Hōʻike koko Gastrin
Hoʻopili ke kīʻaha gastrin i ka nui o ka hormon gastrin i ke koko.
Pono kahi laʻana koko.
Hiki i kekahi mau lāʻau ke hoʻololi i nā hopena o kēia hōʻike. E haʻi aku kāu mea mālama ola inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau. Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.
ʻO nā lāʻau e hiki ke hoʻonui i ka pae o ka gastrin me nā reducers acid ʻōpū, e like me nā antacids, nā H2 blockers (ranitidine a me cimetidine), a me nā mea hoʻopuka proton pump (omeprazole a me pantoprazole).
ʻO nā lāʻau i hiki ke hoʻēmi i ka pae o ka gastrin me ka caffeine, corticosteroids, a me nā lāʻau kahe koko deserpidine, reserpine, a me ka rescinnamine.
Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻO ka manaʻo ʻē aʻe he prick a wīwī wale paha ka manaʻo. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.
ʻO Gastrin ka hōmona nui e kaohi i ka hoʻokuʻu ʻana o ka waikawa i kou ʻōpū. Ke loaʻa ka ʻai i loko o ka ʻōpū, hoʻokuʻu ʻia ka gastrin i loko o ke koko. Ke piʻi aʻe nei ka pae ʻakika i loko o kou ʻōpū a me kou ʻōpū, hana pinepine kou kino i ka gastrin.
E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona a i ʻole nā hōʻailona o kahi pilikia e pili ana i kahi nui o ka gastrin. Hoʻopili pū kēia me ka maʻi peptic ulcer.
ʻOi aku ka nui o nā kumukūʻai maʻamau ma mua o 100 pg / mL (48.1 pmol / L).
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 i kāu mea hāʻawi e pili ana i ke ʻano o kāu hopena hoʻokolohua kikoʻī.
Hiki i ka nui o gastrin ke kumu i ka maʻi peptic ulcer maʻi maʻi. ʻO ke kiʻekiʻe ma mua o ka pae maʻamau no muli paha o:
- Maʻi maʻi ʻōniʻoniʻo
- Gastritis wā lōʻihi
- Over-ha awina o ka gastrin-hana aeee i loko o ka opu (G-keena hyperplasia)
- Helicobacter pylori maʻi o ka ʻōpū
- Hoʻohana o nā antacids a i ʻole nā lāʻau e mālama ai i ka puʻuwai puʻuwai
- ʻO Zollinger-Ellison Syndrome, kahi tumo hana hua gastrin e ulu paha i loko o ka ʻōpū a i ʻole pancreas
- Hoemi i ka hana acid i loko o ka ʻōpū
- ʻOki ʻōpū ma mua
Aia kahi 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)
Peptic ulcer - gastrin koko hōʻike
ʻO Bohórquez DV, ʻo Liddle RA. ʻO nā hormones Gastrointestinal a me nā neurotransmitters. 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 4.
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.