He aha ke ʻano o ka ALP i kāu hōʻike koko? (Alkaline Phosphatase)

Ua nānā paha ʻoe i kahi hōʻike hoʻāʻo koko a ʻike i nā inoa e like me SGPT, SGOT, a me ALP a noʻonoʻo, "He aha kēia?" Malia paha ua haʻi aku kāu kauka iā ʻoe, "Ua kiʻekiʻe iki kāu ALP, e nānā hou aku kākou i kēia." He mea maʻamau ka manaʻo makaʻu iki. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia ALP, no ke aha he mea nui ia i ko kākou kino, a me ka mea e hana maoli ai ke piʻi aʻe, ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha kēia ALP?

ʻOiai ua ʻike mākou a pau iā ia ma ka pōkole ʻo ALP, ʻo kona inoa piha ʻo Alkaline Phosphatase . He ʻano protein kūikawā kēia e kū maoli ana i loko o ko mākou kino. I ka pololei, he enzyme ia.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'He aha kēia enzyme?' E noʻonoʻo he hale hana nui ko kākou kino. Aia nā limahana liʻiliʻi ma kēia hale hana e hoʻolalelale i ka hana a hoʻomau i ka holo pono ʻana, ʻeā? Pēlā ke ʻano o nā enzymes . Ua like kēia me nā limahana liʻiliʻi e hoʻolalelale ana i nā hopena kemika e hana ʻia ana i loko o nā hunaola o ko kākou kino.

ʻO kēia enzyme, i kapa ʻia ʻo ALP, kōkua i ko mākou kino e hana i nā mea he nui. ʻO nā mea nui loa o kēia mau mea:

• Kōkua ia i ke kino e wāwahi i nā protein i loko o ka meaʻai a mākou e ʻai ai a omo iā lākou.
• Kōkua iā mākou e hoʻoheheʻe i nā mea a mākou e ʻai ai.
• Kōkua i ke kino e omo i nā meaolaola.

Loaʻa pinepine kēia enzyme ALP i loko o ko kākou akepaʻa . ʻO ia ke kumu i kapa pinepine ʻia ai he 'enzyme akepaʻa'. Akā ma waho aʻe o ke akepaʻa, aia kekahi ALP i loko o ko kākou mau iwi, nā ʻōpū , nā puʻupaʻa , a me ka placenta o kahi makuahine hāpai .

He 'hōʻailona' ʻo ALP i loko o ke kino

He hōʻailona ana nā pae ALP e hōʻike ana i nā mea e hana nei i loko o ko kākou kino. Ua like ia me ke kukui hoʻomaopopo ma ka dashboard o kā kākou kaʻa. Ke ʻā kēlā kukui, ʻike mākou he hewa kekahi mea me ke kaʻa. Pēlā nō, inā ʻoi aku ke kiʻekiʻe a i ʻole ka haʻahaʻa o nā pae ALP ma mua o ka maʻamau, hiki iā ia ke lilo i biomarker e hōʻike ana he hewa kekahi mea i loko o ko kākou kino, malia paha he hōʻino ʻia nā ʻiʻo a i ʻole ka maʻi akepaʻa.

ʻO ka pilina ma waena o ka hoʻāʻo ALP a me ka maʻi akepaʻa PBC

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi akepaʻa, hiki i kāu kauka ke kauoha i kahi hoʻāʻo ALP. He mea nui loa kēia hoʻāʻo no ka ʻike ʻana i kahi maʻi i kapa ʻia ʻo Primary Biliary Cholangitis ( PBC ) .

I ka ʻōlelo maʻalahi, he maʻi lōʻihi ka PBC e hōʻino ana i nā ʻauwai bile liʻiliʻi i loko o ko kākou ake. Hiki i kēia ke hana i ka hōʻiliʻili ʻana o ka bile i loko o ke ake ma kahi o ke kahe pono ʻana, e hōʻino ana i ke ake.

No laila, hoʻohana ke kauka i ka hoʻāʻo ALP i:

1. E hoʻoholo inā he PBC kāu.

2. Inā loaʻa iā ʻoe ka PBC, e nānā i ke kūlana o ka maʻi (ʻo ia hoʻi, e ʻike inā like ka maʻi, e ʻoi aku ka ʻino, a i ʻole e hoʻomaikaʻi ana).

3. E ʻike inā he kūpono ka lāʻau āu e loaʻa nei .

ʻO kēia hoʻāʻo koko ALP kahi ala i emi iki ka invasive e wānana i ke kaʻina lōʻihi o ka maʻi. Ua ʻike ʻia e ka noiʻi hiki i nā pae ALP ke wānana i ke ʻano o ka holomua ʻana o ka maʻi, ʻoiai i nā pae mua o ka maʻi.

Nā ʻano hoʻokolohua e ana i nā pae ALP

ʻElua ʻano nui o nā hoʻāʻo e ana i ka nui o ka ALP i loko o kou koko. Hana ʻia kēia ma ke ʻōlelo aʻo a kāu kauka.

Inā kiʻekiʻe koʻu pae ALP, pono anei iaʻu e hopohopo?

He pilikia kēia i loaʻa i nā poʻe he nui. ʻO ka mea mua, mai hopohopo i ka piʻi iki ʻana o ka ALP. ʻAʻole ka piʻi ʻana o ka ALP he hōʻailona mau ia o ka maʻi akepaʻa koʻikoʻi.

Nui nā kumu ʻē aʻe no nā pae ALP kiʻekiʻe ma waho aʻe o nā maʻi ate.

• Ke ulu nei nā keiki a me nā ʻōpio: Ma muli o ka ulu wikiwiki ʻana o ko lākou mau iwi, ʻoi aku ke kiʻekiʻe o ko lākou mau pae ALP ma mua o nā pākeke.
• Hāpai: Piʻi ka pae ALP i ka wā hāpai no ka mea ua hana ʻia ka ALP e ka placenta o ka makuahine hāpai.
• Nā pilikia iwi: Hiki ke piʻi aʻe nā pae ALP i ka wā e ho'ōla ai i ka haki iwi a i ʻole nā ​​​​​​kūlana iwi ʻē aʻe.
• Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hoʻonui i nā pae ALP no kekahi manawa.

ʻAʻole e hoʻoholo ke kauka ma muli o kou pae ALP wale nō. E noʻonoʻo ʻo ia i kāu mau hōʻailona ʻē aʻe, nā hopena o nā hoʻokolohua koko ʻē aʻe (e like me SGPT, Bilirubin), kou makahiki, a me nā lāʻau lapaʻau āu e lawe nei ma mua o ka ʻōlelo aʻo ʻana iā ʻoe. No laila, he mea nui e pale aku i ka hopohopo a hahai i nā ʻōlelo aʻo a ke kauka.