He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i nā 'enzymes akepaʻa' kiʻekiʻe, a i ʻole nā enzymes akepaʻa i hoʻokiʻekiʻe ʻia, ma kahi hoʻāʻo koko. Manaʻo paha ʻoe, "Auē, he hewa kekahi mea me koʻu akepaʻa?" Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, he kūlana manawa pōkole kēia. E kamaʻilio kākou e pili ana i kēia ma nā ʻōlelo maʻalahi i kēia lā.
He aha kēia mau enzymes o ke akepaʻa?
I ka ʻōlelo maʻalahi, he mau protein kūikawā nā enzymes o ke akepaʻa i loaʻa i loko o ko kākou akepaʻa. Kōkua lākou i ko kākou kino e hana i nā hana koʻikoʻi he nui, e like me nā limahana hale hana.
ʻO kekahi o nā hana nui o kēia mau enzymes:
- Kōkua i ka hana ʻana i ka bile.
- Hana lākou i nā mea e pono ai no ke kāpili ʻana o ke koko.
- ʻO nā mea e like me ka meaʻai a me nā lāʻau lapaʻau a mākou e ʻai ai, ua wāwahi ʻia i kahi ʻano e hiki ai i ke kino ke omo.
- Hoʻopau ia a hoʻohemo i nā mea ʻawahia e komo i loko o ke kino.
- Kōkua i ke kaua ʻana i nā maʻi.
Aia kekahi mau ʻano nui o nā enzymes ate a mākou e ʻike pinepine ai i nā hōʻike koko:
- ʻAlanine transaminase (ALT)
- ʻO ka Aspartate transaminase (AST)
- ʻO ka phosphatase alkaline (ALP)
- ʻO ka Gamma-glutamyl transferase (GGT)
E noʻonoʻo i ko kākou akepaʻa e like me ka pōpō. Aia kēia mau enzymes i loko o kēlā pōpō. Inā he pōʻino i ke akepaʻa, e like me ka ʻeha a i ʻole ka maʻi, e liki iki ka pōpō a e liki nā enzymes i loko o ke koko. ʻO ia ka manawa e hōʻike ai kahi hoʻāʻo koko ua kiʻekiʻe ka pae o kēia mau enzymes.
No ke aha ke kauka e hoʻāʻo nei i kēia mau mea?
Hiki i kāu kauka ke kauoha i kahi hoʻāʻo hana ate (LFT) i kāu nānā makahiki maʻamau, ʻoiai inā ʻoe e pilikia ana i ka hōʻino ʻia o ke akepaʻa (no ka laʻana, ka inu ʻona, ka maʻi diabetes) a inā he mau hōʻailona o ka maʻi akepaʻa.
Akā e hoʻomanaʻo, ʻaʻole i manaʻo mau ʻia he maʻi koʻikoʻi nā enzymes kiʻekiʻe. I kekahi manawa hiki ke lilo kēia i mea manawa pōkole .
He aha nā kumu nui no ka piʻi ʻana o kēia mau pae enzyme?
Nui nā kumu e hiki ai ke hoʻokiʻekiʻe ʻia nā enzymes ate. He mea liʻiliʻi loa kekahi, aʻo kekahi he mea koʻikoʻi . E nānā kākou i nā kumu nui.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Maʻi ʻAke Momona | He kumu maʻamau loa kēia i kēia mau lā. Hiki ke hana ʻia e ka inu ʻana i ka waiʻona a me nā kumu ʻaʻole i ka waiʻona (momona, maʻi diabetes). |
| Kekahi mau lāʻau lapaʻau | ʻO nā mea e like me nā lāʻau hoʻohaʻahaʻa cholesterol (e like me nā statins), nā lāʻau ʻeha (e like me ka lawe ʻana i ka paracetamol nui loa), kekahi mau antibiotics, a me nā lāʻau epilepsy hiki ke hoʻonui i nā enzymes. |
| Nā maʻi Hepatitis | ʻO ka mumū o ke akepaʻa i hoʻokumu ʻia e nā ʻano virus like ʻole. Nā laʻana: ʻO ka Hepatitis A, ʻo ka Hepatitis B, ʻo ka Hepatitis C. Eia kekahi, aia kekahi maʻi i kapa ʻia ʻo ka Hepatitis Alcoholic i hoʻokumu ʻia e ka waiʻona a me ka Hepatitis Autoimmune i hoʻokumu ʻia e kahi pilikia i loko o ka ʻōnaehana pale ponoʻī o ke kino. |
| Ka hoʻohana ʻana i ka waiʻona | ʻO ka inu nui ʻana i ka waiʻona a i ʻole ka inu lōʻihi ʻana e hōʻino pololei i ke akepaʻa. |
| ʻO kekahi mau huaora a me nā mea hoʻohui lāʻau | ʻO ka lawe ʻana i kekahi mau huahana lāʻau lapaʻau me ka ʻole o ke aʻoaʻo lapaʻau, e like me ka wikamina A a i ʻole ka hao i ka nui, hiki ke hoʻopilikia i ke akepaʻa. |
Aia kekahi mau kumu ʻē aʻe ma waho aʻe o kēia?
ʻAe, aia paha kekahi mau kumu ʻē aʻe. ʻAʻole lākou i ʻike pinepine ʻia, akā he mea nui e ʻike iā lākou.
- Hemochromatosis: Ka hōʻiliʻili nui ʻana o ka hao i loko o ke kino.
- Cirrhosis: Ua aneane paʻakikī loa ke akepaʻa, ua ʻeha, a nalowale ka hana.
- Ke kūlana o ke kanesa: Ke kanesa e kū mai ana i loko o ke akepaʻa a i ʻole ka laha ʻana o ke kanesa mai kahi ʻē aʻe i ke akepaʻa.
- Maʻi Celiac: He maʻi allergy i ka protein gluten.
- Maʻi Wilson:Ka hōʻiliʻili nui ʻana o ke keleawe i loko o ke kino.
- Ka maʻi thyroid.
- Nā kūlana ʻiʻo.
He aha nā hōʻailona o kēia maʻi?
ʻO ka mea nui ma ʻaneʻi, ʻaʻole i ʻike ka nui o ka poʻe i kekahi mau hōʻailona . ʻIke ʻia nā enzymes akepaʻa kiʻekiʻe ke hana ʻia kahi hoʻāʻo koko no kekahi kumu ʻē aʻe.
Eia nō naʻe, inā ʻo ke kumu o kēia hoʻokiʻekiʻe ʻana o ka enzyme ka hōʻino ʻia o ke akepaʻa, hiki ke ʻike ʻia nā hōʻailona aʻe.
| Hōʻailona | Wehewehena |
|---|---|
| ʻĀʻī | Melemele o nā keʻokeʻo o nā maka a me ka ʻili. |
| Mimi ʻeleʻele | Ke hoʻohana nei i kahi waihoʻoluʻu ʻeleʻele e like me ke kala o ke kī. |
| Nā noho kala ʻeleʻele | Ke lilo nei i ke keʻokeʻo, e like me ke kala o ka lepo. |
| ʻEha ʻōpū | ʻEha ka manaʻo, ʻoiai ma ka ʻaoʻao ʻākau o ka ʻōpū, ma lalo o nā iwi ʻaoʻao. |
| Luhi pinepine | Luhi mau ka manaʻo me ke kumu ʻole. |
| ʻĀnai | Ka ʻānai ʻana ma ka ʻili. |
| Ka nalowale o ka makemake, ka nausea, a me ka luaʻi ʻana | Ka nalowale o ka makemake a me ka nausea. |
He aha kaʻu e hana ai i kēia manawa? He aha nā lāʻau lapaʻau?
Inā hōʻike kāu hoʻāʻo koko i nā enzymes kiʻekiʻe, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ke nīnau iā ʻoe e pili ana i kou mōʻaukala piha. E nīnau ʻo ia e pili ana i nā mea āpau, me nā lāʻau lapaʻau āu e lawe ai, nā mea hoʻohui, a me nā ʻano ʻona.
ʻO ka nūhou maikaʻi, ma kahi o ka hapakolu o ka poʻe me nā enzymes kiʻekiʻe e hoʻi i ka maʻamau i loko o ʻelua a ʻehā pule, me ka ʻole o ka lāʻau lapaʻau.
No laila, e haʻi aku paha kāu kauka iā ʻoe e hana hou i kahi hoʻāʻo koko i loko o kekahi mau pule. Inā kiʻekiʻe mau kāu pae enzyme, e kauoha lākou i nā hoʻāʻo hou aʻe e ʻike i ke kumu.
- Nā hoʻāʻo koko ʻē aʻe: No ka nānā ʻana i nā mea e like me nā maʻi hepatitis.
- Nā scan: He scan ultrasound ʻōpū, he scan CT, a i ʻole he MRI.
- Kuhikuhi i kahi loea: E noi ʻia paha ʻoe e ʻike i kahi kauka loea i nā maʻi akepaʻa, ʻo ia hoʻi he 'Hepatologist'.
Aia wale nō ka lāʻau lapaʻau ma luna o ka maʻi kumu i hoʻonui ai i ka enzyme. Inā he lāʻau lapaʻau ke kumu, e hoʻololi ʻia ka lāʻau lapaʻau. Inā he Motty Liver ke kumu, e aʻo ʻia nā hoʻololi ʻana i ke ʻano o ka nohona (ka hōʻemi kaumaha, ka hoʻoikaika kino). No laila, e ʻokoʻa ka lāʻau lapaʻau mai kēlā kanaka a kēia kanaka.
He aha kā mākou e hana ai e mālama i ke olakino o ke akepaʻa?
ʻOiai ʻaʻole hiki iā kākou ke pale aku i kekahi mau maʻi, nui nā mea hiki iā kākou ke hana e pale aku i kēia ʻōkana makamae i kapa ʻia ʻo ko kākou akepaʻa.
- E hōʻalo i ka inu ʻona a i ʻole e kaupalena iā ia e like me ke kauoha a kāu kauka.
- E ʻai i ka meaʻai kaulike a olakino . E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ke kō, a me ka palaoa.
- E hoʻoikaika kino mau. He mea maikaʻi nō hoʻi ka hele wāwae ʻana no 30 mau minuke i ka lā.
- E kāohi i ke kaumaha o kou kino. ʻO ka momona ke kumu nui o ke akepaʻa momona.
- Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi maikaʻi i kou pae kō koko .
- Mai hoʻohana i kekahi lāʻau lapaʻau, wikamina, a huahana lāʻau paha me ka ʻae ʻole o kāu kauka. E haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
- E loaʻa i ka lāʻau pale no ka Hepatitis A a me B.
- Mai hoʻohana i nā nila, nā ʻumiʻumi, a me nā mea ʻē aʻe i hoʻohana ʻia e haʻi.
Leka Lawe-Home
- Mai hopohopo ke ʻike ʻoe i nā enzymes akepaʻa kiʻekiʻe ma kāu hoʻāʻo koko. I ka hapanui o nā hihia, he maʻi manawa pōkole ia.
- Hiki ke hoʻonui ʻia nā enzymes e nā kumu like ʻole, e like me nā lāʻau lapaʻau, ka ʻai, a me nā maʻi viral.
- ʻAʻole ʻike ka nui o ka poʻe i kekahi mau hōʻailona.
- ʻO ka mea nui loa, ʻo ia ke kamaʻilio ākea e pili ana i kēia me kāu kauka. E hāʻawi ʻo ia iā ʻoe i ke alakaʻi āu e pono ai.
- ʻO ka hahai ʻana i kahi nohona olakino ke ala maikaʻi loa e pale ai i kou ake.
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