Zotsatira za Mayeso a Edzi Enzyme
Enzyme ya Chiwindi ndi Kugwiritsa Ntchito Zotsatira Zotsatira za Magazi
Mavitamini a chiwindi, kapena chiwindi (hepatic) mayesero a ntchito, ndizoyezetsa magazi ambiri zomwe zimagwiritsidwa ntchito pofuna kudziwa ngati chiwindi chikugwira ntchito bwino kapena ngati chiri ndi kuvulala kapena matenda. Mayesowa amachitika pojambula magazi, makamaka ku ofesi ya dokotala ngati matenda a chiwindi ndi vuto lomwe limafuna kuyang'anira, kapena kuchipatala.
Mayeso a magaziwa angakhale mbali ya chizoloŵezi pachaka koma sakhala nawo nthawi zonse.
Mayesero awa amachokera ku mitsempha ndikutumizidwa ku labu yogwiritsira ntchito. Zotsatira za mayesero a chiberekero cha chiwindi zimagwiritsidwa ntchito palimodzi, osati payekha, kuti apeze matenda a chiwindi. Mwachitsanzo, chiwerengero chimodzi chokwera mofatsa sichidzawunika kwambiri chiwindi. Ngati mayesero angapo amasonyeza vuto, chiwindi cha chiwindi chingakhale chofunikira kutsimikizira zotsatira za mayesero, kapena kuti CT kapena MRI scan akhoza kuchitidwa.
Kawirikawiri Chiwindi Chiyeso cha Magazi
Kwa odwala ena, mayesero awa ndi mbali ya kuyang'anitsitsa nthawi zonse ngati akumwa mankhwala omwe amadziwika kuti amachititsa mavuto a chiwindi. Ichi ndi chifukwa chakuti mankhwala ambiri - mankhwala, mankhwala owonjezera komanso owonjezera - amadziwika kuti amawononga chiwindi, kapena amachititsa kuti chiwindi chigwira ntchito.
Kumwa mowa kumadziwikiranso chifukwa cha kuwonongeka kwa chiwindi, ngati kumwa mowa kwambiri kumakhala kosavuta komanso kumwa mowa kumatenga nthawi yaitali.
Pachifukwa ichi, anthu omwe amamwa mobwerezabwereza akhoza kukhala ndi chiwindi chachitetezo kuti atsimikizire kuti palibe choipa chomwe chachitika.
Kwa ena, chiwindi chikhoza kudziwika kuti chili ndi mavuto ena omwe amafunika kuwunika nthawi zonse kuti atsimikizire kuti vutoli silikupitirirabe. Mwachitsanzo, munthu yemwe amadziwika kuti ali ndi "chiwindi cha mafuta" kapena matenda a cirrhosis akhoza kukhala ndi mababu omwe amakopeka miyezi isanu ndi umodzi ndipo angakhale ndi CT kapena ultrasound yomwe imachitidwa panthaŵi yomweyo.
Ma Lab Lab (Aspartate Phosphatase)
Chiyesochi chimagwiritsidwa ntchito pozindikira kuvulala kwa chiwindi kapena vuto lachiwindi kapena lachiwindi . Mtima ungatulutsenso AST, choncho ndikofunikira kuyang'ana mayesero onse a chiwindi, m'malo moyesera.
Maseŵera a AST akhoza kuthandizidwa kwambiri ndi mantha, kuthamanga kwa magazi kapena chikhalidwe china chimene chimachotsa chiwindi cha magazi ndi mpweya.
Msulidwe Wovomerezeka:
Amuna: 8-46 magalasi / lita imodzi
Mkazi: 7-34 magawo / lita imodzi
ALT (Alanine Aminotransferase) Lab zotsatira
Mayesowa amagwiritsidwa ntchito pozindikira kuvulala kwa chiwindi ndi matenda a chiwindi a nthawi yaitali. Mapangidwe okwera kwambiri angasonyeze kuti ali ndi matenda a chiwindi otuluka pachilombo chilichonse, kuphatikizapo kachilombo, mowa, mankhwala kapena poizoni. Mankhwala ena ndi mankhwala owonjezera amatha kuwonjezeka m'magulu a ALT.
Magulu a ALT akhoza kuthandizidwa kwambiri ndi mantha, kuthamanga kwa magazi kapena chikhalidwe china chimene chimachotsa chiwindi cha magazi ndi mpweya. Pachifukwa ichi, tingathe kuyembekezera odwala omwe ali odwala kwambiri kuti akakhale ndi ALT, makamaka omwe akusamalidwa ku malo odwala kwambiri.
Mlingo wozolowereka: 5-40 magawo pa lita imodzi ya magazi a seramu
ALP (Alk Phos, Alkaline Phosphatase) Lab zotsatira
ALP ndi chinthu chomwe chimapezeka m'kati mwa chiwindi cha chiwindi. Kuwonongeka kapena kutsekedwa kwa mankhwala a bile kungapangitse kuwonjezeka kwa ALP.
Izi zikutanthauza kukwera kwa "alk phos" sizitanthauza kuti chiwindi chomwe chiri ndi vuto, koma mafunde omwe amachokera pachiwindi angakhale ovuta.
Mlingo Wowonongeka: 13-39 magawo / lita
Zotsatira Zonse za Bilirubin (T. Bili)
Kafukufukuyu amayeza kuchuluka kwa bilirubin m'magazi, kuphatikizapo bilirubin yeniyeni ndi yowona. Bilirubin imatulutsidwa nthawi yomwe maselo amagazi amafa ndipo chiwindi chimadutsa bilirubin kupyolera mu bile. Zovuta kwambiri bilirubin mu zotsatira za magazi mwa wodwalayo akuyang'ana wachikasu, kapena jaundiced. Chiyesochi chikhoza kuzindikira kuchuluka kwa bilirubin musanafike jaundice.
Mbewu yachilendo: 1mg pa 100 ml
Zotsatira Zabwino za Bilirubin (I. Bili)
Chosafuna kulondola bilirubin sichitha m'madzi. Pofuna kupasuka m'madzi, ndi kuchotsedwa m'thupi, ziyenera kupita kuchiwindi kumene zimapangidwa molunjika (madzi osungunuka) bilirubin.
Bilirubin yosadziwika = Bilirubin Yonse - Direct Bilirubin
Zotsatira za Lab Bilirubin (D. Bili) Labwino
Direct bilirubin yasandulika kukhala madzi osakanikirana a bilirubin ndi chiwindi. Chiwerengero cha mabwalo osayendera omwe akuwongolera bili chingasinthe ngati chiwindi chimakhala chovuta kutembenukira mwachindunji.
Mbewu Yomweyi: .4 mg pa 100 ml
Albumin Lab Lab
Albumin ndi mapuloteni omwe amapangidwa ndi chiwindi omwe amapezeka m'magazi a m'magazi, omwe angathe kuyeza magazi. Ngati chiwindi chimawonongeka, msinkhu wa albumin m'magazi umakhala wotsika. Vuto la albumin likhoza kuchepetsedwa chifukwa cha zakudya zoperewera, ndipo nthawi zambiri zimawoneka kwa odwala omwe sakudya bwino nthawi zonse. Zitha kuwonanso kwa odwala omwe akudwala matenda aakulu.
Mbewu Yomweyi: 3.5-5 magalamu / 100 ml
Mayesero Ovomerezeka Asanachitike ndi Atatha Opaleshoni
> Zotsatira:
> Ntchito ya Chiwindi Mayeso. MiKalaMalaLa.biz The American Association of Clinical Chemistry http://www.labtestsonline.org/understanding/analytes/liver_panel/glance.html