E ʻike kākou e pili ana i kou pae AST. (Aspartate Transferase - AST) He aha ke ʻano o ia mea?

Ua ʻike paha ʻoe i kahi waiwai i kapa ʻia ʻo AST ma kahi hōʻike hoʻāʻo koko, a lohe paha i ke kauka e kamaʻilio ana e pili ana i ia mea. No laila, ke noʻonoʻo nei paha ʻoe, "He aha ka manaʻo o AST?" Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i ia mea. E like me kāu e kamaʻilio ai me kahi hoaaloha.

He aha ka AST? I ka ʻōlelo maʻalahi...

ʻO AST ka inoa pōkole no ka enzyme Aspartate Transferase . I kekahi manawa ua kapa ʻia ʻo Aspartate Aminotransferase . I kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha kēia enzyme?"

E noʻonoʻo, aia kekahi mau mea hana liʻiliʻi i loko o ko kākou kino e kōkua ana i nā mea like ʻole e hana pono. Pēlā nō nā enzymes . He ʻano protein maoli lākou. Loaʻa kēia enzyme i kapa ʻia ʻo AST ma nā wahi he nui o ko kākou kino. Loaʻa nui ia ma ke akepaʻa . Akā eia kekahi, loaʻa kēia enzyme AST ma nā ʻiʻo ʻē aʻe e like me ka puʻuwai, ka lolo, ka pancreas, nā puʻupaʻa, a me nā ʻiʻo. Eia naʻe, ʻo ka hapa nui o ka manawa, ke kamaʻilio mākou e pili ana i ka AST, pili pinepine ia i ke olakino o ko kākou akepaʻa.

No laila he aha ka hoʻāʻo koko AST?

ʻO ka hoʻāʻo koko AST ke ana i ka nui o AST i loko o kou koko. ʻO ka maʻamau, ke hōʻino ʻia nā hunaola o ko mākou kino, hiki i kēia enzyme AST ke hōʻiliʻili i loko o ke koko. No laila, ʻo ke kiʻekiʻe o ka pae AST i loko o kahi hāpana koko he hōʻailona ia he hewa paha kekahi mea i loko o ke kino. I ka manawa pinepine (akā ʻaʻole i nā manawa a pau) hiki i kēia ke lilo i maʻi akepaʻa.

Eia naʻe, ʻaʻole i loaʻa wale ka AST i loko o ke akepaʻa. No laila, he mea paʻakikī i ke kauka ke haʻi pololei i ke ʻano o ka maʻi āu i loaʻa ai ma muli o nā pae AST wale nō. I ka manawa pinepine, hana ʻia ka hoʻāʻo AST me kekahi mau hoʻāʻo ʻē aʻe. No ka laʻana, hana ʻia ia ma ke ʻano he ʻāpana o kahi panel enzyme ate (HFP) a i ʻole kahi panel metabolic piha (CMP) . Hiki iā ʻoe ke ana i nā mea he nui i loko o hoʻokahi hāpana koko a loaʻa kahi kiʻi piha o kou olakino.

He mau inoa ʻē aʻe ko ka hoʻāʻo AST:

• ʻO ka Aspartate transferase (AST).
• ʻO ka Aspartate aminotransferase (AST).
• ʻO ka Glutamic-Oxaloacetic Transaminase Serum (SGOT).
• SGOT.
• ʻO ka aspartate transaminase.

He aha ka ʻokoʻa ma waena o AST a me ALT?

Ua lohe paha ʻoe i kekahi waiwai ʻē aʻe i kapa ʻia ʻo ALT me AST. ʻO ALT (Alanine Transferase) kekahi enzyme i ana ʻia i loko o ke akepaʻa. Hoʻokuʻu ʻia kēia mau mea ʻelua i loko o ke koko ke hōʻino ʻia nā hunaola akepaʻa.

Eia naʻe, ʻaʻole e like me AST, ʻo ALT kahi enzyme i loaʻa nui i loko o ke akepaʻa. Loaʻa ka AST ma nā wahi ʻē aʻe o ke kino. No laila, ua manaʻo ʻia nā pae ALT kiʻekiʻe he hōʻailona kikoʻī o ka maʻi akepaʻa ma mua o nā pae AST kiʻekiʻe . Eia naʻe, ke nānā nei ke kauka i ke olakino o ke akepaʻa, nānā pinepine lākou iā AST a me ALT.

No ke aha e pono ai iaʻu kahi hoʻāʻo AST?

ʻO ke kumu nui o ka hoʻāʻo AST ka ʻike ʻana i nā hōʻino i nā cell i loko o ko kākou kino. Kōkua kēia i ka ʻike ʻana i nā pilikia o ke akepaʻa, ʻoiai inā ua hōʻino ʻia nā cell i loko o ke akepaʻa, ʻoiai e hōʻiliʻili ana ka AST i loko o ke koko. Eia kekahi, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke hoʻokiʻekiʻe ʻia nā pae AST ʻoiai inā ua hōʻino ʻia nā cell ma kahi ʻē aʻe o ke kino.

Hiki i ke kauka ke noi iā ʻoe e hana i kahi hoʻāʻo AST (pinepine ma ke ʻano he ʻāpana o kahi panela) no nā kumu e like me:

1. Nānā ma mua o ka ʻike ʻia ʻana o nā hōʻailona

Aia kekahi poʻe i ka pilikia nui o ka loaʻa ʻana o nā maʻi akepaʻa. Inā loaʻa iā ʻoe kekahi o kēia mau kumu pilikia, hiki iā ʻoe ke hana i kēia hoʻāʻo e nānā i ke olakino o kou akepaʻa ma mua o ka puka ʻana o nā hōʻailona. ʻO kēia mau kumu pilikia:

• Ka hoʻohana nui ʻana i ka waiʻona.
• Loaʻa ka maʻi akepaʻa i loko o ka ʻohana.
• Ka maʻi diabetes.
• Ka momona (ka nui o ka momona o ke kino).
• Ke hoʻokomo ʻana i nā lāʻau lapaʻau me nā nila i hoʻohana ʻia e haʻi.

I kekahi manawa, hoʻokomo ʻia kahi hoʻāʻo AST i loko o kahi Comprehensive Metabolic Panel (CMP) ma ke ʻano he ʻāpana o ka nānā olakino maʻamau, no laila pono paha ʻoe e hana i kēia hoʻāʻo ʻoiai inā ʻaʻole ʻoe i pilikia no ka maʻi akepaʻa.

2. E nānā i ke kūlana (Nānā ʻana)

Inā loaʻa iā ʻoe ka maʻi akepaʻa, hiki i kāu kauka ke kauoha i kēia hoʻāʻo AST e ʻike inā e hoʻomaikaʻi ana, e ʻoi aku ka ʻino, a i ʻole pehea ka maikaʻi o ka hana ʻana me ka lāʻau. Eia kekahi, inā ʻoe e lawe ana i ka lāʻau lapaʻau e hiki ke hoʻopilikia i ke akepaʻa, hana ʻia kēia hoʻāʻo e ʻike inā ke hōʻino nei ka lāʻau i ke akepaʻa.

3. Ma ke ʻano he kōkua i ka hōʻoia ʻana (Diagnosing)

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi akepaʻa, hiki ke hoʻokomo ʻia kahi hoʻāʻo AST i nā hoʻokolohua e kōkua i ka ʻike ʻana. ʻOiai ʻaʻole hiki i nā pae AST wale nō ke ʻike i kahi maʻi, he ʻāpana koʻikoʻi lākou o ke kaʻina hana ʻike.

ʻO kekahi o nā hōʻailona o ka maʻi akepaʻa:

• Ka luaʻi a me/a i ʻole ka luaʻi ʻana.
• ʻEha ʻōpū (ʻeha ʻōpū).
• ʻIli ʻānai.
• Jaundice (melemele o ka ʻili a me nā keʻokeʻo o nā maka).
• Ka luhi pinepine ʻana (fatigue).
• ʻAʻohe ʻono o ka meaʻai.

ʻO wai ka mea e hana i ka hoʻāʻo koko AST? Pehea e hana ʻia ai?

ʻO ka maʻamau, ʻo ke kanaka i hoʻomaʻamaʻa kūikawā ʻia e lawe i nā hāpana koko, i kapa ʻia he phlebotomist, e lawe i kēia hāpana koko. Eia nō naʻe, hiki i kekahi mea mālama ola kino i hoʻomaʻamaʻa ʻia e lawe i ke koko ke hana i kēia. A laila hoʻouna ʻia ka hāpana i kahi lab. Ma laila, nānā kahi ʻepekema keʻena lapaʻau i ka hāpana a ana i ka pae AST me ka hoʻohana ʻana i nā mīkini kūikawā (nā mea kālailai).

Aia kekahi mea e pono iaʻu e hana ma mua o ka hoʻokolohua?

• Ka Hoʻokē ʻai: Inā ʻo kāu hoʻāʻo AST he ʻāpana o kahi Comprehensive Metabolic Panel (CMP), e noi ʻia paha ʻoe e hoʻokē ʻai (ʻaʻole e ʻai a inu paha i kekahi mea koe wale nō ka wai) no 10-12 mau hola ma mua o kāu hoʻāʻo koko. Eia nō naʻe, inā ʻo ka hoʻāʻo AST wale nō a i ʻole kahi Hepatic Function Panel (HFP) wale nō kāu, ʻaʻole pono ʻoe e hoʻokē ʻai. Eia nō naʻe,E hahai pono i nā ʻōlelo a kāu kauka.
• ʻIke Lāʻau Lapaʻau: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā mea hoʻohui āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā pae AST. Hiki i kāu kauka ke noi iā ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ka hoʻāʻo ʻana, ke ʻole ʻoe e haʻi ʻia. Mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.

He aha ka mea e hana ʻia ke hāʻawi ʻoe i ke koko?

He mea maʻalahi loa kēia.

• E noho ʻia ʻoe ma luna o kahi noho. A laila e loaʻa kahi aa kūpono ma kou lima (ma lalo o ke kuʻekuʻe lima, ma loko).
• Ke loaʻa ka aʻa koko, hoʻomaʻemaʻe ʻia a disinfect ka wahi.
• A laila, hoʻokomo ʻia kahi nila liʻiliʻi i loko o kēlā aa koko a lawe ʻia kahi hāpana koko. Hiki ke ʻeha iki kēia, e like me ke nahu ʻia e kahi ʻanuʻu.
• Ma hope o ke hoʻokomo ʻana i ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi ʻōmole hoʻāʻo.
• Ma hope o kou hōʻiliʻili ʻana i ke koko lawa no ka hoʻāʻo ʻana, e wehe i ka nila a kaomi i kahi o ke kahe ʻana o ke koko me kahi ʻāpana pulupulu a gauze paha e hoʻōki i ke kahe ʻana o ke koko.
• A laila hoʻopili ʻia kahi plaster i ka wahi a ua pau ka hana.

ʻO ka maʻamau, ʻaʻole iʻoi aku ma mua o ʻelima mau minuke kēia kaʻina hana holoʻokoʻa.

He aha ka mea e hana ma hope o ka hāʻawi ʻana i ke koko?

Ma hope o ka hoʻouna ʻia ʻana o ke koko i ka hale hana, e loaʻa nā hopena ma kahi o hoʻokahi a ʻelua paha lā. I kekahi manawa hiki ke lōʻihi iki. E haʻi aku kāu kauka iā ʻoe e pili ana i nā hopena ke hiki mai.

Aia kekahi pilikia i loko o kēia?

He hoʻāʻo maʻamau a koʻikoʻi nā hoʻāʻo koko. Haʻahaʻa loa nā pilikia. Aia paha kekahi mau palapū a me ka ʻeha ma kahi i huki ʻia ai ke koko. Akā e nalo koke ana kēlā.

He aha ka manaʻo o nā hopena o ka hoʻāʻo AST?

ʻO ka maʻamau, aia i loko o kahi hōʻike hoʻāʻo koko nā ʻike e pili ana me nā hopena AST:

• ʻO ka inoa o ka hoʻāʻo koko (ʻo AST ka inoa).
• ʻO ka nui (waiwai) o AST i loko o kou koko.
• ʻO ka pae maʻamau no kēlā hoʻāʻo.
• Inā he maʻamau a ʻano ʻē paha kāu hopena (kiʻekiʻe a haʻahaʻa paha).

He aha ka pae maʻamau no AST?

Hiki ke ʻokoʻa iki ka pae maʻamau no ka AST mai kekahi keʻena hoʻokolohua a i kekahi. ʻO ka pae maʻamau maʻamau he 8 a 33 U/L (nā ʻāpana/lita) . Eia nō naʻe, he mea nui e nānā i ka pae maʻamau ma kāu hōʻike.

Eia kekahi, e hoʻomanaʻo, ʻaʻohe pae AST "maʻamau" hoʻokahi e kūpono no nā mea āpau. Hiki ke ʻokoʻa kahi pae AST olakino ma muli o nā mea e like me:

• kou mau makahiki.
• Kou ʻano wahine/ʻano kāne.
• Kou lāhui.
• Kou kaumaha.

E noʻonoʻo kāu kauka i kēia mau mea a pau a hoʻoholo i kāu hopena.

He aha ke ʻano inā kiʻekiʻe koʻu pae AST?

Inā kiʻekiʻe ka pae AST, he hōʻailona paha ia o ka maʻi ate.Inā he ʻano ʻē kekahi mau hoʻāʻo koko ʻē aʻe, ʻoiai nā mea e pili ana i ke akepaʻa, ʻoi aku ka nui o ka maʻi o ke akepaʻa iā ʻoe. Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke hoʻokiʻekiʻe ʻia nā pae AST inā ua hōʻino ʻia nā cell ma nā wahi ʻē aʻe o ke kino, ʻoiai ma ke akepaʻa.

Hiki i nā pae AST kiʻekiʻe ke hōʻike i nā maʻi ate e like me:

• Ka hōʻino ʻana o ke akepaʻa i hana ʻia e ka waiʻona.
• Hepatitis.
• ʻO ka ʻeha o ke akepaʻa (Cirrhosis).
• ʻO ka lawe ʻana i nā lāʻau lapaʻau e ʻinoʻino (ʻawahia) i ke akepaʻa.
• He puʻupuʻu akepaʻa a i ʻole ke kanesa akepaʻa.
• Hoʻemi ʻia ke kahe koko i ke akepaʻa (Liver Ischemia) (hiki i kēia ke make nā ʻiʻo o ke akepaʻa).

Eia kekahi, ʻo nā kūlana i pili ʻole i ke akepaʻa hiki ke hoʻonui i nā pae AST:

• Ka hōʻiliʻili nui ʻana o ka hao i loko o ke kino (Hemochromatosis) (hōʻino kēia i ka puʻuwai, ke akepaʻa, a me ka pancreas).
• ʻO ka hōʻeha puʻuwai (Myocardial Infarction).
• ʻO ka mononucleosis kahi maʻi kuni.
• Nā maʻi ʻiʻo.
• Ka mumū o ka pancreas (Pancreatitis).

Ma waho aʻe o kēia mau mea, hiki i nā pae AST ke hoʻonui iki ma hope o nā hanana e like me:

• Nā kuni hohonu.
• Nā ʻōhūhū.
• Nā ʻoki kino a i ʻole nā ​​​​kaʻina hana e pili ana i ka puʻuwai.
• ʻOki kino.
• Hoʻoikaika kino ikaika.
• Inā hāpai ʻoe.

ʻO ka mea nui, ʻo ka pae AST kiʻekiʻe ʻaʻole ia he manaʻo he maʻi koʻikoʻi kou. Hiki i nā kumu ʻē aʻe ke hoʻopilikia i kēia. E nānā kāu kauka i nā hoʻokolohua koko ʻē aʻe, kou mōʻaukala olakino, a me nā mea āpau e hana ai i kahi hopena.

Pono anei au e hopohopo inā kiʻekiʻe kaʻu hopena AST?

Inā ʻoi aku ke kiʻekiʻe o kou pae AST ma mua o ka pae maʻamau i hāʻawi ʻia ma kāu hōʻike hoʻāʻo AST, ʻaʻole ia he manaʻo he maʻi kou e pono ai ka mālama ʻana. ʻOiai kekahi kanaka me ke akepaʻa olakino a hana maikaʻi, hiki ke loaʻa kahi pae AST ma waho o ka pae maʻamau. Hiki i kēia ke kumu no nā kumu he nui, no ka laʻana:

• kou mau makahiki.
• Kou ʻano wahine/ʻano kāne.
• Kou lāhui.
• Kāu ʻai.
• Hoʻoikaika kino.
• ʻO ka lawe ʻana i nā lāʻau lapaʻau e hoʻopilikia ai i nā pae AST.
• Ua hāpai ʻoe.

E noʻonoʻo kāu kauka i kēia mau mea āpau, me kāu mau hopena hoʻāʻo koko ʻē aʻe, a hoʻoholo inā pono ʻoe i ka hoʻāʻo hou aku.

Inā ʻaʻole like kaʻu mau hopena AST, pono anei iaʻu e hana i nā hoʻokolohua hou aʻe?

ʻAe, inā ʻaʻole kūpono kou pae AST, hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua hou aʻe. ʻO kēia mau hoʻokolohua:

• E hana hou i ka hoʻāʻo koko AST.
• Nā hoʻāʻo koko ʻē aʻe (e.g. ALT, Bilirubin).
• Nā hoʻāʻo kiʻi (e.g. Ultrasound scan).
• He biopsy.

Āhea wau e kāhea aku ai i ke kauka?

• Inā loaʻa iā ʻoe nā hōʻailona o ka hōʻino ʻia o ke akepaʻa (e like me ka jaundice, ka ʻeha o ka ʻōpū), e kāhea koke aku i kāu kauka.
• Inā ʻike mua ʻoe he maʻi akepaʻa kou, e haʻi i kāu kauka inā loaʻa iā ʻoe nā hōʻailona hou a hopohopo paha.
• Inā he mau nīnau kāu e pili ana i kāu mau hopena AST, mai makaʻu e nīnau i kāu kauka.

ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)

He mea maʻamau ke hopohopo iki ke ʻike ʻoe i kahi waiwai kūpono ʻole ma kahi hōʻike hoʻāʻo koko. Akā e hoʻomanaʻo, ʻoiai ua kiʻekiʻe kou pae AST, ʻaʻole ia he manaʻo he maʻi kou a pono paha ka lāʻau lapaʻau. Hiki i nā kumu he nui ke hoʻopilikia i nā pae AST. Ma kahi o hoʻokahi i loko o 20 mau kānaka olakino e loaʻa paha nā hopena ma waho o ka pae maʻamau.

Na kāu kauka e hoʻoholo inā pono ʻoe e hana i kekahi mau hoʻokolohua hou aʻe e ʻike ai i ke kumu o kēia waiwai kūpono ʻole. No laila, mai makaʻu e kamaʻilio me kāu kauka e pili ana i kēia. Aia lākou ma laila e kōkua iā ʻoe. Ua maopopo iā ʻoe?

AST , akepaʻa, nā enzymes, hoʻāʻo koko, SGOT, maʻi akepaʻa, nānā olakino