Pancrelipase

-Delile

• Ngaphambi kokuthatha i-pancrelipase,
• I-Pancrelipase ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Ama-capsules we-Pancrelipase abambezelekile okukhipha (i-Creon, i-Pancreaze, i-Pertzye, i-Ultresa, i-Zenpep) asetshenziselwa ukuthuthukisa ukugaywa kokudla ezinganeni nakubantu abadala abangenayo i-enzyme eyanele ye-pancreatic (izinto ezidingekayo ukudiliza ukudla ukuze zikwazi ukugaywa) ngoba isimo esithinta amanyikwe (indlala ekhiqiza izinto eziningana ezibalulekile kufaka phakathi ama-enzyme adingekayo ukugaya ukudla) njenge-cystic fibrosis (isifo esizalwa naso esibangela umzimba ukuthi ukhiqize amafinyila aminyene, anamathelayo angavala amanyikwe, amaphaphu, nokunye izingxenye zomzimba), i-pancreatitis engapheli (ukuvuvukala kwamanyikwe okungapheli), noma ukuvinjelwa ezindimeni eziphakathi kwamanyikwe namathumbu. Ama-capsules we-Pancrelipase abambezelekile okukhipha (i-Creon, i-Pancreaze, i-Zenpep) asetshenziselwa ukuthuthukisa ukugaywa kokudla ezinganeni ezingenawo ama-enzyme anele (izinto ezidingekayo ukudiliza ukudla ukuze zikwazi ukugaywa) ngoba zine-cystic fibrosis noma esinye isimo lokho kuthinta amanyikwe. Ama-capsules we-Pancrelipase abambezeleke ukukhishwa (i-Creon) nawo asetshenziselwa ukuthuthukisa ukugaya kubantu abahlinzekiwe ukukhipha wonke noma ingxenye yamanyikwe noma isisu. Amaphilisi e-Pancrelipase (i-Viokace) asetshenziswa kanye nomunye umuthi (i-proton pump inhibitor; i-PPI) ukwenza ngcono ukugayeka kokudla kubantu abadala abane-pancreatitis engapheli noma abahlinzwa ukuze kususwe amanyikwe. I-Pancrelipase isekilasini lemithi ebizwa ngama-enzyme. I-Pancrelipase isebenza esikhundleni sama-enzyme evame ukwenziwa amanyikwe. Kusebenza ekwehliseni ukuhamba kwamathumbu okunamafutha nokwenza ngcono ukondleka ngokwaphula amanoni, amaprotheni, nesitashi kusuka ekudleni kuya ezintweni ezincane ezingamunzwa emathunjini.

I-Pancrelipase iza njengethebhulethi, kanye ne-capsule ekhishwe ukubambezeleka ezothathwa ngomlomo. Ithathwa ngamanzi amaningi ngaso sonke isikhathi sokudla noma okulula, imvamisa izikhathi ezinhlanu kuya kweziyisithupha ngosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-pancrelipase njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

I-Pancrelipase ithengiswa ngaphansi kwamagama emikhiqizo ehlukahlukene, futhi kukhona umehluko phakathi kwemikhiqizo yegama lomkhiqizo. Ungashintsheli kumkhiqizo ohlukile wepancrelipase ngaphandle kokukhuluma nodokotela wakho.

Gwinya amaphilisi kanye nama-capsule akhiphe ukubambezeleka okuphelele ngamanzi amaningi; ungawahlukanisi, ungawahlafune noma uwagxoze. Ungamunci amaphilisi noma amaphilisi noma uwabambe emlonyeni wakho. Qiniseka ukuthi ayikho ithebhulethi esele emlonyeni wakho ngemuva kokuyigwinya.

Uma ungakwazi ukugwinya amaphilisi akhiphe ukubambezeleka okuphelele, ungavula amaphilisi bese uxuba okuqukethwe nenani elincane lokudla okuthambile, okune-asidi njenge-appleauce. Ungakwazi ukuhlanganisa okuqukethwe i-capsule nokunye ukudla. Buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane. Gwinya ingxube ngemuva nje kokuyixuba ngaphandle kokuhlafuna noma ukuchoboza okuqukethwe yi-capsule. Ngemuva kokugwinya ingxube, phuza ingilazi egcwele yamanzi noma ijusi ngokushesha ukuze ugeze umuthi.

Uma unikeza umntwana amaphilisi okukhipha okubambezelekile, ungavula i-capsule, ufafaze okuqukethwe ngesamba esincane sokudla okuthambile, okune-asidi njenge-apple apple sauce, ubhanana noma amapheya, bese uyondla ngaso leso sikhathi enganeni. Ungahlanganisi okuqukethwe yi-capsule nefomula noma ubisi lwebele. Ungafafaza nokuqukethwe ngqo emlonyeni wengane. Ngemuva kokunikeza ingane i-pancrelipase, nikeza uketshezi oluningi ukugeza imithi. Bese ubheka emlonyeni wengane ukuze uqiniseke ukuthi iwuginyile wonke umuthi.

Okuqukethwe kwe-capsule ekhishwe ukubambezeleka kufanele kuthathwe ngokushesha ngemuva kokuvulwa kwe-capsule. Ungawavuli ama-capsule noma ulungise izingxube zamaphilisi nokudla ngaphambi kokuba ulungele ukukusebenzisa. Lahla noma yikuphi okuqukethwe kwe-capsule okungasetshenziswanga noma i-pancrelipase nemixube yokudla; ungazigcineli ukusetshenziswa ngokuzayo.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi wemithi futhi akhuphule kancane umthamo wakho kuye ngempendulo yakho ekwelashweni kanye nenani lamafutha ekudleni kwakho. Qiniseka ukuthi utshela udokotela wakho ukuthi uzizwa kanjani nokuthi izimpawu zakho zamathumbu ziyathuthuka yini ngesikhathi sokwelashwa kwakho. Ungawushintshi umthamo wemithi yakho ngaphandle kokuthi udokotela akutshele ukuthi kufanele.

Udokotela wakho uzokutshela inani eliphakeme le-pancrelipase okufanele ulithathe ngosuku olulodwa. Ungathathi ngaphezu kwalesi samba se-pancrelipase ngosuku olulodwa noma ngabe udla ngaphezu kwenani lakho elijwayelekile lokudla nokudla okulula. Khuluma nodokotela wakho uma udla ukudla okwengeziwe nokudla okulula.

I-Pancrelipase izosiza ukuthuthukisa ukugaya kwakho kuphela uma nje uqhubeka nokukuthatha. Qhubeka uthathe i-pancrelipase noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-pancrelipase ngaphandle kokukhuluma nodokotela wakho.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-pancrelipase futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-pancrelipase,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-pancrelipase, noma imiphi eminye imithi, imikhiqizo yengulube, noma iziphi izithako ezikumaphilisi e-pancrelipase noma amaphilisi okukhipha okubambezelekile Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho ukuthi wake wahlinzwa yini emathunjini noma ekuvalekeni, ekuqiniseni, noma ekulimazeni amathumbu akho, futhi uma uke waba nesifo sikashukela, waba nezinkinga ngoshukela wegazi, isifo (ukuhlaselwa okungazelelwe kwezinhlungu ezihlangene, ukuvuvukala, kanye ububomvu obenzeka lapho kunento eningi kakhulu ebizwa nge-uric acid egazini), amazinga aphezulu e-uric acid (into eyakheka lapho umzimba udiliza ukudla okuthile) egazini lakho, umdlavuza, noma isifo sezinso. Uma uzophuza amaphilisi e-pancrelipase, phinda utshele udokotela wakho ukuthi awubekezelelani ne-lactose (unenkinga yokugaya imikhiqizo yobisi).
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-pancrelipase, shayela udokotela wakho.
• kufanele wazi ukuthi i-pancrelipase yenziwa ngamanyikwe ezingulube. Kungaba nobungozi bokuthi umuntu othatha i-pancrelipase angatheleleka ngegciwane eliphethwe izingulube. Kodwa-ke, lolu hlobo lokutheleleka alukaze lubikwe.

Udokotela wakho noma isazi sokudla okunempilo uzokunika ukudla okuqondene nezidingo zakho zokudla okunempilo. Landela lezi zinkomba ngokucophelela.

Yeqa umthamo ongabanjwanga uthathe umthamo wakho ojwayelekile ngesidlo noma isidlo sakho esilandelayo. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Pancrelipase ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ukukhwehlela
• Umphimbo obuhlungu
• ubuhlungu bentamo
• isiyezi
• ekhaleni
• ukuzizwa usuthi ngemuva kokudla inani elincane
• isilungulela
• ukuqunjelwa
• igesi
• ukucasuka okuzungeze indunu
• umlomo noma ulimi olubuhlungu

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha:

• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• isicanucanu
• ukuhlanza
• isifo sohudo
• ubuhlungu besisu noma ukuqunjelwa
• ubunzima bokuhamba kwamathumbu
• ubuhlungu noma ukuvuvukala kwamalunga, ikakhulukazi uzwane olukhulu

I-Pancrelipase ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Uma umuthi wakho ufike nephakethe le-desiccant (iphakethe elincane eliqukethe into edonsa umswakama ukugcina umuthi womile), shiya iphakethe ebhodleleni kodwa uqaphele ukuthi ungaligwinyi. Gcina le mithi ekamelweni lokushisa futhi kude nokushisa okwedlulele nomswakama (hhayi endlini yangasese). Ungawufaki esiqandisini lo muthi.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ubuhlungu noma ukuvuvukala kwamalunga, ikakhulukazi uzwane olukhulu
• isifo sohudo

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-pancrelipase.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• UCreon^®
• I-Pancreaze^®
• UPertzye^®
• Ultresa^®
• I-Viokace^®
• I-Zenpep^®

• I-Lipancreatin