Idanwo Lipase
Lipase jẹ amuaradagba kan (enzymu) ti a tu silẹ nipasẹ ti oronro sinu ifun kekere. O ṣe iranlọwọ fun ara fa ọra. A lo idanwo yii lati wiwọn iye ti lipase ninu ẹjẹ.
A o gba ayẹwo ẹjẹ lati iṣọn ara kan.
MAA ṢE jẹun fun wakati 8 ṣaaju idanwo naa.
Olupese ilera rẹ le beere lọwọ rẹ lati da gbigba awọn oogun ti o le ni ipa lori idanwo naa, gẹgẹbi:
- Bethanechol
- Awọn egbogi iṣakoso bibi
- Awọn oogun Cholinergic
- Codeine
- Indomethacin
- Meperidine
- Methacholine
- Morphine
- Awọn diuretics Thiazide
O le ni rilara irora diẹ tabi ta nigba ti a fi abẹrẹ sii lati fa ẹjẹ. O le jẹ diẹ ninu ikọlu ni aaye lẹhin ti ẹjẹ ti fa. Awọn iṣọn ara ati iṣọn-ara iṣan yatọ ni iwọn, nitorinaa o le nira lati mu ayẹwo ẹjẹ lati ọdọ ẹnikan ju ekeji lọ.
Idanwo yii ni a ṣe lati ṣayẹwo fun aisan ti panuro, igbagbogbo pancreatitis nla.
Lipase han ninu ẹjẹ nigbati oronro ba bajẹ.
Ni gbogbogbo, awọn abajade deede jẹ awọn iwọn 0 si 160 fun lita (U / L) tabi 0 si 2.67 microkat / L (µkat / L).
Awọn sakani iye deede le yatọ diẹ laarin awọn kaarun oriṣiriṣi. Diẹ ninu awọn kaarun lo awọn ọna wiwọn oriṣiriṣi. Sọ pẹlu olupese rẹ nipa itumọ awọn abajade idanwo rẹ.
Awọn ipele ti o ga ju deede lọ le jẹ nitori:
- Ikunkun ifun inu (idiwọ ifun)
- Arun Celiac
- Ọgbẹ Duodenal
- Akàn ti oronro
- Pancreatitis
- Pancreatic pseudocyst
Idanwo yii le tun ṣee ṣe fun aipe lipoprotein lipase idile.
Ewu pupọ wa lati inu ẹjẹ rẹ ti o ya.
Awọn ewu miiran ti ko wọpọ le ni:
- Ẹjẹ lati aaye abẹrẹ abẹrẹ
- Sunu tabi rilara ori ori
- Gbigba ẹjẹ labẹ awọ ara
- Ikolu (eewu diẹ nigbakugba ti awọ ba fọ)
Pancreatitis - lipase ẹjẹ
- Idanwo ẹjẹ
Crockett SD, Wani S, Gardner TB, Falck-Ytter Y, Barkun AN; Igbimọ Awọn Itọsọna Iṣoogun ti Amẹrika Gastroenterological Association Institute. Itọsọna Ile-iṣẹ Gastroenterological Association Institute lori iṣakoso akọkọ ti pancreatitis nla. Gastroenterology. 2018; 154 (4): 1096-1101. PMID: 29409760 www.ncbi.nlm.nih.gov/pubmed/29409760.
Forsmark CE. Pancreatitis. Ni: Goldman L, Schafer AI, awọn eds. Oogun Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: ori 144.
Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. Iwadi yàrá yàrá ti awọn aiṣedede nipa ikun ati inu ara. Ni: McPherson RA, Pincus MR, awọn eds. Henry's Clinical Diagnosis and Management nipasẹ Awọn ọna yàrá. 23rd atunṣe. St Louis, MO: Elsevier; 2017: ori 22.
Tenner S, Steinberg WM. Aronro nla. Ni: Feldman M, Friedman LS, Brandt LJ, awọn eds. Sleisenger ati Fordtran's Ikun inu ati Arun Ẹdọ: Pathophysiology / Aisan / Itọju. Oṣu Kẹwa 10. Philadelphia, PA: Elsevier Saunders; 2016: ori 58.