Inā loaʻa iā ʻoe ka maʻi diabetes , e kauoha paha kāu kauka i nā hoʻāʻo koko like ʻole. Ma waena o kēia, e noi ʻia paha ʻoe e hana i kahi "C-Peptide Test ". Ke lohe ʻoe i kēia inoa, hopohopo iki ka poʻe he nui, "He aha kēia hoʻāʻo hou?" ʻAʻohe mea e makaʻu ai kēia. He hoʻāʻo koʻikoʻi loa ia e kōkua nui ana i ka mālama ʻana i ka maʻi diabetes. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia C-Peptide Test ma ke ʻano maʻalahi loa.
He aha maoli ka C-Peptide?
He mea maʻalahi loa kēia e hoʻomaopopo. E noʻonoʻo ʻoe he hale hana ka pancreas i loko o ko kākou kino e hana ana i ka insulin . He hormone koʻikoʻi loa ka insulin e kōkua ana i ke kō (glucose) i loko o ko kākou koko e komo i loko o nā ʻāpana a hana i ka ikehu.
I kēia manawa, ke hana kēia mau pūnaewele kūikawā i loko o ka pancreas (nā pūnaewele beta) i ka insulin, hana pū lākou i kahi ʻāpana liʻiliʻi o ia mea e hoʻopaʻa ai i kēlā insulin. ʻO ia ka mea a mākou e kapa nei he C-peptide . Ua like ia me ʻelua mau mea e hele mai ana i loko o ka pūʻolo hoʻokahi. Hoʻokuʻu ʻia ka insulin a me ka C-peptide i loko o ke koko i ka manawa like, ma ka nui like.
ʻO ka mea nui, ʻaʻohe hiki o C-peptide ke kāohi i ko mākou pae kō koko. Eia nō naʻe, ma ke ana ʻana i ka nui o C-peptide i loko o ke koko, hiki i ke kauka ke ʻike pono i ka nui o ka insulin e hana ʻia nei i loko o ko mākou kino.
Inā ʻoe e lawe i ka insulin ma waho e like me ka injection, ʻaʻohe C-peptide i loko o ia insulin. No laila hiki i kēia hoʻāʻo ke hoʻokaʻawale ma waena o ka insulin āu e lawe ai ma waho a me ka insulin a kou kino e hana ai i loko.
No ke aha e ʻōlelo ai ke kauka i kēia hoʻokolohua?
ʻAʻole hoʻohana ʻia ka hoʻāʻo C-peptide no ka ʻike ʻana i ka maʻi diabetes. Hoʻohana ʻia nā hoʻāʻo e like me FBS a me HbA1c no kēlā. Eia nō naʻe, i ka wā e hōʻoia ʻia ai ka maʻi diabetes, he mea nui loa kēia hoʻāʻo no ka mālama kūpono.
E nānā kākou i ka papa ma lalo e ʻike ai i kēlā mau kumu.
| Ke kumu no ka lawe ʻana i ka hoʻāʻo | Ua wehewehe maʻalahi ʻia |
|---|---|
| E hoʻokaʻawale ma waena o ke ʻAno 1 a me ke ʻAno 2 | I ka maʻi diabetes Type 1, hana ke kino i ka insulin liʻiliʻi a ʻaʻohe paha. No laila, haʻahaʻa loa nā pae C-peptide. I nā pae mua o ka maʻi diabetes Type 2, hana maikaʻi ke kino i ka insulin, no laila hiki ke maʻamau a kiʻekiʻe paha nā pae C-peptide. |
| E ʻike i ka hana ʻana o ka pancreas i kahi maʻi Type 1 | Inā loaʻa iā ʻoe ka maʻi diabetes Type 1, hiki iā ʻoe ke ʻike inā ke hana nei ka pancreas i kekahi insulin. |
| E nānā inā ʻo ia ka manawa kūpono e hoʻomaka ai i ka insulin no kahi maʻi Type 2 | I ka hala ʻana o ka manawa, hiki i nā maʻi Type 2 ke ʻike i ka emi ʻana o ka hana ʻana o ka insulin. Inā haʻahaʻa loa nā pae C-peptide, ʻo ia hoʻi ʻaʻole lawa nā pila wale nō a ua hiki i ka manawa e hoʻomaka ai i ka insulin. |
| E ʻike i ke kumu o ke kō koko haʻahaʻa (hypoglycemia) | Inā haʻahaʻa mau kou kō koko me ke kumu ʻole, nānā kēia hoʻāʻo e ʻike inā ʻo ke kino e hana ana i ka nui o ka insulin ke kumu. |
| Inā kānalua ʻia kahi puʻupuʻu pancreatic (Insulinoma) | He mea kākaʻikahi loa, ʻo kekahi mau ʻano puʻupuʻu i loko o ka pancreas e hana i ka insulin ma o lākou iho. I kēia manawa, lilo nā pae C-peptide i kiʻekiʻe loa. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?
ʻO ka maʻamau, ʻōlelo ʻia e hoʻokē ʻai (e hōʻalo i ka meaʻai a me ka mea inu) no 8 a 10 mau hola ma mua o ka lawe ʻana i kēia hoʻokolohua. ʻO kēia no ka mea e hoʻonui ʻia ka hana ʻana o ka insulin a me C-peptide i ka wā e ʻai ai mākou, no laila he mea nui ka waiwai kumu i loaʻa mai ka hoʻokolohua hoʻokē ʻai.
Eia nō naʻe, i kekahi manawa makemake paha kāu kauka e ʻike pehea e pane ai kou kino i kahi meaʻai. I ia mau hihia, e noi paha lākou iā ʻoe e ʻai i kahi meaʻai a laila hana i kahi hoʻāʻo. No laila, e hahai mau i nā ʻōlelo a kāu kauka.
Eia kekahi, he mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (lāʻau lapaʻau Komohana, Ayurveda, nā huaora, nā lāʻau lapaʻau kuʻuna).
He aha ka ʻōlelo a nā waiwai i loko o ka hōʻike?
Hiki iā ʻoe ke loaʻa kāu hōʻike i loko o kekahi mau lā. ʻO ka pae maʻamau no C-peptide ma waena o 0.5 a me 2.0 nanograms/milliliter (0.5 - 2.0 ng/mL) . Eia nō naʻe, hiki ke ʻokoʻa iki kēia mau waiwai mai ka hale hana a i ka hale hana.
Kiʻekiʻe ka pae C-peptide
Aia kekahi mau mea hiki ke heluhelu ʻia mai kēia:
- Loaʻa iā ʻoe ka maʻi diabetes Type 2 : ʻOi aku hoʻi i nā pae mua o ka maʻi, hana ka pancreas i ka insulin hou aʻe ma muli o ke kūʻē ʻana o ka insulin i loko o ke kino. ʻO kēia ke kumu e piʻi ai nā pae C-peptide.
- Maʻi Puʻupaʻa : Hoʻoneʻe ʻia ka C-peptide mai ke kino e nā puʻupaʻa. Ke pilikia ka hana a nā puʻupaʻa, hiki i ka C-peptide ke hōʻiliʻili i loko o ke koko a hiki ke piʻi aʻe nā pae.
- ʻInsulinoma: He ʻano puʻupuʻu pancreatic a mākou i kamaʻilio ai ma mua.
- ʻO kekahi mau lāʻau lapaʻau maʻi diabetes: Hoʻoulu ka Sulfonylureas (e.g. Gliclazide, Glimepiride) i ka pancreas e hana i ka insulin hou aʻe, hiki ke hoʻonui i nā pae C-peptide.
Haʻahaʻa ka pae C-peptide
ʻO ke ʻano kēia, ke emi nei ka hana ʻana o kou kino i ka insulin.
- Loaʻa iā ʻoe ka maʻi diabetes Type 1: I kēia hihia, haʻahaʻa loa nā pae C-peptide no ka mea ua luku ʻia nā cell e hana ana i ka insulin i loko o ka pancreas.
- ʻO ka maʻi diabetes Type 2 lōʻihi: ʻO ke kanaka me ka maʻi diabetes Type 2 i loaʻa iā ia no nā makahiki he nui e ulu mālie paha i kahi pancreas "luhi" a hōʻemi i ka hana ʻana o ka insulin.
- Ke hoʻohana ʻana i nā inikini insulin: Inā ʻoe e lawe i nā inikini insulin ma waho, hoʻemi ka pancreas i ka hana ʻana o ka insulin no kekahi manawa no ka mea e hoʻokō ana i nā pono insulin o ke kino.
- Ma hope o ka mālama ʻana no ka insulinoma: Hāʻule nā pae C-peptide kiʻekiʻe ma hope o ka wehe ʻana i ka puʻupuʻu a i ʻole kaohi ʻana me ka lāʻau lapaʻau.
Mai poina! Mai huki i kāu mau hopena ponoʻī ma muli o nā waiwai o kēia hōʻike. ʻO kāu kauka wale nō ke wehewehe i ke ʻano maoli o kēia hōʻike iā ʻoe, me ka noʻonoʻo ʻana i kāu mau hōʻailona, nā lāʻau lapaʻau, a me nā hopena hoʻāʻo ʻē aʻe.
Aia kekahi mau pilikia me kēia hoʻāʻo?
ʻAʻole loa. He hoʻāʻo koko maʻamau a palekana loa kēia. E like me nā hoʻāʻo koko āpau, aia kekahi mau pilikia liʻiliʻi loa.
- Ke kahe koko iki mai ka wahi i kuʻi ʻia (ʻoi aku hoʻi inā ʻoe e lawe ana i ka lāʻau hoʻokahe koko)
- Manaʻo e like me ka nalo
- ʻO ka palapū ma kahi o ke koko i huki ʻia
- Maʻi laha ʻole loa
He mau mea liʻiliʻi loa kēia, no laila ʻaʻohe kumu e makaʻu ai.
Leka Lawe-Home
- He mea nui ka hoʻāʻo C-peptide e ana i ka nui o ka insulin i hana ʻia i loko o kou kino.
- E kōkua nui kēia i kāu kauka e hoʻokaʻawale pololei inā he Type 1 a Type 2 paha kou.
- He mea nui loa nā hopena o kēia hoʻāʻo i ka hoʻoholo ʻana inā pono ʻoe e hoʻomaka i ka mālama ʻana i ka insulin a i ʻole ua lawa ka lāʻau lapaʻau āu e lawe nei.
- Ke loaʻa iā ʻoe kāu hōʻike C-peptide, e kamaʻilio e pili ana i kona ʻano maoli a me nā hana aʻe me kāu kauka.
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