Ndizachilendo kumva mantha pang'ono mukaona 'ma enzyme a chiwindi' ali ndi ma enzyme ambiri, kapena okwera a chiwindi, pa mayeso a magazi. Mungaganize kuti, "Kodi pali vuto ndi chiwindi changa?" Koma musadandaule. Nthawi zambiri, izi zimakhala zakanthawi kochepa. Tiyeni tikambirane izi mwachidule lero.
Kodi ma enzyme a chiwindi awa ndi chiyani?
Mwachidule, ma enzyme a chiwindi ndi mapuloteni apadera omwe amapezeka mkati mwa chiwindi chathu. Amathandiza matupi athu kuchita ntchito zambiri zofunika, monga ogwira ntchito m'fakitale.
Zina mwa ntchito zazikulu za ma enzyme awa ndi:
- Zimathandiza kupanga ndulu.
- Amapanga zinthu zofunika kuti magazi aziundana.
- Zinthu monga chakudya ndi mankhwala omwe timadya zimaphwanyidwa m'njira yoti thupi lizitha kuyamwa.
- Imaphwanya ndi kuchotsa poizoni amene amalowa m'thupi.
- Zimathandiza kulimbana ndi matenda.
Pali mitundu ikuluikulu ingapo ya ma enzyme a chiwindi omwe nthawi zambiri timawawona m'malipoti a magazi:
- Alanine transaminase (ALT)
- Aspartate transaminase (AST)
- Alkaline phosphatase (ALP)
- Gamma-glutamyl transferase (GGT)
Taganizirani za chiwindi chathu ngati baluni. Ma enzyme amenewa ali mkati mwa baluniyo. Ngati pali kuwonongeka kulikonse kwa chiwindi, monga kuvulala kapena matenda, baluniyo idzatuluka pang'ono ndipo ma enzymewo adzatuluka m'magazi. Pamenepo ndiye kuti mayeso a magazi adzasonyeza kuti kuchuluka kwa ma enzyme amenewa kwakwera.
N’chifukwa chiyani dokotala akuyesera zimenezi?
Dokotala wanu angakulamulireni kuti muyesedwe ntchito ya chiwindi (LFT) panthawi yoyezetsa magazi chaka chilichonse, makamaka ngati muli pachiwopsezo cha kuwonongeka kwa chiwindi (monga kumwa mowa mopitirira muyeso, matenda a shuga) kapena ngati muli ndi zizindikiro za matenda a chiwindi.
Koma kumbukirani, kuchuluka kwa ma enzyme sikutanthauza kuti pali matenda aakulu nthawi zonse. Nthawi zina izi zimatha kukhala kwakanthawi .
Kodi zifukwa zazikulu zomwe zimapangitsa kuti kuchuluka kwa ma enzymes kukwere ndi ziti?
Pali zifukwa zambiri zomwe ma enzyme a chiwindi amatha kukwera. Zina ndi zazing'ono kwambiri, pomwe zina ndi zazikulu kwambiri. Tiyeni tiwone zomwe zimayambitsa.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Matenda a Chiwindi Chonenepa | Ichi ndi chifukwa chofala kwambiri masiku ano. Chingayambitsidwe ndi kumwa mowa komanso zinthu zina zomwe sizili mowa (kunenepa kwambiri, matenda a shuga). |
| Mankhwala ena | Zinthu monga mankhwala ochepetsa mafuta m'thupi (monga ma statins), mankhwala ochepetsa ululu (monga kumwa paracetamol yambiri), maantibayotiki ena, ndi mankhwala a khunyu zingayambitse kuchuluka kwa ma enzymes. |
| Matenda a chiwindi | Kutupa kwa chiwindi komwe kumachitika chifukwa cha mitundu yosiyanasiyana ya mavairasi. Zitsanzo: `Hepatitis A`, `Hepatitis B`, `Hepatitis C`. Kuphatikiza apo, pali vuto lotchedwa `Alcoholic Hepatitis` lomwe limayambitsidwa ndi mowa ndi `Autoimmune Hepatitis` lomwe limayambitsidwa ndi vuto la chitetezo chamthupi. |
| Kugwiritsa ntchito mowa | Kumwa mowa mopitirira muyeso kapena kwa nthawi yayitali kumawononga chiwindi mwachindunji. |
| Mavitamini ena ndi zowonjezera zitsamba | Kumwa mankhwala ena azitsamba popanda upangiri wa dokotala, monga vitamini A kapena iron mopitirira muyeso, kungakhalenso kovulaza chiwindi. |
Kodi pali zifukwa zina kupatula izi?
Inde, pakhoza kukhala zifukwa zina zingapo. Sizichitika kawirikawiri, koma ndikofunikira kuzidziwa.
- Hemochromatosis: Kuchuluka kwa chitsulo m'thupi.
- Matenda a chiwindi: Chiwindi chimauma pafupifupi, chimapsa, ndipo chimasiya kugwira ntchito.
- Mkhalidwe wa khansa: Khansa yomwe imapezeka m'chiwindi kapena kufalikira kwa khansa kuchokera kwina kupita ku chiwindi.
- Matenda a Celiac: Kusamvana ndi mapuloteni a gluten.
- Matenda a Wilson:Kuchuluka kwa mkuwa m'thupi.
- Matenda a chithokomiro.
- Matenda a minofu.
Kodi zizindikiro za vutoli ndi ziti?
Chofunika apa ndichakuti anthu ambiri samakhala ndi zizindikiro zilizonse . Ma enzyme okwera a chiwindi amapezeka pokhapokha ngati magazi ayesedwa pazifukwa zina.
Komabe, ngati chifukwa cha kuchuluka kwa ma enzyme amenewa ndi kuwonongeka kwa chiwindi, zizindikiro zotsatirazi zingachitike.
| Chizindikiro | Kufotokozera |
|---|---|
| Jaundice | Kuoneka kwachikasu kwa maso ndi khungu. |
| Mkodzo wakuda | Kutenga mtundu wakuda wofanana ndi mtundu wa tiyi. |
| Zopondapo zoyera | Kusanduka mtundu wotumbululuka, ngati dongo. |
| Kupweteka m'mimba | Kumva kupweteka, makamaka mbali yakumanja ya mimba, pansi pa nthiti. |
| Kutopa pafupipafupi | Kumva kutopa nthawi zonse popanda chifukwa. |
| Kuyabwa | Kuyabwa pakhungu. |
| Kusowa chilakolako cha chakudya, nseru, ndi kusanza | Kusowa chilakolako cha chakudya komanso nseru. |
Kodi ndiyenera kuchita chiyani tsopano? Kodi mankhwala ake ndi otani?
Ngati mayeso anu a magazi akuwonetsa kuchuluka kwa ma enzymes, chinthu choyamba chomwe dokotala wanu angachite ndikukufunsani za mbiri yanu yonse. Adzakufunsani chilichonse, kuphatikizapo mankhwala omwe mumamwa, zakudya zowonjezera, ndi zizolowezi zoledzera.
Nkhani yabwino ndi yakuti pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi ma enzyme okwera amabwerera m'malo abwino mkati mwa milungu iwiri kapena inayi, popanda chithandizo chilichonse.
Choncho, dokotala wanu angakuuzeni kuti mukayezenso magazi ena pakatha milungu ingapo. Ngati kuchuluka kwa ma enzyme anu kukadali kwakukulu, adzaitanitsa mayeso ena kuti apeze chomwe chikuyambitsa vutoli.
- Kuyezetsa magazi kwina: Kufufuza zinthu monga mavairasi a chiwindi.
- Kujambula: Kujambula m'mimba pogwiritsa ntchito ultrasound, CT scan, kapena MRI.
- Kutumiza kwa katswiri: Mungapemphedwe kuti mukaone dokotala yemwe ndi katswiri wa matenda a chiwindi, yemwe amadziwikanso kuti 'Hepatologist'.
Chithandizo chimadalira kwathunthu matenda omwe amayambitsa kuwonjezeka kwa enzyme. Ngati chifukwa chake ndi mankhwala, mankhwalawo adzasinthidwa. Ngati chifukwa chake ndi Fatty Liver, kusintha kwa moyo (kuchepetsa thupi, kuchita masewera olimbitsa thupi) kudzalangizidwa. Chifukwa chake, chithandizocho chidzasiyana malinga ndi munthu aliyense.
Kodi tingatani kuti chiwindi chikhale chathanzi?
Ngakhale sitingathe kupewa matenda ena, pali zinthu zambiri zomwe tingachite kuti titeteze chiwalo chamtengo wapatali ichi chotchedwa chiwindi chathu.
- Pewani kumwa mowa kapena kuchepetsa kumwa mowa monga momwe dokotala wanu wanenera.
- Idyani zakudya zopatsa thanzi komanso zopatsa thanzi . Chepetsani zakudya zokhala ndi mafuta ambiri, shuga, ndi ufa.
- Kuchita masewera olimbitsa thupi nthawi zonse. Ngakhale kuyenda kwa mphindi 30 patsiku ndi chinthu chabwino kwambiri.
- Yesetsani kulemera kwa thupi lanu. Kunenepa kwambiri ndi chifukwa chachikulu cha mafuta m'chiwindi.
- Ngati muli ndi matenda a shuga, samalani kuchuluka kwa shuga m'magazi mwanu bwino .
- Musagwiritse ntchito mankhwala aliwonse, mavitamini, kapena mankhwala azitsamba popanda chilolezo cha dokotala wanu. Uzani dokotala wanu zonse zomwe mukumwa.
- Katemerani matenda a chiwindi A ndi B.
- Musagwiritse ntchito singano, malezala, ndi zina zotero zomwe ena agwiritsa ntchito.
Uthenga Wopita Nawo Kunyumba
- Musachite mantha mukaona kuchuluka kwa ma enzymes a chiwindi pa mayeso anu a magazi. Nthawi zambiri, ndi vuto la kanthawi kochepa.
- Ma enzyme okwera amatha kuchitika chifukwa cha zinthu zosiyanasiyana, monga mankhwala, zakudya, ndi matenda opatsirana ndi mavairasi.
- Anthu ambiri saona zizindikiro zilizonse.
- Chofunika kwambiri ndikulankhulana momasuka ndi dokotala wanu za izi. Iye adzakupatsani malangizo omwe mukufuna.
- Kutsatira moyo wathanzi ndiyo njira yabwino kwambiri yotetezera chiwindi chanu.
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