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.
| ʻAno kumu | Nā kūlana a me nā laʻana hiki ke loaʻa |
|---|---|
| Nā kumu e pili ana i ke akepaʻa |
|
| Nā kumu ʻē aʻe i pili ʻole i ke akepaʻa | |
| Nā hihia o ka hoʻokiʻekiʻe ʻana o AST no kekahi manawa |
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.
Leka Lawe-Home
- He enzyme ka AST i hoʻokuʻu ʻia i loko o ke koko ke hōʻino ʻia nā hunaola o ko kākou kino. Hoʻopili pinepine ʻia ia me ke akepaʻa.
- ʻAʻole hōʻike mau ka pae AST kiʻekiʻe i ka maʻi akepaʻa. Hiki ke hoʻokiʻekiʻe ʻia kēia pae ma muli o ka maʻi puʻuwai, ka maʻi ʻiʻo, a me nā kumu manawa pōkole ʻē aʻe.
- Mai hopohopo ma hope o ka ʻike ʻana i kahi waiwai ma kahi hōʻike koko hoʻokahi. ʻAʻole ia he hōʻailona, he kuhi wale nō ia.
- He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei ma mua o ka hoʻāʻo koko.
- E noi i kāu kauka no ka wehewehe ʻana i kekahi mau nīnau a kānalua paha āu e pili ana i nā hopena o kāu hōʻike.
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