Hōʻike Lipase
ʻO Lipase kahi protein (enzyme) i hoʻokuʻu ʻia e ka pancreas i loko o ka ʻōpū liʻiliʻi. Kōkua ia i ke kino e omo i ka momona. Hoʻohana ʻia kēia hōʻike e ana i ka nui o ka lipase i loko o ke koko.
Lawe ʻia kahi laʻana o ke koko mai kahi aa koko.
Mai ʻai no 8 mau hola ma mua o ka hoʻāʻo.
E noi paha kāu mea mālama ola iā ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i hiki ke hoʻololi i ka hōʻike, e like me:
- ʻO Bethanechol
- Pila pale hānau
- Nā lāʻau Cholinergic
- Codeine
- Indomethacin
- Meperidine
- Methacholine
- Morphine
- ʻO Thiazide diuretics
Hiki paha iā ʻoe ke ʻeha iki a i ʻole ka ʻūlū ke hoʻokomo ʻia ke kui kele e huki i ke koko. Maliʻa paha e kūpikipiki ana ka pūnaewele ma hope o ka huki ʻia ʻana o ke koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui, no laila e ʻoi aku paha ka paʻakikī o ka lawe ʻana i kahi hāpana koko mai kekahi kanaka ma mua o kekahi.
Hana ʻia kēia ho'āʻo e nānā i ka maʻi o ka pancreas, ʻo ka pinepine pancreatitis huʻi.
ʻIke ʻia ʻo Lipase i ke koko ke hōʻino ʻia ka pancreas.
Ma ka laulaha, nā hualoaʻa maʻamau he 0 a 160 mau paona i kēlā me kēia lita (U / L) a i ʻole 0 a 2.67 microkat / L ((kat / L).
Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi laboratories i nā ʻano ana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.
ʻO nā pae kiʻekiʻe ma mua o ka maʻamau ma muli o:
- Ka poloka o ka ʻōpū (ʻōpū kīnā)
- Maʻi Celiac
- Ulia Duodenal
- Ka maʻi ʻaʻai o ka pancreas
- ʻO Pancreatitis
- Pseudocyst Pancreatic
E hana ʻia paha kēia hōʻike no ka hemahema lipoprotein lipase ʻohana.
ʻAʻohe liʻiliʻi loa i kou koko i lawe ʻia.
Hiki i nā pilikia ʻino ʻē aʻe ke hoʻopili ʻia:
- Kahe ʻana mai ka pūnaewele puncture
- Pāleʻale a ʻoluʻolu paha
- ʻOhi koko i lalo o ka ʻili
- Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)
Pancreatitis - lipase koko
- Hōʻaʻo koko
Crockett SD, Wani S, Gardner TB, Falck-Ytter Y, Barkun AN; ʻO ke Kōmike Alakaʻi ʻOihana Gastroenterological ʻAmelika Hui Pū ʻIa. Ke Alakaʻi ʻAmelika Gastroenterological Association ma ke ʻano he alakaʻi ma ka mālama mua ʻana i ka pancreatitis koʻikoʻi. Gastroenterology. 2018; 154 (4): 1096-1101. PMID: 29409760 www.ncbi.nlm.nih.gov/pubmed/29409760.
Forsmark ce ʻO Pancreatitis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 144.
Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. ʻO ka ʻike Laboratory o gastrointestinal a me nā maʻi pancreatic. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 22.
Tenner S, Steinberg WM. Kākoʻo pancreatitis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 58.