Aleke wò aklã le? Mina míaƒo nu tso Aklã ƒe Dɔwɔwɔ Dodokpɔ (LFT) ŋu!

Aklã nye ŋutinu vevi aɖe ŋutɔ le míaƒe ŋutilã me, alo? Ele abe dɔwɔƒe sue aɖe si le míaƒe ŋutilã me ene. Eyata ʋudodokpɔ tɔxɛ aɖewo li siwo wowɔna tsɔ kpɔnɛ ɖa be dɔwɔƒe sia le dɔ wɔm nyuie loo alo mele dɔ wɔm nyuie o hã. Emae nye nusi míeyɔna be ‘aklã ƒe dɔwɔwɔ dodokpɔwo’ alo Aklã ƒe Dɔwɔwɔ Dodokpɔ (LFTs) . Esia ate ŋu ana míaƒe ɖɔktawo nanya nu vevi geɖe tso wò aklã ƒe lãmesẽ ŋu.

Nukatae wowɔa aklã ƒe dɔwɔwɔ dodokpɔ (LFT) siawo?

Enyo, fifia ɖewohĩ èle eŋu bum be, ‘Nukatae wowɔa LFT sia?’ Susu geɖewo ate ŋu anɔ eme.

Ðewohĩ wò ɖɔkta adi be yeakpɔe ɖa be aklãdɔ aɖe le ŋuwò, abe aklãdɔ ene, si nèsusu. Alo, ne aklãdɔ le ŋuwò xoxo la, dodokpɔ sia ate ŋu akpe ɖe ŋuwò nàkpɔ alesi wòyi ŋgɔe, alo ne atikewɔwɔa le dɔ wɔm. Nu bubue nye be atike aɖewo ate ŋu agblẽ nu le aklã ŋu. Ne èle atike mawo zãm la, wozãa LFT siawo hã tsɔ léa ŋku ɖe eŋu nenye be wole ŋusẽ kpɔm ɖe wò aklã dzi.

Nukawoe nye aklã ƒe dɔwɔwɔ dodokpɔ ƒomevi veviwo?

Kpuie ko la, LFT dodokpɔ sia dzidzea nu geɖe tso wò ʋu ƒe kpɔɖeŋu aɖe me. Ne woxɔ ʋu ɖeka gɔ̃ hã la, ate ŋu ana nyatakaka ku ɖe enzyme kple protein vovovo siwo aklã wɔna ŋu. Na míakpɔ nu vevi siwo wodzidzena ɖaa?

Aklã me enzymewo dodokpɔ

Dodokpɔ sia léa ŋku ɖe enzyme ƒomevi geɖe siwo le wò aklã me ŋu. Le kpɔɖeŋu me, enzymewo abe alkaline phosphatase (ALP) , alanine transaminase (ALT) , aspartate aminotransferase (AST) , kple gamma-glutamyl transferase (GGT) ye nye esiwo koŋ. Ne nane gblẽ le aklãa ŋu alo xɔ abi la, enzyme siawo ƒe agbɔsɔsɔ le ʋua me adzi ɖe edzi.

Protein ƒe dodokpɔ bliboa

Esia dzidzea protein ƒe agbɔsɔsɔ si le wò ʋu me. Ènyaa? Aklã lae wɔa protein siwo míaƒe ŋutilã hiã. Eyata ne protein ƒe agbɔsɔsɔ le sue la, ate ŋu afia be aklãa mele dɔ wɔm nyuie o.

Bilirubin dodokpɔ

Bilirubin nye gbeɖuɖɔ. Aklãa ɖonɛ ɖe aɖuɖɔtoea me. Ne eƒe agbɔsɔsɔ dzi ɖe edzi fia be ɖewohĩ nane gblẽ le aklãa ŋu.

LDH dodokpɔ

Lactate Dehydrogenase (LDH) hã nye dɔlékuiwutike aɖe. Enɔa míaƒe ŋutilã ƒe lãkusi geɖe me, eye aklã hã le eme. Eƒe agbɔsɔsɔ hã gblɔ nane tso aklã ƒe lãmesẽ ŋu.

Prothrombin Ɣeyiɣi (PT) dodokpɔ

Dodokpɔ sia dzidzea ɣeyiɣi didi si wòxɔna hafi wò ʋu ƒe kpɔɖeŋu aɖe tsia. Aklã hã wɔa protein siwo hiã be ʋu natsi. Eyata ne exɔ ɣeyiɣi didi wu la, ema ate ŋu afia hã be gbɔdzɔgbɔdzɔ aɖe le aklã ƒe dɔwɔwɔ ŋu.

Abe dodokpɔ siawo katã ene la, ɣeaɖewoɣi la, wotsɔa wo dea ʋudodokpɔ ƒe agbalẽvi si woyɔna be Comprehensive Metabolic Panel, si wowɔna zi geɖe la ƒe akpa aɖe me.

Nukae míate ŋu asrɔ̃ tso dodokpɔ siawo me?

Bu LFT ƒe nyatakaka sia be enye nyatakakadzraɖoƒea ƒe ŋutinya. Wò ɖɔkta ate ŋu agblɔ nu geɖe na wò ne elé ŋku ɖe asixɔxɔ kple xexlẽme vovovo siwo le eme ŋu. Le kpɔɖeŋu me:

• Ðe aklãdɔ, si nye aklã ƒe dɔdzẽ le ŋuwòa?
• Ne dɔdzẽ ma tɔgbe li la, ɖe ahatsunono gbɔe wòtsoa, ​​alo ɖe wòtso lãmenugbagbeviwo ƒe dɔwɔwɔ bubu gbɔa?
• Ðe kuxia le aklã ŋutɔ mea, alo le ʋumenugbagbeviɣiwo mea?
• Ðe aklã ƒe dɔwɔwɔ gblẽa? Ne nenemae la, ke afikae?
• Ðe mɔxenu aɖe li si xea mɔ na ʋumenugbagbeviɣidɔa? Ne nenemae la, ke aleke wòle?
• Ðe atike siwo nènona dometɔ aɖe kpɔ ŋusẽ ɖe wò aklã dzia? Ne nenemae la, ke afikae?

LFT siawo naa kpeɖodziwo tso nu geɖe ŋu.

Aleke wowɔa aklã dodokpɔ (LFT) siawoe?

Ele bɔbɔe ŋutɔ. Woɖea ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me. Emegbe woɖonɛ ɖe dodokpɔxɔ aɖe me eye wodonɛ kpɔna. Afimae woléa ŋku ɖo be yewoakpɔe ɖa be nu vovovowo ƒe agbɔsɔsɔ sɔ gbɔ alo le sue le mɔ si mesɔ o nu hã. Zi geɖe la, wotsɔa enzyme alo protein vovovowo ƒe agbɔsɔsɔ hã sɔna kple wo nɔewo. Elabena ne wotrɔ dadasɔ ma la, ele bɔbɔe be míase egɔme be nane gblẽ le aklãa ŋu.

Nukae dzɔna le dodokpɔa wɔɣi?

Àte ŋu ana woawɔ dodokpɔ sia le kɔdzi alo dodokpɔxɔ tɔxɛ aɖe. Mɔ̃ɖaŋudɔwɔla la atia ʋuka si sɔ le wò alɔnu gbã eye wòakɔ teƒea ŋu. Woate ŋu atsɔ nutete aɖe hã ade abɔ si le etame be wòakpe ɖe ʋukaa ŋu wòato vovo nyuie wu. Emegbe, wotsɔa aŋe sue aɖe dea ʋukaa me eye woƒoa ʋu agbɔsɔsɔme si hiã la nu ƒu ɖe go sue aɖe me. Aɖabaƒoƒo ʋɛ aɖewo koe esia xɔa, ke menye ɣeyiɣi didi o. Mègatsi dzi o, awɔ na wò abe anyidi sue aɖe le ɖum wò ene, ema koe nye ema.

Le dodokpɔa megbea?

Ne woɖe ʋua vɔ la, woɖoa ʋua ɖe dodokpɔxɔ aɖe be woadoe kpɔ. Ne dodokpɔxɔa le kɔdzi alo dɔwɔƒe ɖeka ma ke la, woate ŋu akpɔ emetsonuwo kaba. Woate ŋu anɔ anyi le gaƒoƒo ʋɛ aɖewo alo ŋkeke ʋɛ aɖewo gɔ̃ hã me. Ne mèse le ɖokuiwò me be yegbɔdzɔ le ʋudodo vɔ megbe o la, àte ŋu ayi aƒeme, ano atike siwo nèzãna ɖaa, eye nàɖu numeɖenu alo ano nu.

Aleke mase nusi le nye LFT nyatakaka me gɔmee?

Ne èxɔ wò LFT nyatakaka la, àkpɔ asixɔxɔ siwo le nu vovovowo ŋu. Àte ŋu atsɔ wo asɔ kple agbɔsɔsɔ si sɔ eye nàkpɔe ɖa be wò asixɔxɔwo lolo alo le sue hã. Gake nuka tututue xexlẽme siawo fia?Ebia nuteƒekpɔkpɔ vi aɖe hafi woate ŋu ase nya ma gɔme. Eyata, wò ɖɔkta aɖe emetsonuwo me na wò eye wòafia alesi nàxlẽ woe wò. Mèganɔ te ɖe emetsonu siawo ɖeɖeko dzi awɔ nyametsotso gãwo gbeɖe o, enyoa? Anyo wu be nàƒo nu kple ɖɔkta.

"Nu vevitɔe nye be, LFT ƒe nyatakaka nye nyabiasea ƒe akpa ɖeka ko. Ðɔkta ate ŋu ahiã nyatakaka bubuwo be wòakpɔ nɔnɔmetata bliboa."

Nukae nye didime siwo sɔ na aklã dodokpɔ? (Nukae nye didime siwo sɔ na LFT-wo?)

Esia hã le vevie. Nusiwo woate ŋu awɔ le mɔ si sɔ nu ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Esia fia be dzidzenu siawo ate ŋu ato vovo vie le nusiwo nye ŋutsu alo nyɔnu nyenye, ŋutilã ƒe lolome, kple tso dodokpɔxɔ ɖeka me yi bubu gɔ̃ hã nu. Eyata ele be nàtsɔ wò asixɔxɔwo asɔ kple ‘aƒe didime si sɔ’ si woŋlɔ ɖe wò nyatakakaa me.

Ke hã, asixɔxɔ gbadza aɖewoe nye esi (esiawo nye nyatakaka gbadzaa ɖeɖeko , taflatse kpɔ ‘Normal Range’ tɔxɛ si le wò nyatakakaa dzi):

• Alanine Transaminase (ALT): 0 va ɖo 45 IU/L (Dukɔwo Dome Agbɔsɔsɔmewo le Lita ɖeka me) .
• Aspartate aminotransferase (AST): 0 va ɖo 35 IU/L
• Alkaline phosphatase (ALP): 30 va ɖo 120 IU/L
• Gamma-glutamyl transferase (GGT): 0 va ɖo 30 IU/L
• Bilirubin: Micromoles 2 va ɖo 17/L (micromoles le lita ɖeka me) .
• Prothrombin ƒe ɣeyiɣi (PT): sɛkɛnd 10.9 va ɖo 12.5
• Albumin: 40 va ɖo 60 g/L (gram ɖeka le lita ɖeka me) .
• Protein siwo katã le eme: 6.3 va ɖo 8.0 g/dL (gram le desilita ɖeka me) .

Nukae AST kple ALT si sɔ gbɔ fia?

Ne enzyme siwo nye AST kple ALT ƒe agbɔsɔsɔ dzi ɖe edzi la, anɔ eme be nu gblẽ le aklãa ŋu vie. Ne aklãa le nuteɖeamedzi me la, enzyme siawoe ate ŋu ado ɖe ʋua me wu. Ne wodo wo ame evea siaa ɖe dzi sɔsɔe la, anɔ eme be nu bubu aɖe si menye aha sesẽ o (e.g., dɔlékui aɖe, aɖi bubu aɖe) gblẽ nu le aklãa ŋu. Gake ne AST ƒe agbɔsɔsɔ sɔ gbɔ abe ALT ƒe agbɔsɔsɔ ƒe teƒe eve ene la, zi geɖe la, efia be aha sesẽ na aklã gblẽ. Gake aɖaŋuɖoɖo aɖewo koe esiawo nye, eye ele be ɖɔkta nagblɔe kple kakaɖedzi.

Nɔnɔme kawo ƒomevie aklã ƒe dɔwɔwɔ dodokpɔ (LFT) ate ŋu akpe ɖe ame ŋu wòanya?

Ðewohĩ ʋudodokpɔ siawo ɖeɖe mate ŋu anya aklãdɔ si ƒomevi le ŋuwò kple kakaɖedzi o. Gake woate ŋu akpe ɖe wò ɖɔkta ŋu wòagbe nɔnɔme bubuwo. Ðewohĩ ahiã be wogawɔ dodokpɔ bubuwo na wò hafi nàte ŋu akpɔ dɔlélea mlɔeba. Le kpɔɖeŋu me, nɔnɔmetatawo dodokpɔ, aklã ƒe lãmenugbagbeviwo ɖeɖe, alo wò aklã ƒe akpa sue aɖe ƒe lãmenugbagbeviwo ɖeɖe.Alo nuwo abe ʋudodokpɔ be woatsɔ ade dzesi dɔlékui aɖewo koŋ ene.

Nɔnɔme siwo LFT siawo ate ŋu afia la dometɔ aɖewoe nye esi:

• Aklãdɔ si me ami le
• Aklãdɔ si me aɖi le
• Aklãdɔléle si dɔlékuiwutikewo ƒe dɔlélenutsiŋutete wɔna
• Dɔlékui ƒe aklãdɔ (A, B alo C) .
• Hemochromatosis - iron si sɔ gbɔ ɖe ŋutilã me
• Wilson ƒe dɔléle - akɔbli ƒe ƒuƒoƒo si sɔ gbɔ ɖe ŋutilã me
• Alpha-1 antitrypsin ƒe anyimanɔmanɔ
• Ʋumenugbagbeviɣidɔ gbãtɔ (PBC) .
• Cirrhosis - aklã ƒe sesẽ kple abixɔxɔ
• Aklã me dɔdzẽ

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Eyata aklã ƒe dɔwɔwɔ dodokpɔ, alo LFT, nye mɔ bɔbɔe aɖe ŋutɔ si dzi mia kple wò ɖɔkta miato anya nu tso miaƒe aklã ƒe lãmesẽ ŋu. Eɖanye aklãdɔ didi alo ekpɔkpɔ be atike aɖe si zãm nèle le ŋusẽ kpɔm ɖe ame dzi o, ʋu sue sia ate ŋu ana nyatakaka geɖe.

Ðo ŋku edzi be ɖewohĩ LFT ɖeɖe dzaa masɔ gbɔ be woanya dɔlélea keŋkeŋ o. Gake nyatakaka siwo nàkpɔ tso dodokpɔ sia me ate ŋu akpe ɖe ŋuwò ŋutɔ le nyametsotso wɔwɔ le afɔɖeɖe siwo nàwɔ kplɔe ɖo me. Eyata ne wò ɖɔkta kafui be nàwɔ LFT la, nunya anɔ eme be nàwɔe vɔvɔ̃manɔmee. Wò aklã le abe xɔ̃wò vevitɔ ene, eye wò agbanɔamedzie wònye be nàlé be nɛ nyuie!

` Aklã, Aklã dodokpɔ, Aklã ƒe Dɔwɔwɔ Dodokpɔ, LFT, Ʋu dodokpɔ, Aklãdɔ, Aklãdɔ