Tangoganizirani kuti mwangopita kukayezetsa magazi nthawi zonse ndipo mukukhala pansi ndi dokotala wanu kuti muonenso lipoti lanu laposachedwa la magazi. Dokotala wanu akuona kuti, "Ma enzyme anu a chiwindi akwera pang'ono." Mukuyang'ana lipotilo ndikuwona kuti kuchuluka kwa ALT ndi AST kuli kokwera kuposa kuchuluka kwa mayeso omwe akupezeka. Ndizachibadwa kukhala ndi nkhawa pang'ono mukaona izi, koma chonde musachite mantha. Lero, tikambirana za vutoli, lomwe limadziwika kuti Transaminitis , komwe kuchuluka kwa ma enzyme a chiwindi kumakwera.
Mwachidule, kodi Transaminitis ndi chiyani?
'Transaminitis' si dzina la matenda enaake, koma ndi zomwe zapezeka kuchipatala. Zimasonyeza kuti kuchuluka kwa ma enzyme apadera otchedwa 'transaminases' m'magazi anu kwakwera. Ma enzyme awiri akuluakulu omwe amayesedwa ndi Alanine Transaminase (ALT) ndi Aspartate Transaminase (AST) .
Ganizirani chiwindi chanu ngati fakitale yayikulu. Ma enzyme amenewa ali ngati ogwira ntchito mkati mwa maselo a fakitale. Nthawi zambiri, ogwira ntchitowa amakhala mkati mwa fakitale. Komabe, ngati chiwindi chanu chikukumana ndi kupsinjika, kupanikizika, kapena kuwonongeka, maselowo amakhudzidwa, ndipo ma enzyme amenewa 'amatuluka' m'magazi mwanu. Lipoti la magazi limangoyesa kuchuluka kwa ma enzyme amenewa omwe alowa m'magazi mwanu.
Kawirikawiri, vutoli limapezeka mwangozi poyesa magazi pazifukwa zina. Komabe, ngati mukumva zizindikiro monga jaundice (maso kapena khungu kukhala lachikasu) kapena kupweteka kumtunda kwa mimba yanu, dokotala wanu angakupatseni mayesowa kuti awone momwe chiwindi chanu chikuyendera.
Kodi kuchuluka kwa ma enzymes a chiwindi ndi koopsa?
Funso limeneli ndi lofala kwambiri. Kutupa kwa chiwindi (transaminitis) ndi chizindikiro chochenjeza msanga kuti maselo a chiwindi chanu awonongeka pang'ono—monga kuwala kwa 'check engine' pa dashboard ya galimoto yanu. Ndi chizindikiro chakuti chinachake chiyenera kufufuzidwa. Kuopsa kwake kumadalira kokha chifukwa chake .
- Zifukwa zakanthawi kochepa: Mankhwala ena kapena matenda a nthawi yochepa angayambitse kuwonjezeka kwakanthawi kwa ma enzyme awa. Chiwindi chikachiritsidwa, nthawi zambiri chimachira, ndipo kuchuluka kwa ma enzyme kumabwerera mwakale.
- Zifukwa zosatha: Ngati matenda osatha amayambitsa kuwonongeka kosatha, amatha kukhala aakulu pakapita nthawi. Ngakhale kuti chiwindi chili ndi mphamvu yodabwitsa yochira, ngati kuwonongekako sikupitirirabe, mphamvu imeneyo ikhoza kugonjetsedwa, zomwe zingayambitse mavuto monga kulephera kwa chiwindi.
Chifukwa chake, zotsatirazi sizili nambala yokha patsamba; ndi chizindikiro chofunikira chomwe chimalola dokotala wanu kufufuza thanzi lanu lonse ndikupewa mavuto ena.
Kodi ndi zinthu ziti zomwe zingayambitse matenda a transaminitis?
Pali zifukwa zambiri zomwe zingachititse izi. Tikhoza kuzigawa m'magulu awiri: zomwe zimafala kwambiri komanso zomwe sizimaonekera kawirikawiri.
| Chifukwa | Kufotokozera Kosavuta |
|---|---|
| Zomwe Zimayambitsa Kawirikawiri | |
| Matenda a Chiwindi Chonenepa | Ichi ndi chifukwa chofala kwambiri pakadali pano. Makamaka, matenda a chiwindi a steatotic omwe amagwirizana ndi metabolism (MASLD) . Nthawi zambiri amayamba chifukwa cha zinthu monga kudya mosayenera, kunenepa kwambiri, matenda a shuga, komanso cholesterol yambiri. |
| Chiwindi cha chiwindi chomwe chimayambitsa mowa | Kumwa mowa mopitirira muyeso kumayambitsa kuwonongeka kwa chiwindi mwachindunji, zomwe zimapangitsa kuti chiwindi chikhale ndi mavuto akanthawi kapena osatha. |
| Matenda a chiwindi a virus | Mavairasi monga Hepatitis A, B, C, D, ndi E angayambitse kutupa kwa chiwindi. Chodziwika ndi chakuti Hepatitis B ndi C imatha kukhala matenda osatha komanso a nthawi yayitali. |
| Chiwindi cha Hepatitis Choopsa (Chokhudzana ndi Mankhwala) | Mankhwala ena—kuphatikizapo mankhwala ochepetsa ululu, mankhwala ochepetsa mafuta m'thupi, ndi mankhwala a chifuwa chachikulu—angakhudze chiwindi. Dokotala wanu nthawi zonse azitsatira izi mosamala. |
| Zifukwa Zosazolowereka | |
| Zina Zoyambitsa | Izi zikuphatikizapo mavuto a chitetezo chamthupi (Autoimmune hepatitis), matenda obadwa nawo (Hemochromatosis, matenda a Wilson), matenda a mtima, matenda a chikasu, matenda a chithokomiro, ndipo, nthawi zina, khansa ya chiwindi. |
Kodi zikutanthauza china chake ngati AST ili yokwera kuposa ALT?
Kawirikawiri, chiwindi chanu chikavulala, ma enzyme onse awiri amakwera pamodzi. ALT imagwira ntchito makamaka pa chiwindi, chifukwa imapezeka makamaka pamenepo. Komabe, AST imapezeka osati m'chiwindi chokha komanso m'minofu ya mtima, minofu ya mafupa, ndi minofu ina.
Choncho, ngati mulingo wanu wa AST uli wapamwamba kwambiri kuposa mulingo wanu wa ALT , dokotala wanu adzaganizira zinthu zina, monga:
- Matenda a chiwindi okhudzana ndi mowa: Izi zimachitika kawirikawiri chifukwa cha kuwonongeka kwa chiwindi komwe kumachitika chifukwa cha mowa.
- Matenda a chiwindi: Izi zitha kuonekanso pamene zipsera za chiwindi zikupitirira.
- Magwero osakhala a chiwindi: AST imatha kukwera chifukwa cha matenda monga matenda a mtima (myocardial ischemia) kapena kuwonongeka kwakukulu kwa minofu (rhabdomyolysis).
Chofunika kwambiri: Izi ndi zizindikiro chabe. Musayese kudzifufuza nokha kutengera lipoti lanu. Imeneyo ndi ntchito yomwe dokotala wanu ayenera kuchita.
Kodi dokotala wanu adzachita bwanji izi?
Choyamba, kumbukirani kuti palibe mankhwala enieni a "transaminitis" chifukwa si matenda, koma chizindikiro. Chifukwa chake, cholinga chachikulu cha dokotala wanu ndikupeza chomwe chimayambitsa ndikuchichiza moyenera.
Njira yothandizira nthawi zambiri imaphatikizapo:
1. Mbiri ya Zachipatala: Dokotala wanu adzakufunsani za moyo wanu (zakudya, masewera olimbitsa thupi, kumwa mowa), mankhwala omwe mukumwa, ndi mbiri ya thanzi la banja lanu.
2. Kufufuza Kwina: Angapemphe mayeso ena kuti atsimikizire chomwe chayambitsa:
- Kubwerezabwereza mayeso a magazi.
- Kuyezetsa Hepatitis B ndi C.
- Kujambula kwa ultrasound m'mimba.
- Mayeso ena apadera a magazi ngati pakufunika.
3. Chithandizo Cholunjika: Chikadziwika chifukwa chake, chithandizo chimakonzedwa malinga ndi zosowa za wodwalayo:
- Pa Chiwindi Chonenepa: Kusintha moyo ndikofunikira kwambiri. Kudya zakudya zoyenera , kuchita masewera olimbitsa thupi nthawi zonse , komanso kuchepetsa thupi ndikofunikira.
- Pa mavuto okhudzana ndi mowa: Kusiya kumwa mowa kotheratu ndiye njira yokhayo yothetsera vutoli.
- Pa mavuto okhudzana ndi mankhwala: Dokotala wanu angasinthe mankhwala anu kapena kusintha mlingo.
- Pa matenda opatsirana ndi mavairasi: Mudzayamba kulandira chithandizo chamankhwala cholimbana ndi mavairasi.
Nthawi zambiri, kuchiza vuto lomwe limayambitsa vutoli moyenera kumaletsa kuwonongeka kwa chiwindi ndikulola kuti ma enzymes abwerere mwakale.
Uthenga Wopita Nawo Kunyumba
- Transaminitis (ma enzymes okwera a chiwindi) ndi chizindikiro chochenjeza kuti chiwindi chanu chili ndi nkhawa. Musachite mantha mukaona izi.
- Pali zifukwa zambiri zomwe zimayambitsa izi, ndipo chiwindi chamafuta, kumwa mowa, matenda opatsirana ndi mavairasi, ndi mankhwala ndizomwe zimafala kwambiri.
- Chithandizo sichimayang'ana kwambiri kuchuluka kwa ma enzyme okha, koma vuto lomwe limayambitsa kukwera kwawo.
- Ngati muwona kuchuluka kwa ALT kapena AST m'magazi anu, musamawanyalanyaze. Muyenera kufunsa dokotala wanu kuti akupatseni upangiri ndi chisamaliro choyenera.
- Nthawi zambiri, kukhala ndi moyo wathanzi (kudya bwino komanso kuchita masewera olimbitsa thupi nthawi zonse) ndiyo njira yabwino kwambiri yothandizira thanzi la chiwindi chanu.
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Syncope (kukomoka) kwenikweni ndi chiyani?
Izi sizikutanthauza kungogona kapena kumva mutu wopepuka. M'mawu azachipatala, 'Syncope' imafotokoza za ngozi yaikulu yachipatala pomwe ubongo umataya magazi ndi mpweya kwakanthawi. Izi zimapangitsa kuti munthu asadziwe bwino komanso kuti thupi lake lizigwa, zomwe zingasonyeze vuto lalikulu.
💬 Kodi ndi zifukwa ziti zazikulu zomwe zimapangitsa kuti munthu asamadziwe bwino kapena asamadziwe bwino?
Pali zifukwa zinayi zazikulu: 1) Kusinthasintha kwa mtima: Vuto la kugunda kwa mtima kapena matenda a mtima omwe amalepheretsa mtima kupompa magazi kupita ku ubongo. 2) Kuchepa kwa shuga m'magazi: Kutsika koopsa kwa shuga m'magazi, makamaka kwa odwala matenda ashuga. 3) Kusinthasintha kwa Vasovagal: Kuyankha kwa mitsempha chifukwa cha ululu waukulu, kuwona magazi, kapena kuvutika maganizo kwambiri. 4) Kugwidwa ndi khunyu kapena Khunyu.
💬 Kodi ndi liti pamene ndiyenera kupita kuchipatala msanga m'malo moyesa kuthandiza munthuyo kunyumba?
Ngati munthu wakomoka kwakanthawi chifukwa cha kutentha ndipo wachira msanga, angafunike madzi kapena shuga. Komabe, muyenera kuyimbira 911 kapena ogwira ntchito zadzidzidzi nthawi yomweyo ngati: 1) Adamva kupweteka pachifuwa, kulimba, kapena kuvutika kupuma asanagwe; 2) Adawonetsa zizindikiro za khunyu, monga kugwedezeka kosalamulirika kapena kutulutsa thovu pakamwa; 3) Amakhalabe osazindikira kapena osayankha kwa mphindi zingapo atagwa. Nirogi Lanka akulangiza kuti asachedwetse; perekani chisamaliro cha akatswiri kuchipatala pazochitika izi.
