Kodi munayamba mwamvapo kupweteka m'mimba kosapiririka ndipo munapita kwa dokotala ndipo munapemphedwa kuti mukayeze magazi? Kodi munawona phindu lotchedwa 'Lipase' pa lipotilo? Mwina mukudabwa kuti ichi ndi chiyani. Musadandaule, lero tikambirana za kuyezetsa magazi kwa Lipase mosavuta, ngati kuti tikulankhula ndi mnzanu.
Mwachidule, kodi lipase ndi chiyani?
Lipase ndi puloteni yapadera m'thupi lathu. Mu zamankhwala, timaitcha kuti enzyme. Ili ngati wantchito wapadera wogwira ntchito ku fakitale. Ntchito yayikulu ya enzyme iyi yotchedwa lipase ndikuthandizira kugaya mafuta muzakudya zomwe timadya.
Lipase iyi imapangidwa makamaka ndi chiwalo m'thupi lathu chotchedwa kapamba . Mwina mwamvapo za kapamba, sichoncho? Kupatula apo, pang'ono imapangidwanso ndi m'mimba mwathu ndi m'malovu. Tikamadya, lipase iyi imayenda kuchokera ku kapamba kupita kumatumbo athu ang'onoang'ono, komwe imaphwanya mafuta ndikupangitsa kuti thupi lizitha kuyamwa.
Ndizachibadwa kukhala ndi lipase yochepa kwambiri m'magazi mwathu. Komabe, ngati china chake chachitika ku kapamba, monga kuwonongeka, matenda, kapena kutupa, lipase yambiri imatulutsidwa m'magazi. Pamenepo ndi pomwe kuchuluka kwa lipase m'magazi kumawonjezeka.
N’chifukwa chiyani dokotala angalimbikitse mayeso amenewa?
Chifukwa chachikulu chomwe dokotala angakulamulireni mayesowa ndi ngati akukayikira kuti muli ndi vuto lotchedwa acute pancreatitis . Pancreatitis ndi kutupa kwa kapamba. Imeneyi ikhoza kukhala vuto lalikulu. Mutha kukhala ndi zizindikiro zotsatirazi:
| Chizindikiro | Kufotokozera |
|---|---|
| Kupweteka kwambiri m'mimba | Ululu waukulu womwe umapezeka m'mimba chapamwamba, nthawi zina umatuluka kumbuyo. |
| Kusanza ndi kusanza | Pakhoza kukhala nseru ndi kusanza kosalekeza. |
| Kugunda kwa mtima | Kumva ngati mtima wako ukugunda mofulumira. |
| Kuchuluka kwa mpweya wopuma | Kupuma kumakhala kofulumira komanso kosaya kwambiri. |
| Malungo | Kumva kutentha thupi. |
Ngati kuchuluka kwa lipase m'magazi kuli kokwera kwambiri pamodzi ndi zizindikiro izi, zingathandize kwambiri dokotala kutsimikizira mkhalidwe wa ``pancreatitis yoopsa``.
Komanso, nthawi zina mayeso a lipase awa amatha kuchitika limodzi ndi mayeso ena, monga mayeso a amylase, kuti adziwe mavuto ena, monga pancreatic cysts kapena pancreatic duct obstruction.
Kodi ndiyenera kuchita chiyani ndisanayese mayeso?
Izi n'zosavuta. Musanatenge magazi, dokotala wanu adzakuuzani kuti musale kudya kwa maola 8 mpaka 12. Palibe vuto kungomwa madzi.
Chofunika kwambiri ndi kuuza dokotala wanu za mankhwala omwe mukumwa. Mankhwala ena amatha kukweza kuchuluka kwa lipase m'magazi mwadala.
Mwachitsanzo:
- Mapiritsi ena oletsa kubereka
- Mankhwala ochepetsa ululu (monga `(codeine)`)
- Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics)
- Mankhwala ena a cholesterol
Koma kumbukirani kuti, musasiye kumwa mankhwala anu popanda upangiri wa dokotala. Iye adzakuuzani choti muchite.
Kodi chimachitika ndi chiyani mukalemba mayeso?
Iyi ndi njira yosavuta kwambiri yomwe imatenga mphindi zosakwana 5. Namwino kapena dokotala adzatsuka mtsempha womwe uli m'dzanja lanu, kuyika singano yaying'ono, ndikutulutsa magazi pang'ono mu botolo laling'ono. Mutha kumva kupweteka pang'ono singano ikayikidwa. Kenako bandeji yaying'ono idzaikidwa pamalopo. Ndi zomwezo.
Mukamaliza mayeso, mutha kupita kunyumba monga mwachizolowezi. Anthu ena amamva chizungulire pang'ono atatengedwa magazi. Ngati zimenezo zitachitika, dikirani kwakanthawi. Izi si zoopsa kwambiri. Malo omwe singano inalowetsedwapo akhoza kukhala abuluu pang'ono, koma izi zitha pakatha masiku awiri kapena atatu.
Kodi mfundo zomwe zili mu lipotilo zimatiuza chiyani?
Mtengo wa lipase yanu udzawonetsedwa ngati nambala pa lipoti lanu. "Mlingo wabwinobwino" ukhoza kusiyana pang'ono kuchokera ku labu kupita ku labu. Koma kawirikawiri, mtengo wa lipase pakati pa mayunitsi 0 ndi 160 pa lita (0 mpaka 160 U/L) umaonedwa kuti ndi wabwinobwino.
Komabe, mtengo uwu ukhoza kusiyana malinga ndi zaka zanu, jenda, ndi matenda ena. Chifukwa chake, musafulumire kuganiza mozama kutengera mtengo womwe uli mu lipotilo. Dokotala wanu yekha ndi amene angafotokoze molondola.
Nanga bwanji ngati lipase ndi yapamwamba kwambiri kuposa yachibadwa?
Ngati mtengo wake uli woposa katatu kuposa malire apakati pa mlingo wamba, ukhoza kukhala chizindikiro champhamvu cha pancreatitis yoopsa.
Komabe, palinso zifukwa zina zomwe kuchuluka kwa lipase kungakwezedwe.
| Matenda ena omwe angayambitse kuchuluka kwa lipase | |
|---|---|
| Kutsekeka kwa duct ya pancreatic | Kutsekeka kwa matumbo |
| Matenda a ndulu kapena ndulu | Matenda a impso kapena kulephera kwa impso |
| Chilonda cha m'mimba | Matenda a shuga a ketoacidosis |
| Matenda a Celiac | Kutupa kwa malovu (sialadenitis) |
| Kugwiritsa ntchito mowa mopitirira muyeso | |
Nanga bwanji ngati mulingo wa lipase watsika?
Ngati mulingo wa lipase uli wochepa kuposa wabwinobwino, zitha kutanthauza kuti maselo a kapamba omwe amapanga lipase awonongeka ndipo sathanso kupanga lipase yokwanira. Izi zitha kuwoneka m'matenda anthawi yayitali.
Zitsanzo:
- Matenda a cystic fibrosis
- Matenda a kapamba osatha
Ngati lipotilo silili lachilendo, nchiyani chimachitika pambuyo pake?
Ngati mulingo wa lipase m'magazi mwanu ndi wokwera kwambiri ndipo muli ndi zizindikiro za "acute pancreatitis", dokotala wanu adzayamba kulandira chithandizo chofunikira. Nthawi zina vutoli limatha lokha. Zimatengera kuopsa kwa zizindikiro zanu komanso chifukwa chake.
Ngati zizindikiro zanu sizikugwirizana ndi matenda a kapamba, dokotala wanu angafunike kuchita mayeso ena, monga kuyezetsa magazi kapena kusanthula, asanafike pakupeza matenda enieni.
Chofunika kwambiri n'chakuti simungapange chisankho potengera mtengo umodzi wokha wa magazi. Dokotala wanu adzaganizira zizindikiro zanu, mayeso anu akuthupi, ndi zotsatira zina za mayeso kuti apange chisankho chodziwikiratu.
Choncho, musadandaule ngati phindu la lipotilo ndi lalikulu kapena lotsika. Ndi mfundo zofunika zomwe zingathandize dokotala wanu kupeza chomwe chimayambitsa zizindikiro zanu.
Uthenga Wopita Nawo Kunyumba
- Lipase ndi enzyme yomwe imapangidwa makamaka ndi kapamba yomwe imathandiza kugaya mafuta.
- Kuyezetsa magazi kumeneku kumachitika nthawi zambiri kuti aone ngati pali kutupa kwa kapamba (pancreatitis).
- Ngati kuchuluka kwa lipase kuli pamwamba pa mlingo wa lipase katatu kapena kuposerapo, nthawi zambiri ndi chizindikiro cha pancreatitis yoopsa.
- Komabe, kuchuluka kwa lipase kumathanso kukwera chifukwa cha zifukwa zina, monga matenda a impso ndi miyala ya ndulu.
- Musayese kutanthauzira nokha lipoti la magazi. Nthawi zonse pitani kwa dokotala wanu kuti akuthandizeni kutanthauzira molondola.
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