Dɛn na wo AST Mogya Amanneɛbɔ kyerɛ? (Aspartate Aminotransferase Test) Momma yɛnkyerɛkyerɛ mu tiawa!

So wɔayɛ wo mogya mu nhwehwɛmu nnansa yi? So wotee ehu nka kakra anaasɛ wohaw wo ho bere a wuhui sɛ AST bo no korɔn kakra sen dodow a ɛfata wɔ amanneɛbɔ no mu no? Anaasɛ oduruyɛfo no kyerɛw wo sɛ wobɛyɛ AST nhwehwɛmu? Nnipa pii ho popo bere a wɔte asɛmfua AST no. Nanso nsuro, ɛyɛ ade a ɛfata. Ɛnnɛ, yɛbɛka biribiara ho asɛm kɔ akyiri, wɔ ɔkwan a wobɛtumi ate aseɛ so, ne ɔkwan a ɛnyɛ den so.

Sɛ yɛbɛka no tiawa a, dɛn ne AST yi?

AST yɛ Aspartate Aminotransferase asɛmfua tiawa . Eyi yɛ enzyme bi a ɛwɔ yɛn nipadua mu, a ɛyɛ protein bi. Wo mmerɛbo titiriw na ɛyɛ saa enzyme yi . Nanso, mmerɛbo akyi no, koma, asaabo, amemene, ne ntini ahorow nso yɛ AST enzyme yi kakraa bi.

Fa no sɛ AST yɛ "odwumayɛni" a ɔte mmerɛbo mu nkwammoaa mu. Mpɛn pii no, saa "adwumayɛfo" yi wɔ mmerɛbo no mu. Nanso ɛyɛ ade a ɛfata sɛ wɔn mu kakraa bi pɛ bɛboaboa ano wɔ mogya no mu. Nanso, sɛ mmerɛbo no sɛe esiane biribi nti, te sɛ bere a ɔfasu bi a ɛwɔ ofie bi mu bubu na emu nneɛma hwie gu a, saa AST "adwumayɛfo" a wɔwɔ mmerɛbo mu nkwammoaa no mu yi pue kɔ mogya no mu pii. Ɛno ne bere a mogya mu nhwehwɛmu kyerɛ sɛ AST dodow akɔ soro.

Nanso kae sɛ AST dodow a ɛkɔ soro no nkyerɛ bere nyinaa sɛ mmerɛbo mu haw bi wɔ hɔ. Efisɛ, sɛnea yɛadi kan aka no, sɛ akwaa afoforo te sɛ koma ne asaabo sɛe a, AST dodow nso betumi akɔ soro. Ɛno nti na nnuruyɛfo taa hyɛ sɛ wɔnyɛ nhwehwɛmu afoforo pii ka AST nhwehwɛmu no ho no.

Nsonsonoe a ɛda AST ne ALT ntam

Sɛ oduruyɛfo yɛ AST nhwehwɛmu a, wɔtaa yɛ ALT (Alanine Transaminase) nhwehwɛmu nso bere koro no ara mu. ALT yɛ enzyme foforo a ɛwɔ mmerɛbo mu. Nanso nea ɛnte sɛ AST no, ALT fa mmerɛbo pɔtee bi ho kɛse . Eyi kyerɛ sɛ sɛ ALT dodow no kɔ soro a, ɛda adi sɛ ɔhaw bi wɔ mmerɛbo no mu.

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

Ebia AST nhwehwɛmu bɛyɛ nipadua mu nneɛma a ɛsakra ho nhyehyɛe a ɛkɔ akyiri a wo duruyɛfo yɛ de hwɛ w’akwahosan nyinaa no fã. Bio nso, wo duruyɛfo betumi ahyɛ sɛ wobɛyɛ nhwehwɛmu yi sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mmerɛbo asɛe a.

Nsɛnkyerɛnne bi a ɛkyerɛ sɛ mmerɛbo asɛe:

• Aniwa anaa honam ani a ɛyɛ kɔkɔɔ (jaundice) .
• Ɔbrɛ ne mmerɛwyɛ a ɛboro so a ntease biara nnim
• Yafunu a ɛho ayɛ kurukuruwa anaasɛ ɛho ahonhon
• Akisikuru ne ɔfe
• Yafunu mu yaw
• Anorexia a ɛma obi nya aduan
• Wora a ɛyɛ wo yaw
• Nsu a ɛyɛ tuntum (te sɛ tii kɔla) .
• Nsu a ɛyɛ kɔla a ɛyɛ hann (te sɛ fitaa) .
• Nan ne nansoaa a ɛho ahonhon
• Wora a ɛyɛ mmerɛw sɛ ɛbɛpira bere a woapira kakra mpo akyi

Sɛ wunni saa sɛnkyerɛnne ahorow yi mpo a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo sɛ asiane kɛse wom sɛ wubenya mmerɛbo mu yare a.

Wote gyinapɛn ahorow a ɛwɔ AST amanneɛbɔ no mu ase dɛn?

Mpɛn pii no, wubenya amanneɛbɔ no wɔ da koro anaa nnanu ntam. Wɔkyerɛw gyinapɛn ahorow no wɔ units wɔ lita biara mu (units/L).

AST dodow a ɛfata

"Normal range" biako biara nni hɔ a ɛyɛ adwuma ma obiara. Saa bo yi betumi ayɛ soronko a egyina lab a ɛsɔ wo mogya hwɛ, wo mfe, wo mu duru, ne bɔbeasu so. Nanso mpɛn pii no, wobu bo a ɛyɛ 8 kosi 33 units/L sɛ ɛyɛ ade a ɛfata. Nanso range a ɛfata wɔ w’amanneɛbɔ no so ne nea ɛho hia wo.

AST dodow a ɛkɔ soro (AST a ɛkorɔn) .

Nneɛma pii betumi ayɛ nea enti a AST dodow kɔ soro sen sɛnea ɛte daa.

• Nneɛma a ɛde mmerɛbo ba:
• mmerɛbo mu yare a nsa de ba
• Mmerɛbo mu yare a srade wom (MASLD) .
• Hepatitis a enni sabea
• Mmerɛbo a ɛyɛ den anaasɛ ɛyɛ akuru (Cirrhosis) .
• Mogya a ɛkɔ mmerɛbo no mu a ɛso tew (Liver ischemia) .
• mmerɛbo mu kokoram
• Nneɛma afoforo a ɛde ba a ɛne mmerɛbo no nni abusuabɔ:
• Koma mu yare
• Ntini a ɛsɛe (sɛ nhwɛso no, bere a wɔateɛteɛ wɔn apɔw mu denneennen akyi) .
• Nyinsɛn a wɔde di dwuma
• Pancreatitis a ɛyɛ yare
• Nyarewa bi a efi mmoawa mu, te sɛ mononucleosis
• Nnuru bi

Wobetumi ahu AST dodow a ɛkɔ soro yiye (ɛboro 500 units/L) wɔ tebea horow te sɛ ɔyare mmoawa hepatitis a emu yɛ den, mmerɛbo a ɛsɛe kɛse a nnuru anaa awuduru de ba mu.

AST dodow a ɛba fam (AST a ɛba fam) .

AST dodow a ɛba fam taa yɛ ade pa. Nanso, wɔ nsɛm a ɛntaa nsi mu, te sɛ vitamin B6 a enni nipadua no mu no, AST dodow nso betumi ayɛ ketewaa. Eyi nyɛ biribi a ɛsɛ sɛ wohaw wo ho, wo duruyɛfo bɛkyerɛkyerɛ mu akyerɛ wo.

So wobetumi atew AST dodow so?

Yiw, akyinnye biara nni ho sɛ ebetumi aba! Wubetumi de wo AST dodow asan aba sɛnea na ɛte kan no denam wo duruyɛfo a wo ne no bɛkasa na wate nea ɛde wo AST dodow a ɛkɔ soro no ba no ase na woayɛ nneɛma a ɛfata no so.

• Sɛ woyɛ kɛse mmoroso a, tew wo mu duru so.
• Gyae nsa nom koraa anaa tew so kɛse.
• Fa aduan a ahoɔden wom di dwuma. Tew nnuan a srade, asikre, ne esiam wom a wudi so na di nhabannuru, nnuaba, ne nhabannuru pii.
• Yɛ apɔw-mu-teɛteɛ daa. Sɛ obi nantew simma 30 pɛ da biara mpo a, ebetumi aboa.

Yɛn mmerɛbo yɛ akwaa a ɛyɛ nwonwa. Gye sɛ anya tebea a emu yɛ den te sɛ akisikuru, sɛ yeyi nea ɛde mmerɛbo no sɛe no fi hɔ a, ɛwɔ tumi a ɛyɛ nwonwa a ɛde sa ne ho yare . Enti, ɛho hia yiye sɛ wuhu tebea yi ntɛm na wɔyɛ nneɛma a ɛfata.