Whakamātautau SGPT (ALT): Ngā Mea e Inehia ana, Ngā Mea Kāore e Taea te Kōrero atu ki a Koe, me pēhea te Pānui i tō Pūrongo

Take take

• He rite tonu te whakamātautau SGPT me te ALTKo te SGPT te ingoa taiwhanga tawhito o Īnia mō te alanine aminotransferase.
• Ko te SGPT e tohu ana i te whara o ngā pūtau ate, ehara i te mea ko tōna pūtakeKa taea e te ate momona, te mate hepatitis viral, te waipiro, ngā rongoā me ngā tāpiringa te whakanui ake i tēnei.
• He mea whakamarie te SGPT noa engari ehara i te mea whakatau whakamutungaKo te fibrosis me te cirrhosis kua whanake haere he maha ngā wā ka puta ngā whākōkī noa, tata noa rānei.
• He iti noa te tikanga o te tau anakeKa whakamāramahia te SGPT me te SGOT (AST), ALP, GGT, bilirubin, albumin, tatau pereti toto me te whakaahua.
• He rerekē ngā awhe tohutoro i waenga i ngā taiwhanga: pānuihia tō uara i ngā wā katoa ki te awhe kua tāia ki tō ake pūrongo.

I te titiro

E mohiotia ano ko

• Whakamātautau ALT, alanine aminotransferase
• Te whakamātautau toto SGPT, ngā taumata SGPT
• He wāhanga o "LFT", "whakamātautau ate", "kōtaha ate"
• E whakamahia whānuitia ana i Inia hei "whakamātautau whākōkī ate" hei "whakamātautau jaundice" rānei, ko te SGPT tētahi wāhanga o ēnei panera, ehara i te panera katoa.

He aha te whakamātautau SGPT

Ko te alanine aminotransferase he whākōkī e kukū ana i roto i ngā pūtau ate, he iti ake te nui i roto i te whatukuhu, te ngākau me te uaua angaiwi. Ka āwhina te whākōkī ki te whakawhiti i ngā rōpū amino i te wā e pākia ai ngā waikawa amino. Ina mumura, ina taumaha, ina mate rānei ngā pūtau ate, ka turuturu te alanine aminotransferase, ā, ka piki ake ngā taumata toto.

Nā te mea he motuhake te whākōkī ki te ate, ko te SGPT tētahi o ngā tohu whai hua mō te whara o ngā pūtau ate. Heoi, ka ine te SGPT i te whara , ehara i te mahi . Ka pai ake te whakaata i te mahi hanga ate e te albumin, te wā prothrombin/INR me te bilirubin.

Ko wai me whiwhi i tēnei whakamātautau

• Ngā tāngata whai tohu e tohu ana i te mate atete kiriuhi waikura, te mimi pouri, te tūtae mā, te whakapairuaki tonu, te mamae o te puku matau o runga, te ngenge, te mākati rānei kāore e taea te whakamārama.
• Ngā tāngata e tango ana i ngā rongoā e mōhiotia ana ka pā ki te atete rongoā ārai-kohi, te methotrexate, ētahi rongoā ārai-haurangi, rongoā ārai-retrovirals, ētahi rongoā harore me ngā paturopi. Ka whakaritea ngā wā tirotiro e te kaiwhakatakoto tohu.
• Ngā tāngata e tango ana i ngā rongoā AYUSH, i ngā hua otaota, i ngā tāpiringa whakapakari tinana rānei: he tino take ēnei mō te whara o te ate i puta mai i te rongoā i Inia.
• Ngā tāngata whai take mōrearea pākia: mate huka momo 2, toto toto tiketike, dyslipidemia, ngako nui. Ka pāngia ngā tāngata o Āhia ki te Tonga e te mate ate metabolic i te iti iho o te taupū taumaha tinana i te maha atu o ngā taupori.
• Ngā tāngata e mōhiotia ana, e whakapaetia ana rānei he mate hepatitis B, C rānei, hei wāhanga o te aroturukitanga i whakatauhia e te tohunga ate, e te tākuta rānei.
• Ngā tāngata e inu waipiro ana, e inu nui ana rānei.
• Ngā tāngata he ate momona tō rātou i runga i te ultrasound.

Kāore i te tūtohutia whānuitia te tirotiro SGPT mō te tangata tino ora, kāore hoki he āhuatanga mōrearea; he mea whakauru noa iho tēnei i roto i ngā kete tirotiro hauora Inia, ā, me whakamārama tika te āhua o tētahi āhuatanga rerekē ngāwari i taua horopaki, kaua e mataku.

He aha i mahia ai te whakamātautau SGPT

• Hei kite i te whara o ngā pūtau ate ina kitea ngā tohu, ngā āhuatanga mōrearea rānei.
• Hei āwhina i te tautuhi i tētahi raruraru ateMā te tauira o te SGPT me te ALP me te GGT ka taea te wehewehe i te whara o te pūtau ate mai i ngā raruraru cholestatic (rere o te ate).
• Hei aroturuki i roto i te wā: he nui ake ngā mōhiohio e pā ana ki ngā au o ngā whakamātautau tāruarua i te pānui kotahi.
• Hei aroturuki i te haumaru o ngā rongoā i te wā e rongoatia ana ka pā ki te ate.
• Hei aroturuki i te urupare i roto i ngā āhuatanga pēnei i te mate ate ate huaketo mau tonu, te mate ate ate pūnaha ārai mate rānei, i te taha o ētahi atu whakamātautau.

Ngā mea kāore e taea te kite, te ārai rānei i te whakamātautau SGPT

Koinei te wāhanga e kore e whakaurua e te nuinga o ngā pūrongo, ā, he mea nui ake i te tau tonu.

• Kāore e taea e te SGPT te whakaatu i te take. Ka taea e te mate ate viral, te mate ate metabolic, te waipiro, ngā rongoā, ngā tāpiringa, te mate ate autoimmune, te mate celiac, te mate tairoi me te whara uaua te whakanui ake i te SGPT.
• Kāore e taea e te SGPT te whakakore i te cirrhosis, te fibrosis kua whanake rānei. He maha ngā wā ka heke te taumata o ngā whākōkī ki te āhua noa i te whanaketanga o ngā kiriuhi me te ngaronga o ngā pūtau ate e mahi ana. Ehara te SGPT noa i te tohu o te ate hauora.
• Kāore e taea e te SGPT te whakatau i te ngako, te fibrosis rānei. Kāore he kōrero mō te nui o te steatosis, te mumura, te whara rānei kei roto. Me whai whakaahua, elastography, kaute kore-whakaeke, i ētahi wā he koiora rānei.
• Kāore e taea e te SGPT te kite i te mate pukupuku ate, i ngā puranga ate rānei. Ka puta pea te mate pukupuku ate me ngā whākōkī noa. Me tango whakaahua.
• Kāore e taea e te SGPT te ine i te mahi ate. Ki te kore te ate e hanga pūmua, e whakakore rānei i te bilirubin, tera pea ka kitea tonu he iti noa te pikinga o ngā whākōkī.
• Kāore e taea e te SGPT te whakakore i te aukati o te awaawa ate, te mate kohatu rānei. Mā te ALP, te GGT, te bilirubin me te ultrasound e whakautu i tēnā pātai.
• Kāore te SGPT e pā ki te ate anake. Ka taea e te whara o te uaua angaanga, te whakakori tinana kaha me ētahi mate uaua te whakapiki ake i tēnei mate me te kore he mate ate.

Ki te mea he hua noa te hua i tukuna mai, ko te tikanga kāore i kitea te whākōkī i roto i taua tauira i taua wā. Ehara i te mea kua whakakorea te mate ate. Ki te haere tonu ō tohu ahakoa te SGPT noa, me hoki atu ki tō tākuta, kaua e whakaaro kua whakakorea te ate.

Ngā whakamātautau e pā ana engari he rerekē

Kāore he whakamātautau kotahi e "tuatahi" ana. Mena ko te jaundice te raruraru e pā ana, ka ārahi te bilirubin me te ultrasound biliary. Mena he ate momona tūpono me te mōrearea pākia, ka ārahi te aromatawai i ngā whākōkī me te mōrearea fibrosis. Mena he mamae te taha matau o runga o te raruraru e tohu ana i ngā kohatu o te pūkahukahu, ka ārahi te ultrasound.

Me pehea te whakarite

He rerekē ngā tohutohu whakarite i waenga i ngā taiwhanga me ngā hōhipera. Ko ngā tohutohu tuhituhi a tō taiwhanga te mea nui ake i ngā mea katoa kei runga i tēnei whārangi.

• nohopuku: Kāore e hiahiatia he nohopuku mō te SGPT. Tērā pea ka hiahiatia he nohopuku mēnā ka tangohia he kōtaha ngako, he huka rānei i te wā kotahi.
• Nga rongoa me nga taapiri: Kawea mai he rārangi katoa, tae atu ki te whakamahinga o te paracetamol, te rongoā ārai-kohi, ngā statin, ngā paturopi, ngā rongoā whakamamae mamae, ngā rongoā AYUSH me ngā rongoā otaota, ngā paura pūmua me ngā tāpiringa whare takaro. Kaua e whakamutua tetahi rongoā kua tohua hei "whakapai ake" i te hua, kōrero ki te kaiwhakatakoto rongoā i te tuatahi.
• Te waipiro: Kōrerotia ki tō tākuta te inu i tangohia i ēnei rā, kaua e huna; ka pā te inu i ēnei rā ki te whakamārama i tō tikanga.
• Te whakakori tinana uaua: Ka piki ake te SGPT me te SGOT i ngā whakangungu tinana taumaha, i ngā oma roa rānei i te rā, i ngā rā e rua rānei i mua atu. Whakahuatia, ā, whakaarohia te karo i ngā mahi whakakori tinana tino kaha i mua atu.

Mena he mate huka tōu kei te rongoā whakaheke huka

Mena kua tonoa kia nohopuku mō ētahi atu whakamātautau i roto i te whakamātautau kotahi, pātai atu ki te tākuta e tohu ana me pēhea te whakarite i te wā o te insulin, te sulfonylureas rānei, me te kawe mai i tētahi puna huka. Mēnā ka roa te nohopuku me te kore e tirotirohia, ka tūpono te hypoglycemia.

Mena kei te hapu koe

Kāore he hiahia mō te nohopuku mō te SGPT. Kōrerotia ki te taiwhanga kei te hapu koe, nā te mea he rerekē te whakamaoritanga o ngā hua o te whakamātautau i te wā e hapu ana.

Mena kei a koe te CKD, te ngoikore o te ngākau, te herenga wai rānei

Kaua e whakanuia te nui o te wai e kainga ana ki tua atu i te nui kua whakaritea hei tohutohu whānui mō te "wai". Whāia te nui kua whakatakotoria e tō tīma rongoā.

tamariki

He iti ake ngā rahinga toto mō ngā tamariki, ā, he iti ake hoki ngā awhe tohutoro mō ngā tamariki. Kāore e tika ana te nohopuku roa mō ngā tamariki nohinohi ki te kore e tohua e te tākuta tamariki.

He aha ngā mea ka tupu i te wā o te whakamātautau, me te roa o te wā e pau ana

Ka horoia te kiri e te tākuta toto, ka tāpirihia he tourniquet, ka tangohia he tauira toto iti, mai i te uaua i te ringaringa. E kore e roa te tango toto. Tae atu ki te rēhitatanga, e 5 ki te 15 meneti te roa o te haerenga. Ka pēhia te wāhi, ā, ka tāpirihia he takai iti.

Ko te nuinga o ngā taiwhanga ka whakaputa i ngā hua SGPT i te rā mahi kotahi, i te rā mahi rānei e whai ake nei, nā te mea he mahi aunoa te whakamātautau. Ko te otinga tika e whakawhirinaki ana ki te waeine, ngā wā kati mō te kohikohinga me te mea i tangohia te tauira i tētahi pokapū kohikohinga, i tētahi taiwhanga matua rānei.

Te mārama ki tō pūrongo SGPT

Ka whakaaturia te SGPT i roto i ngā waeine mō ia rita (U/L) me ngā waeine ā-ao mō ia rita (IU/L) rānei. Ka rerekē ngā awhe tohutoro i runga i te tikanga whakamātautau, te taiwhanga, te ira tangata me te tau, ā, ka whakamahia e ētahi taiwhanga ngā rohenga o runga iti iho i ētahi atu. Whakamahia te awhe kua tāia ki tō ake pūrongo. Kaua e whakataurite i tō uara ki tētahi awhe mai i tētahi taiwhanga rerekē, mai i tētahi paetukutuku rānei.

Ngā mātāpono whānui e whakamahia ana e tō tākuta:

• Teitei ngawari: te mate ate pākia (ngako) e pāngia ana e te mate pāwera, te waipiro, ngā rongoā, ngā tāpiringa rānei. He maha ngā wā ka whakahaerea mā te tautuhi i te take, te whakamātautau anō me te aromatawai i te mōrearea o te fibrosis.
• Teiteitanga kua tohua: e whakaara ake ana i te tūponotanga o te mate hepatitis viral acute (tae atu ki te hepatitis A me te hepatitis E, e kitea whānuitia ana i Inia), te whara ate i puta mai i te rongoā, te whara ischaemic, te hepatitis autoimmune rānei. Me tere te aromatawai haumanu mō ēnei.
• He mea nui ake te tauira i te ahua kotahi: Ko te SGPT matua e tohu ana i te whara o ngā pūtau ate; ko te ALP me te GGT matua e tohu ana i tētahi tukanga cholestatic.
• He mea nui te auahatanga: Ehara i te mea he rongo pai te hekenga o te SGPT i roto i te tūroro e tino kino haere ana te hauora.
• SGPT iti kāore he āwangawanga haumanu i a ia anō.

Kāore e taea te whakatau i ngā tau motuhake pēnei i te 75, 90, 110, 200 rānei U/L hei "ngāwari" hei "kino" rānei i a rātou anake. He rerekē te tikanga o te uara kotahi mō te tangata e rua ngā rā e pāngia ana e te kirika me te jaundice, mō te tangata e rongoā ana ki te rongoā kohi, me te tangata kāore he tohu he ate momona kei runga i te sonography. Ko te tākuta anake i tono i te whakamātautau, me tō hītori, te whakamātautau me te toenga o te rōpū, ka taea te whakamārama. He rerekē ngā hua i runga i ngā āhuatanga haumanu takitahi.

Tuhipoka ingoa: ko te mea i mua ko NAFLD ka kiia inaianei ko MASLD (metabolic dysfunction-associated steatotic liver disease), ko NASH inaianei ko MASH , ko te kupu matua ko steatotic liver disease , ā, e whakaahua ana a MetALD i ngā takoha e pā ana ki te metabolism me te waipiro (multi-society Delphi consensus, 2023). Tērā pea ka whakamahia tonutia ngā kupu o mua e ngā pūrongo tawhito.

Ina he te āhua o ngā hua o te SGPT

Ngā take o te SGPT i whakapikihia he teka, he tinihanga rānei

• Te whakakori tinana taumaha, te whara uaua rāneiKei roto i te uaua angaiwi te alanine aminotransferase; mā te whakangungu kaha, te hinganga, te werohanga uaua rānei ka taea te whakaara ake me te kore he mate ate.
• Te hemolysis o te tauira ka pā kino pea ki ētahi tātaritanga i te wā e kohia ana, e haria ana rānei.
• Te inu waipiro hou, te tāpiringa hou rānei tērā pea ka puta he pikinga rangitahi ka memeha i te whakamātautau anō.
• Te mate celiac, ngā mate tairoi me te mate uaua ka puta he pikinga ngawari pumau me te whakaaro hē he mate ate tuatahi.

Ngā take o te SGPT tinihanga, te SGPT iti rānei

• Kua whakapumautia te cirrhosis: ka noho rite tonu ngā whākōkī ina heke te papatipu o ngā pūtau ate, nō reira ka noho tahi pea te SGPT noa me te mate kua pāngia e te mate.
• He mate hepatitis B, C rānei mau tonu i te wā kore mahingā whākōkī noa ahakoa te mate tonu me te fibrosis pea.
• Mate taupatupatuKa piki, ka heke ngā whākōkī i roto i te mate hepatitis mau tonu me te MASLD, nō reira ka heke pea tētahi uara noa i roto i tētahi wā marino.
• Te korenga o te huaora B6 (pyridoxine) ā, ka taea e te dialysis mau tonu te whakaiti i te ngohe kua inehia.
• Ngā rohenga o runga whakamātautau rerekē: ka whakamahia e ētahi taiwhanga ngā tapahi teitei ake, nō reira ko te uara kua tohua he noa i tētahi taiwhanga ka tohua pea he teitei i tētahi atu.

Ngā mōrearea me te haumaru

Te tango tauira toto uaua

He iti noa ngā mōrearea engari he tūturu o te pokanga toto auau: he mamae poto, he marō, he pōuri te mahunga, he hemo rānei, ā, he onge noa iho he hematoma iti, he mate pāwera rānei. Ko te hunga e tango ana i ngā rongoā ārai toto, e mate ana rānei i te toto, tera pea ka nui ake ngā marō, ā, me kōrero ki te tākuta toto.

Te tauira tauira capillary, tauira tauira tamariki rānei

Ka puta te mamae poto me te maru iti i te werohanga o te rekereke, te werohanga rānei o te maihao i roto i ngā pēpi me ngā tamariki nohinohi; he iti te rahinga o te tauira, ā, i ētahi wā ka hiahiatia te tango anō mēnā kāore i te rawaka te tauira, kua pakaru rānei tōna toto.

Kāore he rerekētanga, he irahiko, he whakamoe rānei e whakamahia ana i roto i te whakamātautau SGPT.

Nga ahuatanga motuhake

Te wa hapu

Tērā pea ka puta ngā huringa ngawari i te wā e hapu ana, engari kaua rawa e kiia te pikinga o ngā transaminases he huringa noa i te wā e hapu ana. Ko te cholestasis intrahepatic o te wā e hapu ana, te pre-eclampsia me te pānga o te ate, te HELLP syndrome, te hyperemesis gravidarum me te hepatitis viral acute (tae atu ki te hepatitis E, ka kino pea i te wā e hapu ana i Inia) me arotake katoa.

tamariki

He rerekē ngā awhe tohutoro tamariki i ngā awhe pakeke. Mēnā ka piki haere tonu te mate o te tamaiti, ka whai whakaaro ki ngā mate pāwera, ngā mate ira, ngā mate pūnaha ārai mate me ngā mate uaua, tae atu ki te mate ate steatotic, ā, me aromatawai e te tākuta tamariki, e te tākuta puku tamariki rānei.

Nga pakeke

Ka nui ake te tūponotanga o te whara o te ate i puta mai i te rongoā nā te polypharmacy. Ahakoa he nui te mate, ka iti pea te pikinga o te whākōkī, nō reira he taumaha rawa atu ngā tohu whakaahua me ngā tohu mahi.

Nga tangata mate huka

He mea noa te mate ate steatotic me te mate huka momo 2, ā, he nui ake te mōrearea o te fibrosis. Kāore e tino hono ngā taumata whākōkī ki te fibrosis, nō reira ka ārahihia te aromatawai fibrosis e te tākuta e rongoā ana, kaua e te SGPT anake.

Ngā tāngata e pāngia ana e te CKD, e mate ana rānei i te dialysis

He iti iho ngā taumata transaminase i roto i ngā taupori dialysis, nō reira he iti ake te whakamarie o te SGPT "noa", ā, he maha ngā wā ka whakamahia ngā paepae iti ake mō te aromatawai anō.

Ngā tāngata e ngoikore ana te ngākau

Ka taea e te pupuhi o te ate me te iti o te putanga te whakanui ake i te SGPT me te SGOT, engari kāore he mate ate tuatahi. Me whai whakaaro ki te āhua o te ngakau i te wā e whakamārama ana.

Ko te whakamātautau SGPT i roto i te horopaki Inia

• kupu kupu: E pūrongo whānuitia ana ngā taiwhanga o Īnia SGPT a SGOT kaua ko te ALT me te AST. He ōrite ngā whakamātautau; ko te tikanga whakaingoa anake te rerekētanga. He maha ngā wā ka puta ngā mea e rua i runga i te tānga LFT kotahi.
• Hepatitis A me te hepatitis E kei te noho tonu hei tino take o te mate hepatitis whakapeka me te nui o ngā transaminases i Inia, inā koa i roto i ngā pakeke taitamariki, ā, he mōrearea tāpiri te mate hepatitis E i te wā e hapu ana.
• Te rongoā ārai-kohi he tino take o te whara o te ate i puta mai i te rongoā i runga i te taumahatanga o te mate kohi. Ko te tākuta e rongoā ana me te whakatau i te horopeta, kaua e mutu te ATT i a koe anō.
• AYUSH, ngā tāpiringa otaota me te whare takaro tinana he take e mōhiotia ana, ā, kāore i te tino pūrongohia mō te whara o te ate i roto i ngā mahi Inia. Whakakitea ngā mea katoa e tangohia ana e koe, tae atu ki ngā hua e hokona ana he "taiao" he "whakakorenga ate" rānei. Ko ngā kereme e whakaora ana, e whakakore ana rānei i te mate ate i roto i tētahi hua, he takahi anō hoki i te Drugs and Magic Remedies (Probjectionable Advertising) Act, 1954.
• Te mate ate pākia i te BMI iti iho: Ka pāngia ngā tāngata o Āhia ki te Tonga e te ngoikore o te pūnaha io me te mate ate steatotic i te iti iho o te taupū taumaha tinana me ngā paepae hope i ngā tāngata Pākehā o Ūropi, nō reira kāore te āhua "noa" o te tinana e ārai i te MASLD.
• Ngā mate pūmua me te anemia ngoikore-rino he mea noa i Inia. Kāore ēnei e pā tika ki te SGPT engari ka pā ki ētahi atu whakamātautau e tonoa ana i te wā kotahi, pērā i te HbA1c, e whakaitihia ana te pono o te thalassemia trait me ētahi atu momo haemoglobin.
• Tiaki Raraunga: Ki te mea ka tuhia e koe, ka whiwhi rānei koe i ngā pūrongo mā roto i tētahi tomokanga ipurangi, taupānga rānei, he raraunga whaiaro ō raraunga hauora i raro i te Ture Tiaki Raraunga Whaiaro Mamati, 2023.

Te utu me te inihua i Inia

Ko te whakamātautau SGPT/ALT takitahi tētahi o ngā whakamātautau toto iti rawa te utu e wātea ana i Inia, ā, he iti ake te utu ina tonoa i roto i te papa LFT i te whakamātautau tāpiri takitahi. He rerekē rawa ngā utu i waenga i ngā tāone, i waenga i ngā taiwhanga hōhipera me ngā pokapū kohikohi takitahi, me te utu takitahi me te utu mōkihi. Ko ngā tatauranga katoa e whakahuatia ana i te ipurangi he tohu noa iho, whakaūhia te utu o nāianei ki te taiwhanga i mua i te tuhi pukapuka.

Ngā āhuatanga e pā ana ki te utu:

• Ahakoa ka tonoa ko te SGPT anake, i roto rānei i te kete LFT, i te kete tirotiro hauora rānei
• Taiwhanga hōhipera, mekameka tātaritanga takitahi, pokapū kohinga rānei
• Tāone me te rohe
• Ngā utu kohi whare
• Te tukatuka tere, te tukatuka rānei i muri i ngā hāora mahi
• Te mana whakamana o te taiwhanga
• Ahakoa he wāhanga te whakamātautau nō tētahi kaupapa kāwanatanga, nō tētahi kaupapa kaituku mahi rānei

Inihuarangi: he maha ngā wā kāore e hipokina ngā whakamātautau tātaritanga o waho e te inihua hauora paerewa mēnā kāore i te hono atu ki tētahi whakaurunga hōhipera, i hipokina rānei e tētahi OPD, e tētahi atu kaitaraiwa tirotiro hauora rānei. Ina mahia te whakamātautau i te wā whakaurunga hōhipera kua hipokina, ka whakaurua ki te wāhanga tirotiro. Tirohia ngā tikanga o tō kaupapa here me ngā whakaritenga whakamanatanga i mua.

Ngā pūrākau me ngā meka

Pātai auau

He rite tonu te SGPT ki te ALT?

Āe. Ko te SGPT (serum glutamic pyruvic transaminase) te ingoa tawhito mō te alanine aminotransferase. He maha ngā taiwhanga Inia e tā ana i te SGPT, engari ko ngā pūrongo o te ao e whakamahi ana i te ALT. He ōrite te whākōkī, te whakamātautau me te tikanga haumanu, nō reira kāore he take ki te whakahoki i te whakamātautau mēnā he rerekē te tapanga e whakamahia ana e tō pūrongo.

He aha te tikanga o te SGPT teitei?

Ko te SGPT teitei te tikanga kei te turuturu ngā whākōkī i roto i ngā pūtau ate, he tohu tēnei i te riri, i te whara rānei. Kāore e whakahuatia te take. Ko te mate ate steatotic, te waipiro, ngā rongoā, ngā tāpiringa, te hepatitis viral, te hepatitis autoimmune me te whara uaua he mea pea katoa. Ka whakakotahihia e tō tākuta te uara me tō hītori, tō whakamātautau, ētahi atu whakamātautau ate me te whakaahua i ētahi wā.

Me nohopuku ahau i mua i te whakamātautau SGPT?

Kāore te SGPT e hiahiatia kia nohopuku. He maha ngā wā ka tonoa kia nohopuku nā te mea ka kohia te kōtaha ngako, te huka rānei i te wā nohopuku i te haerenga kotahi. Whāia ngā tohutohu tuhituhi mai i tō ake taiwhanga. Mena he mate huka koe e tango ana i ngā rongoā whakaheke huka, pātai atu ki tō tākuta me pēhea te wā i te horopeta i mua i te nohopuku.

Kia pēhea te roa ka tae mai taku hua SGPT?

He whakamātautau aunoa noa te SGPT, ā, ka tukuna e te nuinga o ngā taiwhanga i taua rā anō, i te rā mahi rānei e whai ake nei. Ko te wā tuturu e whakawhirinaki ana ki te wā kati kohikohinga o tō wāhanga, mēnā ka tukatukahia te tauira i te wāhi, ka haria rānei ki tētahi taiwhanga matua, me te mēnā i tonoa he tukatuka tere.

Ka taea te whakaheke i te SGPT mā te kai me te whakakori tinana anake?

Kei te pūtake anake te take. Mō te mate ate pākia (ngako), ko ngā huringa tonu o te āhua kai me te korikori tinana ka whakaiti i ngā whākōkī i roto i ngā marama. Mō te mate hepatitis huaketo, te mate hepatitis ā-pūnaha, te whara rānei i puta mai i te rongoā, kāore e ranea te whakarerekētanga o te āhua noho anake. Me whakatau e tō kaiwhakahau te whakarerekētanga rongoā.

Ka taea te teitei o te SGPT me te kore he tohu?

Āe, ā, he mea noa tēnei. He maha ngā wā ka kitea noa te pikinga o te SGPT i roto i te tirotiro hauora i roto i te tangata e pai ana te āhua. Ahakoa te kore o ngā tohu, ehara i te mea kāore he hiranga o te hua; ko te tikanga he tika te whakamātautau anō, te rapu take me te aromatawai mōrearea fibrosis.

Ko tēhea whakamātautau e whakaatu mai ana mēnā he koha kei roto i tōku ate?

Kāore e taea e te SGPT te aromatawai i te fibrosis. Ka whakamahia te ine i te pakari o te ate mā te elastography, ngā kaute fibrosis kore-whakaekenga mā te whakamahi i ngā tawhā toto, me te koiora ate i ētahi wā. He tikanga motuhake te elastography wā poto me te shear-wave me ngā paepae motuhake, ā, ko te whiringa mā tō tākuta e rongoā ana.

He aha i teitei ai taku SGPT i muri i ngā whakangungu tinana?

Kei roto i te uaua angaiwi te alanine aminotransferase, nō reira ka taea e te whakangungu ātete taumaha, ngā wā roa o te manawanui, te whara rānei o te uaua te whakanui ake i te SGPT me te SGOT me te kore he mate ate. Ka taea hoki e ngā paura pūmua me ngā tāpiringa i mua i te whakangungu te whai wāhi atu. Kōrerotia tō tākuta mō tō whakangungu me ngā tāpiringa i mua i te whakarite i ētahi atu whakamātautau ate.

Me tirotiro te SGPT i te wā e hapu ana?

Ka tirohia te SGPT i te wā e hapu ana mēnā he kiriuhi kanapa, he mākūkū, he mamae o te puku o runga, he ruaki tonu, he toto toto tiketike, he whakapae rānei mō te pre-eclampsia. Kāore te pikinga o ngā transaminases i te wā e hapu ana e kiia he huringa ā-tinana noa, ā, me arotake te whānau whānau, nā te mea me whakahaere wawe ngā āhuatanga pēnei i te cholestasis o te haputanga me te HELLP syndrome.

Rauemi

• Rinella ME me ētahi atu. Te whakapuakitanga whakaae a te tini-hapori Delphi mō te whakaingoatanga hou mō te mate ate momona (te whakauru i te SLD, MASLD, MASH me te MetALD), 2023.
• Aratohu haumanu o te American College of Gastroenterology: aromatawai i ngā matū rerekē o te ate.
• Ngā aratohu mahi haumanu a te Rōpū Pākehā mō te Akoranga o te Ate mō te whara o te ate i puta mai i te rongoā me ngā whakamātautau kore-whakaekenga hei aromatawai i te kaha o te mate ate.
• Ngā pepa kōrero a te Whakahaere Hauora o te Ao mō te mate hepatitis A, B, C me te E.
• Ngā tauākī whakaae a te Rōpū ā-Motu o Īnia mō te Rangahau i te Ate (INASL) mō te whara o te ate i puta mai i te rongoā me te mate ate pākia/mate ate pākia i roto i ngā tūroro Īnia.
• Te Wāhanga TB Matua, Te Manatū Hauora me te Oranga Whānau, he aratohu mō te aroturuki i te paitini o te ate i te wā e rongoatia ana ki te mate kohi.
• Te Ture mō ngā Rongoā Tarukino me te Makutu (Pānuitanga Whakahē), 1954; Te Ture Tiaki Raraunga Whaiaro Mamati, 2023.