Rau qhov kev kuaj mob kom raug thiab raws sijhawm, feem ntau tsis txaus tsuas yog kuaj tus neeg mob thiab sau cov anamnesis. Lub luag haujlwm tseem ceeb hauv kev kuaj mob yog ua los ntawm ntau hom kev tshawb fawb, suav nrog kev txiav txim siab ntawm biochemical tsis muaj ntshav.
nce qib ntawm transaminases. Cov txiaj ntsig kev xeem hais li cas?
Kev txiav txim siab ntawm qib ntawm alanine aminotransferase (ALT) thiab aspartate aminotransferase (AST) yog qhov tseem ceeb hauv kev tshawb fawb ntawm daim siab, lub plawv, pancreas. Ib qho ntxiv lossis, qhov sib txawv, qhov txo qis hauv qib ntawm transaminase hauv cov ntshav tuaj yeem qhia cov kab mob loj xws li myopathy, gout, thiab ntau yam pob txha neoplasms. Nrog kev kub nyhiab uas nyob thaj tsam loj, raug mob hnyav, cov enzymes saum toj no nce.
ALT thiab AST tau nce siab, thiab tseem ceeb hauv cov kab mob siab. Tab sis yog tias qhov ntsuas thymol siab dua li ib txwm, qhov no qhia tias daim siab puas nrog tus kab mob siab.
Qib ALT thiab AST enzymes tau nce siab hauv myocardial infarction, myocarditis, plawv tsis ua haujlwm. Nws yuav tsum tau sau tseg, txawm li cas los xij, yog tiasqib siab ntawm AST hloov pauv tsis txo qis txij li lub sijhawm tawm tsam, qhov no qhia tau tias muaj qhov tshwm sim tsis zoo rau tus neeg mob. Nws ntseeg tau tias yog tias qhov nce hauv AST thiab ALT qib tsawg dua 10 zaug, qhov no yuav qhia tau ntau yam kab mob uas tsis yog lub siab puas tsuaj. Kev nce qib hauv lawv qib ntau dua 10 npaug qhia tias muaj kab mob siab - kab mob siab (viral, toxic, ischemic lossis autoimmune), fatty hepatosis, mob qog noj ntshav.
Txoj cai khaws cov ntshav biochemistry
Txhawm rau txiav txim siab qib ntawm AST thiab ALT, kuaj ntshav nruj me ntsis ntawm lub plab khoob. Nyob rau tib lub sijhawm, noj hmo tsis pub dhau 18 teev tsaus ntuj, hauv 8 teev ua ntej kuaj ntshav, noj zaub mov, suav nrog cov kua dej, yuav tsum tsis suav nrog. Feem ntau, ntshav tau coj mus rau biochemistry hauv ib lub tsev kho mob thaum sawv ntxov, ua ntej 10 teev sawv ntxov. Hauv tsev kho mob, raws li txoj cai, ib ncig ntawm lub moos.
Qhov tseeb tias ALT thiab AST tau nce siab tuaj yeem hais tau thaum qhov txiaj ntsig ntawm kev kuaj ntshav biochemical tshaj qhov ntsuas hauv qab no:
- rau ALT - 0.1-0.68 µmol/(mlh);
- rau AST - 0.1-0.45 µmol/(mlh).
Yog tias qhov txo qis hauv qib ntawm transaminase enzymes, ib tus tuaj yeem xav tias tsis muaj vitamin pyridoxine (B6) hauv lub cev.
Tsis tas li, rau kev kuaj mob kom raug, Ritis index yog siv. Feem ntau, qhov ntsuas no yuav tsum sib npaug rau 1, 3. Nrog rau qhov nce ntxiv, peb tuaj yeem tham txog qhov muaj peev xwm ntawm myocardial infarction, nrog kev txo qis - txog kab mob siab.
Nws yuav tsum tau muab sau tseg tias hauv thawjPeb lub hlis twg ntawm cev xeeb tub, tej zaum yuav muaj qhov tsis tseem ceeb nce qib ntawm ALT transaminase. Kev tshuaj xyuas yuav tsum tau rov ua dua ib hlis tom qab xa khoom. Yog tias qib qis, tsis muaj laj thawj txhawj xeeb.
Thiab yuav ua li cas?
Ua ntej, koj yuav tsum tsis suav nrog kev siv nyob rau lub sijhawm ua ntej kev tshuaj ntsuam xyuas ntawm qee yam tshuaj uas ua rau muaj kev nce qib ntawm kev hloov pauv hauv cov ntshav. Qhov thib ob, yog tias qib ALT thiab AST tau nce siab, koj yuav tsum tsis txhob ncua sijhawm mus ntsib kws kho mob. Nco ntsoov tias tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem sau tshuaj kho. Kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj kev nyuaj siab.
