Fungidzira kuti uchangobva kuongororwa ropa rako uye uri kugara pasi nachiremba wako kuti uongorore mushumo wako weropa wazvino. Chiremba wako anocherechedza kuti, "Maenzayimu ako echiropa akakwira zvishoma." Unotarisa mushumo wacho woona kuti huwandu huri pedyo neALT neAST hwakakwira kupfuura huwandu hwese hwekuongorora. Zviri muropa kuti unzwe kunetseka zvishoma paunoona izvi, asi ndapota, usavhunduke. Nhasi, tichataura nezvechirwere ichi, chinozivikanwa seTransaminitis , uko huwandu hweenzayimu dzechiropa hunokwira.
Zvichitaurwa zviri nyore, chii chinonzi Transaminitis?
'Transaminitis' harisi zita rechirwere chaicho, asi kuti ongororo yekiriniki. Izvi zvinoratidza kuti huwandu hwema enzymes chaiwo anonzi 'transaminases' muropa rako hwawedzera. Ma enzymes maviri makuru anoyerwa ndiwo Alanine Transaminase (ALT) uye Aspartate Transaminase (AST) .
Funga nezvechiropa chako sefekitari hombe. Ma enzyme aya akafanana nevashandi vari mukati memasero emufekitori. Kazhinji, vashandi ava vanogara mukati mefekitori. Zvisinei, kana chiropa chako chikasangana nekumanikidzwa, kumanikidzwa, kana kukuvara, masero acho anokanganiswa, uye ma enzyme aya 'anodonhedza' muropa rako. Mushumo weropa unongoyera huwandu hwema enzyme aya apinda muropa rako.
Kazhinji, chirwere ichi chinowanikwa netsaona panguva yekuongororwa ropa nekuda kwezvimwe zvikonzero. Zvisinei, kana ukaona zviratidzo zvakaita sejaundice (kutsvuka kwemaziso kana ganda) kana kurwadziwa kumusoro kurudyi kwedumbu rako, chiremba wako anogona kuraira bvunzo idzi kuti aongorore mashandiro echiropa chako.
Kuwanda kwema enzymes echiropa kune njodzi here?
Uyu mubvunzo unowanzo bvunzwa. Transaminitis chiratidzo chekutanga chekuti masero echiropa chako akakuvara—kufanana nechiedza che 'check engine' padashboard yemotokari yako. Ichi chiratidzo chekuti chimwe chinhu chinofanira kuongororwa. Kuoma kwayo kunoenderana zvachose nechikonzero chacho .
- Zvikonzero zvenguva pfupi: Mimwe mishonga kana hutachiona hwenguva pfupi zvinogona kukonzera kuwedzera kwema enzymes aya kwenguva pfupi. Kana chikonzero chacho chagadziriswa, chiropa chinowanzopora, uye huwandu hwema enzyme hunodzokera pahwakajairika.
- Zvikonzero Zvisingaperi: Kana chirwere chisingaperi chichikonzera kukuvara kunoramba kuripo, chinogona kukura nekufamba kwenguva. Kunyange zvazvo chiropa chiine kugona kupora kunoshamisa, kana kukuvara kukaramba kusina kudzorwa, kugona ikoko kunogona kukundwa, zvingangokonzera matambudziko akadai sekutadza kushanda kwechiropa.
Saka, mhedzisiro iyi haisi nhamba chete papeji; chiratidzo chakakosha chinobvumira chiremba wako kuongorora hutano hwako hwese nekudzivirira mamwe matambudziko.
Ndezvipi zvikonzero zvinogona kukonzera transaminitis?
Kune zvikonzero zvakawanda zvinogona kukonzera izvi. Tinogona kuzvironga muzvikamu zvinozivikanwa uye zvisingawanzoonekwi.
| Chikonzero | Tsananguro Iri Nyore |
|---|---|
| Zvikonzero Zvakajairika | |
| Chirwere cheChiropa Chine Mafuta | Ichi ndicho chikonzero chinowanzoitika parizvino. Kunyanya, chirwere chechiropa chinonzi steatotic liver disease (MASLD) . Chinowanzokonzerwa nezvinhu zvakaita sekudya zvisina kunaka, kuwedzera uremu, chirwere cheshuga, uye cholesterol yakakwira. |
| Chiropa Chinokonzerwa neDoro | Kunwa doro zvakanyanya kunokonzera kukuvara kwechiropa zvakananga, zvichikonzera matambudziko echiropa kwenguva pfupi kana kuti kwenguva refu. |
| Chiropa Chinokonzerwa neHutachiona | Mavhairasi akaita seHepatitis A, B, C, D, uye E anogona kukonzera kuzvimba kwechiropa. Zvinonyanya kukosha ndezvekuti, Hepatitis B neC zvinogona kuramba zvichiitika kwenguva refu. |
| Hepatitis ine chepfu (Ine chekuita nemishonga) | Mimwe mishonga—kusanganisira mimwe mishonga inoderedza marwadzo, mishonga inoderedza cholesterol, uye mishonga yeTB—inogona kukanganisa chiropa. Chiremba wako anogara achinyatsoongorora izvi. |
| Zvikonzero Zvishoma Zvinowanzoonekwa | |
| Zvimwe Zvinokonzera | Izvi zvinosanganisira matambudziko ekudzivirira muviri (Autoimmune hepatitis), zvirwere zvenhaka (Hemochromatosis, chirwere cheWilson), matambudziko emwoyo, jaundice, matambudziko ethyroid, uye, mune dzimwe nguva, kenza yechiropa. |
Zvinoreva chimwe chinhu chaicho here kana AST yakakwira kupfuura ALT?
Kazhinji, kana chiropa chako chikakuvara, ma enzyme ese ari maviri anosimuka pamwe chete. ALT inonyanya kushandiswa pachiropa, sezvo ichinyanya kuwanikwa ipapo. Zvisinei, AST inowanikwa kwete muchiropa chete asiwo mutsandanyama dzemwoyo, tsandanyama dzemapfupa, nedzimwe nyama.
Saka, kana AST level yako yakakwira zvakanyanya kupfuura ALT level yako , chiremba wako achafunga nezvezvimwe zvinhu, zvakaita se:
- Chirwere chechiropa chinokonzerwa nedoro: Maitiro aya anowanzoitika mukukuvara kunokonzerwa nedoro.
- Cirrhosis: Maitiro aya anogonawo kuonekwa sezvo mavanga echiropa achikura.
- Zvisiri zvechiropa: AST inogona kukwira nekuda kwezvirwere zvakaita sekurwadziwa kwemoyo (myocardial ischemia) kana kukuvara kwakanyanya kwetsandanyama (rhabdomyolysis).
Chinonyanya kukosha: Izvi zviratidzo chete. Usaedze kuzviongorora zvichibva pane zvawataura. Izvozvo zvinofanira kuitwa nachiremba wako.
Chiremba wako acharapa sei izvi?
Chekutanga, yeuka kuti hapana mushonga chaiwo we "transaminitis" pachayo nekuti hachisi chirwere, asi chiratidzo. Saka, chinangwa chikuru chachiremba wako ndechekuona chikonzero chacho uye kuchirapa zvinoenderana.
Maitiro ekurapa anowanzo sanganisira:
1. Nhoroondo Yezvekurapwa: Chiremba wako achakubvunza nezvemararamiro ako (kudya, kurovedza muviri, kushandisa doro), mishonga yauri kutora, uye nhoroondo yehutano hwemhuri.
2. Kuferefeta Kwakawedzerwa: Vanogona kuraira mimwe miedzo yekusimbisa chikonzero:
- Kudzokorora kuongororwa kweropa.
- Kuongororwa kweHepatitis B neC.
- Kuongororwa kweultrasound yedumbu.
- Kumwe kuongororwa kweropa kwakakosha kana zvichidikanwa.
3. Kurapwa Kwakanangana: Kana chikonzero chaonekwa, kurapwa kunoitwa nenzira yakarongeka:
- Kuchiropa chine mafuta: Kuchinja mararamiro kwakakosha. Kudya zvine hutano , kurovedza muviri nguva dzose , uye kudzora huremu zvakakosha.
- Panyaya dzine chekuita nedoro: Kurega doro zvachose ndiyo mhinduro chete.
- Kana paine matambudziko ane chekuita nemishonga: Chiremba wako anogona kugadzirisa mushonga wako kana kuchinja mwero wemushonga.
- Kune hutachiona hwehutachiona: Uchatanga kurapwa nemavhairasi zvakananga.
Kazhinji, kurapa dambudziko racho nemazvo kunomisa kukuvara kwechiropa uye kunoita kuti mazinga ema enzyme adzokere pakare.
Mharidzo Yekuenda Nayo Kumba
- Transaminitis (maenzayimu echiropa akakwira) chiratidzo chekuti chiropa chako chiri pasi pekushushikana. Usavhunduke kana ukaona izvi.
- Pane zvikonzero zvakawanda zveizvi, chiropa chine mafuta akawanda, kushandisa doro, hutachiona hwehutachiona, uye mishonga zviri izvo zvinonyanya kuitika.
- Kurapa hakunangirwi pahuwandu hwema enzymes pachawo, asi pamamiriro ezvinhu ari kukonzera kuti akwire.
- Kana ukaona mazinga eALT kana AST akakwira pamushumo weropa rako, usambozvifuratira. Unofanira kubvunza chiremba wako kuti uwane mazano nerubatsiro rwakakodzera.
- Kazhinji, kurarama hupenyu hune hutano (kudya zvakanaka uye kurovedza muviri nguva dzose) ndiyo nzira inonyanya kushanda yekutsigira hutano hwechiropa chako.
👩🏽⚕️ Mibvunzo Inowanzo bvunzwa (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Syncope (kufenda)?
Izvi hazvisi kungorara chete kana kunzwa kusuruvara. Mumashoko ekurapa, 'Syncope' inotsanangura dambudziko guru rehutano apo uropi hunorasikirwa nekuyerera kweropa neokisijeni kwenguva pfupi. Izvi zvinokonzera kurasikirwa kamwe kamwe kwekuziva uye chimiro chemuviri (kudonha), izvo zvinogona kuratidza chirwere chakakomba chiripo.
💬 Ndezvipi zvikonzero zvikuru zvekurasikirwa nepfungwa kana kuti kuvhiringidzika mupfungwa?
Pane zvikonzero zvikuru zvina: 1) Cardiogenic Syncope: Dambudziko remoyo rinoita kuti ropa risaende kuuropi. 2) Hypoglycemia yakanyanya: Kudonha kweshuga muropa, kunyanya kunoitika muvarwere vane chirwere cheshuga. 3) Vasovagal Syncope: Kupindura kwetsinga dzeropa kana paine kurwadziwa kwakanyanya, kuona ropa, kana kushungurudzika kwakanyanya mupfungwa. 4) Kubatwa nepfungwa dzakaipa kana pfari.
💬 Ndinofanira kutsvaga rubatsiro rwechiremba nekukasika riini pane kuedza kurapa munhu wacho kumba?
Kana munhu akafenda kwenguva pfupi nekuda kwekupisa uye akapora nekukurumidza, angangoda mvura kana shuga. Zvisinei, unofanira kufonera 911 kana emergency services nekukasika kana: 1) Vakarwadziwa nechipfuva, kuoma, kana kuoma kufema vasati vafenda; 2) Vakaratidza zviratidzo zvekubatwa nepfari, zvakaita sekuzunguzika kusingadzoreki kana kupupuma furo mumuromo; 3) Vanoramba vasina chavanoziva kana kusapindura kwemaminitsi akati wandei mushure mekudonha. Nirogi Lanka anorayira kuti vasanonoke; tanga nekutarisira chipatara chehunyanzvi mune izvi.
