Igipimo cya LDH cyawe ni ikihe? (LDH - Ikizamini cya Lactate Dehydrogenase) Reka tubimenye mu buryo bworoshye!

Uyu munsi tugiye kuvuga ku ikizamini gishobora kutubwira amakuru menshi y'ingenzi ku buzima bw'umubiri wacu. Ushobora kuba warumvise ikizamini cya `LDH`. Ahari muganga yanagusabye gukora iki kizamini. Reka turebe icyo iki kizamini ari cyo n'icyo wakwigira muri iki kizamini mu buryo bworoshye.

Lactate dehydrogenase (LDH) ni iki?

Reka rero tubanze turebe icyo `Lactate Dehydrogenase` ari cyo. Mu magambo make, tuyita `(LDH)`. Muri make, iyi ni enzyme y'ingenzi cyane mu mubiri wacu. enzyme ni ubwoko bwa poroteyine yihutisha kandi igafasha gukora ibintu bya shimi mu mubiri wacu. Tekereza nk'utundi dufasha umubiri wacu gukora neza.

Iyi enzyme ya `LDH` ifasha cyane cyane mu guhumeka kwacu. Ni ukuvuga ko iyi `LDH` ifasha mu gikorwa cy'ingenzi cyane cyo gufata isukari (mu magambo make, isukari) mu byo turya no gukora ingufu uturemangingo tw'umubiri wacu dukeneye. Ibi ni nko gufasha gukora ibicanwa by'uturemangingo dukora nk'uturemangingo duto mu mubiri wacu.

Ese wari uzi ko iyi enzyme `LDH` iboneka hafi ya buri ngingo mu mubiri wacu? Ariko iboneka cyane mu mitsi, umwijima, impyiko, no mu turemangingo dutukura tw'amaraso . Iyo uturemangingo dushya twubakishijwe mu mubiri wacu, uturemangingo dushaje cyangwa "twapfuye" turakurwaho. Ibi ni ibisanzwe. Iyo uturemangingo dushaje dukuweho, `LDH` zimwe muri izo ngingo zongerwa mu maraso yacu cyangwa mu yandi mazi atemba umubiri. Kubwibyo, ni ibisanzwe kugira `LDH` zimwe muri zo mu gipimo cy'amaraso cyangwa andi mazi atemba umubiri.

None se, iki kizamini cya LDH (lactate dehydrogenase) ni iki?

Noneho, ubu ufite igitekerezo gito ku cyo `LDH` ari cyo. Ikizamini cya `LDH` gipima ingano ya `LDH` mu maraso yawe cyangwa andi matembabuzi yo mu mubiri. Ibi ahanini ni ukureba niba hari ibyangiritse ku ngingo z'umubiri wawe .

Nkuko twabiganiriyeho mbere, ni ibisanzwe kugira ingano runaka ya `LDH` mu maraso yawe. Ariko, niba hari ingingo mu mubiri wawe yangiritse cyangwa yakomeretse , `LDH` irenze iyo ngingo yangiritse izasohorwa mu maraso yawe cyangwa mu yandi mazi yo mu mubiri. Rero, niba urugero rwawe rwa `LDH` ruri hejuru y’ibisanzwe, bishobora gusobanura ko ingingo zimwe na zimwe mu mubiri wawe zangiritse bitewe n’indwara idakira , indwara ikomeye, cyangwa imvune .

Ariko ikintu kimwe cyo kwibuka ni uko bigoye kumenya neza ingingo zangiritse bitewe n’ikizamini cya `LDH` gusa. Kubera ko `LDH` iboneka ahantu henshi mu mubiri wacu. Kubwibyo, abaganga bakunze gutumiza ibindi bipimo byinshi hamwe n’ikizamini cya `LDH` kugira ngo bamenye neza indwara.

Iki kizamini cya `LDH` cyiswe kandi n'andi mazina menshi:

• ikizamini cya `LD`
• Lactic dehydrogenase
• aside lactic dehydrogenase

Ni ryari nkeneye ikizamini cya LDH?

Abaganga bakoresha ikizamini cya LDH kugira ngo bapime kandi bakurikirane indwara zitandukanye. Impamvu nyamukuru zituma iki kizamini gikorwa ni izi zikurikira:

• Reba niba ingingo z'umubiri wawe zangiritse .
• Kugenzura indwara nka anemia , indwara z'ingingo z'imbere mu mubiri (urugero: umwijima, impyiko), n'indwara zangiza ingirangingo, nk'indwara zimwe na zimwe.
• Suzuma ubukana bw'ubwoko bumwe na bumwe bwa kanseri .
• Reba niba uburyo bwo kuvura kanseri zimwe na zimwe (urugero: chemotherapy) bwaragenze neza cyangwa butagenze neza.

Kubera ko ikizamini cya `LDH` gikorwa mu bihe bitandukanye, niba wasabwe gukora iki kizamini, ni byiza kubaza muganga wawe impamvu urimo gupimwa.

Ni nde ukora iki kizamini cya LDH?

Ubusanzwe, isuzuma ry'amaraso rya LDH rikorwa n'inzobere mu by'ubuvuzi yatojwe gukurura amaraso . Ariko, impuguke iyo ari yo yose mu by'ubuzima yatojwe gukurura amaraso ashobora kubikora. Icyitegererezo cy'amaraso cyoherezwa muri laboratwari. Aho ngaho, umuhanga mu bya laboratwari y'ubuvuzi asuzuma icyitegererezo agakoresha imashini zidasanzwe (analyzers) kugira ngo apime urugero rwa LDH.

Hari igihe abaganga baba bakeneye gupima urugero rwa LDH mu yandi mazi yo mu mubiri, atari mu maraso gusa. Urugero, amazi yo mu bwonko (CSF), amazi yo mu bwonko , cyangwa amazi yo mu nda . Muri ibi bihe, umuganga ufite ubumenyi bwihariye azafata icyitegererezo.

Ni gute nakwitegura ikizamini cya LDH?

Kenshi na kenshi, ntukeneye gutegura ikintu kidasanzwe cyo gupima amaraso ya LDH.

Ariko, iyo hafashwe icyitegererezo mu kindi gikoresho cy’umubiri, nk’uko byavuzwe mbere, hashobora kuba ngombwa gutegura. Muganga wawe azabigusobanurira icyo gihe.

Ni iki kibaho mu gihe cyo gupima LDH?

Iyo utanze amaraso, ibi ni byo bikunze kubaho:

• Uzicara ku ntebe. Hanyuma umuganga azashaka umutsi wo mu kuboko kwawe woroshye gukuramo amaraso. Akenshi, amaraso akurwa imbere mu nkokora yawe.
• Iyo umutsi umaze kuboneka, aho hantu hasukurwa neza hanyuma hagashyirwa umuti wica udukoko.
• Hanyuma, urushinge ruto rushyirwa mu mutsi hanyuma amaraso make agakurwamo. Muri iki gihe, ushobora kumva urimo gukurumwa gato, nk'uko urimo kurumwa n'inyenzi .
• Nyuma yo gushyiramo urushinge, amaraso make akusanywa mu muyoboro w'ibizamini.
• Nyuma yo gufata amaraso akenewe mu isuzuma, urushinge rurakurwaho hanyuma agace k'ipamba cyangwa gaze gashyirwa aho byakorewe maze hagashyirwaho igitutu gito kugira ngo amaraso ahagarike.
• Hanyuma hashyirwa plaster kuri icyo gice. Ni uko.

Ubusanzwe iki gikorwa cyose kimara munsi y'iminota itanu . Ni akazi kihuse cyane.

Nkuko twabivuze mbere, rimwe na rimwe hashobora gukenerwa andi mazi yo mu mubiri kugira ngo hapimwe `LDH`. Muri ubwo buryo harimo:

• Amazi yo mu bwonko (CSF)
• Amazi yo mu bwonko
• Amazi yo mu nda

Niba ugomba gupimwa muri ubu buryo, ntugire ikibazo. Muganga wawe azagusobanurira birambuye uburyo ikizamini gikorwa n'ibyo ukeneye kumenya.

Ni iki kibaho nyuma yo gupimwa LDH?

Nyuma yo gufata icyitegererezo cy'amaraso yawe cyangwa andi mazi yo mu mubiri, bizoherezwa muri laboratwari kugira ngo bipimwe. Ibisubizo by'ikizamini bimaze kuboneka, muganga wawe azaganira nawe ku bisubizo.

Ese hari ingaruka zishobora guterwa no gupimwa LDH?

Gutanga amaraso ni uburyo busanzwe mu bushakashatsi bw'ubuvuzi. Nta ngaruka nyinshi bufite . Hashobora kubaho gukomereka no kubabara aho amaraso yakuwe. Ariko ibyo bizashira vuba.

Bizantwara igihe kingana iki kugira ngo menye ibisubizo by'ikizamini cya LDH?

Akenshi, ibisubizo by'ibizamini bya LDH bigomba kuboneka mu munsi umwe cyangwa ibiri , ariko rimwe na rimwe bishobora gufata igihe kirekire.

Niba iki kizamini cyakorewe mu bitaro cyangwa mu cyumba cy’ubutabazi bw’ibanze, ushobora kubona ibisubizo mu masaha make .

Ni ibihe bisubizo by'ikizamini cya LDH?

Raporo y'isuzuma ry'amaraso, ni ukuvuga raporo y'isuzuma rya `LDH`, ubusanzwe iba irimo amakuru akurikira:

• Izina ry'ikizamini cy'amaraso, cyangwa icyapimwe mu maraso yawe.
• Agaciro (ni ukuvuga umubare) w'ibyavuye mu isuzuma ry'amaraso yawe.
• Ingano isanzwe y'icyo kizamini.
• Amakuru agaragaza niba ibisubizo byawe ari ibisanzwe, bidasanzwe, cyangwa biri hejuru cyangwa hasi.

Ni iki gipimo gisanzwe cya LDH (lactate dehydrogenase)?

Ingano isanzwe ya `LDH` ishobora gutandukana gato bitewe na laboratwari imwe n'indi. Iyo ubonye raporo y'ibipimo by'amaraso, izagaragaza neza ingano isanzwe ya `LDH` kuri iyo laboratwari.

Ariko, muri rusange, agaciro gasanzwe k'ikizamini cya LDH ni aka gakurikira:

• Ku bagabo : 135 - 225 kuri litiro (U/L).
• Ku bagore : Ibipimo kuri litiro (U/L) 135 - 214.

Igipimo mpuzandengo cya LDH mu bana bato muri rusange kiri hejuru ugereranyije n'abantu bakuru.

Niba ufite ikibazo icyo ari cyo cyose ku bisubizo byawe, menya neza ko wabaza muganga wawe.

Bisobanura iki niba urugero rwanjye rwa LDH ruri hejuru?

Niba urugero rwa LDH rwawe ruri hejuru y’ibisanzwe, birashoboka cyane ko hari ibyangiritse ku ngingo zimwe na zimwe z’umubiri wawe.Bivuze ko hari ikintu cyabaye. Ibyo byangiritse bishobora guterwa n'indwara y'igihe kirekire (idakira), iyihutirwa (ikomeye), cyangwa ubwandu.

Zimwe mu ndwara zishobora gutera urugero rwa LDH ruri hejuru ni izi:

• Anemia
• Indwara y'impyiko
• Indwara y'ibihaha
• Indwara y'umwijima
• Gukomereka kw'imitsi
• Kurwara kw'imitsi
• Kuvunika kw'igufwa
• Indwara y'umutima
• Pancreatite
• Hari ubwandu bumwe na bumwe, nka meningiti , encephalitis , mononucleosis (mononucleosis ), na virusi itera SIDA .
• Ubwoko bumwe na bumwe bwa kanseri , urugero, melanoma ifata ibice by'umubiri , myeloma nyinshi , lymphoma , kanseri y'intanga , na leukemia .

Nanone, kugira urugero rwa LDH ruri hejuru y’urusanzwe bishobora gusobanura ko kuvura kanseri bidakora neza .

Nubwo ikizamini cya LDH gishobora kwerekana niba ingingo z'umubiri wawe zangiritse cyangwa niba ufite indwara, ntigishobora kukubwira neza aho ibyangiritse biri . Nanone, niba uturemangingo dutukura tw'amaraso twangiritse mu gihe cyo gupima amaraso (hemolysis), agaciro ka LDH rimwe na rimwe gashobora kuba hejuru mu buryo butari bwo . Rero niba ibisubizo byawe bigaragaza ko urugero rwa LDH rwawe ruri hejuru, muganga wawe ashobora gukenera gukora ibizamini byinshi kugira ngo amenye neza.

Ese nkwiye guhangayikishwa niba urugero rwanjye rwa LDH ruri hejuru?

Nubwo ibisubizo by'ibipimo bya LDH byagaragaza ko urugero rwa LDH rwawe ruri hejuru, ntabwo bivuze ko ufite indwara ikomeye . Ntugahangayike.

Hari izindi mpamvu nyinshi zishobora gutera urugero rwa LDH ruri hejuru:

• Gukora imyitozo ngororamubiri cyane .
• Imiti imwe n'imwe, urugero nka aspirine , imiti igabanya ububabare , imiti igabanya ububabare , na procainamide .

Nanone, hashobora kuba harabayeho ikosa mu gihe cyo gukusanya ingero, kuzitwara, cyangwa kuzigerageza.

Mu gihe ufata icyemezo ku bisubizo byawe, muganga wawe azasuzuma ibintu byinshi, urugero nk'imiti urimo gufata ubu, amateka y'ubuzima bwawe, n'ibimenyetso urimo kubona.Azakubwira kandi niba ukeneye ibindi bipimo cyangwa utabikeneye.

Niba ufite ikibazo icyo ari cyo cyose ku bisubizo byawe, ntutinye kuvugana na muganga wawe.

Bisobanura iki niba urugero rwanjye rwa LDH ruri hasi?

Ni gake cyane ko ibisubizo by'ikizamini cya `LDH` biba biri hasi ugereranyije n'ibisanzwe .

Kugira urugero ruto rwa LDH bishobora kugaragaza indwara idakunze kugaragara cyane yitwa Lactate Dehydrogenase A - Glycogen Storage Disease XI, cyangwa Lactate Dehydrogenase B ibura.

Nanone, abantu banywa vitamine C nyinshi bashobora kugira ibisubizo by'ibipimo bya LDH bike mu buryo butari bwo .

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba warigeze gupimwa LDH, byaba byiza ubajije muganga wawe ibibazo nk'ibi:

• Utekereza ko ari iyihe mpamvu ishobora gutuma urwego rwanjye rwa `LDH` ruri hejuru?
• Ese ngomba gukora ibizamini byinshi kugira ngo menye impamvu nyayo y’urugero rwanjye rwo hejuru rwa LDH?
• (Niba uri umurwayi wa kanseri) Igipimo cyanjye cya `LDH` kivuga iki ku buremere bwa kanseri yanjye n'uko izabaho?
• (Niba uri kuvurwa indwara) Urwego rwanjye rwa `LDH` ruvuga iki ku kuntu indwara yanjye yifata iyo ivuwe?

Ikintu cy'ingenzi cyane ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)

Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo ubonye ibisubizo bidasanzwe by'ikizamini. Ariko ibuka ko kuba urugero rwawe rwa 'LDH' (lactate dehydrogenase) ruri hejuru ntabwo bivuze ko ufite indwara ikomeye kandi ukeneye kuvurwa.

Muganga wawe azakubwira niba ukeneye gukora ibizamini byinshi kugira ngo amenye icyateye iki kigero kidasanzwe. Ntutinye cyangwa ngo utinye kubaza muganga wawe ibibazo . Barahari kugira ngo bagufashe. Ganira na we ku kintu cyose ufite ku buzima bwawe.

LDH , lactate dehydrogenase, enzyme, kwangirika kw'ingingo, ibizamini by'amaraso, ubuzima, isuzuma