Bheka i-AST ne-ALT
Ama-enzyme yesibindi yizinto ezikhiqizwa yisibindi ezingalinganiswa ngokuhlolwa kwegazi. Ukukala kwalezi zinkimbinkimbi ezijikeleza egazini lakho kuvumela odokotela ukuba bafunde ngempilo yesibindi sakho. Kunezinkulungwane zala ma-enzymes esibhedlela nesibindi segazi, kodwa ezimbili zazo-zihlanganisa i-AST ne-ALT-ziwusizo ngokukhethekile ekuboneni ukulimala kwesibindi nesifo.
Yini Aminotransferases?
Ama-aminotransferase amakhemikhali isibindi esisebenzisayo ukusiza ukwenza i-molecule ye-storage-molecule glycogen. I-Aspartate aminotransferase, noma i-AST, itholakala esibindi, kodwa futhi nobuchopho, ama-pancreas, inhliziyo, isifuba samasipha, izinso namaphaphu. I-Alanine aminotransferase, noma i-ALT, itholakala ikakhulu esibindi.
I-Enzyme ye-Liver ivivinywa kanjani?
Ukuhlola i-AST ne-ALT, udokotela udinga ukuhlola ukuhlolwa kwe-enzyme, okuvame ukuqukethe ukuhlolwa okungeziwe okufana ne-albin, i-bilirubin, nesikhathi se-prothrombin. Udokotela uzothatha isampula yegazi lakho bese uyithumela ebhodini elizohlolwa. Imiphumela ihanjiswa kudokotela wakho.
Yiziphi Izinga elijwayelekile le-AST ne-ALT?
Amazinga avamile we-AST ne-ALT ahluka kusuka kumuntu kuya komuntu futhi ancike enkomba yakho yomzimba wakho (BMI), noma isilinganiso sokuphakama nesisindo sakho. Inani elincani le-AST ne-ALT livame egazini lakho, ngakho-ke likhuphuka kakhulu ngaphezu kwezinga lakho elijwayelekile elibonisa inkinga.
Abantu abane -hepatitis ene -viral ephawulekayo bangase babe namazinga e-aminotransferase ephakeme kunama-international angu-1 000 ngetitha legazi (IU / L). Izindawo ezijwayelekile zokuvota ze-AST ne-ALT yizi:
- I-AST 2-45 IU / L
- ALT 2-40 IU / L
Kungani i-AST ne-ALT ewusizo?
Ngenxa yokuthi lezi zinkimbinkimbi zitholakala emangqamuzaneni yesibindi (i-hepatocytes), enokuxhumana okuningi ngegazi lakho, i-AST ne-ALT "ingavuza" egazini uma i-hepatocytes ilimazekile.
Ukuhlolwa kwegazi kunganquma izinga lalezi zinkimbinkimbi egazini lakho kanye nodokotela bangasebenzisa lolu lwazi ukusiza ukuthola ukuxilongwa noma ukuhlelwa ukuhlolwa okungeziwe.
Amazinga aphezulu ngokungavamile kokubili ama-enzyme yesibindi abonisa ukuthi amangqamuzana e-isibindi awonakele, kodwa abakwazanga ukutshela ukuthi yini eyabangela umonakalo. Ngenxa yokuthi amazinga e-enzyme akhulayo angabonakala kwezinye izifo ( ukuhlasela kwenhliziyo , ukukhuluphala, isifo sikashukela , i-mononucleosis), ziyingxenye eyodwa kuphela ye-puzzle enkulu. Ukunikeza odokotela umfanekiso ophelele wezokwelapha, amazinga e-enzyme kumele asetshenziswe ngezinye izivivinyo zegazi, ukuhlolwa kwesiguli kanye nomlando wezokwelapha.
Ngenxa yokuthi i-AST itholakala ezindaweni eziningi emzimbeni, amazinga aphezulu e-AST yedwa ayiphakamisi ukugula kwesibindi (okuphawulekayo, kodwa okungajwayelekile, isifo sikaWilson). Noma kunjalo, isilinganiso se-AST kuya ku-ALT, noma izinga le-AST kuqhathaniswa nezinga le-ALT, linikeza izinkomba eziningi kulokho okwenzeka ngaphakathi. Ngokusekelwe kulezi zilinganiso, odokotela bangagxila kulokho uhlobo oluthile lwezifo zesibindi ezingase zibe khona. Nazi ezinye iziqondiso ezivamile ezisetshenziselwa izifo zesibindi:
- I-AST: ALT isilinganiso esilingana nesinye (izinga lika-ALT liphakeme noma lilingana ne-AST), kodwa amazinga aphezulu kakhulu, aphakamisa i-hepatitis ephikisayo yesifo sofuba noma i-hepatitis ehlobene nezidakamizwa.
- I-AST: ALT isilinganiso esiphakeme kune-2: 1 (izikhathi ezimbili izinga le-AST kuya ku-ALT) liphakamisa kakhulu izifo zesibindi sokudakwa.
- I-AST: ALT isilinganiso esiphezulu kuneyodwa (lapho izinga le-AST liphakeme kune-ALT) lingabuye libonise i-cirrhosis kumuntu ongenaso isifo sofuba esibangelwa yi-alcoholic hepatitis.
Funda kabanzi:
Imithombo
- I-Pratt DS, i-Kaplan MM. Ukuhlolwa kweSeben Function. Ku: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), Izimiso zikaHarrison zika-Internal Medicine , 17e. ENew York, eMcGraw-Hill, ngo-2008.