ALT (Alanine Aminotransferase) Hōʻike

Anter

• He aha ka hōʻike ALT?
• No ke aha e hana ai i kahi hōʻike ALT?
• Pehea wau e hoʻomākaukau ai no kahi hōʻike ALT?
• Pehea e hana ai kahi hōʻike ALT?
• He aha nā pilikia e pili ana i kahi hōʻike ALT?
• He aha ke ʻano o kaʻu mau hopena hōʻike ALT?
• Nā hopena maʻamau
• Nā hopena maʻamau

He aha ka hōʻike ALT?

ʻO kahi alanine aminotransferase (ALT) e ana i ka pae o ALT i kou koko. ʻO ALT kahi enzyme i hana ʻia e nā hunaola i kou ake.

ʻO ke ake ka momona nui o ke kino. He mau hana nui kāna, e like me:

• hana ana i nā polokina
• ka mālama ʻana i nā wikamina a me ka hao
• ka hoʻoneʻe ʻana i nā mea ʻino mai kou koko
• e hana ana i ka bile, kahi mea kōkua i ka digestion

ʻO nā protein i kapa ʻia nā enzyme e kōkua i ke ake e wāwahi i nā protein ʻē aʻe i hiki i kou kino ke komo maʻalahi iā lākou. ʻO ALT kekahi o kēia mau enzyme. He mea nui ia i ka metabolism, ke kaʻina e hoʻohuli i ka meaʻai i ka ikehu.

ʻIke mau ʻia ʻo ALT ma loko o nā akepaʻa ate. Eia nō naʻe, ke hōʻeha a hōʻeha paha kou ake, ALT hiki ke hoʻokuʻu ʻia i loko o kou kahawai. ʻO kēia ke kumu e piʻi ai nā pae sert ALT.

Ke ana ʻana i ke kiʻekiʻe o ALT i ke koko o ke kanaka hiki ke kōkua i nā kauka e loiloi i ka hana ate a i ʻole e hoʻoholo i ke kumu kumu o ka pilikia o ke ake. ʻO ka hōʻike ALT kahi ʻāpana o kahi kānana mua no ka maʻi o ke ake.

ʻIke ʻia kahi hōʻike ALT ma ke ʻano he serum glutamic-pyruvic transaminase (SGPT) a i ʻole he alanine transaminase hōʻike.

No ke aha e hana ai i kahi hōʻike ALT?

Hoʻohana mau ʻia ka hoʻāʻo ALT e hoʻoholo inā loaʻa ka hōʻeha ate a i ʻole holomua kekahi. E kauoha paha kāu kauka i kahi hoʻokolohua ALT inā loaʻa iā ʻoe nā ʻōuli o ka maʻi ate, me:

• jaundice, ka mea melemele o kou mau maka a ʻili paha
• mimi ʻeleʻele
• nausea
• ka luaʻi
• ʻeha ma ka quadrant luna pono o kou ʻōpū

ʻO ka hōʻino o ka ate ke kumu o ka hoʻonui ʻana i nā pae ALT. Hiki i ka hōʻike ALT ke loiloi i nā pae o ALT i kou kahawai, akā ʻaʻole hiki ke hōʻike i ka nui o ka hōʻino o ke ake a me ka nui o ka fibrosis, a me ka scarring, i loaʻa. ʻAʻole hiki i ka hoʻokolohua ke wānana i ka nui o ka hōʻino o ke ake.

Hana pinepine ʻia kahi hōʻike ALT me nā hoʻokolohua enzyme ate ʻē aʻe. Ke nānā nei i nā pae ALT a me nā pae o nā enzyme ate ʻē aʻe hiki ke hāʻawi i kāu kauka me ka ʻike kikoʻī e pili ana i ka pilikia o ke ake.

E hana ʻia kahi hōʻike ALT i:

• nānā i ka holomua o nā maʻi ate, e like me ka hepatitis a i ʻole ke kō ʻana o ke ake
• Loiloi inā pono e hoʻomaka i ka hoʻomaʻamaʻa no ka maʻi ate
• loiloi i ka maikaʻi o ka mālama ʻana

Pehea wau e hoʻomākaukau ai no kahi hōʻike ALT?

ʻAʻole koi kahi hōʻike ALT i kahi hoʻomākaukau kūikawā. Eia nō naʻe, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a i ʻole nā ​​mea kūʻai aku kūʻai nui loa āu e lawe nei. Hiki i kekahi mau lāʻau ke hoʻololi i nā pae o ALT i kou koko. E haʻi paha kāu kauka iā ʻoe e hōʻalo i ka lawe ʻana i kekahi mau lāʻau no kekahi manawa ma mua o ka hoʻāʻo.

Pehea e hana ai kahi hōʻike ALT?

ʻO kahi hōʻike ALT e pili ana i ka lawe ʻana i kahi hāpana koko, e like me ka mea i hōʻike ʻia ma aneʻi:

1. Hoʻohana kahi mea mālama ola i kahi antiseptic e hoʻomaʻemaʻe i kou ʻili i kahi e hoʻokomo ai lākou i kahi nila.
2. Hoʻopili lākou i kahi kāʻei elima a puni kou lima luna, kahi e hoʻokū ai i ke kahe o ke koko a ʻike ʻia nā veins i kou lima.
3. Ke loaʻa iā lākou kahi aa, hoʻokomo lākou i kahi nila i loko o ka aa. Hiki i kēia ke kumu i kahi pinching pōkole a i ʻole sensation stinging. Kuhi ʻia ke koko i loko o kahi ʻōmole i hoʻopili ʻia i ka hopena o ka nila. I kekahi mau hihia, koi ʻia ma mua o hoʻokahi Tube.
4. Ma hope o ka hōʻiliʻili ʻia ʻana o ke koko, lawe ka mea mālama ola i ke kāʻei lahilahi a me ka nila. Hoʻonoho lākou i kahi ʻāpana o ka pulupulu a i ʻole ka gauze ma luna o ka pūnaewele puncture a hoʻouhi iā ia me kahi kāʻei a i ʻole ka lepe e mālama pono ai.
5. Hoʻouna ʻia ka laʻana koko i kahi keʻena hoʻokolohua no ka loiloi.
6. Hoʻouna ka hale hōʻikeʻike i nā hopena hōʻike i kāu kauka. Hiki i kāu kauka ke hoʻonohonoho i kahi manawa me ʻoe i hiki iā lākou ke wehewehe i nā hopena ma ke kikoʻī.

He aha nā pilikia e pili ana i kahi hōʻike ALT?

ʻO kahi ALT kahi hōʻike koko maʻalahi me nā pōpilikia. Hiki i kahi bruising i kekahi manawa i kahi i hoʻokomo ʻia ai ka nila. Hiki ke hoʻemi ʻia ka makaʻu o ka palapū ma ka hoʻopili ʻana i kaomi i ka pūnaewele injection no kekahi mau minuke ma hope o ka hemo ʻana o ka nila.

I nā hihia kakaʻikahi loa, hiki i nā pilikia aʻe ke kū i ka wā a ma hope paha o kahi hōʻike ALT:

• kahe nui loa o ke kahe i hoʻokomo ʻia ai ka nila
• he hōʻiliʻili o ke koko ma lalo o kou ʻili, i kapa ʻia he hematoma
• ʻālohilohi a maʻule paha i ka ʻike ʻana o ke koko
• he maʻi maʻi ma ka pūnaewele puncture

He aha ke ʻano o kaʻu mau hopena hōʻike ALT?

Nā hopena maʻamau

ʻO ke kumukūʻai maʻamau no ka ALT i ke koko mai 29 a i 33 mau paukū i kēlā me kēia lita (IU / L) no nā kāne a 19 a 25 IU / L no nā wahine, akā hiki ke loli kēia waiwai ma muli o ka haukapila. Hiki ke hoʻopili ʻia kēia laulā e kekahi mau kumu, e like me ke kāne a me ka makahiki. He mea nui e kūkākūkā i kāu mau hopena kikoʻī me kāu kauka.

Nā hopena maʻamau

Hiki i nā pae kiʻekiʻe ma mua o ka maʻamau o ALT ke hōʻike i ka hōʻino o ke ake. ʻO nā pae i hoʻonui ʻia o ALT kahi hopena o:

• hepatitis, ʻo ia kahi maʻi hōʻeha o ke ake
• cirrhosis, ʻo ia ka scarring nui o ke ake
• ka make ʻana o ke akepaʻa akepaʻa
• kahi tumo a maʻi ʻaʻai paha i ke akepaʻa
• he nele i ke kahe o ke koko i ke ake
• hemochromatosis, he maʻi ia e hoʻoulu ai ka hao i loko o ke kino
• mononucleosis, kahi maʻi i maʻa mau ʻia e ka maʻi Epstein-Barr
• pancreatitis, kahi pehu o ka pancreas
• diabetes

ʻO ka hapanui o nā hopena ALT pae haʻahaʻa e hōʻike i kahi akepaʻa olakino. Eia naʻe, ua hōʻike ʻia e pili ana nā hopena haʻahaʻa ma mua o ka maʻamau i ka hoʻonui ʻana i ka make make lōʻihi. E kūkākūkā pono i kāu helu me kāu kauka inā hopohopo ʻoe i kahi heluhelu haʻahaʻa.

Inā hōʻike kāu hopena hōʻike i ka hōʻino o ke ake a i ʻole nā ​​maʻi, pono paha ʻoe i nā hoʻāʻo hou aʻe e hoʻoholo i ke kumu o ka pilikia a me ke ala maikaʻi e mālama ai.