Míagblɔ be èyi ɖɔkta gbɔ be woado ye kpɔ edziedzi eye nèxɔ wò ʋudodokpɔ me tsonu. Ðɔkta si lé ŋku ɖe nyatakakaa ŋu gblɔ be, "Wò aklã me enzymewo dzi ɖe edzi vie." Èkpɔe be asixɔxɔ siwo le ŋɔŋlɔdzesi eve siwo nye ALT kple AST ŋgɔ le wò nyatakakaa me la lolo wu alesi wòle dzɔdzɔmee. Enye nusi sɔ be vɔvɔ̃ naɖo ame vie ne nusia dzɔ. Gake mègatsi dzodzodzoe o. Egbea míele nu ƒom tso nɔnɔme aɖe si woyɔna be ``Transaminitis'', si me aklã ƒe enzymewo dzina ɖe edzi.
Kpuie ko la, nukae nye Transaminitis?
`Transaminitis` menye atikewɔwɔ me dɔléle sesẽ aɖeke o. Efia be enzyme aɖewo siwo woyɔna be `transaminases` ƒe agbɔsɔsɔ le wò ʋu me dzi ɖe edzi ŋutɔ. Enzyme vevi eveawoe nye `Alanine Transaminase (ALT)` kple `Aspartate Transaminase (AST)` .
Bu wò aklã be enye dɔwɔƒe gã aɖe. Enzyme siawoe nye dɔwɔla siwo le dɔwɔƒe ma ƒe lãmenugbagbeviwo me. Zi geɖe la, dɔwɔla siawo nɔa dɔwɔƒea me. Gake ne aklãa le nyaƒoɖeamenu, nu gblẽ, alo nuteɖeamedzi ƒomevi aɖe me la, aklã me lãmenugbagbeviwo gblẽna eye dɔwɔla siawo dometɔ aɖewo dona doa goe, si fia be wogena ɖe míaƒe ʋu me. Míetsɔa ʋudodokpɔ ŋuti nyatakaka dzidzea enzyme siwo ƒo ƒu ɖe ʋua me ƒe agbɔsɔsɔ.
Zi geɖe la, wova kea ɖe nɔnɔme sia ŋu le vome. Wokpɔa ALT kple AST ƒe agbɔsɔsɔ si sɔ gbɔ le ʋudodokpɔ si wowɔna le susu bubu aɖe ta me. Gake le ame aɖewo gome la, ne dzesiwo le wo ŋu abe aɖuɖɔtoe, ŋku kple ŋutigbalẽ ƒe ɣie, alo vevesese le ƒodo ƒe ɖusime ƒe akpa si le etame ene la, ɖɔkta ɖea gbe be woawɔ dodokpɔ siawo, vevietɔ be woatsɔ akpɔ aklã ƒe dɔwɔwɔ ɖa.
Ðe afɔku le eme be woakɔ enzyme siawo ɖe dzia?
Kuxi sia nye nusi le ame geɖe ŋu. `Transaminitis` nye nuxlɔ̃ame gbãtɔ be nu gblẽ le aklã ƒe lãmenugbagbeviwo ŋu vie. Ele abe `check engine` ƒe akaɖi si le ʋu aɖe dzi si le keklẽm ene. Egblɔna na wò be nane gblẽ le ʋua ŋu, eye ele be nàlé ŋku ɖe eŋu. Eye nenema kee nye esia hã.
Alesi esia sesẽe nɔ te ɖe nusi gbɔ wòtso dzi .
- Nusiwo gbɔ wòtsona ɣeyiɣi kpui aɖe: Woate ŋu ado enzyme siawo ɖe dzi hena ɣeyiɣi aɖe ne wole atike aɖewo nom alo le ɣeyiɣi kpui aɖe ƒe dɔlékui aɖe ta. Ne nusi gbɔ wòtso nu yi ko la, aklãa haya eye enzyme ƒe agbɔsɔsɔ gatrɔna yia eƒe nɔnɔme nyuitɔ me.
- Nusiwo gbɔ wòtso ɣeyiɣi didi: Gake ne nusiwo gblẽ le ame ŋu sia yi edzi le dɔléle aɖe si nɔa anyi didi ta la, ate ŋu ava zu nu sesẽ le ɣeyiɣi aɖe megbe. Ŋutete wɔnuku aɖe le míaƒe aklã ŋu be wòada gbe le eŋu, gake ne nu gblẽ le eŋu yi edzi la, ŋutete ma meganɔa eŋu o eye ate ŋu ahe nɔnɔme aɖe si woyɔna be aklã ƒe dɔmawɔmawɔ nyuie vɛ.
Eyata, menye xexlẽdzesi ɖeka koe nye esia o. Enye dzesi vevi aɖe si naa nèkpɔa wò lãmesẽ bliboa.
Nukawoe ate ŋu ahe transaminitis vɛ?
Susu geɖewo ate ŋu anɔ esia ta. Mina míama wo ɖe hatsotso eve me: susu siwo bɔ wu kple susu siwo mebɔ boo o.
| Wᴐe be | Numeɖeɖe bɔbɔe |
|---|---|
| Nusiwo Gbɔ Wòtsona Zi geɖe | |
| Aklãdɔléle si me Ami Le | Fifia la, enye nusi bɔ ŋutɔ le Sri Lanka. Etɔxɛe la, nɔnɔme aɖe si woyɔna be Metabolic dysfunction-associated steatotic liver disease (MASLD) . Nusiwo nana ame ƒe lãme ʋãna abe nuɖuɖu nyui maɖumaɖu, lolo, suklidɔ, kple ʋumemi si sɔ gbɔ ene ye nana esia dzɔna. |
| Ahanono fũu akpa (Ahanono ƒe Aklãdɔléle) . | Ahanono fũu akpa gblẽa nu le aklãa ŋu tẽ, si ate ŋu ana aklãa nagblẽ hena ɣeyiɣi aɖe alo ɣeyiɣi didi. |
| Dɔlékuiwo ƒe Dɔlékuiwo (Viral Hepatitis) . | Dɔlékuiwo abe aklãdɔléle A, B, C, D, kple E ene ate ŋu ana aklãa naxɔ abi. Esia ate ŋu ahe aklãdɔléle B kple C si nɔa anyi didi vɛ. |
| Nusiwo atikewo hena vɛ (Toxic Hepatitis) . | Vevesesenutsitike aɖewo, ʋumemi dzi ɖeɖe kpɔtɔ, yɔmekpetikewo, kple atike bubuwo ate ŋu agblẽ nu le aklã ŋu. Ðɔktaa nɔa ŋudzɔ ɖe esia ŋu ɣesiaɣi. |
| Nusiwo Gbɔna Mebɔ O | |
| Susu bubuwo tae | Nɔnɔmewo abe dɔlélenutsiŋutete ƒe kuxiwo (autoimmune hepatitis), domenyiŋusẽfianu ƒe dɔlélewo (hemochromatosis, Wilson dɔléle), dzidɔ, ʋumenugbagbeviɣidɔ, lãkusidɔ, kple aklãdɔléle si ƒã ŋutɔ. |
Ðe wòfia nu tɔxɛ aɖe ne AST kɔ wu ALTa?
Zi geɖe la, ne aklãa gblẽ la, enzyme siawo evea siaa dzina ɖe edzi ɖekae. Enzyme si nye ALT nye aklãa koŋ tɔ wu. Ema fia be aklã me koŋue wòle. Gake enzyme si nye AST le dzitodzito me lãmeka, ƒunukpeƒeŋusẽ, kple lãmenugbagbevi bubuwo hã me tsɔ kpe ɖe aklã ŋu.
Eyata ne AST ƒe asixɔxɔ lolo ŋutɔ wu ALT ƒe asixɔxɔ , ɖɔktaa abu nu bubuwo hã ŋu. Le kpɔɖeŋu me:
- Aklãdɔ si ahanono hena vɛ: Le nɔnɔme sia me la, AST/ALT ƒe xexlẽme dzina ɖe edzi.
- Cirrhosis: Woate ŋu akpɔ nɔnɔme sia ne dɔlélea le sesẽm ɖe edzi gɔ̃ hã.
- Nusiwo tso aklã godo: AST ƒe agbɔsɔsɔ ate ŋu adzi ɖe edzi le nɔnɔmewo abe dzitodzito me ʋu ƒe sisi alo lãmekawo ƒe gbegblẽ vevie (rhabdomyolysis) ene hã me.
Vevietɔ wu: Aɖaŋuɖoɖowo koe esiawo nye. Mègadze agbagba be yeanɔ te ɖe yeƒe nyatakaka dzi akpɔ dɔlélea le ye ɖokui ŋu o. Ele be wò ɖɔkta nawɔ ema godoo.
Aleke ɖɔktaa wɔa nu ɖe esia ŋui?
Gbã la, ɖo ŋku edzi be atike aɖeke meli tẽ na `Transaminitis` o. Elabena menye dɔlélee wònye o, ke boŋ dzesi aɖee. Eyata ɖɔkta ƒe taɖodzinu vevitɔe nye be yeadi nusi gbɔ enzyme siwo dzi ɖe edzi tso eye yeada dɔ na nusi gbɔ wòtso.
Zi geɖe la, atikewɔwɔ ƒe ɖoɖoa yia edzi ale:
1. Atikewɔwɔ ŋutinya: Ðɔktaa abia nya wò tso wò agbenɔnɔ (nuɖuɖu, kamedede, ahanono), atike siwo nènona, kple atikewɔwɔ ƒe nɔnɔme ɖesiaɖe si le wò ƒomea me ŋu.
2. Dodokpɔ bubuwo: Woaɖe gbe be woawɔ dodokpɔ bubuwo atsɔ aɖo kpe nusi gbɔ wòtso dzi.
- Gbugbɔ do ʋu kpɔ.
- Dodokpɔwo hena aklãdɔlékui B kple C dɔlékuiwo.
- Ultrasound scan si wowɔna le ƒodoa ŋu.
- Ne ehiã la, ʋudodokpɔ tɔxɛ bubuwo.
3. Atikewɔwɔ le nusi gbɔ wòtso nu: Wokpɔa atikewɔwɔ nɛ ne wokpɔ nusi gbɔ wòtso vɔ.
- Aklã si me Ami Le: Agbenɔnɔ ƒe tɔtrɔ nye nu vevitɔ. Nuɖuɖu nyui , kamedede edziedzi , kple lolo dzi ɖeɖe kpɔtɔ le vevie ŋutɔ.
- Ne aha sesẽ gbɔe wòtso: Egbɔkpɔnu ɖeka koliae nye be nàdzudzɔ ahanono keŋkeŋ .
- Ne atike aɖe gbɔe wòtso: Ðɔktaa atso nya me nenye be yeatrɔ atike la alo aɖe eƒe agbɔsɔsɔme dzi akpɔtɔ.
- Ne dɔlékui aɖe gbɔe wòtso: Woadze dɔlékui ma dada gɔme.
Zi geɖe la, ne woda nusi gbɔ wòtso nyuie la, nusiwo gblẽ le aklãa ŋu nu tsona eye enzyme ƒe agbɔsɔsɔ gatrɔna yia nɔnɔme si sɔ me.
Gbedasi si Wotsɔ Yi Aƒeme
- Transaminitis (aklã me enzyme siwo dzi ɖe edzi) nye nuxlɔ̃amedzesi be wò aklã le nuteɖeamedzi aɖe me. Mègatsi dzodzodzoe ne èkpɔe o.
- Susu geɖewo ate ŋu anɔ esia ta. Aklã si me ami le, ahanono, dɔlékuiwo ƒe dɔléle, kple atike aɖewo nye nusiwo gbɔ wòtsona zi geɖe.
- Menye enzyme ƒe agbɔsɔsɔ dzie wodaa dɔa ɖo o, ke boŋ nɔnɔme si le eme si na wòdzi ɖe edzi lae.
- Ne èkpɔ ALT kple AST ƒe agbɔsɔsɔ si dzi ɖe edzi le wò ʋudodokpɔ me la, mègaŋe aɖaba ƒu edzi gbeɖe o. Kpɔ egbɔ be yeyi ɖɔkta gbɔ hena aɖaŋuɖoɖo kple atikewɔwɔ nyuitɔ.
- Le go geɖe me la, agbenɔnɔ si me lãmesẽ le (nuɖuɖu nyui, kamedede) xɔxɔ nyea kpekpeɖeŋu gã aɖe le aklã ƒe lãmesẽ me léle ɖe asi me.
👩🏽 ⚕️ Nyabiase bubuwo (FAQs)
💬 Nukae nye Syncope / Fainting?
Menye alɔ̃dɔdɔ/kuviawɔwɔ ƒe ɣeyiɣi aɖe koe esia nye o! ‘Syncope’ le atikewɔwɔ me nye atikewɔwɔ kpata si me afɔku le ŋutɔ si me, le nusi wua ame alo nusi dzɔ kpata ta la, ʋu kple oxygen si yia ahɔhɔ̃a me la tɔ keŋkeŋ hena sɛkɛnd ʋɛ aɖewo (Ʋu ƒe sisi yi ahɔhɔ̃a me hena ɣeyiɣi aɖe), si wɔnɛ be amea dzea anyi zi ɖeka ɖe anyigba (Loss of consciousness/Postural tone collapse) eye wòbua ta!
💬 Nukae nye nu vevi siwo hea syncope/fainting vɛ ne ame le tsitre/le zɔzɔm?
Nu vevi 4 ye hea esia tsona: 1) ‘Cardiogenic Syncope’ - Ne dzia dzudzɔ ƒoƒo zi ɖeka/dzidɔ dze edzi la, dzia mate ŋu akɔ ʋu ayi ahɔhɔ̃a me o, si wɔnɛ be ame ƒe susu meganɔa dɔme o! 2) Suklidɔ ƒe ɖiɖi (le suklidɔlélawo gome). 3) Vasovagal syncope - Ame ƒe susu ƒe bu le lãmekawo ƒe ʋuʋu le vevesese si womate ŋu ado dzi atsɔ o me/le ʋu kpɔkpɔ me/vɔvɔ̃ si gbɔ eme ta. 4) Alɔ̃madɔmadɔ/Aɖuɖɔtoedɔ.
💬 Ne ame aɖe tsi dzodzodzoe la, nukawoe nye 'nɔnɔme siwo wua ame/kpata' siwo hiã be woaxɔ ame ɖe kɔdzi enumake, tsɔ wu be woakɔ tsi ɖe mo nɛ ko eye woanɔ aƒeme?
Ne èdze anyi eye nèfɔ le sɛkɛnd ʋee aɖewo me/ne èdze anyi le mlɔ anyi vɔ megbe la, dze agbagba nàna tsi/sukli aɖe. Gake afɔku gãtɔ kekeake! Hafi wò susu nadzo eye nàdze anyi la, ne 1) akɔta le veve sem/dzidɔ alo gbɔgbɔ sesẽ, 2) ne èdze anyi la, wò ŋutilã bliboa ʋuʋuna eye wòʋuʋuna/futukpɔna le nu me (alɔ̃madɔmadɔ/futu), 3) ne èdze anyi eye mègblɔ nya aɖeke o/ele kɔma me aɖabaƒoƒo geɖe la, ele be nàyɔ dɔnɔdzikpɔʋu enumake eye nàkplɔ wo ayi kɔdzi!
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