ʻO ka nīnaninau dispensary kahi o nā hoʻokolohua a me nā noiʻi a nā kauka e koi ai i nā manawa like ʻole (akā ma ka liʻiliʻi ma hoʻokahi manawa i kēlā me kēia mau makahiki ʻelua).
ʻO ka mea mua āu e pono ai e hoʻomanaʻo i ka mōʻaukala ʻohana: he aha ka mea a kou mau kūpuna i make ai, a inā ke ola nei lākou, he aha nā maʻi maʻi e ʻeha ai lākou. ʻO ka ʻoiaʻiʻo, ke ʻike nei i ka mea i maʻi ai kou mau kūpuna a mai ka mea a lākou i make ai, e maʻalahi ka hana ʻana a ke kauka i kahi hoʻolālā hoʻokolohua pilikino no ʻoe. Akā inā mākou e hoʻolei i nā ʻano pākahi o kāu kumulāʻau, nā wahine āpau, me ka ʻokoʻa ʻole, pono:
lawe i kahi hoʻāʻo koko nui (mai ka manamana lima a i ʻole kahi aa),
hele i kahi hōʻoia mimi laulā,
e hele i kahi hoʻokolohua koko biokimia no kekahi mau hōʻailona, e pili ana kahi moʻolelo ma hope iki,
e nānā ʻia e ke kauka wahine,
e nānā ʻia e kahi mammologist,
e hoʻāʻo no ka flora,
hana i kahi ninaninau ʻia o nā gammmary (ultrasound - inā ʻaʻole ʻoe i 35-40 mau makahiki, mammography - inā 35 a 40 paha kāu mau makahiki. ke kauka, ma hope o ka hoʻolohe ʻana i kāu anamnesis, i nā hihia palena palena, i ka manawa o ka makahiki, e e hoʻoholo i kahi hoʻokolokolo e pono ai nāu),
e hana i kahi ultrasound o nā pelvic (e ʻike i nā maʻi a me nā neoplasms),
undergo i ka colposcopy (ninaninau o nāʻaʻa o ka cervix e kāpae i ka hoʻohaʻahaʻa o nā hunaola i loko o malignant),
hōʻoia i ka pili lipid (e hōʻike ia i ke kiʻekiʻe o ka makaʻu o ke kahe koko),
hana i kahi ECG,
hāʻawi i ke koko no ke kō (i ʻole e nalo i ka hoʻomaka ʻana o ka ulu ʻana o ka maʻi diabetes),
hōʻoia i nā okomarkers (e hoʻāʻo i ke koko no ʻekolu mau hōʻailona tumo: CA-125 - no ka maʻi ʻaʻai ovarian, CA-15-3 - no ka maʻi ʻaʻai umauma, CA-19-19 - no ka maʻi kolona a me ka maʻi ʻaʻai ʻopa, aia ma ke kolu o ka wahi e prevalence i loko o nā wahine ma hope o ka umauma a me ka maʻi 'aʻai maʻi' aʻai),
e kipa aku i kahi psychologist,
Ka Ikepili no nā homoni (pono e lawe i ka hoʻomaka a ma ka lā 20 o ke pōʻaiapuni). E hōʻike ia i ka maikaʻi o ka hana ʻana o kāu ovaries a me ka thyroid.
ʻImi lapaʻau makahiki
E neʻe kāua i ka wehewehe ʻana i nā hōʻailona o ka hoʻokolohua koko biochemical.
ʻO Alanine aminotransferase Hōʻike (AMT) inā loaʻa ka hōʻino o ke ake (hepatitis mau, cirrhosis, a me ka maʻi ʻaʻai). Inā hoʻonui ʻia kona pae, he kumu kēia e manaʻo ai nā kauka i kahi maʻi. ʻOiaʻiʻo, paʻakikī e hana i kahi hōʻoia pololei e pili ana i kēia anamanaʻo, no laila e koi ʻia paha kahi noiʻi hou.
ʻO Amylase ka huina i ka serum - kahi enzyme o ka pancreas. E haʻi ka hōʻike iā ʻoe inā loaʻa ʻoe i ka pancreatitis a i ʻole nā mea ʻino ʻē aʻe i kou ʻōpū. Eia hou, inā hoʻonui ʻia kona pae, a laila e kani nā kauka i ka pū waikaua, akā ʻaʻole hiki iā lākou ke ʻōlelo no ka mea he aha kāu: pono hou ʻia kahi noiʻi.
Nā Antibodies i kāu thyroperoxidase - kahi hōʻailona o ka maʻi thyroid autoimmune.
Antithrombin III he hopena kaumaha i ke kāpili ʻana i ke koko. Hōʻike ka hōʻemi ʻana o kāna konsentration aia ka makaʻu o ke kahe o ke koko.
Huina protein whey… Māhele ʻia nā protein proteins i ka albumin (synthesized mai ka protein i hoʻolako ʻia me ka meaʻai i ke ake) a me nā globulins (kākoʻo i ka pale, lawe i nā mea momona i nā aʻa, e hōʻoia i ka hoʻopili ʻia ʻana o ke koko, a hōʻike pū ʻia e nā enzyme a me nā hormones. Hopohopo paha nā kauka no ka ʻoiaʻiʻo ʻo ka nui o nā protein āu i hoʻemi ai, a hoihoi lākou i ka waiwai piha, ʻaʻole ka ʻohana, pili ia i ka lohi a i ʻole, ma ka ʻaoʻao, ka nalowale o ka wai. , a laila hiki i kēia ke hōʻike i kahi hōʻeha o ka metabolism protein, a i loko ona iho hiki ke lilo i hōʻailona o ka hana ʻole o ke ake (e like me ka mea e emi mau ai ka albumin), nā maʻi ʻōnaehana a i ʻole nā endocrine. Ma ka laulā, inā ʻike lākou he hewa kekahi, a laila e hāʻawi hou lākou i ka hoʻokolokolo.
Huina bilirubin - bilirubin, kahi huahana wāwahi o hemoglobin i loko o nā hunaola ʻulaʻula e make kūlohelohe a i ʻole mea e hoʻonāukiuki i ko lākou make. ʻO ka maʻamau, 1% o nā erythrocytes e hemo i kahi kanaka olakino i kēlā me kēia lā; no laila, ma kahi o 100-250 mg o bilirubin e komo i ke kahe o ke koko. Hiki i ka Bilirubin ke hoʻonui ma muli o ka hoʻonui ʻia o ka haki ʻana o nā hunaola ʻulaʻula (ʻo ia ka mea maʻamau no kekahi ʻano anemia) a i ʻole nā hōʻino ʻia o ke ake (e laʻa me ka hepatitis). ʻO ka ʻoiaʻiʻo ʻo ka hana hou ʻana o ka bilirubin i loko o ke ake i mea e lawe aku ai iā ia mai ke kino, akā naʻe, inā e hōʻino ʻia ke akepaʻa ma kekahi ʻano, a laila hoʻokuʻu ʻia ka bilirubin mai nā hunaola i hōʻino ʻia, e komo ana i ke koko. Hiki ke hoʻohui pū ʻia ka hoʻonui ʻana o ka bilirubin me nā paʻakikī i ka kahe ʻana o ka bile (ʻo kahi laʻana, inā kaomi ʻia ke kahena o ka bile e kekahi mea, no ka laʻana, he tumo, kahi hoʻonui lymph node, kahi pōhaku a i ʻole kahi ʻino), a laila ʻo kēia ʻano i kapa ʻia ʻo bile duct dyskinesia. E ʻike inā loaʻa iā ʻoe kekahi o kēia mau ʻano ʻē i nā hana o ke kino, kuhikuhi ʻia kēia anamanaʻo.
Gamma-glutamyltranspeptidase (GGT) - kahi enzyme i loaʻa i nā hunaola o ke akepaʻa a me nā aʻa o ka bile, i kēlā me kēia, hōʻike hou ka hopena i ka hana o kou ake. E kōkua ka hopena hōʻike e ʻike inā loaʻa iā ʻoe nā stile bile (holistasis). I ka manawa like, hoʻonāukiuki ʻia ka hana ʻana o kēia enzyme e ka wai ʻona, no laila, ma ka pō o ke anamanaʻo, ʻaʻole pono ʻoe e inu a lawe paha i ka paracetomol a i ʻole phenobarbital (i loko o Corvalol), kahi e hoʻonui ai i ka papa kuhikuhi GGT.
ʻO ka glucose koko… ʻAʻole pili iki kēia i ka mea mele punahele ma ka pakuhi, akā e pili ana i ka hopena e kōkua iā ʻoe e ʻike inā he maʻi diabetes kou. He mea nui kēia ma muli o ka hoʻomaka ʻana o ka maʻi kō me nā ʻōuli liʻiliʻi i hiki ke nānā maʻalahi ʻia. Pono pono ke kālailai no ka poʻe i loaʻa kahi predisposition genetical i ka maʻi diabetes (ʻo ka mea pili loa he diabetic), kaumaha nui, a ʻoi paha ma mua o 45 mau makahiki.
Homocysteine… Ke hōʻiliʻili nei i loko o ke kino, hoʻomaka ka homocysteine e hoʻouka i nā paia o loko o nā kīʻaha koko, intima, i hoʻopili ʻia me ka endothelium. A ʻimi ke kino e hoʻōla i nā hakahaka i loaʻa. No kēia, loaʻa i ke kino ka kolamu a me ka calcium, kahi e hana ai i nā pā atherosclerotic ma nā paia o nā moku i hōʻino ʻia. A maikaʻi nā mea āpau inā ʻaʻole alakaʻi kēia mau plake i ka paʻa ʻana o nā moku i ka hoʻoponopono! Pono e nānā ʻia ʻo Homocysteine inā loaʻa nā lālā o kou ʻohana ponoʻī i ke koko, nā maʻi puʻuwau coronary, a i ʻole nā hahau me nā puʻuwai puʻuwai. Pono pono e nānā i kāna pae inā ulu kēlā mau maʻi i ka ʻohana ma mua o ka makahiki 50.
ʻO ka hao i ka serum… ʻAʻole ʻoe makaʻu i ka lilo ʻana i mea kālai lāʻau inā maʻamau kāu kālailai. Inā loaʻa ʻoe i ka anemia, a laila e kōkua kēia mea hōʻike e ʻike inā pili ʻia me kahi mea hao haʻahaʻa i loko o ke kino a i ʻole, ua hoʻomohala ʻia ia, no ka laʻana, no ka nele o ka wikamina B12. Inā hoʻonui ʻia kāu mea hao, ma ka ʻaoʻao ʻē aʻe, a laila pili kēia i ka hemochromatosis hoʻoilina (kahi maʻi e pili ana me ka hoʻonui ʻana o ka lawe a me ka hōʻiliʻili o ka hao) a i ʻole ka nui o nā hoʻomākaukau hao.
Kalipuna serum… ʻO ka calcium ka mea kūkulu hale nui o ke kino, i ka hoʻohui, pili ia i ka hōʻemi ʻana o nā mākala a me ka puʻuwai. ʻO kēia mineral ke kaulike mau me ka phosphore. ʻO ia, inā e emi ka nui o ka calcium i ke koko, piʻi ka ʻike o ka phosphorus, a ʻo ka hope. No laila, kamaʻilio lākou e pili ana i ka fosfor-calcium metabolism. Hoʻoponopono ʻia ka ʻike o ka calcium i loko o ke koko e ka parathyroid a me nā kelepaʻi thyroid. Hōʻike kēia hōʻike i ka metabolism calcium i loko o ke kino, he mea nui ia no ka loiloi ʻana i ka hana o ka hakuʻala (excrete calcium), loiloi ʻole ʻia inā he umauma, akemāmā, lolo a ʻo ka ʻāʻī puʻuwai, inā he myeloma (kahi ʻano maʻi ʻaʻai koko). hōʻike i ka hyperthyroidism (inā kiʻekiʻe ke kiʻekiʻe o ka calcium). Eia naʻe, ʻaʻole e hōʻike kēia kaʻana i nā kauka i kekahi mea e pili ana i ka maʻi calcium i loko o nā iwi o ka iwi. No ka nānā ʻana i kēia anakuhi, aia kahi hana ʻokoʻa - densiometry.
ʻO Coagulogram (prothrombin e like me ka wikiwiki a me ka INR) - hōʻike ka hopena i ka maikaʻi o ke kahe o ke koko.
Leukocyte haʻilula (leukogram) hōʻike, ʻo ka mea mua, pehea ka nui o ke kino e pale aku ai i ka maʻi, a ʻo ka lua, hiki ke hōʻike ʻia, ke neʻe nei i ka hema (ʻo ia hoʻi, ka hoʻonui ʻana o nā leukocytes mākua ʻole), ka maʻi ʻaʻai o kekahi mau lālā, me ka umauma.