Ukubaluleka kwe-urinalysis ye-diastasis ekuxilongeni kwezifo ze-pancreatic

Umchamo noma umchamo kungenye yemikhiqizo (ukumbiwa) yempilo yomuntu, evezwa izinso.

Lokhu, ngaphandle kwehaba, imininingwane ehlukile yolwazi lwezokwelapha ngempilo yabantu.

Njengoba usufundile ukuthi uqaphela kanjani, ungathola impendulo yombuzo u-YINI noma YINI angayitshela.

Inani le-Urinalysis

Umchamo, ushiya ama-ureters kusuka ezinsweni kuya kwesinye, ngemuva kokuhlunga kwegazi, ukubuyiselwa emuva (ukubuyisela emuva) kanye nokugcinwa (secretion yezakhi zamakhemikhali ezivela kumangqamuzana), ngosizo lokwakheka kwamakhemikhali kungasho nje ngezifo ezikhona, kepha futhi nangezinqubo ezingezinhle ezivelayo.

Izinkomba ezahlukahlukene zomchamo zifakwa ekuhlaziyweni kwezokwelapha:

• umbala, iphunga, ukucaca;
• ubukhulu, i-acidity;
• amaprotheni, ushukela, usawoti, i-bilirubin;
• i-organic ne -organic sludge;
• ama-cylinders we-hyaline, granular ne-wax;
• amagciwane kanye nesikhunta;
• amangqamuzana abomvu egazi namaseli amhlophe egazi.

Lezi zingxenye zolwazi ezibalulekile zempilo yabantu.

Ukuhlolwa okunhlosile kakhulu kokusebenza kwe-pancreatic ukubheka ukugaya umchamo.

Ividiyo Yesifo Somchamo:

Kuyini diastasis?

Ingxenye yenqubo yokugaya ibizwa nge- alpha-amylase noma i-diastase. Ekubumbeni kwayo, akuwona kuphela ama-pancreas kuphela, kepha futhi namathe athola isisulu, kanye namaqanda esifazane kanye nolwelwesi lwesibeletho oluncane.

Njengezinye izinto zokugaya, i-diastasis ingena esiswini, lapho "ibola" ushukela ube yizakhi. Uma usuqede imisebenzi esegayilini wokugaya, iyahluka emiseleni yegazi, igxiliswa izinso futhi ishiye ngokwemvelo nomchamo.

Imbangela yokufunda kwe-diastase kubuhlungu besisu obungazelelwe. Inquma izinga le-alpha-amylase (AA) futhi yenza esinye isinqumo maqondana namaqhinga wokwelashwa.

Ukulungiswa kokuhlaziywa

Ngokombono wezobuchwepheshe, inqubo yokulungiselela isifundo uqobo ayidingi amakhono athile. Kodwa-ke, ukwandisa ukucaca nokwethenjwa kwemiphumela, odokotela bagcizelela ukuhambisana nemibandela efanele.

Le mithetho elula ifaka:

1. Ucwaningo lwe-enzyme lwenziwa ngemuva kwekhefu lamahora ayishumi nambili ekudleni kokudla.
2. Kungakapheli amahora angama-24 ngaphambi kokuthatha umchamo, ukusetshenziswa kwanoma yikuphi ukuphuza utshwala akwamukeleki.
3. Ukuqinisekisa isitayela sesitsha sokuqoqa impahla yezinto eziphilayo, kungakuhle ukuyihlanze nge-baking soda, hlambulula kahle, hlambulula ngamanzi abilayo noma ubambe umusi.
4. Landela imithetho yokuqoqa umchamo osungulwe kulebhu elebhu. Kwezinye izinhlobo zokuhlolwa kwelebhu, isampula yemvelo ihanjiswa isendaweni efudumele kungakapheli amahora amabili.

Ukwethembeka ocwaningweni kungathinteka ekuphatheni kwemithi ezigulini. Isiguli sibophekile ukuxwayisa ngalokhu kusengaphambili.

Lokhu kufaka phakathi:

1. Imithi elwa namagciwane eqenjini le-tetracycline: Doxycycline, Metacycline, Glycocycline, Morphocycline, Oletetrin, Oleomorphocyclin.
2. Amafomu omthamo, afaka i-adrenaline: Brilocaine-adrenaline, Brilocaine-adrenaline forte, Xylocaine adrenaline, Xyloroland nge-adrenaline, iLidocaine-adrenaline.
3. Ama-analgesics anezakhi ze-narcotic: Buprenorphine, Lixir, Pentazocine, Butorphanol, Tramal, Delarin, Naloxone.
4. Izidakamizwa ezilwa nokuvuvukala zeqembu elingeyona i-steroidal: iSalasat, Diflunizal, Diflofenak, Ketorolac, Sulindak, Indomethacin.
5. Ukulungiselela kwegolide: iChrysanol, Tauredon 50, Sodium Aurothiomalate, Aurochioglucose.

Ezintweni ezilandelanayo ezingaphambukisa isithombe sokuhlonza salolu cwaningo, odokotela bafaka:

1. Ukukhulelwa kusenesikhathi. Kwabesifazane, leli qiniso lingawuthinta kakhulu umphumela wokuhlolwa. Ngakho-ke, isiguli kufanele sixwayise abasebenzi bezokwelapha ngalokhu.
2. Ukuhlaselwa kwe-asthmatic.
3. Amakhaza nezifo, ezikhuculula izifo ezahlukahlukene, ezinezimpawu ezikhulunywayo - ukukhwehlela.

Uma kunesidingo, ukuqinisekisa imiphumela yokuhlaziywa komchamo we-AA, kunikezwe ezinye izivivinyo, njengokuthi:

• ukuhlolwa kwe-Ultra;
• i-angiography;
• i-endoscopy;
• i-radiography.

Ividiyo evela kuDkt Malysheva:

Isimo kanye nezizathu zokwanda

Inkomba yenombolo yokuqamba ayilona inani elinqunyelwe elingaguquki kuwo wonke umjikelezo wempilo.

Izinga lokuhlukahluka komchamo lishintsha njalo futhi lenyuka ngeminyaka:

Noma yikuphi ukuphambuka kunani elijwayelekile yinhlabamkhosi kudokotela nakwisiguli.

Okungakhombisa ukwanda kwe-AA kumchamo:

1. Nge-pancreatitis ekuhlaziyeni komchamo, okweqile kwesilinganiso kubonwa kusuka ku-125 u / l. Kulokhu, udokotela uzobona ukuqala kwenqubo yokuvuvukala kwamanyikwe.
2. Uma inani le-umchamo diastasis kubantu abadala lizoba semayunithi ama-450-520 amayunithi, khona-ke sizokhuluma ngokuphulwa kokuphuma kokuphuma koketshezi lwe-pancreatic.
3. Inkomba eshaqisayo yokufika kwezinkulungwane eziyinkulungwane ayisaseyona ifoni yokuvusa, kepha iyakhala yensimbi. Odokotela ngokuzethemba okukhulu baveza ukubukeka kwesimila esibi noma esibi kakhulu. Isiguli sidinga ukulaliswa esibhedlela ngokushesha.
4. Isibonakaliso esibucayi se-enzyme amayunithi ayi-8. Akungabazeki ukuthi izinqubo ezingenakuphikiswa seziqale emzimbeni, ukucasulwa kwe-pancreatic kubhujiswe ngokuphelele, futhi ama-enzyme angena ngokuqondile emgodini wegazi.

Yini engathinta ukusebenza kwe-AA?

Ukuhlolwa kwe-AA (alpha-amylase) kungaqopha umphumela odlula noma owela ngaphansi kwesidingo sokulawula. Izimo ezahlukahlukene zokubamba iqhaza zingabandakanyeka.

Izifo ezikhulisa i-diastasis:

1. Ukwanda kwe-AA kubhalwe ku-pancreatitis e-acute. Ngaphezu kwalokho, lokhu kungaba yisibonakaliso sokwakhiwa kwe-cyst noma umdlavuza.
2. Isifo esithathelanayo esibuthakathaka - ama-mumps (ama-mumps), abangele ukuvuvukala kwezindlala zamathe, sizonyusa amazinga e-AA.
3. Ukungena komoya wegciwane ezinsweni kuzovusa ukuvuvukala kwabo - i-nephritis ne-glomerulanephritis. Lokhu kuzodala ukwehluleka kwe-renal reversible. Ngenxa yalokhu, i-AA ihlala idlula umkhawulo ojwayelekile.

Ngaphezu kwalokho, kunezinye izizathu ezidala ukwanda kwenani lokubhula le-AA:

1. Ukulimazeka kwemishini esiswini nasesigunjini sesisu: ukushiswa, ukuvuvukala, ukopha kwangaphakathi.
2. Ukwanda kwezilonda ezingapheli kanye nezilonda ze-duodenal.
3. Isifo sikashukela sikashukela.
4. I-Pathology patency yamathumbu.
5. Isigaba esibuhlungu se-appendicitis.
6. I-Urolithiasis.
7. Ukukhulelwa okungaphakathi noma okuphathelene ne-ectopic.
8. Uphuzo oludakayo

I-Amylase iyancipha emacaleni alandelayo:

1. Ngesikhathi sokulashwa nokululama nge-pancreatitis.
2. Esikhathini esingamahlalakhona futhi esibucayi kwesibindi: i-hepatitis yegciwane, i-cholecystitis.
3. Nge-cystic fibrosis - isifo esidalwa yifa ezithinta izitho zokucasulwa kwangaphandle.
4. Ngemuva kwe-pancreatectomy - ukuhlinzwa okuhlobene nokususwa kwama-pancreas.
5. Nge-peritonitis - ukuvuvukala kwethambo lesisu.
6. Ngesikhathi sokungasebenzi kwezinso, okuholela ekwehlulekeni kwezinqubo ze-metabolic.
7. Kwephula i-carbohydrate metabolism ngenxa yokushoda kwe-insulin.

Ukubaluleka kokufunda ama-diatsase akungabazeki. Akuvumeli kuphela ukuthola izifo esezivele zenzekile, kodwa futhi nokumisela kusengaphambili (ukubikezela) ukuthuthukiswa okuqhubekayo kwe-pathology, okunika amandla kakhulu umsebenzi odokotela ekuthatheni izinyathelo zokugcina impilo yeziguli.