Lipase - mece ce? Kare, amylase, lipase

Analysis for lipase an wajabta ga cutar GI. Bari mu dubi wani ɗan enzyme da ake kira "lipase" - mece ce? Wadanne ayyuka ne yake yi a cikin jiki, kuma wane cututtuka aka nuna ta wurin sabawa daga ka'ida a sakamakon gwajin?

Lipase wani enzyme ne wanda wasu kwayoyin jikin mutum suka samar. Yana rushewa, rarrabawa da kuma sarrafa nau'o'in ƙwayoyin mai, kuma yana aiki da wasu ayyuka masu muhimmanci. Babban muhimmancin shine pancreatic lipase. Ana iya tantance aikinta lokacin shiga jiki.

"Runs" enzyme da kolipazoy (CoA) da bile acid. Ana samar da shi, ban da pancreas, huhu, ciki, intestines kuma ko da leukocytes - kwayoyin jinin da ke cikin tsarin rigakafi. Har ila yau akwai irin wannan abu a matsayin "ladabi". Mene ne? Wannan enzyme, wanda aka samar a cikin baka rami da jariri yara for farko fashewa abinci, da cewa shi ne ya karya saukar da madarar uwarsa.

Pancreatic lipase

Matsayinsa a cikin jini yana da yawa fiye da matakin sauran lipase. Duk da haka, tare da pancreatectomy (kawar da pancreas), karamin yawan lipase yana kasancewa saboda rabuwa ta wasu gabobin. A cikin urinalysis, lipase ne kullum ba a nan. Bayan "haihuwar" a cikin kwanciyar hankali, sai ya shiga cikin hanji, inda ya yi aiki na asali - ya rushe fats. Rubun pancreatic taka muhimmiyar rawa. Tana bayanin cewa an zub da jini, tun da canje-canje a wannan alamar zata iya taimakawa wajen ganewar cututtuka da dama. Wanne ne, muna la'akari da kasa.

Pancreatic lipase - abin da yake da shi? Wannan enzyme samar da pancreas, wanda "hadarurruka" triglycerides cikin glycerol kuma mafi girma m acid. Yawancin lokaci shi ya ragargaza namomin kaza mai bile-emulsified.

Ayyukan lipase a jikin

Bugu da ƙari, raunin fats, lipase ya shiga aikin makamashi, kuma ya dauki kashi a cikin assimilation of acid fatty polyunsaturated har ma wasu bitamin - musamman, A, D, E, K.

1. Hepatic lipase ne ke da alhakin tsarin maganin lipid a cikin plasma. Yana inganta yaduwar chylomicrons da lipoproteins marasa ƙarfi.
2. Gastric lipase ne ke da alhakin karfafawa da tsagewar man fetur.
3. Lingual lipase.
   

Rawanin Lipase

Ana gudanar da bincike ga lipase a lokuta biyu:

1. Domin gane pancreatitis (kumburi da prostate).
2. Don tantance tasirin maganin pancreatitis.

An gwada gwajin jini ga lipase da ƙari don ganewar asali na mummunan pancreatitis fiye da tabbatar da amylase cikin jini. Duk da haka, a cikin daga baya, saukarwa na m pancreatitis matakin lipase za a iya rage. A cikin cututtuka da ba'a da ƙananan cuta (wanda ake kira "mumps"), matakin ya kasance a cikin iyakokin al'ada kuma yana ƙaruwa ne kawai idan cutar tana rinjayar pancreas. Wannan shi ne yiwu kuma a m ko na kullum koda cuta, ko da yake amylase karuwa ne mafi pronounced a cikin wannan harka. Don haka, mun dubi wani enzyme da ake kira "lipase" - abin da yake da kuma abin da yake aiki a cikin jiki. Bari mu zauna kan nazarin jini don lipase.

Yadda za'a shirya don bincike?

Jinin da aka sallama yana da kyau a ciki, za ku iya sha ruwa kawai kafin ku wuce gwajin. Bayan cin abinci na ƙarshe ya kamata a dauki akalla 8-12 hours. Zai fi kyau a yi haka kafin fara magani ko 1-2 makonni bayan an janye su. Idan wannan ba zai yiwu ba, kafin a bayar da jini ya kamata a ruwaito akan abin da ake amfani da kwayoyi.

Ranar kafin shan jini, ya kamata ku zauna a kan abinci marar sauƙi - don kawar da mudu, da soyayyen abinci, kayan abinci mai zafi, da barasa, da kuma guje wa jiki. Ana bada shawara don bayar da gudummawar jini kafin a gudanar da wasu nazarin - walƙiya, rediyo - ko hanyoyin aikin likita.

Halin yanayin lipase cikin jini

Alamar cututtuka da dama shine lakaran enzyme lipase, wanda al'ada a cikin maza da mata yafi kusan iri ɗaya. A cikin tsofaffi, wato, mutanen da suka kai shekarun 18 - daga 0 zuwa 190 raka'a. Yara (har zuwa shekaru 17) an dauke su da kayan lipase na 0 zuwa 130 raka'a.

Mene ne karuwa a matakin lipase cikin jini?

Mene ne karuwa a matakin matakin enzyme da ake kira lipase? Tsarin al'ada ya nuna cewa duk abin da yake tare da pancreas, amma idan an ƙara ƙididdigar, wannan na iya nuna cututtuka masu zuwa:

1. Ƙananan pancreatitis ko exacerbation na cutar da ke faruwa a lokaci-lokaci.
2. Biliary colic.
3. Kwanan tsofaffin cututtuka na gallbladder.
4. Raunin Pancreatic.
5. Gabatar da neoplasms a cikin pancreas.
6. Tsuntsaurar da ducts na pancreas (dutse ko scar).
7. Cutar cholestasis na intrahepatic (da ragewa a cikin bile a cikin duodenum).
8. Hanyar hanji na hanji mai zurfi.
9. Infarction na hanji.
10. Peritonitis (kumburi na peritoneum).
11. A perforated ulcer na ciki.
12. Tsayar da gawar marar tsarki.
13. Harkokin cututtuka na asibiti, m ko na kullum.
14. Magungunan cututtuka ("mumps"), wanda ya haifar da pancreas.
15. Rashin ciwon gurguntaccen abu, wanda yawanci ana kiyaye shi da gout, ciwon sukari, kiba.
16. Cirrhosis na hanta.

Kuma wasu lokuta lipase yana ƙaruwa tare da gwanin jiki da kuma dogon lokaci na maganin magunguna, kamar su barbiturates, narcotic analgesics, indomethacin, heparin.

Launiyar lipase ƙara ƙaruwa da kuma raunin kasusuwa na kasusuwa. Duk da haka, tun da binciken bincike na lipase ba zai iya samar da bayanan da suka dace game da lalacewar jiki ba, ba a la'akari da wannan fassarar a cikin ɓarna.

Amma a lokacin da ake shafa pancreas, bincike ga lipase da amylase yana da matukar muhimmanci. Sakamakon haɗuwa da juna tare da babban mataki na daidaito yana nuna wani tsari na pathological faruwa a cikin kwayoyin gland. Yayin da aka kwatanta yanayin rashin lafiya, matakin amylase ya dawo cikin sauri fiye da matakin lipase.

Dalilin wani digo a jini lipase

Idan an saukar da lipase, yana da rahoton matsalolin kamar:

1. Cin gaban kowane ciwon daji ba tare da ilimin ilimin kimiyya na pancreas ba.
2. Ƙananan triglycerides, wanda ya faru tare da rashin abinci mai gina jiki, musamman ma yawan ciwon ƙwayoyi.
3. Canji na pancreatitis zuwa wani lokaci na kullum.

Lipase a cikin shirye-shiryen enzyme

Jirginmu yana samar da enzymes abinci don samar da sunadarai, fats da carbohydrates (manyan su ne amylase, lipase da protease). Duk da haka, a cikin sauƙin rage cin hanci (ƙananan enzymatic), ƙwayar cuta da sauran cututtuka na pancreas, kwayoyi masu dauke da enzymes na dabba an umarce su, suna cikin harsashi, saboda haka ana kiyaye su ko daga karuwar acidity na ruwan 'ya'yan itace. Samun duodenum, an kunna su a cikinta. Sau da yawa, an ba da izinin ƙwayoyin enzymes ta gajere, amma akwai lokuta idan sun sha tsawon lokaci. Zaman ci gaba da ciwon enzymes zai iya kasancewa tare da wani ƙananan aiki a cikin aiki, amma bayan an dakatar da miyagun ƙwayar aikin. Daga cikin mahaukacin ƙwayar da ake kira "Creon", "Festal", "Mezim", "Pancreaticum", "Pansinorm" da wasu magungunan, babban abin da ke aiki shine pancreatin. Ya ƙunshi protease, lipase, amylase. Matsayin lipase a ɗayan kwamfutar hannu ya fi yadda sauran enzymes ke. Wannan shi ne saboda gaskiyar cewa lipase, idan aka kwatanta da sauran enzymes, jiki ne ya samar da shi a kalla adadin lokacin da cutar ta auku. Ba cewa an saukar da lipase a cikin jiki, abun ciki a cikin shirye-shirye ba a kasa da nau'in raka'a na 10. (ED) ba.

Shirye-shiryen enzyme yana cikin mafi yawan lokuta mai lafiya ga jiki. Sau da yawa sukan yi tasiri wajen maganin maganin maganin rigakafin kwayoyi, tare da maganin rigakafi da kwayoyi, da kuma bitamin da sauransu.