Enzymatic npaj, lossis, hauv lwm lo lus, enzymes, nyob hauv lub niche tseem ceeb hauv kev lag luam pharmacological. Cov no yog cov tshuaj uas tsis muaj tus neeg mob ntawm cov kab mob ntawm lub plab zom mov tuaj yeem ua yam tsis muaj, kev siv cov enzymes tsis txwv tsis pub dhau ntawm cov neeg noj qab haus huv.
Kev npaj Enzymatic yog ntawm tsob ntoo thiab tsiaj keeb kwm. Tsiaj txhu coj tau ua sai dua thiab ua tau zoo dua qub; cov nroj tsuag muaj qhov haum rau kev tau ntev. Cov tshuaj no muaj ob hom ntawv loj - ntsiav tshuaj thiab tsiav tshuaj.
Cov sawv cev ntawm cov ntsiav tshuaj yog Mezim, Pancreatin. Thiab txoj hauv kev hauv tsiav tshuaj yog Pangrol, Creon, Panzinorm.
Muaj qhov lees tias cov tshuaj ntsiav tau ua haujlwm zoo dua vim tias cov enzymes tsis ua haujlwm hauv lub plab. Cov ntawv foos daws tau qhov kev kho mob kom zoo, tab sis nws yog ntau yam tsis muaj zog.
Cov enzymes uas muaj nyob hauv qhov kev npaj muaj cov khoom hauv qab no:
- amylolytic kev ua si - lub peev xwm ntawm cov tshuaj kom rhuav tshem carbohydrates;
- proteolytic kev ua haujlwm - kev puas tsuaj ntawm cov qauv protein;
- lipolytic kev ua si - qhov tawg ntawm cov rog.
Lub peev xwm zom tej yam khoom yog txiav txim siab los ntawm pawg ntawm cov enzymes uas muaj nyob hauv cov tshuaj. Tsis tas li, raws li kev siv tshuaj ntxiv, Kuv feem ntau siv cov kua tsib, uas ntxiv ntxiv rau txhawm rau txhawm rau txhauv tab sis, hmoov tsis, cov tivthaiv no muaj ntau yam kev sib kis. Yog li no, ua ntej noj cov tshuaj enzymatic nrog cov kua tsib, koj yuav tsum sab laj ib tus kws kho mob tshwj xeeb.
Kev siv Pangrol thaum tsis muaj tus kab mob plab
Rau cov neeg muaj kev noj qab haus huv, cov enzymes tuaj yeem dhau los ua cov tshuaj uas pab ua kom lub plab zom mov tom qab hnub so muaj hnub so.
Tsis tas li ntawd, xws li cov cuab yeej pab txhawb txhim kho kev pom ntawm tus neeg.
Kev siv cov enzymes tso cai rau ib tus neeg kev txom nyem los ntawm kev mob ntawm lub plab zom zaub mov kom ua haujlwm li qub thiab txo lub nra rau cov kabmob xws li daim siab thiab tus txiav.
Cov tsos mob ntawm tus enzymatic deficiency yog dab tsi?
Enzymatic deficiency yog yam ntxwv:
- Yog tias daim tawv nqaij kev laus raug pom nrog kev tsis zoo ntawm nws qhov mob, qhov tshwm sim ntawm cov tawv nqaij thaum ntxov, xim tawv nqaij.
- Ua kom cov plaub hau hle, cov plaub hau rau lub ntsej muag - tag nrho cov no tuaj yeem ua rau tsis muaj enzymes, vim tias qhov kev nqus ntawm cov khoom tsim nyog los tswj kom muaj lub ntsej muag zoo yog cuam tshuam.
- Kev tsis xis nyob hauv txoj hnyuv plab yog lub caij nyoog cem quav lossis raws plab, uas ua rau cov zaub mov zom tsis txaus.
- Kev ua kom tsis muaj zog hauv lub cev thiab, vim li ntawd, feem ntau tshwm sim ntawm mob khaub thuas.
- Kev cuam tshuam nyob rau hauv cov tshuaj hormonal, ua haujlwm tsis zoo ntawm lub qog ua haujlwm lub qog thiab endocrine ntawm cov txiav.
Yog li, nws pom tseeb tias qhov tsis txaus ntseeg ntawm cov enzymes ua rau kev nqus tsis tau ntawm cov yam ntxwv tseem ceeb hauv lub cev - cov nqaijrog, cov rog thiab carbohydrates, nrog rau qhov kev nqus ntawm cov zaub mov tsis txaus, vitamins thiab kab kawm. Txhawm rau kho cov mob no, koj yuav tsum tau hloov pauv ntawm kev ua neej. Koj yuav tsum ua raws li kev noj zaub mov nruj thiab sim ua kom lub cev ua si nyhav.
Yuav kom ua tiav cov txiaj ntsig zoo thiab sai dua, kev siv cov enzymatic npaj yog ua tau.
Pangrol - nws yog dab tsi?
Ib qho tseem ceeb tshaj plaws thiab ua tau zoo enzyme npaj yog Pangrol. Nws muaj nyob hauv ntau qhov ntau npaum li cas: 10 txhiab units, 20 txhiab thiab 25. Lub hom phiaj ntawm ib qho tshuaj twg yog nyob ntawm qhov xav tau ntau npaum li cas txhua hnub, thiab txawv ntawm cov koob tshuaj ib hnub.
Pangrol yog cov nyom ntawm cov enzymes ntawm cov tsiaj keeb kwm - lyophilized hmoov (pancreatin) los ntawm tus npua's pancreas. Cov qib ntawm kev ua ntawm cov tshuaj yog feem ntau yog vim qhov kev txiav txim ntawm lipolytic feem, ces cov proteolytic feem. Kev ua tiav ntawm kev rhuav tshem ntawm cov carbohydrates yog qhov tsis tshua muaj tsawg thiab yog qhov tseem ceeb ua feem ntau ntawm kev kho mob cystic fibrosis.
Cov tshuaj muaj qhov cuam tshuam rau txhua yam kev zom, vim tias trypsin hauv nws cov muaj pes tsawg leeg muaj peev xwm, ntxiv rau kev faib cov protein, txhawm rau txhawm rau txiav tsis tuaj yeem ua rau lub plab thiab txo qhov mob. Cov yam ntxwv ntawm cov tshuaj yog feem ntau haum rau kev kho mob ntawm pancreatitis.
Pangrol muaj nyob rau hauv cov tshuaj ntsiav muaj cov mini-ntsiav tshuaj sab hauv. Thaum cov tshuaj ntsiav nkag mus rau hauv lub plab, nws yaj hauv qab qhov ua haujlwm ntawm cov kua qaub thiab tso tawm cov ntsiav tshuaj me me uas nws lub plhaub tiv taus cov kua qaub. Kev sib faib ntawm cov khoom sib txuam ntawm cov ntsiav tshuaj hauv cov zaub mov pob tshwm sim.
Thaum nws nkag rau hauv thaj chaw alkaline lossis nruab nrab ntawm duodenum - qhov no ua rau kom muaj kev ua haujlwm ntawm cov enzymes.
Kev Taw Qhia Pangrol
Qhov tseem ceeb qhia rau kev teem caij ntawm Pangrol yog qhov tsis txaus ntawm exocrine pancreatic muaj nuj nqi, uas ib txwm yuav tsum muab lub cev nrog cov enzymes. Cov laj thawj ntawm cov kev ua txhaum yuav yog:
- mob caj dab ntev;
- tus mob txha cajqab;
- kuaj mob plab;
- kev quav dej quav cawv;
- cystic fibrosis;
- kev tav kev ntawm txoj hlab ntaws ntawm txoj hlab caj pas los yog nqaj nqaj uas muaj ib rab qau los sis lub qog ua ntshav;
- mob ncauj qhuav, thaum tus neeg mob hloov mus rau hauv kev noj haus kom tsis taus.
Pangrol kuj tseem raug sau tseg rau lwm yam kev phom sij txaus ntshai:
- ua tsis taus pa;
- tsis muaj mob raws plab;
- thaum overeating lossis noj zaub mov hnyav;
- thaum haus cawv;
- nrog lub dag lub zog txoj kev ntawm lub neej los yog lub caij ntev immobility;
- nyob rau hauv qhov muaj qhov tsis txaus ntseeg hauv lub tshuab zom.
Ntxiv rau tag nrho cov cim no, Pangrol yog tus tsim tawm ua ntej ua cov kev kawm tshawb fawb kom pom pom daim duab zoo dua los ntawm kev txo qhov o.
Cov lus qhia rau kev siv tshuaj
Cov tshuaj yog muab ntawm qhov ncauj. Cov kaus poom tsis tuaj yeem zom, vim tias cov enzymes tuaj yeem ua rau puas cov hnoos qeev ntawm lub qhov ncauj kab noj hniav. Haus tshuaj nrog kua kom muaj kua ntau. Yog tias nqos tau cuam tshuam lossis thaum pub noj los ntawm kev sojntsuam, koj tuaj yeem qhib lub tshuaj ntsiav thiab yaj lub mini-ntsiav tshuaj hauv dej lossis kua zaub mov. Qhov sib xyaw no tsis tuaj yeem khaws cia, koj yuav tsum siv tam sim ntawd.
Cov koob tshuaj ntawm cov tshuaj raug xaiv xaiv tus kheej. Tus qauv muab rau noj yog Pangrol 10000 - ib thaj tshuaj 2-3 zaug ib hnub ua ntej noj mov. Pangrol 20 txhiab thiab 25 tau thov ib lossis ob qhov tsiav tshuaj ib hnub. Tus kws kho mob kho cov koob tshuaj, yog tias tsim nyog, ua kom ntau ntxiv. Qhov koob tshuaj txhua hnub rau cov neeg laus thiab cov menyuam yaus dhau 12 xyoos yog ib puas txhiab units.
Nrog cystic fibrosis, cov menyuam yaus hnub nyoog qis dua 4 xyoos tau txiav txim rau Pangrol ntawm qhov ntau npaum ntawm 1000 units ib phaus ntawm qhov hnyav, thiab tom qab 4x - 500 units ib kilogram.
Txij li thaum cov tshuaj tsis nqus rau hauv cov hlab ntshav, tab sis ua haujlwm hauv zos nyob hauv txoj hnyuv, nws kuj tsis muaj kev cuam tshuam txog lub cev, xws li hepatotoxicity, nephrotoxicity. Ntawm cov kev mob tshwm sim yog:
- nce qhov kawg ntawm uric acid nrog zis, hauv kev sib txuas nrog qhov no muaj qhov xav tau los tswj kev tsim ntawm kev suav;
- nqaim hauv thaj av ileocecal hauv cov menyuam yaus uas mob cyst fibrosis thiab noj ntau ntau ntawm Pangrol. Qhov kev tsis txaus siab no yog fraught nrog kev txhim kho ntawm txoj hnyuv txhaws, yog li ntawd, yuav tsum tau tswj nruj;
- dyspeptic mob nyob rau hauv daim ntawv ntawm xeev siab, ntuav, cem quav, raws plab, flatulence;
- kev ua xua - ua pob ua pob, khaus, urticaria, lacrimation, bronchospasm.
Cov tshuaj yog siv los kho cov menyuam yaus thiab tuaj yeem siv rau cov poj niam cev xeeb tub raws li kws kho mob tau hais tseg yog tias xav tias yuav muaj txiaj ntsig rau leej niam dhau qhov txaus ntshai rau tus menyuam. Cov tshuaj muaj peev xwm siv tau thaum lactation.
Qhov kev tsis sib haum xeeb ntawm kev siv Pangrol yog qhov rhiab heev rau cov nqaij npuas protein, tshwj xeeb yog tias muaj keeb kwm ua xua rau cov nqaij npuas.
Pangrol muaj peev xwm txo qis kev nqus ntawm folic acid, yog li nws cov kev siv ua ke nrog cov tshuaj uas muaj nws yog impractical. Thiab tseem ntau dua - nrog kev siv lub sijhawm ntev ntawm Pangrol, folic acid tsis txaus yuav tshwm sim, fraught nrog xws li kev cuam tshuam xws li ntshav liab. Hauv qhov no, lwm txoj kev txuas ntxiv ntawm kev noj folic acid yog tsim nyog.
Pangrol feem ntau siv rau hauv txoj kev kho mob ntawm cov mob plab zom mov, yog li ntawd, nws yog feem ntau ua ke nrog cov tshuaj antiulcer uas txo cov acidity, piv txwv li, thaum lub sijhawm kho cov kab mob pancreatitis. Ua ke nrog nrog sorbents rau khoom noj lom.
Pangrol yog tshuaj nrog rau cov tshuaj tua kab mob thaum nws tsim nyog los kho qhov mob hnyuv.
Cov khoom siv tsim ntawm cov tshuaj Pangrol
Daim ntawv tso cai rau cov tshuaj yog khoom lag luam Italian hom, tab sis tsim cov tshuaj thiab tuav nws txoj kev txiav txim tawm zaum kawg Lub teb chaws Yelemees. Yog li, Pangrol tshuaj tuaj rau txawv teb thiab deb ntawm pheej yig. Dab tsi tuaj yeem hloov Pangrol thiab ntau npaum li cas nws yuav pheej yig dua?
Ib qho tso dag noj dag haus uas tsis qis dua rau Pangrol hauv kev ua kom tau zoo, tab sis raug nqi ob zaug qis dua - yog Creon. Ob qhov pauv hloov ntxiv - Mezim Forte thiab Pancreatinum 8000. Tus nqi ntawm pancreatinum yog qhov tsawg kawg nkaus. Tab sis, raws li kev xyuas, cov tshuaj no tseem muaj txiaj ntsig ntawm lub plab zom mov. Pancreatin tej zaum yuav tsis tiv nrog tus mob pancreatitis, tab sis yuav pab tshem tawm qhov tsis xis nyob ntawm kev dhau.
Tom qab kuaj xyuas qhov kev npaj enzyme thiab qhov sib piv ntawm lawv cov nqi mus rau qhov zoo, nws tuaj yeem xaus lus tias kev siv tshuaj ntsiav tau siv tseem ua tau zoo dua, vim tias feem ntau ntawm cov enzymes tseem ua haujlwm tom qab dhau lub plab. Nws kuj tseem ceeb heev uas yuav tau xav txog kev haus tshuaj ib leeg ib tug neeg twg.
Yog lawm, raws li tuaj yeem pom los ntawm cov lus qhia rau kev siv, cov enzymes tsis muaj kev phiv ntau, tab sis nws zoo dua uas tus kws kho mob sau ntawv noj ntau npaum li cas, coj mus rau hauv tus account yam ntxwv ntawm txhua tus neeg mob. Yog tias cov enzymes yog qhov tsim nyog rau cov kev mob tshwm sim lossis rau kev zom zaub mov ib zaug tom qab kev noj mov, koj kuj tuaj yeem siv cov ntsiav tshuaj npaj, uas muaj tus nqi pheej yig dua.
Tus kws kho mob tham txog kev kho mob ntawm pancreatitis hauv daim yeeb yaj kiab hauv tsab xov xwm no.
