Umwijima wawe umeze ute? Reka tuvuge ku bipimo by'imikorere y'umwijima (LFTs)!

Umwijima ni urugingo rw'ingenzi cyane mu mubiri wacu, si byo se? Ni nk'uruganda ruto mu mubiri wacu. Rero hari ibizamini byihariye by'amaraso bikorerwa kugira ngo harebwe niba uru ruganda rukora neza cyangwa rudakora neza. Ibyo ni byo twita 'ibizamini by'imikorere y'umwijima' cyangwa Ibizamini by'imikorere y'umwijima (LFTs) . Ibi bishobora guha abaganga bacu amakuru menshi y'ingenzi ku buzima bw'umwijima wawe.

Kuki ibi bizamini by'imikorere y'umwijima (LFTs) bikorwa?

Noneho, ushobora kuba wibaza uti 'Kuki ukora ibi LFT?' Hashobora kuba hari impamvu nyinshi.

Muganga wawe ashobora gushaka kugenzura niba ufite indwara y'umwijima, nka hepatite, ukeka. Cyangwa, niba usanzwe ufite ikibazo cy'umwijima, iki kizamini gishobora gufasha kureba uko cyagenze, cyangwa niba ubuvuzi bukora. Ikindi kintu ni uko imiti imwe n'imwe ishobora kugira ingaruka ku mwijima. Niba ufata iyo miti, iyi miti ya LFT ikoreshwa no kugenzura niba igize ingaruka ku mwijima wawe.

Ni ubuhe bwoko bw'ingenzi bw'ibizamini by'imikorere y'umwijima?

Mu magambo make, iki kizamini cya LFT gipima ibintu byinshi bivuye mu gipimo cy'amaraso yawe. Nubwo cyapimwa rimwe mu maraso, gishobora gutanga amakuru yerekeye imisemburo na poroteyine zitandukanye bikorerwa n'umwijima. Reka turebe ibintu by'ingenzi bipimwa?

Ikizamini cya enzymes z'umwijima

Iki kizamini kireba ubwoko butandukanye bwa enzymes mu mwijima wawe. Urugero, enzymes nka alkaline phosphatase (ALP) , alanine transaminase (ALT) , aspartate aminotransferase (AST) , na gamma-glutamyl transferase (GGT) ni zo z'ingenzi. Iyo habayeho kwangirika cyangwa gukomereka ku mwijima, urugero rw'izi enzymes mu maraso ruziyongera.

Ikizamini cy'ingano ya poroteyine

Ibi bipima urugero rwa poroteyine mu maraso yawe. Wari ubizi? Poroteyine umubiri wacu ukeneye zikorwa n'umwijima. Rero, niba urugero rwa poroteyine ruri hasi, bishobora gusobanura ko umwijima udakora neza.

Ikizamini cya Bilirubin

Bilirubin ni imyanda. Umwijima uyishyira mu gasabo k'inkari. Iyo ingano yayo yiyongereye bivuze ko hari ikibazo mu mwijima.

Ikizamini cya LDH

Lactate Dehydrogenase (LDH) nayo ni enzyme. Iboneka mu ngingo nyinshi z'umubiri wacu, harimo n'umwijima. Urugero rwayo runagaragaza ikintu ku buzima bw'umwijima.

Ikizamini cya Prothrombin Time (PT)

Iki kizamini gipima igihe bifata kugira ngo amaraso yawe agire ubwoya. Umwijima na wo ukora poroteyine zikenewe kugira ngo amaraso agire ubwoya. Niba rero bitinze, bishobora no kugaragaza intege nke mu mikorere y'umwijima.

Kimwe n'ibi bizamini byose, rimwe na rimwe biba biri muri paki y'ibizamini by'amaraso yitwa Comprehensive Metabolic Panel, ibi bikaba bikorwa kenshi.

Ni iki twakwigira kuri ibi bizamini?

Tekereza kuri iyi raporo ya LFT nk'inkuru y'iperereza. Muganga wawe ashobora kukubwira byinshi arebye agaciro n'ibipimo bitandukanye birimo. Urugero:

• Urwaye hepatite, indwara yo kubyimba umwijima?
• Niba hari ubwo bubyimba, ese buterwa no kunywa inzoga, cyangwa buterwa n'indi mpamvu ya metabolisme?
• Ikibazo kiri mu mwijima ubwawo, cyangwa mu miyoboro y'inkondo y'umura?
• Ese imikorere y'umwijima yangiritse? Niba ari uko bimeze, ni ku rugero rungana iki?
• Ese hari ikintu kibuza inyo gutembera? Niba ari byo, bisa bite?
• Ese hari imiti ufata yagize ingaruka ku mwijima wawe? Niba ari byo, ni ku rugero rungana iki?

Izi LFTs zitanga ibimenyetso ku bintu byinshi.

Ibi bizamini by'umwijima (LFTs) bikorwa bite?

Biroroshye cyane. Ingero nto y'amaraso ifatwa mu mutsi uri mu kuboko kwawe. Hanyuma yoherezwa muri laboratwari ikanapimwa. Aho ngaho, bareba niba urugero rw'ibintu bitandukanye ruri hejuru cyangwa hasi cyane. Akenshi, bagereranya urugero rwa enzymes cyangwa poroteyine zitandukanye. Kuko iyo iryo gereranya rihindutse, biroroshye kumva ko hari ikibazo mu mwijima.

Ni iki kibaho mu gihe cy'ikizamini?

Ushobora gukorerwa iki kizamini mu bitaro cyangwa muri laboratwari yihariye. Umutekinisiye azabanza guhitamo umutsi ukubereye mu kuboko no gusukura aho hantu. Bashobora kandi gushyira agakoresho ko gukanda ku kuboko ko hejuru kugira ngo bafashe umutsi kugaragara neza. Hanyuma, urushinge ruto rushyirwa mu mutsi maze amaraso akenewe agakusanywa mu gacupa gato. Ibi bifata iminota mike gusa, ntabwo ari igihe kirekire. Ntugahangayike, uzumva nk'aho umutobe muto uri kuruma, ni byo gusa.

Nyuma y'ikizamini?

Nyuma yo gukurura amaraso, icyitegererezo cyoherezwa muri laboratwari kugira ngo gisuzumwe. Niba laboratwari iherereye mu bitaro bimwe cyangwa mu kigo kimwe, ibisubizo bishobora kuboneka vuba. Bishobora kuboneka mu masaha make cyangwa ndetse n'iminsi mike. Niba utumvise ufite intege nke nyuma yo gutanga amaraso, ushobora gutaha, ukanywa imiti usanzwe, hanyuma ukanywa utuntu duto cyangwa ukanywa.

Nsobanukirwa nte ibiri muri raporo yanjye ya LFT?

Iyo ubonye raporo ya LFT, uzabona agaciro k'ibintu bitandukanye. Ushobora kugereranya n'urugero rusanzwe ukareba niba agaciro kawe kari hejuru cyangwa kari hasi. Ariko se iyi mibare isobanura iki mu by'ukuri?Bisaba ubunararibonye buke kugira ngo ubyumve. Bityo rero, muganga wawe azagusobanurira ibisubizo kandi akwigishe uko wabisoma. Ntuzigere ufata ibyemezo bikomeye ushingiye kuri ibi bisubizo gusa, sibyo? Ni byiza kuvugana na muganga.

"Ikintu cy'ingenzi ni uko raporo ya LFT ari igice kimwe cy'amayobera. Muganga ashobora gukenera amakuru menshi kugira ngo arebe ishusho yuzuye."

Ni ibihe bipimo bisanzwe byo gupima umwijima? (Ni ibihe bipimo bisanzwe bya LFT?)

Ibi nabyo ni ingenzi. Ingano zisanzwe zishobora gutandukana bitewe n'umuntu ku wundi. Ibi bivuze ko izi ndangagaciro zishobora gutandukana gato bitewe n'ibintu nk'igitsina, ingano y'umubiri, ndetse no muri laboratwari. Kubwibyo, ugomba kugereranya agaciro kawe n' 'ingano zisanzwe' zanditse kuri raporo yawe.

Ariko, dore zimwe mu ndangagaciro rusange (izi ni iz'amakuru rusange gusa , nyamuneka reba 'Ingano Isanzwe' yihariye kuri raporo yawe):

• Alanine Transaminase (ALT): 0 kugeza kuri 45 IU/L (Ibice Mpuzamahanga kuri Litiro)
• Aminotransferase ya Aspartate (AST): 0 kugeza kuri 35 IU/L
• Fosfati y'amazi (Alkaline fosfatise) (ALP): 30 kugeza 120 IU/L
• Gamma-glutamyl transferase (GGT): 0 kugeza kuri 30 IU/L
• Bilirubin: mikoromoli 2 kugeza kuri 17 kuri litiro (mikoromoli kuri litiro)
• Igihe cya Prothrombin (PT): Amasegonda 10.9 kugeza 12.5
• Albumine: 40 kugeza 60 g/L (garama kuri litiro)
• Poroteyine zose: 6.3 kugeza 8.0 g/dL (garama kuri desilitiro imwe)

AST na ALT nyinshi bivuze iki?

Iyo urugero rwa enzymes AST na ALT ruri hejuru, birashoboka ko umwijima wangiritse. Iyo umwijima uri mu kaga, izi enzymes ni zo zishobora kurekurwa mu maraso. Iyo zombi zizamutse kimwe, birashoboka ko umwijima wangijwe n'ikindi kintu kitari inzoga (urugero: ubwandu, ubundi burozi). Ariko, niba urugero rwa AST ruri hejuru inshuro ebyiri ugereranyije n'urugero rwa ALT, akenshi bigaragaza ko umwijima wangijwe n'inzoga. Ariko, ibi ni ibimenyetso gusa, kandi umuganga ni we ugomba kubigaragaza neza.

Ni ubuhe bwoko bw'indwara ibipimo by'imikorere y'umwijima (LFTs) bishobora gufasha mu gusuzuma indwara?

Ibi bipimo by'amaraso byonyine bishobora kutabasha kumenya neza ubwoko bw'indwara y'umwijima ufite. Ariko, bishobora gufasha muganga wawe kumenya izindi ndwara. Ushobora gukenera ibindi bipimo kugira ngo umenye neza indwara ya nyuma. Urugero, ibizamini byo gufata amashusho, ibizamini byo gufata umwijima, cyangwa ibizamini byo gufata agace gato k'umwijima wawe.Cyangwa ibintu nk'ibipimo by'amaraso kugira ngo hamenyekane virusi runaka.

Dore zimwe mu ngingo izi LFT zishobora kugaragaza:

• Indwara y'umwijima urimo ibinure byinshi
• Hepatite y'uburozi
• Hepatite itera ubudahangarwa bw'umubiri
• Hepatite iterwa na virusi (A, B cyangwa C)
• Hemochromatosis - kwiyongera k'ubutare mu mubiri
• Indwara ya Wilson - kwiyongera k'umuringa mu mubiri
• Kubura Alpha-1 antitrypsin
• Kolanjiti y'inkari y'ibanze (PBC)
• Cirrhose - gukomera no gukomeretsa umwijima
• Kanseri y'umwijima

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, ikizamini cy'imikorere y'umwijima, cyangwa LFT, ni uburyo bworoshye cyane kuri wewe na muganga wawe bwo kumenya ubuzima bw'umwijima wawe. Byaba ari ugushaka indwara y'umwijima cyangwa kureba niba umuti urimo gufata ufite ingaruka, iki gipimo gito cy'amaraso gishobora gutanga amakuru menshi.

Wibuke ko LFT yonyine ishobora kuba idahagije kugira ngo umenye neza indwara. Ariko, amakuru ubona muri iki kizamini ashobora kugufasha cyane mu gufata icyemezo cy'ingamba ugomba gufata nyuma. Rero, niba muganga wawe agusabye LFT, ni byiza kubikora nta bwoba. Umwijima wawe ni nk'inshuti yawe magara, kandi ni inshingano zawe kuwitaho neza!

` Isuzuma ry'umwijima, Isuzuma ry'imikorere y'umwijima, LFT, Isuzuma ry'amaraso, Indwara z'umwijima, Hepatite