Enkambweni engapheli yesifo se-pancreatitis, izifo ezihlangana kakhulu zivame ukukhula, kufaka phakathi nokushoda kwe-pancreatic enzyme. Uma lokhu kwenzeka, udokotela unquma imithi yesiguli equkethe lezi zinto. Kungenzeka ukwenza inqubo yokugayeka ibe yjwayelekile, ithuthukise kakhulu isimo sesiguli, amathuba okubuyiselwa kwemisebenzi yesitho esibuthakathaka ayanda.
Ama-enzymes ayizinto ezisebenza ngokusebenza, asiza ekubhidlizeni nasekugayeni ukudla ukuze kufakwe izakhi ngumzimba omncane wamathumbu. Ngokuvamile, i-pancreas iyakwazi ukukhiqiza ama-enzyme angamashumi amabili, ihlukaniswe ngamaqembu amaningana: ama-amylase kanye nokuphuma kokunye, i-lipase ne-phospholipase, i-nucleolytic ne-proteinolytic enzymes.
I-Amylase kanye nezinye izakhi ziyadingeka ekwehlukanisweni kwama-carbohydrate, udokotela uhlola izinga lokusebenza kwenqubo yokuvuvukala ngokuqondile kumanani we-amylase kumchamo nasegazini.
Izinto lipase ne-phospholipase zingama-enzyme e-lipolytic, ngokubamba iqhaza kwe-bile kuguqula i-lipids ibe yi-glycerol namafutha acid. Ama-enzymes ama-Proteolytic afaka:
- elastase;
- trypsin;
- chymotrypsin.
Baguqula amaprotheni abe yi-amino acid. Izinto ezinjalo ze-enzyme zikhiqizwa ngohlobo lwama-proenzymes, aqala ukusebenza kuphela emathunjini amancane lapho amanye ama-enzyme esebenza kuwo. Ngenxa yalokhu, ukuzigaya ngokwakho kwamanyikwe. Ama-enzymes ama-Nucleolytic abandakanyeka ekuguqulweni kwe-RNA ne-DNA.
Ngaphezu kwalokho, i-pancreas iyakwazi ukufaka amanye ama-enzyme amaningi, kufaka phakathi i-phospholipase ne-alkaline phosphatase, ngayinye yalezi zinto idlala indima inqubo yokugaya. Ezinye iziguli zitholakala ukuthi zine-Fermentopathy - ukuntuleka kokuzala kwama-enzyme okugaywa kokuzala.
Lapho udokotela eyonquma amalungiselelo enzyme
Izidakamizwa ziyanconywa lapho umzimba ulahlekelwe amandla okuthola ama-enzyme agcwele ngokuphelele. Lokhu kubalulekile ukuze inqubo ejwayelekile yokugaya ijubane, ukuqedwa kwezimpawu ze-pancreatitis noma ezinye izifo zezitho zohlelo lwesisu.
Ama-enzymes e-pancreatitis kufanele athathwe ngaphandle kokwandisa ifomu lesifo esingalapheki, ekwelashweni kwe-pathologies of dysfunction of the sphincter of Oddi, hepatobiliary system, celiac isifo, ukugula kwamathumbu okungamahlalakhona, ukuvuvukala kwamathumbu okungapheli. Imvamisa, amalungiselelo e-enzyme akhonjiswa ngokuncipha okuhlobene nobudala emsebenzini we-exocrine wesitho, ukuqeda ukungaphatheki kahle ngemuva kokudla kakhulu nokusebenzisa kabi ukudla okungavunyelwe.
Umbuzo uvame ukuvela wokuthi kungenzeka yini ukuthatha ama-enzyme ngesikhathi sokwanda kwe-pancreatitis. Udinga ukwazi ukuthi isikhathi esibi sesifo singukuphikisana ngokuphelele nokusetshenziswa kwezidakamizwa zaleli qembu. Kunconywa ngemuva kokutholwa kwenqubo ye-pathological.
Yini ama-enzyme amahle kakhulu we-pancreatitis? Ama-enzyme amahle kakhulu yimikhiqizo eyinkimbinkimbi ehlanganisa izithako eziyinhloko zokugaya kahle. Kufanele ziphephe, zingabi yibuthi. Amalungiselelo we-enzyme esezingeni eliphakeme imvamisa avela ezilwaneni, enziwa ngesisekelo samaphaphu ezingulube, ngoba ukwakheka komzimba walesi silwane kufana kakhulu nomuntu.
Udinga ukwazi ukuthi noma yimuphi umuthi onama-enzyme uqukethe izinto eziphambili:
- lipase;
- i-amylase;
- i-proteinase.
Ukulungiswa kwe-enzyme kunegobolondo engamelana nemiphumela enolaka yejusi yesisu, isivele ibhujiswe endaweni ye-alkaline yamathumbu. Kunconywa ukusebenzisa ama-enzyme amaningi impela njengoba nama-pancreas enempilo ekhiqiza njalo.
Ngingayithatha isikhathi esingakanani i-enzymes yesifo se-pancreatitis esingapheli, ama-enzyme okufanele ngiwathathe nge-pancreatitis, ukuthi angaphuza kanjani ama-enzyme wesifo se-pancreatitis enqunywe ngudokotela oya kuye, ngokuya ngobunzima balesi sifo kanye nomlando wezokwelapha komuntu.
Amaphilisi
Ama-enzymes angenziwa ngendlela yamathebulethi, anqunyelwe ukumisa umsebenzi wamaphaphu uma kunezihlungu ezinzima ezibangelwa ukwanda kwe-pancreatitis. Ungathatha futhi imali nge-atrophic duodenitis, i-duodenal-gastric Reflux kanye ne-dyskinesia ye-duodenum, i-bowel syndrome.
Amathebhulethi e-pancreatic aqukethe i-bile, agunyazwa ekwelashweni kwezingane kanye nasezigulini ngokubhekelela kokuqala komzimba.
Amaphilisi asebenza emgomweni wempendulo, umzimba unikeza isibonakaliso sokumisa ukukhishwa kwama-enzymes awo, ngaleyo ndlela aqede izinhlungu, ukudumba kwamanyikwe nengcindezi emiseleni yesitho. Inzuzo yaleli qembu lezidakamizwa ngenani eliphansi, noma kunjalo, azizinzanga ngokwanele esiswini, zigaywe ngokushesha.
Ukuze ungafaki ukugaya, umuthi kufanele uhlanganiswe nemithi eyehlisa izinga le-acidity esiswini.
Ukungathandeki okusobala komkhiqizo kuzoba ukuxuba okungekuhle nokudla, ngakho-ke kungangena kwi-duodenum ngaphambili noma kamuva kusisindo sokudla. Kodwa-ke, lokhu akuvimbi ngaso sonke isikhathi ukuthi amaphilisi angadlala indima eyinhloko - ukuvimba imfihlo yama-enzyme abo.
Okuthandwa kakhulu namuhla kufanele kubizwe ngokuthi umuthi Pancreatin, okushibhile kuzoba yilokhu:
- UPanzikam;
- Pancreasim
- Gastenorm Forte.
Odokotela babheka iPanzinorm Forte 20000 njengesinqumo esihle kakhulu sokuqeda izinhlungu.
IMezim 20000 izobiza isiguli kakhulu, intengo yayo iphakeme impela.
Ama-Enzymes emaphaketheni
Inkambo ende ye-pancreatitis inomthelela ekwakhekeni kokunganele kwe-exocrine, ngenxa yalokho, ukwephulwa kokufakwa kwezakhi zomzimba ezibalulekile akunakugwenywa, isiguli silahlekelwa isisindo, izindle ziba namafutha, isifo sohudo kanye nezinye izimpawu ze-maldigestia zenzeka. Ngakho-ke, i-pancreatic enzyme inhibitor kufanele ithathwe.
Ukuqeda ukungasebenzi kahle kwe-gland ngalesi sifo, kukhonjiswa esikhundleni se-hormone nezidakamizwa, kubalulekile ukuvimba ukugaya umuthi esiswini uqobo. Umkhiqizo kufanele uhlangane kahle nokudla, uhambisane nawo futhi ube nomphumela emathunjini kuphela. Ama-enzyme e-pancreatic kumakhompiyutha ahlangabezana nalezi zidingo.
Amakhompiyutha agaywa ku-duodenum. Aqukethe amaphilisi we-mini pancreatin ngaphakathi, okwenza ukuxubana nokudla kube lula. Isici esihlukile semithi kuleli qembu yikhono lokucindezela ukukhiqizwa kwezinto zabo ezi-pancreatic.
Uhlu lwamalungiselelo we-pancreatin kumaphakethi lifaka imali:
- I-Hermitage
- Ikhoni
- IPanzinorm 10000;
- I-Micrazim;
- Pangrol.
Ukukhetha kwemithi kuya ngesipiliyoni udokotela, isithombe somtholampilo walesi sifo, kanye nezinye izimo. Umuthi ongabizi kakhulu yiPanzinorm 10000, uqukethe inani elikhulayo le-lipase, elenza liphumelele ekulweni nesifo sohudo nokufakwa emzimbeni.
Imininingwane ngama-enzymes e-pancreatic inikezwe kuvidiyo kule ndatshana.
