Ese raporo yawe ya ALT iri hejuru? Reka twige kuri ALT (Alanine Transaminase) mu buryo bworoshye!

Iyo upimye amaraso, ushobora kuba warabonye ko afite agaciro ka ALT cyangwa SGPT. Ahari muganga yakubwiye ko aka gaciro kari hejuru gato kandi ko ugomba kwitondera umwijima wawe. Ni ibisanzwe kumva ugize ubwoba no guhangayika gato. None se iyi ALT ni iki? Kuki ari ingenzi cyane ku mubiri wacu? Ntutinye, reka tubiganireho mu buryo bworoshye kandi busobanutse.

Mu magambo make, ALT ni iki?

Alanine Transaminase (ALT) ni enzyme mu mubiri wacu. Mu by'ukuri, ni nk'umukozi muto uri mu turemangingo twacu. Akazi kayo k'ingenzi ni mu mwijima . Ariko, uretse umwijima, iyi enzyme ya ALT iboneka no mu rugero ruto ahandi hantu.

Enzyme ni ubwoko bwa poroteyine ifasha mu mikorere itandukanye mu mubiri wacu. Nk'uko icyuma gitanga urumuri gikenewe kugira ngo imodoka itangire, umubiri ukeneye izi enzymes kugira ngo ukore ibintu bimwe na bimwe.

None se ikizamini cy'amaraso cya ALT gikora iki?

Ikizamini cy'amaraso cya ALT gipima ingano ya ALT mu maraso yawe. Tekereza umwijima nk'inzu, na ALT nk'abakozi bari muri iyo nzu. Iyo inkuta z'iyi nzu zangiritse mu buryo ubwo aribwo bwose, abakozi bari imbere bavamo (ni ukuvuga mu maraso).

Ibi bivuze ko iyo uturemangingo tw’umwijima twangiritse, enzyme ya ALT iri muri utwo turemangingo irekurwa mu maraso. Ibi bituma urugero rwa ALT ruzamuka mu isuzuma ry’amaraso. Niyo mpamvu abaganga bakoresha iki kizamini kugira ngo bamenye ubuzima bw’umwijima wawe.

Ikizamini cya ALT akenshi ntigikorwa cyonyine. Gikorwa nk'igice cya enzyme y'umwijima (LFT) cyangwa comprehensive metabolic panel (CMP).

Ikizamini cya ALT kizwi kandi n'andi mazina menshi:

• Alanine Aminotransferase
• SGPT (Serum Glutamic-Pyruvic Transaminase)
• GPT

Itandukaniro riri hagati ya ALT na AST ni irihe?

Ushobora kuba warabonye ko hamwe na ALT, hari ikindi gipimo cyitwa AST cyanditswe muri raporo yawe. AST (Aspartate Transaminase) ni indi enzyme nka ALT. Ibi byombi bishobora kwirundanya mu maraso iyo uturemangingo twangiritse.

Ariko hari itandukaniro rikomeye hano. ALT iboneka cyane cyane mu mwijima. Ariko enzyme AST iboneka no mu bwinshi mu mutima, mu mitsi y'amagufwa, no mu impyiko, usibye umwijima.

Kubwibyo, iyo tuvuze ku buzima bw'umwijima, tubona ko ALT ari yo yihariye ku mwijima kurusha AST. Ariko, abaganga barebera hamwe ibi bipimo byombi n'ibindi bisubizo by'ibizamini kugira ngo bafate icyemezo nyacyo.

Kuki usabwa gukora ikizamini cya ALT?

Hari impamvu eshatu z'ingenzi zishobora gutuma muganga agusaba gupimwa amaraso arimo gupimwa ALT.

1. Gusuzuma mbere yuko ibimenyetso bigaragara

Hari igihe ushobora kutagira ibimenyetso. Ariko iki kizamini gishobora kugufasha kumenya niba uri mu kaga ko kurwara indwara y'umwijima mu gihe kizaza. Muganga wawe ashobora kukugira inama yo kugisuzuma niba ufite kimwe muri ibi bikurikira:

• Kunywa inzoga nyinshi.
• Kugira amateka y'indwara y'umwijima mu muryango.
• Kurwara diyabete.
• Umubyibuho ukabije .
• Gutera ibiyobyabwenge hakoreshejwe inshinge zisangiye n'abandi.

2. Gukurikirana ikibazo cy'uburwayi (Gukurikirana)

Niba usanzwe ufite ikibazo cy'umwijima, iki kizamini gikorwa buri gihe kugira ngo harebwe niba kirimo koroherwa, kigenda kirushaho kuba kibi, cyangwa niba kiguma uko cyakabaye mu gihe uvurwa. Kinakorwa kugira ngo harebwe niba hari kwangirika k'umwijima iyo ufashe imiti imwe n'imwe ishobora kugira ingaruka ku mwijima.

3. Gufasha mu gusuzuma indwara (Gusuzuma)

Niba ufite ibimenyetso bigaragaza ikibazo cy'umwijima, iki kizamini ni ingenzi cyane kugira ngo hamenyekane impamvu. Nubwo urugero rwa ALT rwonyine rudashobora gusuzuma indwara, ni igice cy'ingenzi mu gusuzuma indwara.

Ese hari imyiteguro ikenewe mbere y'uko iki gipimo cy'amaraso gipimwa?

Niba ikizamini cyawe cya ALT kirimo gukorwa nk'igice cy'ibizamini byuzuye, nka CMP, ushobora gusabwa kwiyiriza ubusa mu gihe cy'amasaha agera kuri 10-12 . Kwiyiriza ubusa bivuze kutarya cyangwa ngo unywe ikindi kintu cyose uretse amazi.

Ariko, niba urimo kwipimisha ALT gusa, kwiyiriza ubusa ntabwo ari ngombwa. Ariko, ni ngombwa gukurikiza amabwiriza ya muganga wawe neza.

Byongeye kandi, ni ingenzi cyane kubwira muganga wawe imiti iyo ari yo yose, vitamine, cyangwa inyongeramusaruro ufata, kuko hari imiti ishobora kugira ingaruka ku rugero rwa ALT. Hagarika gufata imiti iyo ari yo yose mbere yo kwipimisha keretse muganga wawe abikubwiye. Ntukareke gufata imiti iyo ari yo yose utabanje kugisha inama muganga wawe.

Kubera ko imyitozo ngororamubiri isaba imbaraga nyinshi ishobora no kugira ingaruka ku rugero rwa ALT, niba uhora ukora imyitozo ngororamubiri isaba imbaraga nyinshi, bibwira muganga wawe mbere y’igihe.

Bigenda bite iyo amaraso afashwe?

Uburyo bwo gutanga amaraso ubusanzwe bworoshye cyane.

• Uzicara ku ntebe, maze umuforomo cyangwa umuganga azabona umutsi woroshye mu kuboko kwawe wo gukuramo amaraso. Ubusanzwe, umutsi utoranywa imbere mu nkokora.
• Hanyuma usukure neza aho hantu hanyuma ushyireho umuti wica udukoko.
• Urushinge ruto cyane rushyirwa mu mutsi hanyuma hagafatwa ikizamini cy'amaraso. Muri iki gihe, bishobora kumva nk'aho agakoko gato kari kuruma.
• Nyuma yo gushyiramo urushinge, amaraso akenewe akusanywa mu muyoboro w'ibizamini.
• Iyo amaraso amaze gukururwa, urushinge rurakurwaho hanyuma agace k'ipamba kagashyirwamo kugira ngo amaraso ahagarike.
• Shyiraho sima gusa aho hantu hanyuma urarangiza. Igikorwa cyose ntikigomba kurenza iminota itanu.

Ni iki mu by'ukuri agaciro ka ALT bivuze?

Iyo ubonye raporo y'ibipimo by'amaraso yawe, iba irimo amakuru menshi. Akenshi iba irimo:

• Izina ry'ikizamini cyakozwe (urugero: Alanine Transaminase - ALT).
• Ibisubizo byawe (umubare w'amaraso yawe).
• Ubwo ni bwo buryo busanzwe bwo gukora ikizamini.
• Niba igisubizo cyawe ari gisanzwe cyangwa kidasanzwe (cyaba kiri hejuru cyangwa kiri hasi).

Igipimo gisanzwe cya ALT ni ikihe?

Igipimo gisanzwe cya ALT gishobora gutandukana gato bitewe na laboratwari imwe n'indi. Igipimo cyemewe muri rusange kiri hagati ya 7 na 56 kuri litiro imwe (7 kugeza 56 U/L). Igipimo cya ALT ku bagabo ubusanzwe kiri hejuru gato y'icy'abagore.

Igipimo cya ALT kiri hejuru bivuze iki?

Ingano ya ALT iri hejuru mu maraso igaragaza ko hashobora kubaho kwangirika cyangwa kudakora neza kw'uturemangingo tw'umwijima. Zimwe mu mpamvu zitera kwiyongera kw'ingano ya ALT zirimo:

• Kwangirika k'umwijima guterwa n'inzoga.
• Indwara y'umwijima urimo ibinure.
• Hepatite (kubyimba umwijima).
• Kurwara Cirrhosis (inkovu ku mwijima).
• Gukoresha imiti imwe n'imwe yangiza umwijima (uburozi).
• Ibibyimba by'umwijima cyangwa kanseri y'umwijima.
• Kugabanuka kw'amaraso ajya mu mwijima (Liver Ischemia).
• Ubutare bwinshi mu mubiri (Hemochromatosis).
• Hari ubwandu bumwe na bumwe, nka mononucleosis.
• Hari indwara zimwe na zimwe zifata umwijima.

Ariko ibuka ko ALT itaboneka mu mwijima gusa, bityo ni gake cyane, urugero rwa ALT rushobora kwiyongera nubwo uturemangingo twangiritse ahandi.

Igipimo cya ALT kiri hasi bivuze iki?

Ni gake cyane kubona urugero rwa ALT ruri hasi ugereranije n'ibisanzwe. Kandi akenshi si ikintu giteye impungenge. Ariko, rimwe na rimwe, urugero rwa ALT rushobora kuba hasi bitewe no kubura vitamine B6 cyangwa indwara idakira y'impyiko. Niba ibisubizo byawe ari bike, muganga wawe ashobora gukora ibindi bipimo kugira ngo arebe niba hari impamvu.

Ese hari ibindi bintu bishobora kugira ingaruka ku ihinduka ry'urugero rwa ALT?

Yego. Uretse indwara, hari n'ibindi bintu byinshi bishobora kugira ingaruka ku rugero rwa ALT yawe. Muganga wawe azazirikana ibi byose mu gihe asesengura ibisubizo byawe.

Ukora iki nyuma y'aho ubonye igisubizo kidasanzwe?

Niba urugero rwa ALT yawe rudasaza, muganga wawe ashobora kukugira inama yo gupima ibindi bipimo byinshi kugira ngo amenye impamvu.

• Subiramo ikizamini cya ALT.
• Ibindi bipimo by'amaraso.
• Gupima nk'imashini zipima ultrasound.
• Gufata agace gato k'urugingo mu mwijima kugira ngo bisuzumwe (Biopsy).

Niba urugero rwa ALT ruri hejuru cyane cyangwa ufite ibimenyetso by'indwara y'umwijima, ibi bizamini by'inyongera bigomba gukorwa ako kanya.

Ni ryari ukwiye kujya kwa muganga?

Niba ugaragaje ibimenyetso byo kwangirika k'umwijima, nko kurwara umuhondo w'uruhu cyangwa kubabara mu nda, hita ubonana na muganga wawe.

Niba waramaze kurwara indwara y'umwijima kandi ibimenyetso bishya bikagaragara, hamagara muganga wawe.

Niba ufite ikibazo cyangwa impungenge ku bisubizo bya ALT yawe, ntugatinye kubaza muganga wawe ibyayo.