Zamchere phosphatase: ndi chiyani ndipo ndichifukwa chiyani yayitali kapena yotsika

Zamkati

• Ndi chiyani
• 1. High zamchere phosphatase
• 2. Low zamchere phosphatase
• Nthawi yochita mayeso
• Momwe mayeso amachitikira
• Malingaliro owonetsera

Alkaline phosphatase ndi enzyme yomwe imapezeka m'matumba osiyanasiyana mthupi, kukhala ochulukirapo m'maselo am'mimbamo ya bile, yomwe ndi njira zomwe zimatsogolera bile kuchokera mkati mwa chiwindi mpaka m'matumbo, ndikupangitsa mafuta kugaya, komanso m'mafupa, opangidwa ndi maselo omwe amapanga ndikupanga.

Mayeso a alkaline phosphatase amagwiritsidwa ntchito pofufuza matenda m'chiwindi kapena m'mafupa, pomwe zizindikilo zimapezeka monga kupweteka m'mimba, mkodzo wamdima, jaundice kapena kufooka kwa mafupa komanso kupweteka. Itha kuchitidwanso ngati mayeso wamba, komanso mayeso ena, kuti muwone thanzi la chiwindi.

Ngakhale zili zochepa, alkaline phosphatase imapezekanso mu placenta, impso ndi matumbo ndipo zimatha kukwezedwa mukakhala ndi pakati kapena ngati mukulephera kwa impso.

Ndi chiyani

Kuyesa kwa alkaline phosphatase kumagwiritsidwa ntchito pofufuza zovuta za chiwindi kapena mafupa ndipo zotsatira zake zitha kuzindikira:

1. High zamchere phosphatase

Alkaline phosphatase imatha kukwera pakakhala mavuto ndi chiwindi monga:

• Kuletsa kutuluka kwa ndulu, komwe kumayambitsidwa ndi ma ndulu kapena khansa, yomwe imatseka njira zomwe zimatsogolera bile m'matumbo;

• Hepatitis, komwe ndikutupa m'chiwindi komwe kumatha kuyambitsidwa ndi mabakiteriya, mavairasi kapena zinthu za poizoni;

• Cirrhosis, matenda omwe amatsogolera kuwonongeka kwa chiwindi;

• Kugwiritsa ntchito zakudya zamafuta;

• Kulephera kwaimpso.

Kuphatikiza apo, enzyme iyi imatha kukhala yayikulu kwambiri pomwe pamakhala zochulukirapo pakupanga mafupa, monga mitundu ina ya khansa ya mafupa kapena anthu omwe ali ndi matenda a Paget, omwe ndi matenda omwe amadziwika ndi kukula kwachilendo kwa mafupa ena mbali. Dziwani zambiri za matenda a Paget.

Kusintha pang'ono kungathenso kupezeka pakachiritsidwa, kutenga mimba, Edzi, matenda am'mimba, hyperthyroidism, Hodgkin's lymphoma, kapena ngakhale mutadya mafuta ambiri.

2. Low zamchere phosphatase

Magawo a alkaline phosphatase sakhala otsika kwambiri, komabe ma enzyme amatha kuchepetsedwa munthawi zotsatirazi:

• Hypophosphatasia, womwe ndi matenda amtundu womwe umayambitsa kupindika ndi mafupa m'mafupa;

• Kusowa zakudya m'thupi;

• Kuperewera kwa magnesium;

• Hypothyroidism;

• Kutsegula m'mimba kwambiri;

• Kuchepa kwa magazi m'thupi.

Kuphatikiza apo, mankhwala ena monga mapiritsi oletsa kubereka ndi mankhwala othandizira mahomoni omwe amagwiritsidwa ntchito panthawi yomwe amatha kusamba amathanso kuchepa pang'ono pamagawo amchere a phosphatase.

Nthawi yochita mayeso

Kuunika kwa alkaline phosphatase kuyenera kuchitika ngati zizindikilo za matenda a chiwindi monga kukulira kwa m'mimba, kupweteka kumanja kwa m'mimba, jaundice, mkodzo wamdima, mipando yowunikira ndi kuyabwa kwanthawi zonse kulipo.

Kuphatikiza apo, kuyesaku kukuwonetsedwanso kwa anthu omwe ali ndi zizindikiritso pamafupa monga kupweteka kwa mafupa, kupunduka kwa mafupa kapena omwe adaduka.

Momwe mayeso amachitikira

Kuyesaku kumatha kuchitika mu labotale, momwe katswiri wa zamankhwala amatenga pafupifupi 5 ml ya magazi kuchokera mumtsuko, womwe umayikidwa muchidebe chatsekedwa, kuti uunikidwe.

Malingaliro owonetsera

Zoyeserera zamayeso a alkaline phosphatase zimasiyana ndi zaka, chifukwa cha kukula:

Ana ndi achinyamata:

• <Zaka ziwiri: 85 - 235 U / L.
• Zaka 2 mpaka 8: 65 - 210 U / L.
• Zaka 9 mpaka 15: 60 - 300 U / L.
• Zaka 16 mpaka 21: 30 - 200 U / L.

Akuluakulu:

• 46 mpaka 120 U / L.

Mukakhala ndi pakati, magazi amchere amchere phosphatase amatha kusinthidwa pang'ono, chifukwa chakukula kwa mwana komanso chifukwa enzyme iyi imapezekanso mu placenta.

Pamodzi ndi mayesowa, itha kuchitidwanso kuyesa ma enzyme ena omwe amapezeka m'chiwindi monga alanine aminotransferase, aspartate aminotransferase, gamma glutamyl transpeptidase ndi bilirubins, kuyesa kulingalira kapena chiwindi cha chiwindi. Onani momwe mayeso awa amachitikira.