Urinalysis yokhudza kuchuluka kwa alpha-amylase (diastase) ndi njira yothandiza kwambiri yotsimikizira matenda a kapamba.
Muyezo wa mkodzo diastase mwa achikulire omwe amapezeka pancreatitis amakhala osiyanasiyana 10 mpaka 128 mayunitsi / lita. Mu matenda, matenda, limodzi ndi kusintha kwa kuchuluka kwa ma pancreatic michere, kuchuluka kwa diastase kumawonjezera kangapo.
Kodi alpha amylase (diastase) ndi chiyani?
Diastase ndi mapuloteni opangidwa ndi kapamba (kapamba) ndipo ali ndi mphamvu ya enzymatic. Kuphatikiza pa kapamba, maselo a tiziwalo timene timatulutsa timatulutsa diastasis.
Choyimira chachikulu cha diastase ndi biodegradation ya polysaccharides (mwachitsanzo, wowuma) ku monosaccharides 
(glucose) chifukwa chotengedwa ndi thupi. Mlingo wa diastase pamatope a mkodzo ndi chidziwitso chofunikira pakuwonetsa pancreatic pathologies.
Pachimake kapamba kumabweretsa kuchuluka kwa diastase. Matenda akulu a opaleshoni, omwe amaphatikizidwa ndi kuwonongeka kwa maselo a pancreatic, chifukwa cha kutulutsidwa kwa ma enzymes ambiri a pancreatic m'magazi. Popeza diastasis ndi yaying'ono, imatha kulowa mu filimu yaimpso. Chifukwa chake, kwamikodzo diastasis mu kapamba amayamba.
Kuwonjezeka kwa ndende yake kumawonedwa pazochitika zotsatirazi:
- Kuchulukitsa kwa matenda a kapamba, ndikubwezeretsanso kwamatenda, kuchuluka kwa alpha-amylase m'magazi ndipo, motero, mumkodzo nthawi zambiri kumawonedwa;
- Khansa ya pancreatic ndi matenda oopsa a oncological omwe ali ndi vuto losakwanira; nthawi zambiri, matendawa amakhudza kuchuluka kwa magazi ndi mkodzo wa mkodzo;
- Pancreatic necrosis ndi pachimake mpumulo, nthawi zambiri kumabweretsa kufa;
- Matenda a metabolism, kuphatikizapo matenda a shuga;
- Pachimake pamimba opaleshoni: kutupa kwa zowonjezera, chikhodzodzo, kuphatikizapo matenda am'mimba;
- Mowa woledzera - zakumwa zoledzeretsa zamphamvu zimakhala ndi pancreotoxic ndipo zimawononga minyewa ya ziwalo;
- Kuvulala kwapancreatic;
Kuphatikiza apo, kukhalapo kwa miliri mumps wodwala kumabweretsa kuwonjezereka kwa kuchuluka kwa diastases.
Kuzindikira matenda a pancreatic
Urinalization ya kapamba, kapena kukayikira kwake, iyenera kuchitika mwachangu kuti tipewe kusintha kwa gawo la necrotic.
A urinalosis chifukwa cha kapamba ndi mayeso oyesera.
Koma kuti adziwe zoyenera, ndikofunikira kuyambitsa maphunziro ena angapo.
Pachifukwa ichi, maphunziro awa akuchitika:
- Mapuloteni. Ndikofunikira kudziwa mapuloteni mumkodzo ndi kapamba kuti muchepetse matenda a nephrotic. Popeza diastase imatha kupangitsa kuti mkodzo ukhale ndi mbali, mkodzo wofiyira wokhala ndi pancreatitis sikuchitika mwadzidzidzi. Nthawi zambiri, mtundu wakuda wa mkodzo umasocheretsa osati wodwala, komanso dokotala wodziwa zambiri.
- Kayezetsa magazi ku chipatala kudzazindikira kuchuluka kwa kugwa kwa hemoglobin ndi maselo ofiira am'magazi (erythrocyte) chifukwa cha kukhetsa magazi kuchokera ku ziwiya zowonongeka za chinthu chodwala. Kuphatikiza apo, kuchuluka kwa leukocytes ndi ESR mu kapamba kumachulukitsa, zomwe zimawonetsa kukhalapo kwa kutupa. Komanso, mwakuyezetsa magazi ambiri, munthu angathe kuwunika kuchuluka kwa yunifolomu ndi plasma.
- Kuyesedwa kwa magazi kwamomweku kumakupatsani mwayi wowona kuchuluka kwa kuchuluka kwa elastase, trypsin ndi ma enzymes ena a pancreatic, hypoglycemia, ndi kutsika kwa mapuloteni amwazi. Nthawi zina milingo ya bilirubin imawonjezereka mwa odwala, omwe amasonyezera mosavomerezeka matenda a kapamba. Kukula kwa mtunduwu nthawi zambiri kumayambitsa matenda olakwika a cholecystitis kapena hepatitis oyamba.
- Kusanthula ndowe kwa kupezeka kwa lipids osaphatikizika, ulusi, mapuloteni. Kusintha kwa ndowe kumalumikizidwa ndi kuphwanya kwa pancreatic enzymatic ntchito komanso kuyambitsa chiwindi ndi ndulu. Pali malo oti mukhale otsetserekera.
Njira zachiwiri zodziwira matenda am'mimba zimaphatikizapo MRI, kuyesedwa kwa immunological ndi kupezeka kwa ma antibodies osiyanasiyana, diagnostics a CT, ultrasound.
Etiology yowonjezera diastase ndende mu pancreatic matenda
Ngati mukukayikira kukhazikika kwa matenda a pathologies mu kapamba, choyambirira, katswiri amatumiza wodwalayo kuti awone mkodzo.
Nthawi zambiri, ma enzymes opangidwa mu gawo la exocrine a chiwalo amathandizira kokha mwa duodenal patsekeke. Mu matenda, kutsegula kwa enzyme, kuphatikizapo diastases, kumayamba kale mu ma pancreatic ducts. Chifukwa chake, zinthu zomwe zimayamba kugwira ntchito zimayamba "kudzilimbitsa" chiwalo. Ma pancreatocytes amawonongeka - puloteni yogwira imalowa mu kayendedwe kazinthu.
Pankhani imeneyi, njira yophunzitsira kwambiri ndikuyeza kuchuluka kwa ma enzymes m'magazi ndi mkodzo, womwe ndi diastases. Ndi "opaleshoni" iyi, kuchuluka kwa diastase kumawonjezeka nthawi zambirimbiri.
Kafukufuku wambiri wamatenda amkodzo amachitika, popeza njirayi imapezeka mosavuta komanso mosavuta, pancreatitis pakuwunika mkodzo, kuwonjezeka kofanana ndi chikhalidwe cha diastase yamagazi kumawonedwa. Kuwerenga maphunziro awa sikovuta, koma muyenera kukumbukira kuti ma labotale osiyanasiyana amapereka malingaliro osiyanasiyana.
Kukumana kwa diastase kumakhalanso ndi iatrogenic etiology, ndiko kuti, chifukwa chakumwa mankhwala ena.
Zinthu monga:
- Maantibiotic othandizira tetracycline amathandizira kuwonjezeka kwa ma enzymes m'magazi ndikuwoneka ngati mkodzo wamtundu wakuda, womwe ungakhudze kuzindikira kolakwika. Dokotala amakakamizidwa kuchenjeza odwala omwe akuchiritsidwa matenda opatsirana.
- Alfa-adrenergic blockers (adrenaline, norepinephrine) amagwiritsidwa ntchito pochiza kugwedezeka kwa matchulidwe osiyanasiyana. Popeza gululi la mankhwalawa ndi lotentha kwa gulu lonse la alpha-blockers, kuwonjezeka kwa diastase ndi kayendetsedwe kawo ndi kofupikitsa.
- Cytostatics ndi mankhwala ena omwe amagwiritsidwa ntchito pochiza odwala khansa. Gulu ili la mankhwala ndi achemotherapeutic zinthu ndipo lili ndi zovuta zingapo, kuphatikiza zotsatira zoyipa maselo a pancreatic ndi madzi a pancreatic.
Kuphatikiza apo, NSAIDs imagwiritsidwa ntchito. Gululi la mankhwala lodziwika bwino kwa aliyense - awa ndi omwe si a narcotic analgesics kapena mankhwala omwe si a antiidal.
Izi zikuphatikizapo Analgin, Nimesil, Diclofenac, Ibuprofen ndi ena ambiri. Pafupifupi aliyense wamkulu ndi mwana amamwa zochuluka za mankhwalawa pamiyoyo yawo ndipo musaganize za zoyipa zake. Kuyambira ndikuipa pa mucosa wam'mimba, kutha ndi kutupa kwa necrotic m'maselo a kapamba.
Malangizo okonzera kusanthula kwa diastase
Lamulo loyamba la kafukufuku wopambana ndi kusunga nthawi. Ngati pali ululu wolimba, chizindikiro cha Voskresensky kapena zizindikiro zina, wodwalayo ayenera kufunsa dokotala. Dokotala wokhoza kukayikira njira zopweteka kwambiri, chinthu choyamba kutumiza wodwala wanu kuti ayesere mkodzo wa pancreatic enzyme.
Chotengera chotengera chizikhala chosalala komanso chivindikiro cholimba. Kuti mupeze kusanthula, othandizira ma labotale amafunika kuchuluka kwamadzi amthupi. Ndikofunikira kuyambitsa phunziroli mutangolandira zitsanzozo - popeza ma enzymewo si zinthu zokhazikika. Komanso, kuti zitsimikizire zowonadi zake, seramu yamagazi imayesedwa kwa enzyme. Ndikofunika kuyesedwa m'mawa.
Katswiri mu kanema munkhaniyi afotokoza za kusanthula kwamkodzo kwa diastasis.
