Leucine aminopeptidase whakamātautau toto

Ko te whakamātautau leucine aminopeptidase (LAP) e mehua ana i te nui o tenei whākōkī kei roto i ō toto.

Ka taea hoki te tirotiro i to mimi mo te LAP.

He tauira toto e hiahiatia ana.

Me nohopuku koe mo te 8 haora i mua o te whakamatautau. Ko te tikanga kaore e taea e koe te kai me te inu i tetahi mea i roto i nga haora 8.

Ka whakauruhia te ngira ki te utu toto, ka rongo etahi i nga mamae taumaha. Ko etahi e raru ana he werohanga, he wero ranei. Muri iho, tera pea ka puta te pupuhi, te maru ranei. Akuanei ka haere.

Ko te LAP he momo pūmua e kīia ana he whākōkī. Ko tenei haurangi ka kitea i nga waatea o te ate, te ate, te toto, te mimi me te waahi.

Ka whakahau pea to kaiwhakarato hauora tenei whakamatautau kia tirohia mena kua whara to ate. He nui rawa te LAP ka tukuna ki roto i o toto ka mate koe i te puku ate ka kino ranei o kiri ate.

Kaore i te tino mahia tenei whakamatautau. Ko etahi atu whakamatautau, penei i te gamma-glutamyl transferase, he tika, he maama ake hoki te tiki.

Ko te awhe noa ko:

• Tane: 80 ki te 200 U / mL
• Wahine: 75 ki te 185 U / mL

Ko nga awhe uara noa ka rereke pea. Ko etahi taiwhanga e whakamahi ana i nga tikanga ine rereke. Korero ki to kaiwhakarato mo te tikanga o o hua o te whakamatautau.

Ko te hua rereke pea he tohu mo:

• Ka aukatia te rere o te ate mai i te ate (cholestasis)
• Cirrhosis (marara o te ate me te ngoikore o te mahi ate)
• Hepatitis (ate mumura)
• Mate pukupuku ate
• Ischemia ate (whakaheke te rere o te toto ki te ate)
• Nekokihi ate (mate o te kiko ate)
• Puku puku
• Te whakamahi i nga raau taero hei paitini ki te ate

He iti noa te tuponotanga o te toto kua tangohia. He rereke te rahi o nga uaua me nga uaua i tetahi tangata ki tetahi atu, mai i tetahi taha o te tinana ki tetahi atu. Ko te tango toto mai i etahi atu ka uaua ake pea i etahi atu.

Ko etahi atu tuponotanga e pa ana ki te toto toto he iti nei, engari ka uru pea ki:

• Te whakaheke toto
• Te maarere, te ahua marama ranei
• He maha nga punctures ki te kimi i nga uaua
• Hematoma (whakaheke toto i raro o te kiri)
• Mate (he morearea pea ka pakaru te kiri)

Serum leucine aminopeptidase; LAP - serum

• Whakamatautau toto

Chernecky CC, Berger BJ. Leucine aminopeptidase (LAP) - toto. I roto i: Chernecky CC, Berger BJ, eds. Nga Whakamatau Laboratory me nga Huarahi Taatari. 6 ed. St Louis, MO: Elsevier Saunders; 2013: 714-715.

Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Te arotake i te mahi ate. I roto i: McPherson RA, Pincus MR, eds. Ko te Tohu Haumanu a Henry me te Whakahaere ma nga Tikanga Laboratory. 23rd ed. St Louis, MO: Elsevier; 2017: chap 21.