Alkaline phosphatase - qhov kev tshuaj ntsuam yuav qhia licas?

Yuav luag tag nrho cov ntaub so ntswg ntawm tib neeg plab hnyuv siab raum muaj ib pawg enzymes - alkaline phosphatase. Qhov siab tshaj plaws ntawm lawv yog nyob rau hauv lub placenta, cov nqaij pob txha, daim siab thiab kab mob hauv lub cev. Ntxiv ua rau phosphatase tuaj yeem qhia tias muaj cov kab mob uas xav tau kev kho tam sid.

Yuav ua li cas yog alkaline phosphatase?

Xav tias qhov no enzyme nyob rau hauv ntau dua kom meej, nws yog ib qhov tsim nyog los qhia txog lub luag hauj lwm ntawm alkaline phosphatase nyob rau hauv lub metabolism ntawm cov rog, uas yuav tsum tau ib tug alkaline medium, li lub npe ntawm lub enzyme. Txawm li cas los xij, muaj ob peb hom kev enzyme, nyob ntawm nws qhov chaw:

• hepatic phosphatase (siab tshaj plaws hauv cov laus);
• pob txha (qhov siab tshaj hauv cov menyuam yaus);
• placental (siab concentration rau cov poj niam cev xeeb tub);
• alkaline plab hnyuv phosphatase;
• Lub raum (no alkaline phosphatase nyob rau hauv cov ntshav tsis yog cai, vim hais tias nws tsis nkag nws tsis zoo li lwm hom).

Kev soj ntsuam rau alkaline phosphatase

Nyob rau hauv ib tug xov tooj ntawm cov neeg mob thiab cov tsos mob ntawm cov tsos mob, ib qho kev soj ntsuam yog cov tshuaj, alkaline phosphatase uas nws yuav nce lossis tsawg, uas yuav ua rau cov lus txiav txim tsim nyog. Muab qhov kev tshuaj xyuas no tso:

1. Nyob rau hauv lub complex ua ntawm daim siab kuaj .
2. Txhawm rau tswj tus kab mob pob txha thaum lawv kho.
3. Yog tias tus neeg mob siv cov tshuaj uas txhawb nqa qhov mob ntawm cholestasis (stagnation ntawm bile, ib tug ua txhaum nws cov khoom thiab excretion).
4. Yog tias pom muaj cov tsos mob xws li: xeev siab, muaj kab tsuag, quav zis, ntuav, daj ntseg, poob lub dag lub zog thiab mob ceev nrawm.

Dab tsi yog alkaline phosphatase qhia hauv kev kuaj ntshav?

Cov lus nug txog yam kev ua rau alkaline phosphatase qhia yog kev txaus siab rau cov neeg uas tsis paub txog lub ntsiab lus no lossis tus neeg xeem thawj zaug. Theem ntawm enzyme tau sau ntau zaus rau kev kuaj mob ntawm cov kab mob ntawm cov pob txha, biliary ib ntsuj av thiab lub siab. Ua rau alkaline phosphatase tseem tuaj yeem sib tham txog kev muaj kab mob txaus ntshai heev: oncology ntawm testis, lymphogranulomatosis lossis malignant formations hauv lub hlwb. Txawm li cas los xij, muaj ntau tus neeg raug mob raws li qhov kev ntsuam xyuas thiab cov kev txiav txim raws li cov txiaj ntsim tau txais yuav tsum tau nqa tawm rau kev suav nyiaj rau qee qhov nta.

1. Vim tsis muaj zinc hauv kev noj haus, cov concentration ntawm qhov enzyme yuav nce, vim hais tias cov keeb no yog ib qho ntawm phosphatase.
2. Los ua ib qho kev ntsuam xyuas rau cov me nyuam kom paub cov teeb meem nrog kev qias neeg ntawm cov kab mob yog tsis siv, yog li, raws li txoj cai, kev ntsuam xyuas rau 5'-nucleotidase.
3. Rau kev tswj, qhov kev ntsuam xyuas rau phosphatase yuav tsum tau nqa tawm tsis pub ntau tshaj ib zaug ib lub lim tiam, vim yog nws tshem tawm ntawm cov ntshav hauv 3-4 hnub.
4. Yog vim li cas rau qhov nce hauv cov neeg laus laus yog cov txo qis hauv pob txha.
5. Nqa tawm cov kev ntsuam xyuas hauv cov tswv ntawm cov thawj thiab cov ntshav pab pawg, nws yog qhov yuav tsum tau coj mus rau hauv tus account tias theem ntawm plab hnyuv phosphatase tuaj yeem nce ntxiv tom qab noj zaub mov rog, yog li, kev kuaj ntshav yuav tsum tau ua rau ntawm lub plab tas.

Alkaline phosphatase - tus qauv

Nws yog ib qho tseem ceeb kom paub tias alkaline phosphatase muaj nyob rau hauv cov ntshav, tus poj niam, cov txiv neej thiab cov me nyuam - yog txawv. Cov ntsiab lus ntawm lub enzyme nyob ntawm tsis yog ntawm kev pw ua ke xwb, tab sis kuj rau hnub nyoog, uas tseem yuav tsum tau coj mus rau hauv tus account. Txij li 16 xyoo, qib alkaline phosphatase concentration yog ib qho siab me ntsis, thiab tom qab hnub nyoog no nws pib pib. Cov poj niam muaj cov cai nram qab no:

• mus txog 17 xyoos - yam tsawg kawg: 46 units ib lim; siab kawg: 119 U / l;
• txij 17 txog 45 xyoos - yam tsawg kawg: 32 units / l; siab tshaj plaws: 100 units rau ib lim;
• txij 45 txog 55 xyoos - yam tsawg kawg: 35 units / l; siab tshaj plaws: 115 U / l;
• mus txog 70 xyoo - tus qauv yog 135 units / liter;
• tom qab 70 xyoo, tus nqi yog 165 units / liter.

Muaj ntau qhov laj thawj yog vim li cas qhov ntsuas no ho tuaj yeem ua tau nce, tab sis tsis yog vim muaj cov kab mob:

• nyob rau lub sij hawm ntawm kev coj tus me nyuam;
• nyob rau lub sijhawm HS;
• nyob rau hauv muaj cov avitaminosis;
• vim kev tsis txaus siab;
• vim lub cev muaj zog siab.

Nyob rau hauv cov txiv neej, qhov ntsuas no yog nruab nrab siab dua tus poj niam ib tug los ntawm 20-25 units / l, thiab nrog lub hnub nyoog, raws li nyob rau hauv cov poj niam nws nce. Cov cai ntawm alkaline phosphatase nyob rau hauv cov ntshav ntawm cov txiv neej:

• los ntawm 17 mus rau 30 xyoo - txog li 100 units / liter;
• los ntawm 30 mus rau 45 xyoo - txog 120 units / liter;
• los ntawm 46 txog 64 xyoos - txog li 130 units / liter;
• los ntawm 55 mus rau 70 xyoo - txog 145 units ib liter;
• los ntawm 70 xyoo - txog li 190 units / liter.

Hauv cov menyuam yau, cov ntsiab lus ntawm qhov enzyme siab tshaj cov laus thiab tsis nyob ntawm kev sib deev. Hauv kev ua tiav hluas, qhov txawv no tshwm sim vim qhov txawv ntawm cov txheej txheem biochemical hauv lub cev. Yog li, tus qauv hauv cov menyuam yaus thiab tub ntxhais hluas:

• hauv cov me nyuam yug tshiab thiab thawj ob lub lim tiam ntawm lub neej: 83 - 248 units / l;
• txij 2 lub lis piam mus rau ib xyoos: 122 - 469 units / l;
• ntawm 10 mus rau 13 xyoos: 129 - 417 units / liter.

Alkaline phosphatase yog nce - nws txhais li cas?

Dab tsi yuav txhais tau tias alkaline phosphatase yog nce, koj yuav tsum paub kom pab tau ib tus kws kho mob tshwj xeeb kom paub tseeb thiab kho ntxiv. Vim li cas cov ntsiab lus siab ntawm alkaline phosphatase yuav pab kom nkag siab tsis yog vim qhov tshwm sim ntawm cov tsos mob tsis txaus siab, tab sis kuj qhia tau tias muaj cov kab mob uas muaj cov kab mob latent. Qhov no yuav hlawv ib tus kws tshaj lij tshwj xeeb.

Alkaline phosphatase yog nce - qhov ua rau

Thaum tshab txhais txog qhov laj thawj ntawm kev nce hauv alkaline phosphatase, feem ntau cov pawg neeg yuav tsum raug txheeb xyuas, thawj qhov teeb meem ntawm qhov txawv txav hauv daim siab thiab cov kab mob:

• lub pob zeb nyob hauv lub tsib lub pob tawb;
• cholestasis;
• pathology ntawm daim siab, uas tuaj yeem tshwm sim los ntawm tshuaj lom thiab thaum noj tshuaj;
• thawj cholangitis;
• mob khees-xaws;
• tshuaj tiv thaiv kab mob siab (autoimmune thiab viral);
• infectious mononucleosis;
• jaundice (ntau zaus rau cov poj niam noj CCD nrog cov tshuaj progesterone thiab tshuaj estrogen).

Kev hloov cov kab mob hauv cov pob txha, uas alkaline phosphatase nce:

• Paget's disease (weakening ntawm pob txha, lawv deformation thiab weakening);
• nce nyob rau hauv cov txheej txheem metabolic thaum lub sij hawm kho ntawm cov pob txha;
• softening ntawm cov pob txha (calcium ntsev, vitamins thiab phosphoric acid ploj, uas ua rau deformation thiab muag cov pob txha);
• Osteosarcoma thiab metastases penetrated rau hauv cov pob txha pob txha.

Lwm yam kev mob nkeeg thiab ua rau muaj alkaline phosphatase nyob rau hauv cov ntshav, uas tsis cuam tshuam nrog kev noj qab haus huv thiab kev mob ntsws:

• pathology ntawm txoj hnyuv quav;
• myocardial infarction;
• endocrine kab mob tshwm sim nrog impaired phosphoric metabolism thiab calcium metabolism - hyperparathyroidism;
• cev xeeb tub;
• cawv kev qaug cawv;
• txoj kev kho nrog cov tshuaj uas muaj cov kab mob siab.

Alkaline phosphatase yog nce - kuv yuav ua li cas?

Yog hais tias cov kev ntsuam xyuas tau sau tseg rau hauv alkaline phosphatase, thawj qhov uas tsim nyog yog tshem tawm qhov pib vim qhov no ua rau kev dhia no. Piv txwv li, nrog rau kab mob siab kom rov qab kho nws txoj hauj lwm, muab cov kev siv tshuaj tua kab mob thiab tshuaj pleev xim. Tag nrho cov kev ntsuas yuav tsum tau muab los ntawm tus kws kho mob thiab nqa tawm hauv nws txoj kev saib xyuas.

Alkaline phosphatase qis qis - nws txhais li cas?

Yog tias kev kuaj pom tau tias alkaline phosphatase tsawg dua, qhov no yuav qhia tau tias muaj kab mob txaus ntshai nyob hauv lub cev. Yuav kom ua tiav qhov kev kuaj mob, qee qhov kev ntsuam xyuas tsis txaus thiab koj yuav tsum tau kuaj xyuas cov kws kho mob tshwj xeeb:

• hematologist;
• Tus kws phais;
• tus kws kho mob tshwj xeeb hauv cov kab mob sib kis;
• gastroenterologist;
• tus kws tshaj lij.

Alkaline phosphatase txo - qhov ua rau

Hauv feem ntau ntawm cov mob, tsis tshua muaj alkaline phosphatase rau cov nram qab no:

• anemia nyob rau hauv daim ntawv loj;
• ib qho tseem ceeb heev hauv lub cev ntawm magnesium thiab zinc;
• kab mob caj pas ntawm achondroplasia (underdevelopment ntawm cov pob txha, uas ua rau lub ntsiag to);
• ntxiv ntshav ntawm cov ntshav loj;
• tsis muaj peev xwm ntawm B thiab C vitamins ;
• plav tsis taus;
• dystrophy vim yog tsis muaj protein ntau nyob rau hauv kev noj haus - kwashiorkor;
• hypothyroidism (tsawg theem ntawm cov thyroid hormone ntau lawm);
• cretinism;
• sc ib leeg;
• hypophosphatase (kev ua yuam kev ntawm cov pob txha pob txha).

Alkaline phosphatase yog txo qis - yuav ua licas?

Yog tias txoj kev tshuaj ntsuam qhia tau hais tias qis alkaline phosphatase, ces nws yog qhov txaus ntshai los nrhiav qhov ua rau koj tus kheej, yog li koj xav tau tam sim ntawd mus cuag ib tus kws kho mob tshwj xeeb. Ua ntej, nws tuaj yeem yog ib tug kws kho mob uas yuav txiav txim siab seb tus kws kho tshuab tshwj xeeb yuav tsum mus txuas ntxiv li cas. Tom qab dhau txoj kev kuaj xyuas ntxiv lawm, tus kws kho mob yuav tsum tau nrhiav qhov ua kom tsawg dua ntawm AP thiab muab kev kho los yog xa mus rau ib tus kws kho mob tshwj xeeb hauv thaj tsam ntawm tus kab mob muaj tus kab mob.

Alkaline phosphatase thaum cev xeeb tub

Thaum lub sijhawm gestation, theem ntawm alkaline phosphatase tej zaum yuav siab dua yog tias tsis muaj cov kab mob uas ua rau muaj kev dhia hauv qib ntawm cov kua hauv cov ntshav. Nws yog txhua yam hais txog kev tsim tawm ntawm lub tsho me nyuam, nyob rau hauv uas, raws li paub zoo, muaj siab concentration ntawm lub enzyme. Nws tseem ceeb heev thaum lub cev xeeb tub kom soj ntsuam qhov hloov ntawm theem alkaline phosphatase, kom tsis txhob plam pom lub caij thaum nce lossis nce qhov concentration ntawm tus enzyme qhia tias muaj teeb meem kev noj qab haus huv.

Txhawb qib, raws li peb twb pom lawm, tej zaum yuav qhia txog teeb meem nrog lub siab thiab bile ducts, pancreas, pob txha system. Yog hais tias alkaline phosphatase tsawg dua, ces qhov no yuav yog qhov ua rau plag plaw kev loj hlob lossis nws tsis muaj zog, uas yuav ua rau tsab xov xwm xaus rau lub cev xeeb tub. Qhov no tuaj yeem tshwm sim vim qhov placenta nyob rau hauv lub xeev no tsis muaj peev xwm muab tau tus me nyuam hauv plab nrog txhua cov khoom tsim nyog.