Ua lawe anei ʻoe i kahi hōʻike hoʻāʻo koko a ʻike i kekahi o nā waiwai i loko me ka huaʻōlelo "Kiʻekiʻe" i kākau ʻia me nā leka nui? He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kahi mea e like me ia. Pēlā nō, i kekahi manawa hiki iā ʻoe ke ʻike he kiʻekiʻe ka waiwai "LDH" i kāu hōʻike. Nui ka poʻe e hopohopo nei ke ʻike lākou i kēia. Akā, mai makaʻu. ʻAʻole manaʻo mau ka waiwai LDH kiʻekiʻe he maʻi koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia LDH, ka mea a kēia hoʻāʻo e nānā ai, a me kona mau waiwai ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
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E nānā mua kākou, he aha ka LDH?
I ka ʻōlelo maʻalahi, he enzyme ka LDH . He protein ka enzyme e hoʻolalelale i nā kaʻina hana kemika i loko o ko kākou kino. Ua like ia me ka mīkini e hoʻolalelale i ka hana ma kahi hale hana. ʻO ka hana nui o ka enzyme LDH ka hoʻololi ʻana i ke kō i loko o ka meaʻai a kākou e ʻai ai, i kapa ʻia he glucose, i ikehu no kā kākou mau cell. Kāhea mākou i kēia kaʻina hana he hanu cellular.
Aia kēia enzyme LDH ma aneane nā ʻiʻo āpau i loko o ko mākou kino, akā nui loa ia i nā ʻiʻo, ke akepaʻa, nā puʻupaʻa, a me nā hunaola koko ʻulaʻula .
I kēia manawa, e noʻonoʻo e pili ana i ia mea, i ka wā e hoʻokumu ʻia ai nā pūnaewele hou i loko o ko kākou kino, e wehe ʻia nā pūnaewele kahiko a make, ʻeā? I loko o kēlā kaʻina hana maʻamau, hoʻokuʻu ʻia kekahi LDH mai kēlā mau ʻiʻo i loko o ke koko. No laila, he mea maʻamau loa ka loaʻa ʻana o kekahi LDH i loko o kāu hāpana koko.
No laila he aha ka hoʻāʻo LDH?
ʻO kahi hoʻāʻo LDH ke ana i ka nui o ka LDH i loko o kou koko a i ʻole nā wai kino ʻē aʻe. Hiki i kēia ke hāʻawi i kāu kauka i kahi manaʻo inā ua hōʻino ʻia kekahi ʻiʻo.
ʻO ke kumu, i ka wā e hōʻino ʻia ai kahi ʻiʻo o ko kākou kino ma muli o kahi ʻeha, ka ʻeha, a i ʻole ka maʻi, ʻoi aku ka nui o ka LDH ma mua o ka maʻamau i hoʻokuʻu ʻia i loko o ke koko mai kēlā mau ʻāpana i hōʻino ʻia. No laila, inā kiʻekiʻe kou pae LDH, he hōʻailona ia ua hōʻino ʻia kekahi ʻiʻo o ke kino.
Akā ʻo ka mea nui loa ma ʻaneʻi, ʻaʻole hiki i kahi hoʻāʻo LDH wale nō ke haʻi pololei i ka ʻōkana a i ʻole kahi o ke kino i hōʻino ʻia. No laila, hiki wale i nā kauka ke loaʻa kahi hōʻailona pololei ma ka hana ʻana i kekahi mau hoʻokolohua ʻē aʻe ma waho aʻe o kēia hoʻāʻo LDH.
Ua kapa ʻia kēia hoʻāʻo LDH e kekahi mau inoa ʻē aʻe.
- Hoʻāʻo LD
- ʻO ka dehydrogenase lactic
- ʻO ka dehydrogenase waikawa lactic
No ke aha e haʻi aku ai ke kauka iā ʻoe e hana i kēia hoʻāʻo LDH?
Aia kekahi mau kumu e kauoha ai ke kauka i kahi hoʻāʻo LDH. Hana pinepine ʻia kēia me nā hōʻailona ʻē aʻe e ʻike ai i ka ʻike hou aku. E nānā kākou i nā kumu nui.
| Kumu no ka hoʻāʻo ʻana | Ua wehewehe maʻalahi ʻia |
|---|---|
| Inā he kānalua no ka hōʻino ʻana o nā ʻiʻo | E kiʻi i kahi ʻike maʻalahi inā ua hōʻino ʻia kekahi ʻōkana a ʻiʻo paha i loko o kou kino. |
| No ka nānā ʻana i kahi kūlana i hala mua ʻia | E nānā e ʻike inā ua kaohi ʻia nā kūlana e like me ka anemia, nā maʻi ate, a me nā maʻi puʻupaʻa a i ʻole e ʻoi aku ka ʻino. |
| No ke ana ʻana i ke koʻikoʻi o kekahi mau maʻi kanesa | I kekahi mau ʻano maʻi kanesa, hiki i nā pae LDH ke hāʻawi i kahi manaʻo o ka laha a i ʻole ke koʻikoʻi o ka maʻi. |
| No ke ana ʻana i ka holomua o nā lāʻau lapaʻau maʻi kanesa | Kōkua pū nā pae LDH e hoʻomaopopo inā he holomua a ʻaʻole paha nā lāʻau lapaʻau no ka maʻi kanesa, e like me ka chemotherapy. |
Inā ʻaʻole ʻoe maopopo i ke kumu i noi ʻia ai ʻoe e hana i kēia hoʻokolohua, ʻoi aku ka maikaʻi e nīnau i kāu kauka.
E aʻo kākou pehea e hana ai i kēia hoʻokolohua.
He hoʻāʻo koko maʻalahi loa kēia. ʻAʻohe mea āu e pono ai e hana e hoʻomākaukau ai no ia.
ʻO kēia ka mea maʻamau e hana ʻia:
1. E noho ʻoe ma luna o kahi noho a e ʻike kahi kahu maʻi a i ʻole ke kanaka i aʻo ʻia i kahi aʻa koko ma kou lima. ʻO ka hapa pinepine, e huki ʻia ke koko mai loko mai o kou kuʻekuʻe lima.
2. Ke loaʻa iā ʻoe kahi wahi, e hoʻomaʻemaʻe pono iā ia a kau i ka lāʻau disinfectant.
3. A laila, hoʻokomo ʻia kahi nila liʻiliʻi i loko o ke aʻa a huki ʻia kahi koko liʻiliʻi. I kēia manawa, hiki iā ʻoe ke manaʻo i kahi ʻeha iki, e like me ka nahu ʻana o kahi ʻanuʻu i kou mimi .
4. Ma hope o ka hōʻiliʻili ʻana i ka nui o ke koko e pono ai i loko o kahi ʻōmole hoʻāʻo, e wehe i ka nila a kau i kahi ʻāpana pulupulu ma luna o kahi i huki ʻia ai ke koko a kaomi i lalo.
5. A laila e hoʻopili i kahi liʻiliʻi o ka plaster ma ka wahi a ua pau ʻoe. ʻAʻole pono e ʻoi aku ka lōʻihi o ke kaʻina hana holoʻokoʻa ma mua o ʻelima mau minuke.
I kekahi mau hihia kūikawā, pono paha e nānā i nā pae LDH ma nā wahi ʻē aʻe, e like me ka wai cerebrospinal (CSF), ka wai pleural, a i ʻole ka wai peritoneal. I ia mau hihia, e wehewehe kāu kauka i ke kaʻina hana kikoʻī iā ʻoe.
Pehea e hoʻomaopopo ai i ka hōʻike LDH?
E loaʻa pinepine iā ʻoe ka hōʻike i loko o hoʻokahi a ʻelua paha lā. Ma ka haukapila a i ʻole ka lumi pilikia (ETU), hiki ke loaʻa nā hopena i loko o kekahi mau hola.
ʻO ka maʻamau, aia ka ʻike e like me kēia ma ka hōʻike:
- Inoa hoʻāʻo (LDH)
- ʻO kāu hopena (kou waiwai LDH)
- Pae Maʻamau
- Inā maʻamau, kiʻekiʻe, a haʻahaʻa paha kāu hopena
He aha nā pae LDH maʻamau?
Hiki ke ʻokoʻa iki kēia pae maʻamau mai ka hale hana a i ka hale hana, akā ma ke ʻano laulā, penei nā waiwai maʻamau:
- Nā kāne: 135 - 225 mau ʻāpana i kēlā me kēia lita (U/L)
- Wahine: 135 - 214 mau ʻāpana i kēlā me kēia lita (U/L)
ʻOi aku ke kiʻekiʻe o ka pae LDH maʻamau i nā keiki ʻōpio ma mua o nā pākeke . He mea maʻamau kēlā.
He aha ka manaʻo o ka pae LDH kiʻekiʻe?
Inā ʻoi aku ke kiʻekiʻe o ka pae LDH ma mua o ka maʻamau, ʻo ia hoʻi he hōʻino kekahi mau ʻiʻo i loko o ke kino. Hiki ke hana ʻia kēia hōʻino ma muli o kahi maʻi pōkole (ʻoi) a lōʻihi paha (mau), ka maʻi, a i ʻole kahi ulia pōpilikia.
Eia kekahi mau kumu e hoʻokiʻekiʻe ʻia ai nā pae LDH:
- Anemia
- Maʻi puʻupaʻa
- Maʻi puʻupaʻa
- Maʻi akepaʻa
- ʻEha ʻiʻo
- Haʻihaʻi iwi
- Maʻi hohola
- ʻO ka maʻi pancreatitis
- ʻO kekahi mau maʻi, e like me ka meningitis, encephalitis, mononucleosis, a me ka HIV
- ʻO kekahi mau ʻano maʻi kanesa: e like me lymphoma, leukemia, a me ka myeloma maha.
Akā, mai hopohopo ke ʻike ʻoe i kēia! ʻOiai ua kiʻekiʻe kou pae LDH, ʻaʻole ia he manaʻo he maʻi koʻikoʻi kou i ʻōlelo ai. ʻAʻole loa e hana ke kauka i kahi hoʻoholo nui ma muli o ka hōʻike LDH wale nō.
Hiki ke hoʻonui ʻia ka LDH no nā kumu koʻikoʻi ʻole?
ʻAe, hiki nō!
Aia kekahi mau kumu maʻamau ʻē aʻe i hiki ai ke hoʻonui i nā pae LDH.
- Hoʻoikaika kino ikaika: E noʻonoʻo ua hoʻoikaika kino ʻoe ma ka hale hoʻoikaika kino i nehinei. ʻOiai nā hōʻino liʻiliʻi o nā ʻiʻo hiki ke hoʻonui i nā pae LDH no kekahi manawa.
- ʻO kekahi mau lāʻau lapaʻau:ʻO kekahi mau lāʻau lapaʻau, e like me ka aspirin a me nā anesthetics, hiki ke hoʻololi i nā pae LDH.
- Nā hewa i ka hāpana koko: I kekahi manawa, i ka wā e huki ʻia ai ke koko a lawe ʻia paha i ka hale hana, hiki i kekahi mau hunaola koko ʻulaʻula ke haki (hemolysis). Hiki i kēia ke kumu i ka waiwai LDH ma ka hōʻike e ʻoi aku ma mua o ka mea maoli.
No laila, ke nānā aku kāu kauka i kāu hōʻike, e noʻonoʻo ʻo ia i nā mea he nui, e like me kāu mau hōʻailona, nā lāʻau lapaʻau āu e lawe nei, a me kou mōʻaukala olakino. Inā pono, e kauoha ʻo ia i nā hoʻokolohua hou aʻe e ʻike i ke kumu.
Pono anei mākou e ʻike e pili ana i ka waiwai LDH haʻahaʻa?
He mea kākaʻikahi loa ka emi ʻana o nā pae LDH ma mua o ka maʻamau. Hiki ke hana ʻia kēia e kekahi mau kūlana genetic kakaʻikahi. Eia kekahi, ʻo ka nui o ka lawe ʻana i ka huaora C hiki ke hana i nā pae LDH haʻahaʻa i kekahi manawa.
Nā mea e nīnau aku ai i kāu kauka
Inā kiʻekiʻe kou pae LDH, e kūkākūkā i kāu mau nīnau me kāu kauka. Eia kekahi laʻana, hiki iā ʻoe ke nīnau i nā nīnau e like me:
- He aha kāu e kānalua nei ke kumu o koʻu pae LDH kiʻekiʻe?
- Pono anei iaʻu e hana i nā hoʻokolohua hou aʻe e ʻike ai i ke kumu maoli o kēia?
- (Inā he maʻi kanesa ʻoe) He aha ka ʻōlelo a kēia pae LDH e pili ana i ke kūlana o koʻu maʻi?
- Hiki i kēia waiwai LDH ke haʻi mai iaʻu pehea e pane ai koʻu kino i kaʻu mau lāʻau lapaʻau?
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- He enzyme maʻamau ka LDH i loaʻa i loko o aneane nā ʻiʻo āpau o ko kākou kino. He mea maʻamau ka loaʻa ʻana o kekahi nui i loko o ke koko.
- ʻO ka nui o ka LDH e hōʻike ana ua hōʻino ʻia kekahi mau ʻiʻo o ke kino.
- ʻAʻole hiki i kēia hoʻāʻo wale nō ke haʻi pololei i kahi i hana ʻia ai ka pōʻino. No laila, hoʻohana pinepine ʻia ia me nā hoʻāʻo ʻē aʻe.
- Hiki ke hoʻokiʻekiʻe ʻia nā pae LDH ma muli o nā kumu koʻikoʻi ʻole e like me ka hoʻoikaika kino, kekahi mau lāʻau lapaʻau, a me nā hewa o nā hāpana koko.
- Inā kiʻekiʻe kou pae LDH i kāu hōʻike, mai hopohopo, e kamaʻilio me kāu kauka e pili ana i ia mea a e kiʻi i ka ʻōlelo aʻoaʻo kūpono.
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