Di liva na wan pan di wok dɛn we kwayɛt ɛn bizi pas ɔl na wi bɔdi. I de du bɔku wok we wi nɔ ivin no. Frɔm we i de ɛp fɔ dayjɛst it to we i de pul di pɔyzin dɛn na di bɔdi, di list we i fɔ du fɔ lɔng tɛm. So sɔntɛnde wi nid fɔ chɛk if sɔntin nɔ fayn wit dis liva we de wok tranga wan, if i taya, ɛn if i de du in wok fayn fayn wan. Laki, wi kin no bɔku tin bɔt dis wit wan simpul blɔd tɛst. Tide wi de tɔk bɔt di ‘Liver Function Tests’, we ɔlman sabi as LFT.
Fɔ tɔk am simpul wan, wetin na dis Liva Fɔnkshɔn Tɛst (LFT)?
I rili simpul. LFT na wan siriɔs tɛst we dɛn kin yuz smɔl blɔd sɛmpul we dɛn tek frɔm wan vein na yu an. Dɛn kin mɛzhɔ di difrɛn tin dɛn (lɛk ɛnzaym ɛn prɔtin) we yu liva de mek ɔ we kin gɛda na yu blɔd we yu liva dɔn pwɛl.
Imajin se yu tek yu motoka insay fɔ savis. Di mɛkanik kin mɛzhɔ tin dɛn lɛk di injin ɔyl ɛn di kɔlant fɔ gɛt aidia bɔt di kɔndishɔn we di injin de, nɔto so? Semweso, dɔktɔ kin chɛk di lɛvɛl we dɛn tin ya de na yu blɔd fɔ gɛt impɔtant aidia bɔt di wɛlbɔdi ɛn aw yu liva de wok.
Wetin mek dɔktɔ go tɛl yu fɔ du dis LFT?
Bɔku rizin dɛn kin de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst.
- Chek fɔ si if yu tink se yu gɛt liva sik: If yu gɛt sɔm sayn dɛn we tan lɛk janda, yɔlɔ yay, pen na yu bɛlɛ in rayt say, ɔ fil se yu nɔ gɛt bɛtɛ trɛnk, dɛn kin aks yu fɔ du dis tɛst bikɔs yu tink se yu gɛt epataytis ɔ ɔda sik.
- Monitor di liva sik we bin dɔn de bifo: If yu dɔn ɔlrɛdi gɛt liva sik (fɔ ɛgzampul, sirosis), dɛn kin du dis tɛst ɔltɛm fɔ si aw i de du, if di sik de wɔs, ɔ if dɛn dɔn kɔntrol am.
- Si if di tritmɛnt dɔn wok fayn: Dis tɛst kin ɛp bak fɔ no if di mɛrɛsin dɛn we dɛn kin gi fɔ wan sik na di liva de wok ɛn if di sik de go bifo.
- Monitor di sayd ɛfɛkt dɛm fɔ di mɛrɛsin dɛm we yu de tek: Sɔm mɛrɛsin dɛm, lɛk mɛrɛsin dɛm we de mek yu nɔ gɛt bɔku bɔku kɔlɔstrel ɛn mɛrɛsin dɛm we de mek yu fil pen fɔ lɔng tɛm, kin afɛkt di liva. So, we yu de yuz dɛn kayn mɛrɛsin ya, dɔktɔ dɛn kin du dis LFT bak fɔ chɛk if ɛni ifɛkt de pan di liva.
Wetin na di men tin dɛm we dɛn kin luk pan na LFT?
Wen yu luk LFT ripot, yu go si plenti Inglish leta and nomba. Fɔs, i kin tan lɛk se i kɔmplikt smɔl, bɔt ɛni wan pan dɛn nɔmba ya de tɛl yu bɔt difrɛn tin dɛn we di liva de du. Lɛ wi tek tɛm luk wetin na dɛn men tin ya.
| Test Nem | Wetin dis min? |
|---|---|
| Liva Ɛnzaym dɛn ALT, AST, ALP, GGT, ɛn ɔda pipul dɛn | Dɛn tin ya na di wan dɛn we pipul dɛn sabi pas ɔl. We di liva sɛl dɛn pwɛl, wund, ɔ inflam, dɛn ɛnzaym dɛn ya kin kɔmɔt na di blɔd. So if dɛn lɛvɛl go ɔp na di blɔd, dat min se di liva de ɔnda sɔm strɛs. |
| Tɔtɔl Protɛin ɛn Albumin | Di liva de mek bɔku pan di prɔtin dɛn we wi bɔdi nid. Albumin na wan pan dɛn kayn impɔtant prɔtin dɛn de. we di liva nכ de wok fayn, di prodakshכn fכ dis protin de dכn. Dis kin mek di prɔtin we de na di blɔd nɔ bɔku. |
| Bilirubin we dɛn kɔl bilirubin | Dis na yɔlɔ west tin we kin mek we di rɛd blɔd sɛl dɛn brok. Liva we gɛt wɛlbɔdi kin tek dis bilirubin, jɔyn am wit bayl, ɛn pul am na di bɔdi. We di liva gɛt prɔblɛm, dis wok nɔ de wok fayn. Dɔn bilirubin kin gɛda na di blɔd, ɛn dis kin mek di yay ɛn di skin tɔn yɔlɔ. Wi kin kɔl dis bak ‘yɔlɔ fiva’. |
| Prɔtrombin Tɛm (PT) . | di liva de mek spεshal protin dεm (clotting factors) bak we de εp fכ blכd kכlכt. Di PT tɛst de mɛzhɔ aw lɔng i tek fɔ mek yu blɔd klot. If di liva dɔn pwɛl, di we aw dɛn de mek dɛn prɔtin ya de go dɔŋ. Dis kin mek di tɛm we i kin tek fɔ mek blɔd klɔt mɔ. |
Yu tink se i at fɔ du dis blɔd tɛst?
Atɔl. Dis na tin we rili simpul ɛn yu kin du am insay sɔm minit.
We yu go na ɔspitul ɔ lab, nɔs ɔ tɛknishian go fɛn wan vein na yu an nia yu ɛlbo ɛn klin di say. Dɔn, dɛn go yuz smɔl nidul fɔ gɛda smɔl blɔd insay wan vayl. Yu kin fil lɛk se yu de swɛt smɔl, bɔt i go dɔn kwik kwik wan. Afta dɛn dɔn pul di blɔd, dɛn kin sɛn di sɛmpul to wan lɛb. I kin tek sɔm awa ɔ wan ɔ tu dez fɔ mek di rizɔlt kam bak.
Di tin we impɔtant pas ɔl na fɔ aks yu dɔktɔ if yu nid fɔ fast bifo dis tɛst. Sɔntɛnde, dɛn kin aks yu fɔ fast bikɔs dɛn kin du am togɛda wit ɔda tɛst dɛn.
Aw fɔ ɔndastand di valyu dɛn we de na di ripɔt? (Nɔmal Rɛnj dɛn) .
We yu gɛt yu ripɔt, yu go si yu mak fɔ ɛni tɛst, wit di ‘Nɔmal Rɛnj’. Bɔt wan tin de we rili impɔtant fɔ mɛmba na ya.
Nɔr panik ɔr disayd se yu gɛt sik wae yu si di valyu dɛm na dis ripɔt. Na yu dɔktɔ nɔmɔ go ebul fɔ ɔndastand dis kɔrɛkt wan ɛn kam to wan kɔnklushɔn we fit yu sityueshɔn.
Bikɔs di nɔmal rɛnj fɔ di valyu dɛn kin difrɛn smɔl frɔm wan lab to di ɔda wan. Dɛn valyu ya kin difrɛn bak dipen pan tin dɛm lɛk ej ɛn man ɔ uman.
Na sɔm valyu rɛnj dɛn we dɛn kin yuz:
| Tɛst | Nɔmal Rɛnj |
|---|---|
| Alanin transaminaz (ALT) we dɛn kɔl . | 0 to 45 IU/L |
| Aspartat transaminaz (AST) we dɛn kɔl aspartat transaminaz (AST) . | 0 to 35 IU/L |
| Alkalin fosfataz (ALP) . | 30 to 120 IU/L |
| Bilirubin we dɛn kɔl bilirubin | 2 to 17 maykromol/L |
| Prɔtrombin tɛm (PT) . | 10.9 to 12.5 sɛkɔn |
| Albumin we dɛn kɔl | 40 to 60 g/L |
Wetin di ɛlevɛt ALT ɛn AST lɛvɛl min?
di fכs tin we bכku pipul dεn kin pe atεnshכn to na LFT ripot na di tu εnzym lεvεl dεm, ALT εn AST. If dɛn tin ya go ɔp, i de sho se sɔm tin dɛn dɔn pwɛl di liva sɛl dɛn.
Bɔt, dɔktɔ dɛn kin luk bak pan di ratio fɔ dɛn tu valyu ya. Fɔ ɛgzampul, if di AST valyu na lɛk tu tɛm pas di ALT valyu, bɔku tɛm i kin sho se di liva dɔn pwɛl bikɔs dɛn yuz rɔm. If di tu valyu dεm na bכt di sem, i kin bi fכ כda kכz (fכ egzampl, vayral infεkshכn).
Us kayn sik LFT de sho?
Dis na sɔntin we wi nid fɔ ɔndastand. Di LFT tɛst na jɔs di fɔs step na di diagnostik joyn. I tan lɛk di fɔs tin we ditektiv kin gɛt. Di rizulyt fɔ dis tɛst nɔmɔ nɔ kin ebul fɔ kɔnfirm wan sik. Bɔt i de gi di dɔktɔ gud gayd fɔ no usay di prɔblɛm de ɛn wetin fɔ du nɛks.
If di LFT rizɔlt nɔ nɔmal, dɛn kin nid fɔ du ɔda tɛst dɛn lɛk ɔltra saund skan, ɔda spɛshal blɔd tɛst dɛn, ɛn sɔntɛm fɔ tek liva bayɔpsi.
Sɔm pan di kɔndishɔn dɛn we LFT tɛst kin sho na:
- Fat Liva Sik we pɔsin kin gɛt
- Liva damej bikɔs ɔf pɔyzin (Toxic Hepatitis) .
- Vayral ɛpatitis (Vayral Ɛpataytis A, B, ɔ C) .
- di bכdi in yon imyun sistεm de atak di liva (Autoimmune Hepatitis) .
- Sirosis - skata ɛn shrinkage na di liva
- Prɔblɛm dɛn we de na di bayl dakt
- Liva Kansa
- Sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa lɛk ɛmokromatosis
Mɛsej we dɛn kin kɛr go na os
- Liva Fɔnkshɔn Tɛst (LFT) na wan rili simpul ɛn sef blɔd tɛst we de gi bɔku infɔmeshɔn bɔt di wɛlbɔdi na yu liva.
- We yu dɔn gɛt di rizɔlt fɔ dis tɛst, nɔ jomp to kɔnklushɔn bays pan infɔmeshɔn we de na di intanɛt. Dat go jɔs mek pipul dɛn fred we nɔ nid fɔ du dat.
- Na yu dɔktɔ nɔmɔ go ebul fɔ gi yu kɔrɛkt intapriteshɔn bay we i kɔmpia di valyu dɛn we de na yu ripɔt wit yu sik dɛn ɛn ɔda mɛrɛsin infɔmeshɔn.
- Nɔto ɛvri tɛm we di LFT valyu dɛn de ɔp, i min se siriɔs sik de. Sɔntɛnde, i kin bi simpul tin, lɛk wan mɛrɛsin we yu de tek ɔr yu gɛt infekshɔn fɔ sɔm tɛm. Bɔt i impɔtant fɔ chɛk am.
- Di liva na valyu ɔgan we de wok kwayɛt wan. So if dɔktɔ tɛl yu fɔ du am, i rili impɔtant fɔ mek yu du tɛst lɛk dis fɔ chɛk if di liva gɛt wɛlbɔdi.
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