Словарь медицинских препаратов . 2005 .
Смотреть что такое "ХИМОТРИПСИН КРИСТАЛЛИЧЕСКИЙ" в других словарях:
ХИМОТРИПСИН КРИСТАЛЛИЧЕСКИЙ — Chymotripsinum crystallisatum. Является протеолитическим ферментом. Получают из поджелудочной железы крупного рогатого скота. Свойства. Химотрипсин кристаллический блестящие чешуйки или порошок белого цвета. Растворим в воде, рН 0,2 % раствора 4 … Отечественные ветеринарные препараты
Химотрипсин — I Химотрипсин протеолитический фермент; катализирует расщепление белков и пептидов. Относится к пептид гидролазам. Вместе с Трипсином участвует в протеолизе белков пищи в тонкой кишке Химотрипсин преимущественно расщепляет связи, образованные… … Медицинская энциклопедия
Chymotrypsinum crystallisatum — ХИМОТРИПСИН КРИСТАЛЛИЧЕСКИЙ ( Chymotrypsinum crystallisatum ). Химотрипсин является протеолитическим ферментом, образующимся в поджелудочной железе млекопитающих. Для медицинского применения его получают из поджелудочной железы крупного рогатого… … Словарь медицинских препаратов
Отхаркивающие средства — I Отхаркивающие средства (expectorantia) лекарственные средства, облегчающие выделение мокроты из дыхательных путей главным образом за счет уменьшения ее вязкости. Различают О. с. рефлекторного и прямого действия. К группе О. с. рефлекторного… … Медицинская энциклопедия
Дыхательная недостаточность — I Дыхательная недостаточность патологическое состояние, при котором система внешнего дыхания не обеспечивает нормального газового состава крови, либо он обеспечивается только повышенной работой дыхания, проявляющейся одышкой. Это определение,… … Медицинская энциклопедия
ОТИТ СРЕДНИЙ СЕКРЕТОРНЫЙ — мед. Секреторный средний отит (ССО) катаральное воспаление слуховой трубы, сопровождающееся нарушением её функции, что приводит к изменению состояния барабанной полости и появлению в ней транссудата; возникает при воспалительных заболеваниях носа … Справочник по болезням
Ферменты — Модель фермента нуклеозидфосфорилазы Ферменты, или энзимы (от лат. f … Википедия
Трипсин — I Трипсин протеолитический фермент, один из основных ферментов пищеварения; катализирует гидролитическое расщепление белков и пептидов. Относится к пептид гидролазам. Вырабатывается экзокринными клетками поджелудочной железы в виде неактивного… … Медицинская энциклопедия
Трипсин — фермент класса гидролаз, расщепляющий пептиды и белки; обладает также эстеразной (гидролиз сложных эфиров) активностью.
Трипсин синтезируется в поджелудочной железе в виде неактивного предшественника (профермента) трипсиногена. Трипсины ряда животных получены в кристаллическом виде (впервые в 1932). Молекула бычьего трипсина (молекулярная масса около 24 кДа) состоит из 223 аминокислотных остатков, образующих одну полипептидную цепь, и содержит 6 дисульфидных связей. Изоэлектрическая точка трипсина лежит при pH 10,8, а оптимум каталитической активности — при pH 7,8—8,0.
Трипсины относятся к группе сериновых протеаз и содержат в активном центре остатки серина и гистидина. Трипсины легко подвергаются самоперевариванию (аутолизу), что приводит к загрязнению препаратов трипсинов неактивными продуктами (промышленный препарат содержит до 50 % неактивных примесей). Препараты трипсина высокой чистоты получают хроматографическими методами.
Содержание
Физические свойства [ править | править код ]
Трипсин представляет собой бесцветное кристаллическое вещество с температурой плавления около 150 °C.
Биологические свойства и функции [ править | править код ]
Основной функцией является пищеварение. Катализирует гидролиз белков и пептидов. Может находиться в неактивном состоянии в виде трипсиногена. Активируется, в том числе кишечным ферментом энтеропептидазой, путём отщепления гексапептида. Катализирует также гидролиз восков-сложных эфиров. Оптимум каталитической активности — при pH 7,8—8. Активный центр имеет белковую природу и состоит в основном из серина и гистидина. Синтезируется в виде трипсиногена в поджелудочной железе и используется в кишечнике млекопитающих и рыб. Превращает остальные проферменты гидролаз в активные ферменты.
Применение [ править | править код ]
Трипсин используют для изготовления лекарств. Препараты трипсина обладают противовоспалительным и противоотёчным действием (при внутривенном и внутримышечном введении); способны избирательно расщеплять ткани, подвергшиеся некрозу. В медицине трипсин применяют для лечения ран, ожогов, тромбозов, часто в сочетании с другими ферментами и с антибиотиками. Используется при анализе первичной структуры белка, за счёт того, что он селективно гидролизует связи между остатками положительно заряженных аминокислот лизина и аргинина.
Родственные ферменты [ править | править код ]
«Ближайшие родственники» трипсина — трипсиноген, пепсин, химотрипсин. У высших животных обнаружены анионные аналоги трипсина, у многих животных и растений-нейтральные.
Изменение гидролитических свойств [ править | править код ]
Активность трипсина подавляется фосфорорганическими соединениями, некоторыми металлами, а также рядом высокомолекулярных белковых веществ — ингибиторов трипсина, содержащихся в тканях животных, растений и микроорганизмов. Ионы Ca 2+ , Mg 2+ , Ba 2+ , Sr 2+ , Mn 2+ повышают гидролитическую активность трипсина.
Химотрипсин – это лекарственный препарат протеолитического действия в виде белого кристаллического порошка. Средство позволяет снизить вероятность осложнений, токсического шока, ускорить регенерацию кожных покровов, слизистых оболочек. В медицине чаще всего применяется Химотрипсин для очищения ран от некрозов.
Свойства Химотрипсина
Лечение гнойно-септических поражений кожных покровов, внутренних органов является болезненным и тяжелым процессом для пациента и не менее сложным для врача. Операция с подобными ранами – это очистка повреждения от отмерших тканей. Химотрипсин от некроза является протеолитическим ферментом. Главное — правильно рассчитать дозировку применения и следовать инструкции. Продукция ферментного вещества происходит в поджелудочной железе любого млекопитающего на планете.
Для медицинских целей фермент получают из поджелудочных желез крупного рогатого скота. В организме медикамент вырабатывается в неактивной форме. Под действием Трипсина он трансформируется с образованием нескольких форм с различной степенью активности, что способствует очищению ран от некрозов.
В медицине используется препарат, который выпускают в виде кристаллов. Код АТХ D03BA. Не является уникальной разработкой, производится различными фармацевтическими предприятиями, имеет инструкцию.
Применения лекарства расщепляет белковые фракции на низкомолекулярные соединения, аминокислоты. Устойчив во внешней среде, разлагает протеины более активно, чем прочие ферменты. Не расщепляет живые ткани вследствие наличия специализированных антиферментов. Свойство позволяет использовать протеин для очистки раневых поверхностей при гнойно-септических процессах.
Следуя инструкции, Химотрипсин от некрозов хорошо растворим в воде, физиологическом растворе с рН близким к нейтральному. Средство выпускают в стеклянных герметичных флаконах по 5 мл, содержащих 0,01 г активного компонента.
Эффективность лечения для кожных повреждений
Химотрипсин является препаратом официальной медицины. Значит, он прошел рандомизированные исследования с использованием контрольных групп.
Перед применением лекарственного средства любой медикамент проходит ряд клинических исследований. Он должен удовлетворять требования по эффективности и безопасности очищения организма от некрозов.
По наблюдениям врачей при применении Химотрипсина от некроза на вторые сутки происходит очищение раневой поверхности, снижается выраженность воспалительного процесса, гиперемии тканей. Через неделю начинается рубцевание. Образуется более нежный и мягкий шрам, чем при использовании агрессивных спиртосодержащих антисептиков, перекиси водорода.
Применение препарата для очищения ран
Химотрипсин применяется для купирования и очищения гнойных воспалительных процессов (ран) в дерматологической, хирургической, офтальмологической практике.
Инструкция к использованию ферментативного средства:
- флебиты различной этиологии с ишемией сосудов;
- пародонтоз с развитием некроза;
- остеомиелит;
- гнойные процессы в гайморовых пазухах, среднем и внутреннем ухе;
- воспалительные заболевания глаза, радужки;
- бронхиты, трахеиты для выведения мокроты;
- после операции по удалению помутневшего хрусталика;
- обработка пролежней, ран, ожогов.
Лекарство разводят перед очисткой. Готовый раствор не хранится. Химотрипсин в количестве 10 мг разводят в 2 мл Физраствора или Новокаина, вводят внутримышечно. Длительность лечения, доза, способ применения зависит от тяжести патологии.
Инструкция по применению Химотрипсина для лечения ран и от некрозов:
- В офтальмологии – в виде капель – 3–4 раза в сутки, возможны внутримышечные уколы. Длительность 1–3 дней.
- Пульмонология – 5–10 мг препарата в виде ингаляций. Лекарство разводят в 3 мл физиологического раствора. Вводят при помощи небулайзера или эндотрахеального зонда. После процедуры пациент должен откашляться, прополоскать ротовую полость.
- Хирургическая практика, включая гаймориты и отиты, воспалительные процессы в костных структурах – применение внутримышечно 6–15 инъекций. При ожогах, пролежнях лекарство вводится под струп.
- Открытые раны – раствор Химотрипсина наносится местно при помощи стерильной салфетки. Количество очистительных обработок определяет врач в зависимости от тяжести гнойного процесса, выраженности воспаления некроза. Частота процедур в инструкции не указана, определяется индивидуально.
Меры предосторожности, противопоказания и побочные эффекты
Препарат от некрозов обладает обширным перечнем противопоказаний, который назначен в инструкции. Запрещено применять при очищении ран Химотрипсин:
- сердечная недостаточность в стадии декомпенсации;
- эмфизема легких;
- цирроз;
- дистрофические процессы в печени;
- инфекционный гепатит;
- панкреатит;
- не наносить, не вводить в кровоточащие раны, полости;
- не обрабатывать злокачественные опухоли, при их распаде;
- туберкулез не является абсолютным противопоказанием, но препарат назначать осторожно. Все действия проводятся на базе лечебного учреждения.
Исследования по влиянию Химотрипсина от некроза на плод, ребенка, женщину в период беременности и лактации: рекомендации по FDA — категория С. С осторожностью применяется во время беременности и лактации в тех случаях, когда предполагаемая польза превышает риск для плода, новорожденного.
Согласно инструкции, Химотрипсин хорошо переносится. Список побочных эффектов от применения очистки препаратом невелик:
- усиленное сердцебиение – тахикардия;
- охриплость голоса при ингаляционном введении;
- местные реакции – боль, отечность;
- аллергия;
- охриплость;
- незначительное повышение температуры;
- раздражение тканей.
После отмены ферментативного средства состояние раневой поверхности нормализуется самостоятельно.
Химотрипсин разрешен к одновременному лечению препаратами группы антибиотики, муколитики. Снижает всасывание ионов железа при одновременном применении с антианемическими средствами. При использовании фермента показано назначение антигистаминных средств. Позволит избежать развития аллергической реакции.
В инструкции указано, что препарат не предназначен для внутривенного введения.
Чем заменить Химотрипсин
Полного аналога лекарства от некроза не существует. Подобными свойствами очистки ран обладает фермент Трипсин. Средство выпускается в виде кристаллического порошка для приготовления раствора. Дозировка по применению подробно описана в инструкции.
Показания для назначения, режим дозирования, разведения аналогичен Химотрипсину. Медикамент менее стоек в готовом виде и менее активен в отношении расщепления белковых фракций.
Ферментативные препараты применять для обработки и очистки ран с осторожностью, по назначению врача, соблюдая рекомендации, инструкции производителя.
Некротические и гнойные формы любых заболеваний требуют пребывания в стационаре. Просто таблетками не обойтись, существует риск утраты органа. Обычный стоматит легко лечится отварами лекарственных трав, антибактериальными спреями для покупки которых не требуется рецепт стоматолога.
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