E noʻonoʻo ua hana wale ʻia ʻoe i kahi nānā maʻamau a ke noho pū nei me kāu kauka e nānā i kāu hōʻike koko hou loa. Ua ʻike kāu kauka, "Ua kiʻekiʻe iki kou mau enzymes akepaʻa." Nānā ʻoe i ka hōʻike a ʻike ʻoe ua ʻoi aku ke kiʻekiʻe o nā waiwai ma ka ʻaoʻao o ALT a me AST ma mua o ka pae kuhikuhi maʻamau. He mea maoli loa ke manaʻo hopohopo iki ke ʻike ʻoe i kēia, akā e ʻoluʻolu, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi, i ʻike ʻia ma ke ʻano lapaʻau ʻo Transaminitis , kahi e piʻi ai nā pae enzyme akepaʻa.
I ka ʻōlelo maʻalahi, he aha ka Transaminitis?
ʻAʻole ʻo 'Transaminitis' ka inoa o kahi maʻi kikoʻī, akā he ʻike lapaʻau. Hōʻike ia ua piʻi aʻe nā pae o nā enzymes kūikawā i kapa ʻia ʻo 'transaminases' i loko o kou koko. ʻO nā enzymes mua ʻelua i ana ʻia ʻo Alanine Transaminase (ALT) a me Aspartate Transaminase (AST) .
E noʻonoʻo i kou akepaʻa e like me kahi hale hana nui. Ua like kēia mau enzyme me nā limahana i loko o nā pūnaewele o ka hale hana. ʻO ka maʻamau, noho kēia mau limahana i loko o ka hale hana. Eia nō naʻe, inā kū kou akepaʻa i ke kaumaha, ke kaomi, a i ʻole ka hōʻino ʻia, ua hoʻopilikia ʻia nā pūnaewele, a 'e kahe' kēia mau enzyme i loko o kou koko. ʻO kahi hōʻike koko e ana wale i ka nui o kēia mau enzyme i komo i loko o kou koko.
I ka manawa pinepine, ʻike ʻia kēia ʻano ma ke ʻano ulia i ka wā o nā hoʻāʻo koko no nā kumu ʻē aʻe. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona e like me ka jaundice (melemele o nā maka a i ʻole ka ʻili) a i ʻole ka ʻeha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū, hiki i kāu kauka ke kauoha kūikawā i kēia mau hoʻāʻo e loiloi i ka hana o kou ake.
He mea weliweli anei ke kiʻekiʻe o ka enzyme ate?
He nīnau maʻamau kēia. ʻO ka Transaminitis kahi hōʻailona mua e hōʻike ana ua loaʻa i kou mau hunaola akepaʻa kekahi mau pōʻino—e like me ke kukui 'check engine' ma ka dashboard o kāu kaʻa. He hōʻailona ia e pono e nānā ʻia kekahi mea. Aia wale nō kona koʻikoʻi ma ke kumu kumu .
- Nā kumu no ka manawa pōkole: Hiki i kekahi mau lāʻau lapaʻau a i ʻole nā maʻi pōkole ke hoʻoulu i ka piʻi ʻana o kēia mau enzymes no ka manawa pōkole. Ke hoʻoponopono ʻia ke kumu kumu, hoʻōla pinepine ke akepaʻa, a hoʻi nā pae enzyme i ka maʻamau.
- Nā kumu mau: Inā hoʻomau ka maʻi olakino i ka hōʻino ʻana, hiki ke lilo i mea koʻikoʻi i ka hala ʻana o ka manawa. ʻOiai he hiki kupaianaha ko ke akepaʻa e ho'ōla, inā hoʻomau ka hōʻino ʻana me ka nānā ʻole ʻia, hiki ke hoʻopilikia ʻia kēlā hiki, a hiki ke alakaʻi i nā pilikia e like me ka hāʻule ʻana o ke akepaʻa.
No laila, ʻaʻole kēia hopena he helu wale nō ma kahi ʻaoʻao; he hōʻailona koʻikoʻi ia e hiki ai i kāu kauka ke noiʻi i kou olakino holoʻokoʻa a pale i nā pilikia hou aʻe.
He aha nā kumu e hiki ai ke hoʻoulu i ka transaminitis?
Nui nā kumu kūpono no kēia. Hiki iā mākou ke hoʻokaʻawale iā lākou i nā kumu maʻamau a me nā mea i ʻike pinepine ʻole ʻia.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā Kumu Maʻamau | |
| Maʻi ʻAke Momona | He kumu maʻamau loa kēia i kēia manawa. ʻO ke kikoʻī, ʻo ia hoʻi ka maʻi ate steatotic associated Metabolic dysfunction (MASLD) . Hoʻoulu pinepine ʻia e nā kumu metabolic e like me nā ʻano ʻai maikaʻi ʻole, ka piʻi ʻana o ke kaumaha, ka maʻi diabetes, a me ke cholesterol kiʻekiʻe. |
| Hepatitis i hoʻoulu ʻia e ka waiʻona | ʻO ka inu nui ʻana i ka waiʻona e hōʻeha pololei ai i ke akepaʻa, e alakaʻi ana i nā pilikia akepaʻa no ka manawa pōkole a mau paha. |
| Hepatitis viral | Hiki i nā maʻi e like me ka Hepatitis A, B, C, D, a me E ke kumu o ka mumū o ke ake. ʻO ka mea nui, hiki i ka Hepatitis B a me C ke holomua i nā maʻi maʻi lōʻihi. |
| Hepatitis ʻawahia (pili i ka lāʻau lapaʻau) | Hiki i kekahi mau lāʻau lapaʻau—me kekahi mau lāʻau ʻeha, nā lāʻau hoʻohaʻahaʻa cholesterol, a me nā lāʻau lapaʻau maʻi puʻupuʻu—ke hoʻopilikia i ke akepaʻa. E nānā pono mau ana kāu kauka i kēia. |
| Nā Kumu Maʻamau ʻole | |
| Nā Kumu ʻē aʻe | ʻO kēia mau mea me nā pilikia o ka ʻōnaehana pale (Autoimmune hepatitis), nā maʻi hoʻoilina (Hemochromatosis, maʻi Wilson), nā maʻi puʻuwai, jaundice, nā maʻi thyroid, a, i nā hihia kakaikahi, ka maʻi kanesa o ke ake. |
He manaʻo paha ia he mea kikoʻī inā ʻoi aku ka kiʻekiʻe o AST ma mua o ALT?
ʻO ka maʻamau, ke hōʻeha ʻia kou akepaʻa, piʻi pū nā enzyme ʻelua. ʻOi aku ka kikoʻī o ALT i ke akepaʻa, no ka mea, loaʻa nui ia ma laila. Eia nō naʻe, ʻaʻole i loaʻa wale ka AST i loko o ke akepaʻa akā i loko hoʻi o ka ʻiʻo puʻuwai, nā ʻiʻo iwi, a me nā ʻiʻo ʻē aʻe.
No laila, inā ʻoi aku ke kiʻekiʻe o kāu pae AST ma mua o kou pae ALT , e noʻonoʻo kāu kauka i nā kumu ʻē aʻe, e like me:
- ʻO ka maʻi ate e pili ana i ka waiʻona: He mea maʻamau kēia ʻano i ka pōʻino i hoʻokumu ʻia e ka waiʻona.
- Cirrhosis: Hiki ke ʻike ʻia kēia ʻano i ka holomua ʻana o ka ʻeha o ke ake.
- Nā kumu ʻaʻole o ke akepaʻa: Hiki ke piʻi aʻe ka AST ma muli o nā kūlana e like me ka hōʻeha puʻuwai (myocardial ischemia) a i ʻole ka hōʻino nui ʻana o nā ʻiʻo (rhabdomyolysis).
ʻO ka mea nui loa: He mau hōʻailona wale nō kēia. Mai ho'āʻo e nānā iā ʻoe iho ma muli o kāu hōʻike. He mea ia e pono e hana ʻia e kāu kauka.
Pehea e mālama ai kāu kauka i kēia?
ʻO ka mea mua, e hoʻomanaʻo ʻaʻohe lāʻau lapaʻau kūikawā no ka "transaminitis" ponoʻī no ka mea ʻaʻole ia he maʻi, akā he hōʻailona. No laila, ʻo ka pahuhopu nui o kāu kauka ke ʻike i ke kumu kumu a mālama iā ia e like me ia.
ʻO ke kaʻina hana lapaʻau ma ke ʻano laulā e pili ana i:
1. Moʻolelo Lapaʻau: E nīnau kāu kauka e pili ana i kou nohona (ʻai, hoʻoikaika kino, hoʻohana ʻana i ka waiʻona), nā lāʻau lapaʻau āu e lawe nei, a me ka moʻolelo olakino ʻohana.
2. Noiʻi Hou Aʻe: Hiki iā lākou ke kauoha i nā hoʻokolohua hou aʻe e hōʻoia i ke kumu:
- Ke hana hou ʻana i nā hoʻokolohua koko.
- Ka nānā ʻana no ka Hepatitis B a me C.
- ʻO ke kiʻi ʻana o ka ultrasound ʻōpū.
- Nā hoʻāʻo koko kūikawā ʻē aʻe inā pono.
3. Lapaʻau Kūpono: Ke ʻike ʻia ke kumu, hoʻopilikino ʻia ka lāʻau lapaʻau:
- No ke Akepaʻa Momona: He mea nui ka hoʻololi ʻana i ke ʻano o ka nohona. He mea nui ka ʻai olakino , ka hoʻoikaika kino mau , a me ka mālama ʻana i ke kaumaha .
- No nā pilikia e pili ana i ka waiʻona: ʻO ka hōʻole loa ʻana i ka waiʻona wale nō ka hopena.
- No nā pilikia e pili ana i ka lāʻau lapaʻau: Hiki i kāu kauka ke hoʻoponopono i kāu lāʻau lapaʻau a hoʻololi paha i ka nui.
- No nā maʻi viral: E hoʻomaka ʻia ʻoe ma ka lāʻau antiviral i kuhikuhi ʻia.
I ka hapanui o nā hihia, ʻo ka mālama pono ʻana i ka pilikia kumu e pale aku i ka hōʻino hou ʻana o ke akepaʻa a ʻae i nā pae enzyme e hoʻi i ka maʻamau.
Leka Lawe-Home
- ʻO ka Transaminitis (nā enzymes akepaʻa kiʻekiʻe) he hōʻailona ia e hōʻike ana ua pilikia kou akepaʻa. Mai hopohopo ke ʻike ʻoe i kēia.
- Nui nā kumu no kēia, ʻo ia hoʻi ke akepaʻa momona, ka hoʻohana ʻana i ka waiʻona, nā maʻi viral, a me nā lāʻau lapaʻau.
- ʻAʻole i kuhikuhi ʻia ka lāʻau lapaʻau i nā pae enzyme ponoʻī, akā i ke kūlana kumu e hoʻonui ai i ko lākou piʻi ʻana.
- Inā ʻike ʻoe i nā pae ALT a i ʻole AST kiʻekiʻe ma kāu hōʻike koko, mai hoʻowahāwahā iā lākou. Pono ʻoe e kūkākūkā me kāu kauka e loaʻa ai ka ʻōlelo aʻoaʻo a me ka mālama kūpono.
- I ka hapanui o nā hihia, ʻo ke ala maikaʻi loa e kākoʻo ai i ke olakino o kou akepaʻa ke lawe ʻana i kahi nohona olakino (ʻai maikaʻi a me ka hoʻoikaika kino mau).
👩🏽⚕️ Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
💬 He aha maoli ka Syncope (nāwaliwali)?
ʻAʻole kēia he hiamoe wale nō a i ʻole ka manaʻo māmā. Ma nā ʻōlelo lapaʻau, wehewehe ʻo 'Syncope' i kahi pilikia olakino koʻikoʻi kahi e nalowale ai ke kahe koko a me ka oxygen i ka lolo no kekahi manawa. Hoʻopilikia kēia i ka nalowale koke o ka ʻike a me ke ʻano o ke kūlana (hiolo ʻana), hiki ke hōʻike i kahi maʻi koʻikoʻi.
💬 He aha nā kumu nui no ka nalowale koke ʻana o ka ʻike a i ʻole ka syncope?
ʻEhā mau kumu nui: 1) Cardiogenic Syncope: He pilikia o ka puʻuwai a i ʻole ka hōʻeha puʻuwai e pale ai i ka puʻuwai mai ka pamu ʻana i ke koko i ka lolo. 2) Hypoglycemia koʻikoʻi: Nā hāʻule weliweli o ke kō koko, ʻoi aku ka maʻamau i nā poʻe maʻi diabetes. 3) Vasovagal Syncope: He pane a ka ʻōnaehana nerve i ka ʻeha nui, ka ʻike ʻana i ke koko, a i ʻole ka pilikia nui o ka naʻau. 4) Nā hopu a i ʻole Epilepsy.
💬 Āhea wau e ʻimi koke ai i ke kōkua lapaʻau ma mua o ka hoʻāʻo ʻana e mālama i ke kanaka ma ka home?
Inā hāʻule kekahi kanaka no ka manawa pōkole ma muli o ka wela a hoʻōla koke, pono paha lākou i ka wai a i ʻole ke kō. Eia nō naʻe, pono ʻoe e kāhea koke i ka 911 a i ʻole nā lawelawe ulia pōpilikia inā: 1) Ua ʻeha ko lākou umauma, ka paʻa, a i ʻole ka paʻakikī o ka hanu ʻana ma mua o ka hāʻule ʻana; 2) Ua hōʻike lākou i nā hōʻailona o ka hopu ʻana, e like me ka haʻalulu hiki ʻole ke kāohi ʻia a i ʻole ka huʻa ma ka waha; 3) Noho lākou i ka ʻike ʻole a pane ʻole paha no kekahi mau minuke ma hope o ka hāʻule ʻana. Ke aʻo aku nei ʻo Nirogi Lanka ʻaʻole e hoʻopaneʻe; e hoʻoikaika i ka mālama haukapila ʻoihana i kēia mau hihia.
