Hepatic tests

Chiropa ndiyo nhengo inonyanya kukosha, isina munhu iyo yaisagona kuvapo. Chiropa chinobatanidzwa mune zvese zvinokonzera kushandiswa kwemagetsi, kubvisa zvinokonzerwa nehupfu, inobatanidzwa mukudya. Chengetedza mamiriro uye kushanda kwechirongwa ichi zvinogona kuitwa nekuongorora kwakananga - izvo zvinonzi hepatic blood test.

Ndeipi kuongororwa kweropa kuongororwa kweropa?

Kuongororwa kwemaHepatic is complex of complex biochemical analysis that allow for diagnosis of the disease (and bile ducts) mune zvimwe zvinhu zviri muropa. Kana, maererano nemigumisiro yechirwere chechiropa, kuwanda kwezvinhu izvi kunowedzerwa kana kuderera, izvi zvinoratidza kutyora kwekushanda kwemuviri. Kazhinji, chiyero chekuedza kwakanyanyisa chinosanganisira kuongorora kuisa kwezvinhu zvinotevera:

• alanine aminotransferase (ALT);
• aspartate aminotransferase (ACT);
• gamma-glutamyltransferase (GTT);
• alkaline phosphatase (AFP);
• bilirubin (mukuru, wakananga uye asinganzwisisi);
• mapuroteni eropa serum (kunyanya, albumin), nezvimwewo.

Ungatora sei kuedza kwechiropa?

Kuongorora kwepfungwa kunoda kumwe kugadzirira kuongorora, iyo inosanganisira kuchengeta mitemo yakadaro:

1. Kwemazuva maviri usati waongororwa, usarega kuwedzerwa muviri, kunwa doro, kurega kushandiswa kwezvinhu zvinonaka, zvakabikwa uye mafuta.
2. Mushure mekudya kwekupedzisira, anenge maawa masere anofanira kupfuura.
3. Kugumisa mishonga kwemavhiki masere kusvika kuviri vasati vaongororwa (zvisinei, zivisa chiremba kuti mishonga nemiridzo zvakashandiswa sei).

Hepatic tests - transcript

Ngatimboongororai kuti migumisiro yekuongorora chii nekuputsa kubva kune zvakasarudzwa mune imwe nzira kana imwe inogona kutaura. Izvo zvinofanira kuonekwa kuti mune ma laboratori akasiyana nzira dzekuitisa zvidzidzo dzakasiyana, uye naizvozvo zviratidzo zvechimiro chezviputi zvakakosha hazvisi zvakafanana. Mukuwedzera, kana kuongorora kuongororwa, zviratidzo zvose zviri nyore zvakatorwa, kufunga nezvezera, kurara kwemurwere, zvirwere zvinokonzera, zvikwangwani, nezvimwewo.

1. ALT - enzyme inokonzerwa nechiropa, chikamu chiduku chaicho chinowanzoenda kuropa. Chimiro cheAl kwavakadzi chiyero 35 / l, zvevarume - makumi mashanu nemaundi / litita. Kana kuongorora kuchiratidza kuwedzera kwezvinyorwa zveAAL zvakapetwa makumi mashanu kana kupfuura, izvi zvinogona kuratidzira kukanganisa kwakanyanya kwehupenzi hwekunetseka, necrosis yakajeka ye hepatocytes, viral hepatitis. High ALT maitiro anowanikwa nehutachiona hwehupatitis, chiropa chinonzi cirrhosis , kusangana kwechiropa, kudhakwa kwechiropa kuora.
2. AST - enzyme inopinda muropa remvura nekuda kwekuparadzwa kwema cell. Mutemo weAST wakafanana neAlt. Nhamba yeAST, inopfuura yakasarudzwa ka20 kusvika makumi mashanu, inowanikwa muhutachiona hwehutachipatachi uye zvirwere zvechiropa, pamwe chete necrosis yezvipembenene zvinonzi hepatic tishu. Kuwedzerwa kwehuwandu hweAST kunogonawo kuratidzira kukanganisa kumusana wemwoyo. Kuti unzwisise kuti chipi chinokanganisa - chiropa kana mwoyo, kana pane kuwedzera kwechiverengero cheAST neAlt, chiyero cheAST / ALT - de Ritis coefficient (chimiro 0.8 - 1) chinoshandiswa. Kuwedzera kweiyojiyo kunoratidza chirwere chemwoyo, uye kuderera kunoreva hutachiona hwechiropa.
3. GTT inyme enzyme, kuwedzera kwayo kunoonekwa nehosha dzose dzechiropa: hepatitis ye etiology yakasiyana, cholestasis, doro rinokanganisa chiropa, nezvimwewo. GTT yenguva dzose yevarume - 2 - 55 diyuniti / l, yevakadzi - 4 - 38 maundi / litre.
4. AP inonzi enzyme inobatanidzwa mukudhinda phosphorus. Chimiro cheAAPF chika 30 - 120 units / litre. Kuwedzera kwehuwandu hweakisikiti phosphatase kunogona kuratidza hepatitis, cirrhosis, hepatic tishu necrosis, hepatocarcinoma, sarcoidosis, tuberculosis , chiropa chechiropa chinosuruvara, nezvimwewo. Uyezve, kuwedzera kuongororwa kwe enzyme iyi muropa kunogona kuva yepanyama - panguva yekuzvitakura uye mushure mokunge apera.
5. Albumin inokosha inotakura mapuroteni anokonzerwa nechiropa. Chimiro chayo ndeche 38 - 48 g / l. Nhamba ye albumin inoderera nehutrhosis, kuputika kwechiropa, kenza kana bhendi yevhesi. Kuwedzera kwe albumin kunoitika nekurasikirwa kwechikamu chemvura cheropa (fever, diarrhea), pamwe nekukuvara uye kupisa.
6. Bilirubin - imwe yezvikamu zvebi, inoumbwa panguva yekuparara kweHemoglobin. Kuwedzerwa kwehuwandu hwebilirubin kunogona kuratidza chiropa kusakundikana, kuvharwa kwebii ducts, kukuvadza kwechiropa cheshuga, yakaoma uye isingaverengeki hepatitis, nezvimwewo.

Maitiro e bilirubin:

• 5,0 - 21,0 μmol / l - yose;
• 3.4 μmol / l - yakarurama;
• 3,4 - 18,5 mkmol / l - asinganzwisisiki.