Nnwale maka lipase, enzyme nke na-enyere aka mgbari abụba, bụ nyocha ọbara nke na-enyere dọkịta aka ịchọpụta ọrịa pancreatic.

Lipase bụ enzyme na-eri nri nke mkpụrụ ndụ dị na pancreas zoro ezo wee banye n'ime eriri afọ. Ọ na-enyere aka igbari abụba, site n'ịkwatu triglycerides n'ime glycerol na fatty acids. Enwere ike itinye ihe ndị a site na obere eriri afọ wee jiri ahụ nye ya ike.

Lipasemia na-ezo aka n'ogo nke lipase n'ime ọbara.

Dọkịta ahụ na-enye iwu nyocha nke ọkwa lipase iji nyere ya aka ịchọpụta ọrịa pancreatic ma ọ bụ nwee mmetụta na pancreas, dịka ọmụmaatụ. pancreatitis (mbufụt nke pancreas), Ọrịa Crohn ma ọ bụ na ọrịa Celiac.

Nyocha ahụ na-emekwa ka o kwe omume ịgbaso mgbanwe nke ọrịa ma ọ bụ nyochaa ịdị irè nke ọgwụgwọ.

Ya mere, dọkịta nwere ike inye iwu nyocha nke ọkwa lipase mgbe onye ọrịa ya nwere mgbaàmà ndị a, njirimara nke nhụjuanya pancreatic:

• oké mgbu afọ;
• ahụ ọkụ ;
• ọnwụ nke agụụ;
• ọgbụgbọ na ma ọ bụ na-enweghị vomiting;
• ọnwụ na-adịghị ahụkebe;
• stool mmanu ma ọ bụ abụba abụba.

Tụkwasị na nke ahụ, dọkịta ahụ nwekwara ike ịnye iwu nyocha nke amylase. Rịba ama na usoro ọgwụgwọ lipase bụ nke akọwapụtara nke ọma, ebe ọ bụ na pancreas na-ezobe ya naanị, ebe amylase na-ezobe ya site na pancreas na gland salivary.

Ọbara lipase ọbara na-adịkarị ala karịa 60 IU / L (maka nkeji mba ụwa kwa liter) ma ọ bụ 190 IU / L, dabere na usoro nha nke ụlọ nyocha ahụike na-eji.

Mmụba nke lipasemia nwere ike ịbụ ihe ịrịba ama:

• mmebi nke pancreatic:
  • a pancreatitis, ya bụ, mbufụt nke pancreas, ma ọ bụ nnukwu ma ọ bụ nke na-adịghị ala ala (na nke ikpeazụ, a na-ejikọta ya na ịṅụbiga mmanya ókè);
  • pancreatic lithiasis, ya bụ ihe mgbochi nke duct pancreatic;
  • cyst nke pancreatic;
  • ọnya pancreatic;
  • ọrịa cancer pancreatic;
  • cholecystitis, ya bụ ọrịa nke bile ducts;
• mmebi nke eriri afọ na gburugburu ebe obibi ya:
• a Ọrịa Crohn ;
• la ọrịa Celiac ;
• ọrịa infarction mesenteric;
• peritonitis;
• ma ọ bụ n'ọnọdụ nke ọdịda akụrụ, aṅụrụma, ịba ọcha n'anya C.

Ụfọdụ ọgwụ nwere ike ime ka ọkwa lipase dị iche iche, dịka:

• opiates dị ka morphine ma ọ bụ codeine;
• ụfọdụ anestetiiki;
• ụfọdụ diuretics;
• ma ọ bụ ọbụna ọgwụ mgbochi afọ.

Ya mere ọ dị mkpa ka gị na ndị ọrụ ahụike kparịta ụka, dịka ọmụmaatụ site n'inye akwụkwọ ndenye ọgwụ na nso nso a na-egosi ọgwụgwọ a na-esote.

Iji belata ọkwa ọbara nke lipase, ọ dị mkpa ịkọwa ihe kpatara mmụba ya. Ya mere, ọgwụgwọ nke pancreatitis, dịka ọmụmaatụ, gụnyere:

• mee ka pancreas zuru ike, ya mere ngwa ngwa (ya bụ, kwụsị iri nri - mana enwere ike "inye onye ọrịa nri" na intravenously);
• were ọgwụ mgbochi mkpali;
• were ọgwụ nje mee ihe iji gbochie ọrịa nke anụ ahụ gbara ya gburugburu;
• ma ọ bụ ịwa ahụ nke nwere ike ịgụnye iwepụ eriri afọ ma ọ bụ igbapu bile duct.

Nyocha a nwere ihe nlele nke ọbara venous, n'ozuzu n'ogo nke ikpere ikpere. Ọtụtụ mgbe, ọ na-ewere ọnọdụ ozugbo na ụlọ nyocha nyocha ahụike.

Rịba ama na onye ọrịa ahụ ga-ebu ọnụ ma ọ dịkarịa ala awa 12 tupu nyocha ahụ, nke mere na usoro ọgwụgwọ lipase ziri ezi dịka o kwere mee.