ʻO ke akepaʻa kekahi o nā mea hana mālie a hana nui loa i loko o ko kākou kino. Hana nui ia me ka ʻike ʻole ʻia e kākou. Mai ke kōkua ʻana i ka ʻeli ʻana i ka meaʻai a hiki i ka hoʻopau ʻana i nā mea ʻawahia mai ke kino mai, he lōʻihi kāna papa inoa o nā hana. No laila, i kekahi manawa pono mākou e nānā inā he hewa kekahi mea me kēia akepaʻa hana nui, inā ua luhi, a inā e hana pono ana i kāna hana. ʻO ka mea pōmaikaʻi, hiki iā mākou ke ʻike i nā mea he nui e pili ana i kēia me kahi hoʻāʻo koko maʻalahi. I kēia lā ke kamaʻilio nei mākou e pili ana i nā 'Liver Function Tests', i ʻike ʻia e nā mea a pau ʻo LFTs.
I ka ʻōlelo maʻalahi, he aha kēia Hoʻāʻo Hana Ake (LFT)?
He mea maʻalahi loa ia. ʻO nā LFT kahi moʻo o nā hoʻokolohua e hoʻohana ana i kahi hāpana koko liʻiliʻi i lawe ʻia mai kahi aa koko ma kou lima. Ana lākou i ka nui o nā mea like ʻole (e like me nā enzymes a me nā protein) i hana ʻia e kou akepaʻa a i ʻole e hōʻiliʻili i loko o kou koko ke hōʻino ʻia kou akepaʻa.
E noʻonoʻo ʻoe e lawe ana i kāu kaʻa no ka lawelawe. Ana ke mekanika i nā mea e like me ka ʻaila mīkini a me ka coolant e loaʻa ai kahi manaʻo o ke kūlana o ka mīkini, ʻeā? Ma ke ʻano like, nānā ke kauka i nā pae o kēia mau mea i loko o kou koko e loaʻa ai kahi manaʻo koʻikoʻi o ke olakino a me ka hana o kou ake.
No ke aha e haʻi aku ai ke kauka iā ʻoe e hana i kēia LFT?
Aia paha kekahi mau kumu e paipai ai kāu kauka i kēia hoʻokolohua.
- E nānā i ka maʻi akepaʻa i manaʻo ʻia: Inā loaʻa iā ʻoe nā hōʻailona e like me ka jaundice, nā maka melemele, ka ʻeha ma ka ʻaoʻao ʻākau o kou ʻōpū, a i ʻole ka manaʻo palaualelo, e noi ʻia paha ʻoe e hana i kēia hoʻāʻo no ka mea ke manaʻo nei ʻoe he hepatitis a i ʻole kekahi maʻi ʻē aʻe.
- E nānā i nā maʻi akepaʻa i loaʻa mua: Inā loaʻa iā ʻoe ka maʻi akepaʻa (no ka laʻana, cirrhosis), hana mau ʻia kēia hoʻāʻo e ʻike pehea e hana nei, inā e ʻoi aʻe ana ka maʻi, a inā paha ua kaohi ʻia.
- E ʻike inā ua holomua ka lāʻau lapaʻau: Kōkua kēia hoʻāʻo e hoʻoholo inā e hana ana nā lāʻau lapaʻau i hāʻawi ʻia no ka maʻi akepaʻa a inā e hoʻomaikaʻi ana ka maʻi.
- E nānā i nā hopena ʻaoʻao o nā lāʻau lapaʻau āu e lawe nei: ʻO kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻohaʻahaʻa cholesterol a me nā lāʻau ʻeha lōʻihi, hiki ke hoʻopilikia i ke akepaʻa. No laila, ke hoʻohana ʻoe i ia mau lāʻau lapaʻau, hana pū nā kauka i kēia LFT e nānā inā he hopena ma ke akepaʻa.
He aha nā mea nui e nānā ʻia ma kahi LFT?
Ke nānā ʻoe i kahi hōʻike LFT, e ʻike ʻoe i kahi pūʻulu o nā leka a me nā helu Pelekania. I ka nānā mua ʻana, he mea paʻakikī paha ia, akā haʻi kēlā me kēia o kēia mau helu iā ʻoe e pili ana i nā ʻano like ʻole o ka hana o ke ake. E nānā kākou i kēia mau mea koʻikoʻi.
| Inoa Hoʻāʻo | He aha ke ʻano o kēia? |
|---|---|
| Nā ʻenzyme o ke akepaʻa ALT, AST, ALP, GGT | ʻO kēia nā mea i ʻike nui ʻia. Ke hōʻino ʻia, ʻeha ʻia, a pehu paha nā hunaola akepaʻa, hoʻokuʻu ʻia kēia mau enzyme i loko o ke koko. No laila, inā kiʻekiʻe ko lākou pae i loko o ke koko, ʻo ia hoʻi ke kaumaha nei ke akepaʻa. |
| ʻO ka protein holoʻokoʻa a me ka albumin | Hana ke akepaʻa i nā protein he nui e pono ai ko kākou kino. ʻO ka albumin kekahi o ia mau protein koʻikoʻi. Ke hana pono ʻole ke akepaʻa, emi iho ka hana ʻana o kēia protein. Hiki i kēia ke kumu i ka haʻahaʻa o nā pae protein i loko o ke koko. |
| ʻO Bilirubin | He huahana ʻōpala melemele kēia i hana ʻia i ka wā e haki ai nā hunaola koko ʻulaʻula. Lawe ke akepaʻa olakino i kēia bilirubin, hoʻohui pū me ka bile, a lawe aku mai ke kino. Ke pilikia ke akepaʻa, ʻaʻole hana pono kēia hana. A laila hōʻiliʻili ka bilirubin i loko o ke koko, e hoʻolilo ana i nā maka a me ka ʻili e melemele. Kāhea pū mākou i kēia 'fiva melemele'. |
| Ka Manawa Prothrombin (PT) | Hana pū ke akepaʻa i nā protein kūikawā (nā kumu clotting) e kōkua i ke kāpili ʻana o ke koko. Ana ka hoʻāʻo PT i ka lōʻihi o ke kāpili ʻana o kou koko. Inā ua hōʻino ʻia ke akepaʻa, emi ka hana ʻana o kēia mau protein. Hoʻonui kēia i ka manawa e kāpili ai ke koko. |
He paʻakikī anei ka hana ʻana i kēia hoʻāʻo koko?
ʻAʻole loa. He mea maʻalahi loa kēia a hiki ke hana ʻia i loko o kekahi mau minuke.
Ke hele ʻoe i kahi haukapila a i ʻole ke keʻena hoʻokolohua, e ʻike kahi kahu maʻi a loea paha i kahi aʻa koko ma kou lima kokoke i kou kuʻekuʻe lima a hoʻomaʻemaʻe i ka wahi. A laila, me ka hoʻohana ʻana i kahi nila liʻiliʻi, e hōʻiliʻili lākou i kahi koko liʻiliʻi i loko o kahi vial. Hiki iā ʻoe ke manaʻo i kahi ʻeha iki, akā e nalowale koke ia. Ma hope o ka huki ʻia ʻana o ke koko, hoʻouna ʻia ka hāpana i kahi keʻena hoʻokolohua. Hiki ke hala i kekahi mau hola a i ʻole hoʻokahi a ʻelua paha lā no ka hoʻi ʻana mai o nā hopena.
ʻO ka mea nui loa, ʻo ia ke nīnau i kāu kauka inā pono ʻoe e hoʻokē ʻai ma mua o kēia hoʻāʻo. I kekahi manawa, e noi ʻia paha ʻoe e hoʻokē ʻai no ka mea ua hana ʻia ia me nā hoʻokolohua ʻē aʻe.
Pehea e hoʻomaopopo ai i nā waiwai i loko o ka hōʻike? (Nā Pae Maʻamau)
Ke loaʻa iā ʻoe kāu hōʻike, e ʻike ʻoe i kāu helu no kēlā me kēia hoʻokolohua, me ka 'Normal Range'. Akā, aia kekahi mea nui e hoʻomanaʻo ma ʻaneʻi.
Mai hopohopo a hoʻoholo paha he maʻi kou ke ʻike ʻoe i nā waiwai ma kēia hōʻike. ʻO kāu kauka wale nō ke hoʻomaopopo pololei i kēia a hiki i kahi hopena i kūpono i kou kūlana.
No ka mea, hiki ke ʻokoʻa iki ka pae maʻamau o nā waiwai mai ka hale hana a i ka hale hana. Hiki ke ʻokoʻa kēia mau waiwai ma muli o nā mea e like me ka makahiki a me ke kāne.
Eia kekahi mau pae waiwai i hoʻohana pinepine ʻia:
| Hoʻāʻo | Pae Maʻamau |
|---|---|
| ʻAlanine transaminase (ALT) | 0 a 45 IU/L |
| ʻO ka Aspartate transaminase (AST) | 0 a 35 IU/L |
| ʻO ka phosphatase alkaline (ALP) | 30 a 120 IU/L |
| ʻO Bilirubin | 2 a 17 micromoles/L |
| Ka manawa Prothrombin (PT) | 10.9 a i 12.5 kekona |
| ʻAlabina | 40 a 60 g/L |
He aha ka manaʻo o ka hoʻonui ʻia ʻana o nā pae ALT a me AST?
ʻO ka mea mua a ka hapa nui o ka poʻe e nānā ai i kahi hōʻike LFT ʻo ia nā pae enzyme ʻelua, ʻo ALT a me AST. Inā kiʻekiʻe kēia mau mea, hōʻike ia he hōʻino ʻia nā hunaola o ke akepaʻa.
Eia nō naʻe, nānā pū nā kauka i ka lakio o kēia mau waiwai ʻelua. No ka laʻana, inā ʻelua ka nui o ka waiwai AST ma mua o ka waiwai ALT, hōʻike pinepine ia i ka hōʻino ʻia o ke akepaʻa ma muli o ka hoʻohana ʻana i ka waiʻona. Inā like nā waiwai ʻelua, hiki ke kumu ʻia e kekahi kumu ʻē aʻe (no ka laʻana, kahi maʻi viral).
He aha ke ʻano o nā maʻi e hōʻike ai ʻo LFT?
He mea kēia e pono ai kākou e hoʻomaopopo. ʻO ka hoʻāʻo LFT wale nō ka hana mua i ka huakaʻi hōʻoia. Ua like ia me ka hōʻailona mua i loaʻa i kahi mākaʻi. ʻAʻole hiki i nā hopena o kēia hoʻāʻo wale nō ke hōʻoia paʻa i kahi maʻi. Eia nō naʻe, hāʻawi ia i ke kauka i kahi alakaʻi maikaʻi e pili ana i kahi o ka pilikia a me ka mea e hana ai ma hope.
Inā ʻokoʻa nā hopena LFT, pono paha nā hoʻokolohua hou aʻe, e like me ka ultrasound scan, nā hoʻokolohua koko kūikawā ʻē aʻe, a me ka biopsy ate paha.
ʻO kekahi o nā kūlana e hiki ai i nā hoʻokolohua LFT ke hōʻike:
- Maʻi ʻAke Momona
- Ka hōʻino ʻia o ke akepaʻa ma muli o nā mea ʻawahia (Toxic Hepatitis)
- ʻO ka maʻi hepatitis viral (Viral Hepatitis A, B, a i ʻole C)
- Hoʻouka ka ʻōnaehana pale ponoʻī o ke kino i ke akepaʻa (Autoimmune Hepatitis)
- ʻO Cirrhosis - ka ʻeha a me ka emi ʻana o ke akepaʻa
- Nā pilikia o ke auwai bile
- Ka maʻi ʻaʻai ate
- Nā maʻi hoʻoilina e like me ka hemochromatosis
Leka Lawe-Home
- He hoʻāʻo koko maʻalahi a palekana hoʻi ka Hoʻāʻo Hana Ake (LFT) e hāʻawi ana i ka ʻike he nui e pili ana i ke olakino o kou ake.
- Ke loaʻa iā ʻoe nā hopena o kēia hoʻāʻo, mai lele koke i nā hopena ma muli o ka ʻike ma ka pūnaewele. E hoʻokumu wale ana kēlā i ka makaʻu pono ʻole.
- Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi wehewehe pololei ma ka hoʻohālikelike ʻana i nā waiwai i kāu hōʻike me kāu mau hōʻailona a me nā ʻike lapaʻau ʻē aʻe.
- ʻAʻole i nā manawa a pau e kiʻekiʻe ai nā waiwai LFT, ʻo ia hoʻi he maʻi koʻikoʻi. I kekahi manawa hiki ke lilo i kumu maʻalahi, e like me ka lāʻau lapaʻau āu e lawe nei a i ʻole kahi maʻi manawa pōkole. Akā he mea nui e noiʻi iā ia.
- He ʻōkana waiwai nui ke akepaʻa e hana mālie ana. No laila, inā ʻōlelo ke kauka iā ia, he mea nui loa ke hana i kahi hoʻokolohua e like me kēia e nānā i ke olakino o ke akepaʻa.
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