Micrazim (lub npe thoob ntiaj teb tsis yog-npe yog qhov dav-spectrum digestive enzyme) yog cov tshuaj sib txuas ua ke uas suav nrog ntau yam ntawm cov enzymes uas nquag tawm tsam txhua yam kev noj haus. Siv rau normalize plab zom mov thiab txhim kho cov kev ua ntawm kev zom zaub mov.
Vim yog qhov tseeb tias qhov tseem ceeb tseem ceeb ntawm kev zom cov hlab ntsha tshwm sim hauv cov hlwb ntawm tus txiav, lawv cov synthesis thiab excretion cuam tshuam vim cov txheej txheem pathological.
Hauv cov xwm txheej zoo li no, lo lus nug yog hais txog kev teem sijhawm kho qee yam kev kho mob. Nws yog rau cov hom phiaj ntawd tias kev kho enzyme yog tus kho.
Cov tshuaj yeeb tshuaj no muaj nyob rau hauv daim ntawv ntawm microspheres ntim hauv nkaws tsiav tshuaj. Cov tshuaj ntsiav, nyeg, raws li tus txheej txheem thoob ntiaj teb rau kev khaws thiab faib tshuaj, tau ntim rau hauv cov hlwv tshwj xeeb hauv hlau. Nws yog cov ntim no uas muab kev tiv thaiv ua tiav ntawm cov tsiav tshuaj los ntawm qhov kev puas tsuaj ntawm ib puag ncig. Cov hlwv tau tso rau hauv ib lub thawv ntawv cardboard. Ib lub thawv twg muaj qee qhov hlwv. Ib qho ntxiv, txhua pob muaj cov lus qhia.
Cov tshuaj nquag siv ntawm cov tshuaj yog classic pancreatin. Nws yog nthuav tawm hauv cov ntawv hmoov, ib qho kev nthuav tawm ntawm npua pancreatic enzymes. Cov khoom yog sawv cev los ntawm cov enzymes hauv qab no:
- lipase, ib qho enzyme tshwj xeeb ua lub luag haujlwm rau tawg ntawm lipid Cheebtsam;
- amylase, ib qho enzyme uas txhawb nqa kev zom cov nquag ntawm polysaccharides;
- trypsin, lub luag haujlwm rau qhov tawg ntawm cov protein.
Hauv kev lag luam tshuaj hauv tsev, cov tshuaj tau hais tawm hauv ob daim ntawv:
- Dosage ntawm 10 txhiab qhov kev txiav txim. Nrog cov ntsiab lus ntawm 125 milligrams ntawm cov tshuaj nquag.
- Micrasim nrog nrog ntau npaum ntawm 25,000 muaj 312 milligrams ntawm pancreatin hmoov.
Cov tshuaj yog tsim los ntawm cov chaw tsim tshuaj uas paub zoo - "ABBA-RUS". Lub npe ntawm cov tshuaj muaj feem xyuam nrog daim ntawv tso tawm ntawm microsphere, thiab cov tshuaj nquag yog enzyme.
Hauv kev tsim cov khoom siv ntau enzymes siv cov khoom siv raw ntawm cov tsiaj keeb kwm - ib qho enzyme extract ntawm lub txiav ntawm cov tsiaj txhu ua liaj ua teb, uas yog npua.
Cov yam ntxwv Pharmacological ntawm Mikrasim
Cov Enzymes muaj cov lus hais txog qhov ua tau zoo ntawm cov zaub mov.
Cov nyhuv ntawm cov tshuaj yog vim nws muaj pes tsawg leeg. Txij li cov tshuaj muaj pes tsawg leeg muab cov plab zom mov ua kom tiav.
Cov tshuaj ntawm cov tshuaj muaj qhov hloov chaw ua haujlwm ntawm qhov tsis muaj txiaj ntsig ntawm exocrine ib feem ntawm lub txiav.
Txhua tus enzyme nws muaj nws cov pharmacodynamics tshwj xeeb:
- Lipase txhawb kev rhuav tshem ntawm cov rog los ntawm cov tshuaj tiv thaiv hydrolysis, yog li ua kom lawv qhov kev nqus. Tsis tas li ntawd, vim lub lipase nquag ua haujlwm, cov roj ntsha ntawm cov vitamins yog muab, tshuaj lom neeg lub zog ntawm cov uas yog cov roj solubility.
- Amylase muab cov kev zom ntawm polysaccharides los ntawm thawj cov khoom rau lawv mus rau hauv monocomponents.
- Protease thiab trypsin yog lub luag haujlwm rau qhov nqus ntawm cov protein.
Vim lub siab ua haujlwm ntawm cov kua zaub ua kua plab, microspheres muaj kev tiv thaiv los ntawm lub plhaub gelatin. Tom qab kev txhim kho ntawm cov tshuaj ntsiav, nquag enzymes ncav cuag lub ntsiab ntawm daim ntawv thov.
Lawv txoj kev tso tawm tshwm sim hauv duodenum, qhov chaw nquag muaj kev paub ntau yam tshwm sim.
Cov tshuaj no tshem tawm cov kev mob tshwm sim hauv qab no:
- qhov kev xav ntawm hnyav dua nyob hauv epigastrium;
- zoo nkaus hauv plab tag nrho;
- cov roj teeb ntxiv thiab cuam tshuam nrog cov tsos mob tsis zoo;
- zoo nkaus cov huab cua tsis muaj zog vim los ntawm kev muab cov pa diaphragm puv nrog roj thiab cov zaub mov tsis zoo ntawm lub plab thiab cov hnyuv;
- dyspnea cuam tshuam nrog tib txoj kev taug ua cov tsos mob ua ntej;
- raws plab lossis tso plob tsis so tswj.
Ntxiv mus, cov tshuaj tsis sib haum xeeb pab txhawb rau qhov ib txwm ua haujlwm ntawm kev ua haujlwm ntawm lub txiav.
Cov lus qhia rau kev siv tshuaj
Txhua lub enzymes nrog qhov kev pom ntawm qhov dav dav muaj cov txiaj ntsig zoo ib yam li pharmacokinetic.
Qhov tseem ceeb ntawm cov tshuaj yog kev ua txhaum ntawm lub zom zom.
Nws qhov kev siv nws txawv nyob rau hauv qhov ntau thiab ntau zaus ntawm kev tswj hwm, nyob ntawm nosology. Tus kws kho mob gastroenterologist lossis cov kws kho mob muaj peev xwm muab tshuaj rau nws.
Cov cim tseem ceeb rau kev muab tshuaj rau:
- Kev tsis txaus ntseeg ntawm qhov sib txawv ntawm qhov ua rau exocrine zoo li lub cev. Xws li cov kab mob pathological raug pom nyob rau hauv kev mob ntsws ntev los yog mob ceev, nrog rau cov kab mob caj dab thiab cov keeb kwm ib ce thiab txawv txav. Organ agenesis, dysplasia, cystic fibrosis. Cov neeg mob uas mob cystic fibrosis nyob nrog cov enzyme tsis txaus, thiab yog li ntawd, noj cov enzymes yog qhov tseem ceeb rau lawv.
- Cov kab mob mus ntev ua haujlwm ntawm cov hnyuv, suav nrog lub plab zom mov, mob siab nrog lub zais zis.
- Kev raug mob rau lub plab zom mov plab, tej yam kev mob tom qab qhib kev phais mob, kho hluav taws xob thiab ntau tus kws kho mob.
Cov lus qhia ntxaws ntxaws txog txhua cov cim qhia txog kev siv tshuaj enzymatic tau piav qhia nyob rau hauv cov lus qhia. Lub khw tsim cov vev xaib piav qhia txhua qhov txiaj ntsig ntawm cov tshuaj. Tsis tas li ntawd, nyob rau cov ntawv xov xwm koj tuaj yeem nyeem cov tshuaj xyuas txog kev ua haujlwm ntawm kev kho mob.
Contraindications rau qhov teem caij ntawm cov tshuaj enzymatic
Zoo li feem ntau lwm yam tshuaj, Mikrasim muaj qee qhov kev sib txuam thiab cov kev txwv ntawm kev siv.
Tag nrho cov kev txwv hais txog kev kho mob nrog cov tshuaj tau qhia hauv pob ntawv ntxig.
Tshooj lus ntawm cov kev txwv, cov yam ntxwv ntawm kev siv thiab cov kev mob tshwm sim yuav tsum ua tib zoo kawm txhawm rau kom zam dhau qhov tsis zoo.
Cov tshuaj tsis tuaj yeem siv nyob rau hauv cov xwm txheej hauv qab no:
- siab ib tug neeg rhiab los yog intolerance mus rau lub Cheebtsam ntawm cov tshuaj;
- kev ua xua protein tsiaj;
- mob ntsws los yog mob hlwb;
- pancreatic hlav;
- mob ntsws ntev uas txawv ntawm pancreatitis;
- cov menyuam yaus hnub nyoog qis dua 3 xyoos tuaj yeem siv tsis tau cov tshuaj vim cov ntawv peculiarities ntawm daim ntawv noj tshuaj;
- cystic fibrosis cov neeg mob qis dua kaum tsib xyoos;
- kho cov poj niam nrog microzim thaum cev xeeb tub thiab pub niam mis nrog kev ceev faj, yog tias nws tuaj yeem zam kom tsis txhob muab tshuaj, nws zoo dua tsis txhob siv cov tshuaj;
- zam kev muab tshuaj yog tias tus neeg mob haus cawv ntau.
Siv rau hauv cov pab pawg tshwj xeeb ntawm cov neeg mob, xws li cov poj niam cev xeeb tub, yuav tsum tau ua tsuas yog thaum qhov kev xav tshwm sim muaj ntau zaus ntau dua qhov kev cia siab rau tus niam lossis tus menyuam hauv plab.
Txawm hais tias kev xeeb tub thiab lactation tsis yog qhov tseeb contraindication kom noj cov tshuaj enzymatic.
Cov yam ntxwv ntawm kev siv cov enzymatic npaj
Qhov ntau npaum li cas rau tus neeg mob tshwj xeeb yog xaiv nyob ntawm seb muaj qib tsis txaus ntawm exocrine hloov khoom nruab nrog.
Cov tshuaj ntsiav yuav tsum tau noj ntawm qhov ncauj thaum noj mov. Daim ntawv muab tshuaj yuav tsum tau nqos yam tsis ntxo thiab ntxuav nrog ib khob dej.
Tus kws kho mob koom nrog xaiv cov koob tshuaj thiab lub sijhawm ntawm kev kho mob raws tus kheej, coj mus rau tus neeg mob lub hnub nyoog, theem ntawm tus kabmob, cov lus pom zoo thiab tshuaj xyuas ntawm cov kws tshaj lij thoob ntiaj teb. Tsis tas li, cov koob tshuaj tau xaiv tau xaiv nyob ntawm biochemical muaj pes tsawg leeg ntawm cov zaub mov noj los ntawm cov neeg mob.
Ntawm cov tshuaj khw muaj ntau cov tshuaj uas muaj cov teebmeem zoo ib yam thiab cov khoom sib xyaw. Tus nqi ntawm cov tshuaj hauv Lavxias yog nyob ntawm lub khw muag tshuaj lub network, sib pauv nqi thiab tus xa khoom. Tsis tas li ntawd, tus neeg sawv cev enzymatic no yog ib qho khoom lag luam ntawm kev lag luam hauv tsev tshuaj, yog li sawv cev ntawm pheej yig, tab sis tsis muaj tsawg dua cov analogue ntawm cov lag luam muaj npe zoo:
- Paj Ntaub;
- Creon
- Mezim;
- Digestal;
- Phaj Ej
- Hermitage.
Txhua yam ntawm cov tshuaj no yog qhov hloov pauv ua tiav rau txoj kev ua haujlwm ntawm txoj hlab hlwb ntawm tus txiav.
Txij li thaum tus nqi ntawm cov tshuaj sib txawv hauv Lavxias, koj tuaj yeem mob siab rau cov nqi tsim nyog. Tab sis ua ntej tshaj plaws, kev tshuaj xyuas txog cov tshuaj thiab cov lus pom zoo ntawm cov kws tshwj xeeb muaj teeb meem.
Nws yog qhov zoo los siv cov enzymes hauv kev sib txuas nrog cov tshuaj prebiotic (piv txwv li Dufalac), tab sis lawv cov nqi kuj tseem, thaum lub sijhawm, siab.
Cov ntaub ntawv hais txog kev npaj enzyme yog muab hauv video hauv tsab xov xwm no.
