Hauv qhov mob ncua ntev ntawm kev mob pancreatitis, kab mob concomitant feem ntau muaj kev loj hlob, suav nrog pancreatic enzyme deficiency. Yog tias qhov no tshwm sim, tus kws kho mob sau ntawv rau cov neeg mob muab tshuaj uas muaj cov khoom no. Nws ua tau kom lub cev txoj kev zom cov zaub mov, txhim kho tus neeg mob tus mob kom zoo, qhov zoo dua ntawm kev rov ua haujlwm ntawm lub cev tsis muaj zog ntxiv.
Cov Enzymes yog cov tshuaj lom roj ntsha, lawv pab rhuav thiab zom cov zaub mov kom nqus cov khoom noj los ntawm txoj hnyuv. Hauv kev txiav txim siab, tus txiav ua tiav muaj peev xwm tsim txog nees nkaum enzymes, lawv muab faib ua ntau pawg: amylase thiab derivatives, lipase thiab phospholipase, nucleolytic thiab proteolytic enzymes.
Amylase nrog rau lwm cov khoom siv yog qhov tsim nyog rau kev rhuav tshem cov carbohydrates, tus kws kho mob soj ntsuam qhov qib ntawm kev ua haujlwm ntawm cov txheej txheem hauv cov hlab ntaws ncaj qha los ntawm tus nqi amylase hauv cov zis thiab ntshav.
Cov tshuaj lipase thiab phospholipase yog cov lipolytic enzymes, nrog kev koom nrog cov kua tsib lawv tig lipids rau glycerol thiab fatty acids. Cov Proteolytic enzymes suav nrog:
- elastase;
- simpsin;
- chymotrypsin.
Lawv hloov cov protein mus ua ib cov amino acid. Xws li cov tshuaj tiv thaiv enzyme yog tsim nyob rau hauv daim ntawv ntawm proenzymes, lawv pib ua haujlwm tsuas yog hauv txoj hnyuv thaum lwm qhov enzymes ua rau lawv. Vim qhov no, kev cais tus kheej ntawm tus txiav yog tsis suav. Nucleolytic cov enzymes tau koom rau hauv kev hloov pauv ntawm RNA thiab DNA.
Tsis tas li ntawd, tus txiav ua lwm yam tuaj yeem tawm mus rau ntau tus lwm yam enzymes, suav nrog phospholipase thiab alkaline phosphatase, txhua qhov yeeb tshuaj ua lub luag haujlwm hauv kev zom zaub mov. Qee tus neeg mob tau kuaj pom muaj mob fermentopathy - qhov ua tsis muaj kabmob ntawm kev ua haujlwm nrog pancreatic enzymes.
Thaum kws kho mob yuav muab tshuaj enzyme npaj
Cov tshuaj tau pom zoo thaum lub cev tau ua kom tsis muaj peev xwm ua kom tag nrho cov enzymes zais. Qhov no yog qhov tseem ceeb rau kev nrawm nrawm ntawm lub zom zaub mov, tshem tawm cov tsos mob ntawm tus mob pancreatitis lossis lwm yam kab mob ntawm cov plab hnyuv siab raum ntawm lub plab zom mov.
Enzymes rau tus mob pancreatitis yuav tsum noj yam tsis muaj kev cuam tshuam ntau dua ntawm cov mob ntev, ntawm kev kho mob ntawm pathologies ntawm kev ua haujlwm ntawm lub sphincter ntawm Oddi, kab mob hepatobiliary, kab mob celiac, mob plab hnyuv, cystic fibrosis. Feem ntau, kev npaj rau enzyme yog qhia nrog kev txo lub hnub nyoog hauv exocrine kev ua haujlwm ntawm cov khoom hauv lub cev, kom tshem tawm cov kev tsis xis nyob tom qab noj ntau dhau thiab tsim txom cov zaub mov txwv.
Cov lus nug feem ntau tshwm sim ntawm seb nws puas tuaj yeem noj cov enzymes thaum lub sij hawm exacerbation ntawm pancreatitis. Koj yuav tsum paub tias lub sij hawm mob ceev ntawm tus kab mob yog qhov tseeb contraindication rau kev siv tshuaj ntawm cov pab pawg no. Lawv raug pom zoo tom qab kev saib xyuas ntawm txoj kev pathological.
Cov enzymes zoo tshaj plaws yog cov khoom siv sib xyaw ua ke uas cov khoom xyaw ua ke cov khoom tseem ceeb rau kev zom zaub mov zoo. Lawv yuav tsum muaj kev nyab xeeb, tsis muaj tshuaj lom. Kev npaj siab enzyme yog feem ntau ntawm cov tsiaj keeb kwm, lawv tau tsim los ntawm cov npua npua, txij li cov qauv ntawm lub cev ntawm tus tsiaj no zoo heev rau tib neeg.
Koj yuav tsum paub tias txhua yam tshuaj nrog enzymes muaj cov tshuaj tseem ceeb:
- lipase;
- amylase;
- protease.
Qhov kev npaj enzyme muaj lub plhaub tawm los tiv thaiv cov kev ua phem ntawm lub plab ua kua txiv, twb tau muab pov tseg hauv cov alkaline ib puag ncig ntawm txoj hnyuv. Nws raug nquahu kom noj ntau npaum li cov enzymes uas noj qab nyob zoo zoo li qub lawm.
Lub sijhawm ntev npaum li cas koj tuaj yeem siv tshuaj pleev rau kev mob qog nqaij hlav ntev, dab tsi cov ntshav yuav siv sij hawm rau tus mob pancreatitis, yuav ua li cas haus cov enzymes rau mob txhaws ntev yog txiav txim los ntawm tus kws kho mob koom, nyob ntawm qhov mob hnyav thiab tus neeg mob keeb kwm kho mob.
Ntsiav tshuaj
Cov tshuaj Enzymes tuaj yeem tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, lawv tau raug txwv rau kev txwv tsis pub ua haujlwm ntawm lub cev ua tiav yog tias mob hnyav los ntawm exacerbation ntawm pancreatitis. Koj tuaj yeem siv peev nyiaj nrog atrophic duodenitis, duodenal-lub plab zom mov thiab dyskinesia ntawm duodenum, mob plab tsis txaus.
Cov ntsiav tshuaj Pancreatic tsis muaj cov kua tsib, raug pom zoo rau kev kho mob ntawm menyuam yaus thiab cov neeg mob uas muaj qhov tsis haum rau kev ua xua ntawm lub cev.
Cov tshuaj ua haujlwm ua haujlwm rau lub hauv paus ntsiab lus ntawm lub tswv yim, lub cev muab lub teeb liab kom nres qhov kev faib tawm ntawm nws tus kheej cov enzymes, yog li tshem tawm qhov mob, o ntawm lub cev thiab lub siab nyob rau hauv ducts ntawm hloov. Qhov kom zoo ntawm pab pawg no ntawm cov tshuaj ntawm tus nqi tsawg, txawm li cas los xij, lawv tsis ruaj khov hauv plab, zom tau sai.
Txhawm rau tshem tawm cov zom zaub mov, cov tshuaj yuav tsum tau ua ke nrog cov tshuaj uas txo qis theem ntawm acidity hauv plab.
Qhov tsis zoo pom tseeb ntawm cov khoom yuav tsis zoo sib xyaw nrog cov zaub mov, yog li nws tuaj yeem nkag mus rau duodenum ua ntej lawm lossis tom qab ntawm cov zaub mov loj. Txawm li cas los xij, qhov no tsis tas yuav txwv cov ntsiav tshuaj los ntawm kev ua si lub luag haujlwm tseem ceeb - thaiv kev zais cia ntawm lawv tus kheej cov enzymes.
Qhov nrov tshaj plaws niaj hnub no yuav tsum tau hu ua cov tshuaj Pancreatin, qhov pheej yig yuav yog:
- Panzikam;
- Phaj Ej
- Gastenorm Forte.
Cov kws kho mob suav tias Panzinorm Forte 20000 yog qhov kev xaiv zoo tshaj plaws rau kev tshem tawm mob.
Mezim 20000 yuav them tus nqi rau tus neeg mob tshaj plaws, nws tus nqi yog siab heev.
Cov Enzymes hauv tshuaj ntsiav
Lub caij nyoog ntev ntawm kev mob ntawm tus kab mob pancreatitis pab txhawb kev tsim cov exocrine tsis txaus, yog li ntawd, kev ua txhaum ntawm kev nqus ntawm cov khoom noj khoom haus tseem ceeb yog kev tsis tuaj yeem, tus neeg mob poob phaus, quav ua rog, raws plab thiab lwm yam cim ntawm maldigestia tshwm sim. Yog li ntawd, ib qho kev tiv thaiv kab mob rau pancreatic enzyme yuav tsum noj.
Txhawm rau tshem tawm qhov tsis txaus ntawm lub qog nrog kab mob, kev hloov pauv tshuaj nrog tshuaj yog qhia, nws yog ib qho tseem ceeb los tiv thaiv lub plab zom mov ntawm cov tshuaj hauv plab nws tus kheej. Cov khoom yuav tsum sib xyaw zoo nrog zaub mov, txav nrog nws thiab muaj cov nyhuv tsuas yog hauv cov hnyuv. Pancreatic enzymes hauv tshuaj ntsiav tau raws li qhov xav tau no.
Cov tshuaj ntsiav tau zom rau hauv duodenum. Lawv muaj cov ntsiav tshuaj mini pancreatin sab hauv, uas ua rau sib xyaw nrog cov khoom noj tau yooj yim dua. Ib qhov tshwj xeeb ntawm cov tshuaj hauv cov pab pawg no muaj peev xwm txwv kev tsim tawm ntawm lawv tus kheej cov quav yeeb tshuaj xas.
Daim ntawv teev cov kev npaj ntawm pancreatin hauv tshuaj ntsiav suav nrog cov nyiaj:
- Hermitage
- Creon
- Panzinorm 10000;
- Micrazim;
- Pangrol.
Kev xaiv tshuaj yog nyob ntawm kev paub dhau los ntawm tus kws kho mob, kev saib duab ntawm tus kabmob, thiab lwm yam mob. Cov tshuaj pheej yig tshaj plaws yog Panzinorm 10000, nws muaj cov lipase ntau dua, uas ua rau nws muaj txiaj ntsig zoo hauv kev tiv thaiv kev mob plab zom mov thiab kev nqus rog.
Cov ntaub ntawv hais txog kev txhaj tshuaj rau pancreatic yog muab hauv video hauv tsab xov xwm no.
