I-Amylase egazini, ngokusho kwezinguquko esimweni esivamile esinqunywe ukutholakala kwezifo eziningi, idlala indima ebalulekile ekugayeni kwama-carbohydrate endleleni yokugaya. Ngesikhathi esifanayo, kokubili ukwanda nokuncipha kwayo kungakhuluma ngezinkinga.
Umkhuba we-amylase egazini labantu abadala
I-Amylase ikhiqizwa ama-pancreas, kanye ne-salivary gland. Kungokuqukethwe kwe-amylase egazini nasemcimbini odokotela abaningi abangakwazi ukunquma isifo se-pancre noma ezinye izitho. Ngaphansi kwethonya laso, ama-carbohydrate amaningi ahlotshisiwe. Isibonelo, isitashi, i-glycogen kanye nezinye zihlukana zibe yizici ezincane njenge-glucose. Lokhu kuhlukaniswa kukhuthaza ukugaya okungcono emathunjini. I-Amylase ingaba yimihlobo emibili:
- amylase ye-pancreatic;
- i-amylase ye-salivary noma i-alpha-amylase.
Ngokuyinhloko, i-amylase ingatholakala emgqeni wokugaya futhi akufanele ingene egazini legazi. Uma umsebenzi welungu elinama-amylase liphazamiseka, ke kuphela amaprotheni adlulela emzimbeni wegazi. Ukuba khona kwama-amylase egazini kuyisibonakaliso esiyinhloko sezifo ezifana ne-pancreatitis noma ama-mumps.
Ngaphambi kokuthi usho ukuthi umkhuba wama-amylase egazini kufanele ube kumuntu omdala onempilo. Kumele kuqashelwe ukuthi kumuntu omdala nomntwana izinga labo lingase lihluke, kodwa umkhuba wama-amylase egazini labesifazane awufani namadoda. Ngakho-ke, kungakhathaliseki ukuthi ubulili, izinga eliphelele lama-amylase egazini lizimisele, futhi umkhuba walo ngu 28-100 U / L.
I-Alpha-amylase iyinani eliphelele le-amylase yomzimba wonke. I-Alpha-amylase yegazi inezinga elijwayelekile lama-25 kuya kwangu-125 amayunithi ngetitha ngalinye. Kodwa uma ubudala bomuntu engaphezu kweminyaka engamashumi ayisikhombisa, izinkomba kufanele zilandele lokhu - kusukela amayunithi angu-20 kuya ku-160 amayunithi / litre. Ngako-ke odokotela basabela i-amylase ye-pancreatic efana namayunithi angu-50 ngetitha ngalinye.
Kanjani isimiso samamylase esihlolwe ukuhlolwa kwegazi?
Ukuze unqume i-enzyme, kuyadingeka ukuthi uhlaziye ukuhlaziywa kwe-biochemical kwegazi le-amylase evamile. Ngenxa yalokhu, igazi lithathwe emthonjeni we-peripheral. Kulokhu, odokotela abaningi banxusa iziguli zabo ukuthi zilungele kanjani ukulethwa kwalolu hlaziyo. Isibonelo, awukwazi ukudla ngaphambi kwenqubo.
Ngakho kubalulekile ukucabangela, ukuthi kuyadingeka ukuba unikeze ekuhlaziyeni nasekucubheni umchamo. Isekelwe emiphumeleni yocwaningo olubanzi olunjalo olungacacisa isimo se-pancreas. Kumele kukhunjulwe ukuthi ukuxilongwa kubalulekile ukuqoqa umchamo nsuku zonke. Kodwa iqoqo kufanele iqale ngesigaba sesibili. Ngokujwayelekile, inkomba ye-amylase kumchamo wansuku zonke ilingana namayunithi angu-1 kuya kwangu-17 / l.
Kubalulekile ukukhumbula ukuthi umphumela wokuqukethwe kanye nenani lama-amylase kungathonywa ukufakwa kwezidakamizwa njenge:
- ibuprofen;
- i-furosemide;
- ama-analgesics ;
- i-captopril;
- i-corticosteroids;
- izakhi zokubeletha ngomlomo.
Ngakho-ke, ngaphambi kokuba uthathe izivivinyo, kufanele uyeke ukuthatha noma ubatshele ngemithi abaphuza kudokotela olaphayo. Phela, lezi zinto zingaphazamisa inkomba jikelele futhi yenzeke ngaphezulu.
Yini engase ishintshwe kumkhuba we-amylase?
Uma ngabe i-amylase yesiguli ikhuphuka, kungacatshangwa ukuthi lokhu kwavuswa yizifo ezinjengokuthi:
- isifo sikashukela mellitus;
- izimpumputhe;
- i-cholecystitis;
- i-peritonitis;
- ukuhluleka kwezinso ;
- Ukukhipha isisu kokukhulelwa;
- i-perforation yesilonda esiswini;
- i-macroamilasemia;
- uketshezi olunamandla (ngokuvamile uvame utshwala);
- izicubu ezinama-pancreas.
Ukunciphisa ama-amylase kungaba ukubonakaliswa kwezinkinga ezifana nalezi:
- i-hepatitis enzima noma engapheli;
- i-toxicosis ngesikhathi sokukhulelwa;
- i-cystic fibrosis;
- ukulimala kwesibindi esikhulu;
- i-pancreatectomy;
- ukususwa kwe-pancreas.
Futhi ukwehlisa izinga lama-amylase ngaphansi kwesimiso ngokuvamile kuvame ukubhekwa kweziguli ezine-cholesterol ephezulu emzimbeni.