Pancrelipase

Umxholo

• Ngaphambi kokuba uthathe ipancrelipase,
• I-Pancrelipase inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo, tsalela ugqirha ngokukhawuleza:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

I-Pancrelipase ye-capsule-release release-release (i-Creon, i-Pancreaze, i-Pertzye, i-Ultresa, i-Zenpep) isetyenziselwa ukuphucula ukugaya ukutya kubantwana nakubantu abadala abangenayo i-enzyme ye-pancreatic eyaneleyo (izinto ezifunekayo ukuphula ukutya ukuze zitshiswe) kuba imeko echaphazela i-pancreas (i-gland evelisa izinto ezininzi ezibalulekileyo ezibandakanya i-enzymes ezifunekayo ukucola ukutya) njenge-cystic fibrosis (isifo esizalwa naso esenza ukuba umzimba uvelise i-mucus enqabileyo, enamatheleyo enokuvala iipancreas, imiphunga kunye nezinye amalungu omzimba), ukudumba kwengqondo okunganyangekiyo (ukudumba kwepancreas okungahambeliyo), okanye ukuvaleka kwiindinyana eziphakathi kwepancreas namathumbu. Iipancrelipase zokulibaziseka-zokukhupha iicapsule (iCreon, iPancreaze, iZenpep) zikwasetyenziselwa ukuphucula ukwetyiswa kokutya kwiintsana ezingenazo ii-enzymes ezaneleyo zepancreatic (izinto ezifunekayo ukophula ukutya ukuze zikwazi ukwetyiswa) kuba zine-cystic fibrosis okanye enye imeko echaphazela injeke. I-Pancrelipase njenge-Pancrelipase-release-release capsules (Creon) zikwasetyenziselwa ukuphucula ukwetyisa kubantu abaye batyandwa ukuze basuse yonke into okanye inxenye yepancreas okanye isisu. Amacwecwe ePancrelipase (Viokace) asetyenziswa kunye nelinye iyeza (iproton pump inhibitor; PPI) ukuphucula ukwetyiswa kokutya kubantu abadala abane-pancreatitis engapheliyo okanye abaye benza utyando ukususa i-pancreas. I-Pancrelipase ikudidi lwamayeza abizwa ngokuba zii-enzymes. I-Pancrelipase isebenza endaweni yee-enzyme eziqhelekileyo ezenziwe zii-pancreas. Isebenza ukunciphisa ukushukuma okunamafutha kunye nokuphucula isondlo ngokwaphula amanqatha, iiprotein, kunye nesitatshi esivela ekutyeni siye kwizinto ezincinci ezinokufakwa emathunjini.

I-Pancrelipase iza njengecwecwe, kunye nepilisi ebambezelayo yokukhupha ngomlomo. Kuthathwa ngamanzi amaninzi ngesidlo ngasinye okanye ukutya okutyiwayo, ngesiqhelo amaxesha ama-5 ukuya kwayi-6 ngemini. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-pancrelipase ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

I-Pancrelipase ithengiswa phantsi kwamagama eempawu ezahlukeneyo, kwaye kukho umahluko phakathi kwegama lemveliso. Musa ukutshintshela kuhlobo oluthile lwepancrelipase ngaphandle kokuthetha nogqirha wakho.

Ginya iipilisi kunye neepilisi zokulibaziseka zokukhululwa zilungele ngamanzi amaninzi; ungahluleli, ungahlaleli, okanye uzityumze. Musa ukuncancisa iipilisi okanye iipilisi okanye ubambe emlonyeni wakho. Qiniseka ukuba akukho cwecwe lishiyekileyo emlonyeni wakho emva kokuba uliginyile.

Ukuba awukwazi ukuginya iicapsule zokukhululwa zilibazisekile, ungazivula iifomsile kwaye udibanise imixholo kunye nexabiso elincinci lokutya okuthambileyo, okuneasidi njengeapilesauce. Unokwazi ukudibanisa imixholo yecapsule kunye nokunye ukutya. Buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya. Gwinya umxube kanye emva kokuba uwuxube ngaphandle kokuhlafuna okanye ukutyumza imixholo yecapsule. Emva kokuwuginya lo mxube, sela iglasi yamanzi okanye yejusi ngoko nangoko ukuze uhlambe iyeza.

Ukuba unika umntwana njengezingxobo zokukhululwa ezilibazisekileyo, unokuyivula le philisi, ufefe imixholo ngesixa esincinci sokutya okuthambileyo, okune-asidi okunje ngeapile yomntwana, iibhanana okanye amapere, kwaye umtyise umntwana ngoko nangoko. Sukuxuba iziqulatho zecapsule kunye nefomula okanye ubisi lwebele. Unokufefa imixholo ngqo emlonyeni womntwana. Emva kokuba unike umntwana ipancrelipase, nika ulwelo oluninzi ukuhlamba amayeza. Emva koko jonga emlonyeni wosana ukuze uqiniseke ukuba uliginyile lonke iyeza.

Imixholo yecapsule yokukhululwa ebambezelekileyo kufuneka ithathwe kanye emva kokuba kuvulwe iphilisi. Musa ukuvula iifomsile okanye ulungiselele imixube yeephilisi kunye nokutya ngaphambi kokuba ulungele ukuzisebenzisa. Lahla nayiphi na imixholo yephilisi engasetyenziswanga okanye ipancrelipase kunye nemixube yokutya; sukuzigcina ukuze zisetyenziselwe ixesha elizayo.

Ugqirha wakho uya kukuqala ngedosi esezantsi yamayeza kwaye ngokuthe ngcembe andise idosi yakho kuxhomekeke kwimpendulo yakho kunyango kunye nenani lamafutha kwisidlo sakho. Qiniseka ukuba uxelela ugqirha wakho ukuba uziva njani nokuba iimpawu zakho zesisu ziyaphucuka na ngexesha lonyango lwakho. Sukutshintsha idosi yonyango ngaphandle kokuba ugqirha ukuxelele ukuba kufanele.

Ugqirha wakho uya kukuxelela inani eliphezulu le-pancrelipase omele ulithathe ngosuku olunye. Musa ukuthatha ngaphezulu kwesi sixa sepancrelipase ngosuku olunye nokuba utya ngaphezu kwenani eliqhelekileyo lokutya kunye nokutya okulula. Thetha nogqirha wakho ukuba utya ukutya okongeziweyo kunye nokutya okulula.

I-Pancrelipase iya kunceda ukuphucula ukwetyisa kwakho ukuba nje uqhubeka ukuyithatha. Qhubeka nokuthatha i-pancrelipase nokuba uziva uphilile. Sukuyeka ukuthatha ipancrelipase ngaphandle kokuthetha nogqirha wakho.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-pancrelipase kwaye ngalo lonke ixesha uzalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe ipancrelipase,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-pancrelipase, nawaphi na amanye amayeza, iimveliso zehagu, okanye naziphi na izithako ezikwiipilisi zepancrelipase okanye iicapsule zokukhululwa ezilibazisekileyo Buza usokhemesti wakho okanye ujonge isiKhokelo seMithi ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wenza utyando emathunjini akho okanye ukuvaleka, ukuqina, okanye ukonakalisa amathumbu akho, kwaye ukuba ukhe unesifo seswekile, uneengxaki kwiswekile yegazi lakho, igawuthi (uhlaselo lwequbuliso lwentlungu edibeneyo, ukudumba, kunye Ububomvu obenzeka xa kukho into eninzi kakhulu ebizwa ngokuba yi-uric acid egazini), amanqanaba aphezulu e-uric acid (into eyenzekayo xa umzimba usophula ukutya okuthile) egazini lakho, umhlaza, okanye isifo sezintso. Ukuba uza kuthatha iipilisi zepancrelipase, xelela ugqirha wakho ukuba ngaba awunyamezeli i-lactose (kunzima ukugaya iimveliso zobisi).
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-pancrelipase, tsalela ugqirha wakho.
• Kuya kufuneka uyazi ukuba ipancrelipase yenziwa yipancreas yeehagu. Kunokubakho umngcipheko wokuba umntu othatha ipancrelipase angosulelwa yintsholongwane ethwelwe ziihagu. Nangona kunjalo, olu hlobo losulelo aluzange luxelwe.

Ugqirha wakho okanye ugqirha wezondlo uya kukuyalela ukutya okuthe ngqo kwiimfuno zakho zesondlo. Landela le miyalelo ngononophelo.

Tsiba idosi ephosiweyo kwaye uthathe idosi yakho yesiqhelo ngesidlo sakho okanye ukutya okutyayo okulandelayo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Pancrelipase inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• ukukhohlela
• umqala obuhkungu
• intlungu yentamo
• isiyezi
• impumlo
• ndiziva ndihluthi emva kokutya isixa esincinci
• isilungulela
• ukuqhina
• irhasi
• Ukucaphuka okujikeleze umngxuma
• Umlomo obuhlungu okanye ulwimi

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo, tsalela ugqirha ngokukhawuleza:

• irhashalala
• urhwebo
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• ukudinwa
• isicaphucaphu
• ukugabha
• urhudo
• isisu esibuhlungu okanye ukudumba
• ubunzima bokuhamba kwamathumbu
• intlungu okanye ukudumba kumalungu, ngakumbi ubhontsi omkhulu

I-Pancrelipase inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Ukuba amayeza akho eza nepakethi ye-desiccant (ipakethi encinci enezinto ezifunxa ukufuma ukugcina iyeza lomile), yishiye ipakethi ebhotileni kodwa ulumke ungaginyeki. Gcina eli yeza kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Musa ukulifaka efrijini eli yeza.

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• intlungu okanye ukudumba kumalungu, ngakumbi ubhontsi omkhulu
• urhudo

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zelebhu ukujonga impendulo yomzimba wakho kwipancrelipase.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• UCreon^®
• Ipancreaze^®
• Pertzye^®
• Ultresa^®
• Viokace^®
• I-Zenpep^®

• Lipancreatin