ʻO ka urinalysis no ka ʻike ʻana o alpha-amylase (diastase) kahi hana lapaʻau koʻikoʻi no ka hōʻoia ʻana i ka ʻike ʻana o ka maʻi pancreatitis.
ʻO ke ʻano o ka urina diastase i ka pākeke me ka pancreatitis ma waena o 10 a 128 mau pūʻulu / lita. I nā kaʻina pathological, nā maʻi, me ka hoʻololi ʻana o ka neʻe ʻana o nā enzyme pancreatic, ʻoi ka nui o nā diastase i mau manawa.
He aha ka alpha amylase (diastase)?
ʻO Diastase kahi ʻōmole i hoʻohuihui ʻia e ka pancreas (pancreas) a loaʻa i nā pono enzymatic. Hoʻopili i nā pancreas, nā huaola o nā kelima salivary e hana i ka diastasis.
ʻO ka pono nui o ka diastase ka biodegradation o polysaccharides (e.g. starch) a monosaccharides 
(glucose) no ka laweʻana a e ke kino. ʻO ka pae diastase i ka sedine aila he hōʻailona koʻikoʻi no ka hoʻomohala ʻana i nā maʻi pancreatic.
ʻO ka pancreatitis hoʻonāuki e alakaʻi i ka hoʻonui i diastase. ʻO ka pathology surgical pathology, ka mea i hele pū ʻia e ka pōʻino o nā pihi pancreatic, ma muli o ka hoʻokuʻu o kahi nui o nā enzyme pancreatic i loko o ke koko. No ka liʻiliʻi he diastasis, hiki iā ia ke komo i ka kānana hoʻomoʻi. Pēlā e hoʻonui ai i ka diastasis urinary i ka pancreatitis.
Hoʻonui ʻia ka hoʻonui ʻana i kona paʻa ʻana i nā ʻoi aʻe penei:
- ʻO ka hoʻonāukiuki o ka pancreatitis kūlohelohe, me ka wehe hou ʻana o ka maʻi, kahi hoʻonui i nā alpha-amylase i loko o ke koko a, me ia, i ka nānā pinepine ʻana i ka urine;
- ʻO ka maʻi maʻi pancreatic kahi maʻi oncological koʻikoʻi me kahi lēʻike maikaʻi ʻole; ma ka hapa nui, ua maʻi ʻia kēia maʻi me ka nui o ke koko a me nā diastases urine;
- ʻO ka neʻe ʻana o ka pancreatic he kūlana resuscitation koʻikoʻi, e alakaʻi pinepine ana i ka make;
- ʻO ka hopena o ka metabola, me ka maʻi maʻi;
- Kaʻeha ʻeha o ka ʻeha hōʻeha huapalapala: nā huhū o ka ʻili o ke kau, gall bladder, gynecological (me ke ʻano o ka hapaha tubal) a i ʻole pathological urology;
- Nino inu waiona - nā wai inu ʻawaʻawa i kahi hopena pancreotoxic a loaʻa kahi hopenaʻino i ka kiko o ke kino;
- ʻEha hōʻeha o ka pancreatic;
Eia kekahi, ʻo ka heleʻana o nā maʻi hōʻeha i ka mea maʻi e alakaʻi i ka nui o ka neʻe o nā diastases.
Hoʻokewa ʻia o ka papa pancreatic
ʻO ka urinalysis no ka pancreatitis, a i ʻole ka hoʻopiʻi ʻia ʻana, pono e hoʻokō ʻia i ka wikiwiki e hiki ai i ka hoʻololi ʻana i ke kaʻina ʻehā o ka necrotic.
ʻO ka urinalysis no ka pancreatitis he hōʻike hoʻāʻo a mua.
Akā no ka hana ʻana i ka maʻi kūpono, pono no ka hoʻokō ʻana i kekahi o nā haʻawina ʻē aʻe.
No kēia pahuhopu, lawe ʻia nā noiʻi ʻana:
- Pūkohu. He mea koʻikoʻi loa ia e hoʻoholo i ke kinipona i loko o ka urine me ka pancreatitis e haʻalele i ka maʻi nephrotic. No ka mea hiki i ka diastase ke kōkua i ka hoʻopiha ʻana i nā ʻāpana o ka urine, ʻohiʻoki ʻohi me ka pancreatitis ʻaʻole ia he mea maʻamau ka maʻi. ʻO ka pinepine, ʻo ka waihoʻoluʻuʻeleʻele o ka urine me ka hoʻopunipuni ʻaʻole wale i ka mea maʻi, akā he kauka no hoʻi i ʻike ʻia.
- ʻO kahi hoʻokolohua koko lapaʻau e hoʻoholo i ke kiʻekiʻe o ka hāʻule o ka hemoglobin a me nā kaila koko ʻulaʻula (erythrocytes) ma muli o ke kahe mai ka kīʻaha i hoʻokaʻawale ʻia o kahi maʻi maʻi. Eia kekahi, ʻo ka nui o ka leukocytes a me ESR i ka pancreatitis e hoʻonui, e hōʻike ana i ka noho ʻana o ka mumū. Eia kekahi, ma ka hōʻike koko ākea, hiki i kekahi ke hoʻokolokolo i ka ratio o nā ʻōnaehana a me ka plasma.
- Hiki i kahi hoʻokolohua koko biochemical ka mea e ʻike ai i ka hoʻonui ʻia ʻana o ka hoʻouka ʻana o elastase, trypsin a me nā enzyme pancreatic, hypoglycemia, a me kahi pihi o ka pae o nā protein koko. I kekahi manawa ke hoʻonui ka nui o ka bilirubin i nā maʻi, me ka hoʻokaʻawale ʻole i kahi ala o ke pancreas. Ke ulu pinepine nei kēia ulu ʻana o kēia puaʻa i kahi maʻi maʻamau i hala ʻole no ka cholecystitis a i ʻole hepatitis.
- ʻO ka nānāʻana i nā feces no ka mua o nā lipid undigested, nā huaʻai, nā ʻōkena protein. Hoʻopili ʻia nā hoʻololi o nā feces me ka hana o ka enzymatic pancreatic impaired a me ka komo ʻana o ka puʻuwai a me nā puhipuhi i ke koena. He wahi e loaʻa ai iā steatorrhea.
ʻO nā ʻano hana hou no ka maʻi ʻana i nā ala me nā MRI, nā hoʻokolohua immunological me ka ʻike ʻana i nā ʻano antibodies like ʻole, ka diagnostics CT, ka ultrasound.
ʻO ka Etiology o ka hoʻonuiʻana i ka diastase i ka papa pancreatic
Inā he kānalua nā manaʻo o ka hoʻomohala ʻana o nā pathologies i ka pancreas, ʻo ka mea mua loa, hoʻouna ka loea i ka mea maʻi no ka nānā ʻana i ka urine.
ʻO ka maʻamau, hana nā enzymes i kūkulu ʻia i loko o ka wahi exocrine o ke kino i hana wale ʻia ma ka lua duodenal. I loko o ka pathology, ka hoʻōla o ka enzyme, me ka diastases, e hoʻomaka ana i loko o nā kumu o ka pancreatic. No laila, hoʻomaka nā mea ikaika i ka "hoʻokaʻī" pilikino. Ua luku ʻia nā pancreatocytes - komo i ka ʻōnaehana olakino i ka ʻōnaehana ʻōnaehana.
I kēia mea, kahi ala aʻo loa ka mālama ʻana i ka paʻa o ka huina o ka huina i loko o ke koko a me ka ʻili, ʻo ia ʻo diastases. Me kēia "hoʻokaumaha", hoʻonui i ke kiʻekiʻe o ka diastase mau haneli mau manawa.
Kahi ʻia ka ʻike ʻinikine ākea o ka urine, ʻoiai ua maʻalahi kēia ala a me ka maʻalahi o ka hoʻokō ʻana, me ka pancreatitis i ka hoʻopaʻa ʻia ʻana o ka urine i laila ke hoʻonui pinepine ʻia o nā kumu o nā diastases o ke koko. ʻAʻole paʻakikī ka hoʻokaʻawale ʻana ʻo ia mau haʻawina, akā pono e noʻonoʻo ʻia e hāʻawi nā mea hana like ʻole i nā kumuwaiwai like ʻole.
Aia paha ke ʻano o ka diastase iti etiology iatrogen, ʻo ia hoʻi, ma muli o ka hoʻokomo o kekahi mau lāʻau.
Kūkākūkā ia mau mea:
- ʻO nā Antibiotics o ka papa tetracycline e hoʻopili i ka hoʻonui ʻana i nā enzyme i loko o ke koko a me ka nānā ʻana i kahi aniani hoʻonaninani a ka waihoʻoluʻu kino, e hiki ai ke hoʻopōʻino i ka maʻi maʻamau. Pono ke kauka e hōʻike i nā maʻi e mālama ʻia ana no nā maʻi maʻi.
- Hoʻohana ʻia ka Alpha-adrenergic blockers (adrenaline, norepinephrine) i ka mālama ʻana i nā haʻalulu o nā ʻano etiologies. Ma muli o kēia pūʻulu o nā lāʻau lapaʻau he tropic i ka hui āpau o nā alpha-blockers, kahi piʻi nui i ka diastase me kā lākou hoʻokele he kūlana transient.
- ʻO Cytostatics a me nā lāʻau ʻē aʻe i hoʻohana e mālama i nā maʻi maʻi maʻi. ʻO kēia pūʻulu o nā lāʻau lapaʻau nā mea kanu chemotherapeutic a he nui kahi hopena o ka hoʻopiʻi, me ka hopena maikaʻi ʻole i nā peka pancreatic a me nā wai pancreatic.
Hoʻohui, hoʻohana ʻia ʻo NSAID. Hoʻolaha loa ʻia kēia pūʻulu o nā lāʻau i ka poʻe āpau - ʻo kēia mau non-narcotic analgesics a i ʻole nā lāʻau lapaʻau anti-inflammatory.
ʻO kēia hoʻi ʻo Analgin, Nimesil, Diclofenac, Ibuprofen a me nā mea ʻē aʻe he nui. Ma kahi kokoke i kēlā me kēia pākeke a me nā keiki ke inu i nā ʻano nui o kēia mau lāʻau ma luna o ko lākou ola a ʻaʻole noʻonoʻo e pili i kā lākou hopena hopena. Hoʻomaka mai ka hopena maikaʻiʻole i ka mucosa ʻeha, hoʻopau me ka hoʻonāukiuki necrotic i loko o nā puna o ka pancreas.
Nā rula no ka hōʻiliʻili ʻana i ka ʻike diastase
ʻO ke kānāwai mua o ka hoʻokō kūleʻa he wā kūpono. Inā loaʻa nā eha o ke kāʻei, kahi hōʻailona Voskresensky a i ʻole nā hōʻailona ʻē aʻe, e pono koke ka mea maʻi e ʻike i ke kauka. ʻO kekahi kauka hiki me ke kānalua o nā hana ʻoi, ʻo ka mea mua e hoʻouna i kāu mea maʻi no ka hoʻāʻo ʻana i ka urine no ka hoʻomaʻamaʻa pancreatic.
Pono ka pahu momona o ka ʻohi ʻohi a me kahi pākuʻi paʻa loa. No ka hōʻike, pono ke kōkua o ke kikowaena i ka nui o ke kahe o ke kino. He mea nui ia e hoʻomaka koke i ka aʻo ʻana ma hope o ka loaʻa ʻana o ka hoʻohālike - no ka mea ʻaʻole paʻa nā ʻōnaehana. No ka mea hoʻi, e hōʻoia i kaʻoiaʻiʻo o ka ʻike, ua ʻike ʻia ka serum o ke koko no ka ʻaina. ʻOi aku ka maikaʻi ma ka hoʻomaʻamaʻa i ke kakahiaka.
Ka mea akamai o ka wikiō ma kēia ʻatikala e haʻi no ka loiloi o ka urine no diastasis.
