Isikhathi esijwayelekile Isibindi Sezinyathelo Zezinyathelo Hlola Ubuthi BeMithi
Ubuthi obunobuthi buwumphumela ongase ube nomphumela wemithi ethile ye- arthritis . Ubuthi obunobuthi obuvela emithini ye-arthritis akubhekwa njengokujwayelekile, kodwa uma kwenzeka kungenzeka kube yingozi. Odokotela ngokuvamile bahlela ukuhlolwa kwegazi njalo ukuze izinkinga zitholakale ngaphambi kokuba zibe ezibalulekile emtholampilo.
Ama-enzyme yesibindi avame ukutholakala ngaphakathi kwamaseli esibindi.
Uma isibindi selimala noma sonakalisiwe, ama-enzyme yesibindi achitha igazi, okwenza amazinga e-enzyme yesibindi aphezulu. Ukuhlolwa kwelabhu eyenziwa kuma-sampuli egazi kungathola ama-enzyme ephakeme we-isibindi.
Okunye ukuhlolwa kwegazi nakho kungabonakalisa izinkinga zemisebenzi yesibindi ngokuthola okungavamile okubandakanya amaprotheni e-plasma kanye nezici zokuvala igazi. Izindinganiso ezivamile noma zokubhekisela ezihlolweni zegazi zesibindi zingashintsha ngokususelwa eminyakeni noma ubulili besiguli, kanye ne-laboratory indlela esetshenziselwa ukuhlolwa.
Ama-enzyme wesibindi:
AST noma SGOT (aspartate aminotransferase noma serum glutamic oxaloacetic transaminase)
AST (SGOT) ayitholakali kuphela esibindi. Kubuye kuvame ukutholakala enhliziyweni, emisipha, ebuchosheni nasezintweni zomzimba. Ukulimala kunoma iyiphi yalezi zicubu kungabangela izinga eliphezulu legazi.
I-AST (SGOT) ibanga elijwayelekile liyi-10-34 IU / L.
ALT noma SGPT (alanine aminotransferase noma i-serum glutamic pyruvic transaminase)
I-ALT (i-SGPT) itholakale esiqindi, okwenza kube uvivinyo oluthile lokuthola ukukhubazeka kwesibindi.
U-ALT (SGPT) uhla olujwayelekile luyi-5-35 IU / L.
I-Alkaline Phosphatase (ALP)
I-alkaline phosphatase (ALP) iyi-enzyme emasethini ahlanganisa imigqa ye-biliary yesibindi. I-ALP itholakala nakwezinye izitho kufaka phakathi amathambo, i-placenta, nesisu. Uma i-ALP iphakanyisiwe, olunye uvivinyo olubizwa ngokuthi i-GGT (gamma-glutamyl transferase) lungalawulwa udokotela ukuqinisekisa ukuthi i-ALP ephakanyisiwe itholakala esibindi noma ipheshana lamabhilidi.
U-ALP uhla olujwayelekile luyi-20-140 IU / L (amayunithi angamazwe angama-litre ngalinye).
I-Gamma-glutamyl transpeptidase (GGTP) noma ukudlulisa (GGT)
I-Gamma-glutamyl transferase (GGT) iyi-enzyme ewusizo emtholampilo uma iqhathaniswa ne-ALP. Ngokuqhathanisa lezi zibili, kungathathwa uma isiguli sinesifo noma isibindi sesibindi.
Ibanga elijwayelekile le-GGT noma le-GGTP ngu-0-51 IU / L.
I-GGT evamile ephakanyisiwe i-ALP iphakamisa isifo se-bone
Ukuphakanyiswa kwe-GGT + Okuphakanyisiwe kwe-ALP kuphakamisa isifo se-isibindi noma se-bile-duct
Ezinye izivivinyiso zomsebenzi wesibindi:
I-Bilirubin
I-Bilirubin ikhiqizwa ekuqhekekeni kwe-hemoglobin (i-protein-pigment ephethe i-protein) i- red cells . Isibindi senza i-bilirubin emzimbeni ngokuyikhipha nge-bile emathunjini. Amazinga we-bilirubin aphakanyisiwe angabonisa ukuphazamiseka kwesibindi noma ukuvinjelwa kwama-bile. Evivinyweni zokuhlola, i-bilirubin ilinganiswa njenge- bilirubin ephelele kanye ne- bilirubin ngqo. Ingqikithi ye-bilirubin, njengoba ibizo ligama, liyisilinganiso se-bilirubin egazini. I-bilirubin eqondile isilinganiso sefomu le-bilirubin elenziwe esibindi.
Uhlobo olujwayelekile lwe-Direct Bilirubin luyi-0-0.3 mg / dl futhi ububanzi obujwayelekile be-Total Bilirubin ngu-0.3-1.9 mg / dl
I-albhamu
I-albhamu iyisiprotheni eyinhloko eplasma yegazi lomuntu (ingxenye eyinhloko yeprotheyini ephelele).
I-albhamu iyenziwa yisibindi. Ukuhlola i-laboratory kubonisa ukuthi isibindi senza kanjani i-albinini. Isifo sesibindi siphumela ekukhiqizeni ukukhiqizwa kwe-albin.
I-Albinini ibanga elijwayelekile liyi-3.4-5.4 g / dL.
Amaprotheni aphelele
Iningi lamaphrotheni e-plasma (i-albin kanye ne-globulins) emzimbeni akhiqizwa isibindi. Ukuhlola i-laboratories yeprotheyini esiphelele kuyindlela yokuhlukanisa phakathi kwesimiso esijwayelekile nesingavamile kwesibindi.
Isamba samaprotheni ajwayelekile u-6.0-8.3 gm / dl (amagremu ngamunye nge-deciliter ngayinye).
Isikhathi se-Prothrombin
Isikhathi se-prothrombin (PT) noma i-protime yi-test laboratory esetshenziselwa ukuhlola ukuvinjwa kwegazi okujwayelekile noma okungavamile. Izici zokuvala igazi ziyi-protein ezenziwa isibindi.
Uma isibindi selimala noma silimazekile, izici zokuvala zingakhiwanga ngendlela evamile.
Ububanzi besikhathi se-Prothrombin ejwayelekile kumasekhondi angu-11 kuya kwangu-13.5.
Okubalulekile:
Ukunamathela ngenaliti ukuthola isampuli yegazi ukuhlolwa kuyinto engavumelekile yeziguli ezithile, kuyilapho abanye bacabanga ukuthi akuyona inkinga. Ukuhlolwa kwegazi kuyadingeka ukuze udokotela abe nolwazi olufanele futhi angabe esilinganisa izinketho zokwelashwa . Ingabe isiguli kufanele sihlale noma siyeke imishanguzo okwamanje? Ingabe imithi eyengeziwe kufanele ifakwe emgodini wegulane?
Uma isiguli sesiphakamise ama-enzymes esibindi futhi siyeka imithi okusolakala ukuthi ibangela inkinga, amazinga e-enzyme avame ukubuyela evamile kungakapheli amasonto noma izinyanga.
Ulwazi olungaphezulu:
- Ukucabangela okukhethekile ekuhumusheni isibindi sezinyathelo zokusebenza, kusuka ku-AAFP
Imithombo:
I-Panel yesibindi. I-LabTestsOnline.org. Mashi 10, 2016.
https://labtestsonline.org/understanding/analytes/liver-panel/