Nukae wò ALT dodokpɔ ŋuti nyatakaka gblɔ? (Alanine Aminotransferase - ALT) ƒe dɔlékuiwo ƒe dɔwɔwɔ.

Èkpɔ ʋudodokpɔ ŋuti nyatakaka aɖe si dzi woŋlɔ ŋɔŋlɔdzesi etɔ̃ kple xexlẽdzesi ɖo kpɔa? Ðewohĩ ɖɔktaa gblɔ na wò be asixɔxɔa lolo wu esi sɔ. Enye nusi sɔ be nàtsi dzodzodzoe vie ahavɔ̃ le ɣeyiɣi sia tɔgbe me. "Oo, nukae nye ALT sia? Ðe wònye dɔléle sesẽ ne esɔ gbɔa?" Ðewohĩ àsusui. Gake mègatsi dzi o. Egbea, mina míaƒo nu bɔbɔe ŋutɔ eye eme nakɔ tso nusi ALT sia nye kple nusi dodokpɔ sia gblɔ ŋutɔŋutɔ tso míaƒe ŋutilã ŋu ŋu.

Kpuie ko la, nukae nye ALT Dodokpɔ sia?

ALT dodokpɔ nye ʋudodokpɔ bɔbɔe ŋutɔ si léa ŋku ɖe nusiwo gblẽ le wò aklã ŋu hã . Togbɔ be míeyɔe be ALT kple eƒe ŋkɔ kpui hã la, eƒe ŋkɔ bliboae nye Alanine Aminotransferase . Tsã la, wogayɔnɛ be SGPT (serum glutamic-pyruvic transaminase) . Ðewohĩ èkpɔ ema le wò nyatakaka xoxowo me.

Eyata ALT sia nye enzyme aɖe le míaƒe ŋutilã me. Ne míagblɔe tututu la, míaƒe aklã me lãmenugbagbeviwo me koŋue enzyme sia le. Wokpɔa agbɔsɔsɔ sue aɖe ŋutɔ le teƒewo abe ayiku kple lãmekawo ene hã. Zi geɖe la, ALT nɔa míaƒe ʋu me le agbɔsɔsɔ si bɔbɔ ŋutɔ me.

Bu aklã be enye kusi si me azi gbogbo aɖewo le. Zi alesi aziawo le dedie ko la, kuxi aɖeke meli o. Gake ne kusia gblẽ alo ʋuʋu la, aziawo dometɔ aɖewo agbã ado go, alo? Aleae wòle. Ne aklã me lãmenugbagbeviwo gblẽ le dɔléle, atike, afɔku, alo susu bubu aɖe ta la, ALT enzyme si le lãmenugbagbevi mawo me la dona ɖe ʋua me. Ɣemaɣie ʋudodokpɔ ɖee fia be ALT ƒe agbɔsɔsɔ dzi ɖe edzi.

Nukatae aklã le vevie na míaƒe ŋutilã alea gbegbe ɖo?

Menye ɖeko aklã nye ŋutinu gãtɔwo dometɔ ɖeka le míaƒe ŋutilã me ko o, ke ele abe míaƒe ŋutilã ƒe "dɔwɔƒe vevitɔ" hã ene. Dɔ si wòwɔna la menye nu sue aɖeke o.

• Aɖuɖɔtoe ƒe wɔwɔme: Aɖuɖɔtoe, si kpena ɖe mía ŋu míeɖua nuɖuɖu siwo me ami le siwo míeɖuna la, tso aklã me.
• Ʋukɔklɔ: Aklãa ɖea gbeɖuɖɔ kple aɖi siwo míedi o (abe aha sesẽ ene) ɖa le míaƒe ʋu me, abe alesi tsiɖemɔ̃ ene.
• Kpekpe ɖe ʋu ŋu: Aklãa wɔa protein siwo hiã be woadzudzɔ ʋudodo ne abi aɖe le ame ŋu.
• Nunyiamewo dzadzraɖo: Wodzraa nuwo abe vitamin kple mineral ene ɖo hedzrana ɖo vaseɖe esime ŋutilãa hiã wo.
• Sukli ƒe agbɔsɔsɔ dzi ɖuɖu: Wodzraa sukli si sɔ gbɔ ɖe ʋua me ɖo eye wògatrɔna zua ŋusẽ ne ehiã.

Eyata esi wòwɔa nu vevi geɖewo ta la, ele vevie ŋutɔ be míalé be na aklã ƒe lãmesẽ.

Nɔnɔme kawo mee ɖɔkta aɖe agblɔ na wò be nàwɔ dodokpɔ sia le?

Susu geɖe li siwo tae wò ɖɔkta ate ŋu abia be woawɔ ALT dodokpɔ. Ate ŋu anye esi dzesi siwo do ƒome kple aklãdɔ le ŋuwò ta, alo ate ŋu anye esi nèle afɔku me be aklã nagblẽ ta.

Ɣeaɖewoɣi la, le susu aɖeke ta la, woate ŋu awɔ ALT dodokpɔa abe wò ƒe sia ƒe ƒe atikewɔwɔ me dodokpɔ ƒe akpa aɖe ene. Wozãnɛ hã tsɔ kpɔa alesi atikewɔwɔ le dɔ wɔm nyuie ne aklãdɔ le ŋuwò xoxo.

Ðe dzadzraɖo aɖe li do ŋgɔ na dodokpɔa?

Zi geɖe la, mehiã be woawɔ dzadzraɖo tɔxɛ aɖeke ne wowɔ ALT dodokpɔa ɖeɖeko o. Gake zi geɖe la, wowɔa dodokpɔ sia kpe ɖe aklã dodokpɔ bubuwo ŋu (aklã ƒe akpa aɖe). Dodokpɔ siawo dometɔ aɖewo ate ŋu abia be nàtsi nu dɔ gaƒoƒo ʋɛ aɖewo. Eyata bia wò ɖɔkta nenye be ele be nàƒo asa na nuɖuɖu alo nunono hafi woawɔ dodokpɔa.

Azɔ hã, kpɔ egbɔ be yegblɔ atike, vitamin, alo kpeɖeŋutɔ bubu ɖesiaɖe si nèzãna na wò ɖɔkta. Atike aɖewo ate ŋu akpɔ ŋusẽ ɖe dodokpɔ sia me tsonu dzi. Azɔ hã, kamedede vevie ŋkeke si do ŋgɔ na dodokpɔa ate ŋu ana ALT ƒe agbɔsɔsɔ nadzi ɖe edzi hena ɣeyiɣi aɖe. Eyata anyo be nàna wò ɖɔkta nanya nu tso ema hã ŋu.

Ne nyatakakaa va la, nukae wòfia?

Àxɔ dodokpɔa me tsonu le gaƒoƒo ʋɛ aɖewo alo ŋkeke ʋɛ aɖewo megbe. Nyatakakaa aŋlɔ wò ALT ƒe agbɔsɔsɔ kple eƒe didime si sɔ .

Nu vevitɔe nye be agbɔsɔsɔ sia si sɔ ate ŋu ato vovo vie tso dodokpɔxɔ ɖeka me yi bubu gbɔ. Eyata ele be nàtsɔ wò asixɔxɔ asɔ kple didime si le wò nyatakakaa dzi. Zi geɖe la, asixɔxɔ sia nɔa unit 7 va ɖo 56 le lita ɖeka me (U/L).

ALT ƒe agbɔsɔsɔ si sɔ gbɔ

ALT ƒe agbɔsɔsɔ si dzi ɖe edzi fia be aklã me lãmenugbagbeviwo le dɔdzẽ alo nu gblẽ le wo ŋu ƒomevi aɖe. Ke hã, ema ɖeɖe mefia be aklãdɔ sesẽ aɖe le ŋuwò o.

Ðo ŋku edzi be menye amesiame si ƒe ALT ƒe agbɔsɔsɔ dzi ɖe edzi lae aklãdɔ sesẽ le o. Le nyateƒe me la, amesiwo ƒe ALT ƒe agbɔsɔsɔ dzi ɖe edzi la dometɔ siwo mede 5% o ye wokpɔna be aklãdɔ sesẽ le wo ŋu.

Susu geɖe ate ŋu anɔ anyi siwo tae ALT ƒe agbɔsɔsɔ dzi ɖe edzi ɖo:

• Aklãdɔ si me ami le: Esia nye nɔnɔme si wokpɔna zi geɖe le hadomegbenɔnɔ me fifia.
• Dɔlékuiwo abe Aklãdɔléle A, B, kple C ene: Esiawo gblẽa nu le aklã ŋu tẽ.
• Ahanono fũu akpa: Aha sesẽ nye aɖi na aklã.
• Atike aɖewo ƒe nugbegblẽ le ame ŋu: Vevesesenutsitike aɖewo, ʋumemi dzi ɖeɖe kpɔtɔ, kple dɔlékuiwutikewo ate ŋu ana ALT ƒe agbɔsɔsɔ nadzi ɖe edzi.
• Cirrhosis of the liver: Aklã ƒe abi.
• Ʋu si yia aklãa me dzi ɖe kpɔtɔ.
• Hemochromatosis: Iron ƒe agbɔsɔsɔ fũ le ŋutilã me.
• Dɔlékui bubuwo ƒe dɔlékuiwo, abe mononucleosis (mono) ene.

ALT ƒe agbɔsɔsɔ si bɔbɔ

Womekpɔa esia zi geɖe o. Zi geɖe la, ALT ƒe agbɔsɔsɔ si bɔbɔ menye nusi ŋu woatsi dzi ɖo o. Gake ƒã ŋutɔ be woate ŋu ado ƒome kple nɔnɔmewo abe vitamin B6 ƒe anyimanɔmanɔ alo ayikudɔ si nɔa anyi didi ene. Ne wò ʋu ƒe agbɔsɔsɔ le sue la, anɔ eme be wò ɖɔkta aɖe gbe be woagawɔ dodokpɔ bubu aɖewo.

Dodokpɔ bubu kawoe wowɔna be woakpɔ aklã ƒe lãmesẽ bliboe?

ALT dodokpɔa nye nyabiasea ƒe akpa ɖeka ko. Be wò ɖɔkta nakpɔ nɔnɔmetata bliboa la, ahiã be nàgazã kakɛ ʋɛ aɖewo. Esia tae wowɔa ALT dodokpɔa zi geɖe abe dodokpɔ siwo kplɔ wo nɔewo ɖo siwo woyɔna be "Aklã ƒe Dɔwɔwɔ Dodokpɔwo" (LFTs) ƒe akpa aɖe ene.

Enzyme vevi bubu si le dodokpɔ siawo siwo kplɔ wo nɔewo ɖo me enye AST (Aspartate Aminotransferase) . Abe ALT ene la, enzyme sia hã nɔa ʋua me ne aklã me lãmenugbagbeviwo gblẽ. Gake AST hã le agbɔsɔsɔ si lolo wu ALT le teƒewo abe dzi kple lãmekawo ene me.

Wò ɖɔkta atsɔ wò AST kple ALT ƒe agbɔsɔsɔ (AST/ALT ƒe xexlẽme) asɔ kple wo nɔewo . Nusɔsɔ sia naa wò ɖɔkta nyaa nu vevi aɖe tso alesi aklãa gblẽe kple nusi gbɔ wòtso ŋu.

Tsɔ kpe ɖe eŋu la, nusiwo gbɔna hã ate ŋu anɔ LFT dodokpɔ siwo kplɔ wo nɔewo ɖo me:

• Bilirubin si woyɔna be bilirubin
• Albumin si wotsɔ wɔa dɔe
• Alkaline phosphatase (ALP) ƒe dɔlékuiwutike .
• Protein bliboa
• Gamma-glutamyl ƒe dɔlékuiwutike (GGT) .

Ne wò ɖɔkta ƒo nyatakaka siwo tso dodokpɔ siawo katã me nu ƒu la, ate ŋu aƒo nya ta nyuie le wò aklã ƒe lãmesẽ ŋu.