Urease test: chomwe chiri ndi momwe zimachitikira

Zamkati

• Momwe mayeso ayesedwera
• Momwe mungamvetsere zotsatira

Kuyezetsa kwa urease ndi kuyesa kwa labotale komwe kumagwiritsidwa ntchito kuzindikira mabakiteriya pozindikira michere yomwe mabakiteriya amatha kapena sangakhale nayo. Urease ndi enzyme yomwe imayambitsa kuwonongeka kwa urea kukhala ammonia ndi bicarbonate, yomwe imakulitsa pH ya malo pomwe ilipo, ikuthandizira kufalikira kwake.

Mayesowa amagwiritsidwa ntchito makamaka pakupeza matenda a Helicobacter pylori, kapena H. pylori, yomwe imayambitsa mavuto angapo, monga gastritis, esophagitis, duodenitis, ulcer ndi khansa yam'mimba, pachifukwa ichi. Chifukwa chake, ngati pali kukayikira kwa matenda mwa H. pylori, gastroenterologist amatha kuyesa urease nthawi ya endoscopy. Ngati ndi choncho, amayamba kulandira chithandizo mwachangu ndi cholinga choteteza matendawa kuti asamayambe bwino.

Momwe mayeso ayesedwera

Mayeso a urease akachitika monga labotale, sipakonzekera kukonzekera mayeso. Komabe, ngati atachitika endoscopy, ndikofunikira kuti munthuyo azitsatira malamulo onse oyesa mayeso, monga kupewa kugwiritsa ntchito mankhwala osokoneza bongo komanso kusala kudya kwa maola 8.

Kuyezetsa kwa urease kumachitika mu labotale pofufuza zomwe zasonkhanitsidwa, ndikudzipatula kwa tizilombo toyambitsa matenda ndikuyesa kwamankhwala am'magazi, pakati pawo kuyesa urease. Kuti ayesere, tizilombo tating'onoting'onoting'onoting'onoting'onoting'onoting'onoting'onoting'on timodzi timene timatulutsa katemera katemera ka urea kamene kamakhala ndi pH chizindikiro chofiira cha phenol. Kenako, amawunika ngati pali kusintha kwa mtundu wa sing'anga kapena ayi, zomwe zikuwonetsa kupezeka ndi kupezeka kwa mabakiteriya.

Pankhani yoyesa urease kuti mupeze matenda mwa H. pylori, kuyezetsa kumachitika panthawi yamayeso apamwamba, omwe ndi mayeso omwe amafufuza thanzi la m'mimba ndi m'mimba, osamupweteka kapena kumukhumudwitsa wodwalayo ndipo zotsatira zake zimatha kuyesedwa mumphindi zochepa. Pakufufuza, chidutswa chaching'ono cha khoma la m'mimba chimachotsedwa ndikuyika botolo lomwe munali urea ndi pH chizindikiro. Ngati patangopita mphindi zochepa sing'angayo amasintha mtundu, mayeserowa amanenedwa kuti ndi abwino, kutsimikizira kuti matendawa amapezeka H. pylori. Onani kuti ndi zisonyezo ziti zomwe zingawonetse matenda H. pylori.

Momwe mungamvetsere zotsatira

Zotsatira zakuyesa kwa urease zimaperekedwa kuchokera pakusintha kwamtundu wa sing'anga momwe mayeso akuyesedwera. Chifukwa chake, zotsatira zake zitha kukhala:

• Zabwino, bakiteriya yemwe ali ndi enzyme urease amatha kunyoza urea, kupangitsa kuti ammonia ndi bicarbonate, izi zikuwoneka posintha mtundu wa sing'anga, womwe umasintha kuchokera ku chikaso kukhala pinki / wofiira.
• Zoipa pamene palibe kusintha kwa mtundu wa sing'anga, zomwe zikusonyeza kuti bakiteriya alibe enzyme.

Ndikofunikira kuti zotsatirazi zitanthauzidwe mkati mwa maola 24 kuti pasakhale mwayi wazotsatira zabodza, zomwe ndi zomwe chifukwa cha ukalamba, urea imayamba kutsitsidwa, yomwe imatha kusintha utoto.

Kuphatikiza pakuzindikiritsa matenda mwa Helicobacter pylori, kuyezetsa kwa urease kumachitika kuti muzindikire mabakiteriya angapo, ndipo mayeso nawonso ndiabwino Staphylococcus saprophyticus, Staphylococcus epidermidis, Zotsatira za Proteus spp. ndipo Klebsiella pneumoniae, Mwachitsanzo.