Micrazim (dzina ladziko lonse losagwirizana ndi chakudya chopatsa mphamvu) ndi mankhwala ophatikiza omwe amaphatikiza ma enzyme osiyanasiyana omwe amagwira ntchito motsutsana ndi michere yonse. Zogwiritsidwa ntchito kutulutsa mawonekedwe am'mimba ndikuthandizira kugaya chakudya.
Chifukwa chakuti kapangidwe kake kamene kamapanga michere yogaya chakudya kumachitika m'maselo a kapamba, kapangidwe kake ndi kutulutsa kwawo kumasokonezeka chifukwa cha njira ya pathological.
Zikatero, funso ndi lokhudza kuperekedwa kwa chithandizo chamankhwala. Ndi chifukwa chotere kuti mankhwala a enzyme adayikidwa.
Izi ndi mankhwala amapezeka mu mawonekedwe a ma microspheres omwe ali mu ma kapisozi a gelatin. Makapisozi, molingana ndi miyezo yapadziko lonse yosungirako ndi kugawa kwa mankhwala, amaikidwa mu matuza apadera apadera. Ichi ndi ichi chomwe chimateteza kwathunthu ma kapisolo ku zinthu zowonongeka zachilengedwe. Matumba amaikidwa pabokosi lamakhadi. Bokosi lililonse lili ndi matuza angapo. Kuphatikiza apo, phukusi lililonse lili ndi malangizo.
Yogwira pophika mankhwala ali kapamba pancreatin. Amawonetsedwa mu mawonekedwe a ufa, amachokera ku ma pancreatic enties a nkhumba. Choyimira chikuyimiriridwa ndi ma enzyme otsatirawa:
- lipase, puloteni inayake yomwe imayambitsa kuphwanya kwa ziwalo za lipid;
- amylase, enzyme yomwe imalimbikitsa chimbudzi cholimba cha polysaccharides;
- trypsin, omwe amachititsa kuti mapuloteni awonongeke.
Mu msika wogulitsa mankhwala, mankhwala amaperekedwa m'njira ziwiri:
- Mlingo wa magawo 10,000 a ntchito. Ndi zili ndi milligramama 125 a yogwira ntchito.
- Micrasim ndi Mlingo wa 25,000 uli ndi 312 mamiligalamu a pancreatin ufa.
Mankhwalawa amapangidwa ndi munthu wodziwika bwino wopanga mankhwala - "ABBA-RUS". Dzina la mankhwalawa limagwirizanitsidwa ndi mawonekedwe a masanjidwewo, ndipo chinthu chogwira ntchito ndi enzyme.
Popanga ma enzyme angapo pogwiritsa ntchito zida zopangira zochokera ku nyama - kachilombo kamene kamachokera ku zikondamoyo za nyama za pafamu, zomwe ndi nkhumba.
Facacological katundu wa Mikrasim
Enzymes ali ndi kutchulidwa kwamaganizidwe azakudya.
Zotsatira za mankhwalawa zimachitika chifukwa chake zimapangidwa. Popeza zikuchokera mankhwala amapereka wathunthu chimbudzi cha michere.
Zambiri za mankhwalawa zimatha kusintha m'malo mwa kuperewera kwa mbali ya kapamba.
Enzyme iliyonse imakhala ndi mankhwala ake:
- Lipase amalimbikitsa kusokonekera kwa mafuta ndi ma hydrolysis zomwe zimachitika, motero kuonetsetsa kuti zimayamwa. Kuphatikiza apo, chifukwa cha lipase yogwira, kukondoweza kwa mavitamini amaperekedwa, mawonekedwe a mankhwala omwe ndi mafuta osungunuka.
- Amylase imapereka chimbudzi cha polysaccharides poyambira kuwachotsa kuti azikhala amodzi.
- Mapuloteni ndi ma trypsin ndi omwe amachititsa kuti mapuloteni aziyamwa.
Chifukwa chakugaya kwambiri ntchito kwa madzi am'mimba, ma microspheres amatetezedwa ndi chipolopolo cha gelatin. Pambuyo pakutha kwa kapisozi, ma enzyme omwe amagwira ntchito amafikira mpaka ntchito.
Kutulutsidwa kwawo kumachitika mu duodenum, pomwe ntchito yofunika kwambiri ya enzymatic imachitika.
Mankhwala amtunduwu amathetsa zotsatirazi:
- kumverera kolemetsa mu epigastrium;
- kumverera kwam'mimba kwathunthu;
- kuchuluka kwa kupanga kwa gasi komanso kuyenderana ndi zizindikiro zosasangalatsa;
- kumverera kwa kusowa kwa mpweya chifukwa chakufinya kwa phokoso lomwe limasefukira ndi mipweya ndi chakudya chosagwira bwino m'mimba ndi matumbo;
- dyspnea yolumikizana ndi njira yomweyo ya pathological monga chizindikiro cham'mbuyomu;
- kutsegula m'mimba kapena matumbo ena.
Komanso, mankhwalawa amathandizira kuti matendawa azitha kugwira ntchito.
Malangizo ogwiritsira ntchito mankhwalawa
Ma enzyme onse omwe ali ndi zochita zambiri ali ndi chimodzimodzi pharmacokinetic.
Chizindikiro chachikulu cha mankhwalawo ndikuphwanya njira zamagaya.
Kugwiritsidwa ntchito kwake kumasiyanasiyana muyezo komanso pafupipafupi kwa makonzedwe, kutengera ndi nosology. Dokotala wa gastroenterologist kapena dokotala wamkulu angakupatseni mankhwala.
Zomwe zikupangira mankhwala ndi izi:
- Kuperewera kwa kusiyanasiyana kwamphamvu kwa exocrine kapamba. Mkhalidwe wamtundu woterewu umawonedwa mu pancreatitis yayikulu kapena pachimake, komanso mu zovuta za majini ndi matenda a chromosomal komanso zonyansa. Organ ageneis, dysplasia, cystic fibrosis. Odwala omwe ali ndi cystic fibrosis amakhala ndi kuchepa kwakanthawi kokwanira, chifukwa chake, kutenga michere ndikofunikira kwa iwo.
- Matenda opaka m'mimba, kuphatikizapo m'mimba, chiwindi ndi chikhodzodzo.
- Kuvulala kwam'mimba, ziwalo pambuyo pa opaleshoni yotseguka, chithandizo cha radiation ndi chemotherapy yambiri.
Kufotokozera mwatsatanetsatane kuzisonyezo zonse zogwiritsira ntchito michere ya enzymatic kumalongosoledwa mu malangizo. Tsamba la wopanga limafotokoza zabwino zonse za mankhwalawo. Kuphatikiza apo, pamabwalo omwe mungawerenge zowunikira zakufunika kwa chithandizo.
Contraindication poika enzymatic zinthu
Monga mankhwala ena ambiri, Mikrasim ali ndi zotsutsana zina komanso malire omwe angagwiritse ntchito.
Zoletsa zonse zokhudzana ndi mankhwalawa zimasonyezedwa pakanema.
Gawo lazoperewera, mawonekedwe ogwiritsira ntchito ndi zotsatira zoyipa ayenera kuphunziridwa mosamala kwambiri kuti mupewe mavuto.
Zinthu sizitha kugwiritsidwa ntchito motere:
- kukhudzika kwapadera kwa munthu kapena kusalolera magawo a mankhwala;
- nyama mapuloteni ziwengo;
- pachimake kapena necrotic pancreatitis;
- zotupa zapachifuwa;
- Matenda osiyanasiyana a kapamba;
- ana ochepera zaka zitatu sangathe kugwiritsa ntchito mankhwalawa chifukwa cha kuchuluka kwa mawonekedwe;
- odwala cystic fibrosis osakwana zaka khumi ndi zisanu;
- gwiritsani ntchito amayi omwe ali ndi microzim panthawi yoyembekezera komanso yoyamwitsa mosamala, ngati zingatheke kupewa kupatsa mankhwala, ndibwino osagwiritsa ntchito mankhwalawa;
- Pewani kupereka mankhwala ngati wodwala amakonda kumwa mowa.
Gwiritsani ntchito m'magulu apadera a odwala, monga amayi apakati, ziyenera kuchitika kokha ngati chithandizo chamankhwala chikuyembekezeredwa kangapo kakulidwe kangapo poyerekeza chiwopsezo cha mayi kapena mwana wosabadwayo.
Ngakhale kubereka ndi mkaka wa m`mawere si kwathunthu contraindication kumwa michere.
Zomwe mungagwiritse ntchito kukonzekera kwa enzymatic
Mlingo wa wodwala winawake umasankhidwa kutengera mtundu wa kusakwanira kwa chiwalo cha exocrine.
Makapisozi amayenera kumwedwa pakudya. Fomu ya mulingo uyenera kumeza popanda kutafuna ndikusambitsidwa ndi kapu yamadzi.
Dokotala wopezekapo amasankha kuchuluka kwa mankhwalawa komanso kutalika kwa matendawo munjira yake, kutengera zaka za wodwalayo, gawo la matendawo, malingaliro ndi malingaliro a akatswiri apadziko lonse lapansi. Mankhwalawa amasankhidwa malinga ndi zakudya zomwe odwala amadya.
Pa msika wogulitsa mankhwala pali mankhwala ambiri okhala ndi zotsatira zofananira. Mtengo wa mankhwala ku Russia zimatengera maukonde opatsirana mankhwala, mtengo wosinthana ndi othandizira. Kuphatikiza apo, enzymatic wothandizirayo ndi chipatso chamsika wamankhwala opangira mankhwala, potero kuyimira mtengo wotsika mtengo, koma wosagwirizana ndi antchito odziwika:
- Pangrol;
- Chiboni
- Mezim;
- Chimbudzi;
- Pancreasim
- Malembo.
Mankhwalawa onse ndimalo athunthu a enzymatic ntchito ya kapamba.
Popeza mtengo wamankhwala umasiyanasiyana ku Russia, mutha kuyang'ana pa mtengo woyenera kwambiri. Koma choyambirira, kuwunika za mankhwalawo komanso malingaliro a akatswiri ali ndi vuto.
Ndiwothandiza kugwiritsa ntchito ma enzymes molumikizana ndi prebiotic zinthu (mwachitsanzo Dufalac), koma mtengo wawo umakhalanso, pakadali pano, wokwera kwambiri.
Zambiri pakukonzekera kwa enzyme zimaperekedwa mu kanema munkhaniyi.
