Tiyeni tiphunzire za kuyezetsa magazi komwe kumayesa thanzi la chiwindi chanu (Mayeso a Liver Function Tests)?

Chiwindi ndi chimodzi mwa zinthu zomwe zimagwira ntchito chete komanso zotanganidwa kwambiri m'thupi lathu. Chimagwira ntchito zambiri popanda ife kuzindikira. Kuyambira kuthandiza kugaya chakudya mpaka kuchotsa poizoni m'thupi, ntchito zake ndi zazitali. Chifukwa chake nthawi zina timafunika kuwona ngati pali vuto ndi chiwindi ichi chogwira ntchito molimbika, ngati chatopa, komanso ngati chikugwira ntchito yake bwino. Mwamwayi, titha kupeza zambiri za izi poyesa magazi mosavuta. Lero tikulankhula za 'Mayeso a Liver Function', omwe amadziwika ndi aliyense kuti LFTs.

Mwachidule, kodi mayeso a Liver Function Test (LFT) awa ndi chiyani?

Ndi zophweka kwambiri. Ma LFT ndi mayeso angapo omwe amagwiritsa ntchito chitsanzo cha magazi chochepa chotengedwa kuchokera mumtsempha womwe uli m'dzanja lanu. Amayesa kuchuluka kwa zinthu zosiyanasiyana (monga ma enzyme ndi mapuloteni) zomwe zimapangidwa ndi chiwindi chanu kapena zomwe zimasonkhana m'magazi anu chiwindi chanu chikawonongeka.

Tangoganizirani kuti mwatenga galimoto yanu kuti ikakonzedwe. Makanikayo amayesa zinthu monga mafuta a injini ndi choziziritsira kuti adziwe momwe injini ilili, sichoncho? Mofananamo, dokotala amafufuza kuchuluka kwa zinthuzi m'magazi mwanu kuti adziwe bwino thanzi ndi momwe chiwindi chanu chikuyendera.

N’chifukwa chiyani dokotala angakuuzeni kuti muchite LFT iyi?

Pakhoza kukhala zifukwa zingapo zomwe dokotala wanu angakulimbikitseni mayesowa.

• Yang'anani ngati mukukayikira kuti muli ndi matenda a chiwindi: Ngati muli ndi zizindikiro monga jaundice, maso achikasu, kupweteka kumbali yakumanja ya m'mimba mwanu, kapena kumva kutopa, mungapemphedwe kuti muchite mayesowa chifukwa mukukayikira kuti muli ndi matenda a chiwindi kapena matenda ena.
• Yang'anirani matenda a chiwindi omwe analipo kale: Ngati muli kale ndi matenda a chiwindi (monga cirrhosis), mayesowa amachitika nthawi zonse kuti muwone momwe zinthu zilili, ngati matendawa akuipiraipira, kapena ngati akutha.
• Onani ngati chithandizocho chayenda bwino: Kuyesaku kumathandizanso kudziwa ngati mankhwala operekedwa a matenda a chiwindi akugwira ntchito komanso ngati matendawa akuchepa.
• Yang'anirani zotsatirapo zoyipa za mankhwala omwe mukumwa: Mankhwala ena, monga mankhwala ochepetsa cholesterol ndi mankhwala ochepetsa ululu kwa nthawi yayitali, amatha kukhudza chiwindi. Chifukwa chake, mukagwiritsa ntchito mankhwala otere, madokotala amachitanso izi kuti aone ngati pali vuto lililonse pa chiwindi.

Kodi ndi zinthu ziti zazikulu zomwe zimawonedwa mu LFT?

Mukayang'ana lipoti la LFT, muwona zilembo ndi manambala ambiri a Chingerezi. Poyamba, zingawoneke zovuta pang'ono, koma nambala iliyonse mwa izi imakuuzani za mbali zosiyanasiyana za ntchito ya chiwindi. Tiyeni tiwone zomwe zinthu zofunikazi zili.

Kodi kuyezetsa magazi kumeneku n'kovuta?

Ayi ndithu. Izi n'zosavuta ndipo zitha kuchitika mu mphindi zochepa.

Mukapita kuchipatala kapena ku labu, namwino kapena katswiri amapeza mtsempha m'dzanja lanu pafupi ndi chigongono chanu ndikutsuka malowo. Kenako, pogwiritsa ntchito singano yaying'ono, amasonkhanitsa magazi pang'ono mu botolo. Mungamve kupweteka pang'ono, koma kumatha msanga. Magazi akatengedwa, chitsanzocho chimatumizidwa ku labu. Zingatenge maola angapo kapena tsiku limodzi kapena awiri kuti zotsatira zake zibwerere.

Kodi mungamvetse bwanji mfundo zomwe zili mu lipotilo? (Mizere Yabwinobwino)

Mukalandira lipoti lanu, mudzawona zigoli zanu pa mayeso aliwonse, pamodzi ndi 'Normal Range'. Koma pali chinthu chimodzi chofunikira kwambiri kukumbukira apa.

Musachite mantha kapena kuganiza kuti muli ndi matenda mukawona zomwe zili mu lipotili. Dokotala wanu yekha ndi amene angamvetse bwino nkhaniyi ndikufika pamlingo wogwirizana ndi vuto lanu.

Chifukwa kuchuluka kwa zinthu zomwe zimafunika nthawi zonse kumatha kusiyana pang'ono kuchokera ku labu kupita ku labu. Zinthuzi zimathanso kusiyana malinga ndi zinthu monga zaka ndi jenda.

Nazi mitundu ina yamtengo yomwe imagwiritsidwa ntchito kwambiri:

Kodi kuchuluka kwa ALT ndi AST m'magazi kumatanthauza chiyani?

Chinthu choyamba chomwe anthu ambiri amaganizira mu lipoti la LFT ndi kuchuluka kwa ma enzyme awiri, ALT ndi AST. Ngati izi zakwera, zimasonyeza kuti pali kuwonongeka kwina kwa maselo a chiwindi.

Komabe, madokotala amaonanso chiŵerengero cha ziwerengero ziwirizi. Mwachitsanzo, ngati chiwerengero cha AST chili chokwera kawiri kuposa chiwerengero cha ALT, nthawi zambiri chimasonyeza kuwonongeka kwa chiwindi chifukwa cha kumwa mowa. Ngati ziwerengero zonse ziwiri zili zofanana, zitha kukhala chifukwa cha chifukwa china (monga matenda a kachilombo).

Kodi LFT imasonyeza matenda amtundu wanji?

Ichi ndi chinthu chomwe tiyenera kumvetsetsa. Kuyesa kwa LFT ndi gawo loyamba chabe paulendo wofufuza matenda. Kuli ngati chizindikiro choyamba chomwe wofufuzayo amapeza. Zotsatira za mayesowa zokha sizingatsimikizire matenda. Komabe, zimapatsa dokotala chitsogozo chabwino cha komwe vuto lili komanso choti achite kenako.

Ngati zotsatira za LFT sizili bwino, mayeso ena angafunike, monga ultrasound scan, mayeso ena apadera a magazi, komanso mwina biopsy ya chiwindi.

Zina mwa zinthu zomwe mayeso a LFT angasonyeze ndi izi:

• Matenda a Chiwindi Chonenepa
• Kuwonongeka kwa chiwindi chifukwa cha poizoni (Toxic Hepatitis)
• Matenda a chiwindi (Chiwindi cha chiwindi A, B, kapena C)
• Chitetezo cha mthupi chimaukira chiwindi (Autoimmune Hepatitis)
• Cirrhosis - zipsera ndi kuchepa kwa chiwindi
• Mavuto a duct ya bile
• Khansa ya Chiwindi
• Matenda obadwa nawo monga hemochromatosis