Kua tirohia e koe ngā hua o tō whakamātautau toto, kua kite koe i ngā whakarāpopototanga pēnei i te ALT (SGPT), AST (SGOT), te ALP rānei, ā, kua whakaaro koe, 'He aha te tikanga o ēnei mea katoa?' Tērā pea i kī mai tō tākuta, 'Kua piki ake tō ALP; me rangahau anō tātou,' ā, ka pā mai he ngaru ohorere o te manukanuka. He mea tino noa te manukanuka. I tēnei rā, ka whakamāramahia e mātou te tikanga o te ALP, he aha te mea nui mō tō tinana, me te tikanga tūturu o ngā taumata kua piki ake, i roto i te huarahi māmā me te mārama ka taea e koe te mārama.
He aha te ALP i ngā kupu māmā noa iho?
Ahakoa e mōhiotia ana e te nuinga o tātou mā tōna whakarāpopototanga, ALP, ko tōna ingoa katoa ko Alkaline Phosphatase . He momo pūmua motuhake tēnei e hangaia ana i roto i tō tinana—ina koa, he whākōkī .
Tērā pea ka pātai koe, 'He aha rawa te whākōkī?' Whakaarohia tō tinana he wheketere nui, he tino whai hua. Hei tere ake i ngā mahi, hei pupuri hoki i te rere pai o ngā mahi, ka whakawhirinaki tēnei wheketere ki ngā kaimahi motuhake. Koinei tonu te āhua o ngā whākōkī . He kaimahi pūtau iti ēnei e tere ake ai ngā tauhohenga matū nui i roto i tō tinana.
He mahi nui tā te whākōkī ALP i roto i ētahi mahi nui o te tinana, tae atu ki:
- Āwhina i te wawahi i ngā pūmua mai i te kai e kainga ana e koe kia taea ai e te tinana te mimiti.
- Āwhina i te nakunaku whānui.
- Te āwhina i te mimiti o ngā matūkai matua.
Kei roto i tō ate te ALP i ngā kukū teitei rawa, koia te take e kiia ai he whākōkī ate. Heoi, i tua atu i te ate, kei roto anō hoki i ō wheua, i ō whekau , me ō whatukuhu te ALP, tae atu ki te whenua o ngā wāhine hapū .
Ko te ALP te Tohu ā-roto o tō Tinana
He tohu ine tō taumata ALP mō ngā mea e tupu ana i roto i tō tinana—he rite tonu ki te rama whakatūpato i runga i te papaaho o tō waka. Ina kā taua rama, e mōhio ana koe me aro atu te waka. Waihoki, ki te teitei ake, ki raro iho rānei tō taumata ALP i te tikanga, he tohu nui (tohu) e tohu ana kei reira pea tētahi raruraru huna, pērā i te kino o te kiko, te mate ate rānei.
Te Hononga i waenganui i te Whakamātautau ALP me te PBC (Primary Biliary Cholangitis)
Mena kei te pāngia koe e ngā tohu e pā ana ki tō ate, ka tūtohu pea tō tākuta i tētahi whakamātautau ALP. He mea tino nui tēnei whakamātautau hei tautuhi i tētahi mate e mōhiotia ana ko te Primary Biliary Cholangitis ( PBC ) .
He kupu whakarāpopoto, he mate ate mau tonu te PBC, ka pakaru ngā awaawa iti o tō ate. Ka ārai tēnei i te rere tika o te au, ka hanga ake, ā, ka kino pea te kiko o tō ate.
Ko te tikanga ka whakamahia e te tākuta te whakamātautau ALP ki:
1. Tātarihia mēnā kei a koe te PBC.
2. Aroturukihia te haere whakamua o te mate mēnā kua tāpaetia kētia tō mate PBC (kia kitea ai mēnā kei te pumau, kei te pai haere, kei te kino haere rānei).
3. Aromātaihia te whai huatanga o tō maimoatanga e haere tonu ana.
He huarahi tino whai hua tēnei whakamātautau toto ALP, he huarahi iti rawa te whakaekenga, hei matapae i ngā putanga haumanu mō te wā roa. E whakaatu ana ngā rangahau ka taea e ngā taumata ALP te āwhina i te matapae i te ahunga whakamua o te mate, ahakoa i ngā wāhanga tōmua.
Ngā momo whakamātautau hei ine i te ALP
E rua ngā momo whakamātautau matua e whakamahia ana hei ine i te nui o te ALP i roto i tō toto, e mahia ana i runga i ngā taunakitanga a tō tākuta.
| Momo Whakamātautau | Whakaahuatanga |
|---|---|
| Whakamātautau ALP Paerewa (Whakamātautau ALP Whānui) | Koinei te whakamātautau tino noa, e tonoa ana hei wāhanga o tētahi panera ate, o tētahi panera pākia whānui rānei (CMP). Ka ine i te nui katoa o te ALP i roto i ō toto. |
| Whakamātautau Isoenzyme ALP | He whakamātautau taipitopito ake, he whakamātautau motuhake ake hoki tēnei. Ka taea e ia te tohu tika i te pūtake o te ALP i roto i ō toto—hei tauira, mēnā nō tō ate, nō ō wheua rānei. Mena he rerekē ō hua ALP paerewa, ka whakahau pea tō tākuta i tēnei hei tautuhi i te pūtake tika. |
Me āwangawanga koe mēnā kua teitei tō taumata ALP?
He āwangawanga tino noa tēnei. Tuatahi, kaua e mataku mēnā he paku teitei ake tō taumata ALP. Kāore te taumata ALP teitei e tohu ana he mate ate kino tōu.
He maha ngā take i tua atu i te mate ate ka piki ake ai ō taumata ALP:
- Ngā tamariki me ngā taiohi e tipu haere ana: Nā te tere o te tipu o ō rātou wheua, he teitei ake ā-tūturu ō rātou taumata ALP i ō ngā pakeke.
- Te Hapūtanga: Nā te mea ka whakaputa te whenua i te ALP, he mea noa te pikinga o ngā taumata i te wā e hapū ana.
- Ngā āhuatanga e pā ana ki te wheua: Ka piki ake pea ō taumata ALP ina ora ana te wheua whati, nā ētahi atu āhuatanga rānei e pā ana ki te wheua.
- Ngā rongoā motuhake: Ka taea e ētahi rongoā kua tohua, kua hokona rānei i waho o te kaute te whakanui ake i ō taumata ALP mō te wā poto.
Mena he āwangawanga āu mō ngā taumata ALP i runga i tō pūrongo taiwhanga, kaua e rapu i a koe anō mā te ipurangi. Ko te huarahi pai me te haumaru ko te kōrero tika i ngā hua ki tō kaiwhakarato hauora.
E kore rawa tō tākuta e whakatau i te mate i runga i te uara o tō ALP anake. Ka arotakehia e rātou tō hauora whānui mā te titiro ki ō tohumate, ki ētahi atu tohu whakamātautau toto (pēnei i te ALT/SGPT me te bilirubin), tō tau, me ngā rongoā katoa e tangohia ana e koe . Ko te noho marino me te whai i ngā tohutohu hauora ngaio te mahi pai rawa atu i muri mai.
Ngā Whakaaro Matua
- He whākōkī nui te ALP (Alkaline Phosphatase) mō tō tinana, e kitea nuitia ana i roto i te ate me ngā wheua.
- Ka taea e te taumata ALP teitei i roto i tō pūrongo toto te mahi hei tohu koiora (tohu) e tohu ana i ngā raruraru pea o te ate, o te wheua rānei.
- Heoi, he mea noa te pikinga o ngā taumata ALP i roto i ngā tamariki e tipu haere ana me ngā wahine hapu.
- Kaua rawa e ngana ki te tātaritanga i a koe anō i runga i te kotahi o ngā hua taiwhanga; mā te mahi pēnā ka ara ake te manukanuka koretake.
- Mena he pātai āu mō ngā hua o tō taiwhanga, ko te huarahi tino haumaru me te pono ko te kōrero ki tō tākuta mō tētahi whakamārama mārama.
ALP, Alkaline Phosphatase, whakamātautau toto, ate, whākōkī ate, pūrongo toto, PBC, Primary Biliary Cholangitis, hauora tinana
