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ʻO nā enzyme ate i hāpai ʻia he kiʻekiʻe ma mua o nā pae maʻamau o nā protein kikoʻī i loko o kou koko e hōʻike ana ua pōʻino a i ʻole ke kaumaha o kāu mau keena ate. Ke hana nui nei kou ate ma mua o ka maʻamau a i ʻole ka ʻeha ʻana i kekahi ʻano, hoʻokuʻu ʻo ia i ka nui o kēia mau enzyme i loko o kou kahe koko, e hōʻike ana ma nā hoʻokolohua koko maʻamau.
E noʻonoʻo i kēia mau enzyme he mau ʻelele e haʻi aku i kāu kauka i ka maikaʻi o ka hana ʻana o kou ate. ʻOiai ʻo ka ʻike ʻana i nā pae kiʻekiʻe hiki ke hopohopo, he mea nui e ʻike he mea maʻamau kēia ʻike a pinepine e kuhikuhi ana i nā kūlana hiki ke mālama ʻia ma mua o ka maʻi ate koʻikoʻi.
ʻO nā enzyme ate i hāpai ʻia e pili ana i ka hoʻonui ʻia ʻana o nā pae koko o nā protein e hana maʻamau i loko o kāu mau keena ate. ʻO nā enzyme i ana pinepine ʻia ʻo ALT (alanine aminotransferase) a me AST (aspartate aminotransferase), me ALP (alkaline phosphatase) a me GGT (gamma-glutamyl transferase).
Ke pōʻino a i ʻole ka mumū o nā keena ate, hoʻokuʻu lākou i kēia mau enzyme i loko o kou kahe koko i nā mea kiʻekiʻe ma mua o ka maʻamau. ʻIke kāu kauka i kēia ma o kahi hoʻokolohua koko maʻalahi i kapa ʻia he panel hana ate a i ʻole panel metabolic piha.
ʻAʻole ʻo ka hoʻokiʻekiʻe ʻana iho he maʻi akā he hōʻailona e pono ai kou ate i ka nānā. ʻO ka hapa nui o nā kānaka me nā enzyme i hāpai ʻia e manaʻo maikaʻi loa a aʻo wale e pili ana i ka pilikia ma o ka nānā maʻamau.
ʻAʻole ʻike ka hapa nui o nā kānaka me nā enzyme ate i hāpai ʻia i nā hōʻailona. ʻIke ʻia ka hoʻokiʻekiʻe ʻana i ka wā o ka hana koko maʻamau ke manaʻo maikaʻi ʻoe.
Ke hana nā hōʻailona, e maʻalahi a ʻaʻole kikoʻī. Hiki iā ʻoe ke ʻike i ka luhi ʻaʻole e hoʻomaikaʻi me ka hoʻomaha, kahi manaʻo maʻamau o ka maikaʻi ʻole, a i ʻole ka hōʻoluʻolu māmā i kou ʻōpū ʻākau luna kahi e noho ai kou ate.
Hiki i kekahi poʻe ke ʻike i nā loli ʻana o ka ʻōpū e like me ka nausea, ka nalowale o ka ʻai, a i ʻole ka manaʻo piha koke ma hope o ka ʻai ʻana i nā mea liʻiliʻi. Hiki ke kuhi hewa ʻia kēia mau hōʻailona no ke kaumaha, ka hiamoe maikaʻi ʻole, a i ʻole nā pilikia maʻamau o ka ʻōpū.
I nā hihia koʻikoʻi, hiki iā ʻoe ke ʻike i ka melemele ʻana o kou ʻili a i ʻole ke keʻokeʻo o kou mau maka (jaundice), ka mimi ʻeleʻele, a i ʻole nā ʻōpala ʻeleʻele. Eia naʻe, ʻike pinepine ʻia kēia mau hōʻailona ke pili nui ka hana o ke ake.
Hiki i nā enzyme ate kiʻekiʻe ke hopena mai nā mea like ʻole, mai nā kūlana manawa a hiki i nā maʻi olakino e hoʻomau nei. ʻO ka hoʻomaopopo ʻana i nā kumu like ʻole hiki ke kōkua iā ʻoe e hana pū me kāu kauka e ʻike i ka mea e pili ana i kou ate.
Eia nā kumu maʻamau, e hoʻomaka ana me nā mea a nā kauka e ʻike pinepine ai:
ʻO nā kumu liʻiliʻi akā koʻikoʻi e pili ana i nā kūlana hoʻoilina e like me ka maʻi o Wilson a i ʻole hemochromatosis, kekahi mau mea kanu, a i kekahi manawa, nā maʻi ate a i ʻole nā pilikia bile duct.
Hōʻike nā enzyme ate i hoʻonui ʻia i kekahi mau maʻi i lalo, akā kōkua ke ʻano kikoʻī o ka hoʻonui ʻana i nā kauka e hōʻemi i nā mea hiki. E nānā kāu kauka i nā enzyme i hoʻonui ʻia a me ka nui e alakaʻi i kā lākou noiʻi.
ʻO nā maʻi maʻamau e pili ana me nā enzyme ate i hoʻonui ʻia, ʻo ia:
ʻO nā maʻi laha ʻole e hiki ke hoʻoulu i ka hoʻonui ʻana, ʻo ia ka maʻi o Wilson (hoʻopili keleawe), ka hemahema alpha-1 antitrypsin, primary biliary cholangitis, a me kekahi mau maʻi genetic. E noʻonoʻo kāu kauka i kāu mau hōʻailona, ka mōʻaukala olakino, a me nā hopena hoʻāʻo ʻē aʻe e hoʻoholo ai i ke ʻano o ka maʻi.
ʻAe, hoʻi pinepine nā enzyme ate i hoʻonui ʻia i ka maʻamau, ʻoi aku ka nui ke kumu ʻia e nā mea manawa. Inā ma muli o ka lāʻau lapaʻau ka hoʻonui ʻana, ka maʻi hou, a i ʻole ke koʻikoʻi pōkole i kāu ate, hoʻi maʻamau nā pae i loko o nā pule a i ʻole nā mahina.
No ka laʻana, inā ua lawe ʻoe i ka acetaminophen no kekahi mau lā a i ʻole he maʻi viral maʻalahi, hiki ke hoʻonui ʻia kāu enzyme ate akā pono e hoʻi i ka maʻamau i ka wā e hoʻōla ai kou ate. Pēlā nō, inā ua hoʻoulu ka hoʻoikaika kino ikaika i ka hoʻonui ʻana i ka enzyme e pili ana i ka ʻiʻo, e hāʻule maʻamau nā pae i loko o kekahi mau lā.
Akā naʻe, inā he kumu e hoʻomau nei e like me ka maʻi ate momona, ka hoʻohana ʻana i nā lāʻau lapaʻau mau, a i ʻole kahi maʻi autoimmune, e mau ana nā enzymes a hiki i ka hoʻoponopono ʻia ʻana o ka pilikia kumu. ʻO ia ke kumu e makemake ai kāu kauka e nānā hou i kāu mau pae a e noiʻi hou inā ʻaʻole lākou e hoʻomaikaʻi.
ʻOiai ʻaʻole hiki iā ʻoe ke mālama pololei i nā enzymes ate kiʻekiʻe ma ka home, hiki iā ʻoe ke kākoʻo i ke kaʻina hana hoʻōla maoli o kou ate a hoʻoponopono i kekahi mau kumu maʻamau. Hiki i kēia mau hana mālie ke kōkua i kāu ate e hana ʻoi aku ka maikaʻi.
Eia nā ana kākoʻo e kōkua ai i kou ate e ola:
E hoʻomanaʻo e hana maikaʻi kēia mau loli ola ma ke ʻano he ʻāpana o kahi hoʻolālā piha i hoʻomohala ʻia me kāu mea mālama ola, ʻaʻole ma ke ʻano he pani no ka loiloi olakino a me ka mālama ʻana.
ʻO ka mālama ʻana i ka lāʻau lapaʻau no nā enzyme ate kiʻekiʻe e kālele ana i ka hoʻoponopono ʻana i ke kumu kumu ma mua o ka piʻi ʻana iho. E hana mua kāu kauka e ʻike i ka mea e hoʻoulu ai i ke kaumaha o kou ate, a laila e hoʻomohala i kahi hoʻolālā lapaʻau i manaʻo ʻia.
Aia ka lapaʻau kikoʻī i ka mea e hoʻoulu ai i ka piʻi ʻana. Inā he lāʻau lapaʻau ke kumu, hiki i kāu kauka ke hoʻoponopono i nā dosages, hoʻololi i nā lāʻau lapaʻau like ʻole, a i ʻole e hoʻōki i kekahi mau lāʻau lapaʻau no ka manawa pōkole i ka wā e nānā ana i ka hana o kou ate.
No ka maʻi ate momona, pili ka lapaʻau i nā hoʻololi ʻana i ke ola e like me ka mālama ʻana i ke kaumaha, nā loli ʻai, a me ka hoʻoikaika kino, i kekahi manawa i hui pū ʻia me nā lāʻau lapaʻau e mālama ai i ka maʻi diabetes a i ʻole ka cholesterol inā loaʻa. Inā ʻo ka hepatitis viral ke kumu, hiki ke kauoha ʻia nā lāʻau antiviral.
I nā hihia o ka maʻi ate autoimmune, kōkua nā lāʻau immunosuppressive i ka hōʻemi ʻana i ka mumū a pale i ka pōʻino hou o ka ate. No nā kūlana genetic e like me ka hemochromatosis, hiki i ka lapaʻau ke komo i ka wehe ʻana i ke koko maʻamau e hōʻemi i nā pae hao.
E nānā kāu kauka i kāu mau pae enzyme i kēlā me kēia manawa e hōʻoia i ka hana ʻana o ka lapaʻau a hoʻoponopono i ke ala e like me ka mea e pono ai. ʻIke ka hapa nui o nā kānaka i ka hoʻomaikaʻi ʻana i loko o kekahi mau mahina ke hoʻoponopono pono ʻia ke kumu kumu.
Pono ʻoe e ʻike i ke kauka i ka hiki wawe inā ʻike ʻoe i nā hōʻailona e hōʻike ana i nā pilikia ate nui. Hōʻike kēia mau hōʻailona hōʻailona e hiki ke kaumaha nui kou ate a pono i ka lāʻau lapaʻau koke.
E ʻimi koke i ka mālama ʻana i ka lāʻau lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona:
ʻOiai inā ʻaʻole ou mau hōʻailona, e hahai me kāu kauka inā hōʻike ka hana koko maʻamau i nā enzyme ate kiʻekiʻe. ʻO ka ʻike mua a me ka mālama ʻana i nā pilikia o ke ake e alakaʻi maʻamau i nā hopena maikaʻi loa ma mua o ka kali ʻana i nā hōʻailona e ulu ai.
Hiki i kekahi mau mea ke hoʻonui i kou hiki ke hoʻomohala i nā enzyme ate kiʻekiʻe, ʻoiai ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia e hōʻoiaʻiʻo e ʻike ʻoe i kēia kūlana. ʻO ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e hana i nā hana pale a ʻike i ka wā e makaʻala ai i ke olakino ate.
ʻO nā mea pilikia nui loa e komo pū ana:
ʻO nā mea pilikia hou aʻe e pili ana i ka makahiki (hiki ke emi ka hana ate me ka manawa), ka hōʻike ʻana i kekahi mau mea kemika a i ʻole nā mea ʻawaʻawa, a me ka loaʻa ʻana o nā maʻi autoimmune ʻē aʻe. Eia naʻe, ʻaʻole nui ka poʻe me kēia mau mea pilikia e hoʻomohala i nā pilikia ate, ʻoiai ʻo nā mea ʻē aʻe me ka ʻole o nā mea pilikia maopopo.
Aia nā pilikia o nā enzyme ate kiʻekiʻe i ke kumu kumu a me ka lōʻihi o ka maʻi e mau ana me ka ʻole o ka mālama ʻana. ʻO nā piʻi māmā a me ka manawa pōkole e hōʻeha wale i nā pilikia mau loa, ʻoiai ʻo nā piʻi mau e alakaʻi i ka pōʻino ate koʻikoʻi i ka manawa.
Ke waiho ʻole ʻia, hiki i kekahi mau maʻi e hoʻoulu ai i nā enzyme ate kiʻekiʻe ke holomua i nā pilikia koʻikoʻi:
He mea nui e hoʻomanaʻo e ulu pinepine kēia mau pilikia koʻikoʻi ma hope o nā makahiki o ka maʻi ate i mālama ʻole ʻia. ʻAʻole ʻike ka hapa nui o nā kānaka me nā enzyme ate kiʻekiʻe i ka mālama kūpono i kēia mau pilikia.
Hiki ke huikau ʻia nā enzyme ate kiʻekiʻe me nā maʻi ʻē aʻe, ʻoiai ke loaʻa nā hōʻailona. ʻO ke ʻano non-specific o nā hōʻailona e pili ana i ka ate, ʻo ia hoʻi, ua hui pinepine lākou me nā pilikia olakino ʻē aʻe.
ʻO nā maʻi maʻamau e like me nā hōʻailona:
ʻO ia ke kumu e noʻonoʻo ai kāu kauka i kāu kiʻi olakino piha, me ka hoʻokolokolo kino, ka mōʻaukala olakino, a me nā hoʻokolohua hou aʻe, ma mua o ka hilinaʻi ʻana i nā pae enzyme ate wale nō e hana i kahi hōʻailona.
He ʻokoʻa nui ka manawa e pono ai no nā enzyme ate e hoʻi i ka maʻamau ma muli o ke kumu kumu. Inā ma muli o kahi mea manawa e like me ka lāʻau lapaʻau a i ʻole ka maʻi liʻiliʻi, hoʻi pinepine nā pae i ka maʻamau i loko o 2-6 pule ma hope o ka wehe ʻana i ke kumu.
No nā kūlana e like me ka maʻi ate momona a i ʻole ka hepatitis maʻi, hiki ke lawe i kekahi mau mahina o ka mālama ʻana ma mua o ka hoʻi ʻana o nā enzyme i ka maʻamau. ʻIke kekahi poʻe i ka hoʻomaikaʻi ʻana i loko o 3-6 mahina o nā loli ola, ʻoiai ʻo nā mea ʻē aʻe e lawe i hoʻokahi makahiki a ʻoi aku paha.
ʻOiai ʻaʻole i hana pololei ke kaumaha o ka naʻau i nā enzyme ate kiʻekiʻe, hiki i ke kaumaha mau ke kōkua i nā hana a me nā kūlana e pili ana i ka hana ate. Hiki i ke kaumaha ke alakaʻi i nā hana ʻai maikaʻi ʻole, ka hoʻonui ʻana i ka ʻai ʻana i ka waiʻona, a i ʻole ka hōʻino ʻana i nā kūlana e like me ka maʻi diabetes.
Eia naʻe, hiki i ke kaumaha kino ma ke kino mai ka maʻi, ke ʻoki ʻana, a i ʻole nā lāʻau lapaʻau ke hoʻonui i nā enzyme ate no ka manawa. E kōkua kāu kauka e hoʻoholo inā he kuleana ke kaumaha i kāu kūlana.
ʻAʻole, ʻaʻole koʻikoʻi mau nā enzyme ate kiʻekiʻe. Nui ka poʻe i loaʻa nā kiʻekiʻe haʻahaʻa e hoʻoponopono iā lākou iho a i ʻole me nā loli ola maʻalahi. Aia ke koʻikoʻi i ke kiʻekiʻe o nā pae, nā enzyme kikoʻī i hoʻokiʻekiʻe ʻia, a inā he mau hōʻailona e hele pū ana.
ʻO nā kiʻekiʻe haʻahaʻa (ma lalo o ʻelua mau manawa o ka pae maʻamau) he manawa pinepine a maikaʻi ʻole, ʻoiai ʻo nā pae kiʻekiʻe loa a i ʻole nā kiʻekiʻe mau e pono ai ka nānā koke ʻana a me ka noiʻi.
ʻAe, hiki i ka hoʻoikaika kino nui ke hoʻonui i kekahi mau enzyme ate no kekahi manawa, ʻo AST hoʻi, no ka mea, aia nō kēia enzyme i loko o ka ʻiʻo muscle. Hiki i nā hana hoʻoikaika kino ikaika, ʻoiai inā ʻaʻole ʻoe i maʻa i kēlā pae o ka hana, ke kumu i ka wāwahi ʻana o ka muscle e hoʻokuʻu i ka AST i loko o kou kahe koko.
He mea maʻamau ka piʻi ʻana o kēia ʻano a hoʻi i ka maʻamau i loko o kekahi mau lā. Eia naʻe, ʻo ka hoʻoikaika kino maʻamau e kākoʻo maoli i ke olakino o ke ake a hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i nā pae enzyme i ka poʻe me ka maʻi ate momona.
Mai hooki i ka lawe ʻana i nā lāʻau lapaʻau i kauoha ʻia me ka ʻole e kūkākūkā mua i kāu kauka, ʻoiai inā manaʻo ʻoe e kumu ana lākou i nā enzyme ate kiʻekiʻe. He mea nui kekahi mau lāʻau lapaʻau no kou olakino, a ʻo ka hooki ʻana iā lākou me ka wikiwiki hiki ke pilikia.
Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana inā he mea kōkua kekahi o kāu mau lāʻau lapaʻau i ka piʻi ʻana a inā he palekana ke hoʻoponopono a hoʻōki paha iā lākou. Hiki iā lākou ke ʻōlelo aku i ka nānā ʻana i kāu hana ate me ka pili loa ʻoiai e hoʻomau ana i nā lāʻau lapaʻau e pono ai.
E aʻo hou aku: https://mayoclinic.org/symptoms/elevated-liver-enzymes/basics/definition/sym-20050830