

Ihe dị mkpa: Nkwadebe enzyme niile na-amalite ime ihe na-erughị nkeji iri abụọ mgbe nchịkwa gasịrị, ya mere, a na-atụ aro iji ya ozugbo tupu nri.

Ọgwụ Pepsin

Pepsin bụ enzyme nke gastric mucosa zoro ezo. Ọ dị mkpa maka nbibi nke protein. A na-eji ọgwụ Pepsin, ya bụ Pepsin, Abomin, na Pepsidal mee ihe na ndị nwere ọrịa afọ, ọtụtụ mgbe na-arịa orrophic gastritis.

Ndi protein bu ihe ndi di nkpa nke ike metabolism, ma n’enweghi ike nke pepsin ike na anaemia etolite. Na mgbakwunye, nri site na afọ na-abanye na eriri afọ nke ọma, nke chọrọ ọrụ kpụ ọkụ n'ọnụ site na mgbaze nri ma nwee ike ibute nsia afọ. A na-enye ndị ọrịa ọgwụ enzyme nwere pepsin dịka ọgwụ dochie anya afọ niile mgbe ọ gasịrị.

Enzymes Pancreatic

Creon, Mezim-forte, Pancreatin - ihe ndị a niile bụ mbadamba maka mgbaze na otu ihe ahụ na - arụ ọrụ - pancreatin. A na-etinye ihe ndị na-arụ ọrụ nke ọgwụ ahụ na granules ndị mkpuchi na shei na-echebe. Pancreatin bụ enzyme nke pancreas na-arụ ọrụ n'ime obere eriri afọ, yabụ shei na-echebe ga-enye gị ohere ịnapụta ihe dị n'ọrụ kpọmkwem na ebe a chọrọ.

Maka ọgwụgwọ nke gastritis na ọnya, ndị na-agụ akwụkwọ anyị na-eji Monastic Tea nke ọma. Thehụ ihe ndị ama ama n’ahịa a, anyị kpebiri inyefe ya n’aka gị.

Enwere ọtụtụ ihe eji egosi ọgwụ a, mana ebe ọ bụ na pancreatin na-anọchi enzymes eke nke anụ ahụ, a na-enye ọgwụ ọgwụ tumadi maka ọrịa nke akụkụ a. Enzymes Pancreatic dị mma ma enwere ike iji ya ogologo oge, ma ọ bụrụ na ọ dị mkpa. Dịka ọmụmaatụ, n'ihe banyere ọrịa pancreatitis na-adịghị ala ala na mgbe ụdị ya (mwepụ nke akụkụ) nke pancreas, Creon, Pancreatin ma ọ bụ Mezim-forte nwere ike ịkwado tupu nri ọ bụla dịka ọgwụ nnọchi.

Ihe dị mkpa: Ọ bụrụ na dọkịta gwara ndị na-a drinkingụ mmanya enzymes mgbe niile, ị kwesịrị ị na-ege ya ntị ka ị ghara imebi ọrụ pancreas ọbụna karịa. Na uzo ozo bu nke a nwere ike ibu ezigbo nri maka oge adighi anya.

Aciki Bile

Bile acids na-etinye aka na mmebi nke abụba ma na-akpali ọrụ nzuzo nke pancreas. Ọzọkwa, ihe mejupụtara ọgwụ ndị a gụnyere eriri mkpụrụ, nke na-akpali peristalsis, na antifoam, na -ewepụta ifịk. Ihe ngosiputa maka iji ya bu oria imeju na akwara, ebe eji eme ka ihe ndi mmadu ghara ima ihe. Ọgwụ Bile acid gụnyere Festal, Digestal na Enzistal.

Na mgbakwunye na acid bile, ọgwụ ndị a na-ebu enzyme pancreatic - pancreatin. Ya mere, ịnwere ike iwere ha ọrịa na akwara. Agbanyeghị, ndị ọrụ nwere acid bile na-agbanwekarị ya na pancreatin (Mezim), n'ihi na oge ụfọdụ ndị ọrịa na-enwe ihe nfụkasị maka mmiri bile. Ya mere, ọgwụ ndị a ka a na-eji naanị ndị nwere nsogbu imeju.

Osisi Enzymes

Enzymes iji melite mgbaze osisi sitere na mmetụta dị mgbagwoju anya na eriri afọ. Ha na-edozi motility nke afọ na eriri afọ, belata ịkpụzi gas, melite nnabata nke ihe ndị bara uru, na-akpali metabolism ma na-edozi mmebi nke abụba, protein na carbohydrates.

Enwere ike iji ọgwụ mee ihe maka ọrịa nke imeju, pancreas, obere na nnukwu eriri afọ, yana maka nhazi nke mgbaze na oge ọmụmụ.

N'agbanyeghị mmetụta dị iche iche, ọgwụ ndị a adịkarịghị ọgwụ, ebe ọ bụ na e nwere usoro enzyme dị irè karịa nke sitere na mkpụrụ osisi. Ọtụtụ mgbe, a na-ahazi usoro enzymatic nke sitere na osisi tupu ịkwadebe maka ọmụmụ ihe na nsị.

Ego ndị a gụnyere Pepfiz, Unienzyme, Solizim, Oraza, Sestal. Ọtụtụ enzyme nkwadebe osisi sitere, karịsịa, Pepfiz, bụ contraindicated na ụmụaka na ụmụ nwanyị dị ime.

Nkwadebe Enzyme nke na-akụda lactose

Ọ bụ ihe na-ezughị ezu taa. Ndị ọrịa na-arịa nsogbu nri, na-agwọ ọrịa anụ ahụ na ntutu isi, n'amaghị na ihe kpatara nke a bụ ụkọ lactose. Enwere ike idozi nsogbu a naanị - wepu mmiri ara ehi, ude, chiiz na nri. Agbanyeghị, mgbe achọpụtara ụkọ lactase na ụmụ aka na-enye nwa ara, azịza ya adịghị nfe.

Ngwakọta a na-ejighi lactose dị oke ọnụ ma anaghị ekwe ka nwatakịrị ahụ nweta ihe oriri ndị ahụ dị na mmiri ara nne. Maka nke a, ọgwụ ọgwụ nwere enzymes maka ụmụaka na-agbatị lactose. O zuru ezu na nwanyị ahụ mmiri ara ehi, tinye ọgwụ ole na ole na ya, nwatakịrị ahụ ga-anọkwa ná nchebe. Drugsdị ọgwụ ndị a gụnyere Lactrase, Lactade, Kerulac. Ndi okenye nwekwara ike iji ya.

Ihe na-akpali: N'ọnọdụ ụkọ lactase, ngwaahịa mmiri ara ehi adịghị agbaji, yabụ, ndị nwere ọrịa a enzymatic nwere ike ịnata ihe niile bara uru site na kefir, ụlọ chiiz na ngwaahịa mmiri ara ehi ndị ọzọ.

Ngwakọta ọgwụ

Wobenzym bụ onye nnọchite anya ya. Nwere enzymes osisi na ụmụ anụmanụ. Ọgwụ ọ bụghị naanị dochie erughi enzyme, kamakwa ọ nwere mgbochi mkpali, decongestant, fibrinolytic na analgesic. N'ihi nke a, Wobenzym bụ ngwá ọrụ kachasị mma na ọgwụgwọ nke ọrịa eriri afọ autoimmune (ọrịa Crohn na ọnya afọ).

A na-eji ngwa ahụ arụ ọrụ nke ọrịa rheumatology, traumatology, endocrinology, dermatology na mpaghara ndị ọzọ. N'agbanyeghi na enweghi ihe a kapịrị ọnụ, ọgwụ ahụ nwere nsonaazụ mara mma, ihe fọrọ nke nta ka ọ bụrụ enweghị mmetụta ọ bụla, enwere ike iji ya ogologo oge, maka ọnwa 1 ma ọ bụ karịa.

Ọgwụ maka ụmụaka na ụmụ nwanyị dị ime

Nkwadebe enzyme iji melite mgbaze enweghị ihe mgbochi ọ bụla, ma e wezụga hypersensitivity nke mmiri ọgwụ, ya mere, ụmụaka na-ahapụ ọtụtụ n'ime ha maka ha. Agbanyeghị, ọ gaghị ekwe omume ịnye nwa ahụ ọgwụ naanị, ebe ọnụọgụ na ụzọ ị theụ ọgwụ ahụ si dabere na afọ na ogo ahụ. Edebere ọgwụ ndị eji akpachapụ anya maka ụmụaka ruru afọ 3.

A na-edekarị ụmụaka maka Abomin, Mezim-forte, Pancreatin na Creon, họrọ dabere n'ọnọdụ ahụ.

Ihe dị mkpa: Enweghị ike iji nkwadebe pancreatic (nke nwere pancreatin) maka nnukwu pancreatitis na iwelata mbufụt na-adịghị ala ala.

N'ime ụmụ nwanyị dị ime, n'ihi mgbanwe mgbanwe anụ ahụ na ahụ, enwere ike ịhụ ihe ịrịba ama nke nsogbu nri. Obi mgbawa, akpịrị, ọnya afọ, afọ ntachi na afọ ọsịsa - ihe ngosi ndị a niile bụ mgbaàmà nke ụkọ enzyme. Nri pụrụ iche ga - enyere ha aka kachasị mma, mana mgbe ụfọdụ, ọkachamara n'ọrịa ụmụ nwanyị nwere ike inye ọgwụ enzymes.

Ọzọkwa, ego iji melite mgbaze n'oge afọ ime nwere ike ịdị mkpa ụmụ nwanyị nwere ọrịa na-adịghị ala ala. A na-ahọpụta ụdị ọgwụ dị iche iche na ọgwụ ya site n'aka ọkachamara n'ọrịa ụmụ nwanyị na-agwọ ọrịa na-agwọ ọrịa ma ọ bụ dọkịta na-awa ahụ.

Na-atụ aro: N’oge ọkara nke mbụ, a na-atụnye akụkụ akụrụngwa dị mkpa nke nwa, yabụ, ego nwaanyị ga-a consumedụ belata. Amachara ị drugụ ọgwụ ọ bụla na-akọghị ndị ọkachamara n'ọrịa ụmụ nwanyị. Kedu otu esi emezi mgbaze? Soro ihe oriri ma rie obere oge.

N'ileghachi anya na usoro dị iche iche nke enzyme, ndị ọrịa kwesịrị ịghọta na otu usoro ọgwụgwọ abụghị oge analog nke ọzọ na ọ bụghị ọgwụ ọ bụla na-arụ ọrụ nke ọma maka ọrịa dị iche iche. Yabụ, naanị ọgwụ dọkịta gị nyere gị ga-enyere gị aka ịnwe ụkọ enzyme.

Panzinorm - gịnị na-enyere ọgwụ a aka?

Panzinorm - ọ bụ otu nke nhazi enzymatic, ọ bụ analog nke Pancreatinum. Ọgwụ a nwere oke lipase, a na-ejikwa ya maka ọrịa dị iche iche na-emetụta eriri afọ nke metụtara sistemụ nri nri nke sistem.

Panzinorm na-eme ka nri nri gbue, na-enye ohere ị betterụ nri nke ọma ma na-eme ka akwara pụta ka ọ hapụ enzyme nke ya - ọkachasị pancreatin.

Ọgwụ a na - alụ ọgụ n’ụzọ doro anya ụdị ọrịa anaghị egbu mgbu:

ili ozu
mmetụta nke ibu ma ọ bụ afọ ju afọ mgbe nri,
enwekwu ike ikuku.

Kedu ọrịa na-atụ aro maka ị forụ ọgwụ a? Gịnị na-enyere panzinorm? Iji ghọta okwu a, ọ dị mkpa ịmụ ihe ndị mejupụtara ọgwụ na ọgwụ a.

Emeghachi ọgwụ ọgwụ na mejupụtara ọgwụ

Panzinorm bụ nkwadebe ejikọtara ọnụ nke nwere enzymatic, ebe ọ nwere enzymes pancreatic atọ zuru oke kachasị mma - lipase, amylase na protease. Site n'enyemaka nke ihe ndị a, enwere mbibi nke abụba, protein na carbohydrates dị na eriri afọ.

Ejirila ọgwụ a nke ọma iji mesoo ọrịa dị iche iche metụtara nri mgbaze nri na ụmụaka na ndị okenye. Ngwakọta nke Panzinorm gụnyere enzyme ihe nke Pancreatin, yabụ mgbe ụfọdụ a na-akpọ ya “Pancreatin jikọtara ọnụ”.

A na - enweta ihe ndị dị n'ọrụ dị na nkwadebe a site na pancreas nke cows ma ọ bụ ezì - nke a pụtara na ihe ndị dị na ọgwụ ahụ bụ ihe zuru oke ma nwee echiche. Ibe mkpuchi pụrụ iche na - egbochi acid na - ekpuchi mkpuchi nke capsules na mbadamba ọgwụ ahụ naanị na obere eriri afọ. Mgbe ewepụtara ya, ihe enzymatic Panzinorm na-agwakọta na nri eriri afọ na-edozi ya ma na-enyere ya aka ịgbari ya nke ọma.

Amylase na-agbaze carbohydrates dị mgbagwoju anya na dextrin na monosaccharides, lipase na-eme ka mmebi abụba ghọọ glycerol na ọdụdụ ọdụdụ, ihe protein ahụ na-agbari ụmụ irighiri protein n'ime amino acid. Ofdị irè nke ọgwụ a na-agbadata nke ọma ma ọ bụrụ na mbelata acidity na duodenum.

Ọrịa Panzinorm na-ahazi usoro nke na-agbari nri, na-enyere ahụ aka ịmịkọrọ nri ndị dị ya mma, na-akpali akwara na afọ iji mepụta enzymes nke ya, ma na-abawanye ihe mmụta na-arụ ọrụ.

Ọgwụ a na - ekpochapụ ihe mgbaàmà na - apụta ma ọ bụrụ na nri nri ezughi oke:

ili ozu
erughị ala na mgbu n’ime afọ na eriri afọ,
afọ ọsịsa
flatulence.

Usoro onunu ogwu na usoro onunu ogwu

Panzinorm dị n'ụdị mbadamba nkume na kapịlị maka nchịkwa ọnụ.

Mba nke sitere: Slovenia KRKA "NOVO MESTO".

You nwere ike ịzụta ọgwụ a na ụlọ ahịa ọgwụ. Ntinye ihe eji eme ya Panzinorm na uzo nke ahihia ahu na blisters nke 3,7,8,12, na ngwugwu nwere akwukwo akwukwo nke banyere ogwu ahu. Ngwakọta nke otu Capsule gụnyere:

amylase - 7200 nkeji,
lipase - 10000
protease - narị nkeji anọ.

A na-erekwa ọgwụ a n'ụdị mbadamba, nke a na-ere na 10,30 iberibe n'otu ngwugwu na ntuziaka. Ngwakọta nke otu mbadamba gụnyere:

amylase - 12000 nkeji,
lipase - 20,000 nkeji,
protease - 900 nkeji.

Usoro onunu ogwu na nhazi

Mbadamba ụrọ na capsules nke ọgwụ a ga-emerịrị n'ọnụ ya na nri. Isụ ọgwụ niile, achọrọ mkpụrụ ego ma ọ bụ mọstad ekwesighi. Mgbe ị thisụsịrị usoro ọgwụgwọ a, ịkwesịrị ị withụ ya na mmiri.

Ọ bụ dọkịta na-ekpebi oge ọ ga-eji ọgwụgwọ na usoro ị medicationụ ọgwụ a n'otu n'otu maka onye ọrịa ọ bụla, dabere afọ ole na ihe ngosi ndị ọzọ.

Na usoro ọgwụgwọ mbụ, obere nke Panzinorm maka okenye bụ 1-2 mbadamba mkpụrụ ọgwụ 3-4 ugboro n'ụbọchị, n'oge isi nri (nri ụtụtụ, nri ehihie na nri abalị) ma ọ bụ nri dị mfe. Ọ bụrụ na ọ dị mkpa, ịnwere ike ịba ụba otu ọgwụ. A na-enweta ịdị irè nke ọgwụ ahụ site na ị aụ ọgwụ kwa ụbọchị nke 4-15 capsules (mbadamba 2-7). Na cystic fibrosis, a na-atụ aro ịkọpụta obere nke ọgwụ a.

Maka ọgwụgwọ nke ụmụaka gbara afọ 3, a na-eji Panzinorm eme ihe na ego nke 1-2 capsules, ozugbo n'oge nri ma ọ bụ nri dị mfe.

Ọgwụgwọ nwere ike ịdị ọtụtụ ụbọchị (ọ bụrụ na imebi mgbaze n'ihi njehie na nri onye ọrịa) ruo ọtụtụ izu, ọnwa na ọbụna ọtụtụ afọ (ọ bụrụ na ọ dị mkpa, usoro ọgwụgwọ oge niile).

Analogues nke otu ọgwụ

Dabere n'ụkpụrụ nhazi na ọdịdị nke ihe bụ isi ihe na-arụ ọrụ, Panzinorm nwere ụdị analogues ndị a:

Pancreatin
Mezim
Pancrelipase
Festal
Ntughari ya
Creon
Micrazim
Pancreatin forte
Gastenorm,
Pangrol,
Panzim
Enzistal.

Jiri n'oge ime na lactation

Ọ kaara ndị inyom dị ime na ndị na-akwa nwa ume ịhapụ iji ọgwụ a.

Ekwesiri iji ọgwụ a n'oge afọ ime na inye ara naanị n'ọnọdụ ebe atụ anya nsonaazụ dị mma site na ọgwụgwọ ga-akarị ohere nke ibute nsogbu ọ bụla na nwanyị dị ime na nwa ya.

Panzinorm ekwesịghị ị drunkụbiga mmanya ókè maka ụmụaka gbara afọ 15, ma ọ bụrụ na ha tolitere ọnya cystic fibrosis. Ọgwụ a dabere na pancreatin ma bụrụ contraindicated n'ime ụmụaka na-erubeghị afọ atọ.

Kedu ihe dị iche na Panzinorm na ndị analogues ndị ọzọ?

Tụlee ihe atụ nke Festal. Nke mbu, ogwu ndi a di iche na ibe ha. Ọgwụ Panzanorm nke enzymatic nwere pancreatin na ndị ọzọ na - arụ ọrụ:

Na mgbakwunye na pancreatin nke otu aha, Festal tinyekwara ihe ndị ọzọ na - arụ ọrụ - bile na hemicellulose, ihe inyeaka ya bụ sodium chloride. Dịka ị pụrụ ịhụ, Panzinorm dị iche na ya Festal analogue ọ bụghị naanị n'ụdị ihe eji arụ ọrụ na-arụ ọrụ, kamakwa n'ụdị shells ahụ.

Banyere ego nke ọgwụ ndị a na - arụ ọrụ, yabụ n'ezie ọrụ na - eduga na ngosipụta a bụ Festal. Mana anyị ekwesịghị ichefu banyere eziokwu ahụ bụ na ọ nwere ike bụrụ na mmeghachi omume ọjọọ na ọgwụ a ma e jiri ya tụnyere Panzinorm dị elu. Ya mere, ọ bụrụ na onye ọrịa nwere oke nfụkasị ahụ, ọgwụ a ka ya mma karịa Festal.

Ọ bụrụ na anyị na-ekwu maka ikike ọrụ nke ọgwụ ndị a, mgbe ahụ na nke a Festal na-ewere ọnọdụ ọzọ na-eduga, n'ihi na mgbakwunye na ịbawanye ike na nzuzo nke pancreas, ọ na-enwe mmetụta na-akpali akpali na motility nke obere na nnukwu eriri afọ, eriri afọ.

Banyere ọnụahịa ahụ, Panzinorm nwere uru ebe a, n'ihi na ọ na-efu ọtụtụ oge dị ọnụ ala karịa Festal. Ya mere, ọ bụ ihe ezi uche dị na iche na maka otu oge, ọgwụgwọ ọrịa, ọ ka mma iji Festal, yana Panzinorm zuru oke maka iji ya na-aga n'ihu. Ọ bụrụ na enweghị ọgwụgwọ ọgwụgwọ ma ọ bụ mgbe ọ bụla mmetụta ọ bụla gosipụtara, otu n'ime ọgwụ ndị a nwere ike dochie ya ngwa ngwa ọzọ.

Dị Mkpa! Ọ dị mkpa mgbe niile icheta na iji ọgwụ ọjọọ na ị medicationụ ọgwụ na-achịkwa onwe ya na-akpatakarị nsogbu dị iche iche, na mgbe ụfọdụ ọbụna na-enwe nsogbu ndị dị ize ndụ! Ọ bụ ọgwụgwọ ọfụma na-ekwuzi ọgwụgwọ ziri ezi ma ọfụma ọfụma maka nyocha nyocha zuru oke nke onye ọrịa ahụ.