Lɛ wi se yu go si dɔktɔ fɔ mek dɛn chɛk yu ɔltɛm ɛn yu gɛt yu blɔd tɛst rizɔlt. Di dɔktɔ we luk di ripɔt se, "Yu liva ɛnzaym dɛn dɔn ɔp smɔl." Yu si se di valyu dɛn we de bifo di tu lɛta dɛn ALT ɛn AST na yu ripɔt ay pas aw i fɔ bi. Na nɔmal tin fɔ fil fɔ fred smɔl we dis apin. Bɔt nɔ panik. Tide wi de tכk bכt wan kכndyushכn we dεn kכl ``Transaminitis'', we di liva εnzym dεm de εlevεt.
Fɔ tɔk am simpul wan, wetin na Transaminitis?
`Transaminitis` nɔto siriɔs mɛrɛsin. i min se di lεvεl dεm fכ sכm εnzym dεm we dεn kכl `transaminases` na yu bכdi dεn dכn inkrεs bכku bכku wan. di tu men εnzym dεm na `Alanine Transaminase (ALT)` εn `Aspartate Transaminase (AST)` .
Tink bɔt yu liva lɛk big faktri. Dɛn ɛnzaym dɛn ya na di wokman dɛn we de insay di sɛl dɛn na da faktri de. Nɔmal wan, dɛn wokman ya kin de insay di faktri. Bɔt we di liva de ɔnda sɔm kayn prɛshɔn, damej, ɔ strɛs, di liva sɛl dɛn kin pwɛl ɛn sɔm pan dɛn wokman dɛn ya kin lik kɔmɔt, dat na, insay wi blɔd. Wit blɔd tɛst ripɔt, wi kin mɛzhɔ di bɔku bɔku ɛnzaym dɛn we dɔn gɛda na di blɔd.
Bɔrku tɛm, na chans fɔ no bɔt dis sik. Dɛn kin si ay ALT ɛn AST lɛvɛl we dɛn de du blɔd tɛst fɔ ɔda rizin. Bɔt fɔ sɔm pipul dɛn, we dɛn gɛt sɔm sayn dɛn lɛk janda, dɛn yay ɛn skin we yɔlɔ, ɔ pen na di ɔp rayt say na dɛn bɛlɛ, di dɔktɔ kin tɛl dɛn fɔ du dɛn tɛst ya, mɔ fɔ chɛk aw di liva de wok.
Yu tink se i denja fɔ mek dɛn ɛnzaym ya go ɔp?
Dis prɔblɛm na sɔntin we bɔku pipul dɛn gɛt. `Transaminitis` na di fכs wɔnin we de sho se sכm damej de pan di liva sεl dεm. Na laik di `check engine` lait fo moto we de kam on. I de tɛl yu se sɔntin nɔ fayn wit di motoka, ɛn yu nid fɔ luk insay. Ɛn na so dis kin bi.
Aw dis kin tranga kin dipen pan di ɔndalayn kɔz .
- Di tin dɛn we kin mek i apin fɔ sɔm tɛm: Dɛn ɛnzaym ya kin go ɔp fɔ sɔm tɛm we yu de tek sɔm mɛrɛsin dɛn ɔ bikɔs ɔf infɛkshɔn fɔ sɔm tɛm. we di kכz dεn nכ de, di liva de kam bak εn di εnzym lεvεl dεm de kam bak to nכmal.
- Di tin dɛn we kin mek i apin fɔ lɔng tɛm: Bɔt if dis damej kɔntinyu bikɔs ɔf wan sik we nɔ de mɛn, i kin bi siriɔs as tɛm de go. Wi liva gɛt wɔndaful pawa fɔ wɛl, bɔt we i kɔntinyu fɔ pwɛl, i kin lɔs da abiliti de ɛn i kin mek wi gɛt wan sik we dɛn kɔl liva we nɔ de wok fayn.
So, dis nɔto jɔs wan nɔmba. Na impɔtant tin wae de gi yu wan aidia bɔt yu ɔl wɛl bɔdi.
Wetin na di tin dɛm wae kin mek pɔrsin gɛt transaminitis?
Bɔku rizin dɛn kin de fɔ dis. Lɛ wi sheb dɛn to tu kategori: di rizin dɛn we kin apin mɔ ɛn di rizin dɛn we nɔ kin bɔku.
| Mek | Simpul ɛksplen |
|---|---|
| Di Kɔmɔn Kɔz dɛn | |
| Fat Liva Sik we pɔsin kin gɛt | Naw, na wan tin we kin rili apin na Sri Lanka. sכm spεshal wan, wan kכndyushכn we dεn kכl Mεtabolik disfכnkshכn-asכsiet stεatotik liva sik (MASLD) . di tin dεm we de mek di mεtabol lεk fכ it fayn, we yu de gεt wet, dayabitis, εn hεy kכlestכl de kכntribyut to dis. |
| Fɔ drink rɔm pasmak (Alcohol-induced Hepatitis) . | If pɔsin drink pasmak, i kin pwɛl di liva dairekt wan, ɛn dis kin mek di liva pwɛl fɔ sɔm tɛm ɔ fɔ lɔng tɛm. |
| Vayral Infɛkshɔn (Vayral Ɛpataytis) . | Vayrɔs lɛk ɛpatitis A, B, C, D, ɛn E kin mek di liva inflamɛns. Dis kin mek yu gɛt epataytis B ɛn C we nɔ de mɛn. |
| Di tin dɛn we pɔsin kin du we i tek drɔgs (Toxic Hepatitis) . | Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen, we de mek pɔsin nɔ gɛt bɔku bɔku kɔlɔstrel, mɛrɛsin fɔ TB, ɛn ɔda mɛrɛsin dɛn kin afɛkt di liva. Di dɔktɔ kin de wach dis ɔltɛm. |
| Di Kɔz dɛn we Nɔ De Kɔmɔn | |
| Ɔda rizin dɛn | Kɔndishɔn dɛn lɛk prɔblɛm wit di imyun sistɛm (ɔtoimyun ɛpatitis), sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa (hɛmokromatosis, Wilson sik), at atak, janda, tayroyd sik, ɛn we nɔ kin apin so ɔltɛm na di liva kansa. |
I min ɛni spɛshal if AST ay pas ALT?
Bɔku tɛm, we di liva dɔn pwɛl, dɛn tu ɛnzaym ya kin bɔku togɛda. di εnzym ALT de mכr spεsifi k to di liva. Dat min se i kin de mɔ na di liva. Bɔt di ɛnzaym we dɛn kɔl AST de bak na di at mɔsul, di skel mɔsul, ɛn ɔda tisu dɛn apat frɔm di liva.
So, if di AST valyu rili ay pas di ALT valyu , di dɔktɔ go tink bak bɔt ɔda tin dɛn. Fɔ ɛgzampul:
- di liva sik we dεn kin mek wit rɔm: Insay dis kכndishכn, di AST/ALT rεshכn de inkrεs.
- Sirosis: Dɛn kin si dis patɛn ivin as di sik de go bifo.
- Ekstrahεpatik kכz dεm: di AST lεvεl kin εlevεt bak pan kes dεm lεk mayokardial ischemia כ siriכs mכsul dεm we dεn dכn pwεl (rhabdomyolysis).
Di tin we impɔtant pas ɔl: Dis na jɔs advays dɛn. Nɔ tray fɔ no yusɛf bay yu ripɔt. Na yu dɔktɔ fɔ rili du dat.
Aw di dɔktɔ kin trit dis?
Fɔs, mɛmba se nɔ dairekt mɛrɛsin nɔ de fɔ `Transaminitis`. Bikɔs i nɔto sik, bɔt na sayn. So, di men tin we di dɔktɔ want na fɔ fɛn di tin we mek di ɛnzaym dɛn we de bɔku ɛn trit da tin de we de mek i gɛt di sik.
Di tritmɛnt prɔses kin go lɛk dis:
1. Mɛdikal istri: Di dɔktɔ go aks yu bɔt aw yu de liv yu layf (we yu de it, ɛksesaiz, yu de drink rɔm), di mɛrɛsin dɛn we yu de tek, ɛn ɛni mɛrɛsin we de na yu famili.
2. Ɔda tɛst dɛn: Dɛn go ɔda fɔ du mɔ tɛst fɔ no di tin we mek i apin.
- Ripit blɔd tɛst.
- Test fɔ epataytis B ɛn C vayrɔs.
- Wan ɔltra sawnd skan na di bɛlɛ.
- If nid de, ɔda spɛshal blɔd tɛst dɛn.
3. Tritmɛnt akɔdin to di kɔz: Dɛn kin disayd di tritmɛnt afta dɛn dɔn fɛn di kɔz.
- Fat Liva: Fɔ chenj di we aw yu de liv yu layf na di men tin. I impɔtant fɔ it fayn , fɔ du ɛksɛsayz ɔltɛm , ɛn fɔ lɛf fɔ it bɔku bɔku it dɛn .
- If na bikɔs ɔf rɔm: Di wangren sɔlv na fɔ stɔp fɔ yuz rɔm kpatakpata .
- If na bikɔs ɔf wan mɛrɛsin: Di dɔktɔ go disayd if fɔ chenj di mɛrɛsin ɔ fɔ ridyus di doz.
- If na bikɔs ɔf wan vayrɔs: Dɛn go bigin fɔ trit da vayrɔs de.
Bɔrku tɛm, we dɛn trit di ɔndalayn kɔz fayn fayn wan, di damej na di liva kin stɔp ɛn di ɛnzaym lɛvɛl kin kam bak to nɔmal.
Mɛsej we dɛn kin kɛr go na os
- Transaminitis (elevated liver enzymes) na wɔnin sayn fɔ se yu liva de ɔnda sɔm strɛs. Nɔ panik we yu si am.
- Bɔku rizin dɛn kin de fɔ dis. Fat liva, fɔ drink rɔm, vayral infɛkshɔn, ɛn sɔm mɛrɛsin dɛn na kɔmɔn tin dɛn we kin mek pɔsin gɛt dis sik.
- di tritmεnt nכ de dayrεkt pan di εnzym lεvεl, bכt na di כndalayn kכndishכn we mek i go כp.
- If yu si di ALT ɛn AST lɛvɛl dɛn we dɔn go ɔp na yu blɔd tɛst, nɔ ɛva ignore am. Mek shɔ se yu go to yu dɔktɔ fɔ gɛt di rayt advays ɛn tritmɛnt.
- Bɔrku tɛm, fɔ adopt wɛl bɔdi layf (gud it, ɛksɛsayz) kin ɛp fɔ mek yu liva gɛt wɛl bɔdi.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Sinkɔp / Faint?
Dis no bi jos wan slip/bored moment! ‘Syncope’ na mεdikal imejensi na wan mεdikal imejensi we rili denja we, bikɔs ɔf sɔm kayn tin we kin kil pɔsin ɔ we kin apin wantɛm wantɛm, di blɔd ɛn ɔksijɛn we de go na di bren kin stɔp fɔ sɔm sɛkɔn (Tɛmporari blɔd flɔ to di bren), we kin mek di pɔsin fɔdɔm wantɛm wantɛm na grɔn (Lɔs ɔf kɔnshɛns/Postural tone collapse) ɛn nɔ kin no natin!
💬 Wetin na di men tin wae kin mek pɔrsin gɛt sinkɔp/faint we pɔrsin tinap/waka?
4 men tin dεm de fכ dis: 1) ‘Cardiogenic Syncope’ - If di at stכp fכ bit/gεt at atak, di at nכ kin pכmp bכdi to di bren, we kin mek i lכs kכnsεns! 2) Hypoglycemia (insay pipul dɛn we gɛt dayabitis). 3) Vasovagal syncope - we yu de lכs kכnsεns bikoz fכ di nεv shכk we yu de fil pen we yu nכ de bia/we yu si bכdi/we yu de fred pasmak. 4) Sizhɔ/Epilepsy.
💬 We pɔsin fɔdɔm, wetin na di ‘fatal/emergency situations’ we nid fɔ go na ɔspitul wantɛm wantɛm, pas fɔ jɔs tɔn wata na in fes ɛn de na os?
If yu fɔdɔm ɛn grap insay sɔm sɛkɔn/if yu fɔdɔm afta yu ledɔm, tray fɔ gi sɔm wata/shuga. Bɔt di big denja! Bifo yu lɔs kɔnshɛns ɛn fɔdɔm, if yu 1) gɛt chɛst pen/at atak ɔ i nɔ izi fɔ blo, 2) we yu fɔdɔm, yu ɔl bɔdi de shek ɛn kɔnvul/fom na yu mɔt (seizure/fit), 3) if yu fɔdɔm ɛn nɔ tɔk wan wɔd/de na kɔma fɔ sɔm minit, yu fɔ kɔl ambulans wantɛm wantɛm ɛn kɛr dɛn go na ɔspitul!
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