Kodi mulingo wanu wa LDH ndi wotani? (LDH - Lactate Dehydrogenase Test) Tiyeni tidziwe izi mosavuta!

Lero tikambirana za mayeso omwe angatiuze zambiri zofunika zokhudza thanzi la thupi lathu. Mwina munamvapo za mayeso a `LDH`. Mwina dokotala wakupemphani kuti muchite mayesowa. Chifukwa chake, tiyeni tiwone kuti `LDH` iyi ndi chiyani komanso zomwe mungaphunzire kuchokera ku mayesowa mosavuta.

Kodi lactate dehydrogenase (LDH) ndi chiyani?

Choyamba tiyeni tiwone kuti `Lactate Dehydrogenase` ndi chiyani. Timaitchanso `(LDH)` mwachidule. Mwachidule, iyi ndi enzyme yofunika kwambiri m'thupi lathu. Enzyme ndi mtundu wa mapuloteni omwe amafulumizitsa ndikuthandizira machitidwe a mankhwala m'thupi lathu. Taganizirani ngati othandizira ang'onoang'ono omwe amapangitsa thupi lathu kugwira ntchito mosavuta.

Enzyme iyi ya `LDH` imathandiza makamaka kupuma kwa maselo athu. Izi zikutanthauza kuti, `LDH` iyi imathandiza pa njira yofunika kwambiri yopezera shuga (mwachidule, shuga) mu chakudya chomwe timadya ndikupanga mphamvu zomwe maselo athu amafunikira. Izi zili ngati kuthandiza kupanga mafuta a maselo omwe amagwira ntchito ngati magetsi ang'onoang'ono m'thupi lathu.

Kodi mukudziwa kuti enzyme iyi ya `LDH` imapezeka pafupifupi m'minofu yonse m'thupi lathu? Koma imapezeka kwambiri m'minofu, chiwindi, impso, ndi maselo ofiira a magazi . Maselo atsopano akapangidwa m'thupi lathu, maselo akale kapena "akufa" amachotsedwa. Izi ndi zachilendo. Maselo akale akachotsedwa, `LDH` ina kuchokera m'minofu imeneyo imawonjezeredwa ku magazi athu kapena madzi ena a m'thupi. Chifukwa chake, ndi zachilendo kukhala ndi `LDH` ina mu chitsanzo cha magazi kapena madzi ena a m'thupi.

Ndiye, kodi mayeso a LDH (lactate dehydrogenase) awa ndi otani?

Chabwino, tsopano muli ndi lingaliro laling'ono la tanthauzo la `LDH`. Kuyesa kwa `LDH` kumayesa kuchuluka kwa `LDH` m'magazi anu kapena madzi ena amthupi. Izi makamaka ndikuwona ngati pali kuwonongeka kulikonse m'thupi lanu .

Monga tafotokozera kale, ndi zachilendo kukhala ndi `LDH` m'magazi mwanu. Komabe, ngati minofu iliyonse m'thupi mwanu yawonongeka kapena yavulala , `LDH` yochulukirapo kuchokera ku minofu yowonongekayo idzatulutsidwa m'magazi mwanu kapena m'madzi ena amthupi. Chifukwa chake, ngati mulingo wanu wa `LDH` ndi wapamwamba kuposa wamba, zitha kutanthauza kuti minofu ina m'thupi mwanu yawonongeka ndi matenda osatha , matenda oopsa, kapena kuvulala .

Koma chinthu chimodzi choyenera kukumbukira ndichakuti n'kovuta kudziwa bwino lomwe minofu yomwe yawonongeka ndi mayeso a `LDH` okha. Chifukwa `LDH` imapezeka m'malo ambiri m'thupi lathu. Chifukwa chake, madokotala nthawi zambiri amalamula mayeso ena angapo pamodzi ndi mayeso a `LDH` kuti adziwe matendawa molondola.

Mayeso a `LDH` awa amatchedwanso ndi mayina ena angapo:

• mayeso a `LD`
• Lactic dehydrogenase
• Lactic acid dehydrogenase

Kodi ndi liti pamene ndikufunika mayeso a LDH?

Madokotala amagwiritsa ntchito mayeso a LDH kuti adziwe ndikuwunika matenda osiyanasiyana. Zifukwa zazikulu zochitira mayesowa ndi izi:

• Yang'anani ngati minofu ya thupi lanu yawonongeka .
• Yang'anirani matenda monga kuchepa kwa magazi m'thupi , matenda a ziwalo zamkati (monga chiwindi, impso), ndi matenda omwe amawononga minofu, monga matenda ena.
• Unikani kuopsa kwa mitundu ina ya khansa .
• Onani ngati mankhwala a khansa zina (monga chemotherapy) akuyenda bwino kapena ayi.

Popeza mayeso a `LDH` amachitidwa m'njira zosiyanasiyana, ngati mwapemphedwa kuti muchite mayesowa, ndi bwino kufunsa dokotala wanu chifukwa chake mukuyesedwa.

Ndani amachita mayeso a LDH awa?

Kawirikawiri, kuyezetsa magazi kwa LDH kumachitika ndi katswiri wa matenda a phlebotomist yemwe waphunzitsidwa kutenga magazi . Komabe, katswiri aliyense wazaumoyo yemwe waphunzitsidwa kutenga magazi akhoza kuchita izi. Kenako chitsanzo cha magazi chimatumizidwa ku labotale. Kumeneko, wasayansi wa labotale yachipatala amafufuza chitsanzocho ndikugwiritsa ntchito makina apadera (analyzers) kuti ayeze kuchuluka kwa LDH.

Nthawi zina madokotala amafunika kuyeza kuchuluka kwa LDH m'madzi ena amthupi, osati magazi okha. Mwachitsanzo, madzi amsana (Cerebrospinal Fluid kapena CSF), madzi am'mimba ( madzi omwe amazungulira mapapo anu ), kapena madzi am'mimba (madzi omwe amazungulira mimba yanu ). Pazochitika izi, dokotala wophunzitsidwa bwino adzatenga chitsanzocho.

Kodi ndiyenera kukonzekera bwanji mayeso a LDH?

Nthawi zambiri, simuyenera kukonzekera chilichonse chapadera poyesa magazi a LDH.

Komabe, ngati chitsanzo chatengedwa kuchokera ku madzi ena a m'thupi, monga tafotokozera kale, kukonzekera kungafunike. Dokotala wanu adzakufotokozerani izi panthawiyo.

Kodi chimachitika ndi chiyani panthawi yoyezetsa LDH?

Ngati mupereka magazi, izi ndi zomwe zimachitika nthawi zambiri:

• Mudzakhala pampando. Kenako wogwira ntchito zachipatala adzafufuza mtsempha m'dzanja lanu womwe ndi wosavuta kutulutsa magazi. Nthawi zambiri, magaziwo amatengedwa kuchokera mkati mwa chigongono chanu.
• Mtsempha ukapezeka, malowo amatsukidwa bwino ndipo amaikidwa mankhwala opha tizilombo toyambitsa matenda.
• Kenako, singano yaying'ono imalowetsedwa mumtsempha ndipo magazi ochepa amatengedwa. Pa nthawiyi, mungamve kuluma pang'ono, ngati kuluma kwa nyerere .
• Pambuyo poika singano, magazi ochepa amasonkhanitsidwa mu chubu choyesera.
• Pambuyo poyesa magazi, singano imachotsedwa ndipo chidutswa cha thonje kapena gauze chimayikidwa pamalopo ndikuyika mphamvu pang'ono kuti magazi asiye kutuluka.
• Kenako pulasitala imayikidwa pamalopo. Ndi zimenezo basi.

Ntchito yonseyi nthawi zambiri imatenga mphindi zosakwana zisanu . Ndi ntchito yachangu kwambiri.

Monga tafotokozera kale, nthawi zina madzi ena amthupi angafunike kuti muyese `LDH`. Milandu yotereyi ikuphatikizapo:

• Madzi a m'mphuno (CSF)
• Madzi a m'mimba
• Madzi a m'mimba

Ngati mukuyenera kuyesedwa mwanjira imeneyi, musadandaule. Dokotala wanu adzakufotokozerani mwatsatanetsatane momwe mayesowo amachitikira komanso zomwe muyenera kudziwa.

Kodi chimachitika ndi chiyani pambuyo pa mayeso a LDH?

Mukatenga magazi anu kapena madzi ena a m'thupi lanu, adzatumizidwa ku labotale kuti akayesedwe. Zotsatira za mayeso zikapezeka, dokotala wanu adzakambirana nanu zotsatira zake.

Kodi pali zoopsa zilizonse pa mayeso a LDH?

Kupereka magazi ndi njira yodziwika bwino kwambiri mu kafukufuku wa zamankhwala. Sizimakhala ndi chiopsezo chachikulu . Pakhoza kukhala mabala ndi ululu pamalo omwe magaziwo adatengedwa. Koma zimenezo zidzatha msanga.

Kodi zinditengera nthawi yayitali bwanji kuti ndidziwe zotsatira za mayeso a LDH?

Nthawi zambiri, zotsatira za mayeso anu a LDH ziyenera kupezeka mkati mwa tsiku limodzi kapena awiri , koma nthawi zina zimatenga nthawi yayitali.

Ngati mwachita mayesowa kuchipatala kapena kuchipinda chodzidzimutsa, mutha kupeza zotsatira zake pasanathe maola angapo .

Kodi zotsatira za mayeso a LDH ndi ziti?

Lipoti la mayeso a magazi, kutanthauza lipoti la mayeso a `LDH`, nthawi zambiri limakhala ndi izi:

• Dzina la mayeso a magazi, kapena zomwe zinayesedwa m'magazi anu.
• Mtengo (monga chiwerengero) cha zotsatira za mayeso anu a magazi.
• Mlingo wabwinobwino wa mayeso amenewo.
• Chidziwitso chomwe chimasonyeza ngati zotsatira zanu ndi zabwinobwino, zachilendo, kapena zapamwamba kapena zochepa.

Kodi kuchuluka kwa LDH (lactate dehydrogenase) mwachibadwa ndi kotani?

Mlingo woyenera wa `LDH` ungasiyane pang'ono kuchokera ku labotale imodzi kupita ku ina. Mukalandira lipoti lanu la magazi, lidzafotokoza momveka bwino kuchuluka kwa `LDH` komwe kuli kwa labotale imeneyo.

Komabe, kawirikawiri, miyezo yachizolowezi ya mayeso a LDH ndi iyi:

• Kwa amuna : 135 - 225 mayunitsi pa lita (U/L).
• Kwa akazi : Mayunitsi pa lita imodzi (U/L) 135 - 214.

Mlingo wa LDH wa ana aang'ono nthawi zambiri umakhala wokwera kuposa wa akuluakulu.

Ngati muli ndi mafunso okhudza zotsatira zanu, onetsetsani kuti mwafunsa dokotala wanu.

Kodi zikutanthauza chiyani ngati mulingo wanga wa LDH uli wokwera?

Ngati mulingo wanu wa LDH uli wapamwamba kuposa wachibadwa, mwina zikutanthauza kuti pali kuwonongeka kwa minofu ina m'thupi lanu.Zimatanthauza kuti chinachake chachitika. Kuwonongeka kumeneko kungayambitsidwe ndi matenda a nthawi yayitali (osatha), adzidzidzi (oopsa), kapena matenda.

Zina mwa matenda omwe angayambitse kuchuluka kwa LDH ndi awa:

• Kuchepa kwa magazi m'thupi
• Matenda a impso
• Matenda a m'mapapo
• Matenda a chiwindi
• Kuvulala kwa minofu
• Kusokonekera kwa minofu
• Kusweka kwa fupa
• Matenda amtima
• Pancreatitis
• Matenda ena monga meningitis , encephalitis , mononucleosis (mononucleosis ), ndi HIV .
• Mitundu ina ya khansa , mwachitsanzo, khansa ya m'magazi yofalikira , myeloma yambiri , lymphoma , khansa ya m'ma testicular , ndi leukemia .

Komanso, kukhala ndi LDH yokwera kuposa yachibadwa kungatanthauze kuti chithandizo cha khansa sichikugwira ntchito bwino .

Ngakhale mayeso a LDH angasonyeze ngati minofu ya thupi lanu yawonongeka kapena ngati muli ndi matenda, sangakuuzeni komwe kuwonongeka kuli . Komanso, ngati maselo ofiira a magazi asweka panthawi yoyezetsa magazi (hemolysis), nthawi zina LDH imatha kukhala yokwera molakwika . Chifukwa chake ngati zotsatira zanu zikuwonetsa kuti mulingo wa LDH wanu ndi wokwera, dokotala wanu mwina angafunike kuchita mayeso ambiri kuti apeze matenda olondola.

Kodi ndiyenera kuda nkhawa ngati mulingo wanga wa LDH uli pamwamba?

Ngakhale zotsatira za mayeso anu a LDH zikusonyeza kuti muli ndi LDH yochuluka, sizikutanthauza kuti muli ndi matenda aakulu . Musadandaule.

Pali zinthu zina zomwe zingayambitse kuchuluka kwa LDH:

• Kuchita masewera olimbitsa thupi mwamphamvu .
• Mankhwala ena, monga aspirin , mankhwala oletsa ululu , mankhwala osokoneza bongo , ndi procainamide .

Komanso, mwina pangakhale cholakwika panthawi yosonkhanitsa zitsanzo, kunyamula, kapena kuyesa.

Dokotala wanu akamasankha zotsatira zanu, adzaganizira zinthu zambiri, monga mankhwala omwe mukumwa panopa, mbiri yanu ya thanzi, ndi zizindikiro zomwe mukukumana nazo.Iye adzakuuzaninso ngati mukufuna mayeso ena kapena ayi.

Ngati muli ndi mafunso okhudza zotsatira zanu, musaope kulankhula ndi dokotala wanu.

Kodi zikutanthauza chiyani ngati mulingo wanga wa LDH uli wotsika?

Ndikosowa kwambiri kuti zotsatira za mayeso a `LDH` zikhale zochepa kuposa zachizolowezi .

Kukhala ndi LDH yotsika chonchi kungasonyeze vuto la majini losowa kwambiri lotchedwa Lactate Dehydrogenase A deficiency - Glycogen Storage Disease XI, kapena Lactate Dehydrogenase B deficiency.

Komanso, anthu omwe amadya vitamini C wambiri akhoza kukhala ndi zotsatira zochepa za mayeso a LDH.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati mwayesedwapo ndi LDH, zingakhale zothandiza kufunsa dokotala wanu mafunso monga awa:

• Mukuganiza kuti ndi chifukwa chiyani ndili ndi `LDH` yapamwamba?
• Kodi ndikufunika kuchita mayeso ambiri kuti ndidziwe chifukwa chenicheni cha kuchuluka kwa LDH m'magazi mwanga?
• (Ngati ndinu wodwala khansa) Kodi mulingo wanga wa `LDH` ukunena chiyani za kuopsa ndi nthawi yomwe khansa yanga idzayamba?
• (Ngati mukulandira chithandizo cha matenda) Kodi mulingo wanga wa `LDH` ukunena chiyani za momwe vuto langa likuyankhira ndi chithandizo?

Chinthu chofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Ndizachibadwa kumva mantha pang'ono komanso nkhawa mukawona zotsatira zosazolowereka za mayeso. Koma kumbukirani, kungoti mulingo wanu wa 'LDH' (lactate dehydrogenase) uli pamwamba sizitanthauza kuti muli ndi matenda oopsa ndipo mukufunika chithandizo.

Dokotala wanu adzakuuzani ngati mukufunika kuchita mayeso ena kuti mudziwe chomwe chikuyambitsa vutoli. Musaope kapena kukayikira kufunsa dokotala wanu mafunso . Alipo kuti akuthandizeni. Lankhulani nawo chilichonse chomwe muli nacho chokhudza thanzi lanu.

LDH , lactate dehydrogenase, enzyme, kuwonongeka kwa minofu, mayeso a magazi, thanzi, kuzindikira matenda