Pancreatic enzyme npaj

Hauv cov kab mob ntawm tus txiav, nws lub peev xwm los tsim cov enzymes yog qhov tsis taus. Cov no yog cov tshuaj uas yog qhov tseem ceeb rau kev zom zaub mov. Txhawm rau kom muaj lub luag haujlwm ntawm lub cev, nws raug nquahu kom noj cov pancreatic enzymes, kev npaj muaj cov tshuaj tib yam li kua txiv ua kua paum.

Vim li cas peb xav tau enzyme kev npaj

Lub pancreatic enzyme yog ib qho tshuaj uas cuam tshuam nrog kev rhuav tshem cov khoom noj mus rau cov khoom me me uas tau nqus los ntawm lub cev. Cov as-ham tseem ceeb yog protein, cov rog thiab carbohydrates. Hlau ua cov enzymes uas ua rau txhua yam ntawm cov khoom:

lipase - rau cov rog,
amylase - rau carbohydrates,
protease - ntawm cov nqaijrog.

Cov Enzymes hauv cov kab mob pancreatitis yog ua tawm hauv qhov tsis muaj txaus. Qhov no ua rau muaj qhov tseeb tias cov zaub mov hla lub plab thiab cov hnyuv tsis hloov - cov zom plab zom mov.

Kev siv cov tshuaj rau txiav ua tiav pancreatic, uas muaj li ntawm ntuj enzymes, pab kho qhov no tsis muaj peev xwm thiab ua kom lub plab zom mov zoo.

Cov yam ntxwv ntawm kev siv cov tshuaj enzyme

Pancreatic enzymes tuaj yeem noj tau yog tias lawv tsis ua haujlwm rau tib neeg lub cev. Enzymatic deficiency tuaj yeem txiav txim siab los ntawm cov cim hauv qab no:
tsis qab los noj mov

nquag tawg
tsam plab
xeev siab
cov quav tsis xis nyob - mushy, plentiful, nrog impurities ntawm rog thiab mucus.

Lub plab zom mov ntev ntev ua rau muaj kev puas tsuaj rau ntawm daim tawv nqaij, plaub hau thiab rau tes. Ua pa tsw phem tshwm.

Tshuaj tua kab mob nrog pancreatic enzymes noj nyob rau qee lub sijhawm ntawm nruab hnub. Qhov no yog vim exocrine kev ua haujlwm hauv lub cev. Cov hlau enzymes tsis niaj hnub zais, tab sis qee lub sijhawm, ua ntej noj mov. Yog li, tag nrho cov tshuaj enzyme tau noj ib nrab ib teev ua ntej noj mov, kom lawv tuaj yeem mus rau ntawm duodenum, qhov chaw uas lawv pib ua.

Daim ntawv niaj hnub ntawm kev tso tawm ntawm cov tshuaj no yog gelatin tsiav tshuaj. Ua tsaug rau qhov kev tiv thaiv no, cov enzymes tsis raug rhuav tshem hauv plab. Sab hauv cov tshuaj ntsiav loj yog ntau yam microcapsules.

Gland tus kheej cov enzymes tsis tawm dag zog hauv nws. Yog tias lawv ua haujlwm zoo, kev rhuav tshem cov ntaub so ntswg, kev zom tus kheej yuav tshwm sim. Lawv kev ua kom muaj tshwm sim twb nyob hauv duodenum nrog kev pab ntawm bile.

Yog li ntawd, yog tias muaj kev ua txhaum ntawm kev tawm ntawm cov kua tsib, lossis nws cov khoom lag luam, kev zom zaub mov kuj tseem yuav loj hlob ntxiv, txawm tias muaj tus txha nqaj zoo.

Dab tsi cov enzymes zoo tshaj nrog pancreatitis yog txiav txim siab los ntawm tus kws kho mob zawv plab tom qab kuaj xyuas tus neeg mob. Hauv kev mob hnyav ntawm tus kab mob, kev siv cov tshuaj no tsis tsim nyog. Kev voos voos yog nrog ntau dua ntawm kev tsim cov amylase, uas muaj peev xwm tua cov qog ntawm cov ntaub so ntswg. Kev siv cov enzyme npaj ua rau lub qog ua haujlwm ntau dua. Cov tshuaj tiv thaiv kab mob tsuas yog kho rau kev kho mob ntawm lub qog ua kua nrog tsis muaj txiaj ntsig ntawm nws txoj haujlwm.

Sau cov tshuaj

Ntawm lub pancreatic enzymes hauv kev noj tshuaj suav nrog peb lub ntsiab:

Kev suav ntawm kev ua ntawm cov tshuaj yog raws li lipase. Qhov tshuaj no pib pib ua thaum ntxov dua li lwm tus. Daim ntawv ntawm kev npaj pancreatic enzyme suav nrog ob peb yam khoom. Lawv cov kev ntawm kev ua yuav luag zoo ib yam. Qhov sib txawv yog nyob rau hauv daim ntawv tso tawm, uas yog lub luag hauj lwm rau lub bioavailability ntawm cov tshuaj, uas yog, kev zom ntawm nws lub cev. Kev npaj Enzyme yog tau los ntawm kab mob thiav ntawm cov heev nyuj, feem ntau yog npua.

Pancreatin

Thawj cov tshuaj los ntawm pawg no. Muaj peb cov khoom xyaw dhia:

protease - 200 PHOO,
amylase - 3500 units,
lipase - 4300 units.

Lub hom phiaj ntawm cov tshuaj yog txhawm rau txhim kho kev zom ntawm cov zaub mov. Nws yog siv rau kev mob ntawm cov txiav thiab bile ducts. Nws kuj tseem raug npaj los npaj rau radiography lossis ultrasound ntawm lub plab zom mov - txhawm rau tshem tawm flatulence.

Muaj cov kev xyaum tsis muaj contraindications mus noj nws, tsuas yog ntawm ib tug neeg intolerance. Nqa Pancreatin rau ntawm ib ntsiav tshuaj ua ntej noj mov. Dosage muab xam rau cov menyuam yaus yog nqa tawm los ntawm lub cev nyhav. Ib qho kev qhia luv luv (3-4 hnub) yog qhia txog tshem tawm qhov tshwm sim ntawm kev ua txhaum kev noj haus. Kev siv ntev ntev ntawm cov enzymes (ntau xyoo lossis rau lub neej) yog pom zoo rau kev mob qog leeg nqaij.

Yuav luag zoo ib yam li pancreatin, muaj qhov sib txawv me ntsis hauv cov ntsiab lus ntawm lub ntsiab:

protease - 300 PIECES,
amylase - 4500 DAIM NTUJ,
lipase - 6000 units.

Tus txheej txheem ntawm kev ua yog kev txhim kho ntawm kev tawg ntawm cov khoom noj muaj roj, qhov ib txwm ua ntawm kev zom. Nws yog qhia rau kev mob raum ntawm tus txiav, nws tsis tuaj. Zoo rau kev tshem tawm tsam plab, tsis raws plab sib kis.

Nws tsis muaj contraindications. Nws tsis pom zoo kom sau ntawv txhaj tshuaj ntau dua ntawm Penzital rau cov menyuam yaus, txij li kev txhim kho ntawm cem quav yog ua tau.

Ib hom tshuaj ntau dua niaj hnub no muaj nyob rau hauv daim ntawv ntawm lub nkaws-tiv thaiv tshuaj ntsiav. Vim tias qhov no, cov tshuaj tseem ceeb tsis raug rhuav tshem los ntawm cov kua txiv hauv plab, tab sis nkag mus rau duodenum tsis hloov pauv.

Muaj peb hom tshuaj uas muaj qhov sib txawv ntawm cov kua roj lipase.

Qhov kev xaiv ntawm cov qauv ntawm cov tshuaj yog vim qhov mob hnyav, tus kab mob loj heev ntawm cov ntaub ntawv tsis txaus ua haujlwm ntawm lub qog. Hermital yog siv los kho tus mob ua thiav leeg, cystic fibrosis.

Ua ke nrog tus neeg sawv cev tiv thaiv kab mob ntau nrog cov tshuaj tiv thaiv kabmob. Cov tshuaj hauv cov tshuaj suav nrog cov hauv qab no:

protease - 300 PIECES,
amylase - 50 daim qauv ntawv pov thawj,
lipase - 34 DAIM NTAWV,
papain - 90 DAIM DUAB,
bromelain - 225 DAIM NTUJ,
simpsin - 360 units,
chymotrypsin - 300 PIECES,
rutoside - 10 mg.

Qhov no yog cov nyom ntawm cov tsiaj thiab cog ntoo enzymes uas pab nrog kev ua xua, kev zom plab tsis zoo, cov kab mob endocrine. Cov twj yog siv los kho ntau yam kab mob los ntawm txhua ceg ntawm cov tshuaj. Raws li rau lub plab zom mov, Wobenzym yog kho rau kev kho mob ntawm daim siab, txiav ua kab mob.

Cov tshuaj tsis pom zoo rau cov menyuam yaus hnub nyoog qis dua tsib xyoos, cov poj niam cev xeeb tub. Wobenzym nyob rau hauv cov ntshav tiv thaiv kab mob. Cov koob tshuaj yog xaiv los ntawm tus kws kho mob, coj mus rau hauv tus kab mob, kev noj qab haus huv txhua yam.

Qhov twg cov enzymes zoo tshaj plaws rau kev txiav tus mob pancreatitis nyob ntawm theem ntawm tus kab mob, vim li cas rau nws txoj kev txhim kho. Kuj, ua raws li kev noj haus zoo rau pancreatitis, noj txawm tias ntau npaum li cas ntawm cov tshuaj tiv thaiv enzyme yuav tsis tuaj yeem tiv nrog cov zaub mov muaj calorie ntau thiab rog.

Kev zom cov txheej txheem

Cov kev cai ntawm lub luag haujlwm ntawm cov neeg tsis tuaj yeem tsis tuaj yeem sib cais los ntawm cov txheej txheem tshwm sim hauv plab thiab plab hnyuv. Kev ua haujlwm ntawm lub cev yog qhov ua kom tag nrho ntawm cov kev ua ntawm ntau yam hauv plab hnyuv plab zom mov. Mob qaub ncaug, kua txiv kab mob, kua txob pancreatic, thiab bile zais cia los ntawm daim siab yuav tsum ua hauv kev hais kwv txhiaj. Txwv tsis pub, cov zaub mov yuav tsis zom thiab yuav tsis zom rau ib qho.

Hloov Pauv Khoom Noj

Cov khoom noj ua zaub mov hauv cov kab noj ntawm qhov ncauj yog zom thiab noo nrog cov qaub ncaug muaj ob lub enzymes uas zom cov carbohydrates. Kev sib tsoo rau hauv gruel thiab kev hloov tshuaj hauv cov leeg zaub mov txuas ntxiv hauv lub plab, qhov twg hydrochloric acid, cov enzymes tshwj xeeb ua rau cov protein thiab ib feem ntawm lipids. Lub plab zom zom cov kua txiv muaj lysozyme thiab hydrochloric acid ua rau cov kab mob puas tsuaj. Pepsin los ntawm nws cov muaj pes tsawg leeg decomposes protein macromolecules rau hauv ntu me - peptides. Lub enzyme ntawm pais plab kua txiv - lipase - ua rau cov rog cov mis.

Tom qab ntawd, dhau los ntawm sphincter, qee cov zaub mov ua tiav xa mus rau cov hnyuv. Cov ntu pib, duodenum, yog qhov chaw uas muaj as-ham rau cov kua qab ua kua tsib thiab kua tsib. Pancreatic enzymes zom tawm cov rog vim qhov tseeb tias lawv emulsified nyob rau hauv tus ntawm bile. Lub hydrolysis ntawm carbohydrates thiab cov protein yog yuav luag tiav. Cov zaub mov zoo dua yog minced, qhov yooj yim dua rau lawv yuav khov nrog kua txiv zom, lawv tau hloov tshuaj sai dua.

Pancreatic Enzymes thiab kev zom mov

Lub polymer cov qauv ntawm cov khoom xyaw ntawm cov zaub mov tau ruaj khov nyob rau hauv ib txwm mob. Lub cev yuav tsum decompose lawv ntawm qhov kub tsawg - 36.6 ° C. Rau kev sib piv: lub qe protein tsis pom zoo thaum lub rhaub dej, uas nws tau hau. Txhawm rau kom muaj tshuaj lom neeg muaj tshwm sim hauv lub cev nyob rau hauv "mob hnyav", biocatalysts yog qhov tsim nyog, nrog kev koom tes ntawm qhov twg hydrolysis tshwm sim. Cov kab mob roj ntsha tau pom muaj nyob hauv ntau cov kua zom khoom noj uas tsim los ntawm phab ntsa ntawm lub qhov ncauj ntawm lub qhov ncauj, lub plab thiab lwm yam hauv nruab nrog cev. Pancreatic enzymes zom cov zaub mov hauv cov theem kawg ntawm kev zom. Hydrolytic cleavage ntawm cov protein rau cov amino acids tshwm sim. Cov rog zom rau hauv glycerin thiab carboxylic acids, carbohydrates - rau hauv monosaccharides.

"Lub luag haujlwm tseem ceeb hauv kev ua haujlwm"

Qhov no yog li cas cov kws tshwj xeeb qhia txog qhov tseem ceeb ntawm cov kua txiv pancreatic. Lub txiav ua cov kua tshuaj tiv thaiv, nrog rau sodium bicarbonate rau neutralize cov ntsiab lus acid hydrochloric hauv lub plab. Tag nrho cov dej ntawm cov kua tsim tawm tuaj yeem muaj txog 1-2 litres ib hnub. Nws muaj cov enzymes digestive ntawm lub txiav (6-8 hom loj).

Trypsinogen, chymotrypsinogen, txhawb kev zom cov protein tawm hauv lub cev. Carbohydrates yog caws ntawm α-amylase. Lipases ua rau cov roj lwg roj. Cov Enzymes hauv kev ua ub ua no thiab pro-enzymes yog tsim tawm, uas tom qab ntawd ua kom dhau los ntawm kev cuam tshuam ntawm ntau yam.

Txoj Kev Ua Kua Muag Pancreatic

Pancreatic enzymes tau txais qhov tseem ceeb hauv kev zom ntawm txhua qhov macronutrients, tab sis lawv lub luag haujlwm tseem ceeb tshaj plaws yog zom cov lipids. Tseeb, hydrolysis ntawm protein tshwm sim thawj zaug hauv lub plab nrog kev koom tes ntawm pepsin thiab hydrochloric acid. Hauv duodenum, pancreatic protease enzyme tau txuas nrog. Kev zom cov hmoov txhuv nplej siab pib hauv qhov ncauj kab noj hniav nrog salivary amylase. Tom qab ntawd nws txuas ntxiv nrog kev koom tes ntawm pancreatic amylase. Gastric lipase cuam tshuam txog 5 %40% ntawm cov tshuaj sib txuas ntawm cov tshuaj glycerin thiab cov roj ntsha, kua txiv kab ntxwv ua kua yog ua lub luag hauj lwm rau hydrolysis ntawm 40-70% ntawm cov rog. Nws cov haujlwm yog nyob ntawm lub xeev ntawm cov txiav, hnub nyoog thiab poj niam txiv neej ntawm tus neeg, pH ntawm cov ntsiab lus ntawm lub plab thiab cov hnyuv.

Tsawg dua exocrine muaj nuj nqi

Nrog rau kev txo qis hauv kev tsim cov khoom siv roj ntsha hauv tib neeg lub cev, koj tuaj yeem nkag mus rau qhov ploj ntawm pancreatic enzymes nrog cov tsiaj zaub mov. Tshuaj nyob hauv qhov no yog qhov zoo dua rau ib qho laj thawj yooj yim. Ib qho protein thaum lub sijhawm kho cua sov yog ua kom puas (tsis zoo). Cov Enzymes yog cov protein molecules, ib feem ntawm cov tuaj yeem yog cov vitamins, kab kawm thiab lwm yam sib txuas. Nws hloov tawm tias tib txoj kev tsim tawm niaj hnub no yog siv cov enzymes rau kev siv qhov ncauj (los ntawm kev haus los ntawm qhov ncauj).

Pancreatic Enzyme Ntau Lawm

Cov khoom siv los ntawm cov khoom siv rau kev tsim tshuaj yog bovine lossis nqaij npuas npua. Cov tsiaj hauv plab yog ua los ntawm khov kom qhuav kom tau txais cov feem tseem ceeb ntawm cov txiav ua ke, uas muaj cov enzymes rau cov txiav. Kev npaj nrog rau cov tshuaj nquag no feem ntau muaj hauv cov cim sib txawv:

Amylases (ua rau hydrolysis ntawm carbohydrates).
Proteases (ua yeeb yam rau cov protein).
Lipases (zom cov rog).

Cov kua txiv uas muaj kua hydrochloric acid tuaj yeem zom cov protein molecule (pancreatic enzymes). Kev npaj tsim nyob rau hauv lub hauv paus ntawm pancreatin yog coated nrog polymer txheej nyob rau sab saum toj los tiv thaiv ib puag ncig sab hauv ib puag ncig. Hauv qab nws yog hmoov lossis microcapsules.

Enzymes rau kev hloov kho kho

Lub hauv paus ntawm ntau yam tshuaj uas ua rau kom tsis muaj qhov ua haujlwm pancreatic txawv me ntsis. Cov lag luam tawm npe nrov ntawm cov tshuaj nrov tshaj plaws: Creon thiab Pancreolipase. Lub ntsiab ua haujlwm tseem ceeb ntawm cov tshuaj xws li Creon thiab nws cov analogues yog pancreatin. Tam sim no hauv lipase + amylase + protease.

Ntawm qhov zoo - muaj peev xwm noj "Creon" tsiav tshuaj thaum cev xeeb tub thiab lactation, hauv menyuam yaus. Cov koob tshuaj ntawm cov tshuaj yuav tsum raug xaiv los ntawm kws kho mob, sau ntawv rau tshuaj nyob ntawm qhov mob hnyav, tus neeg mob noj mov thiab hnub nyoog. Cov npe kev lag luam rau cov tshuaj zoo sib xws: Panzinorm, Mikrazim, Hermitage, Mezim Forte, Pancreatin.

Granules ntawm Pancreatalipase kev npaj muaj cov enzymes zoo ib yam - lipase + amylase + protease - tab sis ntau dua qhov kev xav. Cov tshuaj no tau tso tawm rau hauv microgranules nrog txoj kab uas hla ntawm 3 hli, coated nrog daim nyias nyias soluble hauv cov hnyuv txheem. Txais tos ntawm cov tshuaj hais txog muab lub plab zom mov ua kom tiav ntxiv, uas pab txhawm rau txhim kho kev nqus thiab ua rau quav ntau dua qub.

Yuav noj cov tshuaj pancreatic enzyme-based

Kev noj tshuaj ntawm cov tshuaj yog qhov tseem ceeb ntawm kev siv tshuaj rau qhov muaj txiaj ntsig pancreatic tsis txaus. Kev txiav txim siab rau Pancreatin pom tias muaj kev nyab xeeb, muaj kev phiv me ntsis. Cov kws tshaj lij hauv thaj chaw no hu rau kev saib xyuas kom zoo rau lwm txoj kev phais mob.

Yuav kom ua tiav qhov kev kho mob kom zoo, cov neeg laus coj los ntawm 25,000 txog 40,000 IU ntawm lipase los zom cov pluas noj peb-chav noj. Nws tsis pom zoo kom dhau ib koob tshuaj 10,000 IU ntawm lipase ib 1 kg ntawm lub cev qhov hnyav. Cov koob tshuaj zoo rau cov neeg laus thiab cov menyuam yaus tau piav qhia meej hauv cov lus qhia uas txuas nrog ntim ntawm cov tshuaj.

Feem ntau, kev npaj muaj cov pancreatic enzymes siv ua ntej, nrog, lossis tom qab noj mov. Thaum nws nkag mus rau hauv lub plab, lub pliav tshuaj plooj los sis lub viav vias maj mam yaj, thiab cov enzymes ncav cuag lawv cov kev ua haujlwm siab tshaj plaws hauv duodenum. Muaj cov ntsiab lus teeb meem, piv txwv li, sib xyaw kom txaus ntawm cov ntsiab lus ntawm cov tshuaj ntsiav nrog lub plab hnyuv chyme, ua kom lub sijhawm.

Yog hais tias qhov tsis muaj qhov ua rau pancreatic enzymes tau ua rau muaj kev rau txim loj, ces tus neeg mob ntawm kev teem sijhawm tus kws kho mob hais txog kev zam dhau ntawm kev phais mob. Txhawm rau tiv thaiv qhov tsis txaus ntseeg ntawm txoj kev loj hlob, nws yog qhov yuav tsum tau noj cov ntsiav tshuaj pancreatin kom raug, ua raws li kev noj zaub mov noj.

Kab mob ntsws (mob)

Cov Enzymes ntawm kua txiv qab zib tuaj yeem tiv thaiv nrog cholecystitis, thaum lub sijhawm lav tau daig hauv lub qog ntawm lub zais zis. Cov tshuaj lom neeg lub cev ua rau mob autolysis - kev zom ntawm tus kheej ntawm cov ntaub so ntswg pancreatic.

Hauv cov kab mob pancreatitis, mob plab heev thiab ntuav tshwm sim. Tus neeg mob lub plawv dhia nce, ntshav siab poob, thiab qhov kub nce. Cov lus ntuas txhawb kom ntuav, tus nplaig qhuav, kev tawm hws ntawm lub ntsej muag thiab xib teg ntawm tes kuj tseem pom.

Tus kws kho mob uas ua qhov kev ntsuam xyuas sab nraud ntawm tus neeg mob, ntxiv rau cov cim thiab cov tsos mob saud, sau tseg tias daim tawv nqaij ntawm tus neeg mob yuav daj lossis daj, txias. Palpation tso cai rau koj los txiav txim siab tias muaj kev tsam plab, khaus khaus ntawm peritoneum thiab paresis ntawm lub plab zom mov.

Hauv chav kawm tshawb pom ntawm tus neeg mob lub tso zis, nws hloov tawm tias ntau ntxiv ntawm cov kua txiv pancreatic kua txiv muaj nyob hauv. Kev kuaj ntshav qhia pom tias muaj cov qe ntshav dawb nce ntxiv.

Kho cov mob Pancreas

Hauv cov kab mob pancreatitis, nws yog qhov yuav tsum tau txo qhov mob thiab qhov tshwm sim ntawm lwm cov tsos mob, tab sis kev ua kom loog pab tsis pab txo kom tsis xis nyob. Cov tshuaj kws kho mob uas txo qis kev ua haujlwm ntawm lub caj pas thiab nws cov enzymes: Gordoks, Kontrikal, Platifillin. Cov npe tshuaj yog tseem ntxiv los ntawm cov tshuaj tua kab mob, antispasmodic thiab antiemetic tshuaj.

Tsis tas li, tus neeg mob yuav tsum siv cov tshuaj uas neutralize cov ntsiab lus acidic ntawm lub plab. Hauv cov kab mob pancreatitis, yog tias muaj mob lossis ntu ntawm lub qog, kev phais yuav tsum tau ua. Thaum mob o yog mob los ntawm pob zeb nyob hauv qhov ntsaws, ib txoj hauv kev los daws qhov teeb meem yog txhawm rau tshem lub qog tawm.

Ib qho ntawm cov ntsiab lus tseem ceeb hauv kev kho mob ntawm tus kab mob pancreatitis yog kev noj haus. Hauv daim ntawv mob, thaum thawj 3 hnub tus neeg mob yuav tsum ua yam tsis muaj zaub mov noj (tshaib plab). Nws yog ib qho tsim nyog kom tsis txhob muaj lub nra ntawm tag nrho cov hnyuv, yog li yav tom ntej cov zaub mov ntau yuav tsum tau muab cais tawm ntawm cov zaub mov noj.

Ua li cas yog pancreatic enzyme npaj tshuaj

Cov tshuaj Enzymatic raug tshuaj rau ntau lub plab zom mov.

Kev qhia rau kev siv cov tshuaj no yog:

Mob txha cajqaum Qib ntawm enzyme ntau lawm yog txiav txim siab los ntawm hom kev kuaj, tsom mus rau kev ua ntawm lipase. Kev xaiv cov tshuaj thiab lawv cov koob tshuaj zoo tshaj plaws tau txiav txim siab coj mus rau hauv tus account qhov hnyav ntawm qhov tsis sib haum xeeb, cov tib neeg rhiab thiab noj zaub mov ntawm tus neeg mob.
Pancreatic resection. Nrog kev ua tiav ntawm kev tshem tawm cov qog, nws yog qhov tseem ceeb rau cov neeg mob siv tshuaj uas muaj ntau lub enzymes.

Lub hauv paus rau kev teem caij ntawm cov tshuaj tiv thaiv enzyme tej zaum yuav yog lwm qhov kev cuam tshuam hauv kev ua haujlwm ntawm cov txheej txheem enzymatic:

hnub nyoog ntsig txog txo hauv exocrine pancreatic muaj nuj nqi,
cov kev kho mob nyuaj rau cov leeg ntshav, mob plab, lub plab zom mov,
muaj kev cuam tshuam los ntawm cov kab mob ua kom tsis haum,
sphincter kawg,
cov khoom noj roj ntau dhau, ua noj dhau.

Kev faib tawm

Raws li hom kev txiav txim, cov tshuaj tau muab faib ua ob pawg:

rau kev cais cov zaub mov hauv kev ua txhaum ntawm lub txiav,
txhawm rau ua haujlwm ntawm txoj hnyuv thiab lub plab, ua rau mob plab nrog dyspepsia.

Kev faib tawm ntawm kev npaj enzyme nyob ntawm cov tshuaj nquag muaj nyob hauv cov npe hauv qab no:

Cov tshuaj muaj pancreatin yog kev npaj ntawm cov tsiaj keeb kwm los ntawm kab mob vwm los ntawm npua los npua. Pancreatic enzymes suav nrog: Mezim Forte, Pancreatin, Creon.
Cov tshuaj sib xyaw, suav nrog pancreatin, hemicellulose, kua tsib kua qaub thiab lwm yam tshuaj lom neeg, yog Festal, Panzinorm, Digestal, Kotazim Forte.
Tshuaj nrog rau cov enzymes ntawm tsob ntoo keeb kwm - papain, fungal diastase. Lawv raug siv rau qhov tsis nkag siab rau kev npaj ntawm cov tsiaj keeb kwm. Cov npe ntawm cov tshuaj hauv pawg no yog Unienzyme, Pepfiz, Solizim, Nygeda.
Cov tshuaj sib xyaw uas muaj cov enzymes ntawm tsiaj thiab cog keeb kwm, - Phlogenzim, Wobenzym.

Cov neeg nyob hauv

Cov Inhibitionitors raug siv los tswj qee cov enzymes uas tuaj yeem ua rau kev loj hlob ntawm pathologies. Cov neeg cog qoob loo txhawm rau txo cov haujlwm ntawm proteolytic enzymes, tiv thaiv kev tso tawm ntawm kinins, thiab tiv thaiv qhov kev vam meej ntawm cov txheej txheem o nyob rau hauv lub txiav.

Kho antenzyme tso cai rau koj kom txo qis mob, txo kev qaug cawv, tiv thaiv necrosis ntawm lub caj pas, txhim kho kev noj qab haus huv tag nrho.

Lawv tsuas yog ua tau zoo thaum ntxov ntawm tus kab mob thiab tuaj yeem raug txiav txim hauv ntau ntau kom tau txais txiaj ntsig zoo.

Proteolytic

Proteolytic enzymes (tiv thaiv kab mob) yog qhov tsim nyog rau cov kev kawm ua kom muaj protein hauv plab hnyuv me. Lawv tau muab faib ua ob pawg:

Exopeptidases yog cov enzymes uas npuaj davhlau ya nyob twg peptide bonds. Cov no suav nrog: pepsin, chymosin, gastricin thiab proenzymes trypsin, elastase, chymotrypsin.
Endopeptidases - cov enzymes uas tawg rau hauv cov ntawv cog lus peptide, piv txwv li, carboxypeptidases, dipeptidases, aminopeptidases.

Cov tshuaj kho mob, cov nquag ua haujlwm ntawm cov txheej txheem uas muaj cov mob tshwm sim, yog ob yam:

Cov kev npaj ua ub ua no uas muaj cov kab mob ua rau npua pancreatic. Qhov nrov tshaj plaws ntawm cov ntsiav tshuaj hauv cov pab pawg no yog: Pancreatin, Mezim forte, Panzinorm.
Kev npaj raws li kev nthuav tawm ntawm pais plab hnyuv ntawm npua, yam khoom ua kom nquag plias nyob rau hauv uas yog pepsin.

Los ntawm cov tshuaj ib txwm muaj

Thaum muaj kabmob kab mob pancreatic, ntau yam tshuaj ntsuab muaj peev xwm siv tau nrog kev kho mob ib txwm muaj.

Kev npaj tshuaj ntsuab tsis pom zoo kom siv los ua tib txoj hauv kev kho mob - lawv cov txiaj ntsig tsawg dua hauv kev sib piv nrog cov tshuaj.

Cov tshuaj ntsuab qhia suav tshuaj suav nrog cov khoom xyaw ntuj, tab sis lawv siv yuav tsum tau tham nrog koj tus kws kho mob thiab paub tseeb tias tsis muaj kev sib txuam.

Yuav kom nce lub zais ntawm pancreatic enzymes, koj tuaj yeem siv cov tshuaj no:

kev nqus ntawm cov hauv paus hniav ntawm burdock thiab elecampane, chamomile, calendula, wormwood, sage, txoj hlua,
ib tug decoction ntawm cov hauv paus hniav los yog tshuaj ntsuab ntawm chicory,
Txoj kev lis ntshav ntawm keeb kwm ntawm qus strawberries,
decoction ntawm oats,
Txoj kev lis ntshav ntawm Bay nplooj.

Cov Yuav Tsum Tau Ua

Txais tos ntawm enzyme npaj tau tsuas yog kho tau los ntawm tus kws kho mob nkaus xwb. Tus kws kho mob tshwj xeeb yuav ntsuas cov neeg mob tus mob kom raug, xaiv qhov kev kho mob coj mus rau tus kheej tus yam ntxwv ntawm tus neeg mob thiab txiav txim siab nws cov nyiaj.

Koj tsis tuaj yeem siv cov enzymes rau kev kho mob thaum:

kev tawm tsam ntawm kev mob caj dab lossis mob plab txhawm rau kom tsis txhob khaus ntawm lub pais plab mucosa,
hyperuricosuria - ib qho dhau ntawm uric acid, yog li kom tsis txhob ua rau urolithiasis,
kev ua xua rau cov khoom siv los ntawm nqaij nyug, nqaij npuas (tsuas yog npaj rau cov khoom ua si nquag ntawm tsiaj keeb kwm),
nrog mob mob hauv plab hauv cov menyuam yaus, vim tias nws tuaj yeem yog qhov tsos mob ntawm lwm tus kabmob: ntau cov qog, mob ntsws, mob ncauj plab, mob txhab daj.

Thaum pancreatic ua hauj lwm tsis txaus, tshuaj kho mob enzyme pab normalize plab zom mov ua haujlwm los ntawm kev ua kom tsis muaj peev xwm ntawm cov tshuaj uas ua los ntawm lub cev. Cov tshuaj muaj kev tiv thaiv zoo, muaj ob peb qhov kev cuam tshuam, muaj txiaj ntsig zoo nrog kev siv lub sijhawm ntev thaum kho mob thiab nrog ib koob tshuaj nyob rau hauv kev siv ntau dhau.

Mezim Forte

Qhov kev npaj enzyme no kim dua li ib qho dhau los. Tus nqi nruab nrab yog 190 rubles rau ib pob, twg suav nrog 20 ntsiav tshuaj. Cov tshuaj nquag ntawm Mezim kuj tseem yog pancreatin. Tab sis dua li nws, nws tseem muaj cov tshuaj pab cuam - anhydrous silicon colloidal dioxide, talc, ntxiv rau E122, sodium hmoov txhuv nplej siab glycolate, MCC, macrogol, emulsion simethicone, titanium dioxide thiab polyacrylate dispersion.

Mezim muaj ob peb contraindications. Nws tsis tuaj yeem noj nrog kev mob pancreatitis thiab exacerbation ntawm mob ntev, nrog rau kev mob plab hnyuv thiab ua rau muaj qhov tsis nco qab rau tus neeg mob uas muaj nyob hauv cov tshuaj.

Nrog kev ua txhaum me me nyob rau hauv lub txiav, Mezim pom zoo kom noj nyob rau hauv tus nqi ntawm 1-2 ntsiav tshuaj nrog zaub mov noj. Nrog ua tiav plab hnyuv siab raum - 2-4 ntsiav tshuaj. Qhov siab kawg rau txhua hnub ntau yog 20,000 units / kg.

Creon 10000

Tus nqi ntawm qhov kev npaj enzyme no hauv cov khw muag tshuaj yog kwv yees li 270-300 rubles. Nws muaj pes tsawg leeg suav nrog:

lub ntsiab uas nquag ua hauj lwm yog pancreatin,
excipients - macrogol, cetyl cawv, hypromellose phthalate, triethyl citrate, dimethicone.

Raws li kev mob tshwm sim, thaum noj cov tshuaj no, mob hauv plab, mob plab, raws plab, xeev siab thiab ntuav tuaj yeem tshwm sim. Nws tseem ua tau qhov pom ntawm fibrosing colonopathy, urticaria, hyperuricosuria.

Kev noj tshuaj ntau tshaj txhua hnub ntawm Creon 10000 yog 10,000 units / kg. Nws yog tsis yooj yim sua kom coj nws nrog tus neeg tsis kam mus rau hauv cov khoom siv, mob hnyav ua rau mob ua paug lossis txhaus ntawm qhov ntev.

Penzital yog qhov tsim nyog pheej yig tshaj enzyme, tus nqi nruab nrab ntawm cov uas tsis pub tshaj 40 rubles rau ib pob (20 ntsiav tshuaj). Ntxiv nrog rau pancreatitis, nws muaj cov hauv qab no:

lactose
talcum hmoov
sodium starch glycolate,
cellulose
povidone
titanium dioxide
colloidal silicon dioxide,
methacrylic acid copolymer.

Raws li nyob rau yav dhau los tus neeg mob, nws tsis tuaj yeem noj Penzital nrog kev tiv thaiv kabmob ua rau lub hauv tshuaj, mob hnyav lossis mob nyhav txhawm rau mob leeg nqaij. Hauv txhua qhov xwm txheej, kev noj cov tshuaj no tuaj yeem nqa tawm yam tsis muaj kev ntshai, tab sis tsuas yog ua raws li cov txheej txheem hais tseg.

Cov tshuaj no tus nqi yog zoo. Cov kev mob tshwm sim hauv daim ntawv ntawm daim tawv nqaij ua pob, xeev siab, ntuav, mob plab, hyperuricosuria, thiab lwm yam, thaum nws coj los yog qhov tsis tshua muaj.

Qhov tshuaj nruab nrab ntawm Penzital rau ib tus neeg laus yog 150,000 units / hnub. Yog tias muaj kev ua tiav ntawm pancreatic kawg, qhov ntau dua ntawm lub cev tau nce mus rau 400,000 units / hnub. Qhov siab tshuaj ntau tshaj txhua hnub yog 15,000 units / kg. Rau cov menyuam hnub nyoog qis dua 1.5 xyoos, kev siv tshuaj ntau tshaj plaws ntawm Penzital yog 50,000 units / hnub. Rau cov menyuam yaus hnub nyoog dhau 1.5 xyoo, 100,000 units / hnub.

Cov tshuaj no tsis siv rau kev npaj enzyme pheej yig, vim nws cov nqi nws txawv ntawm 400 rubles. txog 1700 rub. nyob ntawm seb muaj pes tsawg ntawm cov ntsiav tshuaj hauv ib pob. Txawm li cas los xij, Wobenzym raug lees paub tias yog qhov kev npaj ua haujlwm zoo tshaj plaws thiab zoo tshaj plaws enzyme, vim nws muaj ntau yam kev tiv thaiv:

Cov khoom siv ntxiv muaj xws li talc, pob kws hmoov txhuv nplej siab, dej lim, colloidal silicon dioxide, stearic acid, lactose thiab magnesium stearate. Qhov muaj pes tsawg leeg muaj kev nplua nuj, tab sis nyob rau hauv kev sib txuas nrog cov tshuaj no, ntxiv rau kev mob nrawm thiab hnyav dhau los ntawm kev mob caj dab, muaj lwm yam kev tiv thaiv, uas yog:

tag nrho cov pathologies nrog txoj kev txhim kho uas muaj qhov pheej hmoo qhib ntawm cov ntshav los sab hauv,
cov menyuam yaus hnub nyoog qis dua 5 xyoos,
hemodialysis
hypersensitivity rau active los yog tshuaj ntxiv ntawm yeeb tshuaj.

Qhov zoo ntawm Wobenzym yog qhov ua tiav tsis muaj kev phiv. Tsuas yog nyob rau hauv kis raug mob muaj peev xwm ua xua tau tshwm sim yog hais tias cov tshuaj noj nyob rau hauv muaj contraindications, los yog tsos ntawm me kev hloov pauv nyob rau hauv tsw thiab xim ntawm cov quav.

Cov tshuaj no yog siv hauv cov tshuaj rau ntau lub hom phiaj thiab nws txoj kev noj tshuaj tau xaiv ib tus zuj zus. Tab sis yog tias peb tham txog cov kab mob ntawm cov txiav kab mob, nws yog feem ntau tau sau tseg rau hauv ntau npaum li cas 1-2 ntsiav tshuaj thaum lub sijhawm lossis tom qab noj mov.

Tus nqi ntawm cov tshuaj no yog kwv yees li 110-150 rubles. Nws yog kev koom ua ke ntawm enzyme, uas ua kom tiav ntawm qhov tsis muaj peev xwm ntawm cov feem ntawm cov kab mob bile thiab pancreatic enzymes, yog li ua kom lub plab zom mov ua tiav.

Cov tshuaj ua haujlwm ntawm cov tshuaj yog:

hemicellulase,
bile lub Cheebtsam
pacreatin.

Nws yog txwv tsis pub noj Degistal nyob rau hauv muaj cov kab mob thiab kev mob hauv qab no:

mob gallstone
Mob ntsws qhuav thiab ua rau mob hlwb,
daim siab ua hauj lwm
kab mob siab
tus kheej tsis kam txais ntawm cov khoom siv uas ua rau cov tshuaj.

Cov tshuaj no tau noj 2-3 zaug hauv ib hnub, 1-3 ntsiav tshuaj nyob rau ib lub sijhawm thaum lossis tom qab noj mov. Kev nce ntxiv ntawm cov tshuaj tuaj yeem tshwm sim nkaus xwb los ntawm kev pom zoo nrog tus kws kho mob uas koom nrog. Yog tias koj nce qhov koob tshuaj koj tus kheej, qhov no tuaj yeem ua rau pom qhov tshwm sim ntawm cov kev mob tshwm sim, cov uas:

kev fab tshuaj hnyav heev,
txo qis hauv endogenous synthesis ntawm cov kua tsib kua qaub,
hyperuricating
nce ntshav ntxiv ntawm cov uric acid hauv cov ntshav.

Kev npaj rau Enzyme pab them rau qhov ua tsis tiav ntawm pancreatic enzymes hauv lub cev thiab tsim nyog rau qhov ib txwm ua ntawm kev zom zaub mov. Tab sis nco ntsoov tias kev noj lawv yam tsis muaj kev paub ntawm tus kws kho mob yog los ntawm tsis muaj txiaj ntsig. Qhov no tuaj yeem ua rau muaj mob txaus ntshai.