Wake waba nobuhlungu besisu obungabekezeleleki wabe usuya kudokotela wacelwa ukuthi uyohlola igazi? Uke wabona inani elibizwa ngokuthi 'i-Lipase' kulowo mbiko? Cishe uyazibuza ukuthi kuyini lokhu. Ungakhathazeki, namuhla sizokhuluma ngalolu hlolo lwegazi lwe-Lipase kalula, njengokungathi sikhuluma nomngane.
Kalula nje, iyini i-lipase?
I-Lipase iyiprotheni ekhethekile emzimbeni wethu. Kwezokwelapha, siyibiza ngokuthi i-enzyme. Kufana nesisebenzi esikhethekile esisebenza efektri. Umsebenzi oyinhloko wale enzyme ebizwa ngokuthi i-lipase ukusiza ekugayeni amafutha ekudleni esikudlayo.
Le lipase ikhiqizwa kakhulu yisitho emzimbeni wethu esibizwa ngokuthi i-pancreas . Cishe uke wezwa nge-pancreas, akunjalo? Ngaphandle kwalokho, inani elincane likhiqizwa yisisu sethu kanye nezindlala zamathe. Uma sidla, le lipase ihamba isuka ku-pancreas iye emathunjini ethu amancane, lapho iphula khona amafutha futhi iwenze atholakale ukuze umzimba uwamunce.
Kuvamile ukuba nenani elincane kakhulu le-lipase egazini lethu. Kodwa-ke, uma kwenzeka okuthile ku-pancreas, njengomonakalo, ukutheleleka, noma ukuvuvukala, i-lipase eningi ikhishwa egazini. Yilapho izinga le-lipase egazini likhuphuka khona.
Kungani udokotela angancoma lolu vivinyo?
Isizathu esiyinhloko sokuthi udokotela angase acele lokhu kuhlolwa ukuthi uma besola ukuthi unesifo esibizwa ngokuthi i-acute pancreatitis . I-Pancreatitis ukuvuvukala kwe-pancreas. Lesi kungaba yisimo esibucayi. Ungase ube nezimpawu ezilandelayo:
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu besisu | Ubuhlungu obukhulu obuvela esiswini esingaphezulu, ngezinye izikhathi buphuma emhlane. |
| Isicanucanu nokuhlanza | Kungase kube nesicanucanu esingapheli kanye nokuhlanza. |
| Ukushaya kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha. |
| Isilinganiso sokuphefumula esikhulayo | Ukuphefumula kuyashesha futhi akujulile. |
| Imfiva | Ukuzizwa ushisa. |
Uma izinga le-lipase egazini liphezulu kakhulu kanye nalezi zimpawu, kuzoba usizo olukhulu kudokotela ekuqinisekiseni isimo "se-pancreatitis ebukhali".
Futhi, ngezinye izikhathi lokhu kuhlolwa kwe-lipase kungenziwa kanye nezinye izivivinyo, njengokuhlolwa kwe-amylase, ukuthola ezinye izinkinga, njenge-pancreatic cysts noma ukuvinjelwa kwe-pancreatic duct.
Yini okufanele ngiyenze ngaphambi kokuhlolwa?
Lokhu kulula kakhulu. Ngaphambi kokuthatha isampula yegazi, udokotela wakho uzokucela ukuthi uzile ukudla amahora angu-8 kuya kwangu-12 . Kulungile ukuphuza amanzi nje.
Into ebaluleke kakhulu ukutshela udokotela wakho ngemithi oyiphuzayo. Eminye imithi ingakhuphula izinga le-lipase egazini ngokwenziwa.
Ngokwesibonelo:
- Amanye amaphilisi okuvimbela inzalo
- Izibulali-zinhlungu (isib. `(i-codeine)`)
- Imithi yokukhipha amanzi emzimbeni (i-diuretics)
- Eminye imithi yokwelapha i-cholesterol
Kodwa khumbula, ungalokothi uyeke ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho. Uzokutshela ukuthi wenzeni.
Kwenzekani uma ubhala isivivinyo?
Lena inqubo elula kakhulu ethatha imizuzu engaphansi kwemi-5. Umhlengikazi noma udokotela uzohlanza umthambo engalweni yakho, afake inaliti encane, bese ekhipha igazi elincane ebhodleleni elincane. Ungase uzizwe umuzwa omncane wokuhlaba lapho inaliti ifakwa. Ngemuva kwalokho kuzofakwa ibhandishi elincane endaweni. Yilokho kuphela.
Ngemva kokuhlolwa, ungaya ekhaya njengenjwayelo. Abanye abantu bazizwa benesiyezi kancane ngemva kokukhishwa kwegazi. Uma lokho kwenzeka, linda isikhashana. Lokhu akuyona ingozi enkulu. Indawo lapho inaliti ifakwe khona ingase ibe luhlaza okwesibhakabhaka kancane, kodwa lokhu kuzophela ezinsukwini ezimbili kuya kwezintathu.
Zisitshelani izindinganiso ezisembikweni?
Inani lakho le-lipase lizoboniswa njengenombolo embikweni wakho. "Ububanzi obujwayelekile" bungahluka kancane kusuka kwelebhu kuya kwelebhu. Kodwa ngokuvamile, inani le-lipase eliphakathi kwamayunithi angu-0 no-160 ngelitha (0 kuya ku-160 U/L) libhekwa njengelijwayelekile.
Kodwa-ke, leli nani lingahluka kuye ngeminyaka yakho, ubulili, kanye nezinye izimo zempilo. Ngakho-ke, ungasheshi ufinyelele eziphethweni ngokusekelwe enanini elisembikweni. Udokotela wakho kuphela ongakuchaza ngokunembile.
Kuthiwani uma inani le-lipase liphakeme kakhulu kunejwayelekile?
Uma inani lingaphezu kokuphindwe kathathu kunomkhawulo ophezulu kunojwayelekile, kungaba uphawu oluqinile lwe-pancreatitis ebukhali.
Kodwa-ke, kunezinye izizathu zokuthi kungani amazinga e-lipase engase akhuphuke.
| Ezinye izimo ezingabangela amazinga aphezulu e-lipase | |
|---|---|
| Ukuvaleka komsele we-pancreatic | Ukuvaleka kwamathumbu |
| Amatshe enyongo noma isifo senyongo | Isifo sezinso noma ukwehluleka kwezinso |
| Isilonda se-Peptic | I-ketoacidosis yesifo sikashukela |
| Isifo se-Celiac | Ukuvuvukala kwezindlala zamathe (i-sialadenitis) |
| Ukusetshenziswa kotshwala ngokweqile | |
Kuthiwani uma izinga le-lipase lehla?
Uma izinga le-lipase liphansi kunokuvamile, kungase kusho ukuthi amaseli e-pancreas akhiqiza i-lipase alimele futhi awasakwazi ukukhiqiza i-lipase eyanele. Lokhu kungabonakala ezimweni zezokwelapha zesikhathi eside.
Izibonelo:
- I-cystic fibrosis
- I-pancreatitis engapheli
Uma umbiko ungajwayelekile, kuzokwenzekani ngokulandelayo?
Uma amazinga e-lipase yakho ephezulu kakhulu futhi unezimpawu ze-"acute pancreatitis", udokotela wakho uzokuqala ukwelashwa okudingekayo. Ngezinye izikhathi lesi simo siphela ngokwaso. Kuya ngokuthi izimpawu zakho zibucayi kangakanani kanye nembangela yazo.
Uma izimpawu zakho zingahambisani kahle ne-pancreatitis, udokotela wakho kungadingeka enze izivivinyo ezengeziwe, njengokuhlolwa kwegazi noma ukuskena, ngaphambi kokuthola ukuxilongwa okuqondile.
Into ebalulekile ukuthi awukwazi ukwenza isinqumo ngokusekelwe enanini elilodwa kuphela ekuhlolweni kwegazi. Udokotela wakho uzocabangela izimpawu zakho, ukuhlolwa kwakho ngokomzimba, kanye neminye imiphumela yokuhlolwa ukuze enze isinqumo esinolwazi.
Ngakho-ke, ungakhathazeki uma inani elisembikweni liphezulu noma liphansi. Ulwazi olubalulekile nje oluzosiza udokotela wakho ukuthola imbangela yezimpawu zakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Lipase iyi-enzyme ekhiqizwa kakhulu yi-pancreas esiza ekugayeni amafutha.
- Lokhu kuhlolwa kwegazi kuvame ukwenziwa ukuhlola ukuvuvukala okusolwayo kwe-pancreas (i-pancreatitis).
- Uma amazinga e-lipase ephindwe kathathu noma ngaphezulu ngaphezu kwejwayelekile, ngokuvamile kuyisibonakaliso se-pancreatitis ebukhali.
- Kodwa-ke, amazinga e-lipase angakhuphuka ngenxa yezinye izimbangela, njengesifo sezinso kanye namatshe enyongo.
- Ungalokothi uzame ukuhumusha umbiko wokuhlolwa kwegazi wedwa. Njalo bona udokotela wakho ukuze uthole incazelo enembile.
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