Ngationei nezvedanho rako reAST. (Aspartate Transferase - AST) Izvi zvinorevei?

Pamwe wakaona kukosha kunonzi AST pamushumo wekuongororwa ropa, kana kuti wakanzwa chiremba achitaura nezvazvo. Saka, pamwe uri kushamisika kuti, "Zvinorevei AST?" Usazvidya moyo, ngatitaure nezvazvo zviri nyore. Sezvaungaita neshamwari.

Chii chinonzi AST? Zvichitaurwa zviri nyore...

AST izita pfupi re enzyme inonzi Aspartate Transferase . Dzimwe nguva inonziwo Aspartate Aminotransferase . Iye zvino ungave uchishamisika kuti, "Chii chinonzi enzyme iyi?"

Fungidzira, kune zvidimbu zvidiki zvakawanda mukati memiviri yedu zvinobatsira zvinhu zvakasiyana-siyana kuti zvishande nemazvo. MaEnzymes akadaro. Chaizvoizvo imhando yeprotein. Iyi enzyme inonzi AST inowanikwa munzvimbo dzakawanda mumiviri yedu. Inonyanya kuwanikwa muchiropa . Asi pamusoro pezvo, iyi enzyme yeAST inowanikwa mune dzimwe nhengo dzakawanda dzakadai semwoyo, uropi, pancreas, itsvo, uye tsandanyama. Zvisinei, kazhinji, patinotaura nezveAST, inowanzoenderana nehutano hwechiropa chedu.

Saka chii chinonzi AST blood test?

Kuongororwa kweropa reAST kunoyera huwandu hweAST muropa rako. Kazhinji, kana masero emuviri wedu akakuvara, iyi enzyme yeAST inogona kuungana muropa. Saka, huwandu hwakawanda hweAST muropa chiratidzo chekuti pane chimwe chinhu chingave chisina kumira zvakanaka mumuviri. Kazhinji (asi kwete nguva dzose) ichi chinogona kunge chiri chirwere chechiropa.

Zvisinei, AST haingowanikwi muchiropa chete. Saka, zvinonetsa kuti chiremba azive rudzi rwechirwere chaunacho zvichibva pamazinga eAST chete. Kazhinji, bvunzo yeAST inoitwa pamwe chete nedzimwe bvunzo dzakawanda. Semuenzaniso, inoitwa sechikamu chepaneru yeenzyme yechiropa (HFP) kana paneru yemetabolism yakazara (CMP) . Izvi zvinokutendera kuti uedze zvinhu zvakawanda muropa rimwe chete uye uwane mufananidzo wakakwana wehutano hwako.

Bvunzo yeAST ine mamwe mazita akati wandei:

• Kutapurirana kweAspartate (AST).
• Aspartate aminotransferase (AST).
• Serum Glutamic-Oxaloacetic Transaminase (SGOT).
• SGOT. (or) SGOT.
• Aspartate transaminase.

Chii chiri musiyano uripo pakati peAST neALT?

Ungave wakambonzwa nezvechimwe chinhu chinonzi ALT pamwe chete neAST. ALT (Alanine Transferase) imwe enzyme inoyerwa muchiropa. Zvose izvi zvinoburitswa muropa kana masero echiropa akakuvara.

Zvisinei, kusiyana neAST, ALT ienzyme inowanikwa zvakanyanya muchiropa. AST inowanikwa mune dzimwe nzvimbo dzakawanda dzemuviri. Saka, mazinga eALT akakwira anoonekwa sechiratidzo chechirwere chechiropa kupfuura mazinga eAST akakwira . Zvisinei, kana chiremba achitarisa hutano hwechiropa, vanowanzo ongorora AST neALT pamwe chete.

Sei ndichifanira kuongororwa kweAST?

Chinangwa chikuru chebvunzo yeAST ndechekuona kukuvara kwemasero mumuviri wedu. Izvi zvinobatsira kuona matambudziko echiropa, kunyanya kana masero ari muchiropa akakuvara, sezvo AST ichiungana muropa. Zvakare, sezvambotaurwa, mazinga eAST anogona kukwidziridzwa kunyangwe masero akakuvara kune imwe nzvimbo mumuviri.

Chiremba anogona kukukumbira kuti uedze bvunzo yeAST (kazhinji sechikamu cheboka) nekuda kwezvikonzero zvakaita se:

1. Kuongororwa zviratidzo zvisati zvaonekwa

Vamwe vanhu vari panjodzi huru yekubatwa nechirwere chechiropa. Kana uine chimwe chezvinhu izvi zvinogona kukonzera njodzi, unogona kuongororwa kuti utarise hutano hwechiropa chako usati waona zviratidzo. Izvi zvinosanganisira:

• Kushandisa doro zvakanyanya.
• Kuva nechirwere chechiropa mumhuri.
• Chirwere cheshuga.
• Kufuta zvakanyanya (kuwedzera kwemafuta mumuviri).
• Kubaya mishonga netsono dzinoshandiswa nevamwe.

Dzimwe nguva, bvunzo yeAST inosanganisirwa muComprehensive Metabolic Panel (CMP) sechikamu chekuongororwa kwehutano nguva dzose, saka ungangoda kuongororwa uku kunyangwe usiri panjodzi yekubatwa nechirwere chechiropa.

2. Tarisa mamiriro acho (Kutarisa)

Kana uchitova nechirwere chechiropa, chiremba wako anogona kuraira bvunzo iyi yeAST kuti aone kana iri kuva nani, iri kuipa, kana kuti iri kushanda zvakanaka sei nekurapwa. Zvakare, kana uri kutora mishonga inogona kukanganisa chiropa, bvunzo iyi inoitirwawo kuti ione kana mushonga wacho uri kukonzera kukuvara kwechiropa.

3. Sekubatsira pakuongorora chirwere (Kuongorora chirwere)

Kana uine zviratidzo zvechirwere chechiropa, bvunzo yeAST inogona kuiswa muongororo iyi kuti ikubatsire kuona chirwere ichi. Kunyange zvazvo mazinga eAST ega asingakwanise kuona chirwere, iwo chikamu chakakosha chekuongorora chirwere.

Zvimwe zvezviratidzo zvechirwere chechiropa ndeizvi:

• Kusvotwa uye/kana kurutsa.
• Kurwadziwa kwemudumbu (kurwadziwa kwemudumbu).
• Ganda rinokwenya.
• Jaundice (kutsvuka kweganda uye machena emaziso).
• Kunzwa kuneta nguva dzose (kuneta).
• Chikafu hachina kunaka.

Ndiani anoongororwa ropa reAST? Zvinoitwa sei?

Kazhinji, munhu akadzidziswa kutora ropa, anonzi phlebotomist, ndiye anotora ropa iri. Zvisinei, chero mupi wehutano akadzidziswa kutora ropa anogona kuita izvi. Muenzaniso wacho unozotumirwa kurabhoritari. Ikoko, nyanzvi yezvekurapa inoongorora muenzaniso wacho uye inoyera AST level achishandisa michina yakakosha (analyzers).

Pane zvandinofanira kuita here ndisati ndaita bvunzo?

• Kutsanya: Kana bvunzo yako yeAST iri chikamu cheComprehensive Metabolic Panel (CMP), unogona kukumbirwa kutsanya (kusadya kana kunwa chero chinhu kunze kwemvura) kwemaawa gumi kusvika gumi nemaviri usati waongororwa ropa rako. Zvisinei, kana uri kungoongororwa neAST kana kuti Hepatic Function Panel (HFP), haufanirwe kutsanya. Zvisinei,Tevedzera mirairo yachiremba wako nemazvo.
• Ruzivo rweMishonga: Unofanira kuudza chiremba wako nezvemishonga yese, mavhitamini, nezvimwe zvinovaka muviri zvauri kutora. Mimwe mishonga inogona kukanganisa mazinga eAST. Chiremba wako anogona kukukumbira kuti urege kuitora mazuva mashoma bvunzo isati yaitwa, kunze kwekunge waudzwa kuti udaro. Usamborega kunwa chero mishonga usina kurayirwa nachiremba wako.

Chii chinoitika kana ukapa ropa?

Izvi zviri nyore kwazvo.

• Uchagara pachigaro. Zvadaro tsinga yakakodzera ichawanikwa muruoko rwako (kazhinji pasi pegokora, mukati).
• Kana tsinga yaonekwa, nzvimbo yacho inocheneswa uye inopiswa nemishonga inouraya utachiona.
• Zvadaro, tsono diki inopinzwa mutsinga iyoyo uye ropa rinotorwa. Izvi zvinogona kurwadza zvishoma, sekunge kurumwa nesvosve.
• Mushure mekupinza tsono, ropa diki rinounganidzwa muchubhu yekuyedza.
• Kana mawana ropa rakakwana kuti muedze, bvisai tsono moisa simba panzvimbo yabuda ropa nedonje kana gauze kuti ropa risabude.
• Zvadaro, plaster inoiswa panzvimbo yacho uye basa rinoitwa.

Maitiro ese aya anowanzo tora maminetsi asingasviki mashanu.

Chii chinoitika mushure mekupa ropa?

Mushure mekunge ropa ratorwa kurabhoritari, mhinduro dzichaonekwa mukati mezuva rimwe chete kana maviri. Dzimwe nguva zvinogona kutora nguva yakati rebei. Chiremba wako achakuudza nezvemhinduro dzacho padzinosvika.

Pane njodzi here mune izvi?

Kuongororwa kweropa inzira yakajairika uye inokosha. Njodzi dzacho dzakaderera. Panogona kunge paine maronda uye mavanga painotorwa ropa. Asi izvozvo zvinokurumidza kupera.

Zvinorevei mhedzisiro yeAST test?

Mushumo wekuongororwa kweropa unowanzo sanganisira ruzivo runotevera pamwe chete nemigumisiro yeAST:

• Zita rekuongororwa kweropa (rinonzi AST).
• Huwandu (kukosha) kweAST muropa rako.
• Huwandu hwakajairika hwebvunzo iyoyo.
• Kunyangwe mhedzisiro yako iri yakajairika kana isina kujairika (yakakwira kana yakaderera).

Ndeipi mhando yakajairika yeAST?

Huwandu hweAST hunogona kusiyana zvishoma kubva murabhoritari imwe kuenda kune imwe. Huwandu hwenguva dzose hunobva pa8 kusvika 33 U/L (mayuniti/lita) . Zvisinei, zvakakosha kutarisa huwandu hwenguva dzose pamushumo wako.

Uyewo, yeuka, hapana AST level imwe chete "yakajairika" inoshanda kune wese munhu. AST level ine hutano inogona kusiyana zvichienderana nezvinhu zvakaita se:

• zera rako.
• Hunhu hwako hwechikadzi/chirume.
• Rudzi rwako.
• Huremu hwako.

Chiremba wako achafunga nezvezvose izvi uye achasarudza mhedzisiro yako.

Zvinorevei kana AST level yangu yakakwira?

Kana mazinga eAST akakwira, zvinogona kuva chiratidzo chechirwere chechiropa.Kana kumwe kuongororwa kweropa, kunyanya kune chekuita nechiropa, kusingawanzoitiki, zvingangoita kuti uve nechirwere chechiropa. Zvisinei, sezvambotaurwa, mazinga eAST anogonawo kukwira kana masero ari mune dzimwe nhengo dzemuviri akakuvara, kunyanya muchiropa.

Kuwanda kweAST mazinga kunogona kuratidza zvirwere zvechiropa zvakaita se:

• Kukuvadzwa kwechiropa kunokonzerwa nedoro.
• Chiropa.
• Mavanga echiropa (Cirrhosis).
• Kutora mishonga inokuvadza (ine chepfu) kuchiropa.
• Gomarara rechiropa kana kenza yechiropa.
• Kuderera kweropa rinoenda kuchiropa (Liver Ischemia) (izvi zvinogona kukonzera kufa kwenhengo dzechiropa).

Uyezve, zvirwere zvisingabatanidzwi zvakananga nechiropa zvinogonawo kukonzera mazinga eAST akakwira:

• Kuunganidzwa kwesimbi mumuviri (Hemochromatosis) (izvi zvinokuvadza moyo, chiropa, nepancreas).
• Kurwara nemoyo (Myocardial Infarction).
• Mononucleosis ifivha.
• Zvirwere zvetsandanyama.
• Kuzvimba kwepancreas (Pancreatitis).

Kuwedzera kune izvi, mazinga eAST anogonawo kuwedzera kwenguva pfupi mushure mezviitiko zvakaita se:

• Kutsva kwakadzika.
• Kuzvimba.
• Kuvhiyiwa kana nzira dzekurapa dzine chekuita nemoyo.
• Kuvhiyiwa.
• Kurovedza muviri zvakanyanya.
• Kana uine pamuviri.

Chinhu chakakosha ndechekuti AST level yakakwira hazvirevi kuti une chirwere chakakomba. Zvimwe zvinhu zvakawanda zvinogona kukanganisa izvi. Chiremba wako achaongorora kumwe kuongororwa kweropa, nhoroondo yako yehutano, nezvimwe zvese kuti ape mhedziso.

Ndinofanira kunetseka here kana mhedzisiro yangu yeAST yakakwira?

Kana huwandu hweAST yako hwakakwira kupfuura huwandu hwakajairika hwakapihwa pamushumo wako wekuongororwa kweAST, hazvirevi hazvo kuti une chirwere chinoda kurapwa. Kunyangwe munhu ane chiropa chine hutano uye chinoshanda zvakanaka anogona kuva nehuwandu hweAST huri kunze kwehuwandu hwakajairika. Izvi zvinogona kunge zviri nekuda kwezvikonzero zvakawanda, semuenzaniso:

• zera rako.
• Hunhu hwako hwechikadzi/chirume.
• Rudzi rwako.
• Kudya kwako.
• Kurovedza muviri.
• Kutora mishonga inokanganisa mazinga eAST.
• Une pamuviri.

Chiremba wako achafunga nezvezvinhu izvi zvose, pamwe chete nezvimwe zvabuda muongororo yeropa rako, uye achasarudza kana uchida kuongororwazve.

Kana mhedzisiro yangu yeAST isina kujairika, ndichafanira kuongororwazve here?

Ehe, kana AST level yako isina kunaka, chiremba wako anogona kuraira mimwe miedzo mishoma. Miedzo iyi inosanganisira:

• Dzokorora bvunzo yeropa reAST.
• Kumwe kuongororwa kweropa (semuenzaniso ALT, Bilirubin).
• Miedzo yekufungidzira (semuenzaniso Ultrasound scan).
• Kuongororwa kweropa.

Ndinofanira kufonera chiremba rini?

• Kana uine zviratidzo zvekukuvadzwa kwechiropa (semuenzaniso jaundice, kurwadziwa mudumbu), fonera chiremba wako nekukasika.
• Kana uchitoziva kuti une chirwere chechiropa, udza chiremba wako kana ukava nezviratidzo zvitsva kana zvinonetsa.
• Kana muine mibvunzo nezve AST results yenyu, musatya kubvunza chiremba wenyu.

Chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

Zvakajairika kuti unzwe kunetseka zvishoma kana ukaona kukosha kusingawanzoitiki pamushumo wekuongororwa kweropa. Asi yeuka, kungoti AST level yako yakakwira hazvirevi kuti une chirwere kana kuti unoda kurapwa. Zvinhu zvakawanda zvinogona kukanganisa AST levels. Munhu mumwe chete pavanhu makumi maviri vane hutano anogona kuva nemigumisiro inopfuura yakajairika.

Chiremba wako ndiye achasarudza kana uchida kuita mimwe miedzo kuti uwane chikonzero chechirwere ichi chisina kujairika. Saka, usatya kutaura nachiremba wako nezvazvo. Varipo kuti vakubatsire. Wanzwisisa here?

AST , chiropa, ma enzyme, kuongororwa kweropa, SGOT, chirwere chechiropa, kuongororwa kwehutano