So wo ALT amanneɛbɔ no dɔɔso? Momma yensua ALT (Alanine Transaminase) ho ade wɔ ɔkwan a ɛnyɛ den so!

Sɛ woyɛ mogya mu nhwehwɛmu a, ebia woahu sɛ ɛwɔ ALT anaa SGPT bo. Ebia oduruyɛfo no aka akyerɛ wo sɛ saa bo yi korɔn kakra na ɛsɛ sɛ wohwɛ yiye kakra wɔ wo mmerɛbo ho. Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen kakra nka bere a wote saa no. Enti dɛn ne ALT yi? Dɛn nti na ɛho hia yɛn nipadua saa? Nsuro, momma yɛnka eyinom nyinaa ho asɛm tiawa na emu nna hɔ.

Sɛ yɛbɛka no tiawa a, dɛn ne ALT?

Alanine Transaminase (ALT) yɛ enzyme bi a ɛwɔ yɛn nipadua mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛte sɛ odwumayɛni ketewaa bi a ɔwɔ yɛn nkwammoaa mu. N’adwuma titiriw ne mmerɛbo no mu . Nanso, mmerɛbo akyi no, saa ALT enzyme yi nso wɔ hɔ kakraa bi wɔ mmeae afoforo.

Enzyme yɛ protein bi a ɛboa nneɛma ahorow a ɛkɔ so wɔ yɛn nipadua mu. Sɛnea wohia spark plug na ama kar afi ase no, saa ara na nipadua no hia saa aboafo a wɔfrɛ no enzymes yi na ama ayɛ nneɛma bi.

Enti dɛn na ALT mogya mu nhwehwɛmu no yɛ?

ALT mogya mu nhwehwɛmu kyerɛ ALT dodow a ɛwɔ wo mogya mu. Fa mmerɛbo no sɛ ofie, na ALT sɛ adwumayɛfo a wɔwɔ saa fie no mu. Sɛ ofie yi afasu sɛe ɔkwan biara so a, adwumayɛfo a wɔwɔ mu no tu fi mu (i.e. kɔ mogya no mu).

Eyi kyerɛ sɛ sɛ wo mmerɛbo mu nkwammoaa sɛe a, ALT enzyme a ɛwɔ saa nkwammoaa no mu no fi adi kɔ mogya no mu. Eyi ma ALT dodow kɔ soro wɔ mogya mu nhwehwɛmu mu. Eyi nti na nnuruyɛfo de nhwehwɛmu yi di dwuma de nya wo mmerɛbo akwahosan ho adwene no.

Mpɛn pii no, wɔn ankasa nyɛ ALT sɔhwɛ no. Wɔyɛ no sɛ mmerɛbo mu enzyme panel (LFT) anaasɛ comprehensive metabolic panel (CMP) fã.

Wɔde din afoforo pii nso frɛ ALT sɔhwɛ no:

• Alanine Aminotransferase a wɔde yɛ aduru
• SGPT (Serum Glutamic-Pyruvic Transaminase) a wɔde di dwuma wɔ aduruyɛ mu.
• GPT

Nsonsonoe bɛn na ɛda ALT ne AST ntam?

Ebia woahyɛ no nsow sɛ ɛka ALT ho no, wɔakyerɛw botae foforo a wɔfrɛ no AST nso wɔ w’amanneɛbɔ no mu. AST (Aspartate Transaminase) yɛ enzyme foforo te sɛ ALT. Eyinom abien nyinaa betumi aboaboa ano wɔ mogya no mu bere a nkwammoaa asɛe no.

Nanso nsonsonoe titiriw bi wɔ ha. ALT wɔ mmerɛbo mu titiriw. Nanso wohu enzyme AST no nso dodow a ɛho hia wɔ koma, nnompe ntini, ne dwensɔtwaa mu, de ka mmerɛbo no ho.

Enti, sɛ yɛreka mmerɛbo akwahosan ho asɛm a, yebu ALT sɛ ɛyɛ nea ɛfa mmerɛbo no ho pɔtee sen AST. Nanso, nnuruyɛfo bom hwɛ gyinapɛn ahorow yi nyinaa ne nea efi sɔhwɛ afoforo mu ba no de si gyinae a edi mu.

Dɛn nti na wɔreka akyerɛ wo sɛ yɛ ALT sɔhwɛ?

Nneɛma atitiriw abiɛsa nti na ebia oduruyɛfo bɛka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu, a ALT nhwehwɛmu ka ho.

1. Nhwehwɛmu a wɔbɛyɛ ansa na sɛnkyerɛnne ahorow no ada adi

Ɛtɔ mmere bi a, ebia worennya yare no ho sɛnkyerɛnne biara. Nanso nhwehwɛmu yi betumi aboa wo ma woahu sɛ ebia wo ho bɛtɔ wo sɛ wubenya mmerɛbo mu yare daakye anaa. Ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ sɛ wowɔ asiane ahorow a edidi so yi mu biara a:

• Nsã a wɔnom boro so.
• Sɛ́ obi wɔ abusua abakɔsɛm a ɛkyerɛ sɛ ɔwɔ mmerɛbo mu yare.
• Asikreyare a obi wɔ.
• Obolo .
• Nnuru a wɔde twitwiw nipadua mu denam nnade a wɔde kyɛ afoforo so.

2. Sɛ wɔbɛhwɛ ayaresa tebea bi so (Monitoring) .

Sɛ wowɔ mmerɛbo mu yare bi dedaw a, wɔyɛ nhwehwɛmu yi daa de hwɛ sɛ ebia ɛreyɛ yiye, ɛreyɛ kɛse, anaasɛ ɛrekɔ so ayɛ saa ara bere a wɔde sa yare no. Wɔyɛ no nso de hwɛ sɛ mmerɛbo no resɛe bere a wonom nnuru bi a ebetumi aka mmerɛbo no anaa.

3. Sɛnea ɛbɛyɛ a wɔbɛboa ma wɔahu yare bi (Diagnosing) .

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wowɔ mmerɛbo mu haw a, nhwehwɛmu yi ho hia yiye na ama woahu nea ɛde ba. Ɛwom sɛ ALT dodow nkutoo ntumi nhu yare bi de, nanso ɛyɛ ade titiriw wɔ ɔkwan a wɔfa so hu yare no mu.

So ahosiesie bi wɔ hɔ a ɛho hia ansa na wɔayɛ mogya mu nhwehwɛmu yi?

Sɛ wɔreyɛ wo ALT sɔhwɛ no sɛ sɔhwɛ ahorow a edi mũ te sɛ CMP no fã a, wobetumi aka akyerɛ wo sɛ mmuada bɛyɛ nnɔnhwerew 10-12 . Mmuadadi kyerɛ sɛ ɛnsɛ sɛ wodi anaa wɔnnom biribiara gye nsu.

Nanso, sɛ woreyɛ ALT nhwehwɛmu nkutoo a, mpɛn pii no ɛho nhia sɛ wudi mmuada. Nanso, ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

Bio nso, ɛho hia yiye sɛ woka nnuru, vitamin, anaa nnuru a wɔde ka ho a worenom ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi aka ALT dodow. Gyae nnuru biara a wobɛnom ansa na woayɛ nhwehwɛmu no gye sɛ wo duruyɛfo ka kyerɛ wo. Nnyae nnuru biara a wobɛnom da a wunnya wo duruyɛfo afotu.

Esiane sɛ apɔw-mu-teɛteɛ a emu yɛ den nso betumi aka ALT dodow nti, sɛ wotaa de wo ho hyɛ apɔw-mu-teɛteɛ a emu yɛ den mu a, di kan ka ho asɛm kyerɛ wo duruyɛfo.

Sɛ wɔtwe mogya a, dɛn na ɛba?

Mpɛn pii no, ɔkwan a wɔfa so de mogya ma no yɛ mmerɛw yiye.

• Wɔbɛtena akongua bi so, na ɔyarehwɛfo anaa oduruyɛfo bi behu ntini bi a ɛfata wɔ wo basa mu a wobɛtwe mogya afi mu. Mpɛn pii no, wɔpaw ntini bi wɔ nsateaa no mu.
• Afei tew beae no yiye na fa aduru a ekum mmoawa gu so.
• Wɔde ade ketewaa bi hyɛ ntini bi mu na wogye mogya. Saa bere yi de, ebia ɛbɛyɛ te sɛ nea ntɛtea ketewaa bi rewe wo.
• Sɛ wɔde ade no hyɛ mu wie a, wɔboaboa mogya dodow a wɔhwehwɛ no ano wɔ afiri bi a wɔde yɛ nhwehwɛmu mu.
• Sɛ wɔtwe mogya no wie a, woyi afiri no na wɔde kotoku asinasin bi gu mu na wɔmia na ama mogya no agyae.
• Fa plaster gu beae hɔ kɛkɛ na woawie. Ɛnsɛ sɛ adeyɛ no nyinaa gye boro simma anum.

Dɛn ankasa na ALT gyinapɛn ahorow kyerɛ?

Sɛ wunya wo mogya mu nhwehwɛmu amanneɛbɔ a, nsɛm pii wom. Ɛtaa ka sɛ:

• Nhwehwɛmu a wɔyɛe no din (e.g. Alanine Transaminase - ALT).
• Wo nea efi mu ba (wo mogya dodow).
• Ɛno ne kwan a ɛfata ma sɔhwɛ no.
• Sɛ́ ebia nea efi mu ba no yɛ nea ɛfata anaasɛ ɛnyɛ nea ɛfata (ɛkɔ soro anaasɛ ɛba fam).

Dɛn ne ALT bo a ɛfata?

ALT dodow a ɛfata no betumi ayɛ soronko kakra wɔ lab biako mu akɔ foforo mu. Botae a wogye tom wɔ baabiara no yɛ 7 kosi 56 units wɔ lita biara mu (7 kosi 56 U/L). Mpɛn pii no, mmarima ALT dodow kɔ soro kakra sen mmea de.

Dɛn na ALT dodow a ɛkɔ soro kyerɛ?

ALT dodow a ɛkɔ soro wɔ mogya no mu no kyerɛ sɛ ebia mmerɛbo mu nkwammoaa no asɛe anaasɛ ɛnyɛ adwuma yiye. Nneɛma a ɛde ALT dodow a ɛkɔ soro ba no bi ne:

• Mmerɛbo a nsa asɛe no.
• Srade Mmerɛbo Yare.
• Hepatitis ( mmerɛbo mu yare).
• Cirrhosis (mmebo no mu akuru).
• Nnuru bi a epira (awuduru) ma mmerɛbo no a wɔde di dwuma.
• mmerɛbo mu akisikuru anaa mmerɛbo mu kokoram.
• Mogya a ɛkɔ mmerɛbo no mu a ɛso tew (Liver Ischemia).
• Dade a ɛboro so wɔ nipadua no mu (Hemochromatosis).
• Nyarewa bi te sɛ mononucleosis.
• Awosu mu tebea horow bi a ɛka mmerɛbo no.

Nanso kae sɛ ɛnyɛ mmerɛbo mu nko na wohu ALT, enti ɛntaa mma koraa sɛ sɛ nkwammoaa asɛe wɔ mmeae afoforo mpo a, ALT dodow betumi akɔ soro.

Dɛn na ALT dodow a ɛba fam kyerɛ?

Ɛntaa mma koraa sɛ wubehu ALT dodow a ɛba fam sen sɛnea ɛte daa. Na mpɛn pii no ɛnyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho. Nanso, wɔ tebea horow bi mu no, ALT dodow betumi akɔ fam esiane vitamin B6 a enni nipadua mu anaasɛ asaabo mu yare a enni sabea nti. Sɛ nea efi mu ba no sua a, ebia wo duruyɛfo no bɛyɛ nhwehwɛmu foforo de ahu sɛ ebia biribi wɔ hɔ a ɛde ba anaa.

So nneɛma afoforo wɔ hɔ a ebetumi aka nsakrae a ɛba ALT dodow mu no?

Aane. Wɔ ayaresa tebea horow akyi no, nneɛma afoforo pii wɔ hɔ a ebetumi aka wo ALT dodow. Wo duruyɛfo besusuw eyinom nyinaa ho bere a ɔreyɛ nea efi mu ba no mu nhwehwɛmu no.

Sɛ wunya nea ɛyɛ soronko a, dɛn na woyɛ akyi?

Sɛ wo ALT dodow no nyɛ nea ɛfata a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii bio na ama woahu nea ɛde ba.

• Tia ALT sɔhwɛ no mu bio.
• Mogya mu nhwehwɛmu afoforo.
• Scan ahorow te sɛ ultrasound.
• Ntini ketewaa bi a wogye fi mmerɛbo no mu de yɛ nhwehwɛmu (Biopsy).

Sɛ wo ALT dodow kɔ soro yiye anaasɛ wowɔ mmerɛbo mu yare ho sɛnkyerɛnne a, ɛsɛ sɛ woyɛ nhwehwɛmu foforo yi ntɛm ara.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wunya mmerɛbo a asɛe ho sɛnkyerɛnne te sɛ jaundice (honam ani yɛ kɔkɔɔ) anaa yafunu mu yaw a, kɔ wo duruyɛfo nkyɛn ntɛm ara.

Sɛ wɔahu sɛ wowɔ mmerɛbo mu yare dedaw na sɛnkyerɛnne foforo ba a, kɔ wo duruyɛfo nkyɛn.

Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ wo ALT aba ho a, nsuro da sɛ wubebisa wo duruyɛfo no ho asɛm.