- ʻIkepili a me nā noiʻi
- Nā Hoʻāʻo Hana Ake ʻAno ʻole - Nā Kumu, Nā Hōʻailona, a me ka Lāʻau
Nā Hoʻāʻo Hana Ake ʻAno ʻole - Nā Kumu, Nā Hōʻailona, a me ka Lāʻau
Overview
Hana ʻia nā hoʻāʻo hana ate maʻamau ʻole (LFT) i ka wā e ʻokoʻa ai nā pae o nā enzymes, proteins, a i ʻole nā mea i ana ʻia i loko o kahi panela ate mai ka pae maʻamau. Hiki i kēia mau ʻokoʻa ke hōʻailona i ka hōʻino ʻia o ke ake, maʻi, a i ʻole nā pilikia olakino ʻē aʻe e pono ai ke kōkua lapaʻau.
ʻAʻole hōʻoia mau ka hopena LFT maʻamau i kahi hōʻailona kikoʻī akā lawelawe ia ma ke ʻano he hōʻailona koʻikoʻi no ka noiʻi hou aku. He mea nui ka hoʻomaopopo ʻana i nā kumu, nā hōʻailona, a me nā koho lapaʻau kūpono no ka hoʻoponopono ʻana i ka hana ʻino o ke akepaʻa a me ka pale ʻana i nā pilikia.
He aha nā LFT maʻamau ʻole?
ʻO nā hoʻāʻo hana ate (LFT) e komo pū ana me kahi hoʻonohonoho o nā hoʻāʻo koko e ana i nā enzymes, proteins, a me nā pae bilirubin. Kū mai nā hopena maʻamau ke ʻoi aku kēia mau waiwai a hāʻule paha ma lalo o ko lākou mau pae maʻamau.
ʻo kahi laʻana:
- Nā Enzymes Kiʻekiʻe (ALT, AST): Manaʻo ʻia ka hōʻino ʻana o nā hunaola akepaʻa.
- Nā pae Bilirubin kiʻekiʻe: E hōʻike i ke ālai ʻana o ke kahe ʻana o ka bile a i ʻole hemolysis.
- Albumin Haʻahaʻa: Hōʻike i ka emi ʻana o ka hana ʻana o ka protein ma muli o ka hana pono ʻole o ke akepaʻa.
Hiki ke loaʻa kēlā mau hopena ma muli o nā maʻi, ka mumū, nā maʻi metabolic, a i ʻole nā mea o waho e like me nā lāʻau lapaʻau a me ka inu ʻona.
Nā Hōʻailona e pili ana me nā LFT maʻamau ʻole
ʻIke pinepine ʻia nā hopena LFT maʻamau ʻole i nā poʻe maʻi e hōʻike ana i nā hōʻailona o ka hōʻino ʻia o ke akepaʻa a i ʻole nā kūlana pili. ʻO nā hōʻailona koʻikoʻi:
- ʻO Jaundice: Ka melemele ʻana o ka ʻili a me nā maka i hoʻokumu ʻia e nā pae bilirubin kiʻekiʻe.
- Abdominal eha: ʻOi loa aku hoʻi ma ka ʻaoʻao ʻākau o luna, e hōʻike pinepine ana i ka mumū o ke akepaʻa a i ʻole ka pehu ʻana.
- Kalohi: He hōʻailona maʻamau o ka hana ʻino mau o ke akepaʻa.
- Mimi ʻeleʻele a i ʻole nā noho palupalu: Loaʻa ma muli o ka hana ʻana o ka bile i hoʻopilikia ʻia.
- ʻImi: Hana ʻia e ka hōʻiliʻili ʻana o nā paʻakai bile i loko o ke koko.
- Ka pohō kaumaha i wehewehe ʻole ʻia a i ʻole nā loli makemake: Ke hōʻike nei i nā maʻi hiki ke loaʻa i ke akepaʻa a i ʻole ke ʻano o ke kino.
Hiki i nā maʻi ke ʻike i kēia mau hōʻailona me ka mālie a i ʻole ka koʻikoʻi, ma muli o ka nui o ke komo ʻana o ke akepaʻa.
Nā kumu maʻamau o nā LFT maʻamau ʻole
Hiki i kekahi mau kūlana ke alakaʻi i nā pae enzyme ate maʻamau ʻole a me nā kaulike ʻole o ka protein. ʻO kēia mau mea:
1. Maʻi ʻAke Momona (ʻOna a me ka ʻOna ʻole)
- Ka maʻi ʻona momona o ke akepaʻa: Hoʻokumu ʻia e ka inu nui ʻana i ka waiʻona, e alakaʻi ana i ka hōʻiliʻili ʻana o ka momona a me ka mumū i loko o ke ake.
- ʻO ka maʻi ʻawaʻawa momona ʻole (NAFLD): Pili i ka momona, ka maʻi diabetes, a me ka metabolic syndrome. Hoʻomau mālie pinepine ka NAFLD akā hiki ke alakaʻi i nā maʻi koʻikoʻi e like me ka non-alcoholic steatohepatitis (NASH).
2. Hepatitis (Viral, Alcoholic, a i ʻole Toxic)
- Hepatitis viral (A, B, C, D, E): ʻO ka mumū i hoʻokumu ʻia e nā virus kikoʻī. ʻO nā hōʻailona pinepine ka jaundice, ke kuni, a me ka ʻeha o ka ʻōpū.
- Hepatitis ʻona: ʻO ka hopena o ka hoʻohana ʻana i ka waiʻona no ka manawa lōʻihi.
- Hepatitis ʻawahia: Hoʻoulu ʻia e nā lāʻau lapaʻau, nā mea hoʻohui, a i ʻole nā mea ʻawahia e hōʻino ana i ke ake.
3. Ka maʻi maʻi maʻi
ʻO ka ʻeha nui o ke akepaʻa ma muli o nā maʻi maʻi e like me ka hepatitis a i ʻole ka maʻi momona o ke akepaʻa. Hoʻemi nui ka Cirrhosis i ka hana o ke akepaʻa a hoʻonui i ka pilikia o nā pilikia e like me ka ascites a me ka hāʻule ʻana o ke akepaʻa.
4. Ka Mīkana Meka
He hui o nā maʻi e like me ka momona, ke koko kiʻekiʻe, ke kō koko kiʻekiʻe, a me ka dyslipidemia. Hoʻohui pū kēia mau mea i ka mumū o ke ake a me ka NAFLD.
5. Nā maʻi akepaʻa Autoimmune
Nā kūlana e like me ka hepatitis autoimmune, kahi e hoʻouka ai ka ʻōnaehana pale i nā hunaola o ke akepaʻa, e alakaʻi ana i ka mumū mau loa a me ka ʻeha.
6. Nā maʻi hoʻoilina
- ʻO ka maʻi o Wilson: Ka hōʻiliʻili nui ʻana o ke keleawe i loko o ke ake.
- ʻO ke koko koko: Nā waihona hao nui e hōʻino ai i ke akepaʻa.
7. Nā Kumu ʻē aʻe
- ʻO ka maʻi Celiac.
- Ka maʻi ʻaʻai a i ʻole nā metastases o ke akepaʻa.
- Septicemia (nā maʻi koko koʻikoʻi).
- ʻO ka mononucleosis (ka maʻi viral).
- ʻO kekahi mau lāʻau lapaʻau e like me nā statins, nā lāʻau anti-inflammatory, a i ʻole nā antibiotics.
Pehea e ʻike ʻia ai nā LFT maʻamau ʻole
ʻO nā hopena LFT maʻamau ʻole e koi i nā kauka e ʻimi i nā kumu kumu ma o:
- Moʻolelo Lapaʻau: Ke loiloi ʻana i ka hoʻohana ʻana i ka waiʻona, ka lawe ʻana i nā lāʻau lapaʻau, a i ʻole ka mōʻaukala ʻohana o ka maʻi akepaʻa.
- Nānā kino: Ke nānā nei inā he jaundice, he palupalu o ka ʻōpū, a i ʻole ka pehu ʻana.
- Nā hoʻāʻo kiʻi: ʻO nā Ultrasounds, CT scans, a i ʻole MRI e ʻike i nā loli o ke ʻano o ke akepaʻa a i ʻole nā mea ālai.
- Nā Hoʻāʻo Koko Hou Aʻe: Nā māka viral no ka hepatitis, nā panela antibody autoimmune, a i ʻole nā hoʻokolohua genetic.
- Biopsy o ka ate: No ka ʻike maopopo ʻana i nā hihia o ka hana ʻole o ke akepaʻa mau loa i wehewehe ʻole ʻia.
Lapaʻau no nā LFT maʻamau ʻole
ʻO ka hoʻokele ʻana i nā LFT maʻamau ʻole e kālele ana i ka hoʻoponopono ʻana i ke kumu kumu o ka hana ʻino o ke akepaʻa. Aia ma lalo nā ʻano hana i hoʻopilikino ʻia e pili ana i nā kūlana maʻamau:
1. Maʻi ʻAke Momona
- Nā hoʻololi o ke ola: Ka hōʻemi kaumaha, ka hoʻoikaika kino mau, a me ka ʻai kaulike haʻahaʻa i ka momona a me ke kō.
- Pau ka waiʻona: He mea nui no ka maʻi ʻona momona o ke akepaʻa.
2. Ka ma'i hepa
- ʻO ka maʻi hepatitis: Nā lāʻau lapaʻau antiviral e kāohi i ka maʻi a hōʻemi i ka mumū o ke ake.
- Hepatitis ʻona a ʻawaʻawa paha: He mea koʻikoʻi ka hoʻōki ʻana i ka waiʻona a me ka wehe ʻana i ka mea ʻawahia a i ʻole ka lāʻau lapaʻau. Hoʻokomo pū ʻia ka mālama kākoʻo me ka hydration a me ka meaʻai.
3. Ka maʻi maʻi maʻi
- Nā Pae Mua: Nā hoʻololi ʻana i ka ʻai, ka hoʻemi ʻana i ka ʻai paʻakai, a me nā lāʻau lapaʻau e mālama ai i nā pilikia e like me ka paʻa ʻana o ka wai.
- Nā ʻanuʻu kiʻekiʻe: Pono paha nā mea maʻi i ka hoʻoili ʻana i ke akepaʻa i nā hihia o ka hāʻule ʻana o ke akepaʻa.
4. Ka Mīkana Meka
Ke hoʻokele nei i nā ʻāpana pākahi e like me:
- Ke kō koko (ma o nā lāʻau lapaʻau a i ʻole ka insulin).
- Cholesterol (me ka hoʻohana ʻana i nā statins a i ʻole nā lāʻau hoʻohaʻahaʻa lipid ʻē aʻe).
- Ka pohō kaumaha ma o nā papahana ʻai a me nā papahana hoʻoikaika kino i hoʻonohonoho pono ʻia.
5. Nā maʻi akepaʻa Autoimmune
ʻO ka lāʻau lapaʻau immunosuppressive, e like me corticosteroids a i ʻole azathioprine, e hōʻemi i ka mumū o ke akepaʻa.
Nā Hana Pale no nā LFT Maʻamau ʻole
- ʻAi ʻai olakino: E kālele i nā meaʻai holoʻokoʻa, nā protein lean, a me nā kō i hana ʻia i kaupalena ʻia.
- hoʻokō ': Ka hana kino maʻamau e mālama i ke kaumaha olakino a hōʻemi i ka hōʻiliʻili ʻana o ka momona i loko o ke ake.
- Hoʻoemi waiʻona: Ke kaupalena ʻana i ka inu ʻona i nā pae i ʻōlelo ʻia a i ʻole e hōʻole loa iā ia inā he hōʻino ʻia ke akepaʻa.
- Ka ʻIke Lāʻau Lapaʻau: E kūkākūkā me ke kauka ma mua o ka lawe ʻana i nā lāʻau lapaʻau a i ʻole nā mea hoʻopihapiha.
- Hoʻomaha: No ka maʻi hepatitis A a me B, ʻoi aku hoʻi no nā poʻe pilikia kiʻekiʻe.
I ka wa e kukakuka ai me ke Kauka
Pono nā maʻi e ʻimi i ke kōkua lapaʻau inā lākou:
- Hōʻike i nā hōʻailona mau e like me ka jaundice, ka ʻeha o ka ʻōpū, a i ʻole ka luhi.
- Loaʻa kahi moʻolelo o nā maʻi akepaʻa mau loa a i ʻole nā mea pilikia e like me ka hoʻohana ʻana i ka waiʻona nui a i ʻole ka momona.
- E loaʻa nā hopena LFT maʻamau ʻole, ʻoiai me ka loaʻa ʻole o nā hōʻailona.
Nānā no nā LFT maʻamau ʻole
ʻO nā hopena LFT maʻamau ʻole ka hōʻailona mua i ka ʻike ʻana i nā kūlana pili i ke akepaʻa. Me ke komo ʻana a me ka hoʻokele kūpono, hiki ke mālama ʻia a kāohi ʻia paha nā ʻano ʻino he nui o ke akepaʻa. He kuleana koʻikoʻi ka ʻike mua ʻana a me nā hoʻololi ʻana i ke ʻano o ka nohona i ka hoʻomaikaʻi ʻana i nā hopena a me ka pale ʻana i ka holomua o ka maʻi.
Ke Kumu Loaʻa
- Hōʻike nā LFT maʻamau ʻole i ka hana ʻino o ke ake, hiki ke loaʻa mai nā ʻano like ʻole e like me ka maʻi ate momona, ka hepatitis, a i ʻole nā maʻi metabolic.
- ʻO nā hōʻailona e like me ka jaundice, ka luhi, a me ka mimiʻeleʻele e hele pū me nā LFT maʻamau.
- Ke kālele nei ka mālama ʻana i ka hoʻoponopono ʻana i ke kumu kumu a hiki ke komo pū me nā loli o ke ʻano o ka nohona, nā lāʻau lapaʻau, a i ʻole, i nā hihia koʻikoʻi, nā hana ʻoki kino e like me ka hoʻoili ʻana i ke ake.
- He mea nui nā hana pale a me ka nānā mau ʻana no ka mālama ʻana i ke olakino o ke akepaʻa.
ʻŌlelo Hoʻolaha: No ka ʻike wale nō kēia ʻatikala a ʻaʻole ia he pani no ka ʻōlelo aʻo lapaʻau. E kūkākūkā me kahi loea mālama ola kino no ka ʻike ʻana, ka mālama ʻana, a i ʻole nā hopohopo.
ʻO ka Halemai Maikaʻi Loa Kokoke iaʻu ma Chennai