Okuqukethwe
Ukuhlolwa kwe-pancreatic enzyme, okunye okwaziwa njengokuchaza iphrofayili ye-pancreas, kuwukuhlolwa kwegazi nje. Ngenxa yabo, kungenzeka ukuxilonga izinkinga nge-pancreas, kodwa futhi nezinye izifo ezenzeka ezithweni zangaphakathi. Ukuhlolwa kwe-pancreatic enzyme kungasiza ekuboneni izinkinga ngezinso zakho, isibindi nesifo sikashukela. Ukuhlola okunjalo kwenziwa ngaphansi kwaziphi izimo? Yiziphi izici nezimpawu okufanele zikhuthaze lokhu kuxilongwa? Yiziphi izinkomba zama-enzyme ezikhombisa izinkambiso kule ndawo?
Ukuhlolwa kwe-pancreatic - kufanele kwenziwe nini?
Ukunqunywa kwephrofayili ye-pancreatic isivivinyo esibaluleke kakhulu esichaza umsebenzi wesitho esibalulekile emzimbeni. I-Pancreas ibandakanyeka enqubweni yokugaya futhi inesibopho sokukhishwa kwe-insulin. Iphrofayili ye-pancreatic kuyasiza nokuchaza izifo ezihlobene nezinso noma isibindi. Incazelo yawo yehlela ekuhlolweni kwegazi nomchamo. Ihlola ukugxila i-amylase, i-glucose, i-lipase.
Noma yiziphi izifo ezihlobene kwamanyikwenoma okubonisa inkinga engaba khona ngalo mzimba kufanele kuholele ekubulaweni ukuhlolwa kwe-pancreatic enzyme. Uphawu olushaqisayo ubuhlungu esifundeni se-epigastric, obuphuma ezinkalweni, futhi ngaphezu kwalokho nokuhlanza, isifo sohudo, nesicanucanu. Konke lokhu kungasho ukuthi ama-pancreas awasebenzi kahle. Ukuchaza iphrofayili ye-pancreatic kuzovumela ukuqapha izifo ezihlobene nalesi sitho.
Ama-enzyme e-pancreatic - amylase
Inkomba eyisisekelo enquma okungenzeka izinkinga ze-pancreatic, ikhona izinga le-amylase. Kuyi-enzyme eyisisekelo ekhiqizwa amanyikwe futhi ukugxila kwayo kukalwa ngomchamo nasegazini. Le enzyme iklanyelwe ukudiliza ama-polysaccharides abe ushukela olula omuncwa emgudwini wokugaya ukudla. Uma uhlola i-enzayimu emchameni wakho, uzodinga ukuyibeka esitsheni esingenalutho. Ngaphambi kokwenza iqoqo, kufanele unakekele ukuhlanzeka kwezindawo eziseduze ukuze uvimbele amagciwane ukuthi angangeni emfudlaneni. Ukweqile kwezinkambiso zokuhlushwa kwe-amylase kungaba uphawu lwezifo eziningi. Uma ingaphezu kuka-1150 U/l, kungenzeka ukuthi umzimba uhlushwa i-pancreatitis eyingozi, okubonisa ukuthi ukugcwala kwale enzyme kuphakeme izikhathi eziningana kunokuvamile. Uma izinkomba zibonisa ukugxila ebangeni lika-575-1150 U/l, ukuxilongwa okungenzeka kube: amatshe enyongo, amatshe e-pancreatic duct, ukubhobozwa kwesisu. Ukuhlushwa kwe-amylase ephansi futhi kuyingozi enkulu kakhulu empilweni yomzimba - kungasho ukubhujiswa noma ukulimala okukhulu kwalesi sitho. Amazinga ekugxilweni kwe-amylase kufanele isuke ku-25 iye ku-125 U/l egazini, i-10-490 U/l emchameni.
I-Lipase - amazinga
lipase kungenye i-enzyme ekhiqizwa ama-pancreas, izinga layo elidingekayo ukunquma iphrofayili ye-pancreatic. Amazinga mayelana nalokhu asho ukungavumeli izinga lika-150 U/l ukuba lidlule. Le enzyme inesibopho sokuqhekeka kwamafutha abe ama-fatty acids kanye ne-glycerol. Ukugxila kwayo kuhlolwa kuphela ngokuthatha igazi. Uma ukuxilongwa kukhombisa ukuthi izindinganiso zeqiwe izikhathi ezimbalwa, cishe kusho i-pancreatitis eyingozi noma umdlavuza we-pancreatic. Uma kungenjalo, lapho izindinganiso ziphansi, kungase kusho ukuthi isitho sonakaliswe unomphela noma isiguli sinesifo sikashukela.
Ama-enzyme e-pancreatic - i-glucose
Ukuze unqume ngokugcwele iphrofayili ye-pancreatic, izinga le-glucose egazini kufanele futhi lihlolwe. IGlucose iwushukela oqondwa kakhulu, izinga lawo elilawulwa yi-pancreatic hormone - insulin. Imvamisa, kubantu abadala kufanele kube ku-3,9-6,4 mmol/l. Uma ukuhlolwa kubonisa ukuthi izindinganiso zeqiwe, kunengozi yokuba nomdlavuza walesi sitho noma ukuvuvukala kwalesi sitho. Kodwa-ke, uma izinga liphansi, udokotela ohlola izifo angase athole ukuntuleka kwamahomoni egilo noma ukulimala kwesibindi.