Ua kamaʻilio anei ke kauka e pili ana i nā enzymes i loko o kou koko? (Nā Māka Enzyme) E aʻo kākou e pili ana i kēia me ka maʻalahi!

I kekahi manawa ke hele ʻoe i ke kauka, lohe paha ʻoe i kekahi e ʻōlelo ana, 'Pono mākou e nānā i kekahi mau enzymes i loko o ke koko.' A laila e noʻonoʻo paha ʻoe, 'He aha kēia mau enzymes? No ke aha lākou e nānā ʻia ai?' Mai hopohopo, he hoʻāʻo maʻamau kēia i hana pinepine ʻia. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia mau māka enzyme a no ke aha lākou e haʻi mai ai iā mākou i nā mea koʻikoʻi e pili ana i ko mākou olakino.

I ka ʻōlelo maʻalahi, he aha kēia enzyme?

E noʻonoʻo he hale hana nui ko kākou kino. He mau tausani o nā kaʻina hana e hana ʻia nei ma kēia hale hana i kēlā me kēia kekona. Ua like nā enzymes me nā limahana liʻiliʻi ma kēia hale hana. He ʻano protein maoli kēia. Kōkua kēia mau limahana i nā loli kemika e hana ʻia ana i loko o ke kino a hoʻonui i ko lākou wikiwiki.

ʻO kahi hoʻāʻo māka enzyme kahi hoʻāʻo koko e ana i ka nui o kēia mau limahana, a i ʻole nā ​​​​enzymes, i loko o kou koko.

E noʻonoʻo i nā ʻōkana i loko o ko kākou kino e like me nā lumi kaʻawale i loko o kēia hale hana. ʻO ka maʻamau, aia kēia mau limahana i kapa ʻia he mau enzymes i loko o ko lākou mau lumi (nā cell). Akā inā ua hōʻino ʻia, maʻi, a ʻeha paha kahi ʻōkana, ua like ia me he mea lā ua haki kahi paia i loko o kēlā lumi, a ua liki nā enzymes i loko, ʻo ia hoʻi, i loko o ke koko. Nānā nā kauka i nā pae o nā enzymes i loko o ke koko e ʻike ai inā he hewa kekahi mea i loko o ke kino. I kekahi manawa ua kapa ʻia kēia mau mea he biomarkers . ʻO ia hoʻi, he hōʻailona e hōʻike ana i kahi maʻi.

Hana nā ʻenzymes i loko o ko kākou kino i nā hana koʻikoʻi he nui. Eia kekahi laʻana:

• I loko o ka ʻōnaehana kahe koko: Kōkua i ke kāpili ʻana o ke koko.
• ʻŌnaehana hoʻoheheʻe: Kōkua i ka hoʻoheheʻe ʻana i ka meaʻai a mākou e ʻai ai.
• ʻŌnaehana ʻiʻo: Kōkua i ka hana a me ka neʻe ʻana o nā ʻiʻo.
• ʻŌnaehana aʻalolo: He mea nui no ka hana o ka lolo a me nā aʻalolo.
• ʻŌnaehana hanu: Kōkua i ke kaʻina hana hanu.
• ʻŌnaehana mimi: Kōkua i ka hoʻopau ʻana i nā ʻōpala mai ke kino.

I nā hihia hea e hana ʻia ai kahi hoʻāʻo enzyme?

Aia kekahi mau kumu nui e noi ai ke kauka iā ʻoe e hana i kēia ʻano hoʻokolohua.

• Nā Nānā: I kekahi manawa, i kāu hoʻokolohua kino maʻamau makahiki, hana ʻia kēia hoʻokolohua e nānā i kekahi pōʻino a kaomi paha i loko o kahi ʻōkana, ʻoiai inā ʻaʻohe hōʻailona.
• ʻIkepili: Inā loaʻa iā ʻoe kekahi mau hōʻailona, ​​​​e laʻa me ka ʻeha o ka umauma, hoʻohana ʻia kēia hoʻāʻo e ʻike i kahi maʻi kikoʻī, e like me ka hōʻeha puʻuwai.
• Ka nānā ʻana i ka lāʻau lapaʻau:Inā ke loaʻa nei iā ʻoe ka lāʻau lapaʻau no kahi maʻi, hoʻohana ʻia kēia hoʻāʻo e ʻike ai inā kūpono ka lāʻau lapaʻau a inā paha ke hōʻino nei ka lāʻau lapaʻau āu e lawe nei i nā kino ʻē aʻe.

He aha nā ʻano nui o nā hoʻāʻo enzyme?

Aia kekahi mau ʻano nui o nā hoʻāʻo enzyme i hoʻohana ʻia no ka ʻike ʻana i nā maʻi like ʻole. E nānā kākou i ke ʻano o lākou.

1. Hoʻāʻo ʻEnzyme Puʻuwai

Ke hōʻino ʻia ka ʻiʻo puʻuwai i kahi pilikia, e like me ka hāʻule puʻuwai, hoʻokuʻu ʻia ʻelua mau protein kūikawā i loko o ke koko mai kēlā mau ʻāpana: Troponin (cTn) a me Creatinine Phosphokinase (CPK) .

Hiki ke piʻi aʻe nā pae troponin i loko o ke koko a hiki i 12 mau hola ma hope o ka hāʻule ʻana o ka puʻuwai. No laila, hana hou nā kauka i kēia hoʻāʻo i kēlā me kēia mau hola. Inā maikaʻi ʻole ka pae troponin, ʻo ia hoʻi ʻaʻole e hana ʻia ana kahi hāʻule puʻuwai.

Hiki i ke kauka ke hana i kēia hoʻokolohua inā loaʻa iā ʻoe kēia mau hōʻailona:

• ʻEha umauma
• Pōʻino
• Ka luaʻi
• Ka hou nui ʻana
• Ka paʻakikī o ka hanu ʻana (dyspnea)

2. ʻO ka hoʻāʻo CPK Isoenzymes, kahi e haʻi ai e pili ana i nā ʻiʻo a me nā ʻiʻo

Loaʻa kahi enzyme i kapa ʻia ʻo CPK ma nā wahi e like me ko kākou mau ʻiʻo, ka lolo, a me nā māmā. Ke hōʻino ʻia kēia mau ʻiʻo, hōʻiliʻili ʻo CPK i loko o ke koko. Akā aia kekahi mea kūikawā e pili ana i kēia. Aia nā ʻano like ʻole (isoenzymes) o CPK.

• CK-MB: Loaʻa nui kēia i nā ʻiʻo o ka puʻuwai .
• CK-MM: Loaʻa kēia i nā ʻiʻo ʻē aʻe (e like me nā lima a me nā wāwae).

Kōkua kēia hoʻāʻo i ka ʻike ʻana i nā kūlana ma lalo nei:

• Maʻi hohola
• Hahau
• Ka maʻi ʻaʻai lolo
• ʻO ka dystrophy muscular
• Nā maʻi ʻē aʻe e pili ana i nā ʻiʻo (Dermatomyositis, Polymyositis)

3. Hoʻāʻo ʻana i ka Enzyme Ake e nānā i ke olakino o ke ake

Ke hōʻino ʻia ke akepaʻa, hoʻopili ʻia, a maʻi paha, hoʻokuʻu ia i kekahi mau enzymes i loko o ke koko. ʻO ʻelua o nā enzymes koʻikoʻi loa ʻo ALT (Alanine aminotransferase) a me AST (Aspartate aminotransferase) .

ʻO ke akepaʻa ka mea nui i hana ʻia ai ka enzyme ALT. No laila, ʻo ke kiʻekiʻe o nā pae ALT i loko o ke koko he hōʻailona ikaika ia e hōʻino ʻia ana kekahi mau hōʻino i ke akepaʻa. Ma waho aʻe o ke akepaʻa, loaʻa pū ka enzyme AST i loko o ka puʻuwai, nā puʻupaʻa, ka lolo, a me nā ʻiʻo.

Hiki i kēia mau mea ke hoʻonui i nā enzymes akepaʻa:

• Maʻi ake momona
• Nā maʻi viral e like me ka hepatitis A, B, a me C
• ʻO ka Cirrhosis o ke akepaʻa
• Ka hōʻino ʻana o ke akepaʻa ma muli o ka hoʻohana ʻana i ka waiʻona
• Ka maʻi ʻaʻai ate

Pehea ʻoe e hoʻomākaukau ai ma mua o kahi hoʻāʻo koko?

He hoʻāʻo koko maʻamau kēia, no laila ʻaʻohe pono o ka hoʻomākaukau nui ʻana. Akā, ʻo ka hoʻomanaʻo ʻana i kēia mau mea e maʻalahi ai iā ʻoe a me ka mea e lawe ana i ke koko.

• Inu wai nui: ʻO ka inu ʻana i ka wai nui ma mua o ka hoʻāʻo ʻana e ʻike nui ʻia ai kou mau aa a e maʻalahi ai ke huki koko.
• Hōʻalo i ka puhipaka: Ke puhipaka ʻoe, hoʻopaʻa ka nicotine i kou mau kīʻaha koko, e paʻakikī ai ke kiʻi ʻana i kahi hāpana koko.
• E haʻi mai iaʻu inā makaʻu ʻoe: Loaʻa i kekahi poʻe ka makaʻu i nā nila (trypanophobia). He mea maʻamau ia. Inā loaʻa iā ʻoe kēlā makaʻu, e haʻi mua i ka mea nāna e huki i kou koko. A laila e hana lākou ia mea ma ke ʻano e ʻoluʻolu ai iā ʻoe.

ʻAʻole koi pinepine kēia mau hoʻāʻo enzyme i ka hoʻokē ʻai ʻana, ʻoiai i kahi kūlana pilikia e like me ka hōʻeha puʻuwai. Eia nō naʻe, inā hana ʻia ka hoʻāʻo no kekahi kumu ʻē aʻe, e hahai pono i nā ʻōlelo a kāu kauka e like me ia.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo? Aia kekahi mau pilikia?

ʻO ka loaʻa ʻana o kahi hāpana koko he mea maʻalahi loa ia, a he mau minuke wale nō ka lōʻihi. A laila hoʻopili ʻia kahi kāʻei liʻiliʻi ma kahi i huki ʻia ai ke koko. Pono e waiho ʻia kēia no ʻelua a ʻekolu mau hola e pale aku ai i ka maʻi. I kekahi manawa, hiki i kahi i hoʻokomo ʻia ai ke kui ke lilo i polū iki a pehu iki. E nalo wale kēia ma kekahi mau lā.

Inā ʻeha ka wahi ma hope o ke kaha ʻana o ke koko, hiki iā ʻoe ke kau i kahi ʻeke hau. Eia kekahi, e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i ka hoʻoikaika kino ma kēlā lima no hoʻokahi lā.

He hana haʻahaʻa loa ka pilikia o ka hoʻāʻo koko. Eia nō naʻe, hopohopo paha kekahi poʻe i ka ʻike ʻana i ke koko a i ʻole ke kui. Inā ʻike ʻoe i kekahi ʻeha, e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi.

ʻEhia ka lōʻihi o ka hōʻea ʻana mai o ka hōʻike? He aha kāu e hana ai ma hope o kēlā?

I loko o kahi pilikia, e like me ka hāʻule puʻuwai, loaʻa koke ka hōʻike. Akā hiki ke hala kekahi mau lā e loaʻa ai nā hopena o kahi hoʻokolohua maʻamau.

Ma hope o ka loaʻa ʻana o ka hōʻike, e wehewehe ana kāu kauka i nā mea i loko.

No laila, mai hopohopo e pili ana i nā waiwai i loko o ka hōʻike, e hoʻolohe pono i ka mea a ke kauka e ʻōlelo nei. E nīnau iā ia i kāu mau nīnau.