Enzymes maka pancreas: ọgwụ
Ọrịa nke pancreas, ikike ya nwere imepụta enzymes. Ndị a bụ bekee dị mkpa maka mgbaze nri. Iji nọgide na-arụ ọrụ nke anụ ahụ, a na-atụ aro ya ka ọ were enzymes pancreatic, nkwadebe nwere otu ihe ọ asụ gastụ na mmiri mkpụrụ osisi gastric.
Kedu ihe kpatara anyị ji achọ enzyme
Enzyme pancreatic bụ ihe na-abanye na nbibi nri n'ime obere ihe ndị ahụ na-etinye ahụ. Ihe ndị kachasị edozi bụ protein, abụba na carbohydrates. Iron na - emepụta enzymes nke na - eme ihe ọ bụla n'ime ihe ndị a:
- lipase - maka abụba,
- amylase - maka carbohydrates,
- proteinase - na protein.
A na-emepụta enzymes na pancreatitis n'ọtụtụ ezughị ezu. Nke a na - eduga n'eziokwu ahụ na nri gafere n'afọ na eriri afọ na - agbanwe ya na - amalite.
Ojiji nke ọgwụ maka pancreatic pancreatitis, nke ihe enzymes mejupụtara, na-enyere aka idozi ụkọ a na ịme mgbaze nkịtị.
Akụkụ nke ojiji nke enzyme
Enwere ike iwere enzymes Pancreatic naanị ma ọ bụrụ na ha ezughị ike na ahụ mmadụ. Enwere ike ikpebi enweghị ike enzymatic site na akara ndị a:
agụụ
- ugboro ugboro ili
- bloating
- ọgbụgbọ
- nsogbu ọnya - mushy, hie nne, ya na abụba na imi.
Ogologo oge digestive na-eduga ná mmebi nke anụ ahụ, ntutu na mbọ. Ume ojoo pụtara.
A na-ewere ọgwụ ndị nwere enzymes pancreatic n'oge ụfọdụ n'ụbọchị. Nke a bụ n'ihi na ọrụ akụkụ ahụ exocrine. A naghị edebe enzymes ígwè mgbe niile, mana n'oge ụfọdụ, tupu nri. Ya mere, a na - ewere ọgwụ ọgwụ enzyme niile ọkara elekere tupu nri, ka ha nwee ike ịbanye na duodenum, ebe omume ha malitere.
Formdị ọgbara ọgbara maka ịhapụ ụdị ọgwụ ahụ bụ agịga gelatin. Site na nchedo a, enzymes anaghị emebi n'ime afọ. N'ime nnukwu Capsule nwere ọtụtụ microcapsules.
Enzymes Gland nke ya adịghị arụ ọrụ n'ime ya. Ọ bụrụ na ha na-arụ ọrụ nke ọma, mbibi nke anụ ahụ, mgbaze onwe ga-apụta. Ntughari ha na-adi ugbua na duodenum site na enyemaka nke bileenum.
Yabụ, ọ bụrụ na njehie nke ihe mebiri emebi, ma ọ bụ ihe mepụtara ya, mgbaze ga-etolite, ọbụlagodi ma nwee ahụ ike.
Kedu ihe enzyme kacha mma e ji agwọ ọrịa pancreatitis na-ekpebi site na eriri afọ mgbe nyochachara onye ọrịa. N'ime ụdị ọrịa ahụ, ojiji a na-anabata ọgwụ ndị dị otú ahụ. Ọkpụkpụ na-arụ ọrụ na-esochi mmepụta amylase, nke nwere ike ibibi anụ ahụ gland. Ojiji nke enzyme na-emebi gland na oke oke. A na - enye ndị nnọchi anya enzymatic naanị maka ọgwụgwọ ọrịa mbufụt nke gland na ezughi oke n'ọrụ ya.
Ndepụta ọgwụ
Nke enzymes nke pancreatic dị na ọgwụ gụnyere isi atọ:
Ntughari nke omume nke ogwu sitere na lipase. Akụrụngwa a na-amalite ime n’ihu ndị ọzọ. Ndepụta nke enzyme enzyme gụnyere ihe ole na ole. Usoro ha ji arụ ọrụ fọrọ nke nta ka ọ bụrụ otu. Ihe dị iche dị n’ụdị ntọhapụ, nke na-ahụ maka bioavailability nke ọgwụ, ya bụ, mgbaze nke ahụ ya. A na - enweta enzyme enzyme site na oke ehi, na - abụkarị ezì.
Pancreatin
Ọgwụ mbụ sitere na otu a. Nwere ihe atọ na-arụsi ọrụ ike:
- nchebe - 200 PIEJI,
- amylase - 3500 nkeji,
- lipase - 4300 nkeji.
Ebumnuche nke ọgwụ bụ iji melite nri nri. A na-eji ya maka mbufụt nke pancreas na bile ducts. Edekwara ya ka o dozie maka ihe onyonyo ma ọ bụ nyocha nke oghere dị n’afọ - iji kpochapụ akpịrị.
Enweghị ọgwụ mgbochi ọ bụla na iwere ya, ewezuga enweghị ndidi ọ bụla. Were Pancreatin na mbadamba tupu nri. Ntule onunu ogwu maka umuaka n’arọ n’ahu. E gosipụtara oge dị mkpirikpi (ụbọchị 3-4) iji wepụ nsonaazụ nke imebi nri. A na-atụ aro iji enzymes ogologo oge (ọtụtụ afọ ma ọ bụ maka ndụ) maka ọrịa pancreatitis na-adịghị ala ala.
Ihe fọrọ nke nta ka ọ bụrụ nke pancreatin, enwere ntakịrị ọdịiche na ọdịnaya nke ihe ndị bụ isi:
- protease - 300 EGO,
- amylase - 4500 EGO,
- lipase - 6000 nkeji.
Usoro nke ime ihe bụ mmelite nke ndakpọ nke ihe oriri, na-agbakasị agbari nri. E gosipụtara ya maka mbufụt nke na-adịghị ala ala, ọnụnọ ya. Irè maka iwepu bloating, ọnya na-anaghị efe efe.
O nweghi contraindications. A naghị atụ aro ya ka ọ debe ụmụaka ahụ ọgwụ dị elu, ebe ọ bụ na mmepe nke afọ ntachi ga-ekwe omume.
Ogwu ozo di ugbua kariri n'ụdị capsule echebela. N'ihi nke a, ihe ndị mejupụtara emebibeghị ihe ọ juiceụ gastụ gastric, mana ọ na-abanye duodenum agbanweghi.
Enwere ụdị ọgwụ atọ dị iche na usoro nke lipase.
Choicedị ịhọrọ ọgwụ bụ n'ihi ogo ọrịa ahụ, ogo nke ọrịa ezughi oke nke gland. A na-eji Hermital agwọ ọrịa pancreatitis na-adịghị ala ala, cystic fibrosis.
Mejuputara igwe na enzyme otutu nwere ihe ndi n’emejuputara ya. Ngwakọta ọgwụ a gụnyere ihe ndị a:
- protease - 300 EGO,
- amylase - 50 IEBỌCH,,
- lipase - 34 IEBỌR,,
- papain - 90 IEBỌCH,,
- bromelain - 225 Ihe atụ,
- trypsin - 360 nkeji,
- chymotrypsin - 300 PIEJI,
- rutoside - 10 mg.
Nke a bụ ihe mgbagwoju anya nke anụmanụ na osisi enzymes nke na-enyere aka na mmeghachi ahụ nfụkasị, nsogbu nri nri, ọrịa endocrine. A na-eji ngwá ọrụ ahụ agwọ ọtụtụ ọrịa site na ngalaba ọgwụ niile. Banyere usoro nri nri, a na-enye Wobenzym maka ọgwụgwọ nke imeju, pancreas.
A naghị akwado ọgwụ ahụ maka ụmụaka na-erubeghị afọ ise, ụmụ nwanyị dị ime. Wobenzym na contraindicated na ọrịa nke ọbara. A na-ahọpụta usoro ọgwụgwọ ahụ site na dọkịta, na-eburu n'uche ọrịa ahụ, ahụike n'ozuzu.
Kedu enzymes ndị kachasị eji eme ihe maka pancreatitis na-adabere na ogbo nke ọrịa ahụ, ihe kpatara mmepe ya. Ọzọkwa, jidesie nri kwesịrị ekwesị ike maka pancreatitis, iwere ọbụna nnukwu usoro nke enzyme nwere ike ọ gaghị anagide nri calorie na abụba.
Usoro nri
Usoro nke ọrụ nke pancreas enweghị ike ime na iche na usoro na-eme n'afọ na eriri afọ. Ọrụ digestive nke anụ ahụ bụ oke ọrụ nke akụkụ dị iche iche nke eriri afọ. Saliva, ihe ọ juiceụ gastụ gastric, enzymes pancreatic, na bile na nzuzo nke imeju na-eme ga-eme ihe nkiri. Ma ọ bụghị ya, nri agaghị egwu ma ọ bụ gwuo mmiri.
Mgbanwe Nri
Ngwa nri dị n’ime oghere a na-a areụrị ọnụ ma na-eme ka ọ na-egbu egbu site na mmiri nwere enzymes abụọ na-emebi carbohydrates. Na-agbanye n'ime gruel na mgbanwe kemịkal na akpụ nke ihe oriri na-aga n'ihu na afọ, ebe hydrochloric acid, enzymes a kapịrị ọnụ na-eme ihe na-edozi ahụ na akụkụ nke egbugbere ọnụ. Ihe ọ juiceụụ na-egbu egbu nke nwere lysozyme na hydrochloric acid na-ebibi nje. Pepsin sitere na mejupụtara ya decomposes macromolecules protein n'ime obere akụkụ - peptides. Enzyme nke ihe ọricụ gastụ gastric - lipase - na-eme abụba abụba.
Mgbe ahụ, site na sphincter, a na-eziga nri nke emebere obere akụkụ n'ime eriri afọ. Akụkụ nke mbụ, duodenum, bụ ebe a na-ekpughee ihe ọ nutrientsụ nutrientsụ na-egbu egbu na mmiri ọgwụ. Enzymes Pancreatic na-akụda abụba n'ihi eziokwu ahụ bụ na a na-emulsion n'okpuru ikike nke bile. Mmiri hydrolysis nke carbohydrates na protein dị ihe zuru ezu. Ọ bụrụ na a na-akọ nri ngwa ngwa, ọ ga-adịrị ha mfe ịnwe mmiri ọ juiceụ digụ, ngwa ngwa ha na-agbanwe mgbanwe mmiri.
Enzymes Pancreatic na mgbaze
Polymụ irighiri ihe polymer nke mejupụtara nri nwere ike ịnọ n'ọnọdụ nkịtị. Anụ ahụ ga-emerịrị ha na obere okpomọkụ - 36.6 Celsius. Iji ntụnyere: protein protein na - agọnahụ mgbe ọ na - a waterụ mmiri, esi mmiri sie ya. Iji meghachi omume mmeghachi omume kemịkal n'ahụ n'ime ọnọdụ "ọnọdụ dị nro", biocatalysts dị mkpa, yana ntinye nke hydrolysis na-eme. A na-ahụ ihe ndị na-eme ka ihe ndị dị ndụ pụta n’ọtụtụ mmiri diges na-emepụta site na mgbidi nke ọnụ, afọ na akụkụ ndị ọzọ nke sistem. Enzymes pancreatic na-emebi nri na ọkwa ikpeazụ nke mgbaze. Hydrolytic kpochapụrụ protein n'ime amino acids na-eme. Abụba na-adaba n'ime glycerin na carboxylic acid, carbohydrates - n'ime monosaccharides.
“Ọrụ bụ́ isi n'usoro ọrụ nri”
Nke a bụ etu ndị ọkachamara si akọwapụta ihe ọ juiceụ ofụ mmiri ara. Nri a n’emeputa ihe di n’ọrụ, ya na sodium bicarbonate iji wepu hydrochloric acid nke di n’onu. Mkpokọta olu nke mmiri a na-emepụta nwere ike ịdị 1-2 lita kwa ụbọchị. O nwere enzymes nri nke pancreas (nke bụ isi 6-8).
Trypsinogen, chymotrypsinogen, na-edozi protein na-abanye na ahụ. Carbohydrates bụ nke hyd-amylase na-ekpocha. Lipases na-eme ka ụmụ irighiri ihe na -eme ihe. A na-emepụta enzymes n'ụdị arụmọrụ yana pro-enzymes, nke a na-arụ ọrụ n'okpuru ike nke ihe dị iche iche.
Arụ ọrụ ọcụụ Pancreatic
Enzymes Pancreatic enwetala isi ihe dị mkpa na mgbaze nke nnukwu ọkpọ, mana ọrụ kacha mkpa ha bụ imebi lipids. N'ezie, hydrolysis nke protein na-amalite na akpa afọ na ntinye nke pepsin na hydrochloric acid. N'ime duodenum, a na-ejikọ pancreatic protease enzyme. Mgbaze stachi na-amalite n'ime oghere a na-ekwu okwu na amylase nke nnu. Na-aga n'ihu na ntinye aka nke pancreatic amylase. Lipase aastụ na-emetụta 5-40% nke agbụ kemịkal n'etiti glycerol na abụba; ihe ọ pancụ pancụ pancreatic bụ maka hydrolysis nke 40-70% nke abụba. Ọrụ ya dabere na steeti pancreas, afọ na mmekọahụ nke mmadụ, pH nke ihe ndị dị n’afọ na eriri afọ.
Nbelata nke ọrụ exocrine
Site na mbelata nke mmepụta ihe ndị na - eme ka ihe ndị dị ndụ pụta na ahụ mmadụ, ị nwere ike ịbanye na nri anụmanụ. Ọgwụ ọjọọ na nke a dị mma maka otu ihe kpatara. A na-ebibi protein ọ bụla n'oge ọgwụgwọ okpomọkụ (denatured). Enzymes bụ ụmụ irighiri protin, nke akụkụ ya nwere ike ịbụ vitamin, ihe na-achọpụta na ihe ndị ọzọ. Ọ na-atụgharị na otu ụzọ dị mma isi pụọ taa bụ iji enzymes maka iji ọnụ mee ihe (site na ịbanye n'ọnụ).
Pancreatic Enzyme Production
Isi mmalite nke akụrụngwa maka imepụta ọgwụ bụ bovine ma ọ bụ anụ ezi. A na-ahazi akụkụ anụ ahụ ndị a site na ihicha nkụ iji nweta ihe ndị bụ isi nke pancreatin, nke nwere enzymes maka pancreas. Nkwadebe na umi a na aru oru di otutu ndi nwere otutu uzo:
- Amylases (akpata hydrolysis nke carbohydrates).
- Ihe nchebe (na-eme ihe na protein).
- Lipases (gbarie abụba).
Ihe ọ juiceụụ na-egbu egbu nwere hydrochloric acid nwere ike ibibi ụmụ irighiri protein (enzymes maka pancreas). A na - eji ihe mkpuchi polymer n'elu iji kpuchie ihe dị n'ime pancreatin iji chebe gburugburu ebe obibi ime ihe ike. N'okpuru bụ ntụ ma ọ bụ microcapsules.
Enzymes maka ọgwụgwọ mmegharị
Ihe mejupụtara ọgwụ dị iche iche na-eme maka enweghị ọrụ akwara dị iche iche. Aha ahia ahia nke otutu ogwu di nma: Creon na Pancreolipase. Ihe kachasị dị mma na-eji ọgwụ eme ihe dị ka Creon na ọgwụ analogues bụ pancreatin. Weta na lipase + amylase + protease.
N'ime uru dị iche iche - ikike ị capụ capsules "Creon" n'oge afọ ime na ịra nwa, n'oge nwata. Ekwesịrị ịhọrọ ọgwụ ole ị drugụ ọgwụ ahụ, na-edepụta ọgwụ dabere ogo ọrịa ahụ, nri onye ọrịa yana afọ. Aha ahia maka ọgwụ ndi yiri: Panzinorm, Mikrazim, Hermitage, Mezim Forte, Pancreatin.
Granules nke nkwadebe Pancreatalipase nwere otu enzymes - lipase + amylase + protease - mana n'ọtụtụ kachasị elu. A na-ewepụta ọgwụ a n'ụdị microgranules nwere dayameta nke 3 mm, nke nwere oghere akpụkpọ ahụ na mmiri nke eriri afọ. Ceptionmata ọgwụ ndị a kpọtụrụ aha na-enye nri zuru oke nke nri nri, nke na-enyere aka melite mmụba ma na-eduga n'ịbido usoro nke stool.
Etu ị ga-esi na-a pancụ ọgwụ ọgwụ pancreatic
Nchịkọta ọgwụ bụ ụzọ ọgwụgwọ ọgwụgwọ maka ezughi oke nke ogwe ume. A na-ahụta usoro Pancreatin dị ka ihe adịghị mma, nwere obere nsonaazụ. Ndị ọkachamara na mpaghara a na-akpọ ọgwụgwọ nwebisianya ọzọ na ịwa ahụ.
Iji nweta ọgwụgwọ ọgwụgwọ, ndị okenye na-ewere iri puku abụọ na puku iri abụọ na puku iri abụọ na iri anọ na iri (40,000 IU) iji mee ka nri gboo. A naghị atụ aro ka ọ gafee pasent 10,000 IU nke lipase kwa 1 n'arọ nke ịdị ahụ ya. Nkọwa usoro onunu ogwu nke ndi okenye na umuaka ka akowara na ntuziaka nke ejikọtara na ngwugwu ogwu.
A na-ejikarị nkwadebe nwere enzymes pancreatic mee, tupu, yana, ma ọ bụ mgbe nri gachara. Mgbe ịbanye n'ime afọ, shei ma ọ bụ dragee ji nwayọọ nwayọọ na-agbaze, enzymes ahụ na-ebutekwa ọrụ kachasị na duodenum. Enwere nsogbu nsogbu, dịka ọmụmaatụ, ịgwakọta ọdịnaya nke capsules zuru oke na chyme eriri afọ, ịgbalite oge kwesịrị ekwesị.
Ọ bụrụ na enzymes na-enweghị ọgwụ akpatala nsonaazụ dị oke njọ, mgbe ahụ onye ọrịa na nhọpụta nke dọkịta na-ekwu maka enweghị atụ nke ntinye ịwa ahụ. Iji gbochie mmepe na-adịghị mma nke ọnọdụ ahụ, ọ dị mkpa iji mbadamba ndị metụtara pancreatin n'ụzọ ziri ezi, soro usoro nri.
Ọrịa pancreas na-efe efe.
Enzymes nke ihe ọ juiceụ Enụ pancreatic nwere ike gbochie ya na cholecystitis, mgbe akwara na-arapara n'ahụ akwara dị. Ihe ndi ndu nwere ike ime ka akpukpo akpukpo - akpukpo ahu di iche iche.
Na nnukwu pancreatitis, oke mgbu na afọ na-apụta. Obi onye ọrịa na-abawanye, ọbara mgbali na-ebelata, ọnọdụ okpomọkụ na-agbadakwa. A na-ahụkarị agụụ ọgbụgbọ, ire akọrọ, ịsọ asọ na ihu na n'ọbụ aka aka.
Dọkịta nke na-enyocha nyocha nke mpụga nke onye ọrịa, na mgbakwunye na akara na akara ndị a dị n'elu, na-ekwu na akpụkpọ ahụ nke onye ọrịa na-acha odo odo ma ọ bụ na-acha odo odo. Palpation na - enye gi ohere ikpebi na iwe na - ewe iwe nke peritoneum na paresis nke eriri afọ.
N'ime nyocha ụlọ nyocha nke mmamịrị onye ọrịa, ọ na-atụgharị na ụba enzyme ihe ọ juiceụ pancụ nke pancreatic nwere. Nyocha ọbara na-egosi mmụba nke ọnụ ọgụgụ mkpụrụ ndụ ọbara ọcha.
Ọgwụ Ọrịa Pancreas
Na nnukwu ọrịa pancreatitis, ọ dị mkpa iji belata ihe mgbu na ngosipụta nke ihe mgbaàmà ndị ọzọ, mana nyocha nke afọ adịghị enyere aka belata ahụ erughị ala. Ọgwụ ọgwụ nke belata ọrụ gland na enzyme ya: Gordoks, Kontrikal, Platifillin. A na - agbakwunyekwa ọgwụ ndị ọgwụ ọgwụ antimicrobial, antispasmodic na antiemetic na - agbakwunye.
Ọzọkwa, onye ọrịa ahụ kwesịrị ị drugsụ ọgwụ ndị na - egbochi acidic ọdịnaya nke afọ. Na nnukwu ọrịa ogbu egbu, ma ọ bụrụ na enwere ọrịa ma ọ bụ akụkụ nwụrụ anwụ nke gland, a ga-achọ itinye aka n'ịwa ahụ. Mgbe a na-ebute mbuze site n’ime okwute, otu ụzọ iji dozie ọnọdụ ahụ bụ iwepu ọnya afọ.
Otu n'ime isi ihe dị na ọgwụgwọ nke pancreatitis bụ nri. N’ụdị nnukwu ahụ, n’ime ụbọchị atọ mbụ ahụ onye ọrịa kwesịrị ime enweghị nri (agụụ). Ọ dị mkpa iji zere ibu dị na nsị anụ ahụ dum, yabụ n'ọdịnihu, a ga-ewepụrụ ọtụtụ nri n'ime nri.
N'ọnọdụ dị a areaa ka a na-ahazi ọgwụ mgbochi ọrịa pancreatic
Enyere ọgwụ enzymatic maka nsogbu nri nri dị iche iche.
Ihe ngosi maka ị theseụ ọgwụ ndị a bụ:
- Ọrịa na-adịghị ala ala A na-ekpebi ọkwa nke mmepụta enzyme site na usoro nyocha, na-elekwasị anya na ọrụ nke lipase. A na-ekpebi nhọrọ nke ọgwụ na ezigbo onunu ha, na-eburu n'uche nsogbu nke nsogbu ahụ, ọgụgụ isi mmadụ na njiri mara nri onye ọrịa.
- Pancreatic yiri. Na iwepu gland kpamkpam, ọ dị mkpa maka ndị ọrịa ị medicationsụ ọgwụ nwere ọtụtụ enzymes.
Ndabere maka nhọpụta nke enzyme nwere ike ịbụ nsogbu ndị ọzọ na arụ ọrụ sistemụ enzymatic:
- afọ metụtara mbelata nke ọrụ exocrine pancreatic,
- usoro ọgwụgwọ siri ike maka cystic fibrosis, ọrịa celiac, ọnya afọ,
- emegharia usoro hepatobiliary,
- Sphincter dysfunction,
- nri oke abụba, ị ,ụbiga nri ókè.
Nkewa
Dika udi ihe eji eme ya, ekewa ogwu ahu abuo.
- n'ihi na kewaa nri mebiri nke pancreas,
- ime ka ọrụ eriri afọ na afọ rụọ ọrụ, belata afọ mgbu na dyspepsia.
Nkewa nke enzyme nkwadebe dabere n'ọrụ ihe ndị edobere na listi ndị a:
- Ọgwụ nwere pancreatin bụ nhazi enzymatic nke sitere anụmanụ site na pancreas nke cows ma ọ bụ ezì. Enzymes Pancreatic gụnyere: Mezim Forte, Pancreatin, Creon.
- Ngwakọta ọgwụ, gụnyere pancreatin, hemicellulose, bile acid na ihe ndị ọzọ na-arụ ọrụ, bụ Festal, Panzinorm, Digestal, Kotazim Forte.
- Ọgwụ ọjọọ gụnyere enzymes nke osisi sitere - papain, ọgwụ fungal. A na-eji ha eme ihe maka ịnagide ihe ụmụ anụmanụ mere. Aha ọgwụ a na - akpọ Unienzyme, Pepfiz, Solizim, Nygeda.
- Ejikọtara ọgwụ ogwu nwere enzymes nke anụmanụ na osisi sitere, - Phlogenzim, Wobenzym.
Ndị na-egbochi ya
A na - eji ihe mgbochi egbochi ụfọdụ enzyme nke nwere ike ibute mmepe nke ọrịa. Ndị na - egbochi ihe na --ebilata ọrụ nke enzymes nke proteolytic, na - egbochi mwepụta nke kinins, na - egbochi ọganihu nke usoro mkpali na pancreas.
Ọgwụ Antenzyme na-enye gị ohere iwepụ ihe mgbu, belata mmụcha, igbochi necrosis nke gland, mezie ahụike niile.
Ha dị irè naanị na mmalite nke ọrịa ahụ ma enwere ike ịkọ ha n'ọtụtụ buru ibu iji nweta nsonaazụ dị mma.
Proteolytic
Enzymes Proteolytic (protein) dị mkpa maka usoro nri nri digestion na obere eriri afọ dị. E kere ha ụzọ abụọ:
- Exopeptidases bụ enzymes nke na-ekpochapụ agbụ peptide ọnụ. Ndị a gụnyere: pepsin, chymosin, gastricin na proenzymes trypsin, elastase, chymotrypsin.
- Endopeptidases - enzymes nke na-akụda agbụ peptide nke dị n’ime, dịka ọmụmaatụ, carboxypeptidases, dipeptidases, aminopeptidases.
Ogwu, ihe ndi aru oru nke ihe nchebe bu nke uzo abuo:
- Nkwadebe dị mgbagwoju anya nke nwere enzymes ezumike. Mbadamba nke kachasị dị na mbadamba ndị a bụ: Pancreatin, Mezim forte, Panzinorm.
- Nkwadebe dabere na mpụta nke mucosa nke ezì, ihe na-arụ ọrụ nke dị na ya bụ pepsin.
Site na ọgwụgwọ ọdịnala
N'ihe banyere ọrịa anụ ahụ, a pụrụ iji ahịhịa ọgwụ dị iche iche na mgbakwunye ọgwụgwọ ọdịnala.
A naghị akwado nkwadebe ọgwụ herbal ka ọ bụrụ naanị usoro ọgwụgwọ - mmetụta ha dị obere ma e jiri ya tụnyere ọgwụ.
Ntụziaka ọgwụ ọdịnala gụnyere ihe ndị sitere n'okike, mana a ga-atụle dọkịta ha iji hụ na enweghị ọgwụ mgbochi.
Iji mee ka ihe nzuzo nke enzymes pancreatic dịkwuo elu, ịnwere ike iji ọgwụ ndị a sitere n'okike:
- ịchọ mma nke mgbọrọgwụ nke burdock na elecampane, chamomile, calendula, wormwood, sage, string,
- a decoction nke mgbọrọgwụ ma ọ bụ herbs nke chicory,
- infusion nke mgbọrọgwụ nke ọhịa strawberries,
- ịchọ mma nke otis,
- infusion nke n'ọnụ mmiri doo.
Ihe ngbanwe
Ọ bụ naanị dọkịta na-ahụ maka ịbanye na enzyme nwere ike ịkọwa ya. Ọkachamara ahụ ga-enyocha ọnọdụ onye ọrịa ahụ n'ụzọ ziri ezi, họrọ usoro ọgwụgwọ na-eburu n'uche njirimara onye ọrịa ahụ ma chọpụta ego ole ọ nwere.
Cannweghị ike iji enzymes maka ọgwụgwọ ma ọ bụrụ na:
- mmebi nke pancreatitis ma ọ bụ gastritis iji zere iwe nke mucosa gastric,
- hyperuricosuria - oke nke uric acid, ka ị ghara ịkpasu urolithiasis,
- allergies na ngwaahịa si amịrị, anụ ezi (naanị maka nkwadebe ndị nọ n'ọrụ umi anụ si),
- na ọnya afọ n’ime ụmụ, n’ihi na ọ nwere ike bụrụ ihe mgbaàmà nke ọrịa ọzọ: akpụ ọria, ụkwara nta, ọnya afọ, lymphoma.
N'ihe banyere nsị nke akwara, nhazi enzyme ọgwụ na-enyere aka ịme ka ọrụ nri nri kwụsịlata site na ijupụta ụkọ ihe ndị ahụ mepụtara. A nabatara ọgwụ ndị ahụ nke ọma, ọ nwere obere nsonaazụ, ọ na-adị irè site na iji ogologo oge n'oge ọgwụgwọ dị mgbagwoju anya ma nwee otu ọgwụ maka ịreatụbiga mmanya ókè.
Mezim Forte
Nkwadebe enzyme a dị oke ọnụ karịa nke gara aga. Ọnụ ego ya bụ 190 rubles n'otu ngwugwu, nke gụnyere mbadamba 20. Ihe mehr na-arụ ọrụ nke Mezim bụkwa pancreatin. Mana ewezuga ya, o nwekwara ihe inyeaka - anhydrous silicon colloidal dioxide, talc, ihe E122, sodium starch glycolate, MCC, macrogol, simulsic simenti, titanium dioxide na polyacrylate dispersion.
Mezim nwere contraindications ole na ole. Enweghi ike ibute ya na akwara na-egbu mgbu na oke iwe nke na-adịghị ala ala, yana mgbochi ụbụrụ na-egbochi ya na ọnụnọ nke ndị na-arịa ọrịa dị n'ime ọgwụ ahụ.
Site na obere mmebi na pancreas, a na-atụ aro Mezim ka ọ bụrụ mbadamba 1-2 na nri. Na aru zuru dysfunction akụkụ - 2-4 mbadamba. Usoro kachasị elu kwa ụbọchị bụ nkeji 20,000 / n'arọ.
Creon 10000
Ọnụahịa nke nkwadebe enzyme a na ụlọ ahịa ọgwụ dị ihe dị ka 270-300 rubles. Ihe mejupụtara ya gụnyere:
- isi ihe na - arụ ọrụ bụ pancreatin,
- ndị na - ahụkarị - macrogol, cetyl mmanya, hypromellose phthalate, triethyl citrate, dimethicone.
Banyere mmetụta dị n'akụkụ, mgbe ị na-a drugụ ọgwụ a, mgbu n'ime afọ, flatulence, afọ ọsịsa, ọgbụgbọ na vomiting nwere ike ime. Ọ ga - ekwe omume ọdịdị nke fibrosing colonopathy, urticaria, hyperuricosuria.
Usoro kachasị eji eme ihe kwa ụbọchị nke Creon 10000 bụ 10,000 nkeji / n'arọ. Ọ gaghị ekwe omume iwere ya na nkwekọrịta mmadụ n'otu n'otu na nnukwu ihe mgbu ma ọ bụ iwepu ọrịa na-adịghị ala ala.
Penzital bụ nkwadebe enzyme dị ọnụ ala, ọnụ ego nke anaghị agafe 40 rubles kwa mkpọ (mbadamba 20). Na mgbakwunye na pancreatitis, ọ nwere ihe ndị a na-esote:
- lactose
- ntụ ntụ talcum
- sodium stachi glycolate,
- cellulose
- povidone
- titanium dioxide
- colloidal silicon dioxide,
- cohalymer methaclates acid.
Dị ka ọ dị na mbụ, ọ gaghị ekwe omume iwere Penzital na hypersensitivity nke mmiri ọgwụ, nnukwu ma ọ bụ na-arịa ọrịa pancreatitis na-adịghị ala ala. N'okwu ndị ọzọ, ị takingụ ọgwụ a nwere ike ịme n'enweghị egwu, mana ọ bụ naanị dị ka usoro enyere n'iwu si dị.
Ọgwụ a enweghị nchebe. Nsonaazụ n'ụdị rashes, ọgbụgbọ, ọgbụgbọ, mgbu nke afọ, hyperuricosuria, wdg, bụ ụkọ pụrụ iche mgbe ewere ya.
Nkezi onodu ogwu nke Penzital maka onye okenye bu ubochi 150,000 / ubochi. Y’oburu n’enweghi nsogbu nke puru iche, ogwu onwa a adi puku 400,000 na ubochi. Ihe kachasị ị dailyụ ọgwụ kwa ụbọchị bụ 15,000 / kg. Maka ụmụaka na-erubeghị afọ 1.5, ọgwụ kachasị maka Penzital bụ nkeji 50,000 / ụbọchị Maka ụmụaka gafere afọ 1.5, 100,000 100,000 / ụbọchị.
Ọgwụ a anaghị etinye aka na nhazi enzyme dị ọnụ ala, ebe ọnụ ahịa ya dị iche na 400 rubles. ruo 1700 rub. dabere na ọnụ ọgụgụ mbadamba ihe n'otu ngwugwu. Agbanyeghị, a ghọtara Wobenzym dị ka nkwadebe enzyme kachasị dị mma ma kachasị mma, ebe ọ nwere ọtụtụ ihe ndị na - arụ ọrụ:
Ihe ndi ozo gunyere sitc, stachi ọka, mmiri di ocha, colloidal silicon dioxide, stearic acid, lactose na steeti magnesium. Ihe mejupụtara ahụ bara ụba, mana n'ihe metụtara ọgwụ a, na mgbakwunye na nnukwu ọrịa na-arịa ọrịa pancreatitis na-adịghị ala ala, enwere contraindications ndị ọzọ, n'etiti ndị a:
- ọrịa niile gbasara mmepe nke enwere nnukwu nsogbu imepe ọbara ọgbụgba n'ime,
- ụmụaka na-erubeghị afọ ise,
- ịba ọcha n'anya
- hypersensitivity na ọgwụ ike ma ọ bụ ọzọ ọgwụ.
Uru Wobenzym bụ enweghị ọghọm nke ọghọm ya. Naanị n'ọnọdụ ndị dịpụrụ adịpụ nwere ike ịmeghachi nfụkasị ahụ ma ọ bụrụ na a presenceụrụ ọgwụ ahụ n'ihu ọnụnọ contraindications, ma ọ bụ nhụta nke obere ndọpụ na isi na agba nke feces.
A na-eji ọgwụ a na ọgwụ maka ebumnuche dịgasị iche iche wee họrọ usoro ya iche iche. Ma ọ bụrụ na anyị na-ekwu maka ọrịa nke pancreas, a na-enyekarị ya na ọnụọgụ mbadamba 1-2 n'oge nri ma ọ bụ mgbe nri gasịrị.
Ọnụ ego ọgwụ a bụ ihe dịka 110-150 rubles. Ọ bụ nkwadebe enzyme a jikọtara ọnụ, nke na-eme ka mmezu nke erughi ihe dị na mmiri na enzymes na-a pancụ ara si na-eme ka nri gwụ.
Ngwa ọrụ ndị dị n’ọgwụ ahụ bụ:
- hemicellulase,
- ihe bile
- pacreatin.
Amachibidoro iwere Digistal tupu ọrịa na ọnọdụ ndị a:
- ọrịa gallstone
- nnukwu na-arịa ọrịa pancreatitis na-adịghị ala ala
- imeju imeju
- ịba ọcha n'anya
- mmadụ ịghara ịnabata ihe ndị mejupụtara ọgwụ ahụ.
A na-a drugụ ọgwụ a ugboro abụọ n’ụbọchị, mbadamba 1-3 n’otu oge ma ọ bụ mgbe nri gasịrị. Mmụba nke usoro onunu ogwu nwere ike ime naanị site na nkwekọrịta ya na dibia bekee. Ọ bụrụ na ị mụbaa ọgwụ ahụ n'onwe gị, nke a nwere ike ibute ọdịdị nke nsonaazụ ndị ọzọ, otu n'ime:
- oke mmeghachi omume nfụkasị ahụ,
- ibelata njikọ nke bile asịd,
- hyperuricating
- ụba plasma nke uric acid n'ime ọbara.
Nkwadebe enzyme na-enyere aka mechie ntụpọ nke enzymes nke anụ ahụ yana ọ dị mkpa maka nhazi nke usoro nri nri. Mana cheta na iwere ha na enweghị dọkịta abụghị ihe agaghị ekwe omume. Nke a nwere ike ibute nnukwu nsogbu ahụike.