ʻO ka hoʻāʻo peptide ʻōpū Vasoactive

ʻO ka peptide ʻōpū ʻo Vasoactive (VIP) kahi hōʻike e ana i ka nui o VIP i ke koko.

Pono kahi laʻana koko.

ʻAʻole ʻoe e ʻai a inu paha i kekahi mea no 4 mau hola ma mua o ka hoʻāʻo.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

Hoʻohana ʻia kēia hōʻike e ana i ka pae VIP ma ke koko. Hoʻokumu pinepine ʻia kahi pae kiʻekiʻe e VIPoma. He tumo laha ʻole kēia e hoʻokuʻu iā VIP.

ʻO VIP ka mea i loaʻa i nā hunaola a puni ke kino. Loaʻa nā pae kiʻekiʻe i nā hunaola i ka ʻōnaehana hopohopo a me ka ʻōpū. He nui nā hana a VIP, e like me ka hoʻomaha ʻana i kekahi mau mākala, e hoʻomaka ana i ka hoʻokuʻu ʻia ʻana o nā homone mai ka pancreas, ka ʻōpū, a me ka hypothalamus, a me ka hoʻonui ʻana i ka nui o ka wai a me nā electrolytes i hūnā ʻia mai ka pancreas a me ka ʻōpū.

Hoʻokumu a hoʻokuʻu ʻo VIPomas iā VIP i loko o ke koko. Nānā kēia hōʻike koko i ka nui o VIP i loko o ke koko e ʻike inā loaʻa kahi VIPoma i kekahi kanaka.

Hiki ke hana ʻia nā hoʻokolohua koko ʻē aʻe e like me ka potassium serum i ka manawa like me ka hōʻike VIP.

Ma lalo o 70 pg / mL (20.7 pmol / L) nā kumukūʻai maʻamau.

ʻO nā kānaka me nā tumors VIP-hūnā i nā maʻamau he 3 a 10 mau manawa ma luna o ka pae maʻamau.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO kahi pae kiʻekiʻe aʻe ma mua o ka maʻamau, me nā ʻōuli o ka maʻi diarrhea wai a me ka holoi ʻana, he hōʻailona paha ia o ka VIPoma.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi mea hoʻomanawanui 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:

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

VIPoma - hoʻāʻo vasoactive ʻōpū polypeptide

• Hōʻaʻo koko

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.

ʻO Vella A. Gastrointestinal hormones a me nā ʻōpū endocrine ʻōpū. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 38.