Momma yɛnka sɛ wokɔɔ oduruyɛfo nkyɛn kɔhwɛɛ wo daa na wunyaa wo mogya mu nhwehwɛmu aba. Oduruyɛfo a ɔhwɛɛ amanneɛbɔ no kae sɛ, "Wo mmerɛbo mu enzymes no akɔ soro kakra." Wohu sɛ gyinapɛn ahorow a ɛwɔ nkyerɛwde abien ALT ne AST anim wɔ w’amanneɛbɔ no mu no korɔn sen sɛnea ɛte daa. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a eyi asi no. Nanso mma wo ho nnyɛ wo hu. Ɛnnɛ yɛreka tebea bi a wɔfrɛ no ``Transaminitis'', a mmerɛbo mu enzymes kɔ soro ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Transaminitis?
`Transaminitis` nyɛ aduruyɛ mu tebea a emu yɛ den. Ɛkyerɛ sɛ enzymes bi a wɔfrɛ no `transaminases` dodow a ɛwɔ wo mogya mu no akɔ soro kɛse. Enzyme atitiriw abien no ne `Alanine Transaminase (ALT)` ne `Aspartate Transaminase (AST)` .
Fa wo mmerɛbo no sɛ adwumayɛbea kɛse. Saa enzyme ahorow yi ne adwumayɛfo a wɔwɔ saa adwumayɛbea no nkwammoaa mu. Mpɛn pii no, saa adwumayɛfo yi wɔ adwumayɛbea no mu. Nanso sɛ mmerɛbo no wɔ nhyɛso, ɔsɛe, anaa adwennwen bi ase a, mmerɛbo mu nkwammoaa no sɛe na saa adwumayɛfo yi bi tu fi mu, kyerɛ sɛ, ɛkɔ yɛn mogya mu. Yɛde mogya mu nhwehwɛmu amanneɛbɔ susuw enzyme dodow a aboaboa ano wɔ mogya no mu.
Mpɛn pii no, wohu tebea yi ara kwa. Wohu ALT ne AST dodow a ɛkɔ soro bere a wɔreyɛ mogya mu nhwehwɛmu esiane biribi foforo nti. Nanso, wɔ nnipa binom fam no, sɛ wonya sɛnkyerɛnne ahorow te sɛ jaundice, aniwa ne honam ani yɛ kɔkɔɔ, anaasɛ ɛyaw wɔ yafunu no atifi nifa so a, oduruyɛfo no hyɛ sɛ wɔnyɛ nhwehwɛmu yi, titiriw sɛnea ɛbɛyɛ a wɔbɛhwɛ sɛnea mmerɛbo no yɛ adwuma.
So asiane wom sɛ enzyme ahorow yi bɛkɔ soro?
Saa ɔhaw yi yɛ biribi a nnipa pii wɔ. `Transaminitis` ne kɔkɔbɔ a edi kan a ɛkyerɛ sɛ mmerɛbo mu nkwammoaa no asɛe kakra. Ɛte sɛ `check engine` kanea a ɛwɔ kar bi so a ɛrehyerɛn. Ɛka kyerɛ wo sɛ biribi asɛe wɔ kar no ho, na ɛsɛ sɛ wohwehwɛ mu. Na saa ara na eyi te.
Sɛnea eyi mu yɛ den no gyina nea ɛde ba no so .
- Nea ɛde ba bere tiaa bi: Saa enzymes yi betumi akɔ soro bere tiaa bi bere a wɔnom nnuru bi anaasɛ esiane bere tiaa mu ɔyare mmoawa nti. Sɛ nea ɛde ba no fi hɔ wie a, mmerɛbo no ho tɔ no na enzyme dodow no san kɔ sɛnea na ɛte kan no.
- Nea ɛde ba bere tenten: Nanso, sɛ yare bi a enni sabea nti saa ɔsɛe yi kɔ so a, ebetumi ayɛ kɛse bere a bere kɔ so no. Yɛn mmerɛbo no wɔ tumi a ɛyɛ nwonwa a ɛma ɛsa yare, nanso sɛ ɛkɔ so sɛe a, ɛhwere saa tumi no na ebetumi ama yɛanya tebea bi a wɔfrɛ no mmerɛbo a entumi nyɛ adwuma yiye.
Enti, eyi nyɛ nɔma biako pɛ. Ɛyɛ sɛnkyerɛnne a ɛho hia a ɛma wunya w’akwahosan nyinaa ho adwene.
Dɛn ne nneɛma a ebetumi de transaminitis aba?
Ntease pii betumi ama eyi aba. Momma yɛnkyekyɛ mu abien: ntease ahorow a ɛtaa ba ne nea ɛntaa nsi koraa.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nneɛma a Ɛtaa De Ba | |
| Srade Mmerɛbo Yare | Mprempren, ɛyɛ ade a abu so kɛse wɔ Sri Lanka. Ne titiriw no, tebea bi a wɔfrɛ no Metabolic dysfunction-associated steatotic liver disease (MASLD) . Nneɛma a ɛma nipadua no yɛ adwuma te sɛ aduan a wonnya nni, mu duru a ɛkɔ soro, asikreyare, ne srade a ɛdɔɔso na ɛma eyi ba. |
| Nsã a wɔnom boro so (Alcohol-induced Hepatitis) . | Nsã a wɔnom boro so sɛe mmerɛbo no tẽẽ, na ebetumi ama mmerɛbo no asɛe bere tiaa bi anaa bere tenten. |
| Nyarewa a Ɛma Nyarewa (Viral Hepatitis) . | Mmoawa te sɛ hepatitis A, B, C, D, ne E betumi ama mmerɛbo no ho ayɛ hyew. Eyi betumi ama obi anya mmerɛbo mu yare B ne C a enni sabea. |
| Nkɛntɛnso a nnuru de ba (Toxic Hepatitis) . | Nnuru a wɔde kum ɛyaw, nnuru a ɛma mogya mu srade so tew, nnuru a wɔde sa nsamanwaw, ne nnuru afoforo bi betumi aka mmerɛbo no. Oduruyɛfo no hwɛ eyi yiye bere nyinaa. |
| Nneɛma a Ɛnyɛ Nea Ɛtaa De Ba | |
| Nneɛma afoforo nti | Tebea horow te sɛ nipadua no mu tumi a ɛko tia nyarewa (hepatitis a nipadua no tumi ko tia nyarewa), awosu mu nyarewa (hemochromatosis, Wilson yare), komayare, jaundice, thyroid yare, ne mmerɛbo mu kokoram a ɛntaa nsi koraa. |
So ɛkyerɛ biribi titiriw bi sɛ AST korɔn sen ALT a?
Mpɛn pii no, sɛ mmerɛbo no sɛe a, saa enzyme abien yi nyinaa bom kɔ soro. Enzyme ALT no yɛ nea ɛfa mmerɛbo no ho kɛse. Ɛno kyerɛ sɛ wohu no wɔ mmerɛbo mu titiriw. Nanso, wohu enzyme AST no nso wɔ koma ntini, nnompe ntini, ne ntini afoforo mu de ka mmerɛbo no ho.
Enti, sɛ AST bo no boro ALT bo no so kɛse a , oduruyɛfo no besusuw nneɛma afoforo nso ho. Nhwɛsoɔ:
- mmerɛbo mu yare a nsa de ba: Wɔ tebea yi mu no, AST/ALT dodow kɔ soro.
- Cirrhosis: Wobetumi ahu saa su yi bere mpo a yare no kɔ so no.
- Nneɛma a efi mmerɛbo akyi ba: AST dodow nso betumi akɔ soro wɔ nsɛm te sɛ koma mu ntini a ɛma mogya tu anaa ntini a ɛsɛe kɛse (rhabdomyolysis) mu.
Nea ɛho hia sen biara: Eyinom yɛ afotu ara kwa. Mmɔ mmɔden sɛ wubegyina w’amanneɛbɔ so ahu wo ho. Akyinnye biara nni ho sɛ ɛsɛ sɛ wo duruyɛfo na ɔyɛ saa.
Ɔkwan bɛn so na oduruyɛfo no sa eyi?
Nea edi kan koraa no, kae sɛ aduru biara nni hɔ a wɔde sa `Transaminitis` tẽẽ. Efisɛ ɛnyɛ yare, na mmom ɛyɛ sɛnkyerɛnne. Enti, oduruyɛfo no botae titiriw ne sɛ obehu nea ɛde enzymes a ɛkɔ soro no ba na wasa saa ade a ɛde ba no.
Mpɛn pii no, ayaresa kwan no kɔ so sɛ:
1. Aduruyɛ ho abakɔsɛm: Oduruyɛfo no bebisa wo w’asetra kwan (aduan a wudi, apɔw-mu-teɛteɛ, nsa a wonom), nnuru a wonom, ne ayaresa tebea biara a ɛwɔ w’abusua mu ho asɛm.
2. Sɔhwɛ foforo: Wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii de si nea ɛde ba no so dua.
- Tia mogya mu nhwehwɛmu bio.
- Nhwehwɛmu a wɔyɛ de hu hepatitis B ne C mmoawa.
- Yafunu mu ultrasound scan a wɔde yɛ nhwehwɛmu.
- Sɛ ɛho hia a, mogya mu nhwehwɛmu titiriw afoforo.
3. Ayaresa a wɔde ma sɛnea nea ɛde ba no te: Wɔkyerɛ ayaresa bere a wɔahu nea ɛde ba no akyi.
- Mmerɛbo a Srade: Nsakrae a wɔyɛ wɔ asetra mu no yɛ ade titiriw. Aduan pa , apɔw-mu-teɛteɛ daa , ne mu duru a ɛso tew ho hia.
- Sɛ esiane nsa nti a: Ano aduru biako pɛ ne sɛ wubegyae nsa a wɔde di dwuma koraa .
- Sɛ efi aduru bi a: Oduruyɛfo no besi gyinae sɛ ɔbɛsesa aduru no anaasɛ ɔbɛtew dodow a wɔde ma no so.
- Sɛ efi mmoawa bi a: Wobefi ase ayɛ saa mmoawa no ayaresa.
Mpɛn pii no, sɛ wɔsa nea ɛde ba no yiye a, mmerɛbo no a wɔsɛe no no gyae na enzyme dodow no 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 bi mu. Mma wo ho nnpopo bere a wuhu no.
- Ntease pii betumi ama eyi aba. Mmerɛbo a srade wom, nsa a wɔnom, ɔyare mmoawa, ne nnuru bi na ɛtaa de ba.
- Ɛnyɛ enzyme dodow a wɔde sa yare no, na mmom tebea a ɛwɔ ase a ɛmaa ɛkɔɔ soro no.
- Sɛ wuhu sɛ ALT ne AST dodow akɔ soro wɔ wo mogya mu nhwehwɛmu mu a, mmu w’ani ngu so da. Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ afotu ne ayaresa a ɛfata.
- Mpɛn pii no, asetra pa a wogye tom (aduan pa, apɔw-mu-teɛteɛ) boa kɛse ma mmerɛbo akwahosan kɔ so tra hɔ.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn ne Syncope / Fainting?
Eyi nyɛ bere a ɛyɛ nna/mfonoe ara kwa! ‘Syncope’ wɔ aduruyɛ mu yɛ aduruyɛ mu ntɛmpɛ a ɛyɛ hu yiye a esiane biribi a edi awu anaa mpofirim nti, mogya ne mframa pa a ɛkɔ amemene no mu no gyae koraa wɔ sikani kakraa bi mu (Mogya a ɛyera kɔ amemene no mu bere tiaa bi), na ɛma onipa no hwe fam mpofirim (Loss of consciousness/Postural tone collapse) na ɔhwere n’adwene!
💬 Dɛn ne nneɛma titiriw a ɛde syncope/fainting ba bere a obi gyina/nantew?
Nneɛma atitiriw 4 na ɛde eyi ba: 1) ‘Cardiogenic Syncope’ - Sɛ koma no gyae bɔ mpofirim/ɛnya komayare a, koma no ntumi mfa mogya nkɔ amemene no mu, na ɛma obi ntumi nhu hwee! 2) Asikreyare a ɛba fam (wɔ asikreyarefo mu). 3) Vasovagal syncope - Nhumu a ɛyera esiane ntini mu ahodwiriw wɔ ɛyaw a wontumi nnyina ano mu/bere a wohu mogya/ehu a ɛtra so. 4) Akisikuru/Akisikuru.
💬 Sɛ obi totɔ piti a, dɛn ne ‘fatal/emergency situations’ a ɛhia sɛ wɔde no kɔ ayaresabea ntɛm ara, sene sɛ wɔbɛhwie nsuo agu n’anim kɛkɛ na wɔatena fie?
Sɛ wohwe ase na wosɔre wɔ sikani kakraa bi mu/sɛ wohwe ase bere a woada akyi a, bɔ mmɔden sɛ wobɛma nsu/asikre bi. Nanso asiane a ɛsen biara! Ansa na w’adwene bɛyera na woahwe ase no, sɛ wo 1) wo koko mu yɛ wo yaw/koma yare anaasɛ ɛyɛ den sɛ wobɛhome, 2) sɛ wohwe ase a, wo nipadua nyinaa wosow na wo ho popo/ɛyɛ ahuru wɔ w’ano (akisikuru/ɛyɛ fĩ), 3) sɛ wohwe ase na woanka asɛm biara/wowɔ koma mu simma pii a, ɛsɛ sɛ wofrɛ ambulance ntɛm ara na wode wɔn kɔ ayaresabea!
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