Hoʻokolohua aminotransferase (AST) hōʻike koko

Ke ana o ka aspartate aminotransferase (AST) i ke kiʻekiʻe o ka enzyme AST i ke koko.

Pono kahi laʻana koko.

ʻAʻole pono kahi hoʻomākaukau kūikawā.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

ʻO AST kahi enzyme i loaʻa i nā kiʻekiʻe ma ke akepaʻa, ka puʻuwai, a me nā mākala. ʻIke pū ʻia ia i nā kālā liʻiliʻi i nā kino ʻē aʻe. ʻO ka enzyme kahi protein e kumu i kahi loli kemikal kikoʻī i ke kino.

ʻO ka hōʻeha i ke akepaʻa ka hopena o ka hoʻokuʻu ʻana o AST i loko o ke koko.

Hana pinepine ʻia kēia hōʻike me nā hoʻokolohua ʻē aʻe (e like me ALT, ALP, a me bilirubin) e kuhikuhi a nānā i nā maʻi ate.

ʻO ka pae maʻamau ʻo 8 a 33 U / L.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā laʻana like ʻole. E kamaʻilio me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

ʻO ka pae AST māhuahua ka hōʻailona pinepine o ka maʻi ate. ʻOi aku ka maʻi maʻi akepē ke hoʻonui ʻia nā pae o nā mea i nānā ʻia e nā hoʻokolohua koko ʻē aʻe.

Loaʻa paha kahi pae AST hoʻonui ʻia ma muli o kekahi o kēia mau mea:

• Scarring o ke ake (cirrhosis)
• Ka make ʻana o ke akepaʻa akepaʻa
• Maʻi hohola
• Nui loa ka hao i ke kino (hemochromatosis)
• Pehu a me ka ake wela (hepatitis)
• Ka nele o ke kahe o ke koko i ke ake (ischemia ate)
• Ka maʻi ʻaʻai a i ʻole tumo
• Hoʻohana i nā lāʻau i ʻona i ke ake, ʻo ia hoʻi ka hoʻohana ʻana i ka waiʻona
• Mononucleosis ("mono")
• Maʻi maʻi a ʻeha hoʻi
• Pehu a me ka wela pankreas (pancreatitis)

E hoʻonui paha ka pae AST ma hope o:

• Burns (hohonu)
• Nā kaʻina hana puʻuwai
• Ka hopu ʻana
• ʻOki kino

Hiki paha i ka hāpai a me ka hoʻoikaika kino ke hoʻonui i ka pae AST.

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. Kūlike ka nui o nā uaua i kekahi a i kekahi a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pōpilikia e pili ana i ke kahe ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Pāleʻale a ʻoluʻolu paha
• Kahe nui ke koko
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hoʻohui aminotransferase; Serum glutamic-oxaloacetic transaminase; SGOT

Chernecky CC, Berger BJ. Aspartate aminotransferase (AST, aspartate transaminase, SGOT) - serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 172-173.

ʻO Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Ka loiloi i ka hana ate. 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 21.

ʻO Pratt DS. Nā kemika kemika a me nā hoʻokolohua hana. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 73.