Nnyocha nyocha maka ịba uru nke alfa-amylase (diastase) bụ usoro bara uru dị na nyocha iji chọpụta nrịanrịa nke pancreatitis.
Ofkpụrụ mmamịrị na-egbu egbu n'ime ndị okenye nwere ọrịa ọria akwara dị na nkeji 10 ruo 128 / lita. Na usoro pathologies, ọrịa, yana mgbanwe na ịta nke enzymes pancreatic, ịta nke diastase na-abawanye ọtụtụ oge.
Gini bu alfa amylase (diastase)?
Diastase bụ protein protein nke pancreas (pancreas) nwere ma nwee ikike enzymatic. Na mgbakwunye na pancreas, sel nke gland na-emepụta ihe na-emepụta diastasis.
Ihe bụ isi preastative nke diastase bụ biodegradation nke polysaccharides (dịka siteri) ka monosaccharides 
(glucose) maka ịmịkọrọ anụ ahụ. Diastase larịị na irighiri akwara bụ ihe ngosi bara uru maka nchọpụta nke ọrịa akwara.
Nnukwu pancreatitis na-eduga n'ịba ụba nke diastase. Ọrịa ọgbụgba siri ike, nke na-esozi mmebi nke mkpụrụ ndụ akwara, n'ihi ntọhapụ nke ọtụtụ enzymes pancreatic n'ime ọbara. Ebe ọ bụ na diastasis dị obere, ọ na-enwe ike ịbanye na nzacha gbasara akụrụ. Ya mere, akwara diastasis na pancreatitis na-abawanye.
Mmụba gbasara itinye uche ya na-ahụta na okwu ndị a:
- Mwepu nke pancreatitis na-adịghị ala ala, yana nlọghachi nke ọrịa ahụ, mmụba nke alfa-amylase n'ọbara ma, n'ihi ya, na mmamịrị a na-ahụkarị;
- Ọrịa kansa na-efe efe bụ ọrịa ọnya na - arịa ọrịa prognosis na - adịghị njọ; n'ọtụtụ oge, ọrịa a na - emetụta ọnụego ọbara na nri mmamịrị;
- Ọrịa ọria akwara bụ ọrịa nlaghachi, ọ na-edugakarị ọnwụ;
- Ọrịa metabolism, gụnyere ọrịa shuga;
- Nnukwu ọgbụgba akwara na-egbu mgbu: mbufụt nke ihe odide ntụkwasị, akpa ume, ọrịa afọ (gụnyere afọ ime) ma ọ bụ ọrịa urological;
- Mmanya na-egbu egbu - ihe ọ alcoụ alcoụ na-aba n'anya siri ike na-enwe ọria ma nwee mmetụta na-emetụta anụ ahụ;
- Ọrịa pancreatic;
Na mgbakwunye, ọnụnọ nke ọrịa mumps n'ime onye ọrịa ahụ na-eduga n'ịba ụba nke ịastụ mmanya.
Nchoputa nke ogwu ihe otite
Ekwesịrị ịme nyocha nyocha nke pancreatitis, ma ọ bụ inyo ya enyo ozugbo enwere ike iji zere ntughari gaa na necrotic ogbo.
Nyocha nke urinal maka pancreatitis bụ ule nyocha nke mbụ.
Mana maka ime nyocha nke ziri ezi, odi nkpa iburu otutu ndi ozo.
Ebumnuche a, a na-eme ọmụmụ ndị a:
- Nri protin. Ọ dị ezigbo mkpa ịchọpụta protein dị na mmamịrị ya na pancreatitis iji wezuga ọrịa nephrotic. Ebe ọ bụ na diastase nwere ike iso kpata ihe ndị mejupụtara mmamịrị, mmamịrị na-acha ọbara ọbara nke nwere ọrịa pancreatitis abụghị ihe ndapụta. Ọtụtụ mgbe, agba gbara ọchịchịrị nke mmamịrị na-eduhie ọ bụghị naanị onye ọrịa, kamakwa dọkịta nwere ahụmahụ.
- Nyocha ọbara gbasara ilele ga-ekpebi ogo ọdịda haemoglobin na sel ọbara (erythrocytes) n'ihi ọbara ọgbụgba site na arịa arịa. Na mgbakwunye, ọnụ ọgụgụ nke leukocytes na ESR na pancreatitis na-abawanye, nke na-egosi ọnụnọ nke mbufụt. Ọzọkwa, site na nnwale ọbara n'ozuzu, mmadụ nwere ike ikpebi oke nke ihe ọcha na plasma.
- Nnyocha ọbara sitere na biochemical na-enye gị ohere ịchọpụta mmụba nke ndọta elastase, trypsin na enzymes ndị ọzọ na-egbochi ọria, hypoglycemia, na mbelata ogo protein. Mgbe ụfọdụ, ọkwa bilirubin na-abawanye na ndị ọrịa, nke na-egosi n'ụzọ na-apụtaghị ìhè na oria akwara. Uto a na-eto eto na-edugakarị na nyocha izizi nke cholecystitis ma ọ bụ ịba ọcha n'anya.
- Nyocha nke feces maka ọnụnọ nke lipids na-enweghị nsogbu, eriri, protein protein. Mgbanwe nke feces na-esonyere na arụ ọrụ enzymatic pancreatic na-emetụta ya na itinye aka na imeju na akwara. Onwere ebe igwu ugwọ.
Aryzọ nke abụọ maka ịchọpụta ọrịa gụnyere MRI, nnwale immunological ya na nchọpụta nke ọgwụ dịgasị iche iche, nyocha CT, ultrasound.
Etiology nke ịba ụba ịba ụba na pancreatic pathology
Ọ bụrụ na enwere enyo nke mmepe nke pathologies na pancreas, nke mbụ, ọkachamara ahụ na-eziga onye ọrịa maka nyocha mmamịrị.
Nọmalị, enzymes guzobere na mpaghara exocrine nke akụkụ ahụ na-arụ ọrụ naanị na oghere duodenal. Na akwukwo nri, mmanu enzyme, tinyere nri onunu, ebidola n’ime ogwe akwara. Ya mere, ihe ndi ahu na-aru aru bidoro “mmadu ime onwe ya ihe”. Pancreatocytes na - emebi - protein na - arụ ọrụ na - abanye n'usoro sistem.
N'akụkụ a, ụzọ na-enye ihe ọmụma bụ tụọ njupụta nke enzymes n'ọbara na mmamịrị, ya bụ nri anụ. Site na “ịwa ahụ” a, ọkwa diastase na-abawanye ọtụtụ narị ugboro.
A na-eme nnyocha gbasara mmamịrị n'ozuzu ọgwụ mmamịrị, ebe ọ bụ na usoro a dị mfe ma dị mfe iji mepụta, na ọrịa ọgwụ pancreatitis na nyocha nke mmamịrị, a na-achọpụta mmụba kwekọrọ na ụkpụrụ nke ọbara ọgbụgba ọbara. Kọwapụta ụdị ọmụmụ a esighi ike, mana ekwesịrị iburu n'uche na ụlọ nyocha dị iche iche na-enye ụkpụrụ ntụnye dị iche.
Ntinye uche diastase nwekwara ike inwe iatrogenic etiology, ya bu, n'ihi oriri nke ufodu ogwu.
Ihe ndị dị otú ahụ gụnyere:
- Ọgwụ nje nke usoro tetracycline na-enye aka na mmụba nke enzymes n'ọbara na n'ọdịdị nke agba ntụ nwere agba ọchịchịrị, nke nwere ike imetụta nchọpụta adịghị mma. Dọkịta ahụ kwesịrị ịdọ ndị ọrịa aka na ntị maka ọrịa na-efe efe.
- A na-eji Alfa-adrenergic blockers (adrenaline, norepinephrine) na ọgwụgwọ nke nsogbu dị iche iche etiologies. Ebe obu na ndi otu ogwu a buru okpukpo nye ndi otu alfa, ihe ha na abawanye na ochichi ha bu oge an’iru.
- Cytostatics na ọgwụ ndị ọzọ ji agwọ ndị ọrịa kansa. Otu a ọgwụ bụ chemotherapeutic bekee ma nwee nnukwu nsonaazụ yana nsonaazụ na-adịghị mma na mkpụrụ ndụ akịrịkọ.
Na mgbakwunye, a na-eji NSAIDs. Ndi otu ogwu a maara nke oma na onye obula - ndi a bu ndi anakpo narcotic ma obu na anaghi anagide steroidal.
Ndị a gụnyere Analgin, Nimesil, Diclofenac, Ibuprofen na ọtụtụ ndị ọzọ. Ihe fọrọ nke nta ka ọ bụrụ ndị okenye na ụmụaka niile na-a aụ nnukwu ọgwụ ọgwụ ndị a na ndụ ha anaghị eche echiche banyere nsonaazụ ndị ọ ga-ekwe omume. Site na mmetụta ọjọọ na mucosa gastric, na-ejedebe site na mbufụt necrotic na sel nke pancreas.
Iwu maka ịnakọta nyocha
Iwu mbu nke nyocha nke ọma bụ oge ihe. Ọ bụrụ na e nwere ihe mgbu n’úkwù, ihe mgbaàmà Voskresensky ma ọ bụ akara ndị ọzọ e ji mara ya, onye ọrịa chọrọ ka ọ gaa dọkịta ozugbo. Dọkịta tozuru etozu na-enyo enyo na usoro dị oke njọ, ihe izipu izipu onye ọrịa gị maka nyocha mmamịrị maka enzyme pancreatic.
Mkpokọta ahụ ga-adọrịrị ma jiri mkpuchi dabara adaba. Maka nyocha, onye na-ahụ maka ime ụlọ chọrọ obere mmiri nke ahụ. Ọ dị mkpa ibido nnwale ahụ ozugbo ị nwetasịrị nlele ahụ - ebe enzymes ahụ abụghị ihe kwụsiri ike .. Ọzọkwa, iji gosi izi ezi nke data ahụ, a na-enyocha ọbara ọbara maka enzyme ahụ. Ọ kasị mma ịnwale n'isi ụtụtụ.
Ọkachamara na vidiyo dị n'isiokwu a ga-agwa banyere nyocha nke mmamịrị maka diastasis.
