Yu dɔn ɛva si wan blɔd tɛst ripɔt we gɛt tri lɛta dɛn ɛn wan nɔmba pan am? Sɔntɛm di dɔktɔ dɔn tɛl yu se di valyu pas di nɔmal rɛnj. Na nɔmal tin fɔ fil smɔl fred ɛn fred na tɛm lɛk dis. "O, wetin na dis ALT? Na siriɔs sik if i ay?" Yu kin tink. Bɔt nɔ wɔri. Tide, lɛ wi tɔk rili simpul ɛn klia wan bɔt wetin na dis ALT ɛn wetin dis tɛst rili se bɔt wi bɔdi.
Fɔ tɔk am simpul wan, wetin na dis ALT Tɛst?
Di ALT tɛst na wan rili simpul blɔd tɛst we de chɛk fɔ si if yu liva dɔn pwɛl . Pan ɔl we wi kɔl am ALT wit in shɔt nem, in ful nem na Alanine Aminotransferase . Trade, dɛn bin de kɔl am bak SGPT (sɛrum glutamic-pyruvic transaminase) . Sɔntɛm yu go dɔn si dat na yu ol ripɔt dɛn.
So dis ALT na ɛnzaym na wi bɔdi. fכ bi prεsis, dis εnzym de mכst insay wi liva sεl dεm. sכ m sכm wan dεm de fכn bak na ples dεm lεk di kidni dεm εn di mכsul dεm. Nɔmal wan, ALT kin de na wi blɔd we i rili smɔl.
Tink bɔt di liva lɛk baskɛt we gɛt bɔku bɔku eg dɛn. As long as di eg dem sef, no problem de. Bɔt if di baskɛt pwɛl ɔ shek, sɔm pan di eg dɛn go brok ɛn kɔmɔt, nɔto so? Na so i bi. We di liva sɛl dɛn pwɛl bikɔs ɔf sik, mɛrɛsin, aksidɛnt, ɔ ɔda rizin, di ALT ɛnzaym we de insay dɛn sɛl dɛn de kin kɔmɔt na di blɔd. Na da tɛm de we dɛn du blɔd tɛst sho se di ALT lɛvɛl dɔn go ɔp.
Wetin mek di liva impɔtant to wi bɔdi?
di liva nכto כnli wan pan di big כgan dεm na wi bכdi, bכt i lεk wi bכdi in "men fכktri." Di wok we i de du nɔto smɔl tin.
- Bayl prodakshɔn: di bayl we de ɛp fɔ dayjɛst di fat it dɛn we wi de it, na di liva de mek am.
- Blɔd klin: Di liva de filta di dɔti ɛn pɔyzin we wi nɔ want (lɛk rɔm) we de kɔmɔt na wi blɔd, jɔs lɛk wata filta.
- Ɛp fɔ mek blɔd klɔt: Di liva de mek di prɔtin dɛn we i nid fɔ mek i nɔ blɔd we i wund.
- Fɔ kip di tin dɛn we yu nid: Dɛn kin kip tin dɛn lɛk vaytamɛn ɛn minral ɛn kip am te di bɔdi nid dɛn.
- di shuga lεvεl kכntrכl: dεn de stכr εkstra shuga na di bכdi εn kכnvכlt bak to εnεji we nid de.
So, bikɔs i de du bɔku impɔtant tin dɛn, i rili impɔtant fɔ tek kia ɔf di wɛlbɔdi na di liva.
Ɔnda us sikɔstɛms dɔktɔ go tɛl yu fɔ du dis tɛst?
Bɔku rizin dɛn de we mek yu dɔktɔ kin ɔda fɔ mek dɛn du ALT tɛst. E kin bi bikɔs yu gɛt sɔm kayn sik wae gɛt fɔ du wit liva sik, ɔr kin bi bikɔs yu de pan denja fɔ lɛ yu liva pwɛl.
| Di sayn dɛm fɔ di liva sik | |
|---|---|
| Bɛlɛ de pen ɔ blo | Nɔs ɛn vɔmit |
| Di skin ɛn yay we de yɔlɔ (jaundice) . | Taya pasmak ɛn wik na di bɔdi |
| Dak urine (lɛk di kɔlɔ fɔ ti) . | Pale stul (we gɛt kle kɔlɔ) . |
| Skin we de it | - . |
| Risk factors wae de inkrisayz di risk fɔ mek yu liva pwɛl | |
|---|---|
| Eksposhɔn to di epataytis vayrɔs | Fɔ drink pasmak |
| Fɔ gɛt famili histri bɔt liva sik | If yu yuz sɔm mɛrɛsin dɛn fɔ lɔng tɛm (e.g., tin dɛn we de mek yu nɔ fil pen lɛk Acetaminophen ɛn Ibuprofen) we kin pwɛl di liva |
| Fat | Fɔ gɛt dayabitis |
Sɔntɛnde, fɔ no patikyula rizin, dɛn kin du di ALT tɛst as pat pan yu ɛni ia mɛdikal chɛk-ap. Dɛn kin yuse am bak fɔ si aw tritmɛnt de wok fayn if yu dɔn gɛt liva sik.
Ɛni prɛparashɔn de bifo di tɛst?
Bɔku tɛm, dɛn nɔ nid spɛshal prɛparashɔn if dɛn du di ALT tɛst in wan. Bɔt bɔku tɛm dɛn kin du dis tɛst togɛda wit ɔda liva tɛst dɛn (liva panɛl). Sɔm pan dɛn tɛst ya kin mek yu nid fɔ fast fɔ sɔm awa. So, aks yu dɔktɔ if yu fɔ avɔyd fɔ it ɔ drink bifo yu du di tɛst.
Dɔn bak, mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ ɔda tin dɛn we yu de tek. Sɔm mɛrɛsin kin afɛkt di rizɔlt fɔ dis tɛst. Dɔn bak, if yu du bɔku ɛksɛsayz di de bifo di tɛst, dat kin mek di ALT lɛvɛl go ɔp fɔ sɔm tɛm. So i fayn fɔ mek yu tɛl yu dɔktɔ bɔt dat bak.
We di ripɔt kam, wetin i min?
Yu go gɛt di tɛst rizɔlt insay sɔm awa ɔ sɔm dez. Di ripɔt go list yu ALT lɛvɛl ɛn in nɔmal rɛnj .
Di impɔtant tin na dat dis nɔmal rɛnj kin difrɛn smɔl frɔm wan lab to ɔda wan. So yu fɔ kɔmpia yu valyu to di rɛnj we de na yu ripɔt. כltu, dis valyu de bitwin 7 εn 56 yunit pan wan lita (U/L).
Di ay ALT lɛvɛl dɛn
we di ALT lεvεl bכku i de sho se sכm kayn inflameshn כ damej pan di liva sεl dεm. Bɔt, in wangren nɔ min se yu gɛt siriɔs liva sik.
Mɛmba se nɔto ɔlman we gɛt ay ALT lɛvɛl gɛt siriɔs liva sik. Infakt, less dan 5% pan di pipul dɛm wae gɛt ɛlevɛt ALT lɛvɛl kin gɛt siriɔs liva sik.
Bɔku rizin kin de fɔ mek di ALT lɛvɛl go ɔp:
- Fat liva sik: Dis na wan sik we pipul dɛn kin si naw na sosayti.
- Vayral infεkshכn lεk Epataytis A, B, εn C: Dɛn wan ya kin afɛkt di liva dairekt wan.
- Fɔ drink pasmak: Rɔk na pɔyzin fɔ di liva.
- Di bad tin dɛn we sɔm mɛrɛsin dɛn kin du: Sɔm mɛrɛsin dɛn we kin mek pɔsin fil pen, we kin mek pɔsin nɔ gɛt bɔku bɔku kɔlɔstrel, ɛn we kin mek di ALT lɛvɛl go ɔp.
- Sirosis na di liva: Ska na di liva.
- Di blɔd we de go na di liva we de go dɔŋ.
- Ɛmokromatosis: Ayɔn we pasmak na di bɔdi.
- Ɔda vayral infɛkshɔn dɛn, lɛk mononucleosis (mono).
Low ALT lɛvɛl dɛn
Dɛn nɔ kin si dis bɔku tɛm. Bɔku tɛm, di ALT lɛvɛl we smɔl nɔ kin bi sɔntin we kin mek pɔsin wɔri. Bɔt nɔr kin bɔrku, dɛn kin gɛt fɔ du wit tin dɛm lɛk wae yu nɔr gɛt vaytamɛn B6 ɔr sik na yu kidni we nɔr de dɔn. If yu lɛvɛl nɔ bɔku, yu dɔktɔ go ɔda fɔ mek dɛn du sɔm ɔda tɛst dɛn.
Us ɔda tɛst dɛn kin du fɔ gɛt kɔmplit pikchɔ bɔt di liva wɛlbɔdi?
Di ALT tɛst na jɔs wan pat pan di pazl. Fɔ si di wan ol pikchɔ, yu dɔktɔ go nid sɔm ɔda pat dɛn. na dat mek dεn kin du di ALT tεst bכku tεm as pat pan wan siriכs tεst we dεn kכl "Liver Function Tests" (LFTs) .
כda imכtant εnzym insay dis siriכs tεst na AST (Aspartate Aminotransferase) . lεk ALT, dis εnzym de insay di bכdi bak we di liva sεl dεm dכn pwεl. כltu, AST de bak insay hכy lεvεl dεm pas ALT na εria dεm lεk di at εn mכsul dεm.
Yu dɔktɔ go kɔmpia yu AST ɛn ALT lɛvɛl (AST/ALT ratio) . Dis ratio de gi yu dɔktɔ impɔtant tin fɔ no bɔt di kayn we aw di liva dɔn pwɛl ɛn di tin we mek i apin.
Apat frɔm dat, di LFT tɛst siriɔs kin gɛt dɛn tin ya bak:
- Bilirubin we dɛn kɔl bilirubin
- Albumin we dɛn kɔl
- Alkalin fosfataz (ALP) .
- Tɔtɔl prɔtin
- Gama-glutamil transfεrεz (GGT) .
We yu dɔktɔ jɔyn di tin dɛn we yu dɔn lan frɔm ɔl dɛn tɛst ya, i go ebul fɔ no di kɔrɛkt tin bɔt di wɛlbɔdi na yu liva.
Mɛsej we dɛn kin kɛr go na os
- Di ALT tɛst na simpul blɔd tɛst we de chɛk di wɛlbɔdi na yu liva.
- we di ALT lεvεl dεm inkrεs de sho se sכm damej כ inflameshn de pan di liva sεl dεm.
- Bɔt if di ALT lɛvɛl go ɔp nɔmɔ nɔ min se yu gɛt siriɔs liva sik. I kin afɛkt bikɔs ɔf sɔm tin dɛn we kin apin fɔ sɔm tɛm (lɛk fɔ tek mɛrɛsin ɔ fɔ du ɛksɛsayz).
- Yu dɔktɔ nɔ go disayd bay yu ALT lɛvɛl nɔmɔ. I go tink bɔt ɔda tɛst dɛn we di liva de du, lɛk AST, ɛn ɔl di sayn dɛn we yu gɛt fɔ mek i go ebul fɔ no di rayt tin.
- If yu gɛt ɛnitin fɔ wɔri bɔt yu ALT lɛvɛl, mek shɔ se yu tɔk to yu dɔktɔ bɔt am opin wan. Nɔ tray fɔ no yusɛf bay we yu de luk fɔ infɔmeshɔn na di Intanɛt.
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