Amylase uye Lipase Miedzo

Zvemukati

• Ndeapi matanho akajairwa eamylase uye lipase?
• Chii chinokonzeresa asina kujairika amylase mazinga?
• Chii chinokonzeresa zvisina kujairika lipase mazinga?
• Amylase uye lipase panguva yepamuviri
• Iwe unofanirwa sei kugadzirira amylase uye lipase bvunzo?
• Chii chaunotarisira panguva yeamylase uye lipase bvunzo
• Zvinorevei mhedzisiro yacho?

Ndeapi amylase uye lipase bvunzo?

Amylase uye lipase ndiwo makemikari ekugaya akakosha. Amylase inobatsira muviri wako kuputsa masitashi. Lipase inobatsira muviri wako kugaya mafuta. Iyo pancreas inhengo yeglandular inogara kuseri kwemudumbu uye inogadzira majuzi ekugaya ayo asina chinhu mukati memukati dumbu. Iyo pancreas inogadzirawo amylase uye lipase, pamwe nemamwe maenzyme akawanda.

Kuzvimba kwepancreas, inonziwo pancreatitis, inowanzo kukonzera mwero wakakura weamylase uye lipase muropa. Dzidza zvakawanda nezveacute pancreatitis pano.

Amylase uye lipase bvunzo dzinoshandiswa kuona pancreatitis. Bvunzo dzinoyera huwandu hweaya maenzyme anotenderera muropa rako. Aya ma enzymes anowanzo kuongororwa kana iwe uine zviratidzo zveakanyanya pancreatitis kana imwe pancreatic kusagadzikana uye chiremba wako anoda kusimbisa kuongororwa.

Zviratidzo zvepancreatitis zvinogona kusanganisira:

• kurwadziwa kwakanyanya mudumbu
• kurwadziwa shure
• kupindwa nechando
• kusvotwa
• kurutsa
• kurasikirwa nenzara

Kune zvekare zvimwe zvakawanda zvinogona kukonzera marwadzo emimba. Zvimwe zvikonzero zvinosanganisira appendicitis, ectopic nhumbu mumadzimai, uye mudumbu kuvharika, pakati pevamwe. Kuongorora amylase uye lipase mazinga akakosha kubatsira kuona kana chinokonzera zviratidzo izvi kurwara nepancreatitis, kana chimwewo chinhu.

Ndeapi matanho akajairwa eamylase uye lipase?

Enzymes mapuroteni anogadzirwa nemuviri kuita rimwe basa. Iyo pancreas inogadzira amylase kuputsa makabhohaidhiretsi mune chikafu kuita mashuga akareruka. Iyo pancreas inogadzira lipase kugaya mafuta mumafuta acids. Mashuga uye mafuta acids anogona kuzotorwa nemukati mudumbu. Mamwe amylase uye lipase anogona kuwanikwa mumate uye mudumbu. Zvisinei, mazhinji ema enzymes akagadzirwa mupancreas anosunungurwa kupinda mudumbu diki.

Mune mumwe munhu ane hutano, yakajairika ropa amylase nhanho iri kutenderera 23-85 mauniti pa litre (U / L), kunyangwe mamwe marabhosi ematanho eamylase akajairwa anokwira kusvika ku140 U / L.

Iyo yakajairika lipase nhanho inogona kubva pa0-160 U / L zvinoenderana nerabhu.

Kana rwatata rwakuvara, aya maenzayimu ekugaya anogona kuwanikwa muropa pamatanho epamusoro kupfuura zvakajairwa. Amylase kana lipase mhedzisiro kanopfuura katatu zvakapetwa nhanho nhanho zvinogona kureva pancreatitis kana kukuvara kwepancreas yako. Nekudaro, mune zvisingawanzoitika zviitiko, panogona kuve nekukuvara kukuru kune rwatata pasina asina kujairika amylase kana lipase mazinga. Mune zviitiko izvi, kurwadziwa kwepamuviri ndiko kwakanyanya. Pakutanga kwenguva yekukuvara kwepancreas, amylase kana lipase mazinga anogona kunge akajairwa.

Chii chinokonzeresa asina kujairika amylase mazinga?

Kune zvikonzero zvakawanda nei mumwe munhu angave asina kujairika mazinga eamylase muropa ravo. Izvi zvinosanganisira:

• acute pancreatitis, nekukurumidza kuzvimba kwepancreas
• chisingaperi chirwatata, kuzvimba kwenguva refu kwerwatata
• pancreatic pseudocyst, inozadza-mvura inoyerera yakatenderedza pancreas
• gomarara repancreatic
• cholecystitis, kuzvimba kwenduru
• ectopic nhumbu, zai rinodyara kunze kwechibereko
• mumps
• salivary gland kuvhara
• ura hwekuvhara
• macroamylasemia, kuvapo kwemacroamylase muropa
• urikanwi
• mishonga
• kusagadzikana kwekudya
• matambudziko eitsvo

Kuderera pane zvakajairwa mazinga eamylase kunogona kuratidza kukuvara kwakanyanya kune rwatata,, prediabetes, kana.

Kune mimwe mishonga inogona kuwedzera huwandu hweamylase muropa rako:

• mimwe mishonga yepfungwa
• mamwe mapiritsi ekudzivirira kubereka
• corticosteroids
• mamwe mishonga yemakemikari
• BP
• methyldopa
• thiazide diuretic
• antiviral mishonga
• mamwe maantibayoti

Chii chinokonzeresa zvisina kujairika lipase mazinga?

Lipase mazinga anogona kunge akareba zvakanyanya kana mumwe munhu ari kusangana:

• acute pancreatitis, nekukurumidza kuzvimba kwepancreas
• chisingaperi pancreatitis, kwenguva refu kuzvimba kwepancreas
• gomarara repancreatic
• gastroenteritis yakaoma, kana dumbu furu
• cholecystitis, kuzvimba kwenduru
• chirwere ichi, chirwere chegluten
• duodenal ulcer
• macrolipasemia
• Mukondombera

Izvo zvisina kujairika mazinga e lipase anogona zvakare kuve mune vanhu vane mhuri lipoprotein lipase kushomeka.

Zvinodhaka zvinogona kukanganisa mazinga e lipase muropa rako ndeawo akafanana anozivikanwa kukanganisa huwandu hweamylase.

Amylase uye lipase panguva yepamuviri

Acute pancreatitis ishoma panguva yekuzvitakura. Zvisinei, zvinogona kutungamirira kumatambudziko nemwana wako kana zvikaitika.

Kutsvagisa kunoratidza kuti serum amylase uye lipase mazinga haachinje panguva yekuzvitakura. Mune mamwe mazwi, izvo zvinofungidzirwa zvakajairika mazinga eamylase uye lipase zvakangofanana mune vakadzi vane nhumbu sevakadzi vasina nhumbu. Kuwedzera kweserum amylase uye lipase mazinga panguva yekuzvitakura kunofanirwa kutariswa nenzira imwecheteyo ivo vari mune vakadzi vasina nhumbu.

Iwe unofanirwa sei kugadzirira amylase uye lipase bvunzo?

Iko hakuna kugadzirira kwakakosha kunodiwa kune amylase kana lipase ropa bvunzo. Iwe ungangoda kupfeka yakasununguka inokodzera kana yakapfupi-maoko hembe kuti chiremba wako agone kuwana nyore mutsinga paruoko rwako.

Chii chaunotarisira panguva yeamylase uye lipase bvunzo

Kune zvikonzero zvakawanda nei ungave uchirwadziwa nemudumbu kana zvimwe zviratidzo. Amylase uye lipase bvunzo ingori zvidimbu zvepuzzle. Chiremba wako anotanga kutora nhoroondo yekurapa neyemhuri, kuita ongororo yemuviri, uye kubvunza kana uri kutora chero mishonga.

Chiyero cheamylase kana lipase chinoda nyanzvi yehutano kutora shoma reropa kubva mutsinga yako. Kazhinji bvunzo inoitiswa seinotevera:

1. Nyanzvi yezvehutano anogeza nzvimbo yeganda rakatenderedza tsinga mugokora rako kana kuseri kweruoko rwako nemushonga unouraya utachiona.
2. Bhandi rakasungwa rinosungirirwa paruoko rwako rwekumusoro kuti ushandise kumanikidza uye wotendera ropa rako kuzadza tsinga.
3. Tsono inozoiswa mutsinga.
4. Ropa rinobviswa roiswa mugaba kana kahubhu kadiki. Kuunganidza ropa kunofanira kungotora mineti kana maviri.
5. Iyo yakasununguka bhendi inobviswa.
6. Ropa rinotumirwa murabhoritari kunoongororwa.

Chishoma chekurwadziwa nekupwanya zvinogoneka panzvimbo yekuisa. Kunyanya kubuda ropa, kufenda, hura hwakareruka, uye hutachiona hazviwanzo asi zvinogoneka. Sezvo mazinga epamusoro eamylase anogona kuve nekubatana nekudzikira kweitsvo basa, chiremba wako anogona kuraira kumwe kuongorora kweropa kana weti amylase bvunzo.

Zvinorevei mhedzisiro yacho?

Kana huwandu hwe lipase uye amylase hwakwira kupfuura zvakajairwa zvinogona kuratidza kukuvara kwepancreatic kana chimwe chirwere. Zvizhinji zveongororo zvinoratidza kuti huwandu hwakapetwa kanopfuura katatu muganho wepamusoro wenguva dzose unowanzo kutungamira mukuongororwa kwepancreatitis, zvinoenderana nemirairidzo kubva kuAmerican College yeGastroenterology (ACG). Lipase mazinga ega haakwanise kuona kuomarara kweacute pancreatitis kurwisa. Kana izvi zviedzo zvikajairika, ungangoda mimwe bvunzo senge ultrasound, CT scan, MRI scan, uye endoscopy.

Akakwidziridzwa amylase mazinga anoratidza chiremba wako kuti pane dambudziko, asi zvinogona kunge zvisingaite kuti ubatanidze pancreas yako. Nekudaro, lipase mazinga achienzaniswa neamylase mazinga anowanzo kuve akajeka kune pancreatic kusagadzikana. Kuongorora mhedzisiro yemiedzo miviri uye zviratidzo zvako zvinogona kubatsira chiremba wako kuongorora kana kutonga kunze kwepancreatitis kana mamwe mamiriro epancreas.

Kana iwe uchinge uchirwadziwa zvakanyanya mudumbu, ona chiremba wako nekukasira. Kubva pamhedzisiro yeamylase bvunzo, iyo lipase bvunzo, uye nhoroondo yako yekurapa, chiremba wako anogona kusarudza kana paine mimwe miedzo inodiwa kana kuona kuti nderupi rudzi rwekurapa runodiwa.