Kusan duk kyallen takalma na gabobin mutum yana da ƙungiyar enzymes - alkaline phosphatase. Mafi girman hankali daga gare su shine a cikin mahaifa, nama na nama, hanta da kuma bile ducts. Ƙara yawan aiki na phosphatase na iya nuna alamar wasu cututtuka da ake buƙatar samun magani a nan gaba.
Mene ne alkaline phosphatase?
Idan muka la'akari da wannan enzyme a cikin cikakken bayani, dole ne mu fada game da rawar alkaline phosphatase a cikin metabolism na ƙwayoyin cuta, wanda ke buƙatar matsakaiciyar alkaline, saboda haka sunan enzyme. Duk da haka, akwai nau'o'in enzyme iri-iri, dangane da wurinsa:
- hepatic phosphatase (mafi girma taro a cikin manya);
- kashi (mafi girma cikin yara);
- matsakaicin (maida hankali ga masu ciki);
- alkaline na hanji phosphatase;
- ƙananan (wannan alkaline phosphatase a cikin jini ba a kiyaye shi, saboda bai shiga ta ba kamar wasu nau'in).
Analysis for alkaline phosphatase
A yawancin lokuta da kuma bayyanar wasu alamun bayyanar, an tsara wani gwaji, alkaline phosphatase wanda za'a iya ƙaruwa ko ragewa, wanda zai haifar da ƙaddara mai kyau. Sanya wannan bincike:
- A cikin hadaddun rikici na hanta samfurori .
- Gudanar da cututtuka na kashi a lokacin da suke kulawa.
- Idan mai hakuri yana shan magunguna da ke inganta bayyanar cholestasis (stagnation of bile, cin zarafi da haɓaka).
- Idan akwai bayyanar irin wadannan cututtuka: tashin hankali, ganowa na feces, duhu fitsari, vomiting, jaundice, asarar ƙarfin da sauri raguwa.
Mene ne alkaline phosphatase ya nuna a gwajin jini?
Tambayar abin da alkaline phosphatase ya nuna yana da sha'awa ga waɗanda ba su da masaniya da wannan ra'ayi ko kuma wadanda suke gudanar da gwajin a karo na farko. Matsayin enzyme an tsara shi sau da yawa don ganewar asali daga cututtuka na kasusuwa, da biliary fili da hanta. Ƙara yawan alkaline phosphatase kuma iya magana akan kasancewar cututtukan cututtuka masu haɗari: ilimin binciken kwayoyin gwaji, lymphogranulomatosis ko m tsari a kwakwalwa. Duk da haka, akwai lokuta da dama da aka gudanar da bincike da ƙaddara bisa sakamakon da aka samu ya kamata a yi la'akari da wasu siffofi.
- Tare da rashin zinc a cin abinci, maida hankali kan enzyme na iya karawa, saboda wannan kashi shine ɓangare na phosphatase.
- Don gudanar da bincike ga yara don gano matsalolin bile ba shi da amfani, saboda haka, a matsayin mai mulkin, an tsara wani samfurin 5'-nucleotidase.
- Don iko, dole ne a gudanar da bincike don phosphatase ba sau ɗaya a mako ba, saboda cire shi daga jinin a cikin kwanaki 3-4.
- Dalili na karuwa a cikin tsofaffi mutane shine karuwa a cikin kashi kashi.
- Ana gudanar da bincike a cikin wadanda suka kasance na farko da na uku na jini, yana da muhimmanci muyi la'akari da cewa matakin intestinal phosphatase zai iya karuwa bayan shan kayan abinci mai tsanani, sabili da haka, samfurin samfur ya kamata a yi a cikin komai a ciki.
Alkaline phosphatase - al'ada
Yana da muhimmanci a san cewa alkaline phosphatase dauke da jini, al'ada a cikin mata, maza da yara - daban. Abubuwan da ke ciki a cikin enzyme ya dogara ba kawai a kan jima'i ba, amma har ma a kan shekaru, wanda ma ya kamata a ɗauka. Har zuwa shekaru 16, matakin alkaline phosphatase taro ya kasance mai tsawo, kuma bayan wannan shekarun yana fara karuwa. Mata suna da al'ada kamar haka:
- har zuwa shekaru 17 - m: 46 raka'a da lita; matsakaicin: 119 U / l;
- daga shekaru 17 zuwa 45 - muni: 32 raka'a / l; matsakaicin: 100 raka'a ta lita;
- daga 45 zuwa 55 - m: 35 raka'a / l; matsakaicin: 115 U / l;
- har zuwa shekaru 70 - al'ada shi ne 135 raka'a / lita;
- bayan shekaru 70, al'ada ya kasance 165 raka'a / lita.
Akwai dalilai da dama da ya sa wannan alama zai iya karuwa sosai, amma ba saboda ciwon cututtuka ba:
- a lokacin da yarinyar yaron;
- a lokacin HS;
- a gaban avitaminosis;
- saboda rashin abinci mai gina jiki;
- saboda matsanancin aikin jiki.
A cikin maza, wannan alamar yana da matsakaita mafi girma fiye da mace ɗaya ta 20-25 raka'a / l, kuma tare da shekaru, kamar yadda a cikin mata ya tashi. Hanyoyin alkaline phosphatase a cikin jinin mutane:
- daga 17 zuwa 30 - har zuwa 100 raka'a / lita;
- daga 30 zuwa 45 - har zuwa 120 raka'a / lita;
- daga shekaru 46 zuwa 64 - har zuwa 130 raka'a / lita;
- daga 55 zuwa 70 - har zuwa 145 a kowace lita;
- daga shekaru 70 - har zuwa 190 raka'a / lita.
A cikin yara ƙanana, ƙaddarar enzyme ya fi girma girma kuma bai dogara da jima'i ba. A lokacin tsufa, wannan bambanci ya zama sananne saboda hanyoyi daban-daban na matakan biochemical a jikin. Saboda haka, al'ada a yara da matasa:
- a cikin jarirai da kuma farkon makonni biyu na rayuwa: 83 - 248 raka'a / l;
- daga makonni 2 zuwa shekara: 122 - 469 raka'a / l;
- daga 10 zuwa 13: 129 - 417 raka'a / lita.
Shekaru, shekaru | Jima'i | Ƙananan | Matsakaici |
13 - 15 | mata maza | 50 116 | 254 468 |
15 - 17 | mata maza | 46 82 | 119 331 |
Alkaline phosphatase ya karu - me ake nufi?
Abin da ake nufi idan an bunkasa phosphatase na alkaline, kana bukatar ka san don taimaka wa gwani a ganewar asali da kuma ƙarin magani. Dalilin da ya sa babban haɗuwa na alkaline phosphatase zai taimaka wajen gane ba kawai dalilin bayyanar da alamun wariyar launin fata ba, har ma ya bayyana bayyanuwar cututtukan da ke da nau'i mai nau'i. Wannan zai ƙone gwani sosai.
Alkaline phosphatase ya karu - abubuwan da suke haddasawa
A lokacin da ke bayanin dalilan da aka haɓaka a cikin phosphatase na alkaline, dole ne a gano yawancin kungiyoyin da aka sani, wanda farko shine hade da haukarar hanta da hawan bile:
- duwatsu a cikin bile ducts;
- cholestasis;
- pathology na hanta, wanda zai iya faruwa saboda guba mai guba kuma lokacin shan shan magani;
- farko cholangitis;
- ciwon daji;
- hepatitis (autoimmune da hoto ko bidiyo mai zagaya yanar gizo da sauri);
- miconucleosis na ciwon jini;
- jaundice (mafi sau da yawa a cikin mata ɗauke da CCD tare da progesterone da ciwon estrogen).
Bamhological canje-canje a cikin yatsun nama, wanda alkaline phosphatase ƙara:
- Paget ta cuta (weakening na ƙasũsuwa, da nakasa da weakening);
- karuwa a cikin matakai na rayuwa a lokacin warkar da fractures;
- Gyaran kasusuwa (saltson allura, bitamin da phosphoric acid sun rasa, wanda ke haifar da lalacewa da tausasawar ƙasusuwa);
- Osteosarcoma da metastases shiga cikin kashi nama.
Sauran cututtuka kuma yana haifar da ƙara yawan phosphatase a cikin jini, ba tare da dangantaka da rashin lafiyar marasa lafiya da ka'idojin pathological:
- pathology na gastrointestinal fili;
- ƙananan ƙananan haɗari;
- endocrine cuta hade da matsala phosphoric metabolism da alli metabolism - hyperparathyroidism;
- ciki;
- shan barasa;
- farfajiya da kwayoyi da ke da tasiri mai haɗari.
Alkaline phosphatase ya karu - menene ya kamata in yi?
Idan gwaje-gwajen ya karu da ƙananan phosphatase, abin da ya kamata shine ya kawar da dalilin da ya haifar da wannan tsalle. Alal misali, tare da cututtukan hanta don mayar da ayyukanta, ya rubuta yin amfani da magunguna masu hawan kaya da kuma cinye abincin da ya dace. Dukkanin matakan da ya kamata ya kamata likita ya wajabta shi kuma yayi aiki a karkashin kulawarsa.
An saukar da alkaline phosphatase - menene ma'anar?
Idan gwaje-gwaje ya nuna cewa an saukar da phosphatase na alkaline, wannan na iya nuna cewa cuta mai hatsari yana tasowa cikin jiki. Don yadda ya kamata a tabbatar da ganewar asali, wasu gwaje-gwajen ba su isa ba kuma za ku buƙaci gwadawa ga waɗannan kwararru:
- malamin kwalliya;
- Kwararre;
- gwani a cututtuka;
- gastroenterologist;
- babban jami'in.
Alkaline phosphatase rage - dalilin
A mafi yawan lokuta, rage yawan alkaline phosphatase ya faru saboda dalilai masu zuwa:
- anemia a cikin babban nau'i;
- ƙananan kasawa a jiki na magnesium da zinc;
- cututtukan kwayoyin halitta na achondroplasia (ƙaddamar da kasusuwa, wanda ke haifar da dwarfism);
- transfusion na babban girma na jini;
- rashi na B da C bitamin ;
- rashin isasshen kasa;
- Dystrophy saboda rashin gina jiki a cikin abincin - kwashiorkor;
- hypothyroidism (ƙananan matakin ciwon giyar thyroid hormone);
- Cretinism;
- sc kadai;
- hypophosphatase (wani abu mai hatsari na cin zarafin nama).
An saukar da alkaline phosphatase - abin da za a yi?
Idan bincike ya nuna cewa low phosphate phosphatase, to yana da haɗari don gano hanyar da kanka, don haka kana buƙatar ka tuntubi likita. Na farko, zai iya zama mai ilimin hanyoyin kwantar da hankali wanda zai ƙayyade yadda ƙwararren farfadowa mai zurfi ya kamata ya ci gaba. Bayan ya wuce ƙarin gwaje-gwaje, likita ya kamata ya gano dalilin rage yawan AP kuma ya rubuta magani ko koma zuwa likita a cikin filin da aka gano.
Alkaline phosphatase a ciki
A lokacin gestation, matakin alkaline phosphatase zai iya zama mafi girma ba tare da kasancewar cututtuka da ke haifar da tsalle a cikin matakin enzyme cikin jini. Tana da game da samuwar asalin, wanda, kamar yadda aka sani, babban taro na enzyme. Yana da mahimmanci a lokacin daukar ciki don kulawa da hankali kan canji a matakin alkaline phosphatase, don haka kada ku yi hasara lokacin lokacin da karawa ko ƙara ƙaddamar da ƙwayar cuta yana nuna matsalolin kiwon lafiya.
Gyara matakin, kamar yadda muka gani, na iya nuna matsala tare da hanta da kuma bile ducts, pancreas, tsarin kashi. Idan an saukar da phosphatase na alkaline, wannan zai iya zama dalilin rashin ci gaban ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ko rashin ƙarfi, wanda zai iya sa labarin ya ƙare ciki. Wannan zai iya faruwa saboda jinsin a cikin irin wannan kasa ba zai iya samar da tayin ba tare da dukkan abubuwan gina jiki masu bukata.
1 trimester | 2 trimester | 3 trimester | |
m | 17th | 25 | 38 |
matsakaicin | 88 | 126 | 229 |