A Lee na AST na ALT
Enzymes nke imeju bụ ihe ndị mepụtara imeju nke a ga-atụle site na nyocha ọbara. Ngwurugwu nke enzymes ndị a na-ekesa n'ime ọbara gị na-enye ndị dọkịta aka ịmụta banyere ahụ ike nke imeju gị. E nwere ọtụtụ puku enzymes ndị dị n'ime imeju na ọbara, ma abụọ n'ime ha- aminotransferases AST na ALT-bara uru karịsịa maka ịchọta ajọ mmebi na ọrịa.
Kedu ihe bụ Aminotransferases?
Aminotransferases bụ chemicals imeju na - eji aka mee ka ikpo ume glycogen dị ike. Aspartate aminotransferase, ma ọ bụ AST, dị n'ime imeju, kamakwa ụbụrụ, pancreas, obi, akwara skeletal, akụrụ, na ngụgụ. Alanine aminotransferase, ma ọ bụ ALT, bụ isi n'ime imeju.
Kedu ka Esi Enzymes Na-anwale?
Iji nyochaa AST na ALT, onye dọkịta chọrọ ịhazi ule enzyme, nke na-ejikarị enwe ọtụtụ nlele ọzọ dị ka albumin, bilirubin, na oge prothrombin. Onye na-eji nkà na ụzụ ga-esepụta ọbara gị ma zipụ ya na ụlọ nyocha iji nwalee. A na-ezigara dọkịta gị nsonaazụ ya.
Kedu ihe bụ ọkwa AST na ALT?
Ụdị ọkwa nke AST na ALT dịgasị iche site na mmadụ gaa na onye ma dabere na nkesa ahụ gị (BMI), ma ọ bụ ogo nke ogo gị na ibu. Ntakịrị obere nke AST na ALT na-ejikarị ọbara gị, ya mere, ọ bụ n'ezie nnukwu mmụba na ọkwa gị nke na-egosi nsogbu.
Ndị nwere ọrịa ịba ọcha n'anya nke ukwuu nwere ike inwe ọkwa aminotransferase dị elu karịa 1,000 nkeji ụwa kwa liter nke ọbara (IU / L). Ebe a na-edebekarị laabu maka ụlọ AST na ALT bụ:
- AST 2-45 IU / L
- ALT 2-40 IU / L
Gịnị mere AST na ALT ji baa uru?
Ebe ọ bụ na enzymes ndị a dị n'ime mkpụrụ ndụ imeju (hepatocytes), nke nwere ọtụtụ nmetụta ya na ọbara gị, AST na ALT nwere ike "ịdaba" n'ọbara ma ọ bụrụ na ndị hepatocytes emerụ.
Usoro nyocha ọbara nwere ike ikpebi ọkwa nke enzymes ndị a na ọbara gị na ndị dọkịta nwere ike iji ozi a iji nyere aka chọpụta nyocha ma ọ bụ nyocha ọzọ.
Nnukwu ọkwa dị elu nke enzymes imeju na-egosi na e mebiri mkpụrụ ndụ imeju, mana ha enweghị ike ịkọ ihe mebiri emebi. Ebe ọ bụ na enwere ike ịhụ ọtụtụ mkpụrụ ndụ enzyme na ọrịa ndị ọzọ ( mgbu obi , oke oke, ọrịa shuga , mononucleosis), ha bụ nanị otu n'ime mgbagwoju anya. Iji nye ndị dọkịta foto zuru ezu, ọ ga - eji nyocha enzyme jiri nyocha ọbara ndị ọzọ, nnyocha nyocha, na akụkọ ahụike.
Ebe ọ bụ na AST dị n'ọtụtụ ebe n'ime ahụ, ogo dị elu nke AST n'onwe ya adịghị egosi ọrịa imeju (onye a ma ama, ma ọ bụ obere, ọ bụ ọrịa Wilson). Otú ọ dị, nkezi nke AST na ALT, ma ọ bụ ọkwa nke AST tụnyere ọkwa nke ALT, na-enye ọtụtụ ihe ngosi maka ihe na-eme n'ime. Dabere na ọnụ ọgụgụ ndị a, ndị dọkịta nwere ike ilekwasị anya na ụdị ụdị ọrịa imeju nwere ike ịnọ. Ndị a bụ ụfọdụ ntụziaka ndị a na - ejikarị eme ihe maka ọrịa imeju:
- AST: Ụdị ALT dịka otu (ọkwa ALT dị elu ma ọ bụ hà ka AST), ma ọkwa dị elu, na-atụ aro ọrịa ịba ọcha n'anya ma ọ bụ ịba ọcha n'anya.
- AST: ALT dị elu karịa 2: 1 (ugboro abụọ n'ogo nke AST na ALT) na-adọrọ mmasị nke ọrịa ọrịa imeju.
- AST: ALT dị elu karịa otu (ebe ọkwa AST dị elu karịa ALT) nwekwara ike igosi cirrhosis na onye na-enweghị ịba ọcha n'anya.
GỤKWUO:
Isi ihe
- Pratt DS, Kaplan MM. Nyocha nke Ọrụ Ume. Na: AS Fauci, E Braunwald, DL Kasper, SL Hauser, DL Longo, JL Jameson, J Loscaizo (eds), ụkpụrụ Harrison nke Medicine Internal , 17e. New York, McGraw-Hill, 2008.