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Alkaline Phosphatase (ALP) | Lab Test 🧪
Dareemoleyad: Alkaline Phosphatase (ALP) | Lab Test 🧪

Qanacsan

Waa maxay baaritaanka fosfataseynta alkaline?

Baadhitaanka alkaline phosphatase (ALP) wuxuu cabiraa qadarka ALP ee dhiigaaga. ALP waa enzyme laga helo jirka oo dhan, laakiin badanaa waxaa laga helaa beerka, lafaha, kilyaha, iyo nidaamka dheef-shiidka. Marka beerka waxyeelo soo gaarto, ALP waxaa laga yaabaa inuu ku daato socodka dhiiga. Heerarka sare ee ALP waxay tilmaami karaan cudurka beerka ama cilladaha lafaha.

Magacyada kale: ALP, ALK, PHOS, Alkp, ALK PHOS

Maxaa loo adeegsadaa?

Tijaabada tijaabada ah waxaa loo adeegsadaa in lagu ogaado cudurada ku dhaca beerka ama lafaha.

Maxaan ugu baahanahay tijaabada fosfataseynta alkaline?

Bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu amar ku bixiyay baaritaanka alkaliin fosfataseynta oo qeyb ka ah baaritaanka joogtada ah ama haddii aad leedahay calaamado dhaawac beerka ah ama cillad xagga lafaha ah. Calaamadaha cudurka beerka waxaa kamid ah:

  • Lalabbo iyo matag
  • Miisaanka oo yaraada
  • Daal
  • Tabar darrida
  • Cagaarshow / Jaaleysiis, waa xaalad keenta in maqaarkaaga iyo indhahaadu huruud noqdaan
  • Barar iyo / ama xanuun calooshaada ah
  • Kaadi midab madow leh iyo / ama saxaro midab khafiif ah leh
  • Cuncun Joogto ah

Calaamadaha xanuunnada lafaha waxaa ka mid ah:


  • Xanuun ku dhaca lafaha iyo / ama kala-goysyada
  • Lafo ballaadhan iyo / ama qaab aan caadi ahayn
  • Kordhinta jabka lafaha

Maxaa dhacaya inta lagu jiro baaritaanka fosfataseynta alkaline?

Baadhitaanka dawada 'alkaline fosfatase' waa nooc tijaabo dhiig ah. Inta lagu jiro baaritaanka, xirfadle daryeel caafimaad ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Uma baahnid wax diyaargarow gaar ah oo loogu talagalay baaritaanka fosfataseynta alkaline. Haddii takhtarkaaga caafimaad uu amar ku bixiyay baaritaanno kale oo dhiig ah, waxaa laga yaabaa inaad u baahan tahay inaad soonto (waxna ha cunin ama cabin) dhowr saacadood baaritaanka ka hor. Bixiyaha xanaanada caafimaadkaaga ayaa kula socodsiin doona hadii ay jiraan tilmaamo gaar ah oo la raaco.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.


Maxay natiijooyinka ka dhigan yihiin?

Heerarka sare ee fosfataseynta alkaline waxay macnaheedu noqon kartaa inuu jiro waxyeello u geysata beerkaaga ama inaad leedahay nooc ka mid ah cilladaha lafaha. Waxyeellada beerka waxay abuurtaa nooc ka duwan ALP marka loo eego cilladaha lafaha. Haddii natiijooyinka baaritaanka ay muujiyaan heerarka sare ee fosfataseynta alkaliinka, daryeel bixiyahaaga caafimaad ayaa laga yaabaa inuu dalbado baaritaanno dheeri ah si loo ogaado halka uu ka imanayo ALP-ta dheeriga ah. Heerarka sare ee fosfataseynta ku jirta beerka ayaa tilmaami kara:

  • Cirrhosis
  • Cagaarshow
  • Xayiraad ku jirta marinka xiidmaha
  • Mononucleosis, oo mararka qaar sababi kara barar ku dhaca beerka

Waxa jira dhawr nooc oo kale oo ah baadhitaano dhiig oo hubiya shaqada beerkaaga. Kuwaas waxaa ka mid ah bilirubin, aspartate aminotransferase (AST), iyo alanine aminotransferase (ALT). Haddii natiijooyinkani caadi yihiin oo heerkaaga fosfataseynta alkaline ay sarreeyaan, waxaa laga yaabaa inay macnaheedu tahay in dhibaatadu aysan ku jirin beerkaaga. Taabadalkeed, waxay muujin kartaa cillad lafaha ah, sida Cudurka Lafaha ee Paget, xaalad sababa in lafahaagu noqdaan kuwo aan caadi ahayn, daciif ah, una nugul jajabka.


Heerarka dhexdhexaadka ah ee fosfataseynta alkaline waxaa laga yaabaa inay muujiso xaalado sida Hodgkin lymphoma, wadnaha oo istaaga, ama infekshinka bakteeriyada.

Heerarka hoose ee fosfataseynta alkaline-ka ayaa laga yaabaa inay muujiyaan hypophosphatasia, oo ah cudur hidde ah oo dhif ah oo saameeya lafaha iyo ilkaha. Heerarka hoose waxay sidoo kale sababi karaan yaraanshaha zinc ama nafaqo daro. Si loo barto macnaha natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka alkaline phosphatase?

Heerarka ALP way ku kala duwanaan karaan kooxaha kala duwan. Uurka wuxuu sababi karaa heerar ka sareeya kan caadiga ah ee ALP. Caruurta iyo dhalinyarada waxaa laga yaabaa inay yeeshaan heerar sare oo ah ALP maxaa yeelay lafahoodu way korayaan. Daawooyinka qaarkood, sida kaniiniyada xakameynta dhalmada, ayaa hoos u dhigi kara heerarka ALP, halka daawooyinka kale ay sababi karaan heerarka inay kordhaan.

Tixraacyo

  1. Aasaaska Beerka Mareykanka. [Internetka]. New York: Aasaaska Beerka Mareykanka; c2017. Tijaabooyinka Waxqabadka Beerka; [cusbooneysiiyay 2016 Jan 25; daliishaday 2017 Mar 13]; [ilaa 3 shaashad]. Waxaa laga heli karaa: http://www.liverfoundation.org/abouttheliver/info/liverfunctiontests/
  2. Xarumaha Xakamaynta iyo Kahortagga Cudurrada [Internetka]. Atlanta: Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Epstein-Barr Virus iyo faafa Mononucleosis; [cusbooneysiiyay 2016 Sep 14; daliishaday 2017 Mar 13]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.cdc.gov/epstein-barr/about-mono.html
  3. Hinkle J, Cheever K. Brunner & Suddarth's Buug-gacmeedka Shaybaarka iyo Tijaabooyinka Baaritaanka. Ed 2aad, shidan Philadelphia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Fayfaska Alkalka; bog. 35–6.
  4. Johns Hopkins Medicine [Internetka]. Jaamacadda Johns Hopkins; Cudurka Baget ee Lafta; [daliishaday 2017 Mar 13]; [ilaa 2 shaashad]. Waxaa laga heli karaa: http://www.hopkinsmedicine.org/healthlibrary/conditions/orthopaedic_disorders/paget_disease_of_the_bone_85,P00128/
  5. Josse RG, Hanley DA, Kendler D, Ste Marie LG, Adachi, JD, Brown J. Baaritaanka iyo daaweynta cudurka Paget ee lafaha. Clin Invest Med [Internet] 2007 [la xusay 2017 Mar 13]; 30 (5): E210–23. Waxaa laga heli karaa: https://www.ncbi.nlm.nih.gov/pubmed/17892763/--weakened%20deformed%20bones
  6. Tijaabooyinka Shaybaarka ee Internetka [Internetka] Washington DC: Ururka Mareykanka ee Kiimikada Caafimaadka; c2001–2017. ALP: Imtixaanka; [cusbooneysiiyay 2016 Oct 5; daliishaday 2017 Mar 13]; [ilaa 4 shaashadood]. Waxaa laga heli karaa: https://labtestsonline.org/understanding/analytes/alp/tab/test
  7. Tijaabooyinka Shaybaarka ee Internetka [Internetka] Washington DC: Ururka Mareykanka ee Kiimikada Caafimaadka; c2001–2017. ALP: Tusaalaha Tijaabada; [cusbooneysiiyay 2016 Oct 5; daliishaday 2017 Mar 13]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://labtestsonline.org/understanding/analytes/alp/tab/sample/
  8. Buugga 'Merck Manual Professional Version' [Internet]. Kenilworth (NJ): Shirkadda Merck & Co. c2017. Tijaabooyinka Sheybaarka ee Beerka iyo Xameetida; [daliishaday 2017 Mar 13]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.merckmanuals.com/professional/hepatic-and-biliary-disorders/testing-for-hepatic-and-biliary-disorders/laboratory-tests-of-the-liver-and-gallbladder
  9. Machadka Wadnaha, Sambabka, iyo Machadka Dhiiga [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Waa Maxay Khataraha Dhiigga laga baaro ?; [la cusboonaysiiyay 2012 Jan 6; daliishaday 2017 Mar 13]; [ilaa 6 shaashadood]. Waxaa laga heli karaa: https://www.nhlbi.nih.gov/health-topics/blood-tests#Risk-Factors
  10. Machadka Wadnaha, Sambabka, iyo Machadka Dhiiga [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Waxa Laga Filayo Baaritaanka Dhiiga; [la cusboonaysiiyay 2012 Jan 6; daliishaday 2017 Mar 13]; [ilaa 5 shaashad]. Waxaa laga heli karaa: https://www.nhlbi.nih.gov/health-topics/blood-tests
  11. NIH Maktabadda Qaranka ee Caafimaadka: Tixraaca Hoyga Guryaha [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; hypophosphatasia; 2017 Mar 7 [daliishaday 2017 Mar 13]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://ghr.nlm.nih.gov/condition/hypophosphatasia
  12. NIH Cudurka Osteoporosis-ka Qaranka iyo Cudurrada Lafaha ee Xarunta Kheyraadka Qaranka [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Su’aalaha iyo Jawaabaha ku saabsan Cudurka Paget ee Lafaha; 2014 Jun [xigasho 2017 Mar 13]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.niams.nih.gov/Health_Info/Bone/Pagets/qa_pagets.asp
  13. NIH Cudurka Osteoporosis-ka Qaranka iyo Cudurrada Lafaha ee Xarunta Kheyraadka Qaranka [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Waa Maxay Cudurka Paget ee Lafaha? Xaqiiqada Deg Deg ah: Taxane Fudud oo Akhriso Dadweynaha; 2014 Nov [daliishaday 2017 Mar 13]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.niams.nih.gov/Health_Info/Bone/Pagets/pagets_disease_ff.asp
  14. Jaamacadda Rochester Medical Center [Internet]. Rochester (NY): Jaamacadda Rochester Medical Center; c2017. Encyclopedia Health: Alkali Phosphate; [daliishaday 2017 Mar 13]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=alkaline_phosphatase

Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.

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