10 michere yakugaya bwino kwambiri
Potsatsa malonda a pa TV, timapatsidwa njira zambiri zokonzekera kugaya chakudya. Ngati kudya kwambiri - konzekerani enzyme. Koma kodi ndizosavuta? Kodi ndikotheka kutenga ma enzyme pafupipafupi komanso mosasamala? Poyamba, ndikufuna kutchera khutu: ngakhale otsatsa amalankhula pakuwongolera ntchito yam'mimba, makamaka, kukonzekera konse kwa enzyme kumakhala ndi ma enzymes a pancreatic. Sizigwira ntchito m'mimba, koma zimaphatikizidwa ndi chimbudzi pakumaliza kwake - mu duodenum. Potsatsa malonda a pa TV, timapatsidwa njira zambiri zokonzekera kugaya chakudya. Ngati kudya kwambiri - konzekerani enzyme. Koma kodi ndizosavuta? Kodi ndikotheka kutenga ma enzyme pafupipafupi komanso mosasamala?
Poyamba, ndikufuna kutchera khutu: ngakhale otsatsa amalankhula pakuwongolera ntchito yam'mimba, makamaka, kukonzekera konse kwa enzyme kumakhala ndi ma enzymes a pancreatic. Sizigwira ntchito m'mimba, koma zimaphatikizidwa ndi chimbudzi pakumaliza kwake - mu duodenum. Ndipo utoto wachikuda umapangidwa kuti uzisungunuka kokha mu duodenum.
Chifukwa chake, kukonzekera kwa enzyme kumathandizira ntchito ya kapamba. ndipo mosakhudza zimakhudza m'mimba komanso pang'ono pachiwindi.
Zingamveke, kuposa zoyipa ngati tingatsogolera ntchito ya chakudya chathu? Zilibe bwino. Choyamba, ngakhale kuti ndizokwera mtengo kwambiri kupeza ma enzymes pamankhwala, mankhwalawa anali ochokera ku nyama kokha m'zaka zana zapitazi. Enzymes tsopano amapangidwa biotechnologically ntchito transgenic tizilombo.
Koma chinthu chofunikira kwambiri sichikhala chimenecho. Ngati "mumathandizira" minofu yanu kwambiri, imafooka. Popanda kuchita masewera olimbitsa thupi, mtima ndi kupuma zimafookeranso, ndipo mafupa amakhala osalimba. Ngati sikokwanira kuphunzitsa ubongo, imatayanso ntchito. Sizachabe kuti oimira maukadaulo anzeru amasunga kukumbukira komanso kuganiza bwino kuposa ena, ngakhale atakalamba.
Momwemonso, popanda "kuphunzitsa" dongosolo la m'mimba limafooka. Kugwiritsa ntchito nthawi yayitali kukonzekera kwa enzyme kumabweretsa ulesi wa kapamba wa inshuwaransi. Ndipo awa si mawu opanda kanthu: mu pancreatitis wodwala patatha zaka 20, kufa kumakhala ndi 60% - ndipo makamaka chifukwa cha kuchepa kwa ntchito yapamba.
Chifukwa chake, ngakhale munthawi yochepa, ma enzyme ali otetezeka kwathunthu, ayenera kugwiritsidwa ntchito pokhapokha ngati sangathe kugawidwa. Mukugaya chakudya pachimake kapena kuchulukitsa kwa matenda osachiritsika (makamaka kapamba), kukonzekera kwofunikira ndikofunikira. Komabe, iyenera kumwedwa pakadutsa miyezi 1-2, munthawi yomweyo chakudya chamagulu komanso zovuta kuchira. Mwamwayi, tsopano pali mankhwala azitsamba ambiri omwe amagwira ntchito kwambiri mu kapamba.
Koma kumwa ma enzyme mosasamala ndi kosayenera. Zachidziwikire, ngati mudadya katatu kapena kasanu pachaka ndikuthana ndi vutoli mothandizidwa ndi mapiritsi, palibe vuto. Koma mwatsoka, njira zilizonse zosavuta zimayambitsa kuzunzidwa.
Kupezeka kwa ma enzyme pafupi nthawi zonse kumatanthauza kuti munthu amadya kwambiri pafupipafupi - sabata iliyonse kapena pafupipafupi. Zotsatira zake, pakatha chaka chimodzi, mankhwala amphamvu azidzafunika, kenanso olimba, kenako modzidzimutsa kuti popanda ma enzyme, ngakhale phala silingakumbwa.
Chifukwa chake, njira yolondola kwambiri ndiyenera nthawi zonse kuwongolera kuchuluka komanso chakudya chochuluka. Nthawi zambiri, ndizosavuta: musamadye mu cinema, kapena kunyumba pamaso pa TV kapena buku. Ngati chisamaliro chonse chimayang'ana pa chakudya, thupi limazindikira nthawi yoyima.
Vutoli limakhala lovuta kwambiri patchuthi, pomwe kulumikizana kosangalatsa, mowa komanso kusintha zakudya kumapangitsa kuti munthu asamve bwino. Koma tchuthi sichikhala tsiku lililonse, ndipo sizovuta kuti akonzekere.
Choyamba, theka la ola musanadye, muyenera kumwa 300-500 ml ya madzi - pafupipafupi kapena mchere. Anthu ambiri amakono nthawi zambiri amakhala kuti alibe madzi okwanira. Mwina simungamve ludzu, koma m'mimba, kapamba ndi chiwindi zidzayamika kwambiri chifukwa cha sip ya madzi musanayambe kugwira ntchito molimbika.
Tengani hepatoprotector yochokera kumera patatsala pang'ono tchuthi. Osakhala aulesi kwambiri kupita ku mankhwala osokoneza bongo kuti mumutenge. Onaninso ndi a pharmacist - atha kukhala ndi mankhwala azitsamba angapo omwe amasintha ntchito ya m'mimba ndi chimbudzi ambiri. Mankhwalawa awiri kapena atatu achilengedwe sangapweteke kutenga nthawi ya holide isanachitike, komanso kangapo pambuyo pake.
Kuti muthandizike m'mimba ndi kapamba, sikofunikira kumwa michere pamapiritsi. Mapini, kiwi ndi papaya zimakhala ndi ma enzymes olimba kwambiri a proteinolytic omwe amatha kukonza chimbudzi.
Ngati inu ndiye wolakwitsa patchuthi, onetsetsani kuti mwapereka chimodzi mwa zipatsozo patebulo. Choyamba, zimakhudzana ndi nyama ndi nsomba, chifukwa zimathandizira kuti chimbudzi chikhale ndi mapuloteni.
Ngati mupita kukacheza - palibe amene amada nkhawa kuti abweretseni mtanga wa kiwi kapena chinanazi nanu. Ndikuganiza kuti sizingakhale zovuta kuti musonyeze yemwe akuona alendo kuti azipereka zipatso patebulo osadikirira chakudya.
Inde, kuchiritsa kwabwino kwambiri kuposa kudya kwambiri osadya kwambiri. Koma mukakhala patebulo la zikondwerero, zimatha kukhala zovuta kwambiri kukana. Ndipo muzochitika zotere, chithandizo chachilengedwe chiyenera kubwera populumutsa - ndipo choyambirira, ndikusankhidwa bwino kwa zipatso pazosankha. Ndipo ndikwabwino kusiya mankhwalawo ngati mukudwala. Ndipo aloleni kuti musawafunikire.
Kodi ma Enzymes ndi chiyani ndipo ndichifukwa chiyani amafunikira
Ndi mamolekyulu ochepa okha omwe amatha kulowa m'magazi kudzera mu khoma lamatumbo: amino acid, monosaccharides (glucose, fructose), mafuta acids. Zonsezi ndi "njerwa" zoyambirira za zinthu zovuta kwambiri: mapuloteni, mafuta ndi chakudya. Enzymes amapanga zinthu zovuta kukhala "njerwa" zosavuta:
- ma amylase ndi zovuta ma carbohydrate,
- milomo ndi mafuta,
- mapuloteni ndi mapuloteni.
Chimbudzi, ndiko kuti, kugawika kwa zinthu zovuta kukhala zazing'ono, kumayamba mkamwa, pomwe malovu amkati amaphatikizidwa. M'mimba, pomwe chilengedwe ndi acidic, zochitika za amylase zimayimitsidwa, chakudya chimakonzedwa ndi proteinolytic enzyme pepsin, yomwe imatha kugwira ntchito m'malo acidic. Potuluka kuchokera m'mimba (mu antrum), malo omwe amakhala ndi chakudya amasakanikirana, ndipo mtanda wozungulira chakudya umadutsa duodenum - gawo loyambirira la m'matumbo aang'ono. Apa imakonzedwa ndi bile, yomwe imalimbitsa mafuta - imasandutsa kuyimitsidwa kwa madontho ang'onoang'ono. Chifukwa chake malo amakumana ndi mafuta okhala ndi lipases amawonjezeka. Kuphatikiza pa lipases, ma amylases ndi mapuloteni amagwira ntchito mu duodenum. Ma enymes ovuta amenewa amapangidwa ndi kapamba, chifukwa chake mayendedwe ake omwe amapezeka m'mankhwala amatchedwa pancreatin (lat.pancreas - kapamba).
Ngati, pazifukwa zina, ma enzymewo sanapangidwe okwanira kapena sangathe kugwira ntchito (mwachitsanzo, ndi kuchepa kwa acid m'matumbo, mapuloteni m'mimba sawonongeka), njira ya kugaya imasokonekera. Zakudya zosakonzedwa bwino zimayamba kukhumudwitsa khoma lamatumbo, zimayambitsa kutsegula m'mimba, kupweteka, kutulutsa. Mu theka la ola - ola limodzi mutatha kudya, kumalimbikitsidwa kupita kuchimbudzi, ndowe zomwe zimalowetsedwa zimakhala zochulukirapo, zokhala ndi mafinya, komanso zimakhala ndi fungo losasangalatsa.
Nthawi zambiri vuto lofananalo limapezeka mu chifuwa chachikulu, pomwe, mothandizidwa ndi kutupa, maselo omwe amapanga ma enzymes amafa. Chifukwa china chodziwika bwino ndikuphwanya kwa mtundu wotuluka wa bile chifukwa cha bysary dyskinesia kapena atachotsa ndulu. Mafuta ophatikizika mosakwanira samalumikizana ndi ma enzyme ndipo amawonongeka kwambiri.
Kuyika ma enzymes abwino kwambiri
Kusankha | malo | dzina la malonda | mtengo |
Ma enzymes abwino kwambiri kwa akuluakulu | 1 | Micrazim | 635 ₽ |
2 | Mezim | 66 ₽ | |
3 | Chikondwerero | 123 ₽ | |
4 | Acidin-Pepsin | 80 ₽ | |
Ma enzymes abwino kwambiri aana | 1 | Colif amatsitsa ana | 1 573 ₽ |
2 | Creon Micro 5000 | 1 224 ₽ | |
3 | Lactazar | 413 ₽ | |
WABWINO WABWINO KWAMBIRI | 1 | Tsopano Zakudya, Enzymes Zomera | 1750 ₽ |
2 | Pepfiz | - | |
3 | Enzyme Vegan | 390 ₽ |
Ma enzymes abwino kwambiri kwa akuluakulu
Mu gululi lagululi tasonkhanitsa ma enzyme otchuka kwambiri okalamba.
Pancreatic enzyme tata - pancreatin - yokhala ndi ma amylase, lipase ndi mapuloteni, imayikidwa mu ma microspheres, omwe, pomwepa, amakhala ndi makapisozi. Kashiamu imasungunuka m'mimba, microspheres imasakanikirana ndi mtanda wazakudya, kudutsa m'matumbo ndipo imasungunuka kale mothandizidwa ndi sing'anga wamasamba, kumasula ma michere. Chifukwa chake, ma enzymewo amasakanikirana ndi chakudya ndipo amagwira ntchito bwino kwambiri momwe angathere.
Malangizo azachipatala pochizira kusakwanira kwa pancreatic pancreatic mosiyanitsa amafotokoza kuti njira yokhayo yoperekera michere m'matumbo ndiyo ma microspheres kapena microtablets, yomwe imayendetsedwa kokha mu lumen yaying'ono.
Tengani kapisozi katatu patsiku ndikudya. Popeza mawonekedwe a kumasulidwa kwa mankhwalawa, makapisozi sangathe kutafunidwa - ngati chipolopolo cha microspheres chiwonongeka, ma enzymewo amakhala osakhazikika m'malo ammimba.
Ngati mankhwalawa amagwiritsidwa ntchito nthawi zina ndi kudya kwambiri, mulingo wokwanira 10,000 ndi wokwanira. Nthawi zina, mankhwalawa amayenera kutumizidwa ndi adokotala, ndipo ndi amene ayenera kudziwa mlingo woyenera.
Angafananize ndi Hermitage, Creon.
Zoyipa
- mtengo wokwera.
Kusankha kwachuma: kutulutsa kofanana konse kwa kapamba a nyama - kapamba, monga momwe adapangira kale, koma kuyikidwa pamapiritsi okhala ndi zokutira enteric. Ma Enzymes samakhazikika m'mimba, amayamba kugwira ntchito atangolowa m'matumbo, koma poti piritsi limafunikira nthawi kuti amasungunuke, zimakhala zovuta kwambiri kuyankhula za kugwiritsidwa ntchito kwa ma enzymes ndi chakudya (monga momwe timakumbukira, ntchito ya ma enzymes ndiyokwera, malo okwera ndi gawo lawo lolumikizidwa ndi chakudya )
Komabe, poganizira kusiyana kwamtengo wokwana kasanu ndi mankhwala am'mbuyomu kuchokera pamalingaliro athu, sizodabwitsa kuti mankhwalawa ali ndi mafani ambiri. Komabe, titha kuvomereza makamaka kwa anthu athanzi labwino omwe moyo wawo sudalira kwambiri phindu la mankhwala omwe amwedwa.
Analogues zotheka ndi Penzital.
Pancreatic Enzymes ndi chimbudzi
Zikondwererozi zimagwira monga chimba chachikulu m'mimba. Maukizi a chiwalochi amalowa mu duodenum, komwe ndi gawo loyamba la matumbo aang'ono. Ma buluziwa amatengera ma enzensi apancreatic kupita kumalo okugaya, komwe mapuloteni, mafuta, ndi michere zimawonongeka.
Gawo lazopusa la kapamba limatulutsa:
- Bicarbonates, omwe amapanga malo amchere mu duodenum kuti achepetse hydrochloric acid omwe amatulutsidwa ndi m'mimba,
- Ma electrolyte ndi madzi,
- Kupukusa michere.
Ma pancreatic enzymes, amatha kugawidwa m'magulu:
Lipase, yomwe imakhudzidwa ndi kuthana ndi mafuta kupita ku mafuta acids ndi glycerol. Izi zimathandiza kukonza kuyamwa mu magazi a zinthu zomwe zimalowa m'mimba.
Amilazu, yomwe imakhudzidwa ndi kuthyololoka kwa ma starter kupita ku oligosaccharides. Kuphatikiza apo, michere ina yokugaya imasokoneza zinthu zomwe zimapanga glucose, zomwe ndizofunikira kuti zitheke mphamvu. Mluza umalowa m'thupi mwa kulowa m'magazi.
Mitengo, omwe agawidwa kukhala pepsins ndi chymotrypsins, carboxypeptidase, elastase. Ma pessins ndi ma chymotrypsin amatenga nawo gawo pakusweka kwa mapuloteni kupita ku ma peptides. Kupitilira apo, carboxypeptidase imatulutsa ma peptides ku ma amino acid, omwe amalumikizidwa bwino ndi thupi. Ma enzyme a Elastase amaphwanya elastin ndi mitundu ina ya mapuloteni.
Kugawidwa kwa ma enzymes mumagawo am'mimba kumachitika kudzera mu ubale. Ndi kuwonjezeka kwa milingo ya chymotrypsin ndi trypsin m'dera la duodenum, kupanga ma enzyme kumayima. Kutulutsa kumayambiranso pambuyo poti chizindikiro chachilendo chidzafika mu mawonekedwe a mpweya wamatumbo, mawonekedwe a fungo ndi kukoma.
Ma enzymes am'mimba ndi mawonekedwe awo kapamba
Monga mukudziwa, ziwalo zonse za anthu zimapangidwa ndi minofu, yomwe imapangidwa ndimapuloteni. Kapamba ndiwonso. Pakadali pano, thupi limakhala ndi ntchito yapadera yoteteza, chifukwa ma enzymes omwe amapanga sangathe kugaya thupi palokha. Izi ndichifukwa choti ma enzyme amayamba ntchito yawo pokhapokha atakhala pachiwindi cha m'mimba yaying'ono.
Pancreatitis ndi matenda oopsa a kapamba omwe amapezeka kwambiri mwa anthu. Chachilendo cha matendawa chimakhala chakuti chikhodzodzo chimayambitsa michere patsogolo pake, zomwe zimabweretsa kuwonongeka mwachangu osati chakudya chobwera, komanso chiwalo chamkati chomwe chimapangitsa ma enzyme amenewa.
Kuphatikizidwa kwa kapamba kumaphatikizapo mapuloteni omwe, mothandizidwa ndi michere, amayamba kuwonongeka, zomwe zimayambitsa kuphedwa kwa minofu ya pancreatic. Pankhani ya pancreatitis pachimake, njirayi imachitika mwachangu kwambiri. Ngati simutenga mwachangu njira zoyenera ndipo simukufuna chithandizo chamankhwala, munthu akhoza kufa. Matenda a kapamba amachedwetsa kuwonongeka kwa nthawi yayitali, matendawa amakula pang'onopang'ono.
Zikondamoyo ndi kuchepa kwake
Zikondazo zimabisa ma enzymus m'chigawo cham'mimba ndi m'mitsempha yamagazi, chifukwa chake, kuperewera kwa chinsinsi chakunja kapena mkati kumasiyanitsidwa. Chifukwa chosakwanira katulutsidwe wamkati, munthu nthawi zambiri amakhala ndi matenda a shuga. Pankhaniyi, kapamba sangathe kuthana ndi kukonzekera kwathunthu kwa insulin, yomwe imayambitsa kuthira shuga m'maselo a ziwalo. Matendawa amatha kupezeka ndi kuyesedwa kwa magazi komwe kumawonetsa kuchuluka kwa shuga m'magazi.
Pankhani ya kusakwanira kwa katulutsidwe wakunja, kuchuluka kwa ma enzymes a dongosolo la chakudya omwe amapangidwa amachepetsa. Izi zimabweretsa kuti wodwalayo sangadye ambiri. Chifukwa chakuti kapamba amasokonezeka, ma enzymes sangathe kuthana ndi kugawanika kwa triglycerides. Izi zimatsogolera ku mfundo yoti akatha kudya zakudya zamafuta munthu amayamba kumva mseru komanso kupweteka m'mimba.
Pancreatic insufficiency ikhoza kukhala yogwira komanso yachilengedwe. Poyamba, matendawa ndi osakhalitsa ndipo amachiritsidwa msanga wodwala akayamba kumwa mankhwala omwe dokotala amafunsa.
Matenda amtunduwu amayamba chifukwa cha mtundu uliwonse wa poizoni kapena matenda opatsirana. Ndi kusakwanira kwa organic pancreatic, matendawa amasamalidwa kwambiri kotero kuti sangathe kuthandizidwa mwachangu. Pankhaniyi, kuchotsa kapamba ndi kubwezeretsa ntchito yathupi lathunthu ndikovuta.
Pofuna kuthana ndi matendawa, wodwalayo amapatsidwa mankhwala okhwima, omwe samaphatikizira kuyamwa kwa zakudya zamafuta, kapena mndandanda wachisanu. Zakudya zopatsa thanzi zimachitika kasanu patsiku kakang'ono.Kuphatikiza apo, ma enzyme adayikidwa kuti athandize magwiridwe antchito a pancreatic. Mankhwalawa amapezeka mwanjira ya mapiritsi, nthawi zambiri amatengedwa panthawi yakudya, kuti mankhwalawo amamwe kwambiri, ndipo wodwalayo samva kuwawa.
Mankhwala osokoneza bongo
Kukonzekera kwa enzyme kumathandizira kudzaza muyeso wosowa wa michere yofunika m'thupi ngati kapamba, chifukwa cha matendawa, sangathe kudzipanga pawokha moyenera. Komabe, ndikofunikira kumvetsetsa kuti izi sizithandiza kubwezeretsanso ntchito ya pancreatic.
Kutengera ndi kuopsa kwa matendawa, dokotalayo amapereka mankhwala ndi mapiritsi a kapamba. Ngati okalamba ali osakwanira okalamba, tikulimbikitsidwa kutenga kukonzekera kwa enzyme yaying'ono. Ngati kapamba sachira, dokotala amakupatsani mankhwala tsiku lililonse.
Kukonzekera kwa enzyme kumapangidwa kuchokera ku minofu ya ziwalo za nyama. Mutha kuzigula pa mankhwala aliwonse popanda mankhwala a dokotala. Mankhwalawa akuphatikizapo
- Chiboni
- Mezim
- Chikondwerero
- Enzystal
- Pancreon
- Pangrol,
- Panzinorm.
Mankhwala amapangidwa malinga ndi kuchuluka kwa lipase, yomwe imakhudzidwa pakukola kwa mafuta. Izi nthawi zambiri sikokwanira kugawa kwa triglycerides. Kuti ma enzymes asawonongeke, kulowa mu madzi a m'mimba, kukonzekerako kumakulungidwa ndi zokutira zapadera.
Zotsatira zake, piritsi imayambitsa zochita za ma enzyme atangolowa mu duodenum. Kuphatikiza pa mapiritsi, mankhwalawa amapezekanso mu mawonekedwe a capule. Mankhwala amtunduwu amagwira ntchito mthupi bwino kwambiri chifukwa chakuti amasakanikirana bwino ndi chakudya ndipo amalowa mthupi mwachangu.
Acidin-Pepsin
Ngati njira zina zonse za mtundu wathu zimapangidwira kuti matumbo athu azigwira bwino, mankhwalawa ali ndi ma enzyme ovuta kupukusa m'mimba.
Monga tanena kale, ndipamene gawo loyamba la chimbudzi cha protein limachitika. Koma kuti ma protein a m'mimba agwiritse ntchito, malo okhala acidic amafunikira. Ndi atrophic gastritis, tiziwalo timene timatulutsa timadzi timene timatenda timatumbo timene timafa chifukwa cha kutupa kwa nthawi yayitali. Kubaya m'mimba kumawonetsedwa ndi kuwuma mukatha kudya, kukomoka, komanso kukhazikika kwa mpweya. Mawonekedwe a kutaya kachiromboka chifukwa cha kumeza kwa kuchuluka kwa chakudya chosakwanira bwino m'matumbo nako kumachitika pafupipafupi:
- kufooka mwadzidzidzi mutatha kudya, mpaka kukomoka,
- kugona
- womvera
- thukuta
- hiccups.
Zikakhala choncho, dokotala amatha kukupatsani mankhwala Acidin-Pepsin.
Muli zovuta za michere yam'mimba (pepsin) ndi betaine hydrochloride. Pepsin - gawo kuchokera kumimba la m'mimba la nkhumba. Betaine hydrochloride, kulowa m'madzi, ndi hydrolyzed (decomposed) ndi kutulutsidwa kwa hydrochloric acid, kupereka malo oyenera kuchitira pepsin.
Mapiritsi awiri ayenera kusungunuka mu theka kapu yamadzi ndi kumwa pomwe mukudya.
Ma enzymes abwino kwambiri aana
Mankhwala aana ali ndi mawonekedwe awo. Choyamba, ndizoletsedwa kupatsa ana osaposa zaka 3, ndi makapisozi kwa zaka 5, akukhulupirira kuti pamsika uwu yokha mwana amatha kumeza mankhwalawa osakwenitsidwa. Ana sakonda kumwa mapiritsi. Ndipo, ngati, kwa antipyretic, mutha kugwiritsa ntchito njira ya "agogo", kudzutsa mankhwala omwe adaphwanyidwa kupanikizana, ndi ma enzymes am'mimba, njira yothandizira mankhwalayi ndi yosavomerezeka - chifukwa ngati chigoba cha piritsi lomwe limaphulika m'mimba, chinthu chogwiritsa ntchito chimataya ntchito.
Kuphatikiza apo, kwa ana, sivuto lama pancreatic lomwe ndilofunika kwambiri, koma kulephera kwa puloteni imodzi - lactase - popanda icho mwana sangathe kugaya bwino disaccharide yomwe ili mkaka - lactose.
Izi zimawonetsedwa ndi kuphulika kwamkati, kwamtopola, ma colic, zopondaponda pafupipafupi. Ndipo ngati munthu wamkulu yemwe sangathe kulolera mkaka sangamwe, ndiye kuti mwana, makamaka m'mawere, sangathe popanda mkaka. Inde, pali zosakaniza zopanda lactose, koma sizili mkaka wa m'mawere, ndipo sizotsika mtengo. Ichi ndichifukwa chake timayamba mtundu wa michere yapamwamba kwambiri ya ana omwe ali ndi mankhwala okhala ndi lactase.
Colif amatsitsa ana
Ichi ndichakudya chowonjezera chomwe chimalimbikitsidwa kwa ana omwe ali ndi vuto lactase. Wopezeka mu botolo lopopera. 1 mlingo wa mankhwalawa - 4 madontho. Musanadyetse mwana, muyenera kufotokozera supuni zamkaka ziwiri - 3, mkaka muiwo, perekani mwanayo kuchokera supuni ndikupitiliza kuperekera bere monga mwa masiku onse. Kwa mwana yemwe akuyamwitsa, madontho anayi a mankhwalawa amathandizidwa kuti awonjezere kuchuluka konse kosakaniza, komwe kumangodyetsa kamodzi.
Mankhwala ndi mkaka wothira ndi madziwo sangakhale wowundana, kapena kuwotcha pamwamba madigiri 37.
Monga lamulo, pofika zaka zisanu ndi chimodzi mwa ana omwe ali ndi vuto la kuchepa kwa lactase, kupanga kwawo kwa enzyme kukukhazikitsidwa. Chifukwa chake, pofika m'badwo uno, mutha kuchepetsa ndalama pang'onopang'ono. Koma nthawi zina vutoli limakhalabe ndi moyo.
Kodi mukufuna ma enzyme okugaya?
Ngati mungapange lamulo kuti nthawi zonse muziyang'anira thanzi lanu m'mimba ndi m'mimba, ndiye kuti kusintha kulikonse kumadziwika pompopompo. Mukayamba kupeza gwero lavuto, mumakhala wosavuta komanso wothana nalo. Pali zizindikiro zingapo zomwe ambiri samalabadira, zomwe zikuwonetsa kukhalapo kwa mavuto am'mimba:
- Kugona. Ngati mumagona kwa maola 6-8 patsiku, koma mumagona, ndiye kuti thupi lanu limasowa mavitamini, michere ndi michere yambiri. Kuti awabweretse m'malo, amakakamizidwa kugwiritsa ntchito mphamvu zomwe zimasungidwa, zomwe zimasinthira kukhala tulo.
- Kutopa Zomwe zimayambitsa kutopa kwambiri zingakhalenso kuchepa kwa michere mthupi.
- Kuzindikira kwa khungu. Zimakhala zoopsa, zotayika komanso maonekedwe okongola.
- Kupweteka kwam'mimba. Ngati kupweteka m'mimba kwakhala kukuchitika pafupipafupi, ndiye kuti izi ndi chizindikiro chophwanya dongosolo la chimbudzi. Ngakhale ululuwo ukakhala wofooka komanso wololera mosavuta.
- Kuzindikira kwa mkhalidwe wa misomali ndi tsitsi. Chimodzi mwazinthu zodziwika bwino komanso zofunika kwambiri zomwe zikuwonetsa mavuto akulu m'mimba.
- Kusokonezeka kwamatumbo. Kudzimbidwa pafupipafupi, kutsegula m'mimba, kufalikira ndi maluwa.
- Chilichonse chofooka. Zomverera zosasangalatsa m'mimba zimakhudza mwachindunji chidwi cha munthu chofuna kudya. Ngati mwadzidzidzi munayamba kudya kawiri patsiku, m'malo mwa masiku onse 3-4, ndiye kuti dongosolo logaya chakudya limakumana ndi zovuta zina.
Chimodzi mwazinthu zisanu ndi ziwiri zomwe zaperekedwa ndizokwanira kuti mukacheze katswiri woyenerera ndikuyamba kumwa ma enzymes.
Zizindikiro zogwiritsidwa ntchito
Enzymes amabisidwa ndi endocrine glands. Enzymes imagwira gawo lililonse la chimbudzi, chomwe chimayamba kale pamkamwa. Chizindikiro chachikulu cha kuikidwa kwa mankhwalawa ndi kuchepa kwa enzyme. Izi zimachitika ndi matenda otsatirawa:
- Kutupa matenda a m'mimba thirakiti: gastritis, kapamba, cholecystitis, chiwindi, cholangitis, colitis.
- Matenda a matendawa a autoimmune: Matenda a Crohn, ulcerative colitis.
- Matumbo osavomerezeka, dyspepsia.
- Congenital Fermentopathy: kuchepa kwa lactase, cystic fibrosis, matenda a celiac.
- Matenda a mano omwe amatsogolera kutafuna chakudya.
- Pambuyo pochita opaleshoni ndi opaleshoni wamba, michere imatha kuperekedwa kwa odwala kwa nthawi yobwezeretsa matumbo.
- Mafuta amafunikira monga chithandizo chothandizira m'malo mwa munthu m'mimba, kapamba, kuchotsa ndulu.
Komanso, mankhwalawa angafunikire kwa anthu omwe amamwa mankhwala okhala ndi anti-bacterial komanso a antibacterial a nthawi yayitali, komanso mahomoni ndi cytostatics.
Yalangizidwa: Kuti mupewe kukulira kwa enzyme, gwiritsani ntchito zakudya zomwe zakonzedwa bwino zokha, idyani nthawi zambiri m'magawo ang'onoang'ono, kusiyanitsa zakudya zanu ndi zinthu zamkaka, zipatso, masamba, chimanga
Kodi vuto la enzyme limawoneka bwanji?
Kuperewera kwa michere kumayamba kudziwonetsa ngati zizindikiro za kupukusa m'mimba: kutentha kwa mtima, kulemera m'mimba, kupindika, kuchuluka kwa mpweya. Chifukwa cha kunyowa ndi kusokonezeka kwa zinthu zopindulitsa, zovuta za pakhungu, misomali ndi tsitsi zimawonekera, ndipo zotere zimasokonezeka. Munthu amakhala wopanda mavitamini ndi michere, kutopa, kugona.
Chidwi: Kukonzekera kwa enzyme kungathe kufotokozedwa ngati gawo limodzi la zovuta ku chipatala, gastroenterology, ziwengo ndi mbali zina zamankhwala.
Odwala ena, akudziwa za vuto logaya chakudya, amagwiritsa ntchito mankhwalawa nthawi ndi nthawi, asanachitike phwando. Izi sizolondola, chifukwa kudya kwambiri molumikizana ndi kugwiritsa ntchito mosagwiritsa ntchito ma enzymes kumasokoneza ntchito yam'mimba ndipo kumabweretsa zotsatirapo zake. Chifukwa chake, kukonzekera kwa enzyme kuyenera kuyikidwa ndi katswiri ndikutengedwa moyenera, osati m'malo omwe munthu sangathe kuwongolera chidwi chake.
Mitundu yamankhwala omwe ali ndi ma enzymes
Kukonzekera kwa enzyme kumapezeka chifukwa cha kapamba wa nkhumba, kapamba wa ng'ombe ndi mbewu. Kukonzekera kumatha kukhala nyama kapena chomera, kapena kuphatikiza. Popereka mankhwala kapena mankhwalawa, dokotala amatsogozedwa ndi zida zake zazikulu:
- Pepsin - puloteni ya m'mimba,
- Ma pancreatic enzymes - lipase, amylase ndi trypsin - omwe amapezeka kuchokera kapamba wa nkhumba kapena ng'ombe,
- Ma Bile Acids
- Enzymes of chomera,
- Kukonzekera kwa enzyme komwe kumawononga lactose (yogwiritsidwa ntchito pakuchepa kwa lactase),
- Mankhwala osakanikirana.
Chofunika: Zakudya zonse za enzyme zimayamba kugwira ntchito zisanachitike mphindi 20 pambuyo pa makonzedwe, motero tikulimbikitsidwa kuzigwiritsa ntchito musanadye.
Mankhwala a Pepsin
Nkhani yothandiza? Gawani ulalo
Pepsin ndi puloteni yotulutsidwa ndi mucosa wam'mimba. Ndikofunikira pakuwonongeka kwa mapuloteni. Mankhwala a Pepsin, omwe ndi a Pepsin, Abomin, ndi Pepsidal, amagwiritsidwa ntchito mwa anthu omwe ali ndi matenda am'mimba, nthawi zambiri amakhala ndi atrophic gastritis.
Mapuloteni ndi ofunikira kwambiri kagayidwe kamphamvu, ndipo ndi osakwanira kupanga pepsin kufooka ndi kuchepa kwa magazi m'thupi. Kuphatikiza apo, chakudya chochokera m'mimba chimalowa m'matumbo osakonzedwa bwino, chomwe chimafuna ntchito yayikulu kuchokera m'mimba ndipo chitha kuyambitsa matumbo. Kukonzekera kwa enzyme komwe kumakhala ndi pepsin kumaperekedwa kwa odwala monga chithandizo chamankhwala kwa moyo wonse pambuyo pa gastrectomy.
Pancreatic michere
Creon, Mezim-forte, Pancreatin - onsewa ndi mapiritsi a chimbudzi ndi ntchito yomweyi - kapamba. Gawo logwira ntchito la mankhwalawa limaphatikizidwa m'miyala yomwe imakutidwa ndi chipolopolo choteteza. Pancreatin ndimtundu wa kapamba womwe umagwira m'matumbo ang'ono, motero chipolopolo choteteza chimakupatsani mwayi woperekera chinthucho kwa chandamale.
Pali zambiri zomwe zikuwonetsa kugwiritsa ntchito mankhwalawa, koma popeza pancreatin imalowetsa ma enzymes achilengedwe a pancreatic, mankhwalawa amapatsidwa makamaka ma pathologies a chiwalochi. Ma enzymus a pancreatic ndi otetezeka ndipo amatha kugwiritsidwa ntchito kwa nthawi yayitali, ngati pangafunike. Mwachitsanzo, ngati akudwala kapamba komanso pambuyo pake (kuchotsedwa kwa gawo) la kapamba, Creon, Pancreatin kapena Mezim-forte atha kulimbikitsidwa musanadye chakudya chilichonse.
Chofunikira: Ngati dokotala adalimbikitsa kumwa ma enzymes nthawi zonse, ndiye kuti muyenera kumvetsera kuti musasokoneze ntchito yapakansa kwambiri. Ndipo china chosankha izi chikhoza kukhala chakudya chokhazikika kwa nthawi yayitali.
Ma Bile Acids
Ma acile acid amatengapo gawo pa kuwonongeka kwamafuta ndikuthandizira chinsinsi cha ziphuphu. Komanso, kuphatikiza kwa mankhwalawa kumaphatikiza mawonekedwe amadzimadzi, omwe amachititsa chidwi cha peristalsis, ndi antifoam, kuthetsa flatulence. Zisonyezero zogwiritsidwa ntchito ndi matenda a chiwindi ndi ndulu, komwe kapangidwe ka bile amadzala. Mankhwala a Bile acid akuphatikiza Festal, Digestal ndi Enzistal.
Kuphatikiza pa bile acid, mankhwalawa amakhalanso ndi pancreatic enzyme - pancreatin. Chifukwa chake, mutha kupita ndi ma pathologies a kapamba. Komabe, othandizira omwe amakhala ndi bile acid samasinthasintha nthawi zonse ndi pancreatin (Mezim), chifukwa nthawi zambiri odwala sagwirizana ndi bile. Chifukwa chake, mankhwalawa amagwiritsidwa ntchito mwa anthu omwe ali ndi vuto la chiwindi.
Chomera Enzymes
Ma Envymes kuti athetse chimbudzi cha chomera zimakhudza kwambiri m'mimba. Amathandizira kusunthika kwam'mimba ndi matumbo, amachepetsa mapangidwe a gasi, amasintha kuyamwa kwa zinthu zopindulitsa, amathandizira kagayidwe kazachilengedwe ndikuwongolera kuwonongeka kwa mafuta, mapuloteni ndi chakudya.
Mankhwala angagwiritsidwe ntchito matenda a chiwindi, kapamba, matumbo ang'ono ndi akulu, komanso kwa matenda a chimbudzi pakatha masiku ogwirira ntchito.
Ngakhale zimachitika mosiyanasiyana, mankhwalawa samatchulidwa, chifukwa pali kukonzekera kogwira mtima kwa mbewu. Nthawi zambiri, kukonzekera kwa michere kumayesedwa musanakonzekere kuphunzira zam'mimba.
Ndalamazi ndi monga Pepfiz, Unienzyme, Solizim, Oraza, Sestal. Kukonzekera kochuluka kwa magwero a mbewu, makamaka, Pepfiz, amakumana ndi ana ndi amayi apakati.
Kukonzekera kwa enzyme komwe kumawononga lactose
Lactase akusowa sizachilendo masiku ano. Odwala amavutika ndi vuto la kugaya chakudya, amachiza matenda a pakhungu ndi tsitsi, osadziwa kuti chifukwa cha izi ndi kuperewera kwa lactose. Vutoli litha kuthetsedwa - kupatula mkaka, kirimu, tchizi kuzakudya. Komabe, kuperewera kwa lactase kupezeka mwa makanda omwe akuyamwitsa, yankho lake silophweka kupeza.
Zosakaniza zopanda lactose ndizokwera mtengo ndipo osalola kuti mwana alandire michere yomwe ili mkaka wa amayi. Pachifukwa ichi, mankhwala okhala ndi ma enzymes a ana omwe amaphwanya lactose adapangidwa. Ndikokwanira kuti mayiyo afotokozere mkaka, onjezerani madontho ochepa pamankhwala ndipo mwana adzakhala otetezeka. Mankhwalawa ndi monga Lactrase, Lactade, Kerulac. Mankhwalawa amathanso kugwiritsidwa ntchito ndi akuluakulu.
Chosangalatsa: Pankhani ya kuchepa kwa mkaka wa lactase, zinthu zopanda mkaka sizipangidwa, chifukwa chake, anthu omwe ali ndi enzymatic pathology amatha kulandira zinthu zonse zofunikira kuchokera ku kefir, tchizi chanyumba ndi zinthu zina mkaka wothira.
Mankhwala osakanikirana
Wobenzym ndiye woimira wamkulu. Muli ma enzyme a zomera ndi nyama. Mankhwala samangotengera kuchepa kwa enzyme, komanso ali ndi anti-kutupa, decongestant, fibrinolytic ndi analgesic zotsatira. Chifukwa cha izi, Wobenzym ndi chida chabwino kwambiri pochiza matenda a m'matumbo a autoimmune (matenda a Crohn ndi ulcerative colitis).
Chidachi chikugwiritsidwa ntchito mosamala mu rheumatology, traumatology, endocrinology, dermatology ndi madera ena amankhwala.Ngakhale kuti palibe chochita china chake, mankhwalawa ali ndi zotsatira zabwino, kwenikweni alibe zotsatira zoyipa ndipo amatha kugwiritsidwa ntchito kwa nthawi yayitali, kwa mwezi umodzi kapena kupitirira apo.
Mankhwala aana ndi amayi apakati
Kukonzekera kwa enzyme kukonza chimbudzi kulibe vuto lililonse, kupatula kuchuluka kwa mankhwalawa kwa mankhwala, ambiri aiwo amaloledwa kugwiritsidwa ntchito ndi ana. Komabe, sizingatheke kupereka mankhwalawo kwa mwana yekhayo, popeza kuti mankhwalawo ndi njira yomwe amamwa mankhwalawa zimasiyanasiyana kutengera zaka komanso kulemera kwa thupi. Makamaka mankhwala osamala amalembera ana ochepera zaka zitatu.
Ana nthawi zambiri amakhala Abomin, Mezim-forte, Pancreatin ndi Creon, osankhidwa malinga ndi momwe alili.
Chofunikira: Kukonzekera kwa pancreatic (komwe kumakhala ndi pancreatin) sikungagwiritsidwe ntchito pancreatitis yachuma komanso kuchulukitsa kwa kutupa kosatha.
Mwa amayi apakati, chifukwa cha kusintha kwa thupi mu thupi, zizindikilo za matenda ammimba zimatha kuonedwa. Kutentha kwa mtima, kusweka mtima, kupweteka pamimba, kudzimbidwa ndi kutsekula m'mimba - mawonetseredwe onse awa ndi zizindikiro za kuchepa kwa enzyme. Zakudya zapadera zimawathandiza kwambiri, koma nthawi zina dokotala wazachipatala amatha kudziwa michere.
Komanso ndalama zopangira chimbudzi pa nthawi ya mimba zitha kufunikira ndi amayi omwe ali ndi pancreatitis yayitali. Zosiyanasiyana za mankhwalawo ndi mlingo wake zimasankhidwa ndi gynecologist pamodzi ndi wothandizira kapena dokotala wa opaleshoni yemwe amatsogolera wodwalayo.
Yalangizidwa: Mu trimester yoyamba, ziwalo zofunika kwambiri za mwana zimayikidwa, kotero kuchuluka kwa mankhwala omwe amamwa ndi mkazi kuyenera kuchepetsedwa. Kumwa mankhwala aliwonse osafunsira gynecologist ndizoletsedwa. Kodi kusintha chimbudzi bwanji? Tsatirani zakudya ndikudya pafupipafupi.
Poona kukonzekera kwamankhwala osiyanasiyana, odwala ayenera kumvetsetsa kuti chithandizo chazomwe chimagwiritsidwa ntchito nthawi zonse chimakhala chosaneneka cha chinzake ndipo sikuti mankhwala aliwonse amagwira bwino ntchito matenda osiyanasiyana. Chifukwa chake, mankhwala okhawo omwe mankhwalawo angagwiritse ntchito ndi dokotala wothandizirana ndi omwe angathandize kuthana ndi vuto lakelo.
Pakati pa mankhwala ambiri, mankhwala opangira chimbudzi akutsogolera. Alipodi pafupifupi chilichonse chothandizira. Mankhwala, amatchedwa enzyme kukonzekera kukonza chimbudzi. Pazakudya komanso pokonza, zinthu zomwe zimapezeka m'mankhwala zimapangidwa popanda thupi. Komabe, pamakhala zochitika pamene kaphatikizidwe ka michere amapezeka moperewera. Izi zimayambitsa kuphuka, kuchuluka kwa mpweya, ndi kulemera m'mimba. Kenako ndikofunikira kutenga enzyme kukonzanso chimbudzi.
Zomwe Zimayambitsa Kuwonongeka
Masiku ano, malamulo okonza chimbudzi ndi ofunika kwa anthu ambiri. Zomwe zimayambitsa kusokonezeka kwa ndondomeko zimatha kupezeka matenda komanso zakudya zolakwika. Madokotala adazindikira zomwe zimayambira chimbudzi:
- Kusamalira chakudya chokwanira. Kudya nsomba zosaphika, nyama yosaphika, nyama yosanjidwa.
- Kuzunza. Chakudya chochulukirapo sichingakonzedwe mokwanira ndi ma michere omwe thupi limabisalira.
- Zakudya za monotonous. Ngati munthu agwiritsa ntchito mtundu umodzi wa michere (mwachitsanzo, maswiti, chakudya, kapena ma kebabs, mapuloteni) ndiye kuti pali kusowa kwa ma enzyme ofunikira.
- Kutafuna kwambiri. Chithunzi choterechi chimatha kuonedwa ngati muli ndi mano kapena matenda opindika. Njira yogawa chakudya imayamba m'kamwa. Chifukwa chake, kutafuna kwabwino koyambirira kumapangitsa kuti mafuta azigaya chakudya.
- Kutupa matenda am'mimba thirakiti. Kapangidwe ka michere kumachepetsedwa ndi duodenitis, gastritis, colitis, chifuwa chachikulu, cholecystitis, hepatitis, cholangitis. Chifukwa cha ma pathologies oterowo, mapangidwe azinthu zofunika kuti chimbudzi cha chakudya, monga bile, hydrochloric acid, asokonezeke. Odwala mosalephera amasonyezedwa kuwongolera chimbudzi pogwiritsa ntchito kukonzekera kwa enzyme.
- Matumbo osagwira, matumbo. Ndi matendawa, kuthamanga kwa chakudya cham'mphepete mwa thirakiti kumaphwanyidwa. Chifukwa cha matenda amenewa, ma enzyme samakhala ndi nthawi yochita chakudya.
- Fermentopathy. Matendawa (otengedwa kapena obadwa nawo) amadziwika ndi kuchepa kwa michere. Zachipatala choterechi chimadziwika ndi ma pathologies otsatirawa: kuchepa kwa lactase, matenda a celiac, cystic fibrosis.
- Kugwiritsa ntchito mankhwala komwe kungasokoneze microflora yamatumbo. Kutenga ma NSAIDs, cytostatics, maantibayotiki (makamaka pakagwiritsidwe kantchito ka nthawi yayitali) kumakhudza gawo logaya chakudya.
- Kuthandizira opaleshoni. Zizindikiro zosasangalatsa zimatha kuchitika pambuyo pa cholecystectomy, kuperekanso m'mimba, colon kapena matumbo ochepa.
- Mimba Khanda lomwe likukhazikika limatha kupondeleza kugaya chakudya.
Gulu la mankhwala
Msika wama pharmacological uli ndi mankhwala ambiri a enzyme. Zina mwa izo ndi:
- Kukonzekera kwazitsamba - Wobenzym, Unienzyme, Oraza, Pepfiz.
- Mankhwala omwe amapangidwa kuchokera ku nkhumba za pancreatic ndi Mezim Forte, Pancreatin, Creon, Licrease, Penzital.
- Mankhwala omwe amapezeka kuchokera ku gland ya nyama zazikulu zokhala ndi nyanga - Digestal, Festal, Enzistal.
Mankhwala, kukonzekera kwa enzyme kumasiyanitsidwa ndi chiyambi ndi kapangidwe kake. Gawoli limaphatikizapo magulu otsatirawa.
Zinthu zomwe zimakhala ndi pancreatin, zigawo za bile, hemicellulose
Tikulemba mndandanda wakonzekera kukonza bwino chimbudzi chomwe chili m'gululi:
Ma acid akhungu amathandizira kubisalira kwa kapamba, kusintha matumbo, chikhodzodzo. Amapereka emulsization yamafuta mthupi ndipo amathandizira kukulitsa choleresis. CHIKWANGWANI chomera chimayenda bwino m'matumbo. Simethicone, dimethicone - zigawo zomwe zimaphatikizidwa mankhwalawa ndi ma antifoam othandizira omwe amathandizanso bwino kusinthasintha.
Kodi ndichifukwa chiyani njira yogaya chakudya ikhoza kusokonekera?
Kuti muchiritse bwino zovuta zake, ndikofunikira kukhazikitsa bwino zomwe zimayambitsa matendawa. Mimba ndi chiwalo chokhazikika bwino, zinthu zambiri zimatha kukhudza ntchito yake. Tikuwonetsa kwambiri:
Zakudya zopanda pake. Zakudya zakusuta, zamchere komanso zamafuta zimapangitsa kuti m'mimba muzigwira ntchito mwamphamvu. Ngati pali zakudya zambiri zotere, ndiye kuti kuphwanya kumachitika pakubaya.
Kudya chakudya chochuluka. Ngakhale zakudya zanu zizikhala ndi zakudya zopatsa thanzi, muyenera kudziwa kuchuluka kwake. Akatswiri amalangiza kuti asadye kwambiri mpaka atakomoka, koma kusiya tebulo lamadzulo chakudya. Kulumikizana pakati pamimba ndi ubongo sikukuwoneka mwachangu, kotero nthawi zina kumawoneka kuti mukufuna kudya zochulukirapo, pomwe thupi limalandira kale chakudya chokwanira.
Kutafuna chakudya chokwanira. Zakudya zonse zimapendedwa pang'onopang'ono komanso zovuta. Tafuna zakudya zako bwino ndikuyesetsa kuti usadye mwachangu.
Chakudya Chamadzulo. Munthu aliyense amakhala ndi nthawi yosiyana, motero lamulo loti "musadye pambuyo pa 9 pm" silikhala lolondola nthawi zonse. Mungachite bwino kunena kuti: “Idya chakudya chako chomaliza maola 3-4 asanagone.”
Kumwa madzi ofanana ndi chakudya. Anthu ambiri amadziwa kuti munthu ayenera kumwa pafupifupi malita awiri amadzi patsiku. Choonadi ichi sichikukayikira, koma pali tanthauzo limodzi. Madzi ayenera kuledzera Mphindi 30 musanadye kapena mphindi 10-15 mutatha kudya. Mukamadya, osavomerezeka kumwa madzi. Imawononga ma enzymes am'mimba, omwe amachititsa kuti chakudya chikhale chofunikira.
Pazifukwa zambiri izi, anthu samalabadira mpaka dongosolo lawo logaya limatha. Ndikokwanira kutsatira malamulo osavuta kuti mudziteteze pazovuta.
Kukonzekera kwa enzymes michere - mndandanda
Pankhani yamavuto akulu am'mimba, ndikofunikira kubwereza zakudya ndikugula michere yam'mimba. Agawidwa m'magulu angapo omwe cholinga chake ndi kuthana ndi matenda amitundu yosiyanasiyana. Pali magawo atatu apamwamba am'mimba yama enzymes:
- Mankhwala osokoneza bongo omwe amapangidwa ndi pancreatin. Pancreatin ndiye michere yayikulu yogaya yomwe imachotsa mavuto onse am'mimba munthawi yochepa. Mndandanda wotsatira wa mankhwalawa ndi wa gulu laling'ono lino - Pancreatin, Mezim, Creon, Penzital.
- Kukonzekera komwe kapangidwe kake kamadzazidwa ndi zinthu zosiyanasiyana (hemicellulose, bovine bile ufa, pancreatin, ndi zina) zomwe zimathandiza kuthana ndi vuto logaya chakudya, njira yogawa mafuta komanso kupanga michere ya kapamba. Mndandanda wotsatira wa mankhwalawa ndi wa gulu laling'ono ili - Festal, Enzistal, Panzinorm.
- Kukonzekera komwe kapangidwe kadzazidwa ndi zinthu zomwe zimathandizira ntchito ya exocrine pancreatic function. Mndandanda wotsatira wa mankhwalawa ndi wa gulu laling'ono lino - Somilase, Oraza, Negidase.
Zofunika! Dokotala wodziwa bwino yekha ndi amene angadziwe mankhwala omwe ndi omwe angakuthandizireni kuthana ndi vuto lanu. Kudzipiritsa wekha kawirikawiri kumayambitsa kukulira kwa mkhalidwe.
Kuphatikiza pa chinthu chogwira ntchito, mawonekedwe ake omasulidwe amakhudzanso zochita za mankhwalawa. Mu pharmacology yamakono, mutha kupeza kukonzekera kwa enzyme kuti muthe kusintha chimbudzi monga mapiritsi kapena mapiritsi. Zovuta zam'mapiritsi ndikuti zikafika m'mimba, zimasungunuka kwathunthu pamenepo. Ngakhale makapisozi ali ndi zigawo zingapo za chigobacho, zomwe zimalola kuti zinthu zomwe zizigwiritsidwa ntchito kuti zizitha kunyamulidwira m'mimba ndi m'matumbo. Chifukwa chake, ndikofunikira kuti mugule mankhwala ena mwa makapisozi, makamaka ngati zochita zawo zimapangidwira matumbo.
Tiyeni tikambirane mwatsatanetsatane mankhwala othandiza komanso odziwika bwino.
1. Pancreatin
Mankhwalawa ali ndi dzina lomweli ndi enzyme yayikulu yogaya, yomwe imawonetsa kukhathamira kwake. Kuyang'ana kugwiritsa ntchito mankhwalawa kuyenera kukhala:
- Kuchepetsa kapangidwe ka michere ya kapamba,
- matenda akulu a m'matumbo, m'mimba, chiwindi,
- kudya kwambiri
- moyo wosachita,
- kuphwanya njira zotafuna.
Palibe mitundu yovomerezeka ya mankhwalawa: ena amatenga piritsi limodzi patsiku, ena amatenga awiri. Alangizidwa kuti atsatire malangizo a dokotala omwe angakupatseni mulingo woyenera m'thupi lanu.
Zotsatira zoyipa ndizochepa kwambiri. Zina mwazotsatira zoyipa ndi izi:
- kusabereka m'mimba,
- nseru
- Njira zoyipa (zotupa, redness, etc.),
- kuchuluka kwa uric acid.
Mankhwalawa ndiwotchuka kwambiri chifukwa chakuti amapezeka m'mapiritsi. Monga taonera kale, makapisozi amakhudza kwambiri m'mimba ndi matumbo, potero amawonjezera mphamvu ya chithandizo. Zomwe zimagwiritsidwa ntchito ndi pancreatin. Creon amalembedwa kuti:
- chifuwa chachikulu,
- zochizira postoperative
- cystic fibrosis,
- zotupa zoyipa zakumaso pafupi ndi m'mimba,
- kudya kwa volumetric (maholide, masiku akubadwa, ndi zina).
Mlingo woyenera ndi kapisozi imodzi musanadye chilichonse. Ndikofunika kuti musabise chiphuphu, apo ayi chinthu chogwira ntchito chizisungunuka m'mimba ndipo sichilowa m'matumbo.
Mankhwala alibe mavuto. Nthawi zina, maliseche am'mimba amtunduwu amachititsa mawonekedwe am'mimba kapena ululu. Zofanana zimachitika chifukwa cha zinthu zina zamankhwala.
Zofunika! Creon imadziwika kuti ndi mankhwala amphamvu, chifukwa chake onetsetsani kuti mwawonana ndi dokotala musanayambe kumwa.
Mankhwala odziwika bwino, popeza ntchito yayikulu yotsatsa inali kuchitidwa nthawi imodzi. Piritsi limodzi lili ndi pancreatin, amylase, lipase ndi proteinase. Zosanja zomwe zili zofanana ndi Pancreatin. Mezim amatengedwa pamene:
- kupanga kwa michere ya pancreatic kumachepa,
- kudzimbidwa kumachitika
- njira zotupa m'mimba zimawonedwa,
- kutupa kwa kapamba kumapangidwa.
Mlingo wothandizidwa ndi adokotala. Nthawi zambiri, iyi ndi piritsi limodzi musanadye chilichonse. Kutengera mtundu ndi kusasamala kwa matendawa, maphunzirowa atha kukhala masiku atatu mpaka miyezi 6.
Mankhwalawa amadziwikiratu anthu omwe ali ndi vuto la m'mimba, jaundice kapena hepatitis.
Mezim ndi analogue yotsika mtengo kwambiri ya Pancreatinum. Kusiyanitsa kwakukulu ndi kukoma. Danga lakunja la mapiritsi a Mezima ndiwosiririka, kotero nthawi zambiri limagulidwira ana.
Kuphatikiza pa pancreatin, hemicellulose ndi bovine bile yotengedwa idawonjezeredwa pakuphatikizidwa kwa Festal. Hemicellulose amathandizira pakuwonongeka kwa fiber, ndipo bile la bovine limasinthasintha mayamwidwe amafuta ndi mavitamini. Ndi zinthu izi, Festal imakhudza mwachangu dongosolo logaya chakudya.
Mankhwala amatengedwa ndi:
- kusokonezeka kwa njira ya katulutsidwe a michere ya pancreatic,
- kutsegula m'mimba
- chisangalalo
- ukufalikira,
- matumbo mkwiyo
- kudya kwambiri
- gastritis.
Chifukwa cha kuchuluka kwakukulu kwa magawo osiyanasiyana, Festal ili ndi mndandanda wambiri wamatsutso. Mankhwala ali osavomerezeka ntchito ndi matenda otsatirawa:
- kapamba
- thupi lawo siligwirizana ndi zomwe zimapanga
- jaundice
- matumbo,
- chiwindi
- shuga mellitus (chifukwa cha zomwe sucrose ndi glucose zimapezeka mgulu la piritsi).
5. Enzistal
Mankhwala othandiza omwe amathetsa mavuto m'mimba. Monga Festal, Enzystal imaphatikizapo hemicellulose, pancreatin ndi bile. Zosakaniza zowonjezera zimagwirizanirana mogwirizana ndikuthandizira zotsatira zonse. Enzistal imatengedwa ndi zizindikiro zotsatirazi:
- kuperewera kwa dongosolo la chakudya
- kukulira chisangalalo,
- mavuto a minyewa
- moyo wosachita bwino.
Ngati munthu akudwala matenda a impso kapena chiwindi, ndikofunikira kuti muchepetse kugwiritsa ntchito Enzistal. Dokotala wopezekapo amayenera kusintha kuchuluka ndi kuchuluka kwa mankhwalawa kuti asayambitse zovuta za matenda omwe alipo.
Zotsatira zoyipa za mankhwalawa:
- kusasangalala m'mimba
- nseru
- maonekedwe a mkwiyo pa mucous nembanemba,
- kutsegula m'mimba
Ndikofunikira kusiya kumwa Enzistal ngati chimodzi mwazotsatira zake zawoneka.
6. Somilase
The yogwira thunthu wa mankhwala ndi gawo lina la michere yogaya yomwe imakhudzana ndi exocrine ntchito kapamba. Makina ochitapo kanthu amasiyana ndi mankhwala onse apitalo. Mitundu ingapo ya mankhwalawo imaphwanya mafuta ndikuisandutsa ma enzyme osowa.
Somilase maphunziro akulimbikitsidwa:
- kugaya enzyme akusowa
- chifuwa chachikulu,
- Matenda a gastritis,
- zotupa m'matumbo,
- Matenda a chiwindi ndi ndulu.
- kuchitidwa postoperative mankhwala.
Somilase alibe contraindication, kupatula zomwe thupi lawo siligwirizana ndi zomwe zikuchitika. Mankhwalawa amalekeredwa mosavuta ndipo amathetsa bwino mavuto omwe alipo m'mimba.
Zofunika! Mankhwala amathandizira kwambiri kapamba, chifukwa chake muyenera kufunsa dokotala musanayambe kumwa.
Pomaliza
Mankhwala okhala ndi enzyme omwe amapezeka m'mimba amathandiza kwambiri munthu aliyense. Makamaka iwo omwe samatsatira zakudya zawo ndipo samatsatira malamulo olembedwa pamwambapa.
Njira zomwe zaperekedwazo zikuthandizani kuti muchotse kusokonezeka ndi kusokonezeka kwa dongosolo logaya chakudya. Muthanso kuwatenga ngati prophylaxis.Koma kumbukirani kuti zomwe amachita zimasintha kwambiri pakugwira ntchito kwa thupi, chifukwa chake muyenera kufunsa dokotala.
Mankhwala "Abomin"
Mankhwalawa analamula kuti kuphwanya zam'mimba ntchito, utachepa acidity wa chapamimba madzi, gastroenteritis, enterocolitis, gastritis.
Komabe, munthu sayenera kuyiwala kuti mankhwala omwe amagwiritsidwa ntchito ndi rennet. Chifukwa chake, ndi tsankho lake, mankhwalawa amatsutsana. Chida ichi sichikugwiritsidwa ntchito ngati matenda a regurgitation, kusanza mu makanda akadali aang'ono. Nthawi zina mankhwala angayambitse nseru, kupweteka kwakanthawi. Chidacho chimaloledwa kugwiritsidwa ntchito ndi ana. Ana kuyambira 1 chaka atha kumwa mankhwala "Abomin" mu mankhwala.
Mtengo wa chida ichi ndi pafupifupi ma ruble 171.
Mankhwala a Mezim-forte
Chida ichi chimathandizira kulipirira kusowa kwa michere ya pancreatic. Zimathandizira kugaya chakudya. Nthawi zambiri, mankhwala amapatsidwa matenda a chifuwa cham'mimba, matenda am'mimba am'mimba, matenda am'mimba, gastritis, dysbiosis, matumbo. Nthawi zina zimatha kuchitika pang'onopang'ono kuti zithandizire kugaya chakudya.
Mankhwala "Mezim" ndiwotsimikizika kuphatikizidwa kwa kapamba. Mukumwa mankhwalawa, kunyansidwa pang'ono, nthawi zina kusanza, kumatha kuonedwa. Mwa odwala ena (kawirikawiri), mankhwalawa amatha kudzutsa matenda a atopic dermatitis, urticaria, edema ya Quincke, kugwedezeka kwa anaphylactic.
Chida ichi chitha kugwiritsidwa ntchito kwa ana. Mankhwala amathandizidwa paokha, malinga ndi kuopsa kwa matenda.
Mankhwala "Creon"
Mankhwalawa ndi othandiza kwambiri pakuphwanya chimbudzi. Kugwiritsidwa ntchito kwake kumalimbikitsidwa ngati wodwalayo akumva kukhuta m'mimba pakudya kwambiri, ndikuzunza zakudya zamafuta kapena zachilendo. Njira "Creon" ndi njira yabwino yochiritsira kuperewera kwa kapamba. Nthawi zambiri imagwiritsidwa ntchito kukonzekeretsa wodwalayo kuti akafufuze ziwalo zam'mimba. Mu pancreatitis pachimake, mankhwalawa sagwiritsidwa ntchito.
Mankhwalawa alibe zotsutsana. Ndizoyenera azimayi oyembekezera komanso makanda. Komabe, pamapeto pake, nthawi zina, mankhwalawa angayambitse kudzimbidwa.
Mankhwala "Pancreatinum 8000"
Ichi ndiye njira yabwino kwambiri yophunzitsira yomwe imathandizira kugaya chakudya zamafuta, mafuta, mapuloteni. Zimalimbikitsa kuyamwa kwawo m'matumbo ang'onoang'ono. Piritsi limodzi la Pancreatin 8000 lili ndi ma enzyme ofunikira pamagulu apadziko lonse:
- lipase - 8000,
- amylase - 5600,
- proteinase - 370.
Chipangizocho chikufunikira kwa matenda a kapamba, matenda opatsirana ndi kutupa kwa m'mimba, chiwindi, matumbo, chikhodzodzo. Mankhwalawa angagwiritsidwe ntchito ndi odwala omwe ali ndi vuto la m'mimba ndipo ali ndi zolakwika pakudya.
Mankhwalawa amaletsedwa kugwiritsidwa ntchito ndi kuchuluka kwa kapamba kapena hypersensitivity.
Kusankhidwa kwa mankhwala
Mukamagwiritsa ntchito mankhwala osokoneza bongo a kapamba, monga lamulo, mankhwala osokoneza bongo ndi mankhwala. Nthawi yomweyo, zochita za analgesics, antispasmodics ndi anticholinergic mankhwala zimaphatikizidwa, H2-blockers ndi antacids, antiferment ndi enzyme amawonetsedwanso.
Pazopukusira, mankhwalawa monga No-shpa, Papaverin, Platifillin, Atropine nthawi zambiri amakhazikitsidwa. Mankhwalawa a kapamba amatengedwa pakamwa kapena mwa jakisoni wanjira (mwachitsanzo, ululu wamkati). Poyerekeza ndi kuchulukana kwa matenda kapamba, kukokomeza kwa ziwalo ndizofunikira kwambiri. Pankhaniyi, othandizira enzymatic, H2-blockers ndi ma antacid akulimbikitsidwa.
Mwa zina, mankhwala monga Fosfalugel, Almagel ndi mitundu ina ya zakumwa za alkaline ziyenera kudziwika. Ma H2-blockers amagwiritsidwa ntchito kuti athetse ululu waukulu. Mwachitsanzo, mankhwala monga Femotidine, Ranitidine, ndi ena amadziwika.
Katundu wa enzyme
Mankhwala ena amaperekedwa kwa odwala kwa nthawi yayitali. Mankhwala samakwaniritsidwa popanda kukonzekera enzyme. Makamaka, othandizira monga amylase, lipase, ndi trypsin amalimbikitsidwa. Mankhwalawa amagwiritsidwa ntchito pobwezeretsa kapamba. Kuchita kwawo ndikofunikira kupondereza katulutsidwe ka pancreatic. Monga lamulo, othandizira enzyme amapatsidwa mankhwala atangotulutsidwa kwa chiwindi, limodzi ndi ululu. Kuchita bwino kwa mankhwalawa kumawonetsedwa pakuchepetsa kwa dyspepsia. Izi, zimafotokozedwanso mukukhazikika kwa unyinji komanso kuthetsa kutsegula m'mimba. Monga momwe mchitidwe umasonyezera, kukweza kwa vutoli kumachotsedwa patatha milungu itatu kapena isanu kuyambira pachiyambire kugwiritsidwa ntchito kwa ndalama. Kuchotsa kwathunthu kwa pancreatitis pachimake kumatchulidwa miyezi isanu ndi umodzi mpaka chaka chotsatira. Mwa ndalama za enzyme zizitchedwa mankhwala monga "Pancreatin", "Pancurmen", "Pantsitrat", "Festal", "Enzym forte" ndi ena. Kuphatikiza apo, bile imapezeka m'mankhwala otere.
Mankhwala othandizira
M'mitundu ina ya pancreatitis yosavuta, yovuta ndi pancreatic edema, mankhwala monga Gordox ndi Contrical ndi omwe amapatsidwa. Mankhwalawa amaperekedwa kwa wodwala kudzera m'mitsempha. Chimodzi mwazotsatira zoyipa zomwe mankhwalawa amapezeka ndi kapamba ndizovuta zake zoyipa. Chiwopsezo cha kupezeka kwake pakumwa mankhwalawa ndi chachikulu kwambiri. Pali kuthekera kwakukulu kwa kudodometsa kwa anaphylactic. Pankhani imeneyi, mankhwala othandizira amaikidwa mosamala kwambiri.
Antispasmodics ndi analgesics
Kuti athetse ululu wammbuyo, mankhwala a analgesic amalimbikitsidwa. Izi zimaphatikizapo, makamaka, mankhwala monga Analgin, Baralgin ndi Paracetamol. Pa nsonga ya pathological mkhalidwe, wodwalayo amapatsidwa jekeseni wamitsempha. Ndipo atachepetsa kukula kwa ululu wamankhwala, wodwalayo amamuika pakamwa pakumwa mankhwalawa. Ngati zowawa zikupitirirabe, dokotala amatha kukupatsani mankhwala a narcotic analgesics. Amangokhala ndi zotsatira za analgesic, komanso amathandizira zotsatira za mankhwala omwe si a narcotic. Ma tranquilizer, antidepressants, antipsychotic ali m'gulu lino la mankhwala. Ndalamazi, mwa zina, zimachotsa mkhalidwe wopsinjika womwe nthawi zambiri umayendera limodzi ndi matenda a pancreatic. Malinga ndi akatswiri, kupezeka kwa ululu kumalumikizidwa ndi kukanika kwa sphincter ya Oddi, matumbo a dyskinetic, limodzi ndi spasms. Kuti muthane ndi zotere, mankhwala oyenera amagwiritsidwa ntchito limodzi (Mankhwala a No-Shpa, mwachitsanzo). Ma antispasmodics amakhudza minyewa, mosasamala kanthu komwe adachokera.
Maantacid
Ngati matenda a kapamba amaphatikizidwa ndi exocrine osakwanira chifukwa cha kupweteka ndi dyspepsia, ndiye kuti mumankhwala, mankhwala omwe amalepheretsa chinsinsi cha hydrochloric acid pamimba amagwiritsidwa ntchito. Gulu la mankhwalawa limatchedwa antacid. Misonkhano yonseyi, mankhwalawa a kapamba amawagawa m'magulu awiri: Mankhwala omwe angathe kuyamwa komanso osagwira.
Gulu loyamba liyenera kuphatikiza ndi magnesium oxide, sodium bicarbonate ndi ena. Gawo la mankhwala omwe sangatengeke pophatikiza mankhwalawa amaphatikizidwa ndi mankhwala a kapamba monga "Fosfalugel", "Gelusil", "Almagel" ndi ena. Mankhwalawa amachepetsa ntchito ya asidi panthawi ya adsorption ndi kusalowerera komwe kumachitika pang'onopang'ono. Pamodzi ndi izi, kuchuluka kwa michere yowonongeka m'mimba imachepa. Mankhwala aacacid zochizira kapamba amatha kugwira ntchito pa hydrochloric acid. Komabe, mphamvu zawo ndizochepa.
Kodi pali mankhwala othandizira pancreatic?
Akatswiri samapereka yankho lomveka bwino ku funso ili. Pathologies a limba amati nthawi zambiri zovuta mankhwala. Monga tafotokozera pamwambapa, kusankha kwa mankhwala kumadalira chithunzi cha chipatala. Komabe, kugwiritsa ntchito ma enzymes ngati mankhwala obwezeretsa kwakanthawi ndikothandiza kwambiri. Komabe, monga momwe zowonetserazi zimasonyezera, sizowonjezera kuti izi zitheke. Nthawi zambiri, zotere zimathandizira kuti magamba azizungulira. Mankhwala ena samangolimbikitsa kubisala, komanso kupewa kukomoka, kutupa (mankhwalawa amaphatikizira, mwachitsanzo, "Enzyme forte"). Komabe, muyenera kukumbukiridwa kuti palibe mankhwala othandizira (kapamba) omwe angakhale othandiza ngati zakudya sizitsatiridwa. Zakudya zoyenera mankhwalawa pancreatitis ndi zina zomwe zimayambitsa chiwalochi ndizofunikira kwambiri.
Mankhwala othandiza pa kapamba: "Creon"
Chida ichi chimagwira enzymatic, chimathandiza kukonza chimbudzi. Gawo lomwe limagwira popanga mankhwalawa limathandizira kapamba, - pacreatin - limathandizira kugaya mafuta, mapuloteni, chakudya. Izi zimabweretsa kunyamula kwathunthu. Mankhwala ali mawonekedwe a kapisolo. Ikalowa m'thupi, kutulutsidwa kwamphamvu kwa ma mini-microspheres kumayamba. Amasakanikirana ndi zam'matumbo ndipo zimasinthasintha magawidwe a michere. Kutulutsidwa kwa michere ya pancreatic yogwira pophika imachitika pamene ma microspheres am'matumbo aang'ono afika. Protease, amylase ndi lipase, omwe ndi gawo la pancreatin, amawonetsa zotsatira zomwe zimatsogolera kupezeka kwa lipid, wowuma ndi mamolekyulu amafuta.
Zotsatira zoyipa ndi contraindication
Osavomerezeka mankhwalawa pachimake kapamba kapena kuchuluka kwa mawonekedwe ake, hypersensitivity. Monga momwe machitidwe amasonyezera, mankhwalawa amaloledwa bwino ndi odwala. Zotsatira zoyipa zimaphatikizapo kupweteka kwam'mimba, kusanza kapena mseru, komanso kusintha kwa chopondapo (kutsegula m'mimba kapena kudzimbidwa). Nthawi zina, odwala sayanjana nawo. Monga lamulo, limagwirizanitsidwa ndi hypersensitivity pazigawo zamankhwala.