Aw ka sugunɛ bɛ cogo di? An ka kuma Sugunɛ baarakɛcogo sɛgɛsɛgɛliw (LFT) kan!

Sugunɛ ye farikolo yɔrɔ ye min nafa ka bon kosɛbɛ an farikolo la, tiɲɛ tɛ? A bɛ iko izini fitinin dɔ an farikolo la. O la, joli sɛgɛsɛgɛli kɛrɛnkɛrɛnnenw bɛ yen minnu bɛ kɛ walasa ka a dɔn ni nin izini in bɛ baara kɛ ka ɲɛ walima ni a tɛ baara kɛ ka ɲɛ. An bɛ o de wele ko ‘sugunɛ baarakɛcogo sɛgɛsɛgɛli’ walima sugunɛ baarakɛcogo sɛgɛsɛgɛli (LFT) . O bɛ se ka kunnafoni nafama caman di an ka dɔgɔtɔrɔw ma aw ka sugunɛ kɛnɛya kan.

Mun na nin sugunɛ kɛcogo sɛgɛsɛgɛliw (LFT) bɛ kɛ?

Okey, sisan n’a sɔrɔ i b’i yɛrɛ ɲininka ko: ‘Mun na nin LFT in bɛ kɛ?’ Kun caman bɛ se ka sɔrɔ o la.

Aw ka dɔgɔtɔrɔ bɛ se ka a lajɛ ni sugunɛbana dɔ bɛ aw la, i n’a fɔ sugunɛbilenni, aw bɛ siga min na. Walima, ni sugunɛbana bɛ aw la kaban, nin sɛgɛsɛgɛli in bɛ se ka aw dɛmɛ ka a dɔn a taara ɲɛ cogo min na, walima ni furakɛli bɛ ka ɲɛ. Fɛn wɛrɛ ye ko fura dɔw bɛ se ka nɔ bila sugunɛ na. Ni aw bɛ o fura suguw ta, nin LFT ninnu fana bɛ kɛ ka a kɔlɔsi ni u bɛ nɔ bila aw ka sugunɛ na.

Sugunɛ baara sɛgɛsɛgɛli suguya jɔnjɔnw ye jumɛnw ye?

N’an y’a fɔ cogo nɔgɔman na, nin LFT sɛgɛsɛgɛli in bɛ fɛn caman suman ka bɔ i joli la. Hali ni joli kelen kɛra, a bɛ se ka kunnafoni di anzimu ni farikolojɔlifɛn suguya caman kan minnu bɛ sɔrɔ sugunɛ fɛ. An k’a lajɛ fɛn kolomaw bɛ suman cogo min na?

Sugunɛbilenni anzimu sɛgɛsɛgɛli

Nin sɛgɛsɛgɛli in bɛ anzimu suguya caman lajɛ aw ka sugunɛ na. Misali la, anzimu minnu bɛ i n’a fɔ alkaline phosphatase (ALP) , alanine transaminase (ALT) , aspartate aminotransferase (AST) , ani gamma-glutamyl transferase (GGT) olu de ye olu fanba ye. Ni tiɲɛni walima jogin dɔ kɛra sugunɛ na, o fɛnɲɛnamafagalan ninnu hakɛ bɛ caya joli la.

Protéines totales sɛgɛsɛgɛli

O bɛ farikolojɔli dumuni hakɛ jateminɛ aw joli la. Yala i tun b’a dɔn wa? An farikolo mago bɛ farikolojɔlifɛn minnu na, olu bɛ sɔrɔ sugunɛ fɛ. O la, ni farikolojɔli dumuniw hakɛ ka dɔgɔn, o bɛ se ka kɛ ko sugunɛ tɛ baara kɛ ka ɲɛ.

Bilirubini sɛgɛsɛgɛli

Bilirubin ye fɛn tiɲɛnen ye. Sugunɛ b’a ci ka taa ɲɛgɛnɛsira la. Ni dɔ farala a hakɛ kan, o kɔrɔ ye ko fɛn dɔ bɛ se ka kɛ sugunɛ na.

LDH sɛgɛsɛgɛli

Lactate Dehydrogenase (LDH) fana ye anzimu ye. A bɛ sɔrɔ farikolo yɔrɔ caman na, sugunɛ fana sen bɛ o la. A hakɛ fana bɛ fɛn dɔ Fɔ sugunɛ kɛnɛyako kan.

Prothrombin Time (PT) sɛgɛsɛgɛli

Nin sɛgɛsɛgɛli in bɛ waati hakɛ jateminɛ walasa aw ka joli tacogo ka se ka kuru. Sugunɛ fana bɛ farikolojɔli dumuniw dilan minnu ka kan ka kɛ joli kuruli kama. O la ni a bɛ waati jan ta, o fana bɛ se ka kɛ sababu ye ka fanga dɔgɔya dɔw jira sugunɛ baara la.

I n’a fɔ nin sɛgɛsɛgɛli ninnu bɛɛ, tuma dɔw la, u bɛ don joli sɛgɛsɛgɛli foroko dɔ kɔnɔ min bɛ wele ko Comprehensive Metabolic Panel, o bɛ kɛ tuma caman na.

An bɛ se ka mun kalan o kɔrɔbɔliw la?

Miiri nin LFT ka kunnafoni in na i n’a fɔ detekti maana. Aw ka dɔgɔtɔrɔ bɛ se ka caman fɔ aw ye ni a ye nafaw ni hakɛ danfaralenw lajɛ a kɔnɔ. I n'a fo:

• Yala sugunɛbilenni bɛ aw la, o ye sugunɛbilenni ye wa?
• Ni o funu sugu bɛ yen, yala a bɛ sɔrɔ dɔlɔmin fɛ, walima a bɛ bɔ farikolojɔli sababu wɛrɛ la wa?
• Gɛlɛya bɛ sugunɛ yɛrɛ de la, walima joli siraw de la?
• Yala sugunɛ baara bɛ tiɲɛ wa? N’o don, fo ka se hakɛ jumɛn ma?
• Yala balili bɛ bile bɔli la wa? N’o don, a bɛ cogo di?
• Aw bɛ fura minnu ta, yala olu dɔ ye nɔ bila aw ka sugunɛ na wa? N’o don, fo ka se hakɛ jumɛn ma?

O LFTw bɛ taamasiyɛnw di fɛn caman kan.

Nin sugunɛ sɛgɛsɛgɛliw (LFT) bɛ kɛ cogo di?

A ka nɔgɔn kosɛbɛ. Joli dɔɔni bɛ ta ka bɔ aw bolokɔni jolisira dɔ la. O kɔ, a bɛ ci laboratuwari dɔ la ka sɛgɛsɛgɛli kɛ. O yɔrɔ la, u b’a lajɛ ni fɛn suguya caman hakɛ bɛ caya walima ni a dɔgɔyara cogo la min tɛ bɛn. Tuma caman na, u bɛ anzimu walima farikolojɔlifɛn suguya caman hakɛ fana suma ɲɔgɔn na. Parce que (bari) n’o balansi bε Yεlεma, a ka nɔgɔn k’a Faamu ko fɛn dɔ bɛ sugunɛ na.

Mun bɛ kɛ kɔrɔbɔli waati la?

Aw bɛ se ka nin sɛgɛsɛgɛli in kɛ dɔgɔtɔrɔso la walima laboratuwari kɛrɛnkɛrɛnnen dɔ la. Fɛɛrɛtigi bɛna fɔlɔ ka jolisira bɛnnen dɔ sugandi aw bolokɔni na ka a yɔrɔ saniya. U bɛ se fana ka degun dɔ kɛ bolokɔni sanfɛla la walasa ka jolisira dɛmɛ ka bɔ kɛnɛ kan ka ɲɛ. O kɔ, pikirijikɛlan fitini dɔ bɛ don jolisira la ka joli hakɛ wajibiyalen lajɛ pikirijikɛlan fitinin dɔ kɔnɔ. O bɛ miniti damadɔ dɔrɔn de ta, a tɛ mɛn. Aw kana aw hakili ɲagami, a bɛna kɛ i n’a fɔ wuludennin dɔ bɛ ka aw kin, o dɔrɔn de don.

Kɔrɔbɔli kɔfɛ wa?

Joli bɔlen kɔfɛ, a bɛ ci laboratuwari dɔ la walasa ka a sɛgɛsɛgɛ. Ni laboratuwari bɛ dɔgɔtɔrɔso walima baarada kelen na, a jaabiw bɛ se ka sɔrɔ joona. U bɛ se ka sɔrɔ lɛri damadɔ kɔnɔ walima hali tile damadɔ kɔnɔ. Ni aw ma fasa joli dilen kɔfɛ, aw bɛ se ka taa so, ka aw ka furaw ta minnu bɛ kɛ tuma bɛɛ, ka dumuni dɔɔni walima minfɛn dɔ min.

Fɛn min bɛ ne ka LFT rapɔɔri kɔnɔ, ne bɛ se k’o faamu cogo di?

Ni i ye i ka LFT rapɔɔri sɔrɔ, i bɛna nafaw ye fɛn suguya caman na. Aw bɛ se k’u suma ni normal range ye k’a lajɛ ni aw ka nafaw ka bon walima ni u ka dɔgɔ. Nka, o jatedenw kɔrɔ ye mun ye tiɲɛ na?A bɛ dɔnniya dɔɔnin de wajibiya walasa k’o faamu. O la, aw ka dɔgɔtɔrɔ bɛna o nɔw ɲɛfɔ aw ye ani ka aw kalan u kalancogo la. Aw kana desizɔnbaw ta abada ka da nin jaabi ninnu dɔrɔn kan, o tɛ wa? A ka fisa ka kuma dɔgɔtɔrɔ dɔ fɛ.

"Min nafa ka bon, o ye ko LFT ka rapɔɔri ye puzzle yɔrɔ kelen dɔrɔn ye. Dɔgɔtɔrɔ bɛ se ka mago don kunnafoni wɛrɛw la walasa ka ja dafalen ye."

Sugunɛ sɛgɛsɛgɛli hakɛ bɛnnenw ye jumɛnw ye? (LFTw ka normal ranges ye mun ye?)

O fana nafa ka bon. Normal ranges bɛ se ka ɲɔgɔn ta mɔgɔ kelen-kelen bɛɛ la. O kɔrɔ ye ko nin nafa ninnu bɛ se ka ɲɔgɔn ta dɔɔni ka kɛɲɛ ni fɛnw ye i n’a fɔ cɛya ni musoya, farikolo hakɛ, ani hali laboratuwari ni laboratuwari. O la, aw ka kan k’aw ka nafaw suma ni ‘yɔrɔ nɔgɔman’ ye min sɛbɛnnen bɛ aw ka jatebɔsɛbɛn kan.

Nka, nafa camanba dɔw filɛ nin ye (o ye kunnafoni caman dɔrɔn de kama , aw ye ‘Normal Range’ kɛrɛnkɛrɛnnen lajɛ aw ka kunnafoni kan):

• Alanine Transaminase (ALT): 0 fo 45 UI/L (Duniɲa kɔnɔ hakɛw litiri kelen kɔnɔ) .
• Aspartate aminotransferase (AST): 0 fo 35 UI/L
• Fosifatazi alkalini (ALP): 30 fo 120 UI/L
• Gama-glutamyl transferase (GGT): 0 fo 30 UI/L
• Bilirubini : mikromoli 2 fo 17/L (mikɔrɔmoli litiri kelen kɔnɔ) .
• Prothrombine waati (PT): sekɔndi 10,9 fo 12,5
• Albumini : garamu 40 fo garamu 60/L (garamu litiri kelen kɔnɔ) .
• Farikolojɔli dumuniw bɛɛ lajɛlen : garamu 6,3 fo 8,0/dL (garamu desilitiri kelen kɔnɔ) .

AST ni ALT camanba kɔrɔ ye mun ye?

Ni anzimu AST ni ALT hakɛ cayara, a ka ca a la, tiɲɛni dɔw bɛ sugunɛ na. Ni sugunɛ bɛ degun na, o anzimu ninnu de ka teli ka bɔ joli la. Ni u fila bɛɛ kɔrɔtara ɲɔgɔn fɛ, a ka ca a la sugunɛ tiɲɛna sababu wɛrɛ fɛ min tɛ dɔlɔ ye (misali la, banakisɛ, baga wɛrɛ). Nka ni AST hakɛ ka ca ni ALT hakɛ ye siɲɛ fila ɲɔgɔn, o bɛ a jira tuma caman na ko sugunɛ tiɲɛni min bɛ sɔrɔ dɔlɔ fɛ. Nka, ninnu ye hakilinaw dɔrɔn de ye, wa dɔgɔtɔrɔ de ka kan ka kɛ mɔgɔ ye min ka kan k’a fɔ tiɲɛ na.

Sugunɛ baarakɛcogo sɛgɛsɛgɛli (LFT) bɛ se ka bana suguya jumɛnw dɛmɛ ka u sɛgɛsɛgɛ?

Nin joli sɛgɛsɛgɛli ninnu dɔrɔn tɛ se ka sugunɛbana suguya min bɛ aw la, o dɔn tiɲɛ na. Nka, u bɛ se ka dɔgɔtɔrɔ dɛmɛ a ka bana wɛrɛw bɔ a la. Aw bɛ se ka sɛgɛsɛgɛli wɛrɛw kɛ walasa ka bana sɛgɛsɛgɛli laban kɛ. Misali la, ja sɛgɛsɛgɛliw, sugunɛbilenni, walima aw ka sugunɛ yɔrɔ fitinin dɔ biyopisi.Walima fɛnw i n’a fɔ joli sɛgɛsɛgɛli walasa ka banakisɛ kɛrɛnkɛrɛnnenw dɔn.

Nin LFT ninnu bɛ se ka cogoya minnu jira, olu dɔw filɛ nin ye:

• Sugunɛbana tuluma
• Sugunɛbilenni baga bɛ min na
• Sugunɛbilenni min bɛ sɔrɔ farikolo tangacogo fɛ
• Sugunɛbilenni banakisɛ fɛ (A, B walima C) .
• Hémochromatose - nɛgɛ tɛmɛnen caman sɔrɔli farikolo la
• Wilson ka bana - nɛgɛ caman dalajɛli farikolo la
• Alfa-1 antitripsini dɛsɛ
• Kɔnɔboli fɔlɔ (PBC) .
• Sirose - sugunɛ gɛlɛyali ni a ŋɛɲɛ
• Sugunɛ kansɛri

A laban na, fɛn minnu ka kan ka to an hakili la (Take-Home Message) .

O la, sugunɛ baarakɛcogo sɛgɛsɛgɛli, walima LFT, ye fɛɛrɛ nɔgɔmanba ye aw ni aw ka dɔgɔtɔrɔ bolo walasa ka aw ka sugunɛ kɛnɛya dɔn. A kɛra sugunɛbana ɲinini ye wo, walima k’a lajɛ ni i bɛ fura min ta, o bɛ nɔ bila mɔgɔ la, nin joli fitinin in bɛ se ka kunnafoni caman di.

Aw ye aw hakili to a la ko LFT dɔrɔn tɛ se ka kɛ sababu ye ka bana sɛgɛsɛgɛli dafalen kɛ. Nka, i bɛ kunnafoni minnu sɔrɔ nin sɛgɛsɛgɛli in na, olu bɛ se ka kɛ dɛmɛba ye walasa ka fɛɛrɛ minnu tigɛ o kɔfɛ. O la, ni dɔgɔtɔrɔ ye LFT laadi, hakilitigiya don k’a kɛ ni siran tɛ. I sugunɛ bɛ i n’a fɔ i teri sɛbɛ, wa i ka kan k’a ladon koɲuman!

` Sugunɛ, Sugunɛ sɛgɛsɛgɛli, Sugunɛ baarakɛcogo sɛgɛsɛgɛli, LFT, Joli sɛgɛsɛgɛli, Sugunɛbana, Sugunɛbilenni