Hōʻike koko Leucine aminopeptidase

ʻO nā leucine aminopeptidase (LAP) e ana i ka nui o kēia enzyme i loko o kou koko.

Hiki ke nānā ʻia kou mimi no ka LAP.

Pono kahi laʻana koko.

Pono ʻoe e hoʻokē ʻai no 8 mau hola ma mua o ka hoʻāʻo. ʻO kēia ʻaʻole hiki iā ʻoe ke ʻai a inu i kekahi mea i nā hola 8.

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 ka LAP kahi ʻano protein i kapa ʻia he enzyme. ʻIke ʻia kēia enzyme i nā hunaola o ke ake, ka bile, ke koko, ka mimi a me ka placenta.

Kauoha paha kāu mea mālama ola i kēia hoʻokolohua e nānā inā ua hōʻino ʻia kou akepaʻa. Hoʻokuʻu ʻia ka LAP he nui loa i loko o kou koko ke loaʻa ʻoe i kahi tumeke ate a hōʻino paha i kāu mau hunaola ate.

ʻAʻole hana pinepine ʻia kēia hōʻike. ʻO nā hoʻokolohua ʻē aʻe, e like me gamma-glutamyl transferase, pololei a maʻalahi hoʻi e kiʻi.

ʻO ka laulā maʻamau:

• Kāne: 80 a 200 U / mL
• Wahine: 75 a 185 U / mL

Hiki ke hoʻololi iki i nā pae waiwai maʻamau. Hoʻohana kekahi mau labs i nā ʻano ana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO kahi hopena maʻamau he hōʻailona paha o:

• Pākuʻi ʻia ke kahe o ke kīpē (cholestasis)
• Cirrhosis (scarring o ke akepaʻa a me ka hana maikaʻi ʻole ate)
• Hepatitis (inflamed ate)
• Kanesa maʻi ʻaʻai
• ʻO ka ischemia ate (hoʻoliʻiliʻi ke kahe o ke koko i ke ake)
• ʻO ka necrosis ate (make o ke ake o ke ake)
• Tumo ʻōpū
• Hoʻohana i nā lāʻau i hōʻona i ke ake

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, a mai kekahi ʻaoʻao o ke kino i kekahi ʻē aʻe. 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)

Serum leucine aminopeptidase; LAP - serum

• Hōʻaʻo koko

Chernecky CC, Berger BJ. Leucine aminopeptidase (LAP) - ke koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 714-715.

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.