Isibindi sakho sinjani? Masithethe ngeeMvavanyo zeMisebenzi yeSibindi (ii-LFT)!

Isibindi sisitho esibaluleke kakhulu emzimbeni wethu, akunjalo? Sifana nomzi-mveliso omncinci emzimbeni wethu. Ngoko ke kukho uvavanyo lwegazi olukhethekileyo olwenziwayo ukujonga ukuba lo mzi-mveliso usebenza kakuhle okanye awusebenzi kakuhle. Yiloo nto siyibiza ngokuba 'ziivavanyo zomsebenzi wesibindi' okanye iiMvavanyo zomsebenzi wesibindi (ii-LFT) . Oku kunokunika oogqirha bethu ulwazi oluninzi olubalulekileyo malunga nempilo yesibindi sakho.

Kutheni le nto kwenziwa ezi vavanyo zokusebenza kwesibindi (ii-LFT)?

Kulungile, ngoku mhlawumbi uyazibuza, 'Kutheni le LFT isenziwa?' Kunokubakho izizathu ezahlukeneyo.

Ugqirha wakho usenokufuna ukujonga ukuba unesifo sesibindi, esifana ne -hepatitis, osicingayo. Okanye, ukuba sele unesifo sesibindi, olu vavanyo lunokunceda ukubona ukuba siqhube kakuhle kangakanani, okanye ukuba unyango luyasebenza na. Enye into kukuba amanye amayeza anokuchaphazela isibindi. Ukuba usela amayeza anjalo, la ma-LFT akwasetyenziselwa ukujonga ukuba ayasichaphazela na isibindi sakho.

Ziziphi iintlobo eziphambili zovavanyo lokusebenza kwesibindi?

Ngamafutshane, olu vavanyo lwe-LFT lulinganisa izinto ezininzi kwisampulu yegazi lakho. Nokuba kusetyenziswa isampulu enye yegazi, lunokubonelela ngolwazi malunga nee-enzymes ezahlukeneyo kunye neeproteni eziveliswa sisibindi. Makhe sibone ukuba zeziphi izinto eziphambili ezilinganiswayo?

Uvavanyo lwee-enzymes zesibindi

Olu vavanyo lujonga iintlobo ezahlukeneyo zee-enzymes esibindini sakho. Umzekelo, ii-enzymes ezifana ne -alkaline phosphatase (ALP) , i-alanine transaminase (ALT) , i-aspartate aminotransferase (AST) , kunye ne -gamma-glutamyl transferase (GGT) zezona ziphambili. Ukuba kukho nawuphi na umonakalo okanye ukwenzakala kwesibindi, amanqanaba ezi enzymes egazini aya kunyuka.

Uvavanyo lweproteni iyonke

Oku kulinganisa inqanaba leproteni egazini lakho. Ubusazi? Iiproteni ezifunekayo emizimbeni yethu ziveliswa sisibindi. Ngoko ke, ukuba inqanaba leproteni liphantsi, oko kunokuthetha ukuba isibindi asisebenzi kakuhle.

Uvavanyo lweBilirubin

I-Bilirubin yimveliso elahliweyo. Isibindi siyithumela kwi-gallbladder. Ukwanda kobungakanani bayo kuthetha ukuba kunokubakho into engalunganga ngesibindi.

Uvavanyo lwe-LDH

I-Lactate Dehydrogenase (LDH) nayo yi-enzyme. Ifumaneka kwiithishu ezininzi emzimbeni wethu, kuquka nesibindi. Inqanaba layo likwathetha okuthile ngempilo yesibindi.

Uvavanyo lwe-Prothrombin Time (PT)

Olu vavanyo lulinganisa ixesha elithathwayo ukuze isampuli yegazi lakho ijiye. Isibindi sikwavelisa iiproteni ezifunekayo ukuze igazi lijiye. Ngoko ke ukuba kuthatha ixesha elide, oko kunokubonisa ubuthathaka obuthile ekusebenzeni kwesibindi.

Njengazo zonke ezi mvavanyo, ngamanye amaxesha ziyabandakanywa njengenxalenye yephakheji yovavanyo lwegazi ebizwa ngokuba yiComprehensive Metabolic Panel, edla ngokwenziwa.

Yintoni esinokuyifunda kwezi mvavanyo?

Cinga ngale ngxelo ye-LFT njengebali labacuphi. Ugqirha wakho angakuxelela okuninzi ngokujonga amaxabiso kunye neereyithi ezahlukeneyo kuyo. Umzekelo:

• Ngaba une -hepatitis, ukudumba kwesibindi?
• Ukuba kukho ukudumba okunjalo, ngaba kubangelwa kukusetyenziswa kotywala, okanye kungenxa yesinye isizathu se-metabolic?
• Ingaba ingxaki isesibindini ngokwaso, okanye kwimibhobho yenyongo?
• Ingaba ukusebenza kwesibindi kuyaphazamiseka? Ukuba kunjalo, kuya kutsho kuwuphi umlinganiselo?
• Ingaba kukho into ethintela ukuhamba kwenyongo? Ukuba kunjalo, ibukeka njani?
• Ngaba kukho naliphi na iyeza olisebenzisayo elichaphazele isibindi sakho? Ukuba kunjalo, lichaphazele kangakanani?

Ezi LFTs zibonelela ngezikhokelo ngezinto ezininzi.

Zenziwa njani ezi zilingo zesibindi (ii-LFT)?

Kulula kakhulu. Isampulu encinci yegazi ithathwa kumthambo osengalweni yakho. Emva koko ithunyelwa kwilebhu kwaye ivavanywe. Apho, bajonga ukuba amanqanaba ezinto ezahlukeneyo aphezulu okanye aphantsi ngokungaqhelekanga na. Rhoqo, bathelekisa amanqanaba ee-enzyme okanye iiproteni ezahlukeneyo. Kuba ukuba loo bhalansi itshintshiwe, kulula ukuqonda ukuba kukho into engalunganga ngesibindi.

Kwenzeka ntoni ngexesha lovavanyo?

Ungenza olu vavanyo esibhedlele okanye kwilabhoratri ekhethekileyo. Ingcali iya kuqala ikhethe umthambo ofanelekileyo engalweni yakho ize icoce loo ndawo. Banokufaka nebhendi yokucinezela engalweni engasentla ukunceda umthambo ubonakale ngcono. Emva koko, kufakwa inaliti encinci emthanjeni kwaye inani legazi elifunekayo liqokelelwa kwibhotile encinci. Oku kuthatha imizuzu embalwa kuphela, kungekhona ixesha elide. Ungakhathazeki, kuya kuvakala ngathi imbovane encinci iyakuluma, yiyo loo nto kuphela.

Emva kovavanyo?

Emva kokuba igazi litsaliwe, isampuli ithunyelwa kwilebhu ukuze ihlolwe. Ukuba ilebhu ikwisibhedlele esinye okanye kwiziko elifanayo, iziphumo zingafumaneka ngokukhawuleza. Zingafumaneka kwiiyure ezimbalwa okanye kwiintsuku ezimbalwa. Ukuba awuziva utyhafile emva kokunikela ngegazi, ungaya ekhaya, usele amayeza akho aqhelekileyo, kwaye usele i-snack okanye isiselo.

Ndiyiqonda njani into ekwingxelo yam ye-LFT?

Xa ufumana ingxelo yakho ye-LFT, uza kubona amaxabiso ezinto ezahlukeneyo. Ungazithelekisa noluhlu oluqhelekileyo uze ubone ukuba amaxabiso akho aphezulu okanye aphantsi. Kodwa athetha ukuthini la manani ngokwenene?Kuthatha amava amancinci ukuqonda loo nto. Ngoko ke, ugqirha wakho uza kukuchazela iziphumo aze akufundise indlela yokuzifunda. Ungaze wenze izigqibo ezinkulu ngokusekelwe kwezi ziphumo zodwa, kulungile? Kungcono ukuthetha nogqirha.

"Into ebalulekileyo kukuba, ingxelo ye-LFT yinxalenye nje yephazili. Ugqirha usenokufuna ulwazi oluthe kratya ukuze abone umfanekiso opheleleyo."

Zithini iimitha eziqhelekileyo zovavanyo lwesibindi? (Zithini iimitha eziqhelekileyo ze-LFTs?)

Oku kubalulekile. Ububanzi obuqhelekileyo bungahluka kumntu nomntu. Oku kuthetha ukuba la maxabiso anokwahluka kancinci ngokuxhomekeke kwizinto ezifana nesini, ubungakanani bomzimba, kwanakwilabhoratri nganye. Ke ngoko, kufuneka uthelekise amaxabiso akho 'nobubanzi obuqhelekileyo' obudweliswe kwingxelo yakho.

Nangona kunjalo, nazi ezinye zexabiso eliqhelekileyo (ezi zezolwazi ngokubanzi kuphela , nceda ubhekisele kwi-'Normal Range' ethile kwingxelo yakho):

• I-Alanine Transaminase (ALT): 0 ukuya kwi-45 IU/L (Iiyunithi zamazwe ngamazwe ngeLitha nganye)
• I-aspartate aminotransferase (AST): 0 ukuya kwi-35 IU/L
• I-alkaline phosphatase (ALP): 30 ukuya kwi-120 IU/L
• I-Gamma-glutamyl transferase (GGT): 0 ukuya kwi-30 IU/L
• I-Bilirubin: ii-micromoles ezi-2 ukuya kwezili-17/L (ii-micromoles ngelitha)
• Ixesha leProthrombin (PT): imizuzwana eli-10.9 ukuya kweli-12.5
• I-Albumin: 40 ukuya kwi-60 g/L (iigram ngelitha)
• Iiproteni zizonke: 6.3 ukuya kwi-8.0 g/dL (iigram ngedesilitha nganye)

Kuthetha ukuthini ukuba i-AST ephezulu kunye ne-ALT zithetha ukuthini?

Ukuba amanqanaba ee-enzymes i-AST kunye ne-ALT aphakanyisiwe, kusenokwenzeka ukuba kukho umonakalo othile kwisibindi. Xa isibindi siphantsi koxinzelelo, ezi enzymes zezona zinokuthi zikhutshwe ziye egazini. Ukuba zombini ziphakanyisiwe ngokulinganayo, kusenokwenzeka ukuba isibindi sonakaliswe sisizathu esingelulo utywala (umz., usulelo, enye ityhefu). Nangona kunjalo, ukuba inqanaba le-AST liphindwe kabini kunenqanaba le-ALT, lidla ngokubonisa umonakalo wesibindi obangelwa butywala. Nangona kunjalo, la ngamacebiso nje, kwaye ugqirha kufuneka abe nguye oza kuxela ngokuqinisekileyo.

Zeziphi iintlobo zeemeko ezinokunceda ekuxilongweni kovavanyo lokusebenza kwesibindi (ii-LFTs)?

Olu vavanyo lwegazi lodwa lusenokungakwazi ukuxelela ngokuqinisekileyo ukuba loluphi uhlobo lwesifo sesibindi onaso. Nangona kunjalo, lunokunceda ugqirha wakho ukuba angaziboni ezinye iimeko. Ungadinga olunye uvavanyo ukuze wenze uxilongo lokugqibela. Umzekelo, uvavanyo lomfanekiso, i-biopsy yesibindi, okanye i-biopsy yeqhekeza elincinci lesibindi sakho.Okanye izinto ezifana novavanyo lwegazi ukuze kufunyanwe iintsholongwane ezithile.

Nazi ezinye zeemeko ezinokuthi ziboniswe zezi LFTs:

• Isifo sesibindi esinamafutha
• I-hepatitis enobuthi
• I-hepatitis ye-autoimmune
• I-hepatitis yentsholongwane (A, B okanye C)
• I-Hemochromatosis - ukuqokelelwa kwesinyithi esigqithisileyo emzimbeni
• Isifo sikaWilson - ukuqokelelwa kakhulu kobhedu emzimbeni
• Ukungabikho kwe -Alpha-1 antitrypsin
• I-Primary biliary cholangitis (PBC)
• I-Cirrhosis - ukuqina kunye nokuqhekeka kwesibindi
• Umhlaza wesibindi

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, uvavanyo lokusebenza kwesibindi, okanye i-LFT, yindlela elula kakhulu yokuba wena nogqirha wakho nifunde ngempilo yesibindi sakho. Nokuba kukukhangela isifo sesibindi okanye ukubona ukuba amayeza owasebenzisayo ayaba nefuthe na, le sampuli yegazi incinci inokubonelela ngolwazi oluninzi.

Khumbula, i-LFT yodwa isenokunganeli ukwenza uxilongo olupheleleyo. Nangona kunjalo, ulwazi olufumanayo kolu vavanyo lunokuba luncedo olukhulu ekugqibeni ukuba zeziphi amanyathelo oza kuwathatha ngokulandelayo. Ngoko ke, ukuba ugqirha wakho ucebisa i-LFT, bubulumko ukuyenza ngaphandle koloyiko. Isibindi sakho sifana nomhlobo wakho osenyongweni, kwaye luxanduva lwakho ukusinyamekela kakuhle!

Isibindi , uvavanyo lwesibindi, uvavanyo lomsebenzi wesibindi, i-LFT, uvavanyo lwegazi, isifo sesibindi, i-Hepatitis