Ukuhlolwa kwe-lipase, i-enzyme esiza ukugaya amafutha, ukuhlolwa kwegazi okusiza udokotela ukuthola isifo se-pancreatic.

I-Lipase iyi-enzyme yokugaya ekhishwe ngamaseli asenyanyeni bese idedelwa iye emathunjini amancane. Kuyasiza ukugaya amafutha, ngokuhlephula ama-triglycerides abe yi-glycerol nama-fatty acids. Lokhu kungamunzwa ngamathumbu amancane bese kusetshenziswa umzimba ukukunikeza amandla.

I-Lipasemia ibhekisa ezingeni le-lipase egazini.

Udokotela ubeka ukuhlaziywa kwezinga le-lipase ukumsiza ukuthi abheke isifo se-pancreatic noma abe nemiphumela kumanyikwe, isibonelo i-pancreatitis (ukuvuvukala kwamanyikwe), isifo Crohn noma yesifo celiac.

Ukuhlolwa kwenza futhi ukuthi kulandelwe ukuvela kwesifo noma ukuhlola ukusebenza kokwelapha.

Ngakho-ke, udokotela angalalela ukuhlaziywa kwezinga le-lipase lapho isiguli sakhe sinezimpawu ezilandelayo, isici sokucindezeleka kwe-pancreatic:

• ubuhlungu obukhulu besisu;
• imfiva ;
• ukulahlekelwa ukudla;
• isicanucanu ngokuhlanza noma ngaphandle kokuhlanza;
• ukulahleka kwesisindo okungavamile;
• indle enamafutha noma enamafutha.

Ngaphezu kwalokho, udokotela futhi angalawula ukuhlaziywa kwe-amylase. Qaphela okufanayo ukuthi isilinganiso se-lipase sicaciswe kakhudlwana, ngoba sikhonjwe amanyikwe kuphela, kuyilapho i-amylase ifihliwe amanyikwe nezindlala zamathe.

Izinga legazi lipase ngokuvamile lingaphansi kwama-60 IU / L (ngamayunithi aphesheya ngelitha ngalinye) noma i-190 IU / L, kuya ngenqubo yesilinganiso esetshenziswa ilabhorethri yokuhlaziywa kwezokwelapha.

Ukwanda kwe-lipasemia kungaba yisibonakaliso:

• ukulimala kwepancreatic:
  • a i-pancreatitis, okungukuthi ukuvuvukala kwamanyikwe, noma ngabe kubi noma kuyisifo esingelapheki (kanti kulokhu, kuvame ukuhlotshaniswa nokuluthwa utshwala);
  • i-pancreatic lithiasis, okungukuthi ukuvimba komgudu wepancreatic;
  • i-cyst ye-pancreatic;
  • isilonda se-pancreatic;
  • umdlavuza we-pancreatic;
  • cholecystitis, okungukuthi isifo semibhobho yenyongo;
• ukulimala emathunjini nasemvelweni yawo oseduze:
• a isifo Crohn ;
• la yesifo celiac ;
• i-infarction ye-mesenteric;
• i-peritonitis;
• noma uma kwenzeka ukwehluleka kwezinso, ukuphuza ngokweqile, hepatitis C.

Ezinye izidakamizwa zingadala ukuthi amazinga e-lipase ahluke, njenge:

• ama-opiates afana ne-morphine noma i-codeine;
• amanye ama-anesthetics;
• isisu esithile;
• noma ngisho namaphilisi okuvimbela ukukhulelwa.

Ngakho-ke kubalulekile ukukhuluma nabasebenzi bezokwelapha, ngokwesibonelo ngokunikeza imiyalo yakamuva ekhombisa ukwelashwa okulandelwayo.

Ukwehlisa izinga legazi le-lipase, kuyadingeka ukubhekana nembangela yokwanda kwayo. Ngakho-ke, ukwelashwa kwe-pancreatitis, ngokwesibonelo, kuqukethe:

• beka amanyikwe ekuphumuleni, ngakhoke asheshe (okusho ukuthi yeka ukudla - kepha isiguli "singaphakelwa" ngemithambo);
• thatha izidakamizwa ezilwa nokuvuvukala;
• thatha ama-antibiotics, ukuvimbela ukutheleleka kwezicubu ezizungezile;
• noma ukuhlinzwa okungahle kube nokususa i-gallbladder noma ukukhipha umsele we-bile.

Ukuhlolwa kuqukethe isampula yegazi eliyingozi, imvamisa lisezingeni le-elbow crease. Isikhathi esiningi, kwenzeka ngqo elabhoratri yokuhlaziywa kwezokwelapha.

Qaphela ukuthi isiguli kufanele sizile ukudla okungenani amahora ayi-12 ngaphambi kokuhlolwa, ukuze umthamo we-lipase unembe ngangokunokwenzeka.