Huna ʻo ka pancreas i ka wai wai, he loko o kahi enzyme kūikawā, pancreatic amylase, i hoʻolālā ʻia e wāwahi i nā ʻāpana paʻakikī i nā mea hoʻohui i hoʻohui ʻia. Ka hoʻohuli ʻana i nā molekula amylase i ke kō a me nā pectins i ke sucrose a me ka maltose, ʻoiai ʻaʻole lākou i komo i ka hydrolysis o ka fiber.
ʻOi aku ka nui o ke ola kūlohelohe o nā enzyme, ʻoi aku ka nui o nā lālā o ka ʻōnaehana gastrointestinal. Ma ke kiʻekiʻe o kēia mau mea, hiki i ke kauka ke hoʻoholo i ke olakino o ke pancreas a kahi kanaka. I ka hōʻike ʻana o kekahi o nā kūlana o nā pathological a me nā maʻi, kahi hōʻaike kikoʻī o nā india amylase (hoʻonui a hoʻonui ʻia paha) kōkua.
I mea e loaʻa ai ka ʻike kūpono loa no ka ʻike maka ʻana i nā maʻi, hoʻohana ʻia nā ʻāpana o nā haʻawina ʻelua, e hōʻike ana i ka nui o ka amylase i loko o ka pīpī a me ke kahe koko. ʻO ka hoʻokumu ʻana o nā diastases i ka urine he hana paahana, lawe ʻia nā mea olaola i nā ʻāpana, i kēlā me kēia 3 hola. ʻO kahi hōʻike maʻalahi no ka amylase kahi haʻawina i hoʻokahe i ke koko mai ka ulnar vein.
Kūpono ʻia ʻo ia aʻo ʻia no ka hoʻoholo ʻana i ke kiʻekiʻe o ka hana o ka enzyme, ka maʻi ʻana o nā ʻano ʻano like ʻole o ka hoʻōla ʻana o ka maʻi maʻi ma ka pancreas. He 40% aʻoi aku ka ʻike ma mua o ke kaʻina lipase. Hoʻohana ʻia ke ala diagnostic i ʻike i nā maʻi i nā holoholona, e like me nā pōpoki.
ʻO nā helu hōʻaiʻe
ʻO Amylase ma ke ʻano o ke akeʻa e piʻi i ka manawa he nui i ka manawa maʻamau, ma mua o nā loli e hōʻike ana i ka hoʻomaka ʻana o kahi kūlana pathological a peʻa paha ka maʻi. Hoʻokomo nā ʻōkuhi i loko o nā hola 3-5, a hiki i kahi kiʻekiʻe ma hope o 10-24 hola. Ma hope o ka makeʻana o ka lā, ma ka lā 6, ua emi ka pae amylase i ka maʻamau.
I mea e loaʻa ai nā hopena pono, pono ia e hoʻokalakupua i ka hana a amylase i nā lā i kēlā me kēia lā, kahi mea nui ia i ka wā e loaʻa ai ka maʻi, akā ʻaʻole ia ma ka hopena o ke ʻano o ka maʻi.
I ka pancreatitis kūleʻa me ka ʻole o ka exacerbation, hiki ke hoʻemi iki ʻia ka nui o ka amylase, i ka wā e loaʻa ai kahi hoʻomaha, hoʻonui ka nui o nā enzyme pancreatic. I kekahi mau mea maʻi, ʻaʻole i hoʻokaʻawale ʻia kahi ʻano maʻamau o kekahi mea a me ka exacerbation wale nō.
Hoʻonui ʻia ka pancreatic lipase a me ka amylase i kēlā mau hihia:
- wuawe;
- nā ʻōpū o ka ʻōpū;
- maʻi e ae.
ʻO nā kumu no ka wikiwiki o ka hoʻonui ʻana i nā hōʻailona e pili pū kekahi me nā pōhaku i ka palahā, nā ʻōpū, nā neoplasms oncological, a me kahi ana o ka manana.
Hōʻike ia i ka hoʻokalakupua ʻana biochemical e hāʻawi i kahi hopena kīpē, e kūpaʻa ana inā ʻaʻole lawa nā hana pancreatic, a me ke ʻano o ka maʻi a me ke ʻano maʻi hepatitis. ʻO nā pae amylase haʻahaʻa ke hōʻailona o ka toxicosis i ka wā hāpai.
No ka hoʻomaʻamaʻa pololei ʻana, pono ʻoe e lawe i nā hoʻokolohua hou, e hoʻokau pono i ka ʻike kino ʻana i ke kino. Nā ʻāpana 53 / lōkahi ʻAʻole ia he meaʻokoʻa i ka manaʻo o ka mea maʻi.
ʻOkoʻa iki - inā i hōʻike ʻia nā loiloi he mau liʻiliʻi wale nō ma mua o ka mea maʻamau, ke hoʻopilikia ʻole ʻia ke kanaka, ʻaʻole ia e hoʻopiʻi i ke olakino. I ia mau pilikia, ke kuhikuhi pono nei ke kauka iā Pancreatin a i ʻole ka hoʻomākaukau ʻana i ka enzyme pancreatic like.
E hoʻomaopopo ka ʻōmaʻomaʻo iā ʻoe a ʻelua a ʻoi paha mau manawa kiʻekiʻe (haʻahaʻa) ma mua o ka maʻamau.
I ka manawa e hoʻonui a hoʻoilo ʻia paha ka hopena?
Me ka pancreatitis, ua hoʻoholo ʻia ʻo amylase e hoʻomaikaʻi i kahi hōʻike kikoʻī o ke koko biochemical, a laila ua loiloi ʻia nā loli like ʻole, ua hana ʻia kahi hopena a ʻānō hoʻi e hōʻike ʻia ai nā lāʻau lapaʻau. Hana ʻia ka paupili koko ma luna o kahi ʻōpū ʻole, ma hope o ka nānā ʻana o ke ʻano o ka serum. No ka noi ʻana i ka urine, ua hōʻiliʻili ʻia nā meaola olakino no kahi lā, kulu ʻia ka hapa kakahiaka i ka wai, hoʻākoakoa ʻia ke koena i ka lā, pau ka ʻohi ʻana me ke kakahiaka o ka urine i ke lā aʻe.
Hōʻike ʻia he hōʻike toto no ka amylase pancreatic i ʻole e hōʻike i kona nalo ʻana, ʻaʻole ʻike kēia enzyme i ke kahe koko.
Ke komo kahi mea komo i kahi ʻano maʻamau (koko, urine), haʻi lākou i ka hoʻomaka ʻana o kekahi mau pilikia.
Me kahi māhina hoʻonui i loko o ke koko, ʻo ka nui o ka amylase i loko o ka pākiʻi ka mea i ʻoi aku i ke kumu maʻamau, he hōʻailona kēia no ka hoʻoholo ʻana i nā ala o nā kino o loko. ʻO ka uluʻana o ka amylase pancreatic i loko o ke koko e lilo i hōʻailona:
- pūpū;
- nā maʻi o ka lula lauole;
- cholecystitis.
Hiki ke waiho ʻia ka waiwai i loaʻa i loko o 28-125 U / L (koko), 1-17 U / L (urine). Hōʻike ʻia ka hoʻokaʻawale ʻana no ka amylase pancreatic no ka maʻi paʻakikī, hiki iā ia ke hoʻonohonoho pono i ka maʻi a hoʻomaka ka mālama ʻana.
Kūkulu ke kauka i kahi ʻano loiloi no ka amylase, i hoʻokumu mua i ka hoʻokumu ʻana i ke ʻano o ke ʻano o ka pancreatitis, a me nā papa pancreatic ʻē aʻe, akā no ke ʻano hoʻi o ka:
- ʻ pregnancypōpō ectopic;
- hyperamylasemia;
- pae pae P-isoenzyme;
- pilikia ʻole;
- ulia peptic o ka ʻōpū a me duodenum.
Eia kekahi, e hōʻike ana ka loiloi i ka hana renal impaired, hana ʻole i ka huehue, kaʻaina o ka ʻōpū, nā hanana hoʻowalewale i ka ʻōpū o ka pūpū, i kēlā me kēia peritonitis, ʻano ʻano maʻamau o ka ʻalekino, a me ka waiwai o ka lepa ma hope o ka mālama ʻana.
ʻAʻole maʻamau ka nānā ʻana i ka amylase haʻahaʻa haʻahaʻa, akā ʻo ka helu haʻahaʻa hoʻi e lilo i hōʻailona maʻi, e hōʻike ana i ka hana o ka pancreatic function. ʻO Cystic fibrosis, kahi e hoʻopili ai i nā ʻāpana kino i loko, hiki ke hoʻokau hewa. Hoʻomaopopo kekahi kiʻi like like i nā hana hope loa o ke kanesa, kahi e hōʻike nei i ka make kokoke o ka mea maʻi.
Hiki i ke kolamu o ke koko, hiki ke hoʻonui a hoʻēmi paha i ka amylase koko, ʻike ʻia inā inā ma mua o ka hopena, ua lawe ka mea maʻi i kekahi mau lāʻau lapaʻau: ka hoʻomoʻa ʻana i ka lā, nā lāʻau lapaʻau, diuretics, Ibuprofen a me nā mea nona.
Pono e mālama i ka hoʻololi i ka waiwai nui o ka amylase me kahi haʻahaʻa amylase haʻahaʻa haʻahaʻa e hōʻike nei i ka hana hewa ʻana o nā pancreas, nā ʻōpū hanu, a me nā patharies ovarian.
Pehea e hoʻomākaukau ai no ka hoʻoili ai
I mea e loaʻa ai ka hopena kūpono loa, pono ʻoe e hoʻomākaukau pono no ka aʻo ʻana. I ke kakahiaka, ma mua o ka hāʻawi ʻana i ke koko, pono ka mea maʻi e hōʻole i ka ʻai i nā meaʻai a me nā ʻano wai ʻono, ʻoi loa ke kofe a me nā ti. I nā helu ʻole e kaupalena ʻia, ʻae ʻia ka wai a pau a me ke kaʻa ʻole.
Ma mua o ka hoʻokolokolo ʻana, pono e lawe ʻia ka ʻai hope loa ma mua o 12 mau hola. Aia he mau kānāwai e kaupalena ana i ka hoʻohana ʻana i nā lāʻau lapaʻau, ma ka maʻamau ke aʻo nei nā kauka e ʻoki i ka lawe ʻana i nā lāʻau lapaʻau 1-2 mau pule ma mua o ka nānā ʻana. Inā ʻaʻole naʻe e mālama ka mea maʻi i kēia loiloi, pono ʻoe e haʻi i ke kauka e pili ana i ia.
ʻO ka lā ma mua o ka lawe ʻana i nā kumuhana, hoʻoikaika i ke ʻano kino, ʻaʻole i kāpae ʻia ka hoʻohana ʻana i nā mea inu wai. Hoʻomaʻamaʻa ʻia nā maʻi Physiotherapeutic, e pili ana i ka rectal a me ka fluorographic fluoroscopy, a me ka ultrasound, ka hopena o ka hōʻike.
Hiki i kekahi mau maʻi ke hōʻemi i ka amylase pancreatic, ʻokoʻa paha nā hopena me nā kaʻe ʻole ʻana.
- hepatitis;
- lawa lawa hoʻoliʻiliʻi;
- ka hāhā ʻehā o nā ʻeha hōʻeuʻeu o nā pancreas;
- nā neoplasms i loko o nā lau o ka pancreas;
- luku āpau o ka pancreas;
- kiʻekiʻe kiʻekiʻe o ka cholesterol koko haʻahaʻa.
Aia ka pili me ka maʻi maʻi, ka hua ʻia o ka amylase pancreatic i loko o nā nui, ʻo ka pancreatic amylase ka hoʻonui ʻia he ʻumi mau manawa. Hoʻopili ʻia ka pālahalaha nui me nā maʻi: ʻo ka maʻi a me ka maʻi pancreatitis, ka pāpā ʻana i nā kumulāʻau, ka huaʻomaka, ka pākīkī o ka ʻōpū, ka maʻi a me ka hopena o ka maʻi gallstone, ka hōʻeha o ka ate, ka hele ʻana o nā maʻi parasit i ka mea maʻi, ka appendicitis aʻaliko.
He mea weliweli no ka mālama ʻana i nā maʻi pancreatic i hoʻokau ʻole ʻia me ke komo ʻole ʻana o ke kauka, kahi hopena e pili ai i ka moku o ke olakino. ʻO ke kī i ke kala lōʻihi loa he pili kūpono loa i nā kauoha a ke kauka, e hoʻomaikaʻi i ka maikaʻi o ke ola, e lawe ana i nā lāʻau lapaʻau i kauoha ʻia.
Hāʻawi ʻia ka ʻike e pili ana i ka pancreatic enzymes i ke wikiō ma kēia ʻatikala.
