Amylase - ntshav

Amylase yog ib qho enzyme uas pab zom cov carbohydrates. Nws yog tsim hauv cov txiav thiab cov qog uas ua kua qaub ncaug. Thaum lub txiav los yog mob los yog kub, amylase tso tawm rau hauv cov ntshav.

Kuaj yuav ua tau los ntsuas cov qib ntawm qhov enzyme no hauv koj cov ntshav.

Amylase kuj tseem raug ntsuas nrog ntsuas ntshav ntawm amylase.

Ib cov ntshav tawm yog coj los ntawm cov leeg ntshav.

Tsis muaj kev npaj tshwj xeeb yog xav tau. Txawm li cas los xij, koj yuav tsum zam kom txhob haus cawv ua ntej sim. Tus kws kho mob yuav hais kom koj tsum tsis txhob noj tshuaj uas cuam tshuam rau kev kuaj mob. TSIS TXHOB noj yam tshuaj yam tsis tau tham nrog koj tus kws kho mob.

Cov tshuaj uas tuaj yeem ua rau kom amylase ntsuas xws li:

• Asparaginase
• Tshuaj aspirin
• Tshuaj noj tiv thaiv tsis pub muaj menyuam
• Cholinergic tshuaj kho mob
• Ethacrynic acid
• Methyldopa
• Opiates (codeine, meperidine, thiab morphine)
• Thiazide diuretics

Tej zaum koj yuav hnov ​​mob me ntsis lossis plev thaum koob tau ntxig rau cov ntshav. Tom qab ntawd, yuav muaj qee qhov throbbing.

Qhov kev ntsuam xyuas no feem ntau siv rau kev kuaj mob lossis saib xyuas tus mob pancreatitis. Nws kuj yuav kuaj pom qee qhov teeb meem hnyuv thiab.

Kev kuaj mob kuj tseem ua tau rau cov xwm txheej hauv qab no:

• Mob txha cajqaum
• Pancreatic pseudocyst

Cov dej ib txwm yog li 40 txog 140 units ib qhov ntsuas twg (U / L) lossis 0.38 txog 1.42 microkat / L (µkat / L).

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee lub chaw soj nstuam siv ntau txoj kev ntsuas. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov lus kuaj sim.

Nce ntshav amylase qib yuav tshwm sim vim:

• Mob ncauj mob taub hau
• Mob kheesxaws ntawm tus txiav, zes qe menyuam, lossis ntsws
• Tus mob cholecystitis
• Gallbladder nres tshwm sim los ntawm tus kab mob
• Gastroenteritis (mob hnyav)
• Kev kis mob ntawm cov qaub ncaug salivary (xws li mob qog) lossis txhaws
• Mob hnyuv txhaws
• Macroamylasemia
• Pancreatic los yog kua tsib txhaws txhaws
• Perforated mob
• Kev xeeb tubal (yuav muaj qhib tawg)

Qib dua amylase yuav tshwm sim vim yog:

• Mob kheesxaws ntawm tus txiav
• Kev puas tsuaj rau tus quav nrog pancreatic scarring
• Mob raum
• Toxemia ntawm cev xeeb tub

Kev phom sij me ntsis los ntawm kev rub tawm ntshav yuav muaj xws li:

• Los ntshav ntau
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Hematoma (ntshav ntau nyob hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Pancreatitis - ntshav amylase

• Kuaj ntshav

Crockett SD, Wani S, Gardner TB, Falck-Ytter Y, Barkun AN; American Gastroenterological Association Lub Koom Haum Saib Xyuas Kev Taw Qhia Pawg Neeg. Lub Koom Haum American Gastroenterological Lub Koom Haum cov lus qhia txog kev tswj hwm tus mob ua ntej. Lub plab zom movCov. 2018; 154 (4): 1096-1101. PMID: 29409760 www.ncbi.nlm.nih.gov/pubmed/29409760.

Forsmark CE. Kev mob caj dab. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: tshooj 144.

Meisenberg G, Simmons WH. Digestive enzymes. Hauv: Meisenberg G, Simmons WH, eds. Cov Ntsiab Cai ntawm Kev Kho Mob BiochemistryCov. 4 tug ed. Philadelphia, PA: Elsevier; 2017: chap 20.

Tenner S, Steinberg WM. Mob ncauj mob taub hau. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob Qog: Kab Mob Rau Ib Tus Mob / Tshuaj Ntsuam Xyuas / TswjCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 58.