Ina whakamātauhia tō toto, kua kite pea koe he uara ALT, SGPT rānei tōna. Tērā pea kua kī atu te tākuta he teitei rawa tēnei uara, ā, me āta tupato koe ki tō ate. He mea noa te mataku me te manukanuka ina rongo koe i tēnā. Nā, he aha tēnei ALT? He aha te hiranga o tēnei mea mō tō tātou tinana? Kaua e mataku, me kōrero tātou mō ēnei mea katoa i runga i te māmā me te mārama.
He aha te ALT?
He whākōkī i roto i tō tātou tinana te Alanine Transaminase (ALT). He rite ki tētahi kaimahi iti i roto i ō tātou pūtau. Ko tana mahi matua kei roto i te ate . Heoi, i tua atu i te ate, kei reira anō hoki tēnei whākōkī ALT i roto i ngā rahinga iti i ētahi atu wāhi.
He momo pūmua te whākōkī e āwhina ana i ngā tukanga maha i roto i tō tātou tinana. Pērā i te mea e hiahiatia ana he puru mura hei tīmata i te motuka, e hiahia ana te tinana ki ēnei kaiawhina e kiia nei ko ngā whākōkī hei mahi i ētahi mea.
Nā, he aha te mahi a te whakamātautau toto ALT?
Mā te whakamātautau toto ALT ka ine i te nui o te ALT i roto i ō toto. Whakaarohia te ate hei whare, ā, ko te ALT hei kaimahi i roto i taua whare. Mēnā ka pakaru ngā pakitara o tēnei whare, ka turuturu ngā kaimahi i roto (arā, ki roto i te toto).
Ko te tikanga o tēnei , ina pakaru ō pūtau ate, ka tukuna te whākōkī ALT i roto i aua pūtau ki roto i te toto. Mā tēnei ka piki ake te taumata ALT i roto i te whakamātautau toto. Koia te take e whakamahia ai e ngā tākuta tēnei whakamātautau hei whakatau i te hauora o tō ate.
Kāore te whakamātautau ALT e mahia takitahitia ana. Ka mahia hei wāhanga o te panera whākōkī ate (LFT) me te panera pākia whānui (CMP).
E mōhiotia ana te whakamātautau ALT e ētahi atu ingoa:
- Alanine Aminotransferase
- SGPT (Serum Glutamic-Pyruvic Transaminase)
- GPT
He aha te rerekētanga i waenga i te ALT me te AST?
Kua kite pea koe i roto i tō pūrongo, me te ALT, kei roto anō hoki i tētahi atu uara e kiia nei ko te AST. Ko te AST (Aspartate Transaminase) tētahi atu whākōkī pērā i te ALT. Ka taea e ēnei e rua te kohikohi i roto i te toto ina pakaru ngā pūtau.
Engari he rerekētanga nui tēnei. Ko te ALT te mea nui ka kitea i roto i te ate. Engari ko te whākōkī AST ka kitea anō hoki i roto i te ngākau, te uaua angiangi, me te repeure, hei tāpiri atu ki te ate.
Nō reira, ina kōrerohia te hauora o te ate, ka whakaarohia e mātou he mea motuhake ake te ALT ki te ate i te AST. Heoi, ka tirohia ngātahitia e ngā tākuta ēnei uara e rua me ngā hua whakamātautau kē atu kia tika ai te whakatau.
He aha koe i tonoa ai kia whakamātauria he whakamātautau ALT?
E toru ngā take matua e tono ai te tākuta kia whakamātauria koe ki te whakamātautau toto, tae atu ki te whakamātautau ALT.
1. Te tirotiro i mua i te putanga mai o ngā tohu
I ētahi wā, kāore pea koe e kite i tētahi tohu. Engari mā tēnei whakamātautau koe e āwhina ki te kimi mēnā kei te tūpono koe ki te pāngia e te mate ate ā muri ake nei. Tērā pea ka tūtohu tō tākuta i tēnei whakamātautau mēnā kei a koe tētahi o ēnei āhuatanga tūpono e whai ake nei:
- Te inu nui rawa o te waipiro.
- He hītori whānau tō te mate ate.
- He mate huka tō te tangata.
- Te momonatanga .
- Te werohanga i ngā raau taero mā te whakamahi i ngā ngira e tohaina ana ki ētahi atu.
2. Hei aroturuki i tētahi āhuatanga hauora (Aroturuki)
Mena kei a koe tētahi mate ate, ka mahia tēnei whakamātautau i ia wā, i ia wā, kia kitea ai mēnā kei te pai haere, kei te kino haere, kei te mau tonu rānei i te maimoatanga. Ka mahia hoki tēnei hei tirotiro mēnā kei te pakaru te ate ina tangohia e koe ētahi rongoā ka pā ki te ate.
3. Hei āwhina i te tautuhi i tētahi mate (Tautuhi)
Mena kei a koe ngā tohu e tohu ana i te raruraru ate, he mea tino nui tēnei whakamātautau hei kimi i te pūtake. Ahakoa kāore e taea e ngā taumata ALT anake te tautuhi i tētahi mate, he wāhanga nui ia o te tukanga tautuhi.
| Ngā tohu e tohu ana i te raruraru ate |
|---|
| Whakapairuaki me/ranei te ruaki |
| Mamae puku (mamae puku) |
| Kiri mākūkū |
| Te kōwhai o te kiri me te mā o ngā kanohi (jaundice) |
| Ngenge auau |
| Te koretake o te manawa |
He whakaritenga e hiahiatia ana i mua i tēnei whakamātautau toto?
Mena kei te whakahaerehia tō whakamātautau ALT hei wāhanga o tētahi raupapa whakamātautau katoa, pērā i te CMP, ka tonoa pea koe kia nohopuku mō te 10-12 hāora . Ko te tikanga o te nohopuku ko te kore e kai, e inu rānei i tētahi mea engari ko te wai anake.
Heoi, ki te mea he whakamātautau ALT anake tāu e mahi ana, kāore e hiahiatia te nohopuku. Heoi, he mea nui kia whai tika koe i ngā tohutohu a tō tākuta.
Hei tāpiritanga, he mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā, ngā huaora, ngā tāpiringa rānei e tangohia ana e koe, nā te mea ka pā ētahi rongoā ki ngā taumata ALT. Kati te tango i ngā rongoā i mua i te whakamātautau ki te kore koe e tohutohuhia e tō tākuta. Kaua rawa e mutu te tango i ngā rongoā me te kore he tohutohu a tō tākuta.
I te mea ka pā anō hoki te whakakori tinana kaha ki ngā taumata ALT, ki te mahi auau koe i ngā whakakori tinana kaha, me kōrero wawe atu ki tō tākuta.
He aha te mea ka tupu ina tangohia te toto?
He tino māmā te tukanga tuku toto i te nuinga o te wā.
- Ka noho koe ki runga i tētahi tūru, ā, ka kimihia e te nēhi, e te āpiha hauora rānei tētahi uaua i roto i tō ringa hei tango toto. I te nuinga o te wā, ka whiriwhiria he uaua i te taha o roto o te tuke.
- Kātahi ka horoia rawatia te wāhi ka pania he paturopi.
- Ka werohia he ngira iti rawa ki roto i te uaua, ā, ka tangohia he tauira toto. I tēnei wā, tera pea ka rite ki te ngau a te pōpokorua iti i a koe.
- Whai muri i te werohanga o te ngira, ka kohia te nui o te toto e hiahiatia ana ki roto i te ngongo whakamātautau.
- Kia tangohia te toto, ka tangohia te ngira, ka whakatakotoria he miro miro, ka pēhia hei whakamutu i te toto.
- Tāpirihia he pāreti ki te wāhi, ā, kua oti. Kaua te tukanga katoa e neke atu i te rima meneti.
He aha tonu te tikanga o ngā uara ALT?
Ina whiwhi koe i tō pūrongo whakamātautau toto, he nui ngā kōrero kei roto. Kei roto i te nuinga o te wā:
- Te ingoa o te whakamātautau i mahia (hei tauira, Alanine Transaminase - ALT).
- Tō hua (tō tatau toto).
- Koinei te awhe noa mō te whakamātautau.
- Ahakoa he noa, he rerekē rānei tō hua (teitei, iti rānei).
He aha te uara ALT noa?
Ka rerekē pea te awhe noa mō te ALT i waenga i tētahi taiwhanga ki tētahi taiwhanga. Ko te uara whānui e whakaaetia ana ko te 7 me te 56 waeine ia rita (7 ki te 56 U/L). He teitei ake te nuinga o ngā taumata ALT o ngā tāne i ngā wāhine.
Ko te mea nui ko te whakatairite i tō uara ki te 'Awhe Tohutoro' kua whakahuatia i roto i tō pūrongo.
He aha te tikanga o te taumata ALT kua piki ake?
Ko te nui haere o ngā taumata ALT i roto i te toto e tohu ana kei te pakaru, kei te ngoikore rānei ngā pūtau ate. Ko ētahi o ngā take o te nui haere o ngā taumata ALT ko:
- Te kino o te ate i puta mai i te waipiro.
- Te mate ate momona.
- Hepatitis (mumura o te ate).
- Te ātete toto (te whara o te ate).
- Te whakamahi i ētahi rongoā he kino (paitini) ki te ate.
- Ngā pukupuku ate, te mate pukupuku ate rānei.
- Te whakahekenga o te rere o te toto ki te ate (Liver Ischemia).
- Te nui rawa o te rino i roto i te tinana (Hemochromatosis).
- Ko ētahi mate pāwera, pērā i te mononucleosis.
- Ko ētahi āhuatanga ira ka pā ki te ate.
Engari kia maumahara, kāore te ALT e kitea anake i roto i te ate, nō reira he tino onge te pikinga o ngā taumata ALT ahakoa kua pakaru ngā pūtau i tētahi atu wāhi.
He mea nui: Ahakoa he nui te taumata ALT, ehara i te mea he mate ate kino tōu. He iti iho i te 5% o te hunga he nui ngā taumata ALT he mate ate kino tō rātou. Ka whakatau tō tākuta i tēnei i runga i ngā uara kē atu i roto i tō pūrongo me tō hītori hauora.
He aha te tikanga o te taumata ALT iti?
He tino onge te kite i ngā taumata ALT kei raro iho i te tikanga. Ā, ehara i te mea hei āwangawanga mā te nuinga o te wā. Heoi, i ētahi wā, ka iti pea ngā taumata ALT nā te korenga o te huaora B6, nā te mate tākihi mau tonu rānei. Mēnā he iti ō hua, ka whakahaerehia pea e tō tākuta ētahi atu whakamātautau hei tirotiro mēnā he take.
He aha atu anō ngā āhuatanga ka pā ki te panoni o ngā taumata ALT?
Āe. Haunga ngā āhuatanga hauora, he maha atu anō ngā āhuatanga ka pā ki ō taumata ALT. Ka whakaarohia ēnei katoa e tō tākuta ina tātarihia ana ō hua.
| Tauwehenga | Te pānga ki a ia |
|---|---|
| Whakakorikori tinana | Ka taea e te whakakori tinana tino kaha, nui rawa rānei te whakanui ake i ngā taumata ALT mō te wā poto. |
| Ngā rongoā | He maha ngā rongoā me ngā tāpiringa, tae atu ki ngā rongoā whakamamae pēnei i te acetaminophen, ka pā ki ngā taumata ALT. |
| Ira tangata | Ko ngā taumata ALT i roto i ngā tāne he paku teitei ake nā ngā huringa homoni. |
| Te paheketanga o ia marama | Ka taea e ngā taumata ALT te rerekē i te wā o te paheketanga. |
| Tau | He ia te heke haere o ngā taumata ALT i te pakeketanga. |
| Taupū Papatipu Tinana (BMI) | E hono ana te momona nui me te taupū papatipu tinana teitei ki ngā taumata ALT teitei. |
He aha tāu e mahi ai i muri mai mēnā ka puta he hua rerekē?
Mena he rerekē te taumata o tō ALT, ka tūtohu pea tō tākuta i ētahi atu whakamātautau hei kimi i te pūtake.
- Whakamātauria anō te whakamātautau ALT.
- Ētahi atu whakamātautau toto.
- Ngā matawai pērā i te ultrasound.
- Te tango i tētahi wahi iti o te kiko mai i te ate hei tirotiro (Biopsy).
Mena he tino tiketike ō taumata ALT, he tohu rānei kei a koe o te mate ate, me mahi tonu ēnei whakamātautau atu.
Āhea koe me toro atu ki te tākuta?
Ki te puta ngā tohu o te kino o te ate, pērā i te kōwhai o te kiri (jaundice) me te mamae o te puku, me toro atu ki tō tākuta tonu.
Mena kua tākutatia kētia koe kei te mate ate, ā, ka puta ake ngā tohu hou, whakapā atu ki tō tākuta.
Mena he pātai, he āwangawanga rānei āu mō ngā hua o tō whakamātautau ALT, kaua e wehi ki te pātai ki tō tākuta.
Karere Tangohia ki te Kāinga
- He whākōkī te ALT e kitea nuitia ana i roto i te ate.
- Ko te nui haere o te ALT i roto i te toto e tohu ana tera pea kua pakaru ētahi pūtau ate.
- Kāore e taea e te taumata ALT teitei anake te tohu he mate kino tōu. He maha ngā āhuatanga, pērā i te whakakori tinana me ngā rongoā, ka pā ki tēnei.
- Ka whakamāramahia e te tākuta ō hua i runga i tō hauora whānui me ngā hua o ngā whakamātautau kē atu.
- Mena he āwangawanga āu mō tō pūrongo, kōrero mārama ki tō tākuta. Kaua e mataku noa.
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