Mek wi fain out abaut yu AST level. (Aspartate Transferase - AST) Wetin dat min?

Yu go mɔs dɔn si wan valyu we dɛn kɔl AST pan blɔd tɛst ripɔt, ɔ yɛri dɔktɔ tɔk bɔt am. So, yu go mɔs de wɔnda, "Wetin AST min?" Nɔ wɔri, lɛ wi tɔk bɔt am simpul wan. Jɔs lɛk aw yu go tɔk to yu padi.

Wetin na AST? Fɔ tɔk am simpul wan...

AST na di shɔt nem fɔ di ɛnzaym Aspartate Transferase . Sɔntɛnde dɛn kin kɔl am bak Aspartate Aminotransferase . Naw yu kin de wɔnda, "Wetin na dis ɛnzaym?"

Imajin, sɔm smɔl smɔl wokman dɛn de insay wi bɔdi we de ɛp difrɛn tin dɛn fɔ wok fayn fayn wan. Enzym dɛn tan lɛk dat. Dɛn rili na wan kayn prɔtin. dis εnzym we dεn kכl AST de fכm na bכku say dεm na wi bכdi. I kin de mɔ na di liva . bכt apat frכm dat, dis AST εnzym de insay bכku כda tisu dεm lεk di at, bren, pankrias, kidni, εn mכsul dεm. Bɔt bɔku tɛm, we wi de tɔk bɔt AST, bɔku tɛm i kin gɛt fɔ du wit di wɛlbɔdi na wi liva.

So wetin na AST blɔd tɛst?

AST blɔd tɛst de mɛzhɔ di AST we de na yu blɔd. Nɔmal wan, we wi bɔdi in sɛl dɛn dɔn pwɛl, dis AST ɛnzaym kin gɛda na di blɔd. So, if di AST lɛvɛl bɔku na di blɔd sɛmpul na sayn fɔ se sɔntin kin rɔng insay di bɔdi. Bɔrku tɛm (bɔt nɔr kin ɔltɛm) dis kin bi liva sik.

Bɔt nɔto jɔs na di liva nɔmɔ dɛn kin si AST. So, i nɔ kin izi fɔ mek dɔktɔ no uskayn sik yu gɛt bay di AST lɛvɛl nɔmɔ. Bɔku tɛm, dɛn kin du di AST tɛst togɛda wit sɔm ɔda tɛst dɛn. fכ egzampl, dεn kin du am as pat pan wan liva εnzym panεl (HFP) כ wan kכmprεhεnsiv mεtabolik panεl (CMP) . Dis kin mek yu ebul fɔ mɛzhɔ bɔku tin dɛn na wan blɔd sɛmpul ɛn gɛt kɔmplit pikchɔ bɔt yu wɛlbɔdi.

Di AST tɛst gɛt sɔm ɔda nem dɛn:

• Aspartat transfεrεz (AST).
• Aspartat aminotransfεrayz (AST) we de na di bכdi.
• Sεrum Glutamik-Oksaloasetik Transaminaz (SGOT).
• SGOT we de na di wɔl.
• Aspartat transaminaz we dɛn kɔl.

Wetin na di difrɛns bitwin AST ɛn ALT?

Yu kin dɔn yɛri bɔt ɔda valyu we dɛn kɔl ALT wit AST. ALT (Alanine Transferase) na wan ɔda ɛnzaym we dɛn kin mɛzhɔ na di liva. Dɛn tu tin ya kin kɔmɔt na di blɔd we di liva sɛl dɛn dɔn pwɛl.

כltu, difrεnt lεk AST, ALT na εnzym we de fכs fכm na di liva. AST de na bɔku ɔda pat dɛn na di bɔdi. So, dεn kin kכnsidr di εlevεt ALT lεvεl as mכr spεsifi k indikεtכ fכ di liva sik pas di εlevεt AST lεvεl . Bɔt we dɔktɔ de luk fɔ di liva wɛlbɔdi, dɛn kin chɛk ɔl tu di AST ɛn ALT togɛda.

Wetin mek a nid fɔ du AST tɛst?

di men tin we mek dεn de du AST tεst na fכ no di sεl dεm na wi bכdi we dεn dכn pwεl. Dis kin ɛp fɔ no di liva prɔblɛm, mɔ if di sɛl dɛn na di liva dɔn pwɛl, bikɔs AST kin gɛda na di blɔd. כlso, lεk aw wi bin dכn tכk, di AST lεvεl kin εlevεt ivin if di sεl dεm dεn dכn pwεl כda say na di bכdi.

Dɔktɔ kin aks yu fɔ du AST tɛst (bɔku tɛm as pat pan panɛl) fɔ rizin dɛn lɛk:

1. Skrin bifo di sayn dɛm sho

Sɔm pipul dɛn kin gɛt bɔku sik na dɛn liva. If yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt dis sik, yu kin du dis tɛst fɔ chɛk yu liva wɛlbɔdi bifo yu si di sik. Dɛn tin ya we kin mek pɔsin gɛt prɔblɛm na:

• Fɔ drink rɔm pasmak.
• Fɔ gɛt liva sik na di famili.
• Shuga.
• Fat (we de mek yu bɔdi fat bɔku).
• Injekt drɔgs wit nidul we ɔda pipul dɛn de yuz.

Sɔntɛnde, dɛn kin put AST tɛst insay Kɔmprɛhɛnsif Mɛtabolik Panɛl (CMP) as pat pan di rutin wɛlbɔdi chɛk-ap, so yu kin nid fɔ du dis tɛst ivin if yu nɔ de pan risk fɔ gɛt liva sik.

2. Monitor di kɔndishɔn (Monitoring) .

If yu dɔn gɛt liva sik, yu dɔktɔ kin ɔda dis AST tɛst fɔ si if i de bɛtɛ, i de wɔs, ɔ aw i de du fayn wit tritmɛnt. Dɔn bak, if yu de tek mɛrɛsin we kin afɛkt di liva, dɛn kin du dis tɛst bak fɔ si if di mɛrɛsin de mek yu liva pwɛl.

3. As ɛp fɔ no di sik (Diagnosing) .

If yu gɛt sayn dɛm fɔ di liva sik, dɛn kin put AST tɛst insay di tɛst dɛm fɔ ɛp fɔ no if yu gɛt am. Wae di AST lεvεl nכmכ nכ kin ebul fכ no di sik, dεn na imכtant pat pan di diagnostik prכsεs.

Sɔm pan de sayn dɛm wae de sho se yu gɛt liva sik na:

• Nɔs ɛn/ɔ vɔmit.
• Bɛlɛ de at (blɛ pen).
• Skin we de it.
• Jaundice (we de yɔlɔ na di skin ɛn di wayt na di yay).
• Fɔ fil bɔku tɛm fɔ taya (taya).
• Di it nɔ de te.

Udat de du di AST blɔd tɛst? Aw dɛn kin du am?

Bɔku tɛm, pɔsin we dɛn tren spɛshal fɔ tek blɔd sɛmpul, we dɛn kɔl phlebotomist, kin tek dis blɔd sɛmpul. Bɔt ɛnibɔdi we de kia fɔ wɛlbɔdi biznɛs we dɛn tren fɔ tek blɔd kin du dis. Dɔn dɛn kin sɛn di sampul to wan lɛb. Na de, wan sayɛnsman we de na di mɛdikal lɛbɔraytri kin chɛk di sampul ɛn mɛzhɔ di AST lɛvɛl bay we i de yuz spɛshal mashin dɛn (analyzers).

Ɛnitin de we a nid fɔ du bifo di tɛst?

• Fast: If yu AST tɛst na pat pan Kɔmprɛhɛnsif Mɛtabolik Panɛl (CMP), dɛn kin aks yu fɔ fast (nɔ it ɔ drink ɛnitin pas wata) fɔ 10-12 awa bifo yu blɔd tɛst. Bɔt if yu jɔs de du di AST tɛst ɔ jɔs de du Epatic Function Panel (HFP), bɔku tɛm yu nɔ nid fɔ fast. Bɔt,Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
• Infɔmeshɔn bɔt mɛrɛsin: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Sɔm mɛrɛsin kin afɛkt di AST lɛvɛl. Yu dɔktɔ kin aks yu fɔ stɔp fɔ tek dɛn sɔm dez bifo di tɛst, pas nɔmɔ dɛn tɛl yu fɔ tek am. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.

Wetin kin apin we yu gi blɔd?

Dis na tin we rili simpul.

• Yu go sidɔm na chia. afta dat dεn go fכn wan fayn vein na yu an (bכku tεm dεn dכn dכn di εlbo, insay).
• We dɛn dɔn fɛn di vein, dɛn kin klin di say ɛn disinfɛkt am.
• Dɔn, dɛn kin put smɔl nidul insay da vein de ɛn tek blɔd sɛmpul. Dis kin at smɔl, lɛk we ant bit yu.
• Afta dɛn dɔn put di nidul, dɛn kin gɛda smɔl blɔd insay wan tɛst tyub.
• Afta yu dɔn gɛda inof blɔd fɔ di tɛst, pul di nidul ɛn put prɛshɔn pan di say we di blɔd de kɔmɔt wit wan kɔtɔn ɔ goz fɔ mek di blɔd nɔ kɔmɔt.
• Dɔn dɛn kin put plasta na di say ɛn dɛn kin du di wok.

Dis ɔltin we dɛn kin du kin tek lɛk fayv minit.

Wetin kin apin afta dɛn dɔn gi blɔd?

Afta dɛn dɔn sɛn di blɔd sɛmpul to di lab, di rizɔlt go de insay lɛk wan ɔ tu dez so. Sɔntɛnde, i kin tek lɔng tɛm smɔl. Yu dɔktɔ go tɛl yu bɔt di rizɔlt we dɛn kam insay.

Ɛni risk de pan dis?

Blɔd tɛst na wan tɛst we rili kɔmɔn ɛn we impɔtant. Di risk dɛn kin rili smɔl. Sɔm brus ɛn sɔri kin de usay dɛn pul di blɔd. Bɔt dat go dɔn kwik kwik wan.

Wetin di rizɔlt fɔ di AST tɛst min?

Wan blɔd tɛst ripɔt kin gɛt dɛn tin ya wit di AST rizɔlt:

• Di nem fɔ di blɔd tɛst (dɛn kɔl am AST).
• Di amount (value) fɔ AST na yu blɔd.
• Di nɔmal rɛnj fɔ da tɛst de.
• If yu rizulyt nɔmal ɔ abnɔmal (high ɔ low).

Wetin na di nɔmal rɛnj fɔ AST?

Di nɔmal rɛnj fɔ AST kin difrɛn smɔl frɔm wan lab to ɔda wan. Wan kɔmɔn nɔmal rɛnj na 8 to 33 U/L (yunit/lita) . Bɔt i impɔtant fɔ luk di nɔmal rɛnj na yu ripɔt.

Dɔn bak, mɛmba se nɔ wan "nɔmal" AST lɛvɛl de we de wok fɔ ɔlman. Wan hεlty AST lεvεl kin difrεn dipכnt pan tin dεm lεk:

• yu ej.
• Yu feminiti/man.
• Yu rays.
• Yu wet we yu gɛt.

Yu dɔktɔ go tink bɔt ɔl dɛn tin ya ɛn disayd wetin go apin to yu.

Wetin i min if mi AST lɛvɛl ay?

If di AST lɛvɛl go ɔp, i kin bi sayn fɔ di liva sik.If ɔda blɔd tɛst, mɔ di wan dɛn we gɛt fɔ du wit di liva, dɛnsɛf nɔ de du am, i go mɔs bi se yu gɛt liva sik. Bɔt lɛk aw wi bin dɔn tɔk, di AST lɛvɛl kin go ɔp bak if di sɛl dɛn na ɔda pat dɛn na di bɔdi dɔn pwɛl, mɔ na di liva.

di AST lεvεl dεm we dεn εlevεt kin sho se di liva sik kכndishכn dεm lεk:

• Liva de pwɛl bikɔs ɔf rɔm.
• Epataytis we gɛt di sik.
• Liva skata (Sɛrosis).
• Fɔ tek mɛrɛsin wae de ambɔg (toxic) to di liva.
• Wan liva tumor ɔ liva kansa.
• di bכdi we de fכm di liva dεn dכn dכn (Liver Ischemia) (dis kin mek di liva tisu dεm day).

Apat frɔm dat, di kɔndishɔn dɛn we nɔ gɛt ɛnitin fɔ du wit di liva kin mek bak di AST lɛvɛl go ɔp:

• di ayron we de kכmכt pasmak na di bכdi (Hemochromatosis) (dis de pwεl di at, di liva, εn di pankrias).
• Wan at atak (Mayokardial Infarkshɔn).
• Mononucleosis na fiva.
• Sik dɛn we de na di mɔsul dɛn.
• Inflameshɔn na di pankrias (Pancreatitis).

Apat frɔm dɛn tin ya, di AST lɛvɛl kin go ɔp bak fɔ sɔm tɛm afta tin dɛn lɛk:

• Dip bɔn dɛn.
• Kɔnvulshɔn we pɔsin kin gɛt.
• Ɔpreshɔn ɔ di we aw dɛn kin du am we gɛt fɔ du wit at.
• Ɔpreshɔn.
• Intɛns ɛksɛsayz.
• If yu gɛt bɛlɛ.

Di impɔtant tin na dat, we AST lɛvɛl go ɔp nɔ min se yu gɛt siriɔs sik. Bɔku ɔda tin dɛn kin afɛkt dis. Yu dɔktɔ go luk ɔda blɔd tɛst dɛn, yu mɛdikal istri, ɛn ɔl ɔda tin fɔ mek yu no wetin fɔ du.

A fɔ wɔri if mi AST rizɔlt ay?

If yu AST lɛvɛl pas di nɔmal rɛnj we dɛn gi yu na yu AST tɛst ripɔt, i nɔ min se yu gɛt sik we nid tritmɛnt. Ivin pɔsin we gɛt wɛlbɔdi, we de wok fayn fayn wan kin gɛt AST lɛvɛl we nɔ de na di nɔmal rɛnj. Dis kin bi fɔ bɔku rizin dɛn, fɔ ɛgzampul:

• yu ej.
• Yu feminiti/man.
• Yu rays.
• Di it we yu de it.
• Ɛksasayz.
• Fɔ tek mɛrɛsin dɛn we de afɛkt di AST lɛvɛl.
• Yu gɛt bɛlɛ.

Yu dɔktɔ go tink bɔt ɔl dɛn tin ya, wit yu ɔda blɔd tɛst rizɔlt, ɛn disayd if yu nid fɔ du ɔda tɛst.

If mi AST rizulyt nɔ nɔmal, a go nid fɔ du ɔda tɛst dɛn?

Yɛs, if yu AST lɛvɛl nɔrmal, yu dɔktɔ kin ɔda fɔ mek dɛn du sɔm ɔda tɛst dɛn. Dɛn tɛst ya na:

• Ripit AST blɔd tɛst.
• Ɔda blɔd tɛst dɛn (e.g. ALT, Bilirubin).
• Imej tɛst (e.g. Ultrasound skan).
• Wan bayɔpsi we dɛn kin du.

Ustɛm a fɔ kɔl di dɔktɔ?

• If yu gɛt sayn dɛn we de sho se yu liva dɔn pwɛl (e.g. janda, bɛlɛ pen), kɔl yu dɔktɔ wantɛm wantɛm.
• If yu dɔn no se yu gɛt liva sik, tɛl yu dɔktɔ if yu gɛt nyu ɔr wɔri sik.
• If yu gɛt ɛni kwɛstyɔn bɔt yu AST rizɔlt, nɔ fred fɔ aks yu dɔktɔ.

Di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Na nɔmal tin fɔ fil fɔ wɔri smɔl we yu si wan abnɔmal valyu na blɔd tɛst ripɔt. Bɔt mɛmba se, jɔs bikɔs yu AST lɛvɛl dɔn go ɔp nɔ min se yu gɛt sik ɔ yu nid tritmɛnt. Bɔku tin kin afɛkt di AST lɛvɛl. Na lɛk wan pan ɛvri 20 pipul dɛm wae gɛt wɛl bɔdi kin gɛt rizɔlt wae nɔr de na di nɔmal rεnj.

Yu dɔktɔ go disayd if yu nid fɔ du ɛni ɔda tɛst fɔ no wetin mek dis abnɔmal valyu de ɔ nɔ nid fɔ du am. So, nɔ fred fɔ tɔk to yu dɔktɔ bɔt dis. Dɛn de de fɔ ɛp yu. Dɔn gɛt am?

` AST, liva, ɛnzaym, blɔd tɛst, SGOT, liva sik, wɛlbɔdi chɛk