Kuyini Ukujovwa Kwe-Chymopapain: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

Ukujovwa kwe-Chymopapain kuyindlela ekhethekile yokwelapha nge-enzyme eyayike isetshenziselwa ukuncibilikisa izinto ze-herniated disc emgogodleni wakho. Le mithi esekelwe emaprothenini isebenza ngokwehlisa into efana nejeli ngaphakathi kwama-disc omgogodla angacindezela imizwa futhi abangele ubuhlungu. Nakuba lokhu kwelashwa kwakunikeza ithemba kubantu abanezinhlungu ezingemuva ezinzima, akusatholakali kabanzi ngenxa yokukhathazeka ngokuphepha okuvele ngokuhamba kwesikhathi.

Yini i-Chymopapain?

I-Chymopapain iyi-enzyme etholakala esitshalweni se-papaya enekhono lokuncibilikisa amaprotheni athile. Uma i-injected ngqo ku-herniated spinal disc, yehlisa i-nucleus pulposus - isikhungo esithambile, esifana nejeli se-disc esingaphuma futhi sicindezele imizwa eseduze. Le nqubo ibizwa ngokuthi i-chemonucleolysis, okusho ngokoqobo ukuthi

Noma kunjalo, kubalulekile ukwazi ukuthi umjovo we-chymopapain awusasetshenziswa kakhulu emazweni amaningi, okuhlanganisa i-United States, ngenxa yokusabela okukhulu komzimba nokuthuthukiswa kwezindlela zokwelapha eziphephile, ezisebenza kahle.

Isebenza Kanjani I-Chymopapain?

I-Chymopapain isebenza ngokugxila emaphrotheni athile akha izinto ze-herniated disc. Uma ifakwa ngqo ku-disc ethintekile, le enzyme iqala ukwehlisa i-nucleus pulposus - isikhungo esithambile esiphume ngaphandle kwesendlalelo se-disc.

Le nqubo yokwehlisa inciphisa usayizi we-herniation, enganciphisa ingcindezi emithanjeni yomgogodla eseduze. Njengoba izinto ze-disc zincibilika, ukucindezela okubangela ubuhlungu bakho, ukuba ndikindiki, noma ubuthakathaka kungancipha kakhulu. Yonke le nqubo ngokuvamile ithatha amasonto amaningana kuya ezinyangeni ukuze ithole umphumela ogcwele.

Kufanelekile ukuqaphela ukuthi lokhu kwakuthathwa njengokungenelela okuphakathi nendawo - kunolaka olukhulu kunezithako noma ukwelashwa ngokomzimba, kodwa kungahlaseli kangako kunokuhlinzwa komgogodla ovulekile. Isenzo se-enzyme asibuyiseki uma sesifakiwe, yingakho ukukhethwa kwesiguli ngokucophelela kwakubalulekile.

Kufanele I-Chymopapain Inikezwe Kanjani?

Umjovo we-Chymopapain wawuhlala wenziwa njengenqubo yezokwelapha esibhedlela noma emtholampilo okhethekile. Awusoze wathatha lo muthi ekhaya noma ngenye indlela ngaphandle komjovo oqondile ku-disc yomgogodla.

Ngaphambi kwenqubo, ngokuvamile uzodinga ukuzila ukudla amahora amaningana, okufana nokulungiselela ukuhlinzwa. Umjovo ngokwawo wawenziwa ngaphansi kwe-anesthesia yendawo nesiqondiso se-X-ray ukuze kuqinisekiswe ukubekwa okunembile. Yonke le nqubo ngokuvamile yathatha imizuzu engaba ngu-30 kuya ku-60.

Ngemva komjovo, uzodinga ukuhlala esibhedlela ukuze uqashwe, ngokuvamile amahora angu-24 kuya kwangu-48. Lesi sikhathi sokuqapha sasibalulekile ngoba ukusabela okukhulu komzimba kungase kwenzeke ngemva kwamahora ngemva kwenqubo. Ithimba lakho lezokwelapha lizobheka noma yiziphi izimpawu zezinkinga ngalesi sikhathi esibucayi.

Kufanele Kuqhubeke Isikhathi Esingakanani Ukwelashwa Nge-Chymopapain?

Umjovo we-Chymopapain ngokuvamile wawuyinqubo eyodwa kunokuba kube ukwelashwa okuqhubekayo. Uma usujovwe, i-enzyme yayizosebenza emasontweni nasezinyangeni ezilandelayo ukuze ichithe impahla ye-disc. Iziguli eziningi zazizobona ukuthuthuka kancane kancane emasontweni angu-2 kuya kwangu-12 ngemva komjovo.

Imiphumela ngokuvamile yayibhekwa njengeyaphakade ngoba i-enzyme ichitha impahla ye-disc ngendlela engenakuguqulwa. Nokho, lokhu akuzange kuvimbele izinkinga ezintsha ze-disc ukuthi zingaveli kwezinye izindawo zomgogodla wakho ngokuhamba kwesikhathi. Ezinye iziguli zidinga izinqubo eziphindwayo, kodwa lokhu kwakungavamile.

Isikhathi sakho sokululama sizoxhomeka ezintweni eziningana, okuhlanganisa usayizi we-herniation yakho yasekuqaleni, impilo yakho yonke, nokuthi ulandele kahle kangakanani imiyalelo yokunakekelwa ngemva kwenqubo. Ukwelashwa ngokomzimba kwakuvame ukunconywa ukusiza ukuqinisa imisipha yakho yangemuva ngesikhathi senqubo yokuphulukisa.

Yiziphi Imiphumela Eceleni Ye-Chymopapain?

Ukuqonda imiphumela engaba khona eceleni yomjovo we-chymopapain kusiza ukuchaza ukuthi kungani lokhu kwelashwa kungasasetshenziswa kakhulu. Ngenkathi iziguli eziningi zithola ukukhululeka kobuhlungu okuphumelelayo, izingozi ekugcineni zakhulu ngaphezu kwezinzuzo zezinengi zezokwelapha.

Imiphumela evame kakhulu eceleni ngokuvamile yayilawuleka futhi yayihlanganisa ubuhlungu emuva endaweni yomjovo, imisipha ekhubazekile, nokuqina okwesikhashana. Lezi zimpawu ngokuvamile zazihlala izinsuku ezimbalwa kuya emasontweni futhi zingelashwa ngemithi yokwelapha ubuhlungu nokunyakaza okuncane.

Nawa amanye imiphumela eceleni evame kakhulu ongase ube nayo:

• Ukuqaqamba okuqhubekayo emhlane izinsuku eziningana ngemuva komjovo
• Ukuqina kwemisipha emhlane ongezansi
• Ukuqina nokuncipha kokuhamba okwesikhashana
• Umkhuhlane omncane noma ukuzizwa ungaphilile
• Ukuqaqamba endaweni yokujova

Lezi zimo ezivamile zaziyingxenye yenqubo yokwelapha evamile njengoba umzimba wakho wawusabela ku-enzyme futhi nezinto ezazikudiski zaziqhekeka.

Kodwa-ke, imiphumela emibi kakhulu yiyona eyaholela ekunciphiseni ukusetshenziswa kwe-chymopapain. Okukhathaza kakhulu kwakuyizimpawu zokungezwani komzimba okukhulu, okwakungase kube yingozi ekuphileni futhi kwenzeka cishe ku-1% weziguli.

Nansi imiphumela emibi okwakudingeka ukuthi inakekelwe ngokushesha:

• Izimpawu zokungezwani komzimba okukhulu (i-anaphylaxis) ezinobunzima bokuphefumula, ukuvuvukala, nokwehla okuyingozi kwengcindezi yegazi
• Umonakalo emithanjeni oholela ebuthakathakeni obungapheli noma ukuba ndikindiki
• Ukutheleleka endaweni yokujova noma emgogodleni
• Izinkinga zokuphuma igazi
• Ukuqaqamba okukhulu, okuqhubekayo emhlane okungathuthuki

Lezi zinkinga ezinkulu, nakuba zingavamile, zazingathi sína kangangokuthi izikhungo eziningi zezokwelapha zayeka ukunikeza umjovo we-chymopapain zikhetha ezinye izindlela eziphephile.

Ubani Ongafanele Athole I-Chymopapain?

Amaqembu amaningana abantu athathwa njengabantu abangafaneleki ukuthola umjovo we-chymopapain ngenxa yengozi eyengeziwe yezinkinga. Udokotela wakho wayezohlola ngokucophelela umlando wakho wezokwelapha kanye nesimo sakho samanje ngaphambi kokucabangela lokhu kwelashwa.

Ngeke ube ngumuntu ofanelekayo ukuthola umjovo we-chymopapain uma unokungezwani komzimba okwaziwayo ku-papaya, ama-meat tenderizers, noma ukuchayeka ngaphambilini ku-chymopapain. Abantu abanezimo ezithile zomgogodla, njengokutheleleka komgogodla, izimila, noma i-arthritis enkulu, nabo babengafakwa ekwelashweni.

Nawa amanye amakhambi okungakuvimbela ukuthi ungatholi umjovo we-chymopapain:

• Ukuphendula ngaphambilini komzimba ngaphandle kokubekezelelana ku-papaya noma imikhiqizo equkethe i-papain
• Ukukhulelwa noma ukuncelisa ibele
• Izifo eziqhubekayo zomgogodla
• Amathumba omgogodla noma umdlavuza
• Izifo ezinzima zokuphuma kwegazi
• Ezinye izimo ze-autoimmune
• Ukuhlinzwa komgogodla ngaphambilini ezingeni elifanayo

Ngaphezu kwalokho, izingane neziguli ezindala ezinemibandela yezempilo eminingi ngokuvamile zazingathathwa njengabantu abafanele ngenxa yobungozi obukhulu bezinkinga.

Amagama Omkhiqizo we-Chymopapain

Umjovo we-Chymopapain wawuthengiswa ngaphansi kwegama lomkhiqizo elithi Chymodiactin lapho sitholakala. Lokhu kwakuyindlela eyinhloko yokuthengisa eyayisetshenziswa ezinqubweni zezokwelapha ngeminyaka yawo-1980 nasekuqaleni kwawo-1990.

I-Chymodiactin yayikhiqizwa yi-Travenol Laboratories futhi kamuva ezinye izinkampani zemithi. Umuthi wawuza njengempushana okwakudingeka ixutshwe nesixazululo esikhethekile ngaphambi kokujova. Lokhu kulungiswa kwadinga ukuphathwa nokugcinwa ngokucophelela ukuze kugcinwe ukusebenza kahle kwe-enzyme.

Namuhla, ngeke uthole umjovo we-chymopapain otholakalayo ngaphansi kwanoma yiliphi igama lomkhiqizo emazweni amaningi, njengoba sekukhishwe emakethe ngenxa yokukhathazeka ngokuphepha nokutholakala kwezinketho zokwelapha ezingcono.

Ezinye izindlela ze-Chymopapain

Imithi yesimanje inikeza ezinye izindlela eziphephile nezisebenza kahle kakhulu emjovweni we-chymopapain wokwelapha ama-herniated discs. Lezi zinketho zithathe indawo enkulu ye-chymopapain ngoba zinikeza amaphrofayili okuphepha angcono futhi ngokuvamile imiphumela engcono.

Ezinye izindlela ezivamile zihlanganisa izinqubo zokuhlinzwa ezingahlaseli kakhulu njenge-microdiscectomy, esusa impahla ye-herniated disc ngokusika okuncane. Le ndlela inamazinga aphumelelayo amahle kakhulu kanye nobungozi obuphansi kakhulu bezinkinga ezinzima uma kuqhathaniswa nomjovo we-chymopapain.

Nazi ezinye izindlela eziyinhloko udokotela wakho angase azincomise namuhla:

• I-Microdiscectomy - ukuhlinzwa okuncane kakhulu ukususa izinto ze-disc
• Ukujova kwe-steroid ye-Epidural - imithi elwa nokuvuvukala ejovwa eduze kwemizwa ethintekile
• Ukwelashwa ngokomzimba nezinhlelo zokuzivivinya
• I-Radiofrequency ablation - ukusebenzisa ukushisa ukunciphisa izimpawu zobuhlungu bemizwa
• Ukwelashwa kokucindezela komgogodla
• Izindlela zokuphatha ubuhlungu ezithuthukisiwe

Lezi zindlela zokwelapha zanamuhla ngokuvamile zinikeza imiphumela engcono enobungozi obuncane, yingakho seziyindlela ejwayelekile yokwelapha izinkinga ze-disc herniated.

Ingabe i-Chymopapain ingcono kunezinye izindlela zokwelapha i-Disc?

Uma kuqhathaniswa i-chymopapain nezindlela zokwelapha i-disc zanamuhla, izinketho ezintsha ngokuvamile zibhekwa njengeziphakeme mayelana nokuphepha nokusebenza kahle. Ngenkathi i-chymopapain yasiza ezinye iziguli ukuthi zigweme ukuhlinzwa okukhulu, izingozi zigcine zaba zinkulu kakhulu ukuthi zisetshenziswe kabanzi.

Izindlela zokuhlinzwa zanamuhla ezingahlaseli kakhulu njenge-microdiscectomy zinamazinga empumelelo angama-85-95% kubantu abafanelekayo, uma kuqhathaniswa nezinga lempumelelo le-chymopapain elingaba ngu-70%. Okubaluleke kakhulu, amazinga okuhlupheka okukhulu aphansi kakhulu ngemithi yamanje.

Ezinye izindlela zanamuhla futhi zinikeza imiphumela engabikezelwa kakhulu nezikhathi zokululama ezisheshayo. Iningi leziguli ezenza i-microdiscectomy lingabuyela emisebenzini ejwayelekile kungakapheli amasonto angu-2-6, ngenkathi ukujova kwe-chymopapain ngokuvamile kudinga izinyanga ezingu-2-3 ukuze kusebenze ngokugcwele. Ikhono lokubhekana nenkinga ngokuqondile ngokuhlinzwa futhi lisho ukungaqiniseki okuncane mayelana nokuthi ngabe ukwelashwa kuzosebenza yini.

Imibuzo Evame Ukubuzwa Mayelana ne-Chymopapain

Q1. Ingabe i-chymopapain iphephile kubantu abanesifo sikashukela?

Ngesikhathi i-chymopapain yayitholakala, abantu abanesifo sikashukela babengase bathole ukwelashwa, kodwa babedinga ukuqashwa okwengeziwe nokunakekelwa. Isifo sikashukela singathinta ukuphola futhi sandise ubungozi bokutheleleka, ngakho udokotela wakho uzodinga ukuhlola ngokucophelela ukulawulwa kukashukela wegazi lakho kanye nesimo sempilo yakho esiphelele. Kodwa-ke, njengoba i-chymopapain ingasatholakali kabanzi, lokhu ikakhulukazi ukucatshangelwa komlando.

Q2. Kufanele ngenzeni uma ngithole i-chymopapain eningi ngengozi?

Ukweqisa kwe-Chymopapain kwakungavamile kakhulu njengoba umuthi wawunikezwa kuphela ochwepheshe bezokwelapha abaqeqeshiwe ezindaweni ezilawulwayo zasemtholampilo. Uma kwenzeka ukweqisa, bekuzolawulwa ngokushesha yithimba lezokwelapha ngokunakekelwa okusekelayo, ukuqashwa okuseduze, nokwelashwa kwanoma yiziphi izindlela zokungezwani komzimba. Lesi kwakungenye yezizathu zokuthi inqubo idinga ukulaliswa esibhedlela ukuze kubhekwe.

Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-chymopapain?

Lo mbuzo awusebenzi emthonjeni we-chymopapain ngoba wawuyinqubo eyodwa eyenziwa esikhungweni sezokwelapha, hhayi umuthi ongawuthatha ekhaya ngohlelo. Uma usutholile umjovo, i-enzyme izosebenza ngokuqhubekayo ukuze ichithe izinto zediski emasontweni nasezinyangeni ezilandelayo.

Q4. Ngingayeka nini ukuthatha i-chymopapain?

Awuyeki

Iningi leziguli ezathola umjovo we-chymopapain ngaphandle kwezinkinga zathola ukukhululeka isikhathi eside ebuhlungwini babo obuhlobene ne-disc. Kodwa-ke, abanye abantu bathuthukisa izinkinga zesikhathi eside, okuhlanganisa ubuhlungu obungapheli emhlane, ukuncipha kokuhamba komgogodla, noma ukuzwela okungokomzimba. Uhlobo olungapheli lokuhlakazeka kwento ye-disc lwalusho ukuthi imiphumela, kokubili emihle nemibi, yayihlala isikhathi eside. Lesi esinye isizathu sokuthi kungani ukwelashwa kwanamuhla, okuguqulekayo ngokwengeziwe kuvame ukukhethwa namuhla.