Ngezinye izikhathi ngokuzumayo uthola ubuhlungu obukhulu besisu, akunjalo? Kufana nommese okugwaza esiswini. Kanye nalokho, uzizwa unesicanucanu, uhlanza, futhi ngezinye izikhathi uthola ngisho nomkhuhlane. Ngezikhathi ezinjengalezi, abaningi bethu bacabanga ukuthi sine-gastritis noma ubuthi bokudla. Kodwa akuzona zonke izinhlungu zesisu eziyi-gastritis. Mhlawumbe lokhu kuyinkinga nge-pancreas , isitho emzimbeni wethu esibaluleke kakhulu kodwa asikhulumi kakhulu ngakho. Ngakho-ke namuhla, ake sixoxe ngokuhlolwa kwegazi okulula kodwa okubaluleke kakhulu ukuhlola isimo sale pancreas.
Ake siqale sibone, ubani lo pancreas?
Kalula nje, i-pancreas iyisitho esiyisicaba esitholakala ngaphakathi kwesisu sethu, ngemuva kwesisu. Nakuba incane, ukusebenza kwayo akubalulekile. Inemisebenzi emibili eyinhloko.
1. Ukusiza ekugayeni ukudla: Omunye wemisebenzi yayo ukukhiqiza nokuthumela emathunjini ethu amancane izinhlobo eziningana zama-enzyme ezidingekayo ukuze kugaywe kahle ama-carbohydrate, amafutha, namaprotheni ekudleni esikudlayo.
2. Ukukhiqizwa kwama-hormone: Lena yindlala ekhiqiza ama-hormone abaluleke kakhulu njenge -insulin, elawula amazinga ethu kashukela egazini.
Manje usuyaqonda ukuthi lokhu kubaluleke kangakanani, akunjalo? Ngakho-ke uma kukhona inkinga ngale pancreas, ikakhulukazi into efana nokuvuvukala, ingathinta wonke umzimba wethu.
Ngakho-ke kuyini lokhu kuhlolwa kwegazi le-pancreas?
Lokhu ukuhlolwa okulula kakhulu. Ukuhlolwa kwegazi okulula okuthathwe emthanjeni osesandleni sakho. Lokhu kuhlolwa kubheka amazinga ama-enzyme amabili egazini lakho esikhulume ngawo ngaphambili, akhiqizwa yi-pancreas futhi asiza ekugayweni kokudla.
Cabanga ngama-pancreas njengemboni eyenza la ma-enzyme. Ngokuvamile, la ma-enzyme aya ngqo emathunjini ethu. Kodwa uma kukhona okonakalayo kuma-pancreas, noma uma kukhona ukuvuvukala, kufana nodonga lwefektri oluphukile futhi izinto ziyavuza, futhi inani elikhulu lala ma-enzyme likhishwa egazini. Lokho "kuvuza" yilokho esikutholayo ngalokhu kuhlolwa kwegazi.
Yiziphi izimpawu okufanele ngizihlolele zona?
Udokotela wakho uzoyala lokhu kuhlolwa kwegazi uma esola ukuthi une -pancreatitis ebukhali , ukuvuvukala okungazelelwe kwe-pancreas. Lezi yizimpawu ezivamile zalesi simo.
| Isibonakaliso | Okuncane ngakho |
|---|---|
| Ubuhlungu obukhulu besisu | Lolu uphawu oluyinhloko. Ubuhlungu obukhulu, obungabekezeleleki obuqala esiswini esingaphezulu bese buhamba njengebhande emhlane. Ubuhlungu bungase bubonakale buncipha kancane uma ugoba phambili. |
| Isicanucanu nokuhlanza | Ungase ube nesicanucanu nokuhlanza njalo. Ngisho nangemva kokuhlanza, ubuhlungu besisu abupheli. |
| Umkhuhlane kanye nokubanda | Kungase kube nomuzwa wokushisa komzimba okhuphukayo, kanye nomuzwa wokuthuthumela. |
| Isifiso sokudla | Uzizwa sengathi awufuni ukudla noma ukuphuza lutho. |
| Ukushaya kwenhliziyo | Izinga lokushaya kwenhliziyo lingakhuphuka. |
Uma unezimpawu ezinjengalezi, udokotela wakho uzoyala lokhu kuhlolwa kwegazi ukuqinisekisa ukuthi kuyinkinga ye-pancreatic noma cha.
Ake sifunde kancane ngama-enzyme amabili i-Amylase ne-Lipase.
Ama-enzyme amabili ayinhloko ahlolwa kulokhu kuhlolwa kwegazi yi -Amylase ne -Lipase .
| I-enzyme | Umsebenzi oyinhloko | Ukubaluleka |
|---|---|---|
| I-Amylase | Kuyasiza ekugayeni ama-carbohydrate (isitashi) esiwadlayo, njengelayisi nesinkwa. | Amazinga e-Amylase egazini ayanda ezimweni zezinkinga ze-pancreatic. Kodwa-ke, ngenxa yokuthi le enzyme ikhiqizwa futhi yizindlala zethu zamathe, amazinga e-amylase anganda nakwezinye izimo zezokwelapha. |
| I-Lipase | Kusisiza ukuthi sigaye amafutha afana namafutha nebhotela esikudlayo. | Lolu vivinyo oluqondile kakhulu ngoba i-enzyme ye-lipase ikhiqizwa kakhulu yi-pancreas. Ngakho-ke, uma izinga le-lipase egazini liphakeme, kungenzeka kakhulu ukuthi kunenkinga nge-pancreas. |
Ngakho-ke, odokotela bavame ukuhlola amazinga ala ma-enzyme womabili ukuze bathole ukuxilongwa okunembile.
Ukulungiselela ukuhlolwa kwegazi nokuthi ungalwenza kanjani ukuhlolwa
Lokhu akudingi ukulungiselela okuningi. Kuyinqubo elula kakhulu.
- Ukulungiselela: Uma ukwazi, gqoka ihembe elinemikhono emifushane. Lokhu kuzokwenza kube lula kumuntu othatha igazi ukuthola umthambo engalweni yakho. Akukho okunye ukulungiselela okukhethekile okudingekayo.
- Indlela yokuthatha igazi:
1. Okokuqala, ibhande lerabha (njenge-tourniquet) liboshwe engalweni yakho ngaphezu nje kwendololwane ukuze kuqiniswe umthambo.
2. Bese uhlanza indawo lapho umthambo ukhona khona nge-alcohol swab.
3. Kusetshenziswa inalithi encane kakhulu, inani legazi elidingekayo liqoqwa emthanjeni liye epayipini elincane.
4. Lokhu kuzothatha cishe umzuzu noma emibili. Bese kususwa inaliti, kufakwa ucezu lwekotini endaweni, bese kufakwa iplasta.
Uma ukhishwa igazi lakho, ungase uzizwe unesicanucanu, njengentuthwane encane ekuhlabayo. Kodwa kuhlala imizuzwana embalwa kuphela. Ngakho-ke asikho isizathu sokwesaba.
Ngemva kokukhipha igazi, ungase ube nokulimala okuncane engalweni yakho. Lokhu kuvame ukuphela ngemva kosuku olulodwa noma ezimbili.
Ungawaqonda kanjani amanani embikweni wokuhlolwa?
Ngemva kokuba isampula yegazi lakho selithunyelwe elabhorethri ukuze lihlaziywe, uzothola umbiko. Uzobhala amanani ala ma-enzyme. Lawa amazinga okufanele abe khona egazini lomuntu ophilile.
| I-enzyme | Ibanga Elijwayelekile |
|---|---|
| I-Amylase | Amayunithi angu-23 kuya kwangu-85 ngelitha (23 - 85 U/L). Kwamanye amalabhorethri, lokhu kungafinyelela ku-140 U/L. |
| I-Lipase | Amayunithi angu-0 kuya kwangu-160 ngelitha (0 - 160 U/L). |
Kubaluleke kakhulu: Lezi zindinganiso zingahluka kancane kusukela elabhorethri kuya kwelebhu. Ngakho-ke, kubalulekile ukuqhathanisa amanani akho 'ne-Normal Range' okukhulunywe ngayo embikweni wakho. Kodwa-ke, ungazami ukuhumusha okuqukethwe kulo mbiko ngokwakho. Udokotela wakho kuphela ongakuhlaziya ngokunembile, akuhlobanise nezimpawu zakho, futhi afinyelele esiphethweni esinembile.
Imiphumela engavamile... kuthiwani uma amazinga e-enzyme ephakanyisiwe?
Uma amazinga e-Amylase ne-Lipase egazini lakho edlula kathathu umkhawulo ojwayelekile , kuwubufakazi obuqinile bokuthi une-pancreatitis ebukhali.
Kodwa udokotela akenzi nje izinqumo ngokusekelwe emiphumeleni yalokhu kuhlolwa kwegazi. Ukuhlola wena, izimpawu zakho, bese ehlanganisa konke lokhu ukuze kufinyelelwe esiphethweni.
Ngezinye izikhathi, kungase kudingeke ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa nokunquma izinga eliqondile lomonakalo ku-pancreas.
- I-Ultrasound Scan: Lokhu kungathatha izithombe zezitho ezingaphakathi kwesisu. Lokhu kungasiza ekutholeni izinto ezifana namatshe enyongo.
- I-CT Scan: Lokhu kungathatha izithombe ezicacile nezinemininingwane eminingi ze-pancreas nezitho ezizungezile.
- I-MRI Scan: Lokhu kusiza ukuthola izithombe ezicacile kune-CT scan.
- I-Endoscopy: Inqubo lapho kufakwa khona ithubhu elincane elinekhamera ngomlomo ukuze kuhlolwe isisu namathumbu amancane.
Udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okudingayo.
Kufanele uye nini kudokotela?
Lena yinto ebaluleke kakhulu. Uma unezinhlungu zesisu ezinzima nezingenakubekezeleleka njengalezo ezishiwo ngenhla , ungahlali nje ekhaya ucabanga ukuthi yi-gastritis. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (ETU) ngokushesha.
Udokotela uzolalela izimpawu zakho, akuhlole, futhi abukeze imiphumela yalokhu kuhlolwa kwegazi ukuze anqume ukuthi yikuphi ukwelashwa okudingayo. Ukuqala ukwelashwa kusenesikhathi kungasiza ekuvimbeleni izinkinga ezinkulu.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu obukhulu besisu nokuhlanza akuzona njalo izinkinga zesisu. Kungaba yinkinga nakuma-pancreas.
- Ukuhlolwa kwegazi kwe-Amylase ne-Lipase, okwenziwa ukuhlola isimo se-pancreas, kuyindlela elula kakhulu futhi ebaluleke kakhulu.
- Amazinga e-enzyme e-lipase ayisibonakaliso esicacile sezinkinga ze-pancreatic.
- Ungazami ukuhumusha amanani embikweni wokuhlolwa kwegazi wedwa, xoxa ngakho njalo nodokotela wakho.
- Uma unezinhlungu zesisu ezinzima nezingenakubekezeleleka, funa iseluleko sezokwelapha ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela.
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