Indima yee-enzyme zokugaya ukutya kwiingxaki zesisu

Umxholo

• Ushwankathelo
• Zithini ii-enzymes zokugaya ukutya?
• Zisebenza njani ii-enzyme zokugaya ukutya?
• Iindidi zee-enzyme zokugaya ukutya
• Ngubani ofuna ii-enzymes zokugaya ukutya?
• Imiphumela
• Imithombo yendalo yee-enzymes
• Nini ukubona ugqirha
• Yise kude

Ushwankathelo

Ngokwendalo, ii-enzymes zokwetyisa eziyinxalenye ebalulekileyo yenkqubo yokwetyisa. Ngaphandle kwabo, umzimba wakho awunako ukophula ukutya ukuze izondlo zifakwe ngokupheleleyo.

Ukungabikho kwee-enzyme zokugaya ukutya kunokukhokelela kwiimpawu ezahlukeneyo zesisu (GI). Isenokukushiya ungondlekanga, nokuba unokutya okusempilweni.

Iimeko ezithile zempilo zinokuphazamisa ukuveliswa kwee-enzymes zesisu. Xa kunjalo, unokongeza ii-enzymes zokugaya ukutya ngaphambi kokutya ukunceda umzimba wakho ukwenze ukutya ngokufanelekileyo.

Qhubeka ufunda ukuze ufunde ngakumbi ngee-enzymes zokugaya ukutya, kwenzeka ntoni xa ungenako okwaneleyo, kunye nento onokuyenza ngayo.

Zithini ii-enzymes zokugaya ukutya?

Umzimba wakho wenza ii-enzymes kwinkqubo yokwetyisa, kubandakanya umlomo, isisu kunye namathumbu amancinci. Esona sabelo sikhulu ngumsebenzi wepancreas.

Ii-enzyme zokugaya zinceda umzimba wakho ukuba wophule ii-carbohydrate, amafutha, kunye neeproteni. Oku kuyimfuneko ukuvumela ukufunxeka kwezondlo kunye nokugcina impilo esemgangathweni. Ngaphandle kwezi enzymes, izakha mzimba kukutya kwakho ziyonakala.

Xa ukunqongophala kwee-enzymes zokwetyisa kukhokelela ekungangeni kakuhle kunye nokungondleki, ibizwa ngokuba yi-exocrine pancreatic insufficiency (EPI). Xa oko kusenzeka, ukutshintshwa kwe-enzyme yokutya kunokukhetha.

Ezinye ii-enzymes zokwetyisa zifuna amayeza kagqirha kwaye ezinye zithengiswa kwikhawuntara (i-OTC).

Zisebenza njani ii-enzyme zokugaya ukutya?

Ii-enzyme zokugaya ukutya zithatha indawo ye-enzymes yendalo, ukunceda ukwaphula iicarbohydrate, amafutha, kunye neeproteni. Nje ukuba ukutya kuphulwe, izondlo zingena emzimbeni wakho ngodonga lwamathumbu amancinci kwaye zisasazwe ngokuhamba kwegazi.

Ngenxa yokuba zenzelwe ukulinganisa ii-enzymes zakho zendalo, kufuneka zithathwe ngaphambi kokuba utye. Ngale ndlela, banokwenza umsebenzi wabo njengokutya okuhlasela isisu sakho kunye namathumbu amancinci. Ukuba awuzithathi ngokutya, azisayi kuba luncedo kakhulu.

Iindidi zee-enzyme zokugaya ukutya

Ezona ntlobo ziphambili ze-enzymes zezi:

• Isiciko: Ukophula iikhabhohayidrethi, okanye isitatshi, kwiimolekyuli zeswekile. Ukunganeli kwe-amylase kunokukhokelela kurhudo.

• Lipase: Isebenza nge-bile bile yesibindi ukwaphula amafutha. Ukuba awunayo i-lipase eyaneleyo, uya kuswela iivithamini ezinyibilika ngamanqatha ezinje nge-A, D, E, kunye ne-K.

• Ukukhutshwa: Ukophula iiproteni kwii-amino acid. Kwakhona kunceda ukugcina ibhaktheriya, imvubelo kunye neprotozoa ngaphandle kwamathumbu. Ukunqongophala kweprotease kungakhokelela kwizigulo zee aleji okanye kwityhefu emathunjini.

Amayeza e-enzyme kunye nezongezo ziza ngeendlela ezininzi ezinezithako ezahlukeneyo kunye needosi.

Unyango lwe-Pancreatic enzyme yokutshintsha (i-PERT) ifumaneka kuphela ngugqirha. La mayeza ahlala enziwe ngepancreases yeehagu. Baphantsi kolawulo lokutya kunye noLawulo lweeDrug (FDA) kunye nommiselo.

Ezinye ii-enzyme zikagqirha ziqukethe i-pancrelipase, eyenziwe nge-amylase, lipase, kunye neprotease. La mayeza ahlala egutyungelwe ukunqanda iiasidi zesisu ekutyeni amayeza ngaphambi kokuba afike emathunjini.

Idosi yahluka ukusuka komnye umntu uye komnye ngokubhekisele kubunzima kunye nokutya. Ugqirha wakho uya kufuna ukukuqala ngeyona dosi iphantsi kwaye wenze uhlengahlengiso njengoko kufuneka.

Izongezelelo ze-enzyme ze-OTC zifumaneka naphi na apho kuthengiswa khona izongezo zokutya, kubandakanya i-Intanethi. Zingenziwa ngepancreases yezilwanyana okanye kwizityalo ezinje ngomngundo, igwele, ifungi, okanye iziqhamo.

I-OTC yokwetyisa ii-enzymes azicalulwa njengamayeza, ngenxa yoko ayifuni imvume ye-FDA ngaphambi kokuya kwintengiso. Izithako kunye needosi kwezi mveliso zinokwahluka kwibhetshi ukuya kwibhetshi.

Ngubani ofuna ii-enzymes zokugaya ukutya?

Unokufuna ii-enzymes zokugaya ukutya xa une-EPI. Ezinye zeemeko ezinokushiya mfutshane kwii-enzymes zokugaya zezi:

• pancreatitis ezingapheliyo
• Iipancreatic cysts okanye izicubu ezinobungozi
• ukuvaleka okanye ukunciphisa i-pancreatic okanye i-biliary duct
• umhlaza wepancreatic
• utyando lwepancreatic
• icystic fibrosis
• isifo seswekile

Ukuba unayo i-EPI, ukwetyisa ukutya kungacotha kwaye kungonwabisi. Isenokukushiya ungondlekanga. Iimpawu zingabandakanya:

• ukudumba
• irhasi egqithisileyo
• ukuxinwa emva kokutya
• urhudo
• tyheli, ilindle elinamafutha adadayo
• ilindle elinuka kakubi
• ukwehla kobunzima nokuba utya kakuhle

Nokuba awunayo i-EPI, unokuba nengxaki kukutya okuthile. Ukunganyamezelani kweLactose ngumzekelo olungileyo woku. Isongezelelo se-lactase esingabhaliswanga sinokukunceda ukuba ugqibe ukutya okune-lactose. Okanye ukuba unengxaki yokugaya iimbotyi, unokufumana isongezelelo se-alpha-galactosidase.

Imiphumela

Iziphumo ebezona zixhaphakileyo ze-enzyme zokugaya ukutya kukuqunjelwa. Abanye banokubandakanya:

• isicaphucaphu
• isisu esiswini
• urhudo

Ukuba unempawu zokungaziphathi kakuhle, nxibelelana nogqirha ngokukhawuleza.

Imekobume kwinkqubo yokwetyisa ifuna ibhalansi ethe-ethe. Ii-enzyme zisenokungasebenzi kakuhle ukuba imeko-bume emathunjini akho amancinci ineasidi kakhulu ngenxa yokunqongophala kwe-bicarbonate. Omnye umba unokuba awuthathi idosi elungileyo okanye umyinge wee-enzymes.

Amanye amayeza anokuphazamisa ii-enzymes zesisu, ngenxa yoko kubalulekile ukuba uxelele ugqirha wakho malunga nalo naliphi na iyeza kunye nezibonelelo ozithathayo ngoku.

Ukuba uthatha ii-enzymes kwaye uneengxaki, jonga ugqirha wakho.

Imithombo yendalo yee-enzymes

Ukutya okuthile kunee-enzymes zokugaya ukutya, kubandakanya:

• iavokhado
• iibhanana
• ijinja
• busi
• Kefir
• ikiwi
• mangos
• iipapaya
• iinanapples
• ikumkhi

Ukongezwa kokutya kwakho kunye nokunye koku kutya kunokunceda ukwetyisa.

Nini ukubona ugqirha

Ukuba ufumana iingxaki zokugaya ukutya rhoqo okanye eziqhubekayo, okanye unempawu ze-EPI, jonga ugqirha wakho ngokukhawuleza. Usenokungazifumani zonke izondlo ozifunayo ukuze uhlale usempilweni.

Zininzi iingxaki ze-GI ezinokubangela iimpawu zakho. Ukuzama ukuthelekelela ukuba yeyiphi i-enzymes oyifunayo kwaye yeyiphi idosi enokubangela iingxaki. Ngezi zizathu, kubalulekile ukuba ufumane isifo kwaye uxoxe ngeendlela onokukhetha kuzo nogqirha wakho.

Ukuba ufuna ukutshintshwa kwe-enzyme yokugaya, unokuxoxa ngeenzuzo kunye neengozi zokumiselwa ngokuchasene neemveliso ze-OTC.

Yise kude

Ii-enzyme zokugaya ukutya zibalulekile kwisondlo nakwimpilo entle ngokubanzi. Zinceda umzimba wakho ukuba uthathe izondlo kukutya okutyayo. Ngaphandle kwabo, ukutya okuthile kungakhokelela kwiimpawu ezingathandekiyo, ukunganyamezelani kokutya, okanye ukusilela kwesondlo.

Ukuphazamiseka okuthile kwe-GI kungakhokelela ekuswelekeni kwee-enzymes, kodwa unyango lwe-enzyme lonyango lunokuba lukhetho olufanelekileyo.

Thetha nogqirha wakho malunga neempawu zakho ze-GI, izizathu ezinokubakho, nokuba ngaba ukutshintshwa kwe-enzyme lukhetho olufanelekileyo kuwe.