Ua kiʻekiʻe anei kou pae AST i kāu hōʻike koko? (AST - Aspartate Transferase) - E ʻike kākou e pili ana i kēia ma ke ʻano maʻalahi!

Ke kiʻi ʻoe i kahi hōʻike hoʻāʻo koko, hoʻomakaʻu iki kekahi o nā huaʻōlelo a me nā leka Pelekania i loko, ʻeā? Ke ʻike ʻoe i nā mea e like me SGOT, AST, ALT, manaʻo ʻoe, 'He aha kēia?' ʻO ka hapa nui o ka manawa, he mau hoʻāʻo kēia e nānā i ke olakino o ko kākou ake. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o AST, he aha ke ʻano o ka piʻi ʻana o kona waiwai, a inā paha e makaʻu ʻoe iā ia, ma ke ʻano maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka AST?

I ka ʻōlelo maʻalahi, ʻo AST, ʻo ia hoʻi ʻo Aspartate Transferase, he enzyme i loko o ko mākou kino. ʻO ka enzyme kahi ʻano protein kūikawā e kōkua i ko mākou kino e hoʻokō pono i nā kaʻina hana kemika like ʻole. Loaʻa kēia enzyme i kapa ʻia ʻo AST ma nā wahi he nui o ko mākou kino. No ka laʻana, ma nā wahi e like me ke akepaʻa, ka puʻuwai, ka lolo, nā puʻupaʻa, a me nā ʻiʻo.

E noʻonoʻo wale, ʻoiai he nui nā kumu niu ma nā wahi āpau o ko kākou ʻāina, ke ʻōlelo kākou 'niu', noʻonoʻo koke kākou i nā wahi e like me Kurunegala lāua ʻo Puttalam, ʻeā? Pēlā nō ia me ka enzyme i kapa ʻia ʻo AST. ʻOiai ua loaʻa ia ma nā wahi he nui o ke kino, pili loa ia me ko kākou akepaʻa . ʻO ia ke kumu e nānā pono ai nā kauka i kēia waiwai AST i ka nānā ʻana i ke olakino o ke akepaʻa.

No laila he aha ka mea e nānā ai ka hoʻāʻo koko AST?

Ke hōʻino ʻia ko kākou mau ʻāpana kino, e kahe ana ka enzyme AST i loko o kēlā mau ʻāpana i loko o ke koko. No laila, ʻike ʻia ka nui o ka AST i loko o kou koko e kahi hoʻāʻo koko AST. Inā ʻoi aku ka kiʻekiʻe o ka pae AST i loko o kou koko ma mua o ka maʻamau, hōʻike ia he hōʻino ʻia nā ʻāpana ma kekahi wahi o ke kino. ʻO ka hapa pinepine, aia kēia hōʻino i loko o ke akepaʻa.

Akā, ʻaʻole hiki i kēia wale nō ke haʻi pololei iā ʻoe i ke ʻano o ka maʻi. ʻO ia ke kumu ʻaʻole hāʻawi wale nā ​​kauka i kēia hoʻāʻo AST. Hāʻawi ʻia ia ma ke ʻano he ʻāpana o kahi moʻo o nā hoʻāʻo e pili ana i ke akepaʻa (Liver Function Test Panel) a i ʻole kahi moʻo o nā hoʻāʻo e nānā ana i ke olakino holoʻokoʻa o ko mākou kino (Comprehensive Metabolic Panel - CMP).

E ʻōlelo paha kāu hōʻike iā SGOT (Serum glutamic-oxaloacetic transaminase) ma kahi o AST. Mai hopohopo no ia mea, ʻoiai he ʻelua inoa kēia no ka hoʻāʻo like.

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

Ua ʻike paha ʻoe me AST, aia pū kekahi ALT (Alanine transferase) i kāu hōʻike koko. Ua ʻike ʻia kēia mau mea ʻelua he mau enzymes ake. Akā aia kahi ʻokoʻa iki.

E noʻonoʻo iā ALT ma ke ʻano he loea e nānā wale ana i ke akepaʻa. Akā, ua like ka AST me kekahi e nānā ana i nā ʻāpana he nui o ke kino ma ke ʻano laulā. ʻO ia hoʻi, inā kiʻekiʻe ka waiwai ALT, ʻoi aku ka nui o ka pilikia me ke akepaʻa ponoʻī . Akā, inā kiʻekiʻe ka waiwai AST, hiki nō hoʻi ke kumu o ke akepaʻa, a i ʻole ma muli o kahi pilikia ma kahi ʻē aʻe, e like me ka puʻuwai a i ʻole nā ​​ʻiʻo. ʻO ia ke kumu e koho ai nā kauka.Hiki ke hoʻokō ʻia kahi hopena ma ka hoʻohālikelike ʻana i nā waiwai ʻelua.

No ke aha e haʻi aku ai ke kauka iā ʻoe e hana i kahi hoʻokolohua AST?

Hiki i kāu kauka ke kauoha i kēia hoʻāʻo no ʻekolu mau kumu nui.

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

I kekahi manawa, ʻoiai inā ʻaʻohe ou hōʻailona, ​​​​hiki i kāu kauka ke kauoha i kēia hoʻāʻo inā he mau kumu pilikia kou no ka hōʻino ʻana i ke akepaʻa.

• Inā he mea inu mau ʻoe.
• Inā ua loaʻa i kekahi o kou ʻohana ka maʻi akepaʻa.
• Inā loaʻa iā ʻoe ka maʻi diabetes .
• Inā kiʻekiʻe loa ke kaumaha o ke kino (Obesity) .
• Inā ʻoe e hoʻokomo i nā lāʻau lapaʻau me ka hoʻohana ʻana i nā nila i hoʻohana ʻia e haʻi.

2. E nānā i kahi kūlana e kū nei (Nānā ʻana)

Inā loaʻa iā ʻoe kahi maʻi akepaʻa, hoʻohana ʻia kēia hoʻāʻo e ʻike inā e hoʻomaikaʻi ana ke ʻano, e noho like ana, a i ʻole e ʻoi aku ka ʻino me ka mālama ʻana. Hiki i kāu kauka ke kauoha pinepine i kēia hoʻāʻo inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ke akepaʻa.

3. Ke ʻike ʻana i ka wā e kū mai ai nā hōʻailona

Inā ʻoe e hōʻike ana i nā hōʻailona e hōʻike ana he pilikia kou akepaʻa, hiki i kēia hoʻāʻo ke kōkua i ka ʻike ʻana i ke kumu.

• Ka luaʻi a me/a i ʻole ka luaʻi ʻana.
• ʻeha ka ʻōpū.
• ʻŌhūhū.
• Melemele o ka ʻili a me nā keʻokeʻo o nā maka (jaundice) .
• Ka luhi mau.
• ʻAʻohe ʻono o ka meaʻai.

Pono ʻoe e hoʻomākaukau no kahi hoʻāʻo koko?

Inā ʻoe e loaʻa ana i kahi hoʻāʻo AST wale nō, ʻaʻole pono ʻoe e hoʻokē ʻai. Eia nō naʻe, inā ʻoe e loaʻa ana i kēia hoʻāʻo me kahi moʻo o nā hoʻāʻo e like me ka CMP, pono ʻoe e hoʻokē ʻai no kahi o 10-12 mau hola (hiki iā ʻoe ke inu wai wale nō). Eia nō naʻe, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. He mea nui e hahai pololei i kēlā mau ʻōlelo aʻoaʻo.

ʻO kekahi mea nui, ʻo ia ka hiki i nā lāʻau lapaʻau maʻamau, nā huaora, nā mea hoʻohui meaʻai, a me nā lāʻau Ayurvedic āu e lawe ai ke hoʻopilikia i kāu mau pae AST. No laila , he mea nui loa e haʻi i kāu kauka e pili ana i kēia mau mea āpau ma mua o ka hoʻāʻo ʻana. Mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe.

Pehea e hoʻomaopopo ai i ka hōʻike AST?

E hōʻike ana kāu hōʻike hoʻāʻo koko i kāu pae AST a me ka pae maʻamau no kēlā pae. ʻO kēia waiwai maʻamau ma waena o 8 a me 33 mau ʻāpana i ka lita (8 a 33 U/L). Eia nō naʻe, hiki ke ʻokoʻa iki kēia pae mai kekahi keʻena hoʻokolohua a i kekahi.

ʻO ka mea nui, ʻaʻohe waiwai "maʻamau" hoʻokahi e kūpono i nā mea āpau. Hiki ke loli kēia waiwai ma muli o nā kumu he nui, e like me kou makahiki, ke kāne, a me ke kaumaha o ke kino. No laila, ʻo kāu kauka wale nō ke hoʻoholo i ka waiwai pololei ma ka hōʻike.

He aha nā kumu kūpono e hoʻonui ai i ka AST?

Inā kiʻekiʻe ka pae AST, hiki ke lilo i hōʻailona o ka maʻi akepaʻa. Eia naʻe, ʻaʻole ia ma muli o ke akepaʻa i nā manawa a pau. Hiki ke kiʻekiʻe nā pae AST no nā kumu ʻē aʻe. E hāʻawi ka papa ma lalo nei iā ʻoe i kahi ʻike maopopo o kēia.

Pono anei au e hopohopo e pili ana i koʻu mau pae AST kiʻekiʻe?

ʻaʻole iki.ʻOiai inā ʻoi aku ka kiʻekiʻe o kāu hōʻike AST ma mua o ka pae maʻamau, ʻaʻole ia he manaʻo he maʻi koʻikoʻi kou. ʻOiai i nā poʻe olakino, hiki i kēia waiwai ke emi iki ma waho o ka pae maʻamau no nā kumu like ʻole.

No laila, mai hopohopo wale nō ma muli o hoʻokahi hopena hoʻāʻo. E nānā kāu kauka i kāu mau hōʻike ʻē aʻe, kou mōʻaukala olakino, a me nā lāʻau lapaʻau āu e lawe ai e hiki ai i kahi hopena pololei. Inā pono, hiki iā ia ke kauoha i kekahi mau hoʻāʻo hou aʻe. Eia kekahi laʻana:

• ʻO kekahi hoʻāʻo koko ʻē aʻe.
• Nā hoʻāʻo scan.
• Ke lawe ʻana i kahi ʻāpana liʻiliʻi o ke kino mai ke akepaʻa no ka hoʻokolokolo ʻana (Biopsy).

Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni melemele a i ʻole he kānalua paha e pili ana i kāu hōʻike, e kamaʻilio me kāu kauka e pili ana i ia mea me ka wehe. E wehewehe ʻo ia i nā mea āpau iā ʻoe.