Ukuhlolwa kwe-Amylase neLipase

-Delile

• Ayini amazinga ajwayelekile e-amylase ne-lipase?
• Yini ebangela amazinga angajwayelekile we-amylase?
• Yini ebangela amazinga angajwayelekile we-lipase?
• I-Amylase ne-lipase ngesikhathi sokukhulelwa
• Kufanele ulungiselele kanjani ukuhlolwa kwe-amylase ne-lipase?
• Yini ongayilindela ngesikhathi sokuhlolwa kwe-amylase ne-lipase
• Isho ukuthini imiphumela yokuhlolwa?

Yini ukuhlolwa kwe-amylase ne-lipase?

I-Amylase ne-lipase kungama-enzyme wokugaya ukudla ayisihluthulelo. I-Amylase isiza umzimba wakho ukuthi uhlukane nesitashi. ILipase isiza umzimba wakho ukugaya amafutha. Ama-pancreas isitho esiyindlala esihlala ngemuva kwesisu futhi sikhiqize iziphuzo zokugaya ukudla ezingenalutho emathunjini amancane. Ama-pancreas abuye akhiqize kokubili i-amylase ne-lipase, kanye namanye ama-enzyme amaningi.

Ukuvuvukala kwamanyikwe, okubizwa nangokuthi i-pancreatitis, kuvame ukudala amazinga aphezulu e-amylase ne-lipase egazini. Funda kabanzi mayelana ne-pancreatitis enamandla lapha.

Ukuhlolwa kwe-Amylase ne-lipase kusetshenziselwa ukuthola i-pancreatitis. Ukuhlolwa kukala inani lalezi enzyme ezijikeleza egazini lakho. La ma-enzyme ahlolwa uma unezimpawu ze-pancreatitis ebucayi noma esinye isifo se-pancreatic futhi udokotela wakho ufuna ukuqinisekisa ukuxilongwa.

Izimpawu ze-pancreatitis zingafaka:

• ubuhlungu obukhulu besisu
• ukuhlungu obusemhlane
• imfiva
• isicanucanu
• ukuhlanza
• ukulahlekelwa isifiso sokudla

Kunezinye izimbangela eziningi ezingaba khona zobuhlungu besisu. Ezinye izimbangela zibandakanya i-appendicitis, ukukhulelwa kwe-ectopic kwabesifazane, nokuvinjelwa kwamathumbu, phakathi kokunye. Ukuhlola amazinga e-amylase ne-lipase kubalulekile ukusiza ukuthola ukuthi imbangela yalezi zimpawu yi-pancreatitis, noma enye into.

Ayini amazinga ajwayelekile e-amylase ne-lipase?

Ama-enzyme amaprotheni akhiqizwa ngumzimba ukwenza umsebenzi othile. Ama-pancreas akhiqiza i-amylase yokwehlukanisa ama-carbohydrate ekudleni abe ushukela olula. Ama-pancreas enza i-lipase ukugaya amafutha abe yi-fatty acids. Ama-sugars nama-acid okunamafutha angabanjwa ngamathumbu amancane. Amanye ama-amylase ne-lipase angatholakala ematheni nasesiswini. Kodwa-ke, ama-enzyme amaningi enziwe kumanyikwe akhishelwa emathunjini amancane.

Kumuntu ophilile, ileveli ejwayelekile yegazi le-amylase icishe ibe ngama-23-85 amayunithi ngelitha ngalinye (U / L), yize amanye amabanga e-amylase ejwayelekile ekhuphukela ku-140 U / L.

Izinga elijwayelekile le-lipase lingasuka ku-0-160 U / L ngokuya ngelebhu.

Lapho amanyikwe elimele, la ma-enzyme wokugaya angatholakala egazini emazingeni aphezulu kunokujwayelekile. Imiphumela ye-Amylase noma ye-lipase ngaphezu kokuphindwe kathathu amazinga ajwayelekile kungenzeka asho ukuthi i-pancreatitis noma ukulimala kwamanyikwe akho. Kodwa-ke, ezimweni ezingavamile, kungaba khona umonakalo omkhulu kuma-pancreas ngaphandle kwamazinga angavamile e-amylase noma e-lipase. Kulezi zimo, ubuhlungu besisu yibo obuningi kakhulu. Ekuqaleni kokulimala kwamanyikwe, amazinga e-amylase noma e-lipase angahle abe yinto ejwayelekile.

Yini ebangela amazinga angajwayelekile we-amylase?

Kunezizathu eziningi zokuthi kungani umuntu angaba namazinga angajwayelekile we-amylase egazini lakhe. Lokhu kufaka phakathi:

• i-pancreatitis enamandla, ukuvuvukala okungazelelwe kwamanyikwe
• i-pancreatitis engapheli, ukuvuvukala kwamanyikwe isikhathi eside
• i-pancreatic pseudocyst, isaka eligcwele uketshezi elizungeze amanyikwe
• umdlavuza wepancreatic
• cholecystitis, ukuvuvukala kwe-gallbladder
• ukukhulelwa kwe-ectopic, ukufakelwa kweqanda ngaphandle kwesibeletho
• mumps
• ukuvinjelwa kwendlala yamathe
• ukuvinjelwa kwamathumbu
• macroamylasemia, ubukhona be-macroamylase egazini
• isilonda se-perforated
• imithi
• ukuphazamiseka kokudla
• Izinkinga zezinso

Amazinga aphansi kunamazinga ajwayelekile we-amylase angakhombisa ukulimala kanzima kuma-pancreas,, ama-prediabetes, noma.

Kunemithi ethile engakhuphula inani le-amylase egazini lakho:

• eminye imithi yokwelashwa kwengqondo
• amanye amaphilisi okuvimbela inzalo
• ama-corticosteroids
• ezinye izidakamizwa ze-chemotherapy
• imithi yengcindezi yegazi
• methyldopa
• isisu se-thiazide
• imishanguzo yokulwa namagciwane
• amanye ama-antibiotic

Yini ebangela amazinga angajwayelekile we-lipase?

Amazinga e-Lipase angaphakama ngokungavamile uma othile ehlangabezana:

• i-pancreatitis enamandla, ukuvuvukala okungazelelwe kwamanyikwe
• i-pancreatitis engapheli, ukuvuvukala kwamanyikwe isikhathi eside
• umdlavuza wepancreatic
• i-gastroenteritis enamandla, noma umkhuhlane wesisu
• cholecystitis, ukuvuvukala kwe-gallbladder
• isifo se-celiac, ukungezwani komzimba ne-gluten
• isilonda se-duodenal
• umagazine
• Ukutheleleka nge-HIV

Amazinga angajwayelekile we-lipase angaba khona nakubantu abanokushoda kwe-lipoprotein lipase yomndeni.

Izidakamizwa ezingathinta amazinga e-lipase egazini lakho kufana nalezi ezaziwa ukuthi zithinta amazinga e-amylase.

I-Amylase ne-lipase ngesikhathi sokukhulelwa

I-acute pancreatitis ayivamile ngesikhathi sokukhulelwa. Kodwa-ke, kungaholela ezinkingeni ngengane yakho uma kwenzeka.

Ucwaningo lubonisa ukuthi amazinga e-serum amylase ne-lipase awashintshi ngesikhathi sokukhulelwa. Ngamanye amagama, lokho okubhekwa njengamazinga ajwayelekile e-amylase ne-lipase cishe kuyafana kwabesifazane abakhulelwe nakwabesifazane abangakhulelwe. Ukwanda kwamazinga e-serum amylase ne-lipase ngesikhathi sokukhulelwa kufanele kubhekwe ngendlela efanayo nakwabesifazane abangakhulelwe.

Kufanele ulungiselele kanjani ukuhlolwa kwe-amylase ne-lipase?

Akukho ukulungiselela okukhethekile okudingekayo ekuhlolweni kwegazi le-amylase noma lipase. Ungahle uthande ukugqoka ihembe elingalingani noma elinemikhono emifushane ukuze udokotela wakho akwazi ukufinyelela kalula umthambo engalweni yakho.

Yini ongayilindela ngesikhathi sokuhlolwa kwe-amylase ne-lipase

Kunezizathu eziningi zokuthi kungani ungahle ubhekane nobuhlungu besisu noma ezinye izimpawu. Ukuhlolwa kwe-Amylase ne-lipase yizicucu zepuzzle. Udokotela wakho uzoqala athathe umlando wezokwelapha nowomndeni, enze ukuhlolwa komzimba, abuze ukuthi ngabe kukhona yini oyiphuzayo.

Ukuhlolwa kwe-amylase noma kwe-lipase kudinga uchwepheshe wezempilo ukuthi athathe inani elincane legazi emthanjeni wakho. Imvamisa isivivinyo senziwa ngale ndlela elandelayo:

1. Uchwepheshe wezempilo uzohlanza indawo yesikhumba ezungeze umthambo endololwaneni yakho noma ngemuva kwesandla sakho ngesibulali magciwane.
2. Ibhande lokunwebeka lizoboshelwa engalweni yakho ephezulu ukufaka ingcindezi futhi livumele igazi lakho ligcwale umthambo.
3. Kuzofakwa inaliti emthanjeni.
4. Kuzokhishwa igazi bese lifakwa esitsheni esincane noma esincane. Ukuqoqa igazi kufanele kuthathe umzuzu noma emibili kuphela.
5. Ibhande le-elastic liyasuswa.
6. Igazi lithunyelwa elabhorethri liyohlolwa.

Inani elincane lobuhlungu nokulimala kungenzeka endaweni yokufakwa. Ukopha ngokweqile, ukuquleka, ikhanda elincane, nokutheleleka akuvamile kodwa kungenzeka. Njengoba amazinga aphezulu e-amylase angahlotshaniswa nokwehla kokusebenza kwezinso, udokotela wakho angalawula ezinye izivivinyo zegazi noma ukuhlolwa komchamo we-amylase.

Isho ukuthini imiphumela yokuhlolwa?

Lapho amazinga we-lipase ne-amylase ephezulu kunokujwayelekile kungakhombisa ukulimala kwepancreatic noma esinye isifo. Ucwaningo oluningi lukhombisa ukuthi amazinga angaphezu kokuphindwe kathathu umkhawulo ongaphezulu kokujwayelekile uvame ukuholela ekuhlolweni kwe-pancreatitis, ngokwemikhombandlela evela e-American College of Gastroenterology (ACG). Amazinga e-Lipase kuphela awakwazi ukucacisa ubunzima bokuhlaselwa okunamandla kwepancreatitis. Lapho le miphumela yokuhlolwa ingavamile, ungadinga ezinye izivivinyo ezifana ne-ultrasound, i-CT scan, i-MRI scan ne-endoscopy.

Izinga eliphakeme le-amylase likhombisa udokotela wakho ukuthi kunenkinga, kepha kungenzeka kungabandakanyi amanyikwe akho. Kodwa-ke, amazinga e-lipase aqhathaniswa namazinga e-amylase ajwayele ukucaciswa ngezifo ze-pancreatic. Ukuhlola imiphumela yezivivinyo ezimbili nezimpawu zakho kungasiza udokotela wakho ukuxilonga noma ukukhipha i-pancreatitis noma ezinye izimo zepancreas.

Uma uzwa ubuhlungu obukhulu besisu, bheka udokotela wakho ngokushesha. Ngokuya ngemiphumela yokuhlolwa kwe-amylase, ukuhlolwa kwe-lipase, nomlando wakho wezokwelapha, udokotela wakho anganquma ukuthi kudingeka yini ukuhlolwa okwengeziwe noma anqume ukuthi yiluphi uhlobo lwezokwelapha oludingekayo.