So wo yafunu ayɛ wo yaw a wuntumi nnyina ano na woakɔ oduruyɛfo nkyɛn na wɔaka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu pɛn? So wuhuu botae bi a wɔfrɛ no ‘Lipase’ wɔ saa amanneɛbɔ no so? Ebia woresusuw nea eyi yɛ ho. Mma ɛnhaw wo, ɛnnɛ yɛbɛka Lipase mogya mu nhwehwɛmu yi ho asɛm tiawa koraa, te sɛ nea yɛne yɛn adamfo bi rekasa.
Sɛ yɛbɛka no tiawa a, dɛn ne lipase?
Lipase yɛ protein titiriw bi a ɛwɔ yɛn nipadua mu. Wɔ aduruyɛ mu no, yɛfrɛ no enzyme. Ɛte sɛ odwumayɛni titiriw bi a ɔreyɛ adwuma wɔ adwumayɛbea bi. Adwuma titiriw a enzyme a wɔfrɛ no lipase yi yɛ ne sɛ ɛbɛboa ma srade a ɛwɔ nnuan a yedi mu no ayam.
Yɛn nipadua mu akwaa bi a wɔfrɛ no dwensɔtwaa na ɛyɛ saa lipase yi kɛse . Ebia woate dwensɔtwaa ho asɛm, ɛnte saa? Sɛ ɛno da nkyɛn a, yɛn yafunu ne yɛn nnompe nso na ɛyɛ kakraa bi. Sɛ yedidi a, saa lipase yi fi dwensɔtwaa no mu kɔ yɛn dwensɔtwaa ketewa no mu, baabi a ɛpaapae srade mu na ɛma nipadua no tumi twetwe.
Ɛyɛ ade a ɛfata sɛ lipase kakraa bi pɛ na ɛwɔ yɛn mogya mu. Nanso, sɛ biribi to dwensɔtwaa no, te sɛ ɔsɛe, ɔyare mmoawa, anaa ɔfe a, lipase pii fi mogya no mu. Ɛno ne bere a lipase dodow a ɛwɔ mogya no mu no kɔ soro.
Dɛn nti na oduruyɛfo bi bɛkamfo nhwehwɛmu yi akyerɛ?
Ade titiriw nti a oduruyɛfo betumi ahyɛ sɛ saa nhwehwɛmu yi ne sɛ wosusuw sɛ wowɔ tebea bi a wɔfrɛ no acute pancreatitis . Pancreatitis yɛ ɔfe a ɛba dwensɔtwaa mu. Eyi betumi ayɛ tebea a emu yɛ den. Ebia wubenya sɛnkyerɛnne ahorow a edidi so yi:
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Yafunu mu yaw a emu yɛ den | Ɛyaw a emu yɛ den a ɛba yafunu no atifi, na ɛtɔ mmere bi a ɛhyerɛn kɔ akyi. |
| Akisikuru ne ɔfe | Ebia akisikuru ne ɔfe a ɛkɔ so wɔ hɔ. |
| Koma a ɛbɔ denneennen | Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm. |
| Ɔhome a ɛkɔ soro | Ɔhome yɛ ntɛmntɛm na ɛnyɛ den. |
| Huraeɛ | Atiridiinini a wɔte nka. |
Sɛ lipase dodow a ɛwɔ mogya no mu no dɔɔso yiye ka saa sɛnkyerɛnne ahorow yi ho a, ɛbɛboa oduruyɛfo no kɛse wɔ ``acute pancreatitis`` tebea no a obesi so dua no mu.
Afei nso, ɛtɔ mmere bi a wobetumi ayɛ lipase nhwehwɛmu yi de aka nhwehwɛmu afoforo te sɛ amylase nhwehwɛmu ho de ahu ɔhaw afoforo te sɛ dwensɔtwaa mu ntini anaa dwensɔtwaa mu ntini a ɛsiw.
Dɛn na ɛsɛ sɛ meyɛ ansa na mayɛ sɔhwɛ no?
Eyi yɛ mmerɛw yiye. Ansa na wobɛfa mogya no, wo duruyɛfo bɛka akyerɛ wo sɛ di mmuada nnɔnhwerew 8 kosi 12 . Ɛnyɛ hwee sɛ wobɛnom nsu kɛkɛ.
Nea ɛho hia paa ne sɛ wobɛka nnuru a worenom no ho asɛm akyerɛ wo duruyɛfo. Nnuru bi betumi de afiri ayɛ ama lipase dodow a ɛwɔ mogya no mu no akɔ soro.
Nhwɛsoɔ:
- Nnuru bi a wɔde siw awo ano
- Nnuru a wɔde kum ɛyaw (sɛ nhwɛso no, `(codeine)`) .
- Diuretics (nnuru a ɛma nsu fi nipadua no mu) .
- Nnuru bi a wɔde sa srade a ɛwɔ mogya mu
Nanso kae sɛ, nnyae w’aduru nom da a wunnya wo duruyɛfo afotu. Ɔno na ɔbɛkyerɛ wo nea ɛsɛ sɛ woyɛ.
Sɛ woyɛ sɔhwɛ no a, dɛn na ɛba?
Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye a egye nnu simma 5. Ɔyarehwɛfo anaa oduruyɛfo bi bɛhohoro ntini bi a ɛwɔ wo nsa mu, de ade ketewaa bi ahyɛ mu, na watwe mogya kakraa bi akɔ toa ketewa bi mu. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wode ade no ahyɛ mu no. Afei wɔde aduru ketewaa bi bɛbɔ baabi a ɛwɔ no. Ɛno ne no.
Sɔhwɛ no akyi no, wubetumi akɔ fie sɛnea wotaa yɛ no. Nnipa binom te nka sɛ wɔn adwene mu yɛ wɔn naa kakra bere a wɔatwe wɔn mogya awie no. Sɛ ɛba saa a, twɛn kakra. Eyi nyɛ asiane kɛse. Beae a wɔde ade no guu mu no betumi adan bruu kakra, nanso eyi befi hɔ wɔ nnansa kosi nnansa mu.
Dɛn na gyinapɛn ahorow a ɛwɔ amanneɛbɔ no mu no ka kyerɛ yɛn?
Wɔbɛkyerɛ wo lipase bo sɛ nɔma wɔ w’amanneɛbɔ no so. "Normal range" no betumi ayɛ soronko kakra wɔ lab biara mu. Nanso mpɛn pii no, wobu lipase dodow a ɛwɔ 0 kosi 160 units wɔ lita biara mu (0 kosi 160 U/L) sɛ ɛyɛ ade a ɛfata.
Nanso, saa bo yi betumi ayɛ soronko a egyina mfe a woadi, wo bɔbeasu, ne w’akwahosan tebea afoforo so. Enti, nhuruw nnyina mfaso a ɛwɔ amanneɛbɔ no mu so nnya nwie. Wo duruyɛfo nkutoo na obetumi akyerɛkyerɛ mu pɛpɛɛpɛ.
Na sɛ lipase dodow no korɔn sen sɛnea ɛte daa nso ɛ?
Sɛ bo a ɛsom no boro nea ɛwɔ soro sen sɛnea ɛte daa no mmɔho abiɛsa a , ebetumi ayɛ sɛnkyerɛnne a emu yɛ den a ɛkyerɛ sɛ obi anya dwensɔtwaa mu yare a emu yɛ den.
Nanso, nneɛma afoforo wɔ hɔ a enti ebia lipase dodow bɛkɔ soro.
| Tebea afoforo a ebetumi ama lipase dodow akɔ soro | |
|---|---|
| Pancreatic duct no a asiw | Dwonku mu a ɛsiw |
| Abo a ɛwɔ akisikuru anaa akisikuru mu yare | Asaabo mu yare anaa asaabo a entumi nyɛ adwuma yiye |
| Peptic akisikuru | Asikreyare a ɛma obi nya ketoacidosis |
| Celiac yare a ɛma obi nya yare | Nnompe mu ntini a ɛho ahonhon (sialadenitis) . |
| Nsã a wɔnom boro so | |
Na sɛ lipase dodow so tew nso ɛ?
Sɛ lipase dodow no sua sen sɛnea ɛte daa a, ebetumi akyerɛ sɛ nkwammoaa a ɛwɔ dwensɔtwaa mu a ɛma lipase no asɛe na entumi nyɛ lipase a ɛdɔɔso bio. Yebetumi ahu eyi wɔ ayaresa tebea horow a ɛtra hɔ kyɛ mu.
Nhwɛso ahorow:
- Cystic fibrosis a ɛma mogya tu
- Pancreatitis a enni sabea
Sɛ amanneɛbɔ no nyɛ nea ɛfata a, dɛn na ɛba akyi?
Sɛ wo lipase dodow kɔ soro yiye na wowɔ ``acute pancreatitis'' ho sɛnkyerɛnne a, wo duruyɛfo no befi ase ayɛ wo ayaresa a ɛho hia. Ɛtɔ mmere bi a, tebea yi ankasa siesie. Egyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den ne nea ɛde ba no so.
Sɛ wo sɛnkyerɛnne ahorow no ne dwensɔtwaa mu yare no nhyia pɛpɛɛpɛ a, ebia ɛho behia sɛ wo duruyɛfo yɛ nhwehwɛmu pii te sɛ mogya mu nhwehwɛmu anaa mfoninitwa ansa na wahu sɛ wowɔ yare no yiye.
Nea ɛho hia ne sɛ wuntumi nnyina gyinapɛn biako pɛ a ɛwɔ mogya mu nhwehwɛmu mu so nsi gyinae. Wo duruyɛfo no besusuw wo yare no ho sɛnkyerɛnne, wo nipadua mu nhwehwɛmu, ne nhwehwɛmu afoforo a efii mu bae ho de asi gyinae a ɛfata.
Enti, sɛ mfaso a ɛwɔ amanneɛbɔ no so no korɔn anaasɛ ɛba fam a, mma ɛnhaw wo. Ɛyɛ nsɛm a ɛho hia ara kwa a ɛbɛboa wo duruyɛfo ma wahu nea ɛde wo sɛnkyerɛnne ahorow no ba.
Nkrasɛm a Wɔde Kɔ Fie
- Lipase yɛ enzyme a dwensɔtwaa titiriw na ɛyɛ a ɛboa ma srade yɛ.
- Wɔtaa yɛ mogya mu nhwehwɛmu yi de hwɛ sɛ ebia obi wɔ dwensɔtwaa mu anaa.
- Sɛ lipase dodow boro nea ɛfata so mmɔho abiɛsa anaa nea ɛboro saa a, ɛtaa yɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya dwensɔtwaa mu yare a emu yɛ den.
- Nanso, lipase dodow nso betumi akɔ soro esiane nneɛma afoforo te sɛ asaabo mu yare ne akisikuru mu abo nti.
- Mmɔ mmɔden da sɛ w’ankasa wobɛkyerɛ mogya mu nhwehwɛmu amanneɛbɔ bi ase. Bere nyinaa kɔ wo duruyɛfo nkyɛn kɔhwehwɛ nkyerɛase a edi mu.
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