Tiyerekeze kuti mwapita kukaonana ndi dokotala kuti akakuwoneni nthawi zonse ndipo mwalandira zotsatira za magazi anu. Dokotala, yemwe adayang'ana lipotilo, anati, "Ma enzyme anu a chiwindi akwera pang'ono." Mukuwona kuti mitengo yomwe ili patsogolo pa zilembo ziwiri ALT ndi AST mu lipoti lanu ndi yokwera kuposa yachibadwa. Ndizachilendo kumva mantha pang'ono izi zikachitika. Koma musachite mantha. Lero tikulankhula za matenda otchedwa ``Transaminitis'', momwe ma enzyme a chiwindi amakwera.
Mwachidule, kodi Transaminitis ndi chiyani?
`Transaminitis` si matenda oopsa. Zimatanthauza kuti kuchuluka kwa ma enzyme ena otchedwa `transaminases` m'magazi mwanu kwakwera kwambiri. Ma enzyme awiri akuluakulu ndi `Alanine Transaminase (ALT)` ndi `Aspartate Transaminase (AST)` .
Ganizirani chiwindi chanu ngati fakitale yayikulu. Ma enzyme awa ndi ogwira ntchito mkati mwa maselo a fakitale imeneyo. Kawirikawiri, ogwira ntchito awa amakhala mkati mwa fakitaleyo. Koma chiwindi chikakhala pansi pa kupanikizika, kuwonongeka, kapena kupsinjika, maselo a chiwindi amawonongeka ndipo ena mwa ogwira ntchitowa amatuluka, kutanthauza kuti, m'magazi mwathu. Ndi lipoti loyesa magazi, timayesa kuchuluka kwa ma enzyme omwe asonkhana m'magazi.
Nthawi zambiri, vutoli limapezeka mwangozi. Kuchuluka kwa ALT ndi AST kumapezeka panthawi yoyezetsa magazi chifukwa china. Komabe, kwa anthu ena, akakhala ndi zizindikiro monga jaundice, chikasu cha maso ndi khungu, kapena kupweteka kumtunda kwa kumanja kwa mimba, dokotala amalamula mayesowa, makamaka kuti awone momwe chiwindi chikuyendera.
Kodi ndizoopsa kuti ma enzyme awa akwezedwe?
Vutoli ndi lomwe anthu ambiri ali nalo. `Transaminitis` ndi chenjezo loyamba loti pali kuwonongeka kwina kwa maselo a chiwindi. Zili ngati nyali ya `check engine` pa galimoto yomwe ikubwera. Imakuuzani kuti pali vuto ndi galimotoyo, ndipo muyenera kuyang'anitsitsa. Ndipo izi ndi zomwezo.
Kuopsa kwa izi kumadalira chifukwa chake .
- Zifukwa zakanthawi: Ma enzyme amenewa amatha kukwera kwakanthawi akamwa mankhwala enaake kapena chifukwa cha matenda akanthawi. Chiwindi chikatha, chimachira ndipo kuchuluka kwa ma enzyme kumabwerera mwakale.
- Zifukwa za nthawi yayitali: Komabe, ngati kuwonongeka kumeneku kukupitirira chifukwa cha matenda osatha, kumatha kukhala kwakukulu pakapita nthawi. Chiwindi chathu chili ndi mphamvu zodabwitsa zochira, koma kuwonongeka kukapitirira, chimataya mphamvuyo ndipo chingayambitse vuto lotchedwa kulephera kwa chiwindi.
Kotero, iyi si nambala imodzi yokha. Ndi chizindikiro chofunikira chomwe chimakupatsani lingaliro la thanzi lanu lonse.
Kodi ndi zinthu ziti zomwe zingayambitse transaminitis?
Pakhoza kukhala zifukwa zambiri za izi. Tiyeni tigawane m'magulu awiri: zifukwa zofala kwambiri ndi zifukwa zosafala kwambiri.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Zomwe Zimayambitsa Kawirikawiri | |
| Matenda a Chiwindi Chonenepa | Pakadali pano, vutoli ndi lomwe limapezeka kwambiri ku Sri Lanka. Makamaka, vuto lotchedwa matenda a chiwindi otchedwa Metabolic dysfunction-associated steatotic liver disease (MASLD) . Zinthu zomwe zimayambitsa kagayidwe kachakudya monga kudya mosayenera, kunenepa kwambiri, matenda a shuga, ndi cholesterol yambiri zimathandizira izi. |
| Kugwiritsa ntchito mowa mopitirira muyeso (Chiwindi choyambitsidwa ndi mowa) | Kumwa mowa mopitirira muyeso kumawononga chiwindi mwachindunji, zomwe zingayambitse kuwonongeka kwa chiwindi kwakanthawi kapena kwa nthawi yayitali. |
| Matenda a Virusi (Chiwindi cha Mavairasi) | Mavairasi monga chiwindi cha hepatitis A, B, C, D, ndi E angayambitse kutupa kwa chiwindi. Izi zingayambitse matenda a hepatitis B ndi C osatha. |
| Zotsatira za mankhwala (Toxic Hepatitis) | Mankhwala ena ochepetsa ululu, ochepetsa mafuta m'thupi, mankhwala a chifuwa chachikulu, ndi mankhwala ena amatha kukhudza chiwindi. Dokotala nthawi zonse amakhala akuyang'anitsitsa izi. |
| Zifukwa Zosazolowereka | |
| Zifukwa zina | Matenda monga mavuto a chitetezo chamthupi (autoimmune hepatitis), matenda obadwa nawo (hemochromatosis, matenda a Wilson), matenda a mtima, matenda a chikasu, matenda a chithokomiro, komanso khansa ya chiwindi yomwe nthawi zambiri imakhalapo. |
Kodi zikutanthauza chilichonse chapadera ngati AST ili yokwera kuposa ALT?
Kawirikawiri, chiwindi chikawonongeka, ma enzyme onsewa amawonjezeka pamodzi. ALT ya enzyme imagwira ntchito makamaka pa chiwindi. Izi zikutanthauza kuti imapezeka makamaka m'chiwindi. Komabe, AST ya enzyme imapezekanso m'minofu ya mtima, minofu ya mafupa, ndi minofu ina kuwonjezera pa chiwindi.
Chifukwa chake, ngati mtengo wa AST uli wokwera kwambiri kuposa mtengo wa ALT , dokotala adzaganiziranso zinthu zina. Mwachitsanzo:
- Matenda a chiwindi omwe amabwera chifukwa cha mowa: Pa vutoli, chiŵerengero cha AST/ALT chimawonjezeka.
- Matenda a chiwindi: Izi zitha kuoneka ngakhale matendawa akamakula.
- Zifukwa zina za chiwindi: Miyezo ya AST imathanso kukwera ngati pali vuto la mtima kapena kuwonongeka kwakukulu kwa minofu (rhabdomyolysis).
Chofunika kwambiri: Awa ndi malangizo chabe. Musayese kudzifufuza nokha kutengera lipoti lanu. Dokotala wanu ayenera kuchita zimenezo.
Kodi dokotalayo amachita bwanji izi?
Choyamba, kumbukirani kuti palibe mankhwala enieni a `Transaminitis`. Chifukwa si matenda, koma chizindikiro. Chifukwa chake, cholinga chachikulu cha dokotala ndikupeza chomwe chimayambitsa kuchuluka kwa ma enzymes ndikuchiza chomwe chimayambitsa matendawa.
Njira yochizira nthawi zambiri imakhala motere:
1. Mbiri ya matenda: Dokotala adzakufunsani za moyo wanu (zakudya, masewera olimbitsa thupi, kumwa mowa), mankhwala omwe mumamwa, ndi matenda aliwonse m'banja mwanu.
2. Mayeso ena: Mayeso ena adzayitanidwa kuti atsimikizire chomwe chayambitsa.
- Bwerezani mayeso a magazi.
- Kuyesa mavairasi a chiwindi cha mtundu wa B ndi C.
- Kujambula kwa ultrasound m'mimba.
- Ngati pakufunika, kuyezetsa magazi kwina kwapadera.
3. Chithandizo malinga ndi chifukwa: Chithandizo chimatsimikiziridwa pambuyo poti chapezeka chifukwa.
- Chiwindi Chonenepa: Kusintha kwa moyo ndikofunikira kwambiri. Kudya zakudya zoyenera , kuchita masewera olimbitsa thupi nthawi zonse , komanso kuchepetsa thupi ndikofunikira.
- Ngati chifukwa cha mowa: Yankho lokhalo ndi kusiya kumwa mowa kotheratu .
- Ngati ndi chifukwa cha mankhwala: Dokotala adzasankha ngati asinthe mankhwalawo kapena kuchepetsa mlingo wake.
- Ngati ndi chifukwa cha kachilombo: Chithandizo cha kachilomboka chidzayamba.
Nthawi zambiri, chifukwa chake chikachiritsidwa bwino, kuwonongeka kwa chiwindi kumasiya ndipo kuchuluka kwa ma enzyme kumabwerera mwakale.
Uthenga Wopita Nawo Kunyumba
- Transaminitis (ma enzymes okwera a chiwindi) ndi chizindikiro chochenjeza kuti chiwindi chanu chili ndi nkhawa. Musachite mantha mukaona izi.
- Pakhoza kukhala zifukwa zambiri za izi. Chiwindi chamafuta, kumwa mowa, matenda opatsirana ndi mavairasi, ndi mankhwala ena ndi zomwe zimayambitsa matendawa.
- Chithandizo sichimayang'ana pa kuchuluka kwa ma enzyme, koma pa vuto lomwe linayambitsa kukwera kwake.
- Ngati mukuona kuti muli ndi ALT ndi AST wambiri m'magazi anu, musanyalanyaze zimenezo. Onetsetsani kuti mwaonana ndi dokotala wanu kuti akupatseni malangizo ndi chithandizo choyenera.
- Nthawi zambiri, kukhala ndi moyo wathanzi (kudya bwino, kuchita masewera olimbitsa thupi) kumathandiza kwambiri kuti chiwindi chikhale ndi thanzi labwino.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Syncope / Kukomoka ndi chiyani?
Iyi si nthawi yogona/yotopetsa chabe! 'Kusokonezeka maganizo' mu zamankhwala ndi vuto lalikulu lachipatala lomwe, chifukwa cha chifukwa china chakupha kapena mwadzidzidzi, magazi ndi mpweya wopita ku ubongo zimayima kwathunthu kwa masekondi angapo (Kutayika kwakanthawi kwa magazi kupita ku ubongo), zomwe zimapangitsa kuti munthuyo agwe mwadzidzidzi pansi (Kutaya chidziwitso/Kugwa kwa mawu amkati) ndikutaya chidziwitso!
💬 Kodi zifukwa zazikulu zomwe munthu amataya mwadzidzidzi chidziwitso (Kukomoka/Kukomoka) akaima/akuyenda ndi ziti?
Pali zifukwa zazikulu zinayi zomwe zimayambitsa izi: 1) 'Cardiogenic Syncope' - Ngati mtima wasiya kugunda mwadzidzidzi / wadwala matenda a mtima, mtima sungaponye magazi kupita ku ubongo, zomwe zimapangitsa kuti munthu asadziwe bwino! 2) Hypoglycemia (mwa odwala matenda a shuga). 3) Vasovagal syncope - Kutaya chidziwitso chifukwa cha kugwedezeka kwa mitsempha chifukwa cha ululu wosapiririka / kuona magazi / mantha aakulu. 4) Kugwidwa ndi khunyu / Khunyu.
💬 Munthu akakomoka, ndi zinthu ziti zomwe zimamupha/zadzidzidzi zomwe zimafuna kuti agonekedwe kuchipatala nthawi yomweyo, m'malo mongomuthira madzi pankhope ndikukhala panyumba?
Ngati mwagwa ndi kudzuka patangopita masekondi ochepa/ngati mwagwa mutagona pansi, yesani kupatsa madzi/shuga. Koma choopsa chachikulu! Musanataye mtima ndi kugwa, ngati 1) muli ndi kupweteka pachifuwa/mtima kapena kupuma movutikira, 2) mukagwa, thupi lanu lonse limagwedezeka ndipo limatulutsa thovu/thovu pakamwa (kugwidwa/kukomoka), 3) ngati mwagwa osanena chilichonse/muli pachifuwa kwa mphindi zingapo, muyenera kuyimbira ambulansi nthawi yomweyo ndikupita nawo kuchipatala!
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment