He aha ke ʻano o kāu Hōʻike Koko AST? (Hoʻāʻo Aspartate Aminotransferase) E wehewehe maʻalahi kākou!

Ua loaʻa anei iā ʻoe kahi hoʻāʻo koko i hala koke aku nei? Ua manaʻo iki paha ʻoe i ka makaʻu a hopohopo paha i kou ʻike ʻana ua kiʻekiʻe iki ka waiwai AST ma mua o ka pae maʻamau i ka hōʻike? A i ʻole ua kākau ke kauka iā ʻoe e hana i kahi hoʻāʻo AST? Nui ka poʻe e hopohopo i ka lohe ʻana i ka huaʻōlelo AST. Akā, mai makaʻu, he mea maʻamau ia. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau me nā kikoʻī, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, a ma ke ʻano maʻalahi.

I ka ʻōlelo maʻalahi, he aha kēia AST?

ʻO AST ka pōkole no Aspartate Aminotransferase . He enzyme kēia i loko o ko mākou kino, he ʻano protein. Hana nui ʻia kēia enzyme e kou akepaʻa . Eia nō naʻe, ma waho aʻe o ke akepaʻa, hana pū ka puʻuwai, nā puʻupaʻa, ka lolo, a me nā ʻiʻo i nā wahi liʻiliʻi o kēia enzyme AST.

E noʻonoʻo iā AST ma ke ʻano he "limahana" e noho ana i loko o nā ʻāpana akepaʻa. ʻO ka maʻamau, aia kēia mau "limahana" i loko o ke akepaʻa. Akā, he mea maʻamau ka hōʻiliʻili ʻana o kahi liʻiliʻi loa o lākou i loko o ke koko. Eia nō naʻe, inā ua hōʻino ʻia ke akepaʻa no kekahi kumu, e like me ka wā e haki ai kahi pā o ka hale a ninini ʻia nā mea i loko, e kahe nui ana kēia mau "limahana" AST i loko o nā ʻāpana akepaʻa i loko o ke koko. ʻO ia ka manawa e hōʻike ai kahi hoʻāʻo koko i ka piʻi ʻana o nā pae AST.

Akā e hoʻomanaʻo, ʻaʻole manaʻo mau ka pae AST kiʻekiʻe he pilikia ate. No ka mea, e like me kā mākou i ʻōlelo ai ma mua, hiki ke hoʻokiʻekiʻe ʻia nā pae AST inā ua hōʻino ʻia nā ʻōpū ʻē aʻe, e like me ka puʻuwai a me nā puʻupaʻa. ʻO ia ke kumu e kauoha pinepine ai nā kauka i kekahi mau hoʻokolohua ʻē aʻe me ka hoʻokolohua AST.

ʻOkoʻa ma waena o AST a me ALT

Ke hana ke kauka i kahi hoʻāʻo AST, hana pinepine lākou i kahi hoʻāʻo ALT (Alanine Transaminase) i ka manawa like. ʻO ALT kekahi enzyme i loaʻa i loko o ke ake. Akā ʻaʻole e like me AST, pili nui ka ALT i ke ake . ʻO ke ʻano kēia inā kiʻekiʻe ka pae ALT, ʻoi aku ka nui o ka pilikia me ke ake.

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

ʻO kahi hoʻāʻo AST paha he ʻāpana o kahi panela metabolic piha a kāu kauka e hana ai e nānā i kou olakino holoʻokoʻa. Eia kekahi, hiki i kāu kauka ke kauoha i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana i ka hōʻino ʻia o ke akepaʻa.

ʻO kekahi mau hōʻailona e hōʻike ana i ka hōʻino ʻia o ke akepaʻa:

• Melemele o nā maka a i ʻole ka ʻili (jaundice)
• Luhi nui a me ka nāwaliwali no ke kumu ʻole
• ʻŌpū pehu a pehu paha
• Ka luaʻi a me ka luaʻi
• ʻeha ka ʻōpū
• ʻAʻohe ʻono
• ʻIli ʻāʻī
• Ka mimi ʻeleʻele (e like me ke kala o ke kī)
• Noho mālie (e like me ka hina hina)
• Ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae
• ʻIli e palapū maʻalahi ana ma hope o kahi ʻeha liʻiliʻi

ʻOiai inā ʻaʻole ʻoe i loaʻa i kēia mau hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo i kēia hoʻāʻo inā ʻoe i ka pilikia kiʻekiʻe o ka loaʻa ʻana o ka maʻi akepaʻa.

Pehea ʻoe e hoʻomaopopo ai i nā waiwai i loko o ka hōʻike AST?

E loaʻa pinepine iā ʻoe ka hōʻike i loko o hoʻokahi a ʻelua paha lā. Hoʻopaʻa ʻia nā waiwai ma nā anakahi no ka lita (nā anakahi/L).

Pae AST maʻamau

ʻAʻohe "pae maʻamau" hoʻokahi e kūpono no nā mea āpau. Hiki ke ʻokoʻa kēia waiwai ma muli o ka lab e hoʻāʻo ai i kou koko, kou makahiki, ke kaumaha, a me ke kāne. Akā ma ke ʻano laulā, ua manaʻo ʻia he maʻamau ka waiwai o 8 a 33 mau ʻāpana/L . Akā ʻo ka pae maʻamau ma kāu hōʻike ka mea nui iā ʻoe.

Pae AST kiʻekiʻe (AST kiʻekiʻe)

Aia kekahi mau kumu e kiʻekiʻe ai nā pae AST ma mua o ka maʻamau.

• Nā kumu e pili ana i ke akepaʻa:
• Maʻi akepaʻa e pili ana i ka waiʻona
• Maʻi akepaʻa momona (MASLD)
• Hepatitis mau loa
• Ka paʻakikī a i ʻole ka ʻeha o ke akepaʻa (Cirrhosis)
• Hoʻemi ʻia ke kahe koko i ke akepaʻa (ischemia o ke akepaʻa)
• Ka maʻi ʻaʻai ate
• ʻO nā kumu ʻē aʻe i pili ʻole i ke akepaʻa:
• Maʻi hohola
• Ka hōʻino ʻana o nā ʻiʻo (e.g. ma hope o ka hoʻoikaika kino nui)
• Hāpai keiki
• ʻO ka maʻi pancreatitis
• ʻO kekahi mau maʻi viral, e like me ka mononucleosis
• Kekahi mau lāʻau lapaʻau

Hiki ke ʻike ʻia nā pae AST kiʻekiʻe loa (ʻoi aku ma mua o 500 mau ʻāpana/L) i nā kūlana e like me ka hepatitis viral acute, ka hōʻino nui ʻana o ke akepaʻa i hoʻokumu ʻia e nā lāʻau lapaʻau a i ʻole nā ​​​​mea ʻawahia.

Pae AST haʻahaʻa (AST haʻahaʻa)

He mea maikaʻi ka pae AST haʻahaʻa. Eia nō naʻe, i nā hihia kakaikahi, e like me ka nele o ka huaora B6, hiki ke haʻahaʻa nā pae AST. ʻAʻohe mea e hopohopo ai kēia, na kāu kauka e wehewehe iā ʻoe.

Hiki ke hoʻemi ʻia nā pae AST?

ʻAe, hiki nō ia! Hiki iā ʻoe ke hoʻihoʻi i kou pae AST i ka maʻamau ma ke kamaʻilio ʻana me kāu kauka e hoʻomaopopo i ke kumu o kou pae AST kiʻekiʻe a me ka lawe ʻana i nā hana kūpono.

• Inā momona ʻoe, e hoʻēmi i ke kaumaha.
• E hoʻōki loa i ka inu ʻana i ka waiʻona a i ʻole e hōʻemi nui iā ia.
• E ʻai i ka meaʻai olakino. E hōʻemi i kāu ʻai ʻana i nā meaʻai ʻaila, kō, a me ka palaoa a e ʻai i nā mea kanu, nā huaʻai, a me nā mea kanu.
• E hoʻoikaika kino mau. ʻOiai ka hele wāwae wale no 30 mau minuke i ka lā hiki ke kōkua.

He ʻōkana kupaianaha ko kākou akepaʻa. Inā ʻaʻole i loaʻa kahi maʻi koʻikoʻi e like me ka cirrhosis, inā mākou e wehe i ke kumu o ka hōʻino ʻana o ke akepaʻa, he hiki kupaianaha kona e ho'ōla iā ia iho . No laila, he mea nui loa ka ʻike mua ʻana i kēia maʻi a hana i nā hana kūpono.