Mathandizo a kapamba: mankhwala osokoneza bongo

Mu matenda a kapamba, kuthekera kwake kwa kupanga michere kumalephera. Izi ndi zinthu zofunika pakugaya chakudya. Kuti thupi lizigwira ntchito, tikulimbikitsidwa kutenga michere ya pancreatic, kukonzekera komwe kuli ndi zinthu zofananira ndi madzi am'mimba.

Chifukwa chiyani tikufunika kukonzekera kwa enzyme

Enzime ya pancreatic ndi chinthu chomwe chimakhudzidwa ndikugawika kwa chakudya muzinthu zazing'ono zomwe zimatengedwa bwino ndi thupi. Zofunikira zazikulu ndi mapuloteni, mafuta ndi chakudya. Iron amatulutsa ma enzyme omwe amathandizira pazinthu zonsezi:

• lipase - mafuta,
• amylase - kwa chakudya,
• proteinase - pama protein.

Enzymes mu kapamba amapangidwa osakwanira. Izi zimabweretsa chakuti chakudya chimadutsa m'mimba ndipo matumbo osasinthika - chimbudzi chimayamba.

Kugwiritsa ntchito mankhwala osokoneza bongo a pancreatic pancreatitis, omwe amapangidwa ndi michere yachilengedwe, amathandizira kukonza kuperewera uku komanso kutulutsa chimbudzi.

Zomwe mungagwiritse ntchito kukonzekera kwa enzyme

Ma enzymus a pancreatic amatha kutengedwa kokha ngati ali ndi vuto m'thupi la munthu. Kuperewera kwa Enzymatic kumatha kutsimikiziridwa ndi zizindikiro izi:
kusowa kwa chakudya

• kupindika pafupipafupi
• ukufalikira
• nseru
• chisokonezo chopondapo - mushy, chochulukitsa, ndi zosafunikira zamafuta ndi ntchofu.

Kupukusa kwa nthawi yayitali kumabweretsa kuwonongeka kwa khungu, tsitsi ndi misomali. Mpweya woyipa umawonekera.

Mapiritsi okhala ndi michere ya pancreatic amatengedwa nthawi zina patsiku. Izi ndichifukwa chogwirira ntchito zolimbitsa thupi. Ma enzyme azitsulo samasungidwa nthawi zonse, koma maola ena, asanadye. Chifukwa chake, mankhwala onse a enzyme amatengedwa theka la ola musanadye, kuti akafike ku duodenum, komwe zochita zawo zimayambira.

Mtundu wamakono wa kumasulidwa kwa mankhwalawa ndi mapiritsi a gelatin. Chifukwa cha chitetezo ichi, ma enzyme samawonongeka m'mimba. Mkati mwa kapisozi wamkulu mumakhala ma microcapsule ambiri.

Ma enzymes a Gland eni ake sagwira ntchito mmenemo. Akadakhala kuti amagwira ntchito, kuwonongeka kwa minofu ya ziwalo, kudzimbidwa kumachitika. Kutulutsa kwawo kumachitika kale mu duodenum mothandizidwa ndi bile.

Chifukwa chake, ngati pali kuphwanya kutulutsa kwa bile, kapena kupanga kwake, chimbudzi chimadzapanganso, ngakhale ndi kapamba wabwino.

Zomwe ma enzymes amatengedwa bwino ndi kapamba amasankhidwa ndi gastroenterologist atatha kuyesa wodwalayo. Mwanjira yovuta ya matendawa, kugwiritsa ntchito mankhwalawa sikuvomerezeka. Kutupa kogwira ntchito kumayendera limodzi ndi kupangika kwa amylase, komwe kumatha kuwononga tiziwalo tating'onoting'ono. Kugwiritsa ntchito ma enzyme kukonzekera kumawononga chofunikacho kwakukulu. Enzymatic wothandizila mankhwala okha ntchito zochizira matenda kutupa kwa gland ndi osakwanira ntchito yake.

Mndandanda wamankhwala

Mwa ma pancreatic enzymes omwe amapezeka mu mankhwalawa akuphatikiza zitatu zazikulu:

Kuwerengera kwa ntchito ya mankhwalawa kutengera lipase. Izi zimayamba kuchita pamaso pa ena. Mndandanda wazokonzekera za pancreatic enzyme zimaphatikizapo zinthu zochepa. Makina awo ochitapo kanthu ali ofanana. Kusiyanaku kuli ngati kutulutsidwa, komwe kumayambitsa kukhudzana kwa mankhwalawa, ndiko kuti, kugaya thupi kwake. Kukonzekera kwa enzyme kumapezeka kuchokera ku zikondamoyo zamphongo, nthawi zambiri nkhumba.

Pancreatin

Mankhwala oyamba kumene pagululi. Muli zinthu zitatu:

• proteinase - 200 PIECES,
• amylase - 3500,
• lipase - mayunitsi a 4300.

Cholinga cha mankhwalawa ndikuwongolera chimbudzi cha chakudya. Amagwiritsidwa ntchito pochotsa kapamba ndi mapindikidwe a bile. Amapangidwanso kukonzekera radiology kapena ultrasound yamimba yam'mimba - kuthetsa flatulence.

Palibenso zotsutsana zomwe zingatenge, kupatula kusalolera kwa munthu payekha. Tengani Pancreatin piritsi musanadye. Kuwerengera kwa ana kumachitika ndi thupi. Maphunziro achidule (masiku 3-4) akuwonetsedwa kuti athetse zotsutsana ndi kuphwanya zakudya. Kugwiritsa ntchito kwa nthawi yayitali ma enzyme (zaka zingapo kapena moyo wonse) kumalimbikitsidwa chifukwa cha chifuwa chachikulu.

Pafupifupi pancreatin, pali kusiyana pang'ono pazomwe zili pazinthu zazikulu:

• proteinase - 300 PIECES,
• amylase - 4500 PIECES,
• lipase - mayunitsi 6000.

Amayendedwe akuchitapo kanthu ndikusintha kwa kuwonongeka kwa michere, kuchuluka kwa chimbudzi. Amawonetsedwa chifukwa cha kutupa kosatha kwa kapamba, kupezeka kwake. Kuthandizira kuthetsa kufalikira kwam'mimba, matenda osapatsirana.

Ilibe zotsutsana. Sitikulimbikitsidwa kupereka mankhwala okwanira a Penzital kwa ana, popeza kukulitsa kudzimbidwa ndikotheka.

Mankhwala amakono kwambiri amapezeka mu kapisozi kotetezedwa ndi gelatin. Chifukwa cha izi, chinthu chachikulu sichidawonongedwa ndi msuzi wa m'mimba, koma imalowa mu duodenum yosasinthika.

Pali mitundu itatu yamankhwala yomwe imasiyana ndi lipase.

Kusankha kwa mankhwala ndi chifukwa cha kuopsa kwa matendawa, kuopsa kwa chinsinsi cha kuchepa kwa chinsinsi. Hermital imagwiritsidwa ntchito pochiza pancreatitis, cystic fibrosis.

Wophatikiza ma enzyme angapo ophatikiza ndi katundu wa immunostimulating. Kamangidwe ka mankhwalawa akuphatikiza zinthu izi:

• proteinase - 300 PIECES,
• amylase - 50 PISCES,
• lipase - 34 PISCES,
• papain - 90 PISCES,
• bromelain - 225 PESCES,
• trypsin - 360 magawo,
• chymotrypsin - 300 PISCES,
• rutoside - 10 mg.

Uku ndi mitundu yachilengedwe ya michere ya nyama ndi chomera yomwe imathandizira ndimomwe zimayambitsa matenda, kugaya chakudya, matenda a endocrine. Chidachi chimagwiritsidwa ntchito pochiza matenda ambiri ochokera kuma nthambi onse azachipatala. Ponena za dongosolo logaya chakudya, Wobenzym amalembera zochizira chiwindi, kapamba.

Mankhwala osavomerezeka kwa ana osakwana zaka zisanu, amayi apakati. Wobenzym imaphatikizidwa mu matenda a magazi. Mlingo amasankhidwa ndi dokotala, poganizira matendawa, thanzi lathunthu.

Ndi ma enzymes omwe amagwiritsidwa ntchito bwino pancreatitis zimatengera gawo la matendawa, zifukwa zomwe zimapangidwira. Komanso, kutsatira zakudya zoyenera za kapamba, ngakhale muyezo waukulu wa kukonzekera kwa enzyme sungathe kulimbana ndi zakudya zopatsa mphamvu kwambiri komanso zamafuta ambiri.

Njira yogaya chakudya

Kukhazikika kwa kayendedwe ka kapamba sikungatheke pokhapokha patokha pazomwe zimachitika m'mimba ndi m'matumbo. Kugaya ntchito kwa thupi ndiko kuchuluka kwa zochitika zosiyanasiyana za m'mimba. Saliva, madzi am'mimba, michere ya pancreatic, ndi bile yomwe imatulutsidwa ndi chiwindi ayenera kuchita nawo. Kupanda kutero, chakudyacho sichikumbidwa ndipo sichingathe kugaya.

Kusintha Kwa Zakudya

Zopangira zamkati zamkamwa zimaphwanyidwa ndikumanyowa ndi malovu okhala ndi ma enzymes awiri omwe amaphwanya chakudya. Pogaya mu gruel ndikusintha kwa mankhwala m'minyewa ya chakudya kumapitirira m'mimba, pomwe hydrochloric acid, ma enzymes enaake amapanga mapuloteni ndipo pang'ono pa lipids. Madzi a m'mimba okhala ndi lysozyme ndi hydrochloric acid amawononga mabakiteriya. Pepsin kuchokera pakapangidwe kake amasintha ma protein a macromolecules m'magawo ang'onoang'ono - ma peptides. The enzyme ya chapamimba madzi - lipase - amachita pa mkaka mafuta.

Kenako, kudzera mu sphincter, chakudya chosinthidwa pang'ono chimatumizidwa m'matumbo. Gawo loyambirira, duodenum, ndi malo omwe michere imayamwa madzi a pancreatic ndi bile. Ma pancreatic enzymes amathyola mafuta chifukwa amadzipaka mchikakamizo cha bile. Ma hydrolysis a chakudya ndi mapuloteni ali pafupi kutsiriza. Chakudya chake chikakhala chochepa, ndizosavuta kuti ziziwazidwa ndi mandimu, zimasintha mwachangu mankhwala.

Pancreatic Enzymes ndi chimbudzi

Ma mamolekyulu a polymer am'magawo a chakudya amakhala okhazikika pansi pazikhalidwe wamba. Thupi liyenera kuwawotcha pamtunda wotsika kwambiri - 36.6 ° C. Mwachitsanzo: dzira lamaproteni limakhala ndi madzi otentha, pomwe amawiritsa. Kuti mankhwala azitha kupezeka mthupi mthupi mwa zinthu “zofatsa,” ma biocatalysts ndi ofunika, chifukwa ndi komwe hydrolysis imachitika. Zoberekera zachilengedwe zimapezeka m'magawo osiyanasiyana am'mimba opangidwa ndi makoma amkamwa, m'mimba ndi ziwalo zina zamkati. Ma pancreatic michere amasokoneza chakudya mu gawo lomaliza la chimbudzi. Hydrolytic cleavage wa mapuloteni mu amino acid amapezeka. Mafuta amagwera mu glycerin ndi carboxylic acid, chakudya - mu monosaccharides.

"Ntchito yofunika kwambiri pakudya chimbudzi '

Umu ndi momwe akatswiri amawonera kufunikira kwa madzi a pancreatic. Zikondazo zimatulutsa njira yothanirana, komanso bicarbonate wa sodium kuti muchepetse zinthu zam'mimba za hydrochloric acid. Voliyumu yonse yamadzi omwe amapangidwa ikhoza kukhala pafupifupi malita 1-2 patsiku. Muli michere yam'mimba ya kapamba (mitundu yayikulu 6-8).

Trypsinogen, chymotrypsinogen, mapuloteni omwe amapukusa omwe amalowa m'thupi. Zakudya zomanga thupi zimapangidwa ndi α-amylase. Ma lipase amagwira pama mamolekyulu amafuta. Ma Enzymes omwe amagwira ntchito ndi ma pro-enzyme amapangidwa, omwe amathandizidwa mothandizidwa ndi zinthu zosiyanasiyana.

Ntchito ya Pancreatic Madzi

Ma encyme a pancreatic apeza kufunika kofunikira pakukumba kwa macronutrients onse, koma udindo wawo wofunikira ndikuphwanya lipids. Inde, ma hydrolysis a mapuloteni amapezeka koyambirira m'mimba ndikuthamanga kwa pepsin ndi hydrochloric acid. Mu duodenum, pancreatic proteinase enzyme yolumikizidwa. Kudzimbidwa kwa wowuma kumayambira pamlomo wamkati ndi malovu amylase. Kenako imapitiliza ndi kutenga nawo mbali pancreatic amylase. Gastric lipase imakhudza 5-40% ya maukosi amthupi omwe amapezeka pakati pa glycerol ndi acid acid; madzi a pancreatic ndi omwe amachititsa hydrolysis ya 40-70% yamafuta. Zochita zake zimatengera mkhalidwe wa kapamba, zaka komanso kugonana kwa munthu, pH ya zomwe zili m'mimba ndi matumbo.

Kutsitsa ntchito kwa exocrine

Ndi kuchepa pakupanga kwachilengedwe mu thupi la munthu, mutha kulowa ma enzymes osowa a chinyama ndi chakudya chamagulu. Mankhwala osokoneza bongo pankhaniyi ndi abwino pazifukwa chimodzi zosavuta. Mapuloteni aliwonse nthawi ya kutentha amawonongeka (osadulidwa). Ma Enzymes ndi mamolekyulu a protein, omwe gawo lawo limatha kukhala mavitamini, kufufuza zinthu ndi mankhwala ena. Likukhalira kuti njira yokhayo masiku ano ndikugwiritsa ntchito ma enzyme pakugwiritsa ntchito pakamwa (pakulowetsa pakamwa).

Pancreatic Enzyme Production

Zomwe zimapezeka popanga mankhwala opangira mankhwala ndi bovine kapena nkhumba kapamba. Ziwalo zamtunduwu zimakonzedwa ndikuyumitsa kuti zipeze zigawo zikuluzikulu za kapamba, zomwe zimakhala ndi ma enzymes a kapamba. Kukonzekera ndi ntchito yogwira ntchito kumakhala ndi magawo osiyanasiyana:

1. Ma amylases (amachititsa hydrolysis yama chakudya).
2. Mapuloteni (chitani mapuloteni).
3. Lipases (kuthyola mafuta).

Madzi am'mimba omwe amakhala ndi hydrochloric acid amatha kuwononga mamolekyulu a protein (ma pancreatic enzymes). Zokonzekera zomwe zimapangidwa pamaziko a pancreatin zimakhala zokutira ndi polymer pamwamba pake kuti muteteze motsutsana ndi chilengedwe chamkwiyo. Pansi pake pali ufa kapena ma microcaps.

Ma Enzymes olimbitsa

Zomwe zimagwiritsidwa ntchito ndi mankhwala osiyanasiyana omwe amapangira kuchepa kwa kapamba zimasiyana pang'ono. Mayina ogulitsa wamba a mankhwala odziwika bwino: Creon ndi Pancreolipase. Chofunikira chachikulu pa mankhwala monga Creon ndi mawonekedwe ake ndi kapamba. Fotokozani za lipase + amylase + proteinase.

Mwa zabwino - kuthekera kotenga mapiritsi a "Creon" pa nthawi yoyembekezera komanso mkaka wa m`mawere, muubwana. Mlingo wa mankhwalawa uyenera kusankhidwa ndi dokotala, ndikuwapatsa mankhwala mogwirizana ndi kuopsa kwa matendawa, chakudya ndi wodwalayo. Mayina amalonda a mankhwala ofanana: Panzinorm, Mikrazim, Hermitage, Mezim Forte, Pancreatin.

Magawo amakonzedwe a Pancreatalipase ali ndi ma enzymes omwewo - lipase + amylase + proteinase - koma pamatchuthi apamwamba. Mankhwalawa amamasulidwa mu mawonekedwe a ma Microganuamu okhala ndi mulifupi mwake wa 3 mm, wokutidwa ndi membrane wa membrane muzinthu zamatumbo. Kulandila kwa mankhwala omwe atchulidwa kumapereka chimbudzi chokwanira cha zinthu zina, zomwe zimathandiza kuyamwa komanso zimapangitsa kuti chopondapo chiziwalika.

Momwe mungamwe mankhwalawa a pancreatic enzyme

Kumwa mankhwala ndi njira yayikulu yochizira yachiwiri yokhudzana ndi kapamba. Kukonzekera kwa pancreatin kumawonedwa kukhala kotetezeka, kumakhala ndi zotsatira zoyipa zochepa. Akatswiri a m'derali amati chithandizo chamankhwala chosagwiritsidwa ntchito masiku onse ndi njira ina yochitira opaleshoni.

Kuti akwaniritse zochizira, akulu amatenga 25,000 mpaka 40,000 IU ya lipase kuti akayeze chakudya chamagulu atatu. Sitikulimbikitsidwa kupitilira muyeso wa 10,000 IU ya lipase pa 1 makilogalamu amalemu. Mawonekedwe a akulu ndi ana amafotokozedwa mwatsatanetsatane mu malangizo omwe amaphatikizidwa ndi ma CD.

Nthawi zambiri, zakudya zomwe zimakhala ndi ma pancreatic enzi zimagwiritsidwa ntchito musanadye, musanadye, kapena mutatha kudya. Ikalowa m'mimba, chigoba cha kapisozi kapena ma dragee chimasungunuka pang'onopang'ono, ndipo ma enzymewa amafikira ntchito yawo yayikulu mu duodenum. Pali malo am'mavuto, mwachitsanzo, kusakanikirana koyenera kwa zomwe zili m'mabotolo ndi chyme yamatumbo, kutsegulira panthawi yoyenera.

Ngati kusowa kwa michere ya pancreatic kwadzetsa zotsatira zoyipa, ndiye kuti wodwalayo pakusankhidwa kwa adotolo amalankhula zakulephera kwa kulowererapo kwa opaleshoni. Pofuna kupewa kukhwimika kwa vutoli, ndikofunikira kumwa mapiritsi a pancreatin molondola, kutsatira zakudya.

Zikondamoyo zoyipa (Zizindikiro)

Madzi a pancreatic madzi amatha kutsekedwa ndi cholecystitis, pomwe kuwerengera kumangika mu mzere wa ndulu. Zamoyo zomwe zimapanga zinthu zimapangitsa kuti munthu azigwiritsa ntchito zake zokha - kudzimbidwa kwa timadzi ta pancreatic.

Mu pancreatitis pachimake, kupweteka kwam'mimba komanso kusanza kumachitika. Kuchuluka kwa wodwala kumawonjezera, kuthamanga kwa magazi kumachepa, ndipo kutentha kumawonjezeka. Kulimbikitsa kosasunthika, lilime louma, thukuta lopaka pankhope pankhope ndi manja limawonekeranso.

Dokotala yemwe amayeza mayeso akunja kwa wodwalayo, kuwonjezera pazizindikiro ndi mawonekedwe omwe ali pamwambapa, akuti khungu la wodwala limakhala lotumbululuka kapena lachikasu, lozizira. Palpation imakupatsani mwayi kuti mupeze kuti mukutulutsa, kukwiya kwa peritoneum ndi paresis yam'mimba thirakiti.

Pakufufuza kwamankhwala amkodzo wodwala, zimapezeka kuti michere yambiri ya kapamba wa pancreatic ilipo. Kuyesedwa kwa magazi kukuwonetsa kuchuluka kwa maselo oyera amwazi.

Kuchiritsa Zikondamoyo Zoyipa

Mu chifuwa chachikulu cha pancreatitis, ndikofunikira kuti muchepetse kupweteka komanso kuwonetsa zina, koma ma analgesics kwenikweni samathandiza kuthetsa kusasangalala. Mankhwala omwe amathandizira kuti muchepetse ntchito ya gland ndi ma enzymes ake: Gordoks, Kontrikal, Platifillin. Mndandanda wazotsatira zimathandizidwanso ndi mankhwala antimicrobial, antispasmodic ndi antiemetic.

Komanso, wodwalayo ayenera kumwa mankhwala omwe amasokoneza acidic yam'mimba. Mu chifuwa chachikulu cha pancreatitis, ngati pali kachilombo koyambitsa matenda kapena kafa kwa England, machitidwe opaleshoni adzafunika. Kutupa komwe kumayambitsidwa ndi mwala mumkamwa, njira imodzi yothanirana ndi kuthetsa vutoli.

Chimodzi mwa mfundo zofunika kwambiri pancreatitis pancreatitis ndi zakudya. Mu mawonekedwe owopsa, masiku atatu oyamba wodwalayo ayenera kudya popanda chakudya (kufa ndi njala). M'pofunika kupewa katundu pazakudya zonse zodyera, chifukwa m'tsogolomu mbale zambiri siziyenera kuphatikizidwa ndi zakudya.

M'malo omwe kukonzekera kwa pancreatic kumayikidwa

Mankhwala a Enzymatic amathandizira kupukusa m'mimba zosiyanasiyana.

Zizindikiro za kumwa mankhwalawa ndi:

1. Matenda a kapamba Mlingo wa kupanga enzyme umatsimikiziridwa ndi njira yolembera, kuyang'ana pa ntchito ya lipase. Kusankhidwa kwa mankhwala ndi mulingo woyenera kwambiri umatsimikiziridwa pakuwona zovuta zamatenda, kuzindikira kwa odwala ndi zina zaumoyo wodwala.
2. Pancreatic resection. Ndi kuchotsedwa kwathunthu kwa England, ndikofunikira kuti odwala amwe mankhwala omwe ali ndi michere yambiri.

Zomwe zimapangidwira kukonzekera kwa enzyme zingakhale zovuta zina pakugwira ntchito kwa enzymatic system:

• kuchepa kokhudzana ndi zaka zakale pantchito ya pancreatic,
• zovuta mankhwala a cystic fibrosis, matenda a celiac, zilonda zam'mimbazi,
• kusokonekera kwa dongosolo la hepatobiliary,
• kukomoka kwa sphincter,
• chakudya chamafuta kwambiri, kudya kwambiri.

Gulu

Malinga ndi mtundu wa zochita, mankhwalawa amagawika m'magulu awiri:

• pakugawa chakudya mosemphana ndi kapamba,
• kusintha matenda a matumbo ndi m'mimba, kuthetsa ululu wam'mimba ndi dyspepsia.

Kugawidwa kwa kukonzekera kwa enzyme kutengera ntchito yomwe yaperekedwa m'ndandanda wotsatira:

1. Mankhwala okhala ndi pancreatin ndimakonzedwe achilengedwe a nyama kuchokera ku zikondamoyo za ng'ombe kapena nkhumba. Ma enzymes a pancreatic amaphatikizapo: Mezim Forte, Pancreatin, Creon.
2. Mankhwala osakanikirana, kuphatikizapo pancreatin, hemicellulose, bile acid ndi zinthu zina zogwira ntchito, ndi Festal, Panzinorm, Digestal, Kotazim Forte.
3. Mankhwala kuphatikiza michere ya mbewu - papain, fungus diastase. Amagwiritsidwa ntchito ngati tsankho pokonzekera nyama. Mayina a mankhwalawa m'gululi ndi Unienzyme, Pepfiz, Solizim, Nygeda.
4. Mankhwala osakanikirana okhala ndi michere ya nyama ndi mbewu, - Phlogenzim, Wobenzym.

Zoletsa

Ma Inhibitors amagwiritsidwa ntchito kupondaponda ma enzyme ena omwe angayambitse kukula kwa ma pathologies. Ma blockers amachepetsa ntchito ya michere ya proteinolytic, kupewa kutulutsa kwainsins, ndikuletsa kupitilira kwa zotupa mu kapamba.

Chithandizo cha antenzyme chimakupatsani mwayi wochepetsera kupweteka, kuchepetsa kuledzera, kupewa necrosis ya gland, kusintha thanzi lathunthu.

Amagwira pakadali koyambirira kwa matendawa ndipo amatha kuikidwa pamlingo waukulu kuti akwaniritse zabwino.

Proteolytic

Ma protein a Proteolytic michere (proteinase) ndi yofunikira pakulimbitsa kwa mapuloteni m'mimba yaying'ono. Agawidwa m'magulu awiri:

1. Exopeptidases ndi ma enzymes omwe amachotsa zomangira za peptide. Izi ndi monga: pepsin, chymosin, gastricin ndi proenzymes trypsin, elastase, chymotrypsin.
2. Endopeptidases - michere yomwe imaswa ma cell a peptide mkati, mwachitsanzo, carboxypeptidases, dipeptidases, aminopeptidases.

Mankhwala, omwe amagwira ntchito omwe ndi ma protein, ndi amitundu iwiri:

1. Kukonzekera kovuta komwe kumakhala ndi ma enzymes a nkhumba. Mapiritsi otchuka kwambiri m'gululi ndi awa: Pancreatin, Mezim forte, Panzinorm.
2. Kukonzekera kuzikidwa pa kuphipha kwa chapamimba cha nkhumba, chophatikizira chomwe chili pepsin.

Kuchokera ku mankhwala azikhalidwe

Pankhani ya matenda a pancreatic organic, mankhwala osiyanasiyana azitsamba angagwiritsidwe ntchito kuwonjezera pa mankhwala achikhalidwe.

Kukonzekera kwazitsamba sikulimbikitsidwa kugwiritsidwa ntchito ngati njira yokhayo yodzithandizira - zotsatira zake ndizochepa poyerekeza ndi mankhwala.

Maphikidwe achikhalidwe chachikhalidwe amaphatikizapo zosakaniza zachilengedwe, koma kugwiritsa ntchito kwawo kuyenera kukambirana ndi adokotala ndikuwonetsetsa kuti palibe zotsutsana.

Kuti muwonjezere chinsinsi cha michere ya kapamba, mutha kugwiritsa ntchito izi:

• decoction wa mizu ya burdock ndi elecampane, chamomile, calendula, chitsamba chowawa, tchire, chingwe,
• Kujambula kwa mizu kapena zitsamba za chicory,
• kulowetsedwa kwa mizu ya zipatso zamtchire,
• decoction wa oats,
• kulowetsedwa kwa masamba a bay.

Contraindication

Kulandila kwa kukonzekera kwa enzyme kungathe kutumizidwa ndi adokotala okha. Katswiriyo adzayesa momwe wodwalayo alili, asankhe njira yotsimikizira momwe wodwalayo alili ndi kudziwa kuchuluka kwake.

Simungagwiritse ntchito michere pochiza:

• kuukira kwa kapamba kapamba kapena gastritis kupewa kupsa mtima m'mimba,
• hyperuricosuria - kuchuluka kwa uric acid, kuti musadzutse urolithiasis,
• chifuwa ku zinthu za ng'ombe, nkhumba (zokhazokha zokonzekera zomwe zimachokera kuchinyama),
• ndi kupweteka m'mimba mwa ana, chifukwa imatha kukhala chizindikiro cha matenda ena: zotupa zosiyanasiyana, chifuwa chachikulu, zilonda zam'mimba, lymphoma.

Pankhani ya kukanika kwa pancreatic, kukonzekera kwamankhwala othandizira kumathandizira kugwiritsidwa ntchito kwa chimbudzi pakudzaza kuchepa kwa zinthu zopangidwa ndi thupi. Mankhwalawa amalekeredwa bwino, amakhala ndi zovuta zochepa, amagwira ntchito nthawi yayitali panthawi zovuta komanso ngati mukumwa kamodzi.

Mezim Forte

Kukonzekera kwa enzyme kumeneku ndikokwera mtengo kuposa koyambirira. Mtengo wake wapakati ndi ma ruble a 190 pachikwama chilichonse, chomwe chimaphatikizapo miyala 20. Zomwe zimagwiritsidwa ntchito ndi Mezim ndi pancreatin. Koma kupatula iye, ilinso ndi zinthu zothandizira - anhydrous silicon colloidal dioxide, talc, zowonjezera E122, sodium starch glycolate, MCC, macrogol, emulsion simethicone, titanium dioxide ndi polyacrylate kupezeka.

Mezim ali ndi zotsutsana zochepa. Sungatengedwe ndi pancreatitis yovuta kwambiri komanso kuchulukitsa kwa matenda osatha, komanso matumbo oletsa matumbo komanso pamaso pa hypersensitivity kwa iwo omwe amapezeka mu mankhwala.

Ndi kuphwanya kochepa mu kapamba, Mezim akulimbikitsidwa kutenga kuchuluka kwa mapiritsi a 1-2 ndi zakudya. Ndi utsi wathunthu - mapiritsi 2-2. Mlingo wapamwamba wa tsiku ndi tsiku ndi magawo 20,000 / kg.

Creon 10000

Mtengo wa kukonzekera kwa enzyme iyi m'masitolo azachiphuphu ndi ma ruble 270-300. Kamangidwe kake kakuphatikiza:

• Chofunikira chachikulu ndicho pancreatin,
• zotuluka - macrogol, mowa wa cetyl, phthalate wa hypromellose, triethyl citrate, dimethicone.

Zotsatira zoyipa, mukamamwa mankhwalawa, kupweteka pamimba, kusokonezeka kwa m'mimba, kutsegula m'mimba, mseru ndi kusanza kumatha kuchitika. Ndizothekanso kuwoneka kwa fibrosing colonopathy, urticaria, hyperuricosuria.

Mlingo wapamwamba tsiku lililonse wa Creon 10000 ndi 10,000 / kg. N`zosatheka kutenga ndi payekha tsankho kwa zigawo zikuluzikulu, pachimake kapamba kapena kukokomeza matenda.

Penzital ndiye kukonzekera kotsika mtengo kwa puloteni, mtengo wake umakhala wosapitirira 40 ma ruble pakompyuta (mapiritsi 20). Kuphatikiza pa kapamba, ilinso ndi zotsatirazi:

• lactose
• talcum ufa
• sodium wowuma glycolate,
• cellulose
• povidone
• titanium dioxide
• colloidal silicon dioxide,
• methaconic acid Copolymer.

Monga momwe zinalili m'mbuyomu, sizingatheke kutenga Penzital ndi hypersensitivity kupita ku zigawo zikuluzikulu za mankhwala, pachimake kapena kufalikira kwamphamvu kwambiri kapamba. Nthawi zina zilizonse, kumwa mankhwalawa kutha kuchitika popanda mantha, koma malinga ndi dongosolo lomwe wapatsidwa.

Mankhwala ndi otetezeka. Zotsatira zoyipa monga zotupa pakhungu, nseru, kusanza, kupweteka kwam'mimba, hyperuricosuria, ndi zina zotere.

Mlingo wamba wa Penzital kwa munthu wamkulu ndi mayunitsi a 150,000 / tsiku. Ngati pali kukanika kwathunthu kwa kapamba, mulingo umakwera mpaka magawo 400,000 / tsiku. Mlingo wapamwamba tsiku lililonse wa mankhwalawa ndi magawo 15,000 / kg. Kwa ana ochepera zaka 1.5, mulingo woyambira wa Penzital ndi mayunitsi 50,000 / tsiku kwa ana opitirira zaka 1.5, mayunitsi 100,000 / tsiku.

Mankhwalawa sagwira ntchito pokonzekera enzyme yotsika mtengo, chifukwa mtengo wake umasiyana ndi ma ruble 400. mpaka 1700 rub. kutengera kuchuluka kwa mapiritsi amodzi paphukusi limodzi. Komabe, Wobenzym imadziwika kuti ndiyo njira yabwino kwambiri komanso yofunika yokonzekeretsa, popeza ili ndi mbali zingapo:

Zina zomwe zimaphatikizapo talc, wowuma chimanga, madzi oyeretsedwa, colloidal silicon dioxide, stearic acid, lactose ndi magnesium stearate. Kapangidwe kake kadali kolemera, koma pokhudzana ndi mankhwalawa, kuphatikiza pancreatitis yowopsa komanso yowonjezera, pali zotsutsana zina, zomwe ndi:

• ma pathologies onse omwe ali ndi chitukuko chomwe chiopsezo chotsegula magazi mkati,
• ana osakwana zaka 5,
• hemodialysis
• Hypersensitivity kwa yogwira kapena zina zinthu za mankhwala.

Ubwino wa Wobenzym ndizosowa kwathunthu wazotsatira zoyipa. Pokhapokha pokhapokha pokhapokha ngati thupi limagwiritsidwa ntchito ngati mankhwalawa atengedwa pamaso pa contraindication, kapena kuwoneka kocheperako chifukwa cha fungo ndi mtundu wa ndowe.

Mankhwalawa amagwiritsidwa ntchito ngati mankhwala pazinthu zosiyanasiyana ndipo Mlingo wake umasankhidwa payekha. Koma tikalankhula za matenda a kapamba, nthawi zambiri amayikidwa muyezo wa mapiritsi 1-2 mukamadya kapena mukatha kudya.

Mtengo wa mankhwalawa ndi pafupifupi ma ruble 110-150. Ndi kukonzekera kophatikiza kwa enzyme, komwe kumatsimikizira kumalizidwa kwa kuperewera kwa zigawo za bile ndi ma pancreatic enzymes, potero amatanthauzira njira yokumba.

Zomwe zimagwiritsa ntchito mankhwalawa ndi:

• hemicellulase,
• bile zigawo zikuluzikulu
• pacreatin.

Ndi zoletsedwa kutenga Degistal pamaso pa matenda ndi mikhalidwe yotsatira:

• matenda a ndulu
• pachimake ndi kufalikira kwamatenda kapamba,
• kulephera kwa chiwindi
• chiwindi
• tsankho la munthu lomwe limapanga mankhwala.

Mankhwalawa amatengedwa katatu patsiku, mapiritsi atatu atatu panthawi imodzi mukatha kudya. Kuwonjezeka kwa mlingo kumachitika pokhapokha ngati mukugwirizana ndi adokotala. Mukachulukitsa mlingo nokha, izi zimatha kuyambitsa mawonekedwe, omwe ali ndi:

• zovuta zoyipa zonse.
• kuchepa kwamkaka kapangidwe ka michere,
• kopanira
• kuchuluka kwa plasma ya uric acid m'magazi.

Kukonzekera kwa enzyme kumathandizira kufooka kwa michere ya pancreatic m'thupi ndipo ndikofunikira kuti magawo azikhala ndi matenda. Koma kumbukirani kuti kuwatenga popanda kudziwa dokotala sikutheka. Izi zimatha kudzetsa mavuto akulu azaumoyo.