Ko te ate tētahi o ngā kaimahi tino marino, tino pukumahi hoki o te tinana. He nui āna mahi, kāore tātou e mōhio. Mai i te āwhina i te nakunaku kai ki te tango i ngā paitini mai i te tinana, he roa te rārangi o āna mahi. Nō reira, i ētahi wā me tirotiro tātou mēnā he hē kei roto i tēnei ate mahi uaua, mēnā kua ngenge, ā, mēnā kei te mahi tika i tana mahi. He waimarie, ka taea e tātou te kimi i te maha o ngā mea mō tēnei mea mā te whakamātautau toto noa iho. I tēnei rā kei te kōrero tātou mō ngā 'Whakamātautau Mahi Ate', e mōhiotia ana e te katoa ko ngā LFT.
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He aha te Whakamātautau Mahi Ate (LFT)?
He tino māmā noa iho. Ko ngā LFT he raupapa whakamātautau e whakamahi ana i tētahi tauira toto iti i tangohia mai i tētahi uaua i tō ringa. Ka ine i te nui o ngā matū rerekē (pēnei i ngā whākōkī me ngā pūmua) e hangaia ana e tō ate, e kohia ana rānei i roto i ō toto ina pakaru tō ate.
Whakaarohia kei te haria tō waka kia whakatikatikaina. Ka ine te mekanika i ngā mea pēnei i te hinu miihini me te wai whakamatao kia mōhio ai koe ki te āhua o te miihini, tika? Waihoki, ka tirohia e te tākuta ngā taumata o ēnei mea i roto i tō toto kia mōhio ai koe ki te hauora me te mahi a tō ate.
He aha te take e kī atu ai te tākuta kia mahia e koe tēnei LFT?
Tērā pea he maha ngā take e taunaki ai tō tākuta i tēnei whakamātautau.
- Tirohia mēnā kei te whakapaetia he mate ate: Mēnā he tohu kei a koe e rite ana ki te jaundice, te kōwhai o ngā kanohi, te mamae i te taha matau o tō puku, te ngoikore rānei, ka tonoa pea koe ki te mahi i tēnei whakamātautau nā te mea kei te whakapae koe he mate hepatitis, he mate kē atu rānei.
- Aroturukihia te mate ate kua pā mai: Mena kei a koe te mate ate (hei tauira, te cirrhosis), ka mahia tēnei whakamātautau i ia wā, i ia wā, kia kite ai me pēhea te haere, mehemea kei te kino haere te mate, kei te whakahaeretia rānei.
- Tirohia mēnā kei te angitu te maimoatanga: Ka āwhina hoki tēnei whakamātautau ki te whakatau mēnā kei te whai hua ngā rongoā e hoatu ana mō te mate ate, me te mea kei te pai haere te mate.
- Aroturukihia ngā pānga taha o ngā rongoā e tangohia ana e koe: Ko ētahi rongoā, pērā i ngā rongoā whakaheke cholesterol me ngā rongoā whakamamae mamae roa, ka pā ki te ate. Nō reira, ina whakamahia e koe aua rongoā, ka mahia hoki e ngā tākuta tēnei LFT hei tirotiro mēnā he pānga ki te ate.
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Check Availability →He aha ngā mea matua e tirohia ana i roto i te LFT?
Ina tirohia e koe tētahi pūrongo LFT, ka kite koe i te maha o ngā reta me ngā tau Ingarihi. I te tirohanga tuatahi, tera pea he ahua uaua, engari e whakamārama ana ia o ēnei tau i ngā āhuatanga rerekē o te mahi a te ate. Me titiro tātou ki ēnei mea matua.
| Ingoa Whakamātautau | He aha te tikanga o tēnei? |
|---|---|
| Ngā whākōkī ate ALT, AST, ALP, GGT | Koinei ngā mea tino mōhiotia. Ina pakaru, ina whara, ina mumura rānei ngā pūtau ate, ka tukuna ēnei whākōkī ki roto i te toto. Nō reira, ki te teitei ake ō rātou taumata i roto i te toto, ko te tikanga kei raro te ate i te ahotea. |
| Pūmua Katoa me te Pūmuamu | He maha ngā pūmua e hiahiatia ana e te tinana e hangaia ana e te ate. Ko te albumin tētahi o ngā pūmua matua. Ina kore te ate e mahi tika, ka heke te hanga o tēnei pūmua. Ka iti pea te taumata pūmua i roto i te toto. |
| Pirirupini | He para kōwhai tēnei ka puta mai i te wā e pakaru ana ngā pūtau toto whero. Ka tangohia e te ate hauora tēnei bilirubin, ka whakakotahi ki te au, ka tangohia mai i te tinana. Ina pāngia te ate e te raruraru, kāore tēnei mahi e mahi tika. Kātahi ka kohia te bilirubin ki roto i te toto, ka huri kowhai ngā kanohi me te kiri. Ka kiia hoki tēnei ko te 'kirikā kōwhai'. |
| Te Wā Prothrombin (PT) | Ka hangaia hoki e te ate he pūmua motuhake (ngā mea e ārai ana i te toto) hei āwhina i te toto kia totoka. Ka ine te whakamātautau PT i te roa o te wā e totoka ai tō toto. Mena kua pakaru te ate, ka heke te hanga o ēnei pūmua. Ka whakanui ake tēnei i te wā e totoka ai te toto. |
He uaua tēnei whakamātautau toto?
Kāore rawa. He tino māmā tēnei, ā, ka taea te mahi i roto i ētahi meneti torutoru.
Ina haere koe ki te hōhipera, ki te taiwhanga rānei, ka kimihia e te nēhi, e te tohunga hangarau rānei tētahi uaua i roto i tō ringa e tata ana ki tō tuke, ā, ka horoia te wāhi. Kātahi ka kohia he toto iti ki roto i tētahi ipu mā te whakamahi i tētahi ngira iti. Tērā pea ka pāngia koe e te ngau iti, engari ka tere te memeha. I muri i te tangohanga o te toto, ka tukuna te tauira ki te taiwhanga. Tērā pea ka roa pea ētahi haora, kotahi, e rua rānei ngā rā ka puta mai ngā hua.
Ko te mea nui ko te pātai atu ki tō tākuta mēnā me nohopuku koe i mua i tēnei whakamātautau. I ētahi wā, ka tonoa pea koe kia nohopuku nā te mea ka mahia ngātahitia me ētahi atu whakamātautau.
Me pēhea te mārama ki ngā uara o te pūrongo? (Ngā Awhe Noa)
Ina whiwhi koe i tāu pūrongo, ka kite koe i tō kaute mō ia whakamātautau, me te 'Awhe Noa'. Engari kotahi te mea nui hei maumahara ki konei.
Kaua e mataku, kaua hoki e whakatau he mate tōu ina kite koe i ngā uara o tēnei pūrongo. Ko tō tākuta anake ka mārama ki tēnei me te whakatau tika mō tō āhuatanga.
Nā te mea ka rerekē pea ngā uara noa i ia taiwhanga. Ka rerekē anō hoki ēnei uara i runga i ngā āhuatanga pēnei i te tau me te ira tangata.
Anei ētahi awhe uara e whakamahia whānuitia ana:
| Whakamātautau | Awhe Noa |
|---|---|
| Alanine transaminase (ALT) | 0 ki te 45 IU/L |
| Te whakawhiti aspartate (AST) | 0 ki te 35 IU/L |
| Te phosphatase kawakore (ALP) | 30 ki te 120 IU/L |
| Pirirupini | 2 ki te 17 maikoromore/rita |
| Te wā prothrombin (PT) | 10.9 ki te 12.5 hēkona |
| Pūmua | 40 ki te 60 karamu/rita |
He aha te tikanga o te pikinga o te taumata ALT me te AST?
Ko te mea tuatahi e arohia ana e te nuinga o te tangata i roto i tētahi pūrongo LFT ko ngā taumata whākōkī e rua, arā, ko te ALT me te AST. Mēnā ka teitei ake ēnei, he tohu tēnei kua pakaru ētahi pūtau ate.
Heoi anō, ka tirohia anō hoki e ngā tākuta te ōwehenga o ēnei uara e rua. Hei tauira, mēnā he rua te teitei ake o te uara AST i te uara ALT, he tohu tēnei mō te kino o te ate nā te inu waipiro. Mēnā he ōrite ngā uara e rua, tera pea nā tētahi atu take (hei tauira, he mate huaketo).
He aha ngā momo mate e tohuhia ana e te LFT?
He mea tēnei me mārama tātou. Ko te whakamātautau LFT te taahiraa tuatahi noa iho i roto i te haerenga tātaritanga. He rite ki te tohu tuatahi ka riro i te kaitirotiro. Kāore e taea e ngā hua o tēnei whakamātautau anake te whakaū tuturu i tētahi mate. Heoi, ka hoatu he aratohu pai ki te tākuta mō te wāhi kei reira te raruraru me te aha me mahi i muri mai.
Mena he rerekē ngā hua o te LFT, tera pea ka hiahiatia ētahi atu whakamātautau, pēnei i te matawai ultrasound, ētahi atu whakamātautau toto motuhake, me te koiora ate pea.
Ko ētahi o ngā āhuatanga ka taea e ngā whakamātautau LFT te tohu ko:
- Mate Ate Ngako
- Te kino o te ate nā ngā paitini (Hepatitis paitini)
- Hepatitis huaketo (Hepatitis huaketo A, B, C rānei)
- Ka whakaekea te ate e te pūnaha ārai mate o te tinana (Autoimmune Hepatitis)
- Cirrhosis - te pakaru me te mimiti o te ate
- Ngā raruraru o te awaawa wai
- Matepukupuku ate
- Ngā mate tuku iho pērā i te hemochromatosis
Karere Tangohia ki te Kāinga
- He whakamātautau toto tino māmā, tino haumaru hoki te Whakamātautau Mahi Ate (LFT) e whakarato ana i te maha o ngā mōhiotanga e pā ana ki te hauora o tō ate.
- Kia tae mai ngā hua o tēnei whakamātautau ki a koe, kaua e whakatau noa i runga i ngā kōrero o te ipurangi. Ka puta noa i tēnā he mataku koretake.
- Ko tō tākuta anake ka taea te hoatu he whakamārama tika mā te whakataurite i ngā uara o tō pūrongo ki ō tohumate me ētahi atu mōhiohio hauora.
- Ehara i te mea ko ngā wā katoa e piki ake ana ngā uara LFT he tohu kei te mate kino koe. I ētahi wā he take noa iho, pērā i te rongoā e tangohia ana e koe, i te mate urutā rangitahi rānei. Engari he mea nui kia tirotirohia.
- He okana nui te ate e mahi puku ana. Nō reira, ki te tūtohutia e te tākuta, he mea tino nui kia whakahaerehia he whakamātautau pēnei hei tirotiro i te hauora o te ate.
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