We yu tek blɔd tɛst, yu go dɔn si se i gɛt valyu fɔ ALT ɔ SGPT. Sɔntɛm di dɔktɔ dɔn tɛl yu se dis valyu ay smɔl ɛn yu nid fɔ tek tɛm smɔl bɔt yu liva. I nɔmal fɔ mek yu fred smɔl ɛn wɔri we yu yɛri dat. So wetin na dis ALT? Wetin mek i rili impɔtant fɔ wi bɔdi? Nɔ fred, lɛ wi tɔk bɔt ɔl dis simpul ɛn klia wan.
Fɔ tɔk am simpul wan, wetin na ALT?
Alanine Transaminase (ALT) na wan ɛnzaym we de na wi bɔdi. Fɔ tɔk di kɔrɛkt tin, i tan lɛk smɔl wokman insay wi sɛl dɛn. Di men wok we i de du na di liva . כltu, apat frכm di liva, dis ALT εnzym de insay sכm sכm כda ples dεm bak.
εnzym na wan kayn protin we de εp difrεn prכsεs dεm na wi bכdi. Jɔs lɛk aw dɛn nid spak plɔg fɔ mek motoka stat, na so di bɔdi nid dɛn ɛp dɛn ya we dɛn kɔl ɛnzaym fɔ du sɔm tin dɛn.
So wetin di ALT blɔd tɛst de du?
ALT blɔd tɛst de mɛzhɔ di ALT we de na yu blɔd. Tink bɔt di liva lɛk os, ɛn ALT as di wokman dɛn we de insay da os de. If di wɔl dɛn na dis os pwɛl ɛni we, di wokman dɛn we de insay de lik kɔmɔt (i.e. insay di blɔd).
dis min se we yu liva sεl dεm dכn pwεl, di ALT εnzym we de insay dεn sεl dεm de kכmכt insay di bכdi. Dis kin mek di ALT lɛvɛl go ɔp we dɛn de du blɔd tɛst. Dis na di rizin we mek dɔktɔ dɛn kin yuz dis tɛst fɔ gɛt aidia bɔt di wɛlbɔdi na yu liva.
Dɛn nɔ kin du di ALT tɛst fɔ insɛf. i de du am as pat pan wan liva εnzym panεl (LFT) כ wan kכmprεhεnsiv mεtabolik panεl (CMP).
Dɛn kin kɔl di ALT tɛst bak wit sɔm ɔda nem dɛn:
- Alanin Aminotransfεrayz
- SGPT (Sεrum Glutamik-Pyruvik Transaminaz) .
- GPT
Wetin na di difrɛns bitwin ALT ɛn AST?
Yu go dɔn notis se wit ALT, wan ɔda valyu we dɛn kɔl AST de bak na yu ripɔt. AST (Aspartate Transaminase) na ɔda ɛnzaym lɛk ALT. Dɛn tu tin ya kin gɛda na di blɔd we di sɛl dɛn dɔn pwɛl.
Bɔt wan impɔtant difrɛns de ya. ALT de mɔ na di liva. bכt di εnzym AST de fכn bak insay bכku bכku wan na di at, skel mכsul, εn pankrias, apat frכm di liva.
So, we wi de tɔk bɔt liva wɛlbɔdi, wi kin tek ALT fɔ bi mɔ spɛshal to di liva pas AST. Bɔt dɔktɔ dɛn kin luk dɛn tu valyu ya ɛn ɔda tɛst rizɔlt dɛn togɛda fɔ mek dɛn disayd fɔ du di rayt tin.
Wetin mek dɛn de aks yu fɔ du ALT tɛst?
Tri men rizin dɛn de we mek dɔktɔ go aks yu fɔ mek dɛn du yu blɔd tɛst, ɛn wan pan dɛn rizin dɛn de fɔ mek dɛn du ALT tɛst.
1. Skrin bifo di sayn dɛm sho
Sɔntɛnde, yu nɔ kin gɛt ɛni sayn fɔ sho se yu gɛt dis sik. Bɔt dis tɛst kin ɛp yu fɔ no if yu de pan denja fɔ gɛt liva sik tumara bambay. Yu dɔktɔ kin tɛl yu fɔ du dis tɛst if yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt dis sik:
- Fɔ drink rɔm pasmak.
- Fɔ gɛt famili histri bɔt liva sik.
- Fɔ gɛt dayabitis.
- Fat .
- Injekt drɔgs yuz nidul we dɛn sheb wit ɔda pipul dɛn.
2. Fɔ monitar wan mɛdikal kɔndishɔn (Monitoring) .
If yu dɔn gɛt liva sik, dɛn kin du dis tɛst ɔltɛm fɔ si if i de bɛtɛ, i de wɔs, ɔr de di sem wit tritmɛnt. Dɛn kin du am bak fɔ si if di liva de pwɛl we yu tek sɔm mɛrɛsin dɛn we kin afɛkt di liva.
3. Fɔ ɛp fɔ no if pɔsin gɛt sik (Diagnosing) .
If yu gɛt sɔm kayn sik wae de sho se yu gɛt liva prɔblɛm, dis tɛst rili impɔtant fɔ no di kɔz. Pan ɔl we di ALT lɛvɛl nɔmɔ nɔ kin ebul fɔ no if pɔsin gɛt sik, i impɔtant fɔ no if pɔsin gɛt sik.
| Simptom dɛm wae kin sho se yu gɛt liva prɔblɛm |
|---|
| Nɔs ɛn/ɔ vɔmit |
| Bɛlɛ we de at (blɛ pen) . |
| Skin we de it |
| Jandis (di skin kin yɔlɔ ɛn di yay kin wayt) . |
| Fɔ taya ɔltɛm |
| Anorexia we pɔsin kin gɛt |
Ɛnitin de we dɛn fɔ pripia bifo dis blɔd tɛst?
If dɛn de du yu ALT tɛst as pat pan wan kɔmplit siriɔs tɛst, lɛk CMP, dɛn kin aks yu fɔ fast fɔ lɛk 10-12 awa . Fast min se yu nɔ fɔ it ɔ drink ɛnitin pas wata.
Bɔt if yu jɔs de du ALT tɛst, bɔku tɛm i nɔ nid fɔ fast. Bɔt i impɔtant fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du.
Apat frɔm dat, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ sɔpɔtmɛnt we yu de tek, bikɔs sɔm mɛrɛsin dɛn kin afɛkt di ALT lɛvɛl. Stɔp fɔ tek ɛni mɛrɛsin bifo di tɛst pas yu dɔktɔ tɛl yu fɔ tek am. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
Bikɔs ɛksesaiz we yu de du tranga wan kin afɛkt di ALT lɛvɛl bak, if yu de du ɛksasaiz ɔltɛm, tɛl yu dɔktɔ bɔt am bifo tɛm.
Wetin kin apin we dɛn pul blɔd?
Bɔku tɛm, di we aw pɔsin kin gi blɔd kin rili simpul.
- Yu go sidɔm na chia, ɛn nɔs ɔ mɛdikal ɔfisa go fɛn wan fayn vein na yu an fɔ pul blɔd frɔm. Bɔku tɛm, dɛn kin pik wan vein na di insay pat pan di ɛlb.
- Dɔn, klin di say fayn fayn wan ɛn put wan tin we de kil di sik.
- Dɛn kin put wan rili smɔl nidul insay wan vein ɛn tek blɔd sɛmpul. Dis tɛm ya, i kin tan lɛk se smɔl ant de bit yu.
- Afta dɛn dɔn put di nidul, dɛn kin gɛda di blɔd we dɛn nid insay wan tɛst tyub.
- We dɛn dɔn pul di blɔd, dɛn kin pul di nidul ɛn put wan kɔtɔn ɛn pres am fɔ mek di blɔd nɔ kɔmɔt.
- Jɔs put plasta pan di eria ɛn yu dɔn. Di ɔl di prɔses nɔ fɔ tek pas fayv minit.
Wetin rili di ALT valyu dɛn min?
We yu gɛt yu blɔd tɛst ripɔt, i kin gɛt bɔku tin dɛn. Bɔku tɛm, i kin gɛt fɔ du wit:
- di nem fכ di tεst we dεn du (e.g. Alanin Transaminase - ALT).
- Yu rizulyt (yu blɔd kɔnt).
- Dat na di nɔmal rɛnj fɔ di tɛst.
- If yu rizulyt nɔmal ɔ abnɔmal (high ɔ low).
Wetin na di nɔmal ALT valyu?
di nכmal rεnj fכ ALT kin difrεn sכmtεm frכm wan lab to כda wan. wan valyu we jεnarali aksept na bitwin 7 εn 56 yunit pan wan lita (7 to 56 U/L). di ALT lεvεl dεm na man dεm kin hכy sכmtεm pas uman dεm.
Di tin we impɔtant pas ɔl na fɔ kɔmpia yu valyu wit di ‘Rɛfrɛns Rɛnj’ we dɛn tɔk bɔt na yu ripɔt.
Wetin wan ɛlevɛt ALT lɛvɛl min?
di ALT lεvεl dεm we de na di bכdi de sho se di liva sεl dεm kin dכn pwεl כ dεn nכ de wok fayn. Sɔm pan di tin dɛn we kin mek di ALT lɛvɛl go ɔp na:
- Liva de pwɛl bikɔs ɔf rɔm.
- Fat Liva Sik we pɔsin kin gɛt.
- Epataytis (inflameshɔn na di liva).
- Sirosis (ska we de na di liva).
- Yuz sɔm mɛrɛsin dɛn we de ambɔg (tɔxik) to di liva.
- Liva tumor ɔ liva kansa.
- di bכdi we de fכm di liva dεn dכn dכn (Liver Ischemia).
- Ayɔn we pasmak na di bɔdi (Hemochromatosis).
- Sɔm infɛkshɔn, lɛk mononyukliɔsis.
- Sɔm jenɛtik kɔndishɔn dɛn we kin afɛkt di liva.
Bɔt mɛmba se, nɔto jɔs na di liva nɔmɔ dɛn kin si ALT, so i nɔ kin izi fɔ mek di ALT lɛvɛl go ɔp ivin if di sɛl dɛn dɔn pwɛl ɔdasay.
Impɔtant: If yu gɛt ay ALT lɛvɛl, dat nɔ min se yu gɛt siriɔs liva sik. Lɛs dan 5% pan di pipul dɛm wae gɛt ɛlevɛt ALT lɛvɛl gɛt siriɔs liva sik. Yu dɔktɔ go disayd dis bay di ɔda valyu dɛm we de na yu ripɔt ɛn yu wɛlbɔdi istri.
Wetin di ALT lɛvɛl we smɔl min?
I nɔ kin izi fɔ si di ALT lɛvɛl dɛn we smɔl pas aw i kin bi. Ɛn bɔku tɛm i nɔ kin bi sɔntin we wi fɔ wɔri bɔt. Bɔt sɔm tɛm dɛn, di ALT lɛvɛl kin smɔl bikɔs ɔf di vaytamɛn B6 we nɔ de ɔ di kidni sik we nɔ de dɔn. If yu rizɔlt nɔ bɔku, yu dɔktɔ kin du ɔda tɛst fɔ si if i gɛt sɔntin fɔ du wit am.
Ɔda tin dɛn de we kin afɛkt di chenj na di ALT lɛvɛl?
Yɛs. Apat frɔm di mɛrɛsin, sɔm ɔda tin dɛn de we kin afɛkt yu ALT lɛvɛl. Yu dɔktɔ go tek ɔl dɛn tin ya na kɔna we i de stɔdi yu rizɔlt.
| Tin | Aw i kin afɛkt |
|---|---|
| Ɛksasayz | If yu du ɛksɛsayz we yu rili strɔng ɔ we yu du pasmak, dat kin mek di ALT lɛvɛl go ɔp fɔ sɔm tɛm. |
| Mɛrɛsin dɛn we dɛn kin yuz | Bɔku mɛrɛsin ɛn sɔpɔtmɛnt dɛn, lɛk pen kil lɛk asetaminofɛn, kin afɛkt di ALT lɛvɛl. |
| Bɔy ɔ gal | di ALT lεvεl na man dεm kin hכy sכmtεm bikoz fכ di כmon chenj dεm. |
| Menstrueshɔn ɛvri mɔnt | di ALT lεvεl kin chenj di tεm we di mεnstral saykl de. |
| Ej | di tεndens de fכ di ALT lεvεl dεm fכ dכn sכmtεm wit di ej. |
| Di Bɔdi Mas Indeks (BMI) . | Fat ɛn ay bɔdi mas indeks gɛt fɔ du wit di ɛlevɛt ALT lɛvɛl. |
Wetin yu kin du nɛks if yu gɛt rizɔlt we nɔ kɔmɔn?
If yu ALT lɛvɛl nɔrmal, yu dɔktɔ kin tɛl yu fɔ du sɔm ɔda tɛst fɔ no di kɔz.
- Ripit di ALT tɛst.
- Ɔda blɔd tɛst dɛn.
- Skan dɛn lɛk ɔltra saund.
- fכ tek sכm sכm tisu frכm di liva fכ egzamin (Biopsy).
If yu ALT lɛvɛl rili ay ɔ yu gɛt sayn dɛm fɔ liva sik, dɛn fɔ du dɛn ɔda tɛst ya wantɛm wantɛm.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt sɔm sayn dɛn we de sho se yu liva dɔn pwɛl, lɛk janda (we yu skin de yɔlɔ) ɔ yu bɛlɛ de pen, go to yu dɔktɔ wantɛm wantɛm.
If dɛn dɔn ɔlrɛdi no se yu gɛt liva sik ɛn nyu sayn dɛn de kam, kɔl yu dɔktɔ.
If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt yu ALT rizɔlt, nɔ ɛva fred fɔ aks yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- ALT na wan ɛnzaym we de mɔ na di liva.
- di ALT lεvεl dεm we de na di bכdi de sho se sכm damej de pan di liva sεl dεm.
- If ALT lɛvɛl go ɔp nɔmɔ nɔ go ebul fɔ sho se yu gɛt siriɔs sik. Bɔku tin dɛn lɛk fɔ du ɛksɛsayz ɛn fɔ tek mɛrɛsin kin afɛkt dis.
- Dɔktɔ kin ɛksplen yu rizɔlt bay we i de tink bɔt yu ɔl yu wɛlbɔdi ɛn ɔda tɛst rizɔlt dɛn.
- If yu gɛt ɛnitin fɔ wɔri bɔt yu ripɔt, tɔk to yu dɔktɔ bɔt am klia wan. Nɔ fred we yu nɔ nid fɔ fred.
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