Kua rerekē te uara ALP i roto i tō pūrongo toto? (Whakamātautau Phosphatase Kawakore) Kia mōhio tātou he aha tēnei!

Kua whakamātauhia tō toto i ēnei rā tata nei? Ina kite koe i te uara ALP i roto i ngā reta me ngā tau, tera pea ka whakaaro koe, 'He aha tēnei?' Kaua e manukanuka, he maha ngā tāngata e whakaaro ana pērā anō. He mea noa. I tēnei rā, me kōrero tātou mō te aha tēnei whakamātautau ALP, te take e tirohia ai e ngā tākuta, me ngā huringa o ōna uara e pā ana ki tō tātou hauora.

Tuatahi, kia titiro tātou, he aha te alkaline phosphatase (ALP)?

He whakarāpopototanga noa iho, ko te alkaline phosphatase, te ALP rānei e kōrerohia nei, he whākōkī i roto i tō tātou tinana. He rite ki tētahi kaimahi iti i roto i ō tātou tinana. Ko te nuinga o tēnei kaimahi ka kitea i roto i tō tātou ate me ngā wheua . Hei tāpiri, he iti noa iho ngā wāhanga ka kitea i roto i tō tātou pūnaha nakunaku, i ngā whatukuhu, tae noa ki te whenua whānau i te wā e hapu ana.

Ahakoa kāore anō kia tino mārama ngā kaipūtaiao, e whakaponohia ana he maha ngā mahi nui a tēnei whākōkī ALP i roto i ō tātou tinana. Hei tauira, ka āwhina te ALP ki te hanga i ngā kiko kaha pērā i ngā wheua me ngā niho, ā, ka āwhina hoki ki te neke i ngā mea pērā i te phosphate i roto i ngā whekau.

Te whanaungatanga i waenga i te ate momona me te ALP

Ko te ALP tētahi tohu e whakamahia ana hei tautuhi i te mate ate momona. Heoi, ehara i te mea koinei anake te tohu ka taea te tautuhi i te mate. E rua ngā momo matua o te mate ate momona:

• Te mate ate pūkahukahu e pā ana ki te pūnaha io (MASLD): Ka puta tēnei i te nui haere o te ngako i roto i te ate nā ngā āhuatanga pēnei i te cholesterol teitei, te mate huka momo 2, te ātete ki te insulin, te taupū papatipu tinana (BMI) neke atu rānei i te 30.
• Te mate ate momona waipiro: E ai ki te ingoa, ka puta tēnei i te nui rawa o te waipiro e inuhia ana mō te wā roa.

E te tākuta, he aha koe i tono mai ai kia mahia he whakamātautau ALP?

He maha ngā take ka tonoa ai e tō tākuta he whakamātautau ALP. I te nuinga o te wā, ka mahia tēnei hei whakaū mēnā he kino tō ate, he mate wheua rānei.

I ētahi wā, ka whakaurua tēnei whakamātautau ALP hei wāhanga o te "pane tirotiro hauora whānui (CMP)" e mahia ana e mātou i te wā o te "tirotiro hauora ā-tau", hei wāhanga rānei o te "pane tirotiro ate" e tirotiro ana i te mahi a te ate.

Mena kei te tango tonu koe i ngā rongoā ka pā ki te ate (hei tauira, te paracetamol, ngā statin whakaheke cholesterol), ka whakahaerehia pea e tō tākuta he whakamātautau ALP hei tirotiro mēnā kei te pāngia tō ate e aua rongoā.

Ina tae mai te pūrongo... Me pēhea tō mārama ki ngā uara ALP?

I te nuinga o te wā ka tae mai te pūrongo i roto i te rā kotahi, e rua rānei. Ka rerekē pea te awhe noa mō te ALP i waenga i tētahi taiwhanga ki tētahi taiwhanga. I te nuinga o te wā, kei waenga i te 44-147 IU/L (ngā waeine ā-ao mō ia rita) tēnei uara. Ka whakamāramahia hoki e tō pūrongo te awhe noa.

Mena ka teitei ake te uara ALP...

Ehara i te tohu mate kino te taumata ALP teitei ake i te mea noa. Tērā pea ka piki ake ngā taumata ALP nā ētahi take noa, ā-taiao hoki .

• Ngā tamariki me ngā taiohi e tipu haere ana: Nā te tere o te tipu o ō rātou wheua, he teitei noa iho ngā taumata ALP.
• Te Hapūtanga: I te wā e hapū ana, ka taea e te ALP te piki ake ki te toru ngā wā i te uara noa nā te mea ka whakaputaina e te whenua.
• Te koroheketanga: Ka piki ake pea ngā taumata ALP i a koe e pakeke haere ana.
• Ina ora te whati wheua: Ina whati te wheua, ka piki ake te ALP mō te wā poto i a ia e ora ana.
• Te kai i te kai momona i mua i te whakamātautau: Mō ētahi tāngata, ko te kai i te kai momona i mua i te whakamātautau ka piki ake ngā taumata ALP.
• Te momi hikareti.

Heoi anō, ka taea e ētahi āhuatanga hauora te whakapiki ake i ngā taumata ALP.

Mena he iti te uara ALP...

He tino onge te kite i te hekenga o ngā taumata ALP, kaua te pikinga. Ko ngā take pea ko:

• Te korenga o ngā kohuke pēnei i te konutea, te konupora rānei.
• Te ngoikore o te mahi a te repe tairoiti (Hypothyroidism).
• He mate ira onge te Hypophosphatasia (HPP).
• Te mate a Wilson.
• Ko ētahi rongoā (hei tauira, ngā pire ārai whānau).

He aha ngā tohu o te panoni o ngā taumata ALP, me te aha te mahi i muri mai?

I te nuinga o te wā, kāore he tohu motuhake o te taumata ALP kua rerekē. Heoi anō, ka puta pea ngā tohu i runga i te mate hauora e take ana.

| Ngā tohu e pā ana ki te ate | Ngā tohu e pā ana ki te wheua |

| :--- | :--- |

| Te kōwhai o ngā kanohi me te kiri (te jaundice) | Te mamae o ngā wheua me ngā hononga |

| Mimi pōuri me ngā tūtae mārama | Ngāwari te whati o te wheua |

| Mākūkū | Pupuhi me te mumura o ngā hononga |

| Whakapairuaki me te ruaki | Te āhua rerekē o te wheua |

| Te ngaronga o te hiahia kai me te tino ngenge | |

| Mamae puku, pupuhi rānei

Me aha ā muri ake nei?

Mena he rerekē te taumata o tō ALP, ka tonoa e tō tākuta ētahi atu whakamātautau hei whakatau i te tino take.

1. Te whakahoki i te whakamātautau: Tērā pea ka tonoa koe kia nohopuku mō ngā haora 10-12, kātahi ka mahi anō i te whakamātautau.

2. Whakamātautau isoenzyme ALP: Mā tēnei ka taea te wehewehe tika mēnā nō te ate, nō ngā wheua rānei te ALP kua piki ake.

3. Whakamātautau GGT: Ko te 'Gamma-glutamyl transpeptidase (GGT)' he whākōkī e tino motuhake ana ki te ate. Mena ka piki ake te GGT me te ALP, he nui ake te tūponotanga kei te ate te raru.

4. Ētahi atu whakamātautau: Hei tāpiritanga, ka taea te whakahaere i ngā rangahau whakaahua, i te mea rānei e tika ana, he koiora hei tango i tētahi wahi iti o te kiko mai i te ate.

Te whakarite mō te whakamātautau me tana tukanga

He tino māmā tēnei, ā, ka taea te whakaoti i roto i ētahi meneti noa iho.

• Te Whakarite: Tērā pea ka tohutohu tō tākuta kia kaua e kai, e inu rānei i tētahi mea engari ko te wai anake mō ngā haora 10-12 i mua i te whakamātautau. He mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa, ngā huaora, me ngā tāpiringa e tangohia ana e koe. He mea nui anō hoki kia kōrero koe ki tō tākuta mēnā kei te hapu koe.
• Tukanga:I te taiwhanga, ka kitea he uaua i roto i tō ringa, ka horoia te wāhi, ka pokaia he wero iti, ka tangohia he toto iti. He rite ki te wero iti, engari kāore i te tino mamae. Kātahi ka tāpirihia he pāreti iti ki te wāhi. Koia anake.