Izivivinyo zokuxilonga ezisetshenziselwa ukulinganisa impilo yakho yebindi
Izivivinyo zokusebenza kwesibindi (i-LFTs) ibhethri yokuhlolwa kwegazi okujwayelekile okunikeza udokotela wakho umbono wokuthi isibindi sakho sisebenza kahle kangakanani. Kusukela kuleziphenyo, udokotela wakho angakwazi ukubona ukucindezeleka kwesibindi, ukucindezeleka kwemithi ethinta isibindi, noma izifo zesibindi njenge- hepatitis B noma i- hepatitis C. Kunezivivinyo eziningi ezihlukahlukene ezibandakanya ukuqapha kwe-LFT, kubandakanya:
I-albhamu (ALB)
I-albhamu iyiprotheni ekhiqizwa isibindi esisiza ukugcina ingcindezi ye-osmotic emithanjeni yegazi. Ngokulondoloza lo mshini, umkhuhlane uhlala ohlelweni lwamasongo esikhundleni sokungena emathisini futhi kubangele i-edema (ukuvuvukala). I-albhamu nayo nayo ithwala amaminerali athile egazini.
- Amanani avamile: 4 kuya ku-6
- Kuphakanyisiwe: Ngokuvamile kubonisa ukuphuma kwamanzi
- Ngezansi ezijwayelekile: Ungabonisa ukungasebenzi kahle kwesibindi noma ukungenelela kwamaprotheni okwanele
I-alkaline phosphatase (ALK PHOS)
I-alkaline phosphatase i-enzyme etholakala ezithombeni eziningi emzimbeni, kuhlanganise nesibindi, isimiso sokugaya, izinso namathambo.
- Amanani avamile: 30 kuya ku-120
- Kuphakanyisiwe: Ngokuvamile isibonakaliso sokuxwayisa ukuthi kunesimo esithile sesibindi sesibindi esibangela ukulimala kwesibindi noma ukuphazamiseka kwamathambo njengomdlavuza noma ukuphulukiswa kokuphulukisa
- Ngaphansi kwesijwayelekile: Ngokujwayelekile akuyona into ephawulekayo
I-Alanine aminotransferase (ALT noma i-SGPT)
Le phrotheni itholakala ngokuyinhloko esibindi. Ikhishwa egazini uma kube khona uhlobo oluthile lokulimala kwezicubu zesibindi.
- Amanani avamile: ngaphansi kuka-35
- Kuphakanyisiwe: Kwangathi kungabonakalisa ukulimala kwesibindi ngenxa yokutheleleka, imithi, isifo se-cirrhosis, noma ukulimala kwesibindi
- Ngaphansi kwesijwayelekile: Ngokuvamile akuyona into okukhathazayo
I-Aspartate aminotransferase (AST noma i-SGOT)
Le phrotheni itholakala ngokuyinhloko esibindi. Ikhishwa egazini uma kube khona uhlobo oluthile lokulimala kwezicubu zesibindi.
- Amanani avamile: ngaphansi kuka-35
- Kuphakanyisiwe: Kwangathi kungabonakalisa ukulimala kwamathambo ngenxa yezinto ezinjengokuvimbela, ukushisa kwesifo sofuba, noma i-cirrhosis
- Ngaphansi kwesijwayelekile: Ngokujwayelekile akuyona into ephawulekayo
Ingqikithi ye-bilirubin (TBIL)
I-Bilirubin iyinhlangano evamile yamaseli abomvu abomvu. Lapho la maseli ephula i-bilirubin yamahhala ikhishwa egazini. I-Bilirubin isetshenziselwa esibindi lapho idilizwe khona futhi igxiliwe. Uma isibindi singasebenzi ngendlela efanele, i-bilirubin ingakhiwa emzimbeni, okwenza i- jaundice (ukuphuzila kwesikhumba namehlo).
- Amanani avamile: ngaphansi kuka-1.0
- Kuphakanyisiwe: Ngokuvame ukubangelwa ukungasebenzi kwesistimu ephula i-bilirubin, kuhlanganise nokuhluleka kwesibindi noma isibindi
- Ngaphansi kwesijwayelekile: Ngokujwayelekile akuyona into ephawulekayo
Izizathu Zezinyathelo Eziphakeme Zezinyosi e-HIV
Uma ukwelapha isifo se-HIV, ama-enzyme yesibindi angakhuphuka ngenxa yezizathu eziningi, kufaka phakathi izidakamizwa ze-HIV, ukukhokha okuhlobene ne-HIV, futhi kwezinye izimo, i-HIV ngokwayo. Phakathi kwazo:
- I-hepatitis ephilayo ivame ukubonakala kubantu abane-HIV, cishe amaphesenti angama-30 ahlanganiswe ne-hepatitis C eyedwa. Lesi sifo singathinta kakhulu isibindi, sibangele i-fibrosis (i-scarring) ne-cirrhosis (ukuguqulwa okungapheli).
- Imithi ethile ye- antiretroviral ingabangela i-hepatoxicity (isifo sobindi) kuhlanganise ne-Viramune (nevirapine), ne-Aptivus (tipranavir) uma ikhuliswa ne-Norvir (ritonavir).
- Utshwala kanye nemithi ethile emilenzeni eminingi eyaziwa ukuthi ibangele izinkinga zesibindi nokubhebhetheka kwesifo sohlobo lwe-hepatotoxicity. Ngisho nezithako zokudla ezifana neSt John's Wort endaweni ingandisa imiphumela ye-hepatotoxic yezidakamizwa ezifana ne-Viramune.
- Isifo se-non-alcoholic fatty fover (NAFLD) sithinta noma yikuphi kusuka kumaphesenti angu-17 kuya kuma-33 amaphesenti aseMelika futhi ngokuvamile kuvumelana nokukhuluphala. Cishe ingxenye yesithathu yabantu abane-HIV banayo i-NAFLD kungakhathaliseki ukutheleleka kwesifo se-hepatitis B noma C.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. "I-HIV ne-Viral Hepatitis." I-Atlanta, Georgia; ifinyelelwe ngoJuni 3, 2015.
> Intengo, J. kanye noTheo, C. "Isifo Sesibindi Ngomuntu Ophethwe Yi-HIV." I-Clin Gastroenterol Hepatol. 2010; 8 (12): 1002-21. I-DOI: 10.1016 / j.cgh.2010.08.024.
> UMnyango wezeMpilo waseMelika kanye nezinsizakalo zabasebenzi. "Imiphumela emibi yeMithi Ye-HIV - I-HIV ne-Hepatoxicity." AIDSInfo. Washington, DC; ifinyelelwe ngoJuni 3, 2015.