Mu matenda a kapamba, matenda a concomitant nthawi zambiri amakula, kuphatikizapo kuperewera kwa mapira. Izi zikachitika, adotolo amamulembera odwala mankhwala omwe ali ndi zinthu izi. Ndikotheka kusintha momwe chimbudzi chakhalira, kusintha bwino mkhalidwe wa wodwalayo, mwayi wobwezeretsa ntchito za chofooka.
Enzymes ndizogwira zinthu mwachangu, zimathandiza kuthyola ndikugaya chakudya chogwiritsa ntchito matumbo aang'ono. Mwambiri, kapamba amatha kupanga ma enzymes pafupifupi makumi awiri, amagawika m'magulu angapo: amylase and derivatives, lipase ndi phospholipase, nucleolytic ndi proteinolytic enzymes.
Amylase limodzi ndi zinthu zina zofunika pakuwonongeka kwa chakudya, adokotala amawunika kuchuluka kwa zochitika zomwe zimayambitsa kupukusira kwa kapamba ndendende ndi kuchuluka kwa amylase mkodzo ndi magazi.
Zinthu lipase ndi phospholipase ndi lipolytic michere, ndi gawo la bile atembenuza lipids kukhala glycerol ndi mafuta acid. Ma enote a Proteolytic amaphatikizapo:
- elastase;
- trypsin;
- chymotrypsin.
Amasintha protein kukhala amino acid. Zinthu za enzyme zotere zimapangidwa mwanjira ya ma proenzymes, zimayamba kugwira ntchito m'matumbo ochepa pomwe ma enzyme ena amadzichitira. Chifukwa cha izi, kudzimbidwa kwathunthu kwa kapamba kumachotsedwa. Ma enzymes a Nucleolytic amatenga nawo gawo pakusintha kwa RNA ndi DNA.
Kuphatikiza apo, kapamba amatha kuphatikiza ma enzyme ena angapo, kuphatikiza phospholipase ndi phosphatase, chilichonse mwazinthuzi zimathandizira pakukumba. Odwala ena amapezeka ndi Fermentopathy - kuperewera kwachilendo kwa michere ya pancreatic.
Pamene dokotala adzalembera kukonzekera kwa enzyme
Mankhwala amalimbikitsidwa ngati thupi litasiyidwa ndi michere yokwanira. Izi ndizofunikira kuti kuthamanga kukhale kwamtundu, kuthana ndi chizindikiro cha kapamba kapena matenda ena a ziwalo za m'mimba.
Ma Enzymes a kapamba ayenera kutengedwa popanda kuchulukitsa mawonekedwe a matendawa, mankhwalawa amadzimadzi a sphincter a Oddi, hepatobiliary system, celiac matenda, kutupa kwamatumbo, cystic fibrosis. Nthawi zambiri, kukonzekera kwa enzyme kumawonetsedwa ndi kuchepa kwa zaka zokhudzana ndi ntchito ya chiwalo, kuti muchepetse kusasangalala mukamadya kwambiri komanso kugwiritsa ntchito zakudya zoletsedwa.
Funso nthawi zambiri limabuka kuti kodi ndizotheka kutenga michere panthawi yowonjezera ya kapamba. Muyenera kudziwa kuti nthawi yovuta ya matendawa ndi kutsutsana kwathunthu ndi kugwiritsa ntchito mankhwalawa. Amalimbikitsidwa pambuyo pakuphatikizidwa kwa njira ya pathological.
Kodi ma enzymes abwino kwambiri a kapamba ndi chiyani? Ayenera kukhala otetezeka, osakhala oopsa. Kukonzekera kwa enzyme yamtundu wapamwamba nthawi zambiri kumachokera ku nyama, zimapangidwa motengera zikondamoyo za nkhumba, popeza kapangidwe ka thupi la nyama iyi ndi ofanana kwambiri ndi munthu.
Muyenera kudziwa kuti mankhwala aliwonse okhala ndi ma enzymes amakhala ndi zinthu zazikuluzikulu:
- lipase;
- amylase;
- mapuloteni.
Kukonzekera kwa enzyme kumakhala ndi chipolopolo chosagwirizana ndi mkwiyo wa madzi am'mimba, iwonongedwa kale m'malo amchere wamatumbo. Ndikulimbikitsidwa kudya ma enzymes ambiri monga momwe kapamba wama thanzi amapangira.
Kodi mungatenge nthawi yayitali bwanji ma enzyme osagwira chifuwa cham'mimba, zomwe zimatenga ma pancreatitis, momwe mungamwere ma enzymes osachiritsika amadziwika ndi adotolo, kutengera kuopsa kwa matendawa komanso mbiri yachipatala ya munthuyu.
Mapiritsi
Ma Enzymes amatha kupangidwira mu mawonekedwe a mapiritsi, adayikidwa kuti ayimitse kugwira ntchito kwa kapamba ngati mukupweteka kwambiri chifukwa cha kufalikira kwa kapamba. Muthanso kutenga ndalama ndi atrophic duodenitis, duodenal-chapamimba Reflux ndi dyskinesia wa duodenum, wosakhumudwitsa matumbo.
Mapiritsi a pancreatic alibe bile, amavomerezedwa kuti athandize ana ndi odwala omwe ali ndi chiyembekezo cha thupi lawo siligwirizana.
Mapiritsi amagwira ntchito pa lingaliro la mayankho, thupi limapereka chisonyezo choletsa kutulutsa kwake kwa ma enzymes ake, potero kuthetsa ululu, kutupira kwa kapamba ndi kukakamiza mu milomo ya chiwalo. Ubwino wa gululi la mankhwalawa pamtengo wotsika, komabe, sakhazikika mokwanira m'mimba, kugayidwa mwachangu.
Kupatula chimbudzi, mankhwalawa amayenera kuphatikizidwa ndi mankhwala omwe amachepetsa kuchuluka kwa acidity m'mimba.
Choipa chodziwikiratu cha chipangizocho sichikhala chosakanikirana bwino ndi chakudya, kotero chimatha kulowa m'matumbo a duodenum m'mbuyomu kapena pambuyo pake pazachuma. Komabe, izi sizimalepheretsa kuti mapiritsi azigwira ntchito yayikulu - kutsekereza zobisika za ma enzymes awo.
Wotchuka kwambiri masiku ano ayenera kutchedwa kuti Pancreatin, wotsika mtengo kwambiri akhale:
- Panzikam;
- Pancreasim
- Gastenorm Forte.
Madotawa amawona kuti Panzinorm Forte 20000 ndi chisankho chabwino kwambiri chothetsa ululu.
Mezim 20000 itenga wodwala kwambiri, mtengo wake ndi wokwera kwambiri.
Enzymes mu makapisozi
Maphunziro a pancreatitis omwe amakhala nthawi yayitali amathandizira kuti pakhale kuperewera kwa mphamvu, chifukwa, kuphwanya mayamwidwe ofunikira osafunikira, wodwalayo amachepetsa thupi, ndowe zimakhala mafuta, kutsekula m'mimba komanso zizindikiro zina za maldigestia zimachitika. Chifukwa chake, pancreatic enzyme inhibitor iyenera kutengedwa.
Kuti muchepetse kusakwanira kwa thumbo ndi matendawa, kusintha kwa mahomoni ndimankhwala kumasonyezedwa, ndikofunikira kupewa kupukusira kwa mankhwala m'mimba yomwe. Chogulikacho chimayenera kusakanikirana bwino ndi chakudya, kusuntha nacho ndikukhala ndi mphamvu m'matumbo okha. Ma pancreatic enzyme omwe amapanga mapiritsi amakwaniritsa zofunikira izi.
Makapisozi amakamwa mu duodenum. Muli mapiritsi a pancreatin amkati mkati, zomwe zimapangitsa kusakanikirana ndi chakudya kumakhala kosavuta. Chowoneka mosiyana ndi mankhwalawa m'gululi ndikutha kupondereza kupangika kwa zinthu zawo zapanchipini.
Mndandanda wa kukonzekera kwa pancreatin m'mapiritsi amaphatikizira ndalama:
- Malembo
- Chiboni
- Panzinorm 10000;
- Micrazim;
- Pangrol.
Kusankha kwamankhwala kumadalira zomwe dotolo adakumana nazo, chithunzi cha matenda, ndi zina. Chithandizo chotsika mtengo kwambiri ndi Panzinorm 10000, chili ndi lipase yochulukirapo, yomwe imapangitsa kuti ikhale yothandiza polimbana ndi matenda am'mimba komanso kuperewera kwa mafuta.
Zambiri pa michere ya pancreatic imaperekedwa mu kanema munkhaniyi.
