Tijaabada Lipase

Lipase waa borotiin (enzyme) oo uu ganaca ku sii daayo mindhicirka yar. Waxay ka caawisaa jirka inuu nuugo dufanka. Tijaabadani waxaa loo isticmaalaa in lagu cabbiro xaddiga baruurta ku jirta dhiigga.

Muunad dhiig ah ayaa laga qaadayaa xididka.

HA CUNIN 8 saacadood baaritaanka ka hor.

Bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu ku weydiiyo inaad joojiso qaadashada daawooyinka saameyn ku yeelan kara baaritaanka, sida:

• Bethanechol
• Kiniiniyada ka hortagga uurka
• Daawooyinka loo yaqaan 'Cholinergic'
• Codein
• Indomethacin
• Meperidine
• Methacholine
• Morphine
• Daawooyinka loo yaqaan 'Thiazide diuretics'

Waxaa laga yaabaa inaad dareento xanuun yar ama xoqitaan markii irbadda la gelinayo si dhiig loo qaado. Waxa laga yaabaa inay xoogaa wax ku garaacaan goobta ka dib marka dhiigga la soo qaado. Xididdada iyo halbowlayaasha way kala duwan yihiin cabbir ahaan, sidaa darteed way adkaan kartaa in shaybaar dhiig laga qaado hal qof marka loo eego qof kale.

Tijaabadan waxaa loo sameeyaa in lagu baaro cudurka xameetida, inta badan ganaca daran.

Lipase wuxuu ku soo baxaa dhiigga markii xammeetidu dhaawacan tahay.

Guud ahaan, natiijooyinka caadiga ah waa 0 illaa 160 cutub litirkiiba (U / L) ama 0 illaa 2.67 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.

Heerarka ka-sareeya-caadiga waxaa laga yaabaa inay ugu wacan tahay:

• Xiidmaha oo xirma (xirmidda mindhicirka)
• Cudurka Celiac
• Boogta duodenal
• Kansarka xammeetida
• Qanjirada
• Pseudocyst pankuriska

Tijaabadani sidoo kale waxaa loo samayn karaa yaraanta lipoprotein lipase-ka ee qoyska.

Khatar aad u yar ayaa ka imaan karta dhiiga lagaa qaado.

Khataraha kale ee aan caadiga ahayn waxaa ka mid noqon kara:

• Dhiig ka imanaya goobta irbadda daloosha
• Miyir beelid ama dareemid madax-wareer
• Dhiig ururin maqaarka hoostiisa
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Pancreatitis - lipase 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.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. Baadhista shaybaarka ee xanuunada caloosha iyo mindhicirka. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 22.

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.