Cov txheej txheem ntawm kev zom thiab kev nqus ntawm cov as-ham ntawm cov zaub mov yog vim qhov tseeb tias cov enzymes ntawm cov txiav ua rau hauv cov hnyuv. Ntxiv mus, lub cev no yog lub luag haujlwm rau cov metabolic thiab kev hloov kev hloov, tswj cov theem ntawm cov ntshav qab zib, tso cov tshuaj hormonal sib koom tes hauv cov kev cai ntawm cov khoom siv biochemical.
Cov enzymes no yog tsim los ntawm cov txiav?
Nws muaj cov nram qab no ntau hom tshuaj yeeb dej caw:
1. Nuclease - cleaves nucleic acids (DNA thiab RNA), uas yog lub hauv paus ntawm cov khoom noj khoom haus tuaj.
2. Proteases:
- elastases - yog npaj rau kev sib cais ntawm cov protein ntau thiab elastin;
- trypsin thiab chymotrypsin - zoo ib yam li gastric pepsin, yog lub luag hauj lwm rau qhov zom cov zaub mov noj;
- carboxypeptidase - ua ke nrog cov saum toj no-hais hom protease, tab sis muaj lwm cov tswv yim ntawm cleavage.
3. Amylase - tso tawm rau kev kho ntawm cov kab mob carbohydrate, kev zom glycogen thiab cov hmoov txhuv nplej siab.
4. Steapsin - faib cov khoom sib luag.
5. Lipase - cuam tshuam yam tshwj xeeb ntawm cov rog (triglycerides), uas yog pre-kho nrog bile, uas ua los ntawm daim siab nyob rau hauv lub lumen ntawm intestine.
Tsom xam rau cov pancreatic enzymes
Rau kev kuaj xyuas cov kab mob ntawm lub cev, nug 3 kuaj kev sim:
- biochemical ntshav kuaj;
- urinalysis;
- ntsuam ntawm ntshav ntshav.
Lub luag haujlwm tseem ceeb yog ua los ntawm kev txiav txim siab (kev ua) ntawm amylase, elastase thiab lipase.
Cov tsos mob ntawm cov tsis muaj peev xwm thiab dhau ntawm cov pancreatic enzymes
Ib qho ntawm thawj qhov kev mob tshwm sim ntawm thawj qhov kev tawm tsam yog qhov hloov ntawm cov quav (nws ua kua), txij thaum xub thawj, muaj ib qho tsis ua hauj lwm hauv lipase.
Lwm cov tsos mob ntawm pancreatic enzyme deficiency:
- poob qoj ua ub no;
- flatulence ;
- tsis qab los noj mov thiab lub cev hnyav;
- mob plab;
- tsis muaj zog, nkees nkees;
- xeev siab;
- nco ntsoov rov qab ntuav.
Qhov kab mob thib ob yog hu ua pancreatitis thiab feem ntau yog qhov ua rau ntau ntau ntawm amylase thiab lipase. Interestingly, cov tsos mob ntawm tus kab mob no zoo ib yam li lub deficiency ntawm cov enzymes, ib qho ntxiv cov tsos mob yuav pom tau tias me ntsis nce hauv lub cev kub.
Yuav ua li cas kom restore cov enzymes ntawm cov txiav?
Yuav ua li cas thiaj li ua rau lub cev ua hauj lwm nrog cov khoom tsis txaus los ntawm cov tshuaj uas tau piav qhia, hloov kev kho tshuaj siv nrog kev noj zaub mov (sparing).
Enzymes ntawm cov txiav hauv ntsiav tshuaj:
- Pangrol;
- Pancreatin;
- Creon;
- Panzinorm;
- Festal;
- Pancreon;
- Mezim Forte;
- Penzital;
- Pancreoflate;
- Enzistal;
- Pankurmen;
- Digestal;
- Somilase;
- Kotazim Forte;
- Merkenzyme;
- Ipental;
- Pankral;
- Wobenzym;
- Tus cadastre;
- Phlogenzyme;
- Betaine;
- Oraza;
- Abomin;
- Pepphysis;
- Unienzim;
- Nigedaza.
Kuj muaj ntau yam analogs thiab cov generics ntawm cov khoom uas tau sau tseg muaj xws li 1-2 hom tshuaj chiv keeb, los yog lawv ua ke.
Nrog pancreatitis, ua ntej ntawm tag nrho cov, ib tug noj cov zaub mov nruj, nrog rau kev yoo mov rau 1-3 hnub. Tom qab no, inhibitors ntawm pancreatic enzymes siv:
- Somatostatin;
- Vasopressin;
- Glucagon;
- Calcitonin;
- Isoprenaline;
- Pantrypine;
- Contrikal ;
- Traskolan;
- Gordoks;
- aminocaproic acid;
- Inhistril;
- Tracerol.
Ib txhij nrog noj cov ntsiav tshuaj, nws yog ib qho tseem ceeb uas yuav tau ua raws li cov cai tswj kev noj haus - tsuas yog cov zaub mov tsawg dua, tsis muaj nqaij, mucous porridges thiab soups. Tsis tas li ntawd, nws yog pom zoo kom siv ib tug loj npaum li ntawm alkaline pob zeb cov dej, li 2 liv ib hnub twg.