Pancreatic enzymes
Cov txheej txheem ntawm kev zom thiab kev nqus ntawm cov khoom noj khoom haus yog vim muaj qhov tseeb tias cov pancreatic enzymes nkag mus rau txoj hnyuv me. Ntxiv mus, lub cev no yog lub luag haujlwm rau cov khoom siv metabolic thiab hloov dua siab tshiab, tswj ntshav qab zib, tso tawm cov tshuaj hormonal koom nrog kev tswj hwm ntawm cov txheej txheem biochemical.
Lub txiav txiav ua dab tsi?
Cov tshuaj sib txawv hauv qab no:
1. Nucleases - cleave nucleic acids (DNA thiab RNA), uas yog lub hauv paus ntawm ib qho khoom noj khoom haus.
- elastases - tsim los zom cov tuab nqaij thiab elastin,
- trypsin thiab chymotrypsin - zoo ib yam li pais plab pepsin, yog lub luag haujlwm rau kev zom cov zaub mov muaj protein,
- carboxypeptidase - ua ke nrog cov Protease saum toj no, tab sis muaj lwm yam kev txwv tsis pub muaj.
3. Amylase - raug faib rau kev kho ntawm cov metabolism hauv cov metabolism, kev zom zaub mov ntawm glycogen thiab hmoov txhuv nplej siab.
4. Steapsin - tawg tawm cov rog rog.
5. Lipase - cuam tshuam rau ib hom rog tshwj xeeb (triglycerides), uas tau kho ua ntej nrog cov kua tsib, tsim los ntawm daim siab ua rau lub plab hnyuv lumen.
Pancreatic enzyme assay
Txhawm rau kuaj xyuas kab mob ntawm cov khoom hauv nruab nrog hauv nqe lus nug, 3 qhov kev sim ntsuas yog siv:
- kev kuaj ntshav biochemical,
- urinalysis
- ntshav cov ntshav tsom.
Lub luag haujlwm tseem ceeb yog ua si los ntawm qhov txiav txim siab ntau (kev ua) ntawm amylase, elastase thiab lipase.
Cov tsos mob ntawm pancreatic enzyme deficiency thiab tshaj
Ib qho ntawm cov kab mob kev tshwm sim thawj zaug ntawm tus kab mob thawj zaug yog qhov hloov pauv ntawm cov quav (nws ua kua), vim tias thawj qhov tsis ua hauj lwm yog kev tsim cov lipase.
Lwm cov tsos mob ntawm tus ua tsis taus pa enzyme:
- txo qis lub cev ua si
- flatulence
- tsis qab los noj mov thiab lub cev hnyav,
- mob plab
- tsis muaj zog, nkees nkees,
- xeev siab
- pheej rov qab ntuav ntuav.
Kab mob thib ob yog hu ua pancreatitis thiab feem ntau yog chiv los ntawm kev tsim ntau ntau ntawm amylase thiab lipase. Qhov zoo siab, cov cim ntawm tus kabmob yog zoo li enzyme deficiency, ib qho tsos mob ntxiv tuaj yeem suav tias yog nce me ntsis hauv lub cev kub.
Yuav ua li cas rov qab rau pancreatic enzymes?
Yuav ua kom ib txwm ua haujlwm ntawm lub cev thaum tsis muaj peev xwm ua tau ntau yam ntawm cov khoom tau piav qhia, kev hloov pauv tshuaj kho yog siv nrog kev kho mob noj tshuaj (tshuaj tiv thaiv).
Pancreatic enzymes hauv ntsiav tshuaj:
- Pangrol,
- Pancreatin
- Creon
- Panzinorm,
- Lub Festal
- Nqaij dej daj
- Mezim Forte
- Penzital
- Yias Tshuaj,
- Enzystal
- Pancurmen
- Kev zom plab
- Somilase
- Kotazim Forte,
- Merkenzyme
- Mob hlwb,
- Pankral,
- Wobenzym
- Cadistal
- Phlogenzyme
- Betaine
- Oraza
- Quav
- Pepphiz,
- Unienzyme
- Nygeda.
Nws kuj tseem muaj ntau yam analogues thiab cov generics ntawm cov tshuaj no, suav nrog 1-2 hom tshuaj lom neeg cov tshuaj lom neeg, lossis lawv cov chav sib xyaw ua ke.
Nrog kev mob pancreatitis, hauv thawj qhov chaw, kev noj haus kom nruj yog qhov tau hais tseg, suav nrog kev yoo mov rau 1-3 hnub. Tom qab qhov no, pancreatic enzyme inhibitors yog siv:
- Somatostatin,
- Vasopressin
- Glucagon
- Calcitonin
- Isoprenaline
- Pantripin
- Hloov pauv
- Traskolan
- Gordox,
- aminocaproic acid,
- Tsuav xyoob
- Trasilol.
Nrog rau kev noj tshuaj, nws yog ib qho tseem ceeb kom ua raws li cov cai rau kev ua noj - tsuas yog cov zaub mov muaj roj tsawg, zoo dua yog tias tsis muaj nqaij, nqaij mos thiab kua zaub. Tsis tas li ntawd, nws raug nquahu kom siv ntau ntawm alkaline ntxhia dej, li 2 litres ib hnub.