Chiropa chako chiri kufamba sei? Ngatikurukurei nezveKuongororwa Kwebasa reChiropa (LFTs)!

Chiropa inhengo inokosha kwazvo mumuviri wedu, handiti? Zvakafanana nefekitori diki mumuviri wedu. Saka kune bvunzo dzeropa dzakakosha dzinoitwa kuti dzione kana fekitori iyi iri kushanda zvakanaka kana kwete. Ndizvo zvatinodaidza kuti 'bvunzo dzekushanda kwechiropa' kana kuti Bvunzo dzeKushanda kwechiropa (LFTs) . Izvi zvinogona kupa vanachiremba vedu ruzivo rwakakosha nezvehutano hwechiropa chako.

Sei bvunzo idzi dzekushanda kwechiropa (LFTs) dzichiitwa?

Zvakanaka, ikozvino ungangove uchishamisika kuti, 'Sei uchiita izvi LFT?' Panogona kunge paine zvikonzero zvakati wandei.

Chiremba wako angangoda kutarisa kana uine chirwere chechiropa, chaunofungidzira kuti une hepatitis . Kana, kana uine chirwere chechiropa, bvunzo iyi inogona kubatsira kuona kuti yafambira mberi sei, kana kuti kurapwa kuri kushanda here. Chimwe chinhu ndechekuti mimwe mishonga inogona kukanganisa chiropa. Kana uri kutora mishonga yakadaro, iyi LFTs inoshandiswawo kutarisa kana iri kukanganisa chiropa chako.

Ndedzipi mhando huru dzemiedzo yekushanda kwechiropa?

Zvichitaurwa zviri nyore, bvunzo iyi yeLFT inoyera zvinhu zvakati wandei kubva mumuenzaniso weropa rako. Kunyangwe nemuenzaniso mumwe chete weropa, inogona kupa ruzivo nezve ma enzymes nemapuroteni akasiyana-siyana anogadzirwa nechiropa. Ngationei kuti zvinhu zvikuru zvinoyerwa zvipi?

Kuedzwa kwema enzymes echiropa

Bvunzo iyi inotarisa mhando dzakasiyana dzema enzymes ari muchiropa chako. Semuenzaniso, ma enzymes akadai se alkaline phosphatase (ALP) , alanine transaminase (ALT) , aspartate aminotransferase (AST) , uye gamma-glutamyl transferase (GGT) ndiwo makuru. Kana paine kukuvara kana kukuvara kwechiropa, huwandu hwema enzymes aya muropa hunowedzera.

Kuedzwa kweprotein yese

Izvi zvinoyera huwandu hweprotein muropa rako. Waizviziva here? Mapuroteni anodiwa nemiviri yedu anogadzirwa nechiropa. Saka, kana huwandu hweprotein hwakaderera, zvinogona kureva kuti chiropa hachishande zvakanaka.

Kuedzwa kweBilirubin

Bilirubin chinhu chinoraswa. Chiropa chinoitumira kunduru. Kuwedzera kwehuwandu hwayo kunoreva kuti panogona kunge paine chimwe chinhu chisina kumira zvakanaka muchiropa.

Kuedzwa kweLDH

Lactate Dehydrogenase (LDH) ienzyme zvakare. Inowanikwa munyama dzakawanda mumuviri wedu, kusanganisira chiropa. Kuwanda kwayo kunoratidzawo chimwe chinhu nezvehutano hwechiropa.

Kuongororwa kweProthrombin Time (PT)

Kuongororwa uku kunoongorora kuti zvinotora nguva yakareba sei kuti ropa rako rigwambe. Chiropa chinogadzirawo mapuroteni anodiwa kuti ropa rigwambe. Saka kana zvikatora nguva yakareba, zvinogonawo kuratidza kusashanda zvakanaka kwechiropa.

Kufanana nemiedzo iyi yese, dzimwe nguva inosanganisirwa mupakeji yekuongororwa ropa inonzi Comprehensive Metabolic Panel, iyo inowanzoitwa.

Chii chatingadzidza kubva mumiedzo iyi?

Funga nezvemushumo uyu weLFT senyaya yemupurisa. Chiremba wako anogona kukuudza zvakawanda nekutarisa maitiro akasiyana uye zviyero zviri mairi. Semuenzaniso:

• Une hepatitis, kuzvimba kwechiropa here?
• Kana paine kuzvimba kwakadaro, kunokonzerwa nekushandisa doro here, kana kuti kunokonzerwa nechimwe chikonzero chekuchinja kwemuviri?
• Dambudziko riri muchiropa pachacho here, kana kuti mumaburi enyongo?
• Kushanda kwechiropa kwakashata here? Kana zvakadaro, kusvika papi?
• Pane here chinotadzisa kubuda kwenyongo? Kana zvakadaro, inotaridzika sei?
• Pane mimwe mishonga yaunotora yakakanganisa chiropa chako here? Kana zvakadaro, kusvika papi?

Aya maLFT anopa zviratidzo pamusoro pezvinhu zvakawanda.

Kuongororwa kwechiropa uku (LFTs) kunoitwa sei?

Zviri nyore kwazvo. Ropa diki rinotorwa kubva mutsinga iri muruoko rwako. Robva ratumirwa kurabhoritari roongororwa. Ikoko, vanotsvaga kana huwandu hwezvinhu zvakasiyana-siyana hwakakwira zvakanyanya kana kuti hwakaderera. Kazhinji, vanoenzanisawo huwandu hwema enzymes akasiyana-siyana kana mapuroteni. Nekuti kana chiyero ichocho chikachinjwa, zviri nyore kunzwisisa kuti pane chimwe chinhu chisina kunaka nechiropa.

Chii chinoitika panguva yebvunzo?

Unogona kuita bvunzo iyi kuchipatara kana kuchipatara chakasarudzika. Nyanzvi ichatanga yasarudza tsinga yakakodzera muruoko rwako yochenesa nzvimbo yacho. Vanogonawo kuisa bhandi rekudzvanya paruoko rwepamusoro kuti tsinga ibude zviri nani. Zvadaro, tsono diki inopinzwa mutsinga uye huwandu hweropa hunodiwa hunounganidzwa mubhodhoro diki. Izvi zvinongotora maminetsi mashoma, kwete nguva yakareba. Usazvidya moyo, zvichaita sekunge svosve diki riri kukuruma, ndizvozvo chete.

Mushure mebvunzo?

Mushure mekutorwa kweropa, sampuro inotumirwa kurabhoritari kuti iongororwe. Kana rabhoritari iri muchipatara chimwe chete kana kuchipatara chimwe chete, mhedzisiro yacho inogona kuwanikwa nekukurumidza. Inogona kuwanikwa mukati memaawa mashoma kana kunyange mazuva mashoma. Kana usinganzwe kupera simba mushure mekupa ropa, unogona kuenda kumba, kunwa mishonga yako yaunowanzo nwa, uye kudya kana kunwa.

Ndinonzwisisa sei zviri mumushumo wangu weLFT?

Kana wawana LFT report yako, uchaona kukosha kwezvinhu zvakasiyana-siyana. Unogona kuzvienzanisa nekwakajairika woona kana kukosha kwako kuri kwakakwirira kana kuti kwakaderera. Asi nhamba idzi dzinorevei chaizvo?Zvinoda ruzivo rudiki kuti unzwisise izvozvo. Saka, chiremba wako achakutsanangurira zvabuda uye achakudzidzisa maverengero azvo. Usambofa wakaita sarudzo huru zvichibva pane zvabuda izvi chete, handiti? Zvakanaka kutaura nachiremba.

"Chinhu chakakosha ndechekuti, mushumo weLFT ingori chidimbu chimwe chete chepuzzle. Chiremba angangoda rumwe ruzivo kuti aone mufananidzo wakazara."

Ndeapi marudzi akajairika ekuongororwa kwechiropa? (Ndeapi marudzi akajairika eLFTs?)

Izvi zvakakoshawo. Marudzi akajairwa anogona kusiyana kubva pamunhu kusvika pamunhu. Izvi zvinoreva kuti maitiro aya anogona kusiyana zvishoma zvichienderana nezvinhu zvakaita semurume kana mukadzi, saizi yemuviri, uye kunyange kubva murabhoritari kuenda kune imwe. Saka, unofanira kuenzanisa maitiro ako ne 'maitiro akajairwa' akanyorwa pamushumo wako.

Zvisinei, heano mamwe maitiro akajairika (aya ndeeruzivo rwakajairika chete , ndapota tarisa 'Normal Range' chaiyo iri pamushumo wako):

• Alanine Transaminase (ALT): 0 kusvika 45 IU/L (Zviyero zvepasi rose paLita)
• Aspartate aminotransferase (AST): 0 kusvika 35 IU/L
• Alkaline phosphatase (ALP): 30 kusvika 120 IU/L
• Gamma-glutamyl transferase (GGT): 0 kusvika 30 IU/L
• Bilirubin: 2 kusvika 17 micromoles/L (micromoles pa litre)
• Nguva yeProthrombin (PT): 10.9 kusvika 12.5 masekondi
• Albumin: 40 kusvika 60 g/L (magiramu pa litre)
• Mapuroteni ese: 6.3 kusvika 8.0 g/dL (magiramu pa deciliter)

Zvinorevei AST yakakwira neALT?

Kana huwandu hwema enzymes AST neALT hwakakwira, zvingangoita kuti pane kukuvara kwechiropa. Kana chiropa chiri pasi pekumanikidzwa, ma enzymes aya ndiwo anonyanya kuburitswa muropa. Kana ese ari maviri akakwira zvakaenzana, zvingangoita kuti chiropa chakakuvadzwa nechimwe chikonzero chisiri doro (semuenzaniso, hutachiona, imwe chepfu). Zvisinei, kana huwandu hweAST hwakapetwa kaviri pane huwandu hweALT, zvinowanzo ratidza kukuvara kwechiropa kunokonzerwa nedoro. Zvisinei, aya ma positive points, uye chiremba ndiye anofanira kutaura chokwadi.

Ndeapi marudzi ezvirwere zvinogona kubatsirwa nekuongorora mashandiro echiropa (LFTs)?

Kuongororwa kweropa uku chete kungasakwanise kuziva kuti une chirwere chechiropa cherudzii. Zvisinei, kunogona kubatsira chiremba wako kuti asataure nezvemamwe matambudziko. Ungangoda mimwe miedzo kuti uzive chirwere chekupedzisira. Semuenzaniso, kuongororwa kwemifananidzo, kuongororwa kwechiropa, kana kuongororwa kwechiropa chidiki.Kana zvinhu zvakaita sekuongororwa kweropa kuti zvionekwe mavhairasi chaiwo.

Heano mamwe emamiriro ezvinhu anogona kuratidzwa neLFT idzi:

• Chirwere chechiropa chine mafuta
• Chiropa chine chepfu
• Chiropa chinozvirwisa mumuviri
• Chiropa chinotapukira (A, B kana C)
• Hemochromatosis - kuunganidzwa kwesimbi yakawandisa mumuviri
• Chirwere chaWilson - kuunganidzwa kwemhangura yakawandisa mumuviri
• Kushomeka kweAlpha-1 antitrypsin
• Chirwere chePrimary biliary cholangitis (PBC)
• Cirrhosis - kuomarara uye mavanga echiropa
• Kenza yechiropa

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Saka, bvunzo yekushanda kwechiropa, kana kuti LFT, inzira iri nyore yekuti iwe nachiremba wako mudzidze nezvehutano hwechiropa chenyu. Ingave iri kutsvaga chirwere chechiropa kana kuona kana mushonga wamuri kutora uri kubatsira, sampuro diki yeropa iyi inogona kupa ruzivo rwakawanda.

Yeuka kuti LFT chete ingasakwana kuti uongorore chirwere zvizere. Zvisinei, ruzivo rwaunowana kubva mukuongororwa uku runogona kubatsira zvikuru pakusarudza matanho ekutevera. Saka, kana chiremba wako akakurudzira LFT, kuchenjera kuzviita usingatyi. Chiropa chako chakafanana neshamwari yako yepamwoyo, uye ibasa rako kuchitarisira zvakanaka!

Chiropa , Kuongororwa kwechiropa, Kuongororwa kwebasa rechiropa, LFT, Kuongororwa kweropa, chirwere chechiropa, Hepatitis