Xav hais tias koj mus ntsib kws kho mob kom kuaj xyuas koj tus kheej thiab tau txais cov txiaj ntsig ntawm kev kuaj ntshav. Tus kws kho mob, uas tau saib daim ntawv qhia, hais tias, "Koj cov enzymes hauv siab siab me ntsis." Koj pom tias cov nqi nyob rau pem hauv ntej ntawm ob tsab ntawv ALT thiab AST hauv koj daim ntawv qhia siab dua li qub. Nws yog ib txwm muaj kev ntshai me ntsis thaum qhov no tshwm sim. Tab sis tsis txhob ntshai. Hnub no peb tab tom tham txog ib qho mob hu ua "Transaminitis", uas cov enzymes hauv siab siab.
Hais yooj yim xwb, Transaminitis yog dab tsi?
'Transaminitis' tsis yog ib qho mob hnyav. Nws txhais tau hais tias cov theem ntawm qee cov enzymes hu ua 'transaminases' hauv koj cov ntshav tau nce ntxiv ntau heev. Ob lub enzymes tseem ceeb yog 'Alanine Transaminase (ALT)' thiab 'Aspartate Transaminase (AST)' .
Xav txog koj lub siab zoo li ib lub Hoobkas loj. Cov enzymes no yog cov neeg ua haujlwm hauv cov cell ntawm lub Hoobkas ntawd. Feem ntau, cov neeg ua haujlwm no nyob hauv lub Hoobkas. Tab sis thaum lub siab raug kev nyuaj siab, kev puas tsuaj, lossis kev ntxhov siab, cov cell siab raug puas tsuaj thiab qee cov neeg ua haujlwm no tawm, uas yog, mus rau hauv peb cov ntshav. Nrog daim ntawv kuaj ntshav, peb ntsuas qhov ntau ntawm cov enzymes uas tau sib sau ua ke hauv cov ntshav.
Feem ntau, qhov mob no raug tshawb pom los ntawm txoj hmoo. Cov qib ALT thiab AST siab pom thaum lub sijhawm kuaj ntshav ua rau lwm qhov laj thawj. Txawm li cas los xij, rau qee tus neeg, thaum lawv muaj cov tsos mob xws li mob daj ntseg, qhov muag thiab tawv nqaij daj, lossis mob rau sab xis saum toj ntawm lub plab, tus kws kho mob xaj cov kev kuaj no, tshwj xeeb tshaj yog los xyuas kev ua haujlwm ntawm daim siab.
Puas yog nws txaus ntshai rau cov enzymes no kom siab?
Qhov teeb meem no yog ib yam uas ntau tus neeg muaj. 'Transaminitis' yog thawj qhov ceeb toom tias muaj qee qhov kev puas tsuaj rau cov hlwb siab. Nws zoo li lub teeb 'check engine' ntawm lub tsheb ci. Nws qhia rau koj tias muaj qee yam tsis raug nrog lub tsheb, thiab koj yuav tsum tau saib xyuas nws. Thiab qhov no yog li ntawd.
Qhov hnyav ntawm qhov no nyob ntawm qhov ua rau muaj teeb meem .
- Tej yam ua rau ib ntus xwb: Cov enzymes no yuav nce siab ib ntus thaum noj qee yam tshuaj lossis vim muaj kev kis kab mob ib ntus xwb. Thaum qhov ua rau ploj mus lawm, lub siab yuav rov zoo thiab cov enzyme rov qab mus rau qhov qub.
- Cov ua rau mob ntev: Txawm li cas los xij, yog tias qhov kev puas tsuaj no txuas ntxiv mus vim yog muaj kab mob ntev, nws tuaj yeem ua rau mob hnyav zuj zus. Peb lub siab muaj peev xwm kho tau zoo heev, tab sis thaum kev puas tsuaj txuas ntxiv mus, nws poob qhov peev xwm ntawd thiab tuaj yeem ua rau muaj mob hu ua ua tsis tau haujlwm ntawm lub siab.
Yog li ntawd, qhov no tsis yog ib tus lej xwb. Nws yog ib qho cim qhia tseem ceeb uas muab rau koj lub tswv yim ntawm koj txoj kev noj qab haus huv tag nrho.
Tej yam ua rau mob transaminitis yog dab tsi?
Muaj ntau yam ua rau qhov no. Cia peb muab faib ua ob pawg: cov laj thawj uas feem ntau tshwm sim thiab cov laj thawj uas tsis tshua muaj tshwm sim.
| Ua rau | Piav qhia yooj yim |
|---|---|
| Cov laj thawj feem ntau | |
| Kab mob rog siab | Tam sim no, nws yog ib qho ua rau muaj ntau heev hauv Sri Lanka. Tshwj xeeb, ib qho mob hu ua Metabolic dysfunction-associated steatotic liver disease (MASLD) . Cov yam ntxwv ntawm metabolic xws li kev noj zaub mov tsis zoo, qhov hnyav nce, ntshav qab zib, thiab cov roj cholesterol ntau ua rau qhov no. |
| Kev haus dej cawv ntau dhau (Alcohol-induced Hepatitis) | Kev haus dej cawv ntau dhau ua rau lub siab puas tsuaj ncaj qha, uas tuaj yeem ua rau lub siab puas ib ntus lossis mus sij hawm ntev. |
| Kev Kab Mob Sib Kis (Viral Hepatitis) | Cov kab mob xws li kab mob siab A, B, C, D, thiab E tuaj yeem ua rau lub siab o. Qhov no tuaj yeem ua rau mob siab B thiab C mus ntev. |
| Cov teebmeem los ntawm tshuaj (Toxic Hepatitis) | Qee cov tshuaj tua kab mob, cov tshuaj txo cov roj cholesterol, cov tshuaj kho mob ntsws, thiab lwm yam tshuaj tuaj yeem cuam tshuam rau lub siab. Tus kws kho mob yeej ib txwm saib xyuas qhov no. |
| Cov Ua Rau Tsis tshua Muaj | |
| Lwm yam laj thawj | Cov mob xws li teeb meem ntawm lub cev tiv thaiv kab mob (autoimmune hepatitis), cov kab mob uas los ntawm noob caj ces (hemochromatosis, Wilson disease), mob plawv nres, mob ntshav qab zib, mob thyroid, thiab tsis tshua muaj mob qog noj ntshav hauv siab. |
Puas txhais tau tias muaj dab tsi tshwj xeeb yog tias AST siab dua ALT?
Feem ntau, thaum lub siab puas lawm, ob qho tib si ntawm cov enzymes no nce ua ke. Cov enzyme ALT yog tshwj xeeb rau lub siab. Qhov ntawd txhais tau tias nws feem ntau pom muaj nyob rau hauv lub siab. Txawm li cas los xij, cov enzyme AST kuj pom muaj nyob rau hauv cov leeg nqaij plawv, cov leeg nqaij pob txha, thiab lwm yam nqaij ntxiv rau lub siab.
Yog li ntawd, yog tias tus nqi AST siab dua tus nqi ALT , tus kws kho mob kuj yuav xav txog lwm yam. Piv txwv li:
- Kab mob siab los ntawm cawv: Hauv qhov xwm txheej no, qhov piv ntawm AST/ALT nce ntxiv.
- Kab mob cirrhosis: Tus qauv no tuaj yeem pom txawm tias tus kab mob zuj zus tuaj.
- Cov ua rau mob plawv tsis ua haujlwm: Cov theem AST kuj tseem tuaj yeem nce siab hauv cov xwm txheej xws li myocardial ischemia lossis cov leeg nqaij puas tsuaj loj heev (rhabdomyolysis).
Qhov tseem ceeb tshaj plaws: Cov no tsuas yog cov lus qhia xwb. Tsis txhob sim kuaj koj tus kheej raws li koj daim ntawv qhia. Qhov ntawd yuav tsum yog koj tus kws kho mob ua.
Tus kws kho mob kho qhov no li cas?
Ua ntej tshaj plaws, nco ntsoov tias tsis muaj kev kho mob ncaj qha rau 'Transaminitis'. Vim tias nws tsis yog ib yam kab mob, tab sis yog ib qho tsos mob. Yog li ntawd, lub hom phiaj tseem ceeb ntawm tus kws kho mob yog nrhiav qhov ua rau muaj cov enzymes ntau dhau thiab kho qhov ua rau ntawd.
Cov txheej txheem kho mob feem ntau mus li no:
1. Keeb kwm mob nkeeg: Tus kws kho mob yuav nug koj txog koj txoj kev ua neej (kev noj zaub mov, kev tawm dag zog, kev haus dej cawv), cov tshuaj uas koj noj, thiab txhua yam mob nkeeg hauv koj tsev neeg.
2. Kev kuaj ntxiv: Yuav muaj kev kuaj ntxiv kom paub meej tias yog vim li cas.
- Rov kuaj ntshav dua.
- Kev kuaj mob rau cov kab mob siab B thiab C.
- Kev kuaj mob ultrasound ntawm lub plab.
- Yog tias tsim nyog, lwm yam kev kuaj ntshav tshwj xeeb.
3. Kev kho mob raws li qhov ua rau muaj mob: Kev kho mob raug txiav txim siab tom qab pom qhov ua rau muaj mob.
- Mob Siab Rog: Kev hloov pauv txoj kev ua neej yog qhov tseem ceeb. Kev noj zaub mov zoo , kev tawm dag zog tsis tu ncua , thiab kev poob phaus yog qhov tseem ceeb.
- Yog tias yog vim haus cawv: Tib txoj kev daws teeb meem yog tsum tsis txhob haus cawv kiag li .
- Yog tias nws yog vim tshuaj: Tus kws kho mob yuav txiav txim siab seb puas yuav hloov tshuaj lossis txo qhov ntau npaum li cas.
- Yog tias nws yog vim muaj tus kab mob: Kev kho mob rau tus kab mob ntawd yuav pib.
Feem ntau, thaum kho qhov ua rau mob tau zoo, qhov kev puas tsuaj rau lub siab yuav nres thiab cov enzymes rov qab mus rau qhov qub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Transaminitis (cov enzymes hauv siab nce siab) yog ib qho cim ceeb toom tias koj lub siab raug kev ntxhov siab. Tsis txhob ntshai thaum koj pom nws.
- Muaj ntau yam ua rau qhov no. Mob siab rog, haus dej cawv, kis kab mob los ntawm cov kab mob sib kis, thiab qee yam tshuaj yog cov ua rau feem ntau.
- Kev kho mob tsis yog tsom mus rau qib enzyme, tab sis ntawm qhov mob uas ua rau nws nce siab.
- Yog koj pom tias koj cov ntshav ALT thiab AST nce siab, tsis txhob tso tseg. Nco ntsoov mus ntsib koj tus kws kho mob kom tau txais cov lus qhia thiab kev kho mob zoo.
- Feem ntau, kev ua neej noj qab haus huv (kev noj zaub mov zoo, kev tawm dag zog) yog ib qho kev pab zoo rau kev tswj hwm kev noj qab haus huv ntawm daim siab.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Syncope / Fainting yog dab tsi?
Qhov no tsis yog tsuas yog lub sijhawm pw tsaug zog/dhuav xwb! 'Syncope' hauv kev kho mob yog ib qho xwm txheej ceev heev uas, vim muaj qee yam ua rau tuag taus lossis ua rau tam sim ntawd, cov ntshav thiab cov pa oxygen mus rau lub hlwb nres tag nrho rau ob peb feeb (Kev poob ntshav mus rau lub hlwb ib ntus), ua rau tus neeg ntawd tam sim ntawd ntog rau hauv av (Tsis nco qab/Lub cev tsis ua haujlwm zoo) thiab tsis nco qab!
💬 Dab tsi yog cov ua rau ib tug neeg sawv ntsug/taug kev ua pa tsis taus/tsaug zog?
Muaj 4 yam ua rau qhov no: 1) 'Cardiogenic Syncope' - Yog tias lub plawv tsis dhia tam sim ntawd / muaj mob plawv nres, lub plawv tsis tuaj yeem tso ntshav mus rau lub hlwb, ua rau tsis nco qab! 2) Hypoglycemia (rau cov neeg mob ntshav qab zib). 3) Vasovagal syncope - Tsis nco qab vim yog lub paj hlwb poob siab thaum mob hnyav / thaum pom ntshav / ntshai heev. 4) Qaug dab peg / Epilepsy.
💬 Thaum ib tug neeg tsaus muag, cov xwm txheej 'tuag taus/xwm txheej ceev' uas yuav tsum tau mus pw hauv tsev kho mob tam sim ntawd, es tsis txhob tsuas yog nchuav dej rau ntawm lawv lub ntsej muag thiab nyob hauv tsev yog dab tsi?
Yog koj ntog thiab sawv tsis tau li ob peb feeb/yog koj ntog tom qab pw, sim muab dej/qab zib rau koj haus. Tiam sis qhov txaus ntshai tshaj plaws! Ua ntej koj tsis nco qab thiab ntog, yog tias koj 1) mob hauv siab/mob plawv lossis ua pa nyuaj, 2) thaum koj ntog, koj lub cev tag nrho tshee hnyo thiab qaug dab peg/ua npuas ncauj (qaug dab peg/mob taub hau), 3) yog tias koj ntog thiab tsis hais ib lo lus/tsis nco qab li ob peb feeb, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd thiab coj lawv mus rau tsev kho mob!
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus