Tayang'anani pa AST ndi ALT
Mavitamini a chiwindi ndi zinthu zomwe zimayambitsidwa ndi chiwindi chomwe chikhoza kuyesedwa kupyolera mwa kuyesedwa kwa magazi. Kuyeza kwa ma enzyme omwe akuyenda mumagazi anu amalola madokotala kuphunzira za thanzi la chiwindi chanu. Pali masauzande ambiri a mavitaminiwa mu chiwindi ndi magazi, koma awiri a iwo-omwe amawamasulira AST ndi ALT-ali othandiza kwambiri pozindikira chiwonongeko cha chiwindi ndi matenda.
Kodi Aminotransferases Ndi Chiyani?
Aminotransferase ndi mankhwala omwe chiwindi chimagwiritsa ntchito kuti athandize molekyule yosungira magetsi glycogen. Matenda otchedwa Aspartate aminotransferase, kapena AST, amapezeka pachiwindi, komanso ubongo, makoswe, mtima, mafupa, impso, ndi mapapo. Alanine aminotransferase, kapena ALT, imapezeka makamaka m'chiwindi.
Kodi Mavitamini a Chiwindi Amayesedwa Bwanji?
Poyesa AST ndi ALT, dokotala amafunika kuyesa mayeso a enzyme, omwe kawirikawiri amakhala ndi mayesero ena owonjezera monga albumin, bilirubin, ndi nthawi ya prothrombin. Wothandizira adzalandira zitsanzo za magazi anu ndikuzitumizira ku labu kuti ayesedwe. Zotsatira zimatumizidwa kwa dokotala wanu.
Kodi Ndalama Zowonjezera AST ndi ALT?
Maselo abwino a AST ndi ALT amasiyana kuchokera kwa munthu ndi munthu ndipo amadalira thupi lanu mchere (BMI), kapena chiwerengero cha kutalika kwake ndi kulemera kwake. Kachilombo ka AST ndi ALT kawirikawiri mumagazi anu, kotero ndikulandira kwakukulu pa msinkhu wanu womwe umasonyeza vuto.
Anthu omwe ali ndi kachilombo koyambitsa matenda a shuga angakhale ndi maiminotransferase levels kuposa 1,000 bungwe la mayiko pa lita imodzi ya magazi (IU / L). Kawirikawiri ma laboratory maulendo a AST ndi ALT ndi awa:
- AST 2-45 IU / L
- ALT 2-40 IU / L
Chifukwa chiyani AST ndi ALT Zothandiza?
Chifukwa chakuti mavitaminiwa amapezeka mu maselo a chiwindi (hepatocytes), omwe amapezeka kwambiri ndi magazi anu, AST ndi ALT akhoza "kuthamanga" m'magazi ngati hepatocytes akuwonongeka.
Mayeso a magazi amatha kudziŵa kuchuluka kwa mavitamini ameneŵa m'magazi anu ndi madokotala angagwiritse ntchito chidziwitso ichi kuti athandizidwe kupeza matenda kapena kuyitanitsa mayesero ena.
Maseŵera ambiri a chiwindi amasonyeza kuti maselo a chiwindi awonongeka, koma sangathe kudziwa chomwe chinawonongera. Chifukwa kuchuluka kwa ma enzyme kumawoneka mu matenda ena ( matenda a mtima , kunenepa kwambiri, matenda a shuga , mononucleosis), iwo ndi chidutswa chimodzi chokhazikitsidwa. Pofuna kuti madotolo apange chithunzi chokwanira, mapiritsi a enzyme ayenera kugwiritsidwa ntchito ndi mayeso ena a magazi, kuyezetsa magazi, ndi mbiri yachipatala.
Chifukwa chakuti AST ili m'malo ambiri mu thupi, ma level a AST okha sanena kuti matenda a chiwindi (chodziwika, koma chosowa, chosiyana ndi matenda a Wilson). Komabe, chiŵerengero cha AST ku ALT, kapena mlingo wa AST poyerekeza ndi msinkhu wa ALT, chimapereka zizindikiro zambiri pa zomwe zikuchitika mkati. Malinga ndi mawerengedwe amenewa, madokotala akhoza kuganizira za mtundu wina wa matenda a chiwindi omwe angakhalepo. Nazi njira zina zomwe zimagwiritsidwa ntchito pa matenda a chiwindi:
- Chiŵerengero cha AST: ALT chofanana ndi chimodzi (mlingo wa ALT ndi wapamwamba kapena wofanana ndi AST), koma msinkhu ndi wokwera kwambiri, umapereka chiwopsezo chowopsa cha chiwindi cha hepatitis kapena chiwindi cha hepatitis.
- Chiŵerengero cha AST: ALT chapamwamba kuposa 2: 1 (kaŵirikaŵiri mlingo wa AST mpaka ALT) ndiwopseza kwambiri chiwerewere cha chiwindi.
- Chiŵerengero cha AST: ALT chapamwamba kuposa chimodzi (pamene mlingo wa AST uli wapamwamba kuposa wa ALT) ungasonyezenso chiwopsezo mwa munthu yemwe alibe chiwindi cha chiwindi chakumwa.
Werengani zambiri:
Zotsatira
- Pratt DS, Kaplan MM. Kufufuza kwa Ntchito ya Chiwindi. Mu: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Harrison's Principles of Internal Medicine , 17e. New York, McGraw-Hill, 2008.