So wo AST dodow kɔ soro wɔ wo mogya ho amanneɛbɔ mu? (AST - Aspartate Transferase) - Momma yɛnhwehwɛ eyi ho asɛm kɛkɛ!

Sɛ wofa mogya mu nhwehwɛmu amanneɛbɔ bi a, nsɛmfua ne Borɔfo nkyerɛwde a ɛwɔ mu no bi ma ehu ka wo kakra, ɛnte saa? Sɛ wuhu nneɛma te sɛ SGOT, AST, ALT a, wususuw sɛ, ‘Dɛn ne eyi?’. Mpɛn pii no, eyinom yɛ nhwehwɛmu a wɔde hwɛ sɛnea yɛn mmerɛbo no te. Enti ɛnnɛ, momma yɛnka nea AST yɛ, dɛn na ɛkyerɛ bere a ne bo kɔ soro, ne sɛ ebia ɛsɛ sɛ wusuro no, tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ankasa ne AST?

Sɛ yɛbɛka no tiawa a, AST a egyina hɔ ma Aspartate Transferase no yɛ enzyme bi a ɛwɔ yɛn nipadua mu. Enzyme yɛ protein soronko bi a ɛboa yɛn nipadua ma ɛyɛ nnuru ahorow ahorow yiye. Saa enzyme a wɔfrɛ no AST yi wɔ mmeae pii wɔ yɛn nipadua mu. Sɛ nhwɛso no, wɔ mmeae te sɛ mmerɛbo, koma, amemene, asaabo, ne ntini.

Susuw ho hwɛ, ɛwom sɛ ɛkame ayɛ sɛ akutu nnua wɔ yɛn man yi mu baabiara de, nanso sɛ yɛka sɛ ‘akutu’ a, ntɛm ara na yedwen mmeae te sɛ Kurunegala ne Puttalam ho, ɛnte saa? Saa na ɛte wɔ enzyme a wɔfrɛ no AST no ho. Ɛwom sɛ wohu wɔ nipadua no mmeae pii de, nanso ɛne yɛn mmerɛbo no wɔ abusuabɔ kɛse . Ɛno nti na nnuruyɛfo de wɔn adwene si AST bo yi so titiriw bere a wɔrehwehwɛ mmerɛbo no akwahosan mu no.

Enti dɛn na AST mogya mu nhwehwɛmu no hwehwɛ?

Sɛ yɛn nipadua mu nkwammoaa sɛe a, AST enzyme a ɛwɔ saa nkwammoaa no mu no tu kɔ mogya no mu. Enti, AST mogya mu nhwehwɛmu kyerɛ AST dodow a ɛwɔ wo mogya mu. Sɛ AST dodow a ɛwɔ wo mogya mu no dɔɔso sen sɛnea ɛte daa a, ɛkyerɛ sɛ nkwammoaa asɛe wɔ nipadua no mu baabi. Mpɛn pii no, saa ɔsɛe yi wɔ mmerɛbo no mu.

Nanso eyi nkutoo ntumi nkyerɛ wo nea yare no yɛ ankasa. Ɛno nti na nnuruyɛfo ntaa mma AST nhwehwɛmu yi nkutoo no. Wɔde ma sɛ sɔhwɛ ahorow a ɛfa mmerɛbo ho (Liver Function Test Panel) anaa nhwehwɛmu ahorow a ɛhwɛ yɛn nipadua akwahosan nyinaa (Comprehensive Metabolic Panel - CMP) no fã.

Nsonsonoe bɛn na ɛda AST ne ALT ntam?

Ebia woahu sɛ ɛka AST ho no, ALT (Alanine transferase) nso wɔ wo mogya ho amanneɛbɔ mu. Wonim eyinom abien nyinaa sɛ mmerɛbo mu enzymes. Nanso nsonsonoe kakra wɔ mu.

Fa no sɛ ALT yɛ oduruyɛfo titiriw a ɔhwɛ mmerɛbo nkutoo. Nanso AST te sɛ obi a ɔhwɛ nipadua no akwaa pii wɔ ɔkwan a ɛkɔ akyiri so. Ɛno kyerɛ sɛ, sɛ ALT bo no dɔɔso a, ɛda adi kɛse sɛ ɔhaw bi wɔ mmerɛbo no ankasa ho . Nanso sɛ AST bo no yɛ kɛse a, ebetumi afi mmerɛbo no nso, anaasɛ ebetumi afi ɔhaw bi a ɛwɔ baabi foforo, te sɛ koma anaa ntini ahorow. Ɛno nti na nnuruyɛfo te saaWɔnam gyinapɛn abien no nyinaa a wɔde toto ho so na ɛba awiei.

Dɛn nti na oduruyɛfo bɛka akyerɛ wo sɛ yɛ AST nhwehwɛmu?

Ebia wo duruyɛfo bɛhyɛ nhwehwɛmu yi esiane nneɛma atitiriw abiɛsa nti.

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

Ɛtɔ mmere bi a, sɛ wunni sɛnkyerɛnne biara mpo a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu yi sɛ wowɔ asiane ahorow a ɛbɛma wo mmerɛbo asɛe a.

• Sɛ woyɛ obi a ɔnom nsa daa a .
• Sɛ obi wɔ w’abusua mu anya mmerɛbo mu yare a.
• Sɛ wowɔ asikreyare a .
• Sɛ nipadua no mu duru yɛ kɛse dodo a (Obesity) .
• Sɛ wode nnade a afoforo de adi dwuma de twitwiw nnubɔne mu a.

2. Hwɛ tebea bi a ɛwɔ hɔ dedaw so (Monitoring) .

Sɛ wowɔ mmerɛbo mu yare bi dedaw a, wɔde nhwehwɛmu yi di dwuma de hwɛ sɛ tebea no retu mpɔn, ɛrekɔ so ayɛ nea ɛte saa ara, anaasɛ ɛreyɛ kɛse bere a wɔsa wo yare no. Wo duruyɛfo nso betumi ahyɛ sɛ ɔnyɛ nhwehwɛmu yi mpɛn pii sɛ worenom nnuru bi a ebetumi aka mmerɛbo no a.

3. Bere a yare no ho sɛnkyerɛnne ahorow ba no a wobehu

Sɛ woreda sɛnkyerɛnne ahorow adi a ɛkyerɛ sɛ wowɔ mmerɛbo mu haw a, nhwehwɛmu yi betumi aboa ma woahu nea ɛde ba.

• Akisikuru ne/anaasɛ ɔfe.
• Yafunu mu yaw.
• Ɛyɛ akisikuru.
• Wora a ɛyɛ kɔkɔɔ ne aniwa fitaa (jaundice) .
• Ɔbrɛ a ɛkɔ so daa.
• Aduan no nyɛ dɛ.

So ɛsɛ sɛ wusiesie wo ho ma wo mogya mu nhwehwɛmu?

Sɛ wo nkutoo reyɛ AST nhwehwɛmu a, mpɛn pii no ɛho nhia sɛ wudi mmuada. Nanso, sɛ woreyɛ sɔhwɛ yi a woreyɛ sɔhwɛ ahorow a ɛtoatoa so te sɛ CMP a, ɛho behia sɛ wudi mmuada bɛyɛ nnɔnhwerew 10-12 (nsu nkutoo na wubetumi anom). Nanso, wo duruyɛfo bɛma wo eyi ho akwankyerɛ a emu da hɔ. Ɛho hia sɛ wudi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ.

Ade foforo a ɛho hia ne sɛ nnuru, vitamin, aduannuru a wɔde ma, ne Ayurvedic nnuru mpo a wonom no betumi aka wo AST dodow. Enti , ɛho hia yiye sɛ wobɛka eyinom nyinaa ho asɛm kyerɛ wo duruyɛfo ansa na woayɛ nhwehwɛmu. Nnyae nnuru biara a wobɛnom kosi sɛ wo duruyɛfo bɛka akyerɛ wo.

Ɔkwan bɛn so na yɛbɛte AST amanneɛbɔ no ase?

Wo mogya mu nhwehwɛmu amanneɛbɔ no bɛkyerɛ wo AST dodow ne dodow a ɛfata ma saa dodow no. Saa bo yi taa yɛ 8 kosi 33 units wɔ lita biara mu (8 kosi 33 U/L). Nanso, saa kwan yi betumi ayɛ soronko kakra wɔ lab biako mu.

Dɛn ne nneɛma a ebetumi ama AST dodow a ɛkɔ soro aba?

Sɛ AST dodow no dɔɔso a, ebetumi ayɛ mmerɛbo mu yare ho sɛnkyerɛnne. Nanso, ɛnyɛ bere nyinaa na efi mmerɛbo no. AST dodow nso betumi ayɛ kɛse esiane nneɛma afoforo nti. Pon a ɛwɔ ase ha no bɛma woanya eyi ho ntease a emu da hɔ.

So ɛsɛ sɛ mehaw me ho wɔ me AST dodow a ɛkɔ soro no ho?

Nte saa koraa.Esiane sɛ wo AST amanneɛbɔ no boro nea ɛfata so kakra nti, ɛnkyerɛ sɛ wowɔ yare a emu yɛ den. Wɔ nnipa a wɔwɔ apɔwmuden mpo mu no, saa bo yi betumi ayɛ nea ɛboro nea ɛfata so kakra esiane nneɛma ahorow nti.

Enti mma wo ho nnpopo esiane sɔhwɛ biako mu aba kɛkɛ nti. Wo duruyɛfo no bɛhwɛ w’amanneɛbɔ afoforo, w’akwahosan ho abakɔsɛm, ne nnuru a wonom na ama woanya nsɛm a edi mu. Sɛ ɛho hia a, obetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu pii bio. Nhwɛsoɔ:

• Mogya mu nhwehwɛmu foforo.
• Scan sɔhwɛ ahorow.
• Ntini ketewaa bi a wogye fi mmerɛbo no mu de yɛ nhwehwɛmu (Biopsy).

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛte sɛ yellow fever anaasɛ w’adwene mu yɛ wo naa wɔ w’amanneɛbɔ no ho a, wo ne wo duruyɛfo nka ho asɛm pefee. Ɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.