Ngatitii wakaenda kunoona chiremba kuti unoongororwa nguva dzose uye wakapihwa mhinduro dzekuongororwa kweropa rako. Chiremba, uyo akatarisa mushumo wacho, akati, "Maenzayimu ako echiropa akakwira zvishoma." Unoona kuti kukosha kuri pamberi pemavara maviri ALT neAST mumushumo wako kwakakwira kupfuura zvakajairika. Zvakajairika kunzwa kutya zvishoma kana izvi zvikaitika. Asi usavhunduke. Nhasi tiri kutaura nezvechirwere chinonzi ``Transaminitis'', umo maenzayimu echiropa anowedzera.
Zvichitaurwa zviri nyore, chii chinonzi Transaminitis?
`Transaminitis` haisi chirwere chakakomba chehutano. Zvinoreva kuti huwandu hwemamwe ma enzymes anonzi `transaminases` muropa rako hwawedzera zvakanyanya. Ma enzymes maviri makuru ndeanoti `Alanine Transaminase (ALT)` uye `Aspartate Transaminase (AST)` .
Funga nezvechiropa chako sefekitori hombe. Ma enzyme aya ndiwo anoshanda mukati memasero efekitori iyoyo. Kazhinji, vashandi ava vari mukati mefekitori. Asi kana chiropa chiri pasi pekumanikidzwa, kukuvara, kana kushushikana, masero echiropa anokuvadzwa uye vamwe vevashandi ava vanobuda, ndiko kuti, muropa redu. Nekuongorora ropa, tinoyera huwandu hwema enzymes akaungana muropa.
Kazhinji, chirwere ichi chinowanikwa netsaona. Mazinga eALT neAST akakwira anowanikwa panguva yekuongororwa ropa kwakaitwa nechimwe chikonzero. Zvisinei, kune vamwe vanhu, kana vaine zviratidzo zvakaita sejaundice, kutsvuka kwemaziso neganda, kana kurwadziwa kumusoro kurudyi kwedumbu, chiremba anorayira bvunzo idzi, kunyanya kuti aongorore mashandiro echiropa.
Zvine njodzi here kuti ma enzyme aya akwidziridzwe?
Dambudziko iri rinowanzoonekwa nevanhu vazhinji. `Transaminitis` ndiyo yambiro yekutanga yekuti pane kukuvara kwemasero echiropa. Zvakafanana nerambi rekuti 'check engine' riri pamotokari iri kuuya. Rinokuudza kuti pane chakaipa nemotokari, uye unofanira kuiongorora. Uye ndizvo zvazviriwo.
Kukosha kweizvi kunoenderana nechikonzero chaicho .
- Zvikonzero zvenguva pfupi: Ma enzyme aya anogona kuwedzerwa kwenguva pfupi kana uchitora mimwe mishonga kana nekuda kwehutachiona hwenguva pfupi. Kana chikonzero chacho chapera, chiropa chinopora uye huwandu hwema enzyme hunodzokera pahwakajairika.
- Zvikonzero zvenguva refu: Zvisinei, kana kukuvara uku kukaramba kuripo nekuda kwechirwere chisingaperi, kunogona kukura nekufamba kwenguva. Chiropa chedu chine kugona kunoshamisa kwekupora, asi kana kukuvara kukaramba kuripo, chinorasikirwa nekwaniso iyoyo uye chinogona kukonzera chirwere chinonzi kutadza kwechiropa.
Saka, iyi haisi nhamba imwe chete. Ichi chiratidzo chakakosha chinokupa pfungwa yehutano hwako hwese.
Ndezvipi zvikonzero zvinogona kukonzera transaminitis?
Panogona kuva nezvikonzero zvakawanda zveizvi. Ngatizvikamuranisei muzvikamu zviviri: zvikonzero zvakajairika uye zvikonzero zvisingawanzoitiki.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Zvikonzero Zvakajairika | |
| Chirwere cheChiropa Chine Mafuta | Parizvino, chirwere ichi chinowanzoonekwa muSri Lanka. Kunyanya, chirwere chinonzi Metabolic dysfunction-associated steatotic liver disease (MASLD) . Zvinhu zvinokonzera metabolic diet zvakaita sekudya kusina kunaka, kuwedzera huremu, chirwere cheshuga, uye cholesterol yakakwira zvinokonzeresa izvi. |
| Kunwa doro zvakanyanya (Hepatitis inokonzerwa nedoro) | Kunwa doro zvakanyanya kunokuvadza chiropa zvakananga, izvo zvinogona kukonzera kukuvara kwechiropa kwenguva pfupi kana kwenguva refu. |
| Utachiona hweVirusi (Hepatitis yeVirusi) | Mavhairasi akadai sehepatitis A, B, C, D, uye E anogona kukonzera kuzvimba kwechiropa. Izvi zvinogona kukonzera hepatitis B neC isingaperi. |
| Migumisiro inokonzerwa nemishonga (Toxic Hepatitis) | Mimwe mishonga inoderedza marwadzo, inoderedza cholesterol, mishonga yeTB, nemimwe mishonga inogona kukanganisa chiropa. Chiremba anogara achitsvaga izvi. |
| Zvikonzero Zvishoma Zvinowanzoonekwa | |
| Zvimwe zvikonzero | Zvirwere zvakaita sematambudziko ekudzivirira muviri (autoimmune hepatitis), zvirwere zvinogarwa nhaka (hemochromatosis, chirwere cheWilson), chirwere chemwoyo, jaundice, chirwere chethyroid, uye kenza yechiropa isingawanzoitiki. |
Zvinoreva chimwe chinhu chakakosha here kana AST yakakwira kupfuura ALT?
Kazhinji, kana chiropa chakuvara, ma enzyme ese aya anowedzera pamwe chete. Enzayimu yeALT inonyanya kuenderana nechiropa. Izvi zvinoreva kuti inowanikwa zvakanyanya muchiropa. Zvisinei, enzayimu yeAST inowanikwawo mutsandanyama yemwoyo, tsandanyama dzemapfupa, nedzimwe nyama pamwe chete nechiropa.
Saka, kana kukosha kweAST kwakakwira zvakanyanya kupfuura kukosha kweALT , chiremba achafungawo nezvezvimwe zvinhu. Semuenzaniso:
- Chirwere chechiropa chinokonzerwa nedoro: Mumamiriro ezvinhu aya, chiyero cheAST/ALT chinowedzera.
- Kurwara nechirwere cheCirrhosis: Maitiro aya anogona kuonekwa kunyangwe chirwere ichi chichiwedzera.
- Zvikonzero zvekunze kwechiropa: Mazinga eAST anogonawo kukwira muzviitiko zvakaita se myocardial ischemia kana kukuvara kwakanyanya kwetsandanyama (rhabdomyolysis).
Chinonyanya kukosha: Aya mazano chete. Usaedze kuzviongorora zvichibva pane zvawataura. Izvozvo zvinofanira kuitwa nachiremba wako.
Chiremba anorapa sei izvi?
Chekutanga, yeuka kuti hapana mushonga wakananga we 'Transaminitis'. Nekuti hachisi chirwere, asi chiratidzo. Saka, chinangwa chikuru chachiremba ndechekutsvaga chikonzero chekuwedzera kwema enzymes uye kurapa chikonzero ichocho.
Maitiro ekurapa anowanzoita seizvi:
1. Nhoroondo yezvekurapwa: Chiremba achakubvunza nezvemararamiro ako (kudya, kurovedza muviri, kushandisa doro), mishonga yaunotora, uye chero matambudziko ehutano mumhuri yako.
2. Mimwe miedzo: Mimwe miedzo icharairwa kusimbisa chikonzero.
- Dzokorora kuongororwa kweropa.
- Kuongororwa kwemavhairasi ehepatitis B neC.
- Kuongororwa kweultrasound yedumbu.
- Kana zvichidikanwa, kuongororwa kweropa kwakaitwa nedzimwe nzira dzekuongorora.
3. Kurapwa zvichienderana nechikonzero: Kurapwa kunotsanangurwa mushure mekunge chikonzero chawanikwa.
- Chiropa Chine Mafuta: Kuchinja mararamiro kwakakosha. Kudya zvine hutano , kurovedza muviri nguva dzose , uye kudzikisa huremu kwakakosha.
- Kana zvichikonzerwa nedoro: Mhinduro chete ndeyekurega kushandisa doro zvachose .
- Kana zvichikonzerwa nemushonga: Chiremba ndiye achasarudza kana achichinja mushonga kana kuderedza mwero wemushonga.
- Kana zvichikonzerwa nehutachiona: Kurapwa kwehutachiona ihwohwo kuchatanga.
Kazhinji, kana chikonzero chacho chikarapwa nemazvo, kukuvara kwechiropa kunomira uye huwandu hwema enzyme hunodzokera pakuva hwakajairika.
Mharidzo Yekuenda Nayo Kumba
- Transaminitis (maenzayimu echiropa akakwira) chiratidzo chekuti chiropa chako chiri pasi pekushushikana. Usavhunduke kana ukaona.
- Panogona kuva nezvikonzero zvakawanda zveizvi. Chiropa chine mafuta akawanda, kushandisa doro, hutachiona hwehutachiona, uye mimwe mishonga ndizvo zvinowanzokonzera izvi.
- Kurapa hakunangirwi padanho re enzyme, asi pamamiriro ezvinhu akaita kuti ikwire.
- Kana ukaona mazinga eALT neAST akakwira pakuongororwa kweropa rako, usambozvifuratira. Iva nechokwadi chekuona chiremba wako kuti akupe mazano akakodzera uye kurapwa.
- Kazhinji, kuva nemararamiro ane hutano (kudya zvakanaka, kurovedza muviri) zvinobatsira zvikuru pakuchengetedza hutano hwechiropa.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Syncope / Fainting?
Iyi haisi nguva yekurara/kufinhwa chete! 'Kurwara nepfungwa' mukurapa idambudziko rine njodzi zvikuru rekurapa umo, nekuda kwechimwe chikonzero chinouraya kana kuti chisingatarisirwi, ropa neokisijeni kuuropi zvinomira zvachose kwemasekonzi mashoma (Kurasikirwa kwenguva pfupi kweropa kuenda kuuropi), zvichiita kuti munhu awire pasi kamwe kamwe (Kurasikirwa nepfungwa/Kudonha kwenzwi remuviri) uye kurasikirwa nepfungwa!
💬 Ndezvipi zvikonzero zvikuru zvinoita kuti munhu angoerekana arasikirwa nepfungwa (Syncope/Fainting) akamira/achifamba?
Pane zvikonzero zvikuru zvina zveizvi: 1) 'Cardiogenic Syncope' - Kana moyo ukangoerekana wamira kurova / ukava nechirwere chemwoyo, moyo haugone kupomba ropa kuenda kuuropi, zvichikonzera kurasikirwa nepfungwa! 2) Hypoglycemia (muvanhu vane chirwere cheshuga). 3) Vasovagal syncope - Kurasikirwa nepfungwa nekuda kwekuvhunduka kwetsinga mukurwadziwa kusingatsungiririki / pakuona ropa / kutya kwakanyanya. 4) Kubatwa nepfungwa/Pfafa.
💬 Kana munhu apera simba, ndeapi mamiriro ezvinhu anouraya/emergency anoda kuti apinzwe muchipatara nekukasika, pane kungodira mvura kumeso kwake wogara kumba?
Kana ukadonha womuka mukati memasekonzi mashoma/kana ukadonha warara pasi, edza kupa mvura/shuga. Asi njodzi huru! Usati warasikirwa nepfungwa wodonha, kana 1) uine kurwadziwa pachipfuva/kurwadziwa kwemoyo kana kuoma kufema, 2) paunodonha, muviri wako wese unodedera uye unobuda furo/mafuro pamuromo (kubatwa nepfari/kufinya), 3) kana ukadonha usingataure kana shoko/uri mukoma kwemaminitsi akati wandei, unofanira kufonera amburenzi nekukasika wovaendesa kuchipatara!
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