ʻO ka hoʻokolohua mua i hōʻike ʻia no kēlā me kēia maʻi he hōʻike koko biochemical.
Hiki i ka hoʻohana ʻana i kēia ala hoʻokele kaulana i hiki ke ʻike i nā hana pili i ke kālai ʻana i loko o ke kino.
He aha nā hōʻike hōʻike koko biochemical i hōʻike?
Hoʻokaʻawale ʻia ma waena o ka maʻamau a me ka laulima therapeutic maʻamau o ka nānā ʻana biochemical. ʻO ka maʻamau therapeutic maʻamau ka hōʻike ʻana i nā ʻōmole kumu maʻamau o nā ʻāpana koko o ke kanaka, e hiki ke hōʻike i nā pilikia i loaʻa i loko o ka puʻuwai, urinary, endocrine a i ʻole nā mea hoʻowalewale, ka hele ʻana o ka hana palupalu i loko o nā koina ʻili.
ʻO nā hōʻailona nui ka:
- huakaʻi piha;
- aspartate aminotransferase (AST);
- alanine aminotransferase (ALT);
- pili a me ka bilirubin piha;
- urea
- kekuhi
- kolamu;
- mea hana;
- electrolytes.
Ma ka loiloi holomua, koi ʻia nā enzyme hou e hōʻoia i ka maʻi maʻi.
- c-react protein;
- globulins;
- Ferritin;
- fructosamine;
- lipoproteins;
- nā huaora;
- ʻenehana paʻakikī.
Nā hōʻailona no ka hāʻawi koko mai ka vein
He mea kūpono ke kāpae ʻana i nā hopena o ke kaila no ka biochemistry a ʻike ka loea i kahi kiʻi piha o ka mokuʻāina a me ka hana ʻana o nā kino kūwaho a me nā ʻōnaehana i ke kino.
No laila, e lawe ʻia ana kahi noi biochemical i loko o kēia mau hihia:
- i ka manawa o ka nānā ʻana i ka nānā ʻana i ka makahiki;
- i ka wā hāpai;
- nānā i ka pono o ka hopena;
- i ka heleʻana o nā hōʻailona o ka hana hewa ʻana o nā ʻuhane āpau.
Pehea e hāʻawi ai i ke koko no ka biochemistry?
I mea e loaʻa ai kahi hopena pono, ma mua o ka lawe ʻana i ke koko no biochemistry, pono e nānā i nā kānāwai he nui:
- ma mua o ka aʻo ʻia ke pāpā ʻia i ka ʻai, nā uahi;
- hoʻokaʻawale i ka hoʻohana ʻana i nā pale, ka kī a me ke kofe i ka lā ma mua o ka nānā ʻana;
- ʻAʻole i aʻo ʻia e kipa i ka ʻauʻau i ka lā ma mua o ka hāʻawi ʻana i ke koko a hōʻike iā ʻoe iho i ka hoʻoikaika kino;
- i nā lā ʻelua ma mua o ka loiloi e hiki mai ana, e hāʻawi aku i nā mea inu ʻona a me nā mea ʻona;
- i loko oʻelua mau pule i mua o ka hoʻopaʻa ʻana, ʻo ke aʻo ʻana e hoʻōki i ka lawe ʻana i ka nui o nā maumai a me nā mea lapaʻau.
Hāʻawi lākou i ke koko i ke kakahiaka. ʻO ka hōʻiliʻili o 5 a 10 ml mau koko e hele mai i kahi vein i loaʻa i ka piko o ka kuʻekuʻe.
Kuhi ʻia nā ʻike koko koko i ka ʻoihana ma kahi pahu paʻa, pale ʻia mai ka māmā, e pale i ka luku ʻana o ka bilirubin.
Inā pono e loaʻa hou ka loiloi, a laila pono ʻoe e hāʻawi i ke koko i ka manawa like a i ka hale like pū e like me ka mea ma mua.
He aha ka mea e loiloi ai biochemical?
Hōʻike nā hōʻike biochemical i nā nui kikoʻī o nā māhele koko nui:
- ke kōpaʻa gula - he mea e ʻike ai i ka hana kūpono o ka mea hoʻoliʻiliʻi a kāhea aku i ka hana o ka ʻoihana endocrine;
- hoʻokūkū nā hoʻāʻo o ke ate i ka paʻa o nā kinohi a ka lolo koʻikoʻi. Ko nā mea hoʻohālikelike o AST, ALT, GTP, phosphatase alkaline a me bilirubin kōkua i ka hoʻoholo ʻana i ka mokuʻāina a me ke kau o ka hana o ka hue;
- ʻO ka protein a me kāna mau haʻawina ke kuleana no ka hoʻolaʻa ʻana i nā mea momona i loko o ke kino a kau i ka hana o nā pūnaʻi hou a me ka pale ʻole;
- Urea, waikawa uric a me ka mea hana hana ʻia, i hana ʻia i loko o ka ate ma muli o ka nalowale o nā hale i hoʻopau ʻia, a hoʻopili ʻia e ka urinary system;
- hoʻoikaika nui nā lipids a me ka kolamu i ka hana ʻana o nā hua bile, nā hormones a me nā kiko hou, e hoʻopili i ka hana o ka ikehu;
- Hōʻike ka paʻakai ma ke koko i ke kūlana o ka naʻau a me nā kīʻaha koko;
- pākuʻi ka sodium i ka acidity a me ka pume Osmotic.
Nā ʻikepili huli
Hiki wale i ke kauka ke heluhelu pololei i ka hopena o ka nānā ʻana, i ka ʻike ʻana i ka makahiki o ka mea maʻi a me nā kāne. E ʻike ka poʻe loea i nā hōʻailona o ka hōʻike o ka maʻi ma ka ʻano o kahi kaawale nui mai nā hōʻailona papa.
Hiki iā ʻoe ke hana i kahi manaʻo holoʻokoʻa o kou kūlana olakino inā ʻoe e ʻike i ka pae ʻae ʻia o kēlā me kēia enzyme.
ʻO ka hana maʻamau
Ua hoʻolālā ʻia kahi papa e loaʻa ana ka papa inoa o nā koina e pili ana i nā koina o ke koko i loko o nā ʻikepili i hoʻopaʻa ʻia.
E hoʻokaʻawale i ke aʻo ʻana o nā biochemistry koko, kahi hoʻohālikelike o nā pākuʻāina o kēlā me kēia pili koko i ka pākuhi o nā maʻamau.
Nā papaʻaina o ke koko maʻamau:
ʻŌkuhi koko | |||||||
---|---|---|---|---|---|---|---|
Nā poʻe hōʻikeʻike | E na keiki | Nā pākeke | |||||
a hiki i ka 1 mahina | a hiki i 12 mahina | Makahiki 1-14 makahiki | kāne | wahine | |||
Ka huina piha huina (g / l) | 46-68 | 56-73 | 63-82 | 68-83 | |||
Albumin (g / l) | 35-44 | 35-49 | 36-55 | 25-40 | |||
Aspartate aminotransferase AST (u / l) | 30-75 | 15-51 | E 47 | Tihi 41 | |||
Alanine aminotransferase ALT (ʻāpana / l) | 13-60 | 12-60 | Talia i 55 makahiki | E 43 | |||
Alunaatene Alkaline ʻĀina / l | Talia 180 | Tihi 650 | 35-130 | ||||
Kālā (mmol / L) | 1,5-5 | 2,1-4,5 | 3,1-7,4 | 3 a 7 | |||
Hōʻike HDL (mmol / L) | 1-3,9 | ʻOi aku ma 1,2 | ʻOi aku ma kahi o 1,5 | ||||
LDL (mmol / L) | 2,6-4,5 | 2,5-4,7 | Kemi iki ma ka 3 | ||||
Leka (mmol / L) | 2,7-4,6 | 3,4-7,2 | 3,5-7,3 | ||||
Pili i ka bilirubin (μmol / L) | 4-13,7 | 0,8-4,3 | 0,3-4,2 | ||||
Ka huina bilirubin (μmol / L) | 10-51 | 4,5-22,5 | 3-17,5 | ||||
Kapena Acila (ng / ml) | 3,27 | 3-17,5 | |||||
ʻĀpana B 12 (ng / L) | 161-1300 | 182-910 | |||||
Hao (μmol / L) | 9,6-43 | 5,3-15 | 9,3-30 | 12,6-32 | 8,8-31,4 | ||
Kaliawa (mmol / L) | 3,7-7,5 | 3-6,6 | 2,9-6,4 | 2,4-6,5 | |||
Sodium (mmol / L) | 126-156 | 122-150 | 132-165 | 126-145 | |||
Hōʻailona (mmol / L) | 1,1-3,9 | 1,3-2,8 | 1-2,7 | 0,88-1,53 | |||
Kalumoli (mmol / L) | 0,92-1,26 | 1,04-2,2 | 2,24-3,5 | ||||
Hoʻopiʻi (mmol / L) | 0,67-2,75 | 0,7-2,3 | 0,6-1,14 | ||||
Loulia (μmol / L) | 35-130 | 57-125 | 45-87 | ||||
Urea (mmol / L) | 1,5-6,4 | 3,4-7,5 | 2,4-8,2 | 2,19-6,49 | |||
Acid Uric (μmol / L) | 0,15-0,45 | 0,23-0,36 | 0,2-0,43 | 210-319 | 146-349 |
He aha nā manaʻo kuʻina ma nā kuhikuhi?
ʻO kahi hoʻololi i ka nui o nā kumuwaiwai nui i ke kuhikuhi o ka hoʻonui a hōʻemi paha he hōʻailona hōʻailona kēia o ka hoʻomaka ʻana o ka hoʻomohala ʻana o nā ala o nā kino kūloko.
ʻO ke ʻano kiʻekiʻe urea:
- ka hoʻomohala ʻana o ka palu holomua;
- pyelonephritis poʻo a me ke ʻano maʻi;
- ʻōpū o ka maʻi pākaukau;
- hopuina me nā mea iona.
Ke pae haʻahaʻa o kēia māhele i ka wā e:
- pūpū hema;
- māhuahua urination;
- haʻahaʻa kaloria meaʻai;
- ma hope o ka nānā ʻana i ka glucose;
- hana kaʻina hoʻokalakupua.
Ke kū nei ka waika Uric no nā kumu:
- nele o ka vitamin B 12;
- huʻala a ke kina;
- diabetes mellitus;
- me ka maʻi lēpera;
- nā maʻi e nā maʻi;
- ka hana paʻa ʻaʻe.
Ke hoʻonui nei ʻo Creatinine ma muli o:
- pilikia ʻole a ʻole;
- ke kālai;
- hōʻino ka wela i ka ʻili;
- maʻi maʻi
- hipehuʻi.
Ke emi ʻana o ke kahe o ka protein nui e hōʻike i kēlā mau pilikia:
- ka hoʻohana ʻana o ka glucocorticosteroids;
- laau ʻai nui
- hōʻino ka wela i ka ʻili;
- cirrhosis o ka ate;
- māhuahua urination;
- pohō koko
- colitis, pancreatitis;
- oncology.
Hoʻomaopopo ʻia ka hoʻonui ʻana i nā pae protein i ka hoʻomohala ʻana i ka mumū a i ʻole hōʻemi paha.
Hoʻonā mua ka puna kō i ke kō:
- maʻi maʻi
- mau huaʻehā o ka cortex adrenal a me nā lepili hipipiuma;
- ka ʻūhā a hōʻeha paha i ka ʻōpū;
- huʻala a ke kina;
- epilepsy.
Ka emi ʻana o ke kumu kūmole:
- overdosis
- ʻaiʻai a me ka ʻai;
- maʻi ōpū;
- ka hoʻomohala ʻana o ka encephalitis, meningitis;
- enteritis, colitis.
ʻO ka peke i ALT a me nā hōʻailona AST e kūʻē i ke ʻano o ke ʻano o:
- maʻi maʻi. Eia kekahi, ʻoi aku ke kiʻekiʻe o ka kiʻekiʻe o ALT;
- liloula i loko o ka ʻauʻau;
- maʻi huakaʻi o ka hepatitis. Hoʻonui i ka pae o AST;
- ka oncology o nā nuku.
Hoʻonui ke kiʻekiʻe o ka phosphatase kiʻekiʻe ma muli o ka:
- liloula i loko o ka ʻauʻau;
- hepatitis o nā etiologies o nā ʻano like ʻole;
- iwi huki i hope ma hope o ka hui;
- ka pālahalaha ʻana o nā iwi metastases;
- ka hoʻomohala ʻana o ka osteoporosis.
He coefficient kiʻekiʻe o ka bilirubin piha i hele pū me ka melemele o ka ʻili a hōʻike i ka hōʻea o ka cirrhosis o ke akeʻa, nā maʻi ʻalopela, hoʻomoʻa.
He hōʻailona pū kekahi o ka maʻi gallstone a me ka hepatitis.
ʻO ka ulu ʻana o ka bilirubin pololei ʻo ia ka hoʻomohala ʻana o ka cholecystitis, hepatitis akula, a me nā maʻi pūpū hopuna.
Hoʻonui ka pae o GGT me ka makeʻana o ka ethanol, maʻi maʻi, ka maʻi maʻi, a me ka mononucleosis infectious.
ʻO ka hoʻonui pinepine ʻia o ia mea i komo nui i ka momona metabolism e like me ke kolamu ʻo ke kumu:
- maʻi maʻi
- ke ala o ka palaki;
- ke koko kiʻekiʻe;
- maʻi maʻi
- wā hāpai;
- ka ulu ʻana o pancreatitis;
- ka huki ʻana o ka aʻe o ka prostate.
Hōʻike ka cholesterol haʻahaʻa i ka heleʻana o nā maʻi e like me:
- cirrhosis o ka ate;
- oncology;
- maʻi ʻino
- kuʻi;
- haʻahaʻa meaʻai haʻahaʻa.
ʻO nā kumu o nā loli i nā hōʻailona o nā ʻāpana i ke koko:
- hoʻonāukiuki a nāwaliwali o ka ate a me ka dehydration e hoʻonui i ka paʻakai. ʻO ka hāʻule ma muli o ka maʻi o ka maʻi a me ka nui o ka nalowale o ke kahe mai ke kino;
- pālahalaha haʻahaʻa haʻahaʻa - kahi hōʻailona e pili ana i ke koko a me ka hele ʻana o kahi oʻa. ʻO kahi kuhikuhi nui ka hao hao ʻo ia ka leukemia a i ʻole anle cell cell. Hiki mai ma hope o ka inu nui ʻana i nā lāʻau hao;
- nā kumu no ka hoʻonui ʻia o ka maʻi calcium e waiho ana ma ka oncology o nā kiko o ka iwi, ka nui o ka nui o ka vitamina D a me ka liʻiliʻi o ka hōʻalo. ʻAʻole lawa nā hana o nā pēpē a me nā lau thyroid i ukuhi ʻia e kahi puna o ka pae calcium;
- vegetarianism kumu o nui kūoʻi o ka folic acid;
- ʻoi aku ka maikaʻi ʻana o ka ʻaʻai a me ka inu ʻana i ka waiʻona i ka nele o kēia huaora.
Nā pono wikiō e pili ana i ka hoʻokaʻawale ʻana i kahi hōʻike koko biochemical:
Kūpono kahi hōʻike koko i nā keiki i nā ʻāpana like ʻole i nā pākeke, ʻokoʻa wale nō i nā ʻano o nā hōʻailona. Akā e noʻonoʻo pono i nā loli o ka hormonal a me ka ulu pinepine ʻana o ke keiki e hoʻokau pinepine ai i nā pae o ka pae o ka huina o ka hana ʻole o nā pathologies i nā kino. I ka wā pakeke, hiki ke lilo i kēia ʻano kūlike ma ka maʻamau.
No laila, pono e hana ke kauka i ka hopena e pili ana i ka loaʻa ʻana o ka maʻi, me ka hoʻomaʻamaʻa iā ia iho i nā hōʻailona a me nā hopena o nā haʻawina ʻē aʻe.