Enzyme yechiropa

Maitiro eropa - ichi ndicho chimwe chezvinhu zvakakosha zvezvinhu zvehupenyu mumuviri. Sezvo chiropa ichiita nhamba yakawanda yemabasa, ma enzyme anogadzirwa nawo akaparadzana mumapoka akawanda: excretory, chiratidzo uye nyori. Nezvirwere zvakasiyana-siyana uye kuora kwechiropa mu plasma yeropa, inondemu yehupenyu inochinja. Ichi chinoshamisa ndicho chiratidzo chakakosha chokuongorora.

Ndeapi mavhinga eropa anoshandiswa mukucherechedza?

Maitiro eropa, ayo ayo anogona kuwedzerwa mune zvirwere pamwe chete nekuparadzwa kwehepatocytes, inonzi chiratidzo chemakemikari. Izvi zvinosanganisira:

• glutamate dehydrogenase (Gldg);
• aspartate aminotransferase (AST);
• lactate dehydrogenase (LDH);
• gamma-glutamyltransferase (GGT);
• alanine aminotransferase (ALT).

Kazhinji kacho, chirwere chepachiropa chinorayirwa kuongororwa kweropa kwekutengesa kwe enzyme yeAST uye ALT. Kune vakadzi, tsika ye ACT ndeyekuita 20-40 U / l. Nechrotic kana mechanical kukuvadza hepatocytes, ma enzymes anowedzera zvakanyanya basa.

Chimiro chezvakagadzirwa nehutachiona hwechiropa ALT muropa ndi 12-32 U / l (kadzi). Nezvirwere zvinotapukira, basa ravo rinowedzera zvikuru - mune dzimwe nguva. Muchiitiko ichi, kliniki zviratidzo zvechirwere zvinogona kunge zvisipo. Ndicho chikonzero ALT inowanzoshandiswa kuongorora hepatitis panguva yekutanga.

Chimwe chigoni chekuongorora ndecheRite coefficient (AST / ALT ratio). Mumunhu ane utano, ndeye 1.3.

Zvimwe zvipembenene zvehepatic for enzymes

Kuti kuve nekusiyanisa kwakakwana kwezvirwere, laboratori inogona kuwedzera kuongorora kuongororwa uye kuwana zvose zvinokamhina zvine maropa muropa. Pane zvakasiyana-siyana zvinokonzera dystrophic chiropa, zvirwere zvepachikafu, zvirwere zvakanyanya zvehupfu uye zvirwere zvinotapukira, murwere weGldg wehutano (mu chimiro chinofanira kunge chiri pasi pe 3.0 U / l kuvakadzi). Kuwedzera kwechiropa enzyme GGT muropa (pamusoro pe 38 U / l)? Izvi zvinoratidza nguva dzose kuti murwere ane chirwere chinonzi bile chirwere kana chirwere cheshuga .

Chikamu chechiropa chinokonzerwa neropa chinopindwa mu bile ducts. Vanotora chikamu mukudya. Enzyme yakadaro is alkaline phosphatase. Kazhinji zvinyorwa zve alkaline pasi zvigadzirwa hazvifaniri kudarika 120 U / l. Asi kana mishonga yemagetsi inopesana, iyo nhamba inowedzera kusvika 400 U / l.