Ngā mea katoa e hiahia ana koe kia mōhio mō te uara ALP i roto i tō pūrongo toto (Alkaline Phosphatase - ALP)

Kua whakamātauhia tō toto, kua tangohia te pūrongo, kua tirohia ngā reta me ngā tau kei runga, ā, ka whakaaro, "He aha tēnei?" I roto i ngā reta maha pēnei i te ALT, AST, me te GGT, kua kite pea koe i tētahi uara e kiia nei ko "ALP." He maha ngā tāngata e āwangawanga ana ina kite rātou i tēnei. Nō reira, i tēnei rā ka kōrero tātou mō te āhua o tēnei Alkaline Phosphatase, te ALP rānei, he aha tāna e rapu ana i roto i tēnei whakamātautau, me ngā mea me mōhio tātou ina rerekē ōna uara.

He aha rawa te ALP?

Ki te kī ngāwari, ko te Alkaline Phosphatase (ALP) he whākōkī e kitea ana puta noa i ō tātou tinana. Ko te whākōkī he momo pūmua motuhake e kitea ana i roto i ō tātou pūtau. Pērā i te mīhini tere i roto i te wheketere, ka āwhina ēnei whākōkī me te tere ake i ngā tukanga matū maha i roto i ō tātou tinana. He mano tini o ēnei whākōkī i roto i ō tātou tinana.

Ahakoa kua roa ngā tākuta e rangahau ana i te ALP, kāore anō kia tino mōhiotia e rātou tōna mahi tuturu. Heoi, kua kitea kei roto i ngā tukanga nui o te tinana.

Ina kōrerohia te ALP, ka kiia he "whākōkī ate." Ko te take o tēnei, he nui te kitea o te ALP i roto i tō tātou ate. Engari kāore i te ate anake. Ka kitea anō hoki i ētahi atu wāhi.

• Ō awa au: Ngā ngongo e kawe ana i te au i hangaia e te ate ki te pūkahukahu, ki reira rongoa ai.
• I roto i ō wheua: Ko tōna tikanga kei roto i ō wheua.
• I roto i ngā whatukuhu.
• Ngā whekau.
• Te whenua o ngā whaea hāpu.

Nō reira, ki te mea he tino teitei, he tino iti rānei te taumata ALP i roto i tō toto, he tohu tēnā kei te pakaru, kei te rerekē rānei tetahi tukanga i roto i tētahi o ēnei okana.

He aha te whakamātautau toto ALP?

Mā te whakamātautau toto ALP ka ine i te nui o te ALP i roto i ō toto. E ai ki tā mātou i kōrero ai i mua ake nei, ahakoa kei te kitea te ALP puta noa i te tinana, ko ngā pūtake matua e rua o te ALP e kohia ana i roto i te toto ko te ate me ngā wheua. Nō reira, ki te teitei te taumata ALP i roto i te toto, he tohu pea tēnei mō te mate ate, mō ētahi mate wheua rānei. Engari kia mahara, kāore e taea e te whakamātautau ALP anake te tautuhi i tētahi mate.

E rua ngā momo matua o ngā whakamātautau ALP.

1. Whakamātautau ALP auau: Koinei te whakamātautau e tino mahia ana. I te nuinga o te wā, ki te tono te tākuta kia mahia e koe he `Pane Whakaora Whānui (CMP)` he `Pane Ate (LFT)` rānei, e tirotiro ana i te ate, ka tino whakaurua te uara ALP.

2. Whakamātautau isoenzyme ALP:He whakamātautau motuhake tēnei. Mā te whakamātautau ALP noa ka mōhio koe ki te nui o te ALP i roto i tō toto. Engari mā tēnei whakamātautau isoenzyme ka mōhio koe mēnā kei te ahu mai te ALP nui i roto i tō toto i tō ate, i ō wheua, i tētahi atu wāhi rānei. Mena he tino teitei tō taumata ALP, ka tono pea tō tākuta i tēnei whakamātautau kia kitea ai te tino take. Engari he uaua, he utu nui hoki, nō reira kāore i te katoa o ngā taiwhanga e mahi ana.

He aha tātou i hiahia ai ki tēnei whakamātautau ALP?

Tērā pea he maha ngā take e whakahau ai tō tākuta i tētahi whakamātautau ALP.

• Te Tirotiro: I ētahi wā, ahakoa kāore he tohu, ka tirohia te ALP hei wāhanga o tō pūrongo tirotiro ā-tau CMP, LFT rānei hei rapu tohu mō tētahi raruraru i te ate, i tētahi atu wāhi rānei i mua i te putanga mai o ngā tohu.
• Aroturuki: Mena kei a koe te mate ate, te mate wheua rānei, ka whakamahia hoki tēnei whakamātautau hei aroturuki mēnā kei te pai haere te āhua, kei te noho tonu, kei te kino haere rānei i muri i te maimoatanga.
• Hei āwhina i te tautuhi mate: Mena kei a koe ngā tohu e pā ana ki te mate ate, te mate wheua rānei, he wāhanga nui te whakamātautau ALP o te tukanga tautuhi mate.

Ngā tohu ka akiaki i te tākuta ki te whakaaro i tētahi whakamātautau ALP

Mena kei a koe ngā tohu i raro nei, ka tukuna pea koe e tō tākuta mō tēnei whakamātautau.

He aha ngā mea ka tupu i mua atu, ā, i te wā hoki o te whakamātautau toto?

Ki te kī atu tō tākuta kia mahia tēnei whakamātautau ALP hei wāhanga o te CMP, me nohopuku koe mō te 10-12 hāora. Engari ka taea e koe te inu wai. Heoi, ina tonoa koe kia mahia he whakamātautau toto, ka hoatu e tō tākuta he tohutohu motuhake mō ngā mea hei mahi i mua i te whakamātautau. He mea tino nui kia whai i aua tohutohu.

Koinei ngā mea e tino pā ana ina tangohia te toto.

1. Ka noho koe ki runga i tētahi tūru, ā, ka kimihia e te nēhi, e te āpiha hauora rānei tētahi uaua watea i roto i tō ringa hei tango toto. Kei roto i tō tuke tēnei i te nuinga o te wā.

2. Kia kitea te uaua, horoia rawatia te wāhi ki tētahi mea pēnei i te waipiro mirimiri.

3. Kātahi ka werohia he ngira iti ki roto i te uaua, ā, ka tangohia he tauira toto. I tēnei wā, tera pea ka rongo koe i te ngau iti, me te mea kua ngaua koe e te pōpokorua iti.

4. I muri i te kohi i te nui o te toto e hiahiatia ana mō te whakamātautau ki roto i tētahi ngongo, tangohia te ngira ka pēhi i te wāhi i tangohia ai te toto ki tētahi wahi miro.

5. Kia mutu te toto, ka pania he pāreti iti ki te wāhi, ā, kua oti te mahi.

E rima meneti te roa o te tukanga katoa. Tērā pea he mamae iti, he marutanga hoki kei te wāhi i tangohia ai te toto. Engari ka memeha haere i roto i te rā kotahi, e rua rānei.

Me pēhea tō mārama ki ngā ihirangi o te pūrongo?

I te nuinga o te wā ka taea e koe te tiki i te pūrongo i roto i te kotahi, i ngā rā e rua rānei. Kei roto i te pūrongo ngā mōhiohio penei:

• Ingoa o te whakamātautau (hei tauira, Alkaline Phosphatase).
• Tō hua (te uara ALP i roto i tō toto).
• Awhe noa.
• Ahakoa he noa, he teitei, he iti rānei tō uara.

Ko te awhe whānui e whakaaetia ana ko te 44 ki te 147 ngā waeine ā-ao mō ia rita (44 ki te 147 IU/L). Heoi, i ētahi wāhi e kiia ana hoki tēnei he 30 ki te 120 IU/L.

Waihoki, he rerekē ngā uara ALP noa i runga i te tau me te ira tangata.

• Tamariki me ngā taiohi: He teitei noa iho ngā taumata ALP o ngā tamariki me ngā taiohi nā te mea kei te tipu haere ō rātou wheua.
• I waenganui i te 15-50 tau: He paku teitei ake ngā taumata ALP o ngā tāne i ngā wāhine.
• I te kaumātuatanga: Ka piki ake anō ngā taumata ALP i a tātou e kaumātuatanga ana.
• I te wā e hapu ana: He mea noa ki ngā whaea hapu te pikinga o ngā taumata ALP nā te mea ka hangaia te ALP i roto i te whenua whānau.
• Ina ora te whati wheua: Ina whati te wheua, ā, ka tupu anō, ka piki ake ngā taumata ALP i te mea ka kaha ake ngā pūtau wheua.

He aha te tikanga o te pikinga o te ALP?

Mena he teitei tō taumata ALP, he mea noa te āwangawanga. Heoi, ko te mea tuatahi kia maumahara ko te taumata ALP paku teitei ehara i te tohu o tētahi mate kino. Tērā pea ka whakatau tō tākuta kia kaua e mahi i ētahi atu whakamātautau, ā, ka aroturuki noa i tō taumata ALP i roto i tētahi wā poto.

Heoi, ko te taumata ALP tino tiketike he tohu kaha mō te kino o te ate, te mate wheua rānei. Mena kei te kī tō pūrongo he teitei te ALP, ka tono pea tō tākuta i ētahi atu whakamātautau (hei tauira, ngā whakamātautau isoenzyme, ngā matawai ate) hei kimi i te take.

Ka taea te wehewehe i ngā take matua e piki ai te ALP ki ngā wāhanga e rua.

Ngā take e pā ana ki te ate me ngā awa waikura

• Te kōrekore o te ate i te wā e hapu ana: He mate ate ka puta i te wāhanga whakamutunga o te haputanga.
• Te ānini o te ate: Ka puta te kino tuturu o te ate ina mate ngā pūtau ate, ā, ka whakakapia ki te kiko whara.
• Hepataitisi: Mumura o te ate. Tērā pea nā te huaketo, te waipiro, ētahi atu take rānei tēnei.
• Te aukati i te awaawa au: Te aukati i te awaawa e kawe ana i te au mai i te ate nā te kohatu o te au, ngā pukupuku matepukupuku, ētahi atu take rānei.
• Mononucleosis: E mōhiotia ana ko te "mate kihi," ka taea e tēnei mate huaketo te pupuhi i te ate i ētahi wā.

Ngā take e pā ana ki te wheua (angiwi)

• Te mate a Paget o te wheua: He āhuatanga onge e pakaru ai ngā wheua, ka tipu anō i roto i te āhua rerekē.
• Osteogenic sarcoma: He momo mate pukupuku e tīmata ana i roto i ngā wheua.
• Te horapa o te wheua: Ka horapa te mate pukupuku mai i tētahi atu wāhi, pērā i te ū, i ngā pukahukahu rānei, ki ngā wheua.
• Hyperparathyroidism: Te pikinga o te taumata konupūmā i roto i te toto nā te nui rawa o te whakaputanga o ngā homoni e te repe parathyroid.
• Hyperthyroidism: Te nui rawa o ngā homoni e whakaputaina ana e te repe thyroid.
• Osteomalacia: He āhuatanga e ngoikore ai, e whati ai ngā wheua nā te korenga o te huaora D. Mēnā ka pā tēnei ki ngā tamariki, ka kiia ko te rickets.
• He whati e ora ana.

He aha ngā tino take o te iti o ngā taumata ALP?

He tino onge te iti rawa o ngā taumata ALP, engari he maha ngā take pea mō tēnei.

• Te kore kai pai: Kāore e whiwhi te tinana i te nui o ngā matūkai e hiahiatia ana.
• Te korenga o te konutea.
• Te korenga o te konupora.
• Hypothyroidism: Te ngoikore o te mahi a te repe tairoiti.
• Ngā mate ira onge: Ngā mate tino onge pēnei i te 'Hypopphosphatesia' me te 'mate Wilson'.

Me manukanuka ahau mēnā he teitei, he iti rānei taku taumata ALP?

Tata ki te kotahi i roto i te 20 o ngā tāngata hauora ka puta ngā hua whakamātautau i waho o te awhe noa. Ka pā pea ētahi atu āhuatanga ki ngā uara ALP.

• Ngā rongoā motuhake: Ētahi rongoā, pērā i ngā pire ārai whānau.
• Tō kai.
• Te haputanga.
• Tau: E ai ki tā tātou i kōrero ai i mua ake nei, he nui te uara o ngā tamariki e tipu haere ana.
• He hapa e puta ana i te wā e kohia ana, e kawe ana, e whakamātautau ana rānei i te tauira toto.

Nō reira, e kore rawa tō tākuta e whakatau i runga i te uara ALP anake. Ka whakaarohia e ia ngā mea katoa e whai ake nei:

• Tō hītori hauora katoa.
• He aha ngā rongoā e tangohia ana e koe i tēnei wā?
• Te teitei, te iti rānei o tō uara ALP.
• Ngā hua o ētahi atu whakamātautau i tirohia me te ALP (hei tauira, ALT, GGT, Bilirubin).
• He tohumate kei a koe?

Mā te whakakotahi i ēnei mea katoa ka whakatau mēnā me whai whakamātautau anō koe, me whai maimoatanga rānei.