Ua ʻōlelo anei kāu kauka iā ʻoe e hana i kahi hoʻāʻo koko AFP? Ke lohe ʻoe i ka inoa, makaʻu iki paha ʻoe, me ka noʻonoʻo ʻana, 'He hoʻāʻo anei kēia e ʻimi ai i ka maʻi kanesa?' He ʻoiaʻiʻo, he hoʻāʻo kēia i hoʻohana ʻia ma ke ʻano he māka puʻupuʻu. Akā, mai hopohopo. ʻAʻole i nā manawa a pau e kiʻekiʻe ai ka pae AFP, ʻo ia hoʻi he maʻi kanesa kou. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia hoʻāʻo AFP, no ke aha i hana ʻia ai, a pehea e maʻalahi ai ke hoʻomaopopo i ka mea a ka hōʻike e ʻōlelo nei.
He aha maoli ka Alpha-fetoprotein (AFP)?
I ka ʻōlelo maʻalahi, he ʻano protein ka AFP i loaʻa i loko o ko kākou koko. ʻO ka maʻamau, he liʻiliʻi loa ka nui o kēia protein AFP i loko o ke kino o kahi kanaka makua olakino. Hoʻopuka nui ʻia ia e ke akepaʻa o kahi pēpē i loko o ka ʻōpū. No laila, he mea maʻamau no ka makuahine hāpai ke loaʻa nā pae kiʻekiʻe o ka AFP i loko o kona koko.
Eia nō naʻe, inā kiʻekiʻe loa ka pae AFP i loko o ke koko o kahi pākeke, he hōʻailona ia e loaʻa ana paha kahi pilikia me kekahi mea i loko o ko mākou kino, ʻoi aku hoʻi me ke akepaʻa . Akā e hoʻomanaʻo, ʻo ka loaʻa ʻana o kahi pae AFP kiʻekiʻe ʻaʻole ia he manaʻo mau he maʻi koʻikoʻi kou. Hiki i kekahi poʻe olakino ke loaʻa iki ka AFP i loko o ko lākou kino ma mua o nā poʻe ʻē aʻe.
No ke aha ke noi nei ke kauka iā ʻoe e hana i kēia hoʻāʻo AFP?
Aia kekahi mau kumu e paipai ai kāu kauka i kēia hoʻokolohua. ʻOiai ʻaʻole hiki iā ia ke haʻi koke iā ʻoe i ke ʻano o ka maʻi āu, he ʻanuʻu koʻikoʻi loa ia i ke kaʻina hana hōʻoia.
| Kumu no ka hoʻāʻo ʻana | He wehewehe maʻalahi |
|---|---|
| No ka ʻike ʻana i ke kumu o kahi puʻupuʻu ma ke kino | Inā he puʻu kou i loko o kou ake, nā testicles, a i ʻole nā ovaries, hiki i kēia hoʻāʻo ke kōkua i ka ʻike ʻana i ke kumu. |
| E hoʻolālā i ka mālama ʻana i ka maʻi kanesa | Inā ua ʻike ʻia kekahi me ka maʻi kanesa, he mea nui ka ʻike ʻana i kēia pae AFP e hoʻoholo ai i ka lāʻau kūpono loa. |
| No ke ana ʻana i ka holomua o nā lāʻau lapaʻau | I ka wā e mālama ai i ka maʻi kanesa, nānā mau nā kauka i nā pae AFP e ʻike i ka maikaʻi o ka hana ʻana o ka lāʻau. Inā holomua ka lāʻau, pono e emi ka pae AFP. |
| No ka nānā ʻana i ka hoʻi hou ʻana o ke kanesa | Hoʻohana ʻia kēia hoʻāʻo e nānā i ka hoʻi hou ʻana o ke kanesa ma hope o ka mālama ʻana. Hiki i kahi pae AFP kiʻekiʻe ke lilo i hōʻailona no kēia ma mua o ka ʻike ʻia ʻana o nā hōʻailona. |
Pehea ʻoe e hana ai i kēia hoʻāʻo?
He mea maʻalahi loa ia. Hiki ke hana ʻia ma ke keʻena o kāu kauka a i ʻole ma kahi haukapila. E hele mai kekahi kanaka kūpono a lawe i kahi koko liʻiliʻi mai kahi aʻa koko ma kou lima i loko o kahi syringe liʻiliʻi. Ua like ia me kahi hoʻāʻo koko maʻamau. E ʻeha iki ʻoe ke hoʻokomo ʻia ka nila, akā he mau kekona wale nō ia. Loaʻa paha iā ʻoe kekahi mau palapū ma kahi i huki ʻia ai ke koko, akā e nalo ana ia i hoʻokahi a ʻelua paha lā. A laila e hoʻouna ʻia kāu hāpana koko i kahi lab e ana i kou pae AFP.
Pehea e maopopo ai iaʻu nā waiwai i loko o ka hōʻike?
Ana nā kauka i ka AFP ma nā anakahi i kapa ʻia ʻo nanograms no milliliter (ng/mL). ʻO kēia ka mea e helu ʻia me kou waiwai ma kāu hōʻike.
ʻO ka mea nui loa, ʻaʻole e hopohopo ke ʻike ʻoe ua kiʻekiʻe kou pae AFP. Pono ʻoe e hana i nā hoʻokolohua hou aʻe e ʻike ai i ke kumu pololei. ʻO kāu kauka wale nō ke hāʻawi iā ʻoe i ka wehewehe maikaʻi loa no kāu hōʻike.
ʻAʻole hiki ke hoʻonui ʻia nā pae AFP ʻaʻole wale e ke kanesa, akā, e nā maʻi ʻē aʻe o ke akepaʻa, e like me ka hepatitis a me ka cirrhosis. I kekahi manawa, hiki ke piʻi aʻe nā pae AFP no kekahi manawa ma hope o ka hōʻeha ʻana i ke akepaʻa, ʻoiai ke ho'ōla ʻia nei.
Hāʻawi ka papa ma lalo nei i kahi manaʻo maʻamau o ke ʻano o nā pae AFP. Eia naʻe, ʻaʻole kēia he ʻōlelo aʻoaʻo lapaʻau.
| Pae AFP (ng/mL) | Manaʻo kūpono paha (he manaʻo maʻamau wale nō kēia) |
|---|---|
| 0 - 8 ng/mL | Ua manaʻo ʻia he pae maʻamau no ka hapa nui o nā pākeke olakino. |
| 8 - 200 ng/mL | Hiki paha he maʻi akepaʻa (hepatitis, cirrhosis), hōʻino ʻia ke akepaʻa, a i ʻole he pae mua paha o ka maʻi kanesa. Pono nā hoʻokolohua hou aʻe (e laʻa me nā scans) e hōʻoia i ke kumu. |
| Ma luna o 200 ng/mL (inā loaʻa iā ʻoe ka maʻi akepaʻa) | ʻO kēia hoʻonui ʻana o nā pae AFP i loko o kekahi kanaka i loaʻa i ka maʻi akepaʻa e like me ka cirrhosis e hāpai ana i kahi kānalua ikaika no ka maʻi kanesa akepaʻa. |
| Kiʻekiʻe loa, ʻoi aku ma mua o 500 - 1,000 ng/mL | ʻO nā pae kiʻekiʻe loa e like me kēia he hōʻailona ia o ke alo o kekahi ʻano maʻi kanesa (ʻoi aku hoʻi nā mea e pili ana i ke akepaʻa, nā testicles, a i ʻole nā ovaries). |
He aha ka hoʻāʻo kūikawā i kapa ʻia ʻo AFP-L3%?
E ʻōlelo kākou ua kiʻekiʻe iki kāu AFP, akā aia nō ma lalo o 200 ng/mL. ʻOiai inā he maʻi akepaʻa lōʻihi kou e like me ka cirrhosis, makemake paha kāu kauka e wehewehe hou aku i ke kumu o ka piʻi ʻana o ka AFP. ʻO ia ka manawa e pono ai ka hoʻāʻo AFP-L3% .
Ana kēia i ka pakeneka o kahi ʻano kikoʻī o ka AFP i kapa ʻia ʻo AFP-L3 i loko o kou koko. Inā he 10% a ʻoi aku paha kēia pakeneka, ʻo ia hoʻi, ʻoi aku kou pilikia o ka loaʻa ʻana o ka maʻi kanesa o ke akepaʻa i ka wā e hiki mai ana. No laila, e nānā pono kāu kauka iā ʻoe a nānā mau iā ʻoe no nā hōʻailona o ka maʻi kanesa.
Leka Lawe-Home
- He protein ka AFP i ana ʻia i loko o ke koko. Hiki ke kiʻekiʻe ke kiʻekiʻe o kēia ma muli o nā kumu like ʻole, a ʻaʻole ia he manaʻo mau he maʻi kanesa.
- ʻO ke kanaka maikaʻi loa e hoʻomaopopo i nā hopena o kēia hoʻāʻo ʻo kāu kauka. Mai hopohopo a lele i nā hopena ma muli o ka hōʻike a i ʻole ka pūnaewele.
- Inā kiʻekiʻe ka waiwai AFP, e paipai ke kauka i nā hoʻokolohua hou aʻe (e laʻa, nā scan) e hoʻoholo ai i ke kumu pololei.
- He mea nui loa kēia hoʻāʻo no ke ana ʻana i ka holomua o nā lāʻau lapaʻau maʻi kanesa a no ka ʻike ʻana inā hoʻi hou ka maʻi ma hope o ka lāʻau lapaʻau.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kūkākūkā pono i nā mea āpau me kāu kauka.
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