Nā ho'āʻo Amylase a me Lipase

Anter

• He aha nā pae maʻamau o amylase a me lipase?
• He aha ke kumu o nā pae amylase abnormal?
• He aha ke kumu o ka lipase abnormal level?
• Amylase a me lipase i ka wā hāpai
• Pehea ʻoe e hoʻomākaukau ai no kahi hōʻike amylase a me lipase?
• He aha ka mea e kali ai i ka wā o ka amylase a me ka hoʻāʻo lipase
• He aha ke ʻano o nā hopena hōʻike?

He aha nā hoʻokolohua amylase a me lipase?

ʻO Amylase a me lipase nā ʻōnaehana digestive kī. Kōkua ʻo Amylase i kou kino e wāwahi i nā starches. Kōkua ʻo Lipase i kou kino e hoʻomoʻa i nā momona. ʻO ka pancreas kahi ʻōnaehana glandular e noho ma hope o ka ʻōpū a hoʻopuka i nā wai digestive e hakahaka i loko o ka ʻōpū liʻiliʻi. Hoʻopuka pū ka pancreas i ka amylase a me ka lipase, a me nā enzymes ʻē aʻe.

ʻO ka hoʻohaunaele o ka pancreas, i kapa ʻia hoʻi pancreatitis, ke kumu maʻamau i nā kiʻekiʻe o amylase a me lipase i ke kahe o ke koko. E aʻo hou aʻe e pili ana i ka pancreatitis koʻikoʻi maʻaneʻi.

Hoʻohana ʻia nā ho'āʻo Amylase a me lipase e ʻike i ka pancreatitis. E ana nā hoʻokolohua i ka nui o kēia mau enzyme e kahe ana i kou kahena koko. Nānā pinepine ʻia kēia mau enzyme ke loaʻa iā ʻoe nā hōʻailona o ka pancreatitis koʻikoʻi a i ʻole kahi maʻi pancreatic ʻē aʻe a makemake kāu kauka e hōʻoia i ka ʻike.

Hiki i nā ʻōuli o pancreatitis ke hoʻopili:

• ʻeha nui i ka ʻōpū
• ʻeha kua
• fiva
• nausea
• ka luaʻi
• nalo ʻai ʻole

Nui a hewahewa pū kekahi kumu ʻē aʻe o ka ʻeha o ka ʻōpū. ʻO nā kumu ʻē aʻe e pili ana i ka appendicitis, hāpai keiki ectopic i nā wahine, a me ka paʻa ʻana o ka ʻōpū, a me nā mea ʻē aʻe. He mea nui ka nānā ʻana i nā pae amylase a me lipase e kōkua ai e hoʻoholo inā ʻo ke kumu o kēia mau hōʻailona he pancreatitis, a i ʻole kekahi mea ʻē aʻe.

He aha nā pae maʻamau o amylase a me lipase?

ʻO nā enzyme nā protein i hana ʻia e ke kino e hana i kahi hana kūikawā. Hoʻopuka ka pancreas i ka amylase e wāwahi i nā kāhāhā i loko o ka meaʻai i nā kō. Hana ka pancreas i lipase e ʻeli i nā momona i loko o nā waikawa momona. Hiki ke hoʻopili ʻia i nā kumulāʻau a me nā waikawa momona e ka ʻōpū liʻiliʻi. Hiki ke loaʻa kekahi amylase a me lipase i ka lawai a me ka ʻōpū. Eia nō naʻe, hoʻokuʻu ʻia ka hapa nui o nā enzyme i hana ʻia i ka pancreas i loko o ka ʻōpū liʻiliʻi.

I loko o kahi kanaka olakino, kahi pae amylase koko maʻamau ma kahi o 23-85 mau keneta no kēlā me kēia lita (U / L), ʻoiai kahi mau papa hana lab no ka amylase maʻamau e piʻi i 140 U / L.

Hiki ke pae i kahi pae lipase maʻamau mai 0-160 U / L ma muli o ka lab.

Ke hōʻino ʻia ka pancreas, hiki ke loaʻa kēia mau enzymes digestive i ke koko ma nā kiʻekiʻe kiʻekiʻe ma mua o ka maʻamau. ʻO nā hopena Amylase a i ʻole lipase ʻoi aku ma mua o ʻekolu mau manawa maʻamau nā pae maʻamau he pancreatitis a i ʻole hōʻino i kāu pancreas. Eia nō naʻe, i nā hihia kakaikahi, hiki i nā hōʻeha nui ke loaʻa i ka pancreas me ka ʻole o ka amylase abnormal a i ʻole nā ​​lipase pae. I kēia mau hihia, ʻo ka ʻeha o ka ʻōpū ka mea nui. I ka wā mua i ka papa o ka hōʻino ʻana i ka pancreas, he maʻamau hoʻi ka pae amylase a i ʻole lipase.

He aha ke kumu o nā pae amylase abnormal?

Nui nā kumu no ke aha e loaʻa ai i kekahi ke kiʻekiʻe o ka amylase i loko o ko lākou koko. Pākuʻi ʻia kēia mau mea:

• huʻi pancreatitis, huʻi koke o ka pancreas
• pancreatitis mau, mimiki wā lōʻihi o ka pancreas
• pseudocyst pancreatic, ʻeke piha piha i ka wai a puni ka pancreas
• maʻi ʻaʻai pancreatic
• cholecystitis, hoʻāhu o ka gallbladder
• hāpai keiki ectopic, kahi implantation hua manu i waho o ka kōpū
• puʻupuʻu
• blockage gland salivary
• poloka ʻōpū
• macroamylasemia, ke alo o macroamylase i ke koko
• ulcer perforated
• nā lāʻau
• nā maʻi ʻai
• nā pilikia ʻōpū

Ma lalo o nā pae maʻamau o amylase e hōʻike ai i ka hōʻeha koʻikoʻi i ka pancreas,, prediabetes, a i ʻole.

Aia kekahi mau lāʻau i hiki ke hoʻonui i ka nui o amylase i kou koko.

• kekahi mau lāʻau psychiatric
• kekahi o nā lāʻau hoʻomake hānau
• Corticosteroids
• kekahi mau lāʻau chemotherapy
• lāʻau lapaʻau koko
• methyldopa
• thiazide diuretic
• nā lāʻau antiviral
• kekahi mau antibiotic

He aha ke kumu o ka lipase abnormal level?

Hiki ke kiʻekiʻe kiʻekiʻe ʻole nā ​​pae lipase inā e ʻike nei kekahi:

• huʻi pancreatitis, huʻi koke o ka pancreas
• pancreatitis mau, ka lihi lōʻihi o ka pancreas
• maʻi ʻaʻai pancreatic
• Gastroenteritis nui, a i ʻole flu flu
• cholecystitis, hoʻāhu o ka gallbladder
• maʻi celiac, kahi maʻi āpau i ka gluten
• ulcer duodenal
• macrolipasemia
• Maʻi HIV

Aia paha nā pae maʻamau o lipase i loko o ka poʻe me ka hemahema lipoprotein lipase ʻohana.

ʻO nā lāʻau i hiki ke hoʻopili i nā pae o lipase i kou kahe o ke koko ka mea like i ʻike ʻia e hoʻopili i nā pae o amylase.

Amylase a me lipase i ka wā hāpai

ʻIke ʻole ka pancreatitis huehue i ka wā hāpai. Eia nō naʻe, hiki ke alakaʻi i nā pilikia me kāu pēpē inā kū ia.

Hōʻike ka noiʻi ʻaʻole e loli nā pae serum amylase a me nā lipase i ka wā hāpai. I nā huaʻōlelo ʻē aʻe, he aha ka mea i manaʻo ʻia he pae maʻamau o amylase a me lipase e pili ana i nā wahine hāpai e like me nā wahine hāpai ʻole. Hoʻonui ka nui o nā amylase a me nā pae lipase i ka wā o ka hāpai ʻana e pono e noʻonoʻo ʻia e like me ke ʻano o nā wahine hāpai ʻole.

Pehea ʻoe e hoʻomākaukau ai no kahi hōʻike amylase a me lipase?

ʻAʻole pono kahi hoʻomākaukau kūikawā e pono ai ka amylase a i ʻole ka lipase hoʻokolohua koko. Makemake paha ʻoe e komo i kahi lole humuhumu a lima pōkole hoʻi i hiki i kāu kauka ke komo maʻalahi i kahi aa i kou lima.

He aha ka mea e kali ai i ka wā o ka amylase a me ka hoʻāʻo lipase

Nui nā kumu no ke aha e loaʻa ai iā ʻoe ka ʻeha o ka ʻōpū a i ʻole nā ​​hōʻailona ʻē aʻe. ʻO nā hoʻokolohua Amylase a me lipase he mau ʻāpana wale nō o ka puzzle. E lawe mua kāu kauka i kahi olakino a me ka mōʻaukala ʻohana, hana i kahi hoʻokolohua kino, a nīnau inā ke lawe nei ʻoe i nā lāʻau.

Pono kahi amylase a i ʻole lipase hōʻike i kahi ʻoihana olakino e lawe i kahi koko liʻiliʻi mai kou aʻa. ʻO ka maʻa mau ke hoʻokolokolo ʻia e like me kēia:

1. E hoʻomaʻemaʻe kahi ʻoihana olakino i kahi o ka ʻili e pili ana i kahi aa i kou kuʻe lima a i ʻole ka hope o kou lima me kahi antiseptic.
2. E nakinaki ʻia kahi paʻa paʻa a puni i kou lima luna e hoʻopili i ke kaomi a ʻae i kou koko e hoʻopiha i ka aa.
3. E hoʻokomo ʻia kahi nila i loko o ke aa.
4. E hoʻoneʻe ʻia ke koko a hoʻokomo ʻia i loko o ka ipu kīʻaha a i ʻole ka paipu liʻiliʻi. ʻO ka hōʻiliʻili ʻana i ke koko he hoʻokahi a ʻelua paha mau minuke.
5. Wehe ʻia ke kāʻei elastis.
6. Hoʻouna ʻia ke koko i kahi keʻena hoʻokolohua no ka loiloi.

Hiki ke loaʻa i kahi ʻeha liʻiliʻi o ka ʻeha a me ka palapū ma ke kahua o ka hoʻokomo. Kākaʻikahi ke kahe ʻana o ke kahe nui, maule ʻana, mālamalama, a me nā maʻi. Ma muli o ka pili ʻana o nā pae amylase kiʻekiʻe me ka hoʻohaʻahaʻa ʻana o ka hakuʻala, hiki i ke kauka ke kauoha i nā hoʻokolohua koko ʻē aʻe a i ʻole ka mimi amylase test.

He aha ke ʻano o nā hopena hōʻike?

Ke kiʻekiʻe o ka lipase a me ka amylase ma mua o ka maʻamau e hōʻike paha ia i ka hōʻeha pancreatic a i ʻole kahi maʻi ʻē aʻe. ʻO ka hapa nui o nā noiʻi e hōʻike i nā pae i ʻoi aku ma mua o ʻekolu mau manawa o ka palena kiʻekiʻe o ka maʻamau maʻamau e alakaʻi ai i kahi diagnose o ka pancreatitis, e like me nā alakaʻi mai ka American College of Gastroenterology (ACG). ʻAʻole hiki i nā pae lipase wale nō ke hoʻoholo i ke koʻikoʻi o ka hoʻouka pancreatitis huʻi. Ke kūpono ʻole kēia mau hopena hōʻike, pono paha ʻoe i nā hoʻokolohua ʻē aʻe e like me ka ultrasound, CT scan, MRI scan, a me ka endoscopy.

Hōʻike nā pae amylase kiʻekiʻe i kāu kauka aia kekahi pilikia, akā ʻaʻole paha ia e pili i kāu pancreas. Eia nō naʻe, hoʻohālikelike ʻia nā pae lipase me nā pae amylase no ka maʻi pancreatic. ʻO ka loiloi ʻana i nā hopena o nā hoʻāʻo ʻelua a me kāu mau hōʻailona hiki ke kōkua i kāu kauka e hōʻoia a kāpae paha i ka pancreatitis a i ʻole nā ​​kūlana ʻē aʻe o ka pancreas.

Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū nui, e ʻike koke i kāu kauka. Ma muli o nā hopena o kahi hōʻike amylase, kahi hōʻike lipase, a me kāu mōʻaukala olakino, hiki i kāu kauka ke hoʻoholo inā pono nā hoʻokolohua hou a e hoʻoholo paha i ke ʻano o ka lāʻau e pono ai.