Kodi mudawonapo lipoti la kuyezetsa magazi lokhala ndi zilembo zitatu ndi nambala? Dokotala mwina adakuuzani kuti mtengo wake ndi wapamwamba kuposa muyezo wamba. Ndizachilendo kumva mantha pang'ono komanso mantha panthawi ngati iyi. "O, kodi ALT iyi ndi chiyani? Kodi ndi matenda oopsa ngati ali okwera?" Mungaganize. Koma musadandaule. Lero, tiyeni tikambirane momveka bwino za ALT iyi ndi chiyani komanso zomwe mayesowa akunena za thupi lathu.
Mwachidule, kodi mayeso a ALT awa ndi chiyani?
Kuyesa kwa ALT ndi mayeso osavuta kwambiri a magazi omwe amafufuza kuwonongeka kulikonse kwa chiwindi chanu. Ngakhale timatcha ALT ndi dzina lake lalifupi, dzina lake lonse ndi Alanine Aminotransferase . Kale, linkatchedwanso SGPT (serum glutamic-pyruvic transaminase) . Mwina mwawonapo zimenezo m'malipoti anu akale.
Kotero ALT iyi ndi enzyme m'thupi lathu. Kunena zoona, enzyme iyi imapezeka kwambiri m'maselo a chiwindi chathu. Kuchuluka kochepa kwambiri kumapezekanso m'malo monga impso ndi minofu. Nthawi zambiri, ALT imapezeka m'magazi athu pamlingo wotsika kwambiri.
Ganizirani chiwindi ngati mtanga wokhala ndi mazira ambiri. Malinga ngati mazirawo ali otetezeka, palibe vuto. Koma ngati mtangawo wawonongeka kapena kugwedezeka, mazira ena amasweka ndi kutuluka, sichoncho? Umu ndi momwe zimakhalira. Maselo a chiwindi akawonongeka chifukwa cha matenda, mankhwala, ngozi, kapena chifukwa china, enzyme ya ALT mkati mwa maselo amenewo imatulutsidwa m'magazi. Pamenepo ndiye pamene mayeso a magazi akuwonetsa kuwonjezeka kwa milingo ya ALT.
N’chifukwa chiyani chiwindi chili chofunika kwambiri m’thupi lathu?
Chiwindi si chimodzi mwa ziwalo zazikulu kwambiri m'thupi lathu, komanso chili ngati "fakitale yaikulu" ya thupi lathu. Ntchito yomwe chimagwira si yaing'ono.
- Kupanga ndulu: Nndulu, yomwe imathandiza kugaya zakudya zamafuta zomwe timadya, imapangidwa ndi chiwindi.
- Kuyeretsa magazi: Chiwindi chimasefa zinyalala zosafunikira ndi poizoni (monga mowa) kuchokera m'magazi athu, mofanana ndi fyuluta yamadzi.
- Kuthandiza magazi kuundana: Chiwindi chimapanga mapuloteni ofunikira kuti asiye kutuluka magazi pakavulala.
- Kusunga zakudya: Zinthu monga mavitamini ndi michere zimasungidwa ndikusungidwa mpaka thupi litazifuna.
- Kuwongolera kuchuluka kwa shuga: Shuga wochuluka m'magazi umasungidwa ndikusinthidwa kukhala mphamvu ikafunika.
Chifukwa chake, chifukwa imachita zinthu zambiri zofunika, ndikofunikira kwambiri kusamalira thanzi la chiwindi.
Kodi dokotala angakuuzeni kuti muchite mayeso awa pazifukwa ziti?
Pali zifukwa zingapo zomwe dokotala wanu angalamule kuti muyesedwe ALT. Zingakhale chifukwa chakuti muli ndi zizindikiro zokhudzana ndi matenda a chiwindi, kapena chifukwa chakuti muli pachiwopsezo cha kuwonongeka kwa chiwindi.
| Zizindikiro za matenda a chiwindi | |
|---|---|
| Kupweteka m'mimba kapena kutupa | Kusanza ndi kusanza |
| Kuoneka kwachikasu pakhungu ndi m'maso (jaundice) | Kutopa kwambiri ndi kufooka m'thupi |
| Mkodzo wakuda (monga mtundu wa tiyi) | Chimbudzi chotuwa (chooneka ngati dongo) |
| Khungu loyabwa | - |
| Zinthu zomwe zimayambitsa chiopsezo cha kuwonongeka kwa chiwindi | |
|---|---|
| Kukumana ndi kachilombo ka hepatitis | Kumwa mowa kwambiri |
| Kukhala ndi mbiri ya banja la matenda a chiwindi | Kugwiritsa ntchito mankhwala ena kwa nthawi yayitali (monga Acetaminophen ndi Ibuprofen) omwe angawononge chiwindi |
| Kunenepa kwambiri | Kukhala ndi matenda a shuga |
Nthawi zina, popanda chifukwa chenicheni, mayeso a ALT angachitike ngati gawo la kafukufuku wanu wamankhwala wapachaka. Amagwiritsidwanso ntchito kuona momwe chithandizo chikugwirira ntchito ngati muli kale ndi matenda a chiwindi.
Kodi pali kukonzekera mayeso asanachitike?
Kawirikawiri, sipafunika kukonzekera kwapadera ngati mayeso a ALT achitika okha. Komabe, mayesowa nthawi zambiri amachitidwa limodzi ndi mayeso ena a chiwindi (liver panel). Mayeso ena angafunike kuti musala kudya kwa maola angapo. Chifukwa chake, funsani dokotala wanu ngati muyenera kupewa kudya kapena kumwa musanayese mayeso.
Komanso, onetsetsani kuti mwauza dokotala wanu za mankhwala aliwonse, mavitamini, kapena zowonjezera zina zomwe mukumwa. Mankhwala ena angakhudze zotsatira za mayesowa. Komanso, kuchita masewera olimbitsa thupi kwambiri tsiku lisanafike mayeso kungapangitse kuti ALT iwonjezere kwakanthawi. Chifukwa chake ndi bwino kuuza dokotala wanu za izi.
Lipotilo likafika, limatanthauza chiyani?
Mudzalandira zotsatira za mayeso mkati mwa maola ochepa kapena masiku angapo. Lipotilo lidzalemba mulingo wanu wa ALT ndi mulingo wake wabwinobwino .
Chofunika ndichakuti mulingo wabwinobwino uwu ukhoza kusiyana pang'ono kuchokera ku labu imodzi kupita ku ina. Chifukwa chake muyenera kuyerekeza mtengo wanu ndi mulingo womwe uli mu lipoti lanu. Kawirikawiri, mtengo uwu umakhala pakati pa mayunitsi 7 ndi 56 pa lita (U/L).
Ma ALT ambiri
Kuchuluka kwa ALT kumasonyeza kutupa kapena kuwonongeka kwa maselo a chiwindi. Komabe, sizikutanthauza kuti muli ndi matenda aakulu a chiwindi.
Kumbukirani, si aliyense amene ali ndi ALT yokwera amene ali ndi matenda aakulu a chiwindi. Ndipotu, anthu osakwana 5% omwe ali ndi ALT yokwera amapezeka kuti ali ndi matenda aakulu a chiwindi.
Pali zifukwa zambiri zomwe zimapangitsa kuti ALT ikwere:
- Matenda a chiwindi onenepa: Ili ndi vuto lomwe limapezeka kwambiri m'madera ambiri masiku ano.
- Matenda opatsirana ndi mavairasi monga Hepatitis A, B, ndi C: Izi zimakhudza mwachindunji chiwindi.
- Kumwa mowa mopitirira muyeso: Mowa ndi poizoni ku chiwindi.
- Zotsatirapo zoyipa za mankhwala ena: Mankhwala ena ochepetsa ululu, ochepetsa cholesterol, ndi maantibayotiki angayambitse kuchuluka kwa ALT.
- Matenda a chiwindi: Kutupa kwa chiwindi.
- Kuchepa kwa magazi kupita ku chiwindi.
- Hemochromatosis: Kuchuluka kwa chitsulo m'thupi.
- Matenda ena opatsirana ndi mavairasi, monga mononucleosis (mononucleosis).
Ma ALT otsika
Izi sizimachitika kawirikawiri. Kuchepa kwa ALT nthawi zambiri si chinthu chodetsa nkhawa. Komabe, nthawi zambiri, zimatha kugwirizanitsidwa ndi matenda monga kusowa kwa vitamini B6 kapena matenda osatha a impso. Ngati muli ndi milingo yochepa, dokotala wanu mwina angakupatseni mayeso ena.
Ndi mayeso ena ati omwe amachitidwa kuti apeze chithunzi chokwanira cha thanzi la chiwindi?
Kuyesa kwa ALT ndi gawo limodzi chabe la chithunzithunzi. Kuti muwone chithunzi chonse, dokotala wanu adzafunika zidutswa zingapo. Ichi ndichifukwa chake mayeso a ALT nthawi zambiri amachitidwa ngati gawo la mayeso angapo otchedwa "Liver Function Tests" (LFTs) .
Enzyme ina yofunika kwambiri mu mndandanda wa mayesowa ndi AST (Aspartate Aminotransferase) . Monga ALT, enzyme iyi imapezekanso m'magazi pamene maselo a chiwindi awonongeka. Komabe, AST imapezekanso m'magazi ambiri kuposa ALT m'malo monga mtima ndi minofu.
Dokotala wanu adzayerekeza kuchuluka kwa AST ndi ALT (AST/ALT ratio) . Chiŵerengerochi chimapatsa dokotala wanu chidziwitso chofunikira cha mtundu wa kuwonongeka kwa chiwindi ndi chomwe chimayambitsa.
Kuphatikiza apo, mndandanda wa mayeso a LFT ungaphatikizeponso izi:
- Bilirubin
- Albumin
- Alkaline phosphatase (ALP)
- Mapuloteni onse
- Gamma-glutamyl transferase (GGT)
Mwa kuphatikiza mfundo zonse kuchokera ku mayeso onsewa, dokotala wanu akhoza kupeza mfundo yolondola yokhudza thanzi la chiwindi chanu.
Uthenga Wopita Nawo Kunyumba
- Kuyesa kwa ALT ndi mayeso osavuta a magazi omwe amafufuza thanzi la chiwindi chanu.
- Kuwonjezeka kwa ALT kumasonyeza kuti pali kuwonongeka kapena kutupa kwa maselo a chiwindi.
- Komabe, kuchuluka kwa ALT kokha sikutanthauza kuti muli ndi matenda aakulu a chiwindi. Kungakhudzidwe ndi zinthu zakanthawi kochepa (monga mankhwala kapena masewera olimbitsa thupi).
- Dokotala wanu sadzapanga chisankho potengera kuchuluka kwa ALT yanu yokha. Adzaganizira mayeso ena a chiwindi, monga AST, ndi zizindikiro zanu zonse kuti apeze yankho lolondola.
- Ngati muli ndi nkhawa iliyonse yokhudza kuchuluka kwa ALT m'magazi anu, onetsetsani kuti mwalankhula ndi dokotala wanu za izi momasuka. Musayese kudzifufuza nokha pofufuza zambiri pa intaneti.
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