I-ALP - ukuhlolwa kwegazi

I-alkaline phosphatase (ALP) yiprotheni etholakala kuzo zonke izicubu zomzimba. Izicubu ezinamanani aphezulu we-ALP zifaka phakathi isibindi, ama-bile ducts nethambo.

Ukuhlolwa kwegazi kungenziwa ukukala izinga le-ALP.

Ukuhlolwa okuhlobene nokuhlolwa kwe-ALP isoenzyme.

Kudingeka isampula yegazi. Isikhathi esiningi, igazi likhishwa emthanjeni ongaphakathi endololwaneni noma ngemuva kwesandla.

Akufanele udle noma uphuze noma yini amahora ayisithupha ngaphambi kokuhlolwa, ngaphandle kwalapho umhlinzeki wakho wezokunakekelwa kwezempilo ekutshela ngenye indlela.

Imithi eminingi ingaphazamisa imiphumela yokuhlolwa kwegazi.

• Umhlinzeki wakho uzokutshela uma udinga ukuyeka ukuthatha noma yimiphi imithi ngaphambi kokwenza lokhu kuhlolwa.
• UNGAYIMISI noma ushintshe imithi yakho ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Ungase uzwe ubuhlungu obuncane noma isitinyela lapho kufakwa inaliti. Ungase futhi uzizwe ushaywa yisiza ngemuva kokukhishwa kwegazi.

Lokhu kuhlolwa kungenziwa:

• Ukuhlonza isifo sesibindi noma samathambo
• Ukuhlola, uma ngabe ukwelashwa kwalezo zifo kuyasebenza
• Njengengxenye yesivivinyo sokusebenza kwesibindi

Ububanzi obujwayelekile bungamayunithi wamazwe omhlaba angama-44 kuya kwangama-147 ngelitha ngalinye (IU / L) noma u-0.73 kuya ku-2.45 microkatal ngelitha (atkat / L).

Amanani ajwayelekile angahluka kancane kusuka kwilabhorethri kuya kwilabhorethri. Futhi zingahluka ngeminyaka nobulili. Izinga eliphakeme le-ALP livame ukubonwa ezinganeni ezikhulelwa ukukhula nakwabesifazane abakhulelwe.

Izibonelo ezingenhla zibonisa izilinganiso ezivamile zemiphumela yalezi zivivinyo. Amanye ama-laboratories asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezahlukene.

Imiphumela engajwayelekile ingaba ngenxa yale mibandela elandelayo:

Izinga le-ALP eliphakeme kunokujwayelekile

• Ukuvinjelwa kwe-biliary
• Isifo samathambo
• Ukudla ukudla okunamafutha uma unohlobo lwegazi O noma B
• Ukuphulukisa ukuphuka
• Isibindi
• Hyperparathyroidism
• Umdlavuza wegazi
• Isifo sesibindi
• I-Lymphoma
• Izicubu zamathambo e-Osteoblastic
• I-Osteomalacia
• Isifo sePaget
• Ama-Rickets
• I-Sarcoidosis

Amaleveli we-ALP aphansi kunokujwayelekile

• I-Hypophosphatasia
• Ukungondleki
• Ukushoda kwamaphrotheni
• Isifo sikaWilson

Eminye imibandela okungenziwa ngayo ukuhlolwa:

• Isifo sesibindi esinotshwala (hepatitis / cirrhosis)
• Ukuphuza ngokweqile
• Ukuqina kwe-biliary
• Amatshe amatshe amade
• Iseli elikhulu (lesikhashana, le-cranial) i-arteritis
• Ama-endocrine neoplasia amaningi (AMADODA) II
• I-Pancreatitis
• I-Renal cell carcinoma

I-alkaline phosphatase

IBerk PD, iKorenblat KM. Sondela esigulini nge-jaundice noma ngokuhlolwa kwesibindi okungavamile. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 147.

UFogel EL, uSherman S. Izifo ze-gallbladder ne-bile ducts. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 155.

UMartin P. Indlela eya esigulini esinesifo sesibindi. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 146.

UPincus MR, u-Abraham NZ. Ukuhumusha imiphumela yaselebhu. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 8.