Hōʻike isoenzyme ALP

ʻO Alkaline phosphatase (ALP) kahi enzyme i loaʻa i nā kino o ke kino e like me ke ake, nā aʻa aʻa, ka iwi, a me ka ʻōpū. Aia kekahi mau ʻano like ʻole o ALP i kapa ʻia ʻo isoenzymes. Aia ke ʻano o ka enzyme ma muli o kahi o ke kino e hana ʻia ai. Hoʻohana pinepine ʻia kēia ho'āʻo e hoʻāʻo iā ALP i hana ʻia i nāʻiʻo o ke akepaʻa a me nā iwi.

ʻO ka hōʻike isoenzyme ALP kahi hōʻike lab e ana i ka nui o nā ʻano like ʻole o ALP i ke koko.

ʻO ka hōʻike ALP kahi hōʻike e pili ana.

Pono kahi laʻana koko. ʻO ka hapanui o ka manawa e 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 paha i kekahi mea no 10 a 12 mau hola ma mua o ka hoʻāʻo ʻana, ke ʻole inā ʻōlelo mai kāu mea mālama ola iā ʻoe e hana pēlā.

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.

Ke kiʻekiʻe ka hopena hōʻike ALP, pono paha ʻoe e loaʻa ka hōʻike isoenzyme ALP. E kōkua kēia hōʻike i ka ʻāpana o ke kino e hoʻoulu nei i nā kiʻekiʻe ALP kiʻekiʻe.

Hoʻohana ʻia kēia hoʻokolohua e hōʻoia ai nānā ai ʻole.

• Maʻi maʻi iwi
• ʻO ka akepaʻa, kahe, a i ʻole ka maʻi palaka
• ʻEha ma ka ʻōpū
• Maʻi maʻi Parathyroid
• Ka nele o ka wikamina D

Hana ʻia nō paha ia e nānā i ka hana o ke ake a ʻike i ka hopena o nā lāʻau āu e lawe ai i kou ake.

ʻO ka waiwai maʻamau no ka ALP holoʻokoʻa he 44 a he 147 mau kikowaena o ka honua i kēlā me kēia lita (IU / L) a i ʻole 0.73 a i 2.45 paha microkatal i kēlā me kēia lita (µkat / L). Hiki paha i nā hoʻokolohua isoenzyme ALP ke ʻano ʻokoʻa i nā waiwai maʻamau.

Loaʻa nā pae haʻahaʻa o ka poʻe mākua i ka ALP ma mua o nā keiki. ʻO nā iwi e ulu mau nei e hana i nā pae kiʻekiʻe o ALP. I ka wā o ka ulu o ka ulu, hiki i nā pae ke kiʻekiʻe o 500 IU / L a i ʻole 835 µKat / L. No kēia kumu, ʻaʻole hana pinepine ʻia ka hōʻike ma nā keiki, a ʻo nā hopena maʻamau e pili i nā mākua.

Hiki i nā hopena hōʻike isoenzyme ke hōʻike inā he piʻi ka "ALP" iwi a i ʻole "AL" ke akepaʻa.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hōʻike ka laʻana ma luna i ka pae 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 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 haʻahaʻa ma mua o ka maʻamau o ALP:

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

ʻO nā pae i kiʻekiʻe iki aʻe ma mua o ka maʻamau ʻaʻole pilikia paha ke ʻole nā ​​hōʻailona ʻē aʻe o kahi maʻi a i ʻole ka pilikia olakino.

ʻO ka hoʻāʻo alkaline phosphatase isoenzyme

• Hōʻaʻo koko

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 hue a me nā aʻa aʻa. 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 Weinstein RS. ʻO Osteomalacia a me nā rikeke. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 244.