Hōʻike koko ʻo Alanine transaminase (ALT)

ʻO ke alanine transaminase (ALT) e hoʻāʻo ai i ke kiʻekiʻe o ka enzyme ALT 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 ALT kahi enzyme i loaʻa i kahi pae kiʻekiʻe i ke ake. 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 ALT i loko o ke koko.

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

ʻO ka pae maʻamau ʻo 4 a 36 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 ALT i hoʻonui ʻia he hōʻailona pinepine ia 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 ALT i hoʻonui ʻia ma muli o kekahi o kēia mau mea:

• Scarring o ke ake (cirrhosis)
• Ka make ʻana o ke akepaʻa akepaʻa
• Pehu a me ka ake wela (hepatitis)
• Nui loa ka hao i ke kino (hemochromatosis)
• Nui loa ka momona i ke ake (momona o ke ake)
• Ka nele o ke kahe o ke koko i ke ake (ischemia ate)
• Tumo ate a i ʻole maʻi ʻaʻai
• Hoʻohana i nā lāʻau i hōʻona i ke ake
• Mononucleosis ("mono")
• Pehu a me ka wela pankreas (pancreatitis)

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe 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 pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• 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)

SGPT; Serum glutamate pyruvate transaminase; Alanine transaminase; Alanine aminotransferase

Chernecky CC, Berger BJ. Alanine aminotransferase (ALT, alanine transaminase, SGPT) - serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 109-110.

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.