Qhov txiav ua pa yog qhov tseem ceeb ntawm cov tshuaj enzyme uas pab zom cov protein, rog thiab carbohydrates. Cov kua txiv Pancreatic muaj lipase, amylase, trypsin thiab chymotrypsin, thiab bicarbonate ions uas tso cov ntsiab lus hauv lub plab.
Cov tsos mob ntawm enzyme deficiency
Lub txiav ua ke tau tshwj xeeb muaj peev xwm hloov kho kev noj haus rau cov zaub mov thiab tsim kom muaj ntau yam enzymes raws li qhov tsim nyog rau kev zom zaub mov ib txwm. Yog li, piv txwv li, nrog qhov kev tshwm sim thawj ntawm cov khoom noj carbohydrate, amylase tsuas yog zais cia, ntau cov trypsin yuav tsum muaj rau kev ua cov protein, thiab kev siv cov khoom noj muaj roj ua rau muaj lipase ntau lawm.
Nyob hauv kev cuam tshuam ntawm ntau yam, kev ua haujlwm hauv pancreatic yuav txo qis, uas yog kev cuam tshuam nrog kev cuam tshuam ntawm kev zom zaub mov vim qhov tsis muaj enzymes. Kev ua txhaum ntawm kev zais cia thiab tsis muaj zog ntawm cov enzymes feem ntau tshwm sim los ntawm pancreatitis, nyob rau hauv uas lub cev ua rau cuam tshuam, thiab cov qog glandular yog maj hloov los ntawm cov ntaub so ntswg sib txuas.
Kev puas tsuaj rau tus txiav yog nrog cov tsos mob nram qab no:
- mob mob hauv plab sab saud hauv qab cov tav;
- nce hws thiab tachycardia;
- kub cev thiab dav dav tsis muaj zog;
- lub suab tawv daj thiab sclera;
- kem plab, xeev siab thiab ntuav.
Cov kev npaj rau niaj hnub no yog tsim los ntawm kev mob siab ntawm nyuj thiab npua; lawv cov txiaj ntsig yog nyob ntawm daim ntawv tso tawm thiab ntau npaum li cas
Nws yog qhov ua tau los txiav txim siab txog qhov enzyme ploj los ntawm cov xim thiab qauv ntawm cov quav. Yog li, nrog ib qho tsis muaj amylase, yaum kom tso quav kom ua haujlwm ntau, cov quav yuav ua dej vim yog malabsorption hauv txoj hnyuv me. Caffeine pom kev tsis txaus, kev tsis txaus vitamin thiab poob ceeb thawj yog pom.
Kev mob lipase yog nrog cov mob hu ua steatorrhea, thaum cov rog hauv cov quav ntau ntxiv. Cov xim ntawm cov quav hloov mus rau xim daj lossis txiv kab ntxwv, qhov sib xws yuav yog oily-kua.
Kev tsis txaus ntawm trypsin cuam tshuam lub xub ntiag ntawm cov tsis muaj fiber ntau nyob hauv cov quav, uas feem ntau ua rau cov tsos ntawm kev mob ntshav.
Daim ntawv thov nta
Nrog cov tsos mob li niaj zaus ntawm kev mob, ib tus neeg tau siv rau nws, uas yog fraught nrog kev txhim kho ntawm necrosis thiab lwm yam kev mob hnyav. Txhawm rau tiv thaiv lawv, nws yog ib qho tsim nyog yuav tsum pib kho kom ncav sijhawm thiab rov qab ua tiav exocrine pancreatic muaj nuj nqi.
Cov Enzymes yog cov protein sib tov uas muaj cov vitamins, minerals thiab lwm yam tshuaj muaj txiaj ntsig zoo. Lawv nyob rau hauv qhov ntau txaus hauv cov khoom ntawm cov tsiaj keeb kwm (nqaij, mis, butter). Txawm li cas los xij, qhov no tsis txaus, txij li thaum muaj ib qho protein twg los ntawm kev kho cua sov.
Tias yog vim li cas enzyme npaj rau lub txiav, uas muaj nyob rau hauv cov ntsiav tshuaj lossis tshuaj ntsiav, yog qhov zoo dua. Lawv ua haujlwm li cas thiab qhov peb xav tias yuav ua li cas? Tom qab noj tshuaj, kev tsim tawm ntawm cov enzymes los ntawm kev txiav txo qis, thiab lub siab ntawm cov txiav txim siab ua kom poob qis. Raws li qhov tshwm sim, kev o tuaj ntawm lub cev txo qis thiab nws qhov kev ua kom poob qis.
Thaum cov ntsiav tshuaj yaj yaj hauv lub plab zom mov, lub teeb liab xa mus rau lub hlwb hais txog lub xub ntiag ntawm qhov yuav tsum tau ua ntawm enzyme, uas ua rau lub hau ntawm lub qog. Txawm li cas los xij, qee cov ntsiav tshuaj muaj qhov tsis zoo: nyob hauv thaj chaw acidic ntawm lub plab, lawv lub plhaub qee qhov lossis tag yaj, thiab cov tshuaj tau mus txog cov hnyuv hauv daim ntawv hloov. Yog li, cov ntsiav tshuaj muaj enzyme tau pom zoo kom noj nrog cov tshuaj tiv thaiv kab mob uas txo cov kua qaub ntawm lub plab.
Tom qab tau txais cov txiaj ntsig ntawm kev sim, tus kws kho mob tuaj yeem sau ntawv enzyme lossis antienzyme npaj. Cov tom kawg xav tau rau pancreatic hyperfunction, thaum cov enzymes ntau dhau los ua.
Kev kho nrog pancreatic enzymes yog nqa tawm ntev. Yog hais tias mob kab mob pancreatitis tau kuaj pom muaj hauv cov qauv mob, tom qab ntawd lawv tau raug muab tshuaj rau lub sijhawm rau lub hlis mus rau ib xyoos. Hauv daim ntawv uas mob mus ntev, cov enzymes tau noj tsis tu ncua, yam tsis muaj cuam tshuam.
Nrog kev ua kom tsis zoo ntawm cov mob qog nqaij hlav ntev, kev noj tshuaj kuj yuav tsum tsis ua ntxiv, vim tias qhov no tuaj yeem ua rau mob thiab ua rau mob ntxiv.
Kev npaj tshuaj enzymatic pom zoo rau kev siv ib zaug yog tias ua yuam kev hauv kev noj zaub mov, nrog kev mob siab, mob caj dab lossis xeev siab. Yog tias qhov tshwm sim zoo li no tau pom nyob hauv txoj kab ke, tom qab ntawd nws yog qhov yuav tsum tau soj ntsuam cov haujlwm ua haujlwm ntawm tus txiav, muaj dhau qhov kev kuaj xyuas. Nws tsis yog qhov nyuaj rau ua qhov no, nws yog qhov txaus kom dhau qhov kev kuaj ntshav biochemical.
Nws tseem yuav tsum tau sau tseg tias kev siv cov enzymes yog qhia tsis yog rau cov kabmob ntawm tus kabmob, tabsis tseem yuav ua kom rov qab ua haujlwm ntawm lwm yam kabmob - lub plab, plab hnyuv thiab lub zais zis. Yog li, lawv tuaj yeem tsim kho nyob rau hauv cov xwm txheej hauv qab no:
- mob rau sab hauv, mob plab, mob ncauj plab;
- mob pob zeb;
- plab hnyuv pathologies;
- kev ua haujlwm tsis haum plab tsis zoo.
Cov lus qhia rau kev siv yog lub sijhawm rov kho dua tom qab kev phais mob ntxiv rau ntawm lub plab zom mov, piv txwv li, rov ua haujlwm ntawm lub qog plab.
Ntau yam
Cov kab mob Enzymatic yog lub hauv paus ntawm kev kho mob kom zoo, uas yuav muaj txiaj ntsig tshwj xeeb tshaj yog ua ke nrog kev noj tshuaj kho mob. Cov npe tshuaj siv tau yog raws li nram no:
- Pancreatin, Pangrol, Panzinorm, Pancreon, Penzital, Pancreoflat, Pancurmen, Pankral, Pepfiz;
- Mezim-forte, Merkenzyme, Wobenzym, Phlozenzyme, Unienzyme, Kotazim-forte;
- Nygedase, Oraza, Somilase;
- Abomin, Betaine;
- Cadistal, Ipental, Digestal, Festal, Enzistal.
Pancreatic secretion yog tsim nyob rau hauv lub cev ntawm cov txiav, cov tshuaj hormones xws li insulin thiab glucagon raug tsim kho hauv tus Tsov tus tw thaj.
Tag nrho cov tshuaj no muaj ntau cov generics uas muaj ib lossis ntau cov khoom xyaw dhia. Txij li cov kev npaj tau muaj kev siv tshuaj sib txawv thiab cov muaj pes tsawg leeg, kev siv ywj siab tuaj yeem nqa kev puas tsuaj ntau dua li muaj txiaj ntsig. Qhov twg ua haujlwm zoo dua thiab sai dua - tus kws kho mob txiav txim siab.
Hauv thawj hnub tom qab raug mob nrawm, mob ceev ceev yog teem rau ib hnub lossis ntau dua. Tom qab ntawd, thaum muaj enzymes ntau dhau los, tus kws kho mob tuaj yeem sau tshuaj antienzymes:
Cov tsos mob ntawm exacerbation ntawm lub txiav - Aminocaproic acid epsilon;
- Somatostatin;
- Vasopressin;
- Kev Yuam Kev;
- Isoprenaline;
- Calcitonin;
- Contrikal thiab lwm tus.
Cov lus qhia txog kev noj zaub mov zoo muaj raws li nram no: tsuas yog cov zaub mov muaj roj tsawg nrog qhov nqaij tsawg kawg, kua zaub ua kua thiab ua kua zaub. Koj yuav tsum haus dej muaj tshuaj alkaline hauv dej tsis muaj roj, txog li ob teev ib hnub.
Pancreatin
Pancreatin muaj cov tshuaj qub, uas suav nrog amylase, lipase thiab protease. Qhov zoo ntawm cov tshuaj no muaj peev xwm them taus thiab siab ua haujlwm nrog tsis txaus ua haujlwm pancreatic.
Nrog kev pab ntawm Pancreatin, txoj kev zom zaub mov txhim kho thiab phiv tsis tshua muaj tshwm sim. Tsis tas li ntawd, cov tshuaj tsis cuam tshuam rau lub plab zom mov thiab tsis txhawb qhov kev sib txuas ntawm cov kua tsib. Qhov ntau npaum li cas ntawm pancreatin nyob ntawm lub hnub nyoog ntawm tus neeg mob thiab qhov teeb meem ntawm kev puas tsuaj rau tus txiav. Qhov nruab nrab, nws yog 150,000 units / hnub, qhov siab tshaj plaws yog 400,000 units / hnub.
Mezim Forte
Cov tshuaj no tseem muaj cov tshuaj pancreatin, tab sis ntau npaum li cas tau ntau npaum li cas. Muaj peb yam - Mezim, Mezim-forte thiab Mezim-20000. Lawv sib txawv hauv qhov ntau npaum li cas ntawm lipase hauv lawv cov muaj pes tsawg leeg:
- Mezim - 3500 units;
- Mezim-forte - 10,000 chav nyob;
- Mezim 20,000 - 20,000 units;
Zoo li Pancreatin, txhua hom tsiaj Mezim muaj, ntxiv rau lipase, amylase thiab protease, ntxiv rau trypsin thiab chymotrypsin. Nws yuav tsum nco ntsoov tias cov khoom lag luam muaj cov enzymes uas tuaj yeem cuam tshuam cov mucous membrane ntawm lub qhov ncauj kab noj hniav. Yog li ntawd, lawv yuav tsum ua kom tsis muaj ntxo. Cov yeeb yaj kiab ntawm Mezim yog Creon, Pangrol thiab Pancreasim.
Cov tshuaj tsis tuaj yeem noj nrog mob pancreatitis thiab exacerbation ntawm mob ntev. Cov txheej txheem ib koob tshuaj yog 1-2 ntsiav tshuaj, nrog kev puas tsuaj ntau rau txiav, nws tau nce mus rau 4 ntsiav tshuaj.
Panzinorm pab them rau qhov tsis txaus ntawm exocrine muaj nuj nqi thiab muaj nyob rau hauv cov ntsiav tshuaj lossis tshuaj ntsiav uas muaj cov kua qaub ua kom tiv taus.
Creon
Qhov zoo dua ntawm Creon yog nws daim ntawv tso tawm - crushed pancreatin, muab tso rau hauv ib qho tshuaj ntsiav txhim khu kev qha. Hauv cov tshuaj no yog me me microspheres ntawm lub taub me. Tom qab noj tau, cov tshuaj ntsiav yaj zom nrog kua txiv lub plab, thiab cov microspheres tso tawm mus txuas ntxiv rau lawv txoj kev mus rau cov hnyuv, yam tsis muaj kev cuam tshuam rau ib puag ncig hnyav.
Pancreatin microspheres ua nyob rau hauv duodenum, nkag mus rau hauv tshuaj lom neeg cov tshuaj catabolism ntawm cov rog, cov nqaijrog thiab carbohydrates. Qhov zoo ntawm microspheres yog tias cov tshuaj muaj nyob rau hauv lawv yog tusyees sib xyaw nrog cov zaub mov thiab faib dua cov ntsiab lus pais plab.
Creon mini-pob mus txog cov hnyuv sai thiab ua tsuas yog ua tsaug rau lawv lub plhaub. Cov tshuaj muaj nyob rau hauv qhov ntau npaum ntawm 10,000, 25,000 thiab 40,000 units, uas tso cai rau nws siv nyob rau hauv theem loj ntawm kev txiav tawm ntawm pancreatitis.
Unienzyme yog kev sib xyaw ua ke enzyme uas muaj kev tivthaiv uas ua rau txo qis qis
Festal, Enzystal thiab Normoenzyme
Festal muaj nyob rau hauv daim foos ua kom muaj ntxig-ntxig ntsiav tshuaj uas muaj pancreatin thiab bovine bile, uas pab yaj thiab yaj cov roj. Ib qho ntxiv, Festal muaj hemicellulose, uas ua rau kev zom cov fiber ntau. Qhov kev tivthaiv no tiv thaiv kom tsis txhob txhaws thiab mob plab.
Cov ntsiav tshuaj Enzistal yog ib qho piv txwv ntawm Festal, tab sis lawv qee qhov pheej yig dua. Thaum muas, koj yuav tsum them sai sai rau lub ntim thiab cov npe tshuaj, vim tias tseem muaj Enzistal-P. Nws yog qhov sib txawv hauv cov muaj pes tsawg leeg thiab muaj tsuas yog ib cov tshuaj nquag - Pakreatin. Whereas Enzystal yog tib yam peb yam tshuaj zoo li Festal. Normoenzyme yog lwm Festal analogue, uas yog tus cwj pwm los ntawm amylase siab cov ntsiab lus ntawm 5000 units.
Wobenzym
Ntau tus kws kho mob suav hais tias Wobenzym yog cov tshuaj siv tau zoo tshaj plaws, uas muaj ob peb yam khoom muaj txiaj ntsig hauv nws cov muaj pes tsawg leeg:
- pancreatin;
- bromelain;
- simpsin;
- chymotrypsin;
- papain;
- rutoside (rutin).
Wobenzym yog kev sib xyaw tsiaj thiab cog cov enzymes ntxiv nrog rutoside
Bromelain yog ib qho enzyme proteolytic uas ua rau cov protein tsis zoo xws li protamine sulfate. Tsis tas li ntawd, bromelain muaj cov ua haujlwm tiv thaiv kev tiv thaiv thiab antiaggregant (cov ntshav ua kom ntshav) cov nyhuv, nrog rau muaj peev xwm ua kom nrawm tsim cov ntaub so ntswg.
Rutoside yog vitamin, ib qho bioflavonoid, uas txhim kho cov permeability ntawm capillaries thiab tiv thaiv lawv tsis taus. Thaum lub plab zom mov, rutin pauv hloov mus rau quercetin, tshuaj lom neeg muaj tshuaj lom.
Qhov zoo ntawm Wobenzym suav nrog qhov yuav luag tsis muaj kev mob tshwm sim, uas tau pom tsuas yog raug rho tawm nrog qee tus neeg nkag tsis tau.
Yog li, muaj ntau cov tshuaj uas pab ua kom cov tsis muaj zog ntawm cov enzymes thiab rov ua haujlwm li qub pancreatic. Ib qho twg xaiv nyob ntawm koj tus mob thiab qhov tshwm sim ntawm kev kuaj mob. Noj qab nyob zoo!
