Amylase - dhiig

Amylase waa enzyme caawisa dheefshiidka carbohydrateska. Waxaa lagu sameeyaa xammeetida iyo qanjidhada sameeya candhuufta. Marka xammeetidu jiran tahay ama bararsan tahay, amylase waxay ku sii daysaa dhiigga.

Tijaabo ayaa la samayn karaa si loo cabbiro heerka insaymkaan dhiiggaaga ku jira.

Amylase sidoo kale waxaa lagu cabbiri karaa tijaabada kaadida amylase.

Muunad dhiig ayaa laga qaadayaa xididka.

Looma baahna diyaarin gaar ah. Si kastaba ha noqotee, waa inaad ka fogaataa aalkolada baaritaanka ka hor. Bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu ku weeydiiyo inaad joojiso qaadashada daawooyinka saameyn ku yeelan kara baaritaanka. HA JOOJIN qaadashada wax daawo ah adiga oo aan marka hore la hadlin bixiyahaaga.

Daawooyinka kordhin kara cabirka amylase waxaa ka mid ah:

• Asparaginase
• Aspirin
• Kiniiniyada ka hortagga uurka
• Daawooyinka loo yaqaan 'Cholinergic'
• Ethacrynic acid
• Methyldopa
• Opiates (codeine, meperidine, iyo morphine)
• Daawooyinka loo yaqaan 'Thiazide diuretics'

Waxaa laga yaabaa inaad dareento xanuun yar ama xoqitaan markii irbadda la gelinayo si dhiig loo qaado. Ka dib, waxaa jiri kara xoogaa wax garaaca.

Baaritaankaan waxaa badanaa loo isticmaalaa in lagu baaro ama lagu kormeero ganaca daran. Waxay sidoo kale ogaan kartaa qaar ka mid ah dhibaatooyinka marinka dheef-shiidka.

Baaritaanka waxaa sidoo kale loo samayn karaa xaaladaha soo socda:

• Cudurka 'pankreatitis' joogtada ah
• Pseudocyst pankuriska

Heerka caadiga ah waa 40 illaa 140 cutub litirkiiba (U / L) ama 0.38 illaa 1.42 microkat / L (µkat / L).

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Sheybaarada qaar waxay adeegsadaan habab cabbiraad kala duwan. Kala hadal bixiyahaaga macnaha natiijooyinka baaritaankaaga.

Kordhinta heerka amylase dhiigga waxaa dhici kara:

• Xanuun-ba'an oo daran
• Kansarka qanjirada, ugxansidaha, ama sanbabada
• Cudurka 'Cholecystitis'
• Xameetida ayaa ku dhacda cudurka
• Gastroenteritis (daran)
• Infekshinka qanjidhada candhuufta (sida qaamo-qashiirta) ama xannibaad
• Xiidmaha xiidmaha
• Macroamylasemia
• Xannibaadda qanjirada jirka ama xiidmaha
• Boog daloola
• Uurka caloosha (waxaa laga yaabaa inuu furmay)

Hoos u dhaca heerka amylase ayaa dhici kara sababo la xiriira:

• Kansarka xammeetida
• Dhaawac soo gaadha xammeetida oo leh nabarrada ganaca
• Cudurka kilyaha
• Toxemia uurka

Khataraha yar ee ka yimaada dhiig qaadashada waxaa ka mid noqon kara:

• Dhiigbax xad dhaaf ah
• Miyir beelid ama dareemid madax-wareer
• Hematoma (dhiig ku ururaya maqaarka hoostiisa)
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Pankreatitis - amylase dhiig

• Baaritaanka dhiigga

Crockett SD, Wani S, Gardner TB, Falck-Ytter Y, Barkun AN; Guddiga Tilmaamaha Caafimaadka ee Ururka Gastroenterological Association. Machadka Cilmi-baarista Haweenta Cilmiga Cilmiga Hawada ee Mareykanka ee maareynta ugu horreysa ee ganaca ba'an. Gastroenterology. 2018; 154 (4): 1096-1101. PMID: 29409760 www.ncbi.nlm.nih.gov/pubmed/29409760.

Forsmark CE. Qanjirada. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 144.

Meisenberg G, Simmons WH. Enzymes-ka dheefshiidka. Gudaha: Meisenberg G, Simmons WH, eds. Mabaadi'da Caafimaadka Biochemistry. 4aad. Philadelphia, PA: Elsevier; 2017: cutubka 20.

Tenner S, Steinberg WM. Xanuunka loo yaqaan 'pancreatitis Acute'. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 58.