ALP - hoʻāʻo toto

ʻO Alkaline phosphatase (ALP) kahi protein i loaʻa i nā kino āpau. Aia nā aʻa me nā nui o ke ALP i ke ake, nā aʻa aʻa, a me ka iwi.

Hiki ke hana i kahi hōʻoia koko e ana i ka pae o ALP.

ʻO kahi hōʻike e pili ana ka hōʻike isoenzyme ALP.

Pono kahi laʻana koko. ʻO ka hapanui o nā manawa, huki ʻia ke koko mai kahi aa i waiho ʻia ma loko o ka kuʻe lima a i ʻole ka hope o ka lima.

ʻAʻole pono ʻoe e ʻai a inu i kekahi mea no 6 mau hola ma mua o ka hoʻāʻo ʻana, ke ʻole inā haʻi ʻē aʻe kāu kauka olakino iā ʻoe.

Hiki i nā lāʻau he nui ke hoʻopilikia i nā hopena hōʻike koko.

• E haʻi aku kāu mea lawelawe iā ʻoe inā pono ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i mua o kou loaʻa ʻana o kēia hōʻike.
• Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio ʻole mua ʻana i kāu mea hāʻawi.

Hiki paha iā ʻoe ke ʻeha iki a i ʻole ke kuʻi ke hoʻokomo ʻia o ka nila. Hiki paha iā ʻoe ke hāwele i kahi kani ma ka pūnaewele ma hope o ka huki ʻia ʻana o ke koko.

Hana ʻia kēia hōʻike:

• E kuhi i ka maʻi o ka ake a i ʻole ka iwi
• E nānā, inā e hana ana nā lapaʻau no kēlā mau maʻi
• Ma ke ʻāpana o kahi hoʻāʻo hana ate maʻamau

ʻO ka palena maʻamau ʻo 44 a i 147 mau hui honua ma ka lita (IU / L) a i ʻole 0.73 a 2.45 microkatal i kēlā me kēia lita (µkat / L).

Hiki ke hoʻololi iki i nā waiwai maʻamau mai ka hale hana a kahi hale hana. Hiki iā lākou ke loli me ka makahiki a me ka moekolohe. ʻIke ʻia nā pae kiʻekiʻe o ka ALP i nā keiki e ulu ana i nā ʻōpū ulu a me nā wahine hāpai.

Hōʻike nā hiʻohiʻona ma luna i nā ana maʻamau no nā hopena no kēia mau hoʻāʻo. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole.

Nā hualoaʻa kūpono ʻole paha ma muli o kēia mau kūlana:

Nā pae ALP kiʻekiʻe aʻe ma mua o ka maʻamau

• Pāpale Biliary
• Maʻi maʻi iwi
• Ke ʻai nei i kahi pāʻina momona inā loaʻa iā ʻoe ke ʻano o ke koko O a me B
• Haki haʻi
• Hepatitis
• Hyperparathyroidism
• Leukemia
• Maʻi maʻi ate
• Lymphoma
• Nā iwi kū iwi o Osteoblastic
• ʻO Osteomalacia
• Maʻi Paget
• Rikeke
• ʻO Sarcoidosis

Nā pae ALP haʻahaʻa haʻahaʻa ma mua o ka maʻamau

• Hypophosphatasia
• Kaʻai pono ʻole
• Hema protein
• Maʻi ʻo Wilson

Nā kūlana ʻē aʻe e hiki ai ke hoʻāʻo.

• Alkoholā ate maʻi (hepatitis / cirrhosis)
• ʻAlekohola
• Hoʻopaʻa Biliary
• Nā Pohaku
• Kanaka nunui (temporal, cranial) arteritis
• Neoplasia endocrine maha (MEN) II
• ʻO Pancreatitis
• Ka maʻi kanesa puʻupaʻa

Alkaline phosphatase

Berk PD, Korenblat KM. E hoʻokokoke i ka mea maʻi me ka jaundice a i ʻole nā ​​hoʻokolohua ate ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 147.

ʻO Fogel EL, Sherman S. Nā maʻi o ka gallbladder a me nā dile bile. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 155.

ʻO Martin P. Hoʻokokoke i ka mea maʻi me ka maʻi ate. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 146.

ʻO Pincus MR, ʻo Abraham NZ. Unuhi i nā hopena o ke keʻena hoʻokolohua. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 8.