Kawirikawiri Chiwindi Ntchito Yoyesayesa Yang'anani Kuopsa kwa Mankhwala
Chiwindi cha poizoni ndi zotsatira za mankhwala ena a nyamakazi . Chiwindi choyambitsa matenda a nyamakazi sichikudziwika kuti n'chofala, koma zikachitika zingakhale zovuta. Nthawi zambiri madokotala amapanga mayeso a magazi nthawi zonse kuti amvetsetse mavuto asanakhale odwala.
Mavitamini a chiwindi amapezeka m'maselo a chiwindi.
Ngati chiwindi chavulazidwa kapena chiwonongeke, michere ya chiwindi imayambira m'magazi, ndipo imayambitsa ma enzyme a chiwindi. Mayeso a Laboratory omwe amachitika pazigawo zamagazi akhoza kuzindikira mavitamini a chiwindi.
Kuyezetsa magazi kwina kungathenso kuwonetsa mavuto a chiwindi pozindikira zolakwika zomwe zimaphatikizapo mapuloteni a plasma ndi zinthu zowononga magazi. Zizolowezi zoyenera kapena zoyenera za kuyesedwa kwa magazi a chiwindi zingasinthe malinga ndi msinkhu kapena kugonana kwa wodwala, komanso njira ya ma laboratory yogwiritsira ntchito kuyesa.
Mavitamini a Chiwindi:
AST kapena SGOT (aspartate aminotransferase kapena serum glutamic oxaloacetic transaminase)
AST (SGOT) sichipezeka m'chiwindi. Amakhalanso ndi mtima, minofu, ubongo, ndi impso. Kuvulala kwa iliyonse yamatendawa kungayambitse magazi.
AST (SGOT) yoyenera ndi 10-34 IU / L.
ALT kapena SGPT (alanine aminotransferase kapena serum glutamic pyruvic transaminase)
ALT (SGPT) imapezeka makamaka m'chiwindi, ndipo imayesa kuyesa chizindikiritso cha chiwindi.
ALT (SGPT) yachibadwa ndi 5-35 IU / L.
Alkaline Phosphatase (ALP)
Alkaline phosphatase (ALP) ndi puloteni m'maselo omwe amayendetsa madontho a biliary pachiwindi. ALP imapezanso m'magulu ena kuphatikizapo fupa, placenta, ndi matumbo. Pamene ALP ikukwera, mayeso ena otchedwa GGT (gamma-glutamyl transfasease) amatha kulamulidwa ndi dokotala kuti atsimikizire kuti ALP yowonjezera imachokera ku chiwindi kapena tsamba la biliary.
Mtundu wa ALP wautali ndi 20-140 IU / L (mayiko apadziko lonse pa lita).
Gamma-glutamyl transpeptidase (GGTP) kapena transfase (GGT)
Gamma-glutamyl transfasease (GGT) ndi enzyme yomwe imathandiza kuchipatala poyerekeza ndi ALP. Poyerekeza ziwirizi, zikhoza kudziwika ngati wodwalayo ali ndi mafupa kapena matenda a chiwindi.
GGT kapena GGTP yachibadwa ndi 0-51 IU / L.
GGT + Yowonjezera ALP yowonjezera imakhudza matenda a mafupa
Zokwera kwambiri za GGT + Zowonjezera ALP zimakhudza matenda a chiwindi kapena bile-tract
Ntchito ina ya Chiwindiyeso:
Bilirubin
Bilirubin amapangidwa kuchokera ku kuwonongeka kwa hemoglobin (mapuloteni othandiza okosijeni) m'magazi ofiira ofiira . Chiwindi chimatulutsa bilirubin kuchokera m'thupi mwa kuchichotsa kudzera mu bile m'matumbo. Mapamwamba a bilirubin amatha kusonyeza kuvutika kwa chiwindi kapena kusungunuka kwa dothi. M'mayesetsero a ma laboratory, bilirubin amawerengedwa monga bilirubin ndi bilirubin. Chiwerengero cha bilirubin, monga dzina limatanthawuzira, ndiyeso ya bilirubin yonse m'magazi. Direct bilirubin ndi muyeso wa mawonekedwe a bilirubin opangidwa m'chiwindi.
Mtundu wambiri wa Direct Bilirubin ndi 0-0.3 mg / dl ndipo mtundu wonse wa Bilirubin ndi 0.3-1.9 mg / dl
Albumin
Albumin ndipuloteni yaikulu m'magazi a magazi a munthu (gawo lalikulu la mapuloteni).
Albumin imapangidwa ndi chiwindi. Kuyezetsa mabala kumasonyeza momwe chiwindi chimapangira albumin. Matenda a chiwindi amachititsa kuchepa kwa albumin kupanga.
Albumin nthawi zonse ndi 3.4-5.4 g / dL.
Puloteni Wonse
Ambiri a mapuloteni a plasma (albumin ndi globulins) m'thupi amapangidwa ndi chiwindi. Kuyezetsa kwa mapuloteni kwathunthu ndi njira yosiyanitsira ntchito yachibadwa ndi yachilendo ntchito.
Mapuloteni okwanira ndi 6.0-8.3 gm / dl (gramu pa deciliter).
Prothrombin Time
Prothrombin nthawi (PT) kapena protime ndi mayeso a labotale omwe amagwiritsidwa ntchito poyesa kachitidwe kawirikawiri kapena kosalekeza kwa magazi. Zinthu zothandizira magazi ndi mapuloteni omwe amapangidwa ndi chiwindi.
Ngati chiwindi chimavulazidwa kapena kuwonongeka, zinthu zotsekemera sizimapangidwa mwachibadwa.
Prothrombin nthawi yamtunduwu ndi masekondi 11 mpaka 13.5.
Mfundo Yofunika Kwambiri:
Kupitirizabe ndi singano kuti mupeze mayeso a magazi poyesera ndizovuta kwa odwala ena, pamene ena amaganiza kuti sizovuta. Kuyezetsa magazi n'kofunika kuti dokotala akhale ndi zambiri zowonjezera ndipo angathe kuyeza njira zomwe angapange. Kodi wodwalayo ayenera kupitirizabe kapena kusiya mankhwala omwe akutenga? Kodi mankhwala owonjezera ayenera kuwonjezeredwa ku regimen ya wodwalayo?
Ngati wodwalayo ali ndi mavitamini a chiwindi ndipo amasiya mankhwala omwe akuganiza kuti amachititsa vutolo, mavitamini amadzimadzi amatha kubwerera kwachibadwa mkati mwa masabata kapena miyezi.
Zambiri Zambiri:
- Kuganizira Kwambiri pa Kutanthauzira Chiwindi Ntchito Yoyesa, kuchokera ku AAFP
Zotsatira:
Chiwonetsero cha Chiwindi. MiKalaMalaLa.biz March 10, 2016.
https://labtestsonline.org/understanding/analytes/liver-panel/