ʻO ka lāʻau maʻamau o ke koko - kākalakala

ʻO kaʻikepili'ulapili biochemical heʻano ia o ke ho'āʻoʻana i ke koko, i hoʻohana pinepineʻia i ka lāʻau lapaʻau, rheumatology, gastroenterology a me nāʻoihana lāʻau'ē aʻe. ʻO kēia kaʻina hana hoʻolālā e ho'ākāka pono i ka nohona hana o nā pūnaewele a me nā'ōpuni.

Glucose i loko o ka lāʻau'ailapili lāʻau

No kahi lā ma hope iho o ka hoʻokaheʻana i ke koko, e loaʻa iāʻoe nā hualoaʻa o ka biochemistry. E hōʻike lākou i ka nui o nā mea o nā mea likeʻole. He mea paʻakikī loa no ke kanaka me ka hoʻonaʻauaoʻana no kaʻikeʻana i ka hopena o ka hoʻoponopono. Akā i kēia lā, hoʻohui pinepineʻia ka weheweheʻana i ka hōʻoiaʻana o ke kaulike o ke koko.

ʻO ke kōpaʻa i loko o ke koko ke kuhikuhi o ka carbohydrate metabolism. I ka maʻamau o ka glucose e ponoʻole ma mua o 5.5 mmol / l aʻaʻole emi ma lalo o 3.5 mmol / l. Hoʻonuiʻia ka hoʻonuiʻana i kēia hōʻailona keʻikeʻia inā:

Inā he haʻawina glucose haʻahaʻaʻoe i ka heluʻana i ke keleponaʻana o ke koko, e hōʻike ka palapala hōʻike i kou loiloiʻana o ka insulin, ka hopena a me ka hopenaʻeha a me ka poho o ka ate.

Pigments i ka biochemistry o ke koko

I ka hoʻololiʻana i ka hōʻoiaʻana i ke koko no ka biochemistry,ʻo ka nui o nā pigments-bilirubin o ka pololei a me ka bilirubin o ka huina e hōʻike mauʻia. ʻO ka maʻamau o ka bilirubin āpau he 5-20 μmol / l. ʻO ka hoʻololi koʻikoʻi o kēia hōʻike heʻano ia no nā maʻi o nā huhū (e like me ka maʻi hepatitis a me ka cirrhosis), ke kani mechanical, ka makeʻana, ka maʻi o ka ate, ka cholelithiasis a me ka nele o ka lāʻau B12.

ʻO ke kumu o direct bilirubin he 0-3.4 μmol / l. Inā ua hanaʻoe i ka hanaʻana o ka toto a he kiʻekiʻe kēia hōʻike, hiki i ka hoʻololi ke kuhikuhi iāʻoe i kēia:

ʻO ka momona ma kahiʻikepili toto

Ke haʻalulu nā mea momona i loko o ke koko, pono mau ka waihona o lipids a me / a mau mau hakina (ka cholesterol a me nā triglycerides). ʻO ka hoʻohālikelikeʻana i kēia mau hōʻailona ma nā hopena o keʻano o ka lāʻau biochemistry he mea nui, no ka mea, he mea koʻikoʻi loa ia no ka loiloi ponoʻana o nā mea hiki ke hana i nā puʻupaʻa a me ka ate i nā maʻi. Ponoʻia he:

ʻO ka wai a me nā paʻakai o ke kolake i loko o ka lāʻauʻaila

Aia i loko o ke koko o kānaka keʻano o nā lāʻau meaʻole: potassium, acic acid, iron, calcium, magnesium, phosphorus, sodium, chlorine. Hoʻopilikia pinepineʻia nā hanaʻino o nāʻano o ke kola wai ma nāʻano kaumaha a me nā haʻahaʻa o ka maʻi diabetes, ka hanu a me ka pilikia o ka naʻau.

ʻO keʻano maʻamau, pono nā pāpasa pālaulaha i ka 3.5-5.5 mmol / l. Inā he nui ka hoʻonuiʻia, a laila ma ka hōʻikeʻana i ka biochemistry o ke koko no nā wāhine a me nā kāne, e hōʻikeʻia he hyperkalemia kēia. ʻO kēiaʻano keʻano o ka hamolemo, ka waihā, ka nuiʻole o ke kīnā a me ka lawaʻole o ke kīnā. Hoʻonuiʻia ka emiʻana o ka helu o ka pāhare potassium hypokalemia. ʻO kēiaʻano he hōʻailona o ka hana kūponoʻole o ka'ōlohelohe, cystic fibrosis, aʻoi aku ka nui o nā hormones i loko o ka cortex kino.

I ka hōʻoiaʻana o ka hōʻoiaʻana o keʻano biochemistry o ke koko, he 136-145 mmol / l ka paʻakai sodium. ʻO ka hoʻonuiʻana i kēia hōʻike he pinepine ka hōʻikeʻana i ka hōʻeha o ka hana o ka palekana adrenal a iʻole ka pathology o ka hypothalamus.

ʻO ka maʻamau o ka chlorine i loko o ke koko he 98-107 mmol / l. Ināʻoi aku nā mea hōʻailona, ​​hiki i ka mea ke hoʻomake i ka wai, ka lāʻauʻawaʻawa salicylate a iʻole ka hiliʻana o keʻano. Akā uaʻikeʻia ka emiʻana o ka mālene hauʻoli me ka luaʻana, kahi piʻi nui o ka nui o ka wai a me ka sweating nui.