Nā hoʻāʻo ahonui Lactose

ʻO nā hoʻokolohua hoʻomanawanui ʻana i ka lactose e ana i ka hiki o kou ʻōpū e wāwahi i kahi ʻano kō i kapa ʻia he lactose. Loaʻa kēia kō i ka waiū a me nā huahana hana waiū ʻē aʻe. Inā ʻaʻole hiki i kou kino ke haki i kēia kō, ʻōlelo ʻia ʻoe i ka hoʻomanawanui ʻole o ka lactose. Hiki i kēia ke kumu i ka gassiness, ʻeha o ka ʻōpū, cramp, a me ka diarrhea.

ʻElua mau ʻano hana like pū me:

• Hōʻike koko tolerance lactose
• Hōʻike hanu hydrogen

ʻO ka ho'āʻo hanu hydrogen ka hana i makemake ʻia. Ana ʻia ka nui o ka hydrogen i ka lewa āu e hanu nei.

• E noi ʻia ʻoe e hanu i loko o kahi pahu balloon-type.
• A laila e inu ʻoe i kahi wai ʻono i loaʻa i ka lactose.
• Lawe ʻia nā laʻana o kou hanu i nā manawa i hoʻonohonoho ʻia a nānā ʻia ka pae hydrogen.
• ʻO ka maʻamau, aia ka hydrogen liʻiliʻi loa i kou hanu. Akā inā pilikia kou kino i ka haki ʻana a me ka omo ʻana i ka lactose, hoʻonui ka hanu hydrogen pae.

Ke nānā nei ke kīʻaha hoʻomanawanui lactose i ka glucose i kou koko. Hoʻokumu kou kino i ka glucose i ka wā e haki ai ka lactose.

• No kēia hōʻike, e lawe ʻia kekahi mau laʻana koko ma mua a ma hope o kou inu ʻana i kahi wai i loaʻa ka lactose.
• Lawe ʻia kahi laʻana koko mai kahi aa i kou lima (venipuncture).

ʻAʻole pono ʻoe e ʻai a hana i ka hoʻoikaika kino no 8 mau hola ma mua o ka hoʻāʻo.

ʻAʻole pono e loaʻa kahi ʻeha a ʻoluʻolu ʻole paha i ka hāʻawi ʻana i kahi hāpana hanu.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha iki, ʻo ka manaʻo ʻē aʻe he prick a i ʻole kui i ka manaʻo. Ma hope, aia paha kekahi ʻōkā.

E kauoha paha kāu mea mālama ola i kēia mau hoʻokolohua inā he hōʻailona kou no ka hoʻomanawanui ʻole ʻana i ka lactose.

Manaʻo ʻia ka hōʻike hanu maʻamau inā ʻo ka hoʻonui ʻana o ka hydrogen ma lalo o 20 mau ʻāpana no ka miliona (ppm) ma luna o kāu pae hoʻokēʻai (pre-test).

Kuhi ʻia ke hōʻike koko inā maʻamau inā piʻi aʻe kāu kiʻekiʻe glucose ma mua o 30 mg / dL (1.6 mmol / L) ma waena o 2 mau hola o ka inu ʻana i ka hopena lactose. ʻO ka piʻi ʻana o 20 a 30 mg / dL (1.1 a 1.6 mmol / L) he mea kānalua ʻole ia.

Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

Hōʻike nā hiʻohiʻona ma luna i nā ana maʻamau no nā hopena no kēia mau hoʻāʻo.Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā laʻana like ʻole.

ʻO nā hopena kūpono ʻole he hōʻailona ia o ka hoʻomanawanui ʻole o ka lactose.

ʻO kahi hopena hōʻike hanu e hōʻike ana i ka piʻi ʻana o ka hydrogen maʻi o 20 ppm ma luna o kāu pae hoʻokolohua mua e manaʻo ʻia he maikaʻi. ʻO kēia paha loaʻa paha iā ʻoe ka pilikia e wāwahi ana i ka lactose.

Kuhi ʻia ke kīʻaha koko inā ʻaʻole piʻi ka kiʻekiʻe o kāu glucose ma mua o 20 mg / dL (1.1 mmol / L) ma waena o 2 mau hola o ka inu ʻana i ka hopena lactose.

Pono e ukali ʻia kahi hōʻike abnormal e ka hōʻike tolerance glucose. E hoʻopau ana kēia i kahi pilikia me ka hiki i ke kino ke komo i ka glucose.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (kūkulu koko ma lalo o ka ʻili)
• Kahe nui ke koko
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hōʻike hanu hydrogen no ka hoʻomanawanui lactose

• Hōʻaʻo koko

Ferri FF. Ka hoʻomanawanui ʻole ʻana i ka lactose. I: Ferri FF, hoʻoponopono. ʻO Ferri's Clinical Advisor 2018. Piladelapia, PA: Elsevier; 2018: 812-812.e1.

ʻO Hogenauer C, Hammer HF. Maldigestion a me malabsorption. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger & Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 104.

Semrad CE. Hele i ka mea maʻi me ka maʻi pākī a me ka malabsorption. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 140.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB, Keʻena hoʻokolohua o nā 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.