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Trang 47Ï07Ҳ7/8Ұ1È1
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vitro EҵQJFiFenzyme YjÿiQKJLiNKҧQăQJKҩSWKXin vivo WUrQFKXӝWFNJQJQKѭNKҧQăQJGXQJ
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7KLӃWOұSÿѭӧFÿLӅXNLӋQ[ӱOêYjWӕLѭXKyDÿLӅXNLӋQWKӫ\SKkQSURWHLQFӫDWKӏW và ÿұXQjQKÿҥWKLӋXVXҩWthu QKұQÿѭӧFpeptide FDRQKҩWFyNtFKWKѭӟFSKkQWӱtrung bình < 8,5 kDa, khӕLOѭӧQJSKkQWӱWUXQJEuQK1,53kDa YjGӏFKWKӫ\SKkQSURWHLQFyÿӝQKӟWYjNtFKWKѭӟFKҥWSKKӧSFKҧ\ TXDӕQJ[{QJYӟLFiFQKyPDFLG DPLQPҥFKQKiQKÿҥWWӹOӋ%&$$SKKӧSFKRNKҧQăQJWLrXKyDFӫDQJѭӡLEӋQK VDXSKүXWKXұW
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Trang 5The subject developed and implemented the project with applying the novel technology
in the processing and producing an enteral feeding food using Vietnamese natural sources In order to assure the quality of the product, the study to test the digestibility of the product has
been carried out in both in vitro and in vivo Then, a clinical trial was conducted in various
categories of neurologic patients to evaluate the effectiveness and safety of the product The thesis has achieved some significant results as follows:
Developed formulate of raw materials for the process of processing standard formula (1 kcal/mL)
Set up loin pork and soy processing technologies and optimized all factors that impact on the protein hydrolysis of raw meat and soybean in the processing to meet high-performance and make the hydrolysis of small molecular weight 1.53kDa and the peptides of molecular size under 8.5kDa and to get a suitable lowest viscosity and particle size product running through the feeding tube with the proper proportion of short chain peptide and ratio BCAA as 2:1:1 suitable for the digestibility of severe patients
Developed a process for processing natural ingredients-based enteral feeding product
Conducted an assessment of the digestibility in vitro (pepsin, pH-stat and pH-drop
method)
Evaluated the protein digestibility of the product in animal models Swiss albino
Implemented a controlled clinical trial in the patients of the Department of Neurology, Cho Ray Hospital to test the effectiveness (nutritional status) and tolerance of the tube feeding food produced from natural ingredients
Taking together, these results showed very promising that we had enough ability and technology to develop a process in production of tube feeding product from local natural ingredients in the South in particular and in the country of Vietnam in general The widely producing of this product should be considered and implemented in nationwide It was also a reliable source for the further research in the same field of research into the nutrition medicines for patients
Trang 6/Ӡ,&È0Ѫ1
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Trang 70Ө&/Ө&
/Ӡ,&$0Ĉ2$1 i
7Ï07Ҳ7/8Ұ1È1 ii
ABSTRACT OF THESIS iii
/Ӡ,&Ҧ0Ѫ1 iv
0ӢĈҪ8 1
&+ѬѪ1*7Ә1*48$1 4
1.1 Khái QLӋPWKӵFSKҭPGLQKGѭӥQJ\KӑFYjGLQKGѭӥQJTXDӕQJ[{QJ 4
1.2 &iFORҥLVҧQSKҭP1$42; 5
1.3 1KXFҫXGLQKGѭӥQJӣEӋQKQKkQVDXSKүXWKXұW 6
1.3.1 1ăQJOѭӧQJ 7
1.3.2 Protein 7
1.3.3 &KҩWEpR 7
1.3.4 KRiQJFKҩW 7
1.3.5 Vitamin 8
1.4 7uQKKuQKQJKLrQFӭXVҧQ[XҩWVҧQSKҭP1$42; 8
1.4.1 7UrQWKӃJLӟL 8
1.4.2 7ҥLWURQJQѭӟF 10
1.5 &iFWLrXFKXҭQÿiQKJLiFiFVҧQSKҭP1$42; 10
1.5.1 &iFFKӍWLrXGLQKGѭӥQJ 10
1.5.2 &iFFKӍWLrXKyDOê 10
1.6 &iFQJX\rQOLӋXYjHQ]\PHGQJFKӃELӃQVҧQSKҭP1$42; 12
1.6.1 Nhóm protein 12
1.6.2 1JNJFӕFUDXFӫ 13
1.6.3 Nhóm cKҩWEpR 14
1.6.4 &{QJWKӭFSKӕLWUӝQ 14
1.6.5 &iFHQ]\PHVӱGөQJWURQJQJKLrQFӭX 15
1.7 3KѭѫQJSKiSFKӃELӃQVҧQSKҭP1$42; 18
1.7.1 3KѭѫQJSKiSJLDQKLӋW 18
1.7.2 3KѭѫQJSKiSWKӫ\SKkQ 19
1.8 ĈiQKJLiPӭFÿӝWLrXKyDSURWHLQYjGXQJQҥSFӫDVҧQSKҭP1$42; 19
1.8.1 0ӭFÿӝWLrXKyDSURWHLQin vitro và in vivo 19
1.8.2 ĈiQK JLi NKҧ QăQJ GXQJ QҥS Yj KҩS WKX FӫD VҧQ SKҭP 1$42; WUrQ EӋQK QKkQ«« 22
1.8.3 0ӝWVӕQJKLrQFӭXVҧQ[XҩWYjÿiQKJLiNKҧQăQJKҩSWKXVҧQSKҭP1$42; 22 1.9 1ӝLGXQJQJKLrQFӭXFӫDOXұQiQ 24
Trang 8&+ѬѪ1*1*8<Ç1/,ӊ89¬3+ѬѪ1*3+È31*+,Ç1&Ӭ8 26
2.1 1JX\rQOLӋXHQ]\PHYjWKLӃWEӏ 26
2.2 1ӝLGXQJQJKLrQFӭX 27
2.3 %ӕWUtWKtQJKLӋP 28
2.3.1 KҧRViWTXiWUuQKFKӃELӃQVҧQSKҭP1$42; 28
2.3.2 ĈiQKJLiNKҧQăQJWLrXKyDSURWHLQin vitro 38
2.3.3 ĈiQKJLiÿӝWLrXKyDSURWHLQin vivo WUrQFKXӝWWUҳQJJLӕQJ6ZLVVDOELQRYjÿiQK JLiNKҧQăQJGXQJQҥSWUrQEӋQKQKkQ 39
2.4 3KѭѫQJSKiSSKkQWtFKYjF{QJWKӭFWtQKWRiQ 42
2.4.1 3KѭѫQJSKiSSKkQWtFK 42
2.4.2 &{QJWKӭFWtQKWRiQ 43
2.5 3KѭѫQJSKiS[ӱOêVӕOLӋX 44
&+ѬѪ1*.ӂ748Ҧ1*+,Ç1&Ӭ89¬%¬1/8Ұ1 46
3.1 ӃWTXҧ[k\GӵQJF{QJWKӭFVҧQSKҭP1$42; 46
3.1.1 7KjQKSKҫQGLQKGѭӥQJFӫDFiFQJX\rQOLӋX 46
3.1.2 ;k\GӵQJF{QJWKӭFFKӃELӃQWKӵFSKҭPQX{LăQTXD[{QJ 46
3.2 /ӵDFKӑQHQ]\PHFKRTXiWUuQKWKӫ\ SKkQQKyPSURWHLQÿӝQJYұW 47
3.3 *LDLÿRҥQJLDQKLӋWWKӏWKHRQҥFYDL 49
3.3.1 ҦQKKѭӣQJFӫDOѭӧQJQѭӟFEәVXQJOrQPӭFÿӝWKӫ\SKkQWKӏWEҵQJ$OFDODVH 49 3.3.2 ҦQKKѭӣQJFӫDQKLӋWÿӝ[ӱOêQKLӋWWKӏWWURQJTXiWUuQKWLӅQ[ӱOêWUѭӟFWKӫ\SKkQ EҵQJ$OFDODVH 49
3.3.3 ҦQK KѭӣQJ FӫD WKӡL JLDQ [ӱ Oê QKLӋW WKӏW WUѭӟF TXi WUuQK WKӫ\ SKkQ EӣL Alcalase 50
3.4 &iF\ӃXWӕҧQKKѭӣQJÿӃQTXiWUuQKWKӫ\SKkQSURWHLQWKӏWKHREҵQJ$OFDODVH 51
3.4.1 ҦQKKѭӣQJ FӫDS+ÿӃQÿӝQKӟWYj+67+3+7 51
3.4.2 ҦQKKѭӣQJFӫDQKLӋWÿӝÿӃQÿӝQKӟWYj+67+3+7FӫDGӏFKWKӫ\SKkQ 51
3.4.3 ҦQKKѭӣQJFӫDKjPOѭӧQJHQ]\PHÿӃQÿӝQKӟWYj+67+3+7GӏFKWKӫ\SKkQ 52 3.4.4 ҦQK KѭӣQJ FӫD WKӡL JLDQ WKӫ\ SKkQ ÿӃQ ÿӝ QKӟW Yj +67+3+7 GӏFK WKӫ\ phân 53
3.4.5 7ӕLѭXKRiTXiWUuQKWKӫ\SKkQSURWHLQWKӏWKHREҵQJ$OFDODVHYӟLKjPPөFWLrX OjÿӝQKӟW 54
3.4.6 ĈiQKJLiNӃWTXҧVҧQSKҭPWKӫ\SKkQWKӏW 60
3.5 KҧRViWTXiWUuQKFKӃELӃQQKyPSURWHLQÿұXQjQK 63
3.5.1 &KӑQHQ]\PHWKӫ\SKkQSURWHLQÿұXQjQK 63
3.5.2 ӃWTXҧNKҧRViWFiF\ӃXWӕҧQKKѭӣQJÿӃQTXiWUuQKWKӫ\SKkQSURWHLQÿұXQjQK EҵQJ)ODYRXU]\PHWURQJWUѭӡQJKӧSNK{QJ[ӱOê QKLӋWKҥWÿұXQjQK 63
3.5.3 ӃWTXҧNKҧRViWTXiWUuQK[ӱOêQKLӋWWLӅQWKӫ\SKkQÿӃQTXiWUuQKWKӫ\SKkQ SURWHLQÿұXQjQKEҵQJ)ODYourzyme 66
Trang 93.5.4 ӃWTXҧNKҧRViWFiF\ӃXWӕҧQKKѭӣQJÿӃQTXiWUuQKWKӫ\SKkQSURWHLQFӫDÿұX
QjQKÿmTXD[ӱOêQKLӋWEҵQJHQ]\PH)Oavourzyme và Alcalase 68
3.5.5 TӕLѭXKRiTXiWUuQKWKӫ\SKkQSURWHLQÿұX QjQKEҵQJKDLORҥLHQ]\PH 73
3.5.6 7ӕLѭXKyDTX\KRҥFKWKӵFQJKLӋPYӟLKjPPөFWLrX+67+3+7trong quá trình WKӫ\SKkQ protein ÿұXQjQKEҵQJ)ODYRXU]\PH 73
3.6 ӃWTXҧNKҧRViWTXiWUuQKFKӃELӃQQKyPWLQKEӝWFӫDNKRDLWk\YjJҥR 81
3.6.1 ӃWTXҧVѫFKӃNKRDLWk\YjJҥR 81
3.6.2 ӃW TXҧNKҧRViW TXiWUuQKJLDQKLӋWNKRDL Wk\Yj JҥRÿӃQVӵKDRKөW YLWDPLQ B««« 81
3.6.3 ӃW TXҧ TXi WUuQK WKӫ\ SKkQ QKyP JҥR NKRDL Wk\ EҵQJ FKӃ SKҭP HQ]\Pe Termamyl SC 83
3.6.4 4X\KRҥFKWKӵFQJKLӋPWӕLѭXKyDFiF \ӃXWӕS+ QKLӋWÿӝWKӡL JLDQYjKjP OѭӧQJHQ]\PH FӫDTXiWUuQKWKӫ\SKkQQKyPWLQKEӝWEҵQJ7HUPDP\O6&YӟLKjPPөF WLrXOjÿӝQKӟW 87
3.6.5 ҦQKKѭӣQJÿӗQJWKӡLFӫDS+QKLӋWÿӝWKӡLJLDQYjQӗQJÿӝHQ]\PH ÿӃQTXi WUuQKWKӫ\SKkQQKyPWLQKEӝWEҵQJHQ]\PH7HUPDP\O6&YӟLKjPPөFWLrXOj'( 89
3.7 KӃWTXҧNKҧRViWTXiWUuQKQҩXYjWKӫ\Shân FjUӕWYjEtÿӓ 92
3.7.1 KҧRViWQKLӋWÿӝQҩXFjUӕWYjQKLӋWÿӝQҩXEtÿӓ 92
3.7.2 KҧRViWWKӡLJLDQQҩXFjUӕWEtÿӓ 93
3.7.3 ӃWTXҧWKӫ\SKkQQKyPUDXFӫFjUӕWEtÿӓEҵQJHQ]\PH3HFWLQH[8OWUD63/ 93 3.7.4 7ӕLѭXKyDFiF\ӃXWӕQKLӋWÿӝS+WKӡLJLDQYjQӗQJÿӝHQ]\PHFӫDTXiWUuQK WKӫ\SKkQSHFWLQFӫDFjUӕWEtÿӓEҵQJ3HFWLQH[8OWUD63-L 96
3.8 3KӕLWUӝQ/ӑFĈӗQJKyD7KDQKWUQJ8+7ĈyQJFKDL 99
3.9 4X\WUuQKVҧQ[XҩWVҧQSKҭPQX{LTXDӕQJ[{QJ 100
3.9.1 4X\WUuQKVҧQ[XҩWVҧQSKҭPQX{LTXDӕQJ[{QJ 100
3.9.2 ӃWTXҧNLӇPQJKLӋPVҧQSKҭP1$42; 101
3.9.3 ӃWTXҧNLӇPWUDNKӕLOѭӧQJSKkQWӱFӫDVҧQSKҭP 104
3.10 ;iFÿӏQKKҥQVӱGөQJFӫDVҧQSKҭP1$42; 106
3.10.1 6ӵSKiWWULӇQFӫD969WURQJWKӡLJLDQEҧRTXҧQ 106
3.10.2 6ӵWKD\ÿәLS+FӫDVҧQSKҭPWKHRWKӡLJLDQ 107
3.10.3 6ӵWKD\ÿәLJLiWUӏ3R9WKHRWKӡLJLDQFӫDVҧQSKҭP 107
3.10.4 0ӭF ÿӝ KDR KөW YLWDPLQ ( YLWDPLQ %1 Yj YLWDPLQ & WURQJ WKӡL JLDQ WKiQJ«« 109
3.11 ĈiQKJLiPӭFÿӝWLrXKyDFӫDVҧQSKҭP1$42;in vitro 110
3.11.1 0ӭFÿӝWLrXKyDSURWHLQEҵQJSKѭѫQJSKiS3HSVLQ 110
3.11.2 ĈiQKJLiPӭFÿӝWLrXKyDSURWHLQin vitro WKHRSKѭѫQJSKiSS+-stat 110
3.11.3 ĈiQKJLiPӭFÿӝWiêu hóa protein in vitro EҵQJSKѭѫQJSKiSS+-drop 110
3.12 0ӭFÿӝWLrXKyDSURWHLQin vivo WUrQFKXӝWWUҳQJJLӕQJSwiss albino 111
3.13 0ӭFÿӝGXQJQҥSFӫDVҧQSKҭPWUrQEӋQKQKkQVDXSKүXWKXұWQJRҥLWKҫQNLQK 112
Trang 103.13.1 ӃWTXҧÿiQKJLiPӭFÿӝGXQJQҥSFӫDVҧQSKҭPYjҧQKKѭӣQJOrQWuQKWUҥQJ
GLQKGѭӥQJFӫDEӋQKQKkQQJRҥLWKҫQNLQK 112
3.13.2 7KӡLJLDQQX{LăQ 113
3.13.3 ӃWTXҧYӅVӵGXQJQҥSWKӵFSKҭPKRһFELӃQFKӭQJVDXFDQWKLӋS 114
3.13.4 6ӵWKD\ÿәLFKXQJYӅWuQKWUҥQJGLQKGѭӥQJVDXFDQWKLӋS 114
3.14 %jQOXұQYӅÿiQKJLiGXQJQҥSWUrQEӋQKQKkQQJRҥLWKҫQNLQK 115
3.14.1 ĈһFÿLӇPEDQÿҫX 115
3.14.2 ӃWTXҧYӅVӵGXQJQҥSKRһFELӃQFKӭQJGRGLQKGѭӥQJTXDӕQJ[{QJ 116
3.14.3 6ӵWKD\ÿәLYӅWuQKWUҥQJGLQKGѭӥQJVDXFDQWKLӋS 117
&+ѬѪ1*.ӂ7/8Ұ1 119
'$1+0Ө&&Ð1*75Î1+&Ð1*%Ӕ&Ӫ$7È&*,Ҧ 121
7¬,/,ӊ87+$0.+Ҧ2 122
Trang 11'$1+0Ө&&È&+Î1+Ҧ1+
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+uQK&ѫFKӃSKҧQӭQJFӫDHQ]\PH3HSVLQ 16
+uQK&ѫFKӃSKҧQӭQJFӫDHQ]\PH7U\SVLQ 17
+uQK3KҧQӭQJJLӳDDQSKD-DP\ODVHYjWLQKEӝW 18
+uQK6ѫÿӗQJKLrQFӭX 27
Hình 4X\WUuQKFKӃELӃQWKӏWKHR 30
Hình 2.3 Quy trình trích ly protein tӯ ÿұu nành 32
+uQK4X\WUuQKWKӫ\SKkQQKyPWLQKEӝWJҥRYjNKRDLWk\ 35
Hình 2.5 4X\WUuQKFKӃELӃQQKyPUDXFӫFjUӕWEtÿӓ 36
+uQK4X\WUuQKFKӃELӃQVҧQSKҭP1$42;WӯFiFQJX\rQOLӋX 37
+uQK&iFP{KuQKOӗQJFKX\ӇQKyD 39
+uQK/ӗQJFKX\ӇQKyDWURQJWKtQJKLӋP 39
+uQK.LPFRQJÿҫXWYj[\ODQKÿӇEѫPWKӵFSKҭP 39
+uQK4X\WUuQKWKӵFKLӋQQJKLrQFӭXNKҧQăQJGXQJQҥSVҧQSKҭP1$42; 41
Hình 2.14X\WUuQKWKHRG}LNKҧQăQJGXQJQҥSYjQX{LăQEӋQKQKkQ 42
+uQKҦQKKѭӣQJFӫDHQ]\PHÿӃQÿӝQKӟWYjKLӋXVXҩWWKXKӗLSURWHLQKzDWDQFӫDGӏFKWKӫ\ SKkQWKӏWKHRNKLFyFQJKRҥWÿӝOj8JSK~W 48
+uQKҦQKKѭӣQJFӫDWӍOӋWKӏWQѭӟFZZ OrQ+67+3+7 49
+uQKҦQKKѭӣQJFӫDQKLӋWÿӝ[ӱOêQKLӋWÿӃQKjPOѭӧQJYLWDPLQ%1 YjÿӝQKӟWFӫDGӏFK VDXWKӫ\SKkQ 50
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+uQKҦQKKѭӣQJFӫDS+ÿӃQÿӝQKӟWYj+67+3+7FӫDHQ]\PH$OFDODVH 51
+uQKҦQKKѭӣQJFӫDQKLӋWÿӝWKӫ\SKkQÿӃQÿӝQKӟWYjHSTHPHT FӫDGӏFKVDXWKӫ\SKkQ EӣL$OFDODVH 52
+uQKҦQKKѭӣQJFӫDKjPOѭӧQJ$OFDODVHVӱGөQJÿӃQÿӝQKӟWYj+67+3+7FӫDGӏFKVDX WKӫ\SKkQ 53
+uQKҦQKKѭӣQJFӫDWKӡLJLDQWKӫ\phân ÿӃQÿӝQKӟWYj+67+3+7 FӫDGӏFKWKӫ\SKkQ 54
+uQKҦQKKѭӣQJFӫDQKLӋWÿӝS+YjQӗQJÿӝHQ]\PHFQJWKӡLJLDQWKӫ\SKkQÿӃQÿӝQKӟW GӏFKWKӫ\SKkQWURQJNK{QJJLDQEDFKLӅX 57
+uQK%ӅPһWÿiSӭQJFӫDKLӋXVXҩWWKXKӗLSURWHLQKzDWDQNKLWKD\ÿәLÿӗQJWKӡLS+QKLӋW ÿӝKjPOѭӧQJHQ]\PHYjWKӡLJLDQWKӫ\SKkQWKӏWEӣLHQ]\PH$OFDODVH 59
+uQK6ҳFNêÿӗGӏFKWKӫ\SKkQWKӏWEҵQJVҳFNêÿLӋQGLWUrQJHODFU\ODPLGH 61
+uQKҦQKKѭӣQJFӫDWӹOӋÿұXQѭӟFÿӃQ+67+3+7FӫDTXiWUuQKWKӫ\SKkQSURWHLQÿұX nành 64
+uQKҦQKKѭӣQJFӫDKjPOѭӧQJHQ]\PHÿӃQ+67+3+7FӫDTXiWUuQKWKӫ\SKkQSURWHLQ ÿұXQjQK 64
Trang 12+uQKҦQKKѭӣQJFӫDS+ÿӃQTXiWUuQKWKӫ\SKkQSURWHLQÿұXQjQK 65
+uQKҦQKKѭӣQJFӫDQKLӋWÿӝÿӃQ+67+3+7FӫDTXiWUuQKWKӫ\SKkQSURWHLQÿұXQjQK 66
Hình 3.16 ҦQKKѭӣQJFӫDWKӡLJLDQÿӃQTXiWUuQKWKӫ\SKkQSURWHLQÿұXQjQK 66
+uQKҦQKKѭӣQJFӫDWKӡLJLDQ[ӱOêQKLӋWKҥWÿұXQjQKÿӃQ+67+3+7ÿұXQjQK 67
+uQKҦQKKѭӣQJFӫDWӍOӋÿұXQѭӟFÿӃQ+67+3+7FӫDTXiWUuQKWKӫ\SKkQÿұXQjQKEҵQJ Flavourzyme và Alcalase 68
+uQKҦQKKѭӣQJFӫDKjPOѭӧQJenzyme Flavourzyme ÿӃQ+67+3+7FӫDTXiWUuQKWKӫ\ SKkQSURWHLQÿұXQjQK 69
+uQKҦQKKѭӣQJFӫDKjPOѭӧQJ Alcalase ÿӃQ +67+3+7FӫD TXiWUuQKWKӫ\SKkQSURWHLQ ÿұXQjQK 70
+uQKҦQKKѭӣQJFӫDS+ÿӃQ+67+3+7FӫDTXiWUuQKWKӫ\SKkQSURWHLQÿұXQjQK 70
+uQKҦQKKѭӣQJFӫDQKLӋWÿӝÿӃQ+67+3+7FӫDTXiWUuQKWKӫ\SKkQSURWHLQÿұXQjQK 71
+uQKҦQKKѭӣQJFӫDWKӡLJLDQÿӃQTXiWUuQKWKӫ\SKkQSURWHLQÿұXQjQK 72
+uQK%ӅPһWÿiSӭQJFӫDKLӋXVXҩWWKXKӗLSURWHLQKzDWDQNKLWKD\ÿәLÿӗQJWKӡLS+QKLӋW ÿӝQӗQJÿӝYjWKӡLJLDQWKӫ\SKkQSURWHLQÿұXQjQKEӣL)ODYRXU]\PH 76
Hình 3.25 %ӅPһWÿiSӭQJFӫDKLӋXVXҩWWKXKӗLSURWHLQKzDWDQNKLWKD\ÿәLÿӗQJWKӡLS+QKLӋW ÿӝWKӡLJLDQWKӫ\SKkQYjKjPOѭӧQJHQ]\PHNKLWKӫ\SKkQSURWHLQÿұXQjQKEӣL$OFDODVH 78 +uQK.ӃWTXҧSKkQWtFKÿLӋQGLGӏFKSURWHLQÿұXQjQKWKӫ\SKkQEҵQJ$OFDODVH 80
+uQK*LiWUӏ'(WKHRQKLӋWÿӝJLDQKLӋWFӫDNKRDLWk\YjJҥR 82
+uQK+jPOѭӧQJYLWDPLQ%1 FӫDJҥRYjNKRDLWk\WKHRQKLӋWÿӝQҩX 82
Hình 3.29 *LiWUӏ'(FӫDNKRDLWk\YjJҥRNKLWKӫ\SKkQWKHRWKӡLJLDQQҩX 83
+uQKҦQKKѭӣQJQKLӋWÿӝWKӫ\SKkQWLQKEӝWFӫDKӛQKӧSQJX\rQOLӋXJDRYjNhoai tây ÿӃQ'(YjÿӝQKӟW 84
+uQKҦQKKѭӣQJFӫDS+WKӫ\SKkQWLQKEӝWFӫDKӛQKӧSQJX\rQOLӋXJDRYjNKRDLWk\ÿӃQ '(YjÿӝQKӟW 85
+uQKҦQKKѭӣQJFӫDWKӡLJLDQWKӫ\SKkQWLQKEӝWFӫDKӛQKӧSQJX\rQOLӋXJҥRYjNKRDL Wk\ÿӃQ'(YjÿӝQKӟW 85
+uQKҦQKKѭӣQJFӫDKjPOѭӧQJHQ]\PHWKӫ\SKkQWLQKEӝWFӫDKӛQKӧSQJX\rQOLӋXJҥR YjNKRDLWk\ÿӃQ'(YjÿӝQKӟW 86
+uQK%ӅPһWÿiSӭQJÿӝQKӟWVDXWKӫ\SKkQWLQKEӝWWKHRSKѭѫQJWUuQKKӗLTX\ 89
+uQK%ӅPһWÿiSӭQJFӫD'(NKLWKD\ÿәLÿӗQJWKӡLS+QKLӋWÿӝKjPOѭӧQJHQ]\PHYj WKӡLJLDQWKӫ\SKkQJҥRNKRDLWk\EӣL7HUPDP\O 91
+uQKҦQKKѭӣQJFӫDQKLӋWÿӝQҩXÿӃQKjPOѭӧQJ9LWDPLQ%1 FӫDFjUӕWEtÿӓ 93
+uQKҦQKKѭӣQJFӫDWKӡLJLDQQҩXÿӃQKjPOѭӧQJYLWDPLQ%1 FӫDFjUӕWEtÿӓ 93
+uQKҦQKKѭӣQJFӫDS+WKӫ\SKkQÿӃQÿӝQKӟWGӏFKFjUӕWEtÿӓVDXWKӫ\SKkQ 94
+uQKҦQKKѭӣQJFӫDQKLӋWÿӝWKӫ\SKkQÿӃQÿӝQKӟWGӏFKFjUӕWEtÿӓVDXWKӫ\SKkQ 95
+uQKҦQKKѭӣQJFӫDKjPOѭӧQJ3HFWLQH[8OWUDÿӃQÿӝQKӟWGӏFKFjUӕWEtÿӓVDXWKӫ\ phân 95
Trang 13Hình ҦQKKѭӣQJFӫDWKӡLJLDQWKӫ\SKkQÿӃQÿӝQKӟWGӏFKFjUӕWEtÿӓVDXWKӫ\SKkQ 96
+uQK%ӅPһWÿiSӭQJFӫDÿӝQKӟWKӛQKӧSVDXWKӫ\SKkQEӣLSHFWLQDVHNKLWKD\ÿәLÿӗQJ WKӡLS+QKLӋWÿӝKjPOѭӧQJHQ]\PHYjWKӡLJLDQWKӫ\SKkQ 98
+uQK4X\WUuQKFKӃELӃQVҧQSKҭPQX{LăQTXD[{QJ 100
+uQK.ӃWTXҧÿLӋQGL6'6-3$*(FӫDVҧQSKҭP 104
+uQK.ӃWTXҧ*3&FӫDVҧQSKҭP1$42; 104
+uQK3KѭѫQJWUuQKWX\ӃQWtQK[iFÿӏnh hҥn sӱ dөng theo mô hình Arrhenius 108
+uQK/RҥLEӋQKOêWURQJQKyPQJKLrQFӭX 112
Trang 14'$1+0Ө&%Ҧ1*%,ӆ8
%ҧQJĈһFWtQKFiFӕQJ[{QJQX{LăQPNJL- GҥGj\ 5
%ҧQJĈһFÿLӇPPӝWVӕORҥLӕQJ[{QJVӱGөQJWURQJQѭӟF 5
%ҧQJĈһFÿLӇPFiFVҧQSKҭP1$42; 6
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%ҧQJ7LrXFKXҭQGLQKGѭӥQJYjQKXFҫXNKX\ӃQQJKӏGѭӥQJFKҩW VҧQSKҭP1$42; 9
%ҧQJ7ӕFÿӝWUX\ӅQGӏFKQX{LăQFKXҭQYӟLӕQJ[{QJFӥ)WKHROѭX OѭӧQJGzQJVҧQSKҭP 1$42;YӟLP/WKӇWtFKQX{LăQOҫQ 11
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%ҧQJ&iFQJKLrQFӭXYӅNKҧQăQJKҩSWKXÿӕLYӟLWKӵFSKҭP1$42;WҥLWURQJQѭӟF 24 %ҧQJ1JX\rQOLӋXGQJWURQJQJKLrQFӭX 26
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%ҧQJ 0DWUұQTX\KRҥFKWKӵFQJKLӋPYjNӃWTXҧWKtQJKLӋPNKҧRViWҧQKKѭӣQJÿӗQJWKӡL FӫDS+QKLӋWÿӝQӗQJÿӝHQ]\PHWKӡLJLDQÿӃQÿӝQKӟWNKLWKӫ\SKkQWKӏWEҵQJ$OFDODVH 55
Trang 15QKӟWFӫDGӏFKWKӫ\SKkQEҵQJ$OFDODVHWKHRELӃQPmKyD 56
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%ҧQJ &iF KӋ Vӕ FӫD SKѭѫQJ WUuQK KӗL TX\ P{ Wҧ ҧQK KѭӣQJ ÿӗQJ WKӡL FiF \ӃX Wӕ ÿӃQ +67+3+7FӫDGӏFKWKӫ\SKkQEҵQJ$OFDODVHWKHRELӃQPmKyD 58
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%ҧQJ 7KjQK SKҫQ DFLG DPLQ WURQJ GӏFK SURWHLQ ÿұX QjQK WKӫ\ SKkQ EӣL HQ]\PH Flavourzyme và Alcalase (g/100g) 80
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%ҧQJ.ӃWTXҧSKkQWtFK$129$ 88
Trang 16enzyme Termamyl SC 89
%ҧQJ&iFKӋVӕFӫDSKѭѫQJWUuQKKӗLTX\WKHRELӃQҧR 90
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Trang 18European Society for Parenteral and Enteral Nutritrion
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