I thisen report-a ALP value chu a danglam tawh em? (Alkaline Phosphatase Test) Hei hi eng nge a nih chiang takin i zawng chhuak ang u!

Tun hnaiah thisen test i nei tawh em? Letter leh number inkara ALP hlutna i hmuh chuan, ‘Hei hi eng nge ni?’ tiin i ngaihtuah tawh mai thei. Lungngai suh, mi tam takin chutiang bawk chuan an ngai. A pangngai a ni. Vawiin hian he ALP test hi eng nge a nih, engvangin nge doctor-te’n an enfiah tih leh a hlutna inthlak danglamna hian kan hriselna chungchangah eng nge a sawi tak tak tih te kan sawi dawn nia.

A hmasain, alkaline phosphatase (ALP) chu eng nge ni?

A awlsam zawngin sawi ila, alkaline phosphatase, kan sawi ang hian ALP hi kan taksaa enzyme pakhat a ni. Kan taksa chhunga hnathawk tlemte ang mai a ni. He hnathawk hi kan liver leh ruh ah a awm ber . Tin, naupai lai hian kan chaw ei kawngah te, kal (kidney) leh nausen (placenta) thlengin a tlem hle.

Scientist ten 100% in an la chiang lo nachungin he ALP enzyme hian kan taksaah hna pawimawh tak tak a thawk niin an ngai. Entirnan, ALP hian ruh leh ha ang chi tissue chak tak tak a siam a, phosphate ang chi thilte chu intestine-ah a kal kual thei bawk.

Fatty liver leh ALP inzawmna

ALP hi fatty liver disease hriat theihna atana hman thin marker pakhat a ni. Mahse, a natna hriat theihna tur marker awmchhun a ni lo. Fatty liver natna hi chi hnih a awm a, chungte chu:

• Metabolic-associated steatotic liver disease (MASLD): Hei hi cholesterol sang, type 2 diabetes, insulin resistance, emaw body mass index (BMI) 30 aia tam avanga liver-a thau tam lutuk vang a ni .
• Alcoholic fatty liver disease: A hming ang ngeiin hei hi hun rei tak chhunga zu in tam lutuk avanga lo awm a ni.

Doctor, engvangin nge ALP test ti turin min tih?

I doctor hian ALP test a order theih chhan hrang hrang a awm. A tam zawkah chuan hei hi liver chhiatna emaw ruh natna emaw i neih leh neih loh finfiah nan an ti thin.

A châng chuan, he ALP test hi ``kum tin hriselna endikna`` kan neih ṭhin ``comprehensive metabolic panel (CMP)``-ah te, emaw, liver hnathawh enfiahtu ``liver panel``-ah emaw telh a ni.

Liver tichhe thei damdawi (e.g. paracetamol, cholesterol-lowering statins) i ei reng chuan i doctor pawhin ALP test a nei fo thei bawk a, chu damdawi chuan i liver a nghawng em tih a enfiah thei bawk.

Report a lo luh chuan... ALP value te hi engtin nge i hriatthiam?

Report hi ni khat emaw ni hnih emaw chhungin a dawng tlangpui. ALP tana normal range hi lab hrang hrangah a danglam deuh thei. A tlangpuiin he value hi 44-147 IU/L (international units per liter) inkar a ni. I report chuan an normal range chu eng nge a nih tih pawh a tarlang bawk ang.

ALP value a sang a nih chuan...

ALP level pangngai aia sang tlem chuan natna khirh tak chhinchhiahna a ni lo. ALP level pawh hi thil awmze nei leh pianphung thenkhat avang hian a sang thei bawk .

• Naupang puitling leh puitling naupang: An ruh a thang chak em avangin ALP level hi a pianphungah a sang hle.
• Naupai: Naupai lai hian ALP hi nausen (placenta) hian a siam chhuah avangin a hlutna pangngai aiin a let thum thlengin a pung thei a ni.
• Kum upa lam: I tar chhoh zel chuan ALP level pawh a sang deuh thei bawk.
• Ruh tliak a dam chuan: Ruh a tliak chuan ALP chu a dam chhoh zel chuan rei lo te chhungin a pung thin.
• Test hmaa chaw thau tam tak ei: Mi thenkhat tan chuan test hmaa chaw thau tam tak ei hian ALP level a tisang thei a ni.
• Meizial zuk.

Mahse, damdawi lam dinhmun thenkhatah chuan ALP level pawh nasa takin a sang thei bawk.

ALP value a hniam chuan...

ALP level sang aiin a tlahniam hi hmuh tur a awm lo hle. A chhan awm thei te chu:

• Mineral zinc emaw magnesium emaw tlakchhamna.
• Thyroid gland hnathawh a tlahniam (Hypothyroidism).
• Hypophosphatasia (HPP) hi thlahtute atanga natna hmuh tur awm lo tak a ni.
• Wilson natna a ni.
• Damdawi thenkhat (e.g. birth control pills).

ALP level inthlak danglamna chhinchhiahnate chu engte nge ni a, eng nge tih leh tur?

A tam zawkah chuan ALP level tihdanglamna symptom bik a awm lo. Mahse, a thlentu damdawi lam dinhmun a zirin symptoms a awm thei.

| Liver nena inzawm natna lan chhuah dan | Ruh nena inzawm natna lan chhuah dan |

| :--- | :--- |

| Mit leh vun sen (jaundice) | Ruh leh ruh natna |

| Zun dum leh bawlhhlawh light | Ruh tihchhiat awlsam tak |

| Itching | Joint swelling leh inflammation |

| Nausea leh luak chhuak | Ruh tichhe thei |

| Chaw ei chak lohna leh hah lutuk | |

| Pum na emaw, pum na emaw | |

Eng nge tih leh tur?

I ALP level a dik lo a nih chuan i doctor chuan a chhan dik tak hriat theih nan test eng emaw zat a ti leh ang.

1. Test nawn leh: Darkar 10-12 chhung chaw nghei tura tih i ni thei a, chumi hnuah test i nei leh thei bawk.

2. ALP isoenzyme test: Hei hian ALP pung chu thin atanga lo chhuak nge ruh atanga lo chhuak tih dik takin a thliar hrang thei.

3. GGT test: `Gamma-glutamyl transpeptidase (GGT)` tih hi thin (liver) tan a bik takin enzyme a ni. GGT pawh ALP nen a sang a nih chuan harsatna chu liver-ah a awm a rinawm zawk.

4. Test dang: Chu bakah, imaging study emaw, a tul chuan biopsy emaw hmangin liver atanga tissue te tak te te chu lakchhuah theih a ni.

Test leh a kalphung atana inbuatsaihna

Hei hi a awlsam hle a, minute tlemte chhungin tihfel theih a ni.

• Inbuatsaihna: I doctor chuan test hma darkar 10-12 chhung chu tui tih loh chu ei leh in loh turin a fuih mai thei che. Damdawi, vitamin leh supplement i ei zawng zawngte chu i doctor hnenah hrilh vek a pawimawh. Naupai i nih chuan i doctor hrilh a pawimawh bawk.
• Indawtdan:Lab-ah chuan i kut ah vein an hmu a, chu hmun chu an tifai a, puncture te tak te an siam a, thisen tlem an la mai thin. Prick te tak te ang maiin a lang a, mahse a hrehawm vak lo. Tichuan, chu hmunah chuan plaster te tak te an dah a. Chu chu a ni.