He ʻōkana koʻikoʻi loa ke akepaʻa i loko o ko kākou kino, ʻeā? Ua like ia me kahi hale hana liʻiliʻi i loko o ko kākou kino. No laila, aia nā hoʻāʻo koko kūikawā i hana ʻia e nānā inā e hana maikaʻi ana kēia hale hana a ʻaʻole paha. ʻO ia ka mea a mākou e kapa nei he 'nā hoʻāʻo hana akepaʻa' a i ʻole nā hoʻāʻo hana akepaʻa (LFTs) . Hiki i kēia ke hāʻawi i kā mākou mau kauka i ka ʻike nui e pili ana i ke olakino o kou akepaʻa.
No ke aha e hana ʻia ai kēia mau hoʻokolohua hana ate (LFTs)?
ʻAe, ke noʻonoʻo nei paha ʻoe, 'No ke aha e hana ai i kēia LFT?' Hiki ke loaʻa kekahi mau kumu.
Makemake paha kāu kauka e nānā inā he maʻi akepaʻa kou, e like me ka hepatitis, āu e kānalua nei. A i ʻole, inā loaʻa iā ʻoe kahi maʻi akepaʻa, hiki i kēia hoʻāʻo ke kōkua i ka ʻike ʻana i kona holomua ʻana, a inā paha e hana ana ka lāʻau. ʻO kekahi mea ʻē aʻe, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ke akepaʻa. Inā ʻoe e lawe ana i ia mau lāʻau lapaʻau, hoʻohana ʻia kēia mau LFT e nānā inā e hoʻopilikia ana lākou i kou akepaʻa.
He aha nā ʻano nui o nā hoʻokolohua hana ate?
I ka ʻōlelo maʻalahi, ke ana nei kēia hoʻāʻo LFT i kekahi mau mea mai kahi hāpana o kou koko. ʻOiai me kahi hāpana koko hoʻokahi, hiki iā ia ke hāʻawi i ka ʻike e pili ana i nā ʻano enzymes a me nā protein i hana ʻia e ke akepaʻa. E nānā kākou i nā mea nui i ana ʻia?
Hoʻāʻo ʻana i nā enzymes ate
Nānā kēia hoʻāʻo i kekahi mau ʻano enzyme i loko o kou ake. No ka laʻana, ʻo nā enzyme e like me ka alkaline phosphatase (ALP) , alanine transaminase (ALT) , aspartate aminotransferase (AST) , a me ka gamma-glutamyl transferase (GGT) nā mea nui. Inā he pōʻino a ʻeha paha i ke ake, e piʻi aʻe nā pae o kēia mau enzyme i loko o ke koko.
Hoʻāʻo protein holoʻokoʻa
Ke ana kēia i ka pae o ka protein i loko o kou koko. Ua ʻike anei ʻoe? Hana ʻia nā protein e pono ai ko kākou kino e ke akepaʻa. No laila, inā haʻahaʻa ka pae protein, hiki ke hōʻike ʻia ʻaʻole hana pono ke akepaʻa.
Hoʻāʻo Bilirubin
He huahana ʻōpala ʻo Bilirubin . Hoʻouna ke akepaʻa iā ia i ka ʻōpū pehu. ʻO ka hoʻonui ʻia o kona nui, ʻo ia hoʻi he hewa paha kekahi mea me ke akepaʻa.
Hoʻāʻo LDH
He enzyme nō hoʻi ka Lactate Dehydrogenase (LDH) . Loaʻa ia i loko o nā ʻiʻo he nui i loko o ko kākou kino, me ke akepaʻa. Hōʻike pū kona pae i kekahi mea e pili ana i ke olakino o ke akepaʻa.
Hoʻāʻo Manawa Prothrombin (PT)
Ana kēia hoʻāʻo i ka lōʻihi o ka manawa e pono ai no kahi hāpana o kou koko e hoʻopili. Hana pū ke akepaʻa i nā protein e pono ai no ke kāpili ʻana o ke koko. No laila , inā lōʻihi ka manawa, hiki i kēlā ke hōʻike i kekahi nāwaliwali o ka hana o ke akepaʻa.
E like me kēia mau hoʻokolohua āpau, hoʻokomo ʻia lākou i kekahi manawa ma ke ʻano he ʻāpana o kahi pūʻolo hoʻāʻo koko i kapa ʻia ʻo Comprehensive Metabolic Panel, kahi i hana pinepine ʻia.
He aha kā mākou e aʻo ai mai kēia mau hoʻokolohua?
E noʻonoʻo i kēia hōʻike LFT ma ke ʻano he moʻolelo mākaʻi. Hiki i kāu kauka ke haʻi iā ʻoe i nā mea he nui ma ka nānā ʻana i nā waiwai like ʻole a me nā lakio i loko. Eia kekahi laʻana:
- Loaʻa iā ʻoe ka hepatitis, kahi mumū o ke akepaʻa?
- Inā he ʻano mumū kēlā, ke kumu o ka hoʻohana ʻana i ka waiʻona, a i ʻole ma muli o kekahi kumu metabolic ʻē aʻe?
- Aia ka pilikia i loko o ke akepaʻa ponoʻī, a i ʻole i loko o nā ʻauwai bile?
- Ua pilikia anei ka hana o ke akepaʻa? Inā pēlā, i ka nui hea?
- Aia kekahi mea e ālai ana i ke kahe ʻana o ka bile? Inā pēlā, pehea kona ʻano?
- Ua hoʻopilikia anei kekahi o nā lāʻau lapaʻau āu e lawe nei i kou akepaʻa? Inā pēlā, i ka nui hea?
Hāʻawi kēia mau LFT i nā hōʻailona e pili ana i nā mea he nui.
Pehea e hana ʻia ai kēia mau hoʻāʻo ate (LFT)?
He mea maʻalahi loa ia. Lawe ʻia kahi hāpana koko liʻiliʻi mai kahi aʻa koko ma kou lima. A laila hoʻouna ʻia i kahi keʻena hoʻokolohua a hoʻāʻo ʻia. Ma laila, nānā lākou e ʻike inā he kiʻekiʻe a haʻahaʻa paha nā pae o nā mea like ʻole. I ka manawa pinepine, hoʻohālikelike pū lākou i nā pae o nā enzyme a i ʻole nā protein like ʻole. No ka mea, inā hoʻololi ʻia kēlā kaulike, maʻalahi ke hoʻomaopopo he hewa kekahi mea me ke akepaʻa.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
Hiki iā ʻoe ke hana i kēia hoʻāʻo ma kahi haukapila a i ʻole kahi keʻena hoʻokolohua kūikawā. E koho mua ke loea i kahi aʻa kūpono ma kou lima a hoʻomaʻemaʻe i ka wahi. Hiki iā lākou ke hoʻopili i kahi kāʻei hoʻopaʻa i ka lima o luna e kōkua i ke aʻa e kū maikaʻi aʻe. A laila, hoʻokomo ʻia kahi nila liʻiliʻi i loko o ke aʻa a hōʻiliʻili ʻia ka nui o ke koko e pono ai i loko o kahi vial liʻiliʻi. He mau minuke wale nō kēia, ʻaʻole lōʻihi ka manawa. Mai hopohopo, e like me he mea lā e nahu ana kahi ʻanuʻu liʻiliʻi iā ʻoe, ʻo ia wale nō.
Ma hope o ka hoʻāʻo ʻana?
Ma hope o ke kaha ʻia ʻana o ke koko, hoʻouna ʻia ka hāpana i kahi keʻena hoʻokolohua no ka nānā ʻana. Inā aia ka keʻena hoʻokolohua ma ka haukapila a i ʻole ka hale hoʻokolohua like, hiki ke loaʻa koke nā hopena. Loaʻa paha i loko o kekahi mau hola a i ʻole kekahi mau lā. Inā ʻaʻole ʻoe e manaʻo i ka nāwaliwali ma hope o ka hāʻawi ʻana i ke koko, hiki iā ʻoe ke hoʻi i ka home, lawe i kāu mau lāʻau lapaʻau maʻamau, a loaʻa kahi meaʻai māmā a mea inu paha.
Pehea e maopopo ai iaʻu ka mea i loko o kaʻu hōʻike LFT?
Ke loaʻa iā ʻoe kāu hōʻike LFT, e ʻike ʻoe i nā waiwai no nā mea like ʻole. Hiki iā ʻoe ke hoʻohālikelike iā lākou i ka pae maʻamau a ʻike inā kiʻekiʻe a haʻahaʻa paha kāu mau waiwai. Akā he aha ka manaʻo maoli o kēia mau helu?He mea pono iki ka ʻike e hoʻomaopopo ai i kēlā. No laila, e wehewehe kāu kauka i nā hopena iā ʻoe a aʻo iā ʻoe pehea e heluhelu ai iā lākou. Mai hana i nā hoʻoholo nui ma muli o kēia mau hopena wale nō, ʻeā? ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka.
"ʻO ka mea nui, ʻo kahi hōʻike LFT hoʻokahi wale nō ʻāpana o ka puzzle. Pono paha ke kauka i ka ʻike hou aku e ʻike i ke kiʻi piha."
He aha nā pae maʻamau no nā hoʻokolohua ate? (He aha nā pae maʻamau no nā LFT?)
He mea nui nō hoʻi kēia. Hiki ke ʻokoʻa nā pae maʻamau mai kēlā kanaka a kēia kanaka. ʻO ke ʻano kēia, hiki ke ʻokoʻa iki kēia mau waiwai ma muli o nā mea e like me ke kāne, ka nui o ke kino, a mai ka hale hana a i ka hale hana. No laila, pono ʻoe e hoʻohālikelike i kāu mau waiwai i ka 'pae maʻamau' i helu ʻia ma kāu hōʻike.
Eia nō naʻe, eia kekahi mau waiwai maʻamau ( no ka ʻike maʻamau wale nō kēia, e ʻoluʻolu e nānā i ka 'Normal Range' kikoʻī ma kāu hōʻike):
- Alanine Transaminase (ALT): 0 a 45 IU/L (Nā ʻĀpana Honua no ka Litera)
- ʻAspartate aminotransferase (AST): 0 a 35 IU/L
- ʻO ka phosphatase alkaline (ALP): 30 a 120 IU/L
- Gamma-glutamyl transferase (GGT): 0 a 30 IU/L
- Bilirubin: 2 a 17 micromoles/L (micromoles no ka lita)
- Ka manawa Prothrombin (PT): 10.9 a 12.5 kekona
- Albumin: 40 a 60 g/L (grams no ka lita)
- Nā protein āpau: 6.3 a 8.0 g/dL (grams no ka deciliter)
He aha ka manaʻo o ke kiʻekiʻe o ka AST a me ke kiʻekiʻe o ka ALT?
Inā kiʻekiʻe nā pae o nā enzymes AST a me ALT, he mea hiki ke hōʻino ʻia ke akepaʻa. Ke kaumaha ke akepaʻa, ʻo kēia mau enzymes nā mea e hoʻokuʻu ʻia i loko o ke koko. Inā like ka kiʻekiʻe ʻana o nā mea ʻelua, he mea hiki ke hōʻino ʻia ke akepaʻa e kekahi kumu ʻē aʻe ma mua o ka waiʻona (e.g., kahi maʻi, kekahi mea ʻawahia). Eia nō naʻe, inā ʻelua ka nui o ke kiʻekiʻe o ka pae AST ma mua o ka pae ALT, hōʻike pinepine ia i ka hōʻino ʻia o ke akepaʻa e ka waiʻona. Eia nō naʻe, he mau kuhi wale nō kēia, a ʻo ke kauka ke kanaka e haʻi pono.
He aha nā ʻano kūlana e hiki ai i nā hoʻāʻo hana ate (LFTs) ke kōkua i ka ʻike ʻana?
ʻAʻole paha e hiki i kēia mau hoʻāʻo koko wale nō ke ʻike maopopo i ke ʻano o ka maʻi akepaʻa āu. Eia nō naʻe, hiki iā lākou ke kōkua i kāu kauka e kāpae i nā kūlana ʻē aʻe. Pono paha ʻoe i nā hoʻāʻo hou aʻe e hana i kahi hōʻailona hope loa. No ka laʻana, nā hoʻāʻo kiʻi, kahi biopsy akepaʻa, a i ʻole kahi biopsy o kahi ʻāpana liʻiliʻi o kou akepaʻa.A i ʻole nā mea e like me nā hoʻāʻo koko e ʻike ai i nā maʻi kikoʻī.
Eia kekahi o nā kūlana e hiki ai i kēia mau LFT ke hōʻike:
- Maʻi ake momona
- Hepatitis ʻawahia
- ʻO ka maʻi hepatitis autoimmune
- Hepatitis viral (A, B a i ʻole C)
- Hemochromatosis - ka hōʻiliʻili nui ʻana o ka hao i loko o ke kino
- ʻO ka maʻi o Wilson - ka hōʻiliʻili nui ʻana o ke keleawe i loko o ke kino
- Ka hemahema o ka Alpha-1 antitrypsin
- ʻO ka cholangitis biliary mua (PBC)
- ʻO Cirrhosis - ka paʻakikī a me ka ʻeha o ke akepaʻa
- Ka maʻi ʻaʻai ate
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
No laila, ʻo kahi hoʻāʻo hana ate, a i ʻole LFT, he ala maʻalahi loa ia no ʻoe a me kāu kauka e aʻo ai e pili ana i ke olakino o kou ake. Inā paha e ʻimi ana i ka maʻi ake a i ʻole e ʻike ana inā he hopena ka lāʻau āu e lawe nei, hiki i kēia hāpana koko liʻiliʻi ke hāʻawi i ka ʻike he nui.
E hoʻomanaʻo, ʻaʻole lawa paha ka LFT wale nō e hana i kahi hōʻailona piha. Eia nō naʻe, hiki i ka ʻike āu e loaʻa ai mai kēia hoʻokolohua ke kōkua nui i ka hoʻoholo ʻana i nā ʻanuʻu e hana ai. No laila, inā ʻōlelo kāu kauka i kahi LFT, he mea naʻauao ke hana me ka makaʻu ʻole. Ua like kou akepaʻa me kou hoaaloha maikaʻi loa, a ʻo kou kuleana ke mālama pono iā ia!
ʻAke , Nā hoʻāʻo ʻana i ke ake, Hoʻāʻo hana o ke ake, LFT, Nā hoʻāʻo koko, Maʻi ake, Hepatitis
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