Ua hopohopo iki paha ʻoe i kou ʻike ʻana i kahi waiwai kiʻekiʻe me ʻekolu mau leka GGT ma kāu hōʻike koko. Ke noʻonoʻo nei paha ʻoe, "He aha kēia GGT? No ke aha i kiʻekiʻe ai?" Mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia GGT, no ke aha i hana ʻia ai kēia hoʻāʻo, a me ke ʻano o ka waiwai kiʻekiʻe.
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He aha ka GGT?
I ka ʻōlelo maʻalahi, ʻo GGT, ʻo ia hoʻi ʻo Gamma-Glutamyl Transferase, he ʻano enzyme i loko o ko mākou kino. ʻO ka enzyme kahi mea e kōkua ai i nā kaʻina hana kemika i loko o ko mākou kino. Loaʻa nui kēia enzyme GGT i loko o ko mākou akepaʻa . Eia nō naʻe, hiki ke loaʻa i nā ʻāpana liʻiliʻi ma nā wahi ʻē aʻe o ke kino ma waho aʻe o ke akepaʻa.
ʻO kāna hana nui ka pale ʻana i nā ʻāpana o ko kākou kino mai ka hōʻino ʻia. E noʻonoʻo iā GGT e like me nā pale liʻiliʻi e pale ana i kā kākou mau ʻāpana. Ke hoʻomaka nā ʻāpana e hōʻino ʻia ma kekahi wahi, e holo mai kēia mau pale e pale iā lākou. No laila, ʻo ka piʻi ʻana o ka nui o GGT i loko o ke koko, ʻo ia hoʻi, aia ka hōʻino ma kekahi wahi o ke kino, a ke hana ikaika nei ka enzyme GGT e hakakā iā ia.
He aha ka hoʻāʻo koko GGT?
He hoʻāʻo maʻamau loa kēia e lawe ana i kahi hāpana koko liʻiliʻi mai kou lima. E kauoha kāu kauka i kēia hoʻāʻo no ka nānā ʻana i ka hōʻino ʻia o ke akepaʻa a i ʻole inā manaʻo lākou he poloka i loko o kāu mau ʻauwai bile . Ana kēia hoʻāʻo i ka nui o ka enzyme GGT i loko o kou koko.
Hiki i nā pae GGT kiʻekiʻe ke hōʻike i kekahi mau kūlana olakino e hoʻopilikia ai i ke akepaʻa, ka puʻuwai, a i ʻole nā kikowaena ʻē aʻe. Hiki i ka hoʻohana ʻana i ka waiʻona a me kekahi mau lāʻau lapaʻau ke hoʻonui i nā pae GGT.
Akā ʻo ka mea nui loa, ʻaʻole hiki iā ʻoe ke ʻike maopopo i kekahi maʻi ma ka nānā ʻana i ka waiwai o ka hōʻike GGT wale nō. Hoʻohana mau nā kauka i kēia hoʻāʻo GGT me kekahi mau hoʻāʻo ʻē aʻe e nānā i ka hana o ke akepaʻa.
Ua kapa ʻia kēia hoʻāʻo GGT e kekahi mau inoa ʻē aʻe:
- ʻO ka Gamma-glutamyl transpeptidase
- GGTP
- Gamma-GT
- GTP
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Check Availability →No ke aha e haʻi aku ai ke kauka iā ʻoe e hana i kahi hoʻokolohua GGT?
Aia paha kekahi mau kumu nui e kauoha ai kāu kauka i kēia hoʻokolohua.
Inā loaʻa iā ʻoe nā hōʻailona o ke akepaʻa
Inā ʻoe e ʻike nei i nā hōʻailona o ka maʻi akepaʻa, e ʻōlelo maoli aku kāu kauka i kēia hoʻokolohua.
- Melemele o ka ʻili (jaundice)
- ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
- Ka luaʻi a me ka luaʻi
- Manaʻo luhi loa
- Makemake nui
I ia mau hihia, ʻaʻole wale ka hoʻāʻo GGT, akā, ua hana ʻia kekahi mau hoʻāʻo ʻē aʻe e ana i ka hana o ke akepaʻa. ʻO kēia nā hoʻāʻo ʻo ALT (Alanine Transaminase), AST (Aspartate Aminotransferase), ALP (Alkaline Phosphatase) a me Bilirubin. ʻO ka wā wale nō e hui pū ai kēia mau hōʻike a pau, hiki ke hana ʻia kahi kiʻi piha.
Inā kiʻekiʻe kāu waiwai ALP
E noʻonoʻo ʻoe ʻo ka waiwai ALP (Alkaline Phosphatase) wale nō i loko o kāu hōʻike koko i kiʻekiʻe. Hiki i ʻelua mau kumu no ka hoʻokiʻekiʻe ʻia ʻana o ka waiwai ALP. ʻO kekahi he pilikia me ke akepaʻa a i ʻole nā auwai bile. ʻO kekahi he pilikia me nā iwi (nā iwi).
I kēia manawa, makemake ke kauka e ʻike inā ʻo ke akepaʻa a i ʻole nā iwi ke kumu. Maanei kahi e kōkua nui ai ka hoʻāʻo GGT.
- Inā kiʻekiʻe kāu mau pae ALP a me GGT , ʻo ke kumu paha he pilikia ia o ke akepaʻa a i ʻole ka ʻauwai bile.
- Inā kiʻekiʻe wale nō kou pae ALP a maʻamau kou pae GGT , ʻo ke kumu paha he pilikia e pili ana i ka iwi.
Maopopo iā ʻoe ke koʻikoʻi o kēia hoʻokolohua?
Inā he kānalua no ka hoʻohana ʻana i ka waiʻona
Hoʻohana ʻia ka hoʻāʻo GGT e ʻike i ka poʻe inu nui a e nānā i ko lākou kūlana i ka wā o ka mālama ʻana. Ke hōʻino ka inu ʻana i ka waiʻona i ke akepaʻa (hepatitis alcoholic), piʻi nui ka waiwai GGT.
Pono anei iaʻu e hoʻomākaukau ma mua o ka hoʻokolohua GGT?
ʻAe, pono kahi hoʻomākaukau iki ma mua o ka lawe ʻana i kēia hoʻokolohua.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei: Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke hoʻopilikia i kāu mau pae GGT. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau lāʻau. Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau ke ʻole kāu kauka e haʻi iā ʻoe.
- E hōʻalo i ka waiʻona: Mai inu i kekahi ʻano waiʻona no 24 mau hola ma mua o ka hoʻāʻo. ʻOiai kahi liʻiliʻi o ka waiʻona hiki ke hoʻonui i kāu mau pae GGT, hiki ke hoʻolilo i ka hōʻike i mea ʻaʻole pololei.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
He hana maʻalahi loa kēia.
1. E noho ʻoe ma luna o kahi noho, a e koho ke kahu maʻi a kauka lapaʻau paha i kahi aa koko maikaʻi ma kou lima (ma ka ʻaoʻao o loko o kou kuʻekuʻe lima).
2. E hoʻomaʻemaʻe i ka wahi me ka pulupulu.
3. A laila, hoʻokomo ʻia kahi nila liʻiliʻi i loko o ke aʻa a huki ʻia kekahi koko i loko o kahi ʻōmole. I kēia manawa, e ʻike ʻoe i kahi ʻano ʻū iki, e like me ke nahu ʻia ʻana e kahi ʻanuʻu.
4. Ma hope o ke kaha ʻia ʻana o ke koko, wehe ʻia ke kui, kau ʻia kahi ʻāpana pulupulu ma ia wahi a kaomi ʻia i lalo. A laila hoʻopili ʻia kahi palaki liʻiliʻi.
ʻAʻole i ʻoi aku ma mua o ʻelima mau minuke kēia kaʻina hana holoʻokoʻa.
He aha ka waiwai maʻamau o ka hōʻike GGT?
ʻO ka maʻamau, pono ka waiwai GGT ma lalo o 50 U/L (nā ʻāpana no ka lita). Eia nō naʻe, hiki ke ʻokoʻa iki kēia mai ka hale hana a i ka hale hana. No laila, ʻoi aku ka maikaʻi o ka hoʻohālikelike ʻana i kāu waiwai me ka waiwai i ʻōlelo ʻia ma kāu hōʻike ma ke ʻano he 'Normal Range' a i ʻole ka 'Reference Range'.
Eia kekahi, ʻoi aku ka kiʻekiʻe o nā pae GGT o nā kāne ma mua o nā wahine. Hiki ke loli kēia mau waiwai me ka makahiki.
He aha ke ʻano o ka pae GGT kiʻekiʻe? Pono anei au e hopohopo?
ʻO ka mea mua, mai hopohopo ke ʻike ʻoe i kahi pae GGT kiʻekiʻe. ʻO kahi pae GGT kiʻekiʻe he hōʻailona wale nō ia e loaʻa paha iā ʻoe kahi maʻi a maʻi paha e hōʻino nei i kou ake. ʻAʻole ia he manaʻo he maʻi kikoʻī kou.
Aia ma ka papa ma lalo nei kekahi mau kumu e hoʻokiʻekiʻe ʻia ai nā pae GGT.
| Nā kumu kūpono | He wehewehe maʻalahi |
|---|---|
| Nā kumu e pili ana i ke akepaʻa | |
| Hepatitis | ʻO ka pehu ʻana o ke akepaʻa ma muli o nā maʻi viral a i ʻole ka waiʻona. |
| ʻO ka maʻi ʻōpū | Ka ʻeha o ke akepaʻa ma muli o ka hōʻino lōʻihi. |
| Kolestasis | Ka ālai ʻana i ke kahe ʻana o ka bile mai ke akepaʻa mai. |
| Maʻi akepaʻa i hoʻoulu ʻia e ka waiʻona | Ka hōʻino ʻia o ke akepaʻa ma muli o ka inu nui ʻana i ka waiʻona. |
| Maʻi ʻAke Momona | Ka waiho ʻana o ka momona i loko o nā hunaola akepaʻa. |
| Hoʻemi ʻia ke kahe koko i ke akepaʻa (Liver Ischemia) | ʻAʻohe lako koko i ke akepaʻa. |
| Nā puʻupuʻu ate a i ʻole ke kanesa | Ka ulu ʻana o nā pūnaewele maʻamau ʻole i loko o ke akepaʻa. |
| Nā Kumu ʻē aʻe | |
| ʻAi ʻona | Ka hoʻohana nui ʻana i ka waiʻona i ka wā lōʻihi. |
| ʻO ka pancreatitis a i ʻole ke kanesa | Ka mumū a i ʻole ke kanesa o ka pancreas. |
| Maʻi diabetes | ʻAʻole hiki ke kāohi i nā pae kō koko. |
| Ka hāʻule ʻana o ka puʻuwai paʻa | ʻAʻole hiki i ka puʻuwai ke pamu i ke koko kūpono i ke kino. |
| Kekahi mau lāʻau lapaʻau | Eia kekahi laʻana: Nā lāʻau lapaʻau e like me 'Phenobarbital', 'Phenytoin', 'Warfarin'. |
| Puhipaka | Hiki i ka puhi paka ke hoʻonui i nā pae GGT. |
Akā e hoʻomanaʻo hou, ʻoiai ua kiʻekiʻe kāu GGT, ʻaʻole ia he manaʻo he maʻi kou. E hana kāu kauka i kahi hopena ma muli o kēia hōʻike, me nā hoʻokolohua koko ʻē aʻe, kāu mau hōʻailona, a me kou mōʻaukala olakino piha.
Āhea wau e kamaʻilio ai me ke kauka?
Inā he mau nīnau kāu e pili ana i ke kumu i noi ʻia ai ʻoe e lawe i ka hoʻāʻo GGT a i ʻole ke ʻano o kāu hōʻike, e ʻoluʻolu e nīnau i kāu kauka.
He mea maʻamau ka ʻimi ʻana i ka pūnaewele ke ʻike ʻoe i kahi loli i loko o kahi hōʻike. Akā, ʻoiai ʻaʻole hiki i kahi hoʻokolohua e like me GGT wale nō ke ʻike i kahi maʻi kikoʻī, ʻo ka ʻimi ʻana e like me kēlā e hoʻoulu wale i ka makaʻu pono ʻole.
ʻO kāu kauka wale nō ke hiki ke wehewehe pono i ke ʻano maoli o nā waiwai i loko o kāu hōʻike a pehea lākou e pili ai i kou olakino. E aʻo aku ʻo ia iā ʻoe ma muli o kou kūlana piha.
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- He enzyme ka GGT i loaʻa nui i loko o ke ake. Hoʻāʻo ʻia inā manaʻo ʻia ka hōʻino ʻana o ke ake a i ʻole ka paʻa ʻana o ka ʻauwai bile.
- Mai hopohopo inā ʻike ʻoe i kahi pae GGT kiʻekiʻe. He hōʻailona wale nō ia o kahi maʻi, ʻaʻole ia he hōʻailona paʻa.
- Hoʻohālikelike mau nā kauka i ka hōʻike GGT me nā hoʻokolohua akepaʻa ʻē aʻe e like me ALT, AST, a me ALP.
- Hiki i ka hoʻohana ʻana i ka waiʻona, ka puhipaka, a me kekahi mau lāʻau lapaʻau ke hoʻonui i nā pae GGT. Mai inu i ka waiʻona ma mua o ka hoʻāʻo.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kāu hōʻike, e kamaʻilio me kāu kauka. Ma laila ʻoe e loaʻa ai ka ʻike pololei loa a me ke alakaʻi.
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