Thisen test i nei tawh em, report kha i la a, a chunga letter leh number te i en a, "Hei hi eng nge ni?" ALT, AST, leh GGT ang chi letter tam tak zingah hian "ALP" tih value pawh i hmu tawh mai thei. Mi tam tak chuan hei hi an hmuh hian an buai deuh thin. Chuvangin, vawiin hian he Alkaline Phosphatase, a tawi zawngin ALP hi eng nge a nih, he test-ah hian eng nge a zawn tih leh a hlutna a inthlak huna kan hriat tur kan sawi dawn a ni.
ALP hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Alkaline Phosphatase (ALP) hi kan taksa pum puia awm enzyme a ni. Enzyme hi kan cell chhunga protein chi khat bik a ni. Factory-a speeding machine ang bawkin heng enzyme te hian kan taksaa chemical process hrang hrangte chu a pui a, a ti chak bawk. Kan taksaah hian heng enzyme te hi sang tam tak a awm a.
Doctor-te chuan ALP hi kum tam tak chhung zirchiang tawh mah se, a hnathawh dik tak chu 100% in an la hre chiang lo. Mahse, taksaa thil pawimawh tam takah a inrawlh tih hmuhchhuah a ni.
ALP chungchang sawi hian "liver enzyme" tia sawi a ni fo. A chhan chu ALP hi kan thin (liver)-ah a awm tam zawk vang a ni. Mahse, thin (liver)-ah chauh a innghat lo. Hmun dangah pawh hmuh tur a awm.
- I bile ducts: Liver atanga bile siam chhuah chu gallbladder-a phurtu tubes, chutah chuan dahkhawmna hmun.
- I ruh chhungah: Chu chu i ruh chhungah tihna a ni.
- Kidney-ah chuan.
- Intestines a awm.
- Nu naupai te placenta.
Chuvangin, i thisena ALP level chu a tlangpuiin a sang emaw a hniam emaw a nih chuan heng taksa peng pakhatah hian chhiatna emaw, thil kalphung emaw a inthlak danglam thei tih chhinchhiahna a ni.
ALP thisen test hi eng nge ni?
ALP thisen test hian i thisena ALP awm zat a teh thin. A hmaa kan sawi tawh ang khan ALP hi taksa pumpuiah hmuh tur awm mah se, thisenah ALP awm khawmna bulpui pahnih chu thin (liver) leh ruhte hi a ni. Chuvangin thisenah ALP level a san chuan thin natna emaw, ruh natna eng emaw a awm tih chhinchhiahna a ni thei. Mahse, ALP test ringawt pawh hian natna a hriat theih loh tih hre reng ang che.
ALP test hi chi hnih a awm a.
1. Routine ALP test: Hei hi test tih tam ber a ni. A tlangpuiin, doctor-in `Comprehensive Metabolic Panel (CMP)` emaw, `Liver Panel (LFT)` emaw, liver entu tur a tih chuan ALP value a tel ngei ang.
2. ALP isoenzyme test neih dan tur:Hei hi test bik deuh a ni. ALP test pangngai hian i thisenah ALP engzat nge awm tih chauh a hrilh che a ni. Mahse he isoenzyme test hian i thisena ALP tam lutuk chu i liver, ruh atanga lo chhuak nge hmun dang atanga lo chhuak tih chiang takin a hrilh thei che a ni. I ALP level a sang hle a nih chuan i doctor chuan a chhan dik tak hriat nan he test hi a order thei ang. Mahse a buaithlak deuh a, a man a to bawk a, chuvang chuan lab zawng zawng hian an ti vek lo.
Engvangin nge he ALP test hi kan mamawh?
I doctor-in ALP test a tih chhan hi chhan hrang hrang a awm thei.
- Screening: A châng chuan, symptoms awm lo mah se, ALP hi i routine annual check-up CMP emaw LFT report-a tel angin i check ṭhin a, chu chuan symptoms a lan hmain liver emaw hmun dangah emaw harsatna a awm tih hriat theih a ni.
- Monitoring: Liver emaw ruh natna i neih tawh chuan he test hi i dinhmun a tha em tih te, a awm reng em tih te, enkawl a nih chuan a na zual em tih enfiahna atan pawh hman thin a ni.
- Diagnosis-a puitu atan: Liver emaw ruh natna nena inzawm symptoms i neih chuan ALP test hi diagnostic process-a thil pawimawh tak a ni.
Doctor-in ALP test ngaihtuah tir thei tur symptoms
A hnuaia symptoms hi i neih chuan i doctor chuan he test atan hian a refer thei che a ni.
| Liver natna nena inzawm thei symptoms te | |
|---|---|
| Jaundice a awm | Vun sen leh mit var. |
| Pum na emaw, pum na emaw | A bik takin dinglam sir a ribs hnuaiah. |
| Bruising awlsam tak a ni | Hliam tenau i neih pawhin blue-a inthlak. |
| Nausea leh luak chhuak | Nausea leh ei duh lohna. |
| Zun leh bawlhhlawh inthlak danglamna | Zun dum (tea ang chi) leh bawlhhlawh dum (clay-colored) te. |
| Thil danglam tak, taksa rihna tihtlem | Chhan awm lovin taksa rihna tihtlem. |
| Chauhna nasa tak (Fatigue) . | Engmah ti lo pawhin chau anga inhriatna. |
| A taksa peng hrang hrang a hring (Edema) . | Ke leh kut zungtang a hring chhuak. |
| Ruh natna nena inzawm thei symptoms | |
|---|---|
| Ruh leh ruh natna | Natna, a bik takin chawlh laiin. |
| Ruh lian emaw, a pianzia inthlak emaw | Taksa ruh thenkhat a lo lian dan pangngai lo. |
| Fracture awm fo thin | Ruh tliak, tlu tenau tak atanga pawh ni se, a tlangpuiin hlauhawm lo tak a ni. |
Thisen test hma leh test laiin eng nge thleng?
I doctor-in he ALP test hi CMP-a tel ve turin a tih che chuan darkar 10-12 vel chaw nghei a ngai ang. Mahse tui i in thei tho. Mahse, thisen test tura tih i nih chuan i doctor chuan a hmaa i tih tur chiang takin a hrilh ang che. Chu thupekte chu zawm a pawimawh hle.
Hengte hi thisen lak laia thil thleng tlangpui a ni.
1. Chair-ah i thu ang a, nurse emaw medical officer emaw chuan i kut ah thisen lakna tur vein awlsam tak a hmu ang. Hei hi i elbow chhungah a awm tlangpui.
2. Vein i hmuh zawh hnuah a hmun chu rubbing alcohol ang chi thil hmangin uluk takin silfai ang che.
3. Tichuan, zungbun te tak te chu vein chhungah thun a, thisen sample lak a ni. Hetih lai hian, rulhut te tak tein a seh ang maiin, hrual tlem i nei thei.
4. Test nana thisen mamawh zat chu tube-ah kan khawn khawm hnuah, needle chu la chhuakin, thisen lakna hmun chu cotton chi khat hmangin press rawh.
5. Thisen chhuah a reh chuan plaster te tak te chu a hmunah hnawih a, hna thawh zawh a ni.
A kalphung zawng zawng hi minute nga aia rei lo a ni. Thisen lakna hmunah hian natna leh hliam tlem a awm thei. Mahse chu chu ni khat emaw ni hnih emaw hnuah a bo vek ang.
Report-a thu awmte hi engtin nge i hriatthiam?
Ni khat emaw ni hnih emaw chhungin report chu i hmu thei tlangpui. Report-ah hian hetiang hian thu a awm a:
- Test hming (e.g. Alkaline Phosphatase) tih a ni.
- I result (i thisena ALP value) kha.
- Range pangngai tak a ni.
- I hlutna chu a pangngai emaw, a sang emaw, a hniam emaw pawh nise.
A pawimawh ber chu: I report-a "Normal Range / Reference Range" kha en la, heng value te hi lab hrang hrangah a inang lo deuh thei a ni.
A pawm tlangpui chu liter khatah international unit 44 atanga 147 (44 atanga 147 IU/L) a ni. Mahse, hmun thenkhatah chuan hei hi 30 atanga 120 IU/L anga ngaih a ni bawk.
Tin, ALP value pangngai pawh hi kum leh mipa leh hmeichhia a zirin a inang lo bawk.
- Naupang leh tleirawl: Naupang leh tleirawlte hian an ruh a lo thang lian avangin an pianphungah ALP level sang tak an nei a.
- Kum 15-50 inkar: Mipa hian hmeichhia aiin ALP level a sang deuh hlek a.
- Kum upa lam: Kan tar chhoh zel chuan ALP level hi a sang chho leh deuh thin.
- Naupai lai: Nu naupai zingah ALP level sang tak a awm fo thin a, a chhan chu ALP hi nausen (placenta)-ah a lo chhuak thin a ni.
- Ruh tliak a dam chuan: Ruh a tliak a, a lo thang leh chuan ruh cell te an active chhoh zel chuan ALP level a sang thei a ni.
ALP tihpun hian eng nge a awmzia?
I ALP level a san chuan tlem a lungkham deuh hi thil pangngai a ni. Mahse, hriat reng tur hmasa ber chu ALP level sang lo deuh hi natna khirh tak chhinchhiahna a ni ngai lo. I doctor chuan test dang tih leh tawh loh tur thu a rel mai thei a, rei vak lo hnuah i ALP level chu a enfiah leh mai thei.
Mahse, ALP level sang lutuk hi liver chhiatna emaw ruh natna emaw a nihzia a tilang chiang hle. I report-in ALP a sang tih a sawi chuan i doctor chuan a chhan hriat nan test dang (e.g., isoenzyme test, liver scan) a ti thei ang.
ALP a pun theih chhan ber chu chi hnih ah then theih a ni.
Liver leh bile duct nena inzawm chhan
- Cholestasis of pregnancy: Naupai hun hnuhnung lama awm thei thin (liver condition) a ni.
- Cirrhosis of the liver: Liver cells te an thih a, scar tissue in a thlak hian liver chhiatna nghet tak a awm thin.
- Hepatitis: Thin natna a ni. Hei hi virus, zu leh thil dang vang a ni thei.
- Bile duct obstruction: Liver atanga bile phur chhuaktu duct chu gallstones, cancerous tumors emaw thil dang vang emawa block a ni.
- Mononucleosis: "Kissing disease" tia hriat bawk, he virus infection hian a chang chuan liver a ti na thei bawk.
Ruh (skeletal) nena inzawm chhan
- Paget’s disease of the bone: Ruh a chhe a, a pangngai lo taka a lo thang leh thin hi thil awm lo tak a ni.
- Osteogenic sarcoma: Cancer chi khat, ruh atanga intan.
- Bone metastasis: Hmun dang, hnute emaw, lung emaw atanga cancer lo chhuak chu ruh lamah a darh thin.
- Hyperparathyroidism: Parathyroid gland-in hormone a chhuah tam lutuk avangin thisenah calcium level a sang.
- Hyperthyroidism: Thyroid gland-in hormone a siam tam lutuk.
- Osteomalacia: Vitamin D tlakchhamna avanga ruh chak lo leh chhe awlsamna dinhmun a ni. Naupangah hetiang hi a lo awm chuan Rickets kan ti thin.
- A damna tur fracture.
ALP level hniam chhan awm thei te chu engte nge ni?
ALP level hi a pangngai lo taka hniam hi a tlem hle a, mahse hei hi a chhan awm thei engemaw zat a awm.
- Malnutrition: Taksa mamawh ei tur tha tawk lo.
- Zinc tlakchhamna.
- Magnesium tlakchham vang a ni.
- Hypothyroidism: Thyroid gland hnathawh a tlahniam.
- Genetic diseases hmuh tur awm lo: `Hypophosphatasia` leh `Wilson disease` ang chi natna hlauhawm tak tak.
Ka ALP level a sang emaw a hniam emaw chuan ka buai tur em ni?
No. I report-a i ALP value chu normal range pawn lam a nih vang mai mai chuan enkawl ngai natna i nei tihna a ni hauh lo.
Mi hrisel 20 zinga pakhat vel chuan test result chu normal range pawnah an nei thei. Thil dang pawhin ALP value a nghawng thei bawk.
- Damdawi thenkhat: Damdawi thenkhat, naupai venna damdawi ang chi.
- I ei leh in tur.
- Naupai lai.
- Kum: A hmaa kan sawi tawh ang khan naupang kum upa tawhte hlutna a sang hle.
- Thisen sample lakkhawm, phurh chhuah, test-naah tihsual a awm.
Chuvangin, i doctor chuan ALP value chauh atanga thutlukna a siam ngai lovang. A hnuaia mi zawng zawng hi a ngaihtuah vek ang:
- I medical history kimchang.
- Tunah hian eng damdawi nge i ei?
- I ALP value hi engtiang chiahin nge a sang emaw a hniam emaw.
- ALP (e.g. ALT, GGT, Bilirubin) nena enfiah test dang result.
- Symptoms i nei em?
Heng zawng zawng hi dah khawm chuan test dang emaw, enkawlna emaw i mamawh leh mamawh loh a hril ang.
Take-Home Thuchah a ni
- ALP hi kan taksaa enzyme pawimawh tak a ni a, a bik takin thin leh ruh a awm a ni.
- Thisena ALP level sang hi thin emaw ruh emaw a harsatna a awm tih chhinchhiahna a ni thei a, mahse chutiang chu a ni ngai lo.
- ALP level pangngai hi kum, mipa leh hmeichhia, leh naupai te a zirin a inang lo.
- ALP level sang deuh chu a tlangpuiin ngaihtuah tur a awm lo. Doctor chuan a vil reng ang.
- Thisen report-a value pakhat enin mahni in rel suh. I doctor chauhvin a thlalak kimchang chu a hmu thei ang.
- I report chungchanga zawhna i neih chuan i doctor zawh hreh ngai suh. I tanpui turin a awm reng a ni.
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