Fa no sɛ wɔayɛ wo nhwehwɛmu daa nkyɛe na wo ne wo duruyɛfo atra ase ahwɛ wo mogya ho amanneɛbɔ a aba foforo no mu. Wo duruyɛfo hyɛ no nsow sɛ, "Wo mmerɛbo mu enzymes no akɔ soro kakra." Wohwɛ amanneɛbɔ no na wohu sɛ botaeɛ a ɛwɔ ALT ne AST nkyɛn no korɔn sene standard reference range no. Ɛyɛ awosu koraa sɛ wobɛte dadwen kakra nka bere a wuhu eyi no, nanso mesrɛ wo, mma wo ho nnyɛ wo hu. Ɛnnɛ, yɛrebɛka tebea yi a wɔfrɛ no Transaminitis , a mmerɛbo mu enzyme dodow kɔ soro wɔ aduruyɛ mu no ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Transaminitis?
‘Transaminitis’ nyɛ yareɛ pɔtee bi din, na mmom ɛyɛ ayaresa mu nhwehwɛmu. Ɛkyerɛ sɛ enzymes soronko a wɔfrɛ no ‘transaminases’ dodow a ɛwɔ wo mogya mu no akɔ soro. Enzyme atitiriw abien a wɔsusuw ne Alanine Transaminase (ALT) ne Aspartate Transaminase (AST) .
Fa wo mmerɛbo no sɛ adwumayɛbea kɛse. Saa enzyme ahorow yi te sɛ adwumayɛfo a wɔwɔ adwumayɛbea no nkwammoaa mu no. Mpɛn pii no, saa adwumayɛfo yi tra adwumayɛbea no mu. Nanso, sɛ wo mmerɛbo hyia adwennwen, nhyɛso, anaa ɔsɛe a, ɛka nkwammoaa no, na saa enzymes yi ‘tu’ kɔ wo mogya mu. Mogya ho amanneɛbɔ susuw saa enzymes yi dodow a akɔ wo mogya mu ara kwa.
Mpɛn pii no, wohu tebea yi wɔ akwanhyia mu bere a wɔreyɛ mogya mu nhwehwɛmu esiane nneɛma afoforo nti. Nanso, sɛ wuhu sɛnkyerɛnne ahorow te sɛ jaundice (ani anaa honam ani yɛ kɔkɔɔ) anaasɛ ɛyaw wɔ wo yafunu nifa so atifi a, wo duruyɛfo betumi ahyɛ pɔtee sɛ wɔnyɛ nhwehwɛmu ahorow yi mfa nhwɛ sɛnea wo mmerɛbo no yɛ adwuma.
So mmerɛbo mu enzyme dodow a ɛkɔ soro no yɛ asiane?
Eyi yɛ asɛmmisa a wɔtaa bisa. Transaminitis yɛ kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ wo mmerɛbo mu nkwammoaa asɛe kakra—te sɛ ‘check engine’ kanea a ɛwɔ wo kar dashboard so. Ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ ɛsɛ sɛ wɔhwɛ biribi mu. Sɛnea emu yɛ den no gyina nea ɛde ba no so koraa .
- Nea ɛde ba bere tiaa bi: Nnuru bi anaa ɔyare mmoawa a ɛba bere tiaa bi betumi ama enzyme ahorow yi akɔ soro bere tiaa bi. Sɛ wodi nea ɛde ba no ho dwuma wie a, mmerɛbo no taa sa, na enzyme dodow san kɔ sɛnea na ɛte kan no.
- Nea ɛde ba a enni sabea: Sɛ aduruyɛ mu tebea bi a enni sabea ma nneɛma sɛe ade kɔ so a, bere kɔ so no, ebetumi ayɛ nea emu yɛ den. Bere a mmerɛbo no tumi sa yare a ɛyɛ nwonwa no, sɛ wɔkɔ so ansiw ɔsɛe no ano a, wobetumi ahyɛ saa tumi no so, na ebetumi de nsɛnnennen te sɛ mmerɛbo a entumi nyɛ adwuma yiye aba.
Enti, nea efi mu ba yi nyɛ nɔma bi a ɛwɔ kratafa bi so kɛkɛ; ɛyɛ ade a ɛho hia a ɛkyerɛ sɛ wo duruyɛfo tumi hwehwɛ w’akwahosan nyinaa mu na osiw nsɛm foforo ano.
Dɛn ne nneɛma a ebetumi de Transaminitis aba?
Nneɛma pii wɔ hɔ a ebetumi de eyi aba. Yebetumi akyekyɛ mu ayɛ no nneɛma a ɛtaa de ba ne nea wɔntaa nhu.
| Sɛnti | Nkyerɛkyerɛmu a Ɛnyɛ Den |
|---|---|
| Nneɛma a Ɛtaa De Ba | |
| Srade Mmerɛbo Yare | Mprempren eyi yɛ ade a ɛtaa de ba kɛse. Ne titiriw no, Metabolic dysfunction-associated steatotic liver disease (MASLD) . Mpɛn pii no, nneɛma a ɛma nipadua no yɛ adwuma te sɛ aduan a enye, mu duru a ɛkɔ soro, asikreyare, ne srade a ɛdɔɔso na ɛma ɛba. |
| Hepatitis a nsa de ba | Nsã a wɔnom boro so no sɛe mmerɛbo no tẽẽ, na ɛde mmerɛbo mu nsɛmnsɛm a ɛkɔ so bere tiaa bi anaasɛ enni sabea ba. |
| Hepatitis a ɔyare mmoawa de ba | Mmoawa te sɛ Hepatitis A, B, C, D, ne E betumi ama mmerɛbo mu ayɛ hyew. Nea ɛda nsow ne sɛ, Hepatitis B ne C betumi anya nkɔso akɔ tebea horow a enni sabea a ɛtra hɔ kyɛ mu. |
| Toxic Hepatitis (Aduru a wɔde di dwuma) . | Nnuru bi—a nnuru bi a wɔde kum ɛyaw, nnuru a ɛma mogya mu srade so tew, ne nsamanwaw a wɔde sa yare ka ho—betumi aka mmerɛbo no. Wo duruyɛfo bɛhwɛ eyi yiye bere nyinaa. |
| Nneɛma a Ɛnyɛ Nea Ɛtaa De Ba | |
| Nneɛma Afoforo a Ɛde Ba | Eyinom bi ne nipadua mu ahoɔden a ɛko tia nyarewa ho nsɛm (Autoimmune hepatitis), awo mu tebea horow (Hemochromatosis, Wilson yare), komayare, jaundice, thyroid mu yare, ne, wɔ nsɛm a ɛntaa nsi mu no, mmerɛbo mu kokoram. |
So ɛkyerɛ biribi pɔtee sɛ AST korɔn sen ALT a?
Mpɛn pii no, sɛ wo mmerɛbo apira a, enzyme abien no nyinaa bom sɔre. ALT yɛ mmerɛbo no pɔtee kɛse, efisɛ wohu no wɔ hɔ titiriw. Nanso, ɛnyɛ mmerɛbo mu nko na wohu AST, na mmom koma ntini, nnompe mu ntini, ne ntini afoforo nso mu.
Enti, sɛ wo AST dodow no boro wo ALT dodow so kɛse a , wo duruyɛfo no besusuw nneɛma afoforo ho, te sɛ:
- Mmɛn mu yare a nsa de ba: Saa su yi abu so wɔ ɔsɛe a nsa de ba no mu.
- Cirrhosis: Wobetumi ahu saa su yi nso bere a mmerɛbo mu akuru kɔ so no.
- Nneɛma a ɛnyɛ mmerɛbo mu: AST betumi akɔ soro esiane tebea horow te sɛ komayare (myocardial ischemia) anaa ntini a ɛsɛe kɛse (rhabdomyolysis) nti.
Nea ɛho hia sen biara: Eyinom yɛ nsɛnkyerɛnne nkutoo. Mmɔ mmɔden sɛ wubegyina w’amanneɛbɔ so ahu wo ho. Ɛno yɛ biribi a ɛsɛ sɛ wo duruyɛfo yɛ.
Ɔkwan bɛn so na wo duruyɛfo no bɛsa eyi?
Nea edi kan no, kae sɛ ayaresa pɔtee biara nni hɔ a wɔde sa "transaminitis" ankasa efisɛ ɛnyɛ yare, na mmom ɛyɛ sɛnkyerɛnne. Enti, wo duruyɛfo no botae titiriw ne sɛ obehu nea ɛde ba no na wasa no sɛnea ɛfata.
Mpɛn pii no, ayaresa nhyehyɛe no hwehwɛ sɛ:
1. Aduruyɛ mu Abakɔsɛm: Wo duruyɛfo bebisa w’asetra kwan (aduan a wudi, apɔw-mu-teɛteɛ, nsa a wonom), nnuru a wonom, ne w’abusua akwahosan ho abakɔsɛm.
2. Nhwehwɛmu Foforo: Wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo de si nea ɛde ba no so dua:
- Mogya mu nhwehwɛmu a wɔyɛ no mpɛn pii.
- Nhwehwɛmu a Wɔyɛ de Hwɛ Hepatitis B ne C.
- Yafunu mu ultrasound scan a wɔde yɛ nhwehwɛmu.
- Mogya mu nhwehwɛmu titiriw afoforo sɛ ɛho hia a.
3. Ayaresa a Wɔde Asi N’ani So: Sɛ wohu nea ɛde ba wie a, wɔyɛ ayaresa no sɛnea wɔpɛ:
- Wɔ Fatty Liver fam no: Asetra mu nsakrae yɛ ade titiriw. Aduan pa a wubedi , apɔw-mu-teɛteɛ daa , ne wo mu duru a wobɛhwɛ so ho hia.
- Wɔ nsɛm a ɛfa nsa ho ho: Nsã a wɔbɛtwe wɔn ho koraa ne ano aduru biako pɛ.
- Wɔ nsɛm a ɛfa nnuru ho ho: Wo duruyɛfo betumi ayɛ nsakrae wɔ wo nnuru no mu anaasɛ ɔbɛsesa dodow a wode ma no.
- Wɔ mmoawa a wɔde nyarewa ba ho: Wobefi ase de nnuru a wɔde ko tia mmoawa a wɔde wɔn ani asi so adi dwuma.
Mpɛn pii no, asɛm a ɛda adi no a wɔbɛsa no yiye no ma mmerɛbo no sɛe bio na ɛma enzyme dodow san kɔ sɛnea na ɛte kan no.
Nkrasɛm a Wɔde Kɔ Fie
- Transaminitis (mrɛbo mu enzymes a ɛkɔ soro) yɛ kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ wo mmerɛbo no wɔ adwennwen mu. Mma wo ho nnpopo bere a wuhu eyi no.
- Nneɛma pii nti na ɛte saa, na mmerɛbo a srade wom, nsa a wɔnom, ɔyare mmoawa, ne nnuru na ɛtaa ba.
- Ɛnyɛ enzyme dodow no ankasa na wɔde sa yare, na mmom tebea a ɛwɔ ase a ɛma ɛkɔ soro no.
- Sɛ wuhu sɛ ALT anaa AST dodow akɔ soro wɔ wo mogya ho amanneɛbɔ mu a, mmu w’ani ngu so da. Ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn na ama woanya afotu ne ɔhwɛ a ɛfata.
- Mpɛn pii no, asetra pa a wobɛfa so (aduan pa ne apɔw-mu-teɛteɛ daa) ne ɔkwan a etu mpɔn sen biara a wobɛfa so aboa wo mmerɛbo akwahosan.
👩🏽 ⚕️ Nsɛmmisa a Wɔtaa Bisa (FAQs) .
💬 Dɛn ankasa ne Syncope (fainting)?
Eyi nyɛ nna a obi da anaasɛ ɔte nka sɛ ne ti yɛ hare kɛkɛ. Wɔ aduruyɛ mu no, ‘Syncope’ kyerɛ aduruyɛ mu tebea a ɛho hia a egye ntɛmpɛ a amemene no nya mogya a ɛsen ne oxygen a ɛyera bere tiaa bi mu. Eyi ma n’adwene fi ne ho so mpofirim ne sɛnea obi gyina hɔ (ɔhwe ase), na ebetumi akyerɛ sɛ tebea bi a emu yɛ den bi wɔ ase.
💬 Dɛn ne nneɛma titiriw a ɛma obi ntumi nhu ade mpofirim anaasɛ ɔyɛ syncope?
Nneɛma atitiriw anan na ɛde ba: 1) Cardiogenic Syncope: Koma a ɛbɔ anaa komayare a ɛmma koma no ntumi nkɔ mogya nkɔ amemene no mu. 2) Hypoglycemia a emu yɛ den: Asikre a ɛwɔ mogya mu a ɛso tew a asiane wom, titiriw wɔ ayarefo a wɔwɔ asikreyare mu. 3) Vasovagal Syncope: Ntini a ɛma obi yɛ n’ade wɔ ɛyaw a emu yɛ den, mogya a wohu, anaa nkate fam ahokyere a emu yɛ den ho. 4) Akisikuru anaa Akisikuru.
💬 Bere bɛn na ɛsɛ sɛ mehwehwɛ ayaresa ntɛm ara sen sɛ mɛbɔ mmɔden sɛ mɛsa onipa no yare wɔ fie?
Sɛ obi totɔ piti bere tiaa bi esiane ɔhyew nti na ne ho tɔ no ntɛm a, ebia obehia nsu anaa asikre ara kwa. Nanso, ɛsɛ sɛ wofrɛ 911 anaa wɔn a wɔhwɛ ntɛmpɛ so ntɛm ara sɛ: 1) Wɔn koko mu yɛɛ wɔn yaw, ɛyɛɛ den, anaasɛ ɛyɛɛ den sɛ wɔbɛhome ansa na wɔretotɔ piti a; 2) Wɔdaa sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wɔanya akisikuru adi, te sɛ wosow a wontumi nni so anaasɛ ahurututu wɔ wɔn ano; 3) Wɔtra hɔ a wonnim hwee anaasɛ wɔnyɛ hwee simma pii wɔ asehwe no akyi. Nirogi Lanka tu fo sɛ ɛnsɛ sɛ wɔtwentwɛn wɔn nan ase; fa ayaresabea a wɔhwɛ wɔn a wɔyɛ adwumaden no di kan wɔ nsɛm yi mu.
