Uvavanyo lwe-Amylase kunye neLipase
Umxholo
- Ngawaphi amanqanaba aqhelekileyo e-amylase kunye neepase?
- Yintoni ebangela amanqanaba amylase angaqhelekanga?
- Yintoni ebangela amanqanaba eepasease angaqhelekanga?
- I-Amylase kunye neepase ngexesha lokukhulelwa
- Ungazilungiselela njani uvavanyo lwe-amylase kunye ne-lipase?
- Yintoni onokuyilindela ngexesha lovavanyo lwe-amylase kunye ne-lipase
- Zithetha ntoni iziphumo zovavanyo?
Yintoni uvavanyo lwe-amylase kunye nelipase?
I-Amylase kunye ne-lipase zii-enzyme eziphambili zokugaya ukutya. I-Amylase inceda umzimba wakho uphule istatshi. I-Lipase inceda umzimba wakho ukucola amafutha. Ipancreas lilungu lengqula elihlala ngasemva kwesisu kwaye livelise incindi yokugaya engenanto emathunjini amancinci. Iipancreas zivelisa zombini i-amylase kunye ne-lipase, kunye nezinye ii-enzymes ezininzi.
Ukudumba kwepancreas, ekwabizwa ngokuba yi-pancreatitis, kubangela amanqanaba aphezulu e-amylase kunye ne-lipase egazini. Funda ngakumbi malunga nepancreatitis ebukhali apha.
Uvavanyo lwe-Amylase kunye ne-lipase zisetyenziselwa ukufumanisa i-pancreatitis. Iimvavanyo zilinganisa inani lezi enzymes zijikeleza kwigazi lakho. Ezi enzymes zijongwa xa uneempawu ze-pancreatitis ebukhali okanye esinye isifo se-pancreatic kwaye ugqirha wakho ufuna ukuqinisekisa isifo.
Iimpawu zepancreatitis zinokubandakanya:
- iintlungu ezinzima zesisu
- umqolo obuhlungu
- ifiva
- isicaphucaphu
- ukugabha
- Ukuphelelwa ngumdla wokutya
Zininzi nezinye izinto ezinokubangela iintlungu zesisu. Ezinye izizathu zibandakanya i-appendicitis, ukukhulelwa kwe-ectopic kwabasetyhini, kunye nokuvaleka kwamathumbu, phakathi kwabanye. Ukujonga amanqanaba e-amylase kunye ne-lipase kubalulekile ukunceda ekuchongeni ukuba unobangela wezi mpawu yi-pancreatitis, okanye enye into.
Ngawaphi amanqanaba aqhelekileyo e-amylase kunye neepase?
Ii-enzyme ziiproteni eziveliswa ngumzimba zokwenza umsebenzi othile. Ipancreas ivelisa i-amylase yokwahlulahlula ii-carbohydrate ekutyeni ibe ziishukela ezilula. I-pancreas yenza i-lipase yokugaya amafutha kwi-fatty acids. Iswekile kunye neeasidi ezinamafutha emva koko zinokufakwa ngamathumbu amancinci. Ezinye i-amylase kunye ne-lipase zifumaneka kumathe kunye nasesiswini. Nangona kunjalo, uninzi lwee-enzymes ezenziwe kwi-pancreas zikhutshwa ziye emathunjini amancinci.
| Amanqanaba e-Amylase | Amanqanaba eLipase | |
| Eqhelekileyo | 23-85 U / L. (ezinye iziphumo zebhabhu zinyuka ziye kwi-140 U / L) | 0-160 U / L. |
| Pancreatitis kurhanelwa | > 200 U / L. | > 200 U / L. |
Kumntu ophilileyo, inqanaba le-amylase yegazi eliqhelekileyo lijikeleze iiyunithi ezingama-23-85 ilitha nganye (U / L), nangona ezinye iilebhu ze-amylase eqhelekileyo inyuka iye kwi-140 U / L.
Inqanaba lepase eliqhelekileyo linokuvela kwi-0-160 U / L ngokuxhomekeke kwilebhu.
Xa i-pancreas yonakalisiwe, ezi enzyme zokugaya ziyafumaneka egazini kumanqanaba aphezulu kunesiqhelo. Iziphumo ze-Amylase okanye ze-lipase ngaphezulu kwamaxesha amathathu amanqanaba aqhelekileyo kunokwenzeka ukuba athethe i-pancreatitis okanye ukonakala kwipancreas yakho. Nangona kunjalo, kwiimeko ezinqabileyo, kunokubakho umonakalo omkhulu kwi-pancreas ngaphandle kwe-amylase engaqhelekanga okanye amanqanaba eepase. Kule meko, iintlungu zesisu zezona zininzi. Ekuqaleni kwenkqubo yokonakala kwepancreas, amanqanaba e-amylase okanye eepase kunokuba yinto eqhelekileyo.
Yintoni ebangela amanqanaba amylase angaqhelekanga?
Zininzi izizathu zokuba kutheni umntu enokuba namanqanaba angaqhelekanga e-amylase egazini labo. Oku kubandakanya:
- pancreatitis etsolo, nangokurhala kwepancreas
- ukudumba kwengqondo, ukudumba okunganyangekiyo kwepancreas
- Ipancreatic pseudocyst, ingxowa egcwele ulwelo ejikeleze iipancreas
- umhlaza wepancreatic
- cholecystitis, ukudumba kwe-gallbladder
- Ukukhulelwa kwe-ectopic, ukumiliselwa kweqanda ngaphandle kwesibeleko
- uqwilikana
- ukuvaleka kwamadlala amathe
- ukuvaleka kwamathumbu
- I-macroamylasemia, ubukho be-macroamylase egazini
- isilonda esityumkileyo
- amayeza
- iingxaki zokutya
- iingxaki zezintso
Ngaphantsi kwamanqanaba aqhelekileyo e-amylase kunokubonisa ukonzakala okukhulu kwi-pancreas ,, prediabetes, okanye.
Kukho amayeza anokunyusa inani le-amylase egazini lakho:
- amanye amayeza onyango
- ezinye iipilisi zokulawula inzala
- icorticosteroids
- amanye amayeza e-chemotherapy
- uxinzelelo lwegazi amayeza
- imethyldopa
- I-thiazide yomchamo
- amayeza antiviral
- amanye amayeza okubulala iintsholongwane
Yintoni ebangela amanqanaba eepasease angaqhelekanga?
Amanqanaba e-Lipase anokuphakama ngokungaqhelekanga ukuba umntu ufumana:
- pancreatitis etsolo, nangokurhala kwepancreas
- ukudumba kwengqondo, ukudumba okunganyangekiyo kwepancreas
- umhlaza wepancreatic
- isifo esiswini, okanye umkhuhlane wesisu
- cholecystitis, ukudumba kwe-gallbladder
- isifo se-celiac, i-allergies kwi-gluten
- isilonda duodenal
- kwimacrolipasemia
- Usulelo lwe-HIV
Amanqanaba angaqhelekanga e-lipase anokubakho nakubantu abanesiphene se-lipoprotein lipase.
Iziyobisi ezinokuchaphazela amanqanaba eepase egazini lakho ligazi elifanayo nelaziwa ngokuchaphazela amanqanaba e-amylase.
I-Amylase kunye neepase ngexesha lokukhulelwa
I-pancreatitis ebukhali inqabile ngexesha lokukhulelwa. Nangona kunjalo, kunokukhokelela kwiingxaki ngomntwana wakho ukuba oko kuyenzeka.
Uphando lubonisa ukuba amanqanaba e-serum amylase kunye neepase awatshintshi ngexesha lokukhulelwa. Ngamanye amagama, oko kuthathwa njengamanqanaba aqhelekileyo e-amylase kunye ne-lipase ngokufanayo nakwabasetyhini abakhulelweyo njengabasetyhini abangakhulelwanga. Ukunyuka kwamanqanaba e-serum amylase kunye neepase ngexesha lokukhulelwa kufuneka kuthathelwe ingqalelo ngendlela efanayo kubafazi abangakhulelwanga.
Ungazilungiselela njani uvavanyo lwe-amylase kunye ne-lipase?
Akukho lungiselelo lukhethekileyo luyimfuneko yovavanyo lwegazi lwe-amylase okanye lipase. Unokufuna ukunxiba ihempe evaliweyo okanye enemikhono emifutshane ukuze ugqirha wakho akwazi ukufikelela ngokulula emthanjeni engalweni yakho.
Yintoni onokuyilindela ngexesha lovavanyo lwe-amylase kunye ne-lipase
Zininzi izizathu zokuba kutheni unokufumana iintlungu zesisu okanye ezinye iimpawu. Uvavanyo lwe-Amylase kunye ne-lipase zizinto nje zepuzzle. Ugqirha wakho uya kuqala athathe imbali yezonyango kunye nosapho, enze uvavanyo lomzimba, kwaye abuze ukuba ngaba uthatha nawaphi na amayeza.
Uvavanyo lwe-amylase okanye lwe-lipase lufuna ukuba ugqirha wezempilo athathe inani elincinci legazi kwimithambo yakho. Ngokwesiqhelo uvavanyo lwenziwa ngolu hlobo lulandelayo:
- Ingcali yezempilo iya kuyicoca indawo yesikhumba ejikeleze umthambo engqinibeni yakho okanye ngasemva kwesandla sakho ngesibulali-ntsholongwane.
- Ibhanti e-elastic iya kubotshwa ijikeleze ingalo yakho ephezulu ukufaka uxinzelelo kunye nokuvumela igazi lakho ukuba ligcwalise umthambo.
- Kuza kufakwa inaliti emthanjeni.
- Igazi liyakususwa lifakwe kwityu okanye ityhubhu encinci. Ukuqokelela igazi kufuneka kuthathe umzuzu okanye emibini.
- Ibhanti e-elastic isusiwe.
- Igazi lithunyelwa elabhoratri ukuze lihlolwe.
Inani elincinci lentlungu kunye nokutyumka kunokwenzeka kwindawo yokufakwa. Ukopha kakhulu, ukuphelelwa ngamandla, ukuba nentloko elula, kunye nosulelo kunqabile kodwa kunokwenzeka. Kuba amanqanaba aphezulu e-amylase anokudityaniswa nokuncipha kwezintso, ugqirha unokuyalela olunye uvavanyo lwegazi okanye uvavanyo lwe-amylase yomchamo.
Zithetha ntoni iziphumo zovavanyo?
Xa amanqanaba e-lipase kunye ne-amylase ephezulu kunesiqhelo kunokubonisa ukonzakala kwepancreatic okanye esinye isifo. Uninzi lwezifundo lubonisa ukuba amanqanaba angaphezu kwamathathu umda ophezulu oqhelekileyo uhlala ekhokelela ekufumaneni isifo sepancreatitis, ngokwemiqathango evela kwiAmerican College of Gastroenterology (ACG). Amanqanaba e-Lipase kuphela awakwazi ukumisela ubungqongqo bokuhlaselwa kwepancreatitis. Xa ezi ziphumo zovavanyo zingaqhelekanga, unokufuna ezinye iimvavanyo ezinje nge-ultrasound, CT scan, MRI scan, kunye ne-endoscopy.
Amanqanaba e-amylase aphakanyisiweyo abonisa ugqirha wakho ukuba kukho ingxaki, kodwa ngekhe kubandakanye iipancreas zakho. Nangona kunjalo, amanqanaba e-lipase xa kuthelekiswa namanqanaba e-amylase ahlala ethe ngqo ngakumbi kukuphazamiseka kwepancreatic. Ukuvavanya iziphumo zeemvavanyo ezimbini kunye neempawu zakho kunokunceda ugqirha wakho ukuba afumanise okanye akhuphe i-pancreatitis okanye ezinye iimeko zepancreas.
Ukuba ufumana iintlungu zesisu esibuhlungu, bona ugqirha ngokukhawuleza. Ngokusekwe kwiziphumo zovavanyo lwe-amylase, uvavanyo lwe-lipase, kunye nembali yakho yezonyango, ugqirha wakho unokuthatha isigqibo sokuba ngaba kufuneka iimvavanyo ezongezelelweyo okanye anqume ukuba loluphi uhlobo lonyango olufunekayo.
Ukukhetha Indawo
Eyona ndlela yokutya iGout: Yintoni ekufuneka uyitya, Yintoni omele ukuyiphepha
