Pancrelipase

Zamkati

• Musanayambe kumwa pancrelipase,
• Pancrelipase imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Pancrelipase makapisozi otulutsidwa mochedwa (Creon, Pancreaze, Pertzye, Ultresa, Zenpep) amagwiritsidwa ntchito kukonza chimbudzi cha ana ndi akulu omwe alibe ma enzyme okwanira (zinthu zofunika kuphwanya chakudya kuti zitha kugayidwa) chifukwa vuto lomwe limakhudza kapamba (gland yomwe imapanga zinthu zingapo zofunika kuphatikiza michere yofunikira kupukusa chakudya) monga cystic fibrosis (matenda obadwa nawo omwe amachititsa kuti thupi litulutse ntchofu zokulirapo, zomata zomwe zingatseke kapamba, mapapo, ndi zina ziwalo za thupi), matenda opatsirana otupa matenda (kutupa kwa kapamba komwe sikupita), kapena kutsekeka kwamagawo pakati pa kapamba ndi matumbo. Pancrelipase ma capsule otulutsidwa mochedwa (Creon, Pancreaze, Zenpep) amagwiritsidwanso ntchito kukonza chakudya cha makanda omwe alibe michere yokwanira ya pancreatic (zinthu zofunika kuphwanya chakudya kuti zitha kugayidwa) chifukwa ali ndi cystic fibrosis kapena vuto lina zomwe zimakhudza kapamba. Pancrelipase makapisozi otulutsidwa mochedwa (Creon) amagwiritsidwanso ntchito kupititsa patsogolo chimbudzi mwa anthu omwe achita opaleshoni kuti achotse kapamba kapena m'mimba. Mapiritsi a Pancrelipase (Viokace) amagwiritsidwa ntchito limodzi ndi mankhwala ena (proton pump inhibitor; PPI) kukonza chimbudzi cha zakudya mwa akulu omwe ali ndi kapamba kapenanso omwe adachitidwapo opaleshoni kuti achotse kapamba. Pancrelipase ali mgulu la mankhwala otchedwa ma enzyme. Pancrelipase imagwira ntchito m'malo mwa michere yomwe nthawi zambiri imapangidwa ndi kapamba. Zimagwira pakuchepetsa matumbo amafuta ndikuthandizira kupatsa thanzi powawa mafuta, mapuloteni, ndi sitaki kuchokera pachakudya kupita kuzinthu zazing'ono zomwe zimatha kutuluka m'matumbo.

Pancrelipase imabwera ngati piritsi, ndi kapisozi wotulutsidwa mochedwa kuti atenge pakamwa. Amatengedwa ndi madzi ambiri pachakudya chilichonse kapena chotupitsa, nthawi zambiri kasanu kapena kasanu patsiku. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani pancrelipase ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Pancrelipase imagulitsidwa pansi pa mayina osiyanasiyana, ndipo pali kusiyana pakati pazinthu zamagetsi. Osasinthana ndi mtundu wina wa pancrelipase osalankhula ndi dokotala.

Kumeza mapiritsi ndi makapisozi otulutsidwa mochedwa otulutsidwa ndi madzi ambiri; osagawana, kutafuna, kapena kuwaphwanya. Osayamwa mapiritsi kapena makapisozi kapena kuwaika pakamwa. Onetsetsani kuti piritsi lililonse silikutsala mkamwa mwanu mukamaliza.

Ngati simungathe kumeza makapisozi otulutsidwa mochedwa, mutha kutsegula makapisoziwo ndikusakaniza zomwe zili mkatimo ndi chakudya chofewa, cha acidic monga maapulosi. Mutha kusakaniza makapisozi ndi zakudya zina. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri. Kumeza chisakanizo mutangosakaniza osatafuna kapena kuphwanya zomwe zili mkati mwake. Mukamaliza kusakaniza, imwani kapu yamadzi kapena madzi nthawi yomweyo kuti mutsuke mankhwalawo.

Ngati mukupatsa mwana wakhanda ma capsule otulutsidwa omwe achedwa kutsegulidwa, mutha kutsegula kapisoziyo, ndikuwaza zomwe zili mkatimo pang'ono pang'ono, chakudya chama acidic monga maapuloauce, nthochi kapena mapeyala, ndikumudyetsa mwana nthawi yomweyo. Osasakaniza zomwe zili mu kapisozi ndi mkaka kapena mkaka wa m'mawere. Muthanso kukonkha zomwe zili mkamwa mwachindunji. Mukamapereka mwana pancrelipase, perekani madzi ambiri kuti mutsuke mankhwalawo. Kenako yang'anani mkamwa mwa mwana kuti mutsimikize kuti wameza mankhwala onse.

Zomwe zili mu kapuleti wotulutsidwa mochedwa ziyenera kutengedwa atangotsegula kapisozi. Osatsegula makapisozi kapena konzani zosakaniza za makapisozi ndi chakudya musanakonzekere kuzigwiritsa ntchito. Tayani makapisozi aliwonse omwe sanagwiritsidwe ntchito kapena pancrelipase ndi zosakaniza za chakudya; musasunge kuti adzagwiritse ntchito mtsogolo.

Dokotala wanu mwina angakuyambitseni kumwa mankhwala ochepa pang'onopang'ono ndikuwonjezerani kuchuluka kwanu kutengera mayankho anu kuchipatala komanso kuchuluka kwa mafuta omwe mumadya. Onetsetsani kuti muuze dokotala momwe mukumvera komanso ngati matumbo anu akusintha mukamalandira chithandizo. Musasinthe kuchuluka kwa mankhwala anu pokhapokha dokotala atakuwuzani kuti muyenera kutero.

Dokotala wanu angakuuzeni kuchuluka kwa pancrelipase komwe muyenera kumwa tsiku limodzi. Musatenge zochuluka kuposa izi za pancrelipase tsiku limodzi ngakhale mutadya zochuluka kuposa momwe mumadyera komanso zokhwasula-khwasula. Lankhulani ndi dokotala wanu ngati mukudya zina zowonjezera komanso zokhwasula-khwasula.

Pancrelipase ikuthandizani kukulitsa chimbudzi pokhapokha mutapitiliza kuigwiritsa ntchito. Pitirizani kumwa pancrelipase ngakhale mukumva bwino. Osasiya kumwa pancrelipase osalankhula ndi dokotala.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi pancrelipase ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanayambe kumwa pancrelipase,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la pancrelipase, mankhwala ena aliwonse, zopangidwa ndi nyama ya nkhumba, kapena zilizonse zomwe zingaphatikizidwe ndi mapiritsi a pancrelipase kapena makapisozi otulutsidwa mochedwa.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati munachitidwapo opaleshoni m'matumbo kapena kutsekeka, kukulitsa, kapena kutupitsa m'matumbo mwanu, ndipo ngati mwakhala mukudwala matenda ashuga, mavuto a shuga, magazi, gout (kuzunzika mwadzidzidzi kwa mafupa, kutupa, ndi kufiira komwe kumachitika pakakhala chinthu chochuluka kwambiri chotchedwa uric acid m'magazi), kuchuluka kwa uric acid (chinthu chomwe chimapangidwa thupi likawononga zakudya zina) m'magazi anu, khansa, kapena matenda a impso. Ngati mukumwa mapiritsi a pancrelipase, uzani dokotala wanu ngati mukusagwirizana ndi lactose (mukuvutika kukumba mkaka).
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamamwa pancrelipase, itanani dokotala wanu.
• Muyenera kudziwa kuti pancrelipase imapangidwa ndi kapamba wa nkhumba. Pakhoza kukhala chiopsezo kuti wina amene atenga pancrelipase atha kutenga kachilombo koyambitsa nkhumba. Komabe, matenda amtunduwu sanayambepopo.

Dokotala wanu kapena katswiri wazakudya angakupatseni zakudya zofunikira pazakudya zanu. Tsatirani malangizowa mosamala.

Pitani muyezo womwe mwaphonya ndipo tengani mlingo wanu wamba ndi chakudya chanu chotsatira. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Pancrelipase imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• chifuwa
• chikhure
• kupweteka kwa khosi
• chizungulire
• m'mphuno
• kumverera kukhuta mutadya pang'ono
• kutentha pa chifuwa
• kudzimbidwa
• mpweya
• kuyabwa mozungulira chotulukira
• pakamwa pakamwa kapena lilime

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:

• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza
• ukali
• nseru
• kusanza
• kutsegula m'mimba
• kupweteka m'mimba kapena kuphulika
• zovuta kukhala ndi matumbo
• kupweteka kapena kutupa kwamafundo, makamaka chala chachikulu chakuphazi

Pancrelipase imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Ngati mankhwala anu abwera ndi paketi ya desiccant (paketi yaying'ono yomwe ili ndi chinthu chomwe chimatenga chinyezi kuti mankhwala asamaume), siyani paketiyo mu botolo koma samalani kuti musayimeze. Sungani mankhwalawa kutentha komanso kutentha pang'ono ndi chinyezi (osati kubafa). Osatenthetsa mankhwalawa m'firiji.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• kupweteka kapena kutupa kwamafundo, makamaka chala chachikulu chakuphazi
• kutsegula m'mimba

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira pancrelipase.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Creon^®
• Kuphulika^®
• Pertzye^®
• Ultresa^®
• Viokace^®
• Zenpep^®

• Lipancreatin