Baaritaanka dhiigga ACE

Imtixaanka ACE wuxuu cabiraa heerka angiotensin-converzy enzyme (ACE) ee dhiiga.

Sambal dhiig ayaa loo baahan yahay.

Raac tilmaamaha bixiyaha daryeelka caafimaadkaaga ee ah inaadan wax cunin ama cabin ilaa 12 saacadood baaritaanka ka hor. Haddii aad ku jirto daawada steroid, weydii takhtarkaaga haddii aad u baahan tahay inaad daawada joojiso baaritaanka ka hor, maxaa yeelay steroids waxay yareyn kartaa heerarka ACE. HA JOOJIN wax daawo ah kahor intaadan lahadlin bixiyahaaga.

Marka irbadda la geliyo si dhiig loo qaado, dadka qaar waxay dareemaan xanuun dhexdhexaad ah. Qaar kale waxay dareemaan oo keliya dharbaaxo ama xaniin. Intaas ka dib, waxaa laga yaabaa in xoogaa wax garaaco ama nabarro yar yeeshaan. Tani dhawaan way tagi doontaa.

Baaritaankaan waxaa badanaa la amri karaa si looga caawiyo baaritaanka iyo la socoshada cilladda loo yaqaan sarcoidosis. Dadka qaba sarcoidosis waxaa laga yaabaa in si joogto ah loo baaro heerkooda ACE si loo hubiyo sida cudurku u daran yahay iyo sida wanaagsan ee daaweynta u shaqeyneyso.

Tijaabadani waxay kaloo caawisaa xaqiijinta cudurka Gaucher iyo baraska.

Qiimaha caadiga ahi wuu kala duwan yahay iyadoo ku saleysan da'daada iyo habka baaritaanka loo isticmaalay. Dadka waaweyni waxay leeyihiin heer ACE ka yar 40 mikrogram / L.

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabiyaan shaybaarro kala duwan. Kala hadal dhakhtarkaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Ka sarreeyaa heerka ACE ee caadiga ah ayaa laga yaabaa inay calaamad u tahay sarcoidosis. Heerarka ACE way kici karaan ama dhici karaan maadama sarcoidosis uu sii xumaanayo ama soo hagaagayo.

Heer ka sarreeya heerka ACE ayaa sidoo kale lagu arki karaa dhowr cudurro kale iyo xanuunno, oo ay ku jiraan:

• Kansarka unugyada limfaha (cudurka Hodgkin)
• Sonkorowga
• Bararka beerka iyo caabuqa (cagaarshowga) isticmaalka khamriga awgood
• Cudurka sambabka sida neefta, kansarka, cudur sambabaha oo xaniba, ama qaaxada
• Cudurka kelyaha ee loo yaqaan 'nephrotic syndrome'
• Cudurka 'sclerosis' oo badan
• Qanjirrada 'Adrenal' ma sameeyaan hormoonno ku filan (cudurka Addison)
• Boog caloosha
• Qanjirka 'firfircoonida' (hyperthyroidism)
• Qanjidhada parathyroid ee firfircoon (hyperparathyroidism)

Ka hooseeya heerka caadiga ah ee ACE ayaa tilmaami kara:

• Cudurka beerka ee joogtada ah
• Kelyo la'aan joogto ah
• Cunno xumida oo loo yaqaan anorexia nervosa
• Daaweynta isteeroydhiska (badanaa prednisone)
• Daaweynta sarcoidosis
• Qanjirka 'thyroid' oo aan firfircooneyn (hypothyroidism)

Khatar yar ayaa ku jirta in dhiigga lagaa qaado. Xididdada iyo halbowlayaasha waxay ku kala duwan yihiin cabirka qof ilaa qof kale iyo dhinac jirka ah ilaa dhinac kale. Qaadashada dhiigga dadka qaar way ka dhib badnaan kartaa kuwa kale.

Khataraha kale ee la xiriira dhiig qaadashada waa yar yihiin, laakiin waxaa ka mid noqon kara:

• Miyir beelid ama dareemid madax-wareer
• Daloollo badan si loo helo xididdada
• Hematoma (dhiigbax maqaarka hoostiisa)
• Dhiigbax xad dhaaf ah
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Serum angiotensin-u-beddelaya enzyme; SACE

• Baaritaanka dhiigga

Carty RP, Pincus MR, Sarafraz-Yazdi E. Enzymology Clinical. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 20.

Nakamoto J. Baaritaanka Endocrine. Gudaha: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Dadka waaweyn iyo carruurta. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 154.