Uke wahlolwa igazi muva nje? Uke wazizwa wesaba noma ukhathazekile lapho ubona ukuthi inani le-AST liphakeme kancane kunezinga elijwayelekile embikweni? Noma ingabe udokotela ukubhalele ukuthi wenze ukuhlolwa kwe-AST? Abantu abaningi bayasaba lapho bezwa igama elithi AST. Kodwa ungesabi, kuyinto evamile. Namuhla, sizoxoxa ngakho konke ngokuningiliziwe, ngendlela ongayiqonda, nangendlela elula.
Kalula nje, iyini le AST?
I-AST isifinyezo se- Aspartate Aminotransferase . Lena yi-enzyme emzimbeni wethu, okuwuhlobo lweprotheni. Le enzyme ikhiqizwa kakhulu yisibindi sakho. Kodwa-ke, ngaphezu kwesibindi, inhliziyo, izinso, ubuchopho, kanye nemisipha nakho kukhiqiza inani elincane lale enzyme ye-AST.
Cabanga nge-AST "njengesisebenzi" esihlala ngaphakathi kwamaseli esibindi. Ngokuvamile, lawa "basebenzi" angaphakathi kwesibindi. Kodwa kuvamile ukuthi inani elincane kakhulu lawo liqoqeke egazini. Kodwa-ke, uma isibindi sonakele ngesizathu esithile, njengalapho udonga endlini luphuka futhi okuqukethwe ngaphakathi kuphuma, lawa "basebenzi" be-AST ngaphakathi kwamaseli esibindi avuza egazini ngobuningi obukhulu. Yilapho ukuhlolwa kwegazi kukhombisa ukwanda kwamazinga e-AST.
Kodwa khumbula, izinga le-AST eliphakeme akusho njalo ukuthi kunenkinga yesibindi. Ngoba, njengoba sishilo ngaphambili, amazinga e-AST angakhuphuka uma ezinye izitho zomzimba, njengenhliziyo nezinso, zonakele. Yingakho odokotela bevame uku-oda ezinye izivivinyo eziningana kanye nokuhlolwa kwe-AST.
Umehluko phakathi kwe-AST ne-ALT
Uma udokotela enza ukuhlolwa kwe-AST, bavame ukwenza nokuhlolwa kwe -ALT (i-Alanine Transaminase) ngesikhathi esifanayo. I-ALT ingenye i-enzyme etholakala esibindini. Kodwa ngokungafani ne-AST, i-ALT incike kakhulu esibindini . Lokhu kusho ukuthi uma izinga le-ALT liphakeme, kungenzeka kakhulu ukuthi kube nenkinga esibindini.
Odokotela bathi ukuqhathanisa amazinga e-AST kanye ne-ALT ndawonye kunganikeza umbono ocacile ngesimo kanye nobunzima besifo sesibindi, kunokubheka izinga le-AST lodwa.
Kungani udokotela angakutshela ukuthi wenze ukuhlolwa kwe-AST?
Ukuhlolwa kwe-AST kungaba yingxenye yephaneli ephelele ye-metabolic eyenziwa udokotela wakho ukuhlola impilo yakho iyonke. Ngaphezu kwalokho, udokotela wakho angayala lokhu kuhlolwa uma unezimpawu ezibonisa ukulimala kwesibindi.
Ezinye izimpawu ezibonisa ukulimala kwesibindi:
- Ukuphuzi kwamehlo noma isikhumba (i-jaundice)
- Ukukhathala ngokweqile kanye nobuthakathaka ngaphandle kwesizathu
- Ukuqunjelwa noma ukuvuvukala kwesisu
- Isicanucanu nokuhlanza
- Isisu esibuhlungu
- I-Anorexia
- Isikhumba esilumayo
- Umchamo omnyama (njengombala wetiye)
- Isihlalo esinombala okhanyayo (njengompunga)
- Ukuvuvukala kwemilenze namaqakala
- Isikhumba esiphuka kalula ngisho nangemva kokulimala okuncane
Ngisho noma ungenazo lezi zimpawu, udokotela wakho angancoma lokhu kuhlolwa uma usengozini enkulu yokuthola isifo sesibindi.
| Izici Eziyingozi Zesifo Sesibindi | |
|---|---|
| Ukusetshenziswa kotshwala | Ukuphuza utshwala ngokweqile kuyimbangela enkulu yokulimala kwesibindi. |
| Igciwane le-hepatitis | Ukuchayeka kumagciwane anjenge-hepatitis B noma C. |
| Eminye imithi | Ukusetshenziswa isikhathi eside kwemithi ethile yokuqeda izinhlungu, imithi yokwehlisa i-cholesterol, njll. (Buza udokotela wakho ngalokhu.) |
| Ukukhuluphala ngokweqile kanye nesifo sikashukela | Isifo sesibindi esinamafutha (i-MASLD) esibangelwa ukukhuluphala, isifo sikashukela, kanye nesifo se-metabolic syndrome. |
| Umlando womndeni | Ukuba nesifo sesibindi kumuntu emndenini. |
Uziqonda kanjani izindinganiso ezisembikweni we-AST?
Ngokuvamile uzothola umbiko zingakapheli usuku olulodwa noma ezimbili. Amanani aqoshwa ngamayunithi ngelitha (amayunithi/L).
Into ebalulekile ukuthi awukwazi ukwenza isinqumo esiphelele mayelana nempilo yesibindi sakho ngokusekelwe ezingeni lakho le-AST kuphela. Udokotela wakho uzocabangela leli nani kanye nakho konke okunye, njengezinga lakho le-ALT, izimpawu zakho, kanye nomlando wakho wezokwelapha.
Izinga le-AST elijwayelekile
Akukho "uhla olujwayelekile" olulodwa olusebenzela wonke umuntu. Leli nani lingahluka kuye ngelebhu ehlola igazi lakho, iminyaka yakho, isisindo sakho, kanye nobulili. Kodwa ngokuvamile, inani lamayunithi angu-8 kuya kwangu-33/L libhekwa njengelijwayelekile. Kodwa ububanzi obujwayelekile embikweni wakho yibo obubalulekile kuwe.
Izinga le-AST eliphakeme (i-AST ephezulu)
Kungaba nezizathu eziningana zokuthi kungani amazinga e-AST ephakeme kunokujwayelekile.
- Izimbangela ezihlobene nesibindi:
- Isifo sesibindi esihlobene notshwala
- Isifo sesibindi esinamafutha (MASLD)
- I-hepatitis engapheli
- Ukuqina kwesibindi noma izibazi (i-Cirrhosis)
- Ukuncipha kokunikezwa kwegazi esibindini (i-ischemia yesibindi)
- Umdlavuza wesibindi
- Ezinye izimbangela ezingahlobene nesibindi:
- Isifo senhliziyo
- Ukulimala kwemisipha (isb. ngemva kokuvivinya umzimba okunzima)
- Ukukhulelwa
- I-Pancreatitis
- Ezinye izifo ezibangelwa amagciwane, njenge-mononucleosis
- Eminye imithi
Amazinga aphezulu kakhulu e-AST (angaphezu kwamayunithi angu-500/L) angabonakala ezimweni ezifana ne-hepatitis ebangelwa yigciwane, umonakalo omkhulu wesibindi obangelwa izidakamizwa noma ubuthi.
Izinga le-AST eliphansi (i-AST ephansi)
Izinga eliphansi le-AST ngokuvamile liyinto enhle. Kodwa-ke, ezimweni ezingavamile, njengokuntuleka kwe-vitamin B6, amazinga e-AST nawo angaba phansi. Lokhu akusikho okufanele ukhathazeke ngakho, udokotela wakho uzokuchazela.
Ingabe amazinga e-AST angancishiswa?
Yebo, kungenzeka ngempela! Ungabuyisela izinga lakho le-AST esimweni esijwayelekile ngokukhuluma nodokotela wakho ukuze uqonde imbangela yezinga lakho eliphezulu le-AST futhi uthathe izinyathelo ezifanele.
- Uma ukhuluphele kakhulu, yehlisa isisindo.
- Yeka ukuphuza utshwala ngokuphelele noma unciphise kakhulu.
- Yamukela ukudla okunempilo. Nciphisa ukudla okunamafutha, okunoshukela, nokunofulawa bese udla imifino, izithelo, namakhambi amaningi.
- Vivinya umzimba njalo. Ngisho nokuhamba imizuzu engama-30 ngosuku kungasiza.
Isibindi sethu siyisitho esimangalisayo. Ngaphandle kokuthi sibe nesifo esibi njenge-cirrhosis, uma sisusa imbangela yokulimala kwesibindi, sinekhono elimangalisayo lokuzelapha . Ngakho-ke, kubaluleke kakhulu ukuhlonza lesi simo kusenesikhathi bese sithatha izinyathelo ezifanele.
Umlayezo Wokuya Nawe Ekhaya
- I-AST imane nje iyisivivinyo sokuhlola impilo yesibindi. Ungakhathazeki ngoba nje inani liphezulu.
- Amazinga aphezulu e-AST angabangelwa yizimo ezihlobene nesibindi kanye nezinye izici. Ngakho-ke ungenzi izinqumo wedwa.
- Udokotela wakho uzokunikeza iseluleko esinembile kakhulu ngemva kokucabangela zonke izivivinyo zakho ze-AST, ALT, kanye nezinye.
- Ngokwenza izinguquko ezimbalwa ezilula endleleni yokuphila (ukuyeka utshwala, ukwehlisa isisindo, ukudla ukudla okunempilo), ungakwazi ukulawula amazinga e-AST futhi ugcine isibindi siphilile.
- Uma unemibuzo noma ukukhathazeka ngombiko wakho, xoxa ngakho ngokukhululekile nodokotela wakho.
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