Iqhaza lama-enzyme wokugaya ukudla ezinkingeni zesisu

-Delile

• Ukubuka konke
• Yini ama-enzyme wokugaya ukudla?
• Ngabe ama-enzyme wokugaya ukudla asebenza kanjani?
• Izinhlobo zama-enzyme wokugaya ukudla
• Ngubani odinga ama-enzyme wokugaya ukudla?
• Okuqhamuka uma udla imishanguzo
• Imithombo yemvelo yama-enzyme
• Ukubonana nodokotela nini
• Ukudla okudlela endlini

Ukubuka konke

Ama-enzyme wokugaya okwenzeka ngokwemvelo ayingxenye ebalulekile yohlelo lwakho lokugaya ukudla. Ngaphandle kwazo, umzimba wakho awukwazi ukuphula ukudla ukuze izakhamzimba zikwazi ukungena ngokugcwele.

Ukuntuleka kwama-enzyme wokugaya kungaholela ezinhlotsheni ezahlukahlukene zezimpawu zesisu (GI). Kungakushiya ungondlekile kahle, noma ngabe unokudla okunempilo.

Izimo ezithile zempilo zingaphazamisa ukukhiqizwa kwama-enzyme wokugaya ukudla. Uma kunjalo, ungangeza ama-enzyme wokugaya ukudla ngaphambi kokudla ukusiza umzimba wakho ukucubungula ukudla kahle.

Qhubeka ufunde ukuze ufunde kabanzi ngama-enzyme wokugaya ukudla, ukuthi kwenzekani uma ungenakho okwanele, nokuthi yini ongayenza ngakho.

Yini ama-enzyme wokugaya ukudla?

Umzimba wakho wenza ama-enzyme ohlelweni lokugaya ukudla, kufaka phakathi umlomo, isisu namathumbu amancane. Isabelo esikhulu kunazo zonke umsebenzi wamanyikwe.

Ama-enzyme wokugaya asiza umzimba wakho ukuba udilize ama-carbohydrate, amafutha, namaprotheni. Lokhu kuyadingeka ukuvumela ukumuncwa kwezakhi zomzimba nokugcina impilo efanelekile. Ngaphandle kwala ma-enzyme, izakhamzimba ekudleni kwakho ziyonakala.

Lapho ukuntuleka kwama-enzyme okugaya kuholela ekugayekeni kahle kokudla nokungondleki, kubizwa ngokuthi yi-exocrine pancreatic insufficiency (EPI). Uma lokho kwenzeka, ukufaka esikhundleni se-enzyme yokugaya kungaba yindlela.

Amanye ama-enzyme okugaya adinga incwadi kadokotela kanti amanye athengiswa ekhawunteni (i-OTC).

Ngabe ama-enzyme wokugaya ukudla asebenza kanjani?

Ama-enzyme wokugaya ukudla athatha indawo yama-enzyme emvelo, asiza ekudilizeni ama-carbohydrate, amafutha, namaprotheni. Lapho ukudla sekwephuliwe, izakhi zomzimba zingena emzimbeni wakho ngodonga lwamathumbu amancane bese zisatshalaliswa ngokuhamba kwegazi.

Ngoba zenzelwe ukulingisa ama-enzyme akho emvelo, kufanele athathwe ngaphambi nje kokudla. Ngaleyo ndlela, bangenza umsebenzi wabo njengoba ukudla kukushaya esiswini nasemathunjini amancane. Uma ungabathathi nokudla, ngeke kusetshenziswe kakhulu.

Izinhlobo zama-enzyme wokugaya ukudla

Izinhlobo eziyinhloko zama-enzyme yilezi:

• I-Amylase: Uhlukanisa ama-carbohydrate, noma isitashi, abe ama-molecule kashukela. I-amylase enganele ingaholela kuhudo.

• I-Lipase: Isebenza nge-bile bile ukuze iphule amafutha. Uma ungenayo i-lipase eyanele, uzobe uswele amavithamini ancibilika njengama-A, D, E, no-K.

• Ukuphrinta: Iphula amaprotheni abe ama-amino acid. Kuyasiza futhi ukugcina amabhaktheriya, imvubelo, ne-protozoa ngaphandle kwamathumbu. Ukushoda kweprotease kungaholela ekungezelweni komzimba noma kubuthi emathunjini.

Imithi ye-enzyme nezithasiselo ziza ngezindlela eziningi ngezithako nemithamo eyahlukahlukene.

I-Pancreatic enzyme replacement therapy (PERT) itholakala kuphela ngemithi kadokotela. Le mithi ivame ukwenziwa ngamanyikwe engulube. Bangaphansi kwemvume nokulawulwa kwe-Food and Drug Administration (FDA).

Amanye ama-enzyme kadokotela aqukethe i-pancrelipase, eyenziwe nge-amylase, lipase, ne-protease. Le mithi imbozwa njalo ukuvimbela ama-acids esiswini ekugayeni imithi ngaphambi kokuthi ifike emathunjini.

Isilinganiso siyahlukahluka kuye ngomuntu ngokuya ngesisindo nangemikhuba yokudla. Udokotela wakho uzofuna ukukuqala ngomthamo ophansi kakhulu futhi enze izinguquko njengoba kudingeka.

Izithasiselo ze-enzyme ye-OTC zingatholakala lapho kuthengiswa khona izithako zokudla, kufaka phakathi i-inthanethi. Zingahle zenziwe ngezidlakudla zezilwane noma izitshalo ezifana nesikhunta, imvubelo, isikhunta noma izithelo.

Ama-enzyme wokugaya i-OTC awahlukaniswa njengemithi, ngakho-ke awadingi ukuvunywa kwe-FDA ngaphambi kokuya emakethe. Izithako nemithamo kule mikhiqizo ingahluka kusuka ku-batch kuya ku-batch.

Ngubani odinga ama-enzyme wokugaya ukudla?

Ungadinga ama-enzyme wokugaya ukudla uma une-EPI. Ezinye zezimo ezingakushiya ufushane kuma-enzyme wokugaya yilezi:

• i-pancreatitis engapheli
• ama-pancreatic cysts noma izicubu ezinobungozi
• ukuvinjelwa noma ukunciphisa umgudu wepancreatic noma we-biliary
• umdlavuza wepancreatic
• ukuhlinzwa kwepancreatic
• i-cystic fibrosis
• isifo sikashukela

Uma une-EPI, ukugaya ukudla kungahamba kancane futhi kungakhululeki. Kungakushiya ungondlekile. Izimpawu zingafaka:

• ukuqunjelwa
• igesi eyeqile
• ukuqunjelwa ngemva kokudla
• isifo sohudo
• ophuzi, indle enamafutha entanta
• indle enuka kabi
• ukwehlisa isisindo noma ngabe udla kahle

Noma ungenayo i-EPI, ungaba nenkinga ngokudla okuthile. Ukungabekezelelani kwe-Lactose yisibonelo esihle salokhu. Isengezo esingabhaliswanga se-lactase singakusiza ekugayeni ukudla okuqukethe i-lactose. Noma uma unenkinga yokugaya ubhontshisi, ungahlomula ngokungezelelwa kwe-alpha-galactosidase.

Okuqhamuka uma udla imishanguzo

Umphumela ovame kakhulu we-enzyme yokugaya ukudla ukuqunjelwa. Ezinye zingafaka:

• isicanucanu
• amajaqamba esiswini
• isifo sohudo

Uma unezimpawu zokuphendula okweqile, xhumana nodokotela wakho ngokushesha.

Imvelo ohlelweni lokugaya ukudla idinga ibhalansi entekenteke. Ama-enzyme kungenzeka angasebenzi kahle uma imvelo emathunjini akho amancane ine-asidi kakhulu ngenxa yokushoda kwe-bicarbonate. Enye inkinga kungaba ukuthi awuthathi umthamo ofanele noma isilinganiso sama-enzyme.

Imithi ethile ingaphazamisa ama-enzyme wokugaya ukudla, ngakho-ke kubalulekile ukutshela udokotela wakho nganoma yimiphi imithi nezithasiselo ozithathayo njengamanje.

Uma uthatha ama-enzyme futhi unezinkinga, bheka udokotela wakho.

Imithombo yemvelo yama-enzyme

Ukudla okuthile kuqukethe ama-enzyme wokugaya ukudla, kufaka phakathi:

• ukwatapheya
• ubhanana
• ujinja
• uju
• i-kefir
• ikiwi
• mangos
• upopo
• uphayinaphu
• khuzani

Ukwelekelela ekudleni kwakho nokunye kwalokhu kudla kungasiza ekugayeni ukudla.

Ukubonana nodokotela nini

Uma uhlangabezana nezinkinga zokugaya ukudla njalo noma eziphikelelayo, noma unezimpawu ze-EPI, bheka udokotela wakho ngokushesha okukhulu. Kungenzeka ukuthi awutholi zonke izakhamzimba ozidingayo ukuze uhlale unempilo enhle.

Kunezinkinga eziningi ze-GI ezingadala izimpawu zakho. Ukuzama ukuqagela ukuthi imaphi ama-enzyme owadingayo nokuthi imuphi umthamo ongaholela ezinkingeni. Ngalezi zizathu, kubalulekile ukuthola ukuxilongwa futhi uxoxe ngezinketho nodokotela wakho.

Uma udinga ukufaka esikhundleni se-enzyme yokugaya, ungaxoxa ngobuhle nobubi bomuthi kadokotela uma kuqhathaniswa nemikhiqizo ye-OTC.

Ukudla okudlela endlini

Ama-enzyme wokugaya ukudla abalulekile ekondleni nasempilweni ephelele. Zisiza umzimba wakho ukumunca izakhamzimba ekudleni okudlayo. Ngaphandle kwabo, ukudla okuthile kungaholela ezimpawu ezingakhululeki, ukungabekezelelani kokudla, noma ukuntuleka kokudla okunempilo.

Izinkinga ezithile ze-GI zingaholela ekushodeni kwama-enzyme, kepha ukwelashwa okufaka esikhundleni se-enzyme kungaba yindlela esebenzayo.

Khuluma nodokotela wakho ngezimpawu zakho ze-GI, izimbangela ezingaba khona, nokuthi ukushintshwa kwe-enzyme kuyisinqumo esihle kuwe.