Enzymes bakeng sa manyeme: lithethefatsi

Ho mafu a manyeme, bokhoni ba eona ba ho hlahisa li-enzyme bo senyehile. Tsena ke lintho tse bohlokoa bakeng sa tšilo ea lijo. Ho boloka ts'ebetso ea 'mele, ho khothalletsoa ho nka li-enzyme tsa pancreatic, litokisetso tse nang le lintho tse tšoanang le lero la tlhaho la gastric.

Hobaneng re hloka litokisetso tsa enzyme

Enzyme ea pancreatic ke ntho e kenyelletsang ho qhekella ha lijo ho etsa likarolo tse nyane tse anngoeng ke 'mele hantle. Lijo tse ka sehloohong ke liprotheine, mafura le lik'habohaedreite. Iron e hlahisa li-enzyme tse sebetsang ho e 'ngoe ea lintho tsena:

• lipase - bakeng sa mafura,
• amylase - bakeng sa lik'habohaedreite,
• protheine - liprotheine.

Li-Enzymes tsa pancreatitis li hlahisoa ka bongata bo sa lekaneng. Sena se lebisa ntlheng ea hore lijo li fetela ka mpeng le mala a sa fetohe - tšilo ea lijo ea hlaha.

Ts'ebeliso ea lithethefatsi bakeng sa pancreatic pancreatitis, e entsoe ka enzymes ea tlhaho, e thusa ho lokisa bofokoli bona le ho tloaela ho hlohlona.

Likarolo tsa ts'ebeliso ea litokisetso tsa enzyme

Li-enzymes tsa pancreatic li ka nkuoa feela haeba li haelloa ke 'mele oa motho. Khaello ea Enzymatic e ka khethoa ke matšoao a latelang:
tahlehelo ea takatso ea lijo

• ho opa khafetsa
• bloating
• ho nyekeloa
• stool disorder - mushy, ngata, ka litšila tsa mafura le mucus.

Ho hlohlona ha nako e telele ho baka ho senyeha ha letlalo, moriri le lipekere. Ho phefumoloha moea o mobe.

Lipilisi tse nang le enzymes tsa pancreatic li nkuoa ka linako tse ling tsa letsatsi. Sena se bakoa ke tšebetso ea setho sa 'mele. Li-enzyme tsa Iron ha li pateloe hangata, empa ka lihora tse itseng, pele ho lijo. Ka hona, meriana eohle ea enzyme e nooa halofo ea hora pele ho lijo, e le hore ba ka fihla duodenum, moo ketso ea bona e qalang.

Mokhoa oa sejoale-joale oa ho lokolla lithethefatsi tse joalo ke li-capsules tsa gelatin. Ka lebaka la ts'ireletso ena, li-enzyme ha li senyehe ka mpeng. Kahare ho sephutheloana se seholo ho na le li-microcaps tse ngata.

Li-enzymes tsa Gland ka boeona ha li sebetse ho eona. Haeba li ne li sebetsa ka nepo, tšenyo ea lisele tsa setho, ho itilolela ka boeona e ne e tla ba teng. Ho butsoisa ha bona ho etsahala se ntse se le teng ka duodenum ka thuso ea bile.

Ka hona, haeba ho e-na le tlolo ea tlhahiso ea bile, kapa tlhahiso ea eona, tšilo ea lijo le eona e tla ntlafala, esita le manyeme a phetseng hantle.

Ke li-enzyme tse nkiloeng hantle ka ho fetisisa ke pancreatitis e qetoang ke gastroenterologist ka mor'a ho hlahloba mokuli. Ka sebopeho se matla sa lefu lena, tšebeliso ea lithethefatsi tse joalo ha e amohelehe. Ho ruruha ho mafolofolo ho tsamaisana le tlhahiso e eketsehileng ea amylase, e khonang ho senya lisele tsa eona. Ts'ebeliso ea li-enzyme e senya e senya leseka ka mokhoa o moholo le ho feta. Li-enzymatic agents li laeloa feela bakeng sa kalafo ea ho ruruha ho sa feleng ha tšoelesa ka ho se lekane ha mosebetsi oa eona.

Lethathamo la lithethefatsi

Ho li-enzymes tsa "pancreatic" litlhare ho kenyeletsa tse tharo tse ka sehloohong.

Palo ea ts'ebetso ea lithethefatsi e ipapisitse le lipase. Ntho ena e qala ho sebetsa ka pel'a ba bang. Lenane la litokisetso tsa encyme ea pancreatic le kenyelletsa lintho tse 'maloa. Mokhoa oa bona oa ts'ebetso o batla o tšoana. Phapano e ka sebopeho sa tokollo, e ikarabellang bakeng sa bioavailability ea lithethefatsi, ke hore, ho hlohlona ha 'mele oa eona. Litokisetso tsa enzyme li fumanoa liphoofolong tsa likhomo, hangata likolobe.

Pancreatin

Setlhare sa pele se tsoang sehlopheng sena. E na le metsoako e meraro e sebetsang:

• protheine - 200 LIHOLO,
• amylase - 3500 unit,
• lipase - diyuniti tse 4300.

Morero oa moriana ke ho ntlafatsa tšilo ea lijo. E sebelisoa bakeng sa ho ruruha makhopho a manyeme le bile. E boetse e laetsoe ho itokisetsa radiology kapa ultrasound ea bokhoni ba mpa - ho tlosa flatulence.

Ha ho na khang ea hore o tla e nka ntle le ho hloka mamello. Tšela Pancreatin letlapeng pele ho lijo. Tekanyo ea lipalo bakeng sa bana e etsoa ka boima ba 'mele. Tlhahlobo e khutšoane (matsatsi a 3-4) e bontšoa ho felisa litlamorao tsa tlolo ea molao ea phepo. Tšebeliso ea nako e telele ea li-enzymes (lilemo tse 'maloa kapa bophelo bohle) e khothalletsoa bakeng sa pancreatitis e sa foleng.

Hoo e batlang e tšoana le pancreatin, ho na le phapang e fokolang ho litaba tsa likarolo tsa sehlooho:

• protheine - 300 LIHOLO,
• amylase - 4500 PIECES,
• lipase - diyuniti tse 6000.

Mokhoa oa ts'ebetso ke ntlafatso ea ho phatloha ha limatlafatsi, e leng mokhoa oa tlhaho oa ho hlohlona. E bontšoa bakeng sa ho ruruha ho sa feleng ha manyeme, ho ba sieo ha eona. E sebetsa hantle ho feliseng letšollo, le sa tšoaetsang.

Ha e na likhohlano. Ha ho kgothaletswe ho fana ka tekanyetso e phahameng ea Penzital ho bana, kaha ho sokela e ka ba teng.

Phekolo ea sejoale-joale e fumaneha ka mofuta oa "capatin" e sirelelitsoeng ka gelatin. Ka lebaka lena, ntho ea mantlha ha e senngoe ke lero la gastric, empa e kena ka duodenum e sa fetohe.

Ho na le mefuta e meraro ea meriana e fapaneng ka tekanyo ea lipase.

Khetho ea mofuta oa meriana e bakoa ke bokudi ba lefu lena, le ho teba ha sekhahla sa leseba. Hermital e sebelisetsoa ho phekola pancreatitis e sa foleng, cystic fibrosis.

Motsoako o kopaneng oa enzyme e mengata le thepa ea immunostimulating. Sebopeho sa moriana se kenyelletsa likarolo tse latelang:

• protheine - 300 LIHOLO,
• Amylase - 50 PIECES,
• lipase - 34 PIACES,
• papain - 90 PIECES,
• bromelain - 225 PIECES,
• trypsin - Li-unit tse 360,
• chymotrypsin - 300 PIACES,
• rutoside - 10 mg.

Ona ke mofuta o rarahaneng oa li-enzyme tsa liphoofolo le tsa semela tse thusang ka mefuta ea lintho tse amanang le ho ja, mathata a ho ja, mafu a endocrine. Sesebelisoa se sebelisoa ho phekola mafu a mangata a tsoang makaleng ohle a meriana. Ha e le ts'ebetso ea tšilo ea lijo, Wobenzym e laeloa bakeng sa kalafo ea sebete, manyeme.

Setlhare sena ha se khothaletsoe bana ba ka tlase ho lilemo tse hlano, basali baimana. Wobenzym e kopantsoe le mafu a mali. Motsoako o khethoa ke ngaka, o nahanela lefu lena, ka kakaretso.

Ke li-enzyme life tse sebelisoang hamolemo bakeng sa pancreatitis ho latela sethala sa lefu, mabaka a ho hola hoa lona. Hape, ho latela phepo e nepahetseng ea pancreatitis, ho nka tekanyo e kholo ea litokisetso tsa enzyme ho ka se sebetsane le lijo tse nang le khalori e ngata le mafura.

Ts'ebetso ea ho silila

Taolo ea mesebetsi ea manyeme e ke ke ea etsahala ka thoko ho tsoa lits'ebetsong tse etsahalang ka mpeng le mala. Ts'ebetso ea ts'ilo ea mmele ke kakaretso ea ts'ebetso ea litho tse fapaneng tsa thipa ea ka mpeng. Saliva, lero la gastric, enzymes ea pancreatic, le bile e hlahisoang ke sebete li lokela ho sebetsa ka konsarete. Ho seng joalo, lijo li ke ke tsa feptjoa 'me li ke ke tsa khona ho thula.

Liphetoho tsa karolo ea lijo

Lihlahisoa tsa lijo tse kahara molomo oa molomo li silakanngoa ebile li kolobisoa ka mathe a nang le li-enzyme tse peli tse theolang lik'habohaedreite. Ho ikhula ka har'a gruel le phetoho ea lik'hemik'hale ka mpeng ea lijo e ntse e tsoela pele ka mpeng, moo hydrochloric acid, li-enzyme tse ikhethang li sebetsang ka liprotheine le karolo e itseng ea lipids. Jusi ea ka mpeng e nang le lysozyme le hydrochloric acid e senya libaktheria. Pepsin ho tloha sebopeho sa eona e bolisa li-macromolecule tsa protheine ka likarolo tse nyane - li-peptide. The enzyme ea lero la gastric - lipase - e sebetsa ka mafura a lebese.

Ka mor'a moo, ka lebaka la sphincter, lijo tse halikiloeng li romeloa mala. Karolo ea pele, duodenum, ke sebaka seo limatlafatsi li pepesetsoeng lero la pancreatic le bile. Li-enzymes tsa "pancreatic" li senya mafura ka lebaka la hore li emisitsoe ka tlas'a tšusumetso ea bile. Hydrolysis ea lik'habohaedreite le liprotheine li batla li felile. Ha lijo li ntlafatsoa hanyane, ho ba bonolo hore li fuoe lero la tšilo, ka potlako li fetoha liphetoho tsa lik'hemik'hale.

Li-Enzymes tsa Pancreatic le Digestion

Limolek'hule tsa polymer tsa likarolo tsa lijo li tsitsitse tlas'a maemo a tloaelehileng. Mmele o tlameha ho li chesa ka mocheso o tlase - 36.6 ° C. Bakeng sa papiso: mahe a protheine ea lehe ha a phehile metsi, ao ho phehiloeng ka ona. E le hore methapo ea lik'hemik'hale e hlahe 'meleng tlas'a maemo a "bonolo", ho hlokahala li-biocatalysts, ka karolo eo tšebetso ea hydrolysis e bang teng ho eona. Li-catalysts tsa bioloji li fumanoa mehloling e mengata ea tšilo ea lijo e hlahisoang ke marako a mokokotlo oa molomo, mpa le litho tse ling tsa sistimi. Li-enzyme tsa "pancreatic" li senya lijo sethaleng sa ho qetela sa tšilo ea lijo. Hydrolytic cleavage ea liprotheine ho amino acid e etsahala. Mafura a theoha ka har'a glycerin le li-carboxylic acid, lik'habohaedreite - ho li-monosaccharides.

“Karolo ea bohlokoa mosebetsing oa ho silila lijo”

Ena ke tsela eo litsebi li khethollang bohlokoa ba lero la pancreatic. Makhopho a makhopho a hlahisa tharollo e sebetsang, hammoho le bicarbonate ea sodium ho kenyelletsa metsoako ea hydrochloric acid e ka mpeng. Molumo o felletseng oa mokelikeli o hlahisoang o ka ba ho fihla ho lilithara tse 1-2 ka letsatsi. E na le li-enzymes tsa tšilo ea pancreas (mefuta e ka sehloohong ea 6-8).

Trypsinogen, chymotrypsinogen, liproteine ​​tse tsoang ho 'mele li kena' meleng. Lik'habohaedreite li khabisitsoe ke α-amylase. Lipase li sebetsa ka limolek'hule tsa mafura. Li-Enzymes ka sebopeho se sebetsang le li-enzyme tsa projene li hlahisoa, ebe li kenngoa ts'usumetso tlas'a mabaka a fapaneng.

Ketsahalo ea Pancreatic Juice

Li-enzymes tsa "pancreatic" li fumane bohlokoa ba bohlokoa ho chekeng li-macronutrients tsohle, empa karolo ea tsona ea bohlokoa ke ho senya lipids. Ka sebele, hydrolysis ea liprotheine e etsahala pele ka mpeng ka ho nka karolo ha pepsin le hydrochloric acid. Ho duodenum, enzyme ea "pancreatic proteinase" e hokahane. Tšilo ea starch e qala ka hanong la molomo ka salivary amylase. Ebe e tsoela pele ka ho nka karolo ha pancreatic amylase. Gastric lipase e ama 5-40% ea litlamo tsa lik'hemik'hale lipakeng tsa glycerin le mafura acid, lero la pancreatic le ikarabella bakeng sa hydrolysis ea 40-70% ea mafura. Ts'ebetso ea eona e latela boemo ba manyeme, lilemo le thobalano ea motho, pH ea litaba tsa ka mpeng le mala.

Ts'ebetso e theohileng ea exocrine

Ka ho fokotseha ha tlhahiso ea li-catalysts tsa tlhaho ea 'mele oa motho, o ka kenya li-enzyme tse sieo tsa pancreatic ka lijo tsa liphoofolo. Lithethefatsi tabeng ena li loketse lebaka le le leng le bonolo. Liprotheine life kapa life nakong ea kalafo ea mocheso lia timetsoa (li-denatured). Li-Enzymes ke limolek'hule tsa protheine, tseo karolo ea tsona e ka bang livithamini, likarolo tsa mohlala le likhomphutha tse ling. Joale ho fumaneha hore tsela feela ea ho tsoa kajeno ke ho sebelisa li-enzyme bakeng sa tšebeliso ea molomo (ka ho inya ka molomo).

Tlhahiso ea Pancreatic Enzyme

Mehloli ea lisebelisoa tse tala bakeng sa tlhahiso ea meriana ke li-bovine kapa makhopho a nama ea likhoho. Litho tsena tsa liphoofolo li sebetsoa ka ho omisa ka mokhoa o sa tsitsang ho fumana likarolo tsa mantlha tsa pancreatin, e nang le li-enzyme tsa manyeme. Litokisetso le ntho ena e sebetsang hangata li na le litekanyetso tse fapaneng:

1. Li-amylase (baka hydrolysis ea lik'habohaedreite).
2. Liprotheine (etsa liprotheine).
3. Lipase (hlakola mafura).

Jusi ea lero le nang le hydrochloric acid e ka senya limolek'hule tsa protheine (li-enzymes tsa pancreatic). Litokisetso tse entsoeng motheong oa pancreatin li koahetsoe ka koae ea polymer ka holimo ho sireletsa khahlanong le tikoloho e mabifi ea ka hare. Tlas'a eona ho na le phofo kapa li-microcaps.

Enzymes bakeng sa pheko e ncha

Likarolo tsa lithethefatsi tse fapaneng tse etsang hore ho hloke tšebetso ea pancreatic li fapana hanyane. Mabitso a tloaelehileng a khoebo a meriana e tummeng ka ho fetisisa: Creon le Pancreolipase. Motsoako o ka sehloohong oa sethethefatsi se kang Creon le analogue ke pancreatin. E hlahisa lipase + amylase + proteinase.

Har'a melemo - bokhoni ba ho nka li-"capson" tsa "Creon" nakong ea kemero le ho lactation, bongoaneng. Melemo ea lithethefatsi e lokela ho khethoa ke ngaka, e laetse moriana ho latela botebo ba lefu lena, lijo le boemo ba mokuli. Mabitso a khoebo bakeng sa lithethefatsi tse tšoanang: Panzinorm, Mikrazim, Hermitage, Mezim Forte, Pancreatin.

Li-granules tsa tokiso ea Pancreatalipase li na le li-enzyme tse tšoanang - lipase + amylase + proteinase - empa ka tekanyo e phahameng. Motsoako ona o ntšoa ka sebopeho sa li-Microganules ka bophara ba 3 mm, se koahetsoeng ka qhibilihang ea membrane linthong tsa mala. Ho amoheloa ha meriana e boletsoeng ho fana ka tšilo ea lijo tse phethahetseng, tse thusang ho monya hantle le ho lebisa ho setulo sa tlhaho.

Mokhoa oa ho nka lithethefatsi tse thehiloeng ho pancreatic enzyme

Ho kenyelletsa lithethefatsi ke eona mokhoa o ka sehloohong oa ho alafa bakeng sa ho hloka thuso ea pancreatic ea bobeli. Litokisetso tsa pancreatin li nkuoa li sireletsehile, li na le litlamorao tse fokolang. Litsebi sebakeng sena li bitsa kalafo e bolokang e le mokhoa o mong oa ho buuoa.

Ho fihlela phello ea kalafo, batho ba baholo ba nka 25,000 ho isa ho 40,000 IU ea lipase ho cheka lijo tse tloaelehileng tsa mekato e meraro. Ha ho kgothaletswe ho feta tekanyo ea 10,000 IU ea lipase ka kilo e le 'ngoe ea boima ba' mele. Litšobotsi tsa litekanyetso bakeng sa batho ba baholo le bana li hlalosoa ka mokhoa o qaqileng ka litaelo tse kopantsoeng le ho kenya lipilisi.

Ka tloaelo, litokisetso tse nang le enzymes tsa pancreatic li sebelisoa pele, nakong ea lijo kapa ka mor'a lijo. Ha e kenella ka mpeng, khetla ea "capsule" kapa "dragee" ea nyoloha butle, 'me li-enzyme li fihlela tšebetso ea tsona e phahameng ho duodenum. Ho na le lintlha tsa mathata, ho etsa mohlala, ho kopanya ho lekaneng ha litaba tsa li-capsule le chyme ea mala, ho kenella ka nako e nepahetseng.

Haeba ho haella ha li-enzymes tsa pancreatic ho lebisitse ho litlamorao tse mpe, joale mokuli ea behiloeng ho ngaka o bua ka ho se khonehe ha phallo ea ho buuoa. Ho thibela nts'etsopele ea boemo bo sa lokelang, ho hlokahala hore o noe matlapa a thehiloeng ka pancreatin hantle, latela lijo.

Matšoao a pancreas a tšoaetsitsoeng (matšoao)

Li-Enzymes tsa lero la pancreatic li ka koaloa ka cholecystitis, ha "Calculator" e kenella mokhoeng oa gallbladder. Lintho tse sebetsang tse sebelisang bioloji li kenyelletsa autolysis - ho itšoaea lijo tsa lithane tsa pancreatic.

A pancreatitis e hlobaetsang, ho na le bohloko bo boholo ba ka mpeng le ho hlatsa. Tekanyo ea pelo ea mokuli ea eketseha, khatello ea mali ea fokotseha, 'me thempereichara ea phahama. Ho lula ho hopotsoa maikutlo a kamehla a ho hlatsa, leleme le omileng, ho fufuleloa haholo sefahlehong le matsohong a matsoho.

Ngaka e etsang tlhahlobo ea kantle ea mokuli, ntle le matšoao le matšoao a kaholimo, o supa hore letlalo la motho ea kulang le ba le boreleli kapa le bosehla, le pholile. Palpation e u lumella hore u tsebe hore na ho na le lipalesa, ho teneha ha peritoneum le paresis ea pampitšana ea gastrointestinal.

Phuputsong ea laboratori ea moroto oa mokuli, ho fumaneha hore ho na le li-enzyme tse ngata tsa lero la pancreatic. Teko ea mali e bontša ho eketseha ha palo ea lisele tse tšoeu tsa mali.

Ho Thibela Makhopho a Bolaeang

A pancreatitis e hlobaetsang, ho hlokahala ho fokotsa bohloko le lipontšo tsa matšoao a mang, empa li-analgesics ka kotloloho ha li thusa ho kokobetsa bohloko. Lithethefatsi tse laetsoeng tse fokotsang tšebetso ea tšoelesa le li-enzyme tsa eona: Gordoks, Kontrikal, Platifillin. Lethathamo la litlatsetso le boetse le tlatselletsoa ke lithethefatsi tsa antimicrobial, antispasmodic le antiemetic.

Hape, mokuli o lokela ho sebelisa lithethefatsi tse sitisang metsoako ea acid e ka mpeng. A pancreatitis e hlobaetsang, haeba ho na le likarolo tse tšoaetsitsoeng kapa tse shoeleng, ho tla hlokahala ts'ebetso ea ho buoa. Ha ho ruruha ho bakoa ke lejoe ka har'a duct, tsela e 'ngoe ea ho rarolla bothata ke ho tlosa gallbladder.

E 'ngoe ea lintlha tsa bohlokoa kalafong ea pancreatitis ke lijo. Ka foromo e matla, matsatsing a 3 a pele mokuli o lokela ho etsa ntle le lijo (tlala). Hoa hlokahala ho qoba mojaro ho phepelo ea tšilo ea lijo, ka hona, nakong e tlang lijana tse ngata li tlameha ho qheleloa ka thoko lijong.

Maemong afe moo litokisetso tsa enzyme ea pancreatic li fanoang

Lithethefatsi tsa Enzymatic li laetsoe mafu a amanang le tšilo ea lijo.

Matšoao a ho sebelisa meriana ena ke:

1. Pancreatitis e sa foleng Boemo ba tlhahiso ea enzyme bo khethoa ke mokhoa oa laboratori, o shebane le ts'ebetso ea lipase. Khetho ea lithethefatsi le litekanyetso tsa tsona tse nepahetseng li ikemiselitse ho nahanela botebo ba mathata, maikutlo a motho ka mong le litšobotsi tsa phepo e nepahetseng tsa mokuli.
2. Pancreatic resection. Ka ho tlosoa hoa tšoelesa ka botlalo, ho bohlokoa hore bakuli ba noe meriana e nang le li-enzyme tse ngata.

Motheo oa ho khethoa ha litokisetso tsa enzyme e ka ba mathata a mang ts'ebetsong ea li-enzymatic system:

• ho fokotseha ho amanang le lilemo mesebetsing ea pancreatic ea exocrine,
• pheko e rarahaneng ea cystic fibrosis, lefu la celiac, ulcer ea ka mpeng,
• tšitiso ea ts'ebetso ea hepatobiliary,
• sphincter dysfunction,
• lijo tse nang le mafura a mangata haholo.

Tlhomamiso

Ho ea ka mofuta oa ketso, meriana e arotsoe ka lihlopha tse peli:

• bakeng sa ho arola lijo ho khahlanong le manyeme,
• ho nolofatsa mosebetsi oa mala le ka mpeng, ho kokobetsa bohloko ba ka mpeng ka mpeng.

Sehlopha sa litokisetso tsa enzyme ho latela se sebetsang se hlahisoa lenaneng le latelang:

1. Meriana e nang le pancreatin ke litokisetso tse tsoang ka popelong tsa likhomo kapa likolobe. Li-enzymes tsa pancreatic li kenyelletsa: Mezim Forte, Pancreatin, Creon.
2. Lithethefatsi tse kopaneng, ho kenyeletsa pancreatin, hemicellulose, acid acid le lintho tse ling tse sebetsang, ke Festal, Panzinorm, Digestal, Kotazim Forte.
3. Lithethefatsi tse kenyelletsang li-enzymes tsa semelo sa semela - papain, fungal diastase. Li sebelisoa bakeng sa mamello ho lokisetsoa tlhaho ea liphoofolo. Mabitso a lithethefatsi sehlopheng sena ke Unienzyme, Pepfiz, Solizim, Nygeda.
4. Lithethefatsi tse kopaneng tse nang le enzymes ea phoofolo le semela sa semela, - Phlogenzim, Wobenzym.

Lithibelo

Ho sebelisoa li-inhibitor ho hatella li-enzyme tse ling tse ka bakang kholo ea li-pathologies. Li-blockers li fokotsa ts'ebetso ea li-enzyme tsa proteinolytic, li thibela ho lokolloa ha li-kinins, hape li thibela tsoelo-pele ea lits'ebetso tsa ho ruruha manyeme.

Phekolo ea antenzyme eu lumella ho kokobetsa bohloko, ho fokotsa ho tahoa, ho thibela necrosis ea tšoelesa, ho ntlafatsa bophelo bo botle ka kakaretso.

Li sebetsa maemong a pele feela a lefu lena 'me li ka laeloa ka bongata ho fihlela sephetho se nepahetseng.

Proteolytic

Li-enzymes tsa Proteolytic (liproteine) lia hlokahala molemong oa ho kenella ka mokhoa o tloaelehileng oa protheine ka mpeng e nyane. Li arotsoe ka lihlopha tse peli:

1. Li-exopeptidases ke li-enzyme tse hulang litlamo tsa terminal peptide. Tsena li kenyelletsa: pepsin, chymosin, gastricin le proenzymes trypsin, elastase, chymotrypsin.
2. Endopeptidases - li-enzyme tse senya litlamo tsa peptide tsa kahare, mohlala, li-carboxypeptidase, dipeptidase, aminopeptidases.

Meriana, likarolo tse sebetsang tseo e leng liprotheine, ke ea mefuta e 'meli:

1. Litokisetso tse rarahaneng tse nang le enzymes tsa pig pancreatic. Matlapa a tummeng ka ho fetisisa sehlopheng sena ke: Pancreatin, Mezim forte, Panzinorm.
2. Litokisetso li thehiloe ho nts'etsopelo ea mucosa ea gastric mucosa ea likolobe, motsoako o sebetsang oa pepsin.

Ho tsoa litlhare tsa setso

Tabeng ea lefu la pancreatic organ, litlama tse fapaneng tsa kalafo li ka sebelisoa ho kenyelletsa kalafo ea setso.

Litokisetso tsa litlama ha li khothalletsoe ho sebelisoa e le eona feela mokhoa oa kalafo - litlamorao tsa bona li fokola haholo ha li bapisoa le meriana.

Lisebelisoa tsa meriana ea setso li kenyelletsa metsoako ea tlhaho, empa tšebeliso ea tsona e lokela ho tšohloa le ngaka ea hau mme u netefatse hore ha ho na li-contraindication.

Ho eketsa secretion ea enzymes ea pancreatic, o ka sebelisa litlhare tsena tsa tlhaho:

• decoction ea metso ea burdock le elecampane, chamomile, calendula, lengana, sage, khoele,
• decoction ea metso kapa litlama tsa chicory,
• infusion ea metso ea fragole e hlaha,
• decoction of oats,
• infusion ea makhasi a bay.

Contraindication

Kamohelo ea litokisetso tsa enzyme e ka laeloa feela ke ngaka e eang. Setsebi se tla lekola boemo ba mokuli ka nepo, se tla khetha pheko e nahanela litšobotsi tsa mokuli le ho lekanya palo e nepahetseng.

U ke ke ua sebelisa li-enzyme bakeng sa kalafo maemong a:

• litlhaselo tsa pancreatitis e hlobaetsang kapa gastritis ho qoba ho khopeha ha mucosa ea ka mpeng,
• hyperuricosuria - ho ata ha uric acid e le hore u se ke oa qholotsa urolithiasis,
• allergies ho lihlahisoa tse tsoang ho nama ea khomo ea nama ea khomo, nama ea kolobe (feela litokisetso tse nang le motsoako o sebetsang oa phoofolo)
• ka bohloko bo ka mpeng ka ho bana, hobane e ka ba sesupo sa lefu le leng: li-tumor tse fapaneng, lefuba, ulcerative colitis, lymphoma.

Maemong a ho hlohlona ha pancreatic, litokisetso tsa enzyme e sebelisang kalafo e thusa ho ntlafatsa ts'ebetso ea tšilo ea lijo ka ho tlatsa bofokoli ba lintho tse hlahisoang ke 'mele. Lithethefatsi li mamelletsoe hantle, li na le litla-morao tse fokolang, li sebetsa hantle ha li sebelisoa nako e telele nakong ea kalafo e rarahaneng le ka tekanyo e le 'ngoe haeba ho ka ba thata ho feta tekano.

Mezim Forte

Litokisetso tsena tsa enzyme li theko e phahameng haholo ho feta tse fetileng. Theko ea eona e tloaelehileng ke li-ruble tse 190 ka pakete e 'ngoe le e' ngoe, e kenyelletsang matlapa a 20. Ntho e sebetsang ea Mezim le eona ke pancreatin. Empa ntle le eena, e boetse e na le lintho tse thusang - anhydrous silicon colloidal dioxide, talc, li-eketsa E122, sodium starch glycolate, MCC, macrogol, emulsion simethicone, titanium dioxide le polyacrylate dispersion.

Mezim e na le likhohlano tse fokolang. E ka se nkoe ka pancreatitis e matla le ho ata ha nako e telele, hammoho le tšitiso ea mokokotlo oa botona le boteng ba hypersensitivity ho excipients tse teng ka har'a moriana.

Ka litlolo tse nyane ho manyeme, Mezim o khothaletsoa ho nka boholo ba matlapa a 1-2 ka lijo. Ka ho se sebetse ka botlalo ka setho sa mmele - matlapa a 2-5. Sekhahla se phahameng sa letsatsi le letsatsi ke li-unit tse 20,000 / kg.

Creon 10000

Theko ea tlhahiso ena ea enzyme libakeng tsa litlama e ka ba li-ruble tse 270-300. Sebopeho sa eona se kenyelletsa:

• motsoako o ka sehloohong ke pancreatin,
• Excipients - macrogol, joala ba cetyl, phthalate ea hypromellose, triethyl citrate, dimethicone.

Ha e le litla-morao, ha o sebelisa sethethefatsi sena, bohloko bo ka mpeng, botšehali, lets'ollo, ho nyekeloa le pelo le ho hlatsa li ka ba teng. Hape hoa khoneha ho hlaha ponahalo ea microsing colonopathy, urticaria, hyperuricosuria.

Tekanyo e kholo ea letsatsi le letsatsi ea Creon 10000 ke likarolo tsa 10,000 / kg. Ho ke ke ha khoneha ho e nka ka mamello ea motho ka mong ho latela likarolo, pancreatitis e matla kapa ho mpefatsa ho sa foleng.

Penzital ke litokisetso tsa theko e tlaase ka ho fetisisa tsa theko e tlase, 'me theko ea tsona e sa feteng li-ruble tse 40 ka pakete (litafole tse 20). Ntle le pancreatitis, e na le lintlha tse latelang:

• lactose
• talcum phofo
• sodium starch glycolate,
• selulose
• povidone
• titanium dioxide
• colloidal silicon dioxide,
• methaconic acid Copolymer.

Joalo ka linyeoeng tse fetileng, ho ke ke ha khoneha ho nka Penzital ka hypersensitivity ho likarolo tsa lithethefatsi, a hlobaetsang kapa a atileng a pancreatitis. Maemong a mang kaofela, ho sebelisa meriana ena ho ka etsoa ntle le tšabo, empa ho latela morero o boletsoeng feela.

Moriana ona o sireletsehile. Litla-morao tsa mofuta oa ho ba le makhopho a letlalo, ho nyekeloa ke pelo, ho hlatsa, bohloko ba ka mpeng, hyperuricosuria, joalo-joalo, lia fumaneha haholo ha li tšoaroa.

Tekanyetso e tloaelehileng ea Penzital ho motho e moholo ke li-unit tsa 150,000 / ka letsatsi. Haeba ho na le pherekano e phethahetseng ea pancreatic, litekanyetso li nyolohela ho li-unit tsa 400,000 / ka letsatsi. Tekanyetso e phahameng ea letsatsi le letsatsi ea lithethefatsi ke li-unit tsa 15,000 / kg. Bakeng sa bana ba ka tlase ho lilemo tse 1.5, tekanyo e kholo ea Penzital ke li-unit / letsatsi tsa 50 000. Bakeng sa bana ba ka holimo ho lilemo tse 1.5, diyuniti / ka letsatsi.

Setlhare sena ha se sebetse litokisetsong tsa enzyme tse theko e tlaase, kaha litšenyehelo tsa eona li fapana ho tloha li-ruble tse 400. ho fihlela ho 1700 rub. ho ipapisitse le palo ea matlapa a le sephutheloaneng se le seng. Leha ho le joalo, Wobenzym e nkoa e le tokiso e sebetsang ka ho fetisisa le e sebetsang ka ho fetesisa ea enzyme, kaha e na le likarolo tse 'maloa tse sebetsang:

Lintho tse ling li kenyelletsa talc, starch ea poone, metsi a hloekisitsoeng, colloidal silicon diode, stearic acid, lactose le magnesium stearate. Sebopeho se na le mohopolo o mongata, empa mabapi le sethethefatsi sena, ho tlatselletsa pancreatitis e mpe le e feteletseng, ho na le li-contraindication tse ling tseo har'a tsona e leng:

• li-pathologies tsohle tse nang le nts'etsopele eo ho nang le kotsi e kholo ea ho bula mali a ka hare,
• bana ba ka tlase ho lilemo tse 5,
• hemodialysis
• hypersensitivity ho dintho tse mafolofolo kapa tse eketsehileng tsa moriana.

Monyetla oa Wobenzym ke ho se be teng hoa litlamorao ka botlalo. Ke maemong a ka thoko feela moo ho ka etsahalang lintho tse ling tse kulisang haeba sethethefatsi se ka nkuoa ka pel'a li-contraindication, kapa ponahalo ea ho kheloha hanyane ka monko le 'mala oa makhopho.

Sethethefatsi sena se sebelisoa ho moriana ka sepheo se fapaneng mme litekanyetso tsa sona li khethoa ka bonngoe. Empa haeba re bua ka mafu a manyeme, hangata a beoa ka tekanyo ea matlapa a 1-2 nakong ea lijo kapa ka mor'a lijo.

Litsenyehelo tsa sethethefatsi sena ke li-ruble tse 110-150. Ke tlhophiso ea enzyme e kopaneng, e netefatsang ho phetheloa ha khaello ea likarolo tsa bile le li-enzyme tsa pancreatic, ka ho etsa joalo ho tsamaisa ts'ebetso ea tšilo ea lijo.

Likarolo tse sebetsang tsa lithethefatsi ke:

• hemicellulase,
• likarolo tsa bile
• pacreatin.

Ho thibetsoe ho nka Degistal moo ho nang le maloetse le maemo a latelang:

• lefu la gallstone
• pancreatitis e matla le e feteletseng
• ho hloleha ha sebete
• hepatitis
• ho se mamellane ha likarolo tsa sehlahisoa seo.

Setlhare sena se nooa makhetlo a 2-3 ka letsatsi, matlapa a 1-3 ka nako nakong ea lijo kapa ka mor'a lijo. Keketseho ea litekanyetso e ka hlaha feela ka tumellano le ngaka e eang. Haeba u eketsa tekanyo ka boeena, sena se ka lebisa ponahalong ea litla-morao, tseo har'a tsona e leng:

• karabelo e matla ea allergic,
• fokotseha ha tlhaho ea makhopho a bile,
• hyperurifying
• litekanyetso tsa plasma tsa uric acid e maling.

Litokisetso tsa enzyme li thusa ho tlatsa khaello ea li-enzyme tsa pancreatic 'meleng mme li hlokahala bakeng sa ho tloaelehileng ha lits'ebetso tsa tšilo ea lijo. Empa hopola hore ho ba nka ntle le tsebo ea ngaka ho hang ha ho khonehe. Sena se ka u bakela mathata a tebileng a bophelo bo botle.